1 - 100 Solved Surgical Nursing MCQ Test Questions Bank

1. In performing a surgical procedure, the scrub nurse is responsible for the following activities.
I. assisting the surgeon
II. counting all needle/ sponges
III. preparing sutures/ ligatures
IV. setting up the sterile table
A. I & II
B. I, II & IV
C. II, III & IV
D. I, II, III & IV

2. Spinal anaesthesia is an extensive conducting nerve block that is produced when a local anaesthesia is introduced into the subarachnoid space of the lumber level, usually between....
A. L1 and L2
B. L2 and L3
C. L4 and L5
D. L7 an L8

3. Mama Yawa Yayra 65years is scheduled to undergo a laparotomy at the Peki Government Hospital. Mama Yayra will go through the following stages of general anaesthesia:
I. Excitement
II. beginning anaesthesia
III. medullary depression
IV. surgical anaesthesia
A. II, III, IV & I
B. I, II, III & IV
C. I, III, IV & II
D. II, I, IV & III

4. There have been reported cases of post-operative wound infections on your ward over the past few weeks. Which of the following pathogens is likely to be the cause?
A. aerobactor aerogens
B. proteus vulgaris
C. pseudomonas aeruginosa
D. staphylococcus aureus

5. Kwasi Akoma has impression that he is developing cancer. Which of the following warning signs will prompt him to seek medical attention?
I. a sore throat that does not heal
II. frequent diarrhea
III. indigestion or difficulty in swallowing
IV. unusual bleeding or discharge
A. I & II
B. I, II & III
C. I, III & IV
D. III & IV

6. A patient with the diagnosis of malignant cancer is undergoing radiation therapy through internal implants. Such a therapy can be described as ....
A. Brachytherapy
B. Chemotherapy
C. Pharmacotherapy
D. Teletherapy

7. Papa Kojo 31-year-old reported to the hospital with a swelling on the head. The doctor assessed and suspected meningioma. Which of the following is NOT a feature of meningioma?
A. cells growth very fast
B. responds to surgery only
C. responds to radiotherapy only
D. spread to the other regions

8. A woman reported to the health facility with the obstetrical history of having prolonged and excessive bleeding at the time of regular menstrual flow. What is the likely disorder this woman is experiencing?
A. amenorrhea
B. dysmenorrhea
C. menorrhagia
D. metrorrhagia

9. In managing pain, the most important person to consider is the ....
A. doctor
B. nurse
C. patient
D. psychologist

10. One of the methods used in managing pain is adjuvant analgesic agents. Which of the following example best demonstrates adjuvant analgesic agents?
A. xylocaine, nadil and tofranil
B. xylocaine, phenelzine and tofranil
C. xylocaine, tegretrol and tofranil
D. xylocaine, valium and tegretol

11. Alhaji Baba 47 years old reported to the hospital with a complaint of pain at the joints, muscle and skin. He described the pain as aching, throbbing and well localized. What type of pain is Baba likely to be complaining of?
A. centrally generalized pain
B. peripherally generalized pain
C. somatic pain
D. visceral pain

12. The nursing management of a client with post-operative wound complications include(s) the following:
I. assess vital signs especially temperature
II. change dressing 4hourly
III. maintain client’s hydration and nutritional status
IV. observe aseptic technique during dressing
A. I & II
B. II & III
C. I, II & III
D. I, III & IV

13. During a major surgery on a patient, which of the following drainage devices could be used?
I. Hemovac wound suction device
II. Jackson-Pratt wound suction device
III. Penrose drain
IV. Rosepen drain
A. I & II
B. I & IV
C. I, II & III
D. II, III & IV

14. Ms Zumah was admitted to the gynecological ward with severe dysmenorrhea. What will be your focus of care for Ms Zumah?
I. alleviation of pain
II. endurance of pain
III. identification of the underlying cause
IV. re-establishment of functional capacity
A. I & II
B. I & III
C. I, III & IV
D. II, III & IV

15. The absence or ineffective peristalsis of the distal oesophagus accompanied by the failure of the oesophageal sphincter to relax in response to swallowing is known as ....
A. Achalasia
B. Dysphagia
C. hiatal hernia
D. odynophagia

16. Which of the following best describes the role of circulating nurse during surgery?
A. assist the surgeon by providing exposure at the operative field
B. in charge of scrubbing and cleaning the theater after the surgery
C. in charge of setting up the sterile field or tables
D. manages the surgical room and monitors the activities of the surgical team

