501 - 600 Solved Medical Nursing MCQ Test Questions Bank

501. Mr. Lee, a patient on your ward has been scheduled for ECG examination. Patient is anxious and eager to know the reason for the ECG. Which of the following will be the best response from the nurse?
Select One:
A. Shows the presence of myocardial infarction
B. Determines the patient potential target heart rate
C. Shows how the heart performs when at rest
D. None of the above

502. Kwame, an 18 year old school boy has recently been diagnosed as having diabetes mellitus. He is preparing for WASSCE examination and he is a keen player in the school football team. He is put on insulin and is told to have snack at bed time. The objective of Kwame’s care is to:
Select One:
A. Maintain normal glucose level
B. Improve carbohydrate metabolism
C. Maintain a normal life style
D. None of the above

503. The nurse asked the patient to closed the eye and identify mild aromas such as coffee, vanilla, pea nut butter, chocolate or orange. What cranial nerve is the nurse assessing?
Select One:
A. Auditory
B. Olfactory
C. Hypoglossal
D. None of the above

504. Kwame, an 18 year old school boy has recently been diagnosed as having diabetes mellitus. He is preparing for WASSCE examination and he is a keen player in the school football team. He is put on insulin and is told to have snack at bed time. Kwame will be instructed to rotate his injection sites to prevent:
Select One:
A. Reduced absorption
B. Abscess formation
C. Infection
D. None of the above

505. Maame Dzata diagnosed of malaria with a temperature of 40˚c. The temperature reduced to 39.6˚c after tepid sponging. Which of the following organs controls the body temperature?
Select One:
A. Hypothalamus
B. Pituitary
C. Adrenal gland
D. None of the above

506. The nurse checks for hypocalcemia by placing a blood pressure cuff on a client’s arm and inflating it. After about 3 minutes the client develops carpopedal spasm. The nurse records this finding as a positive:
Select One:
A. Romberg sign
B. Homan’s sign
C. Trousseau’s sign
D. None of the above

507. Mr. Moore has been diagnosed of thyroid disease due to inadequate intake of iodine. His condition could lead to: I. increased production of thyroid hormone II. increased production of thyroid stimulating hormone (TSH) III. reduced production of thyroid hormone IV. reduced production of thyroid stimulating hormone
Select One:
A. I, II, and III
B. II and III
C. I, II, III and IV
D. None of the above

508. A patient reported to a health facility of with the complaints of diarrhea, muscle spasms and laryngo spasms. Under assessment patient was observe to have positive chvostek’s signs. What other cardinal signs would the patient exhibit?
Select One:
A. Hypermagesmia
B. Hypercalcimea
C. Hypocalcaemia
D. None of the above

509. The nurse would advise a patient with nephrotic syndrome to avoid foods high in which of the following:
Select One:
A. Protein
B. Sodium
C. Carbohydrates
D. None of the above

510. The nurse is participating in a health class for young women. One subject is cancer of the ovary. Which of the following statements is correct?
Select One:
A. Early symptoms of cancer of the ovary are vague
B. The most prominent early symptoms is an irregular menstrual cycle
C. Chemotherapy is not used for treating ovarian cancer
D. None of the above

511. Following a total abdominal hysterectomy Mrs. Sara Boafo develops a slightly elevated temperature and swelling in the right calf of her leg. The physician prescribes warm moist compresses for the client’s affected leg. Which of the following nursing actions is correct when applying the warm moist compress? The nurse:
Select One:
A. Heats the water to 120°F
B. Covers the wet gauze with a towel
C. Uses a sterile technique
D. None of the above

512. Awo kumi reported at the outpatient department with complaint of rash on the whole body. She was assessed and diagnosed of chickenpox, awo kumi understands that her condition is caused by:
Select One:
A. Cytomegalovirus
B. Herpes simplex virus
C. Varicella- zoster virus
D. None of the above

513. What explanation will the nurse give to Mr. Atsu, a patient who is enquiring about the reason for his urine specimen for culture and sensitivity test? I. Determines the presence of bacterial and their strains II. Help in estimating specific gravity of urine III. Identifies the antimicrobial therapy best suited for identified microbes IV. Help with appropriate evaluation of any abnormalities in urine
Select One:
A. I, II, III and IV
B. I, II and III
C. I and IV
D. None of the above

