401 - 500 Solved Surgical Nursing MCQ Test Questions Bank

401. The source of succus entericus is in the
A. Duodenum
B. Small intestines
C. Large intestines
D. None of the above

402. In health educating the patient with glaucoma, the nurse would advise her to avoid factors that will increase intraocular pressure such as
A. Excessive consumption of salt
B. Emotional upset
C. Excessive consumption of organ meat
D. None of the above

403. Madam Esi Nyarkoa has just been brought to the ward after successfully undergoing mastectomy of the left breast.
Nurse encourages her to begin deep breathing and leg exercises.
The aim of for these exercises is to prevent....
A. Pulmonary embolism
B. Deep vein thrombosis
C. Fluid retention
D. None of the above

404. Which of the following is pulmonary diseases is characterized by loss of elastic recoil, chronic hyperinflation of the lungs, and increased AP chest diameter?
A. Chronic bronchitis
B. Emphysema
C. Asthma
D. None of the above

405. When assessing the urine of a patient with urinary tract infection, the Nurse should assess each sample for
A. Clarity
B. Sugar and acetone
C. Specific gravity
D. None of the above

406. Maame Yaa Nyame a 30 year old caterer was admitted to the burns unit with 2nd degree burns.
Which of the following will you include in her pain management?
I. Nitrous Oxide
II. Hypnosis
III.Warm soaks
IV.Relaxation
A. I, II and III
B. II and III
C. I and II
D. None of the above

407. Which of the following is NOT an indication for colostomy
A. Acute abdomen
B. Diverticulosis
C. Cancer of the rectum
D. None of the above

408. Which of the following is the MOST common symptom of Achalasia that patients complain of?
A. Sub-sternal chest pain
B. Halitosis
C. Dysphagia
D. None of the above

409. The best time to do breast self-examination is usually....day after menses begin
A. 8th
B. 3rd
C. 5th
D. None of the above

410. In some Ghanaian culture, circumcision of a male child is paramount.
Some other medical conditions in the male could be an indication for circumcision.
These include
I.Paraphimosis
II.Phimosis
III.Poor penile erection
IV.Recurrent infection of the foreskin
A. I, II and IV
B. I, II and III
C. II, III and IV
D. None of the above

411. Mr. Kweku Atiapa has been discharged from the hospital after 11 days on admission.
He is a civil servant and worried about his high discharged bill.
What would be the Nurse’s responsibility toward Mr. Atiapa?
A. Report findings to in charge
B. Call a social worker to intervene
C. Advice Mr. Kweku to confide in his doctor
D. None of the above

412. The urologist has booked several patients for prostatectomy.
The approach to this surgery associated with high incidence of impotence is....
A. Retropubic
B. Suprapubic
C. Perineal
D. None of the above

413. The following are methods of reducing fracture EXCEPT
A. Open reduction
B. Splinting
C. Closed reduction
D. None of the above

414. Which of the following tests is included in the diagnosis of varicose veins?
A. Trendelenburg test
B. Intermittent claudication determination
C. Carotid phonoangiogram
D. None of the above

415. A patient returns to the ward fully awake following a bronchoscopy and biopsy.
The Nurse should
A. Evaluate the presence of gag reflex
B. Advise the patient to cough frequently
C. Advise patient to lie flat for 2 hours
D. None of the above

416. Conservative management of haemorrhoids include the following except
A. Ice compresses for discomfort
B. Laxatives and stool softeners
C. Ligation of the haemorrhoids
D. None of the above

417. Suctioning of the patient with tracheostomy must be brief.
It should not exceed....seconds
A. 10
B. 15
C. 20
D. None of the above

418. A female diabetic patient has been admitted to your ward for a laparotomy.
What will you include in your nursing intervention to promote wound healing?
A. Apply dry, sterile dressing to wound daily
B. Maintain normal blood glucose range
C. Ensure adequate amount of dietary carbohydrate
D. None of the above

419. A 32 year old known hypertensive is admitted to your ward for abdominal surgery.
During your assessment, you found out that he uses diuretics to manage hypertension.
Which of the following would you report to the surgeon?
A. Serum potassium of 33
B. Blood pressure of 140/80
C. Pulse rate of 105 beats per minutes
D. None of the above

