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

51. A client diagnosed with chronic heart failure presents with edema in both lower extremities and shortness of breath. The nurse understands that which medication class would be MOST appropriate for immediate relief of symptoms?

    कAntibiotics खInsulin गDiuretics (e.g., furosemide) घAnticoagulants
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

52. A client with a history of asthma is experiencing an acute exacerbation. The physician orders albuterol via nebulizer. Which nursing intervention is MOST important at this time?

    कAdministering corticosteroids to reduce inflammation. खMonitoring the client’s blood pressure closely. गEnsuring the client remains upright during treatment. घClosely observing the client's respiratory effort and oxygen saturation.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

53. A 68-year-old male client is admitted with a suspected diagnosis of acute myeloid leukemia (AML). A peripheral blood smear reveals the presence of Auer rods. What does this finding indicate?

    कChronic myelogenous leukemia. खMyelodysplastic syndrome. गAcute myeloid leukemia. घLymphoma.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

54. A client with newly diagnosed tuberculosis is prescribed isoniazid and pyridoxine. The nurse understands that the primary purpose of administering pyridoxine concurrently with isoniazid is to:

    कIncrease the effectiveness of isoniazid. खDecrease the risk of hepatotoxicity associated with isoniazid. गPrevent peripheral neuropathy caused by isoniazid. घEnhance the body’s immune response.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

55. A nurse is assessing a client with chronic obstructive pulmonary disease (COPD) who reports increasing shortness of breath. Which assessment finding would most closely correlate with the client’s subjective report?

    कDecreased respiratory rate. खIncreased tidal volume. गElevated PaCO2 levels. घNormal chest expansion.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

56. A client presents to the clinic with a chronic cough productive of green sputum and fever. Which action should the nurse implement FIRST?

    कAdminister antibiotics as prescribed. खObtain a sputum culture and sensitivity test. गEncourage increased fluid intake. घInstruct the client to use a humidifier.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

57. A client with heart failure presents to the emergency department with shortness of breath and edema in both ankles. Which intervention is *most* important for the nurse to implement immediately?

    कAdminister furosemide (Lasix) as prescribed खElevate the client's legs above the level of their heart गEncourage the client to sit upright घNotify the physician regarding fluid overload
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

58. A nurse is caring for a client who has just undergone an esophagogastroduodenoscopy (EGD). Which of the following observations would *most* indicate a complication?

    कClient reports mild abdominal discomfort खClient verbalizes understanding of the procedure गClient remains NPO (nothing by mouth) as prescribed घClient demonstrates intermittent nausea and vomiting
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

59. A client with chronic obstructive pulmonary disease (COPD) presents to clinic with a SpO2 reading of 88% on room air. According to current guidelines, what target oxygen saturation should the nurse recommend for this patient?

    क90-93% ख85-88% ग94-96% घ100%
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

60. A client post-operatively following a total knee replacement reports significant pain, swelling, and redness around the surgical site. Which nursing intervention would be *most* appropriate at this time?

    कEncourage the client to perform passive range of motion exercises immediately खApply a cool compress to the affected area for 20 minutes every 4 hours गAdminister an opioid analgesic as prescribed घInstruct the client on how to massage the surgical dressing
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।