514. A client is scheduled for an ultrasound examination of the prostate. To describe the procedure to the client, the nurse should plan to relate that:
Select One:
A. This procedure uses x-rays to produce a visual image
B. The procedure is performed using a cystoscope
C. A probe will be inserted into the rectum
D. None of the above

515. Mrs. Ghartey has been diagnosed of hypokalaemia. Clinical features of hypokalaemia include:
Select One:
A. Apathy, weakness, abdominal distension
B. Spasms, diarrhoea, irregular pulse rate
C. Oedema, bounding pulse, confusion
D. None of the above

516. The nurse observes that the client’s knee is swollen and painful. Consequently; which one of the following nursing measures should be carried out?
Select One:
A. Perform passive range of motion during each shift
B. Ambulate with him at frequent intervals
C. Help to change positions to achieve comfort
D. None of the above

517. Which of these observations would make the nurse suspect that a patient with duodenal ulcer is bleeding?
Select One:
A. Passing malaena stools
B. Blood pressure fall below normal
C. Pulse rate becomes slow and feeble
D. None of the above

518. A client has a bone marrow aspiration performed, immediately after the procedure, the nurse should:
Select One:
A. Briefly apply pressure over the aspiration site
B. Cleanse the site with an antiseptic solution
C. Begin frequent monitoring of vital signs
D. None of the above

519. A patient was rushed to the hospital with complaints of sudden abdominal pains. On arrival at the hospital, the pain lasted a relatively short time and was self-limiting. This pain could be described as:
Select One:
A. Chronic
B. Throbbing
C. Acute
D. None of the above

520. When educating a patient with acute pancreatitis, the nurse should emphasis that the condition is precipitated by:
Select One:
A. Eating highly spiced foods
B. Ingestion of animals fat
C. Heavy drinking of alcohol
D. None of the above

521. During peritoneal dialysis the nurse observes that drainage of dialysate from the peritoneal cavity has ceased before the required amount has drained out. The nurse should assist the client to:
Select One:
A. Deep breathe and cough
B. Turn from side to side
C. Drink 8 ounces of water
D. None of the above

522. Twumasi, a teenager of 13years old was diagnosed of urine retention. The nurses need to do thoroughly assessment. Which of these skills would be most useful to the nurse in the assessment stage of the nursing process?
Select One:
A. Interpersonal communication
B. Clinical expertise
C. Problem solving skills
D. None of the above

523. Which of the following electrolytes would be restricted in a patient on hemodialysis?
Select One:
A. Calcium and phosphorus
B. Sodium and potassium
C. Iron and magnesium
D. None of the above

524. A boy child of 7year old was transferred from CHPS to your ward following a severe diarrhea. He is being recovered after receiving all the necessary fluids and being hydrated. The commonest cause of diarrhea in children is:
Select One:
A. Viral
B. Bacterial
C. Fungi
D. None of the above

525. Mr. Hushuru Moro has pleural effusion. Which of the following adventitious sounds indicate that this patient has a fluid fill lung?
Select One:
A. Vesicular
B. Crackles
C. Wheezes
D. None of the above

526. Which of the following plans would assist in the rehabilitation of a patient after a cerebrovascular accident?
Select One:
A. Total nursing care for the first week
B. Keep working on skills until they are perfected
C. Encourage any attempt to assist in care activities
D. None of the above

527. A patient complains of severe abnormal pain. The nurse in assessing the pain should note which of the following: I. Degree of pain II. Duration III. Intervals without pain IV. Time of onset
Select One:
A. I, II, III and IV
B. I and III
C. I, II and IV
D. None of the above

528. Baby Moses, a 12 month old baby is on admission at the pediatric ward with recurrent seizures. Describe the nurse’s responsibility after an episode of seizure? I. Document the event leading to and duration of the seizure II. Put patient in the fowlers position after the seizures III. Maintain a patent airway to prevent aspiration IV. Tell mother to breastfeed baby immediately
Select One:
A. II and IV
B. I and III
C. III and IV
D. None of the above

