Professional Documents
Culture Documents
1. If the patient had duodenum metastatic cancer to duodenum and pancreas and not
affected to other body parts. Which level you will be assessed —-increased blood
sugar level. RECENT DHA QUESTIONS –NOVEMEBR -2108:
2. Over infusion of IV fluid to pneumonia patient what you will assess—skin colour, nail
bed, edema,—— respiratory distress(crackles).
3. Potassium level 2.5. Plan for surgery . what option you will choose—Inform
doctor(hypokalemia).
4. Patient is planning for abdominal surgery. which regular medicine you will ask
patient to stop –warfarin
5. Prothrombin level10.5-before surgery –what option you will take –precaution from
bleeding, inform doctor, continue assessment ———normal level(continue
assessment)
6. Pneumonia patient –cough, green sputum –which assessment sounds –broncial ,
tympanic, bloating, abdominal bloating.—- tympanic
7. Burn in upper neck, face, and arms –which arterial pulse you can check—
femoral pulse.
8. Patient with jugular vein distension, breathing difficulty—hypoxia, edema, myocardial
infection,……..Right ventricular failure
9. Patient with hair on face , arms ,acne—which hormone level will increase—
cortisole
10. Yearly vaccine —flu vaccine-Infuenza.
11. If the patient is above 75 years old . what is the normal process at his age?—
decreased sexual process, bed rest 10 hours , urinary incontinence 81
years old. ——urinary incontinence 81 years old.
12. Baby screening . What assessment further you will assess or teaching—capillary,
babinski, papillary—Babinski response
13. Patient comes to you for medication for diabetic and hypertension. After 2 weeks
patient come to you .BP reading was high. What you will do?—Recheck BP.
14. Shortenss of breathing after having medication—–is it—side effect, adverse
reactions,…,… .—-Side effects
15. Narcan (naloxone) is the antidote for—-opiod analagesics
16. Post amputation above knee. You give pre op analgesic medication for
what?—decrease phantom limb pain.
17. Pictures for moro reflex, rooting reflexand sucking reflux-asked which
reflex.
Digoxin: As a cardiac glycoside action increase the ventricular contraction and decrease
heart rate. Therapeutic range 0.5 to 2ngm/ml. If the therapeutic range more than 2ngm/ml
–digoxin toxicity.Ionotropic .
Signs of digoxin toxicity: decreased heart rate, nausea, vomiting, halo ring vision(greenish
yellow circular around the light)
CROUP SYNDROME :
Should not give cough syrup or tablets because it causes thickening of sputum.
Child with tonsillitis and croup syndrome , the child may exibit tripod position
that the sign of airway obstruction should notify the physician
Have the client breath night cool air or air from an open freezer.
11. Post pleural effusion patient during physical examination which position –semi
fowlers position
12. Pulse volume scale
13. Right side CVA patient exercise—-
14. Parietal lobe function —temperature, touch, pain perception.
15. Medulla oblongata functions—respiration, heart rate, bp
16. Occulomotor—3rd cranial nerve—cause constriction of pupil.
17. Muscle ache due to vigorous exercise —-cause by lactic acid
18. Crutch—wearing weight on axillae can cause crutch palsy by pressure on the brachial
plexus , weight should be supported by the hands on the cross bars of the crutches.
19. Hemiplegia—paralysis of one side of the body.
20. Paraplegia—–paralysis of both lower extremities and lower tgrunk.
21. Paresis od upper and lower extremity—
22. 23 year old man sickle cell crisis pain score 10/10. Nursing diagnosis?—
23. Right breast biopsy before doing procedure , patient ask nurse what is the post op
complication?
24. Descending osteomy site diagram
25. Patient is know case of DM, complaints of lethargy, poor skin turgor, nausea,
vomiting , -nursing diagnosis?—
26. After 65 years , which vaccine one to give?—
27. New born apgar score—-
28. Vaginal surgery position—
29. A client experiences traumatic brain injury. Which finding identified by the nurse
indicate damage toupper motor neurons.—a. absent reflexes, b.flaccid paralysis, c.
trousers sign, d. babinski response —Answer- babinski response.
30. Multiple sclerosis patients –increased rsik for—
31. Parkinson patient most tremor when occurs—
32. Mechanical ventilation
33. Rombergs test-
34. Water intoxication syndrome
35. Define pulse pressure—difference between systolic and diastolic BP.
36. Growth and development-12 to 20 year old boy –psychological crisis
37. Toddler ——-co-operative play
38. Iron deficiency anemia , leukemia symptoms—
39. TOF (hypercyanotic/blue spell)which position—knee chest or quating position to
prevent right to left shunt.
40. Aortic aneurysm treatment?—surgical repair
41. Intake and output?—calculation
42. Patient complaints of break down of nose treatment?—
43. Deep vein thrombosis surgery?—
44. Patient complaints of severe abdominal pain . abdominal assessment perform order-
45. Patient having right arm fracture cast applied.Left lower arm transfusion going .
Patient complaints of pain . which site the IV line to be changed?—same hand upper
area.
46. Endoscopy which position— Left LateralPosition and Prone Position for Endoscopic
Retrograde Cholangiopancreatography..
47. A nurse is caring for an anxious , fearful client. Which client response indicate
sympathetic nervous system control—skin pallor.
