Chittaranjan National Cancer Institute Kolkata papers

Chittaranjan National Cancer Institute Kolkata 2021 question paper

Chittaranjan National Cancer Institute Kolkata · 2021 · 100 questions · 120 minutes · 0.25 mark deducted per wrong answer

Medical & Surgical Nursing 44
Pharmacology 12
Pathology & Genetics 10
Obstetrics & Gynaecology 8
Nursing Foundations 8
Child Health Nursing (Pediatrics) 5
Applied Anatomy 5
Mental Health Nursing 3
Applied Microbiology & Infection control 3
Applied Psychology 1
Community Health Nursing 1

See the answers and explanations

Q1 · Mental Health Nursing · Schizophrenia
A disorder of thought in which patient has a false and fixed belief that members of his family are trying to kill him is?
1. A.
  Delusion of persecution
2. B.
  Delusion of grandeur
3. C.
  Nihilistic disorder
4. D.
  Delusion of guilt
Answer and explanation
Q2 · Medical & Surgical Nursing · Miscellaneous
Inflammation of tissues surrounding the nail is known as?
1. A.
  Clubbing
2. B.
  Koilonychia
3. C.
  Paronychia
4. D.
  Onycholysis
Answer and explanation
Q3 · Pathology & Genetics · Systemic Pathology
Which of the following is a malignant tumor of the bone?
1. A.
  Fibrosarcoma
2. B.
  Lipoma
3. C.
  Osteogenic sarcoma
4. D.
  Osteoma
Answer and explanation
Q4 · Medical & Surgical Nursing · Sensorineural Function
Munson's sign is a characteristic of advanced cases of?
1. A.
  Keratoconus
2. B.
  Cataract
3. C.
  Strabismus
4. D.
  Diabetic Retinopathy
Answer and explanation
Q5 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient with leukemia on chemotherapy develops acute lower abdominal pain associated with anemia, thrombocytopenia and leucopenia Which of the following is the clinical diagnosis?
1. A.
  Appendicitis
2. B.
  Leukemic colitis
3. C.
  Perforation peritonitis
4. D.
  Neutropenic Colitis
Answer and explanation
Q6 · Medical & Surgical Nursing · Miscellaneous
The term Aphakia means?
1. A.
  Inflammation of lens
2. B.
  Absence of lens
3. C.
  Enhancement of lens
4. D.
  Lens disease
Answer and explanation
Q7 · Pharmacology · Drugs Acting on Central Nervous System
Name the non-stimulant drug with Norepinephrine reuptake inhibiting action used in the treatment of ADHD?
1. A.
  Atomoxetine
2. B.
  Dexamphetamine
3. C.
  Methylphenidate
4. D.
  Pimozide
Answer and explanation
Q8 · Child Health Nursing (Pediatrics) · Newborn Infants
Cord clamping is delayed by 1-3 minutes in neonates because?
1. A.
  Prevents anemia in women
2. B.
  Placenta separates easily
3. C.
  Prevents jaundice in neonate
4. D.
  Neonate gets cord blood
Answer and explanation
Q9 · Medical & Surgical Nursing · Sensorineural Function
Meniere's disease is related to?
1. A.
  Eye
2. B.
  Ear
3. C.
  Respiratory system
4. D.
  Digestive system
Answer and explanation
Q10 · Pathology & Genetics · General Pathology
Virus causing head and neck cancer ?
1. A.
  EBV
2. B.
  HSV
3. C.
  HPV
4. D.
  HBV
Answer and explanation
Q11 · Pathology & Genetics · Systemic Pathology
Secondary of all following cause osteolytic lesions except _______?
1. A.
  Prostate
2. B.
  Kidney
3. C.
  Bronchus
4. D.
  Thyroid
Answer and explanation
Q12 · Pharmacology · Antimicrobial Drugs
Which anti-tuberculosis drug cause poor vision and difficulty in colour perception?
1. A.
  Streptomycin
2. B.
  Ethambutol
3. C.
  Rifampicin
4. D.
  Pyrazinamide
Answer and explanation
Q13 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
Warning signs of lung cancer include persistent cough, bloody sputum, dyspnea and which of the other following symptoms?
1. A.
  Dizziness
2. B.
  Generalized weakness
3. C.
  Hypotension
4. D.
  Recurrent pleural effusion
Answer and explanation
Q14 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
Most radiation sensitive testicular tumor is?
