SCTIMST Staff Nurse papers

SCTIMST Staff Nurse 2015 (Set A) question paper

SCTIMST Staff Nurse · 2015 · 100 questions · 90 minutes · 0.25 mark deducted per wrong answer

  • Medical & Surgical Nursing 42
  • Nursing Foundations 10
  • Pharmacology 9
  • Child Health Nursing (Pediatrics) 9
  • Applied Physiology 5
  • Reasoning 5
  • Applied Nutrition & Dietetics 3
  • Obstetrics & Gynaecology 3
  • Applied Microbiology & Infection control 2
  • Community Health Nursing 2
  • Biochemistry & Nutrition 2
  • Pathology & Genetics 2
  • Nursing Management & Leadership 2
  • Applied Anatomy 1
  • Applied Psychology 1
  • Mental Health Nursing 1
  • Applied Sociology 1

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  1. Q1 · Medical & Surgical Nursing · Sensorineural Function

    The normal central venous pressure (CVP) reading is between?

    1. A.

      0-5 cms H2O

    2. B.

      5-10 cms H2O

    3. C.

      10-15 cms H2O

    4. D.

      15-20 cms H2O

    Answer and explanation
  2. Q2 · Applied Physiology · Circulatory & Lymphatic system

    Which one of the following is known as the pacemaker of the heart?

    1. A.

      SA node

    2. B.

      AV node

    3. C.

      Bundle of His

    4. D.

      Purkinje fibers

    Answer and explanation
  3. Q3 · Pharmacology · Drugs Acting on Central Nervous System

    The physician prescribed Phenytoin 0.2 g orally, twice daily. The medicine is available as 100 mg capsule. How many capsules will be administered for a dose?

    1. A.

      1 capsule

    2. B.

      2 capsules

    3. C.

      3 capsules

    4. D.

      4 capsules

    Answer and explanation
  4. Q4 · Medical & Surgical Nursing · Immunologic Function

    A patient with a newly diagnosed rheumatic disease reports significant joint pain and stiffness, making it difficult to perform daily activities. Which nursing diagnosis should the nurse prioritize?

    1. A.

      Disturbed body image related to chronic illness

    2. B.

      Impaired physical mobility related to decreased range of motion and pain

    3. C.

      Ineffective coping related to lifestyle changes

    4. D.

      Self-care deficit related to fatigue

    Answer and explanation
  5. Q5 · Applied Microbiology & Infection control · Biomedical Waste Management (BMW)

    When handling soiled linen in a hospital, which action is essential to prevent the spread of infection?

    1. A.

      Shaking the linen vigorously to remove loose contaminants

    2. B.

      Carrying the soiled linen pressed against the uniform

    3. C.

      Rolling up the linen carefully without shaking it

    4. D.

      Mixing soiled linen with general waste for quick disposal

    Answer and explanation
  6. Q6 · Nursing Foundations · Procedures

    A patient with urinary catheterization is admitted to the ward. What should be done to avoid pulling of catheter tape at?

    1. A.

      Tape the catheter to the inner thigh

    2. B.

      Tape the catheter above the umbilicus

    3. C.

      Tape the catheter to the lower abdomen

    4. D.

      Tape the catheter under the thigh

    Answer and explanation
  7. Q7 · Applied Physiology · Nervous System

    The normal volume of cerebrospinal fluid (CSF) is?

    1. A.

      25-50 ml

    2. B.

      50-100 ml

    3. C.

      125-150 ml

    4. D.

      150-200 ml

    Answer and explanation
  8. Q8 · Pharmacology · Miscellaneous

    The antidote for Heparin is?

    1. A.

      Calcium gluconate

    2. B.

      Vitamin K

    3. C.

      Protamine sulfate

    4. D.

      Atropine

    Answer and explanation
  9. Q9 · Child Health Nursing (Pediatrics) · Modern concepts of child- care

    Which of the following age group children engage in parallel play?

    1. A.

      Infant

    2. B.

      Toddler

    3. C.

      Pre-schooler

    4. D.

      Schooler

    Answer and explanation
  10. Q10 · Reasoning · Coding-Decoding

    If in a code, CAT = DBU, what is DOG?

