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PRACTICE QUESTION

1. A patient who is prescribed oral cyclosporine (a) Photodynamic therapy

should be advised to avoid: (b) Cryosurgery
(a) Meat (c) Gamma Knife surgery
(b) Eggs (d) Robotic surgery
(c) Grapefruit Juice 10. The Lung Volume / Capacity that does not
(d) Green Leafy Vegetables change with pulmonary disease is:
2. A 40 year old patient is admitted with crushing (a) Vital capacity
chest pain and an Electrocardiogram (ECG) (b) Total lung capacity
showing Acute Myocardial Infarction. He is pale, (c) Tidal volume
has Blood Pressure of 90/60 mm Hg, irregular (d) Inspiratory capacity
pulse of 120 beats per minute, respiratory rate 11. As a precautionary measure, you will perform
28/minute. The correct statement regarding the following test before taking a sample for
nursing care plans is: arterial blood gas analysis:
(a) Nursing Diagnosis: Acute Myocardial (a) Homan’s test (b) Allen’s test
Infarction with Shock (c) Aedeson test (d) Trendelenberg’s
(b) Nursing Diagnosis: Chest pain with test
complications, under evaluation 12. The device that can deliver oxygen at
(c) Long Term Goal: ECG will be normal at concentrations of 90-100% is the:
the time of discharge (a) Venturi mask
(d) Short Term Goal: Within 24 hours patient (b) Partial rebreathing mask
will state that pain has decreased (c) Non-rebreathing mask
3. An example of an aerobic exercise is: (d) Nasal cannula
(a) Running 100 metres at a fast pace 13. The goal of pursed lip breathing exercise is to:
(b) Jogging slowly for 2 kilometers (a) Prevent aspiration pneumonia
(c) Lifting 50 kg weights 10 times (b) Strengthen the diaphragm
(d) Doing yoga by taking deep and slow (c) Loosen the bronchial secretions
breaths, from alternate nostrils (d) Reduce the amount of trapped air
4. The osmolality of 0.45% Sodium Chloride 14. While performing endotracheal suction in an
(NaCl) is: adult, you will ensure that you:
(a) 154 mOsm/L (b) 278 mOsm/L (a) Apply suction for at least 20-30 seconds
(c) 308 mOsm/L (d) 512 mOsm/L at a time
5. The suture material that is both absorbable and (b) Apply suction for only 10-15 seconds at a
synthetic is: time
(a) Polyamide (b) Polypropylene (c) Set the wall-unit suction pressure at 40-60
(c) Polyglycolic acid (d) Chromic catgut mm Hg for adequate suctioning
6. You identify that a poly-trauma patient has (d) Set the wall-unit suction pressure at 180-
gone into Acute Respiratory Distress 200 mm Hg for adequate suctioning
Syndrome when: 15. A patient admitted in the emergency is having
(a) He develops pallor and cyanosis tachypnoea with a respiratory rate of 28
(b) You hear crackling sounds over the chest breaths per minute. The likely diagnosis is:
on auscultation (a) Narcotic overdose
(c) His respiratory rate goes up from 18/ (b) Raised intracranial pressure
minute to 30 / minute (c) Pneumonia
(d) His blood pressure falls from 140/80 (d) Brain injury
mmHg to 90/60 mmHg 16. On auscultation of a breathless patient you
7. The volume of air normally inhaled and exhaled hear “crackling sounds” at the lung bases. The
with each regular breath is called: most likely diagnosis is:
(a) Vital capacity (a) Pneumothorax (b) Pulmonary
(b) Tidal volume oedema
(c) Timed vital capacity (c) Bronchial asthma (d) Emphysema
(d) Anatomical dead space 17. A patient having a pneumothorax is being
8. A Guedel airway is a: treated with a chest tube and underwater seal
(a) Nasopharyngeal airway drain. The water level in the drain is oscillating
(b) Tracheostomy tube rhythmically with respiration and there is
(c) Oropharyngeal airway intermittent bubbling. This means that:
(d) Laryngeal mask airway (a) The tube is patent and the lung has fully
9. The process of precisely destroying cancer expanded
tissue in the brain by using radiation is called