1. A.
  Seminoma
2. B.
  Teratoma
3. C.
  Interstitial cell tumor
4. D.
  None of the above
Answer and explanation
Q15 · Obstetrics & Gynaecology · Antenatal Care, Preconceptional Counseling and Care
The neural tube defect among newborn can be prevented by providing?
1. A.
  Iron to the mother in third trimester
2. B.
  Folic acid to mother in first trimester
3. C.
  Iron & folic acid throughout pregnancy
4. D.
  Vitamin K to the mother in first trimester
Answer and explanation
Q16 · Child Health Nursing (Pediatrics) · Normal Growth and its Disorders
The expected height of a normal child at 12 months is?
1. A.
  45 cm
2. B.
  50 cm
3. C.
  75 cm
4. D.
  100 cm
Answer and explanation
Q17 · Applied Anatomy · Miscellaneous
What is the name of the opening that connects two atria of fetal heart?
1. A.
  Ductus arteriosus
2. B.
  Ductus venosus
3. C.
  Foramen ovale
4. D.
  Ligamentum teres
Answer and explanation
Q18 · Medical & Surgical Nursing · Sensorineural Function
The commonest cause of blindness in India:
1. A.
  Cataract
2. B.
  Trachoma
3. C.
  Glaucoma
4. D.
  Keratomalacia
Answer and explanation
Q19 · Nursing Foundations · Nutritional Needs
All these are feeding tubes except?
1. A.
  Freca tube
2. B.
  Ryles tube
3. C.
  PEG tube
4. D.
  T Tube
Answer and explanation
Q20 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Which maneuver is done to temporarily stop inadvertent bleeding during cholecystectomy
1. A.
  Patey
2. B.
  Pringle
3. C.
  Kocher
4. D.
  Billroth
Answer and explanation
Q21 · Medical & Surgical Nursing · Urinary Tract Function
Which of the following is a diagnostic test for the diagnosis of prostate cancer?
1. A.
  Digital rectal examination
2. B.
  Prostate specific antigen (PSA)
3. C.
  Prostate biopsy
4. D.
  All of the above
Answer and explanation
Q22 · Applied Anatomy · Circulatory & Lymphatic System
Phlebostatic axis is the point at intersection of?
1. A.
  Mid-axillary line and line drawn through fourth intercostal space
2. B.
  Anterior axillary line and sixth intercostal space
3. C.
  Posterior axillary line and fifth intercostal space
4. D.
  Anterior axillary line and sixth intercostal space
Answer and explanation
Q23 · Pharmacology · Drugs acting on Autonomic Nervoys system
Your patient complains of dry mouth with swallowing difficulty. Which among the following drugs can produce these side effects when administered in the above condition?
1. A.
  Dicyclomine
2. B.
  Pyrantel Pamoate
3. C.
  Griseofulvin
4. D.
  Naloxone
Answer and explanation
Q24 · Applied Psychology · Personality
According to Freud, which component of personality operates according to the reality principle?
1. A.
  ID
2. B.
  Ego
3. C.
  Superego
4. D.
  Trust
Answer and explanation
Q25 · Pharmacology · Miscellaneous Drugs
As a staff nurse you are caring a patient with Psoriasis. Salicylic acid is prescribed to the patient. Which finding indicates that presence of systemic toxicity from this medication?
1. A.
  Respiration decreased
2. B.
  Tinnitus
3. C.
  Constipation
4. D.
  Diarrhea
Answer and explanation
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Q26 · Applied Anatomy · Respiratory System
A male patient is receiving external radiation to the neck for cancer of the larynx. The most likely side effect to be expected is ?
1. A.
  Dyspnoea
2. B.
  Diarrhoea
3. C.
  Sore Throat
4. D.
  Constipation
Answer and explanation
Q27 · Applied Anatomy · Sensory Organs
Name of the receptor on epidermis that transmits stimuli to the axon through a chemical synapse?
1. A.
  Langerhans's cells
2. B.
  Merkel cells
3. C.
  Woodzer cells
4. D.
  Berger cells
Answer and explanation
Q28 · Pharmacology · Chemotherapy of Neoplastic Drugs
BCG is used in the treatment of ?