420. Thoracic kyphosis is associated frequently with which of the following conditions?
A. Osteoporosis
B. Lumbar disc disease
C. Polymyalgia rheumatic
D. None of the above

421. Madam Afi Awuah has been on admission with cancer of the cervix.
Whiles reviewing her report with Nurses on duty, you noticed that the cancer is staged as Tis, NO MO.
This will translate to mean?
A. The cancer cells are differentiated
B. Further test is needed to determine spread of cancer
C. The cancer is localized to the cervix
D. None of the above

422. In the immediate post-operative period following a splenectomy, the Nurse should observe the patient for
A. Haemorrhage and abdominal distention
B. Intestinal obstruction and bleeding
C. Peritonitis and pulmonary complications
D. None of the above

423. The reason why patients are placed prone for half an hour 4 times daily after undergoing amputation is to
A. Ensure optimum stump image
B. Improve circulation in remaining tissue
C. Prevent flexion of contractures
D. None of the above

424. A patient was rushed to the emergency unit with the diagnosis of Cholecystitis.
Which diagnostic investigation will the doctor order to help diagnose Cholecystitis
A. Abdominal ultrasound
B. Abdominal X-ray
C. Colonoscopy
D. None of the above

425. A pharmacology tutor mentioned during her lectures that some category of medications could induce surgical risk in patients undergoing surgery.
Among these is
A. Antibiotics
B. Anticoagulants
C. Sedatives
D. None of the above

426. Characteristics of malignant tumours include
I. Encapsulation
II.Infiltration
III.Looks different from original organ
IV.Spread by blood or lymphatic vessels to other organs
A. I, III and IV
B. I, II and III
C. II, III and IV
D. None of the above

427. Which of these is assessed to determine the course of prostate cancer?
A. Prostatic fluid for WBCs
B. Blood urea estimation
C. Prostate specific antigen
D. None of the above

428. A patient with traumatic wound necessitated debridement of 4cm of devitalized tissues.
Which of the following is the most appropriate wound care treatment?
A. Pack with wet to moist saline gauze
B. Primary closure with sutures or staples
C. Cover with a dry dressing fixed with tape or Tegaderm
D. None of the above

429. A 69-year-old post-menopausal female complains of leakage of urine with coughing.
She states it has become increasingly worse over the past six months.
Which of the under listed by the Charge Nurse would be MOST beneficial to the patient?
A. Refer the patient to a urologist for cystoscopy
B. Recommend fluid restriction to 1 liter per day
C. Educate the patient about Kegel exercise
D. None of the above

430. Mrs. Ramatu Abdulai is a 65 year old woman diagnosed with a genitourinary cancer.
She is to receive radiation therapy.
This therapy is the treatment of choice for....
A. Uterine carcinoma
B. Ovarian cancer
C. Squamous cell carcinoma of the cervix
D. None of the above

431. Which of the following is paramount in the resuscitation of Ms. Aisha Bio who has sustained severe burns of the trunk and lower limbs?
A. Use of clinical parameters
B. Physical assessment
C. Administration of medication
D. None of the above

432. A 42-year old designer has been admitted to the female surgical ward for removal of painful lump on the neck.
The surgery was purposely to improve patient quality of life.
This type of surgery will be termed
A. Palliative
B. Reconstructive
C. Curative
D. None of the above

433. A 30-year-old female is diagnosed with Hashimoto’s thyroiditis.
Which of the following characterizes the disorder?
A. Autoantibodies against TSH receptors
B. Increased production of T4
C. Increased basal metabolic rate
D. None of the above

434. Which of the following conditions would be managed by dilatation of the anal sphincter?
A. Faecal impaction
B. Fistula in ano
C. Fissure in ano
D. None of the above

435. A male patient present with sudden onset of scrotal pain that radiates to his abdomen after playing tennis.
He denies sexual activity.
He is afebrile with normal vital signs.
His left testicle is tender and high-riding, he has no penile discharge or lesion.
He has no cremasteric reflex on the affected side.
Which of the following is the treatment of choice?
A. Elevation of the affected testis and ice packs
B. Detorsion and fixation
C. Ceftriaxone 250mg IM and Azithromycin 1 gram po
D. None of the above

