AIIMS Bathinda Nursing Officer 2019 question paper

AIIMS Nursing Officer · 2019 · 100 questions · 90 minutes · 0.33 mark deducted per wrong answer

Medical & Surgical Nursing 29
Nursing Foundations 18
Obstetrics & Gynaecology 15
Pharmacology 9
Mental Health Nursing 8
Child Health Nursing (Pediatrics) 8
Applied Nutrition & Dietetics 3
Applied Microbiology & Infection control 2
Community Health Nursing 2
Applied Physiology 2
Nursing Management & Leadership 1
Applied Anatomy 1
Applied Psychology 1
Biochemistry & Nutrition 1

See the answers and explanations

Q1 · Applied Microbiology & Infection control · Hand Hygiene
The most effective way to break the chain of infection is?
1. A.
  Hand hygiene
2. B.
  Wearing gloves
3. C.
  Placing clients in isolation
4. D.
  Providing private rooms for clients
Answer and explanation
Q2 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A nurse is caring for a client who has a tracheostomy tube and is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by?
1. A.
  Suctioning the tracheostomy tube frequently
2. B.
  Using a cuffed tracheostomy tube
3. C.
  Using the minimal leak technique and keeping cuff pressure <25 cm H2O
4. D.
  Keeping the tracheostomy tube plugged
Answer and explanation
Q3 · Mental Health Nursing · Principles and Concepts of Mental Health Nursing
The nurse asks the client, how do you feel about yourself? The nurse is assessing the client's?
1. A.
  Identity
2. B.
  Self esteem
3. C.
  Body Image
4. D.
  Role performance
Answer and explanation
Q4 · Pharmacology · General Pharmacology
The reason for using the parenteral route to administer medication includes?
1. A.
  Parenteral medications have a longer duration of action than an oral medication
2. B.
  It is the least expensive method
3. C.
  The parenteral route allows more rapid absorption than the oral route
4. D.
  None of the above
Answer and explanation
Q5 · Pharmacology · Antimicrobial Drugs
A patient with tuberculosis who is on isoniazid therapy should also be administered?
1. A.
  Thiamine
2. B.
  Riboflavin
3. C.
  Nicotinic acid
4. D.
  Pyridoxine
Answer and explanation
Q6 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
Which of the clients would the nurse identify as being at the greatest risk for developing disseminated intravascular coagulation (DIC)?
1. A.
  A 4th gravid delivered 8 hours ago and has lost 500 ml of blood
2. B.
  A 2nd gravid diagnosed with dead fetus syndrome
3. C.
  A primigravida with mild pre-eclampsia
4. D.
  A primigravida who delivered a 3.5 kg baby 3 hours ago
Answer and explanation
Q7 · Applied Nutrition & Dietetics · Balanced Diet
Roughage in the diet stimulates?
1. A.
  Appetite
2. B.
  Peristalsis
3. C.
  The flow of digestive juices
4. D.
  Circulation
Answer and explanation
Q8 · Nursing Management & Leadership · Nursing as a Profession
What type of authority regulates the practice of nursing?
1. A.
  International Standards and codes
2. B.
  Federal Guidelines and Regulations
3. C.
  State Nurse Practice Act
4. D.
  Institutional Policies
Answer and explanation
Q9 · Applied Anatomy · Nervous System
Pressure by the upper end of a crutch may cause injury to the?
1. A.
  Axillary nerve
2. B.
  Long thoracic nerve
3. C.
  Median nerve
4. D.
  Ulnar nerve
Answer and explanation
Q10 · Nursing Foundations · Nursing Process
What is the most appropriate choice among the following to which a nurse pays attention when conducting a general survey on an adult client?
1. A.
  Appearance and behaviour
2. B.
  Measurement of vital signs
3. C.
  Observing specific body systems
4. D.
  Collecting detailed health history
Answer and explanation
Q11 · Pharmacology · Drug Affecting Blood & Blood Formation
After experiencing a transient ischemic attack (TIA), a client is prescribed aspirin, 100 mg by mouth daily. The nurse should teach the client that this medication has been prescribed to?
1. A.
  Control headache
2. B.
  Enhance immune response
3. C.
  Prevent intracranial bleeding
4. D.
  Decrease platelet aggregation
Answer and explanation
Q12 · Nursing Foundations · Patient Education
The nurse plans to teach a client about the importance of exercise?
