901. Vitamin A requires one of the under listed in order to be absorbed:
Select one:
A. Bile.
B. Amylase.
C. Lipase.
D. None of the above
Select one:
A. Bile.
B. Amylase.
C. Lipase.
D. None of the above
902.
The body’s tendency to maintain a state of physiologic balance in the
presence of constantly changing conditions is referred to as:
Select one:
A. Homeostasis.
B. Homeothermic.
C. Haemostasis.
D. None of the above
Select one:
A. Homeostasis.
B. Homeothermic.
C. Haemostasis.
D. None of the above
903.
An 18 year old SHS student reported to the hospital with painful and
difficult micturition. A diagnosis of urinary tract infection was made.
Which of the under listed pathogen is the MOST common cause of the
disease?
Select one:
A. Enterococcus faecalis.
B. Escherichia coli.
C. Staphylococcus aureus.
D. None of the above
Select one:
A. Enterococcus faecalis.
B. Escherichia coli.
C. Staphylococcus aureus.
D. None of the above
904. Mr. Kofi Nti has been scheduled for paracentesis abdominis. Before the procedure, the Nurse MUST instruct the Mr. Nti to:
Select one:
A. Assume the supine position.
B. Empty the bladder.
C. Eat food low in fat.
D. None of the above
Select one:
A. Assume the supine position.
B. Empty the bladder.
C. Eat food low in fat.
D. None of the above
905. Blood Platelets CANNOT withstand:
Select one:
A. Extreme change in temperatures and last for 5days.
B. Hot temperatures and last for only 5days.
C. Cold temperatures and last for only 5days.
D. None of the above
Select one:
A. Extreme change in temperatures and last for 5days.
B. Hot temperatures and last for only 5days.
C. Cold temperatures and last for only 5days.
D. None of the above
906. A 19 year old male is diagnosed with hypertrophic cardiomyopathy. Which of the following is true concerning this condition?
Select one:
A. The patient should be restricted from intense physical activity.
B. The mechanism of sudden death is usually complete AV block.
C. Treatment includes reduction of intravascular volume.
D. None of the above
Select one:
A. The patient should be restricted from intense physical activity.
B. The mechanism of sudden death is usually complete AV block.
C. Treatment includes reduction of intravascular volume.
D. None of the above
907. Which of these actions should the nurse take if a patient refuses to cooperate with care which has been planned?
Select one:
A. Record on the plan that the patient has refused care.
B. Report the incident to the senior nurse on duty.
C. Explain fully the reason why the action is needed.
D. None of the above
Select one:
A. Record on the plan that the patient has refused care.
B. Report the incident to the senior nurse on duty.
C. Explain fully the reason why the action is needed.
D. None of the above
908.
A patient who has had four recent bouts of cystitis reports at the OPD
with a complaints of symptoms of urgency, dysuria, and frequency for 7
days. Which of the following statements by the patient suggest that her
symptoms may be due to something more than cystitis?
Select one:
A. I have low back pain
B. I have some bright red blood in my urine
C. I have nausea and I cannot keep my food down
D. None of the above
Select one:
A. I have low back pain
B. I have some bright red blood in my urine
C. I have nausea and I cannot keep my food down
D. None of the above
909. Which of these would occur when protein is being lost in the urine and is not being replaced?
Select one:
A. Less lymph would be produced.
B. Increased tissue fluid formation.
C. Arterial blood pressure would rise steeply.
D. None of the above
Select one:
A. Less lymph would be produced.
B. Increased tissue fluid formation.
C. Arterial blood pressure would rise steeply.
D. None of the above
910. Which of the following is the cause of hypocalcemia in patients with end stage renal disease?
Select one:
A. Decreased conversion of vitamin D.
B. Decreased vitamin D absorption
C. Decreased parathyroid hormone.
D. None of the above
Select one:
A. Decreased conversion of vitamin D.
B. Decreased vitamin D absorption
C. Decreased parathyroid hormone.
D. None of the above
911. Sodium restriction is an effective therapeutic tool in the treatment of heart failure because it:
Select one:
A. Helps to control food intake and body weight.
B. Allows excess fluids in the tissue to be excreted.
C. Aids the weakened heart muscles to contract and improve cardiac output.
D. None of the above
Select one:
A. Helps to control food intake and body weight.
B. Allows excess fluids in the tissue to be excreted.
C. Aids the weakened heart muscles to contract and improve cardiac output.
D. None of the above
912. Which of the following signs is consistent with hypothyroidism?
Select one:
A. Diaphoresis.
B. Weight loss.
C. Constipation.
D. None of the above
Select one:
A. Diaphoresis.
B. Weight loss.
C. Constipation.
D. None of the above
913. The relative or absolute deficiency or excess of one or more essential nutrient is known as:
Select one:
A. Malabsorption.
B. Nutritional imbalance.
C. Under nutrition.
D. None of the above
Select one:
A. Malabsorption.
B. Nutritional imbalance.
C. Under nutrition.
D. None of the above
914.
A patient presented with hypoalbuminaemia at the OPD. In a tutorial to
student Nurses the In Charge stated the following as some of the
cause(s) of this condition. I. Damaged gastro intestinal tract II.