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(b) The tube is patent but the lung has not (b) Pneumonia in an elderly smoker who
fully expanded needs chest physiotherapy
(c) The tube is blocked and the lung has (c) Acute Chest Infection with weakness of
expanded chest muscles
(d) The tube is displaced and there is surgical (d) Ineffective airway clearance related to
emphysema effects to pneumonia
18. The Arterial Blood Gas that is most suggestive 25. A patient passes urine as given in the
of respiratory acidosis is: sequence: Tuesday 8 AM 200 ml, 12 noon 250
(a) pH 7.3, CO2 50 mmHg m, 3 PM 300 ml, 6 PM 300 ml, 9 PM 250 ml,
(b) pH 7.5, CO2 20 mmHg Wednesday 3 AM 200 ml, 8 AM 300 ml. The 24
(c) pH 7.3, HCO3 12 mmol/L hour 8 AM to 8 AM collection of urine for
(d) pH 7.5, HCO3 30 mmol/L laboratory evaluation is quantified to be:
19. A Coronary Artery Disease patient in the (a) 1350 ml (b) 1500 ml
Cardiac Care Unit complains of sudden onset (c) 1600 ml (d) 1800 ml
of breathlessness. Blood pressure is 160/90 26. The bandage that is applied over an amputated
mmHg. The first nursing action you will perform knee stump while in preparation for a
is: prosthesis is usually a:
(a) Administer intravenous morphine to (a) Spiral bandage
reduce anxiety (b) Figure of eight bandage
(b) Prop up the patient in high-Fowler position (c) Recurrent bandage
(c) Send an arterial blood gas sample (d) Circular bandage
(d) Call the Intensive Care Unit for availability 27. A patient presents to the emergency with a
of a ventilator history of multiple bee stings and a blood
20. A fire breaks out in your ward. The first action pressure of 80/50 mm Hg. He is having:
you take is: (a) Hypovolemic shock
(a) Call 101 Fire Brigade (b) Spinal Shock
(b) Shut off the oxygen supply (c) Hemorrhagic shock
(c) Do use the fire with the fire extinguisher (d) Anaphylactic shock
(d) Evacuate the patients from the ward 28. The patient in the gastroenterology ward is on
21. While checking the blood pressure in the upper nasogastric tube with continuous low pressure
limb of a patient with a sphygmomanometer, suction. The acid base disorder you anticipate
you observe that she has developed carpal in this setting is
spasm. The most likely cause is: (a) Metabolic acidosis
(a) Hypokalemia (b) Hyponatremia (b) Metabolic alkalosis
(c) Hypocalcemia (d) (c) Respiratory acidosis
Hyperphosphatemia (d) Respiratory alkalosis
22. The following statement is true regarding
transfusion of blood to a hemodynamically
stable adult patient:
(a) 150 ml should be transfused in the first 15
minutes
(b) Blood should be administered slowly and
completed not before 6 hours
(c) The transfusion should be completed
within 4 hours
(d) The unit of blood should be warmed at the
bedside for one hour before starting
transfusion
23. The initial energy selection for defibrillation in
pulseless ventricular tachycardia for a :
(a) Monophasic defibrillator is 32 J
(b) Biphasic defibrillator is 16 J
(c) Monophasic defibrillator is 100 J
(d) Biphasic defibrillator is 150 J
24. In a 78 year old smoker with streptococcal
pneumonia and difficulty in coughing out
secretions, the nursing diagnosis is:
(a) Community Acquired Pneumonia with
cough

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ANSWERS
1 C 26 B
2 D 27 D
3 B 28 B
4 A
5 C
6 C
7 B
8 C
9 C
10 B
11 B
12 C
13 D
14 B
15 C
16 B
17 B
18 A
19 B
20 A
21 C
22 C
23 D
24 D
25 C

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