WOLLEGAUNI VERSI

TY
COLLEGEOFHEALTHSCI ENCES
DEPARTMENTOFNURSI NGANDMI DWIFRY
FEXMINATI
ON-2018
SURGI
CALNURSING

Exami
nat
ionDur
ati
on: Dat
e: Maxi
mum Mar
ks:
Nameoft
heSt
udent
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
ID.
NO.
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
Sign.
..
..
..
..
..
..
..
..
..
..
..
..
..
Gener
alI
nst
ruct
ions
 Readt hequestionscar efull
yandanswereach.
 Chooset heappr opriat
e( best)answerfr
om t
heoptionsgivenbeloweach
questions.
 Writ
et heanswer si nseparateanswersheetatt
achedalongwi t
hquesti
onpaper
.
 Don’twr i
teanythingov erthequest i
onpaper
.
 Eachquest i
oncar ries1poi nt
 Answert hequest ionswithinallot
tedti
me.
 Anyf orm ofcheatingorat tempttocheatmayresul
ttoinvali
dati
onofyourr
esul
t.

A.Chooset
hebestanswerf
orf
oll
owi
ngmul
ti
plechoi
cequest
ions:

1.Whi
chi
snotendocr
ineor
gan?

A.Ant
eri
orpi
tui
tar
y

B.Post
eri
orpi
tui
tar
y

C.Hy
per
thal
amus

D.Hy
pot
hal
amus

2.Thebestwayt
opal
pat
ethy
roi
dgl
andi
s

A.Bei
ngi
nfr
ontoft
hepat
ientandt
il
ti
ngt
heheadoft
hepat
ientupwar
d.

B.Bei
ngi
nasi
deandpal
pat
ingwi
thagl
ovedhand.
 C.Bei
ngar
ightsi
deandpal
pat
ing

D.Bei
ngbackwar
doft
heptandpal
pat
ing

3.Whi
chi
sonet
imeexami
nat
ion

A.Basalpl
asmal
evel
s

B.Di
urnaldy
nami
cs

C.Ur
inar
yout
put

D.Vi
talsi
gns

4.Hi
ghr
esol
uti
onofv
ascul
arabnor
mal
it
yandsaf
edur
ingpr
egnancy

A.CTscan

B.MRI

C.Sci
nti
graphy

D.X-Rayexami
nat
ion

5.I
tisgoodi
sot
opet
ousesci
nti
graphydur
ingsuspect
edr
etr
ost
ernalgoi
ter
andt
hyr
oidcancer
.

A.I
odi
ne-131(
I-131)

B.I
odi
ne-123(
I-123)
 C.Technet
ium-99m (
Tc99m)

D.A&B

6.Whi
ley
ouar
ewor
kingasaweekenddut
ynur
sei
nsur
gicalwar
dthedut
y
phy
sici
anor
der
ednodul
etr
acerupt
akeont
heor
dersheetandy
out
ooky
our
ptt
oradi
ologydepar
tment
.Thent
hei
rrepor
tshowst
hatt
henodul
eiscol
d.
Thati
mpl
ies

A.Thenodul
eisnor
mal
lyf
unct
ioni
ng

B.Ni
lorl
owf
unct
ioni
ng

C.Hy
perf
unct
ioni
ng

D.none

7.Af
terunder
goi
ngasubt
otalt
hyr
oidect
omy
,af
emal
ecl
ientdev
elops
hy
pot
hyr
oidi
sm.Dr
.Bonapr
escr
ibesl
evot
hyr
oxi
ne(
Lev
othr
oid)
,25mcgP.
O.
dai
ly.Forwhi
chcondi
ti
oni
slev
othy
roxi
net
hepr
efer
redagent
?

A. Pr
imar
yhy
pot
hyr
oidi
sm

B. Gr
aves’
disease

C. Thyr
otoxi
cosi
s

D. Eut
hyr
oidi
sm

8.Dur
ingacl
assonexer
cisef
ordi
abet
iccl
ient
s,af
emal
ecl
ientaskst
henur
se
educat
orhowof
tent
oexer
cise.Thenur
seeducat
oradv
isest
hecl
ient
sto
ex
erci
sehowof
tent
omeett
hegoal
sofpl
annedexer
cise?

A. Atl
eastonceaweek
 B. Atl
eastt
hreet
imesaweek

C. Atl
eastf
ivet
imesaweek

D. Ever
yday

9.Nur
seTol
esashoul
dexpectacl
ientwi
thhy
pot
hyr
oidi
sm t
orepor
twhi
ch
heal
thconcer
ns?

A.I
ncr
easedappet
it
eandwei
ghtl
oss

B.Puf
fi
nessoft
hef
aceandhands

C.Ner
vousnessandt
remor
s

D.Thy
roi
dgl
andswel
li
ng

10.Nur
seMar
tai
sawar
ethataposi
ti
veChv
ost
ek’
ssi
gni
ndi
cat
e?

A.Hy
pocal
cemi
a

B. Hy
ponat
remi
a

C.Hy
pokal
emi
a

D.Hy
per
magnesemi
a

11.Dur
ingpr
eoper
ati
vet
eachi
ngf
oraf
emal
ecl
ientwhowi
llunder
gosubt
otal
t
hyr
oidect
omy
,thenur
seshoul
dincl
udewhi
chst
atement
?

A.“
Theheadofy
ourbedmustr
emai
nfl
atf
or24hour
saf
tersur
ger
y.”

