PGIMER Nursing Officer papers

PGIMER Chandigarh Nursing Officer 2015 question paper

PGIMER Nursing Officer · 2015 · 100 questions · 100 minutes · 0.25 mark deducted per wrong answer

  • Medical & Surgical Nursing 34
  • Obstetrics & Gynaecology 17
  • Nursing Foundations 14
  • Child Health Nursing (Pediatrics) 12
  • Pharmacology 5
  • Applied Nutrition & Dietetics 5
  • Reasoning 4
  • Mental Health Nursing 3
  • Applied Anatomy 2
  • Applied Physiology 1
  • Pathology & Genetics 1
  • Applied Psychology 1
  • Community Health Nursing 1

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  1. Q1 · Medical & Surgical Nursing · Sensorineural Function

    A nurse is performing a Rinne test on a patient with suspected conductive hearing loss in the left ear. Which finding during the procedure would be consistent with this diagnosis?

    1. A.

      Air conduction is heard longer than bone conduction in the left ear.

    2. B.

      Bone conduction is heard longer than air conduction in the left ear.

    3. C.

      Sound lateralizes to the right (unaffected) ear during the Weber test.

    4. D.

      Sound is heard equally in both ears during the Weber test.

    Answer and explanation
  2. Q2 · Medical & Surgical Nursing · Musculoskeletal Function

    A client is discharged to home after application of a plaster leg cast. The nurse determines that the client understands proper care of the cast if the client states that he should?

    1. A.

      Use the palms of the hands when moving the leg while the cast is still damp.

    2. B.

      Use a padded object, such as a ruler, to scratch an itch under the cast.

    3. C.

      Cover the casted leg with a blanket to keep it warm during the drying process.

    4. D.

      Use the fingertips to lift and reposition the leg for the first 24 hours.

    Answer and explanation
  3. Q3 · Medical & Surgical Nursing · Other Acute Problems

    For adults the ratio of chest compression-to-ventilation in case of single rescuer Cardiopulmonary resuscitation (CPR) is?

    1. A.

      15:2

    2. B.

      15:1

    3. C.

      30:2

    4. D.

      30:1

    Answer and explanation
  4. Q4 · Medical & Surgical Nursing · Miscellaneous

    Which post operative activity does the nurse encourage the client to avoid, to prevent increased ICP?

    1. A.

      Deep breathing

    2. B.

      Coughing

    3. C.

      Turning

    4. D.

      Passive exercises

    Answer and explanation
  5. Q5 · Nursing Foundations · Nursing Care & Specific Procedures

    Universal precautions should be used with?

    1. A.

      Client you do not know well

    2. B.

      Those infected with HIV

    3. C.

      Those with risk factor for Hep-B

    4. D.

      All clients

    Answer and explanation
  6. Q6 · Nursing Foundations · Oxygenation needs

    Priority nursing diagnosis for a client with ARDS?

    1. A.

      Pain

    2. B.

      Risk for bleeding

    3. C.

      Ineffective breathing pattern

    4. D.

      Risk for infection

    Answer and explanation
  7. Q7 · Reasoning · Coding-Decoding

    In a certain code language. If TREE is SQDD, which of the below options will be CUSHION?

    1. A.

      BTRGHNM

    2. B.

      BVQIPOM

    3. C.

      DVTIJPO

    4. D.

      BTRGJPM

    Answer and explanation
  8. Q8 · Obstetrics & Gynaecology · Normal Puerperium

    Strongest stimulus of lactation is?

    1. A.

      PPH

    2. B.

      Sucking

    3. C.

      Coughing

    4. D.

      Bromocriptine

    Answer and explanation
  9. Q9 · Nursing Foundations · Administration of medications

    If blood appears at the hub of the needle while the nursing officer is aspirating an IM injection. The nurse should?

    1. A.

      Discard the syringe and prepare a new injection

    2. B.

      Remove the syringe and attach a new needle

    3. C.

      Interrupt the procedure and notify the physician

    4. D.

      Withdraw the needle slightly and inject the solution

    Answer and explanation
  10. Q10 · Medical & Surgical Nursing · Integumentary Function

    Most effective method of treating radiodermatitis?

    1. A.

      Daily twice wash the area with soap and warm water

    2. B.

      Leave the skin alone until it is clear

    3. C.

      Avoid applying creams or lotions to the area

    4. D.

      Apply a cream or lotion to the area

    Answer and explanation
  11. Q11 · Obstetrics & Gynaecology · Abnormalities of the Puerperium

    A patient in a post partum unit, complains of sudden sharp chest pain and dyspnea. The nurse notes that the patient is tachycardiac and the respiratory rate is elevated. The nurse suspects a pulmonary embolism. Which of the following would be the initial nursing action?