529. Miss Nartey has undergone a postural drainage. For Nurse Sandra to help a patient obtain maximum benefits after postural drainage the nurse should:
Select One:
A. Encourage patient to rest for 30mins
B. Encourage patient to cough deeply
C. Administer oxygen prn
D. None of the above

530. Mr. Samuel Kwakye, a known drug addict uses to smoke three packets of cigarettes a day. He was rushed to the health facility where he was diagnosed of emphysema. Dyspnoea that occurs in emphysema is as a result of:
Select One:
A. Loss of aerating surface of alveoli
B. Respiratory muscle paralysis
C. Infectious obstructions
D. None of the above

531. A client is scheduled for a below-the-knee amputation of the right leg. Legally, the client may not sign the operative consent if:
Select One:
A. Ambivalent feelings regarding operation are present
B. A complete history and physical have not been performed
C. Any sedative type of medication has recently been administration
D. None of the above

532. The physician asks the nurse to position a client for a vaginal examination. Which of the following position is normally used for this type of examination?
Select One:
A. Sim’s position
B. Lithotomy position
C. Dorsal recumbent position
D. None of the above

533. PA Anthony inserted the nasogastric tube to Mr. Baah who is semi-conscious with stroke. Which of the following actions would the nurse take before administration of a mixture through a naso-gastric tube? I. Bring the liquid to room temperature II. Check the position of the tube III. Drain the tube of any aspirate IV. Flush tube with 20 millimeters of water
Select One:
A. I, II, III and IV
B. I and II
C. II, III and IV
D. None of the above

534. A child was brought to your facility with presenting complaints of fever, headache constipation, malaise, chills and muscle pain. Which of the following investigations would assist in the diagnosis of typhoid fever?
Select One:
A. Stool and urine for culture and sensitivity test
B. Wassermann’s test, stool for culture and sensitivity
C. Blood for urea and electrolyte and stool for routine examination
D. None of the above

535. A patient admitted to the ward was being suspect of having pneumothorax. Which of the following assessment techniques will be the best for determining fluid in the pleural cavity?
Select One:
A. Percussion
B. Palpation
C. Auscultation
D. None of the above

536. When continuous bladder irrigation is used following prostate surgery, the rate of flow is adjusted:
Select One:
A. According to the client’s oral intake
B. To keep the drainage to light pink
C. To maintain an output of 500 ml every 8 hours
D. None of the above

537. Mr. Sowa reported to the OPD. Assessment indicated pyrexia. The dietary regimen that is most appropriate for a patient exhibiting pyrexia is:
Select One:
A. Increased protein and fluids, increased mineral
B. Increased calories and fluids, reduced fats
C. Decreased calories and vitamins, increased minerals
D. None of the above

538. Which of the following cardiac makers is first detected in blood after a patient with myocardial infarction is assessed?
Select One:
A. Myoglobin
B. Hemoglobin
C. Cardioglobin
D. None of the above

539. Which of the following is the nurse likely to observe in a patient with haemolytic jaundice?
Select One:
A. Fats in the stool
B. Urine appears dark brown
C. Skin is hot and dry
D. None of the above

540. Mr. Assan was rushed to the emergency unit. He complained of severe chest pains. He was later diagnosed of angina pectoris. The basic cause of angina pectoris is believed to be:
Select One:
A. Insufficient coronary blood flow
B. Spasms of the vessel walls due to excessive secretion of adrenalin
C. Dysrhythmias triggered by stress
D. None of the above

541. Mrs. Adukwe a 26 year old who weighs 85kg has been on the ward for 4 days. In planning care for Mrs. Adukwe the following nursing diagnosis were made except:
Select One:
A. Imbalanced nutrition more than body requirement
B. Anxiety related to change in lifestyle
C. Imbalanced nutrition less than body requirement
D. None of the above

