NORCET-6 Mains question paper

NORCET · 2024 · 100 questions · 90 minutes · 0.33 mark deducted per wrong answer

Medical & Surgical Nursing 36
Pharmacology 13
Mental Health Nursing 9
Child Health Nursing (Pediatrics) 9
Nursing Foundations 8
Obstetrics & Gynaecology 6
Applied Microbiology & Infection control 4
Community Health Nursing 2
Applied Physiology 2
Forensic Nursing & Indian laws 2
Applied Nutrition & Dietetics 2
Pathology & Genetics 2
Nursing Research & Statistics 1
Applied Anatomy 1
Applied Psychology 1
Biochemistry & Nutrition 1
Nursing Education 1

See the answers and explanations

Q1 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A nurse knows that which syringe is used for ABG sampling?
1. A.
  Heparinised syringe
2. B.
  Tuberculin syringe
3. C.
  Acepto syringe
4. D.
  All of the above
Answer and explanation
Q2 · Pharmacology · Antimicrobial Drugs
The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:
1. A.
  Increases activity of isoniazid
2. B.
  Increases activity of rifampicin
3. C.
  Improves nutritional status
4. D.
  Reduces peripheral neuropathy
Answer and explanation
Q3 · Obstetrics & Gynaecology · Prenatal Genetic Counseling, Screening and Diagnosis
During a prenatal check-up at 16 weeks of gestation, a pregnant client's blood test shows elevated levels of maternal serum alpha-fetoprotein (MSAFP). This finding is most indicative of which potential fetal condition?
1. A.
  Down syndrome
2. B.
  Gestational diabetes
3. C.
  Preeclampsia
4. D.
  Neural tube defect
Answer and explanation
Q4 · Mental Health Nursing · Therapeutic Communication and Nurse- Patient Relationship
Therapeutic communication technique where directing ideas, feelings, questions content back to client so as to enable exploring their own ideas and feelings about situation?
1. A.
  Probing
2. B.
  Clarifying
3. C.
  Reflecting
4. D.
  Challenging
Answer and explanation
Q5 · Nursing Foundations · Elimination needs
Which position is provided to the patient for enema administration and rectal examination?
1. A.
  Sims' position
2. B.
  Prone position
3. C.
  Supine position
4. D.
  Lithotomy position
Answer and explanation
Q6 · Mental Health Nursing · Mood disorders
A long-term goal for the nurse in planning care for a depressed, suicidal client would be to:
1. A.
  Provide him with a safe and structured environment.
2. B.
  Assist him to develop more effective coping mechanisms.
3. C.
  Have him sign a “no-suicide” contract.
4. D.
  Isolate him from stressful situations that may precipitate a depressive episode.
Answer and explanation
Q7 · Medical & Surgical Nursing · Other Acute Problems
A patient arrives at an Emergency OPD with active bleeding from the nose. Which of the following actions would the nurse perform to prevent further bleeding?
1. A.
  Encourage the patient to sneeze
2. B.
  Raise the head end of the patient
3. C.
  Instruct the patient to blow nose
4. D.
  Advise the patient to pinch the soft part of the nose
Answer and explanation
Q8 · Mental Health Nursing · Schizophrenia
A schizophrenic patient is telling the nursing officer that while he is watching TV, someone is giving secret messages to him. The Nursing Officer best knows that the patient is suffering from?
1. A.
  Delusion of reference
2. B.
  Delusion of grandiosity
3. C.
  Hallucination
4. D.
  Illusion
Answer and explanation
Q9 · Nursing Research & Statistics · Tools and Methods of Data Collection
A method in which several round of question are given to a panel of experts is called?
1. A.
  meta analysis
2. B.
  Delphi technique
3. C.
  Q- sort methodology
4. D.
  Content analysis
Answer and explanation
Q10 · Medical & Surgical Nursing · Other Acute Problems
A confused elderly patient is brought to the emergency department from a long-term care facility. The patient is unable to provide a medical history. To gather essential information quickly, the nurse uses the AMPLE mnemonic. Which question best assesses the 'M' component?
1. A.
  "Has the patient eaten anything in the last few hours?"
2. B.
  "Is the patient allergic to any food or drugs?"
