NORCET-5 Mains question paper

NORCET · 2023 · 100 questions · 90 minutes · 0.33 mark deducted per wrong answer

Medical & Surgical Nursing 41
Pharmacology 12
Mental Health Nursing 12
Child Health Nursing (Pediatrics) 12
Obstetrics & Gynaecology 10
Nursing Foundations 4
Applied Microbiology & Infection control 2
Community Health Nursing 1
Nursing Research & Statistics 1
Applied Anatomy 1
Pathology & Genetics 1
Forensic Nursing & Indian laws 1
Applied Nutrition & Dietetics 1
Applied Physiology 1

See the answers and explanations

Q1 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:
1. A.
  Respiratory rate for 1 minute
2. B.
  Radial pulse for 1 minute
3. C.
  Radial pulse for 2 minutes
4. D.
  Apical pulse for 1 minute
Answer and explanation
Q2 · Pharmacology · Miscellaneous
Morphine sulfate is used preoperatively?
1. A.
  To reduce gag reflex
2. B.
  To constrict mucus membrane
3. C.
  To reduce secretions
4. D.
  Pain relief
Answer and explanation
Q3 · Applied Microbiology & Infection control · Isolation Precautions and Use of Personal Protective Equipment
Contact precautions are initiated for a client with a health care associated (nosocomial) infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The nursing officer prepares to provide items to perform this procedure?
1. A.
  Gown, mask, gloves
2. B.
  Gown and gloves
3. C.
  Gown, gloves and shoe protector
4. D.
  Gown, gloves, goggles
Answer and explanation
Q4 · Community Health Nursing · National Health Programs
Which month is Poshan Maah celebrated in India?
1. A.
  September
2. B.
  February
3. C.
  January
4. D.
  November
Answer and explanation
Q5 · Mental Health Nursing · Crisis Intervention
A 26-year-old client is in a treatment center for alprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for "his nerves." Included in the client's plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if?
1. A.
  Client promises that he will not abuse alprazolam after discharge
2. B.
  Client demonstrates use of exercise or physical activity to handle nervous energy following conflicts of everyday life
3. C.
  Client is able to verbalize effects of substance abuse on the body
4. D.
  Client has remained substance free during hospitalization and is discharged
Answer and explanation
Q6 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The ECG findings of a patient include ST segment elevation in the anterior leads (V3 and V4) which lead to?
1. A.
  Anterior wall myocardial infarction
2. B.
  Inferior wall myocardial infarction
3. C.
  Posterior myocardial infarction
4. D.
  Lateral wall myocardial infarction
Answer and explanation
Q7 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient admitted to the hospital with complaints of pulmonary edema and history reveals 10-year emphysema. Which of the following adventitious lung sound would be seen in this patient?
1. A.
  Ronchi
2. B.
  Crackling
3. C.
  Stridor
4. D.
  Wheezing
Answer and explanation
Q8 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
Identify the following image?
1. A.
  PICC line
2. B.
  Central line
3. C.
  IV line
4. D.
  None of the above
Answer and explanation
Q9 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A Nasogastric (NG) tube is inserted preoperatively and is attached to low, intermittent suction. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, and blood pH 7.53. This client is most likely experiencing?
1. A.
  Hyperkalemia
2. B.
  Hyponatremia
3. C.
  Metabolic acidosis
4. D.
  Metabolic alkalosis
Answer and explanation
Q10 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A nurse listens to a call bell from the patient who is receiving a blood transfusion, and while entering the patient's room, she observes that the patient is having itching, flushing of the face, and is very restless. The nurse knows that these findings are indicating to?
1. A.
  Allergic reaction
2. B.
  Both a or c
3. C.
  Hemolytic reaction
4. D.
  Adverse reaction
Answer and explanation
Q11 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient has difficulty in breathing and suddenly has end tidal CO2 (EtCO2) increased which may indicate to?
1. A.
  Hypoventilation
2. B.
  Hyperventilation
3. C.
  Stridor
4. D.
  Apnoea
Answer and explanation
Q12 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ordered when a large blood loss has occurred?
1. A.
  WBC
2. B.
  Platelets
3. C.
  Fresh frozen plasma
4. D.
  Packed red blood cells
Answer and explanation
Q13 · Mental Health Nursing · Schizophrenia
A schizophrenic client who is experiencing thoughts of having special powers states that "I am a messenger from another planet and can rule the earth." The nurse assesses this behaviour as?
1. A.
  Ideas of reference
2. B.
  Delusions of persecution
3. C.
  Thought broadcasting
4. D.
  Delusions of grandeur
Answer and explanation
Q14 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient is brought to the casualty with blunt trauma in the left side chest with a history of blood loss and low level of hemoglobin. Which of the following should be transfused as priority?
1. A.
  Cryoprecipitate
2. B.
  FFP
3. C.
  PRBC
4. D.
  Platelets
Answer and explanation
