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 insulin is described as long-acting with no pronounced peak?
सही उत्तर: ग) Insulin glargine
Glargine provides a steady basal level over about 24 hours without a marked peak. NPH is intermediate-acting and does have a peak, which increases hypoglycemia risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client receives insulin lispro before breakfast. Within what time should the meal be eaten?
सही उत्तर: घ) About 15 minutes
Lispro is rapid-acting with an onset of about 15 minutes, so food must follow promptly to prevent hypoglycemia. Waiting an hour or more risks a low blood glucose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which insulin can be given intravenously?
सही उत्तर: घ) Regular insulin
Regular (short-acting) insulin is the type used in IV infusions such as in DKA. Intermediate and long-acting insulins like NPH and glargine are for subcutaneous use only.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which finding best distinguishes diabetic ketoacidosis (DKA) from hyperosmolar hyperglycemic state (HHS)?
सही उत्तर: घ) Ketones with metabolic acidosis
DKA is defined by ketosis and metabolic acidosis; HHS has marked hyperglycemia with little or no ketosis. Hyperglycemia, polyuria and dehydration occur in both.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Deep, rapid Kussmaul respirations are most typical of which condition?
सही उत्तर: ख) Diabetic ketoacidosis
Kussmaul breathing is the lungs' attempt to blow off CO2 to compensate for metabolic acidosis in DKA. Opioid overdose causes slow, shallow breathing instead.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which is an early sign of hypoxia in an adult client?
सही उत्तर: घ) Restlessness and anxiety
Restlessness, anxiety and tachycardia appear early because the brain is very sensitive to low oxygen. Cyanosis and bradycardia are late signs, and clubbing reflects chronic hypoxia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which finding is most characteristic of left-sided heart failure?
सही उत्तर: घ) Crackles in the lungs and dyspnea
Left ventricular failure backs blood into the pulmonary circulation, causing pulmonary congestion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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For a client with COPD and chronic CO2 retention, what oxygen saturation target is usually recommended?
सही उत्तर: क) 88-92%
A target of 88-92% avoids hypoxemia while reducing the risk of worsening hypercapnia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the normal adult serum potassium range?
सही उत्तर: ख) 3.5-5.0 mEq/L
Normal potassium is 3.5-5.0 mEq/L; 135-145 is the sodium range.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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After a thyroidectomy, a client has a positive Chvostek sign. This indicates which electrolyte imbalance?
सही उत्तर: ग) Hypocalcemia
Accidental parathyroid injury lowers calcium, causing neuromuscular irritability such as Chvostek sign.
💬 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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