Which of the following would be the Nurse’s main goal for placing sterile moist gauze under the tracheostomy tube?
A. Promote adequate ventilation
B. Ensure humidification of inspired air
C. Maintain a patent airway
D. None of the above
The correct method in carrying out this procedure is to:
A. Use cotton wool balls for each swabbing to and from the urethra
B. Wipe away from the urethral outlet using soap and water
C. Use gauze swab in methylated spirit to wipe around the urethra
D. None of the above
What is the most common cause of intrinsic renal failure?
A. Ischemic injury
B. Nephrotoxin
C. Obstruction of the urethra
D. None of the above
This condition in most cases is caused by....
A. Pseudomonas
B. Salmonella
C. Staphylococcus aureus
D. None of the above
A. Dark colouration of the skin
B. Blister formation
C. Absence of pain at the site
D. None of the above
He must know that:
A. Sealed wound may be dressed without gloves
B. All wounds must be dressed with gloved hands
C. Dressing on a wound must be changed only when it is wet
D. None of the above
A. Predisposes to hydronephrosis
B. Causes an elevated acid phosphatase
C. Is a congenital abnormality
D. None of the above
The BEST way a nurse can prevent cross-infection is by
A. Preceding patient contact with hand washing
B. Performing aseptic technique correctly
C. Enforcing strict isolation procedures
D. None of the above
The predisposing causes of her condition include
I. Inadequate food intake
II. Kinking of the appendix
III. Presence of faecalith
IV. Persistent throat infection
A. I, II, III
B. I, II, III, IV
C. II, III, IV
D. None of the above
Hyponatremia is common after head injury due to....
A. Sodium shifts in both intracellular and extracellular activities, electrolytes and volume
B. Sodium shifts in extracellular fluid, electrolytes and volume
C. Sodium shifts in intracellular fluid, electrolytes and volume
D. None of the above
A. No single agent successfully eradicates all strains of gonorrhea
B. Most patients do not respond to Ceftriaxone alone
C. High rate of coexisting chlamydia and gonorrhea needs dual coverage
D. None of the above
A. Haemorrhage
B. Perforation
C. Stress
D. None of the above
Two weeks post-operative, he has weakness of one half of the face and diagnosed with Bell’s palsy.
Which of the cranial nerves is involved?
A. 7th
B. 3rd
C. 5th
D. None of the above
She complains of soreness, numbness and tightness around the chest.
As the Nurse on duty, you would explain to Madam Adams that this....
A. Indicates a complication in the heart
B. Shows that the disease has spread to other organs
C. Normally occurs days to months after mastectomy
D. None of the above
A. React to painful stimuli
B. Move spontaneously
C. Control elimination
D. None of the above
The affected area is red with a few blisters.
On examination, the burn blanches with pressure.
The patient notes worsening pain when the burn is exposed to the cold wind.
How would you classify this burn?
A. Deep partial-thickness
B. Full thickness
C. Superficial partial-thickness
D. None of the above
What will you include in your teaching about exercise to promote recovery?
A. Dorsiflex the feet
B. Tighten abdominal muscles
C. Flexion of the toes
D. None of the above
A. Clean the wound with a bactericidal solution twice daily
B. Take a swab for bacteriological examination
C. Change the dressing aseptically
D. None of the above
The patient eats a diet of fresh grains, lots of meat, and dairy products and abstains from alcohol.
He has not had any recent falls or injuries to his foot that he recalls.
You diagnosed him with gout.
Which of the following details in this patient’s history put him at an increased risk for gout?
A. Blood pressure medication
B. Consumption of dairy products
C. Patient’s age
D. None of the above
After assessment, she has decided to postpone the surgery due to some cultural beliefs.
What will be the nurse’s role in this case?
A. Call in the surgeon to discharge her
B. Call in the chaplain to help her with counseling
C. Allow patient to go since she came herself
D. None of the above
She was transferred to the Surgical Unit and started complaining of severe incisional pain after one and half hours.
The patient’s skin is pale and surgical dressing is dry and intact.
The MOST common preventable complication of abdominal surgery is....
A. Thrombophlebitis
B. Fluid and electrolyte imbalance
C. Atelectasis
D. None of the above
A. Fascia
B. Plain catgut
C. Chromic catgut
D. None of the above
A. High risk for infection
B. Ineffective coping
C. Diarrhea related to hypermotility
D. None of the above
Which of the following data from the patient during history taking increases the risk of the patient’s condition?
