DMER Maharashtra nursing paper
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1. The client admitted
with angina is given a prescription for nitroglycerine. The client should be
instructed to:-
A. Replenish his supply
every 3 months
B. Take one every 15
minutes if pain occurs
C. Leave the medication in
brown bottle
D. Crush the medication
and take with water
Answer: C. Leave the
medication in brown bottle
2. Area rank of
Maharashtra in India:
A. 2nd
B. 4th
C. 5th
D. 3rd
Answer:
- D.3rd
3. A provider 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 provider?
A. WBC count
B. Serum electrolyte
levels
C. Arterial blood gas
levels
D. Hemoglobin and
hematocrit levels
Answer:
B. Serum electrolyte levels
4. The nurse caring for a
client with a closed head injury obtains an intracranial pressure (ICP) reading
of 17mmHg. The nurse recognizes that:
A. The ICP is elevated and
the doctor should be notified
B. The ICP is normal; therefore, no further
action is needed
C. The ICP is low and the
client needs additional IV fluids
D. The ICP reading is not
as reliable as the Glasgow coma scale
Answer:
B. The ICP is normal; therefore, no further action is needed
5. While caring for a
client with hypertension, the nurse notes the following vital signs, BP of
140/20mmhg, pulse- 120, respirations-36, and temperature-100.8 degree
Fahrenheit. The nurse’s initial action should be to.
A. Call the doctor
B. Recheck the vital
signs
C. Obtain arterial blood
gases
D. Obtain an ECG
Answer-
A. Call the doctor
6. What event occurring in
the second trimester helps the expectant mother to accept the pregnancy?
A. Lightening
B. Ballottement
C. Pseudocyesis
D. Quickening
Answer: D. Quickening
7. 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?
A. Polyuria
B. Cardiac
dysrhythmias
C. Dry mucous
membranes
D. Prolonged bleeding
time
Answer:
B. Cardiac dysrhythmias
8.
When administering a tuberculin skin test, the nurse should insert needle at a
:
A. 15◦ angle
B. 30◦ angle
C. 45◦ angle
D. 90◦ angle
Answer:
A.15◦ angle
9.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?
A. green
B. blue
C. pink
D. yellow
Answer: - C. pink
10. Which finding is the
best indication that a client with ineffective airway clearance needs
suctioning? A. Oxygen saturation
B. Respiratory rate
C. Breath sounds
D. Arterial blood gas
Answer: - C. Breath
sounds
11. 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?
A. Urinary output has
increased
B. Dependent edema has
resolved
C. Blood pressure reading
is at the prenatal baseline
D. The clients complains
of a headache and blurred Vision
Answer:-
D. The clients complains of a headache and blurred Vision
12. Each time a client is
scheduled for a therapy session she develops headache and nausea. The nurse
might interpret this behavior as:
A. Conversion
B. Reaction formation
C. Projection
D. Suppression
Answer:
A. Conversion
13. A large muscle that
separates the chest cavity from the abdominal cavity and helps with breathing.
A. Larynx
B. Trachea
C. Diaphragm
D. None of these
Answer:
C. Diaphragm
14. The nurse has an order
for medication to be administered intrathecally. The nurse is aware that medications
will be administered by which method?
A. Intravenously
B. Rectally
C. Intramuscularly
D. Into the cerebrospinal
fluid
Answer:-
D. Into the cerebrospinal fluid
15. The nurse is teaching
a group of new graduates about the safety needs of the client receiving
chemotherapy. Before administering chemotherapy, the nurse should:
A. Administer bolus of IV
fluid
B. Administer pain
medication
C. Administer an
antiemetic
D. Allow the patient a
chance to eat
Answer:-
C. Administer an antiemetic
16. Total Number of
Districts in Maharashtra?
A. 36
B. 34
C. 23
D. 28
Answer:-
A.36
17. A nurse is preparing a
woman in labor for an amniotomy. The nurse should assess which priority data
before the procedure?
A. Fetal heart rate
B. Maternal heart
rate
C. Fetal scalp
sampling
D. Maternal blood
pressure
Answer:
A. Fetal heart rate
18. 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?
A. Elevated liver enzymes
B. Hemolysis
C. Low platelets
D. All of the choices
Answer:- D. All of the choices
19. DIRECTIONS: Select the
related numbers from the given alternatives.
21 : 3 :: 574 : ?
A. 23
B. 82
C. 97
D. 113
Answer: B.82
20. The client with
suspected meningitis is admitted to the unit. The doctor is performing an
assessment to determine meningeal irritation and spinal nerve root
inflammation. A positive Kernig’s sign is charted if the nurse notes:
A. Pain on flexion of the
hip and knee
B. Nuchal rigidity on
flexion of the neck
C. Pain when the head is
turned to the left side
D. Dizziness when changing
positions
Answer:
A. Pain on flexion of the hip and knee
21. Which of the following clinical manifestations
suggests the presence of vulvo-vaginal candidiasis?
A.
Mucoid discharge and redness
B.
Multiple ulcerative lesions with pruritus
C.
Greenish yellow discharge and pruritus
D.
