DHS Staff Nurse 2018 (Shift 2) question paper

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

Medical & Surgical Nursing 32
Obstetrics & Gynaecology 25
Child Health Nursing (Pediatrics) 17
Pharmacology 11
Nursing Foundations 10
Mental Health Nursing 8
Applied Anatomy 7
Applied Physiology 7
Reasoning 6
General Knowledge 6
English 5
Nursing Education 4
Forensic Nursing & Indian laws 3
Applied Microbiology & Infection control 3
Applied Psychology 2
Quantitative Aptitude and Mathematics 2
Nursing Research & Statistics 1
Applied Nutrition & Dietetics 1

See the answers and explanations

Q1 · Medical & Surgical Nursing · Neurologic Function
The client is admitted to the unit after a motor vehicle accident with a temperature of 102 degree Fahrenheit rectally. The nurse is aware that the most likely explanations for the elevated temperature are?
1. A.
  There was a damage to the hypothalamus
2. B.
  He has an infection from the abrasions to the head and face
3. C.
  He will require a cooling blanket to decrease the temperature
4. D.
  There was damage to the frontal lobe of the brain
Answer and explanation
Q2 · Nursing Foundations · Nursing Process
The following statement appears on the nursing care plan for an immune suppressed client. The client will remain free from infection throughout hospitalization. This statement is an example of a (an)?
1. A.
  Nursing diagnosis
2. B.
  Short-term goal
3. C.
  Long-term goal
4. D.
  Expected outcome
Answer and explanation
Q3 · Nursing Foundations · Fluid, electrolytes & Acid-base balances
The nurse assesses the client's peripheral intravenous site and notes that it is cool, pale, swollen and not infusing. The nurse should document in the client's record that which of the following has probably occurred?
1. A.
  Phlebitis
2. B.
  Infection
3. C.
  Infiltration
4. D.
  Thrombosis
Answer and explanation
Q4 · Reasoning · Series
DIRECTIONS: Select the related letters from the given alternatives-ABCD: HGFE :: OPQR:?
1. A.
  VTSU
2. B.
  SHGV
3. C.
  VUTS
4. D.
  RHGU
Answer and explanation
Q5 · Medical & Surgical Nursing · Urinary Tract Function
The nurse is caring for a client hospitalized with nephrotic syndrome. Based on the client's treatment, the nurse should?
1. A.
  Limit the number of visitors
2. B.
  Provide a low-protein diet
3. C.
  Discuss the possibility of dialysis
4. D.
  Offer the client additional fluids
Answer and explanation
Q6 · Pharmacology · Drugs Acting on Central Nervous System
A client is admitted to the mental health unit with a diagnosis of panic disorder. The nurse anticipates that the physician will prescribe a benzodiazepine and checks the physician's prescription sheet for which medication prescription?
1. A.
  Alprazolam
2. B.
  Doxepin
3. C.
  Imipramine
4. D.
  Bupropion
Answer and explanation
Q7 · Nursing Foundations · Administration of medications
To ensure safety while administering a nitro-glycerine patch, the nurse should?
1. A.
  Wear gloves
2. B.
  Shave the area where the patch will be applied
3. C.
  Wash the area thoroughly with soap and rinse with hot water
4. D.
  Apply the patch to the buttocks
Answer and explanation
Q8 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A client with a laryngectomy returns from surgery with a nasogastric tube in place, the primary reason for placement of the nasogastric tube is to?
1. A.
  Prevent swelling and dysphagia
2. B.
  Decompress the stomach
3. C.
  Prevent contamination of the suture line
4. D.
  Promote healing of the oral mucosa
Answer and explanation
Q9 · General Knowledge · Miscellaneous
The salary of a worker is first increased by 30% and afterwards reduced by 30%. What is the net change in his salary?
1. A.
  91% increase
2. B.
  30% decrease
3. C.
  9% decrease
4. D.
  Same as before
Answer and explanation
Q10 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
A client in labour admits to using alcohol throughout the pregnancy. The most recent use the day before. Based on the client's history, the nurse should give priority to assessing the newborn for?
1. A.
  Respiratory depression
2. B.
  Wide-set eyes
3. C.
  Jitteriness
4. D.
  Low-set ears
Answer and explanation
Q11 · Applied Anatomy · Respiratory System
The windpipe is. ?
1. A.
  Adenoid
2. B.
  Trachea
3. C.
  Larynx
4. D.
  None of these
Answer and explanation
Q12 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and expects the finding to be which of the following?
1. A.
  22 cm
2. B.
  30 cm
3. C.
  36 cm
4. D.
  40 cm
Answer and explanation
Q13 · Obstetrics & Gynaecology · Physiological Changes During Pregnancy
A sense of relief of the pressure symptoms is obtained due to engagement of the presenting part is?
1. A.
  Effacement
2. B.
  Internal ballottement
3. C.
  Lightening
4. D.
  External ballottement
Answer and explanation
Q14 · Pharmacology · Drug Affecting Blood & Blood Formation
A client being treated with sodium warfarin has a prothrombin time of 120 seconds. Which intervention would be most important to include in the nursing care plan?
1. A.
  Assess for signs of abnormal bleeding
2. B.
  Anticipate an increase in the Coumadin dosage
3. C.
  Instruct the client regarding the drug therapy
4. D.
  Increase the frequency of neurological assessments
Answer and explanation
Q15 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Blood clot inside a blood vessel is known as?
1. A.
  Thrombus
2. B.
  Fibrinolysis
3. C.
  Clot
4. D.
  Thrombosis
Answer and explanation
Q16 · Child Health Nursing (Pediatrics) · Development
Which play activity is best suited to the gross motor skills of the toddler?
1. A.
  Colouring book and crayons
2. B.
  Ball
3. C.
  Building cubes
4. D.
  Swing set
Answer and explanation
Q17 · Child Health Nursing (Pediatrics) · Miscellaneous
The nurse is caring for a 6 -year-old client admitted with a diagnosis of conjunctivitis. Before administering eye drops, the nurse should recognize that it is essential to consider which of the following?