3. C.
  "What were the events that led to coming to the hospital?"
4. D.
  "Is the patient currently taking any prescribed or over-the-counter drugs?"
Answer and explanation
Q11 · Applied Anatomy · Reproductive System
Cooper's ligaments are located at?
1. A.
  Abdomen
2. B.
  Breast
3. C.
  Knee joint
4. D.
  Shoulder joint
Answer and explanation
Q12 · Pharmacology · Drugs Acting on Central Nervous System
Naltrexone is used in opioid addiction because?
1. A.
  Treat withdrawal symptoms
2. B.
  Treat overdose of opioids and prevent respiratory depression
3. C.
  Prevent relapse
4. D.
  Has addiction potential; used for detoxification of opioid
Answer and explanation
Q13 · Community Health Nursing · National Health Programs
Scheme for providing quality mother and child care with guarantee for services is safeguarded under the:
1. A.
  SUMAN
2. B.
  PMSMA
3. C.
  MLB
4. D.
  PM-MVY
Answer and explanation
Q14 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
According to WHO Surgical checklist, starting of surgery in OT, which task should be done before skin incision?
1. A.
  Time In
2. B.
  Sign In
3. C.
  Time Out
4. D.
  Sign Out
Answer and explanation
Q15 · Medical & Surgical Nursing · Neurologic Function
Why is a stylet used in a lumbar puncture procedure?
1. A.
  To maintain the integrity of the needle
2. B.
  To prevent infection
3. C.
  To guide the needle
4. D.
  To measure cerebrospinal fluid pressure
Answer and explanation
Q16 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which of the following is included in flat line ECG protocol, EXCEPT?
1. A.
  Continue CPR
2. B.
  Check leads
3. C.
  Increase gain/amplitude
4. D.
  Change lead
Answer and explanation
Q17 · Nursing Foundations · History of Nursing & Nursing as a profession
Which criteria of the Profession deals with nurses' independent functioning and being responsible and accountable for the care they provide?
1. A.
  Specialized education
2. B.
  Body of knowledge
3. C.
  Code of ethics
4. D.
  Autonomy
Answer and explanation
Q18 · Child Health Nursing (Pediatrics) · Newborn Infants
What mode should a radiant warmer be set to for pre-warming a preterm infant?
1. A.
  Manual mode
2. B.
  Servo mode
3. C.
  Automatic mode
4. D.
  Standby mode
Answer and explanation
Q19 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A client is having a vertical partial laryngectomy, and the nurse is planning his postoperative care. A priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy would be:
1. A.
  Activity intolerance
2. B.
  Ineffective airway clearance
3. C.
  High risk for infection
4. D.
  Altered oral mucous membrane
Answer and explanation
Q20 · Applied Microbiology & Infection control · Hospital-Acquired Infections
While changing the dressing on a client's central line, the nurse notices redness and warmth at the needle insertion site. Which of the following actions would be appropriate to implement based on this finding?
1. A.
  Discontinue the central line.
2. B.
  Begin a peripheral IV.
3. C.
  Document in the nurse's notes and notify the physician after redressing the site.
4. D.
  Clean the site well and redress.
Answer and explanation
Q21 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
Before performing an arterial blood gas (ABG) sampling from the radial artery, the Allen test is conducted to assess the patency of the ulnar artery. A positive test confirms adequate collateral circulation. Which of the following indicates a positive Allen test?
1. A.
  Patient complains of numbness and irritation
2. B.
  After releasing pressure, blood flow returns within 3-5 seconds
3. C.
  After releasing pressure, blood flow returns in 1-2 minutes
4. D.
  None of the above
Answer and explanation
Q22 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
what is the absolute contraindication for perforMing nasal tracheal intubation in a critically ill patient?
1. A.
  conscioius patient
2. B.
  fracture of base of skull
3. C.
  patient with limited mouth opening
4. D.
  intra oral mass
Answer and explanation
Q23 · Medical & Surgical Nursing · Musculoskeletal Function
A patient is brought to the emergency department after a high-impact motor vehicle accident. Upon assessment of the right lower extremity, the nurse observes significant swelling, deformity, and ecchymosis over the thigh. Which additional finding is most characteristic of a displaced femoral shaft fracture?
