201 - 300 Solved Surgical Nursing MCQ Test Questions Bank

201. Nurse Kojo Adufa is teaching a group of market women to perform self-breast examination.
The Nurse should explain that the purpose of performing this examination is to discover
A. Increase in breast size
B. Changes from the previous self-examination
C. Cancerous lumps
D. None of the above

202. When an abdominal wound suddenly bursts on the ward, the Nurse’s responsibility is first to
A. Inform surgeon immediately
B. Cover wound with sterile wet towel
C. Assess patient for shock
D. None of the above

203. The triage Nurse is assessing a group of casualties of a road traffic accident (RTA).
Which of the following injuries would require PROMPT action?
A. A compression fracture of the spine
B. A greenstick fracture of rib
C. A comminute fracture of femoral action
D. None of the above

204. You are alone as a first aider attending to a non-breathing adult.
Which of the under listed actions would you take first?
A. Give initial rescue breaths
B. Call 112 requesting a defibrillator and ambulance
C. Start CPR with 30 chest compressions
D. None of the above

205. Mrs. Akosua Tekyi developed cataract of the left eye.
Her condition occurred when the....
A. Lens become opaque
B. Aqueous humour stagnates
C. Lens adhere to the capsule
D. None of the above

206. Ms. Alberta Torweah, a 50 year old bread seller left home in the morning to the National Identification Authority office for registration.
She was waiting in the queue for her turn when suddenly, she started experiencing dizziness, diaphoresis, and fainted.
As a Nurse in uniform in the queue, which position would you place Miss. Torweah?
A. Sit upright in a chair with her head tilted backwards
B. Sit down in a chair with head in between the knees
C. Sit down in a chair with head between the legs
D. None of the above

207. When teaching Mr, Akomini to irrigate the colostomy, the nurse should tell him that the distilled water container above the stoma should be no more than ....cm .... inches
A. 45(18)
B. 15(6)
C. 25(10)
D. None of the above

208. Peritonitis as a complication of ruptured appendix is due to
A. Bacteria invasion by intestinal organism
B. Ischemic damge from mesenteric thrombosis
C. Chemical irritation by digestive juices
D. None of the above

209. The Nurse would expect a patient in the early stages of severe hypovolemia to have ....
A. A distention of the neck vein
B. Apical heart rate of 142bpm
C. A blood pressure of 142bpm
D. None of the above

210. Following an amputation, the nurse can help a patient prepare the residual limb for a prosthesis by encouraging him to
A. Abduct the residual limb when ambulating
B. Periodically press the end of the residual limb against a pillow
C. Change the residual limb off the bed frequently
D. None of the above

211. Which of the following would you include in teaching a group of teenage girls about ways of managing dysmenorrhea?
A. Start taking aspirin when menstruation starts
B. Talk to the physician about antidepressant therapy
C. Avoid aerobic exercises during menstrual periods
D. None of the above

212. Miss Akosua Bangala, a 53-year-old client was admitted through the accident & emergency unit to the female surgical ward.
History taking revealed weight loss, dysphagia and regurgitation for one week.
She was reviewed by the surgical team and diagnosed of esophageal stricture.

As a staff nurse at the female surgical ward, which of the following would you consider as most common cause of oesophageal stricture?
A. External beam radiation
B. Chronic GERD
C. Trauma
D. None of the above

213. Miss Akosua Bangala, a 53-year-old client was admitted through the accident & emergency unit to the female surgical ward.
History taking revealed weight loss, dysphagia and regurgitation for one week.
She was reviewed by the surgical team and diagnosed of esophageal stricture.

Which of the following would the nurse consider in the dilatation of the oesophageal stricture?
I. Balloon
II. Bougies
III. Fluoroscope
IV. Endoscope
A. I, II
B. I, II, III
C. I, II, III, IV
D. None of the above

214. Miss Akosua Bangala, a 53-year-old client was admitted through the accident & emergency unit to the female surgical ward.
History taking revealed weight loss, dysphagia and regurgitation for one week.
She was reviewed by the surgical team and diagnosed of esophageal stricture.

As a member of the surgical team, which operation is likely to be considered?
A. Gastrotomy
B. Gastrectomy
C. Oesophageal anastomosis
D. None of the above

215. During handing over and taking over of a ward, a staff nurse asked students nurses on clinical of what achalasia mean.
Which of the following responses is most appropriate?
A. Absence of peristalsis in the lower oesophagus
B. Absence of peristalsis in upper two thirds of the oesophagus
C. Absence of peristalsis in lower two thirds of the oesophagus
D. None of the above

216. Which of the following are MOST common symptoms of achalasia?
I. Dysphagia
II. Halitosis
III. Substernal chest pain
IV. Inability to belch.
A. I
B. II, III
C. III, IV
D. None of the above

217. A nurse caring for a client with achalasia, the nurse understands that the diagnosis was established through
I. Barium swallow
II. Endoscope
III. Manometric
IV. Oesophaeal X – ray.
A. I, II
B. I, II, III
C. I, II, III, IV
D. None of the above

