701 - 800 Solved CBT Styled Practical MCQ Test Questions Bank

701. John is also prescribed some medications for his Gout. Which of the following health teaching will you advise him to do?
A. Increase fluid intake 2 - 3 liters per day
B. Have enough sunshine
C. Avoid paracetamol (first line analgesic)
D. avoid dairy products

702. A patient doesn’t take a tablet which is prescribed by a doc. Nurse should
A. Inform the incident to senior nurse and ward in charge
B. Inform pharmacist
C. Do not inform anybody…routinely chart
D. None of the above

703. Oral corticosteriods side effect
A. mood variation
B. edema
C. All of the above
D. None of the above

704. On which step of the WHO analgesic ladder would you place tramadol and codeine?
A. Step 1: Non Opioid Drugs
B. Step 2: Opioids for Mild to Moderate Pain
C. Step 3: Opioids for Moderate to Severe Pain
D. Herbal medicine

705. What could be the reason why you instruct your patient to retain on its original container and discard nitroglycerine meds after 8 weeks?
A. removing from its darkened container exposes the medicine to the light and its potency will decrease after 8 weeks
B. it will have a greater concentration after 8weeks
C. All of the above
D. None of the above

706. A sexually active female, who has been taking oral contraceptives develops diarrohea. Best advice
A. Advise her to refrain from sex till next periods
B. Advice to switch to other measures like condoms, as diarrohea may reduce the effect of oral contraceptives
C. All of the above
D. None of the above

707. The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?
A. “I’m wearing a support bra.”
B. “I’m expressing milk from my breast.”
C. “I’m drinking four glasses of fluid during a 24-hour period.”
D. “While I’m in the shower, I’ll allow the water to run over my breasts.”

708. A Ibuprofen 200mg tablet has been prescribed. You only have a 400mg coated ibuprofen tablet. What should you do?
A. Give half of the tablet
B. crush the tablet and give half of the amount
C. order the different dose of tablet from pharmacy
D. omit

709. While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:
A. Ask the client to void.
B. Assess the blood pressure for hypotension.
C. Administer oxytocin.
D. Check for vaginal bleeding.

710. An antihypertensive medication has been prescribed for a client with HTN. The client tells the clinic nurse that they would like to take an herbal substance to help lower their BP. The nurse should take which action?
A. Tell the client that herbal substances are not safe & should never be used
B. Teach the client how to take their BP so that it can be monitored closely
C. Encourage the client to discuss the use of an herbal substance with the health care provider
D. None of the above

711. Dennis was admitted because of acute asthma attack. Later on in your shift, he complained of abdominal pain and vomited. He asked for pain relief. Which of the following prescribed analgesia will you give him?
A. Fentanyl buccal patch
B. Ibuprofen enteric coated capsules
C. Paracetamol suppositories
D. Oromorphine

712. Mr Jones has been having Type 6 and 7 stools today. As you are doing his medications, which of the following would you not omit?
A. Docusate Sodium 2 Capsules
B. Lactulose 5 mL
C. Senna 10 mL
D. Simvastation 100 mg

713. The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:
A. Mongolian spots
B. Scrotal rugae
C. Head lag
D. None of the above

714. Mrs Z has been very chesty the last few days. She has been having difficulty with breathing. You have referred her to the GP, and requested for a home visit. What would probably be prescribed by the GP?
A. Stalevo 200
B. Digoxin 40 mg
C. Trimethoprim 100 mg
D. Simvastatin 100 mg

715. Annie is on Cefalexin QID. You were working on a night shift and have noticed that the previous nurse has not signed for the last two doses. What should you do?
A. Document the incident and speak to your Manager
B. Check the rota, find out when he is back and leave a note on the MARS for him to sign
C. Find out what the whistle blowing policy is about
D. Ask the qualified nurse to sign it on handover if it is definitely been administered

716. Alan Smith has a history of Congestive Heart Failure. He has also been complaining of general weakness. After taking his physical observations, you have noticed that he has pitting oedema on both feet. Which of the following is incorrect?
A. The Water Pill can be prescribed to manage fluid retention.
B. Lasix can be prescribed for the pitting oedema.
C. Furosemide and Digoxin can be combined for patients with CHF.
D. Furosemide will increase Alan’s blood pressure, and lessen pitting oedema.

