801 - 900 Solved Medical Nursing MCQ Test Questions Bank

801. Madam Odarley Robertson 79 year old patient with heart failure developed Oedema; this could be due to:
Select one:
A. Decreased venous hydrostatic pressure.
B. Increased venous hydrostatic pressure.
C. Increased plasma osmotic pressure.
D. None of the above

802. During major ward rounds the Medical Team reviewed a newly admitted client with pyelonephritis at the Female medical ward. The Medical team explained that the client’s condition is associated with urosepsis. As a Staff Nurse who is part of the Medical team, which of the following goals will be MOST appropriate in your plan of care for the patient? I. Normal renal function II. Normal body temperature III. Relief of pain IV. No recurrence of symptoms
Select one:
A. I, II, III and IV .
B. I and II.
C. I, II and III.
D. None of the above

803. An important objective of nursing care for patients with acute lymphocytic leukemia on chemotherapy is to;
Select one:
A. Make sure they avoid contact with infected persons.
B. Check their vital signs every 2 hours.
C. Prevent them from engaging in physical activities.
D. None of the above

804. Mr. Alfred Togbi, a 70 year old man with a diagnosis of Cor Pulmonale is on admission in your ward. Which of the following BEST describes his condition?
Select one:
A. Enlargement of the left ventricle of the heart, with or without rided heart failure.
B. Left ventricular hypertrophy resulting in left ventricular failure.
C. Enlargement of the right ventricle of the heart, with or without right sided heart failure.
D. None of the above

805. Why would a nurse taking history on a patient with abdominal pain ask whether he/she takes any anti- inflammatory medication such as aspirin and brufen?
Select one:
A. NSAIDS interrupt physical examination of the abdomen.
B. NSAIDS such as aspirin causes GI upset.
C. Anti – inflammatory agents cause abdominal distension.
D. None of the above

806. Aseye is a 3 year old girl whose parents brought her to the hospital with inflamed salivary gland below the right ear. The Nurse documents that it is inflammation of WHAT gland?
Select one:
A. Sublingual.
B. Buccal.
C. Parotid.
D. None of the above

807. The Nurse is educating a group of Market Women on the need to do regular exercises to prevent obesity. Which statement by one of the women would mean a successful teaching session?
Select one:
A. I need to walk down the street at least 30 minutes each day.
B. I don’t need to walk around at the market once I do regular exercise at home.
C. Once I walk around at the market I don’t need any formal exercise.
D. None of the above

808. Clinical features resulting from gastrointestinal anthrax is as a result of invasion of the following EXCEPT:
Select one:
A. Circulatory system.
B. Respiratory system.
C. Gastrointestinal Tract.
D. None of the above

809. Mrs. Adjoa Adusa, an 80-year-old lady reported with the complaint of dyspnea on exertion and increased swelling of both legs. Doctor’s assessment revealed a systolic murmur at the second right intercostal space that radiates to her apex. Mrs. Adusa is likely to be diagnosed of:
Select one:
A. Aortic stenosis.
B. Aortic regurgitation.
C. Mitral valve stenosis.
D. None of the above

810. The following statements are descriptions of chest pain likely to be experienced by a patient diagnosed of pericarditis EXCEPT:
Select one:
A. The chest pain is relieved with deep inspiration.
B. The chest pain fairly remains constant.
C. The chest pain worsens when lying down.
D. None of the above

811. Which explanation by the Nurse regarding the use of antibiotics for ulcer therapy is MOST accurate?
Select one:
A. Antibiotics heal the irritated mucous membrane of the stomach.
B. Antibiotics prevent secondary gastrointestinal infections.
C. Antibiotics eliminate the microorganism that depletes gastric mucosa.
D. None of the above

812. An asthmatic patient on your ward is placed on theophylline as treatment. This medication is given to the patient to:
Select one:
A. Reduce irritation in the airway.
B. Decrease airway inflammation.
C. Reduce the constriction of bronchioles.
D. None of the above

813. A 25-year-old patient asks the Nurse Incharge about the purpose of a recommended HPV screening test. The Nurse Incharge replies that it is used to screen for risk of:
Select one:
A. Ovarian cancer.
B. Cervical cancer.
C. Pelvic inflammatory disease.
D. None of the above