B.“
Youshoul
dav
oiddeepbr
eat
hingandcoughi
ngaf
tersur
ger
y.”
 C.“
Youwon’
tbeabl
etoswal
lowf
ort
hef
ir
stdayort
wo.
”

D.“
Youmustav
oidhy
per
ext
endi
ngy
ourneckaf
tersur
ger
y.”

12.Ani
ncoher
entf
emal
ecl
ientwi
thahi
stor
yofhy
pot
hyr
oidi
sm i
sbr
oughtt
o
t
heemer
gencydepar
tmentbyt
her
escuesquad.Phy
sicalandl
abor
ator
y
f
indi
ngsr
evealhy
pot
her
mia,
hypov
ent
il
ati
on,
respi
rat
oryaci
dosi
s,
br
ady
car
dia,
hypot
ensi
on,
andnonpi
tt
ingedemaoft
hef
aceandpr
eti
bial
ar
ea.Knowi
ngt
hatt
hesef
indi
ngssuggestsev
erehy
pot
hyr
oidi
sm,
nur
se
Li
bbypr
epar
est
otakeemer
gencyact
iont
opr
eventt
hepot
ent
ial
compl
icat
ionof
:

A.Thy
roi
dst
orm.

B. Cr
eti
nism.

C.My
xedemacoma.

D.Hashi
mot
o’st
hyr
oidi
ti
s

13.Whi
chnur
singdi
agnosi
stakeshi
ghestpr
ior
it
yforaf
emal
ecl
ientwi
th
hy
per
thy
roi
dism?

A.Ri
skf
ori
mbal
ancednut
ri
ti
on:Mor
ethanbodyr
equi
rement
srel
atedt
o
t
hyr
oidhor
moneexcess
 B. Ri
skf
ori
mpai
redski
nint
egr
it
yrel
atedt
oedema,
ski
nfr
agi
li
ty,
andpoor
woundheal
ing

C.Bodyi
magedi
stur
bancer
elat
edt
owei
ghtgai
nandedema

D.I
mbal
ancednut
ri
ti
on:Lesst
hanbodyr
equi
rement
srel
atedt
othy
roi
d
hor
moneexcess

14.
Foramal
ecl
ientwi
thhy
per
gly
cemi
a,whi
chassessmentf
indi
ngbest
suppor
tsanur
singdi
agnosi
sofDef
ici
entf
lui
dvol
ume?

A.Cool
,cl
ammyski
n

B. Di
stendedneckv
eins

C.I
ncr
easedur
ineosmol
ari
ty

D.Decr
easedser
um sodi
um l
evel

15.
Amal
ecl
ientwi
tht
ype1di
abet
esmel
li
tushasahi
ghl
yel
evat
edgl
ycosy
lat
ed
hemogl
obi
n(Hb)t
estr
esul
t.I
ndi
scussi
ngt
her
esul
twi
tht
hecl
ient
,nur
se
Shar
mai
newoul
dbemostaccur
atei
nst
ati
ng:

A.“
Thet
estneedst
ober
epeat
edf
oll
owi
nga12-hourf
ast
.”

B.“
Itl
ooksl
ikey
ouar
en’
tfol
lowi
ngt
hepr
escr
ibeddi
abet
icdi
et.
”

C.“
Itt
ell
susabouty
oursugarcont
rolf
ort
hel
ast3mont
hs.
”

D.“
Youri
nsul
inr
egi
menneedst
obeal
ter
edsi
gni
fi
cant
ly.

16.
Hyper
thy
roi
dism i
sal
soknownas?

A.Hashi
mat
osdi
sease

B.Gr
avesDi
sease

C.Cr
eti
nism
 D.Thy
roi
dst
orm

17.
Whi
chcel
lty
pei
snotmat
chedwi
thi
t’
ssecr
eti
on?

A.Al
pha...gl
ucagon

B.Bet
a...i
nsul
in

C.Del
ta...somat
ost
ati
n

D.Al
lar
emi
smat
ched

18.
Whati
sthenamef
oradr
enalhy
pof
unct
ion?

A.Cushi
ng’
ssy
ndr
ome

B.Addi
son’
sdi
sease

C.My
xedema

D.Gr
ave’
sdi
sease

19.Whatwi
llbet
heef
fectofCal
evel
swi
thhy
per
thy
roi
dism?

A.Hy
per
cal
cemi
a

B.Hy
pocal
cemi
a

C.Nor
mal

D.None

20.
Whati
sthecauseofmy
xedemacoma?

A.Per
sist
ent
lyl
owt
hyr
oidpr
oduct
ion

B.Per
sist
ent
lyhi
ght
hyr
oidpr
oduct
ion

C.Ext
remel
yhi
ght
hyr
oidpr
oduct
ion

D.Somet
imeshi
ghandsomet
imesl
owt
hyr
oidpr
oduct
ion

21.Whatassessmentf
indi
ngswoul
dyouseewi
th

A.My
xedemacoma

B.Di
abet
icket
oaci
dosi
s(DKA)

C.Hy
pert
hyr
oidi
sm

D.Hy
pot
hyr
oidi
sm
22.
Whatar
est
imul
ati
ont
est
esandsuppr
essi
ont
est
es?

23.
Wri
tet
hedi
agnost
ict
est
eswi
tht
hei
rav
erager
esul
tsf
ordi
abet
esmel
li
tus.