1. A.
  When there are visitors in the room
2. B.
  When the client's pain medications are working
3. C.
  Just before lunch when the client is most awake and alert
4. D.
  When the client is talking about current stressors in his or her life
Answer and explanation
Q13 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A client who just received a diagnosis of hepatitis A asks, "How could I have gotten this disease". What's the nurse's best response?
1. A.
  You could have contracted this by using I.V drugs
2. B.
  You must have received an infected blood transfusion
3. C.
  You contracted this by engaging in unprotected sex
4. D.
  You may have eaten contaminated food
Answer and explanation
Q14 · Nursing Foundations · Communication & Nurse-Patient Relationship
The most difficult part of the nurse-client relationship is?
1. A.
  Pre-interaction
2. B.
  Orientation
3. C.
  Working
4. D.
  Termination
Answer and explanation
Q15 · Child Health Nursing (Pediatrics) · Newborn Infants
A Six-month-old infant has recently begun cereal feedings. Which of the following manifestations would support a nursing diagnosis of ineffective infant feeding pattern?
1. A.
  Frequent loose stools
2. B.
  Increased abdominal girth
3. C.
  Persistent tongue thrusting
4. D.
  Lengthened time between meals
Answer and explanation
Q16 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A client has been diagnosed with pernicious anemia. In planning care for the client, a nurse anticipates that the client will be treated with?
1. A.
  Thiamine
2. B.
  Iron
3. C.
  Vitamin B12
4. D.
  Folic acid
Answer and explanation
Q17 · Medical & Surgical Nursing · Urinary Tract Function
The nurse is teaching the client taking cyclosporine after renal transplantation about key medication information. The nurse tells the client to be especially alert for?
1. A.
  Signs of infection
2. B.
  Hypotension
3. C.
  GI disturbances
4. D.
  Hair loss
Answer and explanation
Q18 · Mental Health Nursing · Organic Brain Disorders
The most important component of nursing care plan for a client with organic brain deterioration would be?
1. A.
  An extensive re-education program
2. B.
  Details for protective and supportive care
3. C.
  The introduction of new leisure time activities
4. D.
  Plans to involve the client in group therapy sessions
Answer and explanation
Q19 · Medical & Surgical Nursing · Miscellaneous
A client is receiving external radiation to the neck for cancer of larynx. The most likely side effect to be expected is?
1. A.
  Constipation
2. B.
  Dyspnoea
3. C.
  Sore throat
4. D.
  Diarrhoea
Answer and explanation
Q20 · Community Health Nursing · Concepts of Community Health and Community Health Nursing
"Health is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity". This was stated by?
1. A.
  United Nations
2. B.
  National Institute of Health
3. C.
  National League for Nursing (NLN)
4. D.
  World Health Organization
Answer and explanation
Q21 · Pharmacology · General Pharmacology
Which of the following does not cross placenta?
1. A.
  Heparin
2. B.
  Morphine
3. C.
  Naloxone
4. D.
  Warfarin
Answer and explanation
Q22 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
The nurse encourages a postoperative patient to move his legs. Contracting the leg muscles help to prevent which postoperative complication?
1. A.
  Pleurisy
2. B.
  Portal hypertension
3. C.
  Hypostatic pneumonia
4. D.
  Pulmonary embolism
Answer and explanation
Q23 · Applied Psychology · Mental Health & mental hygiene
The defence mechanism in which emotional conflicts are expressed through motor, sensory, or somatic disability is identified as?
1. A.
  Dissociation
2. B.
  Psychosomatic
3. C.
  Compensation
4. D.
  Conversion
Answer and explanation
Q24 · Biochemistry & Nutrition · Lipids
Ketone bodies are found in urine of patients with uncontrolled diabetes due to:
1. A.
  Increased metabolism of protein
2. B.
  Increased metabolism of fat
3. C.
  Impaired kidney function
4. D.
  Decomposition of excess sugar in blood
Answer and explanation
Q25 · Nursing Foundations · Vital Signs
Pulse deficit is the difference between?
1. A.
  Radial and ulnar pulse
2. B.
  Radial and femoral pulse
3. C.
  Radial and apical pulse
4. D.
  Radial and carotid pulse
Answer and explanation
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Q26 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Continuous bubbling in water seal chest drainage is considered as?
