RAJIV GANDHI COLLEGE OF NURSING

CLASS B.SC NURSING II ND YEAR

SUBJECT-MEDICAL SURGICAL NURSING-II

Question 1 Total cessation of breathing is

Type multiple –choice
Option Tachypnea incorrect
Option Bradypnea incorrect
Option Apnoea correct
Option Orthopnea incorrect
Solution Apnoea
Marks 2 0.5

Question 2 Which of the following is common in Hyperthyroidisms

Type multiple choice
Option Cushing syndrome incorrect
Option Addison’s disease incorrect
Option Grave’s disease incorrect
Option Hashimoto’s disease incorrect
Solution
Marks 2 0.5

Question 3 Mr. Raja 49 years old is suffering from hemmorhoids. He asks the nurse
about the cause of disease. The nurse explains that generally it occurs due
to
Type multiple choice
Option Hypertension incorrect
Option Diarrhea incorrect
Option Constipation correct
Option Diabetes mellitus incorrect
Solution Constipation
Marks 2 0.5

Question 4 Urea breath test detects which bacteria

Type multiple choice
Option Cornybacteria Incorrect
Option Mycobacteria Incorrect
Option Helicobacter Correct
Option Clostridium Incorrect
Solution Helicobacter
Marks 2 0.5
Question 5 Cullen’s sign is
Type multiple choice
Option Discoloration of eye Incorrect
Option Discoloration of abdomen Correct
Option Discoloration of flank Incorrect
Option Discoloration of hands Incorrect
Solution Discoloration of abdomen
Marks 2 0.5

Question 6 Nurse Maureen knows that the positive diagnosis of HIV infection is made
based on which of the following:
Type multiple choice
Option A history of high-risk sexual behaviors. incorrect
Option Positive ELISA and western blot tests correct
Option Identification of an associated incorrect
opportunistic infection
Option Evidence of extreme weight loss and high incorrect
fever
Solution Positive ELISA and western blot tests
Marks 2 0.5

Question 7 In Asthma …………type of respiration is common

Type multiple choice
Option Wheeze Correct
Option Air hunger Incorrect
Option Sigh Incorrect
Option Rate Incorrect
Solution Wheeze
Marks 2 0.5

Question 8 Rahul who was diagnosed with uremic syndrome has the potential to
develop complications. Which among the following complications should
the nurse anticipates:
Type multiple choice
Option Flapping hand tremors correct
Option An elevated hematocrit level incorrect
Option Hypotension incorrect
Option Hypokalemia incorrect
Solution Flapping hand tremors
Marks 2 0.5
Question 9 Mr.Vihan 30 year old is suffering from Gastric ulcer. He is treated with
gasterotomy. Which complication may arise in patient after his surgery
Type multiple choice
Option Dumping syndrome Correct
Option Reoccurrence of the problem Incorrect
Option Intestinal obstruction Incorrect
Option Colon cancer Incorrect
Solution Dumping syndrome
Marks 2 0.5

Question 10 A client is admitted to the hospital with benign prostatic hyperplasia, the
nurse most relevant assessment would be:
Type multiple choice
Option Flank pain radiating in the groin incorrect
Option Distention of the lower abdomen correct
Option Perineal edema incorrect
Option Urethral discharge incorrect
Solution Distention of the lower abdomen
Marks 2 0.5

Question 11 A patient is on ventilator his ABG analysis shows PH 7.5, decrease paco2
and normal pao2. The nurse understands that the diagnosis of patient is.
Type multiple choice
Option Respiratory acidosis Incorrect
Option Respiratory alkalosis Correct
Option Metabolic alkalosis Incorrect
Option Metabolic acidosis Incorrect
Solution Respiratory alkalosis
Marks 2 0.5

Question 12 Protusion of intestine through a weakened area in the abdominal muscle

or wall is termed as
Type multiple choice
Option Volvulus incorrect
Option Tumor incorrect
Option Hernia correct
Option None of the above incorrect
Solution Hernia
Marks 2 0.5