17. Madam Dorsaa developed a complication after vaginal surgery. Patient reported faecal incontinence and flatus is discharged through the vagina. Patient is likely to have developed .... Fistula
A. rectovaginal
B. urethrovagina
C. vagino perineal
D. vesico vaginal

18. Madam Kwonor sustained a fractured femur and was brought to your unit. Patient was observed to be in severe pain and had insomnia. The following are all stress responses to pain EXCEPT:
A. decreased retention of fluid
B. high metabolic rate
C. impaired insulin response
D. increased cardiac output

19. Mr Odoom had an artificial cardiac pacemaker permanently placed in his heart. The main function of the pacemaker is to ....
A. prevent congestion in the heart chambers
B. promote improved cardiac output
C. promote increased blood circulation
D. provide electrical stimuli to the heart muscle

20. Madam Adwumi had a plaque in her coronary artery surgically removed. This type of surgery is termed as ....
A. Angiography
B. Atherectomy
C. brachytherapy
D. plaquetomy

21. After undergoing cardiac surgery, Mr. Anum had fluid and blood clots accumulating in his pericardial sac resulting in compression of the heart. Which of the following complications has patient developed?
A. cardiac embolism
B. cardiac tamponade
C. fluid overload
D. post-surgical hemothorax

22. Gerald Mbeah, a 17-year-old student has been booked for laparotomy following a diagnosis of intestinal obstruction. Describe the measures for allaying his anxiety prior to the surgery:
I. allow patient to express fears and anxieties
II. encourage patient to start grieving before the surgery
III. ensure relatives to stay with patient 24 hours
IV. provide a relaxed and non-threatening atmosphere
A. I & II
B. I & III
C. I & IV
D. I, III & IV

23. In addition to the complications to which all post-operative patients are subject, the patient undergoing gastric surgery is at increased risk for……………….
A. anorexia, nausea and vomiting
B. dietary deficiencies and damping syndrome
C. pain on swallowing and regurgitation
D. vomiting and aspiration of gastric content

24. Obaa Yaa, aged 25, has been diagnosed with peritonitis. The main objective of surgical intervention includes…………
A. excision of the appendix
B. remove the infected content and correct the cause
C. resection and anastomosis of the intestines
D. resection of the intestine and correct the cause

25. Which of the following measures will be appropriate for preventing post-operative pulmonary complications after thoracic surgery:
I. assess capillary refill and patient skin color
II. auscultate lung sounds and assess for rate, rhythm of respiration
III. encourage patient relatives to visit regularly
IV. serve patient with only fluid diet
A. I & II
B. I & IV
C. I, II & III
D. I, II & IV

26. Mrs. Esi Armah is to undergo laryngectomy. In patient teaching what will be your priority?
A. ability to sing and laugh will be lost
B. ability to sing and laugh will be maintained
C. ensure adequate intake of soft food
D. milk and milk products may be restricted

27. A patient who had a road traffic accident sustained a fracture of the nose. What will be the immediate nursing action?
A. apply direct pressure to the nose
B. apply ice and keep the head elevated
C. apply tropical analgesics
D. splint the nose with a gauze

28. Madam Yaa Abira, 65 years old, has undergone cataract surgery. Which of the following structures was affected?
A. Cornea
B. Iris
C. Lens
D. retina

29. An 18-year-old girl has been admitted with severe ear ache and discharge. Which of the following is an indication for mastoidectomy?
A. chronic otitis media
B. Meniere’s disease
C. Myringitis
D. perforated ear drum

30. Mr. Kwaw is admitted into the ICU following transurethral resection of the prostate (TUR). What will be the nurse’s post-operative management?
I. assess the three-way catheter at regular intervals
II. instruct patient to avoid straining to void
III. monitor for hemorrhage
IV. monitor patient’s eating pattern
A. I & IV
B. I, II & III
C. I, II &IV
D. II & IV

31. Kwame was rushed to the accident and emergency unit with a history of sudden collapse during a football match, which of the following clinical assessment indicate head injury:
I. a bruise on the skull
II. ecchymosis noted on the mastoid process
III. loss of consciousness not longer than ten minutes
IV. visual disturbance
A. I & II
B. II & III
C. II & IV
D. I, III & IV

32. Oko was admitted to ICU after craniotomy. Patient is at risk for increased intracranial pressure. Which of the following will be included in the nurse’s post-operative management:
I. assess for vomiting
II. monitor intake and output
III. monitor vital signs for bradycardia
IV. monitor vital signs for tachycardia
A. I, II & III
B. I, II & IV
C. I, III & IV
D. II, III & IV