1. A.
  Normal finding
2. B.
  Surgical emphysema
3. C.
  Air leakage in system
4. D.
  Chest drain is out
Answer and explanation
Q27 · Applied Physiology · Digestive system
Which GI secretions have lowest sodium concentration?
1. A.
  Stomach
2. B.
  Ileac secretions
3. C.
  Duodenum
4. D.
  Saliva
Answer and explanation
Q28 · Medical & Surgical Nursing · Pain Management
Which assessment finding would lead the nurse to suspect that a patient's IV has infiltrated?
1. A.
  In the past hour, only 50 ml of fluid has infused
2. B.
  The insertion site is red, hot and swollen
3. C.
  The patient's temperature has risen to 38.3°C
4. D.
  The site is pale, cool swollen and painful
Answer and explanation
Q29 · Community Health Nursing · Intestinal Infections
Oral Polio Vaccine under Pulse Polio Immunisation Programme is given to children of what age?
1. A.
  Up to one year
2. B.
  Up to three years
3. C.
  Up to five years
4. D.
  Up to seven years
Answer and explanation
Q30 · Medical & Surgical Nursing · Musculoskeletal Function
A client has just returned to a nursing unit after below the knee amputation of the right leg. The nurse places the client in which of the following most appropriate positions?
1. A.
  Supine with the stump flat on the bed
2. B.
  Supine with the stump elevated
3. C.
  Reverse Trendelenburg position
4. D.
  Prone
Answer and explanation
Q31 · Nursing Foundations · Communication & Nurse-Patient Relationship
The nurse demonstrates active listening by?
1. A.
  Agreeing with the client
2. B.
  Repeating everything the client says to clarity
3. C.
  Assuming a relaxed posture and leaning toward the client
4. D.
  Smiling and nodding continuously throughout the interview
Answer and explanation
Q32 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A client with status asthmatics is in severe respiratory distress. The nurse should maintain the client in which position?
1. A.
  Sitting upright
2. B.
  Side-lying
3. C.
  Supine
4. D.
  Prone
Answer and explanation
Q33 · Obstetrics & Gynaecology · Antepartum Hemorrhage
The first consideration in the treatment of placental abruption?
1. A.
  Immediate delivery
2. B.
  Administration of fibrinogen
3. C.
  Amniocentesis to establish diagnosis
4. D.
  Prompt restoration of an effective circulation with IV fluids
Answer and explanation
Q34 · Obstetrics & Gynaecology · Sexually Transmitted Infections
A female patient is diagnosed with gonorrhoea. The nurse should assess her for which of the following?
1. A.
  Lower abdominal pain
2. B.
  Muscle rigidity
3. C.
  An unsteady gait
4. D.
  Reddish rash on the inner thigh
Answer and explanation
Q35 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
A client with paranoid schizophrenia has a delusion of persecution. He tells the nurse, "The CIA is out to get me They's spying on me." The nurse's best initial response is?
1. A.
  I don't want to hurt you
2. B.
  How would they spy on you here?
3. C.
  Tell me how they're trying to get you
4. D.
  I know the CIA wouldn't want to hurt you
Answer and explanation
Q36 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A 21-year-old woman is being treated for injuries sustained in an automobile accident. The patient has a central venous pressure (CVP) line in place. The nurse recognizes that CVP measurement reflects?
1. A.
  Cardiac output
2. B.
  Pressure in the left ventricle
3. C.
  Pressure in right atrium
4. D.
  Pressure in the pulmonary artery
Answer and explanation
Q37 · Nursing Foundations · Administration of medications
Most medication errors occur when the nurse?
1. A.
  If caring for too many clients
2. B.
  If fails to follow routine procedures
3. C.
  If administering unfamiliar medication
4. D.
  If responsible for administering numerous medications
Answer and explanation
Q38 · Child Health Nursing (Pediatrics) · Modern concepts of child- care
A parent tells a nurse, "my three-month-old infant recently passed several stools that resembled clumpy red jelly," Based on this information, the nurse should suspect that the infant has developed?
1. A.
  Celiac disease
2. B.
  Biliary disease
3. C.
  Intussusception
4. D.
  Ulcerative colitis
Answer and explanation
Q39 · Nursing Foundations · Miscellaneous
You discover an electrical fire in a client's room, your first action would be to?
