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

91. A patient with pneumonia develops increased dyspnea and crackles in both lung fields. The nurse observes cyanosis. What immediate nursing intervention should be implemented? a) Administering oxygen via nasal cannula. b) Initiating a fluid bolus for hypotension. c) Obtaining a sputum sample for culture. d) Elevating the client’s head of bed to promote ventilation.

    कa) Administering oxygen via nasal cannula. खb) Initiating a fluid bolus for hypotension. गc) Obtaining a sputum sample for culture. घd) Elevating the client’s head of bed to promote ventilation.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

92. A patient with diabetes mellitus presents with fruity-smelling breath, excessive thirst, and frequent urination. A blood glucose level is significantly elevated. Which laboratory finding would MOST strongly support the diagnosis of diabetic ketoacidosis (DKA)? a) Elevated serum creatinine. b) Presence of ketones in the urine. c) Decreased bicarbonate levels. d) Normal arterial pH.

    कa) Elevated serum creatinine. खb) Presence of ketones in the urine. गc) Decreased bicarbonate levels. घd) Normal arterial pH.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

93. A nurse is caring for a patient following a total hip arthroplasty (THA). Which intervention is MOST important to implement immediately after the procedure? a) Encouraging the patient to ambulate as soon as possible. b) Applying ice packs to the surgical site. c) Assessing the neurovascular status of the affected extremity. d) Administering analgesics as prescribed.

    कa) Encouraging the patient to ambulate as soon as possible. खb) Applying ice packs to the surgical site. गc) Assessing the neurovascular status of the affected extremity. घd) Administering analgesics as prescribed.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

94. A patient presents with severe abdominal pain, nausea, and vomiting. Laboratory results reveal elevated liver enzymes. The nurse suspects acute hepatitis. Which intervention is MOST appropriate as the initial nursing action? a) Administering activated charcoal. b) Monitoring for signs of hepatic encephalopathy. c) Initiating intravenous fluids at a rapid rate. d) Prescribing antiemetics to control nausea.

    कa) Administering activated charcoal. खb) Monitoring for signs of hepatic encephalopathy. गc) Initiating intravenous fluids at a rapid rate. घd) Prescribing antiemetics to control nausea.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

95. A patient is admitted with suspected acute kidney injury secondary to septic shock. Which laboratory value is MOST likely to be elevated?

    कSerum Creatinine. खSerum Albumin. गPlatelet Count. घHemoglobin Level.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

96. A patient with a new diagnosis of heart failure is prescribed furosemide (Lasix). Which assessment finding would MOST closely indicate that the medication is effective?

    कDecreased urine output. खIncreased blood pressure. गWeight gain over 24 hours. घCrackles in both lung fields.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

97. Which statement best describes the expected effect of administering sulfasalazine to a patient with ulcerative colitis?

    कIt will rapidly induce complete remission of symptoms. खIt will significantly reduce inflammation over several weeks. गIt will completely eliminate the need for dietary modifications. घIt will immediately cure the chronic inflammatory condition.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

98. A patient with chronic obstructive pulmonary disease (COPD) presents with increased dyspnea. Which intervention would be MOST appropriate for the nurse to implement immediately?

    कAdminister oxygen at 2 liters per minute via nasal cannula. खEncourage the patient to use a postural drainage technique. गInstruct the patient to perform pursed-lip breathing. घProvide the patient with an antacid medication.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

99. A patient with cirrhosis presents with ascites. Which intervention would be *most* appropriate for the nurse to implement?

    कAdminister sodium bicarbonate intravenously खApply cold compresses to the abdomen गElevate the head of the bed to 30 degrees घEncourage fluid restriction to 1-2 liters per day
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

100. A nurse is caring for a client with severe dehydration following a diarrheal illness. Which assessment finding would *most* indicate that fluid replacement therapy is working effectively?

     कDecreased urine output खIncreased blood pressure गStable heart rate घDry mucous membranes
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।