1. A.
  Carcinoma cervix
2. B.
  Carcinoma colon
3. C.
  Carcinoma of urinary bladder
4. D.
  All of the above
Answer and explanation
Q29 · Medical & Surgical Nursing · Miscellaneous
The presence of which protein in urine is suggestive of the diagnosis multiple myeloma?
1. A.
  Fibronectin
2. B.
  Elastin
3. C.
  Bence-Jones proteins
4. D.
  Collagen
Answer and explanation
Q30 · Medical & Surgical Nursing · Integumentary Function
Skin reactions are common in radiation therapy. Nursing responsibilities on promoting skin integrity should be promoted apart from?
1. A.
  Avoiding the use of ointments, powders and lotion to the area
2. B.
  Using soft cotton fabrics for clothing
3. C.
  Washing the area with a mild soap and water and patting it dry, not rubbing it
4. D.
  Avoiding direct sunlight or cold
Answer and explanation
Q31 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
Hypercalcemia associated with malignancy is most often mediated by _______?
1. A.
  PTH
2. B.
  PTH-rp
3. C.
  IL-6
4. D.
  Calcitonin
Answer and explanation
Q32 · Nursing Foundations · Care of altered functioning of sensory organ & Unconscious patient
Which position to be provided to an unconscious patient while performing mouth care?
1. A.
  Fowler's position
2. B.
  Knee chest
3. C.
  Supine
4. D.
  Side lying
Answer and explanation
Q33 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
In which of the following head/neck cancers is lymph node metastasis least common?
1. A.
  Tongue
2. B.
  Bucal Mucosa
3. C.
  Hard Palate
4. D.
  Lower alveolus
Answer and explanation
Q34 · Medical & Surgical Nursing · End-of-Life Care
In the patient with terminal lung cancer, the focus of nursing care is on which of the following nursing interventions?
1. A.
  Prepare the patient's will
2. B.
  Provide nutritional support
3. C.
  Provide emotional support
4. D.
  Provide pain control
Answer and explanation
Q35 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
The patient with cancer is receiving chemotherapy and develops thrombocytopenia The nurse identifies which intervention as the highest priority in the nursing plan of care?
1. A.
  Ambulation three times a day
2. B.
  Monitoring a platelet count
3. C.
  Monitoring temperature
4. D.
  Monitoring for pathological factors
Answer and explanation
Q36 · Pathology & Genetics · General Pathology
Which of the following is the feature of benign tumor?
1. A.
  Infiltrative type of growth
2. B.
  Metastasis is present
3. C.
  Contained within a capsule
4. D.
  Grows rapidly
Answer and explanation
Q37 · Pathology & Genetics · Systemic Pathology
Common cancer of oral cavity is ?
1. A.
  Adenocarcinoma
2. B.
  Squamous cell carcinoma
3. C.
  Sarcoma
4. D.
  Melanoma
Answer and explanation
Q38 · Applied Microbiology & Infection control · Miscellaneous
Which of the following causative organism responsible for Moniliasis?
1. A.
  Candida albicans
2. B.
  Tinea cruris
3. C.
  Staphylococcus aureus
4. D.
  Gonococci
Answer and explanation
Q39 · Pathology & Genetics · General Pathology
All are recognized tumor markers except ?
1. A.
  Beta HCG
2. B.
  Beta-2-microglobulin
3. C.
  Alpha fetoprotein
4. D.
  Acid phosphatase
Answer and explanation
Q40 · Medical & Surgical Nursing · Miscellaneous
Finger clubbing is found in:
1. A.
  Liver abscess
2. B.
  Pulmonary suppuration
3. C.
  Typhoid
4. D.
  Duodenal ulcer
Answer and explanation
Q41 · Nursing Foundations · Promoting safety in health care environment
Radiation protection is very important to implement when performing nursing procedures. When the nurse is not performing any nursing procedures, what distance should be maintained from the patient?
1. A.
  1 feet
2. B.
  2 feet
3. C.
  2.5 feet
4. D.
  3 feet
Answer and explanation
Q42 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
Estrogen receptor studies in carcinoma Breast is done on ______?
1. A.
  Blood
2. B.
  Urine
3. C.
  Tumor tissue
4. D.
  Ovary
Answer and explanation
Q43 · Pathology & Genetics · Systemic Pathology
Most common cause of upper GI bleeding?