1. A.
  The eye should be cleansed with warm water, removing any exudates, before instilling the eye drops
2. B.
  The child should be allowed to instill his own eye drops
3. C.
  The mother should be allowed to instill the eye drops
4. D.
  If the eye is clear from any redness or edema, the eye drops should be held
Answer and explanation
Q18 · Medical & Surgical Nursing · Neurologic Function
A client taking Dilantin (phenytoin) for grand mal seizures is preparing for discharge. Which information should be included in the client's discharge plan?
1. A.
  The medication can cause dental staining
2. B.
  The client will need to avoid high-carbohydrate diet
3. C.
  The client will need a regularly scheduled CBC
4. D.
  The medication can cause problems with drowsiness
Answer and explanation
Q19 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The nurse is caring for an anxious client who has an open pneumothorax and a sucking chest wound. An occlusive dressing has been applied to the site. Which intervention by the nurse would best relieve the client's anxiety?
1. A.
  Staying with the client
2. B.
  Distracting the client with television
3. C.
  Interpreting the arterial blood gas report
4. D.
  Encouraging the client to cough and breathe deeply
Answer and explanation
Q20 · Medical & Surgical Nursing · Miscellaneous
A nurse is caring for a client with a myocardial infarction. The nurse recognizes that the most common complication in the client following a myocardial infarction is?
1. A.
  Right ventricular hypertrophy
2. B.
  Cardiac dysrhythmia
3. C.
  Left ventricular hypertrophy
4. D.
  Hyperkalemia
Answer and explanation
Q21 · Pharmacology · General Pharmacology
A nurse is giving dietary instructions to a client who has been prescribed cyclosporine. Which of the following food items would the nurse instruct the client to avoid?
1. A.
  Red meats
2. B.
  Orange juice
3. C.
  Grapefruit juice
4. D.
  Green leafy vegetable
Answer and explanation
Q22 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
A pregnant client asks the nurse in the clinic when she will be able to begin to feel the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which of the following weeks of gestation?
1. A.
  6 and 8
2. B.
  8 and 10
3. C.
  10 and 12
4. D.
  16 and 20
Answer and explanation
Q23 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
The nurse is assisting in the care of a patient who is 2 days post-operative from a haemorrhoidectomy. The nurse would be correct in instructing the patient to?
1. A.
  Avoid a high-fibre diet because this can hasten the healing time
2. B.
  Continue to use ice packs until discharge and then when at home
3. C.
  Take 200 mg of colace bid to prevent constipation
4. D.
  Use sitz bath after each bowel movement to promote cleanliness and comfort
Answer and explanation
Q24 · Obstetrics & Gynaecology · Operative Obstetrics
A nurse is instructing a postpartum client on the use of a sitz bath. The nurse tells the client that the reason the sitz baths are prescribed is to?
1. A.
  Reduce the edema and numb the tissue
2. B.
  Promote healing and provide comfort
3. C.
  Reduce infection and stimulate peristalsis
4. D.
  Cleanse the perineum and prevent hemorrhoids
Answer and explanation
Q25 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
Assessment of newborn male reveals that the infant has hypospadias. The nurse knows that?
1. A.
  The infant should not be circumcised
2. B.
  Surgical correction will be done by 6 months of age
3. C.
  Surgical correction is delayed until 6 years
4. D.
  The infant should be circumcised to facilitate voiding
Answer and explanation
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Q26 · Forensic Nursing & Indian laws · Indian Judicial System and Laws
The nurse is suspected of charting medication administration that he did not give. The nurse can be charged with?
1. A.
  Fraud
2. B.
  Malpractice
3. C.
  Negligence
4. D.
  Tort
Answer and explanation
Q27 · Forensic Nursing & Indian laws · Dummy
The charge nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nurse can be charged with?
1. A.
  Negligence
2. B.
  Tort
3. C.
  Assault
4. D.
  Malpractice
Answer and explanation
Q28 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
A nurse prepares to assess the fundal height on a client who is in the second trimester of pregnancy. When measuring the fundal height, the nurse will most likely expect the measurement to?
1. A.
  Be less than gestational age
2. B.
  Correlate with gestational age
3. C.
  Be greater than gestational age
4. D.
  Have no correlation to gestational age
Answer and explanation
Q29 · Obstetrics & Gynaecology · Antenatal Care, Preconceptional Counseling and Care
A nurse is preparing to measure the fundal height of a client whose fetus is 28 weeks gestation. To perform the procedure, the nurse should place the client?
1. A.
  In a standing position
2. B.
  In the Trendelenburg position
3. C.
  Supine with the head of the bed elevated to 45 degree
4. D.
  Supine with her head on a pillow and knees slightly flexed
Answer and explanation
Q30 · Mental Health Nursing · Schizophrenia
A 23-year-old man was voluntarily admitted to the inpatient unit with a diagnosis of paranoid schizophrenia. As the nurse approaches the client, says, "If you come any closer, I'll die." This is an example of?
1. A.
  Hallucination
2. B.
  Delusion
3. C.
  Illusion
4. D.
  Idea of reference
Answer and explanation
Q31 · Obstetrics & Gynaecology · Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord
A nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The nurse monitors the client closely for which priority complication that is associated with a twin pregnancy?
1. A.
  Haemorrhoids
2. B.
  Post-term labor
3. C.
  Maternal anemia
4. D.
  Gestational diabetes
Answer and explanation
Q32 · Nursing Foundations · Communication & Nurse-Patient Relationship
A nurse is planning intervention for counselling a maternal client who has been newly diagnosed with sickle cell anaemia. Which of the following would be the most important psychosocial intervention at this time?
1. A.
  Provide emotional support
2. B.
  Avoid the topic of the disease at all costs
3. C.
  Allow the client to be alone if she is crying
4. D.
  Provide the client with all of the information regarding the disease
Answer and explanation
Q33 · Medical & Surgical Nursing · Miscellaneous
A 25 -year-old client with Grave's disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
1. A.
  Bradycardia
2. B.
  Decreased appetite
3. C.
  Exophthalmos
4. D.
  Weight gain
Answer and explanation
Q34 · Medical & Surgical Nursing · Miscellaneous
A client with diverticulitis is admitted with nausea, vomiting, and dehydration. Which finding suggests a complication of diverticulitis?