Infections III. Stress
Select one:
A. I and II.
B. II and III.
C. I, II and III.
D. None of the above
Select one:
A. I and II.
B. II and III.
C. I, II and III.
D. None of the above
915. A patient with severe fluid volume deficit will manifest the following signs EXCEPT:
Select one:
A. Oliguria.
B. Acute weight loss.
C. Increased central nervous pressure.
D. None of the above
Select one:
A. Oliguria.
B. Acute weight loss.
C. Increased central nervous pressure.
D. None of the above
916.
Mr. Alidu Boateng a 74 year old alcoholic has been diagnosed with
Cirrhosis of the liver. The drugs prescribed in his management include
spironolactone. The Nurse explains to him that the action of this drug
is to:
Select one:
A. Activate the release of enzymes.
B. Decrease pain in the abdomen.
C. Decrease fluid in the peritoneum.
D. None of the above
Select one:
A. Activate the release of enzymes.
B. Decrease pain in the abdomen.
C. Decrease fluid in the peritoneum.
D. None of the above
917.
When assessing a patient for psychosocial genetic health, the Nurse
assesses the following: I. Ability to make informed decision II.
Educational level III. Past coping mechanisms IV. Social support
Select one:
A. II, III and IV.
B. I, II and III.
C. I, II, III and IV.
D. None of the above
Select one:
A. II, III and IV.
B. I, II and III.
C. I, II, III and IV.
D. None of the above
918. The MAIN function of adipose tissue in fat metabolism is synthesizing and:
Select one:
A. Releasing glucose for energy.
B. Regulating cholesterol production.
C. Storing triglycerides for energy reserve.
D. None of the above
Select one:
A. Releasing glucose for energy.
B. Regulating cholesterol production.
C. Storing triglycerides for energy reserve.
D. None of the above
919.
A young adult complains of pyrexia, intense fatigue and frequent bouts
of severe sore throat for the past five months. This morning she arrived
at the OPD with hyper pyrexia and general malaise. Laboratory
investigations reaveled Epstein Barr virus. What would be her diagnosis?
Select one:
A. Measles.
B. Infectious mononucleosis.
C. Roseola.
D. None of the above
Select one:
A. Measles.
B. Infectious mononucleosis.
C. Roseola.
D. None of the above
920.
The period during which a patient does not experience symptoms even
though the disease is still clinically present is termed:
Select one:
A. Recovery.
B. Remission.
C. Exacerbation.
D. None of the above
Select one:
A. Recovery.
B. Remission.
C. Exacerbation.
D. None of the above
921.
An unconscious patient is receiving intermittent feeding through a NG
tube. To evaluate if the previous feeding has been absorbed, the Nurse
should:
Select one:
A. Compare the patient’s body weight to the baseline data.
B. Aspirate for residual volume and re-instill it.
C. Evaluate the intake in relation to the output.
D. None of the above
Select one:
A. Compare the patient’s body weight to the baseline data.
B. Aspirate for residual volume and re-instill it.
C. Evaluate the intake in relation to the output.
D. None of the above
922.
Madam Esi Ankomah has been diagnosed of acute coronary syndrome and is
on admission at the medical ward. To identify nervous system involvement
of patient’s condition, the Nurse assesses for anxiety, restlessness
and:
Select one:
A. Palpitation and heart murmurs.
B. Shortness of breath and crackles.
C. Decreased muscle contractility.
D. None of the above
Select one:
A. Palpitation and heart murmurs.
B. Shortness of breath and crackles.
C. Decreased muscle contractility.
D. None of the above
923.
A 20-year-old male reports with jaundice, fatigue, and dark urine two
days after beginning treatment for traveler’s diarrhoea with
trimethoprim-sulfamethoxazole. Which of the following is the likely
cause of the patient’s reaction to the treatment?
Select one:
A. Paroxysmal nocturnal hemoglobinuria.
B. Glucose-6-phosphate dehydrogenase deficiency.
C. Stevens-Johnson syndrome.
D. None of the above
Select one:
A. Paroxysmal nocturnal hemoglobinuria.
B. Glucose-6-phosphate dehydrogenase deficiency.
C. Stevens-Johnson syndrome.
D. None of the above
924.
A patient with diabetes mellitus says “I cannot eat big meals. I prefer
eating snacks throughout the day”. The Nurse should explain that:
Select one:
A. Regulated food intake is basic to diabetic control.
B. Salt and sugar restriction is the main concern.
C. Large meals can bring about weight problems.
D. None of the above
Select one:
A. Regulated food intake is basic to diabetic control.
B. Salt and sugar restriction is the main concern.
C. Large meals can bring about weight problems.
D. None of the above
925. To reduce the symptoms of sprue, the patient should be advised to avoid foods made from all EXCEPT:
Select one:
A. Maize.
B. Wheat .
C. Broad beans.
D. None of the above
Select one:
A. Maize.
B. Wheat .
C. Broad beans.
D. None of the above
926.
