DHS Staff Nurse 2018 (Shift 1) question paper

DHS Staff Nurse · 2018 · 150 questions · 180 minutes · 0.25 mark deducted per wrong answer

Medical & Surgical Nursing 51
Obstetrics & Gynaecology 21
Child Health Nursing (Pediatrics) 11
Nursing Foundations 11
Applied Anatomy 9
Pharmacology 7
Reasoning 7
General Knowledge 6
Mental Health Nursing 6
English 6
Applied Physiology 5
Applied Psychology 3
Quantitative Aptitude and Mathematics 2
Nursing Research & Statistics 1
Applied Nutrition & Dietetics 1
Applied Microbiology & Infection control 1
Biochemistry & Nutrition 1
Pathology & Genetics 1

See the answers and explanations

Q1 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
During which of the following stages of labour would the nurse assess 'crowning'?
1. A.
  First stage
2. B.
  Second stage
3. C.
  Third stage
4. D.
  Fourth stage
Answer and explanation
Q2 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A client with hemophilia has nosebleed. Which nursing action is most appropriate to control the bleeding?
1. A.
  Place the client in a sitting position with the head hyperextended
2. B.
  Pack the nares tightly with gauze to apply pressure to the source of bleeding
3. C.
  Pinch the soft lower part of the nose for a minimum 5 minutes
4. D.
  Apply ice packs to the forehead and back of the neck
Answer and explanation
Q3 · Medical & Surgical Nursing · Miscellaneous
The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 12 mmHg. The nurse recognizes that?
1. A.
  The ICP is elevated and the doctor should be notified
2. B.
  The ICP is normal; therefore, no further action is needed
3. C.
  The ICP is low and the client needs additional IV fluids
4. D.
  The ICP reading is not as reliable as the Glasgow coma scale
Answer and explanation
Q4 · Medical & Surgical Nursing · Urinary Tract Function
A client is being discharged to home while recovering from acute renal failure. The client indicates an understanding of the therapeutic dietary regimen if the client states the need to eat foods that are lower in:
1. A.
  Fats
2. B.
  Vitamins
3. C.
  Potassium
4. D.
  Carbohydrates
Answer and explanation
Q5 · Applied Psychology · Cognitive Process
Which of the following is/are part of the definition of learning?
1. A.
  Change in behavior
2. B.
  Relatively permanent
3. C.
  Brought about by experience
4. D.
  All of the above
Answer and explanation
Q6 · Child Health Nursing (Pediatrics) · Newborn Infants
When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions?
1. A.
  Supine
2. B.
  Prone
3. C.
  In an infant seat
4. D.
  On the side
Answer and explanation
Q7 · Applied Anatomy · Circulatory & Lymphatic System
Chordae tendinae is found in?
1. A.
  Auricles of heart
2. B.
  Ventricles of heart
3. C.
  Ventricles of brain
4. D.
  Sinus venous
Answer and explanation
Q8 · Applied Anatomy · Circulatory & Lymphatic System
The longest vein in the human body is?
1. A.
  Jugular
2. B.
  Inferior vena cava
3. C.
  Long saphenous
4. D.
  Subclavian
Answer and explanation
Q9 · Child Health Nursing (Pediatrics) · Endocrine and Metabolic Disorders
A mother and her 3-week-old infant arrive at the well-baby clinic for a rescreening test for phenylketonuria (PKU). The nurse reviews the results of the serum phenylalanine levels and notes that the level is 1.0 mg/dl. The nurse interprets this level as?
1. A.
  Normal
2. B.
  Inconclusive
3. C.
  Requiring a repeat study
4. D.
  Elevated and indicating PKU
Answer and explanation
Q10 · Pharmacology · Drugs Acting on Central Nervous System
A client with psychotic depression is receiving haloperidol (Haldol). Which of the following side effects is associated with haloperidol?
1. A.
  Akathisia
2. B.
  Cataracts
3. C.
  Diaphoresis
4. D.
  Polyuria
Answer and explanation
Q11 · Quantitative Aptitude and Mathematics · Profit & loss
In an examination a candidate who got 30% of the total marks failed by 8 marks. Another candidate who got 35% got 12 marks more than the passing marks. Total marks are?
1. A.
  500
2. B.
  400
3. C.
  800
4. D.
  300
Answer and explanation
Q12 · Pharmacology · Cardiovascular Drugs
The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to?
1. A.
  Replenish his supply every 3 months
2. B.
  Take one every 15 minutes of pain occurs
3. C.
  Leave the medication in brown bottle
4. D.
  Crush the medication and take with water
Answer and explanation
Q13 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the?
1. A.
  Phlebostatic axis
2. B.
  PMI
3. C.
  Erb's point
4. D.
  Tail of Spence
Answer and explanation
Q14 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the?
1. A.
  Feet
2. B.
  Neck
3. C.
  Hands
4. D.
  Sacrum
Answer and explanation
Q15 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
A client is at 35 weeks of gestation calls the nurse at the clinic and reports a sudden discharge of fluid from the vagina. Based on the data provided, the nurse suspects which of the following conditions?
1. A.
  Miscarriage
2. B.
  Preterm labor
3. C.
  Intrauterine fetal demise
4. D.
  Premature rupture of the membranes
Answer and explanation
Q16 · Medical & Surgical Nursing · Miscellaneous
A client is hospitalized with signs of transplant rejection following a recent transplant. Assessment of the client would be expected to reveal?
1. A.
  A weight loss of 2 pounds in 1 day
2. B.
  A serum creatinine 1.25 mg/dl
3. C.
  Urinary output of 50ml/hr
4. D.
  Rising blood pressure
Answer and explanation
Q17 · Nursing Foundations · Administration of medications
When administering a tuberculin skin test, the nurse should insert needle at a?
1. A.
  15° angle
2. B.
  30° angle
3. C.
  45° angle
4. D.
  90° angle
Answer and explanation
Q18 · General Knowledge · Miscellaneous
During the first 4 hours after a male circumcision, assessing for which of the following is the priority?