814. Antiretroviral drugs (ARV) is used to treat all patients who test positive for HIV. One mechanism of action of the ARV is to:
Select one:
A. Prevent the production of HIV.
B. Neutralize the toxins produced by the HIV.
C. Increase the lifespan of the red blood cells.
D. None of the above

815. Mr. Issaka Ackah was diagnosed with typhoid fever in your facility. Which of the following would you include in your education to Mr. Ackah: I. wash hands with soap and water before eating II. heat food before eating III. wash fruits and vegetables before eating IV. take prescribed antibiotics
Select one:
A. I, II and IV.
B. I, III and IV.
C. I, II and III.
D. None of the above

816. The difference between the apical pulse and the radial pulse of a patient is:
Select one:
A. Bradycardia.
B. Rhythm deficit.
C. Pulse deficit.
D. None of the above

817. A 40-year-old patient reported with paroxysmal pain that she describes as 12/10 and “like an electrical shock” that shoots from the corner of her mouth to the angle of her jaw. It usually lasts several seconds and is confined to the right side of her face. It begins after she chews or drinks hot coffee. She has had three episodes in the last four days. She is afebrile with no notable neurologic deficits; she is currently pain free. Which of the following is the MOST likely diagnosis?
Select one:
A. Migraine headache.
B. Cluster headache.
C. Trigeminal neuralgia.
D. None of the above

818. A 69-year-old female presents with painful vesicular lesions on the right side of her back in the T 10 dermatome. Which of the following is indicated for treatment of herpes zoster (shingles)?
Select one:
A. Miconazole.
B. Prednisone (oral).
C. Acyclovir.
D. None of the above

819. ……………………… is defined as a destruction of the pancreatic beta cells due to genetic and immunological factors with a sudden onset.
Select one:
A. Diabetic ketoacidosis.
B. Diabetes mellitus Type I.
C. Diabetes mellitus Type II.
D. None of the above

820. Nursing management of a patient with acute bronchial asthma would include: I. Administering oxygen prn II. Hydrating patient adequately III. Keeping the environment free from allergens IV. Limiting pulmonary secretion by decreasing fluid intake
Select one:
A. I, III and IV.
B. I, II and III.
C. II, III and IV.
D. None of the above

821. Which of these factors contributes to development of coronary artery disease?
Select one:
A. Excessive intake of animal fat.
B. Excessive ingestion of alcohol.
C. Inadequate intake of protein.
D. None of the above

822. A 24 year old female patient has recently began treatment with warfarin after an unprovoked deep vein thrombosis. Which of the following can decrease the effectiveness of warfarin?
Select one:
A. Vitamin K.
B. Oral contraceptives with Estrogen.
C. Omeprazole.
D. None of the above

823. Which of the following vasopressors is MOST commonly associated with lactic acidosis and hypokalemia?
Select one:
A. Dopamine.
B. Epinephrine.
C. Dobutamine.
D. None of the above

824. Aunty Yaa Mansa has been brought to the OPD with asthmtic attack. Which of the following is characteristic of bronchial asthma?
Select one:
A. Lymphocyte predominance in sputum.
B. Reduced forced expiratory volume in one second (FEV1).
C. Negative methacholine challenge.
D. None of the above

825. Which of the following conditions or infections is usually difficult to treat with antibiotics?
Select one:
A. Bacterial.
B. Protozoal.
C. Viral.
D. None of the above

826. A 78-year-old male patient from Vietnam is being evaluated for morning headaches of new onset and he is diagnosed with stage 2 hypertension. The nurse prescribes hydrochlorothiazide 25 mg daily. On a follow-up visit, the patient tells the nurse that since the medication stopped the headache, he is no longer taking it. What is the best course of action?
Select one:
A. The nurse should advise patient to continue not taking hydrochlorothiazide.
B. The nurse should tell the patient she will reduce the dose to 12.5 mg daily.
C. The nurse should educate the patient about hypertension and the importance of taking his medication each day.
D. None of the above

827. Miss. Afiba is a 23 year old National Service Personnel on admission at the medical ward. She has been producing yellowish sputum, experiencing night sweats, fever and chest pains. She is diagnosed with pulmonary tuberculosis. Which of the under listed tests would be required before she could be put on medications?
Select one:
A. Pap smear.
B. Full blood count.
C. Audiogram.
D. None of the above

