RAK Nursing Officer 2019 question paper

RAK Nursing Officer · 2019 · 100 questions · 90 minutes · 0.25 mark deducted per wrong answer

Medical & Surgical Nursing 40
Nursing Foundations 12
Obstetrics & Gynaecology 8
Child Health Nursing (Pediatrics) 7
Applied Physiology 7
Pharmacology 7
Nursing Education 4
Applied Nutrition & Dietetics 2
General Knowledge 2
Community Health Nursing 2
Applied Anatomy 2
Mental Health Nursing 2
Reasoning 1
Pathology & Genetics 1
Nursing Research & Statistics 1
Biochemistry & Nutrition 1
Forensic Nursing & Indian laws 1

See the answers and explanations

Q1 · Child Health Nursing (Pediatrics) · Newborn Infants
During resuscitation in an infant, ratio of chest compression and ventilation breath should be?
1. A.
  1:5
2. B.
  5:1
3. C.
  1:3
4. D.
  3:1
Answer and explanation
Q2 · Medical & Surgical Nursing · Miscellaneous
A patient with haemophilia is brought to the emergency department after injuring his knee. The nurse should anticipate the need to administer?
1. A.
  Platelets
2. B.
  Fresh frozen plasma
3. C.
  Factor VIII concentrate
4. D.
  Red blood cells
Answer and explanation
Q3 · Medical & Surgical Nursing · Miscellaneous
A space occupying lesion in the left temporal lobe of the brain can cause?
1. A.
  Receptive aphasia
2. B.
  Expressive aphasia
3. C.
  Seizures with a visual aura
4. D.
  Nystagmus and hyperesthesia
Answer and explanation
Q4 · Medical & Surgical Nursing · Sensorineural 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
Q5 · Medical & Surgical Nursing · Miscellaneous
A non-invasive study of arterial blood oxygen saturation using a clip or probe attached to a sensor indicates which of the following?
1. A.
  PFT
2. B.
  Percentage expressed to the ratio of oxygen to Hb
3. C.
  Tidal volume
4. D.
  Vital capacity
Answer and explanation
Q6 · Medical & Surgical Nursing · Shock and Multisystem Failure
Which of the following can cause hypovolaemic shock?
1. A.
  Allergic reaction to medications
2. B.
  Third-space shifting of fluid into the abdominal cavity
3. C.
  Sepsis
4. D.
  Profound bradycardia
Answer and explanation
Q7 · Medical & Surgical Nursing · Neurologic Function
A patient suddenly becomes unresponsive as you are speaking to him, and he develops trembling of all extremities. Your priority is to?
1. A.
  Notify the doctor immediately
2. B.
  Administer diazepam I/V
3. C.
  Establish an airway
4. D.
  Perform a rapid neurologic examination
Answer and explanation
Q8 · Applied Physiology · Nervous System
During removal of a fetal impaction, which of the following would occur because of vagal stimulation?
1. A.
  Bradycardia
2. B.
  Atelectasis
3. C.
  Tachycardia
4. D.
  Cardiac tapenade
Answer and explanation
Q9 · Applied Nutrition & Dietetics · Nutritional Deficiency Disorder
Which is the common nutritional problem associated with down syndrome?
1. A.
  Obesity
2. B.
  Kwashiorkor
3. C.
  Marasmus
4. D.
  Vitamin A deficiency
Answer and explanation
Q10 · Medical & Surgical Nursing · Sensorineural Function
A patient is being discharged after cataract surgery with an intraocular lens implant. Which instruction is most crucial for the nurse to include in the discharge teaching?
1. A.
  Avoid lifting, pushing, or pulling objects heavier than 15 lbs.
2. B.
  Lie on the affected side to promote drainage.
3. C.
  Instill eye drops directly onto the cornea.
4. D.
  Remove the eye shield after 6 hours for comfort.
Answer and explanation
Q11 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
Which body system most commonly is affected in patients with electrolyte imbalance?
1. A.
  Cardiovascular system
2. B.
  Neuromuscular system
3. C.
  Renal system
4. D.
  Endocrine system
Answer and explanation
Q12 · 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
Q13 · Medical & Surgical Nursing · Sensorineural Function
60 years old man had undergone cardiac bypass surgery 2 days back. Now he started forgetting things and was not able to recall names and phone numbers of his relatives. What is the probable diagnosis?