542. Pulmonary tuberculosis [TB] is on the increase. The main principles in preventing the transmission of this disease is ̸ are: I. Early identification and treatment of people with active TB II. Performing a physical examination on patient III. Prevention of spread of infectious droplet IV. Surveillance of TB transmission
Select One:
A. I, II and III
B. I and IV
C. I, III and IV
D. None of the above

543. Which of the following observations would indicate a rising intracranial pressure?
Select One:
A. Increasing B/P, decreasing respiratory rate, rigors
B. Decreasing pulse rate, rising B/P, unequal pupils
C. Increasing respiratory rate, decreasing pulse, rigors
D. None of the above

544. Kwame, an 18 year old school boy has recently been diagnosed as having diabetes mellitus. He is preparing for WASSCE examination and he is a keen player in the school football team. He is put on insulin and is told to have snack at bed time. The reason for giving Kwame the snack at bed time is to:
Select One:
A. Ensure normal metabolism at night
B. Prevent hypoglycaemia whilst sleeping
C. Maintain normal blood glucose
D. None of the above

545. Which of the following is NOT a classical symptom of type I diabetes?
Select One:
A. Proteinuria
B. Polydipsia
C. Polyuria
D. None of the above

546. Madam Adepa Doda, 26years was admitted into the medical ward and treated for pneumonia. Before she was discharged, she was again diagnosed as having malaria. Acquiring infections or diseases other than the one patient was admitted with is described as:
Select One:
A. Patient to patient infection
B. Nosocomial infection
C. Contact infection
D. None of the above

547. The nurse is assigned to give perineal care to an uncircumcised male client. Which of the following is correct?
Select One:
A. The foreskin should not be retracted except by a physician
B. The foreskin is retracted and the area beneath the foreskin is cleansed
C. The scrotum is carefully washed with sterile normal saline
D. None of the above

548. Hourly urinalysis in the management of acidosis in diabetes mellitus is to:
Select One:
A. Determine the seriousness of bladder infection
B. Assess amount of fluid retention
C. Identify symptoms of renal tubular damage
D. None of the above

549. A 52 year old man weighs 110kg, his blood pressure is 180/100 mmHg and RBS is 130mg/dl. Which of the following questions should the nurse ask the client first?
Select One:
A. “Is there a history of diabetes in your family”
B. “Are you considering losing weight”
C. “When was the last time you had your blood pressure checked?”
D. None of the above

550. Twumasi, a teenager of 13years old was diagnosed of urine retention. Which assessment technique would you use when determining whether an underlying tissue is filled with fluid?
Select One:
A. Percussion
B. Auscultation
C. Palpation
D. None of the above

551. To elicit appropriate responses from a 17year old about his sexual health and practices, the nurse will ask what type of questions?
Select One:
A. Leading
B. Closed ended
C. Open ended
D. None of the above

552. Nurse Abigail knows that the amount of blood pumped by the ventricles in 1 minute is known as:
Select One:
A. Cardiac output
B. Stroke volume
C. ventricular contraction
D. None of the above

553. The nurse’s responsibility in caring for a patient with peritoneal dialysis all EXCEPT:
Select One:
A. Warming the dialysate to body temperature before instilling
B. Unclamp the fluid inflow and outflow tubes simultaneously
C. Allowing the dialysate to remain in the peritoneal cavity between 10-12 hours
D. None of the above

554. Mr. Jones, an aged of 78years who is bedridden and being nursed by Nurse Ellen. Which of these actions by the nurse is the MOST important in preventing pressure sore?
Select One:
A. Regular change of position in bed
B. Use of ripple mattress or air ring
C. Regular treatment of pressure areas
D. None of the above

555. The main function of adipose tissue in fat metabolism is synthesizing and:
Select One:
A. Storing triglycerides for energy reserve
B. Releasing glucose for energy
C. Regulating cholesterol production
D. None of the above

556. A patient on Lasix and Digoxin should be observed for symptoms of electrolytes depletion caused by:
Select One:
A. Sodium restriction
B. Inadequate oral intake
C. Diuretic therapy
D. None of the above

557. One of the symptoms suggestive of glomerulonephritis is:
Select One:
A. A sweet odor from urine
B. Frequency of micturition
C. Concentrated, smoky colored urine
D. None of the above