1. A.
  Gastric ulcer
2. B.
  Esophagealvarices
3. C.
  Gastritis
4. D.
  Carcinoma stomach
Answer and explanation
Q44 · Child Health Nursing (Pediatrics) · Normal Growth and its Disorders
A baby whose birth weight is 3 kg, what will be his expected weight at the age of 4 years?
1. A.
  6 kg
2. B.
  12 kg
3. C.
  14 kg
4. D.
  16 kg
Answer and explanation
Q45 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
Treatment of bone metastasis is by_______?
1. A.
  Samarium 153
2. B.
  I-131 with tositumomab
3. C.
  P-32
4. D.
  Yttrium
Answer and explanation
Q46 · Applied Anatomy · Nervous System
The space between arachnoid & pia matter is called?
1. A.
  Epidural
2. B.
  Subdural
3. C.
  Subarachnoid
4. D.
  Extradural
Answer and explanation
Q47 · Pharmacology · Antimicrobial Drugs
A 30 -year-old pregnant woman is diagnosed with pulmonary tuberculosis. Which of the following anti tuberculosis drug should not be given?
1. A.
  INH
2. B.
  Rifampicin
3. C.
  Streptomycin
4. D.
  Ethambutol
Answer and explanation
Q48 · Medical & Surgical Nursing · Miscellaneous
All these are types of esophageal surgeries, except?
1. A.
  Ivor-lewis
2. B.
  Mc-keons
3. C.
  Transhiatal
4. D.
  Cytoreductive
Answer and explanation
Q49 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A patient receiving IV fluids develops warm tenderness, erythema and pain at the site. The nurse suspect which of the following?
1. A.
  Fluid overload
2. B.
  Sepsis
3. C.
  Phlebitis
4. D.
  Infiltration
Answer and explanation
Q50 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The following anastomosis are done in whipple procedure except?
1. A.
  Hepatico-jejunostomy
2. B.
  Pancreatogastrectomy
3. C.
  Gastro jejunostomy
4. D.
  Jejuno-jejunostomy
Answer and explanation
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Q51 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
In staging and grading neoplasm TNM system is used. TNM stand for?
1. A.
  Time, neoplasm, mode of growth
2. B.
  Tumor, node, metastasis
3. C.
  Tumor, neoplasm, mode of growth
4. D.
  Time, node, metastasis
Answer and explanation
Q52 · Nursing Foundations · Vital Signs
A 36-year-old man with lymphoma presents with signs of impending septic shock 9 days after chemotherapy. The nurse could expect which of the following to be present?
1. A.
  Flushing, decreased oxygen saturation, mild hypotension
2. B.
  Low grade fever, chills, tachycardia
3. C.
  Elevated temperature, oliguria, hypotension
4. D.
  High grade fever, normal blood pressure, increased respirations
Answer and explanation
Q53 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A 25 -year-old patient is inquiring about the method or ways to detect cancer earlier. The nurse least likely identify this method by stating ?
1. A.
  Annual chest X-ray
2. B.
  Annual pap smear for sexually active women only
3. C.
  Annual digital rectal examination for persons over age of 40
4. D.
  Yearly physical and blood examination
Answer and explanation
Q54 · Pharmacology · Chemotherapy of Neoplastic Drugs
Administration of Mesna with a chemotherapy agent helps in?
1. A.
  Favoring the destruction of cancer cells
2. B.
  Protecting the cells
3. C.
  Preventing formation of uric cells
4. D.
  Increasing production of WBC
Answer and explanation
Q55 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A 50 -year-old man presents with sudden onset of dyspnea breathlessness and chest pain. Examination shows tachypnea, hypotension, cyanosis, jugular vein distension, tachycardia and low-grade fever. The most likely diagnosis is?
1. A.
  Acute MI
2. B.
  Acute attack of bronchial asthma
3. C.
  Stroke
4. D.
  Pulmonary embolism
Answer and explanation
Q56 · Nursing Foundations · Administration of medications
How should a nurse administer an iron injection to an adult?
1. A.
  Intradermal in the forearm
2. B.
  Subcutaneous in the arm
3. C.
  Z track intramuscular in the gluteal
4. D.
  Intramuscular in the deltoid
Answer and explanation
Q57 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
Which of the following is not an isotonic fluid?
1. A.
  0.9%
2. B.
  RL
3. C.
  Dextrose 5% in water
4. D.
  Dextrose 5% in normal saline
Answer and explanation
Q58 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
All are removed in Radical mastectomy except ______?