    1. A.

      EPH

    2. B.

      EPF

    3. C.

      DPH

    4. D.

      EOF

    Answer and explanation
  11. Q11 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function

    A nurse monitoring the intercostal drainage system of a patient with pneumothorax notes intermittent bubbling in the water seal chamber. The most appropriate action would be?

    1. A.

      Inform the Physician

    2. B.

      Check for air leak

    3. C.

      Document the observation

    4. D.

      Clamp the chest drainage tube

    Answer and explanation
  12. Q12 · Medical & Surgical Nursing · Urinary Tract Function

    Most common complication of peritoneal dialysis is?

    1. A.

      Peritonitis

    2. B.

      Urinary incontinence

    3. C.

      Pulmonary embolism

    4. D.

      Pleurisy

    Answer and explanation
  13. Q13 · Applied Anatomy · Circulatory & Lymphatic System

    The left atrium and the lateral and posterior surfaces of the left ventricle are supplied by the?

    1. A.

      Left anterior descending coronary artery

    2. B.

      The left coronary artery

    3. C.

      The right coronary artery

    4. D.

      The circumflex artery

    Answer and explanation
  14. Q14 · Community Health Nursing · Demography, Surveillance and Interpretation of Data

    Census is taken once in every?

    1. A.

      5 years

    2. B.

      10 years

    3. C.

      15 years

    4. D.

      20 years

    Answer and explanation
  15. Q15 · Applied Nutrition & Dietetics · Vitamins

    Which of the following food items are rich sources of vitamin A?

    1. A.

      Green leafy vegetables and yellow fruits

    2. B.

      Green gram and pulses

    3. C.

      Rice and potatoes

    4. D.

      Milk and milk products

    Answer and explanation
  16. Q16 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution

    Normal serum potassium is?

    1. A.

      2.3 – 3.5 mEq/L

    2. B.

      3.5 – 5.3 mEq/L

    3. C.

      5.3 – 7.5 mEq/L

    4. D.

      7.5 – 8.9 mEq/L

    Answer and explanation
  17. Q17 · Obstetrics & Gynaecology · Operative Obstetrics

    Major benefit of doing mediolateral episiotomy is?

    1. A.

      Reduce anal muscle tear

    2. B.

      Reduction of pain after labor

    3. C.

      Provide quick healing

    4. D.

      No one from above

    Answer and explanation
  18. Q18 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function

    In case of blood transfusion reaction, the first nursing intervention would be?

    1. A.

      Notify the physician

    2. B.

      Stop transfusion

    3. C.

      Slow down the transfusion

    4. D.

      Administer antihistamines

    Answer and explanation
  19. Q19 · Child Health Nursing (Pediatrics) · Newborn Infants

    The nurse who observes projectile vomiting in a newborn suspects?

    1. A.

      Tracheo-oesophageal fistula

    2. B.

      Hirschprung's disease

    3. C.

      Congenital hypertrophic pyloric stenosis

    4. D.

      Congenital heart disease

    Answer and explanation
  20. Q20 · Medical & Surgical Nursing · Neurologic Function

    Which of the following assessment data is relevant for clients diagnosed with Glaucoma?

    1. A.

      History of Diabetes Mellitus

    2. B.

      History of Migraine

    3. C.

      History of Chronic Sinusitis

    4. D.

      History of Bronchial Asthma

    Answer and explanation
  21. Q21 · Pharmacology · Drugs Acting on Kidney

    Which one of the following is a potassium-sparing diuretic?

    1. A.

      Spironolactone

    2. B.

      Mannitol

    3. C.

      Furosemide

    4. D.

      Chlorothiazide

    Answer and explanation
  22. Q22 · Applied Psychology · Miscellaneous

    A staff nurse, who was called by the Nursing Superintendent for feedback on poor performance, spent the remaining time of the shift blaming her supervisor and colleagues. The mental mechanism used by her is?

    1. A.

      Projection

    2. B.

      Reaction formation

    3. C.

      Rationalization

    4. D.

      Compensation

    Answer and explanation
  23. Q23 · Medical & Surgical Nursing · Other Acute Problems

    During CPR of an adult client, while performing chest compressions, the sternum will be depressed to?

