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 client with Parkinson's disease has been prescribed levodopa/carbidopa. The nurse understands that carbidopa is added to this combination drug primarily to:
सही उत्तर: ग) Prevent premature conversion of levodopa to dopamine in the periphery
Carbidopa acts as a peripheral decarboxylase inhibitor, preventing the conversion of levodopa to dopamine outside the brain, thus increasing the amount of levodopa that reaches the brain and enhances its therapeutic effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking warfarin (Coumadin) has an INR of 5.2. Which statement by the patient demonstrates an understanding of the importance of regular monitoring?
सही उत्तर: घ) 'I understand why I need to have regular blood tests to check my INR.'
Maintaining a stable INR is crucial for patients on warfarin. The patient’s understanding of the need for monitoring reflects adherence and safety. The other options highlight incorrect behaviors regarding medication management or dietary considerations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is administering oral amoxicillin to a child. The patient reports nausea and vomiting. Which of the following actions is MOST appropriate?
सही उत्तर: ख) Administer an antiemetic (e.g., ondansetron) as prescribed
Nausea and vomiting are common side effects of amoxicillin. An antiemetic is indicated to manage this symptom. Activated charcoal won't help, increasing the dosage won’t resolve it, and withholding other meds isn’t a standard approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous morphine for pain management. Which of the following adverse effects should the nurse monitor MOST closely?
सही उत्तर: ख) Increased Appetite and Euphoria
Morphine is an opioid analgesic that commonly causes respiratory depression, hypotension, and bradycardia. While hyperglycemia and polyuria are possible with prolonged opioid use, they aren't the most immediate or prominent risk. Muscle weakness & seizures are less common.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with type 2 diabetes is taking metformin. Which of the following actions should the nurse prioritize regarding medication administration?
सही उत्तर: घ) Administering Metformin 30 minutes before meals
Metformin increases insulin sensitivity and reduces hepatic glucose production. Taking it 30 minutes before meals maximizes its effect on controlling postprandial blood glucose levels. Consuming a large meal can increase the risk of hypoglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of asthma is prescribed montelukast (a leukotriene receptor antagonist). The nurse should instruct the patient to monitor for which potential adverse effect?
सही उत्तर: ग) Bronchospasm
Montelukast can rarely cause bronchospasm in susceptible individuals. While bradycardia and peripheral edema are less common side effects of this drug class, the risk of bronchodilation is most pertinent given the patient's existing asthma diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving intravenous heparin requires a continuous infusion. The infusion rate is ordered at 1,000 units per hour. The heparin solution contains 10,000 units in 250 mL of fluid. Calculate the flow rate (mL/hour) for this infusion.
सही उत्तर: घ) 160
First, calculate the concentration: 10,000 units / 250 mL = 40 units/mL. Then, to deliver 1,000 units per hour, you need 1,000 / 40 = 25 mL/hour. This calculation is incorrect; the correct answer is 80 mL/hour.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient experiencing benzodiazepine overdose. Which medication should be administered *immediately* to counteract the effects of the overdose?
सही उत्तर: ग) Naloxone
Naloxone is a specific opioid antagonist that rapidly reverses the sedative and respiratory depressant effects of benzodiazepines. Morphine and fentanyl are opioids with similar effects, while propofol is an anesthetic agent and does not counteract benzodiazepine overdose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is prescribed sertraline (a selective serotonin reuptake inhibitor - SSRI). Which of the following foods should the nurse advise the client to limit consumption of while taking this medication?
सही उत्तर: घ) Dark Chocolate
SSRIs like sertraline can increase serotonin levels in the body. Consuming large amounts of dark chocolate can significantly elevate serotonin, potentially leading to adverse effects such as nausea, vomiting, or anxiety. Apples, bananas and strawberries do not pose a significant risk of over-stimulating the serotonergic system.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with diabetes mellitus is being prescribed metformin. What is the main metabolic effect of this medication?
सही उत्तर: ख) Decreases glucose production in the liver
Option 1, ‘Decreases glucose production in the liver,’ is correct. Metformin primarily works by reducing hepatic glucose output (gluconeogenesis) which helps to lower blood glucose levels. Options 2, 3, and 4 are incorrect as they describe alternative mechanisms of action.
💬 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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