A. Adult onset of diabetes
B. A history of smoking
C. Worked as a banker
D. None of the above
She had a lateral neck X-ray done and confirms a mass in the airway.
One of the under listed procedures will aid visualization of the mass with the help of a laryngeal mirror.
A. Direct laryngoscopy
B. Rigid laryngoscopy
C. Indirect laryngoscopy
D. None of the above
A. Nasopharynx
B. Oropharynx
C. Larynx
D. None of the above
This is administered because it is used in the formation of
A. Cholecystokinin
B. Prothrombin
C. Bilirubin
D. None of the above
What is the preferred antibiotic agent/class for Mr. Adom’s condition?
A. Penicillin
B. Fluoroquinolones
C. Tetracyclines
D. None of the above
He has been scheduled for herniorrhaphy.
As part of his physiological preparation, the nurse will do the following:
I. Administer prescribed intravenous fluid
II. Assess for skin infection on the face
III. Check vital signs and record
IV. Remove dentures if any
A. I, II and III
B. I, III and IV
C. I, II, III and IV
D. None of the above
A. Central alpha agonists
B. Prostaglandins
C. 5-phosphodiestrase inhibitors
D. None of the above
His wound was observed to be infected and he is to have debridement of the wound done at the theatre.
The main goal of debridement include removal of the following EXCEPT
A. Invasive bacteria
B. Devitalized tissue
C. Metastatic cells
D. None of the above
On ward rounds, patient appeared stable and had normal vital signs.
Few hours later, his brother frantically calls you to his room and says Ogoe is suddenly acting confused and has difficulty in breathing.
Which of the following complications may explain the clinical manifestations of the patient?
I. Deep vein thrombosis
II. Pulmonary embolism
III. Compartment syndrome
IV. Cerebral hypoxia
A. I, II and III
B. I and II
C. I, II, III and IV
D. None of the above
He has been receiving antibiotics.
He recorded a temperature of 38.5 degree Celsius during one of the routine vital signs check.
What nursing action would be appropriate?
A. Tepid sponge patient
B. Administer aspirin every 4 to 6 hours
C. Recheck temperature every 4 hours
D. None of the above
The nurse recognizes that these symptoms are MOST indicative of....
A. Intolerance to feeding
B. Leakage of food into the mediastinum
C. Esophageal perforation with fistula
D. None of the above
Physical examination indicates possible sexual abuse.
The child’s mother is a single parent and lives with her boyfriend.
She claimed she is “certain” that the boyfriend has not sexually abused the child.
She requests confidentially and states she will not leave the child alone with the boyfriend.
Which of the MOST appropriate next step?
A. Report this case immediately to DOVVSU
B. Follow-up soon to verify compliance
C. Without clear evidence of abuse, do not report this incident to authorities
D. None of the above
The nurse should therefore advise him to increase his intake of
A. Green leafy vegetables
B. Milk and dairy products
C. Milk and fish
D. None of the above
A serious complication of his condition could be
A. Paralytic ileus
B. Haemorrhage
C. Perforation
D. None of the above
She reported to the hospital and was diagnosed of myoma.
She has been booked for hysterectomy and has asked you to explain the procedure to her.
Your response will be the removal of the....
A. Uterus and cervix
B. Uterus, cervix and fallopian tube
C. Uterus and vagina
D. None of the above
He is diagnosed with furunculosis and is being managed on Flucloxacillin.
How will you educate the patient on dosage of Flucloxacillin?
A. 250mg qid x 7 days
B. 200mg qid x 7 days
C. 500mg qid x 7 days
D. None of the above
A. Extreme muscle weakness and tachycardia
B. Nausea, vomiting, leg and stomach cramps
C. Development of tetany with muscle spasm
D. None of the above
Patient teaching regarding these therapies would include an explanation that....
A. Radiation is routinely used as adjuvant therapy
B. Chemotherapy and radiation can be used as palliative treatment
C. Chemotherapy can be used to cure colorectal cancer
D. None of the above
He is to undergo circumcision one week post-delivery.
Neonatal circumcision is an important protective measure against carcinoma of the ....
A. Glans penis
B. Corpus cavernosum
C. Prepuce
D. None of the above
She has a hoarse voice during phonation and has inspiratory stridor.
She is diagnosed with metastatic lesion in the larynx.
She is to undergo surgery to aid phonation and respiration as well as administer chemotherapy.
One of the under listed is the surgery to be done.
A. Oesophagoscopy
B. Tracheostomy
C. Laryngectomy
D. None of the above
The Charge Nurse would be concerned about compression of which of the following nerve?