    1. A.

      Initiate an intravenous line

    2. B.

      Administer oxygen 8 to 10 L/min by face mask.

    3. C.

      Assess the client's blood pressure

    4. D.

      Prepare to administer morphine sulfate

    Answer and explanation
  12. Q12 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy

    In severe pre-eclampsia women can develop HELLP syndrome which is very serious and life-threatening. Which of the following are characteristic finding in the HELLP syndrome?

    1. A.

      Elevated liver enzymes

    2. B.

      Haemolysis

    3. C.

      Low platelets

    4. D.

      All of the choices

    Answer and explanation
  13. Q13 · Obstetrics & Gynaecology · Miscellaneous

    A nurse in a delivery room is assisting with the delivery of a newborn. After delivery, the nurse prepares to prevent heat loss in the new born resulting from evaporation by?

    1. A.

      Closing the doors & window

    2. B.

      Turning on the overhead radiant warmer

    3. C.

      Warming the crib pad

    4. D.

      Drying the infant with a warm blanket.

    Answer and explanation
  14. Q14 · Nursing Foundations · Procedures

    What is the correct technique for using an automated external defibrillator (AED)?

    1. A.

      Apply the pads directly on the chest without removing clothing.

    2. B.

      Rub the pads together to warm them before applying.

    3. C.

      Place one pad on the chest and the other on the back.

    4. D.

      Press the pads firmly on the bare chest as indicated by the AED.

    Answer and explanation
  15. Q15 · Obstetrics & Gynaecology · Placenta and Fetal Membranes

    Normally, after Menopause women have increased the risk of developing 'Osteoporosis' Disease condition. According to the nurse what is the main cause of this condition?

    1. A.

      Fall in LH level

    2. B.

      Decrease level of oestrogen

    3. C.

      Increase level of oestrogen

    4. D.

      Decreased libido

    Answer and explanation
  16. Q16 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse

    The mechanism of labour is not possible in which of the following presentation:

    1. A.

      Face

    2. B.

      ROP

    3. C.

      Brow

    4. D.

      Breech

    Answer and explanation
  17. Q17 · Medical & Surgical Nursing · Miscellaneous

    The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 12 mmHg. The nurse recognizes that?

    1. A.

      The ICP is elevated and the doctor should be notified

    2. B.

      The ICP is normal; therefore, no further action is needed

    3. C.

      The ICP is low and the client needs additional IV fluids

    4. D.

      The ICP reading is not as reliable as the Glasgow coma scale

    Answer and explanation
  18. Q18 · Child Health Nursing (Pediatrics) · Newborn Infants

    Which one of the following babies is eligible for Kangaroo Mother Care (KMC)?

    1. A.

      Baby weighing 1000 gram cared in an incubator

    2. B.

      Baby with a birth weight of 2.6 kg

    3. C.

      Hemodynamically stable Low birth weight baby

    4. D.

      Baby who is sick and cared under radiant warmer

    Answer and explanation
  19. Q19 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution

    Potential complications of fluid imbalance include?

    1. A.

      Edema

    2. B.

      Renal dysfunction

    3. C.

      Pulmonary dysfunction

    4. D.

      All of the above

    Answer and explanation
  20. Q20 · Nursing Foundations · Administration of medications

    A RL 1000 ml is ordered for a client to run in 8 hours. A drop set with a drop factor of 15 per ml is used. What is the flow rate to be set?

    1. A.

      51 drops/minute

    2. B.

      31 drops/minute.

    3. C.

      41 drops/minute

    4. D.

      21 drops/minute

    Answer and explanation
  21. Q21 · Pharmacology · Miscellaneous

    The nurse is teaching a group of new graduates about the safety needs of the client receiving chemotherapy. Before administering chemotherapy, the nurse should:

    1. A.

      Administer bolus of IV fluid

    2. B.

      Administer pain medication

    3. C.

      Administer an antiemetic

    4. D.

      Allow the patient a chance to eat

    Answer and explanation
  22. Q22 · Child Health Nursing (Pediatrics) · Normal Growth and its Disorders

    Physical growth of infants is normally measured with?

    1. A.

      Weight

    2. B.

      Mental IQ tests

    3. C.

      Head circumference and height.

