High Yield MCQs for Nursing Officer exam part 6

High Yield MCQs for Nursing Officer exam part 6

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High Yield MCQs for Nursing Officer exam part 6

601. The nurse is planning dietary changes for a patient following an episode of pancreatitis. Which diet is suitable for the patient?

A. Low calorie and low carbohydrate

B. High calorie and low fat

C. High protein and high fat

D. Low protein and high carbohydrate

Ans B

602. Which laboratory result woulad concern the nurse caring for a patient who is receiving "Furosemide (Lasix)" drug agent?

A. Potassium level - 2.5

B. Sodium level - 140

C. Glucose level - 110

D. Calcium level - 8

Ans A

603. Which of the following is not a 2-way communication?

A. Lectures

B. Panel discussion

C. Group discussion

D. Symposium

Ans A

604. Which nursing intervention should take priority when caring for a patient with appendicitis?

A. Assessing for pain

B. Encouraging oral intake of clear fluids

C. Providing discharge teaching

D. Assessing for signs and symptoms of peritonitis

Ans D

605. A patient with cirrhosis is about to have a paracentesis for relief of Ascites. Which activity is essential prior to the procedure?

A. Administer thorough mouth care

B. Ask the patient to empty his bladder

C. Be sure his bowels have moved recently

D. Have the patient bath with betadine

Ans B

606. Which among the following is the poten-tially harmfull side effect of epidural anesth-esis?

A. Hypotension

B. Headache

C. Decreased urine output

D. Increased respiration

Ans A

607. 38 week pregnant mother complaining of discomfort due to irregularly occurring contraction. The best advice by the nurse is...........:

A. Lie down in supine position

B. Take some warm drinks

C. Walk around

D. Take some analgesics

Ans  C

608. Vulva is composed of.............:

A. Vagina, uterus, cervix and labia majora

B. Clitoris, vestibule and fourchette

C. Labia majora, labia minora and clitoris

D. Cervix, uterus and ovary

Ans  C

609. Which among the following is the appropriate measure for reducing the breast tenderness in the first trimester of pregnancy?

A. Wash breast with warm water and keep it dry

B. Wear tight clothes to support the breast

C. Expose the breast to air 2 hourly

D. Wash with soap and water 4 hourly

Ans A

610. Which of the following prenatal laboratory test values would the nurse consider as significant?

A. Hemoglobin 12 mg/dl

B. Rubella titer 1:5

C. Blood pressure 120/80

D. Protein urea nill

Ans B

611. Garvida 2 mother with O negative blood whose husband's blood group is B positive comes to ANC clinic. Which among the following question is most appropriate for the nurse to ask?

A. How many ANC visit you had?

B. What is your LMP

C. Have you got RhoGAM injection during last delivery?

D. What is the age of your first child

Ans C

612. The nurse is admitting a patient with an antisocial personality disorder. The highest-priority assessment for this patient includes the patient's risk for:

A. Delirium

B. Hallucinations

C. Harming self or others

D. Substance abuse

Ans C

613. Early feedings with increased calories, protein, vitamins and minerals are ordered for the burned patient to-

A. Prevent shifts in fluid and electrolytes

B. Preserve gastric mucosaintegrity and prom-ote healing

C. Treat hyperkalemia associated with burns

D. Promote hydration and calcium balance

Ans B

614. The blocking of behaviour directed towards a goal is termed as:

A. Conflict

B. Frustration

C. Stress

D. Motivation

Ans C

615. The nurse is caring for a patient with meniere's disease. Which nursing diagnosis should receive priority?

A. Fear related to potential hearing loss

B. Risk for injury related to loss of balance

C. Activity intolerance related to perception of dizziness

D. Anxiety related to loss of control

Ans B

616. A patient admitted with a diagnosis of inevitable abortion, after a few hours, a patient begins to experience bearing-down sensations an suddenly expels the products of conception in bed. To give safe nursing care, the nurse should first:

A. Check the fundus for firmness

B. Give her the sedation ordered

C. Take her immediately to the delivery Room

D. Take her immediately to OT

Ans A

617. Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a patient?