1. A.
  Infection
2. B.
  Haemorrhage
3. C.
  Discomfort
4. D.
  Dehydration
Answer and explanation
Q19 · General Knowledge · Union government and Judiciary Bodies
What is the number of Rajya Sabha seats from Maharashtra?
1. A.
  17
2. B.
  18
3. C.
  19
4. D.
  20
Answer and explanation
Q20 · Reasoning · Coding-Decoding
In a certain code GONE is written as '5139' and NODAL is written as '31268'. How is LODGE written in that code language?
1. A.
  81259
2. B.
  84259
3. C.
  82459
4. D.
  82659
Answer and explanation
Q21 · Pharmacology · Antimicrobial Drugs
The client is taking rifampin 600mg PO daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?
1. A.
  Telling the client that the medication will need to be taken with juice
2. B.
  Telling the client that the medication will change the colour of the urine
3. C.
  Telling the client to take the medication before going to bed at night
4. D.
  Telling the client to take medication if the night sweats occur
Answer and explanation
Q22 · Medical & Surgical Nursing · Musculoskeletal Function
The home health nurse is visiting a client with Paget's disease. An important part of preventive care for the client with Paget's disease is?
1. A.
  Keeping the environment free of clutter
2. B.
  Advising the client to see the dentist regularly
3. C.
  Encouraging the client to take influenza vaccine
4. D.
  Telling the client to take a daily multivitamin
Answer and explanation
Q23 · Mental Health Nursing · Eating Disorders
An important intervention in monitoring the dietary compliance of a client with bulimia is?
1. A.
  Allowing the client privacy during mealtimes
2. B.
  Praising her for eating all her meal
3. C.
  Observing her for 1-2 hours after meals
4. D.
  Encouraging her to choose foods she likes and to eat in moderation
Answer and explanation
Q24 · Nursing Research & Statistics · Introduction to Statistics
The average of 10, 12, 16 and 18 is?
1. A.
  14
2. B.
  13
3. C.
  12
4. D.
  15
Answer and explanation
Q25 · Medical & Surgical Nursing · Immunologic Function
To prevent deformities of the knee joints in a client with an exacerbation of rheumatoid arthritis, the nurse should?
1. A.
  Tell the client to remain on bed rest until swelling subsides
2. B.
  Discourage passive range of motion because it will cause further swelling
3. C.
  Encourage motion of the joint within the limits of pain
4. D.
  Tell the client she will need joint immobilization for 2-3 weeks
Answer and explanation
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Q26 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
In severe pre-eclampsia women can develop HELLP syndrome which is very serious and lifethreatening. Which of the following are characteristic finding in the HELLP syndrome?
1. A.
  Elevated liver enzymes
2. B.
  Haemolysis
3. C.
  Low platelets
4. D.
  All of the choices
Answer and explanation
Q27 · Medical & Surgical Nursing · Miscellaneous
The home care nurse is preparing to visit a client with a diagnosis of Meniere's disease. The nurse reviews the physician prescription and expects to note that which of the following dietary measures is prescribed?
1. A.
  A low-fiber diet with decreased fluid
2. B.
  A low-sodium diet and fluid restriction
3. C.
  A low-fat diet with a restriction of citrus fruits
4. D.
  A low-carbohydrate diet and the elimination of red meats
Answer and explanation
Q28 · Pharmacology · Drug Affecting Blood & Blood Formation
The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?
1. A.
  I will have blood drawn every month
2. B.
  I will assess my skin for a rash
3. C.
  I take aspirin for a headache
4. D.
  I will use an electric razor for shave
Answer and explanation
Q29 · Medical & Surgical Nursing · Miscellaneous
The nurse is caring for a client who is receiving parenteral nutrition through a central venous catheter. Which action should the nurse plan to implement to decrease the risk of infection in this client?
1. A.
  Track the client's oral temperature
2. B.
  Administer antibiotics intravenously
3. C.
  Evaluate the differential of the leukocytes
4. D.
  Use sterile technique for dressing changes
Answer and explanation
Q30 · Reasoning · Analogy
DIRECTIONS: Select the related letters from the given alternatives.

LOM : NMK :: PKI : ?
1. A.
  RIH
2. B.
  SHG
3. C.
  RIG
4. D.
  RHG
Answer and explanation
Q31 · Nursing Foundations · Nursing Care & Specific Procedures
A client goes into respiratory distress, and blood for an arterial blood gas assessment is drawn from the radial artery. The nurse performs Allen's test before the blood is drawn to determine the adequacy of the?
1. A.
  Ulnar circulation
2. B.
  Carotid circulation
3. C.
  Brachial circulation
4. D.
  Femoral circulation
Answer and explanation
Q32 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A doctor calls the nurse to obtain the daily laboratory results of a client who is receiving parenteral nutrition. Which is the most important laboratory result for the nurse to present to the doctor?
1. A.
  WBC count
2. B.
  Serum electrolyte levels
3. C.
  Arterial blood gas levels
4. D.
  Haemoglobin and haematocrit levels
Answer and explanation
Q33 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A client with advanced cirrhosis of the liver is not tolerating protein well, as evidenced by abnormal laboratory values. The nurse anticipates that which of the following medications will be prescribed for the client?
1. A.
  Folic acid
2. B.
  Lactulose
3. C.
  Thiamine
4. D.
  Ethacrynic acid
Answer and explanation
Q34 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client?
1. A.
  Low calorie, low carbohydrate
2. B.
  High calorie, low fat
3. C.
  High protein, high fat
4. D.
  Low protein, high carbohydrate
Answer and explanation
Q35 · Obstetrics & Gynaecology · Miscellaneous
The client delivered a 9- pound infant two days ago. An effective means of managing discomfort from an episiotomy is?
1. A.
  Medicated suppository
2. B.
  Aspirin
3. C.
  Sitz baths
4. D.
  Ice packs
Answer and explanation
Q36 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
The nurse determines that a Mantoux tuberculin skin test is positive. To most accurately diagnose tuberculosis, the nurse plans to consult with the physician to follow up the skin test with a?