Curdy discharge, moist reddened skin and pruritus
Ans
D.Curdy discharge, moist reddened skin and pruritus
22. If a train, with a
speed of 60 km/hr, crossed a pole in 60 second, the length of the train (in meters)
is: A. 1000
B. 900
C. 750
D. 500
Answer:- A.1000
23. The longest vein in
the human body is;
A. Jugular
B. Inferior venacava
C. Long saphenous
D. Subclavian
Answer:-
C. Long saphenous
24. In which gestational
age the Chronic villus sampling (CVS) can be performed trans cervically.
A. 7-9 weeks
B. 10-12 weeks
C. 16-18 weeks
D. 20-22 weeks
Answer:
- B. 10-12 weeks
25. Albumin is one of the
plasma proteins is synthesized in :
A. Spleen
B. Pancreas
C. Adrenal gland
D. Liver
Answer:
- D. Liver
26. Which cell feature is
responsible for making proteins?
A. Lysosome
B. Ribosomes
C. Mitochondria
D. None of these
Answer- A. Lysosome
27. A client with
psychotic depression is receiving haloperidol (Haldol). Which of the following
side effects is associated with haloperidol?
A. Akathisia
B. Cataracts
C. Diaphoresis
D. Polyuria
Answer:
- A. Akathisia
28. In planning care for
the patient with ulcerative colitis, the nurse identifies which nursing
diagnosis as a priority?
A. Anxiety
B. Impaired skin
integrity
C. Fluid volume
deficit
D. Nutrition altered, less
than body requirements
Answer:
- C. Fluid volume deficit
29. A nurse is performing
an assessment on a pregnant client with a history of cardiac disease. The nurse
checks which body area for venous congestion, knowing that it is most commonly
noted in this area?
A. Vulva
B. Around the eyes
C. Fingers of the
hands
D. Around the abdomen
Answer: A. Vulva
30. A client with
increased intracranial pressure is placed on mechanical ventilation with
hyperventilation. The nurse knows that the purpose of the hyperventilation is
to:
A. Prevent the development
of acute respiratory failure
B. Decrease cerebral blood
flow
C. Increase systemic
tissue perfusion
D. Prevent cerebral
anoxia
Answer: - B. Decrease
cerebral blood flow
31. The nurse is
evaluating nutritional outcomes for an elderly client with anorexia nervosa.
Which data best indicates that the plan of care is effective?
A. The client selects a
balanced diet from the menu
B. The clients hematocrit
improves
C. The clients tissue
turgor improves
D. The client gains gait
Answer - D. The client
gains gait
32. A nurse is reviewing
the record of a client in the labor room and notes that the nurse midwife has
documented that the fetus is at -1 station. The nurse determines that the fetal
presenting part is:
A. 1 inch below the
coccyx
B. 1 inch below the iliac
crest
C. 1 cm above the ischial
spine
D. 1 fingerbreadth below
the symphysis pubis
Answer: - C.1 cm above
the ischial spine
33. An important
intervention in monitoring the dietary compliance of a client with bulimia
is:
A. Allowing the client
privacy during mealtimes
B. Praising her for eating
all her meal
C. Observing her for 1-2
hours after meals
D. Encouraging her to
choose foods she likes and to eat in moderation
Answer: - C. Observing
her for 1-2 hours after meals
34. The nurse is caring for a client following
the removal of a central line catheter when the client suddenly develops
dyspnea and complains of substernal chest pain. The client is noticeably
confused and fearful. The nurse should suspect which complication of central
line use?
A. Myocardial
infraction
B. Air embolus
C. Intrathoracic
bleeding
D. Vagal response
Answer: - B. Air
embolus
35. DIRECTIONS: Select the
related letters from the given alternatives.
LOM : NMK :: PKI : ?
A. RIH
B. SHG
C. RIG
D. RHG
Answer: C.RIG
36. What is the function
of blood platelets?
A. Carry haemoglobin
B. Aid in coagulation of
blood
C. Ingest bacteria
D. Transport CO2
Answer: - B. Aid in coagulation
of blood
37. A client with a
history of diabetes insipidus is admitted with polyuria, polydipsia, and mental
confusion. The priority intervention for this client is:
A. Measure the urinary
output
B. Check the vital
signs
C. Encourage increased
fluid intake
D. Weigh the client
Answer: B. Check the
vital signs
38. Which of the following
meal selections is appropriate for the client with celiac disease?
A. Toast, jam, and apple
juice
B. Peanut butter cookies
and milk
C. Rice krispies bar and
milk
D. Cheese pizza and
kool-Aid
Answer: C. Rice
krispies bar and milk
39. A pregnant client with
diabetes mellitus arrives at the health care clinic for a follow-up visit. What
priority assessment should the nurse monitor?
A. Urine for specific
gravity
B. For the presence of
edema
C. Urine for glucose and
ketones
D. Blood pressure, pulse
and respirations
Answer: C. Urine for
glucose and ketones
40.
During which of the following stages of labour would the nurse assess
‘crowning’
A.
First stage
B.
Second stage
C.
Third stage
D.
Fourth stage
Answer:
B. Second stage
41.