1. A.
  Lengthening of the affected limb
2. B.
  Shortening of the affected limb
3. C.
  Absence of pain with passive movement
4. D.
  Paresthesia in the foot without swelling
Answer and explanation
Q24 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A client returns to the cardiovascular intensive care unit following his coronary artery bypass graft. In planning his care, the most important electrolyte the nurse needs to monitor will be?
1. A.
  Chloride
2. B.
  HCO₃
3. C.
  Potassium
4. D.
  Sodium
Answer and explanation
Q25 · Mental Health Nursing · Psychiatric Emergencies
Identify the following disease condition in the image?
1. A.
  Withdrawal
2. B.
  Waxy flexibility
3. C.
  Circumstantiality
4. D.
  Cataplexy
Answer and explanation
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Q26 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A nurse is performing cardiac compression on an adult client. How far must the nurse depress the lower sternum to maintain circulation until a defibrillator is available?
1. A.
  ¾ to 1 inch
2. B.
  ½ to ¾ inch
3. C.
  1 to 1½ inches
4. D.
  2 to 2½ inche
Answer and explanation
Q27 · Pharmacology · Miscellaneous
Which of the following vaccines should NEVER be frozen?
1. A.
  DTP, TT
2. B.
  OPV
3. C.
  MMR
4. D.
  Measles
Answer and explanation
Q28 · Child Health Nursing (Pediatrics) · Integrated Management of Neonatal and Childhood Illness
The amount of ORS (Oral Rehydration Solution) to be given after each stool for children less than 24 months is?
1. A.
  40 ml – 55 ml
2. B.
  As wanted
3. C.
  10 ml – 30 ml
4. D.
  50 ml – 100 ml
Answer and explanation
Q29 · Medical & Surgical Nursing · Neurologic Function
A 70-year-old female client is admitted to the medical intensive care unit with a diagnosis of cerebrovascular accident (CVA). She is semi-comatose, responding to pain and change in position. She is unable to speak or cough. In planning her nursing care for the first 24 hours following a CVA, which nursing diagnosis should receive the highest priority?
1. A.
  Altered cerebral tissue perfusion related to pathophysiological changes that decrease blood flow
2. B.
  Potential for injury related to impaired mobility and seizures
3. C.
  Impaired verbal communication related to aphasia
4. D.
  Ineffective airway clearance related to immobility, ineffective cough, and decreased level of consciousness
Answer and explanation
Q30 · Obstetrics & Gynaecology · Population Dynamics and Control of Conception
Which is an emergency contraceptive of choice?
1. A.
  Oestrogen
2. B.
  Progesterone only pills
3. C.
  Levonorgestrel
4. D.
  Condom
Answer and explanation
Q31 · Medical & Surgical Nursing · Urinary Tract Function
A patient has undergone a cutaneous urinary diversion procedure where the ureters are implanted into an isolated section of the terminal ileum, with one end brought to the abdominal wall to form a stoma. Which procedure does this describe?
1. A.
  Cutaneous ureterostomy
2. B.
  Ileal conduit
3. C.
  Vesicostomy
4. D.
  Nephrostomy
Answer and explanation
Q32 · Applied Microbiology & Infection control · Pathogenic Organisms
An acid - fast bacillus which is pathogenic?
1. A.
  Bacillus pertussis
2. B.
  corynebacterium diphtheriae
3. C.
  Salmonella typhi
4. D.
  mycobacterium leprae
Answer and explanation
Q33 · Child Health Nursing (Pediatrics) · Otolaryngology
Which restraint is typically used for a child immediately after cleft lip surgery?
1. A.
  Wrist restraints
2. B.
  Ankle restraints
3. C.
  Vest restraint
4. D.
  Elbow or mummy restraint
Answer and explanation
Q34 · Applied Physiology · General Physiology
Excessive vomiting will cause:?
1. A.
  Acidosis
2. B.
  Alkalosis
3. C.
  None of these
4. D.
  All of the above
Answer and explanation
Q35 · Pharmacology · Hormones & Related Drugs
A patient taking an oral bisphosphateonate, such as alendronate, for osteoporosis also requires a calcium supplement. What is the most important instruction for the nurse to provide regarding the administration of these two medications?