717. The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:
A. Determine lung maturity
B. Measure the fetal activity
C. Show the effect of contractions on fetal heart rate
D. Measure the well-being of the fetus

718. An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:
A. The baby is hypothermic.
B. The baby is experiencing bradycardia.
C. The baby’s hands and feet are blue.
D. The baby is lethargic.

719. How should eye drops be administered?
A. Pulling on the lower eyelid and administering the eye drops
B. Pulling on the upper eyelid and administering the eye drops
C. Tip the patients head back and administer the eye drops into the cornea
D. Tip the patients head to the side and administer the eye drops into the nasolacrimal system

720. What fluid should ideally be used when irrigating eyes?
A. sterile 0.9% sodium chloride
B. Sterile water
C. Chloramphenicol drops
D. tap water

721. All but one are signs of opioid toxicity:
A. CNS depression (coma)
B. Pupillary miosis
C. Respiratory depression (cyanosis)
D. Tachycardia

722. Jim is to receive his eyedrops after his cataract operation. What is the best position for Jim to assume when instilling the eyedrops?
A. sitting position, head tilted backwards
B. supine position for comfort
C. standing position to facilitate drainage
D. recovery position

723. What is not a good route for IM injection?
A. upper arm
B. stomach
C. thigh
D. buttocks

724. Who is responsible in disposing sharps?
A. Registered nurse
B. Nurse assistant
C. Whoever used the sharps
D. Whoever collects the garbage

725. What steps would you take if you had sustained a needlestick injury?
A. Ask for advice from the emergency department, report to occupational health and fill in an incident form.
B. Gently make the wound bleed, place under running water and wash thoroughly with soap and water. Complete an incident form and inform your manager. Co-operate with any action to test yourself or the patient for infection with a bloodborne virus but do not obtain blood or consent for testing from the patient yourself; this should be done by someone not involved in the incident.
C. Take blood from patient and self for Hep B screening and take samples and form to Bacteriology. Call your union representative for support. Make an appointment with your GP for a sickness certificate to take time off until the wound site has healed so you dont contaminate any other patients. Wash the wound with soap and water. Cover any wound with a waterproof dressing to prevent entry of any other foreign material.
D. None of the above

726. You were administering a pre-operative medication to a patient via IM route. Suddenly, you developed a needle-stick injury. Which of the following interventions will not be appropriate for you to do?
A. Prevent the wound to bleed
B. Wash the wound using running water and plenty of soap
C. Do not suck the wound
D. Dry the wound and over it with a waterproof plaster or dressing

727. UK policy for needle prick injury includes all but one:
A. Encourage the wound to bleed
B. Suck the wound
C. Wash the wound using running water and plenty of soap
D. Don’t scrub the wound while washing it

728. One of your patient has challenged your recent practice of administering a subcutaneous low-molecular weight heparin (LMWH) without disinfecting the injection site. The guidelines for nursing procedures do not recommend this method. Which of the following response will support your action?
A. We were taught during our training not to do so as it is not based on evidence.
B. Our guidelines, which are based on current evidence, recommends a non-disinfection method of subcutaneous injection.
C. I am glad you called my attention. I will disinfect your injection site next time to ensure your safety and peace of mind.
D. Disinfecting the site for subcutaneous injection is a thing of the past. We are in an evidence-based practice now.

729. IV injection need to be reconsidered when?
A. Medicine is available in tab form
B. Poor alimentary absorption
C. Drug interaction due to GI secretions
D. None of the above

730. You have discovered that the last dose of intravenous antibiotic administered to service user was the wrong dose. Which of the following should you do?
A. Document the event in the service user’s medical record only.
B. File an incident report, and document the event in the service user’s medical record.
C. Document in the service user’s medical record that an incident report was filed.
D. File an incident report, but don’t document the even on the service user’s record, because information about the incident is protected.