Q15 · Pharmacology · Miscellaneous
Which of the following test can be performed to assess the patency of freezing vaccines?
1. A.
  Hable test
2. B.
  Modified hable test
3. C.
  Shake test
4. D.
  Monteux test
Answer and explanation
Q16 · Medical & Surgical Nursing · Urinary Tract Function
The nurse would expect to include which of the following when planning the management of the client with Lyme disease?
1. A.
  Complete bed rest for 6–8 weeks
2. B.
  Tetracycline treatment
3. C.
  IV amphotericin B
4. D.
  High-protein diet with limited fluids
Answer and explanation
Q17 · Pharmacology · Drugs Acting on Central Nervous System
Which of the following statement for gabapentin therapy is true?
1. A.
  It is prescribed for long time for maximal therapeutic effect
2. B.
  It is used for short time for maximal therapeutic effect
3. C.
  It is used with glass of water
4. D.
  All true
Answer and explanation
Q18 · Nursing Foundations · Vital Signs
Identify the following image?
1. A.
  Aneroid BP apparatus
2. B.
  Handheld ET pressure cuff manometer
3. C.
  Gas cylinder measure
4. D.
  None of them
Answer and explanation
Q19 · Mental Health Nursing · Mood disorders
Assessment of severe depression in a client reveals feelings of hopelessness, worthlessness; inability to feel pleasure; sleep, psychomotor, and nutritional alterations; delusional thinking; negative view of self; and feelings of abandonment. These clinical features of the client's depression alert the nurse to prioritize problems and care by addressing which of the following problems first?
1. A.
  Nutritional status
2. B.
  Impaired thinking
3. C.
  Possible harm to self
4. D.
  Rest and activity impairment
Answer and explanation
Q20 · Mental Health Nursing · Schizophrenia
Dementia praecox, a term for schizophrenia, was given by?
1. A.
  Carl Jung
2. B.
  Kraepelin
3. C.
  Eugen Bleuler
4. D.
  Sigmund Freud
Answer and explanation
Q21 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
If any foreign body stuck in a child's airway. Which of the following maneuver can be done to remove the object?
1. A.
  Sellick maneuver
2. B.
  Valsalva Maneuver
3. C.
  Phalen's maneuver
4. D.
  Abdominal thrust (Heimlich) maneuver
Answer and explanation
Q22 · Nursing Research & Statistics · Inferential Statistics
In a randomized trial comparing the efficacy of two antidiabetic drugs, no significant difference was found between the two drugs. However, in reality, there was a significant difference in the two drugs. This is an example of?
1. A.
  β error
2. B.
  α error
3. C.
  1α
4. D.
  2β
Answer and explanation
Q23 · Applied Anatomy · Introduction to Anatomical terms & Organization of Human Body
Identify the following position?
1. A.
  Supine position
2. B.
  Lateral position
3. C.
  Recovery position
4. D.
  Semi recumbent position
Answer and explanation
Q24 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ordered when a large blood loss has occurred?
1. A.
  Whole blood
2. B.
  Platelets
3. C.
  Fresh frozen plasma
4. D.
  WBC
Answer and explanation
Q25 · Obstetrics & Gynaecology · Induction of Labor
A client is admitted to the hospital for an induction of labor owing to a gestation of 42 weeks confirmed by dates and ultrasound. When she is dilated 3 cm, she has a contraction of 70 seconds. She is receiving Oxytocin. The nurse's first intervention should be to?
1. A.
  Check FHT
2. B.
  Notify the attending physician
3. C.
  Turn off the IV oxytocin
4. D.
  Prepare for the delivery because the client is probably in transition
Answer and explanation
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Q26 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A 40-year-old male patient with a history of alcoholism is admitted for severe dehydration. Which electrolyte imbalance is most likely seen in this patient?
1. A.
  Hyperkalemia
2. B.
  Hypercalcemia
3. C.
  Hypomagnesemia
4. D.
  Hyperphosphatemia
Answer and explanation
Q27 · Pathology & Genetics · Genetics
Identify the following disorder in pedigree flowchart?
1. A.
  Autosomal dominant
2. B.
  Autosomal recessive
3. C.
  X-linked recessive
4. D.
  X-linked dominant
Answer and explanation
Q28 · Medical & Surgical Nursing · Neurologic Function
What is the best position following a lumbar puncture to prevent leaking of CSF?
1. A.
  Supine or flat position
2. B.
  Sitting on chair
3. C.
  Lateral position
4. D.
  Trendelenburg's position
Answer and explanation
Q29 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
A patient received from the postoperative room after pancreatectomy and has an NG tube inserted for passive drainage but output is very less. What would be the priority nursing action?
1. A.
  Change the color of drainage
2. B.
  Check for kinking the tube
3. C.
  Flush the tube
4. D.
  Change NG
Answer and explanation
Q30 · Nursing Foundations · Mobility & Immobility
Identify the following position?
1. A.
  Supine position
2. B.
  Lateral position
3. C.
  Recovery position
4. D.
  Semi-recumbent position
Answer and explanation
Q31 · Child Health Nursing (Pediatrics) · Immunization and Immunodeficiency
Match the following correctly as name of the vaccine column first to route of the vaccine column second?