    1. A.

      1/2 to 3/4 inch

    2. B.

      3/4 inch to 1 inch

    3. C.

      2 to 2 1/2 inches

    4. D.

      1 1/2 to 2 inches

    Answer and explanation
  24. Q24 · Medical & Surgical Nursing · Miscellaneous

    A patient with congestive cardiac failure experiences dyspnoea due to?

    1. A.

      Accumulation of fluid in the interstitial spaces and alveoli of lungs

    2. B.

      Bronchial secretions and spasm

    3. C.

      Pulmonary embolism

    4. D.

      Pulmonary congestion resulting from cardiomegaly

    Answer and explanation
  25. Q25 · Pharmacology · General Pharmacology

    You have a stock solution of 20%. To prepare one litre of 5% solution, how much diluent will be added?

    1. A.

      100 ml

    2. B.

      150 ml

    3. C.

      200 ml

    4. D.

      250 ml

    Answer and explanation
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  27. Q26 · Medical & Surgical Nursing · Miscellaneous

    Which one of the following indicates an increase in intracranial pressure following head injury, Except?

    1. A.

      Decreasing temperature

    2. B.

      Decreased pulse rate

    3. C.

      Increasing blood pressure

    4. D.

      Widening pulse pressure

    Answer and explanation
  28. Q27 · Reasoning · Blood Relations

    A is the daughter of B. C is B’s sister. How is C related to A?

    1. A.

      Aunt

    2. B.

      Sister

    3. C.

      Cousin

    4. D.

      Mother

    Answer and explanation
  29. Q28 · Medical & Surgical Nursing · Miscellaneous

    Which one of the following interventions should be avoided by the nurse while caring for a client with deep vein thrombosis?

    1. A.

      Providing bed rest

    2. B.

      Elevation of affected extremity

    3. C.

      Massaging the extremity

    4. D.

      Administering analgesics

    Answer and explanation
  30. Q29 · Nursing Foundations · History of Nursing & Nursing as a profession

    The ethical principle that obligates a nurse to act for the benefit of others and to "do good" is known as:

    1. A.

      Justice

    2. B.

      Autonomy

    3. C.

      Non-maleficence

    4. D.

      Beneficence

    Answer and explanation
  31. Q30 · Nursing Foundations · Introduction to Health & Illness

    The hierarchy of human needs, where nurses prioritize basic physiological needs, is identified by?

    1. A.

      Sigmund Freud

    2. B.

      Kubler-Ross

    3. C.

      Erik Erikson

    4. D.

      Abraham Maslow

    Answer and explanation
  32. Q31 · Pharmacology · Drugs Acting on Central Nervous System

    Which one of the following is an anticonvulsant drug?

    1. A.

      Bromocriptine

    2. B.

      Largactil

    3. C.

      Phenytoin

    4. D.

      Chlordiazepoxide

    Answer and explanation
  33. Q32 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System

    An infant experiencing hypercyanotic spells is placed in?

    1. A.

      High fowler's position

    2. B.

      Knee-chest position

    3. C.

      Prone position

    4. D.

      Supine position

    Answer and explanation
  34. Q33 · Pharmacology · Cardiovascular Drugs

    Tab Digoxin is withheld if the pulse rate is less than?

    1. A.

      40/mt

    2. B.

      50/mt

    3. C.

      60/mt

    4. D.

      70/mt

    Answer and explanation
  35. Q34 · Applied Microbiology & Infection control · Immunity

    Which immunoglobulin is primarily responsible for mediating a Type I hypersensitivity reaction?

    1. A.

      IgG

    2. B.

      IgM

    3. C.

      IgE

    4. D.

      IgA

    Answer and explanation
  36. Q35 · Medical & Surgical Nursing · Shock and Multisystem Failure

    One of the important signs that a nurse would observe in hypovolemic shock is?

    1. A.

      Hypotension

    2. B.

      Tachypnea

    3. C.

      Oliguria

    4. D.

      Cyanosis

    Answer and explanation
  37. Q36 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution

    In the ECG recording of a client, the nurse observes tall peaked T waves, flat P waves, widened QRS complex, and prolonged PR interval. The nurse identifies?

    1. A.

      Hypokalaemia

    2. B.

      Hyperkalaemia

    3. C.

      Hypocalcaemia

    4. D.

      Hypercalcaemia

    Answer and explanation
  38. Q37 · Obstetrics & Gynaecology · COMPLICATED LABOR-Malposition, Malpresentation and Cord Prolapse

    A vaginal examination is indicated when membranes rupture spontaneously in a pregnant woman with polyhydramnios to?

