1301 - 1400 Solved Medical Nursing MCQ Test Questions Bank

1301. Which of the following should the nurse include in the nursing assessment of the endocrine system in a child? Select One:
A. History of streptococcus infection
B. Dietary intake of calcium
C. Family health history
D. None of the above

1302. Mr. Apau, a male client at the male’s ward has a tentative diagnosis of urethritis. Nurse Trisha should assess the client for which manifestation of the disorder? Select One:
A. Hematuria and urgency
B. Hematuria and pyuria
C. Dysuria and penile discharge
D. None of the above

1303. A client arrives at the emergency department with complaints of low abdominal pain and hematuria. The client is afebrile. The nurse next assesses the client to determine a history of which condition? Select One:
A. Trauma to the bladder or abdomen
B. Pyelonephritis
C. Glomerulonephritis
D. None of the above

1304. When preparing discharge teaching for a family of a child recovering from rheumatic fever, the nurse's priority instruction is: Select One:
A. parents should inform the school nurse of the child's illness.
B. the child should resume school activities as soon as tolerated.
C. the child needs to take prophylactic antibiotics to prevent endocarditis.
D. None of the above

1305. A nurse is caring for a client with short stature from a growth hormone (GH) deficiency. Which of the following measures would be essential to include in the child's plan of care? Select One:
A. Instruct the child on weight-control issues
B. Encourage at least two glasses of milk per day
C. Monitor linear growth
D. None of the above

1306. The nurse is caring for a child with Kawasaki disease. Which of the following would indicate to the nurse that the client's condition is deteriorating? Select One:
A. Arrhythmias
B. Strep throat
C. Bradycardia
D. None of the above

1307. A client is in a rehabilitation unit 2 weeks after a right middle cerebral artery infarct. Which is the best activity plan? Select One:
A. Maintain bed rest with all rails up until the client can lift both legs off the mattress.
B. The client should know how to get up from the right side of the bed.
C. Immobilize joints on the left side of the body into a position of flexion contracture.
D. None of the above

1308. An unconscious client has been scheduled for surgery. What is the best nursing action to prevent pressure sores during a long surgical procedure? Select One:
A. Turn the client every 2 hours.
B. Pad bony prominences before surgery begins.
C. Provide an alternating pressure mattress.
D. None of the above

1309. The nurse has just received the a.m. shift report. Which client would the nurse assess first? Select One:
A. The client with varicose veins who is refusing to wear thromboembolic hose.
B. The client with deep vein thrombosis who is refusing to stay in the bed.
C. The client with a venous stasis ulcer who is refusing to eat the high protein meal.
D. None of the above

1310. Which of the following children being cared for by the nurse is in need of treatment for precocious puberty? Select One:
A. An 8-year-old boy with secondary sex characteristics
B. A 10-year-old boy with beginning pubic hair
C. A 10-year-old Caucasian girl with beginning breast development
D. None of the above

1311. The nurse just received the a.m. shift report. Which client should the nurse assess first? Select One:
A. The client who is 6 hours post-op vein ligation who has absent pedal pulses.
B. The client with Buerger's disease who has intermittent claudication of the feet and arms.
C. The client diagnosed with deep vein thrombosis who is complaining of calf pain.
D. None of the above

1312. It is time for Nurse Ansah to report to duty. Which client should the nurse assess first after receiving the shift report? Select One:
A. The client with arterial hypertension who is complaining of a severe headache.
B. The client with a right above-the-knee amputation who is complaining of right foot pain.
C. The client with lymphedema who has 4+ pitting edema of the left lower leg.
D. None of the above

1313. Abekah, a client with a chest injury has suffered flail chest. The nurse assesses the client for which most distinctive sign of flail chest? Select One:
A. Cyanosis
B. Hypotension
C. Paradoxical chest movement
D. None of the above

1314. The nurse should notify the physician if which of the following occurs when treating Helina, a client receiving antibiotics for gonorrhea? Select One:
A. Perineal lesions fail to clear in 2 to 3 days
B. A black furry growth appears on the tongue
C. Sexual intercourse is painful
D. None of the above

