RAJIV GANDHI COLLEGE OF NURSING

BSC NURSING 2ND YEAR

MEDICAL SURGICAL NURSING
Question The main goal of treatment for acute glomerulonephritis is to:

Type multiple_choice
Option encourage activity incorrect
Option encourage high protein intake incorrect
Option maintain fluid balance correct
Option Teach intermittent urinary incorrect
catheterization
Solution maintain fluid balance
Marks 2 0.5

Question 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 correct
abdomen
Option Perineal edema incorrect
Option Urethral discharge incorrect
Solution Distention of the lower abdomen
Marks 2 0.5

Question What is the other name of gas gangrene?

Type multiple_choice
Option Candidiasis incorrect
Option Diabetic foot incorrect
Option Septicemia incorrect
Option Clostridial myositis correct
Solution Clostridial myositis
Marks 2 0.5

Question Meenu 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 Large amount of citrated blood given over a short period of time causes?

Type multiple_choice
Option Hypercalcemia incorrect
Option Hyponatremia incorrect
Option Hypocalcemia correct
Option Hyperkalemia incorrect
Solution Hypocalcemia
Marks 2 0.5

Question The term stenosis is used for:

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

Question Nurse Komal 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 Which type of shock occurs due to failure of the heart to pump?

Type multiple_choice
Option Hypovolemic incorrect
Option Neurogenic incorrect
Option Septic incorrect
Option Cardiogenic correct
Solution Cardiogenic
Marks 2 0.5

Question Nurse Bhawana 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 Transplant rejection is an example of?

Type multiple_choice
Option Type 1 hypersensitivity incorrect
Option Type 4 hypersensitivity correct
Option Type 3 hypersensitivity incorrect
Option Type 2 hypersensitivity incorrect
Solution Type 4 hypersensitivity
Marks 2 0.5

Question Pancreatitis is the inflammation of the pancreas that is characterized by recurring

or persistent abdominal pain with or without steatorrhea. A nurse is providing
dietary information to a client with pancreatitis. All of the following food should
be avoided by the client, except:
Type multiple_choice
Option Tea incorrect
Option Nuts correct
Option Coffee incorrect
Option Spicy foods incorrect
Solution Nuts
Marks 2 0.5

Question 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 Diabetic Mellitus is a disorder in which blood sugar levels are abnormally high
because the body does not produce enough insulin to meet its needs. Discharge
plan of diabetic clients includes insulin injection site-rotation. You should
emphasize that the space between sites should be:
Type multiple_choice
Option 2.5 cm correct
Option 1.5 cm incorrect
Option 3.5 cm incorrect
Option 4.5 cm incorrect
Solution 2.5
Marks 2 0.5

Question Nurse Chanchal 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 Rinu 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 A nurse is caring for a client with type 1 diabetes mellitus. Because the client is at
risk for hypoglycemia, the nurse teaches the client which of the following?
Type multiple_choice
Option Glucose tablets and correct
subcutaneous glucagon should
be made available.
Option If the client is exercising, the incorrect
 evening dose of NPH insulin can
be discontinued.
Option Urine should be monitored for incorrect
presence of acetone.
Option Assess for signs of coma and incorrect
drowsiness
Solution Glucose tablets and subcutaneous glucagon should be made available.
Assess for signs of coma and drowsiness.
Marks 2 0.5

Question Which of the following is the liver function test

Type multiple_choice
Option Serum concentration of incorrect
protein
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 Surgical operations in which an opening is made through the abdominal wall to
enable discharge of waste in to the ileum to enable discharge of waste without
passing through the colon is?
Type multiple_choice
Option Ileostomy correct
Option Arthroscopy incorrect
Option Gastroscopy incorrect
Option Vasectomy incorrect
Solution Ileostomy
Marks 2 0.5

Question Nurse Ragini 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 incorrect
regions
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 Fatty liver syndrome is due to the excessive intake of-

Type multiple_choice
Option Morphine incorrect
Option Alcohol correct
Option Tobacco incorrect
Option Both b and c incorrect
Solution Alcohol
Marks 2 0.5

Question Which of the following is the most prevalent risk factor in the development of
C.A.U.T.I?
Type multiple_choice
Option Female gender incorrect
Option Increasing age incorrect
Option Prolonged catheterization correct
Option Bowel sounds incorrect
Solution Catheter-care violation
Marks 2 0.5

Question Which of the following complications associated with tracheostomy tube?