    1. A.

      Assess foetal maturity

    2. B.

      Note the position of the foetus

    3. C.

      Determine stage of labour

    4. D.

      Rule out cord prolapse

    Answer and explanation
  39. Q38 · Child Health Nursing (Pediatrics) · Modern concepts of child- care

    The most accurate area to check the pulse rate in an infant is?

    1. A.

      Carotid artery

    2. B.

      Brachial artery

    3. C.

      Temporal Artery

    4. D.

      Apex of the heart

    Answer and explanation
  40. Q39 · Mental Health Nursing · Schizophrenia

    Perception in the absence of external stimuli is termed as?

    1. A.

      Delusion

    2. B.

      Illusion

    3. C.

      Phobia

    4. D.

      Hallucination

    Answer and explanation
  41. Q40 · Child Health Nursing (Pediatrics) · Common Medical Procedures

    While monitoring a child after tonsillectomy, the nurse observes him swallowing frequently. This indicates that the child is?

    1. A.

      Feeling thirsty

    2. B.

      Recovering from anaesthesia

    3. C.

      Bleeding

    4. D.

      Having pain

    Answer and explanation
  42. Q41 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function

    Duke's major and minor criteria used for which disease?

    1. A.

      Rheumatic heart disease

    2. B.

      Infective endocarditis

    3. C.

      Pleurisy

    4. D.

      Cardiac tamponade

    Answer and explanation
  43. Q42 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function

    A client after pneumonectomy will be positioned on?

    1. A.

      Supine position only

    2. B.

      Supine and either sides

    3. C.

      Operated side or back

    4. D.

      Un-operated side or back

    Answer and explanation
  44. Q43 · Nursing Foundations · Administration of medications

    The physician has prescribed 20 mEq of KCl to a client. The available KCl is 10 mEq/5 ml. The nurse will administer?

    1. A.

      5 ml

    2. B.

      7.5 ml

    3. C.

      10 ml

    4. D.

      10.5 ml

    Answer and explanation
  45. Q44 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function

    One of the major complications that occur during haemodialysis is?

    1. A.

      Muscle cramps

    2. B.

      Hypotension

    3. C.

      Air embolism

    4. D.

      Pulmonary enema

    Answer and explanation
  46. Q45 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function

    When periods of hyperpnoea alternate with periods of apnoea, the breathing pattern is termed?

    1. A.

      Kussmaul’s respiration

    2. B.

      Cheyne–Stokes respiration

    3. C.

      Bradypnoea

    4. D.

      Tachypnoea

    Answer and explanation
  47. Q46 · Medical & Surgical Nursing · Miscellaneous

    The rationale for using normal saline to start blood transfusion is?

    1. A.

      Normal saline is commonly used as a primary IV Solution

    2. B.

      It is compatible with blood

    3. C.

      Normal saline prevents haemolysis

    4. D.

      Dextrose de-activates blood

    Answer and explanation
  48. Q47 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution

    A client with hypoventilation is prone to develop?

    1. A.

      Metabolic acidosis

    2. B.

      Respiratory acidosis

    3. C.

      Respiratory alkalosis

    4. D.

      Metabolic alkalosis

    Answer and explanation
  49. Q48 · Applied Physiology · General Physiology

    The normal pH of blood is?

    1. A.

      < 7

    2. B.

      7 – 7.35

    3. C.

      7.35 – 7.45

    4. D.

      < 7.45

    Answer and explanation
  50. Q49 · Nursing Foundations · Administration of medications

    A patient is prescribed both an antibiotic eye drop and an eye ointment for bacterial conjunctivitis. What is the correct sequence of administration the nurse should follow?

    1. A.

      Administer the ointment first, then wait 5 minutes before instilling the drop.

    2. B.

      Administer the eye drop first, wait at least 5 minutes, then apply the ointment

    3. C.

      Administer the drop and ointment at the same time to enhance absorption.

    4. D.

      The order of administration does not matter as long as both are given.

    Answer and explanation
  51. Q50 · Pharmacology · Drugs Acting on Central Nervous System

    Which one of the following drugs is a mood stabilizer?