1. A.
  Chest X-ray
2. B.
  Sputum culture
3. C.
  CBC count
4. D.
  CT scan of the chest
Answer and explanation
Q37 · Medical & Surgical Nursing · Miscellaneous
The nurse is caring for a client with myasthenia gravis. The client is vomiting and complaining of abdominal cramps and diarrhea. The nurse also notes that the client is hypotensive and experiencing facial muscle twitching. The nurse interprets that these symptoms are compatible with?
1. A.
  Myasthenic crisis
2. B.
  Cholinergic crisis
3. C.
  Systemic infection
4. D.
  A reaction to plasmapheresis
Answer and explanation
Q38 · Mental Health Nursing · Principles and Concepts of Mental Health Nursing
Each time a client is scheduled for a therapy session she develops headache and nausea. The nurse might interpret this behavior as?
1. A.
  Conversion
2. B.
  Reaction formation
3. C.
  Projection
4. D.
  Suppression
Answer and explanation
Q39 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
Which of the following post-operative diets is most appropriate for the client who has had a haemorrhoidectomy?
1. A.
  High-fibre
2. B.
  Low-residue
3. C.
  Bland
4. D.
  Clear-liquid
Answer and explanation
Q40 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A client has had a laryngectomy for throat cancer and has started oral intake. The nurse determines that the client has tolerated the first stage of dietary advancement if the client takes which of the following types of diet without aspirating or choking?
1. A.
  Bland
2. B.
  Full liquids
3. C.
  Clear liquids
4. D.
  Semisolid foods
Answer and explanation
Q41 · Reasoning · Number series
What will come in place of Question mark (?) in the following number series? 3, 4.5, 9, 22.5, 67.5, (?), 945
1. A.
  265.25
2. B.
  236.25
3. C.
  225.36
4. D.
  150
Answer and explanation
Q42 · Quantitative Aptitude and Mathematics · Miscellaneous
If a: b is 3:4, b:c is 2:5, find a: b:c.?
1. A.
  3:4:10
2. B.
  3:5:7
3. C.
  3:4:8
4. D.
  3:2:9
Answer and explanation
Q43 · Reasoning · Coding-Decoding
If green's called 'white', 'white' is called yellow', 'yellow' is called 'blue', 'blue' is called 'pink' and 'pink' is called 'black', then what is the colour of sky?
1. A.
  green
2. B.
  blue
3. C.
  pink
4. D.
  yellow
Answer and explanation
Q44 · Child Health Nursing (Pediatrics) · Diseases of Gastrointestinal System and Liver
Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood?
1. A.
  Blink, cough, rooting, gag
2. B.
  Blink, cough, sneeze, gag
3. C.
  Rooting, sneeze, swallowing, cough
4. D.
  Stepping, blink, cough, sneeze
Answer and explanation
Q45 · Obstetrics & Gynaecology · Induction of Labor
Which of the following is a prostaglandin commonly used in induction of labour?
1. A.
  Misoprostol
2. B.
  Atenolol
3. C.
  Labetalol
4. D.
  None of the above
Answer and explanation
Q46 · Applied Physiology · Blood
The protein found in blood that is responsible for transporting oxygen is?
1. A.
  Erythropoietin
2. B.
  Hemoglobin
3. C.
  Gamma globulin
4. D.
  All of the above
Answer and explanation
Q47 · English · Vocabulary
DIRECTIONS: A sentence with an underlined word is given below. Find the word which is opposite to the highlighted word from the given options. The city was annihilated by an atomic bomb?
1. A.
  Created
2. B.
  Ruined
3. C.
  Demolished
4. D.
  Destructed
Answer and explanation
Q48 · Medical & Surgical Nursing · Miscellaneous
A client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is?
1. A.
  Measure the urinary output
2. B.
  Check the vital signs
3. C.
  Encourage increased fluid intake
4. D.
  Weigh the client
Answer and explanation
Q49 · Pharmacology · Antimicrobial Drugs
A client with tuberculosis has a prescription for Myambutol (ethambutol HCL). The nurse should tell the client to notify the doctor immediately if he notices?
1. A.
  Gastric distress
2. B.
  Change in hearing
3. C.
  Red discoloration of body fluids
4. D.
  Change in colour vision
Answer and explanation
Q50 · Child Health Nursing (Pediatrics) · Infections and Infestations
A 6-month-old is hospitalized with symptoms of botulism. What aspect of the infant's history is associated with Clostridium Botulism infection?
1. A.
  The infant sucks on his fingers and toes
2. B.
  The mother sweetens the infant's cereal with honey
3. C.
  The infant was switched to soy-based formula
4. D.
  The father recently purchased an aquarium
Answer and explanation
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Q51 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she?
1. A.
  Uses an electric blanket at night
2. B.
  Dresses in extra layers of clothing
3. C.
  Applies a heating pad to her feet
4. D.
  Takes a hot bath morning and evening
Answer and explanation
Q52 · Reasoning · Classification (Odd One Out)
DIRECTIONS: Select the one which is different from the other three responses?
1. A.
  45
2. B.
  35
3. C.
  85
4. D.
  72
Answer and explanation
Q53 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A client is experiencing diabetes insipidus as a result of cranial surgery. The nurse who is caring for the client plans to implement which of these anticipated therapies?
1. A.
  Fluid restriction
2. B.
  Administering diuretics
3. C.
  Increased sodium intake
4. D.
  Intravenous replacement of fluid losses
Answer and explanation
Q54 · Nursing Foundations · Nursing Care & Specific Procedures
Which nursing intervention required a nurse to use standard precaution?
1. A.
  Giving a back rub
2. B.
  Emptying a portable wound drainage system
3. C.
  Obtaining a blood pressure of a HIV positive person
4. D.
  Helping patient in physiotherapy
Answer and explanation
Q55 · Medical & Surgical Nursing · Neurologic Function
Which of the following conditions is most important risk factor for intracerebral hemorrhage?
