1401 - 1436 Solved Medical Nursing MCQ Test Questions Bank

1401. The most dangerous sequel of hypercalcaemia is:
Select One:
A. Dysrhythmias
B. Dyspnoea
C. Muscle weakness
D. None of the above

1402. Disseminated intravascular coagulation (D I C) is a disorder in which:
Select One:
A. A disease process stimulates coagulation processes with resultant depletion of clotting factors leading to diffuse haemorrhage
B. An inherited predisposition causes deficiency of clotting factors that leads to overstimulation of coagulation processes in the vasculature
C. The coagulation pathway is genetically altered leading to thrombus formation in all major blood vessels
D. None of the above

1403. Which of the following metabolic conditions places a patient at high risk for hypercalcaemia?
Select One:
A. Hyperparathyroidism
B. Exercise
C. Hyperphosphotaemia
D. None of the above

1404. In teaching a patient who is using topical corticosteroids to treat an acute dermatitis, the nurse should tell the patient that:
Select One:
A. The cream form represents the most efficient system delivery
B. Abruptly discontinuing the use of topical corticosteroids will cause a reappearance of the dermatitis
C. Topical corticosteroids usually do not cause systemic side effects
D. None of the above

1405. Pitting oedema is a sign for which type of valvular disease:
Select One:
A. Mitral valve stenosis and insufficiency
B. Both aortic and mitral valve insufficiency
C. Mitral valve prolapsed
D. None of the above

1406. Discharge teachings for a patient with acute episodes of G I bleeding will include information concerning the importance of:
Select One:
A. Taking all medications 1 hour before meal time to prevent further bleeding
B. Avoiding taking aspirin with acidic beverages such as orange juice
C. Taking only medications prescribed by the physician
D. None of the above

1407. Aldosterone reabsorption of sodium occurs after stimulation with:
Select One:
A. Pitocin
B. ACTH
C. ADH
D. None of the above

1408. 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

1409. Community pneumonia occurs within the first....of hospitalization.
Select One:
A. Two weeks
B. 48 hours
C. 24 hours
D. None of the above

1410. 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

1411. The most dangerous sequel of hypercalcaemia is:
Select One:
A. Dysrhythmias
B. Dyspnoea
C. Muscle weakness
D. None of the above

1412. Disseminated intravascular coagulation (D I C) is a disorder in which:
Select One:
A. A disease process stimulates coagulation processes with resultant depletion of clotting factors leading to diffuse haemorrhage
B. An inherited predisposition causes deficiency of clotting factors that leads to overstimulation of coagulation processes in the vasculature
C. The coagulation pathway is genetically altered leading to thrombus formation in all major blood vessels
D. None of the above

1413. Which of the following metabolic conditions places a patient at high risk for hypercalcaemia?
Select One:
A. Hyperparathyroidism
B. Exercise
C. Hyperphosphotaemia
D. None of the above

1414. In teaching a patient who is using topical corticosteroids to treat an acute dermatitis, the nurse should tell the patient that:
Select One:
A. The cream form represents the most efficient system delivery
B. Abruptly discontinuing the use of topical corticosteroids will cause a reappearance of the dermatitis
C. Topical corticosteroids usually do not cause systemic side effects
D. None of the above

1415. Pitting oedema is a sign for which type of valvular disease:
Select One:
A. Mitral valve stenosis and insufficiency
B. Both aortic and mitral valve insufficiency
C. Mitral valve prolapsed
D. None of the above

1416. Discharge teachings for a patient with acute episodes of G I bleeding will include information concerning the importance of:
Select One:
A. Taking all medications 1 hour before meal time to prevent further bleeding
B. Avoiding taking aspirin with acidic beverages such as orange juice
C. Taking only medications prescribed by the physician
D. None of the above

1417. Electrolytes are responsible for all the following EXCEPT:
Select One:
A. Regulating body fluids
B. Regulating the balance of acids and bases
C. Aiding in neurologic and neuromuscular conduction
D. None of the above

1418. Several patients are hit by symptoms of nausea, vomiting and diarrhoea that started after attending a family reunion pot luck dinner.
The nurse question the patients specifically about foods they ingested containing:
Select One:
A. Beef
B. Home preserved vegetables
C. Poultry and eggs
D. None of the above

