फार्माकोलोजी – Pharmacology MCQ
फार्माकोलोजी – अन्तर्राष्ट्रिय नर्सिङ
Pharmacology · International Nursing (NCLEX-RN, DHA, HAAD) · ४०८ प्रश्न
४०८ प्रश्न उपलब्ध। मोड छान्नुहोस्:
फार्माकोलोजी: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
-
A client with heart failure is prescribed spironolactone. Which electrolyte abnormality should the nurse monitor closely for in this patient?
सही उत्तर: क) Potassium (पोटेशियम)
Spironolactone is a potassium-sparing diuretic. Prolonged use can lead to hyperkalemia (high potassium levels). The other options are not directly affected by spironolactone’s mechanism of action. Potassium is the most common and clinically significant electrolyte imbalance associated with this medication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which of the following medications is MOST likely to be prescribed for the management of hypertension in a patient with heart failure?
सही उत्तर: ख) Lisinopril (an ACE inhibitor)
Option 1 is correct. ACE inhibitors like Lisinopril are frequently used in heart failure to reduce afterload and prevent ventricular remodeling, especially when there's evidence of fluid retention. While other options have their uses in cardiovascular disease, Lisinopril’s specific benefit for managing hypertension in the context of heart failure makes it the most suitable choice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with type 2 diabetes mellitus is prescribed metformin (Glucophage). Which statement by the patient indicates a need for further teaching?
सही उत्तर: क) ‘I will continue to consume large amounts of carbohydrates.’
Option 0 is correct. Patients on metformin must understand that a high carbohydrate intake can negate the drug's effect and could cause hyperglycemia. The other options represent appropriate information regarding metformin use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient taking warfarin (Coumadin) has an INR of 6.5. What is the MOST important nursing intervention?
सही उत्तर: ग) Notify the physician regarding the elevated INR and potential bleeding risk.
The correct answer is 2. An INR of 6.5 indicates a significantly increased risk of bleeding. The nurse's priority is to immediately inform the physician about this finding and discuss appropriate management strategies. Options 1 and 3 reflect actions that could worsen the situation; option 4 is important but secondary to addressing the anticoagulation issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client is prescribed amoxicillin for a bacterial infection. The nurse recognizes that which statement best describes the mechanism of action of this antibiotic?
सही उत्तर: ग) Amoxicillin directly kills bacteria by disrupting their DNA
Amoxicillin is a beta-lactam antibiotic that inhibits bacterial cell wall synthesis, leading to bacterial death. The other options describe different mechanisms of action for various antibiotics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with a history of heart failure is being treated with digoxin for symptomatic relief. The nurse notes that the client reports visual disturbances and nausea. Which electrolyte imbalance is MOST likely contributing to this adverse effect?
सही उत्तर: ख) Hypercalcemia
Hypercalcemia increases the sensitivity of cardiac tissue to digoxin, exacerbating its effects and causing symptoms like visual disturbances and nausea. The other electrolyte imbalances are less directly implicated in digoxin toxicity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client scheduled for surgery has been prescribed warfarin sodium to prevent blood clots. The nurse understands that which laboratory value is MOST critical to monitor during the perioperative period?
सही उत्तर: ग) Prothrombin time (PT) / International Normalized Ratio (INR)
The PT/INR directly reflects the anticoagulant effect of warfarin. Monitoring this value allows for timely adjustments in warfarin dosage to maintain therapeutic anticoagulation without excessive bleeding risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with chronic obstructive pulmonary disease (COPD) is prescribed inhaled corticosteroids for airway inflammation. Which statement by the client indicates a need for further patient education?
सही उत्तर: घ) ‘I will take the medication only when I feel my symptoms worsening’
Rinsing the mouth prevents thrush (oral candidiasis) caused by corticosteroids. Pursed-lip breathing assists with exhalation, and taking medication only at symptom onset is not effective for managing chronic inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client taking metoprolol for hypertension reports experiencing dizziness and lightheadedness upon standing. Which of the following actions is MOST appropriate for the nurse to implement FIRST?
सही उत्तर: ख) Advise the client to elevate their legs when sitting or lying down
Elevating the legs promotes venous return and helps counteract orthostatic hypotension, which is a common side effect of metoprolol. The other options are less immediate or do not address the underlying cause of the symptom.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient receiving oral ketoconazole (an antifungal) reports persistent nausea and vomiting. What potential adverse effect should the nurse investigate?
सही उत्तर: ग) Hepatotoxicity
Ketoconazole is known to cause QT prolongation, which can lead to arrhythmias and potentially serious cardiac complications. While other options are possible side effects of medications, QT prolongation is a well-established risk with ketoconazole.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।