In moderate dehydration, common findings are sunken eyes, loss of skin
turgor, increased thirst and dry oral mucous membranes. The goal for
rehydration at this level is:
Select one:
A. Give about 150ml/kg of ORS over 4 hours.
B. Give about 100ml/kg of ORS over 4 hours.
C. Give about 50ml/kg of ORS over 4 hours.
D. None of the above
Select one:
A. Give about 150ml/kg of ORS over 4 hours.
B. Give about 100ml/kg of ORS over 4 hours.
C. Give about 50ml/kg of ORS over 4 hours.
D. None of the above
927.
Mr. Stands Blankson, a 53 year old farmer was rushed to the Accident
and Emergency Unit by his wife. 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. A student Nurse mentioned that the
amount of urine in millilitres in the bladder that makes it purcussible
is:
Select one:
A. 140.
B. 150.
C. 130.
D. None of the above
Select one:
A. 140.
B. 150.
C. 130.
D. None of the above
928.
A Nurse is educating a group of patient at the Out Patient Department
(OPD) on Gout. A patient asked the Nurse to identify the foods that
should be eaten. Which of the following foods should the Nurse educate
them to eat? I. Sardine II. Bannana III. Wheat Bread IV. Meat
Select one:
A. I,II,III and IV.
B. II and IV.
C. I and IV.
D. None of the above
Select one:
A. I,II,III and IV.
B. II and IV.
C. I and IV.
D. None of the above
929.
What is the BEST initial management for a patient who arrives at the
Emergency room complaining of the “worst headache I have ever had?”
Select one:
A. EEG.
B. CT scan.
C. MRI.
D. None of the above
Select one:
A. EEG.
B. CT scan.
C. MRI.
D. None of the above
930. Which of the following will be prescribed by the physician if symptoms of warfarin overdose occur?
Select one:
A. Vitamin K.
B. Protamine.
C. Heparin.
D. None of the above
Select one:
A. Vitamin K.
B. Protamine.
C. Heparin.
D. None of the above
931. Which of the following procedures poses the greatest risk for development of hospital pneumonia?
Select one:
A. Use of oral thermometer.
B. Enteral feeding.
C. Endotracheal intubation.
D. None of the above
Select one:
A. Use of oral thermometer.
B. Enteral feeding.
C. Endotracheal intubation.
D. None of the above
932.
Mr. Lee Coffie, a 55 year old 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? ECG
Select one:
A. Determines the patients potential target heart rate.
B. Shows how the heart performs when at rest.
C. Shows the presence of myocardial infarction.
D. None of the above
Select one:
A. Determines the patients potential target heart rate.
B. Shows how the heart performs when at rest.
C. Shows the presence of myocardial infarction.
D. None of the above
933.
A 40-year-old male patient presents with sudden onset of severe
headache that increases with movement of the head. Which of the
following diagnoses would be considered?
Select one:
A. Subarachnoid hemorrhage.
B. Migraine headache.
C. Cluster headache.
D. None of the above
Select one:
A. Subarachnoid hemorrhage.
B. Migraine headache.
C. Cluster headache.
D. None of the above
934.
Mr. Nartey, 60 year old, was admitted to the Medical ward with
disseminated intravascular coagulation (DIC). Which of the following
medications is used to treat DIC?
Select one:
A. Digoxin.
B. Heparin.
C. Aspirin.
D. None of the above
Select one:
A. Digoxin.
B. Heparin.
C. Aspirin.
D. None of the above
935.
Baba Rhaman is a 78 year old farmer in the southern part of Oti Region.
He reported to the Municipal Hospital with swollen left jaw and ear. He
is diagnosed with parotitis. This condition in the elderly and the
debilitated is usually caused by:
Select one:
A. Methicillin Resistant Staphylococcus aureus (MRSA).
B. Staphylococcus aureus.
C. Streptococcus virudans.
D. None of the above
Select one:
A. Methicillin Resistant Staphylococcus aureus (MRSA).
B. Staphylococcus aureus.
C. Streptococcus virudans.
D. None of the above
936.
Mr. Johnson was rushed to the ward in a hypertensive crisis state. He
was found unconscious in his room by his daughter who is hysteric. What
is the most important nursing management for this family?
Select one:
A. Put Mr. Johnson to bed.
B. Check vital signs immediately.
C. Calm his hysteric daughter.
D. None of the above
Select one:
A. Put Mr. Johnson to bed.
B. Check vital signs immediately.
C. Calm his hysteric daughter.
D. None of the above
937. A patient is on the ward with haemolytic jaundice. Which of the following is the Nurse likely to observe in this patient?
Select one:
A. Urine appears dark brown.
B. Fats in the stool.
C. Stool is clay coloured.
D. None of the above
Select one:
A. Urine appears dark brown.
B. Fats in the stool.
C. Stool is clay coloured.
D. None of the above
938. The Nurse gives a Nitroglycerin tablet to a patient with angina pectoris. She should instruct the patient to:
Select one:
A. Place the tablet under the tongue and not swallow it.
B. Place the tablet under the tongue and suck it slowly.
C. Crush the tablet in a little water on a spoon and swallow it.
D. None of the above
Select one:
A. Place the tablet under the tongue and not swallow it.
B. Place the tablet under the tongue and suck it slowly.
C. Crush the tablet in a little water on a spoon and swallow it.
D. None of the above
939.