828. Madam Joy Duku a 54 year old trader has been diagnosed of angina pectoris. This condition is a sign of:
Select one:
A. Mitral insufficiency.
B. Myocardial ischaemia.
C. Coronary thrombosis.
D. None of the above

829. A patient who has CVA with a right hemiplegia should NOT have his B/P checked using the right arm because circulatory impairment may:
Select one:
A. Cause excessive pressure on the brachial artery.
B. Precipitate the formation of thrombus.
C. Produce inaccurate readings.
D. None of the above

830. When performing physical assessment, the first fundamental technique that a Nurse must consider will be:
Select one:
A. Inspection.
B. Palpation.
C. Auscultation.
D. None of the above

831. Ama Moses, a 10 year old is diagnosed of having typhoid fever. This disease is transmitted by:
Select one:
A. Droplet infection.
B. Air borne infection.
C. Faeco-oral infection.
D. None of the above

832. What would be the MOST effective way to increase the probability that a patient will implement a self-care regime at home after being diagnosed and treated of angina?
Select one:
A. Provide patient with a 24-hour diet plan.
B. Identify patients coping mechanism at home.
C. Provide adequate education on heart healthy living.
D. None of the above

833. A patient with bronchial asthma has difficulty in breathing because of:
Select one:
A. Spasms of the bronchi which trap the air.
B. Hyperventilation due to an anxiety reaction.
C. An increase in the vital capacity of the lungs.
D. None of the above

834. Mr. Nuku 68 year old with peripheral arterial disease has a nursing diagnosis of ineffective peripheral tissue perfusion. Which of the following nursing intervention should be included in the teaching plan for the patient? I. Apply warm compresses on the legs and feet II. Apply cold compress on the legs and feet III. Engage in walking exercises as tolerated IV. Inspect lower extremities for pulse, temperature and injury
Select one:
A. I and III.
B. I, II and III.
C. I, III and IV.
D. None of the above

835. The laboratory result of Mr. Atinka with oedema showed Albuminuria. This condition of the patient could have been caused by a:
Select one:
A. Fall in tissue hydrostatic pressure.
B. Rise in plasma colloid oncotic pressure.
C. Fall in plasma colloid pressure.
D. None of the above

836. In nursing Mr. Adjetey Anum, a 45-year-old vegetarian with malnutrition, what would be the Nurses great concern? Intake of:
Select one:
A. Vitamin A rich food.
B. Iron rich foods.
C. Food rich in folate.
D. None of the above

837. Mr. Koshievi Abam, aged 45 reported to your unit with complaints of muscular weakness, constipation, anorexia. Assessment revealed bradycardia and heart block. Which of the following conditions is the patient suffering from?
Select one:
A. Hypocalcemia.
B. Hyperkalemia.
C. Hypercalcemia.
D. None of the above

838. The life cycle of all human malaria species consist of two phases, a sexual phase which deals with development and multiplication in female anopheles mosquitoes and the second phase is……………………… phase.
Select one:
A. Sporozoites phase.
B. Schizogony.
C. Asexual.
D. None of the above

839. One of the complications of haemolytic streptococcal infection is:
Select one:
A. Rheumatic heart disease.
B. Rheumatoid arthritis
C. Cerebrospinal meningitis.
D. None of the above

840. Nursing care plan is prepared for nursing of patients to achieve one of the following goals:
Select one:
A. Change the nursing actions to improve the patient’s response.
B. Promote continuity of care from nurses on all shifts.
C. Determine how far the patient has tolerated the care given.
D. None of the above

841. A 32 year old man with a history of migraines reported for treatment. His headaches have not changed in pattern, but he wants a treatment that works better than over the counter options. What is the BEST next treatment to try?
Select one:
A. Oxycodone.
B. Propranolol.
C. Sumatriptan.
D. None of the above

842. Mr. Lamborn Seese, a 60 year old patient was admitted to your ward with rheumatoid arthritis and would begin treatment with hydroxychloroquine (Plaquenil.) Which of the following should be done before the patient begins this medication?
Select one:
A. Fundoscopic exam.
B. Serum creatinine.
C. Pulmonary function testing.
D. None of the above

843. The Nurse is educating a group of female teenagers on genital warts. She tells them that one of the common causes of genital warts is:
Select one:
A. Human papilloma virus
B. Treponema pallidum.
C. Candida albicans.
D. None of the above

