SN questions (June 2007)

Please note that some of the following questions are not in the systematic way.

Mr Wu is admitted with dyspnea and severe chest pain.

1. For twelve leads ECG,you have to place V2 Lead on
a) 4th intercostal space, mid clavicle line in left sternal region
b) 4th intercostal space, mid clavicle line in right sternal region
c) 5th intercostal space, mid axillary line in left sternal region
d) 5th intercostal , mid axillary line in right sternal region

2. When the sound is alarmed during Mr Wu is in ICU, your first priority to do is

a) silence the alarmed sound
b) elevated the head of patient
c) check the patient condition
d) check the connection (dislodgement) of the electrolodes

3. To get accurate reading of ECG, you have to

a) tell the patient to breathe in and out slowly
b) elevate the head of the patient
c)
d) the electrodes must be conducted and firmly attached to the skin

4. The first aid to stop nose bleeding is

a) press just above the nasal bone
b) press just below the nasal bone
c) plug with strile gauze
d)blow the nose

5. During blood transfusion the patient is chill and fever with temperature 38.5'C, your action must be
a) stop transfusion
b) inform doctor
c) give antipyretic drug
d) make patient in comfortable position

6. 14 years old, Wong, was admitted for perforative tempanic membrane. Your advise for his
discharge care should be
a) to blow the nose daily
b) to sleep on the affected side
c) to keep clean and dry
d) to do ear syringing daily

7. Post-operative position for Mr Nah who went for hip arthoplasty is nursed in
a) legs slight abducted position
b) side lying position
c) legs adducted position
d) transversed position
8. Contraindication to do tracheostomy is
a) severe head and neck burn
b) foreign body obstruction in the throat
c) cancer of larynx
d) injury of vocal cord and oesophagus

9. Contraindication to do central stimulation (neurological pain assessment) to check unconsciousness

of the patient who is suffering from severe facial injuries is
a) supraorbital pressure
b) sternal rub
c) trapezium muscle squeeze
d) pelvic pressure

10. The initial accessment before applying skeletal traction will be

a) skin assessment
b) neuromuscular assessment
c) daily assessment of vital signs
d)

11. The advantage of percutaneous endoscopic gastrostomy feeding is

a) save economically
b) prevent frequent aspirations
c) need to change every month only
d) not easily dislodged

12. Glucose standand (normal blood glucose monitoring) is met for Mr Wong in hospital setting. If he
is resumed to day to day activities, the following will occour
a) hyperglycaemia
b) hypoglycaemia
c) normoglycaemia
d) dyspnea

13. Contraindicated site to give insulin injection is

a) buttock
b) thigh
c) forearm
d) abodmen wall

14. When performing eye care, you have to clean the eye from
a) outer canthus to inner canthus
b) inner canthus to outer canthus
c) medial canthus to inner canthus
d) upper lid to lower lid

15. For eye drop instillation, you have to instill medication into
a) medial aspect of lower fornix of the eye
b) centre of lower fornix of the eye
c) centre of upper fornix of the eye
d) lateral aspect of lower fornix of the eye
Situation: Mr. Toh was admitted for acute asthmatic attack into your ward. Doctor ordered
nebulization therapy and monitoring of peak flow meter.(for ques no. 16 to ---)

16. Which solution will you use to dissolve the medication for the nebulization therapy?
a) sodium chloride 0.4%
b) sodium chloride 0.9%
c) dextrose solution
d) sterile water for injection

17. Cold and non-isotonic solution used in nebulizar can cause

a) brochrospasms
b) vasodilation
c) Bronchroconstriction
d) hypotension

18. You have to instruct Mr Toh during monitoring of flow meter is

a) to exhale slowly for 2-3 sec
b) to hold and seal the pipe with the mouth tightly and blow.
c) to place the meter in the highest mark.
d)

19. Monitoring of peak flow meter means

a) expiration of the air after maximum lung inflation
b) inspiration and exhalation of the lung
c) expiration of the air after normal lung inflation
d)

20. Metered dose inhaler means giving medication inhale

a) the lung through penetration
b) nasal congestion
c)
d)

21. Giving ventolin nebulization therapy, you will not see the following adverse affect
a) tremor
b) palpitation
c) tachycardia
d) hypotension