Question 13 Water hammer pulse is seen in

Type multiple choice
Option Aortic regurgitation Correct
Option Digitalis toxicity Incorrect
Option Myocardial infarction Incorrect
Option Heart block Incorrect
Solution Aortic regurgitation
Marks 2 0.5

Question 14 A client has undergone with penile implant. After 24 hrs of surgery, the
client’s scrotum was edematous and painful. The nurse should:
Type multiple choice
Option Assist the client with sitz bath incorrect
Option Apply war soaks into the scrotum incorrect
Option Elevate the scrotum using a soft support correct
Option Prepare for a possible incision and incorrect
drainage
Solution Elevate the scrotum using a soft support
Marks 2 0.5

Question 15 Lack of oxygen in the tissue is

Type multiple choice
Option Anoxia correct
Option Dyspnea Incorrect
Option Anoxemia Incorrect
Option Asphaxia Incorrect
Solution Anoxia
Marks 2 0.5

Question 16 The term stenosis is used for:

Type multiple choice
Option Junction of 2 vessels incorrect
Option Narrowing or constriction of a vessel correct
Option Dilation of artery incorrect
Option Both b and c incorrect
Solution Narrowing or constriction of a vessel
Marks 2 0.5

Question 17 Commonest graft used in CABG

Type multiple choice
Option Saphenous vein Incorrect
Option Internal mammary artery Incorrect
Option Both Correct
Option None Incorrect
Solution Both
Marks 2 0.5
Question 18 Nurse Hazel receives emergency laboratory results for a client with chest
pain and immediately informs the physician. An increased myoglobin level
suggests which of the following?
Type multiple choice
Option Liver disease incorrect
Option Myocardial damage correct
Option Hypertension incorrect
Option Cancer incorrect
Solution Myocardial damage
Marks 2 0.5

Question 19 Mr. Ashok, a 45 year old is diagnosed as Myocardial infarction and being
given thrombolytic drugs such as streptokinase. What is the action of
these drug
Type multiple choice
Option Relieve chest pain Incorrect
Option Decrease ventricular irritability Incorrect
Option Improve blood supply Incorrect
Option Re- establishment of blood flow by Correct
dissolving thrombus
Solution Re- establishment of blood flow by dissolving thrombus
Marks 2 0.5

Question 20 Inflammation of stomach is known as

Type multiple choice
Option Appendicitis Incorrect
Option Stomatitis Incorrect
Option Gingivitis Incorrect
Option Gastritis Correct
Solution Gastritis
Marks 2 0.5

Question 21 An old patient is admitted in hospital with increased intracranial

pressure. Following nursing care should be provided to the patient except
-
Type multiple choice
Option Avoid extreme flexion of the neck Incorrect
Option Encourage hip flexion to an extreme level Correct
Option Patient ’s head should be kept in neutral Incorrect
position
Option Administer mannitol Incorrect
Solution Encourage hip flexion to an extreme level
Marks 2 0.5

Question 22 Nurse Maureen would expect a client with mitral stenosis would
demonstrate symptoms associated with congestion in the:
Type multiple choice
Option Right atrium incorrect
Option Superior vena cava incorrect
Option Aorta incorrect
Option Pulmonary correct
Solution Pulmonary
Marks 2 0.5

Question 23 Emboli due to DVT (deep vein thrombosis) goes to -

Type multiple choice
Option brain Incorrect
Option lung Correct
Option liver Incorrect
Option spleen Incorrect
Solution Lung
Marks 2 0.5

Question 24 Nurse Kael teaches the client with angina about common expected side
effects of nitroglycerin including:
Type multiple choice
Option High blood pressure incorrect
Option Stomach cramps incorrect
Option headache correct
Option weakness incorrect
Solution Headache
Marks 2 0.5

Question 25 The amount of blood ejected from the ventricle per heart beat is termed
as
Type multiple choice
Option Systolic volume incorrect
Option Stroke volume correct
Option Diastolic volume incorrect
Option Both A and B incorrect
Solution Stroke volume
Marks 2 0.5