436. Which of the undermentioned problems would affect a patient with prolapsed uterus?
A. Fundal pain
B. Stress incontinence
C. Faecal impaction
D. None of the above

437. Mrs. Jane Mills is to receive enema.
In which position should she be placed?
A. Knee- chest
B. Fowler’s
C. Left Sim’s
D. None of the above

438. Madam Joyce Apanyani 48 years has pharyngeal cancer and has been scheduled for surgery.
To determine whether patient has adequate nutritional intake pre-operatively, the Nurse will take into consideration patient’s
I. Activity level
II.Body weight
III.Energy level
IV.Socio-economic status
A. I, II and III
B. I and II
C. I and IV
D. None of the above

439. A patient was rushed into the surgical emergency with protrusion of abdominal organs through a gaped wound after discharge following an abdominal surgery.
What will be the most suitable position to nurse the patient?
A. Fowler’s
B. Lithotomy
C. Lateral
D. None of the above

440. Which of the undermentioned paralysis would occur in a patient who suffered a fracture of the cervical spine and damage to the spinal cord?
A. Paraplegia
B. Hemiplegia
C. Monoplegia
D. None of the above

441. A middle age man diagnosed of colon cancer uses opioid to control his pain level at level 8 of 0-10 scale and requests for something more potent.
The best way to document this is....
A. Neuropathic pain
B. Break through pain
C. Somatic pain
D. None of the above

442. Mr. Kwesi Mensah has sustained fractured rib.
As a result, the patient may develop
A. Herniation of the diaphragm
B. Obstructive lung disease
C. Pneumothorax
D. None of the above

443. An enlarged prostate gland causes urine retention because the gland
A. Encircles the urethra directly below the bladder
B. Is located on the floor of the urinary bladder
C. Lies within the lumen of the middle urethra
D. None of the above

444. When assessing a patient suspected of ruptured ectopic the nurse would monitor
A. Abdominal girth
B. Haemoglobin and packed cells
C. Pulse rate and volume
D. None of the above

445. A 67 –year-old female patient who fell on an outstretched hand now complains of hand pain.
On examination, she has tenderness over the anatomic snuffbox.
There is no evidence of deformity and she has intact sensation and movement.
What is the likely lesion?
A. Scaphoid fracture
B. Carpal tunnel syndrome
C. Pisiform fracture
D. None of the above

446. To evaluate for pelvic abscess as a complication for Mr. Yao Ibrahim who has peritonitis, the Nurse would evaluate for....
A. Twitching, muscle cramps and nausea
B. Numbness of extremities, dilated pupils
C. Anorexia, fever, diarrhea
D. None of the above

447. The Nurse would explain Suprapubic prostatectomy to a patient that it differs from other surgical procedures of the prostate in that
A. A major complication of impotence may occur
B. An incision is made directly into the urinary bladder
C. An indwelling catheter is not required after surgery
D. None of the above

448. Ms. Abigail Narh, 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.
Which of the following immediate interventions would be provided for Ms. Narh?
I. Undo tight clothing around neck and chest
II.Clear saliva from the mouth with clean handkerchief
III.Ensure tongue is well forward
IV.Serve cold water
A. I and II
B. I, II and III
C. I, II, III and IV
D. None of the above

449. 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

450. 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

451. 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
D. None of the above

452. 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

453. 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

454. 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

455. 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

456. 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

457. 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

458. 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

459. 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

460. While caring for a patient who has undergone surgery under general anaesthesia, the nurse should notify the surgeon if the
A. Patient pushes the airway out
B. Patient has a snoring respiration
C. Respirations are regular but shallow
D. Systolic B/P drops from 130 to 100

461. A patient convalescing from abdominal surgery develops thrombophlebitis. Which sign will indicate to you that this complication has occurred?
A. Intermittent claudication
B. Localised warmth and tenderness of the leg
C. Pitting oedema of the lower extremities
D. Severe pain on extension of the extremities

462. When caring for road traffic accident victims the nurse would prioritise care and provide treatment first for a patient with
A. A fractured femur
B. A penetrating abdominal wound
C. Head injury
D. Ventricular fibrillation

463. The nurse would expect a patient in an early stage of severe Hypovolaemic shock to exhibit
A. A blood pressure 150/90
B. A distension of the neck vein
C. An apical heart rate of 142bpm
D. An output of 50ml urine per hour

