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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Continuous bubbling in the water-seal chamber of a chest drainage system usually indicates:
सही उत्तर: क) An air leak in the system
Continuous bubbling in the water-seal chamber signals an air leak; intermittent bubbling with exhalation or cough can occur with a pneumothorax. Gentle bubbling is expected only in a wet suction-control chamber.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Before drawing an ABG from the radial artery, the nurse performs the Allen test to assess:
सही उत्तर: घ) Collateral circulation through the ulnar artery
The Allen test checks that the ulnar artery can supply the hand if the radial artery is damaged. It does not test nerve function or venous return.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the normal adult serum sodium range?
सही उत्तर: क) 135-145 mEq/L
Normal serum sodium is 135-145 mEq/L. 3.5-5.0 is the potassium range and about 98-106 is the chloride range.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the normal range of arterial PaCO2?
सही उत्तर: क) 35-45 mmHg
Normal PaCO2 is 35-45 mmHg; above 45 indicates respiratory acidosis. 22-26 is the normal bicarbonate range in mEq/L, and 80-100 mmHg is normal PaO2.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Prolonged vomiting or continuous NG suction most commonly causes which acid-base imbalance?
सही उत्तर: क) Metabolic alkalosis
Loss of gastric hydrochloric acid leaves excess bicarbonate, causing metabolic alkalosis. Severe diarrhea, by contrast, loses bicarbonate and causes metabolic acidosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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ABG results: pH 7.30, PaCO2 55 mmHg, HCO3- 24 mEq/L. How is this interpreted?
सही उत्तर: ख) Uncompensated respiratory acidosis
Low pH with high PaCO2 shows respiratory acidosis, and a normal HCO3- means the kidneys have not compensated yet. Metabolic acidosis would show a low HCO3-.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client's serum sodium is 118 mEq/L. Which nursing action is a priority?
सही उत्तर: क) Institute seizure precautions
Severe hyponatremia causes cerebral edema, which can lead to confusion and seizures. Free water or hypotonic fluids would lower sodium further.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which statement about IV potassium chloride is correct?
सही उत्तर: घ) It must be diluted and never given as an IV push
IV push potassium can cause fatal cardiac arrhythmias, so it is always diluted and infused with a controlled rate. It is not given intramuscularly.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client on furosemide should be monitored mainly for which electrolyte imbalance?
सही उत्तर: क) Hypokalemia
Loop diuretics increase potassium loss in urine, causing hypokalemia that may lead to arrhythmias. Hyperkalemia is a concern with potassium-sparing diuretics like spironolactone.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which ECG change is characteristic of hyperkalemia?
सही उत्तर: क) Tall, peaked T waves
Hyperkalemia produces tall peaked T waves and, if severe, widened QRS and arrhythmias. Prominent U waves are a sign of hypokalemia.
💬 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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