301 - 400 Solved Surgical Nursing MCQ Test Questions Bank

301. The patient who has a conductive hearing loss....

A. Hears better in noisy environment
B. Hears sound but does not understand speech
C. Often speaks loudly
D. Experiences clearer sound with hearing aid.

302. A nurse is interacting with a client’s family member with hearing loss during visiting hours.
Which of the following strategies would BEST assist the nurse in communication?
A. Overnunciate speech
B. Speak normally and slowly
C. Exaggerate facial expression
D. Raise the voice

303. What is important for the nurse to include in the Post-operative care of the patient following tympanoplasty?
A. Check gag reflex
B. Encourage independence
C. Avoid changing the cotton padding
D. Refrain from forceful nose blowing

304. Miss Veronica Ahiatordzi was accidentally pushed into a swimming pool by a hotel waitress.
She shouted for help and later she was rescued from drowning.
As the nurse at the scene, which of the following actions would be a PRIORITY?
A. Cover client with more clothes
B. Undo tight clothing
C. Lift the weight with head downwards
D. Use clean handkerchief to remove debris

305. Which of the following would you employ in cardio pulmonary resuscitation of Miss Veronica in order?
I. Airway
II. Breathing
III. Circulation
IV. Drugs
V. Fluids
A. I, II, III, IV, V
B. II, I, III, IV, V
C. III, I, II, V, IV
D. None of the above

306. Little Robert a 14year old client was confined to a room for disobeying her parent. After sometimes when the parents opened the door, Little Robert was dyspneic, coughing, tearing at his clothes and distended neck veins. At arrival at the A&E Ward he was diagnosed of Asphyxia secondary to Carbon Monoxide Intoxication.

As a nurse at the ward which of the following actions would be a PRIORITY.
I. Undo tight clothing around the chest, neck
II. Clear mouth of saliva
III. Start artificial respiration
IV. Keep client warm
A. I, II
B. I, II, III
C. II, III, IV
D. I, II, III, IV

307. Little Robert a 14year old client was confined to a room for disobeying her parent. After sometimes when the parents opened the door, Little Robert was dyspneic, coughing, tearing at his clothes and distended neck veins. At arrival at the A&E Ward he was diagnosed of Asphyxia secondary to Carbon Monoxide Intoxication.

The nurse understands that for clear airway to the lungs, the patient head must be positioned as....
A. Extend head, rolled up towel at the nape, lower jaw lift upward and forwards
B. Extend head, rolled up towel at the nape, lower jaw lift upwards and back wards
C. Extend head, rolled up towel at the nape, lower jaw downward and backward.
D. Extend head, rolled up towel at the nape, lower jaw downwards and forwards

308. Little Robert a 14year old client was confined to a room for disobeying her parent. After sometimes when the parents opened the door, Little Robert was dyspneic, coughing, tearing at his clothes and distended neck veins. At arrival at the A&E Ward he was diagnosed of Asphyxia secondary to Carbon Monoxide Intoxication.

Which of the following would the nurse consider as a method of artificial respiration for Little Robert?
I. Mouth-to-Mouth
II. Silverter’s
III. Schafer’s
IV. Eve’s rocking
A. I
B. I, II
C. II, IV
D. I, II, III, IV

309. Little Robert a 14year old client was confined to a room for disobeying her parent. After sometimes when the parents opened the door, Little Robert was dyspneic, coughing, tearing at his clothes and distended neck veins. At arrival at the A&E Ward he was diagnosed of Asphyxia secondary to Carbon Monoxide Intoxication.

How many artificial respirations must the nurse give per minute?
A. 8 to 10
B. 10 to 12
C. 14 to 16
D. 18 to 20

310. Little Robert a 14year old client was confined to a room for disobeying her parent. After sometimes when the parents opened the door, Little Robert was dyspneic, coughing, tearing at his clothes and distended neck veins. At arrival at the A&E Ward he was diagnosed of Asphyxia secondary to Carbon Monoxide Intoxication.