1. A.
  Discontinue the calcium supplement as it is contraindicated with bisphosphonates.
2. B.
  Take the calcium supplement at a different time of day, not with the bisphosphonate.
3. C.
  Take both medications with a large glass of milk to prevent stomach upset.
4. D.
  Take the calcium supplement and the bisphosphonate together to enhance absorption.
Answer and explanation
Q36 · Medical & Surgical Nursing · Urinary Tract Function
A patient with an uncomplicated lower UTI is prescribed a 3-day course of antibiotics. The patient reports feeling better after one day and asks if they can stop taking the medication. What is the nurse's best response?
1. A.
  Yes, you can stop once the symptoms have resolved to avoid side effects.
2. B.
  You must complete the entire prescribed course to fully eradicate the bacteria and prevent recurrence.
3. C.
  Continue for one more day and then you can stop if you still feel well.
4. D.
  Switch to taking the medication every other day until the pills are finished.
Answer and explanation
Q37 · Mental Health Nursing · Mood disorders
A manic patient is admitted to the psychiatry department. Which one is the best food option for the manic patient?
1. A.
  Finger food
2. B.
  Solid food
3. C.
  Liquid food
4. D.
  Spicy food
Answer and explanation
Q38 · Obstetrics & Gynaecology · Placenta and Fetal Membranes
A mother delivered a male baby and following delivery, the placenta is coming out from the vagina with a shiny surface of the placenta, which indicates?
1. A.
  Duncan, maternal surface
2. B.
  Schultz, fetal surface
3. C.
  Duncan, fetal surface
4. D.
  Schultz, maternal surface
Answer and explanation
Q39 · Forensic Nursing & Indian laws · Forensic Nursing
A nurse gives a medication using an incorrect technique, and the patient develops an injury as a result. Which legal term best describes this situation?
1. A.
  Assault
2. B.
  battery
3. C.
  Malpractice
4. D.
  False imprisonment
Answer and explanation
Q40 · Pharmacology · Autacoids & Related Drugs
A patient complaining of headache with sensitivity to light, heat, and sound. Which drug is to be given?
1. A.
  Sumatriptan
2. B.
  Paracetamol
3. C.
  Atropine
4. D.
  Domperidone
Answer and explanation
Q41 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
A client has consented to have a central venous catheter placed. The best position in which to place the client is the Trendelenburg position. The reason is that the Trendelenburg position:
1. A.
  Reduces the possibility of air embolism
2. B.
  Allows the physician to visualize the subclavian vein
3. C.
  Reduces the possibility of hematoma formation
4. D.
  Makes the procedure more comfortable for the client
Answer and explanation
Q42 · Pharmacology · Antimicrobial Drugs
Which of the following anticoagulant should not be given during pregnancy?
1. A.
  Warfarin
2. B.
  Heparin
3. C.
  LMWH
4. D.
  All of the above
Answer and explanation
Q43 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
A patient with COPD requires controlled oxygen therapy. The nurse selects a Venturi mask. Which color-coded adapter delivers approximately 24% oxygen?
1. A.
  Blue
2. B.
  White
3. C.
  Yellow
4. D.
  Green
Answer and explanation
Q44 · Mental Health Nursing · Personality and Sexual Disorders
Practice of gaining sexual pleasure from watching others when they are naked or engaged in sexual activity.
1. A.
  Fetishism
2. B.
  Transvestism
3. C.
  Sexual sadism
4. D.
  Voyeurism
Answer and explanation
Q45 · Medical & Surgical Nursing · Pain Management
A patient with a history of a spinal cord injury reports a persistent burning pain below the level of the injury. How should the nurse classify this type of pain?
1. A.
  Nociceptive somatic pain
2. B.
  Nociceptive visceral pain
3. C.
  Neuropathic centrally generated pain
4. D.
  Neuropathic peripherally generated pain
Answer and explanation
Q46 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which of the following is a first-line treatment for ventricular fibrillation?
1. A.
  Assess vital signs and act accordingly
2. B.
  Start oxygen
3. C.
  Perform CPR and initiate defibrillation
4. D.
  Initiate cardioversion
Answer and explanation
Q47 · Applied Microbiology & Infection control · Disinfection and Sterilization
Which of the following is the causative agent of lymphatic filariasis?