The client is taking rifampin 600mg PO daily to treat his tuberculosis. Which
action by the nurse indicates understanding of the medication?
A.
Telling the client that the medication will need to be taken with juice
B.
Telling the client that the medication will change the colour of the urine
C.
Telling the client to take the medication before going to bed at night
D.
Telling the client to take medication if the night sweats occur
Answer:
B. Telling the client that the medication will change the colour of the
urine
42.
A client with hemophilia has nosebleed. Which nursing action is most appropriate
to control the bleeding?
A.
Place the client in a sitting position with the head hyper extended
B.
Pack the nares tightly with gauze to apply pressure to the source of
bleeding
C.
Pinch the soft lower part of the nose for a minimum 5 minutes
D.
Apply ice packs to the forehead and back of the neck
Answer:
C. Pinch the soft lower part of the nose for a minimum 5 minutes
43.
The nurse is planning dietary changes for a client following an episode of
pancreatitis. Which diet is suitable for the client?
A.
Low calorie, low carbohydrate
B.
High calorie, low fat
C.
High protein, high fat
D.
Low protein, high carbohydrate
Answer:
B. High calorie, low fat
44.
A client is at 35 weeks of gestation calls the nurse at the clinic and reports
a sudden discharge of fluid from the vagina. Based on the data provided, the
suspects which of the following conditions?
A.
Miscarriage
B.
Preterm labor
C.
Intrauterine fetal demise
D.
Premature rupture of the membranes
Answer:
D. Premature rupture of the membranes
45.
A client with a c6 spinal cord injury 2 months ago now complains of a pounding
headache. The pulse is 64 and the blood pressure is 220/110mmhg. Which of the
following action should the nurse take first?
A.
Give analgesic as ordered
B.
Check for fecal impaction
C.
Elevate the client’s head and lower the legs
D.
Notify the physician
Answer:
C. Elevate the client’s head and lower the legs
46. A nurse plans to assess a client for the
vegetative signs of depression. The nurse assesses for these signs by
determining the clients:
A.
Level of self-esteem
B.
Level of suicidal ideation
C.
Ability to think, concentrate and make rational decisions
D.
Appetite, weight, sleep patterns and psychomotor activity
Answer:
D. Appetite, weight, sleep patterns and psychomotor activity
47.
A nurse is caring for an infant who is admitted to the hospital with a
diagnosis of haemolytic disease. The nurse reviews the laboratory results,
expecting to note which of the following in this infant?
A.
Decreased bilirubin count
B.
Elevated blood glucose level
C.
Decreased RBC count
D.
Decreased white blood cell count
Answer:
C. Decreased RBC count
48.
A client had arterial blood gases drawn. The results are a pH of 7.34, a
partial pressure of carbon dioxide of 37 mm Hg, a partial pressure of oxygen of
79 mm Hg and a bicarbonate level of 19 mEq/L. the nurse interprets that the
client is experiencing:
A.
Metabolic acidosis
B.
Metabolic alkalosis
C.
Respiratory acidosis
D.
Respiratory alkalosis
Answer:
A. Metabolic acidosis
49.
At 28-30 weeks gestation where would you expect to find the uterine
fundus?
A.
Umbilicus
B.
Xiphisternum
C.
Symphysis pubis
D.
Half way between umbilicus and xiphisternum
Answer:
D. Half way between umbilicus and xiphisternum
50. The nursing care plan is_______
A.
A written guideline for implementation and evaluation
B.
A documentation of client care
C.
A projection of potential alterations in client behaviors
D.
A tool to set goals and project outcomes
Answer:
A. A written guideline for implementation and evaluation
51. In an examination a
candidate who got 30% of the total marks failed by 8 marks. Another candidate
who got 35% got 12 marks more than the passing marks. Total marks are
A. 500
B. 400
C. 800
D. 300
Answer: - B.400
52. Tunica adventitia is a
part of –
A. Blood vessels
B. Testes
C. Scrotum
D. Kidney
Answer: A. Blood
vessels
53. A nurse is preparing
to administer a chemotherapeutic agent via intraperitoneal therapy. In which
position should the nurse plan to place the client before administering this
therapy?
A. Supine
B. Semi-fowler’s
C. Trendelenburg’s
D. Dorsal recumbent
Answer: B.
Semi-fowler’s
54.
Which of the following neurotransmitter is khown to be associated with sleep,
mood and appetite?
A.
Acetylcholine
B.
Dopamine
C.
Serotonin
D.
GABA
Ans
C Serotonin
55. In a certain code GONE
is written as ‘5139’ and NODAL is written as ‘31268’. How is LODGE written in
that code language?
A. 81259
B. 84259
C. 82459
D. 82659
Answer: - A. 81259
56. A client with hyperthyroidism is taking
lithium carbonate to inhibit thyroid hormone release With complaint by the
client should alert the nurse to a problem with the client’s medication?
A. The client complains of
blurred vision
B. The client complains of
increased thirst and increased urination
C. The client complains of
increased weight gain over the past year
D. The client complains of
ringing in the ears
Answer: - B. The client
complains of increased thirst and increased urination
57. Out of the given four
words only one is not spelt correctly. Find the word that is not correctly
spelt.