A. Ulnar
B. Radial
C. Median
D. None of the above
Why would he be given anti-tetanus immunization?
A. For increased active immunity
B. For immediate protection by antibodies
C. To provide a target for lymphocytes
D. None of the above
This type of operation is performed to
I. Evacuate a blood clot
II. Relieve intracranial pressure
III. Remove a tumour
IV.Stop haemorrhage in the brain
A. I, II, III and IV
B. I, III and IV
C. I, II and III
D. None of the above
To determine the appropriate dressings to be applied, the Nurse will consider all the following EXCEPT
A. Availability of staff
B. Frequency of required dressing changes
C. Ability to absorb wound drainage
D. None of the above
A. Encourage passive movement to prevent contractures
B. Monitor blood pressure and pulse hourly to assess shock
C. Order a high protein and vitamin diet and push in fluids
D. None of the above
His postoperative care should include
A. Encouraging showers when needed
B. Administration of enemas to promote defaecation
C. Administration of laxatives and stool-softeners
D. None of the above
A. Constipation
B. Occlusion of arterial blood supply to the rectum
C. Prolonged sitting or standing
D. None of the above
A. Duodenum
B. Small intestines
C. Large intestines
D. None of the above
A. Excessive consumption of salt
B. Emotional upset
C. Excessive consumption of organ meat
D. None of the above
Nurse encourages her to begin deep breathing and leg exercises.
The aim of for these exercises is to prevent....
A. Pulmonary embolism
B. Deep vein thrombosis
C. Fluid retention
D. None of the above
A. Chronic bronchitis
B. Emphysema
C. Asthma
D. None of the above
A. Clarity
B. Sugar and acetone
C. Specific gravity
D. None of the above
A. Provide supplemental oxygen
B. Increase the patient’s lung volume
C. Increase the patient’s respiratory rate
D. None of the above
Which of the following will you include in her pain management?
I. Nitrous Oxide
II. Hypnosis
III.Warm soaks
IV.Relaxation
A. I, II and III
B. II and III
C. I and II
D. None of the above
A. Acute abdomen
B. Diverticulosis
C. Cancer of the rectum
D. None of the above
A. Sub-sternal chest pain
B. Halitosis
C. Dysphagia
D. None of the above
A. 8th
B. 3rd
C. 5th
D. None of the above
Some other medical conditions in the male could be an indication for circumcision.
These include
I. Paraphimosis
II. Phimosis
III. Poor penile erection
IV. Recurrent infection of the foreskin
A. I, II and IV
B. I, II and III
C. II, III and IV
D. None of the above
He is a civil servant and worried about his high discharged bill.
What would be the Nurse’s responsibility toward Mr. Atiapa?
A. Report findings to in charge
B. Call a social worker to intervene
C. Advice Mr. Kweku to confide in his doctor
D. None of the above
The approach to this surgery associated with high incidence of impotence is....
A. Retropubic
B. Suprapubic
C. Perineal
D. None of the above
A. Open reduction
B. Splinting
C. Closed reduction
D. None of the above
A. Trendelenburg test
B. Intermittent claudication determination
C. Carotid phonoangiogram
D. None of the above
The Nurse should
A. Evaluate the presence of gag reflex
B. Advise the patient to cough frequently
C. Advise patient to lie flat for 2 hours
D. None of the above
A. Ice compresses for discomfort
B. Laxatives and stool softeners
C. Ligation of the haemorrhoids
D. None of the above
It should not exceed....seconds
A. 10
B. 15
C. 20
D. None of the above
What will you include in your nursing intervention to promote wound healing?
A. Apply dry, sterile dressing to wound daily
B. Maintain normal blood glucose range
C. Ensure adequate amount of dietary carbohydrate
D. None of the above
A. Osteoporosis
B. Lumbar
C. Polymyalgia rheumatic
D. None of the above
During your assessment, you found out that he uses diuretics to manage hypertension.
Which of the following would you report to the surgeon?
A. Serum potassium of 33
B. Blood pressure of 140/80
C. Pulse rate of 105 beats per minutes
D. None of the above
Whiles reviewing her report with Nurses on duty, you noticed that the cancer is staged as Tis, NO MO.
This will translate to mean?