33. In a suspected case of spinal cord injury following a road traffic accident, what will be the nurse’s appropriate emergency care?
A. monitor vital signs
B. put in lateral position
C. put in supine position
D. turn position regularly

34. Maame Adjoa is admitted to the burns unit with burns involving the face, trunk, upper and lower limbs. The following are nurse’s interventions for a diagnosis of 'impaired skin integrity' EXCEPT:
A. apply mafenide acetate
B. gently debride the wound
C. provide daily wound care
D. take wound swab for culture

35. A patient has reported severally at the OPD with a diagnosis of primary hyperparathyroidism. Which of these indications require surgical intervention?
A. serum calcium level below 0.25mmol/L
B. serum calcium level greater than 0.25mmol/L
C. urinary calcium of 10mmol/L
D. urinary calcium of 8mmol/Lm

36. Florence Mason is admitted and being managed for hypothyroidism. After assessment, a nursing diagnosis of 'risk for imbalanced body temperature' was made by the nurse. Which of the following will be the nurse’s intervention?
I. close windows to prevent draughts
II. discourage the use of external heat source
III. encourage the use of external heat source
IV. open windows to allow in sun rays
A. I & II
B. II & III
C. III & IV
D. I & IV

37. A patient has undergone abdominal surgery and is being managed on the ward. In order to prevent wound dehiscence, the nurse would:
A. administer prescribed antibiotics every 8 hours
B. encourage patient to only put on light clothing
C. serve food rich in vitamins and proteins
D. teach patient how to splint the incision when coughing

38. Akosua Mansa developed rhinitis. The following medications will be prescribed for her EXCEPT:
A. Cetirizine
B. chlorpheniramine maleate
C. clemastine
D. ephedrine nasal drop

39. A nurse is obtaining a history of present illness on a patient who complains of toothache and inability to taste food. Which data obtained would alert the nurse that the infection has spread?
A. headache and chills
B. fever and chills
C. yellow secretions
D. facial swelling and headache

40. Mercy Adams, 23 years old, has been booked for elective lower extremity amputation of the right leg. Which of the under listed conditions is the MOST frequent cause for such an operation?
A. diabetes mellitus
B. electrical burns
C. malignant tumors
D. Trauma

41. Afua Asanto had amputation of the left limb. Which of the following is the appropriate for the management of Afua’s limb?
A. avoid excessive hip abduction, flexion or external rotation
B. avoid pillows under the stump or bent the knee off the bed
C. change position every 4 hours in bed or chair
D. keep the residual limb elevated on padded surface at the level of the chair

42. In which of the following conditions can paracentesis be done as therapeutic and diagnostic procedure?
A. Ascites
B. ectopic gestation
C. liver laceration
D. ovarian cyst

43. Hassan Atubiga has been on the ward for a week with incontinence of urine. The following types of incontinence may apply to his condition EXCEPT:
A. functional incontinence
B. overflow incontinence
C. retention incontinence
D. stress incontinence

44. Mr. Cooper has just been diagnosed with gout. Your patient teaching will include to:
A. avoid alcohol and turkey
B. avoid fats and milk products
C. check his feet every day for ulcers
D. take only antigout medications only when his toe hurts

45. A nurse is assessing a patient about urinary retention. Which of the following questions will she ask?
I. Do you completely empty your bladder?
II. Do you strain to start urinating?
III. Does the urge to urinate interrupt your sleep?
IV. Have you ever been able to urinate at all?
A. I only
B. III only
C. I & IV
D. II & IV

46. Aisha Tanko, 80 years old, was diagnosed with pathological fracture of the left femur. Her condition could have been caused by the following EXCEPT:
A. irradiation fracture
B. neoplasms
C. poor flexibility
D. rickets

47. Kwashie Agosar developed biliary cirrhosis due to blocked bile duct. During patient education, he understood that his condition could be caused by the following EXCEPT:
A. Congestion
B. damage to the liver tissue
C. inflammation
D. tissue hypoxia

48. Kukua Dennis, 5 years old, is to undergo liver transplant. The most common indication for such an operation in children is ……………………..
A. biliary atresia
B. cholangitis
C. congenital hepatitis B virus
D. pancreatitis

49. Bob Attala has been admitted with acute abdomen. A Murphy’s test was performed to confirm the diagnosis of ………………..
A. appendicitis
B. cholecystitis
C. enteritis
D. pancreatitis