731. It is important to read the label on every IV bag because:
A. Different IV solutions are packaged similarly
B. The label contains the expiration date of the IV fluid
C. A and B
D. A only

732. Which is the most dangerous site for intramuscular injection?
A. ventrogluteal
B. deltoid
C. rectus femoris
D. dorsogluteal

733. Which is the best site for giving IM injection on buttocks?
A. Upper outer quadrant
B. Upper inner quadrant
C. Lower outer quadrant
D. Lower inner quadrant

734. When administering injection in the buttocks, it should be given:
A. right upper quadrant
B. left upper quadrant
C. right lower quadrant
D. left lower quadrant

735. What is not a good route for IM injection?
A. upper arm
B. stomach
C. thigh
D. buttocks

736. The degree of injection when giving subcutaneous insulin injection on a site where you can grasp 1 inch of tissue?
A. 45degrees
B. 40degrees
C. 25degrees
D. 90 degrees

737. Which is the first drug to be used in cardiac arrest of any aetiology?
A. Adrenaline
B. Amiodarone
C. Atropine
D. Calcium chloride

738. Why would the intravenous route be used for the administration of medications?
A. It is a useful form of medication for patients who refuse to take tablets because they don’t want to comply with treatment
B. It is cost effective because there is less waste as patients forget to take oral medication
C. The intravenous route reduces the risk of infection because the drugs are made in a sterile environment & kept in aseptic conditions
D. The intravenous route provides an immediate therapeutic effect & gives better control of the rate of administration as a more precise dose can be calculated so treatment can be more reliable

739. What is the best nursing action for this insertion site. You have observed an IV catheter insertion site w/ erythema, swelling, pain and warm.
A. start antibiotics
B. re-site cannula
C. call doctor
D. elevate

740. What are the key nursing observations needed for a patient receiving opioids frequently?
A. Respiratory rate, bowel movement record and pain assessment and score.
B. Checking the patent is not addicted by looking at their blood pressure.
C. Lung function tests, oxygen saturations and addiction levels.
D. Daily completion of a Bristol stool chart, urinalysis, and a record of the frequency with which the patient reports breakthrough pain.

741. What is the best way to avoid a haematoma forming when undertaking venepuncture?
A. Tap the vein hard which will ‘get the vein up’, especially if the patient has fragile veins. This will avoid bruising afterwards.
B. It is unavoidable and an acceptable consequence of the procedure. This should be explained and documented in the patient's notes.
C. Choosing a soft, bouncy vein that refills when depressed and is easily detected, and advising the patient to keep their arm straight whilst firm pressure is applied.
D. Apply pressure to the vein early before the needle is removed, then get the patient to bend the arm at a right angle whilst applying firm pressure.

742. A nurse is not trained to do the procedure of IV cannulation, still she tries to do the procedure. You are the colleague of this nurse. What will be your action?
A. You should tell that nurse to not to do this again
B. You should report the incident to someone in authority
C. You must threaten the nurse, that you will report this to the authority
D. You should ignore her act

743. You have just administered an antibiotic drip to your patient. After few minutes, your patient becomes breathless and wheezy and looks unwell. What is your best action in this situation?
A. Stop the infusion, call for help, anaphylactic kit in reach, monitor closely
B. continue the infusion and observe further
C. check the vital signs of the patient and call the doctor
D. stop the infusion and prepare a new set of drip

744. What is the most common complication of venepuncture?
A. Nerve injury
B. Arterial puncture
C. Haematoma
D. Fainting

745. A patient with burns is given anaesthesia using 50% oxygen and 50% nitrous oxide to reduce pain during dressing. How long should this gas be inhaled to be more effective?
A. 30 sec
B. 60sec
C. 1-2min
D. 3-5min

746. You have observed an IV catheter insertion site with erythema, swelling, pain, and warmth. What VIP score would you document in his notes?
A. 5
B. 2
C. 3
D. 4

747. After IV dose, the patient develops rashes, itching, flushed skin. What could be the reason?
A. septicaemia
B. adverse reaction
C. anaphylaxis
D. normal reaction

748. Hypokalemia can occur in which situation?
A. Addison's disease
B. When use spironolactone
C. When use furosemide
D. Excessive potassium intake

749. If a patient is receiving intravenous (IV) fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in a positive fluid balance?
A. The fluid output has exceeded the input.
B. The doctor may consider increasing the IV drip rate.
C. The fluid balance chart can be stopped as positive in this instance means good.
D. The fluid input has exceeded the output.