Vaccine Route
A Measles 1 Oral
B BCG 2 IM
C Hib 3 ID
D OPV (Sabin) 4 SC
1. A.
  A-4, B-3, C-2, D-1
2. B.
  A-3, B-4, C-1, D-2
3. C.
  A-4, B-2, C-3, D-1
4. D.
  A-2, B-3, C-4, D-1
Answer and explanation
Q32 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A hyperglycemic patient admitted in emergency department with deep breathing and fruity odor breath. Which of the following metabolic imbalance may suspect?
1. A.
  Hyperkalemia
2. B.
  Hypernatremia
3. C.
  Hypercalcemia
4. D.
  Metabolic acidosis
Answer and explanation
Q33 · Medical & Surgical Nursing · Pain Management
A patient has a pain in lower abdomen and feels retention of urine. Which maneuver would be used to empty the neurogenic bladder?
1. A.
  Leopold maneuver
2. B.
  Crede maneuver
3. C.
  Valsalva maneuver
4. D.
  Heimlich maneuver
Answer and explanation
Q34 · Nursing Foundations · Administration of medications
Iron dextran (Imferon) is a parenteral iron preparation. The nurse should know that it:
1. A.
  Is also called intrinsic factor
2. B.
  Must be given in the abdomen
3. C.
  Requires use of the Z-track method
4. D.
  Should be given SC
Answer and explanation
Q35 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Identify the following image?
1. A.
  Aneroid BP apparatus
2. B.
  Handheld ET pressure cuff manometer
3. C.
  Gas cylinder measure
4. D.
  Suction machine
Answer and explanation
Q36 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
A patient following radical mastectomy shifting to the ward from recovery room after one hour surgery who has a Romovac drain which is half filled with blood. What is the priority nursing intervention?
1. A.
  Patient having hemorrhage
2. B.
  Loss of more body fluids
3. C.
  It is normal after a surgery
4. D.
  Nurse should check records in recovery room
Answer and explanation
Q37 · Forensic Nursing & Indian laws · Forensic Science
Maximum level of alcoholism legally allowed for driving in India?
1. A.
  30 mg/dl
2. B.
  20 mg/dl
3. C.
  40 mg/dl
4. D.
  80 mg/dl
Answer and explanation
Q38 · Medical & Surgical Nursing · Integumentary Function
A patient admitted to the hospital with an infectious wound in his lower leg. Which of the following will routinely be assessed by the nurse?
1. A.
  Blood culture
2. B.
  Blood pressure
3. C.
  Temperature
4. D.
  Respiration
Answer and explanation
Q39 · Obstetrics & Gynaecology · Population Dynamics and Control of Conception
Under National Family Welfare Program, IUCD 380 copper T would be effective for?
1. A.
  5 year
2. B.
  10 year
3. C.
  7 year
4. D.
  3 year
Answer and explanation
Q40 · Obstetrics & Gynaecology · Special Topics in Obstetrics
A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute examination, the nurse notes three fetal movements accompanied by accelerations of the fetal heart rate, each 15 bpm, lasting 15 seconds. The nurse interprets this test to be?
1. A.
  Nonreactive
2. B.
  Reactive
3. C.
  Positive
4. D.
  Negative
Answer and explanation
Q41 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse
In addition to changing the mother’s position to relieve cord pressure, the nurse may employ the following measure(s) in the event that she observes the cord out of the vagina?
1. A.
  Immediately pour sterile saline on the cord, and repeat this every 15 minutes to prevent drying.
2. B.
  Cover the cord with a wet sponge.
3. C.
  Apply a cord clamp to the exposed cord, and cover with a sterile towel.
4. D.
  Keep the cord warm and moist by continuous applications of warm, sterile saline compresses.
Answer and explanation
Q42 · Child Health Nursing (Pediatrics) · Poisonings, Injuries and Accidents
A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-eight hours after the burn injury; the nurse must begin to monitor the child for which one of the following complications?
1. A.
  Fluid volume deficit
2. B.
  Fluid volume excess
3. C.
  Decreased cardiac output
4. D.
  Severe hypotension
Answer and explanation
Q43 · Applied Nutrition & Dietetics · National Nutritional Program and Role
Under National Anemia Mukt Bharat program, which statement is true about the de-worming program?
1. A.
  It is a biannual stool examination program
2. B.
  It is a biannual de-worming tablets distribution program
3. C.
  It is a biannual IFA tablets distribution