464. In the immediate post-operative period following a splenectomy, the nurse should specifically observe the patient for
A. Haemorrhage and abdominal distension
B. Intestinal obstruction and bleeding
C. Peritonitis and pulmonary complications
D. Shock and infections

465. As a result of a fractured rib the patient may develop
A. Herniation of the diaphragm
B. Obstructive lung disease
C. Pneumothorax
D. Scoliosis

466. Predisposing causes of cancer of the lungs include
I.Air pollution
II.Chronic respiratory infection
III.Heavy alcohol ingestion
IV.Poor dentine hygiene
A. I, II and III
B. I, II and IV
C. II,I II and IV
D. I, II, III and IV

467. When suctioning a patient with a tracheostomy the nurse must remember to
A. Inflate suction as the catheter is being withdrawn
B. Insert the catheter until the cough reflex is stimulated
C. Remove the inner cannula before inserting the suction catheter
D. Use a new sterile catheter with each insertion

468. When irrigating the indwelling urinary catheter the nurse should
A. Aspire immediately to ensure return flow
B. Instil the fluid under high pressure
C. Obtain and use sterile equipment
D. Warm the solution to body temperature

469. Following extensive and prolong surgery, it is important that the nurse observes the patient for depletion of which electrolyte?
A. Calcium
B. Chloride
C. Potassium
D. Sodium

470. During the immediate postoperative period the nurse should give the highest priority to
A. Check the vital signs every 15 minutes
B. Maintaining a patent airway
C. Observing for haemorrhage
D. Recording intake and output

471. Which of these is assessed to determine the cause of prostate cancer?
A. Blood urea estimation
B. Creatinine
C. Prostate fluid for WBC
D. Prostate specific antigen

472. Benign prostate hypertrophy
A. Causes an elevated acid phosphatase
B. Is a congenital abnormality
C. Predisposes to hydronephrosis
D. Usually becomes malignant

473. A patient is finding it difficult to void after an indwelling catheter has been removed. This may be due to
A. An interruption in his normal voiding habit
B. Fluid imbalance
C. Nervous tension following the procedure
D. The patient’s recent sedentary lifestyle

474. When assessing the urine of a patient with urinary tract infection, the nurse should assess each specimen for
A. Clarity
B. Specific gravity
C. Sugar and acetone
D. Viscosity

475. Varicose veins are usually the result of
A. Atherosclotic plaques along the veins
B. Defective valves within the veins
C. Eternal compression of the muscles of the leg
D. The formation of thrombophlebitis

476. The nurse would explain a Suprapubic prostatectomy to a patient that it differs from other surgical procedures of the prostrate in that
A. A major complication of impotence may occur
B. An incision is made directly into the urinary bladder
C. An indwelling catheter is not required after surgery
D. The postoperative convalescent period is shorter

477. To prevent bleeding after prostatectomy the patient should be advised to avoid straining on defecaetion. The nurse should therefore advise him to increase his intake of
A. Green leafy vegetables
B. Meat and fish
C. Milk product
D. Ripe plantain and yams

478. Fluid replacement for a patient with severe burns during the immediate hypovolaemic stage is considered satisfactory if the urinary output is approximately
A. Equal to intake
B. Half the intake
C. One third of intake
D. One tenth of intake

479. A patient is transferred to the recovery ward after laparotomy with Nasogastric tube connected to suction apparatus. The patient started vomiting coloured fluid. The nurse should
A. Administer anti-emetics
B. Check the patency of the tube
C. Elevate the head of the bed
D. Remove the N.G tube and clean

480. Before a patient sign a consent form for abdominoperineal resection, the nurse should explain to him that the surgery will probably result in a
A. Permanent colostomy and impotence
B. Permanent ileostomy in the jejunum
C. Temporary colostomy in the descending colon
D. Temporary colostomy with diminished libido

481. Following an amputation the nurse can help a patient prepare the residual limb for a prosthesis by encouraging him to
A. Abduct the residue limb when ambulating
B. Change the residual limb off the bed frequently
C. Periodically press the end of the residual limb against a pillow
D. Sock the residual limb in warm water twice a day