A. apparantlly
B. noticeable
C. necessary
D. occurrence
Answer: - A.
apparantlly
58. A client is scheduled for an arteriogram
using a radiopaque dye. The nurse assesses which most critical item before the
procedure?
A. Vital signs
B. Intake and output
C. Height and weight
D. Allergy to iodine or
shellfish
Answer: - D. Allergy to
iodine or shellfish
59. DIRECTIONS: A sentence
with an underlined word is given below. Find the Word which is most similar in
meaning to the underlined word.New technology means that astronomers can
accomplish in a single night what once took years.
A. achieve
B. separate
C. eliminate
D. abandon
Answer: A. achieve
60. FHS can be auscultated
with a fetoscope as early as which of the following?
A. 5 weeks gestation
B. 10 weeks gestation
C. 15 weeks gestation
D. 20 weeks gestation
Answer: D. 20 weeks
gestation
61. The nurse is caring
for a client with an intracranial aneurysm. The nurse interprets that which of
the following is related to the dysfunction of cranial nerve III?
A. Mild drowsiness
B. Ptosis of the left
eyelid
C. Slight slurring of
speech
D. Less frequent
spontaneous speech
Answer:- B. Ptosis of
the left eyelid
62.
63. A home care nurse assesses an older
client’s functional status and ability to perform activities of daily living.
The nurse focuses the assessment on:
A. Everyday routines
B. Self-care
activities
C. Household
management
D. Endurance and
flexibility
Answer: B. Self-care
activities
64. Which of the following post-operative
diets is most appropriate for the client who has had a haemorrhoidectomy?
A. High-fibre
B. Low-residue
C. Bland
D. Clear-liquid
Answer: D. Clear-liquid
65. Out of the given
options, choose the most appropriate one to fill in the blank. She has fought a constant battle _____
depression throughout her career.
A. with
B. from
C. at
D. into
Answer: A. with
66. If a:b is 3:4, b:c is
2:5, find a : b : c.
A. 3 : 4 : 10
B. 3 : 5 : 7
C. 3 : 4 : 8
D. 3 : 2 : 9
Answer: - A. 3 : 4 : 10
67. The nurse is providing
dietary teaching for a client with elevated cholesterol levels. Which cooking
oil is not suggested for the client on a low-cholesterol diet?
A. Safflower oil
B. Sunflower oil
C. Coconut oil
D. Canola oil
Answer:- C. Coconut oil
68. A 6-month-old is
hospitalized with symptoms of botulism. What aspect of the infant’s history is
associated with CLOSTRIDIUM BOTULISM infection?
A. The infant sucks on his
fingers and toes
B. The mother sweetens the
infant’s cereal with honey
C. The infant was switched
to soy-based formula
D. The father recently
purchased an aquarium
Answer: - B. The mother
sweetens the infant’s cereal with honey
69. Which of the following
is not included in the definition of personality psychology:
A. It deals with
adaptations to the environment
B. It deals with how
traits influence the environment
C. It deals with how the
environment influences traits
D. All of the above are
included
Answer:- D. All of the
above are included
70. The nurse is caring for a client who is
receiving parenteral nutrition through a central venous catheter. Which action
should the nurse plan to implement to decrease the risk of infection in this
client?
A. Track the client’s oral
temperature
B. Administer antibiotics
intravenously
C. Evaluate the
differential of the leukocytes
D. Use sterile technique
for dressing changes
Answer: D. Use sterile
technique for dressing changes
71. Total Area of Maharashtra State:
A. 307,713 km 2
B. 607,713 km 2
C. 189,718 km 2
D. 217,718 km 2
Answer- A.307,713 km 2
72. During the first 4
hours after a male circumcision, assessing for which of the following is the
priority?
A. Infection
B. Hemorrhage
C. Discomfort
D. Dehydration
Answer:- B. Hemorrhage
73. A client receiving
parnate (tranylcypromine) is admitted in hypertensive crisis. Which food is
capable of producing a hypertensive crisis when taken with the medication?
A. Processed cheese
B. Cottage cheese
C. Cream cheese
D. Cheddar cheese
Answer: D. Cheddar
cheese
74. The nurse is caring
for a client with a diagnosis of hepatitis. Who is experiencing pruritis. Which
would be the most appropriate nursing intervention?
A. Suggest that the client
take warm showers two times per day
B. Add baby oil to the
client’s bath water
C. Apply powder to the
client’s skin
D. Suggest a hot-water
rinse after bathing
Answer: - B. Add baby
oil to the client’s bath water
75. A client with
pancreatitis has been transferred to the intensive care unit. Which order would
the nurse anticipate?