218. In planning care for a patient with achalasia, which the following goals would the nurse consider as PRIORITY?
I. Relieve dysphagia
II. Relieve regurgitation
III. Improve oesophageal emptying.
IV. Prevent development of megaoesophagus
A. I, II
B. I, II, III
C. I, II, III, IV
D. None of the above

219. A surgeon plans to perform a procedure for a patient with achalasia on outpatient, which of these would the nurse consider as MOST appropriate?
A. Endoscopic pneumatic dilatation
B. Endoscopic dilatation
C. Resection and anastomosis
D. None of the above

220. The surgical team prescribed isosorbide dinitrate for a client with achalasia.
The nurse understands that the drug will ....
A. Improve dysphagia
B. Relieve regurgitation
C. Improve oesophageal emptying
D. None of the above

221. A nurse reviews the treatment sheet of a client with achalasia and discovered that botulinum toxin was administered endoscopically.
The nurse understands is to ....
A. Improve dysphagia
B. Relieve regurgitation
C. Improve oesophageal emptying
D. None of the above

222. Which of the following surgery Is MOST appropriate for a patient with diagnosis of achalasia?
A. Heller myotomy
B. Oesophageal delitation
C. Oesophageal resection
D. None of the above

223. Miss Rbabatic Akuvi, a 30-year-old client was brought to the accident and emergency department by colleague workers.
History taking revealed that she has Peptic ulcer disease for many years.
Nursing assessment findings indicated severe upper abdominal pain, shallow and rapid respirations, elevated and weak pulse, absent bowel sounds, rigid and board like abdomen with a sudden onset.

As a nurse attending to the client, what PUD complication is miss Rababatu Akuvi likely experiencing based on her nursing assessment findings?
A. Haemorrhage
B. Gastric outlet obstruction
C. Perforation
D. None of the above

224. Miss Rbabatic Akuvi, a 30-year-old client was brought to the accident and emergency department by colleague workers.
History taking revealed that she has Peptic ulcer disease for many years.
Nursing assessment findings indicated severe upper abdominal pain, shallow and rapid respirations, elevated and weak pulse, absent bowel sounds, rigid and board like abdomen with a sudden onset.

Which of the assessment findings exhibited by the client could be elicited through palpation?
I. Rigid and board like abdomen
II. Absent bowel sounds
III. Elevated and weak pulse
IV. Severe upper abdominal pain.
A. I, II
B. I, III
C. I, III, IV
D. None of the above

225. Miss Rbabatic Akuvi, a 30-year-old client was brought to the accident and emergency department by colleague workers.
History taking revealed that she has Peptic ulcer disease for many years.
Nursing assessment findings indicated severe upper abdominal pain, shallow and rapid respirations, elevated and weak pulse, absent bowel sounds, rigid and board like abdomen with a sudden onset.

The nurse understands that the client could develop which of the following as a result of delay in initiating treatment?
I. Hypovolemia
II. Peritonitis
III. Intestinal obstruction
IV. Respiratory distress
A. I
B. I, II
C. I, II, III, IV
D. None of the above

226. The optional way to administer medications via a feeding tube is to ....
A. Use only sustained release medication
B. Poor medication into the enteral formula
C. Grind all the pills together and dilute with water
D. None of the above

227. The nurse confirms initial placement of a blindly inserted small – bore NG feeding tube by ....
A. X –ray
B. Air insufflation
C. Observe patient for coughing
D. None of the above

228. A patient is receiving peripheral parental nutrition.
The parenteral nutrition solution is completed before the new solution arrives on the unit.
The nurse administers
A. 5% dextrose solution
B. 5% ringer’s lactate solution
C. 0.45% normal saline solution
D. None of the above

229. A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever and dyspnea when a full liquid diet is started postoperatively.
The nurse recognizes that these symptoms are most indicative of ....
A. Intolerance to the feeding
B. Oesophageqal perforation with fistula formation
C. Leakage of fluid or foods into the mediastinum
D. None of the above

230. A patient with acute episode of upper GI bleeding was reviewed by the surgical team during ward wounds.
Which of the following would the nurse consider as Most PRIORITY?
I. Taking Aspirin with milk
II. Avoiding taking aspirin
III. Reading OTC drugs labels
IV. Taking prescribed drugs
A. I, II
B. I, II, III
C. II, III, IV
D. None of the above

231. An optimal teaching plan for an outpatient with stomach cancer receiving radiation therapy should have information about ....
A. Cancer support groups, alopecia, stomatitis
B. Avitaminosis, ostomy care, community resources
C. Skin care, nutrition, community resources
D. None of the above

232. A surgical ward nurse went to the surgical outpatient department to observe patient waiting for admission into the surgical ward. She observes clients with fetal posture, supine posture with outstretched legs seated and restles posture. After interacting with each one of the clients, she discovered that each has a history of acute abdominal pain.