1. A.
  Pain in the left lower quadrant
2. B.
  Board like abdomen
3. C.
  Low grade fever
4. D.
  Abdominal distension
Answer and explanation
Q35 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Physician's orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will?
1. A.
  Reduce secretions of pancreatic enzymes
2. B.
  Decrease the client's need for insulin
3. C.
  Prevent secretion of gastric acid
4. D.
  Eliminate the need for analgesia
Answer and explanation
Q36 · Obstetrics & Gynaecology · Infections of the Individual Pelvic Organs
An antenatal client has been diagnosed with a vaginal infection from the organism candida albicans. Which findings should the nurse expect to note on assessment of the client?
1. A.
  Costo-vertebral angle pain
2. B.
  Pain, itching and vaginal discharge
3. C.
  Absence of any signs and symptoms
4. D.
  Proteinuria, hematuria, edema and hypertension
Answer and explanation
Q37 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A client is diagnosed with emphysema and cor pulmonale. Which findings are characteristic of cor pulmonale?
1. A.
  Hypoxia, shortness of breath, and exertional fatigue
2. B.
  Weight loss, increased RBC, and fever
3. C.
  Rales, oedema, and enlarged spleen
4. D.
  Oedema of the lower extremities and distended neck veins
Answer and explanation
Q38 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The nurse is caring for a patient with a colostomy. The patient asks, "will I ever be able to swim again". The nurse's best response would be?
1. A.
  Yes, you should be able to swim again, even with the colostomy.
2. B.
  You should avoid immersing the colostomy in water
3. C.
  No, you should avoid getting the colostomy wet.
4. D.
  Don't worry about that. You will be able to live just like you did before.
Answer and explanation
Q39 · Applied Psychology · Personality
For something to be a part of personality it should...........?
1. A.
  Always be evident
2. B.
  Never change.
3. C.
  Be relatively stable over time.
4. D.
  Apply to all people
Answer and explanation
Q40 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction?
1. A.
  AST
2. B.
  Troponin
3. C.
  CK-MB
4. D.
  Myoglobin
Answer and explanation
Q41 · 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. His financial problems escalated after he became unemployed?
1. A.
  Increased
2. B.
  Decreased
3. C.
  Disappeared
4. D.
  Settled
Answer and explanation
Q42 · Medical & Surgical Nursing · Neurologic Function
The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?
1. A.
  Atropine sulphate
2. B.
  Furosemide
3. C.
  Prostigmin
4. D.
  Promethazine
Answer and explanation
Q43 · Applied Physiology · Nervous System
The............part of the brain in charge of involuntary actions such as breathing, heartbeat?
1. A.
  Cerebrum
2. B.
  Cerebellum
3. C.
  Medulla oblongata
4. D.
  None of these
Answer and explanation
Q44 · Nursing Education · Educational/Teaching Media
The advantages of bulletin board are all, except?
1. A.
  Effective for displaying textual and pictorial materials
2. B.
  Explain important events
3. C.
  Highlight important information to large groups
4. D.
  Serves as introduction to a particular topic
Answer and explanation
Q45 · Applied Anatomy · Nervous System
Longest cranial nerve is?
1. A.
  Vagus
2. B.
  Abducens
3. C.
  Occulomotor
4. D.
  Occipital
Answer and explanation
Q46 · Nursing Foundations · Nutritional Needs
Which assignment should not be performed by the registered nurse?
1. A.
  Inserting a Foley Catheter
2. B.
  Inserting a nasogastric tube
3. C.
  Monitoring central Venous Pressure
4. D.
  Inserting sutures and clips in surgery
Answer and explanation
Q47 · Child Health Nursing (Pediatrics) · Childhood Malignancies
A 4-year old is admitted with acute leukemia. It will be most important to monitor the child for?
1. A.
  Abdominal pain and anorexia
2. B.
  Fatigue and bruising
3. C.
  Bleeding and pallor
4. D.
  Petechiae and mucosal ulcers
Answer and explanation
Q48 · Applied Anatomy · Nervous System
The nurse is caring for the client following a cerebral vascular accident. Which portion of the brain is responsible for taste, smell and hearing?
1. A.
  Occipital
2. B.
  Frontal
3. C.
  Temporal
4. D.
  Parietal
Answer and explanation
Q49 · Child Health Nursing (Pediatrics) · Orthopedic disorders
A child is admitted to the orthopaedic unit after spinal cord instrumentation for the treatment of scoliosis. Which assessment is most important in the immediate postoperative periods?
1. A.
  Pain level
2. B.
  Ability to flex and extend the feet
3. C.
  Ability to turn using the logroll technique
4. D.
  Capillary refill, sensation and motion in all extremities
Answer and explanation
Q50 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders
Supportive therapy for a client who is exhibiting manic behaviour may include all of the following except?
1. A.
  Psychoanalysis
2. B.
  Cognitive therapy
3. C.
  Interpersonal therapy
4. D.
  Problem-solving therapy
Answer and explanation
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Q51 · Quantitative Aptitude and Mathematics · Speed–distance–time
A train is travelling at a rate of 90 km/hr. How many seconds, it will take to cover a distance of 4/5 km?
1. A.
  36
2. B.
  32
3. C.
  90
4. D.
  120
Answer and explanation
Q52 · Obstetrics & Gynaecology · Hemorrhage in Early Pregnancy
When the fetus is dead and retained inside the uterus for a variable period is?
1. A.
  Incomplete miscarriage
2. B.
  Missed miscarriage
3. C.
  Complete miscarriage
4. D.
  Inevitable miscarriage
Answer and explanation
Q53 · Medical & Surgical Nursing · Miscellaneous
A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?
1. A.
  Hypovolemia
2. B.
  Laryngeal edema
3. C.
  Hypernatremia
4. D.
  Hyperkalemia
Answer and explanation
Q54 · General Knowledge · Miscellaneous
Vehicle registration sign is?