Which of the following artificial respirations to external cardiac massage in the client’s folder would the nurse agree to per second?
A. 1:2
B. 1:3
C. 1:4
D. 1:5

311. Which of the following posture would the nurse assume for external cardiac massage?
A. Kneels beside patient, hands at lower sternum, elbows straight, lean over patient
B. Kneels beside patient hands at upper sternum, elbow straight, lean over patient
C. Kneels beside patient, heals of hands at lower sternum, elbows straight, lean over patient
D. Kneels beside patient heals of hands at lower sternum, elbows flexed, lean over patient.

312. Mrs. Emelia Adeyoba reported to the OPD with complaints of abdominal pain that feels worse after eating, fever, nausea and vomiting. Cullen’s sign was elicited on examination.
Which of the following conditions will you suspect?
A. Acute Cholecystitis
B. Acute pancreatitis
C. Acute appendicitis
D. None of the above

313. Following sub-total gastrectomy for cancer of the stomach, the patient develops dumping syndrome.
The nurse explain this to the junior nurse as
A. Rapid passage of osmotic fluid into the jejunum
B. Build-up of faeces and gas within the large intestine.
C. Passage of food from the stomach to the intestines
D. None of the above

314. Ama Norya, a 42 year old mother of three has been transferred to your ward from recovery ward after myomectomy.
As the recipient nurse, your first nursing action will be....
A. Check rate of IV infusion
B. Assess for pain
C. Check for vital signs
D. None of the above

315. Before a patient signs a consent form for an Abdominopelvic resection, the nurse should explain to him that the surgery will probably result in a
A. Permanent ileostomy in the jejunum
B. Temporary colostomy in the descending colon
C. Permanent colostomy and impotence
D. None of the above

316. A 48-yrear old patient undergoes open repair of a femur fracture sustained in a motor vehicle collision.
Three days post-op, she develops a low grade fever, tachypnea, pleuritic chest pain and a cough.
CT scan reveals a pulmonary embolism. Which of the following findings is most likely to be associated with this condition?
A. Decreased pulmonary arterial pressure
B. Decreased A-a gradient
C. Positive D-dimer test
D. None of the above

317. Following extensive and prolonged surgery, it is important that the nurse observes the patient for depletion of which electrolyte?
A. Chloride
B. Potassium
C. Calcium
D. None of the above

318. The rational for wearing face masks by the surgical team is to....
A. Minimize the possibility of wound infection
B. Reduce the risk of transmitting a cold to the patient
C. Promote the sterile state of the theatre room
D. None of the above

319. Which suture will be used to close the subcutaneous tissue after a laparotomy?
A. Chronic catgut
B. Plain catgut
C. Linen thread
D. None of the above

320. To monitor adequate fluid in Mr. Otoo Ayivor who has undergone a thoracic surgery, the nurse would....
A. Monitor and record hourly intake
B. Administer intravenous fluids
C. Monitor effects of diuretics
D. None of the above

321. An optimal teaching plan for an out-patient with stomach cancer receiving radiation therapy should include information about....
A. Skin care, nutrition, community resources
B. Avitaminosis, stoma care, community resources
C. Cancer support groups, alopecia, stomatitis
D. None of the above

322. A patient is evaluated by nurse Joloto after a fall. Nurse Joloto is likely to use varus stress of the knee in the evaluation.
This action of the nurse is referred to as
A. Force that moves the joint away from the midline
B. Movement of joint toward the midline of the body
C. Stress on the Vagus nerve
D. None of the above

323. Which of the following refers to a metabolic bone disorder characterized by inadequate mineralization of the bone matrix?
A. Rheumatoid arthritis
B. Ankylosing spondylitis
C. Osteoporosis
D. None of the above

324. Which of the following instruments should the nurse add when setting a trolley for the Doctor to conduct vaginal examination?
A. Cusco’s speculum
B. Hager’s dilator
C. Artery forceps
D. None of the above

325. A 5 year old boy was brought to the hospital with tympanic membrane perforation. He has been booked for surgery.
Which of the following surgical procedure will the Doctor perform for the patient?
A. Ossiculoplasty
B. Myringotomy
C. Blephonotomy
D. None of the above