A. The cancer cells are differentiated
B. Further test is needed to determine spread of cancer
C. The cancer is localized to the cervix
D. None of the above
A. Haemorrhage and abdominal distention
B. Intestinal obstruction and bleeding
C. Peritonitis and pulmonary complications
D. None of the above
A. Ensure optimum stump image
B. Improve circulation in remaining tissue
C. Prevent flexion of contractures
D. None of the above
Which diagnostic investigation will the doctor order to help diagnose Cholecystitis
A. Abdominal ultrasound
B. Abdominal X-ray
C. Colonoscopy
D. None of the above
Among these is
A. Antibiotics
B. Anticoagulants
C. Sedatives
D. None of the above
I. Encapsulation
II.Infiltration
III.Looks different from original organ
IV.Spread by blood or lymphatic vessels to other organs
A. I, III and IV
B. I, II and III
C. II, III and IV
D. None of the above
A. Prostatic fluid for WBCs
B. Blood urea estimation
C. Prostate specific antigen
D. None of the above
Which of the following is the most appropriate wound care treatment?
A. Pack with wet to moist saline gauze
B. Primary closure with sutures or staples
C. Cover with a dry dressing fixed with tape or Tegaderm
D. None of the above
She states it has become increasingly worse over the past six months.
Which of the under listed by the Charge Nurse would be MOST beneficial to the patient?
A. Refer the patient to a urologist for cystoscopy
B. Recommend fluid restriction to 1 liter per day
C. Educate the patient about Kegel exercise
D. None of the above
She is to receive radiation therapy.
This therapy is the treatment of choice for....
A. Uterine carcinoma
B. Ovarian cancer
C. Squamous cell carcinoma of the cervix
D. None of the above
A. Use of clinical parameters
B. Physical assessment
C. Administration of medication
D. None of the above
The surgery was purposely to improve patient quality of life.
This type of surgery will be termed
A. Palliative
B. Reconstructive
C. Curative
D. None of the above
Which of the following characterizes the disorder?
A. Autoantibodies against TSH receptors
B. Increased production of T4
C. Increased basal metabolic rate
D. None of the above
The following are possible causes of the condition EXCEPT
A. Coitus interruptus
B. Candidiasis
C. Trichomoniasis
D. Contact dermatitis
A. Faecal impaction
B. Fistula in ano
C. Fissure in ano
D. None of the above
He denies sexual activity.
He is afebrile with normal vital signs.
His left testicle is tender and high-riding, he has no penile discharge or lesion.
He has no cremasteric reflex on the affected side.
Which of the following is the treatment of choice?
A. Elevation of the affected testis and ice packs
B. Detorsion and fixation
C. Ceftriaxone 250mg IM and Azithromycin 1 gram po
D. None of the above
A. Fundal pain
B. Stress incontinence
C. Faecal impaction
D. None of the above
In which position should she be placed?
A. Knee- chest
B. Fowler’s
C. Left Sim’s
D. None of the above
To determine whether patient has adequate nutritional intake pre-operatively, the Nurse will take into consideration patient’s
I. Activity level
II. Body weight
III. Energy level
IV. Socio-economic status
A. I, II and III
B. I and II
C. I and IV
D. None of the above
What will be the most suitable position to nurse the patient?
A. Fowler’s
B. Lithotomy
C. Lateral
D. None of the above
A. Paraplegia
B. Hemiplegia
C. Monoplegia
D. None of the above
The best way to document this is....
A. Neuropathic pain
B. Break through pain
C. Somatic pain
D. None of the above
As a result, the patient may develop
A. Herniation of the diaphragm
B. Obstructive lung disease
C. Pneumothorax
D. None of the above
A. Encircles the urethra directly below the bladder
B. Is located on the floor of the urinary bladder
C. Lies within the lumen of the middle urethra
D. None of the above
A. Abdominal girth
B. Haemoglobin and packed cells
C. Pulse rate and volume
D. None of the above
On examination, she has tenderness over the anatomic snuffbox.
There is no evidence of deformity and she has intact sensation and movement.
What is the likely lesion?
A. Scaphoid fracture
B. Carpal tunnel syndrome
C. Pisiform fracture
D. None of the above
A. Twitching, muscle cramps and nausea
B. Numbness of extremities, dilated pupils
C. Anorexia, fever, diarrhea
D. None of the above
A. A major complication of impotence may occur
B. An incision is made directly into the urinary bladder
C. An indwelling catheter is not required after surgery
D. None of the above
She was waiting in the queue for her turn when suddenly, she started experiencing dizziness, diaphoresis, and fainted.
Which of the following immediate interventions would be provided for Ms. Narh?
I. Undo tight clothing around neck and chest
II. Clear saliva from the mouth with clean handkerchief
III. Ensure tongue is well forward
IV. Serve cold water
A. I and II
B. I, II and III
C. I, II, III and IV
D. None of the above
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