Type multiple_choice
Option Increased cardiac output incorrect
Option Acute respiratory distress incorrect
syndrome (ARDS)
Option Increased blood pressure incorrect
Option Damage to laryngeal nerves correct
Solution Damage to laryngeal nerves
Marks 2 0.5

Question A client has undergone laryngectomy. The immediate nursing priority would be:

Type multiple_choice
Option Keep trachea free of secretions correct
Option Monitor for signs of infection incorrect
Option Provide emotional support incorrect
Option Promote means of communication incorrect
Solution Keep trachea free of secretions
Marks 2 0.5
Question Enthioven's triangle related to which of the following:

Type multiple_choice
Option CT scan incorrect
Option ECG correct
Option ECHO incorrect
Option MRI incorrect
Solution ECG
Marks 2 0.5

Question Trousseau;s sign associated with which electrolyte imbalance

Type multiple_choice
Option Hypokalemia incorrect
Option Hypocalcemia correct
Option Hypernatremia incorrect
Option hyponatremia incorrect
Solution Hypocalcemia
Marks 2 0.5

Question Ideal position to prevent aspiration during Ryle’s tube feeding is?

Type multiple_choice
Option Side lying position incorrect
Option Head end 30 degree elevated correct
Option Supine position incorrect
Option Sitting position incorrect
Solution Head end 30 degree elevated
Marks 2 0.5

Question Projectile vomitting is a feature of:

Type multiple_choice
Option Appendicitis incorrect
Option Congenital megacolon incorrect
Option pyloric stenosis correct
Option duodnal atresia incorrect
Solution pyloric stenosis
Marks 2 0.5

Question There are a number of risk factors associated with coronary artery disease. Which
of the following is a modifiable risk factor?
Type multiple_choice
Option Obesity incorrect
Option Heredity correct
Option Gender incorrect
Option Age incorrect
Solution Heredity
Marks 2 0.5

Question After a thoracentesis, observe the client for:

Type multiple_choice
Option periods of confusion incorrect
Option expectoration of blood correct
Option increased breath sounds incorrect
Option decreased respiratory rate incorrect
Solution expectoration of blood
Marks 2 0.5

Question A patient admitted to the hospital with myocardial infarction develops severe
pulmonary edema. Which of the following symptoms should the nurse expect the
patient to exhibit?
Type multiple_choice
Option Slow, deep respirations incorrect
Option Stridor incorrect
Option Bradycardia incorrect
Option Air hunger correct
Solution Air hunger
Marks 2 0.5

Question Compression - Ventilation ratio during CPR on an adult victim is-

Type multiple_choice
Option 5:1 incorrect
Option 15:2 incorrect
Option 30:1 incorrect
Option 30:2 correct
Solution 30:2
Marks 2 0.5

Question A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the
following is the most likely route of transmission?
Type multiple_choice
Option Sexual contact with an infected incorrect
 partner
Option Contaminated food correct
Option Blood transfusion incorrect
Option Illegal drug use incorrect
Solution Contaminated food
Marks 2 0.5

Question A patient is admitted to the hospital with a diagnosis of primary

hyperparathyroidism. A nurse checking the patient’s lab results would expect
which of the following changes in laboratory findings?
Type multiple_choice
Option Elevated serum calcium. correct
Option Low serum parathyroid hormone incorrect
(PTH).
Option Elevated serum vitamin D. incorrect
Option Low urine calcium incorrect
Solution Elevated serum calcium.
Marks 2 0.5

Question The most common, preventable complication of abdominal surgery is:

Type multiple_choice
Option atelectasis correct
Option fluid and electrolyte imbalance. incorrect
Option thrombophlebitis incorrect
Option urinary retention incorrect
Solution Atelectasis
Marks 2 0.5

Question What is the complication of liver biopsy

Type multiple_choice
Option Appendicitis incorrect
Option Bleeding correct
Option Laryngitis incorrect
Option Pain incorrect
Solution Bleeding
Marks 2 0.5

Question A client with a fractured hip is being taught correct use of the walker. The nurse
is aware that the correct use of the walker is achieved if the:
Type multiple_choice
Option Palms rest lightly on the correct
 handles
Option Elbows are flexed 0° incorrect
Option Client walks to the front of the incorrect
walker
Option Client carries the walker incorrect
Solution Palms rest lightly on the handles
Marks 2 0.5

Question The nurse is aware that the best way to prevent postoperative wound infection in
the surgical client is to:
Type multiple_choice
Option Administer a prescribed incorrect
antibiotic
Option Wash her hands for 2 minutes correct
before care
Option Wear a mask when providing care incorrect
Option Ask the client to cover her mouth incorrect
when she coughs
Solution Wash her hands for 2 minutes before care
Marks 2 0.5

Question The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis
is most likely related to:
Type multiple_choice
Option Lack of exercise incorrect
Option Hormonal disturbances correct
Option Lack of calcium incorrect
Option Genetic predisposition incorrect
Solution Hormonal disturbances
Marks 2 0.5

Question The client is admitted with left-sided congestive heart failure. In assessing the
client for edema, the nurs
Type multiple_choice
Option Feet incorrect
Option Neck correct
Option Hands incorrect
Option Sacrum incorrect
Solution Neck
Marks 2 0.25