1. A.
  Plasmodium
2. B.
  Wuchereria bancrofti
3. C.
  Trichomonas
4. D.
  Entamoeba histolytica
Answer and explanation
Q48 · Applied Microbiology & Infection control · General Characteristics of Microbes
Schick test is used in confirming the diagnosis of?
1. A.
  Tuberculosis
2. B.
  Diphtheria
3. C.
  Syphilis
4. D.
  Scarlet fever
Answer and explanation
Q49 · Applied Nutrition & Dietetics · Therapeutic Diet
A patient who is admitted in ICU and receiving TPN therapy. The on-duty nursing officer best knows that Intralipids can be administered by which of the following route?
1. A.
  Central line
2. B.
  Gastrostomy tube
3. C.
  Peripheral line
4. D.
  Feeding tube
Answer and explanation
Q50 · Medical & Surgical Nursing · Immunologic Function
Felty's syndrome is a complication of?
1. A.
  Osteoarthritis
2. B.
  Rheumatoid arthritis
3. C.
  SLE
4. D.
  Osteochondritis
Answer and explanation
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Q51 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Which of the following medicine should be administered using the double syringe technique?
1. A.
  Epinephrine
2. B.
  Amiodarone
3. C.
  Adenosine
4. D.
  Valproic acid
Answer and explanation
Q52 · Mental Health Nursing · Mood disorders
Indirect speech that is delayed in reaching the point but eventually gets from the original point to desired goal?
1. A.
  Flight of ideas
2. B.
  Tangentiality
3. C.
  Loosening of association
4. D.
  Circumstantiality
Answer and explanation
Q53 · Pharmacology · General Pharmacology
The nurse must ensure safe administration to prevent complications such as cardiac arrhythmias or tissue necrosis. Which of the following statements is correct regarding potassium chloride injection?
1. A.
  Should be administered by IV bolus
2. B.
  Should be dissolved in 0.9% Normal Saline (NS) and given via infusion pump
3. C.
  Should be administered by intramuscular (IM) route
4. D.
  Should be dissolved in dextrose solution
Answer and explanation
Q54 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
During CPR in a pregnant mother, if the uterus is palpable, what should the nurse keep in mind regarding chest compressions?
1. A.
  Increase the depth of chest compressions
2. B.
  Decrease the depth of chest compressions
3. C.
  Shift the uterus to the left
4. D.
  No changes in chest compression
Answer and explanation
Q55 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
What is a key action during the head tilt, chin lift maneuver?
1. A.
  Elevate the head with one hand
2. B.
  Elevate the chin with one hand
3. C.
  Compress the chest
4. D.
  Check for pulse
Answer and explanation
Q56 · Mental Health Nursing · Neurotic, stress related and somatisation disorders
The situation in which individual have excessive worry or belief that they are suffering form a physical illness despite lack of medical evidence is known as:
1. A.
  Somatoform disorders
2. B.
  phobic disorder
3. C.
  Dissociative disorder
4. D.
  pain disorder
Answer and explanation
Q57 · Forensic Nursing & Indian laws · Dummy
False written report with an intention of harming the reputation of one person is known as?
1. A.
  Slander
2. B.
  Libel
3. C.
  Battery
4. D.
  Assault
Answer and explanation
Q58 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
In mechanical ventilation, if a low-pressure alarm sounds, what is the priority nursing action?
1. A.
  Check the ventilator settings
2. B.
  Manually ventilate the patient with an AMBU bag
3. C.
  Administer a sedative
4. D.
  Increase the oxygen flow rate
Answer and explanation
Q59 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
During a blood transfusion, which IV fluid can be administered concurrently?
1. A.
  Dextrose 5% in water
2. B.
  Lactated Ringer's solution
3. C.
  Only Normal Saline 0.9%
4. D.
  Dextrose 5% in Normal Saline
Answer and explanation
Q60 · Applied Psychology · Personality
As per the psychosocial development theory of Erikson, identity and role confusion are associated with?
1. A.
  Infancy
2. B.
  Toddler
3. C.
  Preschooler
4. D.
  Adolescents
Answer and explanation
Q61 · Nursing Foundations · Administration of medications
Which of the following option is correct about calcium gluconate injection, EXCEPT?