A. Heparin sodium

B. 0.9% sodium chloride

C. 5% dextrose in water solution

D. Sterile water

Ans B

618. Which assessment finding would you expect to find in the patient who has anaemia ?

A. Dyspnea

B. Vision changes

C. Skin rash

D. Pain

Ans A

619. Which of the following is a priority for the nurse to monitor in an infant born to a mother who has diabetes mellitus?

A. Hypo-glycemia

B. Rh sensitization

C. ABO incompatibility

D. Hypothermia

Ans A

620. Which of the following drugs is primarily used in the management of "PPH (Post-Partum Haemorrhage)"?

A. Misoprostol

B. Prostaglandin

C. Inj. oxytocin

D. Methergine

Ans C

621. "Regular Insulin"-

A. Has a quicker onset of effect and longer duration than NPH

B. Has a slower onset of effect and shorter duration than NPH

C. Has a quicker onset of effect and shorter duration than NPH

D. Has the longest duration of the insulins available

Ans C

622. Which of the following is a "social motive"?

A. Hunger

B. Thirst

C. Pain avoidance

D. Achievement

Ans D

623. People with osteoporosis are at the risk of:

A. Complex fracture

B. Osteo fracture

C. Green stick fracture

D. Pathological fracture

Ans D

624. Withhold oral feeding in patient with acute pancreatitis to -

A. Maintain alkaline gastric pH

B. Relieve gastric statsis

C. Relieve distension

D. Reduce pancreatic secretions

Ans D

625. "Performance appraisal" of employee includes evaluation of-

A. Quality of work done

B. Quantity of work done

C. The manner in which work is done

D. All of the above

Ans D

626. What is the initial action of a nurse when preparing to insert a naso-gastric (NG) tube?

A. Wash hands

B. Apply sterile gloves

C. Apply a mask and gown

D. Open all necessary kits and tubing

Ans A

627. Copper carrying contraceptive devices acts by:

A. Preventing ovulation

B. Prevent spermatozoa coming in contact with ovum

C. Destruction of spermatozoa

D. Making cervical mucus thick to prevent penetration of spermatozoa

Ans D

628. During suctioning of a tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take ?

A. Release the suction by opening the vent

B. Continue suctioning to remove the obstru-ction

C. Increase the pressure

D. Suction deeper

Ans A

629. Which is the drug of choice used for "Cardio-genic Shock"?

A. Noradrenaline drug

B. Dopamine

C. Salbutamol

D. None of the above

Ans A

630. Dose of vitamin-A prophylaxis for cont-rol blindness in children below six months is:

A. 1,00,000 IU

B. 2,00,000 IU

C. 3,00,000 IU

D. 4,00,000 IU

Ans A

631. Ketonuria is found in patients with:

A. Nephritis

B. Diabetes mellitus

C. Thyro-toxico-sis

D. Peptic ulcer

Ans B

632. "Fear of Pain" is referred as -

A. Aero-phobia

B. Agro-phobia

C. Algo-phobia

D. Xeno-phobia

Ans C

633. "Hypertensive Patient" require diet restriction in-

A. Protein

B. Sodium

C. Carbohydrate

D. All of the above

Ans B

634. The nurse is evaluating a patient who is 2 days post-crush injury to his right leg. Whi-ch symptom is a late indicator of compartment syndrome:

A. Sudden decrease in pain

B. Swelling in toes or fingers

C. Inability to move fingers or toes

D. Diminished distal pulses

Ans D

635. Which technique is useful in assessing fetal position and presentation:

A. Pelvic exam

B. Leopold's maneuver

C. Ballottement

D. Abdominal percussion

Ans B

636. Which of the following condition shows "Snow Strom Appearance" in x-ray of lung-

A. Bagassosis

B. Byssinosis

C. Silicosis

D. Anthracosis

Ans C

637. The international council of nurses (ICN) was established in the year-

A. 1869

B. 1899

C. 1928

D. 1905

Ans B

638. The most significant early sign of liver cirrhosis is-

A. Peripheral edema

B. Ascities

C. Anorexia

D. Jaundice

Ans D

639. A patient with cryptorchidism is being seen at the infertility clinic. The nurse gives high priorty to including which of the follo-wing instructions:

A. Teaching testicular self-exam (TSE) due to risk for testicular cancer

B. Advising the patient to seek the assistance of a sex counselor

C. Avoiding the use of scrotal support devices

D. Avoiding strenuous activity

Ans A

640. T-Tube drainage is used after which surgery-

A. Lobectomy

B. Billroth I

C. Cholecystectomy

D. Ileostomy

Ans C

641. "Pus in the pleural cavity" is termed as-

A. Pleural effusion

B. Empyema

C. Emphysema

D. Pyorrhea

Ans B

642. A pediatric patient is admitted after ingesting a bottle of vitamins with iron. emergency care would include treatment with-

A. Acetylcysteine

B. Deferoxamine

C. Calcium disodium acetate

D. British anti-lewisite

Ans B

643. The disease which is known as "Father of Public Health" is -

A. Small pox

B. Rabies

C. Diphtheria

D. Cholera

Ans D

644. A patient has ca tonsillectomy. Which is most appropriate for the nurse to encourage this patient to have during the first 24 hours after surgery?

A. Warm pudding

B. Milk shakes

C. Soft toast

D. Ice pops

Ans D

645. A patient with full thickness burn injury is scheduled for a skin graft. Which one of the following grafts is taken from an animal source?

A. Auto-graft

B. Iso-graft

C. Allo-graft

D. Xeno-graft

Ans D

646. The nurse is admitting a patient with an antisocial personality disorder. The highest-priority assessment for this patient includes the patient's risk for:

A. Delirium

B. Hallucinations

C. Harming self or others

D. Substance abuse

Ans C

647. To what age, might it take for a child to gain "full bladder control":

A. 0-12 months

B. 10-18 months

C. 18-24 months

D. 24-48 months

Ans D

648. Drug of choice for rheumatic fever is:

A. Cephalosporin

B. Penicillin

C. Streptomycin

D. Gentamycin

Ans B

649. Factors that increase the risk of skin breakdown include-

A. Obesity

B. Immobility

C. Emaciation

D. All of the above

Ans D

650. A nurse is admitting a child diagnosed with rheumatic fever to the pediatric unit. The nurse should assess for which of the following:

A. Decreased sedimentation rate

B. History of viral throat infection

C. Pain in the joints

D. Inspiratory pain

Ans C

651. One of the complication of chronic-otitis media is-

A. Acute and chronic mastoiditis

B. Irreversible hearing loss

C. Infection

D. Internal injury

Ans A

652. What question should the nurse ask the patient who presents for an MRI test?

A. Are you allergic to iodine or shellfish?

B. When did you last eat or drink anything?

C. Do you have any metal in your body?

D. Did you take the laxative prep?

Ans C

653. Which of the following mineral element causes pathological changes in bones and teeth is its deficiency as well as in excess?

A. Chlorine

B. Zinc

C. Iodine

D. Fluorine

Ans D

654. Which of the following is the most common etiology of malignant skin lesions ?

A. Fair skin, blue eyes, red hair

B. Genetic predisposition

C. Overexposure to ultraviolet rays

D. Numerous moles on body

Ans C

655. The apgar score of a neonate at one min-ute after birth is 6. The nurse should prepare to perform which nursing intervention:

A. Administer oxygen to the infant

B. Begin resuscitation measures

C. Give the infant its first bath

D. Place the infant on the mother's chest to promote bonding

Ans A

656. When being interviewed for a position as a registered professional nurse, the applicant is asked to identify an example of an intentional tort. What is the appropriate response ?

