Part one: Knowledge Assessment

1. Normal urine output in adult is:-

A. 1000-15000ml/24 C. >3000ml/24hr
B. 200-1000ml/12 D. <200ml/24hrs

2. All of the following are the reason for primary health care prevention except:-

A. Promotion C. Rehabilitation
B. Prevent disease D. Disease progression

3. One of the following is precaution of managing hepatitis:-

A. Preparing hole for secretion
B. Wearing personal protective equipment
C. Burning nasal waste
D. All
4. Which of the following is parasitic skin infection?

A. Pediculus C. Folliculitis
B. Tinea corporis D. Impetigo

5. Which therapeutic management to disease hypertension consequently

A. Sodium restriction C. Obesity

B. Smoking twice a day D. Avoid aerobic exercise

6. Which of the following is true about measurement of NGT in adult

A. From ear lobe to tip of nose to xiphoid process
B. From tip of nose to ear lobe to chin to umbilicus
C. From tip of nose to ear lab to xiphoid process to umbilicus
D. From tip of nose to ear lobe to umbilicus
7. A patient complains ear discharge for more than two weeks?

A. Acute ear infection C. Chromic ear infection

B. Otisis media D. None

8. A patient comes with 2nd degree burn which of the following solution if preferable for wound cleaning

A. Dextrose normal saline (DNS) C. Iodine

B. Normal saline (NS) D. Alcohol

9. 23 years lady come to your ANC clinic and she take TT2 .how long protection she have?

A. For 3 years C. For 10 years

B. For 5 years D. For 4 weeks

10. The characteristics of fluid deficit are:-

 A. Increase skin and tongue dryness C. Systolic BP increase in 15 while long
B. Increase HCT standing
D. Urine output is > 30 ml/hr
12. The following are Pre-operative management except:-

A. vital sign C. Air way exercise

B. Deep breathing D. NPO for 2 days before surgery
13. Except one is contraindication of rectal temperature

A. Diarrhea C. Hemorrhoid
B. Under 5 children D. Anal surgery
15. Which one of the following type of Dm is common among under 30 years

A. IDDM C. IDDM & NIDDM

B. NIDDM D. GDM
16. Which one of the following is live attenuated vaccine?

A. Polio & BCG C. DPT, Hep B & TT

B. Polio, BCG & measles D. Polio & pertusis
17. A patient who have septic wound on the leg, the correct method of cleaning is

A. Outside to center C. Less clean to clean

B. Center to outside D. Inner to outside
18. A pregnant lady comes for ANC visit, LMP 15/10/03 and expected date of delivery is:-

A. 25/07/04 C. 20/07/04
B. 20/06/04 D. 25/07/04
19. Ato Kebede Geda has injury to the right leg lacerations, the method of application of tourniquet to
stop bleeding is:-

A. Above the bleeding site C. Above and below the bleeding site
B. Below the bleeding site D. Outside of the bleeding site
20. Risk factor for bed sore is:-

A. Pressure, moisture and friction C. Poor nursing

B. Pressure, moisture, friction, wrinkles, D. Incontinency
cramps in the bed & poor nursing
 A Matching
1. Giving care by assessing life of a
patient B
2. Protrusion of an organ A. greenstick fracture
3. First step of resuscitation B. vit A difficiency
4. Black tarry stool C. vasectomy
5. Exclusive breast feeding D. difficulty of swallowing
6. Bitot’s spote’s E. sciatic nerve
7. One type of fracture F. Hernia
8. First compartment G. Gouty arthritis
9. Enema H. BCG $ MEASLES
10. Puss in the urine I. Lordosis
11. Excessive uric acid J. Kypoisis
12. Tubaligation K. E- coli
13. Attention of IM injection L. Position
14. Urinary tract infection M. Holistic care
15. In word curvature N. Left lateral
16. Anuria O. Prevent diarrhea
17. Dysphagia P. Left laterl
Q. Prevent diarrhea
R. Pyuria
S. Urine output less than 50ml
 Part two: Probable COC question
1. For which patient you will recommend vomiting as management of poising?