326. Mr. Appiah Kangaba, a 20 year old university student was involved in Inter-university football competition.
Accidentally, he fell on his outstretched arm and hand.
Physical examination by the Sports Medical Team revealed pain, pronounced swelling and silverfork deformity at the wrist.
As a staff nurse with the Sports Medical Team, which of the following types of fracture is Mr. Appiah likely to suffer from?
A. II, III, IV
B. I, II
C. I
D. None of the above

327. A 63-year old man with history of tobacco use, diabetes, and hypertension presents with severe symptoms of claudication.
His left lower extremity is cool to touch and his left big toe shows shiny skin, absent hair and no palpable dorsal pedis or posterior tibialis pulses.
The arterial brachial index confirms peripheral arterial disease.
What is the next step in the management of this patient?
A. Supervised exercise program
B. Smoking cessation
C. Surgical consultation
D. None of the above

328. Master Ayi Tetteh a 5 year old sustained burns and was admitted to your ward.
The objective of managing Ayi would include
A. I, II, III
B. II, III, IV
C. I, II, IV
D. None of the above

329. Predisposing causes of cancer of the larynx include
A. II, III, IV
B. I, II, IV
C. I, II, III
D. None of the above

330. Director in a law firm reported to the hospital with complaints of bleeding haemorrhoids. He is shy and withdrawn.
What will be the primary role of the nurse before assessment?
A. Assure client of good care
B. Call in the surgeon
C. Let a male nurse take history
D. None of the above

331. To promote healing and prevent formation of necrotic tissue formation of venous ulcers, which of the following procedures may be performed with this condition?
A. Regular wound dressing with povidone
B. Wound debridement
C. Incision and drainage
D. None of the above

332. Mrs. Amina Oteng, a 55 year old woman diagnosed as having Mitral Stenosis is on admission on your ward, she is to have mitral valve replacement performed for her.
A possible cause of Mrs. Oteng’s condition would be....
A. High blood pressure
B. Calcium deposits
C. Reflux of blood
D. None of the above

333. A 19 year old female who bites her nails presents with pain that she relates to a hangnail. On examination, there is painful, fluctuant area with erythema at the proximal nail bed. She has full painless range of motion of the joints of her finger. Sensation is intact.
What is the patient’s diagnosis?
A. Herpetic whitlow
B. Onychomycosis
C. Paronichia
D. None of the above

334. A 60 year-old woman has reported to the hospital with complaint of urinary incontinence.
Which of the following is true?
A. Topical vaginal estrogen therapy can contribute to urinary incontinence
B. Obesity is a risk factor for urinary incontinence
C. Pessaries not recommended for stress urinary incontinence in post-menopausal women.
D. None of the above

335. What would be you immediate intervention when a patient’s tracheostomy tube dislodges?
A. Insert the tube and give oxygen
B. Go and get a new tube
C. Inform the doctor to give you directions
D. None of the above

336. Which of the following methods of prostatectomy is NOT an open surgical removal of the prostrate?
A. Trans-urethral
B. Supra-pubic
C. Perineal
D. None of the above

337. A 52 year-old man spilled hot coffee on a small portion of his thigh. The burn blisters is painful. The burn blanches on examination.
Which of the following is the best treatment for the burn?
A. Topical triamcinolone
B. Prophylactic antibiotics
C. Polysporin with Mepitel dressing
D. None of the above

338. Features of hyperparathyroidism include
A. Elevated serum calcium
B. Renal colic if patient has had calculi
C. Carpopedal spasm
D. None of the above

339. Which of the following is the most common cause of acute scrotal pain in adults in the outpatient setting?
A. Epididymitis
B. Inguinal hernia
C. Trauma
D. None of the above

340. Nurse is evaluating plan of care for a client with acute abdominal pain at the male surgical ward.
Which of the following would the Nurse consider as expected outcomes?
A. I, II, III, IV
B. I, II, III
C. I and II
D. None of the above

341. Which of the following is a feature of pre-eclampsia?
A. Increased potassium
B. Increased potassium transaminases
C. Hyponatremia
D. None of the above

