RPS Hospital Ranchi Total marks -30

Question Paper Set – 2

1. Atherosclerosis impedes coronary blood flow by which of the following
mechanisms
a. Plaques obstruct the vein
b. Plaques obstruct the artery
c. Blood clots form outside the vessel wall
d. Hardened vessels dilate to allow the blood to flow through

2. A 60-year-old male client comes into the emergency department with

complaints of crushing chest pain that radiates to his shoulder and left arm.
The admitting diagnosis is acute myocardial infarction. Immediate admission
orders include oxygen by face mask at 4L/minute, blood work, chest x-ray, an
ECG, and 2 mg of morphine given intravenously. The nurse should first:

a. Order the chest x-ray

b. Obtain the lab work
c. Administer the morphine
d. Obtain a 12-lead ECG

3. A murmur is heard at the second left intercostal space along the left sternal
border. Which valve area is this?
a. Aortic
b. Mitral
c. Pulmonic
d. Tricuspid

4. What is the primary reason for administering morphine to a client with

myocardial infarction?
a. To sedate the client
b. To decrease the client's pain
c. To decrease the client's anxiety
d. decrease oxygen demand on the client's heart

5. With which of the following disorders is jugular vein distention most prominent?
a. Abdominal aortic aneurysm
b. Heart failure
c. Myocardial infarction
d. Pneumothorax
6. A client has Gastroesophageal Reflux Disease (GERD). The nurse should teach
the client that after every meals, the client should…

a. Rest in sitting position

b. Take a short walk
c. Drink plenty of water
 d. Lie down at least 30 minutes

7. During preoperative teaching for a female client who will undergo subtotal
thyroidectomy, the nurse should include which statement?

a. “You must avoid hyperextending your neck after surgery.”

b. “The head of your bed must remain flat for 24 hours after
surgery.”
c. “You should avoid deep breathing and coughing after
surgery.”
d. “You won’t be able to swallow for the first day or two.”

8. The nurse is aware that the following is the most common cause of
hyperaldosteronism?

a. Excessive sodium intake

b. A pituitary adenoma
c. Deficient potassium intake
d. An adrenal adenoma

9. Which of the following therapies is not included in the medical management of

a client with peritonitis?

a. Broad-spectrum antibiotics
b. Electrolyte replacement
c. I.V. fluids
d. Regular diet

10. Nurse Ann should expect a client with hypothyroidism to report which health
concerns?
a. Nervousness and tremors
b. Increased appetite and weight loss
c. Thyroid gland swelling
d. Puffiness of the face and hands

11. The hormone responsible for a positive pregnancy test is:

a. Estrogen
b. Progesterone
c. Human Chorionic Gonadotropin
d. Follicle Stimulating hormone
12. Fertilized ovum is implanted in uterus after

a. 10 days
b. 8 days
c. 7 days
 d. 1 day

13. Mrs. Shandrila is on her 5th pregnancy and has a history of abortion in the 4th
pregnancy and the first pregnancy was a twin. She is considered to be
a. G 4 P 3 A 1
b. G 5 P 3 A 1
c. G 5 P 4 A 1
d. G 4 P 4 A 1

14. You are performing abdominal exam on a 9th month pregnant woman. While
lying supine, she felt breathless, had pallor, tachycardia, and cold clammy
skin. The correct assessment of the woman’s condition is that she is:

a. Experiencing the beginning of labor

b. Having supine hypotension
c. Having sudden elevation of BP
d. Going into shock

15. When involved in prenatal teaching, the nurse should advise the clients that an
increase in vaginal secretions during pregnancy is called leukorrhea and is
caused by increased:

a. Metabolic rates
b. Production of estrogen
c. Functioning of the Bartholin glands
d. Supply of sodium chloride to the cells of the vagina

16. The nurse performs a Mantoux Test. The nurse knows that Mantoux Test is also
known as

a. PPD
b. PDP
c. PDD
d. DPP

17. Which intervention do you plan to include with a patient who has renal calculi?

a. Maintain bed rest

b. Increase dietary purines
c. Restrict fluids
d. Strain all urine
18. A male client with chronic renal failure has a serum potassium level of 6.8
mEq/L. What assessment should be done first?