50. A patient was brought to the OPD with a complaint of severe pain in the lower right quadrant of the abdomen. On assessment, Rovsing’s sign is positive for which of the following inflammatory processes?
A. appendicitis
B. diverticulitis
C. pancreatitis
D. peritonitis

51. Mr. James Mayfair, 55 years old, has been booked for Billroth I anastomosis. In this type of operation, the ……………..
A. duodenum is sutured to the jejunum
B. duodenum is sutured to the stomach
C. ilium is sutured to the jejunum
D. jejunum is sutured to the stomach

52. The following activities may be employed to confirm the placement of a nasogastric tube into the stomach EXCEPT:
A. administering medications through the tube
B. measurement of the length of the tube
C. pH measurement of aspirate
D. visual assessment of aspirate

53. Which of the following medicines is administered to a peptic ulcer patient to decrease the amount of HCL produced by blocking the action of histamine?
A. cimetidine
B. clarithromycin
C. misoprostol
D. omeprazole

54. Mr. Tatale Kule was admitted to your ward after undergoing gastrostomy. The nurse would monitor Mr. Kule for the following complications which may arise after the surgery:
I. Constipation
II. Gastrointestinal bleeding
III. Premature removal of the tube
IV. Wound infection
A. I & II
B. I & III
C. I, II & IV
D. I, II, III & IV

55. Mr. Nyeme has been admitted to the chest clinic and you have been asked to prepare him for thoracentesis. Which of the following is NOT a reason for thoracentesis?
A. aspiration for the pleural fluid and air from the pleural cavity
B. instillation of medications into the pleural space
C. measuring the pressure of air in the pleural cavity
D. pleural biopsy

56. Mr. Mahama has suffered left hemiplegia as a result of hematoma on the right cerebrum. Why is it necessary to administer phenytoin before he undergoes craniotomy to evacuate the hematoma? To reduce………………….
A. cerebral edema
B. risk of brain damage
C. risk of post-operative infection
D. risk of post-operative seizures

57. In selecting the donor site for skin grafts, the following criteria are taken into consideration:
I. Achieving the closest possible color match
II. Considering the cosmetic effects of the donor site after healing
III. Matching the texture
IV. Obtaining the thickest possible skin graft without disturbing the healing of the donor site
A. I only
B. II & IV
C. I, II & IV
D. I, II, III & IV

58. Testing for crepitus in a patient with fracture of the humerus should be avoided because it ………….
A. can lead to shortening of the limb
B. can produce further tissue damage
C. will discolor the fracture site
D. will lead to gangrene formation

59. Mr. Jaro was involved in a road traffic accident and sustained a simple fracture of the right humerus. He is most likely to undergo which of these methods of reduction?
A. closed reduction without metal pins
B. closed reduction with metal pins
C. open reduction with bone plate
D. open reduction with wires

60. Sarah, a 30-year-old seamstress, is admitted to your ward for laminectomy pending a lumbar puncture procedure. What will be your role as a nurse to prevent her from experiencing post-lumbar headache? Instruct her ……………………………
A. not to eat immediately after the lumbar puncture
B. to lie prone after the lumbar puncture
C. to reduce fluid intake after the lumbar puncture
D. to sit up after the lumbar puncture

61. 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

62. 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

63. 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

64. 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

65. 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

66. 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

67. 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

68. 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

69. 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

70. 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

71. 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

72. 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

73. 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

74. 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

75. 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 revealed pain, pronounced swelling and silverfork deformity at the wrist.
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

76. 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

77. Master Ayi Tetteh a 5 year old sustained burns and was admitted to your ward.
The objective of managing Ayi would include
I. Prevention of deformity
II. Prevention of infection
III. Provision of adequate diet
IV. Replacement of lost fluids and adequate diet
A. I, II, III
B. II, III, IV
C. I, II, IV
D. None of the above

78. Predisposing causes of cancer of the larynx include
I. Air pollution
II. Chronic respiratory infection
III. Heavy alcohol ingestion
IV. Poor dental hygiene
A. II, III, IV
B. I, II, IV
C. I, II, III
D. None of the above

79. 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

80. 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

81. 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

82. 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

83. 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

84. 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

85. 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

86. 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

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

88. 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

89. 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?
I. Resolution of cause
II. Relief of abdominal pain
III. Freedom from complications
IV. Normal fluid and electrolytes
A. I, II, III, IV
B. I, II, III
C. I and II
D. None of the above

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

91. 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

92. 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

93. 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

94. 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

95. 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

96. 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

97. 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

98. 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

99. 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

100. 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