Nursing Model paper 2

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Nursing Model paper 2

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1). The innermost layer of the heart is

1) Epicardium    2) Endocardium 3) Myocardium  4) Pericardium

2). What is a sociological definition of the word drug ?

1) A substance that changes mood, behavior or consciousness.

2) A dysfunction                   3) A chemical     4) Ecology

3). Hypnotherapy is least effective on people suffering from

1) Anxiety 2) Hypertension 3) Pain       4) Schizophrenia

4). Which of the following stain is used to detect Mycobacterium species ?

1) Gram stain     2) Capsule stain

3) Acid fast stain         4) Endospore stain

5). The best method of sterilization of dressing powder is

1) Autoclaving   2) Hot air oven  

3) Inspissation    4) Chemical method

6). Which of the following results of the lab test is indicative of the bacterial infection ?

1) RBC : 4.0million/cmm              2) Hemoglobin : 13.2gm/dl

3) Platelets : 350,000/cmm  4) WBC : 15,000/ cmm

7). If after surgery the patient's abdomen becomes distended and no bowel sounds appreciated, what would be the most suspected complication?

1) Intussusception                 2) Paralytic Ileus        

3) Hemorrhage             4) Ruptured colon

8). A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. She was rushed at the scene. As a registered nurse, the first thing that that needs to be done is

1) Stay with the person, encourage her to remain still and immobilize the     leg while waiting for the ambulance

2) Leave the person for a few moments to call for help

3) Reduce the fracture manually

4) Move the person to a safer place

9). Good source of vitamin D include all except

1) blueberries     2) sunlight

3) salmon, tuna sardines and mackerel

4) fortified milk and other dairy products

10). A 48-year-old woman presents with intermenstrual bleeding for two months and episodes of bleeding occurring any time in the cycle. There is no associated pain. Differential diagnosis for intermenstrual bleeding does not include

1) endocervical polyp 2) ovarian teratoma    

3) cervical malignancy         4) endometrial polyp

11). Following are the complications of premature menopause except

1) osteoporosis                                2) infertility       

3) decreased cardiovascular risk            4) vasomotor symptoms

12). Which nursing diagnosis should receive priority in the plan of care for a three-month-old infant who has a salmonella infection ?

1) Weight loss    2) Fluid volume deficit        

3) Sleepiness      4) Shouting and Crying

13). Which of the following is a non-communicable disease ?

1) Diabetes Mellitus    2) Tuberculosis  3) Typhoid 4) Small Pox

14). New cases in population during a fixed period is determined by

1) Prevalence Ratio              2) Attack Rate

3) Disability Rates                          4) Incidences Rates

15). Factors affecting parenting behaviour does not include a parent's own

1) personal experiences and trauma       2) mental health

3) family experiences                     4) dietary habits

16). A 32-year-old woman is presented to the gynaecology clinic with infrequent periods. A hormone profile is done and all of the following are consistent with polycystic ovarian syndrome except

1) increased androgen level 2) normal FSH  

3) normal oestradiol             4) decreased LH

17). Which drug is responsible for "red men syndrome"?

1) Vancomycin            2) Linezolid                 

3) Chloramphenicol    4) Cefadroxyl

18). A male patient's daughter telephones an adult-gerontology primary care nurse practitioner to inquire about the patient's illness. The daughter reports that her father relies upon her to explain everything to him. The nurse practitioner's initial response is to

1) ask the daughter to provide a copy of the patient's advance directive document.

2) tell the daughter that the nurse practitioner can discuss the information only with the patient.

3) assure the daughter that the nurse practitioner can disclose the requested information.

4) inform the daughter that she must come to the clinic to discuss her father's case.

19). Which one of these is used in bed wetting in children ?

1) Imipramine     2) Chlorpromazine               

3) Levodopa                 4) Tacrine

20). What is the most common site of rupture of a cerebral aneurysm with resulting subarachnoid hemorrhage (SAH) ?

1) Anterior cerebral artery   2) Middle cerebral artery

3) Anterior communicating artery

4) Posterior communicating artery

21). Which of these used in multidrug resistant tuberculosis ?

1) Ciprofloxacin 2) Penicillin                 3) Metronidazole         4) Linezolide

22). When caring for a patient who is on a mechanical ventilator, the nurse should monitor the patient for which of the following complications ?

1) Pulmonary embolus                   2) Pleural effusion

3) Flail chest                          4) Pneumothorax

23). A patient comes to the clinic with reports of acute pain and loss of vision in the right eye. The adult-gerontology primary care nurse practitioner informs the patient that these symptoms require

1) immediate referral to an ophthalmologist.

2) assessment with a split lamp.

3) examination with an otoscope.

4) treatment with several ophthalmologic agents.

24). Which of the following blood group is universal recipient?

1) A            2) B            3) AB                  4) O

25). Deficiency of which of the following vitamin during pregnancy may cause neural tube defects ?

1) Folic acid                 2) Riboflavin      3) Niacin   4) Thiamine

26). During the initial care of rape victims the following are to be considered by a nurse except

1) maintain a non-judgmental approach          2) assure privacy

3) touch the client to show acceptance and empathy.

