मेडिकल-सर्जिकल नर्सिङ – Medical-Surgical Nursing MCQ
मेडिकल-सर्जिकल नर्सिङ – अन्तर्राष्ट्रिय नर्सिङ
Medical-Surgical Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४११ प्रश्न
४११ प्रश्न उपलब्ध। मोड छान्नुहोस्:
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
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A 70-year-old male client is diagnosed with Parkinson's disease. The nurse observes that he has a resting tremor in his hands, rigidity, bradykinesia, and postural instability. Which intervention would be MOST important for the nurse to implement at this time?
सही उत्तर: ख) Provide assistance with activities of daily living as needed
Providing assistance with ADLs is crucial for a client with Parkinson's disease due to bradykinesia. Medication helps control symptoms, but direct assistance and fall prevention are immediate priorities.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 45-year-old male is suspected of having deep vein thrombosis (DVT). Which diagnostic test is MOST commonly used to confirm the diagnosis?
सही उत्तर: ग) Venous Ultrasound
Venous ultrasound is the gold standard for diagnosing DVT due to its high sensitivity and specificity. Chest x-rays, CBC, and ECG are not specific or sensitive indicators of DVT.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 35-year-old male is admitted to the emergency department experiencing a sickle cell vaso-occlusive crisis. His vital signs include: Temperature 38.5°C (101.3°F), Blood Pressure 90/60 mmHg, Heart Rate 120 bpm, and Respiratory Rate 24 breaths/min. The nurse's priority intervention is:
सही उत्तर: ग) Administer morphine for pain relief
Morphine is the priority medication to manage severe pain associated with vaso-occlusive crises. While other interventions are important, pain control is paramount in this acute situation. Oxygen, fluids and positioning support oxygenation and circulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 52-year-old female patient is diagnosed with rheumatoid arthritis. She reports morning joint stiffness lasting more than one hour, symmetrical swelling of the small joints of her hands, and mild warmth. Which of the following interventions would be MOST appropriate for the nurse to implement initially?
सही उत्तर: ख) Administer nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed
NSAIDs are the primary pharmacological intervention for reducing inflammation and pain associated with rheumatoid arthritis. While other interventions have value, NSAIDs directly address the inflammatory process. Encouraging exercise alone will not control symptoms effectively, and diet is supportive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 68-year-old male patient presents to the clinic complaining of increasing pain in his left calf while walking. The pain is relieved by rest. He reports no other symptoms. Based on this information, the nurse should suspect:
सही उत्तर: क) Peripheral artery disease
Peripheral artery disease (PAD) – also known as intermittent claudication – is characterized by pain in the legs due to reduced blood flow, typically relieved by rest. The other options do not align with this presenting symptom. Deep vein thrombosis presents differently and compartment syndrome usually involves severe localized pain and swelling.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Return of bowel function after abdominal surgery is best indicated by:
सही उत्तर: ख) Passing flatus
Passing flatus shows peristalsis has returned; absent bowel sounds and distension suggest ileus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the main purpose of a nasogastric tube connected to low intermittent suction after abdominal surgery?
सही उत्तर: ग) To decompress the stomach and prevent vomiting
Suction removes gas and fluid while bowel motility is reduced, preventing distension, vomiting and strain on the suture line.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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After cataract surgery, which activity should the client avoid in the early recovery period?
सही उत्तर: ख) Bending at the waist and lifting heavy objects
Bending, straining and heavy lifting raise intraocular pressure and can harm the surgical site.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic kidney disease is likely to need which dietary restriction?
सही उत्तर: क) Restriction of potassium and phosphorus
Failing kidneys cannot excrete potassium and phosphate, so these are restricted along with controlled protein, sodium and fluid.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which sign is commonly seen in a client with jaundice?
सही उत्तर: क) Yellow discoloration of the sclera and skin
Raised bilirubin deposits in tissues, giving yellow sclera and skin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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