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 diagnosed with hypertension is prescribed lisinopril (Prinivil). The nurse understands that a common side effect of this medication is dry cough. What is the primary physiological reason for this adverse effect?
सही उत्तर: ग) Lisinopril inhibits the production of prostaglandins in airway smooth muscle
Lisinopril, an ACE inhibitor, blocks the conversion of angiotensin I to angiotensin II. This reduces vasoconstriction and consequently decreases smooth muscle contraction in the airways, leading to a dry cough. The other options represent incorrect pathways regarding its mechanism of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is reviewing the medication profile of a patient who recently started atorvastatin (Zocor) for hypercholesterolemia. The physician has ordered a low-sugar diet. Which dietary restriction is MOST important for this client to adhere to?
सही उत्तर: ख) Avoid all fruit juices due to potential interactions
High-sugar juices can interfere with the efficacy of statins like atorvastatin by increasing glucose levels, potentially leading to muscle breakdown. The most critical dietary restriction is minimizing sugar intake to maximize the drug's effect. Consuming citrus fruits has no direct impact and dairy restrictions are less relevant than reducing sugars.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking warfarin is scheduled for an elective surgery. Which statement BEST describes the nurse’s role in managing the patient's anticoagulation prior to the procedure?
सही उत्तर: घ) Monitor the patient closely for signs of bleeding and administer vitamin K if necessary
Option 3 is correct. 'Bridging' involves using a short-acting anticoagulant like LMWH (low molecular weight heparin) to temporarily cover warfarin’s effects during surgery, reducing the risk of complications. The other options misrepresent the careful collaboration and monitoring required.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the clinic complaining of chest pain. The physician prescribes nitroglycerin sublingually. Which of the following instructions is MOST important for the nurse to provide regarding its use?
सही उत्तर: घ) ‘Take the medication with a glass of water and keep it under your tongue’
Option 3 is correct. Nitroglycerin works by dilating blood vessels, relieving chest pain associated with angina. It needs to be kept under the tongue for quick absorption. Options 1 and 2 are incorrect as they relate to other conditions and uses. Option 4 provides a less effective administration method.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous heparin for deep vein thrombosis (DVT) prevention. Which assessment finding requires IMMEDIATE intervention?
सही उत्तर: घ) Increased urine output
Heparin is an anticoagulant and can cause serious bleeding complications. Hematemesis (vomiting blood) and melena (black, tarry stools) are signs of gastrointestinal bleeding, which requires immediate attention. Other options would likely not be life threatening
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking warfarin (Coumadin) requires frequent monitoring. Which laboratory test is MOST important to assess the effectiveness of warfarin therapy?
सही उत्तर: ग) International Normalized Ratio (INR)
The INR measures the extended clotting time, directly reflecting the anticoagulant effect of warfarin. CBC and LFTs assess other aspects of health but do not specifically indicate warfarin dosage needs. Electrolytes are generally monitored but aren't as crucial in assessing this drug's efficacy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following medications is commonly used as a first-line treatment for supraventricular tachycardia (SVT)?
सही उत्तर: ख) Esmolol
Esmolol is a beta-blocker that rapidly lowers heart rate by blocking the effects of adrenaline on the sinoatrial node. Metoprolol has a slower onset and less rapid effect than esmool, Furosemide is a diuretic, Labetalol also acts as a beta-blocker but is not typically first line for SVT.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is administering intravenous (IV) morphine for pain management. Which of the following assessments is MOST important to monitor during this administration?
सही उत्तर: घ) Pupil size and reaction to light
Morphine can cause respiratory depression. Therefore, closely monitoring the patient’s respiratory rate and depth is critical. While other options are important for overall patient assessment, they are not as immediately life-threatening in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is scheduled to receive intravenous adenosine for suspected supraventricular tachycardia (SVT). Which assessment finding would immediately signal a successful response to adenosine administration?
सही उत्तर: ख) B) Bradypnea (slow, regular breathing) with a normal sinus rhythm on ECG monitoring.
Option B is correct. Adenosine’s primary action is to transiently slow conduction through the AV node, converting SVT to sinus rhythm. Bradypnea with a normal sinus rhythm on ECG confirms this effect. Options A, C and D represent adverse effects or unsuccessful responses.”} , 2024){{
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of heart failure is being discharged on furosemide (Lasix). The healthcare provider instructs the nurse to administer it at bedtime. What physiological reason supports this administration timing?
सही उत्तर: ख) B) Because furosemide has a longer half-life, administering it at night reduces peak drug levels and minimizes daytime dizziness.
Option B is correct. Furosemide has a relatively short half-life and administering it at bedtime helps maintain therapeutic concentrations throughout the day while minimizing peak levels that can cause daytime dizziness or electrolyte disturbances. Options A, C, and D are incorrect because absorption route and food interactions are not the primary reason for this timing.”} , 2024){{
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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