    1. A.

      Librium

    2. B.

      Lithium Carbonate

    3. C.

      Tofranil

    4. D.

      Haloperidol

    Answer and explanation
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  53. Q51 · Applied Sociology · Family and Marriage

    What is the term for a form of marriage in which a woman has two or more husbands at the same time?

    1. A.

      Polygyny

    2. B.

      Polyandry

    3. C.

      Monogamy

    4. D.

      Endogamy

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

    A nurse is caring for a patient who has undergone abdominal surgery. What is the primary purpose of using nasogastric (NG) suction in the immediate postoperative period?

    1. A.

      To administer enteral nutrition and medications.

    2. B.

      To monitor for signs of internal bleeding.

    3. C.

      To evacuate fluid and flatus, preventing vomiting and tension on the incision.

    4. D.

      To facilitate early oral intake by keeping the stomach empty.

    Answer and explanation
  55. Q53 · Reasoning · Arrangements & Puzzles

    Six people A, B, C, D, E, F are sitting in a circle. B is between A and C. D is opposite B. Who is sitting to the left of D?

    1. A.

      A

    2. B.

      C

    3. C.

      E

    4. D.

      F

    Answer and explanation
  56. Q54 · Child Health Nursing (Pediatrics) · Miscellaneous

    The site selected by a nurse to administer an intramuscular injection to a 6-month infant is?

    1. A.

      Vastus lateralis

    2. B.

      Ventre-gluteal

    3. C.

      Dorso-gluteal

    4. D.

      Deltoid

    Answer and explanation
  57. Q55 · Pharmacology · Cardiovascular Drugs

    Which one of the following is the drug of choice in ventricular arrhythmias?

    1. A.

      Inderal

    2. B.

      Digoxin

    3. C.

      Sorbitrate

    4. D.

      Amiodarone

    Answer and explanation
  58. Q56 · Obstetrics & Gynaecology · Complications of the Third Stage of Labor

    Which one of the following is a major cause for atonic postpartum haemorrhage?

    1. A.

      Infection

    2. B.

      Retained products

    3. C.

      Systemic Lupus Erythematosus

    4. D.

      Jaundice

    Answer and explanation
  59. Q57 · Biochemistry & Nutrition · Proteins

    Normal serum albumin level is?

    1. A.

      1.5-3 gm/100 mL

    2. B.

      3.5-5.5 gm/100 mL

    3. C.

      5-7.5 gm/100 mL

    4. D.

      7-10 gm/100 mL

    Answer and explanation
  60. Q58 · Medical & Surgical Nursing · Shock and Multisystem Failure

    The most informative measurement for determining cardiogenic shock is?

    1. A.

      Cardiac output

    2. B.

      Arterial blood pressure

    3. C.

      Oxygen saturation

    4. D.

      Central Venous Pressure

    Answer and explanation
  61. Q59 · Medical & Surgical Nursing · Miscellaneous

    The most reliable index of the cerebral status is?

    1. A.

      Pupillary responses

    2. B.

      Response to pain

    3. C.

      Level of consciousness

    4. D.

      Deep tendon reflexes

    Answer and explanation
  62. Q60 · Pathology & Genetics · General Pathology

    Which one of the following terms indicates an increase in the size of cells without an increase in the number of cells?

    1. A.

      Hyperplasia

    2. B.

      Hypertrophy

    3. C.

      Dysplasia

    4. D.

      Atrophy

    Answer and explanation
  63. Q61 · Medical & Surgical Nursing · Oncology: Nursing Management in Cancer Care

    A client on anticoagulant therapy is specifically monitored for?

    1. A.

      Nausea

    2. B.

      Chest pain

    3. C.

      Insomnia

    4. D.

      Haematuria

    Answer and explanation
  64. Q62 · Medical & Surgical Nursing · Urinary Tract Function

    The urinary output of a client for 24 hours was 350 ml. The nurse has documented the observation as?

    1. A.

      Anuria

    2. B.

      Polyuria

    3. C.

      Dysuria

    4. D.

      Oliguria

    Answer and explanation
  65. Q63 · Medical & Surgical Nursing · Perioperative Concepts and Nursing Management

    The nurse is reviewing the laboratory values of a patient scheduled for surgery. Which one of the following results is unfavourable?