A. Dust material C. Aspirin

B. Detergent(toilet cleaning material)

2. From the following which one is not best quality of nurses?

A. Honesty C. Sympathy
B. Equity D. Confidentiality

3. The Ideal suctioning duration in endotracheal suctioning will be:-

A. 10-15second C. 20second
B. 5-10second D. 30 minute

4. What will be the recommended pressure value in endotracheal suctioning

A. 10-15mmHg C. 80-120mmHg
B. 50-60mmHg D. >200mmHg

5. One patient admitted to medical ward become irritable and develops photophobia, which nursing
care is appropriate?

A. To encourage visitors C. Switching on the TV for letting

B. Putting patient near window for patient to watch
good ventilation D. Demining the room light

6. One patient admitted in ward have problem of increased intracranial pressure, which one is
advisable?

A. Held the patient in supine C. Administer stool softener

position D. Give IV fluid as ordinary patient
B. Encourage deep breathing
exercise and coughing

7. Which one is priority in disaster management?

A. Head injury and increased C. Gastrointestinal problem

intracranial pressure D. Injury
B. Respiratory problem

8. Which type of Hepatitis transmitted by sex?

A. Hepatitis A C. Hepatitis C
B. Hepatitis B D. Hepatitis E
 9. Post thyredectomy patient complains numbness and tingling sensation on the extremity. Which
drug is appropriate to manage the problem?

A. Potassium chloride C. Calcium chloride

B. Calcium gluconate D. Sodium chloride

10. Which position of patient recommended immediately after thyredectomy?

A. Supine C. Sitting
B. Semi fowler’s position

11. Which one is chronic complication of DM?

A. DKA C. HHNKC
B. Hypoglycemia D. Retinopathy

12. Removal of gallbladder called

A. Cholecystectomy C. Choledochostomy
B. Cholecystitis D. Cholecystostomy

13. For which patient do you give first priority?

A. For women with end stage breast cancer
B. For patient who where conscious and now become unresponsive
C. For patient with cholelithiasis and scheduled for surgery on call
Part Three: question
1. One patient hold over counter drug that should be administered to patient immediately. What
action you will do?

A. Contact nursing supervisor to C. Hold until physicians come

consult D. Give the drug according to
B. Give the drug recommended dosage

2. This morning w/ro Mamite is going to discharge from the hospital and physician order to
discontinue the IV line. What material should nurse have for application of pressure to the area?

A. Alcohol swab C. Adhesive bandage

B. 2X2 gauze D. Beds swab

3. You are inserting Cannula, when does you will advance the Cannula?

A. Catheter inserted easily C. When patient comply discomfort

B. When vein distended D. Blood return back to catheter

4. After you have inserted IV if the sites become cool and swollen at the infusion site what we call this
complication?
 A. Infiltration and extravasation C. Infection
B. Phlebitis D. Thrombo imbolism

5. True regarding CPR in adult?

A. 1:5 D. Two rescue breath as soon as

B. 2:15 possible
C. One rescue breathing in one second

6. You are at hospital one patient become unresponsive and what will you do after calling for help?

A. Give oxygen C. Compress chest

B. Open airway D. Mouth to mask breath

7. At the morning for which patient you will give priority for assessment?
A. For patient scheduled for X-ray
B. For patient having wound and dressing changed daily
C. For patient discharged today after operation
D. For patient previously taking oxygen and know developing difficulty of breathing
8. This morning doctor prescribes 250ml 5%dextrose to run for 2hr with IV line having 10 drop factor.
What will be correct drop rate per minute?
9. You are providing bed bath for patient at mean time other nurse bring post operative patient to your
unit and that patient complies pain. What will you do?
A. Finish bed bath and give antipain later
B. Cover patient ,Raise side rails and inform patient to return immediately and give antipain to
other patient
C. Inform the patient to wait until bathing finished
10. Normal finding in post operative wound assessment

A. Red and hard skin C. Purulent discharge

B. Serious drainage D. Warm and tender

11. Abebe is giving preoperative education to patient prior to surgery and patient asked Abebe why I do
cough and deep breathing exercise? What will be proper answer?

