Question set 3
1. Kangaroo mother care may be continued for
low birth weight babies until:
(a) Baby has no sign of hypothermia
(b) Baby has regular breathing
(c) Baby gains weight of around 2500 g
(d) Baby has no signs of infection and takes
Feeding
2. Client has returned to his room following an
esophagoscopy, before offering fluids nurse
should be priority to assessing the client's-
(a) Level of consciousness
(b) T.P.R. and B.P.
(c) Urinary output
(d) Gag reflex
3. Primary prevention for cervical cancer
includes all except one:
(a) Raising the age of marriage
(b) Use of condoms
(c) Effective therapy of STDs (Sexually
Transmitted Disease)
(d) Radiotherapy
4. What is the characteristic feature of biliary
colic?
(a) Midepigastric pain that radiates to the back
(b) Upper right abdominal pain that radiates to
the back or right shoulder
(c) Localized lower right abdominal pain
(d) Localized pain in the hypogastric region
5. Sputum examination is the major screening
tool for pulmonary tuberculosis. Clients would
sometimes get false negative results in this
exam. This means that the test is not perfect in
terms of which characteristic of a diagnostic
examination?
(a) Effectiveness (b) Efficacy
(c) Specificity (d) Sensitivity
6. It was observed by a nurse that the medication
prescription given by the doctor was wrongly
noted by the nurse of the previous shift. Who
among the following will fill out the report of
this incident?
(a) The concerned nurse who spotted the error
(b) The nurse who committed the mistake in the
previous shift
(c) Supervising nurse who is in charge of the
nursing unit
(d) The original nurse who was assigned to the
patient on the first day
7. An example of conceptual framework is :
(a) Patients feedback
(b) Nursing process
(c) Progress notes
(d) Progressive patient care
8. Health care team obtains permission from the
patient before proceeding with the surgery.
The ethical principle that describes this act is
called:-
(a) Accountability
(b) Non maleficence
(c) Beneficence
(d) Respect for autonomy
9. A nurse is performing physical examination of
the client and notices exophthalmos. What
would be the diagnosis of the client?
(a) Thyroid Cancer (b) Hypothyroidism
(c) Thyroiditis (d) Hyperthyroidism
10. The assessment finding indicating successful
potassium replacement for treatment of
hypokalemia :
(a) Increasing muscle strength
(b) Decreasing serum glucose
(c) Improving vision
(d) Increasing blood pressure
11. While assessing Mr. X with Braden Scale, the
score attained was 8 (eight) which indicate that
the risk of developing pressure sore for Mr. X
is :
(a) Mild (b) Moderate
(c) High (d) Very high
12. The most distal blood vessel that can be
palpated is-
(a) Femoral artery
(b) Dorsalis pedis artery
(c) Popliteal artery
(d) Posterior tibial artery
13. Water hammer pulse is known as by which
other name?
(a) Biseminal pulse (b) Bounding pulse
(c) Collapsing pulse (d) Pulse after note
14. Which among the following is an indication of
portal hypertension?
(a) Asterixis
(b) Hematemesis
(c) Elevated blood pressure
(d) Confusion
15. nurse assess the patient’s respiratory status,
which of the following symptoms be an early
indicator of hypoxia in an unconscious patient-
(a) Cynosis (b) decreased respiration
(c) restlessness (d) hypotension
16. You will use which solution for spillage of
blood on the floor
(a) Chloride mixed solution
(b) Phenol mixed
(c) Cidex
(d) Formaline
17. Which of the following nursing diagnosis is a
priority for a patient diagnosed with
pneumonia?
(a) Fluid volume deficit
(b) Impaired gas exchange
(c) Ineffective coping
(d) Risk for infection
18. A meal containing 13 gm fat, 31 gm of
carbohydrate and 5 gm of protein given total
calories of:
(a) 196 calories (b) 261 calories
(c) 286 calories (d) 351 calories
19. A patient who is on Sengstaken-Blakemore tube,
suddenly experiences difficulty in breathing.
Which of the following actions should the nurse
take first?
(a) Administer oxygen with a nasal cannula
(b) Elevate the head of the bed
(c) Cut and remove the tube
(d) Listen to the client's lungs
20. While instilling ear drops, the ear canal of an
adult is straightened by pulling the pinna:
(a) Down and back (b) Up and back
(c) Straight down (d) Straight back
21. The child's apical pulse is always checked before
administering digoxin, the drug is not given if
the pulse rate is
(a) below 90 to 110 beats/minute
(b) above 90 to 110 beats/minute
(c) less than 60 beats/minute
(d) more than 150 beats/minute
22. Which protective items a nurse require to
provide colostomy care to the patient with
nosocomial infection?
(a) Gloves & goggles
(b) Gloves & a gown
(c) Gloves, gown & shoes protector
(d) Gloves, gown & goggles
23. Nursing intervention designed to decrease the
risk of infection in a patient with an indwelling
catheter include
(a) Cleaned area around meatus
(b) Empty catheter drainage bag at least daily
(c) Change catheter tubing and bag every 48 hours
(d) Maintain fluid intake of 1200-1500 ml
Everyday
24. An informed consent is obtained from a
preoperative patient to prevent
(a) Complications (b) Infection
(c) Any fall (d) Legal implications
25. Loss of paper health records-
I. Entry may be delayed
II. Getting information can be slow
III. Documentation is time consuming
IV. Downtime for changes
(a) (i), (ii), (iii) (b) (i), (iii), (iv)
(c) (i), (iii), (iv) (d) (i), (ii), (iii), (iv)