    4. D.

      MUAC

    Answer and explanation
  23. Q23 · Applied Physiology · Respiratory system

    A nurse would assess that a client is experiencing Cheyne-Stokes respiration, when he has?

    1. A.

      Periods of hyperpnoea alternating with period of apnea

    2. B.

      An increase in both rate and depth of respirations

    3. C.

      Period of tachypnea alternating with periods of apnea.

    4. D.

      An increase in respirations rate

    Answer and explanation
  24. Q24 · Nursing Foundations · Administration of medications

    The nurse has an order for medication to be administered intrathecally. The nurse is aware that medications will be administered by which method?

    1. A.

      Intravenously

    2. B.

      Rectally

    3. C.

      Intramuscularly

    4. D.

      Into the cerebrospinal fluid

    Answer and explanation
  25. Q25 · Nursing Foundations · Miscellaneous

    Which action by a patient should the nurse report to the physician because the patient may need a restraint?

    1. A.

      Climbing of the end of the bed of night

    2. B.

      Pulling out catheters & IV line.

    3. C.

      Picking at lint on bed linens

    4. D.

      Wandering into other patient's rooms

    Answer and explanation
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  27. Q26 · Medical & Surgical Nursing · Shock and Multisystem Failure

    What is the best position for a patient in anaphylactic shock?

    1. A.

      Supine with legs elevated

    2. B.

      High Fowler's position

    3. C.

      Semi Fowler's position

    4. D.

      Lateral recumbent position

    Answer and explanation
  28. Q27 · Applied Nutrition & Dietetics · Balanced Diet

    The Extra calories required during pregnancy?

    1. A.

      100 Kcal

    2. B.

      600 Kcal

    3. C.

      300 Kcal

    4. D.

      500 Kcal

    Answer and explanation
  29. Q28 · Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy

    A home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the physician?

    1. A.

      Urinary output has increased

    2. B.

      Dependent edema has resolved

    3. C.

      Blood pressure reading is at the prenatal baseline

    4. D.

      The clients complains of a headache and blurred vision

    Answer and explanation
  30. Q29 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor

    A nurse is preparing to assess the uterine fundus of a client in the immediate post partum period. When the nurse assesses the fundus, she notes that the uterus feels soft and boggy. Which nursing intervention would be appropriate initially?

    1. A.

      Elevate the client's legs

    2. B.

      Massage the fundus until it is firm.

    3. C.

      Push on the uterus to assist in expressing clots

    4. D.

      Encourage the client to void

    Answer and explanation
  31. Q30 · Applied Anatomy · Respiratory System

    A large muscle that separates the chest cavity from the abdominal cavity and helps with breathing?

    1. A.

      Larynx

    2. B.

      Trachea

    3. C.

      Diaphragm

    4. D.

      None of these

    Answer and explanation
  32. Q31 · Nursing Foundations · Administration of medications

    Which of the following actions is accurate or safe when administering a medication using the Z - track method?

    1. A.

      Pulling skin laterally away from the injection site before inserting the needle

    2. B.

      Inserting the needle and injecting medication without aspirating.

    3. C.

      Using a 26 G needle

    4. D.

      Placing 0.3 to 0.5 ml of air into the syringe

    Answer and explanation
  33. Q32 · Medical & Surgical Nursing · Miscellaneous

    In a patient after RTA revealed sustained head injury. Following admission to the hospital, a diagnosis of increased intracranial pressure was made. The best nursing intervention appropriate in the care of patients is to?

    1. A.

      Provide a quiet and bright environment

    2. B.

      Teach controlled coughing and deep breathing.

    3. C.

      Encourage the intake of clear fluid

    4. D.

      Elevating the head 15 to 30 degree

    Answer and explanation
  34. Q33 · Nursing Foundations · Loss, Death & Grief

    A mother is informed that her 2 years old female child has a brain tumor. Her initial reaction is to cry and say that "The Doctor is lying, my Daughter is just fine" This mother is most likely experiencing?

    1. A.

      Shock and denial

    2. B.

      Acceptance

    3. C.

      Bargaining

    4. D.

      Depression

    Answer and explanation
  35. Q34 · Medical & Surgical Nursing · Neurologic Function

    Calculate the cerebral perfusion pressure of a client whose mean arterial pressure is 72 mmHg and intracranial pressure is 24 mmHg.

    1. A.

      100 mmHg

    2. B.

      48 mmHg

    3. C.

      96 mmHg

    4. D.

      36 mmHg

    Answer and explanation
  36. Q35 · Obstetrics & Gynaecology · Normal Puerperium

    Involution of uterus is completed by?