1. A.
  Search and activate the fire alarm
2. B.
  Confine the fire by closing all doors and windows
3. C.
  Evacuate any clients or visitors in immediate danger
4. D.
  Extinguish the fire by using the nearest fire extinguisher
Answer and explanation
Q40 · Child Health Nursing (Pediatrics) · Otolaryngology
When feeding an 18-month-old child two days after he underwent a cleft palate repair, a nurse would offer liquid nutrition using a?
1. A.
  Plastic cup
2. B.
  Silastic nasogastric
3. C.
  Flexible straw
4. D.
  Rubber-coated infant spoon
Answer and explanation
Q41 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
The most relevant knowledge about oxygen administration to a patient with COPD includes?
1. A.
  Oxygen at 1-2 L/min is given to maintain hypoxic stimulus for breathing
2. B.
  Oxygen at 5-6 L/min is given
3. C.
  Oxygen is administered best using a non-rebreathing mask
4. D.
  Blood gases are monitored using a pulse oximeter
Answer and explanation
Q42 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
In a patient with acute renal failure, hypertonic glucose, insulin infusion and sodium bicarbonate can be used to treat?
1. A.
  Hypernatremia
2. B.
  Hypokalemia
3. C.
  Hyperkalemia
4. D.
  Hypercalcemia
Answer and explanation
Q43 · Mental Health Nursing · Eating Disorders
A 19-year-old female is admitted to the emergency department after being found unconscious. Her blood pressure is 82/50 mm Hg. She is 5'4" tall and weighs 35.8 Kg . She appears dehydrated and malnourished. After regaining consciousness, she reports that she has had trouble eating lately and can't remember what she ate in the last 24 hours. She also states that she has had irregular menstrual periods for the past one year. She is convinced she is fat and refuses food. The nurse suspects that she is a case of?
1. A.
  Bulimia nervosa
2. B.
  Schizophrenia
3. C.
  Reactive depression
4. D.
  Anorexia nervosa
Answer and explanation
Q44 · Child Health Nursing (Pediatrics) · Newborn Infants
Which of the following nursing diagnoses would be given priority in the care plan of a newborn at one hour of age?
1. A.
  Risk for infection
2. B.
  Altered nutrition
3. C.
  Ineffective thermoregulation
4. D.
  Impaired skin integrity
Answer and explanation
Q45 · Nursing Foundations · Mobility & Immobility
When lifting a patient onto a stretcher, the nurse should bend from the?
1. A.
  Shoulders
2. B.
  Knees
3. C.
  Back
4. D.
  Waist
Answer and explanation
Q46 · Nursing Foundations · Administration of medications
Lactulose 20 gm is to be administered to a patient through gastric tube. On hand is lactulose syrup 10 gm/15 mL. How much will the nurse give?
1. A.
  1 ml
2. B.
  10 ml
3. C.
  20ml
4. D.
  30ml
Answer and explanation
Q47 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
A 26-Year-old primigravida woman comes to the labour and delivery ward at term with regular, painful contractions. Her prenatal course was unremarkable. She has a past medical history suggestive of mitral valve prolapsed with regurgitation which is demonstrated on echocardiography. She takes no medications and has no allergies to medications. Examination shows that her cervix is 4 centimetres dilated and the fetus is in vertex presentation. The fetal heart rate is reassuring. Which of the following is the most appropriate management of this woman?
1. A.
  Administer intravenous antibiotics throughout labor
2. B.
  Administer intravenous antibiotics 30 minutes prior to the delivery
3. C.
  Administer intravenous antibiotics after the cord is clamped
4. D.
  Antibiotic prophylaxis is not necessary
Answer and explanation
Q48 · Child Health Nursing (Pediatrics) · Hematological Disorders
An 8-year-old is admitted to the hospital in sickle cell crisis, appropriate nursing care during this period includes?
1. A.
  Administration of oxygen
2. B.
  Cold compress to painful joints
3. C.
  Restricted fluids until crisis is over
4. D.
  Active range of motion exercises to all joints
Answer and explanation
Q49 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient with a pacemaker is ambulating in the room with the assistance of nurse. The patient complains of dizziness and shortness for breath. The initial action by the nurse should be?
