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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Kussmaul respirations and a fruity breath odour are typical of which condition?
सही उत्तर: क) Diabetic ketoacidosis
In DKA, deep rapid (Kussmaul) breathing compensates for metabolic acidosis, and ketones (acetone) give the breath a fruity smell.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which sign is a positive Trousseau sign?
सही उत्तर: ग) Carpal spasm when a BP cuff is inflated on the upper arm
Trousseau sign is carpopedal spasm induced by inflating a BP cuff above systolic pressure; it indicates hypocalcaemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which IV solution is hypotonic?
सही उत्तर: ख) 0.45% sodium chloride
Half-normal saline (0.45%) has lower osmolality than plasma; 0.9% saline and Ringer's lactate are isotonic and 3% saline is hypertonic.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the normal range of serum sodium in adults?
सही उत्तर: क) 135–145 mEq/L
Normal serum sodium is about 135–145 mEq/L.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which ECG change is typical of hypokalaemia?
सही उत्तर: क) Prominent U waves and flattened T waves
Low potassium flattens T waves and produces U waves; tall peaked T waves are seen in hyperkalaemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A very anxious client is hyperventilating. Which acid–base imbalance is most likely?
सही उत्तर: क) Respiratory alkalosis
Rapid breathing blows off CO2, lowering PaCO2 and raising pH — respiratory alkalosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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ABG results: pH 7.30, PaCO2 52 mmHg, HCO3 24 mEq/L. How should these be interpreted?
सही उत्तर: क) Uncompensated respiratory acidosis
pH is low (acidosis), PaCO2 is high (respiratory cause) and HCO3 is normal (no compensation yet).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a new tracheostomy coughs out the tube. What should the nurse do first?
सही उत्तर: घ) Use the obturator and spare tube kept at the bedside to reinsert or maintain the stoma
An obturator and spare tracheostomy tube are kept at the bedside so the airway can be re-established immediately.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client on prolonged bed rest develops sudden dyspnoea, pleuritic chest pain and tachycardia. Which condition should the nurse suspect?
सही उत्तर: घ) Pulmonary embolism
Immobility promotes DVT, and sudden breathlessness with chest pain and tachycardia suggests the clot has travelled to the lungs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A chest drainage tube accidentally disconnects from the drainage system. What should the nurse do first?
सही उत्तर: घ) Immerse the end of the tube in sterile water
Placing the tube end about 2–3 cm under sterile water re-creates a water seal and prevents air entering the pleural space.
💬 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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