48. Sigmoidoscopy complications—Perforation,bleeding and infection.
49. 20 year old boy Erickson stage –identity versus role confusion
1. Infancy-oral stage
2. Toddler-anal stage
3. Pre schooler-phalic stage
4. Schooler-latency stage
5. Adolescents-genital stage
50. Muscle dystrophy mostly after?– appears between the ages of 2 and 16but can
appear as late as age 25.
51. CVA patient-eating assistance by nurse—encourage client to participate in feeding
process.
52. Hemiparesis client reluctant to use cane. Nurse explains that cane will help to —-
maintain balance to improve stability.
53. CVA patient-position should be changed —- 1 to 2 hours interval
54. CVa patient –prevention of foot drop by—-
55. Left hemiplegia client—rehabilitation initiation by nurse—position the client to
prevent contractures.
56. CVA patient –hemiplegia—exxercise—passive range of motion exercise.
57. Right hemiplegia pt—nurse checking BP in right arm –Produces inaccurate readings.
58. Dysarthria—nursing care—effective communication
59. Emotional liability is associated with brain trauma-client often becomes
uncontrollably tearful.
60. Position for CVA patient initially—-lateral.(absence of gaga reflex is common after
CVA. To prevent aspiration Lateral position can be provided)
61. Coma patient –most clinical indicator—urinary incontinence.
62. Ruptured cerebral aneurysm –most clinical indicator—sudden severe headache.
63. Nursing action for a client who experience hemianopsia—place objects within the
visual field.
64. TIA (trans Ischemic Attack) –more chance to develop CVa with in 2-5 years.
65. Hydrocephalus 2weeks after cranial surgery for ruptured cerebral aneurysm-due to
what physiological response—blocked absorption of fluid from arachnoid space.
66. Head injury patient –nurseshould assess for increased ICP-which clinical indicator
should assess—slowing of heart rate
67. Therapeutic effect of mannitol—decrease ICP.
68. Before starting chemotherapy what to do?—monitor for hematological
parameter(blood counts).
69. A nurse should expect to identify loss of which ability when assessing an unconscious
patient—controlling elimination.
70. Epiglotitis nursing diagnosis—
71. Head trauma patient –nursing care—monitor client for signs of brain injury and
symptoms of increased ICP(headache,dizziness, visual disturbances, fever ,stupor,
decreased LOC).
72. Thermoregulation centre—-hypothalamus
73. Expressive aphasia nursing care—provide positive feedback when the client uses a
word correctly.
74. Patient had abdominoplasty , having drainage tube at right thigh. Which assessment
should be doen by nurse?
75. Patient vitals BP: 80/30, P.R-120?mt, R.R-20?mt. Abnormal vital signs— BP: 80/30
76. Urinary tract infection diet—Cranberry juice
77. TB patient , the nurse is explaining disease condition . Among the following reply
from patient—teaching is effective?
78. Child is having inguinal hernia —further instruction?–
79. After head trauma –client complaints of ringing ears—which cranial nerve is
affected—vestibulococchlear nerve(8th)
80. TB transmission-airborne
81. Injury to which part of brain during an accident –client will not survive—-medulla
oblongata.
82. Client with history of seizure posted for arteriogram –pt is on NPO-order of medicine
is oral anticonvulasant 1hour before procedure –what the nurse should do?—ask
health care provider if the drug can be given IV.
83. Cerebrum work?
Parts of Brain:
-Cerebrum-cerebellum-pons-diencephalon.
Cerebrum:
Diencephalon—hypothalamus—thermoregulation
SPINAL CORD:
Basilar artery:
2. Optic –vision
3. Occulomotor—movement of eye, movement of eyeball, elevation of upper eyelid ,
papillary constriction
ASSESSMENT OF PUPILS:
-pin point fixed pupils indicate pons damage , dry toxicity or poisoning
Assessment of temperature:
The elevated temperature increases the metabolic rate of the brain. Elevation in
temperature indicates dysfunction of hypothalamus.
Assessment of respiration:
1. Chyne stroke respiration –Rhythmic with periods of apneoa that indicates metabolic
dysfunction or dysfunction in the cerebral hemisphere or basal ganglia.
2. Neurogenic hyperventilation : —
3. Midbrain function?
4. Measles outbreak in community . where to inform?—primary health centre.
Measles(Rubeolla):
1L 24%
2L 28%+4each
3L 32%
4L 36%
5L 40%
6L 44%
method In L FiO2
NASAL CANNULA 1-6L/mt 24%-44%
Simple face mask 6-8L/mt Approx.56%-60%
NRM(deliver highest con of oxygen) 10-15L/mt 95_100%
Red-40%
Venture mask(accurate oxygen) 4-10L/mt Green -60%
A client is admitted post traumatic brain injury and multiple fractures. The clients
eye remains closed , and there is no evidence of verbalization or movement ,
when the nurse changes the position. What score on the Glasgow coma scale
should the nurse document —–answer:3.
PNEUMOTHORAX:
Pneumothorax:
C/M:
Sudden unilateral pleuritic chest pain, may be mild discomfort or sharp, that
increases on exertion, dyspnoea, anxiety , drowsiness, tachycardia, rapid,
shallow respirations, diaphoresis, progressive cyanosis.
Types:
Closed/sponatenous – No external wound due to rupture of pulmonary bleb(air
filled spaces) commonly seen in smokers.
Open pneumothorax-due to gun shoot injury or direct stab wound .Priority mgt:
cover with sterile gauze vented dressing.
Management :