Clients with fetal posture associated with acute abdominal pain is likely to be indicative of acute....
A. Peritoneal irritation
B. Peritoneal leakage
C. Peritoneal abscess
D. None of the above

233. A surgical ward nurse went to the surgical outpatient department to observe patient waiting for admission into the surgical ward. She observes clients with fetal posture, supine posture with outstretched legs seated and restles posture. After interacting with each one of the clients, she discovered that each has a history of acute abdominal pain.

Clients with supine position without stretched legs is likely to be indicative of .... pain
A. Nociception
B. Neuropathic
C. Visceral
D. None of the above

234. A surgical ward nurse went to the surgical outpatient department to observe patient waiting for admission into the surgical ward. She observes clients with fetal posture, supine posture with outstretched legs seated and restles posture. After interacting with each one of the clients, she discovered that each has a history of acute abdominal pain.

Clients with seated posture and restlessness is likely to be associated with ....
A. Peritonitis
B. Appendicitis
C. Intestinal obstruction
D. None of the above

235. During the assessment of a patient with acute abdominal pain, the nurse should ....
A. Perform deep palpation before auscultation
B. Obtain blood pressure and pulse rate to determine hypovolemia
C. Auscultate bowel sounds of hyperactive bowel sounds suggest paralytic items.
D. None of the above

236. The nurse would increase the comfort of the patient with appendicitis by ....
A. Having the patient lie prone
B. Flexing right knee
C. Sitting upright in chair
D. None of the above

237. In planning care for the patient with Crohn’s disease, the nurse recognizes that a major difference between Ulcerative colitis and Crohn’s disease is that Crohn’s disease ....
A. Frequently results in toxic mega colon
B. Causes fewer nutritional deficiencies
C. Often recurs after surgery
D. Manifested by rectal bleeding and anemia more frequently

238. The nurse performs a detailed assessment of the abdomen of a patient with possible bowel obstruction, knowing that a manifestation of obstruction in the large intestine is ....
I. Distended abdomen
II. Diarrhea that is loose
III. Colicky abdominal pain
IV. Profuse vomiting
A. I, II
B. I, III
C. I, II, III
D. I, III, IV

239. A patient with metastatic colorectal cancer is scheduled for both chemotherapy and radiation therapy.
Patient teaching regarding these therapies for the patient would include an explanation that ....
A. Chemotherapy can be used to care colorectal cancer
B. Radiation is routinely used as adjuvant therapy
C. Chemotherapy and radiation can be used as palliative treatment
D. None of the above

240. The nurse explains to the patient undergoing ostomy surgery that the procedure that maintains the MOST normal functioning of the bowel is
A. Sigmoid colostomy
B. Transverse colostomy
C. Descending colostomy
D. Ascending colostomy

241. A student nurse was assigned to educate a patient with diagnosis of diverticulitis.
In contrasting diverticulitis to diverticulosis, which of the following statements would the nurse supervisor agree with the student as MOST appropriate?
A. Rectal bleeding
B. Often has no symptoms
C. Localized cramping pain
D. Frequently develops peritonitis

242. A nursing intervention that is MOST appropriate to decrease post – operative edema and pain following an inguinal heniorrhaphy is ...
A. Apply a truss to the hernia site
B. Allowing patient is stand and void
C. Supporting the incision during coughing
D. Apply scrotal support with ice bag

243. Mr Appiah Densu, a 50-year-old client was admitted through the accident and emergency unit to the Female Surgical Ward with diagnosis of hiatal hernia.
History taking revealed dyspepsia.
Assessment finding showed protrusion of gastric mucosa through the esophageal hiatus, client was booked for surgery.

As a nurse at the ward reviews client’s diagnostic records, which of the following would the nurse expect to see as MOST definite diagnostic investigations?

I. Esophageal X – ray
II. Esophagram
III. Esophageal endoscopy
IV. Ultrasonagraphy
A. I, II
B. I, II, III
C. II, III
D. I, II, III, IV

244. Mr Appiah Densu, a 50-year-old client was admitted through the accident and emergency unit to the Female Surgical Ward with diagnosis of hiatal hernia.
History taking revealed dyspepsia.
Assessment finding showed protrusion of gastric mucosa through the esophageal hiatus, client was booked for surgery.

Which of the following would the nurse consider as types of hiatal hernia?
I. Para esophageal
II. Para gastroesophageal
III. Sliding
IV. Diaphragmatic
A. I
B. I, II
C. I, III
D. I, II, III, IV

245. Mr Appiah Densu, a 50-year-old client was admitted through the accident and emergency unit to the Female Surgical Ward with diagnosis of hiatal hernia.
History taking revealed dyspepsia.
Assessment finding showed protrusion of gastric mucosa through the esophageal hiatus, client was booked for surgery.

As the nurse reviews differential diagnosis data of the patient, which of the following would she consider MOST common.
A. Esophagitis
B. Esophageal cancer
C. Esophageal stricture
D. GERD.

246. Mr Appiah Densu, a 50-year-old client was admitted through the accident and emergency unit to the Female Surgical Ward with diagnosis of hiatal hernia.
History taking revealed dyspepsia.
Assessment finding showed protrusion of gastric mucosa through the esophageal hiatus, client was booked for surgery.