Ms. Akyiaa Morrow, aged 25 years has Viral Pharyngitis and is on
admission on your ward. The nurse’s priority in providing nursing
intervention for Ms Morrow will be to:
Select one:
A. Ensure comfort of patient.
B. Maintain a patent airway.
C. Encourage fluid intake.
D. None of the above
Select one:
A. Ensure comfort of patient.
B. Maintain a patent airway.
C. Encourage fluid intake.
D. None of the above
940.
A 15 year old Nephrotic syndrome patient is on furosemide (Laxis).
Which of the following electrolytes would be depleted in this patient?
Select one:
A. Phosphate.
B. Potassium.
C. Calcium.
D. None of the above
Select one:
A. Phosphate.
B. Potassium.
C. Calcium.
D. None of the above
941.
Christie Menson, 4 years old was seen at the OPD with clinical features
of Kwashiorkor. These features includes I. Constantly crying for food
II. Flaky paint dermatosis III. Moon-shaped face due to oedema IV.
Reddish brown hair
Select one:
A. II, III and IV.
B. I, II and III.
C. I, III and IV.
D. None of the above
Select one:
A. II, III and IV.
B. I, II and III.
C. I, III and IV.
D. None of the above
942. A patient on your ward has been diagnosed with rabies. This patient would characteristically exhibit:
Select one:
A. Urinary stasis.
B. Memory loss.
C. Pharyngeal spasm.
D. None of the above
Select one:
A. Urinary stasis.
B. Memory loss.
C. Pharyngeal spasm.
D. None of the above
943. Mr. Teinshe is diagnosed of with emphysema in nursing him which position is appropriate when he is in dyspneic periods?
Select one:
A. Sitting up in bed and supported with several pillows.
B. Sitting in a recliner chair supported with several pillows.
C. Sitting on the side of the bed and leaning on an over-bed table.
D. None of the above
Select one:
A. Sitting up in bed and supported with several pillows.
B. Sitting in a recliner chair supported with several pillows.
C. Sitting on the side of the bed and leaning on an over-bed table.
D. None of the above
944. During auscultation of the heart, the bell of the stethoscope is used to assess which of the following sounds?
Select one:
A. Systolic heart murmurs.
B. Diastolic heart murmurs.
C. Medium frequency sounds.
D. None of the above
Select one:
A. Systolic heart murmurs.
B. Diastolic heart murmurs.
C. Medium frequency sounds.
D. None of the above
945.
There are numerous risk factors associated with the long term
development of arteriosclerosis and atherosclerosis, which are direct
precursors of cardiovascular disease (CVD). Non modifiable risk factors
include age, gender and:
Select one:
A. Complete obstruction of the vessel.
B. Constriction of the lumen of the vessels.
C. Ethnicity of the client.
D. None of the above
Select one:
A. Complete obstruction of the vessel.
B. Constriction of the lumen of the vessels.
C. Ethnicity of the client.
D. None of the above
946. A patient at home has an in-dwelling urethral catheter. His care should include;
Select one:
A. Clamping the catheter for 2 hours every day.
B. Irrigating the catheter once a week.
C. Changing the catheter every month.
D. None of the above
Select one:
A. Clamping the catheter for 2 hours every day.
B. Irrigating the catheter once a week.
C. Changing the catheter every month.
D. None of the above
947. The nursing diagnoses below are relevant for patients suffering from hypercalcaemia EXCEPT:
Select one:
A. Fluid volume deficit related to diarrhoea.
B. Activity intolerance related to neuromuscular weakness.
C. Decreased cardiac output related to dysrhythmias.
D. None of the above
Select one:
A. Fluid volume deficit related to diarrhoea.
B. Activity intolerance related to neuromuscular weakness.
C. Decreased cardiac output related to dysrhythmias.
D. None of the above
948.
Significant nursing assessment data relevant to renal function should
include information about: I. Voiding disorders II. Patient’s occupation
III. Presence of diabetes mellitus IV. Presence of hypertension
Select one:
A. I, III and IV.
B. I, II and III.
C. I, II, III and IV.
D. None of the above
Select one:
A. I, III and IV.
B. I, II and III.
C. I, II, III and IV.
D. None of the above
949. The following are among the general observations that should be noted in the initial examination of the patient EXCEPT:
Select one:
A. Body mass index.
B. Posture.
C. Nutritional status.
D. None of the above
Select one:
A. Body mass index.
B. Posture.
C. Nutritional status.
D. None of the above
950. The carbohydrate food that provides the quickest source of energy is a:
Select one:
A. Glass of milk.
B. Slice of bread.
C. Glass of orange juice.
D. None of the above
Select one:
A. Glass of milk.
B. Slice of bread.
C. Glass of orange juice.
D. None of the above
951. Bile performs many functions in the body. One of its main function is to:
Select one:
A. Produce an acid condition.
B. Emulsify fats.
C. Help synthesize vitamins.
D. None of the above
Select one:
A. Produce an acid condition.
B. Emulsify fats.
C. Help synthesize vitamins.
D. None of the above
952.