1. A.
  MX
2. B.
  MU
3. C.
  MM
4. D.
  MH
Answer and explanation
Q55 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
The client returns to the recovery room following repair of an intrathoracic aneurism. Which of the following would require further investigation?
1. A.
  Pedal pulses regular
2. B.
  Urinary output 20 ml in the past hour
3. C.
  Blood pressure 108/50
4. D.
  Oxygen saturation 97%
Answer and explanation
Q56 · Nursing Education · Educational/Teaching Media
To clarify concepts to students the teacher must use?
1. A.
  Lesson plan
2. B.
  Teaching aids
3. C.
  Unit plan
4. D.
  Curriculum
Answer and explanation
Q57 · Quantitative Aptitude and Mathematics · Miscellaneous
A piggy bank contains Rs.410 in the form of Rs.5, Rs.2 and Rs.1 coins. The numbers of coins arein ratio 4: 6:9 respectively. So, find the number?
1. A.
  48
2. B.
  50
3. C.
  60
4. D.
  25
Answer and explanation
Q58 · Child Health Nursing (Pediatrics) · Hematological Disorders
A child with haemophilia is brought into the emergency department after being hit on the neck with a baseball. The nurse immediately assesses the child for?
1. A.
  Airway obstruction
2. B.
  Factor VIII deficiency
3. C.
  Spontaneous hematuria
4. D.
  Headache and slurred speech
Answer and explanation
Q59 · Nursing Education · Implementation
Which method of teaching is alternative to the lecture method?
1. A.
  Group discussion
2. B.
  Symposium
3. C.
  Panel discussion
4. D.
  Demonstration
Answer and explanation
Q60 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
A client says to the nurse, "I don't do anything right. I'm such a loser." The nurse makes which therapeutic statement to the client?
1. A.
  "Everything will get better"
2. B.
  "You don't do anything right?"
3. C.
  "You do things right all the time"
4. D.
  "You are not a loser, you are sick"
Answer and explanation
Q61 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A client with inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to?
1. A.
  Prevent strangulation of the bowel
2. B.
  Prevent malabsorptive disorders
3. C.
  Increase intestinal motility
4. D.
  Decrease secretion of bile salts
Answer and explanation
Q62 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
A nurse is performing an assessment on a client seen in the health care clinic for a first prenatal visit. The nurse asks the client when the first day of the last menstrual period (LMP) was and the client reports February 9, 2013. Using Naegele's rule, the nurse determines that the estimated date of birth is?
1. A.
  October 7, 2013
2. B.
  October 16, 2013
3. C.
  November 7, 2013
4. D.
  November 16, 2013
Answer and explanation
Q63 · Applied Microbiology & Infection control · Hand Hygiene
The nurse is aware that the best way to prevent postoperative wound infection in the surgical client is to?
1. A.
  Administer a prescribed antibiotic
2. B.
  Wash her hands for 2 minutes before care
3. C.
  Wear a mask when providing care
4. D.
  Ask the client to cover her mouth when she coughs
Answer and explanation
Q64 · Mental Health Nursing · Mood disorders
A client tells the nurse, "I am a spy for the FBI. I am an eye, an eye in the sky". The nurse recognizes that this is an example of?
1. A.
  Echolalia
2. B.
  Word salad
3. C.
  Clang association
4. D.
  Loosened association
Answer and explanation
Q65 · Pharmacology · Hormones & Related Drugs
A physician has written an order to administer Methergine to a postpartum client with uterine atony. The nurse would contact the physician to verify the order if which of the following conditions were present in the mother?
1. A.
  Hypertension
2. B.
  Excessive lochia
3. C.
  Difficulty locating the uterine fundus
4. D.
  Excessive bleeding and saturation of more than one peripad per hour
Answer and explanation
Q66 · Pharmacology · Drugs Acting on Central Nervous System
The physician has ordered an injection of morphine for a client with post-operative pain. Before administering the medication, it is essential that the nurse assess the client's?
1. A.
  Heart rate
2. B.
  Respiration
3. C.
  Temperature
4. D.
  Blood pressure
Answer and explanation
Q67 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
A child is admitted to the hospital with a suspected diagnosis of von Willebrand's. On assessment of the child, which symptom would most likely be noted?
1. A.
  Hematuria
2. B.
  Presence of hematomas
3. C.
  Presence of hemarthrosis
4. D.
  Bleeding from the mucous membranes
Answer and explanation
Q68 · Pharmacology · Drugs Acting on Central Nervous System
A client has been receiving imipramine. The nurse notifies the health care provider if which adverse client response to the medication is noted?
1. A.
  Increased appetite
2. B.
  Increased drowsiness
3. C.
  Reported decrease in anxiety
4. D.
  Increased sense of well-being
Answer and explanation
Q69 · Obstetrics & Gynaecology · Physiological Changes During Pregnancy
A nurse is describing cardiovascular system changes that occur during pregnancy to a client and understands that which finding would be normal for a client in the second trimester?
1. A.
  Increase in pulse rate
2. B.
  Increase in blood pressure
3. C.
  Frequent bowel elimination
4. D.
  Decrease in red blood cell production
Answer and explanation
Q70 · Child Health Nursing (Pediatrics) · Common Medical Procedures
Priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is?
1. A.
  Body image disturbance
2. B.
  Impaired verbal communication
3. C.
  Risk for aspiration
4. D.
  Pain
Answer and explanation
Q71 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The physician has ordered Amoxil (Amoxicillin) 500 mg capsules for a client with oesophageal varices. The nurse can best care for the client's need by?
1. A.
  Giving the medication as ordered
2. B.
  Providing extra water with the medication
3. C.
  Giving the medication with antacid
4. D.
  Requesting an alternate form of the medication
Answer and explanation
Q72 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A trauma client is admitted to the emergency room following a motor accident. Examination reveals that the left side of the chest moves inward when the client takes a breath. The finding suggestive of?
1. A.
  Pneumothorax
2. B.
  Mediastinal shift
3. C.
  Pulmonary congestion
4. D.
  Flail chest
Answer and explanation
Q73 · Child Health Nursing (Pediatrics) · Newborn Infants
A post-term infant, delivered vaginally, is exhibiting tachycardia, grunting, retractions and nasal flaring. The nurse interprets that these assessment findings are indicative of?