Post – operative report indicates that gastropexy was performed, the nurse agrees with the surgical team because gastropexy involves ....
A. Attachment of the stomach to the oesophagus to prevent hernia oedemic
B. Attachment of the stomach to the oesophagus to prevent reherniation
C. Attachment of the stomach sub-diaphragmatically to prevent re-herniation
D. Attachment of stomach subdiaphragmatically to prevent hernia oedema

247. A third year student started experiencing severe abdominal pain whiles he was in class.
He was rushed to the university clinic where he was given some laxatives.
Pain still persisted and he was referred to the nearest regional hospital.
History taking at the regional hospital revealed additional symptoms of anorexia, nausea and vomiting.
After thorough examination by the surgical team, he was diagnosed of Appendicitis.

As a nurse on duty, which of the following descriptions is characteristics of Appendicitis pain?

Use the scenario to answer questions 36 – 39.
A. Periumbilical, persistent, continuous, left lower quardrant McBurney’s point.
B. Periumbilical, persistent, continuous, right lower quardrant McBurney’s point.
C. Persistent, continuous, right lower quardrant McBurney’s point.
D. Persistent, continuing, left lower quardrant McBurney’s point.

248. A third year student started experiencing severe abdominal pain whiles he was in class.
He was rushed to the university clinic where he was given some laxatives.
Pain still persisted and he was referred to the nearest regional hospital.
History taking at the regional hospital revealed additional symptoms of anorexia, nausea and vomiting.
After thorough examination by the surgical team, he was diagnosed of Appendicitis.

Which of the following additional symptoms are common in the older adults?
I. Less pain
II. Severe pain
III. Low – grade fever
IV. Discomfort at right iliac fossa
A. I, II, III
B. I, III, IV
C. II, III, IV
D. I, III, IV

249. A third year student started experiencing severe abdominal pain whiles he was in class.
He was rushed to the university clinic where he was given some laxatives.
Pain still persisted and he was referred to the nearest regional hospital.
History taking at the regional hospital revealed additional symptoms of anorexia, nausea and vomiting.
After thorough examination by the surgical team, he was diagnosed of Appendicitis.

Just before the client was to be transported to the theatre, the appendix ruptured.
Which of the following actions must the nurse take before appendectomy is performed?
I. Administration of parenteral fluids
II. Antibiotic therapy
III. Treatment duration of 6 to 8 hours
IV. Immediately transport to hospital
A. I, II
B. I, II, III
C. I, II, IV
D. I, II, III, IV

250. A third year student started experiencing severe abdominal pain whiles he was in class.
He was rushed to the university clinic where he was given some laxatives.
Pain still persisted and he was referred to the nearest regional hospital.
History taking at the regional hospital revealed additional symptoms of anorexia, nausea and vomiting.
After thorough examination by the surgical team, he was diagnosed of Appendicitis.

The patient asked of effects of laxative that was given at the referral clinic.
Which of the following response is MOST appropriate?
A. Ulceration
B. Gangrene
C. Perforation
D. Haemorrhage

251. In discharge teaching of the client, the nurse instructs the clients to resume normal activities.
Which of the following response shows understanding of what the nurse said?
A. 1 to 2 weeks after surgery
B. 2 to 3 weeks after surgery.
C. 3 to 4 weeks after surgery
D. 4 to 5 weeks after surgery

252. Which of the following is a common cause of postoperative intestinal obstruction?
I. Peritonitis.
II. Paralytic items
III. Surgical adhesion
IV. Aneasthetic effect
A. I, II
B. I, II, II
C. I, IV
D. II, III

253. A nurse is explaining curse of non-mechanical intestinal obstruction to student’s nurse.
Which of the following would the nurse indicate to the students?
I. Thoracic spinal Fracture.
II. Lumbar spinal fracture.
III. Electrolytes abnormalities
IV. Acute appendicitis
A. I, II.
B. I, II, III
C. I, II, IV
D. I, II, III, IV

254. Which of the following is proximal intestinal obstruction likely to cause?
A. Metabolic Acidosis.
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis

255. Elorm is booked from total splenectomy.
The nurse must include which of the following teaching post operatively?
A. Use of life long antibiotics to prevent infection.
B. Avoidance of high fat diet.
C. Intake of long term Haematinics to aid in red blood cell production.
D. None of the above

256. The nurse is educating a group of patients at the endocrine clinic on Goitre.
Which of the following is an indication for surgical intervention of non – toxic goiter?
A. When there is inadequate secretion of thyroid hormone.
B. When there is excess secretion of thyroid hormone.
C. When the thyroid gland has enlarged causing swallowing and respiratory problems.
D. None of the above

257. Elorm Agboja, a 25-year-old student was rushed to the emergency unit with the complaints of abdominal pains after falling from a height.
On examination patient was pale and felt dizzy.
Blood pressure recorded 80/50 mmHg.
Patient exhibited left upper quadrant tenderness with flight abdominal distention.
A provisional diagnosis of splenic rupture was made by the doctor.

Which of the following diagnostic investigations will confirm the diagnosis of splenic rupture?

