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
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed nebulized albuterol. Which finding would warrant immediate notification of the physician?
सही उत्तर: ख) Symmetrical chest expansion
Albuterol, a bronchodilator, can cause tachycardia and tremors as side effects. Symmetrical chest expansion is a normal sign of bronchodilation. A decrease in shortness of breath would indicate improvement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving prolonged treatment with hydrochlorothiazide (HCTZ) develops symptoms of hypokalemia (low potassium). What nursing intervention is MOST important at this time?
सही उत्तर: घ) Encouraging increased dietary potassium intake
HCTZ is a diuretic that causes potassium excretion. Increasing dietary potassium intake helps to counteract this effect. While monitoring BP and calcium are important, they don't directly address the potassium imbalance caused by HCTZ.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking warfarin (Coumadin) reports experiencing nosebleeds frequently. Which potential cause should the nurse investigate further in this patient?
सही उत्तर: ख) Vitamin K Deficiency
Warfarin's mechanism of action is to inhibit vitamin K-dependent clotting factors, leading to a deficiency and increased bleeding risk. While other options could contribute to bleeding, Vitamin K deficiency is the most directly linked to warfarin’s effects. The other choices are less likely in the context of warfarin use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with type 1 diabetes mellitus is experiencing severe hyperglycemia. Which intravenous medication would the nurse administer first to rapidly lower blood glucose levels and prevent diabetic ketoacidosis (DKA)?
सही उत्तर: ग) Regular Insulin
Regular insulin is a rapid-acting insulin that quickly lowers blood glucose. The other options are slower-acting insulins or non-insulin medications, inappropriate for the acute management of DKA. A key part of treating DKA is prompt reduction of blood sugar levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking amoxicillin reports experiencing a metallic taste in their mouth. What is the MOST likely cause?
सही उत्तर: ख) Allergic reaction to the antibiotic
Metallic taste is a common and well-documented side effect of amoxicillin (and other beta-lactam antibiotics). It is most often caused by an allergic reaction. The other options are less typical and do not explain the metallic taste specifically.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with atrial fibrillation is prescribed digoxin for rate control. Which electrolyte imbalance should the nurse monitor closely?
सही उत्तर: घ) Hyperkalemia
Digoxin toxicity is significantly increased by low potassium levels. Maintaining adequate potassium (hypokalemia) is a critical component of digoxin management. The other options are less directly associated with digoxin's mechanism or toxicity. This question tests the nurse’s knowledge on specific drug interactions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with hypertension is prescribed lisinopril for long-term management. Which instruction should the nurse provide regarding diet?
सही उत्तर: ग) Maintain a normal sodium intake as recommended by the dietary guidelines.
Lisinopril is an ACE inhibitor that can cause hyperkalemia and requires monitoring. The correct advice directs the patient to limit potassium-rich foods. Options 1 and 4 are incorrect due to hypertension management. This question assesses a key aspect of medication administration related to diet modifications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking fentanyl transdermal patch reports a sudden onset of severe headache, nausea, and pinpoint pupils. Which of the following is the MOST likely explanation?
सही उत्तर: घ) The patient is having a paradoxical reaction to the medication’s effects.
Opioid toxicity presenting with symptoms like headache, nausea, and pinpoint pupils (miosis) is a classic sign of overdose. The other options describe alternative reactions but don't align with the typical presentation of fentanyl overdose. This question tests understanding of opioid pharmacology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed morphine for pain management. Which of the following actions by the nurse is MOST important in preventing respiratory depression?
सही उत्तर: ग) Monitoring the patient's respiratory rate and depth continuously.
Close monitoring of respiratory rate and depth is crucial when administering opioids like morphine due to their potential to depress respiration. The other options are important aspects of pain management but do not address the primary risk associated with opioid administration. This aligns with standard NCLEX-RN pharmacological content.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking penicillin G for a severe bacterial infection has developed a new rash characterized by itching and hives. Which of the following actions should the nurse prioritize?
सही उत्तर: ख) B) Immediately discontinue penicillin and initiate antihistamines for symptomatic relief only
Option B is correct. This presentation strongly suggests a penicillin allergy. Discontinuing the medication and starting antihistamines are standard initial steps. Option A is dangerous as it could trigger a severe reaction. While monitoring is necessary, immediate action is paramount in allergic reactions. Option C takes time, and epinephrine is reserved for anaphylaxis which hasn’t been demonstrated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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