A. Blood pressure every 15
minutes
B. Insertion of a Levine
tube
C. Cardiac monitoring
D. Dressing changes two
times per day
Answer:- B. Insertion
of a Levine tube
76. A client is being
discharged to home while recovering from acute renal failure. The client
indicates an understanding of the therapeutic dietary regimen if the client
states the need to eat foods that are lower in:
A. Fats
B. Vitamins
C. Potassium
D. Carbohydrates
Answer: C. Potassium
77. What will come in
place of Question mark (?) in the following number series? 3, 4.5, 9, 22.5, 67.5, (?), 945
A. 265.25
B. 236.25
C. 225.36
D. 150
Answer:- B. 236.25
78. An adult is pacing
about the unit and wringing his hands. He is breathing rapidly and complains of
palpitations and nausea and he has difficulty focusing on what the nurse is
saying. He says he is having a heart attack but refuses to rest. The nurse
would interpret his level of anxiety as:
A. Mild
B. Moderate
C. Severe
D. Panic
Answer:- D. Panic
79. A mother and her
3-week-old infant arrive at the well-baby clinic for a rescreening test for
phenylketonuria(PKU). The nurse reviews the results of the serum phenylalanine
levels a notes that the level is 1.0 mg/dl. The nurse interprets this level
as:
A. Normal
B. Inconclusive
C. Requiring a repeat
study
D. Elevated and indicating
PKU
Answer:- A. Normal
80. Labour is called normal if it fulfills the
following criteria except –
A. Spontaneous in onset
and at term
B. With vertex
presentation
C. Modifying the nature of
termination
D. Without undue
prolongation
Answer:- C. Modifying
the nature of termination
81. Pale white vaginal
discharge for the first fortnight during puerperium is:
A. Lochia rubra
B. Lochia serosa
C. Lochia alba
D. Lochia tuna
Answer:- C. Lochia alba
82 DIRECTIONS: A sentence
with an underlined word is given below. Find the word which is opposite to the
highlighted word from the given options.
The city was annihilated by an atomic bomb.
A. Created
B. Ruined
C. Demolished
D. Destructed
Answer: A. created
83. The nurse is teaching
the client regarding use of sodium warfarin. Which statement made by the client would require further
teaching?
A. “I will have blood
drawn every month”
B. “I will assess my skin
for a rash”
C. “I take aspirin for a
headache”
D. “I will use an electric
razor for shave”
Answer: C. “I take
aspirin for a headache”
84. Which activity is best
suited to the 12 –year-old with juvenile rheumatoid arthritis?
A. Playing video
games
B. Swimming
C. Working crossword
puzzles
D. Playing slow-pitch
softball
Answer: B. Swimming
85. Planning is a category
of nursing behaviors in which:
A. The nurse determines
the health care needed for the Patient
B. The Physician
determines the plan of care for the Patient
C. Patient -centered goals
and expected outcomes are established
D. The Patient determines
the care needed
Answer: C. Patient
-centered goals and expected outcomes are established
86. The home health nurse
is visiting a 15–year old with sickle cell disease. Which information obtained
on the visit would cause the most concern? The client:
A. Likes to play
baseball
B. Drinks several
carbonated drinks per day
C. Has two sisters with
sickle cell tract
D. Is taking Tylenol to
control pain
Answer: A. Likes to
play baseball
87. The nurse prepares to
administer an enteral feeding to a client through a nasogastric tube. Which is
the priority intervention for the nurse to complete before administering the
feeding?
A. Determining tube
placement
B. Auscultating the tube
bowel sounds
C. Measuring the intake
and output
D. Establishing the
client’s baseline weight
Answer: A. Determining
tube placement
88. The client delivered a
9- pound infant two days ago. An effective means of managing discomfort from an
episiotomy is:
A. Medicated
suppository
B. Aspirin
C. Sitz baths
D. Ice packs
Answer: C. Sitz baths
89. The client is having electroconvulsive
therapy for treatment of severe depression. Which of the following indicates
that the client’s ECT has been effective?
A. The client loses
consciousness
B. The client vomits
C. The client’s ECG
indicates tachycardia
D. The client has grand
mal seizure
Answer: D. The client
has grand mal seizure
90. A man is admitted to
the intensive care unit with chest pain, an abnormal ECG, and elevated enzymes.
When the significance of this is explained to him, he says, “I can’t be having
a heart attack. No way. You must be mistaken.” The nurse suspect the client is
using which defense mechanism?
A. Sublimation
B. Regression
C. Dissociation
D. Denial
Answer: D. Denial
91. The nurse is obtaining
a history from a client who was admitted to the hospital with a thrombotic
brain attack. The nurse assesses the client, knowing that before the stroke
occurred, the client most likely experienced:
A. No symptoms at all
B. Throbbing
headaches
C. Transient hemiplegia
and loss of speech
D. Unexplained episodes of
loss of consciousness
Answer:- C. Transient hemiplegia and loss of speech
92. Which of the following statements about
AIDS is true?