4)  accompany the client in the examination room.

27). Shick test is carried out to determine

1) polio      2) pertusis           3) meningitis      4) diphtheria

28). Which of the following is most common side effect of aspirin ?

1) Gastrointestinal bleeding          2) Constipation           

3) Nystagmus                                  4) Urinary incontinence

29). The intestinal juice secreted in the intestine containing digestive enzymes is known as

1) Succusentericus                          2) Juicy fluid     

3) Succus juice                      4) Chyme

30). All are the non-modifiable risk factors for atherosclerosis except

1) high cholesterol intake              2) age                   3)  heredity                   4) gender

31). The first drug of choice for a patient admitted with status epilepticus is

1) phenytoin                2) carbamezepine        

3) diazepam                  4) sodium valproate

32). Which of the following is not a saturated fatty acid ?

1) Oleic acid       2) Palmic acid    3) Lauric acid     4) Stearic acid

33). A 69-year-old female patient reports dyspareunia. Physical examination reveals sparse hair, an introitus that admits two fingers, and a pale, dry vagina. The adult-gerontology primary care nurse practitioner's initial management is to recommend

1) daily douching                                     2) topical hormonal cream.

3) topical antibiotic cream             4) topical antifungal cream.

34). Which of the following is antibody occurs as pentameric structure ?

1) IgA        2) IgG        3) IgE                  4) IgM

35). Which of the following is not typical anti-psychotic and does not have marked extra pyramidal side effects ?

1) Chlorpromazine                2) Fluphenazine

3) Clozapine                          4) Haloperidol

36). In case of heparin over dose, which agent should be used ?

1) Diltiazem                 2) Protamine       3) Imferon           4) Warfarin

37). In case of development of urticaria one-half hour after the blood transfusion has begun, the first action by the nurse should be

1) to slow the rate of infusion       2) to administer anti-histaminic agent  

3) to note vital signs             4) to stop the infusion

38). When haemoglobin combines with oxygen, it is known as

1) oxyhemoglobin                          2) deoxyhemoglobin

3) reduced haemoglobin                4) oxidized haemoglobin

39). Which of the following monoclonal antibody is approved for the treatment of asthma ?

1) Bevacizumab                     2) Omalizumab  

3) Cetuximab                         4) Trastuzumab

40). A 55-year-old man was admitted after a motor vehicle accident with multiple injuries. His friend reported that he had been seeing a psychiatrist for an unknown diagnosis. He stated that the patient sometimes gets "hyper" for no reason, and becomes violent and sometimes is depressed. Of the following, which general psychiatric disorder is characterized by a pattern of aggression or violence which includes irritability, agitation, and violent behavior during manic or psychotic episodes ?

1) Schizophrenia                   2) Bipolar disorder

3) Delusional disorder 4) Depression

41). Which of the following is not filtered out during glomerular filtration ?

1) Glucose          2) Water    3) Salts      4) Proteins

42). For a 6 month pregnant lady, which of the following are contraindicated ?

1) Retinol            2) Tetanus toxoid                 

3) Folic acid                 4) Ferrous sulphate

43). Recommended site of administration of DPT in infants is

1) deltoid   2) gluteal   3) forearm 4) intravenous

44). Spironolactone produces

1) hypernatremia                   2) hyperkalaemia        

3) hyponatremia          4) hypokalaemia

45). The agent contraindicated with warfarin treatment is

1) aspirin   2) ranitidine                 3) codeine 4) isaphgol

46). After obtaining 3 L of fluid from a client via parecentesis, the nurse would be alert for which complication ?

1) Encephalopathy                2) Bleeding from site 

3) Vascular collapse    4) Respiratory distress

47). Which of the following is the most prominent feature of public health nursing ?

1) Public health nursing focuses on preventive, not curative, services.

2) Services are provided free of charge to people within the catchment area.

3) The public health nurse functions as part of a team providing a public health nursing services.

4) It involves providing home care to sick people who are not confined in the hospital

48). The lung function tests are determined by

1) tonometer                          2) spirometer     

3) sphygmomanometer         4) barometer

49). Which of the following part of eye contains rhodopsin pigments?

1) Rods      2) Cones    3) Lens       4) Iris

50). Which of the following agent causes discolouration of teeth if taken with milk ?

1) Tetracycline   2) Penicillin        3) Metronidazole         4) Ciprofloxacin

Answers

1) 2      2) 1     3) 4      4) 3      5) 2      6) 4      7) 2       8) 4      9) 2      10) 2

11) 3  12) 2   13) 1    14) 4    15) 4    16) 4     17) 1    18) 2    19) 1      20) 3

21) 4  22) 4   23) 1    24) 3    25) 1     26) 3    27) 4    28) 1    29) 1      30) 1

31) 3  32) 1   33) 2    34) 4     35) 3    36) 2    37) 4    38) 1    39) 2     40) 2

41) 4  42) 1    43) 1    44) 2     45) 1   46) 3   47) 1     48) 2    49) 1     50) 1

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