A 14 year old JHS 1 student is on admission with severe Anaemia. This
condition often occurs when there is a reduction in: I. Haemoglobin
content of blood II. Number of red blood cells III. Platelets count IV.
White blood cells count
Select one:
A. I and II.
B. I, II and III.
C. I, III and IV.
D. None of the above
Select one:
A. I and II.
B. I, II and III.
C. I, III and IV.
D. None of the above
953.
An 80-year-old female with a history of diabetes, heart failure,
gastroparesis, and chronic kidney disease presents for a checkup. Her
last creatinine was 1.2, and blood glucose over the past 3 months is
8.0mmol/L. Which medication is acceptable for the management of her
diabetes?
Select one:
A. Glyburide.
B. Pioglitazone.
C. Metformin.
D. None of the above
Select one:
A. Glyburide.
B. Pioglitazone.
C. Metformin.
D. None of the above
954.
A 78-year-old patient with complains of morning headaches and a blood
pressure of 160/90mmHg has been diagnosed with hypertension. He was put
on hydrochlorothiazide 25 mg daily. On a follow-up visit, the patient
tells the Nurse that since the headache stopped, he is no longer taking
the medication. What is the BEST course of action? The Nurse should:
Select one:
A. Advise patient to continue not taking hydrochlorothiazide.
B. Tell the patient she will reduce the dose to 12.5 mg daily.
C. Educate the patient on the importance of taking his medication daily.
D. None of the above
Select one:
A. Advise patient to continue not taking hydrochlorothiazide.
B. Tell the patient she will reduce the dose to 12.5 mg daily.
C. Educate the patient on the importance of taking his medication daily.
D. None of the above
955.
Ms.Abua Philips, 10 years old JHS pupil has been admitted to the ward
with severe malaria. She has fever of 37.2oC, chills and bitterness in
the mouth. The Nurse educates her on the following measures to protect
herself from mosquito bites EXCEPT:
Select one:
A. Closing all her windows at night.
B. Using mosquito repellent creams.
C. Sleeping in insecticide treated net.
D. None of the above
Select one:
A. Closing all her windows at night.
B. Using mosquito repellent creams.
C. Sleeping in insecticide treated net.
D. None of the above
956.
Mr. George Annan 64 years is on your ward with haemolytic uremic
syndrome. Which of the following is associated with his condition?
Select one:
A. Diabetes mellitus.
B. Hypertension.
C. E. coli infection.
D. None of the above
Select one:
A. Diabetes mellitus.
B. Hypertension.
C. E. coli infection.
D. None of the above
957. A patient with acute renal failure complains of tingling of the fingers and toes and muscle twitching. This is caused by:
Select one:
A. Potassium retention.
B. Calcium depletion.
C. Sodium chloride depletion.
D. None of the above
Select one:
A. Potassium retention.
B. Calcium depletion.
C. Sodium chloride depletion.
D. None of the above
958. When initiating treatment of acute pain in a healthcare setting, which of the following is true?
Select one:
A. Acknowledgement of cultural differences in the expression of pain may result in better pain management.
B. Patients with a history of addiction should not be treated with opioid analgesics.
C. Analgesic management should be delayed until identification of the etiology of pain.
D. None of the above
Select one:
A. Acknowledgement of cultural differences in the expression of pain may result in better pain management.
B. Patients with a history of addiction should not be treated with opioid analgesics.
C. Analgesic management should be delayed until identification of the etiology of pain.
D. None of the above
959.
A patient is to under-go treatment for candidiasis. Which of the
following medications is MOST appropriate for the treatment?
Select one:
A. Nystatin.
B. Doxycycline.
C. Clindamycin.
D. None of the above
Select one:
A. Nystatin.
B. Doxycycline.
C. Clindamycin.
D. None of the above
960. Which of the following would you expect to find on pulmonary function test of a patient with a severe asthma exacerbation?
Select one:
A. Peak expiratory flow rate less than 200 L/minute.
B. Decreased residual volume.
C. Decreased diffusing capacity of the Lungs for carbone monoxide.
D. None of the above
Select one:
A. Peak expiratory flow rate less than 200 L/minute.
B. Decreased residual volume.
C. Decreased diffusing capacity of the Lungs for carbone monoxide.
D. None of the above
961.
An 88 years old man comes to the hospital and complains to you that he
has recently been troubled with impotence. The most appropriate action
at this time is to;
Select one:
A. Listen and respond empathetically.
B. Explain to him that at his age, it is normal.
C. Take a complete health history including medications.
D. None of the above
Select one:
A. Listen and respond empathetically.
B. Explain to him that at his age, it is normal.
C. Take a complete health history including medications.
D. None of the above
962.
Ms. Abena Nyarkoa, a 19-year-old SHS student of Ahamasu is being
treated for a urinary tract infection. As a child, the patient developed
hives due to sulphar. Which of the following antibiotics is
contraindicated in this patient?