1. A.
  Hypoglycaemia
2. B.
  Respiratory distress syndrome
3. C.
  Meconium aspiration syndrome
4. D.
  Transient tachypnea of the newborn
Answer and explanation
Q74 · Child Health Nursing (Pediatrics) · Newborn Infants
A newborn is diagnosed with congenital syphilis. Classic signs of congenital syphilis are?
1. A.
  Red papular rash, desquamation, white strawberry tongue
2. B.
  Rhinitis, maculopapular rash, hepatosplenomegaly
3. C.
  Red edematous cheeks, maculopapular rash on the trunk and extremities
4. D.
  Epicanthal folds, low-set ears protruding tongue
Answer and explanation
Q75 · Applied Physiology · General Physiology
Thermoregulatory centre is found in?
1. A.
  Diencephalon
2. B.
  Hypothalamus
3. C.
  Cerebellum
4. D.
  Occipital lobe
Answer and explanation
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Q76 · Medical & Surgical Nursing · Immunologic Function
A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhoea. The nurse should teach the client to avoid?
1. A.
  Calcium rich foods
2. B.
  Canned or frozen vegetables
3. C.
  Processed meat
4. D.
  Raw fruits and vegetables
Answer and explanation
Q77 · General Knowledge · Indian geography
Number of seats in Legislative Council in Maharashtra State?
1. A.
  72 Seats
2. B.
  76 Seats
3. C.
  79 Seats
4. D.
  78 Seats
Answer and explanation
Q78 · Nursing Research & Statistics · Analysis of data
The average of 15, 17, 19 and 21 is?
1. A.
  17
2. B.
  20
3. C.
  21
4. D.
  18
Answer and explanation
Q79 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
A home care nurse is instructing a mother of a child with cystic fibrosis about the appropriate dietary measures. The nurse tells the mother that the child needs to consume a?
1. A.
  Low-calorie, low-fat diet
2. B.
  High-calorie, restricted fat
3. C.
  Low-calorie, low-protein diet
4. D.
  High-calorie, high-protein diet
Answer and explanation
Q80 · Reasoning · Direction Sense
Pole H is to the east of pole R and to the North of pole D, pole D is in which direction with respect to pole R?
1. A.
  North-East
2. B.
  South-West
3. C.
  North-West
4. D.
  South-East
Answer and explanation
Q81 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care
The nurse is caring for a client with malignancy. The classification of the tumor is Tis. The nurse should plan care for tumor?
1. A.
  That cannot be assessed
2. B.
  That is in situ
3. C.
  With increasing lymph node involvement
4. D.
  With distant metastasis
Answer and explanation
Q82 · 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'. Shakuntala is (a) /better than any other (b)/ drama in Sanskrit.(c)/No Error (d)
1. A.
  (a)
2. B.
  (b)
3. C.
  (c)
4. D.
  (d)
Answer and explanation
Q83 · Pharmacology · Miscellaneous
Which medication is used to treat iron toxicity?
1. A.
  Narcan (naloxone)
2. B.
  Digibind (digoxin immune Fab)
3. C.
  Desferal (deferoxamine)
4. D.
  Zinecard (dexrazoxane)
Answer and explanation
Q84 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
A client who is experiencing suicidal thoughts greets the nurse with the following statement, "It just doesn't seem worth it anymore. Why not just end it all?" The nurse should further assess the client by making which of the following responses?
1. A.
  "Did you sleep at all last night"
2. B.
  "Tell me what you mean by that"
3. C.
  "I know you have had a stressful night"
4. D.
  "I'm sure that your family is worried about you"
Answer and explanation
Q85 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
An adult is admitted because of ritualistic behaviour. She is also constipated and dehydrated. Which nursing intervention would the client be most likely to comply with?
1. A.
  Drinking ensure between meals
2. B.
  Drinking extra fluids with meals
3. C.
  Drinking 8 oz water every hour between meals
4. D.
  Drinking adequate amounts of fluid during the day
Answer and explanation
Q86 · Applied Psychology · Cognitive Process
Pavlov's initial interest in classical conditioning was stimulated when he observed his research dogs salivating at the sight of ?
1. A.
  Food
2. B.
  The attendants
3. C.
  Saliva
4. D.
  the food dish
Answer and explanation
Q87 · English · Vocabulary
Out of the given four words only one is not spelt correctly. Find the word that is not correctly spelt?
1. A.
  Curiousity
2. B.
  irresistible
3. C.
  independent
4. D.
  immediately
Answer and explanation
Q88 · Mental Health Nursing · Psychiatric Emergencies
A client with schizophrenia is started on Zyprexa (Olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to?
1. A.
  Withholding all morning medications
2. B.
  Ordering a CBC and CPK
3. C.
  Administering prescribed anti-Parkinsonian medication
4. D.
  Transferring the client to medical unit
Answer and explanation
Q89 · Nursing Foundations · Loss, Death & Grief
A client has just given birth to a newborn, which has a cleft lip and palate. When planning to talk to the client, the nurse recognizes that the client needs to work through which emotion before maternal bonding can occur?
1. A.
  Guilt
2. B.
  Grief
3. C.
  Anger
4. D.
  Depression
Answer and explanation
Q90 · Child Health Nursing (Pediatrics) · Development
A nurse is performing an assessment on a post-term infant. Which physical characteristic should the nurse expect to observe?
1. A.
  Peeling of the skin
2. B.
  Smooth soles without creases
3. C.
  Lanugo covering the entire body
4. D.
  Vernix that covers the body in a thick layer
Answer and explanation
Q91 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
A child is hospitalized with a diagnosis of nephrotic syndrome. Which assessment finding would the nurse expect to note in the child?
1. A.
  Weight loss
2. B.
  Constipation
3. C.
  Hypotension
4. D.
  Abdominal pain
Answer and explanation
Q92 · Child Health Nursing (Pediatrics) · Newborn Infants
Which of the following muscles would the nurse choose as the preferred site for a newborn's vitamin K injection?