1. A.
  Rapid IV bolus
2. B.
  Diluted
3. C.
  Slow
4. D.
  Over 1 hour
Answer and explanation
Q62 · Biochemistry & Nutrition · Proteins
Phenylketonuria is detected by which urine test
1. A.
  Guthrie test14
2. B.
  Sodium nitroprusside test
3. C.
  Blot test
4. D.
  Ferric chloride test
Answer and explanation
Q63 · Child Health Nursing (Pediatrics) · Normal Growth and its Disorders
The expected weight of a child at the age of 8 years is?
1. A.
  20.5
2. B.
  25.5
3. C.
  30.5
4. D.
  35.5
Answer and explanation
Q64 · Nursing Foundations · History of Nursing & Nursing as a profession
A nurse from a medical-surgical unit is asked to 'float' to the emergency department (ED), an area where they have not worked for over five years. The nurse feels unprepared to handle the high-acuity patients in the ED. What is the nurse's primary legal and ethical responsibility?
1. A.
  Accept the assignment without question to be a team player and avoid conflict.
2. B.
  Refuse the assignment outright and return to their home unit.
3. C.
  Inform the ED supervisor of their specific limitations and request an orientation and a suitable patient assignment.
4. D.
  Call the nursing union representative to report an unsafe work assignment.
Answer and explanation
Q65 · Nursing Foundations · Nursing Care & Specific Procedures
Identify the following device?
1. A.
  LMA airway
2. B.
  NPA airway
3. C.
  Supra-glottic airway
4. D.
  Infra-glottic airway
Answer and explanation
Q66 · Child Health Nursing (Pediatrics) · Fluid and Electrolyte Disturbances
A baby who was diagnosed with pyloric stenosis has continued to have projectile vomiting. With prolonged vomiting, the baby is prone to?
1. A.
  Respiratory acidosis
2. B.
  Respiratory alkalosis
3. C.
  Metabolic acidosis
4. D.
  Metabolic alkalosis
Answer and explanation
Q67 · Pharmacology · Cardiovascular Drugs
What is the most serious adverse effect of MAOIs?
1. A.
  Sedation
2. B.
  Dry mouth
3. C.
  Hypertensive crisis
4. D.
  Orthostatic hypotension
Answer and explanation
Q68 · Pharmacology · Hormones & Related Drugs
Tamoxifen is ?
1. A.
  Estrogen agonist
2. B.
  Progesterone agonist
3. C.
  Estrogen antagonist
4. D.
  Progesterone antagonist
Answer and explanation
Q69 · Community Health Nursing · Epidemiology – Epidemiological Approaches and Processes
A cervical cancer screening was conducted in a rural community among 1000 adult population. During the survey it was found that 8 women already diagnosed with cancer of cervix and 12 new cases of cancer of cervix identified. Estimate the prevalence of cancer of cervix in the community.
1. A.
  2%
2. B.
  3.57%
3. C.
  2.14%
4. D.
  1.45%
Answer and explanation
Q70 · Obstetrics & Gynaecology · Normal Labor
Which of the following is a non-pharmacological management technique for labor pain?
1. A.
  Administering epidural anesthesia
2. B.
  Encouraging deep breathing
3. C.
  Providing opioid analgesics
4. D.
  Performing a nerve block
Answer and explanation
Q71 · Pathology & Genetics · Genetics
What is the confirmatory diagnostic test for cystic fibrosis?
1. A.
  Blood test
2. B.
  Genetic testing
3. C.
  Sweat chloride test
4. D.
  Chest X-ray
Answer and explanation
Q72 · Applied Nutrition & Dietetics · Cookery Rules and Preservation of Nutrients
Epidemic dropsy is due to ?
1. A.
  Ergot
2. B.
  BOAA
3. C.
  Aflatoxin
4. D.
  Sanguninarine
Answer and explanation
Q73 · Pharmacology · General Pharmacology
Which of the following drug administration route is most preferable for the following drug?
1. A.
  Intramuscular
2. B.
  Subcutaneous
3. C.
  Central line
4. D.
  Peripheral IV line
Answer and explanation
Q74 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
How often should a blood transfusion set be changed when used for blood and fat emulsion administration?