1. A.
  Reassure the patient that you will stay with him
2. B.
  Have him rest in bed immediately
3. C.
  Monitor his vital signs every hour
4. D.
  Do nothing because this is normal after surgery
Answer and explanation
Q50 · Obstetrics & Gynaecology · Pharmacotherapeutics in Obstetrics
Paracervical block is associated with the danger of?
1. A.
  Inhibition of labor
2. B.
  Fetal bradycardia
3. C.
  Increased blood loss
4. D.
  Atony of uterus
Answer and explanation
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Q51 · Obstetrics & Gynaecology · Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord
A case of 35 weeks pregnancy with poly-hydramnios and marked respiratory distress is managed by?
1. A.
  IV furosemide
2. B.
  Saline infusion
3. C.
  Amniocentesis
4. D.
  ARM
Answer and explanation
Q52 · Mental Health Nursing · Schizophrenia
False sensory perception in the absence of real external stimuli is called?
1. A.
  Illusion
2. B.
  Hallucination
3. C.
  Depersonalization
4. D.
  Delusion
Answer and explanation
Q53 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which nursing intervention should the nurse implement after right femoral artery catheterization?
1. A.
  Perform passive range of motion exercises
2. B.
  Assess the client's renal status
3. C.
  Keep the client in high Fowler's position
4. D.
  Assess the gag reflex prior to feeding the client
Answer and explanation
Q54 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient returns from surgery. Which nursing diagnosis takes priority at this time?
1. A.
  Ineffective breathing pattern
2. B.
  Deficient fluid volume
3. C.
  Imbalanced nutrition: less than body requirements
4. D.
  Diarrhoea
Answer and explanation
Q55 · Medical & Surgical Nursing · Urinary Tract Function
The success of fluid replacement therapy for burn patient after 48 hours can be evaluated by?
1. A.
  Weight
2. B.
  Urine output
3. C.
  Urine specific gravity
4. D.
  Peripheral perfusion
Answer and explanation
Q56 · Medical & Surgical Nursing · Integumentary Function
Which of the following may interfere with wound healing?
1. A.
  Constrictive bandage
2. B.
  High protein diet
3. C.
  Keeping surrounding area clean
4. D.
  Moderate activity
Answer and explanation
Q57 · Applied Nutrition & Dietetics · Therapeutic Diet
A client who has a history of gout is also diagnosed with urolithiasis. The stones are of uric acid type. A nurse gives the client instruction to limit intake of which foods?
1. A.
  Liver
2. B.
  Apples
3. C.
  Carrots
4. D.
  Milk
Answer and explanation
Q58 · Medical & Surgical Nursing · Urinary Tract Function
A patient is experiencing which type of incontinence if she experiences leaking urine when she coughs, sneezes, or lifts heavy objects?
1. A.
  Overflow
2. B.
  Stress
3. C.
  Urge
4. D.
  Reflex
Answer and explanation
Q59 · Child Health Nursing (Pediatrics) · Development
Which of the following behaviours by a 36-month-old child supports a nursing diagnosis of altered growth and development?
1. A.
  Walk up and down by alternating foots
2. B.
  Sits down from a standing position
3. C.
  Can push and pull toys
4. D.
  Throws a ball overhead
Answer and explanation
Q60 · Obstetrics & Gynaecology · Antepartum Hemorrhage
A primi-gravida at 37 weeks reported to labour room with central placenta previa with heavy bleeding per vagina. The FHS was normal at time of examination. The best management option for her is?
1. A.
  Expectant management
2. B.
  Caesarean section
3. C.
  Induction and vaginal delivery
4. D.
  Induction and forceps delivery
Answer and explanation
Q61 · Obstetrics & Gynaecology · Special Topics in Obstetrics
Which of the following vaccine is routinely given in pregnancy?
1. A.
  Influenza
2. B.
  Oral Polio
3. C.
  Tetanus
4. D.
  Rabies
Answer and explanation
Q62 · Medical & Surgical Nursing · Miscellaneous
The best way to check the patency of arteriovenous fistula for hemodialysis?
1. A.
  Pinch the fistula and note the speed of filling on release
2. B.
  Use a needle and syringe to aspirate the blood from the fistula
3. C.
  To check for the capillary refill of the nail beds on that extremity
4. D.
  Palpate the fistula throughout its length to assess for a thrill
Answer and explanation
Q63 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
Non-verbal communication involves?