342. Which of the following is TRUE about antibiotic management in a patient with sepsis?
A. Most patients should receive at least a two week course of antibiotics
B. Use of more than one antibiotic is preferable
C. Every hour of delay in initiation of antibiotics is associated with increase in progression to septic shock.
D. None of the above

343. A final year student Nurse asked to explain lordosis to him.
Your response will be “an excessive inward curvature of the.... spine
A. Cervical
B. Thoracic
C. Lumbar
D. None of the above

344. Which of the following clinical signs is associated with grating from friction of bones and cartilage or entrance of air into an open fracture?
A. Crepitus
B. Ecchymosis
C. Crackles
D. None of the above

345. A 75 year old man with a history of type 1 von Willebrand disease (vWD) and an Hgb of 14.3g/dl is scheduled for total hip replacement surgery.
Which of the following is the most appropriate treatment to decrease risk of severe bleeding during his procedure?
A. Low dose activated factor VII
B. Pre-operative erythropoietin
C. Prophylactic DDAVP
D. None of the above

346. Which of the following intravenous fluids would the Nurse get ready in a surgical shock?
A. Ringers Lactate
B. Dextrose 50%
C. Normal saline
D. None of the above

347. The greatest percentage of an adult’s total body water is contained in which fluid compartment?
A. Intracellular
B. Interstitial
C. Extracellular
D. None of the above

348. You have been assigned by the charge nurse to examine a patient who has sustained burns from gas explosion.
He has burns on his right arm, chest and abdomen.
He has superficial burns on the right side of his neck and face.
Using the rule of 9, calculate the estimated body surface of burnt area.
A. 45%
B. 49.5%
C. 27%
D. None of the above

349. Daniel Akpaso, a 5 year old boy on admission at the pediatric ward with a history of sore throat, difficulty in swallowing when eating, fever and chills.
He was diagnosed with tonsillitis and has been booked for tonsillectomy.
To rule out any systemic or related condition, in Daniel, which of the following actions will the nurse take?
A. Conduct a thorough physical examination
B. Involve mother in the care
C. Consult the doctor in charge
D. None of the above

350. Madam Atswei Mansa, a 42 year old is recovering from anaesthesia after myomectomy.
On admission, her initial BP was 120/80mmHg, 30 minutes later, her BP recorded was 112/60mmHg with pulse rate of 70bpm.
Her skin was dry and warm to touch.
What would be the MOST appropriate nursing action to take as the Nurse in Charge?
A. Administer oxygen
B. Notify the surgeon
C. Check vital signs every 15 minutes
D. None of the above

351. Mr. Wilfred Sam has undergone tracheostomy.
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

352. You have been tasked by the Charge Nurse to perform catheter hygiene for a bed ridden patient.
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

353. You have been informed by the Emergency Unit to prepare and receive a patient with the diagnosis of intrinsic renal failure.
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

354. Osteomyelitis is the inflammation of the bones, especially in the arms and foot.
This condition in most cases is caused by....
A. Pseudomonas
B. Salmonella
C. Staphylococcus aureus
D. None of the above

355. Which of the under listed will indicate a third degree burns?
A. Dark colouration of the skin
B. Blister formation
C. Absence of pain at the site
D. None of the above

356. Nurse Kodjo is carrying out routine wound dressing on the surgical ward.
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

357. Mr. Ankomah Boateng has been diagnosed of having benign prostatic hypertrophy which
A. Predisposes to hydronephrosis
B. Causes an elevated acid phosphatase
C. Is a congenital abnormality
D. None of the above

358. The nursing and medical team have to ensure that the ward is kept clean and safe for all patients.
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

359. Maame Afua Konadu has been admitted to your ward with appendicitis.
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

360. Patient with traumatic head injury requires assistance in turning and positioning because of immobility and unconsciousness.
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

361. The Nurse should explain to the patient with gonorrhea that treatment will include both Ceftriaxone and Doxycycline because
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

362. In a defaulted peptic ulcer patient, the MOST likely complication could be the following EXCEPT:
A. Haemorrhage
B. Perforation
C. Stress
D. None of the above