1. A.
  After each unit or 4 hours
2. B.
  Every 8 hours
3. C.
  Once daily
4. D.
  After every two units
Answer and explanation
Q75 · Pharmacology · Miscellaneous
Therapeutic maintenance lithium dose is?
1. A.
  900-1200 mg
2. B.
  1200-1800 mg
3. C.
  1800-2000 mg
4. D.
  2000 mg
Answer and explanation
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Q76 · Medical & Surgical Nursing · Pain Management
The surgical intervention for pain management that involves cutting a nerve root to relieve pain is called?
1. A.
  Rhizotomy
2. B.
  Cryoanalgesia
3. C.
  Radio frequency ablation
4. D.
  Cordotomy
Answer and explanation
Q77 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
Which is the most reliable and accurate method to confirm the position of a nasogastric tube in patients?
1. A.
  Auscultation
2. B.
  Aspiration of contents from tube
3. C.
  Measuring the pH of aspirated contents
4. D.
  X-ray examination of the tube
Answer and explanation
Q78 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Why is heparin used in an ABG test syringe?
1. A.
  To prevent the blood from clotting
2. B.
  To sterilize the syringe
3. C.
  To dilute the blood sample
4. D.
  To numb the insertion site
Answer and explanation
Q79 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
To perform colostomy irrigation, the catheter should be inserted into the stoma up to?
1. A.
  10 cm
2. B.
  5 cm
3. C.
  15 cm
4. D.
  20 cm
Answer and explanation
Q80 · Applied Physiology · Circulatory & Lymphatic system
Duration of QRS complex?
1. A.
  0.06 seconds
2. B.
  0.04 seconds
3. C.
  0.10 seconds
4. D.
  0.20 seconds
Answer and explanation
Q81 · Pharmacology · Miscellaneous
Why should nicotine be stored in a safe place?
1. A.
  To prevent from theft and misuse
2. B.
  To maintain its potency
3. C.
  To avoid exposure to light
4. D.
  To prevent accidental spillage
Answer and explanation
Q82 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A patient develops hypovolemia after severe vomiting and diarrhea. Which type of IV fluid is most appropriate for initial fluid replacement?
1. A.
  Hypotonic fluid
2. B.
  Hypertonic fluid
3. C.
  Isotonic fluid
4. D.
  Free water
Answer and explanation
Q83 · Nursing Foundations · Comfort, Rest & Sleep & Pain
Which position should be provided to the patient to prevent respiratory distress?
1. A.
  Head end of the bed elevated at 90 degree
2. B.
  Head end of the bed elevated at 30 degree
3. C.
  Foot end of the bed elevated at 90 degree
4. D.
  Head end of the bed elevated at 45 degree
Answer and explanation
Q84 · Mental Health Nursing · Mood disorders
The Condition in which inability to experience pleasure from pleasurable situation?
1. A.
  Exaltation
2. B.
  Anhedonia
3. C.
  Dementia
4. D.
  Delusion
Answer and explanation
Q85 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
Identify the correct statement about usages of resuscitation bag (AMBU)?
1. A.
  Without oxygen
2. B.
  With oxygen
3. C.
  None of the above
4. D.
  With or without oxygen
Answer and explanation
Q86 · Pathology & Genetics · Systemic Pathology
A 55-year-old woman presents with diffuse bone pain and muscle weakness. Laboratory tests reveal low serum calcium, low serum phosphate, and markedly elevated serum alkaline phosphatase. These findings are most characteristic of which metabolic bone disorder?
1. A.
  Osteoporosis
2. B.
  Osteomalacia
3. C.
  Paget's disease
4. D.
  Osteitis fibrosa cystica
Answer and explanation
Q87 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
A patient arrives at the emergency department with a blood pressure reading of 148/94 mm Hg. According to the American Heart Association (AHA) guidelines, how should this blood pressure level be categorized?
1. A.
  Normal
2. B.
  Elevated
3. C.
  Hypertension stage 1
4. D.
  Hypertension stage 2
Answer and explanation
Q88 · Obstetrics & Gynaecology · Antenatal Assessment of Fetal Well-Being
What are the main components to assess for acuity using the OTAS scale?