    1. A.

      6 weeks

    2. B.

      10 weeks

    3. C.

      12 weeks

    4. D.

      16 weeks

    Answer and explanation
  37. Q36 · Applied Nutrition & Dietetics · Vitamins

    The primary purpose of the schilling test is to measure?

    1. A.

      Absorbtion of vitamin B12

    2. B.

      Digestion of vitamin B12

    3. C.

      Production of vitamin B12

    4. D.

      Elimination of vitamin B12

    Answer and explanation
  38. Q37 · Medical & Surgical Nursing · Miscellaneous

    The surgeon has scheduled a patient for a left pneumonectomy. Which is the recommended position for this client?

    1. A.

      Back only

    2. B.

      Back or other side

    3. C.

      Un-operative side or back

    4. D.

      Operative side or back.

    Answer and explanation
  39. Q38 · Nursing Foundations · Miscellaneous

    During Enema administration, the fluid flows by gravity into the sigmoid and Descending colon, if the patient is placed in the?

    1. A.

      Supine position

    2. B.

      Left Lateral position (Sims)

    3. C.

      Horizontal position

    4. D.

      Dorsal Recumbent position

    Answer and explanation
  40. Q39 · Pathology & Genetics · General Pathology

    Which of the following type of cells are LEAST affected by Radiation ?

    1. A.

      Hair follicles

    2. B.

      Cancer cells

    3. C.

      Heart muscle

    4. D.

      GI muscle

    Answer and explanation
  41. Q40 · Nursing Foundations · Health Assessment

    While caring for a client with hypertension, the nurse notes the following vital signs, BP of 140/90 mm hg, pulse- 120, respirations-36, and temperature-100.8 degree Fahrenheit. The nurse's initial action should be to?

    1. A.

      Call the doctor

    2. B.

      Recheck the vital signs

    3. C.

      Obtain arterial blood gases

    4. D.

      Obtain an ECG

    Answer and explanation
  42. Q41 · Nursing Foundations · Introduction to Health & Illness

    Priorities of assessment & planning in Nursing process is based on:

    1. A.

      Maslow's Hierarchy of human needs

    2. B.

      Dangers of illness model

    3. C.

      Interpersonal theory

    4. D.

      Orem's theory

    Answer and explanation
  43. Q42 · Medical & Surgical Nursing · Pain Management

    Pain that can occur in an amputated person is:-

    1. A.

      Phantom limb pain

    2. B.

      Postherpetic neuralgia

    3. C.

      Trigeminal neuralgia

    4. D.

      Causalgia

    Answer and explanation
  44. Q43 · Reasoning · Arrangements & Puzzles

    The angle between hour hand and the minute hand at 3:40 pm is ?

    1. A.

      120°

    2. B.

      125°

    3. C.

      130°

    4. D.

      150°

    Answer and explanation
  45. Q44 · Applied Anatomy · Musculoskeletal System

    An example for sesamoid bone is:-?

    1. A.

      Patella

    2. B.

      Ribs

    3. C.

      Carpals

    4. D.

      Sternum

    Answer and explanation
  46. Q45 · Mental Health Nursing · Schizophrenia

    False Perception in the absence of actual stimulus is termed as?

    1. A.

      Illusion

    2. B.

      Delusion

    3. C.

      Hallucination

    4. D.

      Dementia

    Answer and explanation
  47. Q46 · Obstetrics & Gynaecology · Genital Fistulae

    Abnormal, tortuous opening between the bladder and vagina is known as?

    1. A.

      Ureterovaginal fistula

    2. B.

      Vaginoperineal fistula

    3. C.

      Rectovaginal fistula

    4. D.

      Vesicovaginal fistula

    Answer and explanation
  48. Q47 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System

    A common finding in most children with cardiac anomalies is?

    1. A.

      Mental Retardation

    2. B.

      Cyanosis

    3. C.

      Family history of cardiac anomalies

    4. D.

      Delayed physical growth

    Answer and explanation
  49. Q48 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function

    A Nurse is suctioning fluids from a client via a tracheotomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of?

    1. A.

      5 seconds

    2. B.

      10 seconds

    3. C.

      20 seconds

    4. D.

      60 seconds

    Answer and explanation
  50. Q49 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function

    Appropriate treatment for a patient with acute appendicitis?