1. A.
  Depression
2. B.
  Post traumatic psychosis
3. C.
  Cognitive dysfunction
4. D.
  Alzheimer's disease
Answer and explanation
Q14 · Child Health Nursing (Pediatrics) · Newborn Infants
A nurse observes a preterm infant who has no airflow but continues to exhibit chest and abdominal movements. This presentation is characteristic of which type of apnea?
1. A.
  Central apnea
2. B.
  Mixed apnea
3. C.
  Obstructive apnea
4. D.
  Secondary apnea
Answer and explanation
Q15 · 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
Q16 · 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 a padded coat hanger end to scratch under the cast
2. B.
  Use the palms of the hands to lift and move the leg
3. C.
  Cover the casted leg with warm blankets
4. D.
  All of the above
Answer and explanation
Q17 · Medical & Surgical Nursing · Metabolic and Endocrine Function
A patient with colonic obstruction should be observed for which potential complication?
1. A.
  Hepatitis
2. B.
  Cirrhosis
3. C.
  Bowel Necrosis
4. D.
  Pancreatitis
Answer and explanation
Q18 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Excessive secretion of vasopressin is responsible for which of the following disorder?
1. A.
  Diabetes Insipidus
2. B.
  Syndrome of inappropriate antidiuretic hormone (SIADH)
3. C.
  Cushing's syndrome
4. D.
  Addisonian's crisis
Answer and explanation
Q19 · Pharmacology · Autacoids & Related Drugs
What would you monitor in a patient taking high dose of acetaminophen over prolonged period?
1. A.
  Prothrombin time
2. B.
  GI Irritation
3. C.
  Liver function
4. D.
  Kidney function
Answer and explanation
Q20 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The most appropriate diet for a newly diagnosed with Myocardial Infarction is?
1. A.
  Low-sodium and Low cholesterol
2. B.
  Clear liquid
3. C.
  Nothing by mouth
4. D.
  General as tolerated
Answer and explanation
Q21 · Obstetrics & Gynaecology · Endocrinology in Relation to Reproduction
Hormone responsible for skeletal maturation of fetus?
1. A.
  Progesterone
2. B.
  Thyroxin
3. C.
  Estrogen
4. D.
  Testosterone
Answer and explanation
Q22 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
When suctioning a patient through tracheostomy tube, the nurse should be careful not to occlude the Y port when inserting the suction catheter, because this would do which of the following?
1. A.
  Prevent suctioning from occurring
2. B.
  Cause trauma to the tracheal mucosa
3. C.
  Break the sterile technique
4. D.
  Suction out all of the CO2
Answer and explanation
Q23 · Medical & Surgical Nursing · Shock and Multisystem Failure
When assessing a patient with pancreatic trauma, the nurse notes ecchymosis in the umbilical area? This is known is?
1. A.
  Rovsing's sign
2. B.
  Cullen's sign
3. C.
  Turner's sign
4. D.
  Coopernail's sign
Answer and explanation
Q24 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
To assess the frontal sinuses, the nurse should palpate?
1. A.
  Below the cheek bones
2. B.
  The forehead
3. C.
  Over the pre-auricular area
4. D.
  Over the temporal areas
Answer and explanation
Q25 · Applied Physiology · Reproductive system
What is the initial key endocrine event that triggers the onset of puberty in girls?
1. A.
  A sudden surge in adrenal androgen production
2. B.
  Loss of sensitivity of the hypothalamus to the negative feedback of estrogen
3. C.
  A sharp decrease in thyroid hormone levels
4. D.
  Initial secretion of progesterone from the ovaries
Answer and explanation
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Q26 · Pharmacology · Cardiovascular Drugs
Which of the following drugs should be withheld before haemodialysis?
1. A.
  Insulin
2. B.
  Calcium preparations
3. C.
  Digoxin
4. D.
  Antihypertensive
Answer and explanation
Q27 · Applied Physiology · Sensory organs
Light rays entering the eye is controlled by:
1. A.
  Pupil
2. B.
  Iris
3. C.
  Cornea
4. D.
  Lens
Answer and explanation
Q28 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A doctor calls the nurse to obtain the daily laboratory results of a client who is receiving parenteral nutrition. Which is the most important laboratory result for the nurse to present to the doctor?