A. Negligence

B. Malpractice

C. Breach of duty

D. False imprisonment

Ans D

657. The nurse is preparing a patient for a cardiac catheterization. Which action would the nurse expect to take?

A. Administer a radioisotope as ordered

B. Give the patient a cleansing enema

C. Locate and mark peripheral pulses

D. Encourage high fluid intake before

Ans C

658. The child having "Bow Legs" should be prescribed-

A. Calcium

B. Phosphorus

C. Zinc

D. Managanese

Ans A

659. Which is the first step when caring for bleeding wounds?

A. Apply direct pressure with a clean or sterile dressing

B. Apply pressure at the pressure point

C. Add bulky dressings to reinforce blood soak-ed bandages

D. Elevate the wound

Ans A

660. The physician has ordered mannitol IV for a patient with a head injury. What should the nurse closely monitor because the patient is receiving mannitol?

A. Deep tendon reflexes

B. Urine output

C. Level of orientation

D. Pulse rate

Ans B

661. "Neologism" are characteristically seen in-

A. Depression

B. Mania

C. Schizophrenia

D. Dysphasia

Ans B

662. The nurse is caring for a patient post-operatively following a cesarean section. It is a priority for the nurse to monitor the patient for:

A. Post-partum depression

B. Infection

C. Dehydration

D. Blood clots

Ans B

663. Discharge teaching for a patient with post operative inguinal hernia includes:

A. Telling him to avoid heavy lifting for 4 to 6 weeks

B. Instructing him to have a soft bland diet for 2 weeks

C. Telling him to resume his previous daily activities without limitations

D. Recommending him to drink eight glasses of water daily

Ans A

664. Which of the following is not a risk factor for peptic ulcer disease (PUD)?

A. A family history of PUD

B. Stress

C. Smoking

D. Being a male

Ans D

665. Before giving a medication, the label is checked for all of the following except what:

A. Dosage

B. Expiration date

C. Name

D. Cost

Ans D

666. Why humidification is important when patient is on oxygen therapy?

A. To prevent drying of nasal mucosa

B. To prevent drying of mouth

C. To help patient to breath

D. To help patient to be at case

Ans A

667. Steroid hormones" are mainly synthesi-zed from-

A. Cholesterol

B. Proteins

C. Carbohydrates

D. Minerals

Ans A

668. Nursing responsibilities for early detec-tion of internal bleeding in a post operative patient includes regular checking of:

A. Pulse and blood sugar

B. Cold and clam skin

C. Restlessness

D. All of the above

Ans D

669. Which patient would most likely experi-ence a problem with maintaining a normal electrolyte balance?

A. Patient with peripheral edema and heart failure

B. A patient with a history of alcohol intake and liver damage

C. A child with an acute episode of nephrotic syndrome

D. A patient with obstructive lung disease

Ans C

670. In the event of an accidental needle stick injury, the immedicate action to be taken is-

A. Dress the injured finger

B. Bleed the injury and wash the spot under running water

C. Send the blood for HIV testing

D. Report to the bacterio-logical department

Ans B

671. "Myocardial Infarction" term refers to-

A. Necrosis of an area of heart muscles

B. Frequent chest pain

C. Sustained elevation of blood pressure

D. All of the above

Ans A

672. Following a cystoscopic examination, the patient complains of burning sensation on voiding, the nurse should-

A. Get ready for bladder wash

B. Start urinary antibiotic

C. Give analgesic

D. Advice to take plenty of oral fluids

Ans D

673. Retaining permanent change in behav-iour that occurs as a result of prior experiences is known as:

A. Aptitude

B. Learning

C. Inteligence

D. Education

Ans B

674. The nurse knows that the 60-year-old female patient's susceptibility to osteoporosis is most likely related to-

A. Genetic predisposition

B. Lack of exercise

C. Hormonal disturbances

D. Lack of calcium

Ans C

675. When is the most appropriate time for a women to perform breast self-examination?

A. The first day of the menstrual period

B. One week after the start of the menstrual period

C. Just before the time of intercourse

D. Any convenient time of the month

Ans B

676. Timolol 0.5% drug agent is used for what-

A. Open angle glaucoma

B. Eye infections

C. Eye inflammation

D. Eye redness

Ans A

677. Which procedure is most helpful in distinguishing a fluid-filled mass from a solid mass of the breast?

A. BSE

B. Mammogram

C. Clinical breast examination

D. Ultrasound

Ans D

678. Primi-Gravida comes to the office for a routine prenatal visit. The nurse assesses the fetal heart rate as 130 beats per minute. The nurse should:

A. Anticipate that the woman will need an ultrasound

B. Document the fetal heart rate as 130 beats per minute

C. Reassess the fetal heart rate

D. Turn the mother on her left side

Ans B

679. "Two Ounce" by Volume is Equal to-

A. 30 ml

B. 60 ml

C. 90 ml

D. 15 ml

Ans B

680. During the first day after delivery, a nurse assesses a Patient's fundus and notices that it feels boggy. Which is the first action that the nurse should perform?