A. The disease is highly
infectious
B. The fatality rate is
low if the disease is detected in its early stages
C. Most people who get
AIDS die of pneumonia
D. None of the above
Answer: D. None of the
above
93. The home health nurse is visiting a client
with Paget’s disease. An important part Of preventive care for the client with
Paget’s disease is:
A. Keeping the environment
free of clutter
B. Advising the client to
see the dentist regularly
C. Encouraging the client
to take influenza vaccine
D. Telling the client to
take a daily multivitamin
Answer:- A. Keeping the
environment free of clutter
94. For blood clotting
fibrinogen is changed into fibrin with the help of –
A. Antithrombin
B. Thrombin
C. Platelets
D. Vitamin K
Answer:- B. Thrombin
95. The client is admitted with left-sided
congestive heart failure. In assessing the client for edema, the nurse should
check the:
A. Feet
B. Neck
C. Hands
D. Sacrum
Answer:- B. Neck
96. A client is hospitalized with signs of
transplant rejection following a recent transplant. Assessment of the client
would be expected to reveal:
A. A weight loss of 2
pounds in 1 day
B. A serum creatinine 1.25
mg/dl
C. Urinary output of 50ml
/hr
D. Rising blood pressure
Answer: D. Rising blood
pressure
97. A nurse is caring for
an infant with laryngomalacia. Which position would the nurse place the infant
in to decrease the incidence of stridor?
A. Prone
B. Supine
C. Supine with the neck
flexed
D. Prone with the neck
hyperextended
Answer: D. Prone with
the neck hyperextended
98. A 5- year –old is a
family contact to the client with tuberculosis. Isoniazid (INH) has been
prescribed for the client. The nurse is aware that the length of time that the
medication will be taken is:
A. 1 year
B. 3 months
C. 6 months
D. 2 years
Answer: A.1 year
99. Which of the following
is/are part of the definition of learning?
A. Change in behavior
B. Relatively
permanent
C. Brought about by
experience
D. All of the above
Answer: D. All of the
above
100. A client with
advanced cirrhosis of the liver is not tolerating protein well, as evidenced by
abnormal laboratory values. The nurse anticipates that which of the following
medications will be prescribed for the client?
A. Folic acid
B. Lactulose
C. Thiamine
D. Ethacrynic acid
Answer: B. Lactulose
101. The client is admitted
with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45,
O2 84, bicarb 28. The nurse would assess the client to be in:
A. Uncompensated
acidosis
B. Compensated
alkalosis
C. Compensated respiratory
acidosis
D. Uncompensated metabolic
acidosis
Answer: C. Compensated
respiratory acidosis
102. A client has had a laryngectomy for
throat cancer and has started oral intake. The nurse determines that the client
has tolerated the first stage of dietary advancement if the client takes which
of the following types of diet without aspirating or choking?
A. Bland
B. Full liquids
C. Clear liquids
D. Semisolid foods
Answer: D. Semisolid
foods
103. The immunoglobulin
found in a mother's milk is_______
A. IgM
B. IgA
C. IgE
D. IgG
Answer: B. IgA
104. DIRECTIONS: Select
the one which is different from the other three responses.
A. 45
B. 35
C. 85
D. 72
Answer: D. 72
105. A client with
hypothyroidism frequently complains of feeling cold. The nurse should tell the
client that she will be more comfortable if she:
A. Uses an electric
blanket at night
B. Dresses in extra layers
of clothing
C. Applies a heating pad
to her feet
D. Takes a hot bath
morning and evening
Answer:- B. Dresses in
extra layers of clothing
106. The physician is
preparing to remove a central line. The nurse should tell the client to:
A. Breathe normally
B. Take slow, deep
breaths
C. Take a deep breath and
hold it
D. Breathe as quickly as
possible
Answer: C. Take a deep
breath and hold it
107. The home care nurse
is preparing to visit a client with a diagnosis of meniere’s disease. The nurse
reviews the physician prescription and expects to note that which of the
following dietary measures is prescribed?
A. A low-fiber diet with
decreased fluid
B. A low-sodium diet and
fluid restriction
C. A low-fat diet with a
restriction of citrus fruits
D. A low-carbohydrate diet
and the elimination of red meats
Answer: B. A low-sodium
diet and fluid restriction
108. An elderly client is
diagnosed with intestinal cystitis. Which finding differentiates intestinal
cystitis from other forms cystitis?
A. The client is
asymptomatic
B. The urine is free of bacteria
C. The urine contains
blood
D. Males are affected more
often
Answer: B. The urine is
free of bacteria
109. Father of scientific
management theory:
A. Frederick
B. Lydia hall
C. Ivan pavlov
D. Willium james
Ans A Frederick
110. A client is admitted
with a blood alcohol level of 180mg/dl. The nurse recognize that the alcohol in
the clients system should be fully metabolized within:
A. 3 hours
B. 5 hours
C. 7 hours
D. 9 hours
Answer: D. 9 hours
111. The cell body of
neuron is also called as_______
A. Dendrite
B. Axon
C. Soma
D. None of these
Answer: C. Soma
112. Which of the
following is a prostaglandin commonly used in induction of labour:
A. Misoprostol
B. Atenolol
C. Labetalol
D. None of the above
Answer: A. Misoprostol
113. The average of 10,
12, 16 and 18 is:
A. 14
B. 13
C. 12
D. 15
Answer: A. 14
114. A nurse is caring for a child with renal
disease and is analysing the child’s laboratory results. The nurse notes a
sodium level of 148 mEq/L. on the basis of this finding, which clinical
manifestation would the nurse expect to note in the child?