750. A patient is on Inj. Fentanyl skin patch; common side effect of the fentanyl overdose is?
A. Fast and deep breathing, dizziness, sleepiness
B. Slow and shallow breathing, dizziness, sleepiness
C. Noisy and shallow breathing, dizziness, sleepiness
D. Wheeze and shallow breathing, dizziness, sleepiness

751. As a registered nurse, you are expected to calculate fluid volume balance of a patient whose input is 2437 ml and output is 750 ml.
A. 1887 (Negative Balance)
B. 1197 (Negative Balance)
C. 1887 (Positive Balance)
D. 1197 (Positive Balance)

752. What does the term ‘breakthrough pain’ mean, and what type of prescription would you expect for it?
A. A patient who has adequately controlled pain relief with short lived exacerbation of pain, with a prescription that has no regular time of administration of analgesia.
B. Pain on movement which is short lived, with a q.d.s. prescription, when necessary.
C. Pain that is intense, unexpected, in a location that differs from that previously assessed, needing a review before a prescription is written.
D. A patient who has adequately controlled pain relief with short lived exacerbation of pain, with a prescription that has 4 hourly frequency of analgesia if necessary.

753. A patient is agitated and is unable to settle. She is also finding it difficult to sleep, reporting that she is in pain. What would you do at this point?
A. Ask her to score her pain, describe its intensity, duration, the site, any relieving measures and what makes it worse, looking for non verbal clues, so you can determine the appropriate method of pain management.
B. Give her some sedatives so she goes to sleep.
C. Calculate a pain score, suggest that she takes deep breaths, reposition her pillows, return in 5 minutes to gain a comparative pain score.
D. Give her any analgesia she is due. If she hasn't any, contact the doctor to get some prescribed. Also give her a warm milky drink and reposition her pillows. Document your action.

754. How should we transport controlled drugs? Select which does not apply:
A. Controlled drugs should be transferred in a secure, locked or sealed, tamper-evident container.
B. A person collecting controlled drugs should be aware of safe storage and security and the importance of handing over to an authorized person to obtain a signature.
C. Have valid ID badge
D. None of the Above

755. Dennis was admitted because of an acute asthma attack. Later on in your shift, he complained of abdominal pain and vomited. He asked for pain relief. Which of the following prescribed analgesia will you give him?
A. Fentanyl buccal patch
B. Ibuprofen enteric coated capsule
C. Paracetamol suppositories
D. Oromorphine

756. What do you mean by MRSA?
A. methicillin-resistant staphylococcus aureus
B. multiple resistant staphylococcus antibiotic
C. methicillin-sensitive staphylococcus aureus
D. methicillin-resistant staphylococcus epidermidis

757. Patient is given penicillin. After 12 hrs he develops itching, rash and shortness of breath. What could be the reason?
A. Speed shock
B. Allergic reaction
C. Anaphylaxis
D. Normal reaction

758. Which color card is used to report adverse drug reaction?
A. Green Card
B. Yellow Card
C. White Card
D. Blue Card

759. Which drug can be given via NG tube?
A. Modified release hypertensive drugs
B. Insulin
C. Crushing the tablets
D. Lactulose syrup

760. Which of the following is considered a medication?
A. Whole blood
B. Albumin
C. Blood Clotting Factors
D. Antibodies

761. Pharmacokinetics can be described as:
A. The study of the effects of drugs on the function of living systems
B. The absorption, distribution, metabolism and excretion of drugs within the body: what the body does to drug
C. The study of mechanism of the action of drugs and other biochemical physiological effects: ‘what the drug does to the body’
D. All of the above

762. The medicine and Healthcare Products Regulatory Agency (MHRA) is responsible for what?
A. Licensing medicinal products
B. Regulating the manufacture, distribution and importation of medicines
C. Regulating which medicine require a prescription and which can be available without a prescription and under what circumstances
D. All of the above

763. Medication errors account for around a quarter of the incidents that threaten patient safety. In a study published in 2000 it was found that 10% of all patients admitted to hospital suffer an adverse event. How much of these incidents were preventable?
A. 20%
B. 30%
C. 50%
D. 60%