1. A.
  WBC count
2. B.
  Serum electrolyte levels
3. C.
  Arterial blood gas levels
4. D.
  Haemoglobin and haematocrit levels
Answer and explanation
Q29 · Nursing Foundations · Care of altered functioning of sensory organ & Unconscious patient
When palpating body structures, the nurse uses which sense?
1. A.
  Intuition
2. B.
  Vision
3. C.
  Hearing
4. D.
  Touch
Answer and explanation
Q30 · General Knowledge · Everyday science
The instrument which projects the object as it is on the screen is?
1. A.
  Overhead projector
2. B.
  Slide projector
3. C.
  Epidiascope
4. D.
  Film projector
Answer and explanation
Q31 · Pathology & Genetics · Systemic Pathology
Increased C.S.F. pressure and increased ICP against the dura can cause?
1. A.
  Meningeal irritation
2. B.
  Otorrhoca
3. C.
  Rhinorrhoea
4. D.
  Papilledema
Answer and explanation
Q32 · Obstetrics & Gynaecology · Diagnosis of Pregnancy
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
Q33 · Medical & Surgical Nursing · Shock and Multisystem Failure
The nurse should anticipate which immediate treatment for a patient experiencing pulse less ventricular tachycardia?
1. A.
  Electrical counter shock
2. B.
  Transcutaneous pacing
3. C.
  Transvenous pacing
4. D.
  Intravenous bolus of Lidocaine 100 mg
Answer and explanation
Q34 · Medical & Surgical Nursing · Sensorineural Function
A patient complains of unilateral eye infections and pain, pressure over his eye, blurred and decreased visual acuity, seeing halos around lights, nausea and vomiting. He is likely to have?
1. A.
  Acute angle-closure glaucoma
2. B.
  Chronic open-angle glaucoma
3. C.
  Cataract
4. D.
  Retinal detachment
Answer and explanation
Q35 · Community Health Nursing · Surface Infections
During a routine check-up, a nurse identifies that a sexually active adolescent has no symptoms but is at high risk for sexually transmitted infections (STIs). What is the nurse's primary role?
1. A.
  Immediately inform the adolescent's parents about their behavior
2. B.
  Screen for STIs and provide education on prevention
3. C.
  Refuse to provide care until they agree to use protection
4. D.
  Document the finding and take no further action
Answer and explanation
Q36 · Child Health Nursing (Pediatrics) · Endocrine and Metabolic Disorders
A 7-year-old girl is brought to the clinic for developing breast buds and pubic hair over the last six months. According to the standard definition, what is the most likely classification for her condition?
1. A.
  Delayed puberty
2. B.
  Precocious puberty
3. C.
  Normal pubertal variation
4. D.
  Premature adrenarche
Answer and explanation
Q37 · Obstetrics & Gynaecology · Special Topics
A patient reports painful intercourse. Which of the following terms correctly identifies this specific sexual dysfunction?
1. A.
  Vaginismus
2. B.
  Dyspareunia
3. C.
  Anorgasmia
4. D.
  Loss of Libido
Answer and explanation
Q38 · Child Health Nursing (Pediatrics) · Disorders of Kidney and Urinary Tract
A nurse is assigned to care for a child suspected of having glomerulonephritis. The nurse reviews the child's record and notes that which finding is associated with the diagnosis of glomerulonephritis?
1. A.
  Low blood urea nitrogen
2. B.
  Edema
3. C.
  Low urinary specific gravity
4. D.
  Red brown urine
Answer and explanation
Q39 · 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
Q40 · Nursing Research & Statistics · Introduction to Statistics
The best method of describing dispersion is?
1. A.
  Mean
2. B.
  Median
3. C.
  Mode
4. D.
  Standard deviation
Answer and explanation
Q41 · Obstetrics & Gynaecology · Miscellaneous
According to American Cancer Society's guidelines all sexually active women should undergo Pap test how frequently?
1. A.
  Every 5 years
2. B.
  Every 3 years
3. C.
  Every 2 years
4. D.
  Every year till 3 consecutive negative results
Answer and explanation
Q42 · Obstetrics & Gynaecology · Menstruation
When is the best time to achieve pregnancy?