4. D.
  It is a biannual urine examination
Answer and explanation
Q44 · Mental Health Nursing · Mood disorders
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around,experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to?
1. A.
  Tell the client to attend all structured activities on the unit
2. B.
  Encourage or direct client to attend activities that offer simple methods to attain success
3. C.
  Increase the client’s self-esteem by asking that she make all decisions regarding attendance in group activities
4. D.
  Not allow any dependent behaviours by the client because she must learn independence and will have to ask for any assistance from staff</
Answer and explanation
Q45 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
A 7-year-old child is brought to the ER at midnight by his mother after symptoms appeared abruptly. The nurse's initial assessment reveals a temperature of 104.5°F (40.3°C), difficulty swallowing, drooling, absence of a spontaneous cough, and agitation. These symptoms are indicative of which one of the following?
1. A.
  Acute tracheitis
2. B.
  Acute spasmodic croup
3. C.
  Acute epiglottitis
4. D.
  Acute laryngotracheobronchitis
Answer and explanation
Q46 · Obstetrics & Gynaecology · Fetal Skull and Maternal Pelvis
A client is admitted to the labor unit. On vaginal examination, the presenting part in a cephalic presentation was at station plus two. Station +2 means that the?
1. A.
  Presenting part is 2 cm above the level of the ischial spines
2. B.
  Biparietal diameter is at the level of the ischial spines
3. C.
  Presenting part is 2 cm below the level of the ischial spines
4. D.
  Biparietal diameter is 5 cm above the ischial spines
Answer and explanation
Q47 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy
A pregnant lady 38 weeks of gestation diagnosed for preeclampsia is receiving magnesium therapy. Which of the following parameter should assess on priority basis?
1. A.
  Respiratory depression
2. B.
  Urine output
3. C.
  Airway clearance
4. D.
  Knee jerk reflex
Answer and explanation
Q48 · Mental Health Nursing · Organic Brain Disorders
Most common cause of delirium in elderly person?
1. A.
  Hypoxia
2. B.
  Alcohol withdrawal
3. C.
  Multiple use of medicines
4. D.
  None of the above
Answer and explanation
Q49 · Obstetrics & Gynaecology · Injuries to the Birth Canal
A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of?
1. A.
  Afterbirth pains
2. B.
  Constipation
3. C.
  Cystitis
4. D.
  A hematoma of the vagina or vulva
Answer and explanation
Q50 · Pharmacology · Cardiovascular Drugs
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy (HCM)?
1. A.
  Positive inotropes
2. B.
  Vasodilators
3. C.
  Diuretics
4. D.
  Antidysrhythmics
Answer and explanation
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Q51 · Medical & Surgical Nursing · Shock and Multisystem Failure
A client is hospitalized following a road traffic accident (RTA). The nurse obtains the following vital signs: blood pressure (BP) 76/52 mm Hg, heart rate (HR) 124, respiratory rate (RR) 24, and cool clammy skin and rapid breathing. For which life-threatening complication should the nurse carefully monitor the client?
1. A.
  Hypovolemic shock
2. B.
  Neurogenic shock
3. C.
  Septic shock
4. D.
  Cardiogenic shock
Answer and explanation
Q52 · Pharmacology · Chemotherapy of Neoplastic Drugs
A client is being discharged with Albuterol (Proventil) and Beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequence order in which the drugs should be administered includes?
1. A.
  Glucocorticoids followed by the bronchodilator
2. B.
  Bronchodilator followed by the glucocorticoids
3. C.
  Alternate successive administrations
4. D.
  According to the client’s preference
Answer and explanation
Q53 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A nurse needs to obtain ABG sample in a client who is on oxygen with a non-rebreather mask (NRBM). How would the nurse obtain the ABG sample?
1. A.
  Shift the client to nasal cannula
2. B.
  Decrease the oxygen flow rate
3. C.
  Obtain the sample without any change
4. D.
  Keep the client on room air for 30 minutes
Answer and explanation
Q54 · Medical & Surgical Nursing · Miscellaneous