1315. Nurse Bannor is caring for preschoolers in a day care center will find which of the following problems to be more common at this age than at any other? Select One:
A. Accidents, cuts, bruises, and major traumas requiring emergency room care
B. Appendicitis and tonsillitis requiring day surgeries or 1-day hospitalization
C. Minor illnesses such as colds, otitis media, and GI disturbances
D. None of the above

1316. Maame Dorcas, you client who visit your family planning unit for intervention, the nurse instructs the client who has been prescribed a progestin-only contraceptive for birth control to: Select One:
A. use a barrier method of contraception for 4 months after starting the drug.
B. stop taking the drug if she experiences a menstrual period.
C. wait 3 months to get pregnant after she stops taking the drug.
D. None of the above

1317. The nurse informs a client with bacterial vaginosis who has been taking metronidazole (Flagyl) that which of the following would indicate an expected response to the drug? Select One:
A. Reddish-brown urine
B. Diarrhea
C. Weight gain
D. None of the above

1318. Asirifi, a nurse at isolation ward is preparing to give a bed bath to an immobilized client with tuberculosis. The nurse should wear which item when performing this care? Select One:
A. Surgical mask, gown, and protective eyewear
B. Particulate respirator and protective eyewear
C. Particulate respirator, gown, and gloves
D. None of the above

1319. A family came to your ward with their chills having otitis media. The nurse evaluates which of the following laboratory tests and pathogens to cause acute otitis media in children? Select One:
A. Haemophilus influenzae and Streptococcus pneumoniae
B. Escherichia coli
C. Staphylococcus aureus and Pasteurella
D. None of the above

1320. The nurse screens which of the following pediatric age groups for atypical pneumonia caused by mycoplasma? Select One:
A. Adolescence
B. Toddlerhood
C. School age
D. None of the above

1321. The nurse instructs a client with a history of herpes virus type 2 to take the prescribed acyclovir (Zovirax):
A. at the first sign of clinical manifestations returning.
B. daily for 2 weeks to prevent reinfection.
C. for up to 1 year whenever the lesions return.
D. None of the above

1322. The nurse is caring for a child following tonsillectomy. Which of the following observations should the nurse immediately report? Select One:
A. The presence of blood trickling down the throat
B. A complaint of a sore throat
C. The presence of dark brown blood on the teeth
D. None of the above

1323. A client with a vertebrobasilar stroke is being managed for dysphagia. Which intervention will be most helpful? Select One:
A. Eliminate distractions when giving directions.
B. Keep the head of the bed flat after meals.
C. Provide nutrition through a feeding tube.
D. None of the above

1324. Which of the following should the nurse include in the plan of care for a child diagnosed with secondary hypertension? Select One:
A. Weight control
B. Treatment of the underlying condition
C. Managing cholesterol levels
D. None of the above

1325. The nurse instructs a client who has trichomoniasis to avoid which of the following while taking metronidazole (Flagyl)? Select One:
A. Alcohol
B. Caffeine
C. Diazepam
D. None of the above

1326. Based on the growth and development of adolescent girls, the school nurse understands which of the following is the priority regarding body image? Select One:
A. Girls are only concerned with the abdomen and hips
B. Most girls are satisfied with their physical appearance
C. Few girls are satisfied with their physical appearance
D. None of the above

1327. A nurse should include the risk of developing vaginitis when teaching an older adult woman about: Select One:
A. Prolonged antibiotic therapy.
B. Anticoagulation therapy.
C. Effects of poor nutrition.
D. None of the above

1328. The nurse should inform a client taking oral contraceptives for birth control that which of the following is a priority to immediately report? Select One:
A. Calf pain with dorsiflexion of the foot
B. Spotting between periods
C. Increase in growth of body hair
D. None of the above

1329. Which of the following laboratory tests would be most important for the nurse to monitor in a client with herpesvirus type 2 who has been taking acyclovir (Zovirax)? Select One:
A. Serum creatinine
B. Prothrombin time
C. White blood cell count
D. None of the above

1330. A client is having frequent premature ventricular contractions. The nurse should place priority on assessment of which item? Select One:
A. Blood pressure and oxygen saturation
B. Precipitating factors, such as infection
C. Causative factors, such as caffeine
D. None of the above