1. A.
  Gluteus medius
2. B.
  Mid-deltoid
3. C.
  Vastus lateralis
4. D.
  Rectus femoris
Answer and explanation
Q93 · Applied Microbiology & Infection control · Isolation Precautions and Use of Personal Protective Equipment
The nurses recognize that which of the following would be most appropriate to wear when providing direct care to a client with a cough?
1. A.
  Mask
2. B.
  Gown
3. C.
  Gloves
4. D.
  Shoe covers
Answer and explanation
Q94 · Obstetrics & Gynaecology · Endocrinology in Relation to Reproduction
The growth and maturation of ovum in mammals is caused by?
1. A.
  FSH only
2. B.
  LTH
3. C.
  FSH & LH both
4. D.
  LH only
Answer and explanation
Q95 · Nursing Foundations · Communication & Nurse-Patient Relationship
In communication process, response from receiver to sender is called?
1. A.
  Message
2. B.
  Encoding
3. C.
  Feedback
4. D.
  Context
Answer and explanation
Q96 · Obstetrics & Gynaecology · Normal Labor
A woman is completely dilated and at +2 station. Her contractions are strong and last 50-70 seconds. Based on this information, the nurse should know that the client is in which stage of labor?
1. A.
  First stage
2. B.
  Second stage
3. C.
  Third stage
4. D.
  Fourth stage
Answer and explanation
Q97 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A client is admitted with diagnosis of duodenal ulcer. During the intake history, the nurse would expect the client to report?
1. A.
  Epigastric pain that is relieved by eating
2. B.
  Weight loss
3. C.
  Epigastric pain that is worse after eating
4. D.
  Vomiting after eating
Answer and explanation
Q98 · Obstetrics & Gynaecology · Preterm Labor, Preterm Rupture of the Membranes, Postmaturity, Intrauterine Fetal Death
A newborn, 1 minute after vaginal delivery, is pink with blue hands and feet, has a lusty cry, heartrate 180 beats/min, prompt response to stimulation with crying, and maintains minimal flexion, with sluggish movement. The nurse should know that this newborn's Apgar score is?
1. A.
  10
2. B.
  9
3. C.
  8
4. D.
  7
Answer and explanation
Q99 · General Knowledge · Miscellaneous
When Maharashtra was formed?
1. A.
  05-02-1968
2. B.
  01-05-1960
3. C.
  12-07-1975
4. D.
  01-11-1956
Answer and explanation
Q100 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient with respiratory failure is on a ventilator. The alarm goes off. The nurse's initial reaction would be to?
1. A.
  Notify the physician
2. B.
  Assess the patient to determine the cause of the alarm
3. C.
  Turn off the alarm
4. D.
  Disconnect the patient and use the ambu bag to ventilate the patient.
Answer and explanation
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Q101 · Nursing Foundations · Introduction to Health & Illness
After assessing the patient, the nurse formulates the following diagnoses. Place them in order of priority, with the most important (classified as high) listed first. 1. Constipation 2. Anticipated grieving 3. Ineffective airway clearance 4. Ineffective tissue perfusion?
1. A.
  3,4,2,1
2. B.
  4,3,2,1
3. C.
  1,3,2,4
4. D.
  3,4,1,2
Answer and explanation
Q102 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
A hepatitis B screen is performed on a pregnant client and results indicate the presence of antigens in the maternal blood. Which of the following should the nurse anticipate to be prescribed to protect the neonate?
1. A.
  Obtain serum liver enzyme
2. B.
  Repeat hepatitis B screen in 1 week
3. C.
  Administer antibiotics during pregnancy
4. D.
  Administer hepatitis vaccine and hepatitis B immune globulin to the neonate
Answer and explanation
Q103 · Reasoning · Number series
What will come in place of Question mark (?) in the following number series?

445, 221, 109, (?), 25, 11,4
1. A.
  46
2. B.
  57
3. C.
  53
4. D.
  59
Answer and explanation
Q104 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
The nurse is preparing a client for a surgery. Which item is most important to remove before sending the client to surgery?
1. A.
  Hearing aid
2. B.
  Contact lenses
3. C.
  Wedding ring
4. D.
  Artificial eye
Answer and explanation
Q105 · Applied Anatomy · Musculoskeletal System
Bones consist of?
1. A.
  Bile and insulin
2. B.
  Urine and feces
3. C.
  Calcium and iron
4. D.
  None of these
Answer and explanation
Q106 · 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. This watch may be a counterfeit, but it looks just like the original?
1. A.
  Genuine
2. B.
  Fake
3. C.
  Imitation
4. D.
  Forged
Answer and explanation
Q107 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
A client with gestational hypertension is in active labor. The nurse most likely expects to note which assessment finding?
1. A.
  Increased urine output
2. B.
  Increased blood pressure
3. C.
  Increased fetal heart rate
4. D.
  Decreased brachial reflexes
Answer and explanation
Q108 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
A pregnant client tells the nurse that she felt wetness on her peripad and found some clear fluid. The nurse immediately inspects the perineum and notes the presence of the umbilical cord. The nurse's initial action is?
1. A.
  Notify the physician
2. B.
  Monitor the fetal heart rate
3. C.
  Transfer the client to the delivery room
4. D.
  Place the client in the Trendelenburg position
Answer and explanation
Q109 · General Knowledge · Indian geography
Name of the highest point in Maharashtra?
1. A.
  Salher
2. B.
  Kalsubai
3. C.
  Dhodap
4. D.
  Gawaldev
Answer and explanation
Q110 · Reasoning · Analogy
DIRECTIONS: Select the related numbers from the given alternatives?

125:5:: 64::?
1. A.
  8
2. B.
  4
3. C.
  2
4. D.
  32
Answer and explanation
Q111 · English · Grammar
Out of the given options, choose the most appropriate one to fill in the blank.- The two countries went to war with one another...... oil prices?
1. A.
  Over
2. B.
  From
3. C.
  With
4. D.
  By
Answer and explanation
Q112 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A client who experienced a myocardial infarction 4 days ago refuses to dangle at the bedside, saying, "If my doctor tells me to do it, I will. Otherwise, I won't." The nurse determines that the client is likely displaying?