On admission, the client has signs and symptoms of pulmonary edema. The nurse places the client in the most appropriate position for a client in pulmonary edema, which is?
1. A.
  High Fowler
2. B.
  Lying on the left side
3. C.
  Sitting in a chair
4. D.
  Supine with feet elevated
Answer and explanation
Q55 · Medical & Surgical Nursing · Other Acute Problems
An emergency room nurse is assessing a 22-year-old male who has been using opioids. What symptoms indicate that the client has overdose?
1. A.
  Constricted pupils and hypotension
2. B.
  Vomiting and tachycardia
3. C.
  Pupillary dilation and hypertensive crisis
4. D.
  Tremors and ataxia
Answer and explanation
Q56 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
In a patient with heart disease, a pacemaker is placed and discharged after 8 days. What is the least priority teaching to be given while discharging the patient?
1. A.
  Take follow up
2. B.
  Teach about malfunctioning of pacemaker
3. C.
  Teach about needs for pacemaker
4. D.
  Take medicines on time
Answer and explanation
Q57 · Mental Health Nursing · Legal Issues in Mental Health Nursing
Which of the following are features of Mental Health Care Act 2017, except?
1. A.
  Provision of Advance directive
2. B.
  ECT is recommended for older adults in emergency situation
3. C.
  Attempt to commit suicide not an offence
4. D.
  Establishment of central mental health authority
Answer and explanation
Q58 · Mental Health Nursing · Psychiatric Emergencies
A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit, she says to the nurse, "I can't stay still at night. I toss and turn and can't fall asleep." The nurse suspects that she may be experiencing?
1. A.
  Akathisia
2. B.
  Akinesia
3. C.
  Dystonia
4. D.
  Opisthotonos
Answer and explanation
Q59 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
A 7-year-old child is brought to the ER at midnight by his mother after symptoms appeared abruptly. The nurse's initial assessment reveals a temperature of 104.5°F (40.3°C), difficulty swallowing, drooling, absence of a spontaneous cough, and agitation. These symptoms are indicative of which one of the following?
1. A.
  Acute tracheitis
2. B.
  Acute spasmodic croup
3. C.
  Acute epiglottitis
4. D.
  Acute laryngotracheobronchitis
Answer and explanation
Q60 · Child Health Nursing (Pediatrics) · Otolaryngology
A child received from the recovery room after tonsillectomy and adenoidectomy. Which position should the nurse provide to the child?
1. A.
  Supine
2. B.
  Left lateral
3. C.
  Prone
4. D.
  Sims
Answer and explanation
Q61 · Pharmacology · Autacoids & Related Drugs
A patient is admitted to the hospital with rheumatoid arthritis and taking NSAIDs. Which of the following statement is correct regarding these drugs?
1. A.
  Take empty stomach for better absorption
2. B.
  NSAIDs should be taken with milk
3. C.
  Avoid aspirin like drugs because they can cause bleeding tendency
4. D.
  Take with full glass of water
Answer and explanation
Q62 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
A nurse is assisting the doctor for central line insertion in the right jugular vein. During catheter insertion, the nurse observes that the patient is having shortness of breath, chest pain, low blood pressure, and respiratory distress. What would be the expected finding and priority nursing intervention?
1. A.
  This is expected finding, continue the procedure
2. B.
  Air embolism, place the client in side-lying position with head lower than the feet
3. C.
  Pneumothorax, place the client in supine position
4. D.
  Cardiac dysrhythmia, administer the oxygen via face mask
Answer and explanation
Q63 · Pharmacology · Chemotherapy of Neoplastic Drugs
The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?
1. A.
  Norepinephrine (Levophed)
2. B.
  Dobutamine (Dobutrex)
3. C.
  Propranolol (Inderal)
4. D.
  Epinephrine (Adrenalin)
Answer and explanation
Q64 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
During physical examination of the thorax, a nurse is listening to vesicular sound. The vesicular sound can be heard from which place?
1. A.
  At larynx
2. B.
  At trachea
3. C.
  At first and second ICS
4. D.
  At lower lobe of lungs
Answer and explanation
Q65 · Pharmacology · General Pharmacology