    1. A.

      Insertion of NG tube

    2. B.

      Administration of enemas to cleanse bowel

    3. C.

      Application of heat on the abdomen

    4. D.

      Placement of client on NPO/NBM status

    Answer and explanation
  51. Q50 · Pharmacology · Cardiovascular Drugs

    Function of Digitalis Drug?

    1. A.

      Maintain circulation of blood

    2. B.

      Increase myocardial contractility

    3. C.

      Decrease myocardial contractility

    4. D.

      Decrease cardiac Index

    Answer and explanation
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  53. Q51 · Obstetrics & Gynaecology · Miscellaneous

    A post partum nurse is providing instructions to the mother of a newborn with hyper-bilirubinemia who is being breastfed. The nurse provides which appropriate instruction to the mother?

    1. A.

      Feed the newborn less frequently

    2. B.

      Stop breast feeding and switch to bottle feeding frequently

    3. C.

      Continue to breast feed every 2 to 4 hours

    4. D.

      Switch to bottle feeding the infant for 2 weeks

    Answer and explanation
  54. Q52 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function

    A doctor calls the nurse to obtain the daily laboratory results of a client who is receiving parenteral nutrition. Which is the most important laboratory result for the nurse to present to the doctor?

    1. A.

      WBC count

    2. B.

      Serum electrolyte levels

    3. C.

      Arterial blood gas levels

    4. D.

      Haemoglobin and haematocrit levels

    Answer and explanation
  55. Q53 · Applied Psychology · Developmental Psychology

    Trust vs Mistrust Most likely referring to Erikson’s psychosocial stages.

    1. A.

      Birth to 1 year old

    2. B.

      Over 65 years old

    3. C.

      6 to 12 years old

    4. D.

      13 to 19 year old

    Answer and explanation
  56. Q54 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care

    Which of the following routes should not be used to check temperature if a client receiving oncological treatment?

    1. A.

      Oral Route

    2. B.

      Tympanic Route

    3. C.

      Rectal Route

    4. D.

      Axillary Route

    Answer and explanation
  57. Q55 · Nursing Foundations · Hospital Admission & Discharge

    "Discharge planning" should begin?

    1. A.

      As soon as the client is ready to discuss it

    2. B.

      On the day of discharge

    3. C.

      On the day of admission.

    4. D.

      All of the above

    Answer and explanation
  58. Q56 · Medical & Surgical Nursing · Miscellaneous

    Deep coma indicate if score on Glasgow coma scale is?

    1. A.

      8

    2. B.

      15

    3. C.

      3

    4. D.

      12

    Answer and explanation
  59. Q57 · Community Health Nursing · Management of delivery of community health services:

    Which health centre function as First Referral Unit (FRUs) in India?

    1. A.

      SC

    2. B.

      PHC

    3. C.

      CHC

    4. D.

      Apex Hospital

    Answer and explanation
  60. Q58 · Nursing Foundations · Administration of medications

    When administering a tuberculin skin test, the nurse should insert needle at a?

    1. A.

      15° angle

    2. B.

      30° angle

    3. C.

      45° angle

    4. D.

      90° angle

    Answer and explanation
  61. Q59 · Child Health Nursing (Pediatrics) · Central Nervous System

    A key primary prevention strategy for heritable forms of intellectual disability, particularly in cases of consanguineous marriage, is which of the following?

    1. A.

      Genetic counseling for at-risk couples

    2. B.

      Early childhood stimulation programs

    3. C.

      Neonatal screening for metabolic disorders

    4. D.

      Maternal folic acid supplementation

    Answer and explanation
  62. Q60 · Child Health Nursing (Pediatrics) · Otolaryngology

    "Choanal Atresia" is a congenital abnormality which is an abnormal opening between?

    1. A.

      Nasopharynx

    2. B.

      Pharynx and larynx

    3. C.

      Esophagus and pharynx

    4. D.

      Anus and urethra

    Answer and explanation
  63. Q61 · Reasoning · Analogy

    Select the option that is related to the third word in the same way as the second word is related to the first word. Outrage : Indignation : : Exhilaration : ?

    1. A.

      Indifferent

    2. B.

      Excitement

    3. C.

      Boredom

    4. D.

      Unenthusiastic

    Answer and explanation
  64. Q62 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function

    Which of the following clinical features best distinguishes mechanical small bowel obstruction from paralytic ileus?

    1. A.

      Tachycardia

    2. B.

      Vomiting

    3. C.

      Abdominal distension

    4. D.

      Colicky abdominal pain

    Answer and explanation
  65. Q63 · Medical & Surgical Nursing · Metabolic and Endocrine Function

    When assessing a client in the early stages of cirrhosis of liver, which sign would be anticipated in this client?