764. You are about to administer Morphine Sulphate to a paediatric patient. The information written on the control drug book was not clearly written – 15mg or 0.15 mg. What will you do first?
A. Not administer the drug, and wait for the General Practitioner to do his rounds
B. Administer 0.15 mg, because 15 mg is quite a big dose for a paediatric patient
C. Double check the medication label and the information on the controlled drug book; ring the chemist to verify the dosage
D. Ask a senior staff to read the medication label for you

765. After having done your medication round, you have realised that your patient has experienced the adverse effect of the drug. What will be your initial intervention?
A. You must do the physical observations and notify the General practitioner
B. You must ring the General Practitioner and request for a home visit
C. You must administer medication from the Homely Remedy Pod after having spoken to the General Practitioner.
D. You must observe your patient until the General Practitioner arrives at your nursing home

766. Your patient has been prescribed Tramadol 50 mgs tablet for pain relief. Upon receipt of the tablets from the pharmacist you will:
A. Record this in the controlled drug register book with the pharmacist witnessing
B. Put it in the patient’s medicine pod
C. Store it in ward medicine cupboard
D. Ask the pharmacist to give it to the patient

767. The nurse is admitting a client, on initial assessment the nurse tries to inquire the patient if he has been taking alternative therapies and OTC drugs but the client becomes angry and refuses to answer saying the nurse is doing so because he belongs to an ethnic minority group, what is the nurse’s best response?
A. The nurse will stop asking questions as it is upsetting to the patient
B. Wait and give some time for the client to get adjusted to modern ways of hospitalisation
C. The nurse will politely explain to the patient about alternative therapies such as St. Johns Wort which interact with drugs
D. The nurse will assign another nurse to ask questions

768. Mrs X is diabetic and on PEG feed. Her blood sugar has been high during the last 3 days. She is on Nystatin Oral Drops QID, regular PEG flushes and insulin doses. Her Humulin dose has been increased from 12 iu to 14 iu. The nurse practitioner has advised you to monitor her BM’s for the next two days. What will be your initial intervention if her BM drops to 2.8 mmol after 2 morning doses of 14 iu?
A. Offer her a chocolate bar and a glass of orange juice
B. Flush glucose syrup through her PEG Tube
C. Ring the nurse practitioner and ask if the insulin dose can be dropped to 12 iu
D. Contact the General Practitioner and request for a visit

769. Maisie is 86 years old, and has been in the nursing home for 5 years now. She has been complaining of burning sensation in her chest and sour taste at the back of her throat. What would she most likely to be prescribed with?
A. Ranitidine
B. Zantac
C. Paracetamol
D. Levothyroxine

770. A patient needs weighing, as he is due a drug that is calculated on bodyweight. He experiences a lot of pain on movement so is reluctant to move, particularly stand up. What would you do?
A. Document clearly in the patient’s notes that a weight cannot be obtained
B. Offer the patient pain relief and either use bed scales or a hoist with scales built in
C. Discuss the case with your colleagues and agree to guess his body weight until he agrees to stand and use the chair scales
D. Omit the drugs as it is not safe to give it without this information; inform the doctor and document your actions

771. A nurse is caring for clients in the mental health clinic. A woman comes to the clinic complaining of insomnia and anorexia. The patient tearfully tells the nurse that she was laid off from a job that she had held for 15 years. Which of the following responses, if made by the nurse, is MOST appropriate?
A. Did your company give you a severance package?
B. Focus on the fact that you have a healthy, happy family.
C. Losing a job is common nowadays.
D. Tell me what happened.

772. On physical examination of a 16 year old female patient, you notice partial erosion of her tooth enamel and callus formation on the posterior aspect of the knuckles of her hand. This is indicative of:
A. Self-induced vomiting and she likely has bulimia nervosa
B. A genetic disorder and her siblings should also be tested
C. Self-mutilation and correlates with anxiety
D. A connective tissue disorder and she should be referred to dermatology

773. An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Centre for an initial therapy meeting with the staff. The nurse explains that one of the goals of the family meeting is to encourage the adolescent to:
A. Trust the nurse who will solve his problem
B. Learn to live with anxiety and tension
C. Accept responsibility for his actions and choices
D. Use the members of the therapeutic milieu to solve his problems