1331. Nurse Cynthia evaluates chemotherapy to be most effective in which of the following clients? Select One:
A. A client who has had chemotherapy before
B. A client who is well nourished
C. A 40-year-old male with lung cancer
D. None of the above

1332. Maame Abiam brought her child to ANC, the nurse should assess for what related condition in a 4-month-old infant who has oral candidiasis? Select One:
A. Diaper rash
B. Eczema
C. Herpes simplex infection
D. None of the above

1333. A client with a vertebrobasilar stroke is being managed for dysphagia. Which intervention will be most helpful? Select One:
A. Eliminate distractions when giving directions.
B. Keep the head of the bed flat after meals.
C. Provide nutrition through a feeding tube.
D. None of the above

1334. Which of the following should the nurse include in the plan of care for a child diagnosed with secondary hypertension? Select One:
A. Weight control
B. Treatment of the underlying condition
C. Managing cholesterol levels
D. None of the above

1335. The nurse instructs a client who has trichomoniasis to avoid which of the following while taking metronidazole (Flagyl)? Select One:
A. Alcohol
B. Caffeine
C. Diazepam
D. None of the above

1336. Based on the growth and development of adolescent girls, the school nurse understands which of the following is the priority regarding body image? Select One:
A. Girls are only concerned with the abdomen and hips
B. Most girls are satisfied with their physical appearance
C. Few girls are satisfied with their physical appearance
D. None of the above

1337. A nurse should include the risk of developing vaginitis when teaching an older adult woman about: Select One:
A. Prolonged antibiotic therapy.
B. Anticoagulation therapy.
C. Effects of poor nutrition.
D. None of the above

1338. The nurse should inform a client taking oral contraceptives for birth control that which of the following is a priority to immediately report? Select One:
A. Calf pain with dorsiflexion of the foot
B. Spotting between periods
C. Increase in growth of body hair
D. None of the above

1339. Which of the following laboratory tests would be most important for the nurse to monitor in a client with herpesvirus type 2 who has been taking acyclovir (Zovirax)? Select One:
A. Serum creatinine
B. Prothrombin time
C. White blood cell count
D. None of the above

1340. A client is having frequent premature ventricular contractions. The nurse should place priority on assessment of which item? Select One:
A. Blood pressure and oxygen saturation
B. Precipitating factors, such as infection
C. Causative factors, such as caffeine
D. None of the above

1341. Nurse Cynthia evaluates chemotherapy to be most effective in which of the following clients? Select One:
A. A client who has had chemotherapy before
B. A client who is well nourished
C. A 40-year-old male with lung cancer
D. None of the above

1342. Maame Abiam brought her child to ANC, the nurse should assess for what related condition in a 4-month-old infant who has oral candidiasis? Select One:
A. Diaper rash
B. Eczema
C. Herpes simplex infection
D. None of the above

1343. The mother of a 9-month-old infant calls the nurse with a concern that her child, who has a bad cold, might have an ear infection.
The nurse elicits additional history. Which of the following can be identified from the health history as a risk factor for the development of otitis media in children?
A. Introduction of a new solid food
B. Day care attendance
C. Breastfeeding
D. None of the above

1344. One day after surgery for intestinal resection, Bismark, a client has no bowel sounds.
Which action should a nurse take?
A. Perform abdominal massage.
B. Take the vital signs and notify the physician.
C. Record this expected finding.
D. None of the above

1345. A client asks a nurse what to expect with a condition of uncomplicated gallstones.
The best response would be:
A. "There may be blood in the stools, with increased mucus."
B. "You may feel fatigue because of low hemoglobin level."
C. "Most clients do not notice any effects."
D. None of the above

1346. A client has been admitted with chest trauma after a motor vehicle crash and has undergone subsequent intubation.
The nurse checks the client when the high pressure alarm on the ventilator sounds, and notes that the client has absence of breath sounds in the right upper lobe of the lung.
The nurse immediately assesses for other signs of which condition?
A. Acute respiratory distress syndrome
B. Right pneumothorax
C. Pulmonary embolism
D. None of the above

1347. Nurse Forjour in the emergency department is evaluating the following four clients.
Which client is the priority and a surgical emergency?
A. A child with celiac disease
B. A child with malrotation/volvulus
C. A child with gastroschisis
D. None of the above