1. A.
  Midway between 7th and 8th day of ovulation
2. B.
  Immediately after starting of menses
3. C.
  14 days after the beginning of period
4. D.
  7 days before the next period is expected
Answer and explanation
Q43 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
Which problem can develop as a result of too rapid correction of hypernatremia?
1. A.
  Pulmonary edema
2. B.
  Cerebral edema
3. C.
  Arrhythmia
4. D.
  Renal failure
Answer and explanation
Q44 · 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
Q45 · Nursing Foundations · Oxygenation needs
The nurse is evaluating a client's response to cardio version. Which of the following observations would be of highest priority to the nurse?
1. A.
  Oxygen flow rate
2. B.
  Status of airway
3. C.
  Blood pressure
4. D.
  Level of consciousness
Answer and explanation
Q46 · Nursing Foundations · Communication & Nurse-Patient Relationship
When communicating with an adolescent patient about sensitive topics like substance use, which approach by the nurse is most effective?
1. A.
  Waiting for the adolescent to bring up the topic first
2. B.
  Using closed-ended questions to get direct answers
3. C.
  Asking open-ended questions in a private setting
4. D.
  Having the parents present to ensure honesty
Answer and explanation
Q47 · Nursing Foundations · History of Nursing & Nursing as a profession
Which of the following action guiding theory explains that the rightness or wrongness of an action depends on the consequences of the action?
1. A.
  Deontologic
2. B.
  Utilitarian
3. C.
  Non-maleficence
4. D.
  Beneficence
Answer and explanation
Q48 · Biochemistry & Nutrition · Clinical Enzymology
An increase in the creatinine kinase MB iso-enzyme (CKMB) can be caused by?
1. A.
  Cerebral bleeding
2. B.
  Intramuscular Injection
3. C.
  Skeletal muscle damaged due to recent fall
4. D.
  Myocardial Necrosis
Answer and explanation
Q49 · Nursing Foundations · Miscellaneous
After abdomen inspection, which technique would the nurse do next?
1. A.
  Percussion
2. B.
  Palpation
3. C.
  Auscultation
4. D.
  Whichever the patient agree to
Answer and explanation
Q50 · Nursing Foundations · Vital Signs
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
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Q51 · Medical & Surgical Nursing · Neurologic Function
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
Q52 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
A patient with cardiac history is taking the diuretic lasix and is seen in emergency department for muscle weakness. Which lab value do you assess first?
1. A.
  Serum albumin
2. B.
  Serum sodium
3. C.
  Serum potassium
4. D.
  Haemactocrit
Answer and explanation
Q53 · Applied Physiology · Digestive system
Glucose is added in ORS to:
1. A.
  Improve taste
2. B.
  Decrease bacterial colonization of GIT
3. C.
  Increase the Stability
4. D.
  Increase the absorption of sodium
Answer and explanation
Q54 · Medical & Surgical Nursing · Metabolic and Endocrine Function
In caring pancreatitis patient, which of the following diet the nurse should plan?
1. A.
  High protein, high carbohydrate, low fat diet
2. B.
  High carbohydrate, low fat with fruits and vegetables
3. C.
  High carbohydrate, high protein, low fat and low residue diet
4. D.
  Small and frequent bland diet
Answer and explanation
Q55 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
The classic signs and symptoms of hypoglycemia are?
1. A.
  Confusion, hypertension and nausea
2. B.
  Headache, weakness and irritability, hunger
3. C.
  Bradycardia, vomiting and hypertension
4. D.
  Diplopia, restlessness and tachypnea
Answer and explanation
Q56 · Nursing Education · Introduction and Theoretical Foundations
Imitation control and automation are the levels of domains of objectives?
1. A.
  Cognitive
2. B.
  Affective
3. C.
  Psychomotor
4. D.
  Attitude
Answer and explanation
Q57 · Applied Anatomy · Miscellaneous
How many cycles of sleep do a person typically go through at night?
