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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Which equipment should be kept at the bedside of a client after a thyroidectomy?
सही उत्तर: ग) Tracheostomy set
Swelling, hematoma or laryngeal nerve injury can obstruct the airway after thyroid surgery, so a tracheostomy set is kept ready. The other equipment is unrelated to this surgery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which set of findings suggests thyroid storm?
सही उत्तर: ख) High fever and marked tachycardia
Thyroid storm is a life-threatening hypermetabolic state with hyperthermia, tachycardia and agitation. Hypothermia and bradycardia describe myxedema coma, the hypothyroid emergency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Episodic hypertension with headache, sweating and palpitations suggests which condition?
सही उत्तर: ग) Pheochromocytoma
A pheochromocytoma is a catecholamine-secreting adrenal medulla tumor causing paroxysmal hypertension with this classic triad. Addison's disease causes hypotension.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which urine finding is expected in a client with diabetes insipidus?
सही उत्तर: ग) Very low urine specific gravity
Without ADH the kidneys excrete large volumes of dilute urine, so specific gravity is very low (around 1.001-1.005). Glycosuria points to diabetes mellitus, not insipidus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with SIADH has a serum sodium of 125 mEq/L. Which intervention is expected?
सही उत्तर: ख) Fluid restriction
SIADH causes water retention and dilutional hyponatremia, so fluids are restricted. Desmopressin is an ADH analogue used for diabetes insipidus and would worsen SIADH.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which physical finding is characteristic of Cushing's syndrome?
सही उत्तर: ग) Truncal obesity with thin extremities
Excess cortisol redistributes fat to the trunk, face (moon face) and upper back (buffalo hump) while limbs stay thin. Bronze pigmentation with hypotension suggests Addison's disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which laboratory finding is expected in Addison's disease?
सही उत्तर: ग) Hyperkalemia
Lack of aldosterone causes sodium loss and potassium retention, so hyponatremia and hyperkalemia occur; cortisol deficiency causes hypoglycemia. Hyperglycemia is typical of Cushing's syndrome instead.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which finding is expected in a client with hypothyroidism?
सही उत्तर: ग) Cold intolerance
Low thyroid hormone slows metabolism, causing cold intolerance, weight gain, fatigue and bradycardia. Heat intolerance, weight loss and tachycardia point to hyperthyroidism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Glycated hemoglobin (HbA1c) reflects average blood glucose over approximately what period?
सही उत्तर: ग) 2 to 3 months
HbA1c reflects glucose attached to hemoglobin over the red cell lifespan of about 120 days, so it shows control over the past 2-3 months. It is not useful for day-to-day changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When mixing regular and NPH insulin in one syringe, which is correct?
सही उत्तर: घ) Draw up the regular (clear) insulin first
Clear before cloudy prevents contamination of the regular vial with NPH. NPH should be gently rolled, not shaken, and air is injected into both vials.
💬 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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