1. A.
  Coronary artery disease
2. B.
  Hypertension
3. C.
  Shock
4. D.
  Thrombolytic drug
Answer and explanation
Q56 · Nursing Foundations · Miscellaneous
A nurse is instructing a group of junior nurses on the injection method of administering the BCG vaccine. What injection method should the nurse teach?
1. A.
  Intradermal
2. B.
  Subcutaneous
3. C.
  Intramuscular
4. D.
  Intravenous
Answer and explanation
Q57 · Medical & Surgical Nursing · Metabolic and Endocrine Function
The nurse is caring for a client with a diagnosis of hepatitis with experiencing pruritis. Which would be the most appropriate nursing intervention?
1. A.
  Suggest that the client take warm showers two times per day
2. B.
  Add baby oil to the client's bath water
3. C.
  Apply powder to the client's skin
4. D.
  Suggest a hot-water rinse after bathing
Answer and explanation
Q58 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A nurse is assessing a client with Addison's disease for signs of hyperkalemia. The nurse expects to note which of the following if hyperkalemia is present?
1. A.
  Polyuria
2. B.
  Cardiac dysrhythmias
3. C.
  Dry mucous membranes
4. D.
  Prolonged bleeding time
Answer and explanation
Q59 · General Knowledge · National Current Affairs
State which has decided to give 1% reservation to orphan children in government jobs?
1. A.
  Maharashtra
2. B.
  Madhya Pradesh
3. C.
  Karnataka
4. D.
  Uttar Pradesh
Answer and explanation
Q60 · Applied Psychology · Personality
Which of the following is not included in the definition of personality psychology?
1. A.
  It deals with adaptations to the environment
2. B.
  It deals with how traits influence the environment
3. C.
  It deals with how the environment influences traits
4. D.
  All of the above are included
Answer and explanation
Q61 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A client with increased intracranial pressure is placed on mechanical ventilation with hyperventilation. The nurse knows that the purpose of the hyperventilation is to?
1. A.
  Prevent the development of acute respiratory failure
2. B.
  Decrease cerebral blood flow
3. C.
  Increase systemic tissue perfusion
4. D.
  Prevent cerebral anoxia
Answer and explanation
Q62 · Medical & Surgical Nursing · Miscellaneous
The nurse is caring for a client with an intracranial aneurysm. The nurse interprets that which of the following is related to the dysfunction of cranial nerve III?
1. A.
  Mild drowsiness
2. B.
  Ptosis of the left eyelid
3. C.
  Slight slurring of speech
4. D.
  Less frequent spontaneous speech
Answer and explanation
Q63 · General Knowledge · Indian geography
Area rank of Maharashtra in India?
1. A.
  2nd
2. B.
  4th
3. C.
  5th
4. D.
  3rd
Answer and explanation
Q64 · Nursing Foundations · Miscellaneous
One ear is tested at a time, the untested ear is covered by palm of hand, this test is known as?
1. A.
  Whisper test
2. B.
  Weber test
3. C.
  Rinne test
4. D.
  Audiometry
Answer and explanation
Q65 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
While caring for a client with hypertension, the nurse notes the following vital signs, BP of 140/90 mm hg, pulse- 120, respirations-36, and temperature-100.8 degree Fahrenheit. The nurse's initial action should be to?
1. A.
  Call the doctor
2. B.
  Recheck the vital signs
3. C.
  Obtain arterial blood gases
4. D.
  Obtain an ECG
Answer and explanation
Q66 · Medical & Surgical Nursing · Miscellaneous
Which activity is suitable for a client who suffered uncomplicated myocardial infarction (MI) 2-days ago?
1. A.
  Sitting in the bedside chair for 15 minutes three times a day
2. B.
  Remaining on strict bed rest with bedside commode privileges
3. C.
  Ambulating in the room and hall as tolerated
4. D.
  Sitting on the bedside for 5 minutes three times a day with assistance
Answer and explanation
Q67 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
The nurse prepares to administer a continuous intravenous infusion through a peripheral IV to a client who has dehydration. Which is the priority nursing assessment before initiating the IV infusion?
1. A.
  Checking a daily body weight
2. B.
  Checking the serum electrolyte
3. C.
  Checking intake and output records
4. D.
  Asking the client about the dominant side
Answer and explanation
Q68 · Medical & Surgical Nursing · Miscellaneous
An elderly client is diagnosed with interstitial cystitis. Which finding differentiates interstitial cystitis from other forms cystitis?
1. A.
  The client is asymptomatic
2. B.
  The urine is free of bacteria
3. C.
  The urine contains blood
4. D.
  Males are affected more often
Answer and explanation
Q69 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective?
1. A.
  The client loses consciousness
2. B.
  The client vomits
3. C.
  The client's ECG indicates tachycardia
4. D.
  The client has grand mal seizure
Answer and explanation
Q70 · General Knowledge · Indian geography
Total Number of Districts in Maharashtra?
1. A.
  36
2. B.
  34
3. C.
  23
4. D.
  28
Answer and explanation
Q71 · English · Grammar
In the word 'फुलाला' (phulālā), which case ending type does the suffix 'ला' (lā) belong to?
1. A.
  Nominative
2. B.
  Accusative
3. C.
  Ablative
4. D.
  Locative
Answer and explanation
Q72 · Applied Anatomy · Circulatory & Lymphatic System
Tunica adventitia is a part of?
1. A.
  Blood vessels
2. B.
  Testes
3. C.
  Scrotum
4. D.
  Kidney
Answer and explanation
Q73 · Medical & Surgical Nursing · Sensorineural Function
The nurse is teaching a patient with glaucoma regarding self care. Which of the following teachings is appropriate?
1. A.
  Avoid watching television for more than one hour
2. B.
  Avoid lifting heavy objects
3. C.
  Avoid caffeinated and carbonated beverages
4. D.
  To come to the ophthalmologist when symptoms increases
Answer and explanation
Q74 · Medical & Surgical Nursing · Neurologic Function
A client with a spinal cord injury 2 months ago now complains of a pounding headache. The pulse is 64 and the blood pressure is 220/110mmhg. Which of the following action should the nurse take first?