A six-month-old infant is receiving ribavirin for the treatment of respiratory syncytial virus. Ribavirin is administered via which one of the following routes?
1. A.
  Oral
2. B.
  I.M
3. C.
  I.V
4. D.
  Aerosol
Answer and explanation
Q66 · Child Health Nursing (Pediatrics) · Fluid and Electrolyte Disturbances
Calculate required fluid using Holiday-Segar Pediatric fluid dose for a 20-kg child?
1. A.
  1000 ml
2. B.
  1200 ml
3. C.
  1500 ml
4. D.
  1800 ml
Answer and explanation
Q67 · Mental Health Nursing · Mood disorders
A 56-year-old patient is admitted to the psychiatric unit in a state of total despair. She feels hopeless and worthless, has a flat affect and very sad appearance, and is unable to feel pleasure from anything. Her husband has been assisting her at home with the housework and cooking; however, she has not been eating much, lies around or sits in a chair most of the day, and is becoming confused and thinks her family does not want her around anymore. In assessing the client, the nurse determines that her behavior is consistent with?
1. A.
  Transient depression
2. B.
  Mild depression
3. C.
  Moderate depression
4. D.
  Severe depression
Answer and explanation
Q68 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
One of the medications that are prescribed for a male client is furosemide (Lasix) 80 mg bid. To reduce his risk of falls, the nurse would teach him to take this medication?
1. A.
  On arising and no later than 6 PM
2. B.
  At evenly spaced intervals, such as 8 AM and 8 PM
3. C.
  With at least one glass of water per pill
4. D.
  With breakfast and at bedtime
Answer and explanation
Q69 · Mental Health Nursing · Mood disorders
A 42-year-old client with bipolar disorder has been hospitalized on the inpatient psychiatric unit. She is dancing around, talking incessantly, and singing. Much of the time the client is anorexic and eats very little from her tray before she is up and about again. The nurse's intervention would be to?
1. A.
  Confront the client with the fact that she will have to eat more from her tray to sustain her
2. B.
  Try to get the client to focus on her eating by offering a detailed discussion on the importance of nutrition
3. C.
  Let her have snacks and drinks anytime that she wants them because she will not eat at regular meal times
4. D.
  Not expect the client to sit down for complete meals; monitor intake, offering snacks and juice frequently
Answer and explanation
Q70 · Obstetrics & Gynaecology · Physiological Changes During Pregnancy
A pregnant client continues to visit the clinic regularly during her pregnancy. During one of her visits while lying supine on the examining table, she tells the RN that she is becoming light-headed. The RN notices that the client has pallor in her face and is perspiring profusely. The first intervention the RN should initiate is to?
1. A.
  Place the examining table in the Trendelenburg position
2. B.
  Assess the client to see if she is having vaginal bleeding
3. C.
  Obtain the client's vital signs immediately
4. D.
  Help the client to a sitting position
Answer and explanation
Q71 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A nurse is taking ABG sample through the radial artery. During the procedure, a vein is pricked instead of an artery. What would be the expected and first response of the nursing officer?
1. A.
  Hematoma formation and compress the site
2. B.
  Blood clot but send the lab
3. C.
  Take the sample from another hand
4. D.
  Maintain the records
Answer and explanation
Q72 · Applied Physiology · General Physiology
Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the?
1. A.
  Kidney (Urinary System)
2. B.
  Brain (Nervous System)
3. C.
  Heart (Circulatory System)
4. D.
  Lungs (Respiratory System)
Answer and explanation
Q73 · Mental Health Nursing · Mood disorders
A 56-year-old patient is admitted to the psychiatric unit in a state of total despair. She feels hopeless and worthless, has a flat affect and very sad appearance, and is unable to feel pleasure from anything. Her husband has been assisting her at home with the housework and cooking; however, she has not been eating much, lies around or sits in a chair most of the day, and is becoming confused and thinks her family does not want her around anymore.