1. A.
  Asserting yourself
2. B.
  Choosing words carefully and presenting them.
3. C.
  Skills needed for rapport building and decision making.
4. D.
  Conveying one's feelings through body language
Answer and explanation
Q64 · Medical & Surgical Nursing · Miscellaneous
Sitz bath is given for which of the following?
1. A.
  Appendicectomy
2. B.
  Haemorrhoidectomy
3. C.
  Cholecystectomy
4. D.
  Mastoidectomy
Answer and explanation
Q65 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
A child is being discharged from the emergency with a diagnosis of acute glomerulonephritis. Which of the following measures would a nurse include in the home care plan?
1. A.
  Restrict fluid intake
2. B.
  Weigh daily
3. C.
  Maintain strict bed rest
4. D.
  Limit visitors
Answer and explanation
Q66 · Child Health Nursing (Pediatrics) · Central Nervous System
A two-year-old arrives in the emergency room with an elevated temperature. During the physical examination, the child's colour becomes dusky, the body stiffens and the extremities begin to twitch. The nurse should be aware that the child is most probably experiencing?
1. A.
  Febrile seizures
2. B.
  Respiratory arrest
3. C.
  A temper tantrum
4. D.
  Shivering
Answer and explanation
Q67 · Nursing Foundations · Comfort, Rest & Sleep & Pain
Which intervention is the most appropriate to include in a care plan for improving sleep in an older adult?
1. A.
  Decrease fluid 2 to 4 hours before sleep
2. B.
  Exercise in the evening to increase fatigue
3. C.
  Allow the client to sleep as late as possible
4. D.
  Take a nap during the day to make up for lost sleep
Answer and explanation
Q68 · Obstetrics & Gynaecology · Special Topics in Obstetrics
A non-stress test is prescribed for pregnant mother and nurse informs the woman about the procedure. The nurse tells that?
1. A.
  The test is an invasive procedure and requires that an informed consent be signed
2. B.
  The test will take about 2 hours and will required close monitoring for 2 hours after procedure is completed
3. C.
  An ultrasound transducer that records fetal heart activity is secured over the abdomen where the fetal heart sound is heard most clearly
4. D.
  The fetus is challenged or stressed by uterine contractions to obtain the necessary information.
Answer and explanation
Q69 · Pharmacology · Chemotherapy of Neoplastic Drugs
The most likely systemic adverse effects of combination chemotherapy for the treatment of metastatic carcinoma include?
1. A.
  Ascites
2. B.
  Nystagmus
3. C.
  Leukopenia
4. D.
  Polycythemia
Answer and explanation
Q70 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
The highest priority of information given to a patient after bronchoscopy includes?
1. A.
  Food and fluid will be withheld for at least two hours
2. B.
  Warm saline gargles will be done q2h
3. C.
  Coughing and deep breathing exercises will be done q2h
4. D.
  Only ice chips and cold liquids will be allowed initially
Answer and explanation
Q71 · Nursing Foundations · Vital Signs
Pulse oximetry is used to?
1. A.
  Count the respiratory rate
2. B.
  Determine the amount of oxygen taken into the lungs
3. C.
  Measure carbon dioxide in the blood
4. D.
  Determine the amount of oxygen carried in the blood
Answer and explanation
Q72 · Applied Microbiology & Infection control · Isolation Precautions and Use of Personal Protective Equipment
Gown should be worn when?
1. A.
  The client's hygiene is poor
2. B.
  The nurse is assisting with medication administration
3. C.
  The client has Acquired Immunodeficiency Syndrome or hepatitis
4. D.
  Blood or body fluids are likely to get on the nurse's clothing from a task the nurse plans to perform
Answer and explanation
Q73 · Obstetrics & Gynaecology · Operative Obstetrics
Third degree perineal tear is involvement of?
1. A.
  Vaginal mucosa
2. B.
  Urethral mucosa
3. C.
  Levator ani muscle
4. D.
  Anal sphincter
Answer and explanation
Q74 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
Which of the following is NOT a feature of HELLP syndrome?
1. A.
  Thrombocytopenia
2. B.
  Eosinophilia
3. C.
  Raised liver enzymes
4. D.
  Hemolytic anemia
Answer and explanation
Q75 · Nursing Foundations · Mobility & Immobility
A principle of good body mechanics includes which of the following concepts?