1. A.
  Pectoralis major
2. B.
  Pectoralis minor
3. C.
  Axillary lymph node
4. D.
  Supraclavicular node
Answer and explanation
Q59 · Obstetrics & Gynaecology · Physiological Changes During Pregnancy
The uterine fundus height of a pregnant patient is at the level of the umbilicus, her pregnancy is about?
1. A.
  10 to 12 weeks
2. B.
  14 to 16 weeks
3. C.
  20 to 24 weeks
4. D.
  30 to 32 weeks
Answer and explanation
Q60 · Nursing Foundations · Health care delivery system
While assessing Mr. Gupta with Braden Scale, the score attained was 8 which indicates that the risk of developing pressure sore for Mr. Gupta is?
1. A.
  Mild
2. B.
  Moderate
3. C.
  High
4. D.
  Very High
Answer and explanation
Q61 · Pharmacology · Autacoids & Related Drugs
The patient with leukemia is receiving busulfan (Myleran) and allopurinol (Zyloprim). The nurse tells the patient that the purpose of the allopurinol is to prevent ?
1. A.
  Alopecia
2. B.
  Hyperuricemia
3. C.
  Vomiting
4. D.
  Nausea
Answer and explanation
Q62 · Obstetrics & Gynaecology · Fetal Skull and Maternal Pelvis
Station in obstetric pelvis is related to?
1. A.
  Iliac spine
2. B.
  Ischial spine
3. C.
  Coccyx
4. D.
  Ileum spine
Answer and explanation
Q63 · Medical & Surgical Nursing · Neurologic Function
Name the neurological disorder characterized by the loss of the ability to execute or carry out skilled movements and gestures, despite having the desire and the physical ability to perform them?
1. A.
  Anhedonia
2. B.
  Apraxia
3. C.
  Apathy
4. D.
  Amnesia
Answer and explanation
Q64 · Obstetrics & Gynaecology · Endocrinology in Relation to Reproduction
Which statement among the following is true as far as maturation of graafian follicle is concerned?
1. A.
  Maturation is influenced by both FSH and LH
2. B.
  Maturation is only influenced by FSH
3. C.
  Maturation is only influenced by LH
4. D.
  Maturation is only influenced only by progesterone
Answer and explanation
Q65 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
What immediate nursing intervention will you take in case of blood transfusion reaction?
1. A.
  Inform the physician
2. B.
  Inform the blood bank
3. C.
  Monitor vital signs
4. D.
  Stop the transfusion & monitor the vital signs
Answer and explanation
Q66 · Applied Microbiology & Infection control · Pathogenic Organisms
Which of the following causative organism responsible for syphilis?
1. A.
  Human immune deficiency virus
2. B.
  Sarcoptes scabi
3. C.
  Neisseria gonorrhea
4. D.
  Treponema pallidum
Answer and explanation
Q67 · Mental Health Nursing · Mood disorders
Which is the following neurotransmitters is deficient in depression?
1. A.
  Only Serotonin
2. B.
  Only 5 HT
3. C.
  GABA
4. D.
  Both option a & b
Answer and explanation
Q68 · Nursing Foundations · Administration of medications
The act of rubbing an oil into the skin to produce a local effect is known as
1. A.
  Injection
2. B.
  Inhalation
3. C.
  Inunction
4. D.
  Infusion
Answer and explanation
Q69 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Most common site to put a chest drains in case of pleural effusion?
1. A.
  2nd intercostal space midclavicular line
2. B.
  7th intercostal space midaxillary line
3. C.
  5th intercostal space mid clavicular line
4. D.
  5th intercostal space just lateral to vertebral column
Answer and explanation
Q70 · Mental Health Nursing · Principles and Concepts of Mental Health Nursing
Mr. Sharma developed features of depression after his divorce. Here divorce is considered as?
1. A.
  Precipitating factor
2. B.
  Perpetuating factor
3. C.
  Predisposing factor
4. D.
  Personality factor
Answer and explanation
Q71 · Obstetrics & Gynaecology · Normal Labor
Uterine polarity is?
1. A.
  The neuromuscular disharmony between the two uterine segments throughout labour
2. B.
  The neuro chemical disharmony between the two segments of the uterus throughout labour
3. C.
  The neuro muscular harmony between the two uterine segments throughout labour
4. D.
  The muscular disharmony between the two uterine segments during labour
Answer and explanation
Q72 · Pathology & Genetics · Genetics
In which of the following genetic condition, Karyotype 47, XXY is seen?
