BSN SECOND PROFESSIONAL

Adult Health Nursing (AHN I)

(MCQs)
Name:_____________

Max. Marks 15 Time Allowed 20 min

1. A patient with uncompensated cirrhosis is likely to exhibit increased abdominal girth

and pedal edema.
a. Fluid volume excess c. due to increase bilirubin level
b. Fat accumulation d. salt restoration
2. The patient being treated with diuretics for ascites from cirrhosis must be monitored
for?
a. GI bleeding d. Body image disturbances
b. Hypokalemia e. Increased clotting tendencies
3. A patient is admitted to the emergency department with acute abdominal pain. What
nursing intervention should the nurse implement first?

a. Measurement of vital signs

b. Administration of prescribed analgesics
c. Assessment of the onset, location, intensity, duration, and character of the pain
d. Physical assessment of the abdomen for distention and bowel sounds
4. What laboratory findings are expected in ulcerative colitis as a result of diarrhea and
vomiting?
a. Increased albumin c. electrolyte imbalance
b. Elevated white blood cells (WBCs) d. Decreased hemoglobin
5. Which is not a possibility in the ECG of a pt with hypokalemia?
a. prolong PR interval
b. prominent U waves
c. T wave flattening
d. Prolonged QT interval
e. T wave inversion in praecordial leads
6. Which does not cause a metabolic alkalosis?
a. vomiting
b. diarrohea
c. loop diuretics
d. thiazide diuretics
e. corticosteroids
7. The nurse’s primary function is to
a. identify the patient’s immediate needs
b. understand the pathophysiology of disease
c. inform doctor about patient complaint
d. recommend investigations
e. educate about risk factors of patient disease
8. A patient with renal failure secondary to diabetic nephropathy has been admitted to
the medical unit. What is the most life-threatening effect of renal failure for which
the nurse should monitor the patient?
a. Accumulation of wastes
b. Retention of potassium
c. Depletion of calcium
d. Pedal edema
 e. Lack of BP control

9. A person was admitted in coma codition. Analysis of the arterial blood gave the
following values: PCO2 16 mm Hg, HCO3- 5 mmol/l and pH 7.1. What is
the underlying acid-base disorder?
a. Metabolic Acidosis
b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Respiratory Alkalosis
e. lactic acidosis
10. A client develops volume overload from an IV that has infused too rapidly.
What assessments would the nurse expect to find?
a. Hypoventilation
b. Thready pulse
c. Excessive urine output
d. Auscultation of an S3 heart sound
e. Cold clammy skin
11. Which condition can be fully compensated for with regards to pH?
a. respiratory acidosis
b. respiratory alkalosis
c. metabolic acidosis
d. metabolic alkalosis
e. none of the above
12.Which is incorrect with regards to hypocalcemia?
a. it causes QT prolongation
b. treatment with calcium may not work if magnesium is not given as well
c. i.v administation of calcium requires cardiac monitoring
d. it is seen in pancreatitis
e. hyperventilation produces tetany by causes a fall in the total body calcium

13. which of the following is not a symptom of hypokalemia?

a. ileus
b. constipation
c. muscle weakness
d. paralysis
e. seizures
14.The most important factor that influences K+ secretion is __________.
a. the concentration of Na+ in blood plasma
b. the level of aldosterone in the plasma
c. the concentration of K+ in the ECF
d. water balance in the body
e. Patency of sodium potassium pump
15. The receptors for the regulation of body water through detection of osmotic
pressure are located in the?

a. Cerebrum
b. Hypothalamus
c. Kidney tubules
d. Blood
e. Hindbrain
 BSN SECOND PROFESSIONAL
Adult Health Nursing(AHN I)
(Short Essay Questions)

Name:_____________

Max. Marks 25 Time Allowed 1 Hour

1. Define the followings: 05

i) Third space shift
ii) Tonicity
iii) Osmolarity
iv) Fluid volume Excess(FVE)
v) Metabolic Acidosis

2. (a) Enlist the causes of Fluid Volume Deficit (FVD). 2.5

(b) Enumerate clinical manifestations of FVD. 2.5

3. (a) Mr. Adeel is 38 years old man presented in emergency department 02

with the following arterial blood gasses (ABGs).Interpret the ABGs

pH : 7.51
PaCO2 : 40
HCO3 : 31
(b) Tabulate the normal parameters of arterial blood gases ABGs. 03

4. (a) Discuss briefly nursing management of patient receiving IV therapy 2.5

(b) Write nursing interventions for patient with fluid volume excess (FVE) 2.5

5. (a)What is normal level of calcium in serum? 01

(b)Enlist factors contributing to hypocalcemic condition. 02
(c)Enlist clinical manifestations of hypocalcemia. 02