844. A patient has left hemiplegia. The Nurse contributes to the patient’s rehabilitation by:
Select one:
A. Not moving the affected arm unnecessarily.
B. Beginning active exercises.
C. Positioning the patient to prevent deformity.
D. None of the above

845. A patient is being treated for chronic iron deficiency anemia. Which of the following is the MOST appropriate recommendation? Tell the patient to take:
Select one:
A. Antacids with the iron supplement to reduce GI side effects.
B. Iron supplements with calcium supplements or milk.
C. The iron supplement with a small glass of orange juice to enhance absorption.
D. None of the above

846. A 30 year old female with a history of iron deficiency anemia presents with a complaint of double vision that increases in the evening. She also had difficult swallowing food over the past month. She takes no medications and does not drink or smoke. She was diagnosed as having Myastinia Gravis. Which of the following medications will be used to treat her?
Select one:
A. Pyridostigmine.
B. Fibrinolytics.
C. Sinemet.
D. None of the above

847. Nurse must include patient’s in planning of care because:
Select one:
A. Patient can take care of himself.
B. It will help patient with the compliance of care.
C. Patient will be happy.
D. None of the above

848. When a patient with a urinary catheter in situ complains of discomfort in the bladder and urethra the Nurse should first:
Select one:
A. Milk the catheter gently.
B. Check the patency of the catheter.
C. Irrigate the catheter with prescribed solution.
D. None of the above

849. Mr. Akwasi Benkum, 68 years has been admitted to the stroke unit with the diagnosis of ischaemic stroke with right sided hemiplegia. Mr Benkum also has dysarthria which means:
Select one:
A. Mixed speech.
B. Difficulty in speaking.
C. Absence of speech.
D. None of the above

850. To prevent the transmission of pulmonary tuberculosis to others, the Nurse instructs Madam Aminatu on the importance of: I. Hand washing II. Cough ethics III. Perineal care IV. Wound care
Select one:
A. I and II.
B. I, II and III.
C. I and IV.
D. None of the above

851. A patient on your ward develops dysrhythmia. The nursing diagnosis for this patient may include the following: I. Anxiety related to fear of the unknown II. Decreased cardiac output III. Deficient knowledge about the dysrhythmia and its treatment
Select one:
A. I, II and III.
B. I and II.
C. II and III.
D. None of the above

852. Laboratory investigations were requested for Mr. John Onoma. The results indicated protozoa and bacteria as causative agents for his condition. The doctor on duty assessed the result and described it as concomitant infections. This means, the presence of:
Select one:
A. Two or more parasites in one host.
B. Parasites of different species in one host.
C. Several parasites in one host.
D. None of the above

853. The amount of blood pumped by the ventricles in 1 minute is known as:
Select one:
A. Stroke volume.
B. Ventricular contraction.
C. Cardiac output.
D. None of the above

854. Which of the following is used to reverse the effects of heparin?
Select one:
A. Penicillamine.
B. Vitamin K.
C. Protamine.
D. None of the above

855. Which of the following ECG findings would be most likely associated with aortic stenosis?
Select one:
A. Left ventricular hypertrophy.
B. Extreme axis deviation.
C. Atrial fibrillation.
D. None of the above

856. A 68-year-old man reported at the OPD for follow up. He has been recently diagnosed with acute myelogenous lymphoma (AML). He is afraid that his oncologist may be “sugar coating” the prognosis and asks you what the remission rate is. Which of the following is CORRECT about the prognosis for AML?
Select one:
A. About two-thirds of all patients undergoing chemotherapy go into remission.
B. Overall five-year survival rate is approximately 50%.
C. Survival rates improve with age.
D. None of the above

857. Ms. Atswei Kpekpeye had an ECG done and the test revealed that she has a third degree arterio ventricular block. She is likely to develop the following complications EXCEPT:
Select one:
A. Cardiac tamponade.
B. Thrombo embolic event.
C. Cardiac arrest.
D. None of the above

858. The following are the typical first symptom(s) of myasthenia gravis EXCEPT:
Select one:
A. Generalized weakness of limbs.
B. Weakness of eyelids and extraocular muscles.
C. Ascending symmetrical weakness.
D. None of the above