774. A suicidal patient is admitted to a psychiatric facility for 3 days when suddenly she is showing signs of cheerfulness and motivation. The nurse should see this as:
A. That treatment and medication is working
B. She has made new friends
C. She has finalized a suicide plan
D. None of the above

775. When caring for clients with psychiatric diagnoses, the nurse recalls that the purpose of psychiatric diagnoses or psychiatric labeling is to:
A. Identify those individuals in need of more specialized care.
B. Identity those individuals who are at risk for harming others
C. Define the nursing care for individuals with similar diagnoses
D. Enable the client's treatment team to plan appropriate and comprehensive care

776. Which of the following situations on a psychiatric unit are an example of trusting patient nurse relationship?
A. The patient tells the nurse he feels suicidal
B. The nurse offers to contact the doctor if the patient has a headache
C. The nurse gives the patient his daily medications right on schedule
D. The nurse enforces rules strictly on the unit

777. An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:
A. The client’s knowledge of the signs of preterm labor
B. The client’s feelings about the pregnancy
C. Whether the client was using a method of birth control
D. The client’s thought about future children

778. After two weeks of receiving lithium therapy, a patient in the psychiatric unit becomes depressed. Which of the following evaluations of the patient’s behavior by the nurse would be MOST accurate?
A. The treatment plan is not effective; the patient requires a larger dose of lithium.
B. This is a normal response to lithium therapy; the patient should continue with the current treatment plan.
C. This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior.
D. The treatment plan is not effective; the client requires an antidepressant

779. A patient with a history of schizophrenia is admitted to the acute psychiatric care unit. He mutters to himself as the nurse attempts to take a history and yells. 'I don’t want to answer any more questions! There are too many voices in this room!' Which of the following assessment questions should the nurse ask NEXT?
A. Are the voices telling you to do things?
B. Do you feel as though you want to harm yourself or anyone else?
C. Who else is talking in this room? It’s just you and me.
D. I don’t hear any other voices.

780. The wife of a client with PTSD (post-traumatic stress disorder) communicates to the nurse that she is having trouble dealing with her husband's condition at home. Which of the following suggestions made by the nurse is CORRECT?
A. Do not touch or speak to your husband during an active flashback. Wait until it is finished to give him support.
B. Discourage your husband from exercising, as this will worsen his condition.
C. Encourage your husband to avoid regular contact with outside family members.
D. Keep your cupboards free of high-sugar and high-fat foods.

781. On a psychiatric unit, the preferred milieu environment is BEST describe as:
A. Fostering a therapeutic social, cultural, and physical environment.
B. Providing an environment that will support the patient in his or her therapeutic needs
C. Fostering a sense of well-being and independence in the patient
D. Providing an environment that is safe for the patient to express feelings

782. A 17-year old patient who was involved in an orthopaedic accident is observed not eating the meals that she previously ordered and refuses to take a bath even if she is already in recovery stage. As a nurse what do you think is the best Rationale for her reaction to the accident that happened to her?
A. Suppression
B. Undoing
C. Regression
D. Repression

783. After the suicide of her best friend Marry feels a sense of guilt, shame and anger because she had not answered the phone when her friend called shortly before her death. Which of the following statements is the most accurate when talking about Mary’s feelings?
A. Marry’s feelings are normal and are a form of perceived loss
B. Marry’s feelings are normal and are a form of situational loss.
C. Marry’s feelings are not normal and are a form of situational loss.
D. Marry's feelings are not normal and are a form of physical loss

784. What is an indication that a suicidal patient has an impending suicide plan:
A. She/he is cheerful and seems to have a happy disposition
B. talk or write about death, dying or suicide
C. threaten to hurt or kill themselves
D. actively look for ways to kill themselves, such as stockpiling tablets

785. Risk for health issues in a person with mental health issues
A. Increased than in normal people
B. Slightly decreased than in normal people
C. Very low as compared to normal people
D. Risk is same in people with and without mental illness

786. Which of the following cannot be seen in a depressed client?
A. Inactivity
B. Sad facial expression
C. Slow monotonous speech
D. Increased energy

787. A patient with antisocial personality disorder enters the private meeting room of a nurse unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST?
A. I’m sorry, but HIPPA says that you can’t be her. Do you mind leaving?
B. You may sit with us as long as you are quiet
C. I need you to leave us alone
D. Please leave and I will speak with you when I am done