1. A.
  Give analgesic as ordered
2. B.
  Check for fecal impaction
3. C.
  Elevate the client's head and lower the legs
4. D.
  Notify the physician
Answer and explanation
Q75 · Nursing Foundations · Nursing Process
Planning is a category of nursing behaviors in which:
1. A.
  The nurse determines the health care needed for the Patient
2. B.
  The Physician determines the plan of care for the Patient
3. C.
  Patient-centered goals and expected outcomes are established
4. D.
  The Patient determines the care needed
Answer and explanation
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Q76 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority?
1. A.
  Anxiety
2. B.
  Impaired skin integrity
3. C.
  Fluid volume deficit
4. D.
  Nutrition altered, less than body requirements
Answer and explanation
Q77 · Applied Physiology · Circulatory & Lymphatic system
Normally cardiac cycle takes...seconds to complete?
1. A.
  0.01
2. B.
  0.8
3. C.
  0.08
4. D.
  0.1
Answer and explanation
Q78 · Medical & Surgical Nursing · Urinary Tract Function
Which of the following is a risk factor for urinary tract infection?
1. A.
  Urinary immunoglobulin in the urethra
2. B.
  Instrumentation of the urinary tract
3. C.
  Ability to empty the bladder completely
4. D.
  Natural host defenses
Answer and explanation
Q79 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?
1. A.
  Blood pressure every 15 minutes
2. B.
  Insertion of a Levine tube
3. C.
  Cardiac monitoring
4. D.
  Dressing changes two times per day
Answer and explanation
Q80 · Medical & Surgical Nursing · Integumentary Function
The nurse caring for a client with full thickness burns to the lower half of the torso and lower extremities. During the emergent phase of injury, the primary nursing diagnosis would focus on?
1. A.
  Ineffective airway clearance
2. B.
  Impaired gas exchange
3. C.
  Fluid volume deficit
4. D.
  Pain
Answer and explanation
Q81 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
A nurse is preparing a woman in labor for an amniotomy. The nurse should assess which priority data before the procedure?
1. A.
  Fetal heart rate
2. B.
  Maternal heart rate
3. C.
  Fetal scalp sampling
4. D.
  Maternal blood pressure
Answer and explanation
Q82 · Reasoning · Analogy
DIRECTIONS: Select the related numbers from the given alternatives.

21:3 :: 574 : ?
1. A.
  23
2. B.
  82
3. C.
  97
4. D.
  113
Answer and explanation
Q83 · Applied Nutrition & Dietetics · Therapeutic Diet
Which of the following meal selections is appropriate for the client with celiac disease?
1. A.
  Toast, jam, and apple juice
2. B.
  Peanut butter cookies and milk
3. C.
  Rice krispies bar and milk
4. D.
  Cheese pizza and cool-Aid
Answer and explanation
Q84 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The nurse is caring for a client following the removal of a central line catheter when the client suddenly develops dyspnoea and complains of substernal chest pain. The client is noticeably confused and fearful. The nurse should suspect which complication of central line use?
1. A.
  Myocardial infarction
2. B.
  Air embolus
3. C.
  Intrathoracic bleeding
4. D.
  Vagal response
Answer and explanation
Q85 · General Knowledge · Indian geography
Total Area of Maharashtra State?
1. A.
  307,713 km²
2. B.
  607,713 km²
3. C.
  189,718 km²
4. D.
  217,718 km²
Answer and explanation
Q86 · Mental Health Nursing · Mood disorders
A nurse plans to assess a client for the vegetative signs of depression. The nurse assesses for these signs by determining the client's?
1. A.
  Level of self-esteem
2. B.
  Level of suicidal ideation
3. C.
  Ability to think, concentrate and make rational decisions
4. D.
  Appetite, weight, sleep patterns and psychomotor activity
Answer and explanation
Q87 · English · Error Detection
In the given sentence there might be an error. Find out which part of the sentence has an error. If there is no error, mark your answer as (d) i.e. 'No error'.?

He was (a) /one of the soldiers (b) /who fought for the independence of the country: (c)/No Error(d)
1. A.
  (a)
2. B.
  (b)
3. C.
  (c)
4. D.
  (d)
Answer and explanation
Q88 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding?
1. A.
  Assess for tube placement by aspirating stomach content
2. B.
  Place the patient in a left-lying position
3. C.
  Administer feeding with 50% H₂O concentration
4. D.
  Ensure the feeding solution has been warmed in a microwave for 2 minutes
Answer and explanation
Q89 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Which finding is the best indication that a client with ineffective airway clearance needs suctioning?
1. A.
  Oxygen saturation
2. B.
  Respiratory rate
3. C.
  Breath sounds
4. D.
  Arterial blood gas
Answer and explanation
Q90 · Obstetrics & Gynaecology · Antenatal Assessment of Fetal Well-Being
A nurse is performing an assessment of a client who is scheduled for a caesarean delivery. Which assessment finding would indicate a need to contact the physician?
1. A.
  Haemoglobin of 11 g/dl
2. B.
  Fetal heart rate of 180 beats/min
3. C.
  Maternal pulse rate of 85 beats/min
4. D.
  White blood cell count of 12000/mm³
Answer and explanation
Q91 · Child Health Nursing (Pediatrics) · Miscellaneous
Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?
1. A.
  Playing video games
2. B.
  Swimming
3. C.
  Working crossword puzzles
4. D.
  Playing slow-pitch softball
Answer and explanation
Q92 · English · Vocabulary
DIRECTIONS : A sentence with an underlined word is given below. Find the Word which is most similar in meaning to the underlined word. New technology means that astronomers can accomplish in a single night what once took years?
1. A.
  Achieve
2. B.
  Separate
3. C.
  Eliminate
4. D.
  Abandon
Answer and explanation
Q93 · Obstetrics & Gynaecology · Normal Labor
The process by which the muscular fibers of the cervix are pulled upward and merges with the fibers of the lower uterine segment is?