859. Madam Adoma Botan, a known hypertensive and diabetic reported to the Emergency Unit with severe chest pain of sudden onset which could not be relieved by rest. She was diagnosed of Myocardial Infarction. Examination revealed several spots of subcutaneous bleeding on the skin. She told the Doctor that she bleeds from the gums any time she brushes her teeth and it takes a long time for the bleeding to stop. The Doctor ordered for subcutaneous Heparin. Which of the following nursing actions is MOST appropriate?
Select one:
A. Use a fine hypodermal needle to prevent bleeding.
B. Confirm the order with the Doctor.
C. Serve oral form of the medicine instead.
D. None of the above

860. A patient is on admission on your ward with pericarditis. The following could be the causes of of his condition. I. Infections II. Brain injury III. Renal failure
Select one:
A. II and III.
B. I and II.
C. I and III.
D. None of the above

861. Mr. Adu Mantey is on admission with hypertension and Chronic obstructive disease. Today his blood pressure is 150/90 mmHg despite two-medication therapy. Which of the following medication classes should generally be avoided when treating Mr. Mantey’s hypertension?
Select one:
A. Diuretics.
B. ACE inhibitors.
C. Non-selective Beta-blockers.
D. None of the above

862. Miss Silvia Ateh, an 18 year old student was rushed to the Accident and Emergency Unit by her school authority. History taking revealed dysuria, urge and hesitancy of micturition for the past 5 days. As a Nurse on duty, you were asked by the Charge Nurse to perform physical examination to determine the status of the kidneys. As you were performing posterior palpation to determine renal function, understand that normal-sized kidney is rarely palpable because the: I. Urinary bladder lies on top of the left kidney II. Strong back muscles III. Spleen lies on top of the left kidney IV. Spleen lies below the left kidney
Select one:
A. I and II.
B. III Only.
C. II, III and IV.
D. None of the above

863. Baby Asa is diagnosed of protein energy malnutrition. Which of the following formulae is MOST likely to be the initial treatment?
Select one:
A. F – 100.
B. F – 150.
C. F – 75.
D. None of the above

864. In extracellular fluid volume deficit, body fluids have …………… volume but …………
Select one:
A. Decreased, hypertonicity.
B. Decreased, hypotonicity.
C. Decreased, normal tonicity.
D. None of the above

865. When emphysema is present there is a decreased oxygen supply because of:
Select one:
A. Respiratory muscle paralysis.
B. Loss of aerating surface.
C. Infectious obstructions.
D. None of the above

866. Mr. Bentum Elikem, a 25 year old patient and a known hypertensive is a school dropout who had been involved in mining activities for more than 5 years. He experienced multiple bee stings. He reported to the outpatient department on the 5th day; physical examination revealed peripheral oedema, proteinuria and hypertension. Blood chemistry showed decreased albumin and elevated serum cholesterol. Which of the following is a likely diagnosis based on the findings?
Select one:
A. Pyelonephritis.
B. Nephrotic syndrome.
C. Glomerulonephritis.
D. None of the above

867. As a registered nurse, you are caring for a patient with polycythemia vera. In providing care for this patient with an acute exacerbation of polycythemia vera, which of the following activities you give priority to?
Select one:
A. Maintain protective isolation.
B. Promoting leg exercises and ambulation.
C. Protecting the patient from injury or falls.
D. None of the above

868. Mr. Ben Baah, a 40-year-old man is on admission at the medical unit with an abdominal mass. To detect the size and density of the mass, the Nurse:
Select one:
A. Percuss the patient’s abdomen.
B. Auscultates all quadrants of the abdomen.
C. Deeply palpates patient’s abdomen.
D. None of the above

869. Increased blood pressure with bounding pulse and a complaint of headache during I.V infusion is indicative of:
Select one:
A. Fluid overload.
B. Air embolism.
C. Hyperglycaemia.
D. None of the above

870. Mr. Fred Tetteh was admitted on account of Status Asthmaticus. Which of the following medication should NOT be administered?
Select one:
A. Magnesium sulphate.
B. Digoxin.
C. Salbutamol.
D. None of the above

871. A 24 year old man presents with headaches. He describes the headaches as a severe unilateral throbbing pain that is aggravated by movement. His headache is associated with nausea and sensitivity to light. His physical examination is completely normal. What is the MOST likely diagnosis? ................ headache.
Select one:
A. Migraine.
B. Cluster.
C. Tension.
D. None of the above