A. To prevent pulmonary oedeam C. To prevent TB

B. To prevent pneumonia D. To prevent lung cancer

12. While you remove NG tube what will you instruct the patient?

A. To exhale C. To take deep breath and hold

B. To inhale and exhale quickly D. Valsvaus Maneuber

13. Principles of blood transfusion

14. This morning you are going to administer blood to your patient but for how long should a blood stay
at bed side or nursing area before administration?
 A. 15 minute C. 25minute
B. 20 minute D. 30 minute

15. After administrating blood to patient for how long to stay at patient side for managing possible
complication?

A. 5minute C. 30minute
B. 15 minute D. 45minute

16. For newly diagnosed DM patient with hyperglycemic state which nursing diagnosis is priority?

A. Family process and dysfunction C. Nutrition less than body requirement

B. Fluid volume deficit D. Knowledge deficit

17. Which one is a recommended activity and position for patient with deep vein thrombophlebitis?

A. Out bed exercise if deserved C. Bed rest and elevate affected

B. Bed rest and flat affected extremity extremity
D. Bed rest and dependant position

18. For patient having meningitis which care is appropriate respiratory transmission based precautions?

A. Personal protective equipment D. Use mask

B. Private room and quhort E. Private room with negative air flow
C. Respiratory equipment pressure

19. You are discussing about fluid lose with your patient and patient asked you about 800ml of insensible
loss. Which one is true regarding rote of insensible loses?

A. Skin C. Urinary output

B. Wound drainage D. Gastrointestinal intravenous

20. One primi gravida mother following ANC asked you when does B it is appropriate to hear fetal
movement for the first time? A. Vitamin A
B. Surgical Removal of gallbladder
A. 6-8wk C. 10-12wk
C. tertiary prevention
B. 8-10wk D. Virulence D. 16-20wk
E. Cessation of breathing
21. You are managing laboring mother in the F.
firstscanty
stage of labour and
amniotic fluidon assessment the FHB become
174beat per minute. What will you do? G. Abdominal tapping
H. shock position
A. Record on the partograph C. Take maternal pulse
I. Ecchmosis
B. Notify physician D. Record as normal
J. Ischemia
K. Diaphoresis
L. Controlled cord traction
M. Gastric washout
 B
A. Bitotpots
B. Right side paralysis
C. Left side paralysis
D. Kidney
E. Lung
F. Kawashiworkor
G. Ecolali
H. Dopamine
I. Hypothalamus
J. Pituitary gland
K. Beta-cell of laryng
Matching L.
M.
Alpha-cell of pancreases
Syrotonic,Eurotransmission
N. Prostate gland
A O. Seminal vesicle
1. Micronutrients A P. Decreased Amonium
2. 1. Vitamin A Deficiency
Physiotherapy
3. A2.3rdLiver
stagefailure
management
4. 3. CVA percason disease of brain
Oligohydraminous
5. 4. PTB
Ability affected supine to
of microorganism
5. Left side
cause a disease Hemisphere damage
6. 6. Protein
Paracenthesis energy malnutrition
7. Enceline of the male urethra
7. Trendlenberg position
8. Electrolyte regulation
8. Accumulation of blood
9. Center of brain
underneath
10. Folecularskin
stimulating hormones
9. Profuse sweating-
11. Sexually approved social behavior
diaphoresis
12. Depression
10. Lavage
13. Released insulin
11. Investigation
14. Repetition ofof
disease
sound
outbreak
12. Cholecystectomy
13. Apnea
 Answer to COC oral question