1. A.
  Anger
2. B.
  Denial
3. C.
  Depression
4. D.
  Dependency
Answer and explanation
Q113 · Nursing Foundations · Administration of medications
The 10 year-old is being treated for asthma. Before administering the drug, the nurse should check the?
1. A.
  Urinary output
2. B.
  Blood pressure
3. C.
  Pulse
4. D.
  Temperature
Answer and explanation
Q114 · Medical & Surgical Nursing · Immunologic Function
The nurse is caring for a client with acquired immunodeficiency syndrome. Which finding noted in the client indicates the presence of an opportunistic respiratory infection?
1. A.
  Loss of sight
2. B.
  Fever and exertional dyspnea
3. C.
  An arterial blood gas pH of 7.40
4. D.
  A respiratory rate of 20 breaths per minute
Answer and explanation
Q115 · Applied Microbiology & Infection control · Hand Hygiene
A nurse is providing home care instruction to a client who will be receiving intravenous therapy at home. The nurse teaches the client that the most important action to prevent an infection at the IV site is to?
1. A.
  Protect the insertion site continually
2. B.
  Assess the IV site for redness and edema
3. C.
  Change the IV tubing every 48 to 72 hours
4. D.
  Wash the hands well before handling the IV site
Answer and explanation
Q116 · General Knowledge · Art & Culture
Which of the following Dance form is Popular in Maharashtra state?
1. A.
  Lavani
2. B.
  Kuchipudi
3. C.
  Mohiniattam
4. D.
  None of these
Answer and explanation
Q117 · Medical & Surgical Nursing · Pain Management
Which nursing diagnosis is of the highest priority when caring for a client with myasthenia Gravis?
1. A.
  Pain
2. B.
  Risk for injury
3. C.
  Ineffective coping
4. D.
  Ineffective airway clearance
Answer and explanation
Q118 · Applied Physiology · Blood
Immunoglobulin which crosses placenta is?
1. A.
  IgD
2. B.
  IgG
3. C.
  IgE
4. D.
  IgM
Answer and explanation
Q119 · Applied Anatomy · Respiratory System
Maxillary sinus opens into?
1. A.
  None
2. B.
  Inferior meatus
3. C.
  Superior meatus
4. D.
  Middle meatus
Answer and explanation
Q120 · Applied Anatomy · Introduction to Anatomical terms & Organization of Human Body
What is the name of the jelly-like substance that is inside the cell?
1. A.
  Cytoplasm
2. B.
  Ectoplasm
3. C.
  Cytokinesis
4. D.
  None of these
Answer and explanation
Q121 · Obstetrics & Gynaecology · Abnormalities of the Puerperium
A nurse is caring for a postpartum client with thromboembolic. When planning care to prevent the complication of pulmonary embolism, the nurse plans specifically to?
1. A.
  Enforce bedrest
2. B.
  Monitor the vital signs frequently
3. C.
  Assess the breath sound frequently
4. D.
  Administer and monitor anticoagulant therapy as prescribed
Answer and explanation
Q122 · Applied Nutrition & Dietetics · Nutritional Deficiency Disorder
The nurse is providing dietary instructions for a client with iron-deficiency anaemia. Which food is a poor source of iron?
1. A.
  Tomatoes
2. B.
  Legumes
3. C.
  Dried fruits
4. D.
  Nuts
Answer and explanation
Q123 · Applied Anatomy · Musculoskeletal System
Supratrochlear foramen is present in?
1. A.
  Femur
2. B.
  Pectoral girdle
3. C.
  Pelvic girdle
4. D.
  Humerus
Answer and explanation
Q124 · Nursing Education · Implementation
The limitations of demonstration method of teaching are all, except?
1. A.
  Needs special skills for some procedures
2. B.
  Helps theory and practice correlation
3. C.
  Not useful if students are inattentive
4. D.
  Students may blindly follow the lab manual
Answer and explanation
Q125 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
A nurse is assessing a prenatal client with heart disease. The nurse carefully assesses the client's vital signs, weight and fluid and nutritional status to detect for complications caused by?
1. A.
  Rh incompatibility
2. B.
  Fetal cardiomegaly
3. C.
  The increase in circulating blood volume
4. D.
  Hypertrophy and increased contractility of the heart
Answer and explanation
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Q126 · Pharmacology · Miscellaneous
An emergency department nurse prepares to treat a child with acetaminophen overdose. The nurse reviews the physician's prescriptions, expecting that which of the following will be prescribed?
1. A.
  Protamine sulphate
2. B.
  Succimer
3. C.
  Vitamin
4. D.
  Acetylcysteine
Answer and explanation
Q127 · Obstetrics & Gynaecology · Infections of the Individual Pelvic Organs
A nurse is caring for a postpartum client. Which finding would make the nurse suspect endometritis in this client?
1. A.
  Breast engorgement
2. B.
  Elevated white blood cell count
3. C.
  Lochia rubra on the second day postpartum
4. D.
  Fever over 38 C, beginning 2 days postpartum
Answer and explanation
Q128 · Pharmacology · Gastrointestinal Drugs
Which is true regarding the administration of antacids?
1. A.
  Antacids should be administered without regard to mealtimes
2. B.
  Antacids should be administered with each meal and snack of the day
3. C.
  Antacids should be administered within 1-2 hours of all other medications
4. D.
  Antacids should be administered with all other medications, for maximal absorption
Answer and explanation
Q129 · Obstetrics & Gynaecology · Infections of the Individual Pelvic Organs
A nurse in the postpartum unit is reviewing the records of the clients on the unit. During the review, the nurse determines that which client is most at risk for developing endometritis following delivery?
1. A.
  A primigravida with a normal spontaneous vaginal delivery
2. B.
  A gravida II who delivered vaginally following an 18 hours labor
3. C.
  A woman experiencing an elective caesarean delivery at 38 weeks gestation
4. D.
  An adolescent experiencing an emergency caesarean delivery for fetal distress
Answer and explanation
Q130 · Child Health Nursing (Pediatrics) · Diseases of Gastrointestinal System and Liver
A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of surgery?