In assessing the client, the nurse determines that her behavior is consistent with?
1. A.
  Transient depression
2. B.
  Mild depression
3. C.
  Moderate depression
4. D.
  Severe depression
Answer and explanation
Q74 · Mental Health Nursing · Nursing process in Psychiatry
Mental status examination is used to identify?
1. A.
  To check insight
2. B.
  To check awareness
3. C.
  To check consciousness
4. D.
  To check behavior
Answer and explanation
Q75 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
During suctioning, a patient develops bradycardia, which would be caused due to?
1. A.
  Stimulation of vagus nerve
2. B.
  Deep suctioning
3. C.
  Coughing
4. D.
  Improper positioning
Answer and explanation
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Q76 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
On admission, the client has signs and symptoms of pulmonary edema. The nurse places the client in the most appropriate position for a client in pulmonary edema, which is?
1. A.
  High Fowler
2. B.
  Lying on the left side
3. C.
  Sitting in a chair
4. D.
  Supine with feet elevated
Answer and explanation
Q77 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A new nurse is caring for an adolescent in the trauma unit who has injuries secondary to a motor vehicle accident. The nurse has started a blood transfusion. After 30 minutes, the client complains of nausea, headache, chills, and muscle stiffness. An observing nurse should determine that the new nurse intervened appropriately when the new nurse took which action first?
1. A.
  Obtained a set of vital signs
2. B.
  Called the primary health-care provider
3. C.
  Flushed the infusion tubing with normal saline and restarted the blood
4. D.
  Stopped the transfusion
Answer and explanation
Q78 · Child Health Nursing (Pediatrics) · Newborn Infants
Recommended dose of adrenaline (epinephrine) during neonatal resuscitation is?
1. A.
  1 mg/kg body weight (1 ml in 1:1,000 dilution)
2. B.
  0.1 mg/kg body weight (0.1 ml in 1:10,000)
3. C.
  0.1-0.3 ml/kg body weight (0.1 mg/ml in 1:10,000)
4. D.
  0.5 mg/kg body weight (0.1 ml in 1:1,000)
Answer and explanation
Q79 · Medical & Surgical Nursing · Shock and Multisystem Failure
When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that?
1. A.
  In neurogenic shock, the skin is warm and dry
2. B.
  In hypovolemic shock, there is a bradycardia
3. C.
  In hypovolemic shock, capillary refill is less than 2 seconds
4. D.
  In neurogenic shock, there is delayed capillary refill
Answer and explanation
Q80 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
A patient returned from the postoperative room and is having shortness of breath, irritability, and anxiety. Which of the following respiratory complications the nurse would suspect?
1. A.
  Bronchitis
2. B.
  Tracheitis
3. C.
  Atelectasis
4. D.
  Bronchiectasis
Answer and explanation
Q81 · Medical & Surgical Nursing · Miscellaneous
Identify the following instrument?
1. A.
  Cervical Dilator
2. B.
  Uterine Dilator
3. C.
  Urethral Dilator
4. D.
  Tracheal Dilator
Answer and explanation
Q82 · Child Health Nursing (Pediatrics) · Disorders of Respiratory System
A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?
1. A.
  Take him in the bathroom, turn on the hot water, and close the door
2. B.
  Give him a dose of antihistamine
3. C.
  Give large amounts of clear liquids if drooling occurs
4. D.
  Place him near a cool mist vaporizer and encourage crying
Answer and explanation
Q83 · Child Health Nursing (Pediatrics) · Fluid and Electrolyte Disturbances
A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?
1. A.
  Blood pressure
2. B.
  Serum potassium level
3. C.
  Urine output
4. D.
  Pulse rate
Answer and explanation
Q84 · Obstetrics & Gynaecology · Normal Puerperium
During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to?
1. A.
  Endometritis
2. B.
  Fibroid tumour on the uterus
3. C.
  Displacement due to bowel distention
4. D.
  Urine retention or a distended bladder
Answer and explanation
Q85 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
In a patient, there is a prolonged PR interval noted on ECG graph which would be indicating to?
1. A.
  Atrioventricular block
2. B.
  Atrial flutter
3. C.
  Atrial fibrillation
4. D.
  Sinus bradycardia
Answer and explanation
Q86 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A traumatic patient brought to the emergency department with loss of massive blood volume and coagulation factors. Which blood product would be prescribed?
1. A.
  Cryoprecipitate
2. B.
  FFP
3. C.
  PRBC
4. D.
  Platelets
Answer and explanation
Q87 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
In the following ECG graph, no visible P waves and an irregularly irregular QRS complex are seen in the ECG graph. Identify the possible diagnosis?
1. A.
  Atrial fibrillation
2. B.
  Atrial flutter
3. C.
  Ventricular tachycardia
4. D.
  Sinus bradycardia
Answer and explanation
Q88 · Pharmacology · Antimicrobial Drugs