1. A.
  Keeping the knees in locked positions
2. B.
  Bending at the waist to maintain a centre of gravity
3. C.
  Maintaining a wide base of support and bending at the knees
4. D.
  Holding objects away from the body for improved leverage
Answer and explanation
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Q76 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
When a patient has an episode of epistaxis, which of the following actions would the nurse take first?
1. A.
  Applying ice to the back of patients neck
2. B.
  Tipping the patient backward and encouraging swallowing
3. C.
  Determine if the patient has a history of hypertension
4. D.
  Having the patient lean forward and pinch the nose
Answer and explanation
Q77 · Mental Health Nursing · Crisis Intervention
In helping to resolve a crisis situation it is most important for the nurse to?
1. A.
  Meet all dependency needs
2. B.
  Encourage socialization
3. C.
  Support ego strengths
4. D.
  Involve the person in a therapy group
Answer and explanation
Q78 · Medical & Surgical Nursing · Metabolic and Endocrine Function
The client has undergone a thyroidectomy. The nurse monitors for signs of damage of parathyroid gland postoperatively. Which of the following would indicate damage to the parathyroid gland?
1. A.
  Tingling around the mouth
2. B.
  Respiratory distress
3. C.
  Neck pain
4. D.
  Muscle cramps or spasms
Answer and explanation
Q79 · Applied Physiology · Renal system
The electrolyte balance in the body is regulated by which organ system?
1. A.
  Kidneys
2. B.
  Heart
3. C.
  Parathyroid
4. D.
  Liver
Answer and explanation
Q80 · Obstetrics & Gynaecology · Abnormal Uterine Action
If the labour ends within 3 hours with 2-3 painful contractions, it is called?
1. A.
  Difficult labour
2. B.
  Precipitate labour
3. C.
  Prolonged labour
4. D.
  Normal labour
Answer and explanation
Q81 · Pharmacology · Drugs Acting on Kidney
A patient with increased intracranial pressure is receiving mannitol. To evaluate the effectiveness of this drug, the nurse should assess the client for which of the following?
1. A.
  Decreased pulse rate
2. B.
  Increased temperature
3. C.
  Increased urine output
4. D.
  Increased papillary reaction
Answer and explanation
Q82 · Nursing Foundations · Administration of medications
A child has been prescribed 240 ml of fluid to be administered by micro drip set over 6 hours, the nurse will regulate IV at?
1. A.
  160 drops/min
2. B.
  120 drops/min
3. C.
  40 drops/min
4. D.
  60 drops/min
Answer and explanation
Q83 · Nursing Foundations · Care of altered functioning of sensory organ & Unconscious patient
The priority when providing oral hygiene to an unconscious client is to prevent?
1. A.
  Aspiration
2. B.
  Mouth odour
3. C.
  Dental caries
4. D.
  Oral ulceration
Answer and explanation
Q84 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
In approaching a client during a period of great over activity, it is essential to?
1. A.
  Use a firm, warm, consistent approach
2. B.
  Anticipate and physically control the client's hyperactivity
3. C.
  Allow the client to choose the activities in which to participate
4. D.
  Let the client know the staff will not tolerate destructive behaviour
Answer and explanation
Q85 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teachings for this client, the nurse should teach on?
1. A.
  Increasing fluid intake to prevent dehydration
2. B.
  Wearing an appliance pouch only at bedtime
3. C.
  Consuming a low-protein, high fiber diet
4. D.
  Taking only enteric coated medications
Answer and explanation
Q86 · Nursing Foundations · Administration of medications
Which of the following objective assessment data will the nurse obtain before administering a prescribed opioid medication to a patient?
1. A.
  Pain level as stated by patient
2. B.
  Any nausea the patient may be feeling
3. C.
  Respiratory rate
4. D.
  Colour of the skin
Answer and explanation
Q87 · Nursing Foundations · Communication & Nurse-Patient Relationship
During the orientation phase of the helping relationship the nurse might do which of the following?
1. A.
  Discuss the cards and the flowers in the room
2. B.
  Review the client's history to identify possible health concerns
3. C.
  Work together with the client to establish goals
4. D.
  Use therapeutic communication to manage the client's confusion
Answer and explanation
Q88 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
Which of the following is commonly seen in fetus with congenital CMV infection?