1. A.
  Polarity of uterus
2. B.
  Effacement
3. C.
  Efforts
4. D.
  Engagement
Answer and explanation
Q94 · Medical & Surgical Nursing · Miscellaneous
A client is scheduled for an arteriogram using a radiopaque dye. The nurse assesses which most critical item before the procedure?
1. A.
  Vital signs
2. B.
  Intake and output
3. C.
  Height and weight
4. D.
  Allergy to iodine or shellfish
Answer and explanation
Q95 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has documented that the fetus is at - 1 station. The nurse determines that the fetal presenting part is?
1. A.
  1 inch below the coccyx
2. B.
  1 inch below the iliac crest
3. C.
  1 cm above the ischial spine
4. D.
  1 fingerbreadth below the symphysis pubis
Answer and explanation
Q96 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
A nurse is performing an assessment on a pregnant client with a history of cardiac disease. The nurse checks which body area for venous congestion, knowing that it is most commonly noted in this area?
1. A.
  Vulva
2. B.
  Around the eyes
3. C.
  Fingers of the hands
4. D.
  Around the abdomen
Answer and explanation
Q97 · Applied Physiology · Blood
The immunoglobulin found in a mother's milk is...?
1. A.
  IgM
2. B.
  IgA
3. C.
  IgE
4. D.
  IgG
Answer and explanation
Q98 · Obstetrics & Gynaecology · Special Topics in Obstetrics
FHS can be auscultated with a fetoscope as early as which of the following?
1. A.
  5 weeks gestation
2. B.
  10 weeks gestation
3. C.
  15 weeks gestation
4. D.
  20 weeks gestation
Answer and explanation
Q99 · Applied Anatomy · Nervous System
The cell body of neuron is also called as...?
1. A.
  Dendrite
2. B.
  Axon
3. C.
  Soma
4. D.
  None of these
Answer and explanation
Q100 · Reasoning · Arrangements & Puzzles
If a train, with a speed of 60 km/hr, crossed a pole in 60 second, the length of the train (in meters) is?
1. A.
  1000
2. B.
  900
3. C.
  730
4. D.
  500
Answer and explanation
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Q101 · Obstetrics & Gynaecology · Normal Puerperium
Pale white vaginal discharge for the first fortnight during puerperium is?
1. A.
  Lochia rubra
2. B.
  Lochia serosa
3. C.
  Lochia alba
4. D.
  Lochia tuna
Answer and explanation
Q102 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Which of the following statements about AIDS is true?
1. A.
  The disease is highly infectious
2. B.
  The fatality rate is low if the disease is detected in its early stages
3. C.
  Most people who get AIDS die due to pneumonia
4. D.
  None of the above
Answer and explanation
Q103 · Applied Microbiology & Infection control · Pathogenic Organisms
The most common means of transmitting the tubercle bacillus from one individual to another by...?
1. A.
  Air borne
2. B.
  Using public toilet
3. C.
  Milk products
4. D.
  Eating utensils
Answer and explanation
Q104 · Medical & Surgical Nursing · Neurologic Function
The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation, A positive Kernig's sign is charted if the nurse notes?
1. A.
  Pain on extension of the knee when the hip is flexed
2. B.
  Nuchal rigidity on flexion of the neck
3. C.
  Pain when the head is turned to the left side
4. D.
  Dizziness when changing positions
Answer and explanation
Q105 · Child Health Nursing (Pediatrics) · Miscellaneous
A nurse is caring for a child with renal disease and is analyzing the child's laboratory results. The nurse notes a sodium level of 148 mEq/L, on the basis of this finding, which clinical manifestation would the nurse expect to note in the child?
1. A.
  Lethargy
2. B.
  Diaphoresis
3. C.
  Cold, wet skin
4. D.
  Dry, sticky mucous membranes
Answer and explanation
Q106 · Applied Physiology · Blood
For blood clotting fibrinogen is changed into fibrin with the help of?
1. A.
  Antithrombin
2. B.
  Thrombin
3. C.
  Platelets
4. D.
  Vitamin K
Answer and explanation
Q107 · Child Health Nursing (Pediatrics) · Hematological Disorders
A nurse is caring for an infant who is admitted to the hospital with a diagnosis of haemolytic disease. The nurse reviews the laboratory results, expecting to note which of the following in this infant?
1. A.
  Decreased bilirubin count
2. B.
  Elevated blood glucose level
3. C.
  Decreased RBC count
4. D.
  Decreased white blood cell count
Answer and explanation
Q108 · Nursing Foundations · Nursing Process
The nursing care plan is...?
1. A.
  A written guideline for implementation and evaluation
2. B.
  A documentation of client care
3. C.
  A projection of potential alterations in client behaviors
4. D.
  A tool to set goals and project outcomes
Answer and explanation
Q109 · English · Vocabulary
Out of the given four words only one is not spelt correctly. Find the word that is not correctly spelt?
1. A.
  apparently
2. B.
  noticeable
3. C.
  necessary
4. D.
  occurence
Answer and explanation
Q110 · Nursing Foundations · History of Nursing & Nursing as a profession
To initiate an intervention the nurse must be competent in three areas, which include?
1. A.
  Knowledge, function, and specific skills
2. B.
  Experience, advanced education, and skills
3. C.
  Skills, finances, and leadership
4. D.
  Leadership, autonomy, and skills
Answer and explanation
Q111 · Obstetrics & Gynaecology · Hemorrhage in Early Pregnancy
A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation. The nurse would document these findings as which of the following?
1. A.
  Threatened abortion
2. B.
  Imminent/Inevitable abortion
3. C.
  Complete abortion
4. D.
  Missed abortion
Answer and explanation
Q112 · Pharmacology · General Pharmacology
A client is admitted with a blood alcohol level of 180mg/dl. The nurse recognizes that the alcohol in the client's system should be fully metabolized within?