1. A.
  Down's syndrome
2. B.
  Klinefelter's syndrome
3. C.
  Edward's syndrome
4. D.
  Patau's syndrome
Answer and explanation
Q73 · Pathology & Genetics · Miscellaneous
Which of the following is a malignant tumor of the connective tissue?
1. A.
  Sarcoma
2. B.
  Carcinoma
3. C.
  Osteoma
4. D.
  Glaucoma
Answer and explanation
Q74 · Child Health Nursing (Pediatrics) · Otolaryngology
The nurse administer ear drop to a 7 -year-old child. How does the nurse pull the patient's ear?
1. A.
  Outward
2. B.
  Backward
3. C.
  Upward and Backward
4. D.
  Backward and Downward
Answer and explanation
Q75 · Medical & Surgical Nursing · Miscellaneous
Least amenable to screening is?
1. A.
  Breast
2. B.
  Cervix
3. C.
  Oral cavity
4. D.
  Lung
Answer and explanation
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Q76 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
At the time of diagnosis of Hodgkin's lymphoma, which of the following area is often involved?
1. A.
  Back
2. B.
  Neck
3. C.
  Chest
4. D.
  Groin
Answer and explanation
Q77 · Applied Microbiology & Infection control · Isolation Precautions and Use of Personal Protective Equipment
While providing care to a patient with Hepatitis, the nursing officer should take special precautions to.
1. A.
  Prevent droplet spread of infection
2. B.
  Use caution when bringing food for PT
3. C.
  Wear mask and gown before entering the room
4. D.
  Use gloves when removing the patients bed pan
Answer and explanation
Q78 · Pharmacology · Chemotherapy of Neoplastic Drugs
A patient is taking cyclophosphamide for the treatment of the lymphoma The nurse is very cautious while administering the medication because this drug poses the fatal side effect of ?
1. A.
  Alopecia
2. B.
  Myeloma
3. C.
  CNS toxicity
4. D.
  Hemorrhagic cystitis
Answer and explanation
Q79 · Medical & Surgical Nursing · Metabolic and Endocrine Function
After Cholecystectomy, there was 50 ml bile output from the drain on the first post-operative day. Management is?
1. A.
  Intrabiliary stent
2. B.
  Immediate exploration
3. C.
  T-tube drainage
4. D.
  Observation
Answer and explanation
Q80 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A patient has undergone external radiation therapy. The expected side effects include the following apart from?
1. A.
  Hair loss
2. B.
  Ulceration of oral mucous membranes
3. C.
  Constipation
4. D.
  Headache
Answer and explanation
Q81 · Obstetrics & Gynaecology · Vomiting in Pregnancy
What is hyperemesis gravidarum?
1. A.
  Morning sickness
2. B.
  Lethargy
3. C.
  Excessive vomiting
4. D.
  Excessive loose motion
Answer and explanation
Q82 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
As a nurse you are monitoring a patient in immediate postpartum period. You are checking TRP and BP every 15 minutes for first hour. Which value suggest you that there is an excessive blood loss?
1. A.
  Increased pulse rate 90-102
2. B.
  An increase respiratory rate 18-22
3. C.
  Temperature $100.2^{\circ}$ Fahrenheit
4. D.
  None of these
Answer and explanation
Q83 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
In the post-operative room after the thyroid surgery, patient developed breathlessness and the wound was seen bulging with blood stained. What would be the first thing to do?
1. A.
  Tracheostomy
2. B.
  Cricothyroidotomy
3. C.
  Laryngoscopy and intubation
4. D.
  Remove the stitch and take the patient to OT
Answer and explanation
Q84 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Earliest symptom of carcinoma of vocal cord is:
1. A.
  Pain
2. B.
  Cough
3. C.
  Dyspnea
4. D.
  Hoarseness
Answer and explanation
Q85 · Medical & Surgical Nursing · Urinary Tract Function
Which of the following is suggested surgical intervention for Ca Prostate?
1. A.
  Radical prostatectomy
2. B.
  Bilateral orchiectomy
3. C.
  Transurethral resection of prostate (T.U.R.P)
4. D.
  Transurethral resection of bladder tumor (T.U.R.b.T)
Answer and explanation
Q86 · Medical & Surgical Nursing · Immunologic Function
Kaposi's sarcoma is the type of cancer which is common in people with?