872. Kobby, a 9year old boy was brought to your facility and in-vitro test confirms the presence of plasmodium parasite. One of the recommended medications for the treatment of malaria is ………….. tablets.
Select one:
A. Artesunate.
B. Arthemeter lumefantrine.
C. Amodiaquine.
D. None of the above

873. A 38-year-old female has new onset of acute episodes of dizziness and nausea that began two days after resolution of a cold. She says it feels as though the room is spinning around her and the sensation is worse when she suddenly moves her head. She has tinnitus and some hearing loss on the left. Her past medical history is significant for type 2 diabetes and hypertension, treated with metformin and enalapril. Today, her blood glucose level is 78 mg/dL. Which of the following is the most likely etiology of her complaint?
Select one:
A. A typical migraine.
B. Meniere’s diseases.
C. Hypoglycemia.
D. None of the above

874. According to Kubler-Ross, an individual with serious health problems would MOST likely seek other medical opinion during the stage of:
Select one:
A. Bargaining.
B. Anger.
C. Denial.
D. None of the above

875. What is the most common pathogen in urinary tract infections?
Select one:
A. Escherichia coli.
B. Enterococcus faecalis.
C. Staphylococcus aureus.
D. None of the above

876. Master Abochie Appiah, aged 8 years has been diagnosed with bacterial meninigitis and had lumbar puncture performed by the doctor. The commonest complication Master Abochie is likely to develop after the lumbar puncture is;
Select one:
A. Headache.
B. Infection.
C. Fever.
D. None of the above

877. Which of the following schistosoma species inhabits the terminal venules of the urinary bladder? Schistosoma?
Select one:
A. Mansoni.
B. Japonicum.
C. Haematobium.
D. None of the above

878. Severe Acute Malnutrition (SAM) usually manifested by wasting and/or oedema has major contributory factors like: I. Nutritional deficiency II. Recurrent infections III. Severe anaemia
Select one:
A. I only.
B. I and II.
C. II and III.
D. None of the above

879. Risk factors associated with Cerebro-vascular Accident in the elderly patient may include:
Select one:
A. Continuous nervousness.
B. Glaucoma.
C. Transient ischaemic attacks.
D. None of the above

880. The Nurse should expect a patient with bradycardia to have a:
Select one:
A. Heart beat that has regular skipped beats.
B. Heart rate of over 90 per minute.
C. Heart rate of under 60 per minute.
D. None of the above

881. Mrs. Anokor Dartey, a 53 year old trader at Hafoman village reported to the OPD with the signs of difficulty in swallowing, regurgitation and pain in the chest. In assessing Mrs. Dartey, the nurse should acknowledge that there is paralysis of the
Select one:
A. Lower oesophagus.
B. Pain in the mediastinum.
C. Left lungs.
D. None of the above

882. A Nurse is given a health talk at the diabetic clinic with emphasis on the complications of Type II diabetes mellitus. One of the under listed is NOT a complication of the disease.
Select one:
A. Nephropathy.
B. Diabetic ketoacidosis.
C. Foot ulcer.
D. None of the above

883. The Nurse initially will use an Ambu-bag in the Intensive Care Unit when:
Select one:
A. Respiratory arrest occurs.
B. Respiratory output must be monitored.
C. Patient is in ventricular fibrillation.
D. None of the above

884. Which of the following medications is dispensed to patients addicted to opioids for reversal of an overdose?
Select one:
A. Naloxone.
B. Buprenorphine.
C. Methadone.
D. None of the above

885. Anticholinergic medications are ordered for patients with peptic ulcer to:
Select one:
A. Inhibit and neutralize gastric acid secretion.
B. Provide a protective coating in the stomach lining.
C. Inhibit smooth muscle contraction in the G.I. tract.
D. None of the above

886. Mr. George Brandford a 70 year old cardiac patient has under gone cardiac catheterization. His nursing care after this procedure would include:
Select one:
A. Encouraging early ambulation of the patient.
B. Restricting fluid intake until blood pressure stabilizes.
C. Monitoring the site used for bleeding.
D. None of the above

887. Mrs. Akosua Donkor, a 78-year-old retired baker with depression and a provisional diagnosis of Parkinson’s disease. Which of the following is consistent with Parkinson’s disease?
Select one:
A. Postural instability.
B. Increased facial movement.
C. Writhing movement.
D. None of the above