558. A client with cholelithiasis experience discomfort after ingesting fatty foods because:
Select One:
A. Fatty foods are hard to digest
B. Bile flow into the intestine is obstructed
C. The liver is manufacturing inadequate bile
D. None of the above

559. Mr. Odai was diagnosed of Vincent’s Angina. The chief complaint in a client with Vincent’s Angina is:
Select One:
A. Shortness of breath
B. Bleeding oral ulcerations
C. Chest pain
D. None of the above

560. A nurse is assigned to instruct a client in the method of testicular self-examination. The instruction should include mention that the best time to perform this task is:
Select One:
A. After a warm bath or shower
B. Immediately before going to bed
C. Immediately after getting out of bed in the morning
D. None of the above

561. Following an abdominal cholecystectomy, the nurse should assess for signs of respiratory complications because the:
Select One:
A. Client’s resistance is lowered because of bile in the blood
B. Bloodstream is invaded by microorganisms from the biliary tract
C. Incision is in close proximity to the diaphragm
D. None of the above

562. In assessing a patient with myxedema, the nurse expect the skin to be:
Select One:
A. Flushed and dry
B. Warm and moist
C. Dry and flaky
D. None of the above

563. The nurse is assigned to teach a class in health behaviors to young man. Which of the following can be stated as a probably cause of cancer of the penis?
Select One:
A. Circumcision
B. Exercise
C. Poor personal hygiene
D. None of the above

564. The nurse is assigned to check a client’s continuous bladder irrigation. Which one of the following solution is normally used for continuous or intermittent bladder and catheter irrigations?
Select One:
A. Plain water
B. Hydrogen peroxide
C. Sterile normal saline
D. None of the above

565. Aku Botwe reported at the hospital with itchy and whitish vagina discharge. The laboratory result confirmed candidiasis. Which of the following medication is most appropriate for treating this condition?
Select One:
A. Doxycycline
B. Nystatin
C. Clindamycin
D. None of the above

566. During a code response in the intensive care unit, a nursing student was inadvertently pricked with a needle used on a homeless patient who had just arrived at the unit. What kind of treatment will the student receive?
Select One:
A. Post exposure prophylaxis
B. Immediate pre exposure prophylaxis
C. Pre exposure prophylaxis
D. None of the above

567. PA Anthony inserted the nasogastric tube to Mr. Baah who is semi-conscious. Which of the following will indicate that the nasogastric tube is in the stomach? I. Ask patient to open his mouth to observe II. Aspirate stomach contents and test for PH III. Immerse free end of the tube in water and observe for bubbles IV. Introduce 10mls of water and observe patient’s reaction
Select One:
A. I, II, III and IV
B. II, III and IV
C. I and III only
D. None of the above

568. A nurse was tasked to remove an indwelling catheter from an unconscious patient. When removing an indwelling catheter the first step to be taken is:
Select One:
A. Clam the catheter
B. Irrigate the catheter
C. Deflate the balloon
D. None of the above

569. During physical assessment of a patient with breathing difficulty, the patient assumed a sitting up position with arms thrust forward and laterally unto the edge of the bed tripod position he is likely to suffering from:
Select One:
A. Obstructive Pulmonary Disease
B. Pneumothorax
C. Atelectasis
D. None of the above

570. A 32year old man, admitted at the male’s ward has started exhibiting an abnormal behavior. Which of the following abnormalities should a nurse expect from the 32year old man diagnosed of leukemia?
Select One:
A. Decreased appetite and nausea
B. Refusal of drugs and poor personal hygiene
C. Anxiety and prolonged ejaculation
D. None of the above

571. Mr. Kwame Nyamekye has been on the ward with the diagnosis of Anaemia. His discharge teaching to maintain nutritional status at home includes: I. Eat well balanced diet II. Drink adequate fluids III. Avoid processed foods IV. Avoid foods high in fats
Select One:
A. I, II and IV
B. I, II, III and IV
C. II, III and IV
D. None of the above