Use the above scenario to answer questions 46 – 48.
A. Abdominal x- ray
B. Abdominal ultrasound
C. Abdominal paracentesis
D. None of the above

258. Elorm Agboja, a 25-year-old student was rushed to the emergency unit with the complaints of abdominal pains after falling from a height.
On examination patient was pale and felt dizzy.
Blood pressure recorded 80/50 mmHg.
Patient exhibited left upper quadrant tenderness with flight abdominal distention.
A provisional diagnosis of splenic rupture was made by the doctor.

The nurse is planning one for Elorm.
Which of the following assessment findings will require the utmost PRIORITY?
A. Blood pressure of 80/50mmHg
B. Haemoglobin {Hb} of 3.5g/dl
C. Severe abdominal pain with scale of 9 of 10.
D. None of the above

259. Amponsah Celestina, a 58-year-old farmer reported to the OPD with recurrent ulcer on her left skin.
She told the doctor that the ulcer heals spontaneously and that is the 5th time at the same site in a year.
The doctor ordered for wound and blood culture studies and making a provisional diagnosis of Osteomyelitis.
Which of the following diagnostic investigations would help with a definitive diagnosis of osteomyelitis?

Use the above scenario to answer question 49 and 50.
A. Magnetic Resonance Imaging {MRI}
B. X – ray
C. Wound swab for culture
D. None of the above

260. Amponsah Celestina, a 58-year-old farmer reported to the OPD with recurrent ulcer on her left skin.
She told the doctor that the ulcer heals spontaneously and that is the 5th time at the same site in a year.
The doctor ordered for wound and blood culture studies and making a provisional diagnosis of Osteomyelitis.

Which of the following teachings must the nurse include when educating Amponsah about self-care?
A. Adherence to antibiotic regimen
B. Cleaning wound with saline at home
C. Periodic wound swab for culture
D. None of the above

261. A nurse is educating a group of patients at the oncology OPD.
She explains to them that the prognosis of osteosarcoma depends on whether the tumour has metastasized to the....
A. Lung
B. Liver
C. Brain
D. None of the above

262. A registered nurse is explaining bone tumours to nursing students on the ward.
Which of the following statements about chondrosarcomas is/are true?
I. It is a malignant tumour of hyaline cartilage
II. It may recur after excision
III. It is a type of fibro sarcoma
A. I, III only
B. I, II only
C. I, II, III only
D. None of the above

263. Which of the observations after the procedure would require prompt intervention?
A. Bloody drainage in the first 2 hours after the procedure.
B. Increased respiratory distress in the first 2 hours after procedure.
C. Chest pain after insertion of tube.
D. None of the above

264. John Gym a 35-year-old trader was involved in Road Traffic Accident (RTA). He complained of chest pains which was later accompanied with difficulty in breathing.
On examination air entry in the left lung was diminished with basal crackles and ultrasound scan were ordered.

Which of the following is most likely to be the diagnosis of John Gym?
A. Pneumothorax
B. Haemothorax
C. Pleural effusion
D. None of the above

265. John Gym a 35-year-old trader was involved in Road Traffic Accident (RTA). He complained of chest pains which was later accompanied with difficulty in breathing.
On examination air entry in the left lung was diminished with basal crackles and ultrasound scan were ordered.

The nurse is preparing John Gym for chest tube insertion.
She explained to the patient that the tube will be inserted at the intercostal space.
A. 4th or 5th
B. 2nd or 3rd
C. 6th or 7th
D. None of the above

266. John Gym a 35-year-old trader was involved in Road Traffic Accident (RTA). He complained of chest pains which was later accompanied with difficulty in breathing.
On examination air entry in the left lung was diminished with basal crackles and ultrasound scan were ordered.

Which of the following assessment findings would confirm the diagnosis of Achilles’ tendon rupture?
A. Presence of plantar flexion of the foot when calf is squeezed.
B. Absence of plantar flexion of the foot when calf is squeezed.
C. Presence of plantar extension of the foot when calf is squeezed.
D. None of the above

267. The following are indications of dressing Mad Tayo’s wound except
A. Aiding hemostasis
B. Supporting or splinting the wound
C. Immobilizing the limb
D. None of the above

268. Which of the following assessment findings would confirm the diagnosis of Achilles Tendon Rupture?
A. Presence of plantar flexion of the foot when calf is squeezed
B. Absence of plantar flexion of the foot when calf is squeezed
C. Presence of plantar extension of the foot when calf is squeezed
D. None of the above

269. Madam Yaa Gyesu, a known hypertensive and diabetic reported to the emergency unit with complaints of severe chest pain with sudden onset, which could not be relieved by rest. She was diagnosed of myocardial infarction. Examination revealed several spots of subcutaneous bleedings on the skin. She told the doctor that she bleeds from the gum anytime she brushes her teeth and is taken a longer time for bleeding to stop.