Question 26 The physiological state in which there is inadequate blood flow to tissues
and cells of the body is known as
Type multiple choice
Option Shock correct
Option Allergy incorrect
Option Stroke incorrect
Option None of the above incorrect
Solution Shock
Marks 2 0.5

Question 27 Which of the following is the liver function test

Type multiple choice
Option Serum concentration of protein incorrect
Option pigment studies incorrect
Option SGPT and SGOT incorrect
Option All of the above correct
Solution All of the above
Marks 2 0.5

Question 28 Which of the following findings is the best indication that fluid
replacement for the client with hypovolemic shock is adequate?
Type multiple choice
Option Urine output greater than 30ml/hr correct
Option Respiratory rate of 21 breaths/minute incorrect
Option Diastolic blood pressure greater than 90 incorrect
mmHg
Option Systolic blood pressure greater than 110 incorrect
mmHg
Solution Urine output greater than 30ml/hr
Marks 2 0.5

Question 29 kima is scheduled for elective splenectomy. Before the client goes to
surgery, the nurse in charge final assessment would be:
Type multiple choice
Option Signed consent incorrect
Option Vital sign correct
Option name band incorrect
Option empty bladders incorrect
Solution Vital sign
Marks 2 0.5

Question 30 Nurse Katrina would recognize that the demonstration of crutch walking
with tripod gait was understood when the client places weight on the:
Type multiple choice
Option Palms of the hands and axillary regions incorrect
Option Palms of the hand correct
Option Axillary regions incorrect
Option Feet, which are set apart incorrect
Solution Palms of the hand
Marks 2 0.5

Question 31 Haren has been diagnosed with aplastic anemia. The nurse monitors for
changes in which of the following physiologic functions?
Type multiple choice
Option Bowel function incorrect
Option Peripheral sensation incorrect
Option Bleeding tendencies correct
Option Intake and output incorrect
Solution Bleeding tendencies
Marks 2 0.5

Question 32 Normal Tidal volume is-

Type multiple choice
Option 100ml incorrect
Option 200ml incorrect
Option 500ml correct
Option 800ml incorrect
Solution 500 ml
Marks 2 0.5

Question 33 A male client has undergone spinal surgery, the nurse should:
Type multiple choice
Option Observe the client’s bowel movement and incorrect
voiding patterns
Option Log-roll the client to prone position incorrect
Option Assess the client’s feet for sensation and correct
circulation
Option Encourage client to drink plenty of fluids incorrect
Solution Assess the client’s feet for sensation and circulation
Marks 2 0.5

Question 34 Nurse Josie should instruct the client to eat which of the following foods
to obtain the best supply of Vitamin B12?
Type multiple choice
Option Dairy products correct
Option vegetables incorrect
Option Grains incorrect
Option Broccoli incorrect
Solution Dairy products
Marks 2 0.5

Question 35 Saw tooth appearance is ECG indicates

Type multiple choice
Option Atrial flutter correct
Option Atrial fibrillation incorrect
Option Ventricullar fibrillation incorrect
Option Sinus tachycardia incorrect
Solution Atrial flutter
Marks 2 0.5

Question 36 Beck’s triad seen in

Type multiple choice
Option Endocarditis incorrect
Option Cardiac tamponade correct
Option Myocarditis incorrect
Option Valvular heart disease incorrect
Solution Cardiac tamponade
Marks 2 0.5

Question 37 Which is the assessment finding of endocarditis

Type multiple choice
Option Osler node incorrect
Option Petachie incorrect
Option Janeway lesion incorrect
Option All of the above correct
Solution All of the above
Marks 2 0.5

Question 38 The following are lipid abnormalities. Which of the following is a risk
factor for the development of atherosclerosis and PVD?
Type multiple choice
Option High levels of low-density lipid (LDL) correct
cholesterol
Option High levels of high-density lipid (HDL) incorrect
cholesterol
Option Low concentration triglycerides incorrect
Option Low levels of LDL cholesterol incorrect
Solution High levels of low-density lipid (LDL) cholesterol
Marks 2 0.25