1. A.
  2 or 3
2. B.
  4 or 5
3. C.
  10 or 12
4. D.
  20 or 25
Answer and explanation
Q58 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function
DOTS is used in the treatment of:
1. A.
  Tuberculosis
2. B.
  Leprosy
3. C.
  Malaria
4. D.
  Filaria
Answer and explanation
Q59 · Medical & Surgical Nursing · Pain Management
A nurse is educating a patient's family about the use of a Patient-Controlled Analgesia (PCA) pump. Which instruction is most critical to prevent an overdose?
1. A.
  The patient should press the button only when the pain is severe
2. B.
  Family members should not press the button for the patient.
3. C.
  The nurse will adjust the dose every hour based on pain levels.
4. D.
  The pump should be disconnected when the patient is sleeping.
Answer and explanation
Q60 · Child Health Nursing (Pediatrics) · Newborn Infants
Which piece of information is most essential to include in the referral note accompanying a neonate during transport?
1. A.
  The mother's complete obstetric history
2. B.
  The family's socioeconomic status
3. C.
  Details of the baby's condition and treatment given
4. D.
  The name of the delivering physician
Answer and explanation
Q61 · Nursing Education · Assessment and Evaluation Methodologies
Formative evaluation is done at the?
1. A.
  Beginning of the programme
2. B.
  During the programme
3. C.
  Throughout the programme
4. D.
  End of the programme
Answer and explanation
Q62 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function
To optimize patient outcomes for a patient with complete heart block, the nurse would prepare to which one of the following?
1. A.
  Administration of adenosine
2. B.
  Administration of lidocaine
3. C.
  Defibrillation
4. D.
  Temporary pacemaker insertion
Answer and explanation
Q63 · Medical & Surgical Nursing · Metabolic and Endocrine Function
Treatment for a patient with ascitis secondary to hepatic failure should include all of the following except?
1. A.
  Withholding diuretics
2. B.
  Restricting dietary sodium
3. C.
  Providing a high calorie diet
4. D.
  Performing paracentesis
Answer and explanation
Q64 · Medical & Surgical Nursing · Pain Management
Which statement by a nursing student indicates a correct understanding of the defining characteristics of chronic pain?
1. A.
  It is a protective mechanism that warns the body of ongoing tissue damage.
2. B.
  Patients with chronic pain consistently exhibit elevated vital signs, such as tachycardia.
3. C.
  It is a prolonged condition, often lasting 6 months or more, and serves no protective purpose.
4. D.
  It is always linked to a clear, identifiable pathological cause that can be easily treated.
Answer and explanation
Q65 · Medical & Surgical Nursing · Miscellaneous
Ramesh is scheduled for a bronchoscopy. When teaching the client what to expect afterward, the highest priority of information would be
1. A.
  Food and fluids will be withheld for at least 2 hours
2. B.
  Warm saline gargles will be done q2h
3. C.
  Coughing and deep-breathing exercises will be done q2h
4. D.
  Only ice chips and cold liquids will be allowed initially
Answer and explanation
Q66 · 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
Q67 · Applied Nutrition & Dietetics · Therapeutic Diet
A client who has a history of gout is also diagnosed with urolithiasis. The stones are of uric acid type. A nurse gives the client instructions in foods to limit which include?
1. A.
  Liver
2. B.
  Apples
3. C.
  Carrots
4. D.
  Milk
Answer and explanation
Q68 · Applied Anatomy · Introduction to Anatomical terms & Organization of Human Body
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
Q69 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System
A nurse caring for an infant with congenital heart disease is evaluating the infant closely for signs of congenital heart failure (CHF). The nurse assesses the infant closely for which sign of CHF?
1. A.
  Cough
2. B.
  Tachycardia
3. C.
  Slow and shallow breathing
4. D.
  Pallor
Answer and explanation
Q70 · Pharmacology · Drugs Acting on Central Nervous System
The drug which is used to create aversion in alcohol dependence:?
1. A.
  Apomorphine
2. B.
  Propranolol
3. C.
  Diazepam
4. D.
  Disulfiram
Answer and explanation
Q71 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management
What is the most crucial first step a nurse should take when managing a patient's postoperative pain?
1. A.
  Administer the prescribed analgesic immediately.
2. B.
  Assess the patient's pain level using a standardized pain scale.
3. C.
  Provide diversional therapy to distract the patient.