Which of the following would most likely be the cause of bleeding in Yaa Gyesu?
A. Thrombocytopenia
B. Afibrinogenaeria
C. Allergic purpura
D. None of the above

270. Madam Yaa Gyesu, a known hypertensive and diabetic reported to the emergency unit with complaints of severe chest pain with sudden onset, which could not be relieved by rest. She was diagnosed of myocardial infarction. Examination revealed several spots of subcutaneous bleedings on the skin. She told the doctor that she bleeds from the gum anytime she brushes her teeth and is taken a longer time for bleeding to stop.

Yaa Gyesu asked the nurse about the cause of the bleeding from her gum.
Which of the following responses by the nurse is MOST appropriate?
A. It is a usual complication of myocardial infarction and you will be fine once the symptoms are relieved.
B. It could be as a result of prolong use of aspirin
C. It could be as a result of prolong use of antidiabetic agents.
D. None of the above

271. Madam Yaa Gyesu, a known hypertensive and diabetic reported to the emergency unit with complaints of severe chest pain with sudden onset, which could not be relieved by rest. She was diagnosed of myocardial infarction. Examination revealed several spots of subcutaneous bleedings on the skin. She told the doctor that she bleeds from the gum anytime she brushes her teeth and is taken a longer time for bleeding to stop.

The nurse is performing a cardiopulmonary resuscitation for a patient rushed to the emergency unit.
History revealed patient ceased breathing after complaining of choking when he was eating.
Which of the following nursing actions would take utmost PRIORITY?
A. Administer in tranced oxygen 4L/min.
B. Perform chest compression to enhance cardiopulmonary activity.
C. Perform suctioning under negative pressure.
D. None of the above

272. The nurse in educating the family of mad. Akua Mensah on Angina Pectoris.
Which of the following statements by the patient requires further teaching?
A. I need to hold on to my daily walks since it aggravates my pain.
B. Alternate activities with period of rest.
C. Achieve and maintain normal blood pressure.
D. None of the above

273. Mad. Akua Mensah, a 59 old woman reported to the emergency unit with complaints of choking and a heavy sensation in the upper chest.
She described her chest pain as sharp and radiates to the neck, jaw and shoulders.
She said that, pain subsides when she rests in a couch.
She was apprehensive and felt she was going to die.
She was diagnosed of stable angina.

Which of the following medications is MOST appropriate to be administered?
A. Nitroglycerin
B. Aspirin
C. Digoxin
D. None of the above

274. Mad. Akua Mensah, a 59 old woman reported to the emergency unit with complaints of choking and a heavy sensation in the upper chest.
She described her chest pain as sharp and radiates to the neck, jaw and shoulders.
She said that, pain subsides when she rests in a couch.
She was apprehensive and felt she was going to die.
She was diagnosed of stable angina.

The nurse is planning care for Mad. Akua Mensah.
Which of the following nursing diagnosis would require PROMPT management?
A. Risk for decreased cardiac tissue perfusion related to coronary artery constriction.
B. Anxiety related to cardiac symptoms and possible death.
C. Acute pain (chest) related to decreased cardiac tissue perfusion.
D. None of the above

275. Mad. Akua Mensah, a 59 old woman reported to the emergency unit with complaints of choking and a heavy sensation in the upper chest.
She described her chest pain as sharp and radiates to the neck, jaw and shoulders.
She said that, pain subsides when she rests in a couch.
She was apprehensive and felt she was going to die.
She was diagnosed of stable angina.

The nurse is assessing a patient with mild to moderate dehydration secondary to food poisoning.
Which of the following findings would confirm the diagnosis?
A. Increased pulse rate, decreased urine output.
B. Decreased pulse rate, decreased urine output.
C. Decreased pulse rate, increased urine output.
D. None of the above

276. The nurse is educating a group of market women on the need to do regular exercise to prevent obesity.
Which of the following statement by one of the women would mean a successful teaching session?
A. I need to walk down the street at vast 30min each day.
B. Once I walk around at the market, I don’t need any formal exercise.
C. All of the above
D. None of the above

277. A known alcoholic diagnosed of liver cirrhosis was admitted to the medical ward.
Which of the following is not a complication of liver cirrhosis?
A. Hepatic coma
B. Portal hypertension
C. Chronic cholestasis
D. None of the above

278. During ward rounds at the medical unit, a student nurse was asked to state some clinical manifestations of Mrs. Korkor diagnosed of Chronic Hepatitis B.
Which of the following is not a sign and symptom of hepatitis?
A. Jaundice
B. Fever
C. Epigastric pain
D. None of the above

279. Mrs Ntiamoa, a 49year old woman was rushed to the surgical ward 2 with the history of diaphoresis, and palpitation.
Laboratory investigation were done and she was diagnosed hyperthyroidism.

Apart from the Clinical manifestation above, which of the following is a manifestation of hyperthyroidism?
A. Decreased appetite
B. Constipation
C. Hair loss
D. Apathy

280. Mrs Ntiamoa, a 49year old woman was rushed to the surgical ward 2 with the history of diaphoresis, and palpitation.
Laboratory investigation were done and she was diagnosed hyperthyroidism.