1. Cardinal sign of DM:

 Polyphagia, polydypsia, and polyuria- these are conditions in which the patient do have
excessive eating, drinking and urination than his previous life history prior to these symptoms
or than that of an average amount of intake and output in normal individual.
2. Normal Blood pressure for average adult:
3. Common site for taking Temperature : Axillary, rectal and oral
4. A type of skin test used to identify infection of the lung parenchyma with tuberculosis causing
microorganisms (mycobacterium species) is termed as Mantoux skin test that uses PPD (purified
protein derivative) tuberculin to be injected intradermally on the ventral lower forearm. A positive
purified protein derivative (PPD) skin test establishes that TB infection has occurred at some time in a
person’s life. Because it does not provide information about current infectivity, it cannot be used to
determine transmission potential. The complexity of PPD interpretation is increased because of the
common use of the bacillus Calmette-Guerin (BCG) vaccine in many foreign countries. After
receiving BCG, individuals are often PPD positive for a prolonged time, decreasing the ability of the
PPD to serve as a TB screen.
5. Characteristics of Normal respiration: Rate, rhythm and depth of respiration are the most
important characteristics to be observed on measuring respiration of a patient.
6. Common site to be used in measuring pulse rate are: - Radial, Apical, Femoral, Carotid….
7. Purposes of complete bed bath

 To promote comfort and cleanliness  To give a good opportunity for the

 To prevent body odors nurse to assess the condition of the
 To prevent pressure sore skin
 To prevent multiplication of bacteria  To stimulate circulation
on the skin  To relieve pain
 To improve general muscle tone
 To remove grease and perspiration
8. Ensuring safety putting a patient in side lying position: By applying safety and comfort
devise like :Raising side rails,Putting soft pillow between legs, Applying air or cotton ring on
body prominent area(cheeks, shoulder epecondail of knee joint and ankle joint)