    1. A.

      Ascites

    2. B.

      Jaundice

    3. C.

      Anorexia

    4. D.

      Anasarca

    Answer and explanation
  66. Q64 · Obstetrics & Gynaecology · Complicated Pregnancy

    RoGOM (anti-D) should be given following Rh(+) delivery of a baby within:

    1. A.

      8 hours

    2. B.

      72 hours

    3. C.

      3 days

    4. D.

      24 hours

    Answer and explanation
  67. Q65 · Medical & Surgical Nursing · Miscellaneous

    After massive blood loss which of the following Immediate management to Restore BP and peripheral circulation in a client with multiple fracture?

    1. A.

      RL Infusion

    2. B.

      Dextrose 5%

    3. C.

      NS infusion

    4. D.

      Blood transfusion

    Answer and explanation
  68. Q66 · Obstetrics & Gynaecology · Abnormal Uterine Action

    If the labor ends within 3 hours with 2-3 painful contractions is a?

    1. A.

      Prolonged labour

    2. B.

      Eutocia

    3. C.

      Dystocia

    4. D.

      Precipitate labour

    Answer and explanation
  69. Q67 · Obstetrics & Gynaecology · Genital Malignancy

    Which vaccine is used to prevent cervical cancer?

    1. A.

      HPV

    2. B.

      MMR

    3. C.

      Hepatitis B

    4. D.

      Salk

    Answer and explanation
  70. Q68 · Medical & Surgical Nursing · Miscellaneous

    The normal range of CVP is?

    1. A.

      5 to 15 cm. H2O

    2. B.

      5 to 10 cm. H2O

    3. C.

      10 to 20 cm. H2O

    4. D.

      10 to 15 cm. H2O

    Answer and explanation
  71. Q69 · Child Health Nursing (Pediatrics) · Central Nervous System

    Which of the following is a life-threatening acute circulatory complication of bacterial meningitis in young children?

    1. A.

      Epilepsy

    2. B.

      Blindness

    3. C.

      Hydrocephalus

    4. D.

      Peripheral circulatory collapse

    Answer and explanation
  72. Q70 · Applied Nutrition & Dietetics · Carbohydrates

    When planning for the nutritional needs of patients, the nurse understand that the age group that has the highest energy requirement is?

    1. A.

      birth to 1 year old

    2. B.

      over 65 year old

    3. C.

      6 to 12 year old

    4. D.

      13 to 19 year old

    Answer and explanation
  73. Q71 · Medical & Surgical Nursing · Metabolic and Endocrine Function

    A nurse is assessing a client with Addison's disease for signs of hyperkalemia. The nurse expects to note which of the following if hyperkalemia is present?

    1. A.

      Polyuria

    2. B.

      Cardiac dysrhythmias

    3. C.

      Dry mucous membranes

    4. D.

      Prolonged bleeding time

    Answer and explanation
  74. Q72 · Child Health Nursing (Pediatrics) · Normal Growth and its Disorders

    At one year of age the birth weight of an infant should increase by?

    1. A.

      1.5 times

    2. B.

      5 times

    3. C.

      3 times

    4. D.

      4 times

    Answer and explanation
  75. Q73 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function

    A patient presents with bad breath, a metallic taste, and painful, bleeding gums. On examination, ulcers and grayish plaque are seen around the interdental papillae. Which condition is most likely?

    1. A.

      Acute herpetic gingivostomatitis.

    2. B.

      Periodontal abscess

    3. C.

      Acute ulcerative gingivitis

    4. D.

      Chronic ulcerative gingivitis

    Answer and explanation
  76. Q74 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract

    which drugs may be used in children to treat enuresis?

    1. A.

      Hypnotics

    2. B.

      Tricyclic antidepressants

    3. C.

      Anti anxiety drugs

    4. D.

      Major tranquilizers

    Answer and explanation
  77. Q75 · Applied Nutrition & Dietetics · Therapeutic Diet

    The nurse should encourage a patient on a low sodium diet to ingest?

    1. A.

      Bread

    2. B.

      Vegetables

    3. C.

      Milk

    4. D.

      Canned food

    Answer and explanation
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  79. Q76 · Mental Health Nursing · Principles and Concepts of Mental Health Nursing

    Each time a client is scheduled for a therapy session she develops headache and nausea. The nurse might interpret this behavior as?