a. Blood pressure
b. Pulse
 c. Temperature
d. Respirations

19. A male client is scheduled for a renal clearance test. Nurse Sara should explain
that this test is done to assess the kidneys’ ability to remove a substance from
the plasma in:
a. 1 minute.
b. 30 minutes.
c. 1 hour.
d. 24 hours.
20. Oliguria, is reduction of urine flow rate to below

a. 200ml/day
b. 300ml/day
c. 400ml/day
d. 500ml/day

21. Which of the following is the earliest laboratory finding in a case of fat
embolism:

a. Increased serum cholesterol

b. Increased serum lipase
c. Increased serum fatty acids
d. Lipuria

22. A 68-year-old client comes to the outpatient clinic and complains to the
attending nurse his increased difficulty with “close-work” such as knitting. He
indicates he does not have difficulty seeing objects on either side but does
state that straight lines appear distorted or wavy. The nurse suspects which of
the following disorders that is consistent with the client’s reported symptoms?

a. Cataracts
b. Glaucoma
c. Macular degeneration
d. Subconjunctivalhaemorrhage

23. A malignancy that involves the endothelial layer of blood and lymphatic
vessels reported in AIDS patients is

a.Lymphoma
b.Cryptococcus neoformans.
c.Kaposi’s sarcoma
d. Progressive Multifocal Leukoencephalopathy (PML)

24. A symptom is a

a. non-measurable change in body function

b. measurable change in body function
 c. group of signs and symptoms
d. disease that can easily spread
25. Which technique is considered the gold standard for diagnosing DVT?

a. Ultrasound imaging
b. Venography
c. MRI
d. Doppler flow study

26. A seventeen-year-old is brought to the emergency department complaining of

leg pain after a motor vehicle crash. X-rays show a fracture of the femur with
several bone fragments at the fracture site. You note that the skin above the
fracture site is intact but bruised. This type of fracture is called:

a. Open
b. Avulsion
c. compression
d. Comminuted

27. A client comes to the outpatient clinic and tells the nurse that he has had legs
pains that began when he walks but cease when he stops walking. Which of the
following conditions would the nurse assess for?

a. An acute obstruction in the vessels of the legs

b. Peripheral vascular problems in both legs
c. Diabetes
d. Calcium deficiency

28. The liquid portion of blood is referred to as _____.

a. whole blood
b. hematocrit
c. plasma
d. serum

29. Which dietary mineral must be limited for a person on hemodialysis?

a. Potassium
b. Iron
c. Zinc
d. Calcium

30. A nurse is assigned to care for a client with nephrotic syndrome. The nurse
assesses which important parameter on a daily basis?

a.weight
b.albumin levels
c.activity tolerance
d. blood urea nitrogen (BUN) level
 Manipal Hospital Bangalore Total marks -5

Question Paper Set – 2 - APTITUDE TEST

1) Which one of the five makes the best comparison?

MILK IS TO GLASS AS LETTER IS TO:
A) Stamp
B) Pen
C) Envelope
D) Book
E) Mail

2) Which one of the five choices makes the best comparison?

LIVE is to EVIL as 5232 is to:
A) 2523
B) 3252
C) 2325
D) 3225
E) 5223

3) Which one of the five makes the best comparison?

TREE IS TO GROUND AS CHIMNEY IS TO:
A) Smoke
B) Brick
C) Sky
D) Garage
E) House

4)Which one of the five is least like the other four?

A) Touch
B) Taste
C) Hear
D) Smile
E) See
5) Which one of the five is least like the other four?

A.
B
C

D
E
 English language test

Composition (20marks)

Write a short passage (200 words) on any one of the following topics

1. Role of technology in today’s health care services

2. Customer delight – the “buzz” word in today’s patient care

3. Need and importance of accreditation of health care agencies

4. Hospice and palliative nursing

5. Euthanasia/”Mercy killing” – your point of view