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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A patient presents to the emergency department with severe chest pain radiating to their left arm. Their vital signs are: BP 160/95, HR 110, RR 24, and SpO2 92%. Based on this information, which of the following is the nurse’s *priority* action?
सही उत्तर: ग) Activate the rapid response team
Activating the rapid response team is the priority due to the patient's presentation of chest pain, elevated heart rate and blood pressure, and low SpO2 – indicating a likely acute cardiovascular event such as an unstable angina or myocardial infarction. Administering morphine could mask symptoms and delay appropriate treatment; oxygen is less critical than immediate assessment and activation of protocols. Obtaining an arterial blood gas sample is not the immediate priority in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents with jaundice. Which of the following signs is MOST commonly observed?
सही उत्तर: ग) Yellowish Discoloration of the Skin and Eyes
Jaundice is characterized by the yellowish discoloration of the skin and eyes due to elevated bilirubin levels in the bloodstream. The other options represent signs associated with other conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with suspected active pulmonary tuberculosis is admitted to the hospital. Which of the following precautions should the nurse implement?
सही उत्तर: ग) Airborne Precautions
Tuberculosis, especially in its active form, poses a risk of airborne transmission. Airborne precautions (using N95 respirators and negative pressure rooms) are required to prevent this.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with cor pulmonale (right ventricular failure) is experiencing shortness of breath. Which of the following assessment findings would be MOST expected?
सही उत्तर: घ) Hypercapnia
Cor pulmonale leads to pulmonary hypertension, causing right ventricular strain and eventually failure. Hypercapnia (elevated CO2 levels) is a common consequence of impaired gas exchange due to increased resistance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with stage 3 chronic kidney disease (CKD) is being discharged on a dietary plan. Which of the following restrictions should the nurse instruct the client to adhere to MOST strictly?
सही उत्तर: ग) High Sodium Intake
Clients with CKD, particularly in stage 3, require strict sodium restriction due to fluid retention and hypertension. While protein and potassium are often modified, sodium is the most critical for managing complications like edema and electrolyte imbalances.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the clinic with symptoms including tremors, rigidity, bradykinesia, and postural instability. Which of the following diagnoses is MOST likely?
सही उत्तर: क) Alzheimer's Disease
Parkinson’s disease is characterized by these classic cardinal signs. The other options present with different neurological symptoms (memory loss, muscle weakness/spasticity, ataxia, and genetic inheritance, respectively).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a suspected bowel obstruction is experiencing severe abdominal pain and nausea. Which nursing intervention is MOST appropriate at this stage?
सही उत्तर: ग) Monitoring the client’s abdominal girth and bowel sounds regularly.
Frequent monitoring of abdominal girth and bowel sounds is essential in assessing the severity of a possible obstruction. Palpation is contraindicated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client post-operative following a total hip replacement. Which action demonstrates the BEST nursing intervention to prevent complications?
सही उत्तर: ख) Applying ice packs to the surgical incision site.
Elevating the leg promotes venous return and reduces swelling. Early mobilization is important for recovery but not as immediately critical as preventing edema.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client recovering from major surgery is experiencing significant pain and anxiety. Which intervention would be MOST appropriate for the nurse to implement FIRST?
सही उत्तर: घ) Maintaining frequent monitoring of vital signs.
Addressing pain and anxiety is crucial for comfort and recovery. Providing reassurance and a calming environment are priority interventions before medication administration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is admitted with severe pneumonia. The physician orders intravenous antibiotics and supplemental oxygen. Which nursing intervention is MOST important at this time?
सही उत्तर: ग) Assessing the client's respiratory rate, depth, and effort.
Respiratory assessment (rate, depth, effort) is paramount in a patient with pneumonia. Supplemental oxygen is also crucial. The other options are important but secondary to ensuring adequate ventilation.
💬 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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