    1. A.

      FBS 84 mg%

    2. B.

      Hb 8 gm%

    3. C.

      Serum-creatinine 0.7 mg/dl

    4. D.

      Blood urea 28 mg/dl

    Answer and explanation
  66. Q64 · Reasoning · Arrangements & Puzzles

    In a line of girls, Rani is 10^(th) from the left and 12^(th) from the right. How many girls are in the line?

    1. A.

      20

    2. B.

      21

    3. C.

      22

    4. D.

      23

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

    The priority nursing assessment in an immediate post-anaesthesia client is to?

    1. A.

      Monitor vital signs

    2. B.

      Check gag reflex

    3. C.

      Assess pain

    4. D.

      Assess airway patency

    Answer and explanation
  68. Q66 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function

    The most important risk of deep vein thrombosis (DVT) is?

    1. A.

      Myocardial infarction

    2. B.

      Pulmonary embolism

    3. C.

      Phlebitis

    4. D.

      Bleeding

    Answer and explanation
  69. Q67 · Pharmacology · Chemotherapy of Neoplastic Drugs

    Alkylating chemotherapeutic agents used in cancer treatment act by?

    1. A.

      Damaging DNA in the cell nucleus

    2. B.

      Destroying messenger RNA

    3. C.

      Creating a hormonal imbalance

    4. D.

      Interrupting cellular metabolism

    Answer and explanation
  70. Q68 · Medical & Surgical Nursing · Digestive and Gastrointestinal Function

    A client who is sent home with an ileostomy requires dietary supplementation with?

    1. A.

      Fibre

    2. B.

      Sodium

    3. C.

      Potassium

    4. D.

      Vitamin B12

    Answer and explanation
  71. Q69 · Medical & Surgical Nursing · Pain Management

    Which of the following neurotransmitters is deficient in Myasthenia gravis?

    1. A.

      Acetylcholine

    2. B.

      Dopamine

    3. C.

      Serotonin

    4. D.

      Nor-epinephrine

    Answer and explanation
  72. Q70 · Medical & Surgical Nursing · Metabolic and Endocrine Function

    A client after liver biopsy should be vigilantly observed for?

    1. A.

      Haemorrhage

    2. B.

      Dyspnoea

    3. C.

      Vomiting

    4. D.

      Pain

    Answer and explanation
  73. Q71 · Child Health Nursing (Pediatrics) · Skin Disorders

    A nurse observes Koplik's spots on oral examination of a child with fever. This is indicative of?

    1. A.

      Measles

    2. B.

      Diphtheria

    3. C.

      Dengue fever

    4. D.

      Whooping cough

    Answer and explanation
  74. Q72 · Nursing Foundations · Administration of medications

    A person with Diabetes mellitus is asking you the calories obtained from one teaspoon of sugar. what is 1 tea spoon in mL?

    1. A.

      5

    2. B.

      15

    3. C.

      20

    4. D.

      60

    Answer and explanation
  75. Q73 · Nursing Management & Leadership · In-Service Education

    What is the primary purpose of continuing education programs in the nursing profession?

    1. A.

      To fulfill the initial requirements for obtaining a nursing license

    2. B.

      To provide institution-specific training on new equipment and policies

    3. C.

      To maintain current skills, acquire new knowledge, and learn new techniques

    4. D.

      To prepare for graduate-level studies in a specialized nursing field

    Answer and explanation
  76. Q74 · Nursing Foundations · Administration of medications

    One tablespoon is equal to...... ml ?

    1. A.

      5

    2. B.

      10

    3. C.

      15

    4. D.

      30

    Answer and explanation
  77. Q75 · Medical & Surgical Nursing · Miscellaneous

    For a comatose patient, the highest priority nursing diagnosis is?

    1. A.

      Altered sensorium

    2. B.

      Ineffective airway clearance

    3. C.

      Impaired physical mobility

    4. D.

      Altered nutrition

    Answer and explanation
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  79. Q76 · Medical & Surgical Nursing · Metabolic and Endocrine Function

    In a patient with decorticate posturing, the nurse observes?

