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

21. A client with chronic obstructive pulmonary disease (COPD) reports difficulty breathing and uses a peak flow meter regularly. The peak flow reading is consistently lower than usual. Which intervention should the nurse prioritize?

    कa) Prescribing bronchodilators at double the current dose खb) Teaching pursed-lip breathing to enhance airflow गc) Encouraging the client to increase their activity level घd) Restricting fluid intake to prevent congestion
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

22. A 68-year-old male client is recovering from a total knee replacement (TKR). He reports significant pain and stiffness in his affected leg, particularly after periods of inactivity. Which intervention is MOST appropriate for the nurse to implement at this time?

    कa) Administering a high dose of opioid analgesics immediately upon request खb) Encouraging frequent range-of-motion exercises and passive assisted stretches गc) Applying an ice pack directly to the surgical wound for 20 minutes at a time घd) Elevating the affected leg above heart level for 30 minutes daily
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

23. A client presents to the emergency department with severe abdominal pain, nausea, and vomiting. Laboratory results reveal elevated lipase and amylase levels. Which of the following is the MOST likely diagnosis?

    कa) Appendicitis खb) Diabetic Ketoacidosis गc) Acute Pancreatitis घd) Gastric Ulcer
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

24. A patient with a new diagnosis of diabetes mellitus type 2 has been prescribed metformin. Which statement made by the patient indicates understanding of this medication?

    क‘I should take this medicine only when I feel shaky’ ख‘I can continue to drink sugary beverages regularly’ ग‘This medication helps my body use insulin better’ घ‘It’s important to monitor my blood glucose levels frequently’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

25. A patient with heart failure presents with severe edema in both lower extremities. Which intervention would be MOST effective in reducing this edema?

    कElevating the legs above the level of the heart खEncouraging fluid intake to maintain hydration गAdministering a diuretic medication as prescribed घApplying topical hydrocortisone cream to the affected areas
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

26. A patient is recovering from a major burn injury. The nurse observes that the patient’s skin around the burn site is mottled and cool to the touch. What nursing action is MOST important at this time?

    कApplying a warm compress to the burned area खAdministering antidiabetic medication as prescribed गCalling the physician immediately घMonitoring vital signs closely
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

27. A patient has been diagnosed with acute appendicitis. The nurse anticipates administering what medication as a priority?

    कMorphine खMetronidazole गPromethazine घCiprofloxacin
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

28. A client recovering from a surgical incision on their abdomen following herniorrhaphy is experiencing increased pain and redness at the site of the wound. Which of the following nursing interventions is MOST appropriate?

    कAdminister an analgesic medication as prescribed by the physician without assessing the wound site. खEncourage the client to apply ice packs to the affected area for 20 minutes at a time, several times a day. गCleanse the incision site with sterile saline solution and dry gently before applying a non-adherent dressing. घInstruct the client to elevate their legs above their head to reduce swelling in the area.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

29. A client with a history of heart failure presents to the clinic complaining of edema in both ankles and shortness of breath. Which finding would MOST likely contribute to this presentation?

    कa) Hyperthyroidism खb) Chronic obstructive pulmonary disease (COPD) गc) Right ventricular hypertrophy घd) Hypothyroidism
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

30. A client with type 1 diabetes mellitus is experiencing hypoglycemia. The nurse observes the client becoming confused, irritable, and exhibiting tremors. What should the nurse’s NEXT action be?

    कa) Administer a rapid-acting insulin injection खb) Provide the client with glucose containing snack (e.g., fruit juice or crackers) गc) Assess the client's level of consciousness and airway घd) Monitor the client’s blood glucose levels every 15 minutes
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।