A. Document the "Boggy' fundus

B. Have the patient void

C. Massage the fundus

D. Notify the physician

Ans A

681. Which of the following can lead to greenish discoloration of the aimniotic fluid?

A. Lunugo

B. Hydramnios

C. Meconium

D. Vernix

Ans C

682. The nurse has given suggestions to a client with trigeminal neuralgia about strategies to minimize episodes of pain. The nurse determines that the, client needs further teaching if the client makes which statement?

A. I will wash my face with cotton pads.

B. I will have to start chewing on my unaffected side.

C. I should rinse my mouth if tooth brushing is painful.

D. I will try to eat my food either very warm or very cold.

Ans D

683. Relation of fetal head and limb to its trunk is called:

A. Lie

B. Presentation

C. Attitude

D. Position

Ans C

684. Which of the following electrolytic imb-alance leads to PVC (Premature Ventricular contraction)

A. Hyperkalemia

B. Hypokalemia

C. Hypocalcemia

D. Hypercalcemia

Ans B

685. A common site of the lesions associated with atopic dermatitis is:

A. Axilla

B. Buttocks

C. Elbow

D. Groin

Ans C

686. Hot test is used to detect which of the following in urine:

A. Bile

B. Sugar

C. Albumin

D. Acetone

Ans C

687. Which explanation is accurate regar-ding intussusception:

A. Kinking of bowel into itself

B. Band of connective tissue compressing the bowel

C. Telescoping of proximal loop to distal loop

D. Protrusion of an organ through wall that contains

Ans C

689. If a newborn's head and trunk is allowed to fall backward it elicits:

A. Step-in reflex

B. Planter reflex

C. Started reflex

D. Moro reflex

Ans D

690. Non inflammatory conditions of the skin is termed as:

A. Dermatitis

B. Dermatoses

C. Neuro dermatitis

D. Furunculoisis

Ans B

691. Steroid synthesis occur within which of the following structure:

A. Peroxisome

B. Mitochondrion

C. Golgi apparatus

D. None of these

Ans B

692. Common site of metastasis of colorectal cancer?

A. Bone

B. Lungs

C. Spine

D. Liver

Ans D

693. All the statements are true regarding peripheral chemoreceptor except?

a). Located in carotid body.

b). Stimulated by fall in PaCO2.

c). Have type 2 epithelial cells.

d). Not stimulated by fall in PaO2.

Ans B

694. Injury to muscle is:

A. Subluxation

B. Strain

C. Sprain

D. Fracture

Ans B

695. Tracheostomy is usually performed between the tracheal rings of cartilage of:

A. Fourth and fifth

B. Second and third

C. Third and fourth

D. All of the above

Ans C

696. Which of the following is included in Orems theory?

A. Maintenance of a sufficient intake of air

B. Self perception

C. Love and belongingness

D. Physiologic need

Ans A

697. Nocturnal diarrhoea is associated with:

A. Hyperternsion

B. Diabetic neuropathy

C. Renal calculi

D. Hepatitis B

Ans B

698. . What is the average GFR of an adult:

A. 10 ml/day

B. 180 litre/day

C. 1500 ml/day

D. 1 ml/day

Ans B

699. The enema used to relive inflammation is:

A. Carminative enema

B. Astringent enema

C. Purgative enema

D. Antihelminthic enema

Ans B

700. A person seeing a design in the floor thought it was a fossil. It is an example of:

A. Illusion

B. Delusion

C. Hallucination

D. Idea of reference

Ans A

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