Which of the results from the laboratory investigation confirm the diagnosis of hyperthyroidism?
A. Decreased T4 [Thyroxine]
B. Decreased TSH [Thyroid stimulating hormone]
C. Decreased BMR [Basal Metabolic Rate]
D. Increased TSH[Thyroid stimulating hormone]

281. Mrs Ntiamoa, a 49year old woman was rushed to the surgical ward 2 with the history of diaphoresis, and palpitation.
Laboratory investigation were done and she was diagnosed hyperthyroidism.

Which of the following will the nurse implement to control diaphoresis?
I. Place patient in a cool room
II. Use light bed covering
III. Engage patient in exercise
IV. Change linen frequently
A. I, III and IV only
B. III and IV only
C. I, II and IV only
D. None of the above

282. Mr.Agyemang came back from work very exhausted. He left his electric store while cooking and fell asleep. His co-tenant saw smoke from his room and came to his rescue only to find out that he has sustained severe burns all over. He was rushed to your facility for management. On assessment, he has sustained burns of the upper hip, both legs, perineum, and trunk.

Which of the following problems will be of PRIORITY to the burns patient and requires immediate intervention?
A. Pain
B. Infection
C. Scarring
D. Shock

283. Mr.Agyemang came back from work very exhausted. He left his electric store while cooking and fell asleep. His co-tenant saw smoke from his room and came to his rescue only to find out that he has sustained severe burns all over. He was rushed to your facility for management. On assessment, he has sustained burns of the upper hip, both legs, perineum, and trunk.

Using the Wallace rule of nine, estimate two areas of skin burnt involving front and back of trunk and perineum.
A. 37
B. 18
C. 19
D. 35

284. Mr.Agyemang came back from work very exhausted. He left his electric store while cooking and fell asleep. His co-tenant saw smoke from his room and came to his rescue only to find out that he has sustained severe burns all over. He was rushed to your facility for management. On assessment, he has sustained burns of the upper hip, both legs, perineum, and trunk.

What percentage of skin area is burnt when one leg, head and neck as well as front and back of both upper limbs?
A. 81%
B. 45%
C. 75%
D. 36%

285. Mr.Agyemang came back from work very exhausted. He left his electric store while cooking and fell asleep. His co-tenant saw smoke from his room and came to his rescue only to find out that he has sustained severe burns all over. He was rushed to your facility for management. On assessment, he has sustained burns of the upper hip, both legs, perineum, and trunk.

Sequentially, what will be your general first aid treatment for Mr. Agyemang before being transported to your facility?
I. Treat for shock immediately
II. Reassure the patient and arrange for transport
III. Remove the patient from the source of fire
IV. Cover the burn surface dry dressing
A. I, III, IV, II
B. I, II, III, IV
C. II, III, I, IV
D. III, I, II, IV

286. Miss Atta Essuun left home in the morning to the National Identification Authority Centre for registration.
After being in the queue for long time, she started experiencing dizziness, diaphoresis and fainted.
As a nurse in uniform in the queue, people started screaming out of fear for you Is help.

Which of the following position would you consider MOST appropriate to place the client?
A. Sit down on chair and put the head between the knees.
B. Sit down on chair and put the head between the legs.
C. Sit down on chair and tilt the head up.
D. Lie flat on the floor

287. Miss Atta Essuun left home in the morning to the National Identification Authority Centre for registration.
After being in the queue for long time, she started experiencing dizziness, diaphoresis and fainted.
As a nurse in uniform in the queue, people started screaming out of fear for you Is help.

As a nurse attending to the client, which of the following additional symptoms would you expect?
I. Pale face and white lips
II. Giddiness
III. Rapid pulse and Shallow respirations
IV. Weak pulse and Shallow respirations
A. I, II
B. I, II, III
C. II, III, IV
D. I, II, III, IV

288. Miss Atta Essuun left home in the morning to the National Identification Authority Centre for registration.
After being in the queue for long time, she started experiencing dizziness, diaphoresis and fainted.
As a nurse in uniform in the queue, people started screaming out of fear for you Is help.

Apart from prolonged standing, which of the following would the nurse consider as causes of fainting?
I. Confinement in moist
II. Emotional upset
III. Physical exhaustion
IV. Severe Pain
A. I, II
B. I, II, III
C. I, II, IV
D. I, II, III, IV

289. Miss Atta Essuun left home in the morning to the National Identification Authority Centre for registration.
After being in the queue for long time, she started experiencing dizziness, diaphoresis and fainted.
As a nurse in uniform in the queue, people started screaming out of fear for you Is help.

Which of the following would the nurse consider as PRIORITY in his management?
I. Undo tight clothing
II. Clear Saliva from mouth
III. Ensure tongue is well forward
IV. Serve cold water
A. I
B. I, II
C. I, II, III
D. I, II, III, IV

290. A staff nurse went to the market to purchase some tomatoes after work. Whiles she was interacting with the tomato seller, another market woman approached her with epistaxis?