    1. A.

      Conversion

    2. B.

      Reaction formation

    3. C.

      Projection

    4. D.

      Suppression

    Answer and explanation
  80. Q77 · Medical & Surgical Nursing · Metabolic and Endocrine Function

    A client is planning for thyroidectomy. In this case you should prepare medication to prevent:

    1. A.

      Thyroid storm

    2. B.

      Hyperthyroidism

    3. C.

      Hypothyroidism

    4. D.

      Goiter

    Answer and explanation
  81. Q78 · Mental Health Nursing · Treatment modalities and therapies used in mental disorders

    An Extra pyramidal symptom that is a potentially irreversible side effect of antipsychotic drugs is?

    1. A.

      Torticollis

    2. B.

      Tardive Dyskinesia

    3. C.

      Occulogryic crisis

    4. D.

      Akathesia

    Answer and explanation
  82. Q79 · Pharmacology · General Pharmacology

    What is the Meaning of "Drug Abuse"?

    1. A.

      A compulsion to take a drug on either a continuous or period basis

    2. B.

      A psychologic dependence on a Drug

    3. C.

      A physiologic Need for a Drug

    4. D.

      An excessive drug use inconsistent with acceptable medical practice.

    Answer and explanation
  83. Q80 · Child Health Nursing (Pediatrics) · Immunization and Immunodeficiency

    A 5-year-old child with nephrotic syndrome has been on long-term, high-dose oral corticosteroid therapy for the past 3 months. The child is now due for routine immunizations. Which of the following vaccines should the nurse anticipate being withheld?

    1. A.

      Measles, Mumps, Rubella (MMR)

    2. B.

      Diphtheria, Tetanus, acellular Pertussis (DTaP)

    3. C.

      Inactivated Polio Vaccine (IPV)

    4. D.

      Hepatitis B vaccine

    Answer and explanation
  84. Q81 · Reasoning · Coding-Decoding

    If 'green' is called 'white', 'white' is called 'yellow', 'yellow' is called 'blue', 'blue' is called 'pink' and 'pink' is called 'black', then what is the colour of sky?

    1. A.

      green

    2. B.

      blue

    3. C.

      pink

    4. D.

      yellow

    Answer and explanation
  85. Q82 · Applied Nutrition & Dietetics · Therapeutic Diet

    A patient who has had cholecystectomy surgery. At the time of discharge what diet instruction should the nurse include for this client?

    1. A.

      Low fat in diet

    2. B.

      High protein and calories in diet

    3. C.

      Low protein and carbohydrate in diet

    4. D.

      High fat and carbohydrates in diet

    Answer and explanation
  86. Q83 · Medical & Surgical Nursing · Miscellaneous

    Most common complication of peritoneal dialysis?

    1. A.

      Peritonitis

    2. B.

      Abdominal pain

    3. C.

      Abdominal distension

    4. D.

      GI bleeding

    Answer and explanation
  87. Q84 · Medical & Surgical Nursing · Miscellaneous

    A Doctor ordered to administer a hypotonic intravenous solution to a client. A prudent nursing officer knows that which of the following is an example of hypotonic fluid?

    1. A.

      0.45% NS

    2. B.

      RL

    3. C.

      0.90% NS

    4. D.

      DNS

    Answer and explanation
  88. Q85 · Pharmacology · Cardiovascular Drugs

    The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to?

    1. A.

      Replenish his supply every 3 months

    2. B.

      Take one every 15 minutes of pain occurs

    3. C.

      Leave the medication in brown bottle

    4. D.

      Crush the medication and take with water

    Answer and explanation
  89. Q86 · Child Health Nursing (Pediatrics) · Otolaryngology

    The average 3 year old child's milestone is?

    1. A.

      Abstract thought

    2. B.

      Tieing his shoelaces

    3. C.

      Tricycling

    4. D.

      Hand eye coordination

    Answer and explanation
  90. Q87 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management

    A Nurse is caring for a patient who has just been operated for Tonsillectomy surgery. Which of the following patient complaints indicates heavy bleeding?

    1. A.

      Increased blood pressure

    2. B.

      Frequent swallowing

    3. C.

      A decreased pulse rate

    4. D.

      Decreased RR

    Answer and explanation
  91. Q88 · Medical & Surgical Nursing · Urinary Tract Function

    A radiologist is reviewing requests for gadolinium-based contrast MRI (ACR Group II agent). In which of the following clinical scenarios is contrast-enhanced MRI CONTRAINDICATED or requires special caution?

