मेडिकल-सर्जिकल नर्सिङ – Medical-Surgical Nursing MCQ

मेडिकल-सर्जिकल नर्सिङ: प्रश्न र उत्तर

सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।

सही: ० / ०

201. A client following post-operative cardiac surgery reports experiencing chest pain that radiates to their left arm. Their vital signs include blood pressure 140/90 mmHg, heart rate 110 bpm, and respiratory rate 20 breaths per minute. Which intervention should the nurse implement FIRST?

     कAdminister morphine for pain relief खNotify the cardiac surgeon immediately गMonitor the client’s EKG continuously घEncourage slow, deep breathing
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

202. A client with a stage III pressure ulcer on their sacrum is receiving wound care. Which intervention is MOST important for the nurse to implement?

     कApplying a dry, sterile dressing daily खMaintaining meticulous skin hygiene using warm water and soap गElevating the affected limb above heart level at all times घCovering the ulcer with petroleum jelly to keep it moist
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

203. A client is admitted with pneumonia. The nurse assesses that the patient’s respiratory rate is 32 breaths per minute, and they report feeling short of breath. What is the priority nursing intervention?

     कAdminister oxygen via nasal cannula at 2L/min खEncourage the patient to cough forcefully गProvide the patient with a warm bath to relax their muscles घNotify the physician immediately for medication administration
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

204. A patient presents with signs and symptoms of acute kidney injury (AKI). The nurse understands that the most immediate intervention is:

     कa) Restricting fluid intake to prevent further dilution of electrolytes खb) Monitoring urine output closely for signs of oliguria गc) Administering intravenous fluids liberally to restore blood volume घd) Assessing the client’s neurological status and reporting any changes
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

205. A client with deep vein thrombosis (DVT) is receiving heparin therapy. The nurse should monitor which laboratory value most closely?

     कa) White blood cell count खb) Platelet count गc) Activated partial thromboplastin time (aPTT) घd) Serum albumin level
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

206. A client with chronic obstructive pulmonary disease (COPD) is experiencing an acute exacerbation. Which nursing intervention is MOST important at this stage?

     कa) Encouraging the client to cough forcefully to clear secretions खb) Administering corticosteroids via nebulizer to reduce inflammation गc) Assessing the client’s oxygen saturation and administering supplemental oxygen as needed घd) Providing a high-carbohydrate diet to increase energy levels
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

207. A client with severe burns requires fluid resuscitation. The nurse calculates that the client needs 2 liters of intravenous fluids per hour. Which type of fluid is MOST appropriate for this situation?

     कa) Lactated Ringer’s solution खb) Normal saline solution गc) Dextrose and sodium chloride solution घd) Hypotonic saline solution
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

208. A client is experiencing post-operative pain following an abdominal hysterectomy. The nurse assesses that the client’s pain is rated as 8/10 on a numerical rating scale. Which intervention would be MOST appropriate at this time?

     कa) Administering opioid analgesics intravenously for rapid relief खb) Applying ice packs to the surgical site to reduce inflammation गc) Providing non-pharmacological pain management techniques such as relaxation exercises घd) Encouraging the client to engage in deep breathing and coughing to prevent pneumonia
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

209. A client with pneumonia develops productive cough accompanied by purulent sputum. The nurse should primarily focus on:

     कa) Administering a bronchodilator via nebulizer immediately खb) Ensuring adequate hydration and promoting deep breathing exercises गc) Monitoring oxygen saturation levels closely for hypoxia घd) Applying heat packs to the chest to reduce inflammation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

210. A client diagnosed with diabetic ketoacidosis (DKA) is exhibiting a fruity breath odor. The nurse understands that this odor is caused by:

     कa) Excessive insulin administration leading to hypoglycemia खb) Breakdown of fat tissue producing ketones गc) Increased glycogen stores in the liver घd) Decreased levels of electrolytes causing acidosis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।