A. Lethargy
B. Diaphoresis
C. Cold, wet skin
D. Dry, sticky mucous
membranes
Answer: D. Dry, sticky
mucous membranes
115. A nurse is checking
the fundus of a postpartum woman and notes that the uterus is soft and spongy.
Which nursing action appropriate initially?
A. Notify the
physician
B. Encourage the mother to
ambulate
C. Massage the fundus
gently until it is firm
D. Document fundal
position, consistency and height
Answer: C. Massage the
fundus gently until it is firm
116. A nurse is performing
an assessment of a client who is scheduled for a caesarean delivery. Which assessment
finding would indicate a need to contact the physician?
A. Hemoglobin of 11
g/dl
B. Fetal heart rate of 180
beats/min
C. Maternal pulse rate of
85 beats/min
D. White blood cell count
of 12000/mm3
Answer: B. Fetal heart
rate of 180 beats/min
117. State which has
decided to give 1% reservation to orphan children in government jobs -
A. Maharashtra
B. Madhya Pradesh
C. Karnataka
D. Uttar Pradesh
Answer: A. Maharashtra
118. To prevent deformities of the knee joints
in a client with an exacerbation of rheumatoid arthritis, the nurse
should:
A. Tell the client to
remain on bed rest until swelling subsides
B. Discourage passive
range of motion because it will cause further swelling
C. Encourage motion of the
joint within the limits of pain
D. Tell the client she
will need joint immobilization for 2-3 weeks
Answer: C. Encourage
motion of the joint within the limits of pain
119. The protein found in blood that is
responsible for transporting oxygen is:
A. Erythropoietin
B. Hemoglobin
C. Gamma globulin
D. All of the above
Answer: A.
Erythropoietin
120. The process by which
the muscular fibers of the cervix are pulled upward and merges with the fibers
of the lower uterine segment is:
A. Polarity of uterus
B. Effacement
C. Efforts
D. Engagement
Answer: B. Effacement
121. The nurse prepares to
administer a continuous intravenous infusion through a peripheral IV to a
client who has dehydration. Which is the priority nursing assessment before
initiating the IV infusion?
A. Checking a daily body
weight
B. Checking the serum
electrolyte
C. Checking intake and
output records
D. Asking the client about
the dominant side
Answer: A. Checking a
daily body weight
122. The nurse is
admitting a client with a suspected duodenal ulcer. The client will most likely
to report that his abdominal discomfort decreases when he:
A. Skips a meal
B. Rests in a recumbent
position
C. Eats a meal
D. Sits upright after
eating
Answer: C. Eats a meal
123. When providing
postoperative care for the child with a cleft palate, the nurse should position
the child in which of the following positions?
A. Supine
B. Prone
C. In an infant seat
D. On the side
Answer: B. Prone
124. To initiate an
intervention the nurse must be competent in three areas, which include:
A. Knowledge, function,
and specific skills
B. Experience, advanced
education, and skills
C. Skills, finances, and leadership
D. Leadership, autonomy,
and skills
Answer: A. Knowledge,
function, and specific skills
125. Chordae tendinae is
found in:
A. Auricles of heart
B. Ventricles of
heart
C. Ventricles of
brain
D. Sinus venous
Answer: B. Ventricles
of heart
126. The pacemaker of
heart is:
A. SA node
B. AV node
C. Bundle of His
D. Purkinje fibre
Answer: A. SA node
127. A client goes into
respiratory distress, and blood for an arterial blood gas assessment is drawn
from the radial artery. The nurse performs Allen’s test before the blood is
drown to determine the adequacy of the:
A. Ulnar circulation
B. Carotid
circulation
C. Brachial
circulation
D. Femoral circulation
Answer: A. Ulnar
circulation
128 The most common means
of transmitting the tubercle bacillus from one individual to another by
_______.
A. Air borne
B. Using public
toilet
C. Milk products
D. Eating utensils
Answer: A. Air borne
129. In the given sentence
there might be an error. Find out which part of the sentence has an error. lf
there is no error, mark your answer as (d) i.e. ‘No error’. He was (a) /one of the soldiers (b) /who
fought for the independence of the country. (c) / No Error (d)
A. (a)
B. (b)
C. (c)
D. (d)
Answer: D. (d)
130. The nurse is caring
for a patient with suspected diverticulitis. The nurse would be most prudent in
questioning which of the following diagnostic tests ordered.
A. Colonoscopy
B. Barium enema
C. Complete blood
count
D. Computed tomography
(CT) scan
Answer: B. Barium enema
131. The nurse determines that a Mantoux
tuberculin skin test is positive. To most accurately diagnose tuberculosis, the
nurse plans to consult with the physician to follow up the skin test with
a:
A. Chest X-ray
B. Sputum culture
C. CBC count
D. CT scan of the chest
Answer: B. Sputum
culture
132. Which of the
following groups of newborn reflexes below are present at birth and remain
unchanged through adulthood?