572. Mr kwabena Ankama, a 65 year old driver has been admitted to the male medical ward with dysrhythmia. The nursing diagnosis for the above patient may include the following: I. Anxiety related to fear of the unknown II. Decrease cardiac output III. Deficient knowledge about dysrhythmia and it treatment IV. Family history of the disease
Select One:
A. II, III and IV
B. I, II and III
C. I and IV
D. None of the above

573. To identify a cortical motor abnormality during nervous system assessment, the nurse instruct patient to do which of the following?
Select One:
A. Flex the wrist
B. Make a fist
C. Throw a ball
D. None of the above

574. Patient who reported with vomiting and diarrhea had a nursing diagnosis of fluid volume deficit. Which of the following statement describe this diagnosis? I. Loss of extracellular fluid volume exceeds the intake fluid. II. Loss of water alone with increased serum level III. Ratio of serum electrolyte to water remains the same IV. Water and electrolyte are lost in the same proportion as they exist in the normal body fluids.
Select One:
A. II, III and IV
B. I, II and IV
C. II and III
D. None of the above

575. Madam Asana, a known diabetic patient was rushed to the unit with diabetic ketoacidosis. Which of the following is the possible cause of client’s condition?
Select One:
A. Overdose of insulin injection
B. Over dose of antibiotic therapy
C. Non adherence to insulin regime
D. None of the above

576. A Hepatitis B patient on your ward reported of passing light colored stools this could be as a result of the liver which of the following?
Select One:
A. Not being able to produce bile
B. Becoming enlarged and tender
C. Secreting a lot of bile salt
D. None of the above

577. Alhaji Koo Baba, a 52 year old mechanic reported to the hospital with the complaints of headache, dizziness and palpitations. His body mass index was calculated to be 50kg/m3. The probable diagnosis will be:
Select One:
A. Obese
B. Overweight
C. Morbidly obese
D. None of the above

578. Mama Ashie, a 28 year old known Asthmatic patient was rushed to the OPD with an asthmatic attack. The physician Assistance ordered Theophylline which will:
Select One:
A. Reduced irritation in the airway
B. Dilate the airway
C. Reduced the constriction of the bronchioles
D. None of the above

579. Mr. Oye a 30 year old man is scheduled for thoracentesis. The nurse’s roles will includeː I. Offer support throughout procedures II. Preparing and positioning patient III. Suctioning patient during procedure IV. Teaching deep breathing and coughing exercise
Select One:
A. II and III
B. I, II, III and IV
C. I and II
D. None of the above

580. The nurse prepares to give Mrs. Edwards a vaginal suppository, which is inserted by means of a special applicator supplied with the drug. Which one of the following is correct?
Select One:
A. Ask the client to void prior to inserting the suppository
B. Insert the applicator approximately ½ inch and depress the plunger
C. Insert the applicator tip gently and with an upward and forward motion
D. None of the above

581. A client has ear surgery. An early response that may be associated with possible damage to the motor branch of the facial nerve is:
Select One:
A. An inability to wrinkle the forehead
B. Dryness of the lips and mouth
C. A sensation of pain behind the ear
D. None of the above

582. A hypertensive patient was placed on furosemide a loop diuretic. The mechanism of action of this medication is to:
Select One:
A. Block the effect of angiotensin II
B. Block reabsorption of sodium and water in the kidneys
C. Inhibit calcium iron influx
D. None of the above

583. Awurama dadzi developed hypoalbuminaemia, which of the following could be the causes of awurama’s condition? I. damaged gastrointestinal tract II. Infection III. Stress
Select One:
A. I and II
B. II and III
C. I, II and III
D. None of the above

584. Adiza, a 13year old student was brought to your ward with the diagnosis of glucose 6 phosphate dehydrogenase deficiency. Which of the under listed will you stress on during discharge education? The patient should:
Select One:
A. Refused blood transfusion
B. Avoid oxidant medications
C. Reduced water intake
D. None of the above

585. Syndromic management of sexually transmitted infections has both advantages and disadvantages. The following are some disadvantages EXCEPT:
Select One:
A. Only symptomatic STIs are treated
B. Treatment is given at first visit.
C. Over treatment especially in women
D. None of the above