363. Mr. Seidu Awudu has undergone an ear surgery. 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

364. Afua Adams has been brought to the ward after mastectomy. 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

365. When a patient is semi-conscious, the Nurse should expect the patient to be unable to
A. React to painful stimuli
B. Move spontaneously
C. Control elimination
D. None of the above

366. A 24 year old woman comes into your office after spilling hot tea on her hand. 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

367. Maame Adwoa is on admission in the female surgical ward after an open cholecystectomy.
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

368. The action to be taken when a Nurse suspects that a patient’s wound is infected is....
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

369. Mr. Kwabena Danso, an 86-year-old farmer with hypertension presents to the clinic with a painful big toe.
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

370. Maame Adwoa Mansa, a 25 year old seamstress was admitted to the ward with the intention for a repair of fistula-in-ano.
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

371. A patient has undergone a four hour abdominal surgery under spinal anesthesia.
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

372. Which of these sutures would the nurse give to the surgeon when he needs a nonabsorbable suture?
A. Fascia
B. Plain catgut
C. Chromic catgut
D. None of the above

373. A priority nursing diagnosis for a patient with ulcerative colitis is
A. High risk for infection
B. Ineffective coping
C. Diarrhea related to hypermotility
D. None of the above

374. A patient on admission in your ward is suspected to have cancer of the oral cavity and throat.
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

375. Ataa Broni has an anterior neck mass. 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

376. The tonsils are composed of lymphoid tissues situated bilaterally in the
A. Nasopharynx
B. Oropharynx
C. Larynx
D. None of the above

377. Before cholecystectomy, the surgeon orders Vitamin K.
This is administered because it is used in the formation of
A. Cholecystokinin
B. Prothrombin
C. Bilirubin
D. None of the above

378. Mr. Kwesi Adom has been diagnosed with chronic prostatitis.
What is the preferred antibiotic agent/class for Mr. Adom’s condition?
A. Penicillin
B. Fluoroquinolones
C. Tetracyclines
D. None of the above

379. Mr. Kofi Nkansah is on admission with inguinal hernia.
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

380. Which of the following drug classes is the first line of treatment for patients with erectile dysfunction?
A. Central alpha agonists
B. Prostaglandins
C. 5-phosphodiestrase inhibitors
D. None of the above

381. Mr. Kwasi Imoro, aged 50 is on admission at your ward with burns of the right upper limb.
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

382. Mustaph Ogoe, a 30 year old farmer underwent open reduction and internal fixation (ORIF) for a hip fracture.
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

383. Mr. Kofi Yaro has been on admission on the surgical ward with an infected leg wound which he sustained in a road traffic accident.
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

384. A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever and dyspnea when a full liquid diet is started post operatively.
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

385. A 5- year old girl presents with a recurrent UTI.
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

386. To prevent bleeding after prostatectomy, the patient should be advised to stop straining on defaecation.
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

387. Mr. Frank Akowuah, a 70 year old farmer is on admission with ulcerative colitis.
A serious complication of his condition could be
A. Paralytic ileus
B. Haemorrhage
C. Perforation
D. None of the above

388. Ms. Kakraba Forson has intermittent bleeding per vagina.
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

389. Kojo Abusu is an 18 year old boy who reported to the OPD with multiple boils in the axilla and perineal areas.
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

390. Which of the under listed symptoms of fluid and electrolyte imbalance caused by colitis of which the nurse should report immediately?
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

391. A patient with metastatic colorectal cancer is scheduled for both chemotherapy and radiation therapy.
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

392. Baby Kwabena is a new born.
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

393. Ms. Brikisi is a 32 year old chain smoker.
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

394. A patient presents with wrist drop.
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

395. A man sustained cut while gardening.
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

396. Mrs. Anabert Koomson has been scheduled for craniotomy.
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

397. Mr. Kofi Kakabuka developed venous ulcer due to chronic venous insufficiency.
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

398. The Nurse’s priority when caring for a patient with second degree burns is to
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

399. Baba Yakubu, a 52 year old teacher has undergone haemorhoidectomy.
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

400. Which of the following is not a precipitating cause of haemorhoids?
A. Constipation
B. Occlusion of arterial blood supply to the rectum
C. Prolonged sitting or standing
D. None of the above