A. Blink, cough, rooting,
gag
B. Blink, cough, sneeze,
gag
C. Rooting, sneeze,
swallowing, cough
D. Stepping, blink, cough,
sneeze
Answer:- B. Blink,
cough, sneeze, gag
133. Diaphragm is supplied
by _______ artery :
A. Coronary
B. Phrenic
C. Vasa vasorum
D. Renal
Answer: B. Phrenic
134. The two major opening
of the left ventricle are:
A. Tricuspid valve and
pulmonary artery
B. Bicuspid valve and
aorta
C. Inferior venacava and
aorta
D. Pulmonary vein and
aorta
Answer: B. Bicuspid
valve and aorta
135. Which activity is
suitable for a client who suffered an uncomplicated myocardial infarction (MI)
2-days ago?
A. Sitting in the bedside
chair for 15 minutes three times a day
B. Remaining on strict bed
rest with bedside commode privileges
C. Ambulating in the room
and hall as tolerated
D. Sitting on the bedside
for 5 minutes three times a day with assistance
Answer: D. Sitting on
the bedside for 5 minutes three times a day with assistance
136. The nurse is caring
for a client with myasthenia gravis. The client is vomiting and complaining of
abdominal cramps and diarrhea. The nurse also notes that the client is
hypotensive and experiencing facial muscle twitching. The nurse interprets that
these symptoms are compatible with:
A. Myasthenic crisis
B. Cholinergic crisis
C. Systemic infection
D. A reaction to
plasmapheresis
Answer: B. Cholinergic
crisis
137. The nurse is checking the client’s
central venous pressure. The nurse should place the zero of the manometer at
the:
A. Phlebostatic axis
B. PMI
C. Erb’s pont
D. Tail of Spence
Answer: A. Phlebostatic
axis
138. Normally cardiac
cycle takes ________ seconds to complete.
A. 0.01
B. 0.8
C. 0.08
D. 0.1
Answer: B. 0.8
139. A client 12 weeks
pregnant come to the emergency department with abdominal cramping and moderate
vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation.
The nurse would document these findings as which of the following?
A. Threatened abortion
B. Imminent abortion
C. Complete abortion
D. Missed abortion
Answer: B. Imminent
abortion
140. The nurse caring for
a client with full thickness burns to the lower half of the torso and lower
extremities. During the emergent phase of injury, the primary nursing diagnosis
would focus on:
A. In effective airway
clearance
B. Impaired gas
exchange
C. Fluid volume
deficit
D. Pain
Answer: C. Fluid volume
deficit
141. A client manages peptic ulcer disease
with excessive amount of oral antacids. The client is at risk for which
acid-base imbalance?
A. Metabolic acidosis
B. Metabolic
alkalosis
C. Respiratory
acidosis
D. Respiratory alkalosis
Answer: B. Metabolic alkalosis
142. A client develops a
temperature of 102 degree Fahrenheit following coronary artery bypass surgery. The nurse should notify the
physician immediately because elevations in temperature;
A. Increased cardiac
output
B. Indicate cardiac tamponade
C. Decrease cardiac
output
D. Indicate graft
rejection
Answer: A. Increased
cardiac output
143. After an amniotomy has been performed, a
nurse should first assess:
A. For cervical dilation
B. For bladder
distention
C. The maternal blood
pressure
D. The fetal heart rate
pattern
Answer: D. The fetal
heart rate pattern
144. The nurse is preparing to administer a
feeding via a nasogastric tube. The nurse would perform which of the following
before initiating the feeding?
A. Assess for tube
placement by aspirating stomach content
B. Place the patient in a
left-lying position
C. Administer feeding with
50% H2O concentration
D. Ensure the feeding
solution has been warmed in a microwave for 2 minutes
Answer: A. Assess for
tube placement by aspirating stomach content
145. What is the number of
Rajya Sabha seats from Maharashtra?
A. 17
B. 18
C. 19
D. 20
Answer: C.19
146. A client with tuberculosis has a
prescription for Myambutol (ethambutol HCL). The nurse should tell the client
to notify the doctor immediately if he notices:
A. Gastric distress
B. Change in hearing
C. Red discoloration of
body fluids
D. Change in colour vision
Answer: D. Change in colour
vision
147. The nurse assessment
of a patient with lung cancer reveals the following: copious secretions,
dyspnea, and cough. Based on these findings the most appropriate nursing
diagnose is:
A. Impaired gas
exchange
B. Ineffective airway clearance
C. Pain
D. Altered tissue
perfusion
Answer: B. Ineffective
airway clearance
148. Right Hemisphere damage which not included:
A. Right hemiplegia
B. Left hemiplegia
C. Left hemiparesis
D. Weakness in left side
of body
Ans A Right hemiplegia
149. A client is
experiencing diabetes insipidus as a result of cranial surgery. The nurse who
is caring for the client plans to implement which of these anticipated
therapies
A. Fluid restriction
B. Administering
diuretics
C. Increased sodium
intake
D. Intravenous replacement
of fluid losses
Answer: D. Intravenous
replacement of fluid losses
150. A child was diagnosed
with acute post streptococcal glomerulonephritis and renal insufficiency. Which
laboratory result will the nurse expect to note in the child?
A. Negative protein in the
urinalysis
B. Negative RBC in the
urinalysis
C. An elevated WBC
count
D. Elevated blood urea
nitrogen and creatinine
Answer: D. Elevated
blood urea nitrogen and creatin
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