1. A.
  Decreased appetite
2. B.
  A low-grade fever
3. C.
  Chest congestion
4. D.
  Constant swallowing
Answer and explanation
Q131 · Applied Physiology · Blood
Which is not a granulocyte?
1. A.
  Neutrophil
2. B.
  Leukocyte
3. C.
  Basophil
4. D.
  None of these
Answer and explanation
Q132 · Pharmacology · Antimicrobial Drugs
The treatment plan for a patient newly diagnosed with tuberculosis is likely to include which of the following medication as initial treatment?
1. A.
  Ethambutol and INH
2. B.
  Streptomycin and penicillin G
3. C.
  Tetracycline and thioridazine
4. D.
  Pyridoxine and tetracycline
Answer and explanation
Q133 · Reasoning · Classification (Odd One Out)
DIRECTIONS: Select the one which is different from the other three responses?
1. A.
  Mother
2. B.
  Friend
3. C.
  Father
4. D.
  Sister
Answer and explanation
Q134 · Obstetrics & Gynaecology · Medical and Surgical Illness Complicating Pregnancy
A 28 -year-old has had diabetes mellitus since she was an adolescent. She is 8 weeks pregnant. Hyperglycemia during her first trimester will have what effect on the fetus?
1. A.
  Hyperinsulinemia
2. B.
  Excessive fetal size
3. C.
  Malformed organs
4. D.
  Abnormal positioning
Answer and explanation
Q135 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?
1. A.
  Inspection of the abdomen for enlargement
2. B.
  Bimanual palpation for hepatomegaly
3. C.
  Daily measurement of abdominal girth
4. D.
  Assessment for a fluid wave
Answer and explanation
Q136 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to?
1. A.
  20-30 minutes three times a week
2. B.
  45 minutes two times a week
3. C.
  1 hour four times a week
4. D.
  1 hour two times a week
Answer and explanation
Q137 · Reasoning · Coding-Decoding
In a certain code F=6, MAT 34, then CAR=?
1. A.
  21
2. B.
  22
3. C.
  25
4. D.
  28
Answer and explanation
Q138 · Pharmacology · Cardiovascular Drugs
The physician has ordered nitroglycerin buccal tablets for a client with stable angina. The nurse knows that nitroglycerin affects the heart by:
1. A.
  Slowing contractions of the heart
2. B.
  Dilating coronary blood vessels
3. C.
  Increasing the ventricular fill time
4. D.
  Strengthening contractions of the heart
Answer and explanation
Q139 · Forensic Nursing & Indian laws · Indian Judicial System and Laws
In India, abortion was legalized by 'Medical Termination of Pregnancy' in?
1. A.
  1972
2. B.
  1971
3. C.
  1978
4. D.
  1975
Answer and explanation
Q140 · Medical & Surgical Nursing · Musculoskeletal Function
The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?
1. A.
  Pain
2. B.
  Disalignment
3. C.
  Cool extremity
4. D.
  Absence of pedal pulses
Answer and explanation
Q141 · Medical & Surgical Nursing · Neurologic Function
Which of the following are autoimmune diseases?
1. A.
  Heart disease
2. B.
  Hashimoto's thyroiditis
3. C.
  Systemic lupus erythematosus
4. D.
  Both B and C
Answer and explanation
Q142 · Applied Physiology · Digestive system
Secretin is secreted by the?
1. A.
  Pancreas
2. B.
  Duodenum
3. C.
  Liver
4. D.
  Kidney
Answer and explanation
Q143 · Obstetrics & Gynaecology · Endocrinology in Relation to Reproduction
HCG is secreted by?
1. A.
  Placenta
2. B.
  Ovary
3. C.
  Adenohypophysis
4. D.
  Pars intermedia
Answer and explanation
Q144 · Obstetrics & Gynaecology · Term Newborn Infant
A nurse admits a newborn infant to the nursery. On assessment of the infant, the nurse palpates the anterior fontanel and notes that it feels soft. The nurse determines that the finding indicates:
1. A.
  Dehydration
2. B.
  A normal finding
3. C.
  Increased intracranial pressure
4. D.
  Decreased intracranial pressure
Answer and explanation
Q145 · Mental Health Nursing · Schizophrenia
A nurse is caring for a client who has been diagnosed with schizophrenia. The client is unable to speak, although there is no known pathological dysfunction. The nurse documents that the client is experiencing?
1. A.
  Mutism
2. B.
  Verbigeration
3. C.
  Pressured speech
4. D.
  Poverty of speech
Answer and explanation
Q146 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
A nurse is assessing a 3-day-old preterm neonate with a diagnosis of respiratory distress syndrome (RDS). Which assessment finding indicates that the neonate's respiratory status is improving?
1. A.
  Edema of the hands and feet
2. B.
  Urine output of 3 ml/kg/hour
3. C.
  Presence of a systolic murmur
4. D.
  Respiratory rate between 60 and 70 breaths per minute
Answer and explanation
Q147 · Nursing Foundations · Nursing Process
The planning step of the nursing process includes which of the following activities?
1. A.
  Assessing and diagnosing
2. B.
  Evaluating goal achievement
3. C.
  Performing nursing actions and documenting them
4. D.
  Setting goals and selecting interventions
Answer and explanation
Q148 · Applied Physiology · Blood
A person with anti-A and anti-B antibodies in their blood has what blood type?
1. A.
  Type A
2. B.
  Type B
3. C.
  Type AB
4. D.
  Type O
Answer and explanation
Q149 · Child Health Nursing (Pediatrics) · Orthopedic disorders
A child has just returned from surgery and has a hip spica cast. A priority nursing action at this time is to?
1. A.
  Elevate the head of the bed
2. B.
  Abduct the hips, using pillows
3. C.
  Turn the child on the right side
4. D.
  Assess the child's circulatory status
Answer and explanation
Q150 · Applied Physiology · Endocrine system
Neuropeptide hormone, except?
1. A.
  FSH
2. B.
  Insulin
3. C.
  Oxytocin
4. D.
  Glucagon
Answer and explanation

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