1348. A child's mother asks the nurse how her child got hypertension and what it means.
In explaining hypertension in children, the nurse would most appropriately respond that in children, hypertension is:
A. generally not treated."
B. usually nothing to worry about."
C. generally related to another disease process."
D. None of the above

1349. An RN makes a home visit to a client who is 62 years old, and finds that the client is not responding to verbal stimuli and has no pulse or respirations, and the skin is cool to touch.
The nurse's first action should be to:
A. Call emergency response (911).
B. Do mouth-to-mouth resuscitation, 2 breaths.
C. Do chest compression.
D. None of the above

1350. The priority nursing action for the nurse administering an antidepressant drug to a client is which of the following?
A. Check the client's mouth for possible hoarding of the drug
B. Administer the drug with food
C. Monitor the blood pressure
D. None of the above

1351. Which of the following should the nurse include in the plan of care for a client taking an antidepressant drug?
A. Instruct the client to take the drug on an empty stomach
B. Monitor the client for bradycardia prior to administration
C. Encourage the client to drink low-calorie beverages
D. None of the above

1352. The nurse informs the parents of an infant that the primary difference between the chest of an infant and that of an adult is that the chest of an infant:
A. has a more flattened front-to-back diameter.
B. is a cone-shaped structure.
C. is rounded in shape.
D. None of the above

1353. Identify one nursing diagnosis that is appropriate for the patient with manifestations of hyperthyroidism:
A. Exophthalmos
B. Weight loss and hunger
C. Exhaustion and dyspnea
D. None of the above

1354. Esi Gomado, a woman with 5months gestation reported to the ward with difficulties whiles walking.
A diagnosis of deep vein thrombosis was made. Which of the following is the commonest complication likely to occur in patients diagnosed with deep vein thrombosis (DVT)?
A. Pulmonary Embolism
B. Oesophageal Atresia
C. Angina Pectoris
D. None of the above

1355. Charles carrying a broken car battery got splashed to the head and got burnt at the ear, face and neck.
The nurse positions the patient with ear, face, and neck burns?
A. With extra padding around the head
B. On the side
C. Without pillows
D. None of the above

1356. When assessing a pain in a patient with suspected appendicitis, the nurse would expect the pain to be in the nature of?
A. Rebound tenderness in Dunphy’s point
B. Rebound tenderness in McBurney’s point
C. Rebound tenderness at Bartomier’s point
D. None of the above

1357. A patient arrives in the emergency room after an automobile accident.
The patient’s forehead hit the steering wheel and a hyphema is diagnosed.
The nurse would prepare to position the patient:
A. In the lateral position on the unaffected side
B. In the lateral position on the affected side
C. Flat on bed rest
D. None of the above

1358. Antibiotic therapy is given to patients with tetanus to:
A. Neutralize the toxins that have formed
B. To reduce the clostridia in the blood
C. Augumentthe immune system
D. None of the above

1359. Mrs. Ayitteh, 40 year old woman has been scheduled for Myomectomy.
Why is it necessary for this client to be admitted preoperatively prior to the surgery?
A. To identify the problems that may increase the operative risk and predispose client to postoperative problems.
B. To prevent the problems that may increase the operative risk.
C. To treat the problems that may increase the operative risk and predispose client to postoperative problems.
D. None of the above

1360. Before administering ephedrine, Nurse Tony assesses the patient’s history.
Because of ephedrine’s central nervous system (CNS) effects, it is not recommended for:
A. Patients with narcolepsy
B. Elderly patients
C. Patients with an acute asthma attack
D. None of the above

1361. To prevent airway obstruction in the postoperative patient who is unconscious or semiconscious, the nurse?
A. Position the patient in a side-lying position
B. Elevates the head of the bed
C. Administers oxygen per mask
D. None of the above

1362. A diagnosis of lung cancer has been made.
All the following are signs and symptoms of late lung cancer EXCEPT?
A. Dyspnea
B. Dysphagia
C. Facial paralysis
D. None of the above

1363. Which of the under listed type of cancer is strongly related to cigarette smoking?
A. Small cell lung cancer
B. Non-small cell lung cancer
C. Large cell carcinoma
D. None of the above