A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?
1. A.
  Giving tetracycline to a child younger than 8 years may cause permanent staining of his teeth
2. B.
  If you give tetracycline with milk, it may be absorbed readily
3. C.
  The medication should be given to adults, not children
4. D.
  Secondary infections of chronic skin disorders do not respond to antibiotics
Answer and explanation
Q89 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as "a cramp in my leg." An appropriate nursing action would be to?
1. A.
  Assess for pain with plantarflexion
2. B.
  Assess for edema and heat of the right leg
3. C.
  Instruct him to rub the cramp out of his leg
4. D.
  Elevate right lower extremity with pillows propped under the knee
Answer and explanation
Q90 · Pharmacology · Drugs acting on Autonomic Nervoys system
Which of the following medication requires monitoring of blood glucose level which may cause glycogenolysis and insulin resistance?
1. A.
  Propranolol
2. B.
  Dobutamine
3. C.
  Adrenaline
4. D.
  Noradrenaline
Answer and explanation
Q91 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Central venous pressure (CVP) is a pressure of?
1. A.
  Pulmonary vein
2. B.
  Superior vena cava
3. C.
  Right atrium
4. D.
  Left ventricle
Answer and explanation
Q92 · Nursing Foundations · Administration of medications
A drug is ordered 35 mg/hour in 500 ml normal saline, available drug is 350 mg. What would be the expected flow rate?
1. A.
  35 ml per hour
2. B.
  50 ml per hour
3. C.
  100 ml per hour
4. D.
  37 ml per hour
Answer and explanation
Q93 · Pharmacology · Drug Affecting Blood & Blood Formation
When evaluating the therapeutic response for a client receiving a heparin infusion, which laboratory results should the nurse monitor?
1. A.
  Complete blood count (CBC)
2. B.
  Activated partial thromboplastin time (aPTT)
3. C.
  International normalized ratio (INR)
4. D.
  Prothrombin time (PT)
Answer and explanation
Q94 · Pharmacology · General Pharmacology
A nurse should carefully monitor a client for the following side effect of MgSO4?
1. A.
  Visual blurring
2. B.
  Tachypnea
3. C.
  Epigastric pain
4. D.
  Respiratory depression
Answer and explanation
Q95 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient came into the emergency department with severe chest pain. Vitals are taken which are: blood pressure 160/90 mm Hg, heart rate 100 bpm, respiration 28 bpm and SpO2 94 %. Which of the following vital parameter would be need for concern and taken as priority?
1. A.
  Blood pressure
2. B.
  Heart rate
3. C.
  Respiration
4. D.
  SpO2
Answer and explanation
Q96 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
A 45-year-old client has a permanent colostomy. Which of the following foods should be avoided?
1. A.
  Peanut butter and jelly sandwich and milk
2. B.
  Corn beef and cabbage and boiled potatoes
3. C.
  Oatmeal, whole-wheat toast, and milk
4. D.
  Tuna on whole-wheat bread and iced tea
Answer and explanation
Q97 · Applied Microbiology & Infection control · Isolation Precautions and Use of Personal Protective Equipment
What is the first step of donning?
1. A.
  Wearing the gloves
2. B.
  Hand washing
3. C.
  Wearing the mask
4. D.
  Wearing the gown
Answer and explanation
Q98 · Child Health Nursing (Pediatrics) · Common Medical Procedures
Which following is a lumbar puncture site in paediatrics?
1. A.
  L₁–L₂
2. B.
  L₃–L₄
3. C.
  L₂–L₃
4. D.
  L₄–L₅
Answer and explanation
Q99 · Obstetrics & Gynaecology · Operative Obstetrics
Identify the following instrument?
1. A.
  Cervical Dilator
2. B.
  Uterine Dilator
3. C.
  Urethral Dilator
4. D.
  Tracheal Dilator
Answer and explanation
Q100 · Child Health Nursing (Pediatrics) · Fluid and Electrolyte Disturbances
Which one of the following is considered a reliable indicator for assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and full-thickness burns to 25% of her body?
1. A.
  Urine output
2. B.
  Edema
3. C.
  Hypertension
4. D.
  Bulging fontanelle
Answer and explanation

	Vaccine		Route
A	Measles	1	Oral
B	BCG	2	IM
C	Hib	3	ID
D	OPV (Sabin)	4	SC

NORCET-5 Mains question paper

The nurse would expect to include which of the following when planning the management of the client with Lyme disease?

In addition to changing the mother’s position to relieve cord pressure, the nurse may employ the following measure(s) in the event that she observes the cord out of the vagina?

A client is being discharged with Albuterol (Proventil) and Beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequence order in which the drugs should be administered includes?

Calculate required fluid using Holiday-Segar Pediatric fluid dose for a 20-kg child?

A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?

Which one of the following is considered a reliable indicator for assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and full-thickness burns to 25% of her body?

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