9. Importance of shampooing in bed ridden patient

 To keep the patient hair and scalp  To treat condition of the hair and
clean and healthy scalp
 To stimulate circulation to the scalp  To make patient comfortable
  To improve appearance of a patient
10. Importance of positioning
 It is used to avoid the occurrence of pressure ulcer or Dicupitus. Because when a patient stays
in one position for longer duration, the bony prominence (weight bearing areas) on that
specific position are obliged to carry much of the patient’s weight. This exactly ceases tissue
circulation in between the bony prominences and the surface of the bed. And this decreased
tissue perfusion leads to tissue hypoxia, finally to the occurrence of dead tissues and bed sore.
So the main purpose of frequent positioning is so as to facilitate circulation over the areas and
prevent bed sore. The common recommendation for patient to stay in one position is two hr.
11. To prevent ophthalmic neonatrum by administrating one drop of 1% silver nitrate to both eye
of new born infants.
12. By observing the general condition of mother and monitoring vital signs especially pulse and blood
pressure because pulse increase while blood pressure decrease secondary to hemorrhage.
13. Because breast milk is sterile, always available, comfortable to stomach and absorbed without residue
while it kept always fresh.
14. For most COPD patients, you should be aiming for an SaO2 of 88-92%,4 (compared with 94-
98% for most acutely ill patients NOT at risk of hypercapnic respiratory failure). Mark the
target saturation clearly on the drug chart. The aim of (controlled) oxygen therapy is to raise
the PaO2 without worsening the acidosis. Therefore give oxygen at no more than 28% (via
venturi mask, 4l/min) or no more than 2 L/minute (via nasal prongs) in patients with a history
of COPD until arterial blood gases (ABGs) have been checked.5 Treat patients aged over 50
with possible COPD in the same way (e.g. long-term smokers with a history of
chronic breathlessness) and get ABGs urgently.
15. Because it is important to prevent colic and discomfort in the infant. It also important to prevent
regurgitation of taken breast milk
16. The traditional method to check baby bath temperature is to dip your elbow in the bath water. If it
feels right on your elbow it is ok for your baby. And using back of wrist joint .
17. ROM will restore muscle tone and aid to stabilize the affected area and prevent disuse syndrome.
18. We should remove the tube and reinsert again because it was in the lung.
19. To remove the line and changing the site of insertion with new cannula. For the site we should apply
cold for reducing swelling and reduction of redness.
20. Sign of cardiac arrest: Cardiac arrest is the sudden loss of cardiac function
 The heart abruptly stops beating
 Lose consciousness
 Stop normal breathing, and
 Their pulse and blood pressure will be absent.
 Leads to death within a few minutes.
 This is often referred to by doctors as "sudden death" or "sudden cardiac death (SCD)."
 Chest pain, shortness of breath, nausea or vomiting, and dizziness were the most common heralds of an impending
cardiac arrest.
21. Sign of choking: If an adult is choking, you may observe the following behaviors:
 Coughing or gagging
 Hand signals and panic (sometimes pointing to the throat)
 Sudden inability to talk
 Clutching the throat: The natural response to choking is to grab the throat with one or both hands. This is
the universal choking sign and a way of telling people around you that you are choking.
 Wheezing
 Passing out
 Turning blue: Cyanosis, a blue coloring to the skin, can be seen earliest around the face, lips, and
fingernail beds. You may see this, but other critical choking signs would appear first.
22. Ratio of rescue breathing with chest compression in CPR:
 2:30 for adult,
 2:15 for child and
 1:5 for infants
23. What to observe on chest during CPR: Chest movement of the victim
24. Why CPR on firm, flat board: The aim of chest compression is to squeeze the heart in between the
sternum and vertebral bone. So while we use flat and firm surface, it hold the vertebral bone in its
position without any up and down ward movement. So when we apply pressure over the sterna bone
we can easily squeeze the heart, science no movement on the vertebrate.
25. How to check correct placement of NG tube?
 Introducing10-20ml of air in to the stomach via the tube and check for a whooshing sound using a
stethoscope placed over the epigastrium.
 Aspirating the contents of the stomach with a syringe. The aspirate turns blue litmus paper to
red, due to HCI.
 Insert/immerse the tip of tube in the glass of water and if you see bubble that show you are in the
lung.
26. Risk of IVF therapy:
 Infection  Fluid overload
 Phlebitis  Hypothermia
 Electrolyte imbalance  Embolism
 Infiltration/extravasations
27. How we insert NG tube:
 To provide suction and prevent gastric distension ( before and after surgery
 To wash out the stomach (e.g. after a poisonous food)
 To provide food
28. How many inch we should insert rectal tube in the Enema
 7-10 cm (2.8-4 inch) in an adult smoothly and slowly
 5-7.5 cm (2 inch-3inch) in the child
 2.5-3.75 cm(1inch-1.5inch) in an infant
29. How many Inches we should inert catheter in female client: 4-5cm (1.6-2inch)
30. Purpose: The nurse performs endotracheal and tracheostomy suctioning to:
1. Maintain a patent airway.
2. To improve oxygenation and reduce the work of breathing.
3. To remove accumulated tracheobronchial secretions using sterile technique.
4. Stimulate the cough reflex.
5. Prevent pulmonary aspiration of blood and gastric fluids.
6. Prevent infection and atelectasis.

31. Catheters greater than size 16 F have been associated with patient discomfort and urine bypassing.
A size 12 catheter has been successfully used in children and female patients with urinary
restriction.
Aftercare
 Antibiotics should not be prescribed as a preventative measure
 Attach the indwelling catheter to the drainage system, slightly curve the tubing, and anchor it
to prevent urethral traction
32. Right side of the body needs support
33. Why left lateral in the enema
 It allows easy access to the anal area while giving the patient some modesty
  This position facilitates the flow of solution by gravity into the sigmoid and descending
colon, which are on the normal anatomical direction.
34. If there is no measuring tape how we could measure for NG tube:
 Select the appropriate distances mark on the tube by measuring the distance on the tube
from the client’s bridge of the nose to ear lobe plus the distance form ear lobe the to
the bottom of the xiphistemum.(xyphoid process).
35. Brachial artery