Select one:
A. Cephalexin.
B. Trimethoprim-sulfamethoxazole.
C. Nitrofurantoin.
D. None of the above
Select one:
A. Cephalexin.
B. Trimethoprim-sulfamethoxazole.
C. Nitrofurantoin.
D. None of the above
963. A disease with an unknown cause is usually described as ……………. disease.
Select one:
A. Idiopathic.
B. Communicable.
C. Iatrogenic.
D. None of the above
Select one:
A. Idiopathic.
B. Communicable.
C. Iatrogenic.
D. None of the above
964.
Which of the following statements describe fluid volume deficit? I.
Loss of extracellular fluid volume exceeds the intake of fluid II. The
ratio of serum electrolyte to water remains the same III. There is loss
of water alone with increased serum levels IV. Water and electrolytes
are lost in the same proportion as they exist in normal body fluids
Select one:
A. II, III and IV.
B. I, II and III.
C. I, II and IV.
D. None of the above
Select one:
A. II, III and IV.
B. I, II and III.
C. I, II and IV.
D. None of the above
965.
An 86-year-old white male with hypertension (currently being treated
with losartan) presents to the clinic with a painful first big toe. The
patient eats a diet of fresh grains, fruits, and dairy products and
abstains from alcohol. He has not had any recent falls or injuries to
his foot that he recalls. You diagnose him with gout. Which of the
following details in this patient's history puts him at an increased
risk for gout?
Select one:
A. Consumption of dairy products.
B. Blood pressure medication.
C. Age
D. None of the above
Select one:
A. Consumption of dairy products.
B. Blood pressure medication.
C. Age
D. None of the above
966. In a patient with dilated cardiomyopathy and heart failure, which of the following would you expect on examination?
Select one:
A. Bradycardia.
B. Enlarged liver.
C. Pulmonary emboli.
D. None of the above
Select one:
A. Bradycardia.
B. Enlarged liver.
C. Pulmonary emboli.
D. None of the above
967.
Ms. Juliet Torgle, 36 years has been diagnosed as having syphilis.
Which of the following organisms is the cause of Juliet’s condition?
Select one:
A. Chlamydia trachomatis.
B. Haemophilus ducreyi.
C. Treponema pallidum.
D. None of the above
Select one:
A. Chlamydia trachomatis.
B. Haemophilus ducreyi.
C. Treponema pallidum.
D. None of the above
968. Urinary retention with overflow is evidenced by:
Select one:
A. Oliguria and oedema.
B. Frequent voiding.
C. Continual incontinence.
D. None of the above
Select one:
A. Oliguria and oedema.
B. Frequent voiding.
C. Continual incontinence.
D. None of the above
969.
Mr. Joe Amuzu 49 years old has been admitted to the male ward with
ascites due to cirrhosis of the liver. The cause of ascites in this
patient may be due to:
Select one:
A. Diminished plasma protein.
B. Kidney malfunction.
C. Decreased production of potassium.
D. None of the above
Select one:
A. Diminished plasma protein.
B. Kidney malfunction.
C. Decreased production of potassium.
D. None of the above
970. What does it mean to say a disease is in its latency phase?
Select one:
A. A period when an infected person has no signs or symptoms of an infection.
B. The period between contact with the microorganism and onset of symptoms.
C. The active period of an infection where signs and symptoms are visible.
D. None of the above
Select one:
A. A period when an infected person has no signs or symptoms of an infection.
B. The period between contact with the microorganism and onset of symptoms.
C. The active period of an infection where signs and symptoms are visible.
D. None of the above
971.
Madam Asor Abugu is a 58 year old koobi seller at the ntronang market.
She visited the clinic with the complaints of sore throat that has
lasted for months, coupled with skin lesions at her back and light
pigmented skin areas. She had AFB with Ziel Neelsen stain done and was
positive. She will be treated for:
Select one:
A. Epstein-barr virus.
B. Mycobacterium leprae.
C. Human papiloma virus.
D. None of the above
Select one:
A. Epstein-barr virus.
B. Mycobacterium leprae.
C. Human papiloma virus.
D. None of the above
972.
A patient is admitted with pulmonary oedema. The Nurse would expect the
physician to order a rapidly acting diuretic such as:
Select one:
A. Chlorothiazide.
B. Laxis.
C. Aldactone.
D. None of the above
Select one:
A. Chlorothiazide.
B. Laxis.
C. Aldactone.
D. None of the above
973.
The client arrives in the emergency room with a “bull’s eye” rash.
Which question would be most appropriate for the nurse to ask the
client?
Select one:
A. Have you had any nausea in the last 24 hours?
B. Have you found any ticks on your body?
C. Have you been outside the country in the last 6 months?
D. None of the above
Select one:
A. Have you had any nausea in the last 24 hours?
B. Have you found any ticks on your body?
C. Have you been outside the country in the last 6 months?
D. None of the above
974.
The nurse is assigned to care for an infant with physiologic jaundice.
Which action by the nurse would facilitate elimination of the bilirubin?
Select one:
A. Minimizing tactile stimulation
B. Increasing the infant’s fluid intake
C. Maintaining the infant’s body temperature at 98.6°F
D. None of the above
Select one:
A. Minimizing tactile stimulation
B. Increasing the infant’s fluid intake
C. Maintaining the infant’s body temperature at 98.6°F
D. None of the above
975.