1. A.
  Kidney failure
2. B.
  Liver cirrhosis
3. C.
  Kangri cancer
4. D.
  HIV
Answer and explanation
Q87 · Medical & Surgical Nursing · Miscellaneous
The most likely cause of fluctuating jaundice in a middle aged/elderly man is
1. A.
  Periampullary cancer
2. B.
  Liver fluke infestation
3. C.
  Choledochal cyst
4. D.
  Carcinoma head of pancreas
Answer and explanation
Q88 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
Which type of cancer has poorest prognosis given below?
1. A.
  Leukemia
2. B.
  Breast cancer
3. C.
  Pancreatic cancer
4. D.
  Lymphoma
Answer and explanation
Q89 · Pathology & Genetics · Systemic Pathology
AFP is raised in?
1. A.
  Ca prostate
2. B.
  HCC
3. C.
  Ca lung
4. D.
  Ca Colon
Answer and explanation
Q90 · Medical & Surgical Nursing · Miscellaneous
A nurse is teaching a patient who suspects that she has a lump in her breast. The nurse instructs the patient that a diagnosis of breast cancer is confirmed by ?
1. A.
  Breast self-examination
2. B.
  Mammography
3. C.
  Chest X-ray
4. D.
  Fine needle aspiration (FNAC)
Answer and explanation
Q91 · Medical & Surgical Nursing · Shock and Multisystem Failure
Which assessment indicates the nurse about development of cardiogenic shock in M.I. patient in I.C.U.?
1. A.
  Bradycardia
2. B.
  Increased blood pressure
3. C.
  Oliguria
4. D.
  Warm & flushed skin
Answer and explanation
Q92 · Obstetrics & Gynaecology · Antepartum Hemorrhage
Which is not a cause of APH?
1. A.
  Placenta previa
2. B.
  Cord presentation
3. C.
  Abruptio placentae
4. D.
  Rupture of uterus
Answer and explanation
Q93 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Complication of total thyroidectomy include all except?
1. A.
  Hoarseness
2. B.
  Airway obstruction
3. C.
  Hemorrhage
4. D.
  Hypercalcemia
Answer and explanation
Q94 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
A 60 -year-old man suffering from left colon cancer presented with acute left colonic obstruction and the treatment is ?
1. A.
  Primary resection and Hartman procedure
2. B.
  Defunctioning colostomy
3. C.
  Right hemicolectomy
4. D.
  Resection and end to end anastomosis
Answer and explanation
Q95 · Pharmacology · Chemotherapy of Neoplastic Drugs
Mrs. Sharma with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the patient about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?
1. A.
  Hearing loss
2. B.
  Headache
3. C.
  Vision changes
4. D.
  Anorexia
Answer and explanation
Q96 · Pharmacology · Hormones & Related Drugs
Drug used for estrogen dependent breast cancer?
1. A.
  Tamoxifen
2. B.
  Clomiphene citrate
3. C.
  Estrogen
4. D.
  Adriamycin
Answer and explanation
Q97 · Child Health Nursing (Pediatrics) · Miscellaneous
Kernicterus, which may occur as a complication of jaundice is a pathological condition of?
1. A.
  Liver
2. B.
  Brain
3. C.
  Kidney
4. D.
  Heart
Answer and explanation
Q98 · Community Health Nursing · Zoonoses
Rose Bengal test is used in the diagnosis of?
1. A.
  Brucellosis
2. B.
  Byssinosis
3. C.
  Whooping cough
4. D.
  Bronchiectasis
Answer and explanation
Q99 · Nursing Foundations · Miscellaneous
A nurse enters a room and finds a patient lying on the floor. Which action should the nurse perform first?
1. A.
  Assist the patient back to bed
2. B.
  Establish whether the patient is responsive
3. C.
  Ask the patient what happened
4. D.
  Call for help to get the patient back in bed
Answer and explanation
Q100 · Pharmacology · Chemotherapy of Neoplastic Drugs
Specific classification of the chemotherapeutic agent, Vincristine is ?
1. A.
  Hormone modulator
2. B.
  Mitotic inhibitor
3. C.
  Antineoplastic antibiotic
4. D.
  Antimetabolite
Answer and explanation