888. Which of the following assessment techniques would be the BEST for determining fluid in the pleural cavity?
Select one:
A. Percussion.
B. Auscultation.
C. Palpation.
D. None of the above

889. Vitamins can be fat -soluble or water-soluble. Water–soluble vitamins include the following EXCEPT vitamin:
Select one:
A. B2.
B. Vitamin D.
C. B12.
D. None of the above

890. The Nurse asks a patient to close the eyes and identify mild aromas such as coffee, vanilla, peanut butter, chocolate or orange. Which cranial nerve is the nurse assessing?
Select one:
A. Abducent.
B. Hypoglossal.
C. Olfactory.
D. None of the above

891. Which of the following MUST the Nurse observe prior to giving patient digoxin?
Select one:
A. Radial pulse on the left side.
B. Apical heart rate.
C. Radial pulse in both arms.
D. None of the above

892. Baba Latif Tutu is a 9 year old class 3 pupil who complains of lower abdominal pain and pain on micturation. He reportes to the public hospital and was diagnosed of urinary schistosomiasis. The student nurse must know that the causative organism is:
Select one:
A. S. miracedia.
B. S. haematobium.
C. S. intercalantum.
D. None of the above

893. Nurse Mpuni is caring for Mr. Inkoon 45years old who has undergone esophagogastroduodenoscopy. As part of the patient’s care plan, which of the following aspects of care should Nurse Mpuni place the highest priority on?
Select one:
A. Monitoring the temperature.
B. Assessing for the return of the gag reflex.
C. Administering warm gargles to sooth throat.
D. None of the above

894. An antidiurectic substance important for maintaining fluid balance is released by
Select one:
A. Anterior pituitary gland.
B. Adrenal cortex.
C. Posterior pituitary gland.
D. None of the above

895. Madam Ashia Keteke, a known hypertensive and diabetic reported to the Emergency Unit with severe chest pain of sudden onset which could not be relieved by rest. She was diagnosed of Myocardial Infarction. Examination revealed several spots of subcutaneous bleeding on the skin. She told the Doctor that she bleeds from the gums any time she brushes her teeth and it takes a long time for the bleeding to stop. Madam Keteke asked the Nurse about the cause of bleeding form her gum. Which of the following responses is CORRECT?
Select one:
A. It is usual complication of myocardial infarction.
B. It could be a result of prolonged use of Aspirin.
C. It could be a result of prolonged use of anti diabetic agents.
D. None of the above

896. Which of the following medications should not be prescribed for patients who are taking warfarin for anticoagulation since the interaction may increase the risk of bleeding?
Select one:
A. Indomethacin.
B. Sucralfate.
C. Progestin.
D. None of the above

897. Which of the following laboratory studies should the Doctor order on sputum if pulmonary tuberculosis is suspected?
Select one:
A. Gram stain.
B. Acid fast bacilli.
C. White blood cell count.
D. None of the above

898. During an Annual Review Conference, it was found out that about 0.06% of reported cases at your health facility had inadequate intake of iodine. This could lead to I. Reduced production of thyroid hormone II. Increased stimulation of thyroid stimulating hormone (TSH) production III. Reduced production of thyroid stimulating hormone (TSH) IV. Increased production of thyroid hormone
Select one:
A. I and IV.
B. I and III.
C. II and III.
D. None of the above

899. A patient reported to the OPD with the signs of difficulty in swallowing, regurgitation and pain in the chest. What condition is the patient likely to be suffering from?
Select one:
A. Angina.
B. Achalasia.
C. Pneumonia.
D. None of the above

900. Miss Elsie Prah a 30 year old client was rushed into the Accident and Emergency Unit by some Market women. History taking revealed dysuria, severe costovertebral angle angle pain, urge and hesitancy of micturition for the past 5 days. As a Nurse on duty, you were informed by the In-charge to perform physical examination to determine the status of the kidneys. The Nurse wants to assess for severe costovertebral angle pain presented by the client. Which of the following steps will the Nurse consider MOST appropriate? I. Striking the fist of one hand against the dorsal surface of the other II. Placing the hand flat at the posterior costovertebral angle margin at the 10th rib III. Placing the hand flat at the posterior costovertebral angle margin at the 12th rib IV. Thump the hand with the ulnar the ulnar edge of the other fist
Select one:
A. I, II and III.
B. I and II.
C. I, III and IV.
D. None of the above