A 4-year-old with cystic fibrosis has a prescription for Viokase
pancreatic enzymes to prevent malabsorption. The correct time to give
pancreatic enzyme is:
Select one:
A. On an empty stomach
B. 1 hour before meals
C. With each meal and snack
D. None of the above
Select one:
A. On an empty stomach
B. 1 hour before meals
C. With each meal and snack
D. None of the above
976.
Six hours after birth, the infant is found to have an area of swelling
over the right parietal area that does not cross the suture line. The
nurse should chart this finding as:
Select one:
A. Molding
B. A cephalohematoma
C. Subdural hematoma
D. None of the above
Select one:
A. Molding
B. A cephalohematoma
C. Subdural hematoma
D. None of the above
977. A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
Select one:
A. Trendelenburg position
B. An abduction pillow
C. Buck’s traction
D. None of the above
Select one:
A. Trendelenburg position
B. An abduction pillow
C. Buck’s traction
D. None of the above
978.
A 5-year-old is admitted to the unit following a tonsillectomy. Which
of the following would indicate a complication of the surgery?
Select one:
A. Decreased appetite
B. Chest congestion
C. Constant swallowing
D. None of the above
Select one:
A. Decreased appetite
B. Chest congestion
C. Constant swallowing
D. None of the above
979. Before administering Methytrexate orally to the client with cancer, the nurse should check the:
Select one:
A. Electrolytes
B. IV site
C. Vital signs
D. None of the above
Select one:
A. Electrolytes
B. IV site
C. Vital signs
D. None of the above
980.
The nurse is found to be guilty of charting blood glucose results
without actually performing the procedure. After talking to the nurse,
the charge nurse should:
Select one:
A. Terminate the nurse
B. Call the Board of Nursing
C. File a formal reprimand
D. None of the above
Select one:
A. Terminate the nurse
B. Call the Board of Nursing
C. File a formal reprimand
D. None of the above
981.
A client with an abdominal aortic aneurysm is admitted in preparation
for surgery. Which of the following should be reported to the doctor?
Select one:
A. An abdominal bruit
B. A negative Babinski reflex
C. An elevated white blood cell count
D. None of the above
Select one:
A. An abdominal bruit
B. A negative Babinski reflex
C. An elevated white blood cell count
D. None of the above
982. The nurse is making assignments for the day. Which client should be assigned to the nursing assistant?
Select one:
A. The 18-year-old with a fracture to two cervical vertebrae
B. The infant with meningitis
C. The elderly client with a thyroidectomy 4 days ago
D. None of the above
Select one:
A. The 18-year-old with a fracture to two cervical vertebrae
B. The infant with meningitis
C. The elderly client with a thyroidectomy 4 days ago
D. None of the above
983. An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
Select one:
A. 21 pounds
B. 12 pounds
C. 18 pounds
D. None of the above
Select one:
A. 21 pounds
B. 12 pounds
C. 18 pounds
D. None of the above
984.
The client is admitted to the unit after a motor vehicle accident with a
temperature of 102°F rectally. The nurse is aware that the most likely
explanation for the elevated temperature is:
Select one:
A. There was damage to the hypothalamus.
B. He will require a cooling blanket to decrease the temperature.
C. He has an infection from the abrasions to the head and face.
D. None of the above
Select one:
A. There was damage to the hypothalamus.
B. He will require a cooling blanket to decrease the temperature.
C. He has an infection from the abrasions to the head and face.
D. None of the above
985.
The client is admitted to the emergency room with shortness of breath,
anxiety, and tachycardia. His ECG reveals atrial fibrillation with a
ventricular response rate of 130 beats per minute. The doctor orders
quinidine sulfate. While he is receiving quinidine, the nurse should
monitor his ECG for:
Select one:
A. Prolonged QT interval
B. Elevated ST segment
C. Peaked P wave
D. None of the above
Select one:
A. Prolonged QT interval
B. Elevated ST segment
C. Peaked P wave
D. None of the above
986.
The nurse is assisting the RN with discharge instructions for a client
with an implantable defibrillator. What discharge instruction is
essential?
Select one:
A. “You should use your cellphone on your right side.”
B. “You will not be able to fly on a commercial airliner with the defibrillator in place.”
C. “You should avoid moving the shoulder on the side of the pacemaker site for 6 weeks.”
D. None of the above
Select one:
A. “You should use your cellphone on your right side.”
B. “You will not be able to fly on a commercial airliner with the defibrillator in place.”
C. “You should avoid moving the shoulder on the side of the pacemaker site for 6 weeks.”
D. None of the above
987. Muscle weakness might occur when beginning the treatment but is not an adverse effect; thus, answer C is incorrect.
Select one:
A. Muscle weakness
B. Persistent cough
C. Tinnitus
D. None of the above
Select one:
A. Muscle weakness
B. Persistent cough
C. Tinnitus
D. None of the above
988. A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?
Select one:
A. A client with a fractured femur in a long leg cast
B. A client with AIDS being treated with Foscarnet
C. A client with laryngeal cancer with a laryngetomy
D. None of the above
Select one:
A. A client with a fractured femur in a long leg cast
B. A client with AIDS being treated with Foscarnet
C. A client with laryngeal cancer with a laryngetomy
D. None of the above
989.