1364. Complications of varicose vein includes the following EXCEPT?
A. Rupture of distended aneurysm
B. Thrombophlebitis
C. Formation of leg ulcers
D. None of the above

1365. The nurse is assessing a patient for constipation.
Which of the following is the first review that the nurse should conduct in order to identify the cause of the constipation?
A. Current medication
B. Alcohol consumption
C. Usual pattern of elimination
D. None of the above

1366. Which of the following would be therapeutic outcome of an eschartomy procedure performed for circumferential arm burn?
A. Return of distal pulses
B. Brisk bleeding from the site
C. Formation of granulation tissue
D. None of the above

1367. Ms. Selena is a patient with hypernatremia.
When caring for a patient with hyperrnatraemia, the nurse is careful to administer:
A. Potassium
B. Sodium
C. Water
D. None of the above

1368. Which two of the following valve disorders would not cause paroxysmal nocturnal dyspnoea?
A. Mitral stenosis
B. Mitral prolapse
C. Mitral insufficiency
D. None of the above

1369. The most appropriate nursing intervention to provide oral care for a patient unable to do this for himself involves:
A. Using oral antimicrobial agents to reduce local bacterial counts
B. Brushing and flossing the patient’s teeth
C. Applying a fluoride solution to the surface of the teeth
D. None of the above

1370. Most of the long – term problems that occur in the patient with kidney transplant are as a result of:
A. Chronic rejection
B. Immunosuppressive therapy
C. Failure of the patient to follow the prescribed regimen
D. None of the above

1371. The nursing management of a patient in sickle cell crisis includes:
A. Aggressive analgesics and oxygen therapy
B. Platelet administration and monitoring
C. Blood transfusions and iron replacement
D. None of the above

1372. A successful goal of treatment that a nurse may recognise in a patient with anorexia nervosa is when the patient:
A. Consumes the required daily intake of nutrients
B. Commits a long – term individual and family counselling
C. Demonstrate a rapid weight gain
D. None of the above

1373. A client has been diagnosed with a chronic airflow limitation problem.
Which of the following is not a disease of chronic airflow limitation?
A. Bronchiectasis
B. Chronic bronchitis
C. Bronchial asthma
D. None of the above

1374. Mr. Amannor, has just been admitted and diagnosed of peptic ulcer.
The doctor has ordered a laboratory investigation for further intervention.
Which of the following findings in gastric analysis would best support a diagnosis of peptic ulcer?
A. Absence of gastric secretions
B. Increased HCL
C. Lack of intrinsic factor
D. None of the above

1375. The artrioventricular valves open when pressure in the:
A. Ventricles is greater than the pressure in the arteries
B. Atria is greater than pressure in the ventricles
C. Ventricles is greater than the pressure in the atria
D. None of the above

1376. In teaching a patient with pyelonephritis about the disorder, the nurse informs the patient that the organism that causes pyelonephritis most commonly reach the kidneys through:
A. An ascending infection
B. The lymphatic system
C. A descending infection
D. None of the above

1377. Thyroid crisis (storm) is caused by:
A. High levels of the hormone triiodothyronine
B. Removal of the parathyroid gland
C. Increased iodine in the blood
D. None of the above

1378. Which of the following is the most accurate definition of bronchiectasis?
A. Encapsulated collection of pus in the lungs
B. Fibrotic obliteration of the terminal bronchi
C. Sac – like or tubular dilatation of the bronchi
D. None of the above

1379. Ms. Selena is a patient with hypernatremia.
When assessing a patient with hypernatraemia, the nurse would expect to find:
A. Hypoactive reflexes
B. Thirst
C. Serum sodium level of 135mEq/litre
D. None of the above

1380. The tissue change in most characteristic of peptic ulcer is:
A. A lumping mass of necrotic tissue with surface bleeding
B. An elevated ridge of fibrous tissue with wrinkled margins
C. A sharp excavation of surface membrane with clean base
D. None of the above

1381. Following admission of the post – operative patient to the ward, the most immediate attention:
A. Respiratory rate of 13 beats per minute
B. Blood pressure of 90/60mmHg
C. Oxygen saturation of 85%
D. None of the above