1. A.
  3 hours
2. B.
  5 hours
3. C.
  7 hours
4. D.
  9 hours
Answer and explanation
Q113 · Pharmacology · Drugs Acting on Central Nervous System
A client receiving parnate (tranylcypromine) is admitted in hypertensive crisis. Which food is capable of producing a hypertensive crisis when taken with the medication?
1. A.
  Processed cheese
2. B.
  Cottage cheese
3. C.
  Cream cheese
4. D.
  Cheddar cheese
Answer and explanation
Q114 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
A nurse is checking the fundus of a postpartum woman and notes that the uterus is soft and spongy. Which nursing action appropriate initially?
1. A.
  Notify the physician
2. B.
  Encourage the mother to ambulate
3. C.
  Massage the fundus gently until it is firm
4. D.
  Document fundal position, consistency and height
Answer and explanation
Q115 · Obstetrics & Gynaecology · Normal Puerperium
What event occurring in the second trimester helps the expectant mother to accept the pregnancy?
1. A.
  Lightening
2. B.
  Ballottement
3. C.
  Pseudocyesis
4. D.
  Quickening
Answer and explanation
Q116 · Nursing Foundations · Health Assessment
A home care nurse assesses an older client's functional status and ability to perform activities of daily living. The nurse focuses the assessment on?
1. A.
  Everyday routines
2. B.
  Self-care activities
3. C.
  Household management
4. D.
  Endurance and flexibility
Answer and explanation
Q117 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
A home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the physician?
1. A.
  Urinary output has increased
2. B.
  Dependent edema has resolved
3. C.
  Blood pressure reading is at the prenatal baseline
4. D.
  The client complains of a headache and blurred Vision
Answer and explanation
Q118 · Nursing Foundations · Nutritional Needs
The nurse prepares to administer an enteral feeding to a client through a nasogastric tube. Which is the priority intervention for the nurse to complete before administering the feeding?
1. A.
  Determining tube placement
2. B.
  Auscultating the tube bowel sounds
3. C.
  Measuring the intake and output
4. D.
  Establishing the client's baseline weight
Answer and explanation
Q119 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
An adult is pacing about the unit and wringing his hands. He is breathing rapidly and complains of palpitations and nausea and he has difficulty focusing on what the nurse is saying. He says he is having a heart attack but refuses to rest. The nurse would interpret his level of anxiety as?
1. A.
  Mild
2. B.
  Moderate
3. C.
  Severe
4. D.
  Panic
Answer and explanation
Q120 · English · Grammar
Out of the given options, choose the most appropriate one to fill in the blank. She has fought a constant battle...depression throughout her career?
1. A.
  with
2. B.
  from
3. C.
  at
4. D.
  into
Answer and explanation
Q121 · Applied Anatomy · Circulatory & Lymphatic System
The two major openings of the left ventricle are?
1. A.
  Tricuspid valve and pulmonary artery
2. B.
  Bicuspid valve and aorta
3. C.
  Inferior vena cava and aorta
4. D.
  Pulmonary vein and aorta
Answer and explanation
Q122 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
Labour is called normal if it fulfills the following criteria, except?
1. A.
  Spontaneous in onset and at term
2. B.
  With vertex presentation
3. C.
  Modifying the nature of termination
4. D.
  Without undue prolongation
Answer and explanation
Q123 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The physician is preparing to remove a central line. The nurse should tell the client to?
1. A.
  Breathe normally
2. B.
  Take slow, deep breaths
3. C.
  Take a deep breath and hold it
4. D.
  Breathe as quickly as possible
Answer and explanation
Q124 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
A child was diagnosed with acute post streptococcal glomerulonephritis and renal insufficiency. Which laboratory result will the nurse expect to note in the child?
1. A.
  Negative protein in the urinalysis
2. B.
  Negative RBC in the urinalysis
3. C.
  An elevated WBC count
4. D.
  Elevated blood urea nitrogen and Creatinine
Answer and explanation
Q125 · Biochemistry & Nutrition · Proteins
Albumin is one of the plasma protein is synthesized in?
1. A.
  Spleen
2. B.
  Pancreas
3. C.
  Adrenal gland
4. D.
  Liver
Answer and explanation
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Q126 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely state that his abdominal discomfort decreases when?
1. A.
  Skips a meal
2. B.
  Rests in a recumbent position
3. C.
  Eats a meal
4. D.
  Sits upright after eating
Answer and explanation
Q127 · Medical & Surgical Nursing · Miscellaneous
The nurse is obtaining a history from a client who was admitted to the hospital with a thrombotic brain attack. The nurse assesses the client, knowing that before the stroke occurred, the client most likely experienced?
1. A.
  No symptoms at all
2. B.
  Throbbing headaches
3. C.
  Transient hemiplegia and loss of speech
4. D.
  Unexplained episodes of loss of consciousness
Answer and explanation
Q128 · Applied Anatomy · Respiratory System
Diaphragm is supplied by...artery?
1. A.
  Coronary
2. B.
  Phrenic
3. C.
  Vasa vasorum
4. D.
  Renal
Answer and explanation
Q129 · Child Health Nursing (Pediatrics) · Infections and Infestations
A 5-year-old is a family contact to the client with tuberculosis. Isoniazid (INH) has been prescribed for the client. The nurse is aware that the length of time that the medication will be taken is?
1. A.
  1 year
2. B.
  3 months
3. C.
  6 months
4. D.
  2 years
Answer and explanation
Q130 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should:
1. A.
  Administer bolus of IV fluid
2. B.
  Administer pain medication
3. C.
  Administer an antiemetic
4. D.
  Allow the patient a chance to eat
Answer and explanation
Q131 · Mental Health Nursing · Eating Disorders
The nurse is evaluating nutritional outcomes for an elderly client with anorexia nervosa. Which data best indicates that the plan of care is effective?
1. A.
  The client selects a balanced diet from the menu
2. B.
  The client's hematocrit improves
3. C.
  The client's tissue turgor improves
4. D.
  The client gains weight
Answer and explanation
Q132 · Child Health Nursing (Pediatrics) · Otolaryngology
A nurse is caring for an infant with laryngomalacia. Which position would the nurse place the infant in to decrease the incidence of stridor?