1. A.
  Maternal blood pressure and heart rate
2. B.
  Fetal Heart Rate (FHR) and uterine contraction
3. C.
  Maternal temperature and respiratory rate
4. D.
  Fetal movement and amniotic fluid volume
Answer and explanation
Q89 · Child Health Nursing (Pediatrics) · Newborn Infants
What is the Most accurate temperature measuring route in a 15-month-old child?
1. A.
  Oral
2. B.
  Axillary
3. C.
  Rectum
4. D.
  Tympanic
Answer and explanation
Q90 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor
What is the B-Lynch suture technique used for?
1. A.
  Repairing uterine rupture
2. B.
  Compressing the uterus to control postpartum hemorrhage (PPH)
3. C.
  Closing an episiotomy
4. D.
  Performing a cesarean section
Answer and explanation
Q91 · Nursing Foundations · Nursing Process
A patient has a history of back pain, with a pain scale rating of 7/10. What is the priority nursing action?
1. A.
  Administer pain medication
2. B.
  Assess the location, duration, and intensity of pain
3. C.
  Apply a hot pack
4. D.
  Document the pain score
Answer and explanation
Q92 · Medical & Surgical Nursing · Integumentary Function
A client sustained second- and third-degree burns to his face, neck, and upper chest. Which of the following nursing diagnoses would be given the highest priority in the first 8 hours postburn?
1. A.
  Fluid volume deficit secondary to alteration in skin integrity
2. B.
  Alteration in comfort secondary to alteration in skin integrity
3. C.
  Alteration in sensation secondary to third-degree burn
4. D.
  Alteration in airway integrity secondary to edema of neck and face
Answer and explanation
Q93 · Child Health Nursing (Pediatrics) · Newborn Infants
There is a swelling in a diffuse area. It is characterized by edema that appears at birth, disappears in several days, and crosses suture lines. This is the?
1. A.
  Hydrocephalus
2. B.
  Cephalohematoma
3. C.
  Reye's disease
4. D.
  Caput succedaneum
Answer and explanation
Q94 · Nursing Foundations · Fluid, electrolytes & Acid-base balances
Before potassium chloride administration, what assessments are necessary?
1. A.
  Blood pressure and heart rate
2. B.
  Level of consciousness and pupillary response
3. C.
  Respiratory rate and oxygen saturation
4. D.
  Urine output and cardiac rhythm
Answer and explanation
Q95 · Nursing Education · Introduction and Theoretical Foundations
A patient best understands their new medication regimen after physically handling the pillbox and practicing the schedule. This indicates which type of learning style?
1. A.
  Auditory
2. B.
  Visual
3. C.
  Kinesthetic
4. D.
  Reading/Writing
Answer and explanation
Q96 · Child Health Nursing (Pediatrics) · Newborn Infants
In a one-day newborn, if there is drooling and an NG tube insertion fails, what condition is suspected?
1. A.
  Tracheoesophageal Fistula (TEF)
2. B.
  Pyloric stenosis
3. C.
  Esophageal atresia
4. D.
  Diaphragmatic hernia
Answer and explanation
Q97 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A potassium level greater than 7 mEq/L can cause what serious complication?
1. A.
  Muscle weakness
2. B.
  Nausea and vomiting
3. C.
  Cardiac dysrhythmia
4. D.
  Diarrhea
Answer and explanation
Q98 · Pharmacology · Miscellaneous
What is the antidote of heparin overdose?
1. A.
  Naloxone
2. B.
  Protamine sulphate
3. C.
  Activated charcoal
4. D.
  Deferoxamine
Answer and explanation
Q99 · Child Health Nursing (Pediatrics) · Common Medical Procedures
A child is admitted with fever, weighs 15 kg, and has a prescription of PCM of 20 mg/kg body weight. Available dose 250 mg/5 ml. Calculate the required dose?
1. A.
  5 ml
2. B.
  5.5 ml
3. C.
  6 ml
4. D.
  4 ml
Answer and explanation
Q100 · Medical & Surgical Nursing · Shock and Multisystem Failure
In a Road Traffic Accident (RTA) patient, what is a major clinical manifestation associated with shock?
1. A.
  Hypertension
2. B.
  Bradycardia
3. C.
  Hypotension
4. D.
  Bradypnea
Answer and explanation

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