1382. A patient in end stage renal disease on haemodialysis is considering asking a relative to donate a kidney for transplant.
In assisting the patient to make a decision about his treatment, nurse Klutse informs the patient that:
A. The immunosuppressive therapy that is required following transplantation causes fatal malignancies in many patients.
B. Successful transplantation usually provides better quality of life than that offered by dialysis.
C. If rejection of the transplanted kidney occurs no further treatment for the renal failure is available.
D. None of the above

1383. Wheezing is a high pitched musical sound heard mainly on:
A. Expiration
B. Inspiration
C. Coughing
D. None of the above

1384. Nurse Gifty has been tasked to care for one unconscious patient.
When performing enteral feeding, nurse Gifty must administer through an N G tube slowly to reduce the hazard of:
A. Indigestion
B. Distension
C. Regurgitation
D. None of the above

1385. An assessment of which of the following would most likely follow or accompany rhinitis?
A. Sinusitis
B. Laryngitis
C. Pharyngitis
D. None of the above

1386. Which of the following can be found in the saliva?
A. Amylase, which digest cellulose
B. Lysosomes, which has a weak antibacterial action
C. Serous fluid which increases primarily by sympathetic stimulation
D. None of the above

1387. A body structure primarily affected by pneumonia is which of the following?
A. Pharynx
B. Bronchi
C. Alveoli
D. None of the above

1388. In Cushing’s syndrome, excessive amounts of glucocorticoids and mineralocorticoids will increase the client’s:
A. Serum potassium
B. Urine output
C. Glucose levels
D. None of the above

1389. As a consequence of ascites in a patient with cirrhosis of the liver, the patient would probably find which position most comfortable for sleep?
A. Side – lying
B. Supine
C. Semi – fowlers
D. None of the above

1390. The diagnostic test most often performed to assess valvular heart disease is:
A. Exercise testing
B. Electrocardiography
C. Echocardiogram
D. None of the above

1391. The nurses identifies a need for dietary teaching for the patient whose daily intake of food groups consists of:
A. 2 – 3 servings of meat, poultry, fish, beans, eggs and nut group
B. 2 – 3 servings of milk, yoghurt and cheese group
C. 2 – 4 servings of the fruit group
D. None of the above

1392. A client with chronic bronchitis often shows signs of hypoxia.
The nurse would observe for which of the following clinical manifestations of this problem?
A. Pink mucous membrane
B. Clubbing of fingers
C. Overall pale appearance
D. None of the above

1393. A nurse assesses a patient and notes a palpable precordial thrill.
Her findings may be caused by:
A. Pulmonary oedema
B. Heart murmurs
C. Right ventricular hypertrophy
D. None of the above

1394. Which of the following factors would increase stroke volume?
A. Increased sympathetic stimulation of the myocardium
B. Increased arterial blood pressure
C. Increased venous return
D. None of the above

1395. Abena Nkansah reported to the OPD for the first time for check-up.
While examining a patient, the nurse notes small, raised, solid lesions that merge with one another on Abena Nkansa’s forearm.
The nurse would describe this finding as:
A. Generalised pustules with confluence
B. Diffuse pustular gyrate lesions
C. Confluent, annular papules forming plaque
D. None of the above

1396. The pernicious anaemia that may accompany gastritis may be due to:
A. A lack of intrinsic factor normally produced by acid – secreting cells of the gastric mucosa
B. Progressive gastric atrophy from chronic breakage in the mucosal barrier and blood loss
C. Chronic autoimmune destruction of cobalamine stores in the body
D. None of the above

1397. Aldosterone reabsorption of sodium occurs after stimulation with:
Select One:
A. Pitocin
B. ACTH
C. ADH
D. None of the above

1398. Oxygen and carbon dioxide move through the respiratory membrane and into and out of cells by the process of:
Select One:
A. Cotransport
B. Active transport
C. Diffusion
D. None of the above

1399. Community pneumonia occurs within the first....of hospitalization.
Select One:
A. Two weeks
B. 48 hours
C. 24 hours
D. None of the above

1400. The nurse informs the patient with nephritic syndrome that the cause of his oedema is as a result of:
Select One:
A. Increased fluid retention caused by decreased glomerular filtration
B. Increased hydrostatic pressure caused by sodium retention
C. Decreased colloidal osmotic pressure caused by loss of serum albumin
D. None of the above