1419. A dietician decided to plan for his client concerning her diet.
He said that milk should be omitted from a clear liquid diet because it:
Select One:
A. Contains calories
B. Produces gas
C. Coats the mucosa
D. None of the above

1420. Mrs Julles, aged 85 is reported of nausea all day and has vomited twice.
From your assessment data, you instruct that she be given:
Select One:
A. Mouth sips of water and elevate the head of her bed to prevent aspiration
B. Offer her large quantities of sodium containing drinks since elderly people are at risk for sodium depletion
C. Antispasmodic drugs and observe skin turgor
D. None of the above

1421. A patient was seen in clinic for an episode of epistaxis, which was controlled by placement of anterior nasal packing.
During discharge teaching, the nurse instruct the patient to:
Select One:
A. Avoid vigorous nose blowing and strenuous activity
B. Leave the packing in place for 7 to 10 days until it is removed by the physician
C. Use aspirin or aspirin – containing compounds for pain relief
D. None of the above

1422. During inspiration, air enters the thoracic cavity as a result of:
Select One:
A. An increase in CO2 and decrease in O2 in the blood
B. An increased intrathoracic pressure relative to pressure at the airway
C. Stimulation of the respiratory muscles by the chemoreceptors
D. None of the above

1423. Ms. Selena is a patient with hyponatremia.
When caring for a patient with hyponatraemia, the nurse is careful to restrict:
Select One:
A. Potassium
B. Sodium
C. Water
D. None of the above

1424. One of the major disadvantages of peritoneal dialysis is that:
Select One:
A. Hypotension is a constant problem because of continuous fluid removal
B. Solutes are removed more rapidly from the blood than from Central Nervous System, causing disequilibrium syndrome
C. High glucose concentration of the dialysate necessary for ultrafiltration cause carbohydrate and lipid abnormalities
D. None of the above

1425. A diagnostic study that is most likely to be normal in a patient with pneumonia is:
Select One:
A. Oximetry
B. Sputum C and S
C. Chest x – ray
D. None of the above

1426. The painful or burning sensation in the chest usually associated with acid reflux in the oesophagus is called:
Select One:
A. A duodenal ulcer or a peptic ulcer
B. Heart burn
C. Angina
D. None of the above

1427. The nurse understands that the cause of Cushing’s Syndrome is most commonly:
Select One:
A. Insufficient ACTH production
B. Hyperplasia of the adrenal cortex
C. Pituitary hypoplasia
D. None of the above

1428. When assessing a patient for hyperkalaemia, the nurse would not assess:
Select One:
A. U waves on ECG
B. Muscle cramps
C. Paraesthesia
D. None of the above

1429. Which of the following statements is accurate?
Select One:
A. Patients who have had thyroid surgery must be closely monitored to hypercalcaemia
B. Hypercalcaemia rarely occurs from increased calcium intake
C. Any condition that causes decreased parathyroid hormone results in hypercalcaemia
D. None of the above

1430. When caring for a patient with hypercalcaemia, the nurse should plan to administer which of the following drugs?
Select One:
A. Mannitol
B. Lasix
C. Bicarbonate
D. None of the above

1431. The position for a client with dyspnoea is:
Select One:
A. Orthopnoea
B. Trendelenburg
C. Sims
D. None of the above

1432. The closure or collapse of the alveoli is known as:
Select One:
A. Arteriosclerosis
B. Atelectasis
C. Epistaxis
D. None of the above

1433. Miss. Afriyie, a patient with renal disease has oliguria and a creatinine clearance of 40ml/min.
The nurse identifies that these findings most directly reflect abnormal function of:
Select One:
A. Glomerular filtration
B. Capillary permeability
C. Tubular secretion
D. None of the above

1434. Acromegaly is produced by oversecretion of:
Select One:
A. Growth hormone
B. Thyroid hormone
C. Testosterone
D. None of the above

1435. Thoracentesis is to empyema as which of the following is to bronchiectasis?
Select One:
A. Postural drainage
B. Lobectomy
C. Breathing exercise
D. None of the above

1436. Which of the following statements is not true about intra-cellular fluids?
Select One:
A. ICF electrolytes have non variable concentration
B. ICF electrolytes are found within the cell membrane
C. ICF electrolytes are not measureable
D. None of the above