As a nurse, which position would you advise the market woman to assume?
A. Sitting in a chair with head held forward
B. Sitting in a chair with head tilted backwards
C. Sitting in a chair
D. Lying flat on the top

291. Which of the following actions would the nurse take to manage the client?
I. Breath through her mouth
II. Undo tight clothing around chest neck and waist
III. Pinch nose with thumb and fore finger
IV. Apply ice block to nose bridge
A. I, II
B. I, II, III
C. II, III, IV
D. I, II, III, IV

292. A staff nurse went to the market to purchase some tomatoes after work. Whiles she was interacting with the tomato seller, another market woman approached her with epistaxis?

The market seller asked if she can go to the nearest hospital. Which of the following responses from the nurse would you consider MOST appropriate?
A. Do not go to the hospital when bleeding stops.
B. Go to the hospital for further management
C. Go to the hospital when bleeding does not stop in several minutes.
D. Do not go to the hospital when bleeding is severe.

293. Mr. Abuntu Bentum, a 20year old involved in later. University football competition tell on an outstretched wrist and hand. Physical examination by the Sports Medical team revealed pain pronounced swelling and silver-fork deformity.

As a nurse who is part of the Sports Medical Team, which of the following fractures is he likely to be diagnosed of?
A. Colle’s
B. Stress
C. Pot’s
D. Comminuted

294. Mr. Abuntu Bentum, a 20year old involved in later. University football competition tell on an outstretched wrist and hand. Physical examination by the Sports Medical team revealed pain pronounced swelling and silver-fork deformity.

Mr. Abuntu asked of meaning of silver-fork Deformity.
Which of the following explanations would you consider MOST appropriate?
A. Dorsal displacement of proximal fragment
B. Dorsal displacement of distal fragment
C. Ventral displacement of proximal fragment
D. Ventral displacement of distal fragment

295. Mr. Abuntu Bentum, a 20year old involved in later. University football competition tell on an outstretched wrist and hand. Physical examination by the Sports Medical team revealed pain pronounced swelling and silver-fork deformity.

The doctor of the Sport Medical Team, ordered for the elbow to immobilized.
The nurse understands this is to prevent....
I. Wrist Supination
II. Wrist Pronation
III. Elbow Supination
IV. Elbow Pronation
A. I, II
B. I, II, III
C. II, III, IV
D. I, II, III, IV

296. Mr. Abuntu Bentum, a 20year old involved in later. University football competition tell on an outstretched wrist and hand. Physical examination by the Sports Medical team revealed pain pronounced swelling and silver-fork deformity.

Which of the following would the nurse consider in management of the client?
I. Open manipulation
II. Closed manipulation
III. Immobilization
IV. Relief of pain
A. I
B. I, II, III
C. II, III, IV
D. I, III, IV

297. Miss Naomi Appiah Ghandaa, a 70 year old client was admitted through Accident and Emergency Unit is the Female Surgical Word. History taking revealed loss of visual acuity, while pupil and she was diagnosed of Senile Cataract. She was scheduled for cataract Extraction. Pre-Operative medications were prescribed by the surgical team.

As the nurse reviews the treatment on the computer data base system, she discovered mydriatic as part of the pre-operative medications.
The nurse understands that mydriatic is....
A. Alpha adrenergic against
B. Alpha adrenergic artagonist
C. Beta adrenergic agonist
D. Beta adrenergic artagonist

298. Miss Naomi Appiah Ghandaa, a 70 year old client was admitted through Accident and Emergency Unit is the Female Surgical Word. History taking revealed loss of visual acuity, while pupil and she was diagnosed of Senile Cataract. She was scheduled for cataract Extraction. Pre-Operative medications were prescribed by the surgical team.

Miss Naomi asked of importance of the drug.
Which of the following responses would be MOST accurate?
A. Pupillary dilitation by relaxing iris dilator muscle
B. Pupillary dilitation by contracting iris dilator muscle
C. Pupillary dilitation by relaxing iris sphincter muscle
D. Pupillary dilitation by contracting iris sphincter muscle

299. Miss Naomi Appiah Ghandaa, a 70 year old client was admitted through Accident and Emergency Unit is the Female Surgical Word. History taking revealed loss of visual acuity, while pupil and she was diagnosed of Senile Cataract. She was scheduled for cataract Extraction. Pre-Operative medications were prescribed by the surgical team.

Theatre report from the surgical team revealed that Extracapsular cataract extraction was done.
The nurse understands that it involves....
I. Anterior capsule opening
II. Eye lens intact
III. Eye lens removal
IV. Cortex removal
A. I, II
B. I, III
C. I, II, III
D. I, III, IV

300. Miss Naomi Appiah Ghandaa, a 70 year old client was admitted through Accident and Emergency Unit is the Female Surgical Word. History taking revealed loss of visual acuity, while pupil and she was diagnosed of Senile Cataract. She was scheduled for cataract Extraction. Pre-Operative medications were prescribed by the surgical team.

The surgical team ordered daily examination of the eye.
The nurse understands that the reason is to assess ....
I. Visual acuity
II. Intraocular pressure
III. Anterior chamber depth
IV. Corneal clarity
A. I, II
B. I, II, III
C. I, III, IV
D. I, II, III, IV