4. D.
  Educate the patient about the side effects of pain medication.
Answer and explanation
Q72 · Obstetrics & Gynaecology · Menopause
A 51-year-old woman presents with irregular menstrual cycles and hot flashes. Which hormonal change is the primary trigger for the onset of menopausal transition ?
1. A.
  Increased secretion of inhibin from the ovaries
2. B.
  Decreased sensitivity of the pituitary to GnRH
3. C.
  Resistance of ovarian follicles to gonadotropins and decreased estradiol
4. D.
  A surge in luteinizing hormone (LH) without a corresponding FSH rise
Answer and explanation
Q73 · General Knowledge · Indian geography
Area rank of Maharashtra in India?
1. A.
  2nd
2. B.
  4th
3. C.
  5th
4. D.
  3rd
Answer and explanation
Q74 · Applied Physiology · Reproductive system
When counseling a couple about fertility, a nurse explains the timeline of sperm production. What is the approximate total duration for the entire process of spermatogenesis, from a spermatogonium to a mature spermatozoon?
1. A.
  24 days
2. B.
  48 days
3. C.
  74 days
4. D.
  120 days
Answer and explanation
Q75 · 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
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Q76 · Nursing Foundations · Administration of medications
When you prepare the parenteral injection, you must keep which of the following areas sterile?
1. A.
  The top of the plunger
2. B.
  The needle shaft and tip
3. C.
  The exterior of the vial
4. D.
  The barrel of the syringe
Answer and explanation
Q77 · Pharmacology · Miscellaneous
An infant is to receive thyroxin sodium, 0.35 mg once a day orally. The medication is available in elixir form 0.25 mg/ml. How much elixir should the nurse administer?
1. A.
  1.4 ml
2. B.
  1.3 ml
3. C.
  2.4 ml
4. D.
  1.0 ml
Answer and explanation
Q78 · Nursing Foundations · Miscellaneous
The bell of the stethoscope is used to hear which type of sounds during physical assessment?
1. A.
  Low frequency sounds
2. B.
  Heart sounds
3. C.
  Lung sounds
4. D.
  High frequency sounds
Answer and explanation
Q79 · Medical & Surgical Nursing · Miscellaneous
A 30 year old patient with appendicitis is experiencing excruciating abdominal pain. An abdominal X-ray film reveals is intra-peritoneal air. The nurse should prepare the patient for?
1. A.
  Surgery
2. B.
  Colonoscopy
3. C.
  Nasogastric suctioning
4. D.
  Barium enema
Answer and explanation
Q80 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution
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
Q81 · Medical & Surgical Nursing · Urinary Tract Function
A client with crush injury to the right lower leg develops ARF. A nurse interprets this type of renal failure is due to?
1. A.
  Pre-renal causes
2. B.
  Renal causes
3. C.
  Post-renal causes
4. D.
  Extra-renal causes
Answer and explanation
Q82 · Obstetrics & Gynaecology · Menopause
Which laboratory finding is most definitive for confirming a clinical diagnosis of menopause in a woman who has been amenorrheic for 12 months?
1. A.
  Serum estradiol > 50 pg/mL
2. B.
  Serum FSH > 100 mIU/mL
3. C.
  Serum progesterone > 3 ng/mL
4. D.
  Serum LH < 10 mIU/mL
Answer and explanation
Q83 · Medical & Surgical Nursing · Miscellaneous
Treatment for a patient with severe flail chest and respiratory compromise may include?
1. A.
  Chest tube placement at the midclavicular line
2. B.
  Chest tube placement at the anterior, third intercostals space
3. C.
  Positive pressure ventilation
4. D.
  Sedation and restrictive chest expansion band
Answer and explanation
Q84 · Applied Physiology · General Physiology
Which specialized tissue is the main site for non-shivering thermogenesis in a newborn?
1. A.
  White adipose tissue
2. B.
  Skeletal muscle
3. C.
  Brown adipose tissue
4. D.
  Subcutaneous fat
Answer and explanation
Q85 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function
Medical management of a patient with peritonitis includes antibiotics. I/V fluids and?
1. A.
  Nasogastric suctioning
2. B.
  Enemas
3. C.
  Clear fluid diet
4. D.
  Early ambulation
Answer and explanation
Q86 · Community Health Nursing · Respiratory Infections
The diluent used for reconstitution of BCG vaccine is?
