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

31. A client with chronic obstructive pulmonary disease (COPD) presents to the emergency department with severe shortness of breath and cyanosis. Arterial blood gases reveal a PaO2 of 55 mmHg and a PaCO2 of 60 mmHg. Which intervention should the nurse implement FIRST?

    कa) Administer oxygen via nasal cannula at 2 liters per minute खb) Initiate mechanical ventilation with positive pressure support गc) Provide intravenous bronchodilators (e.g., albuterol) घd) Insert a urinary catheter to monitor fluid balance
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

32. A nurse is caring for a client who has been admitted with acute bacterial endocarditis. Which of the following laboratory findings would MOST strongly support this diagnosis?

    कa) Elevated white blood cell count with neutrophils खb) Decreased hemoglobin and hematocrit levels गc) Prolonged prothrombin time (PT) and partial thromboplastin time (PTT) घd) Normal serum creatinine level
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

33. A client following a total knee replacement surgery is experiencing pain and swelling in the surgical leg. Which action demonstrates effective pain management? (a) Administering an opioid analgesic as prescribed. (b) Encouraging deep breathing exercises to reduce swelling. (c) Applying ice packs intermittently for 20 minutes at a time. (d) Promoting active range-of-motion exercises immediately after surgery.

    कAdministering an opioid analgesic as prescribed. खEncouraging deep breathing exercises to reduce swelling. गApplying ice packs intermittently for 20 minutes at a time. घPromoting active range-of-motion exercises immediately after surgery.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

34. A client with a suspected abscess presents with localized pain, redness, warmth, and purulent drainage from the skin. Which nursing intervention is MOST important at this stage? (a) Applying direct pressure to the affected area. (b) Administering broad-spectrum antibiotics immediately. (c) Elevating the affected limb to reduce swelling. (d) Covering the wound with an airtight dressing.

    कApplying direct pressure to the affected area. खAdministering broad-spectrum antibiotics immediately. गElevating the affected limb to reduce swelling. घCovering the wound with an airtight dressing.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

35. A client with deep vein thrombosis (DVT) is experiencing leg pain and swelling. Which nursing intervention is MOST effective in preventing pulmonary embolism? (a) Encouraging increased physical activity to promote circulation. (b) Elevating the affected limb above heart level. (c) Administering a warm compress to the affected area. (d) Monitoring for signs of respiratory distress and shortness of breath.

    कEncouraging increased physical activity to promote circulation. खElevating the affected limb above heart level. गAdministering a warm compress to the affected area. घMonitoring for signs of respiratory distress and shortness of breath.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

36. A client has been diagnosed with chronic kidney disease stage 3. The nurse understands that restricting which nutrient intake is crucial to manage this condition? (a) Protein (b) Sodium (c) Carbohydrates (d) Fat

    कProtein खSodium गCarbohydrates घFat
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

37. A client presents to the clinic with complaints of sudden onset chest pain, shortness of breath, and nausea. The nurse suspects myocardial infarction. Which action is MOST appropriate as the initial nursing intervention? (a) Administer nitroglycerin sublingually. (b) Encourage the patient to walk slowly to increase blood flow. (c) Obtain a detailed history regarding risk factors for coronary artery disease. (d) Immediately initiate intravenous fluid administration.

    कAdminister nitroglycerin sublingually. खEncourage the patient to walk slowly to increase blood flow. गObtain a detailed history regarding risk factors for coronary artery disease. घImmediately initiate intravenous fluid administration.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

38. A client is being discharged after an excision biopsy of a skin lesion. The nurse provides the following discharge teaching: ‘It’s important to keep the incision clean and dry, and you should avoid prolonged sun exposure.’ What is the PRIMARY rationale for this instruction?

    कTo prevent infection. खTo promote wound healing. गTo minimize scarring. घTo reduce pain.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

39. A nurse is reviewing a client's medication list for a post-operative infection. The client is taking piperacillin/tazobactam. Which adverse effect should the nurse monitor for MOST closely?

    कHypoglycemia खBradycardia गPhotosensitivity घPancreatitis
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

40. A nurse is caring for a client with severe heart failure who is experiencing dyspnea. The physician orders oxygen at 2 liters per minute via nasal cannula. Which of the following actions should the nurse take FIRST?

    कMonitor the client’s respiratory rate and effort. खAssess the client’s arterial blood gas (ABG) levels. गEnsure that the oxygen tubing is properly connected and flowing. घAdminister furosemide as prescribed.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।