    1. A.

      Flexion of elbows, extension of knees, and plantar flexion of feet

    2. B.

      Flexion of upper and lower extremities

    3. C.

      Extension of upper and lower extremities

    4. D.

      Extension of elbows and knees and flexion of the wrist

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

    A patient has a new plaster of Paris cast applied to their lower leg. Which nursing action is most appropriate to promote cast drying and prevent complications?

    1. A.

      Covering the cast with a heavy blanket to trap heat.

    2. B.

      Using a hairdryer on a high-heat setting to speed up the process

    3. C.

      Handling the wet cast with the palms of the hands.

    4. D.

      Placing the casted leg on a plastic-covered pillow.

    Answer and explanation
  81. Q78 · Medical & Surgical Nursing · Cardiovascular, Circulatory, and Hematologic Function

    A nurse who observes absence of P waves and fibrillating waves before each QRS complex on the cardiac monitor will interpret the client's cardiac rhythm as?

    1. A.

      Sinus tachycardia

    2. B.

      Ventricular fibrillation

    3. C.

      Ventricular tachycardia

    4. D.

      Atrial fibrillation

    Answer and explanation
  82. Q79 · Medical & Surgical Nursing · Neurologic Function

    In the assessment of a client with Guillain-Barre syndrome (GBS), the nurse gives high priority to?

    1. A.

      Pain

    2. B.

      Level of consciousness

    3. C.

      Motor functions

    4. D.

      Respiratory status

    Answer and explanation
  83. Q80 · Medical & Surgical Nursing · Miscellaneous

    Which of the following is not correct for the first aid of Snake bite (Snake bite)?

    1. A.

      Transport the patient to a medical facility

    2. B.

      Reassure the patient because 70 % of all snake bites are not by venomous snakes

    3. C.

      Finding a locally famous snake charmer

    4. D.

      Immobilize the bitten limb

    Answer and explanation
  84. Q81 · Applied Physiology · Reproductive system

    The let-down reflex during breast feeding is influenced by the hormone?

    1. A.

      Progesterone

    2. B.

      Oestrogen

    3. C.

      Prolactin

    4. D.

      Oxytocin

    Answer and explanation
  85. Q82 · Applied Nutrition & Dietetics · Nutritional Deficiency Disorder

    The nurse is teaching a client about iron-rich food to be consumed to correct anaemia. Which one of the following vitamins has to be supplemented to increase iron absorption?

    1. A.

      Vitamin C

    2. B.

      Vitamin D

    3. C.

      Vitamin B6

    4. D.

      Folic acid

    Answer and explanation
  86. Q83 · Medical & Surgical Nursing · Shock and Multisystem Failure

    Which one of the following conditions is a common cause of cardiogenic shock?

    1. A.

      Electrolyte imbalance

    2. B.

      Fluid overload

    3. C.

      Left ventricular failure

    4. D.

      Hypovolaemia

    Answer and explanation
  87. Q84 · Medical & Surgical Nursing · Gas Exchange and Respiratory Function

    When the client can breathe only in an upright position, it is termed as?

    1. A.

      Orthopnoea

    2. B.

      Dyspnoea

    3. C.

      Tachypnoea

    4. D.

      Apnoea

    Answer and explanation
  88. Q85 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution

    A patient is admitted with signs of dehydration and hypovolemia. What is the primary purpose of administering an isotonic intravenous solution like 0.9% Sodium Chloride (Normal Saline)?

    1. A.

      To rapidly rehydrate intracellular compartments

    2. B.

      To expand the extracellular fluid volume (ECV)

    3. C.

      To draw water out of cells into the ECF

    4. D.

      To provide a long-term source of calories and nutrients

    Answer and explanation
  89. Q86 · Child Health Nursing (Pediatrics) · Modern concepts of child- care

    Normal respiratory rate in a newborn is?

    1. A.

      <20/mt

    2. B.

      20-40/mt

    3. C.

      40-60/mt

    4. D.

      60/mt

    Answer and explanation
  90. Q87 · Pathology & Genetics · Genetics

    When a haemophilic carrier female marries a normal male, the chance of their daughter becoming a carrier is?

    1. A.

      100%

    2. B.

      75%

    3. C.

      50%

    4. D.

      25%

    Answer and explanation
  91. Q88 · Applied Nutrition & Dietetics · Vitamins

    Which one of the following is a water-soluble vitamin?