1. A.
  Prone
2. B.
  Supine
3. C.
  Supine with the neck flexed
4. D.
  Prone with the neck hyperextended
Answer and explanation
Q133 · Obstetrics & Gynaecology · Normal Puerperium
At 28-30 weeks gestation where would you expect to find the uterine fundus?
1. A.
  Umbilicus
2. B.
  Xiphisternum
3. C.
  Symphysis pubis
4. D.
  Half way between umbilicus and xiphisternum
Answer and explanation
Q134 · Obstetrics & Gynaecology · Prenatal Genetic Counseling, Screening and Diagnosis
In which gestational age the Chronic villus sampling (CVS) can be performed trans-cervically?
1. A.
  7-9 weeks
2. B.
  10-12 weeks
3. C.
  16-18 weeks
4. D.
  20-22 weeks
Answer and explanation
Q135 · Medical & Surgical Nursing · Miscellaneous
A nurse is preparing to administer a chemotherapeutic agent via intraperitoneal therapy. In which position should the nurse plan to place the client before administering this therapy?
1. A.
  Supine
2. B.
  Semi-fowler's
3. C.
  Trendelenburg's
4. D.
  Dorsal recumbent
Answer and explanation
Q136 · Applied Anatomy · Respiratory System
A large muscle that separates the chest cavity from the abdominal cavity and helps with breathing?
1. A.
  Larynx
2. B.
  Trachea
3. C.
  Diaphragm
4. D.
  None of these
Answer and explanation
Q137 · Applied Anatomy · Introduction to Anatomical terms & Organization of Human Body
Which cell organelle is responsible for making proteins?
1. A.
  Lysosome
2. B.
  Ribosomes
3. C.
  Mitochondria
4. D.
  None of these
Answer and explanation
Q138 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
A pregnant client with diabetes mellitus arrives at the health care clinic for a follow-up visit. What priority assessment should the nurse monitor?
1. A.
  Urine for specific gravity
2. B.
  For the presence of edema
3. C.
  Urine for glucose and ketones
4. D.
  Blood pressure, pulse and respirations
Answer and explanation
Q139 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A client develops a temperature of 102 degree Fahrenheit following coronary artery bypass surgery. The nurse should notify the physician immediately because elevations in temperature?
1. A.
  Increased cardiac output
2. B.
  Indicate cardiac tamponade
3. C.
  Decrease cardiac output
4. D.
  Indicate graft rejection
Answer and explanation
Q140 · Applied Anatomy · Circulatory & Lymphatic System
The pacemaker of heart is?
1. A.
  SA node
2. B.
  AV node
3. C.
  Bundle of His
4. D.
  Purkinje fibre
Answer and explanation
Q141 · Applied Physiology · Blood
What is the function of blood platelets?
1. A.
  Carry haemoglobin
2. B.
  Aid in coagulation of blood
3. C.
  Ingest bacteria
4. D.
  Transport CO2
Answer and explanation
Q142 · Child Health Nursing (Pediatrics) · Hematological Disorders
The home health nurse is visiting a 15-year old with sickle cell disease. Which information obtained on the visit would cause the most concern? The client?
1. A.
  Likes to play baseball
2. B.
  Drinks several carbonated drinks per day
3. C.
  Has two sisters with sickle cell tract
4. D.
  Is taking Tylenol to control pain
Answer and explanation
Q143 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
After an amniotomy has been performed, a nurse should first assess?
1. A.
  For cervical dilation
2. B.
  For bladder distention
3. C.
  The maternal blood pressure
4. D.
  The fetal heart rate pattern
Answer and explanation
Q144 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A client had arterial blood gases drawn. The results are a pH of 7.34, a partial pressure of carbon dioxide of 37 mm Hg, a partial pressure of oxygen of 89 mm Hg and a bicarbonate level of 19 mEq/L. the nurse interprets that the client is experiencing?
1. A.
  Metabolic acidosis
2. B.
  Metabolic alkalosis
3. C.
  Respiratory acidosis
4. D.
  Respiratory alkalosis
Answer and explanation
Q145 · Applied Psychology · Mental Health & mental hygiene
A man is admitted to the intensive care unit with chest pain, an abnormal ECG, and elevated enzymes. When the significance of this is explained to him, he says, "I can't be having a heart attack. No way. You must be mistaken." The nurse suspects the client is using which defense mechanism?
1. A.
  Sublimation
2. B.
  Regression
3. C.
  Dissociation
4. D.
  Denial
Answer and explanation
Q146 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests ordered.
1. A.
  Colonoscopy
2. B.
  Barium enema
3. C.
  Complete blood count
4. D.
  Computed tomography (CT) scan
Answer and explanation
Q147 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in?
1. A.
  Uncompensated acidosis
2. B.
  Compensated alkalosis
3. C.
  Compensated respiratory acidosis
4. D.
  Uncompensated metabolic acidosis
Answer and explanation
Q148 · Pathology & Genetics · Systemic Pathology
The nurse assessment of a patient with lung cancer reveals the following: copious secretions, dyspnea, and cough. Based on these findings the most appropriate nursing diagnosis is?
1. A.
  Impaired gas exchange
2. B.
  Ineffective airway clearance
3. C.
  Pain
4. D.
  Altered tissue perfusion
Answer and explanation
Q149 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A client manages peptic ulcer disease with excessive amount of oral antacids. The client is at risk for which acid-base imbalance?
1. A.
  Metabolic acidosis
2. B.
  Metabolic alkalosis
3. C.
  Respiratory acidosis
4. D.
  Respiratory alkalosis
Answer and explanation
Q150 · Nursing Foundations · Administration of medications
The nurse has an order for medication to be administered intrathecally. The nurse is aware that medications will be administered by which method?
1. A.
  Intravenously
2. B.
  Rectally
3. C.
  Intramuscularly
4. D.
  Into the cerebrospinal fluid
Answer and explanation

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