586. The nursing assistant is assigned to give Ms. Bailey, who has had an abdominal hysterectomy, a sitz bath. She is instructed to use the special sitz bath tub. She asks the nurse why the regular bath tub cannot be used. The most correct reply is based on the fact that a regular bath tabs:
Select One:
A. Cannot supply water that is of the desired temperature for this procedure
B. Is more slippery and is dangerous when used for surgical clients
C. Cannot be kept as clean as a special sitz bath tub
D. None of the above

587. To reduce the symptoms of sprue, the patient should be advised to avoid:
Select One:
A. Wheat
B. Broad beans
C. Soya beans
D. None of the above

588. Significant nursing assessment data relevant to renal function should include information on: I. voiding II. patient‘s occupation III. presence of diabetes mellitus IV. Presence of hypertension
Select One:
A. I, III and IV only
B. I, II and III only
C. II, III and IV only
D. None of the above

589. A patient with cholelithiasis experiences discomfort after eating fatty foods because:
Select One:
A. Fatty foods are hard to digest
B. The liver is manufacturing inadequate bile
C. Bile flow into the intestine is obstructed
D. None of the above

590. After 1 week a client with acute renal failure moves, into the diuretic phase. During this phase the client must be carefully assessed for signs of:
Select One:
A. Chronic renal failure
B. Hypovolemia
C. Hyperkalemia
D. None of the above

591. Asibi Bawa was diagnosed with syphilis. Which of the following organisms will be isolated after a culture and sensitivity test is done?
Select One:
A. Streptococcus syphilis
B. Candida albicans
C. Treponema pallidum
D. None of the above

592. Kwame, an 18 year old school boy has recently been diagnosed as having diabetes mellitus. He is preparing for WASSCE examination and he is a keen player in the school football team. He is put on insulin and is told to have snack at bed time. Which of the following is the first step in teaching Kwame about is condition?
Select One:
A. Determine his knowledge of digestion
B. Explain carbohydrate metabolism
C. Determine his knowledge of diabetes
D. None of the above

593. What will be the most effective way to increase the probability that a patient will implement a self-care regime at home after been diagnosed and treated for Angina:
Select One:
A. Refer patient to a public health nurse in his community
B. Identify patient coping mechanism at home
C. Provide adequate education on heart healthy living
D. None of the above

594. Which of the following is most likely to put a patient with cirrhosis of the liver at risk for hepatic coma?
Select One:
A. Consumption of alcoholic beverages
B. Diarrhoea with tenesmus
C. Snail tract ulcers
D. None of the above

595. Henry peters a hypertensive patient has developed ascites associated with right sided heart failure. The condition of this patient may be due to:
Select One:
A. Congestion in the peripheral tissue and viscera
B. Increased pulmonary pressure
C. Decreased in ejected ventricular volume
D. None of the above

596. Afeto kwamevi Ametor has been on your ward for the past seven days with the diagnosis of coronary artery disease [CAD]. What are some of the non₋modifiable risk factors of the above condition? I. Family history of CAD II. Hypertension III. Increasing Age IV. Obesity
Select One:
A. II and IV
B. I and III
C. I and II
D. None of the above

597. Which of the following is often a childhood history in valvular heart disease?
Select One:
A. Rheumatic fever
B. Polomyelitis
C. Meningitis
D. None of the above

598. Which of the following solutions would be best for the nurse to use when cleaning the inner cannula of a tracheostomy tube?
Select One:
A. IsopropyI alcohol
B. Providone-iodine
C. Hydrogen peroxide
D. None of the above

599. Nurse Bernice assesses an infant below one year during CPR resuscitation, the appropriate location to assess the pulse would be the:
Select One:
A. Brachial artery
B. Radial artery
C. Carotid artery
D. None of the above

600. Mr. Abam, age 45 reported to your unit with complains of muscular weakness, constipation, anorexia, bradycardia and heart block. Which of the following conditions is the patient suffering from?
Select One:
A. Hypokalemia
B. Hyperkalemia
C. Hyperkalemia
D. None of the above