    1. A.

      Vitamin A

    2. B.

      Vitamin C

    3. C.

      Vitamin D

    4. D.

      Vitamin K

    Answer and explanation
  92. Q89 · Community Health Nursing · Disaster Management

    The recovery stage of disaster preparedness primarily involves actions to:

    1. A.

      Warn the public about an impending disaster.

    2. B.

      Help restore a community to a pre-disaster level.

    3. C.

      Review the effectiveness of disaster drills.

    4. D.

      Prevent the loss of supplies during an earthquake.

    Answer and explanation
  93. Q90 · Child Health Nursing (Pediatrics) · Disorders of Cardiovascular System

    Cyanotic spell is a feature of?

    1. A.

      TOF

    2. B.

      VSD

    3. C.

      PDA

    4. D.

      ASD

    Answer and explanation
  94. Q91 · Nursing Foundations · Diagnostic testing

    What is the first step a patient should take when providing a 'clean catch' midstream urine specimen?

    1. A.

      Collect the first stream of urine into the container

    2. B.

      Fill the container to the brim

    3. C.

      Void a small amount of urine into the toilet first

    4. D.

      Clean the genital area with an alcohol swab

    Answer and explanation
  95. Q92 · Nursing Foundations · Patient Education

    In which one of the following situations, the rescuer uses the jaw thrust method to open the airway?

    1. A.

      In all situations requiring CPR

    2. B.

      If the client has a history of epilepsy

    3. C.

      If the client has a history of head injury

    4. D.

      If injury of the neck is suspected

    Answer and explanation
  96. Q93 · Nursing Foundations · Administration of medications

    The physician prescribed 1500 ml Ringer Lactate to be infused in 12 hours (1 ml = 15 drops). The drop rate would be?

    1. A.

      20 drops/mt

    2. B.

      25 drops/mt

    3. C.

      31 drops/mt

    4. D.

      35 drops/mt

    Answer and explanation
  97. Q94 · Nursing Management & Leadership · Organisational Behaviour & Human Relations

    In which one of the following leadership styles, the leader values the individual characteristics and abilities of each subordinate?

    1. A.

      Autocratic

    2. B.

      Democratic

    3. C.

      Laissez faire

    4. D.

      Bureaucratic

    Answer and explanation
  98. Q95 · Applied Physiology · Nervous System

    In paraplegia, paralysis involves?

    1. A.

      All four extremities

    2. B.

      Only lower extremities

    3. C.

      One side of the body

    4. D.

      Only upper extremities

    Answer and explanation
  99. Q96 · Medical & Surgical Nursing · Fluid and Electrolytes: Balance and Distribution

    The arterial blood gas (ABG) report of a client shows a pH of 7.32, PCO2 - 52 mm Hg, PO2 - 89 mm Hg and HCO3 of 27 mEq/L. The nurse interprets that the client has?

    1. A.

      Respiratory acidosis

    2. B.

      Metabolic acidosis

    3. C.

      Respiratory alkalosis

    4. D.

      Metabolic alkalosis

    Answer and explanation
  100. Q97 · Medical & Surgical Nursing · Miscellaneous

    Which one of the following statements is incorrect about the Glasgow Coma Scale?

    1. A.

      The scale measures the neurological status

    2. B.

      The sensory responses are easily assessed

    3. C.

      The maximum score is 15

    4. D.

      A score less than 8 indicates coma

    Answer and explanation
  101. Q98 · Medical & Surgical Nursing · Metabolic and Endocrine Function

    In which one of the following conditions, Kerning's sign is considered as a positive indicator?

    1. A.

      Meningitis

    2. B.

      Hepatitis

    3. C.

      Deep vein thrombosis

    4. D.

      Typhoid

    Answer and explanation
  102. Q99 · Biochemistry & Nutrition · Organ function tests

    Normal serum creatinine is?

    1. A.

      0.5-1.5 mg/dL

    2. B.

      1.5-3 mg/dL

    3. C.

      3-5 mg/dl

    4. D.

      5-8 mg/dL

    Answer and explanation
  103. Q100 · Reasoning · Number series

    1, 3, 6, 10, 15, ?

    1. A.

      20

    2. B.

      21

    3. C.

      22

    4. D.

      23

    Answer and explanation