The nurse is assisting in the care of a patient who is 2 days
post-operative from a hemorroidectomy. The nurse would be correct in
instructing the patient to:
Select one:
A. Avoid a high-fiber diet because this can hasten the healing time
B. Use a sitz bath after each bowel movement to promote cleanliness and comfort
C. Take 200mg of Colace bid to prevent constipation
D. None of the above
Select one:
A. Avoid a high-fiber diet because this can hasten the healing time
B. Use a sitz bath after each bowel movement to promote cleanliness and comfort
C. Take 200mg of Colace bid to prevent constipation
D. None of the above
990.
A client with glomerulonephritis is placed on a low-sodium diet. Which
of the following snacks is suitable for the client with sodium
restriction?
Select one:
A. Peanut butter cookies
B. Fresh peach
C. Cottage cheese and fruit
D. None of the above
Select one:
A. Peanut butter cookies
B. Fresh peach
C. Cottage cheese and fruit
D. None of the above
991. Which action by the novice nurse indicates a need for further teaching?
Select one:
A. The nurse fails to wear gloves to remove a dressing.
B. The nurse places the extremity in a dependent position to acquire a peripheral blood sample.
C. The nurse elevates the head of the bed to check the blood pressure
D. None of the above
Select one:
A. The nurse fails to wear gloves to remove a dressing.
B. The nurse places the extremity in a dependent position to acquire a peripheral blood sample.
C. The nurse elevates the head of the bed to check the blood pressure
D. None of the above
992.
A client in the cardiac step-down unit requires suctioning for excess
mucous secretions. The nurse should be most careful to monitor the
client for which dysrhythmia during this procedure?
Select one:
A. Bradycardia
B. Tachycardia
C. Premature ventricular beats
D. None of the above
Select one:
A. Bradycardia
B. Tachycardia
C. Premature ventricular beats
D. None of the above
993. The nurse has just received a change-of-shift report. Which client should the nurse assess first?
Select one:
A. A client with pneumonia with an oral temperature of 102°F
B. A client 2 hours post-lobectomy with 150ccs drainage
C. A client 2 days post-gastrectomy with scant drainage
D. None of the above
Select one:
A. A client with pneumonia with an oral temperature of 102°F
B. A client 2 hours post-lobectomy with 150ccs drainage
C. A client 2 days post-gastrectomy with scant drainage
D. None of the above
994. The nurse is taking the blood pressure of an obese client. If the blood pressure cuff is too small, the results will be:
Select one:
A. A false low reading
B. A false elevation
C. A blood pressure reading that is correct
D. None of the above
Select one:
A. A false low reading
B. A false elevation
C. A blood pressure reading that is correct
D. None of the above
995.
A client has been diagnosed of rectal cancer and is scheduled for an
abdominal perineal resection. What should be the priority nursing care
during the post-op period?
Select one:
A. Facilitating perineal wound drainage
B. Teaching how to irrigate the illeostomy
C. Stopping electrolyte loss in the incisional area
D. None of the above
Select one:
A. Facilitating perineal wound drainage
B. Teaching how to irrigate the illeostomy
C. Stopping electrolyte loss in the incisional area
D. None of the above
996. The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:
Select one:
A. In 30–60 minutes
B. In 10–20 minutes
C. In 5–10 minutes
D. None of the above
Select one:
A. In 30–60 minutes
B. In 10–20 minutes
C. In 5–10 minutes
D. None of the above
997.
The nurse is caring for Akwasi Adjei, a client with epilepsy who is
being treated with carbamazepine (Tegretol). Which laboratory value
might indicate a serious side effect of this drug?
Select one:
A. Hematocrit of 33%
B. Uric acid of 5mg/dL
C. WBC 2,000 per cubic millimeter
D. None of the above
Select one:
A. Hematocrit of 33%
B. Uric acid of 5mg/dL
C. WBC 2,000 per cubic millimeter
D. None of the above
998. A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?
Select one:
A. Cardiac monitoring
B. Blood pressure every 15 minutes
C. Insertion of a Levine tube
D. None of the above
Select one:
A. Cardiac monitoring
B. Blood pressure every 15 minutes
C. Insertion of a Levine tube
D. None of the above
999.
The nurse is obtaining a history of an 80-year-old client. Which
statement made by the client might indicate a possible fluid and
electrolyte imbalance?
Select one:
A. “I have always liked to drink a lot of ice tea.”
B. “My skin is always so dry.”
C. “I often use a laxative for constipation.”
D. None of the above
Select one:
A. “I have always liked to drink a lot of ice tea.”
B. “My skin is always so dry.”
C. “I often use a laxative for constipation.”
D. None of the above
1000.
The client is scheduled for a Tensilon test to check for Myasthenia
Gravis. Which medication should be kept available during the test?
Select one:
A. Promethazine
B. Furosemide
C. Atropine sulfate
D. None of the above
Select one:
A. Promethazine
B. Furosemide
C. Atropine sulfate
D. None of the above
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