1. A.
  Dextrose
2. B.
  Distilled water
3. C.
  Normal saline
4. D.
  Glycerine
Answer and explanation
Q87 · Medical & Surgical Nursing · Metabolic and Endocrine Function
What sign would be anticipated, when assessing a patient in the early stages of cirrhosis of liver?
1. A.
  Jaundice
2. B.
  Peripheral edema
3. C.
  Ascitis
4. D.
  Anorexia
Answer and explanation
Q88 · Forensic Nursing & Indian laws · Dummy
During the forensic examination of a sexual assault victim, what is the general timeframe after which sperm are rarely detected in the vagina?
1. A.
  Later than 4 hours
2. B.
  Later than 24 hours
3. C.
  Later than 72 hours
4. D.
  Later than 12 hours
Answer and explanation
Q89 · Nursing Foundations · Miscellaneous
When fire occurs in a patient room, which of the following would be the nurse's priority?
1. A.
  Rescue the patient
2. B.
  Extinguish the fire
3. C.
  Sound the alarm
4. D.
  Rum for help
Answer and explanation
Q90 · Applied Physiology · Nervous System
An adult has just been brought in by ambulance after a motor vehicle accident. When assessing the client, the nurse would expect which of the following manifestation could have resulted from sympathetic nervous system stimulation?
1. A.
  A rapid pulse and increased respiratory rate
2. B.
  Decreased physiological functioning
3. C.
  Rigid posture and altered focus
4. D.
  Increased awareness and attention
Answer and explanation
Q91 · Nursing Education · Guidance/Academic Advising Counseling and Discipline
Education is the process, the chief goal of which is to bring about preparing change is?
1. A.
  Societal environmental
2. B.
  Human behavior
3. C.
  Evaluation system
4. D.
  Personal traits
Answer and explanation
Q92 · Nursing Foundations · Nursing Care & Specific Procedures
To avoid pulling the urinary catheter nurse should tape the catheter on patient's:
1. A.
  Upper thigh
2. B.
  Lower thigh
3. C.
  Hind leg
4. D.
  Foot
Answer and explanation
Q93 · Medical & Surgical Nursing · Immunologic Function
Allergic reactions caused by environmental allergens is known as?
1. A.
  Anaphylactic reactions
2. B.
  Atopic reactions
3. C.
  Cytotoxic reactions
4. D.
  Immune complex reactions
Answer and explanation
Q94 · 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
Q95 · Medical & Surgical Nursing · Sensorineural Function
A nurse is educating an older adult patient with presbycusis about a new hearing aid. Which statement by the nurse accurately describes the primary function and a key limitation of the device?
1. A.
  This device will completely restore your hearing to its original state.
2. B.
  It selectively amplifies speech while completely eliminating all background noise.
3. C.
  It will make sounds louder, but it may not significantly improve your ability to discriminate words.
4. D.
  The hearing aid is designed to be used only for short periods to prevent ear fatigue.
Answer and explanation
Q96 · Nursing Education · Introduction and Theoretical Foundations
Objectives are the written statements of?
1. A.
  Students targets
2. B.
  Learning
3. C.
  Personal goals
4. D.
  Desired outcomes
Answer and explanation
Q97 · Mental Health Nursing · Eating Disorders
Which of the following symptoms is not characteristics manifestation of anorexia nervosa?
1. A.
  Hypotension
2. B.
  Menorrhagia
3. C.
  Pallor
4. D.
  Constipation
Answer and explanation
Q98 · Pharmacology · Gastrointestinal Drugs
Which drug is administered to inhibit the release of Pancreatic Secretions in a patient with acute pancreatitis?
1. A.
  Pancreatin
2. B.
  Acctylcholine
3. C.
  Nitroglycerine
4. D.
  Somatostatin
Answer and explanation
Q99 · Child Health Nursing (Pediatrics) · Central Nervous System
Bulging fontanel is a sign of?
1. A.
  Dehydration
2. B.
  Down's syndrome
3. C.
  Hydrocephalus
4. D.
  Turner's syndrome
Answer and explanation
Q100 · Pharmacology · General Pharmacology
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