1. A.
  Hearing loss
2. B.
  Myocarditis
3. C.
  Blood dyscrasias
4. D.
  Pulmonary cyst
Answer and explanation
Q89 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A 47-year-old male is admitted with an acute myocardial infarction. He is cold & clammy and has severe sub-sternal chest pain with dyspnoea. Which of the following interventions nurse will implement on a priority basis?
1. A.
  Administer adrenaline intra-cardiac
2. B.
  Provide a light blanket
3. C.
  Place the patient in semi-fowler position
4. D.
  Administer morphine by slow IV push
Answer and explanation
Q90 · Obstetrics & Gynaecology · Abnormal Uterine Action
When uterus is overstimulated by oxytocin, which of following signs the nurse can identify?
1. A.
  Tetany contraction
2. B.
  Bradycardia
3. C.
  Increased temperature
4. D.
  Headache
Answer and explanation
Q91 · Nursing Foundations · Patient Education
A client needs to learn to use a walker, Acquisition of this skill will require learning in the?
1. A.
  Affective domain
2. B.
  Cognitive domain
3. C.
  Psychomotor domain
4. D.
  Attention domain
Answer and explanation
Q92 · Obstetrics & Gynaecology · Term Newborn Infant
During the one minute Apgar assessment, a newborn has a heart rate of 120 beats/minute, lusty cry, acrocyanosis and minimal flexion of extremities. A nurse would give the newborn an Apgar score of?
1. A.
  6
2. B.
  7
3. C.
  8
4. D.
  9
Answer and explanation
Q93 · Pharmacology · Miscellaneous
Anaphylactic shock is treated with which of the following drugs?
1. A.
  Adrenaline
2. B.
  Propranolol
3. C.
  Enalapril
4. D.
  Digoxin
Answer and explanation
Q94 · Pharmacology · Drugs Acting on Kidney
After administering furosemide to a 16-month-old child who has congestive heart failure, a nurse would expect to make which of the following observations?
1. A.
  A decrease in rhonchi when listening to breath sounds
2. B.
  A 20 mm Hg decrease in systolic blood pressure
3. C.
  An increase in apical heart rate
4. D.
  A 10 mL/kg increase urine output
Answer and explanation
Q95 · Medical & Surgical Nursing · Other Acute Problems
A 70-year old client is confined to her bed due to advanced Parkinson's disease. Which nursing diagnosis takes the highest priority for a client with Parkinson's crisis?
1. A.
  Postural hypotension
2. B.
  Ineffective airway clearance
3. C.
  Ineffective urinary elimination
4. D.
  Risk of injury
Answer and explanation
Q96 · Pharmacology · Cardiovascular Drugs
A patient with congestive heart failure is given digitalis. Which of the following indicates the earliest manifestation of digitalis toxicity?
1. A.
  Hypokalemia
2. B.
  Tachycardia
3. C.
  Nausea & vomiting
4. D.
  Gynecomastia
Answer and explanation
Q97 · Medical & Surgical Nursing · Metabolic and Endocrine Function
The primary cause of abdominal ascites in a patient with cirrhosis of the liver is?
1. A.
  An increased vasopressin level
2. B.
  An increased serum sodium level
3. C.
  A decreased serum aldosterone level
4. D.
  A decreased serum albumin level
Answer and explanation
Q98 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Which instruction should the nurse give a patient who is going to have a chest tube removed?
1. A.
  Hyperventilate just before the tube is removed
2. B.
  Inhale as the tube is being pulled out.
3. C.
  Take a deep breath and hold it
4. D.
  Avoid the Valsalva manoeuvre.
Answer and explanation
Q99 · Nursing Foundations · Administration of medications
The nurse selects routes for administering medication according to?
1. A.
  Hospital policy
2. B.
  The prescriber's order
3. C.
  The type of medication ordered
4. D.
  The client size and muscle mass
Answer and explanation
Q100 · Applied Nutrition & Dietetics · Proteins
The nurse teaches a client who has had surgery to increase which nutrient to help with tissue repair?
1. A.
  Fats
2. B.
  Proteins
3. C.
  Vitamins
4. D.
  Carbohydrates
Answer and explanation

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