22. Yeast infection is the common complication in the use of bethamethasone inhaler. It can be
prevented by except
a) mouth wash
b) use of spacer
c) application of antifungal lotion
d) brush teeth
23. After post-op management for the patient who underwent above knee amputation will be
a) nurse in elevation of the affected leg
b) nurse in reversed trensben position
c) nurse in head elevation
d)

24. If a patient is suspected for increased intra cranial pressure, your action must be nursed in
a) elevate the head for 45 degree
b) supine position
c) side lying position
d)

25. If a patient is suspected for increased intracranial pressure, the earliest signs and symptoms will be
a) tachycardia, increase systolic pressure and widening of pressure
b) bradycardia, increase systolic pressure and widenign of pressure
d) tachycardia, decrease BP

26. The best indication for removal of chest tube will be comfirmed by
a) return of normal breathing
b) absence of adventious sound
c) absence of drainage in the tubing
d) checking of series of radiological results

27. Patient complained of chest pain having pericarditis. In which position you will nurse
a) lying down
b) lean forwarded postion
c) side lying position
d)

28. If IV cannula is failed, which medication can be given by intratracheal route?

a) atropine, lidocaine and adrenaline
b) atropine, sodium bicarbonate and adrenaline
c) lidocaine, potassium chloride and lidocaine
d) Xylocaine, sodium bicarbonate and adrenaline

29. The earliest indication of complication in thrombolytic therapy in acute stroke will be
a) hypotension
b) change in level of consciousness
c) arrhythmia
d)

30. Cold compress is contraindicated in neonate because it can cause (Cold stress in neonates can
cause)
a) arrhythmia
b) hypertension
c) increased oxygen consumption
d) anaemia
31. You have to avoid holding in the armpit of weaked side of paralyse patient to prevent
a) ease of transfering
b) sub-laxation of the affected limb
c) fracture of the affected limb
d)

32. Bandaging of the amputated leg for several weeks is to help

a) to prevent bleeding
b) to mold for the fixation of artificial limb
c)
d)

33. You have to check during traction of the fracture of neck of femur is
a) not to remove the weight all the time
b) spreaders must touch the footbase
c) the weight must be on the floor.
d) weight must be affected at the foot.

34. To do oropharyngeal airway insertion, you have to measure the length from
a) corner of the mouth to the angle of the jaw
b) corner of the mouth to the tragus of the ear
c) tip of the nose to the lobe of the ear
d) centre of the mouth to the ear

35. The best place to do pulse oximetery for severe hypovolumic shock patient is
a) finger
b) ear lobe
c) toe
d)

36. Assessment for the neutropenia patient is

a) gastrointestinal, skin and urine
b) gastrointestinal, skin and lung
c) urine, lung and mucous membrane
d)urine, lung and skin

37. When performing tracheostomy care, you have to do

b) limits suctioning pass not more than 10 to 15 seconds
c) fringes will be inhaled from gauze cutting in square shape

38. post op teaching in operation of sinus

a) breath through mouth
b) tell him to remove the nasal plug
c)

39. Bone healing

a) remodeling
40. Heat loss in neonates due to
a) larger body surface ratio
b) adipose tissue is larger than adult

41. Platelets count noted as 10,000 cm3. Your action will be

a)to isolate the patient
b) neurological assessment
c)
d)

42. TURP irrigation purpose

a) to prevent blood clot blockage

43. The purpose of traction in fracture of neck of femur is

a)
b)
c)
d)

44. Long cast patient complained of pain when plantar flexion, you have to check
a) circulation assessment

45. To prevent DVT, you have to help patient

a) encourage to do limbs exercise
b)

46. Terminally ill patient, nursing action is

a) dignity
b) nutrition

47. Nursing action for Esophageal Reflex Disease is

a) give antibiotic as ordered by doctor
b) elevate the legs
c) give milk before going to sleep
d)

48. Primary defence mechanism is

a) intact skin and mucous membrane
b) non-intact skin and mucous membrace
c) bones and tonsils
49. To interpret ECG diagram
a) VF
b) AF
c) Ventricular Fibrillation
d) Atrial Fibrillation

50. What is the improtant management in this situation?

a) defribrillation
b) DC shock
c)