    1. A.

      A child with a documented normal renal function test report

    2. B.

      A 50-year-old patient with eGFR of 30 mL/min/1.73 m²

    3. C.

      A 30-year-old healthy male without available renal function tests

    4. D.

      A 60-year-old diabetic male without available renal function tests

    Answer and explanation
  92. Q89 · Child Health Nursing (Pediatrics) · Newborn Infants

    When serum bilirubin level rises on 3rd and 4th day after birth of the baby, due to inefficient hepatic function is known as?

    1. A.

      Pathological jaundice

    2. B.

      Obstructed jaundice

    3. C.

      Physiological jaundice

    4. D.

      Viral hepatitis

    Answer and explanation
  93. Q90 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function

    Which finding is the best indication that a client with ineffective airway clearance needs suctioning?

    1. A.

      Oxygen saturation

    2. B.

      Respiratory rate

    3. C.

      Breath sounds

    4. D.

      Arterial blood gas

    Answer and explanation
  94. Q91 · Child Health Nursing (Pediatrics) · Integrated Management of Neonatal and Childhood Illness

    A child admitted with diarrhea is unconscious, has sunken eyes, a skin pinch that goes back very slowly, and is unable to drink fluids. How should this dehydration be categorized?

    1. A.

      No dehydration

    2. B.

      Mild dehydration

    3. C.

      Moderate dehydration

    4. D.

      Severe dehydration

    Answer and explanation
  95. Q92 · Medical & Surgical Nursing · Metabolic and Endocrine Function

    Most common cause of liver cirrhosis is?

    1. A.

      Caffeine

    2. B.

      Use of analgesic

    3. C.

      Sepsis

    4. D.

      Alcohol

    Answer and explanation
  96. Q93 · Medical & Surgical Nursing · Miscellaneous

    Which of the following are adventitious breath sounds on auscultation?

    1. Crackles

    2. Rhonchi

    3. Wheeze

    4. Pleural friction rub?

    1. A.

      1 and 2 only

    2. B.

      2 and 3 only

    3. C.

      2, 3 and 4 only

    4. D.

      1, 2, 3 and 4

    Answer and explanation
  97. Q94 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function

    Following cardiac catheterization a client's condition is evaluated by palpating the pulse?

    1. A.

      Above the catheter insertion

    2. B.

      At the insertion site

    3. C.

      Distal to the catheter insertion

    4. D.

      In all above

    Answer and explanation
  98. Q95 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution

    A client diagnosed with thrombophlebitis, one day ago suddenly develops shortness of breath and is anxious. A nurse immediately assesses the client for other signs and symptoms of?

    1. A.

      Myocardial infarction

    2. B.

      ARDS

    3. C.

      Pulmonary embolism

    4. D.

      Pulmonary oedema

    Answer and explanation
  99. Q96 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management

    A patient who received spinal anaesthesia is transferred to the post anaesthesia care unit. Which is a postoperative priority nursing assessment of this patient?

    1. A.

      Peripheral circulation

    2. B.

      Orientation to time and place

    3. C.

      Level of consciousness

    4. D.

      Sensation in the legs and toes

    Answer and explanation
  100. Q97 · Obstetrics & Gynaecology · Normal Puerperium

    What event occurring in the second trimester helps the expectant mother to accept the pregnancy?

    1. A.

      Lightening

    2. B.

      Ballottement

    3. C.

      Pseudocyesis

    4. D.

      Quickening

    Answer and explanation
  101. Q98 · Pharmacology · Drugs Acting on Central Nervous System

    What is the normal Prophylactic serum lithium level?

    1. A.

      2.2 - 3.0 mEq/L

    2. B.

      1.5 - 2.1 mEq/L

    3. C.

      0.3 - 0.6 mEq/L

    4. D.

      0.6 - 1.2 mEq/L

    Answer and explanation
  102. Q99 · Obstetrics & Gynaecology · Normal Puerperium

    Movement of fetus, felt by a pregnant woman at about 18-20 week of pregnancy is known as?

    1. A.

      Molding

    2. B.

      Weaning

    3. C.

      Quickening

    4. D.

      Lightening

    Answer and explanation
  103. Q100 · Obstetrics & Gynaecology · Genital Malignancy

    Pap Smear test is used for screening of?

    1. A.

      Cervical cancer

    2. B.

      Ovarian cancer

    3. C.

      Colon cancer

    4. D.

      Breast cancer

    Answer and explanation