788. A patient asking for LAMA, the medical team has concern about the mental capacity of the patient, what decision should be made?
A. Call the police
B. Let the patient go
C. Encourage the patient to wait, by telling the need for treatment
D. Inform the patient of the hospital's policies

789. The nurse restrains a client in a client in a locked room for 3 hours until the client acknowledge wo started a fight in the group room last evening. The nurse’s behaviour constitutes;
A. False imprisonment
B. Duty of care
C. Standard of care practice
D. Contract of care

790. A client has been voluntary admitted to the hospital. The nurse knows that which of the following statements is inconsistent with this type of hospitalization
A. The client retains all of his or her rights
B. The client has a right to leave if not a danger to self or others
C. The client can sign a written request for discharge
D. The client cannot be released without medical advice.

791. Risk for health issues in a person with mental health issues
A. Increased than in normal people
B. Slightly decreased than in normal people
C. Very low as compared to normal people
D. Risk is same in people with and without mental illness

792. A patient got admitted to hospital with a head injury. Within 15 minutes, GCS was assessed and it was found to be 15. After initial assessment, a nurse should monitor neurological status
A. Every 15 minutes
B. 30 minutes
C. 45 minutes
D. 60 minutes

793. You are caring for a patient who has had a recent head injury and you have been asked to carry out neurological observations every 15 minutes. You assess and find that his pupils are unequal and one is not reactive to light. You are no longer able to rouse him. What are your actions?
A. Continue with your neurological assessment, calculate your Glasgow Coma Scale (GCS) and document clearly.
B. This is a medical emergency. Basic airway, breathing and circulation should be attended to urgently and senior help should be sought.
C. Refer to the neurology team.
D. Break down the patient's Glasgow Coma Scale as follows: best verbal response V = XX, best motor response M = XX and eye opening E = XX. Use this when you hand over.

794. A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do?
A. Let the patient’s relatives know so that they don’t make a complaint & write an incident report for yourself so you remember the details in case there are problems in the future
B. Help the patient to a safe comfortable position, commence neurological observations & ask the patient’s doctor to come & review them, checking the injury isn’t serious. when this has taken place , write up what happened & any future care in the nursing notes
C. Discuss the incident with the nurse in charge , & contact your union representative in case you get into trouble
D. Help the patient to a safe comfortable position, take a set of observations & report the incident to the nurse in charge who may call a doctor. Complete an incident form. At an appropriate time , discuss the incident with the patient & if they wish , their relatives

795. Glasgow Coma score (GCS) is made up of 3 component parts and these are:
A. eye opening response/motor response/verbal response
B. eye opening response/verbal response/pupil reaction to light
C. eye opening response/motor response/pupil reaction to light
D. eye opening response/limb power/verbal response

796. You are monitoring a patient in the ICU when suddenly his consciousness drops and the size of one his pupil becomes smaller what should you do?
A. Call the doctor
B. Refer to neurology team
C. Continue to monitor patient using GCS and record
D. Consider this as an emergency and prioritize ABC

797. Patient had CVA, who will assess swallowing capability?
A. physiotherapy nurse
B. psychotherapy nurse
C. speech and language therapist
D. neurologic nurse

798. A patient suffered from CVA and is now affected with dysphagia. What should not be an intervention to this type of patient?
A. Place the patient in a sitting position / upright during and after eating.
B. Water or clear liquids should be given.
C. Instruct the patient to use a straw to drink liquids.
D. Review the patient's ability to swallow, and note the extent of facial paralysis.

799. The nurse is preparing the move an adult who has right sided paralysis from the bed into a wheel chair. Which statement best describe action for the nurse to take?
A. Position the wheelchair on the left side of the bed.
B. Keep the head of the bed elevated 10 degrees.
C. Protect the patients left arm with a sling during transfer.
D. Bend at the waist while helping the client into a standing position

800. An adult has experienced a CVA that has resulted in right side weakness. The nurse is preparing to move the patients right side of the bed so that he may then be turned to his left side. The nurse knows that an important principle when moving the patient is?
A. To keep the feet close together
B. To bend from waist
C. To move body weight when moving objects
D. A twisting motion will save steps