482. When assessing a patient with cancer of the tongue the specific sign the nurse should expect to find is
A. Bleeding gum
B. Halitosis
C. Leukoplakia
D. Substernal pain

483. Following subtotal gastrectomy for cancer of the stomach the patient develops dumping syndrome. The nurse would explain this to the junior nurse as
A. Build-up of faeces and gas within the large intestine
B. Nausea due to a full stomach
C. Rapid passage of osmotic fluid into the jejunum
D. Reflex of the intestinal contents into the oesophagus

484. A serious danger to which a patient with intestinal obstruction is exposed because of intestinal suction is excessive loss of
A. Energy carbohydrates
B. Protein enzymes
C. Vitamins and minerals
D. Water and electrolytes

485. Before cholecystectomy the surgeon orders vitamin K, this is administered because it is used in the formation of
A. Bilirubin
B. Cholecystokinin
C. Prothrombin aids in blood clotting
D. Thromboplastin

486. Following spinal cord injury a patient should be encouraged to drink fluids primary to prevent
A. Dehydration
B. Fluid and electrolyte imbalance
C. Skin breakdown
D. Urinary tract infection

487. Following a traumatic amputation of a limb the nursing diagnosis that should receive the LOWEST priority in the first 24 hours is
A. Activity intolerance
B. Deficient knowledge related to stump care
C. Ineffective air way clearance (potential)
D. Ineffective tissue perfusion (potential)

488. The symptoms to be observed in a patient after radium insertion for cancer of the cervix that are indicative of a radium reaction are
A. Nausea and vomiting
B. Pain and elevation of temperature
C. Restlessness and irritability
D. Vaginal discharge and excoriation

489. After cataract extraction the nurse should
A. Advise the patient to refrain from vigorous brushing of the teeth and hair
B. Encourage eye exercises to strengthen the ocular muscles
C. Instruct the patient to avoid driving for 2 weeks
D. Teach the patient coughing and deep breathing exercises

490. The principle to follow when changing a surgical dressing of a patient is to
A. Confine the microorganisms to the wound
B. Keep the area free of microorganism
C. Keep the number of opportunistic organisms to minimum
D. Protect self from microorganisms in the wound

491. An effective first aid treatment for acid burns on the skin is to flush them with water and apply a solution of sodium
A. Bicarbonate
B. Chloride
C. Hydroxide
D. Sulphate

492. The condition of an adult patient with burns of 36% of the body according to Wallace Rule of Nine would be considered to be
A. Critical
B. Fair
C. Good
D. Poor

493. A patient complains of severe pains of 2 days following surgery. The nurse should first
A. Administer the p.r.n analgesic
B. Ensure the patient is having enough rest
C. Find out when the last analgesic was given
D. Take vital signs

494. When a patient is semi-conscious, the nurse should expect the patient to be unable to
A. Control elimination
B. Hear voices
C. Move spontaneously
D. React to painful stimuli

495. A patient who has sustained head injury regains consciousness and is able to move the extremities. This suggests non-involvement of the
A. Basal ganglia
B. Parietal lobes
C. Post central gyrus
D. Pre central gyrus

496. To check for subcutaneous emphysema after the insertion of the chest tubes the nurse should
A. Assess for the presence of a barrel-shaped chest
B. Auscultate the breath sounds for crackles
C. Compare the length of inspiration with that of expiration
D. Palpate around the chest tube insertion sites for crepitus

497. Soon after being admitted for head injuries a patient’s temperature risen up to 39.4OC. This suggests injury to the
A. Hypothalamus
B. Medulla oblongata
C. Temporal lobe
D. Thalamus

498. When caring for a patient who has a possible skull fracture. The nurse should
A. Check for haemorrhaging from the oral cavity
B. Elevate the foot end of the bed if patient develops symptoms of shock
C. Observe the patient for signs of increased intracranial pressure
D. Observe the patient for symptoms of decrease intracranial pressure and pyrexia

499. To prevent the development of contractures in a patient with spinal injury, the nurse should give careful consideration to
A. Active exercise
B. Deep massage of the limbs
C. Proper positioning
D. Proper use of fracture board

500. Which of the following diets would be appropriate for the patient with ulcerative colitis
A. High fibre, low fat
B. High carbohydrate, low sodium
C. Low protein, high calorie
D. Low residue, high protein