Wednesday 9 October 2013

HAAD RN ASKED QUESTIONS


1.    Non-modifiable risk factors for cardiac diseases.

a.     obesity  
b.     HTN  
c.    DM      
d.    age above 63

2.    Child CPR ratio:

      a.  2:30
      b.  1:10
      c.  2:30


3.     Risk factor for CA Pancreas.

a.     high alcohol intake      
b.     high dietary intake, etc.

4.    Patient with gastritis should avoid

a.    alcoholic beverages      
b.     bicarbonate soda,
c.    etc.

5. What is the first priority for patient with nephrotic syndrome during edematous stage?

a.     at checking every alternate days  
b.     skin care  
c.     etc.

6.    Patient with hepatitis, stool colour

a.     black  
b.     clay      
c.     reddish

7.    Patient with duodenal ulcer, observe for which colour of stool

a.     black  
b.    clay      
c.    reddish  
d.     green




8.    Patient with bowel obstruction, during post-op period we should observe for

a.     fluid electrolyte imbalance      
b.     wound infection  
c.     pneumonia
d.    etc

9.    To prevent DVT during post-op, the nurse should do-
a.     teach leg muscle exercise  
b.     massage the calf every 4th hourly
c.     elevate the leg with a pillow on the knee

10.    After immunization, inform the physician if
a.     mild fever  
b.     generalized rashes  
c.     local pain  
d.     local tenderness

11.    After giving premedication, what is the priority
a.     secure the patient with side rails  
b.    empty the bladder
c.    remove dentures

12.    What is true about hepatitis vaccine

a.    it provides immunity against hepa B and C
b.    a third dose is necessary to produce prolong immunity
c.    it is needed only for the health care professional

13.    Transmittal through sexual contact

a.     Hept C  
b.    Hept B  
c.     Hept A

14.    Signs and symptoms of Hept A

15.    Common symptoms of HTN

a.     unexplained nose bleed  
b.     proteinuria

16.    Patient with alcoholic withdrawal symptom tells the nurse that bugs are crawling under the pillow. What the nurse do?

17.    Common signs of pre eclampsia.   -proteinuria

18.    One patient is advised to take low-cholesterol diet. He should take limited amount

    a.    eggs      
b.    chicken  



19.    What is the priority action for patient with immobility

a.    change the position every Q2H

20.    Patient with carbon monoxide poisoning we should assess for

a.     HB level  
b.     consiousness  
c.    respiratory rate and depth

21.    Patient with active tuberculosis

a.    low grade fever
b.    hemoptysis and night sweats etc

22.    Tuberculosis test should need after

a.     48-72 hr  
b.     after 24 hrs       
c.     after 3 days  
d.    etc

23.    Patient is posted for bronchoscopy today. When the nurse enters the patients room, patient is not ready for the procedure and the consent is not sign. What the nurse do?

24.    Dietary restrictions for the patient with nephrosis.

25.    Patient with renal failure, advised to avoid

a.     CHO  
b.     protein  
c.     fat etc

26.    Common sign of patient with congestive heart failure

a.    dyspnoea

27.    Breathing exercise for patient with COPD  

a.     purse lip  
b.     abdominal muscle relaxing etc

28.    Patient is advised to move immediately during post-op period to prevent   
a.    hypostatic pneumonia

29. Patient with sickle cell crisis asks the nurse, why he is experiencing leg pain. The nurse responds that - inadequate blood flow to leg muscles due to obstruction

30. Patient with snake-bite comes to the emergency room with c/o of difficulty in breathing. What the nurse do?

a.    inform the physician immediately
b.    clean the area with soap and water

31.    Common symptoms of patient with glaucoma

a.     less of peripheral vision
b.     double vision
c.     scattering of light

32.    Signs and symptoms of dehydration in children

b.    absence of tears while crying

33. TB transmitted by-droplet

34.    DM is the risk factor for which type of disease  - cardiovascular

35. Pancreatitis→ ↑ ed level of  s. amylase

36. Post op appendicetomy - check for bowel movement

37.Positive sign to confirm the pregnancy

a.    amenorrhoea             
b.    morning sickness                   
c.    FHR detected by Doppler

   38.  Wound healing –

39.    Dressing –

40. Pulmonary edema – chest pain

41. # long bones – fat embolism

42.    Controlled (narcotics) medicines – all shift staff to check

43. nursing process – priority –

44. Convulsion – signs and symptoms

45.    CCF – signs and symptoms

46. TEV – signs and symptoms

47. Hypospadius

48.Colour of lochia two days after delivery?

49.    A mother is coming with 5 month old child for MMR vaccination, as a nurse what is your opinion?

a.    check temp             
b.    check weight          
c.    come on due date   
d.    sent to physician


50. Risk factor for pregnant women those who are smoking?

51. Diabetic in pregnancy – urine examination

52.Anterior fontenalla is closing at what time?

53.How will you collect specimen from wound for culture?

54.How will take care of patient with hepatitis A, precautions for nurses?

55.Symptoms for hypotensive patient?

56.Calculate EDC?

57.Montaux test reading for tuberculin bacilli is done after ________ hrs,

                     3 days, 12 hrs, 24 to 74 hrs.

58.Reason for giving bed rest after MI?

59.Before giving bed bath, what will do?

a.    raising side rails       
b.    lowering bed          
c.    open all windows

60.Liver biopsy

61.L.P. (Lumbar Puncture)

62.Exercise for diabetic patient

63.Symptoms of dehydrated child?

64.Position

65.Ketoacidosis→ symptoms

66.Complication after post mastectomy?

67.Position of child after tonsillectomy and adenoidectomy after two days.

68.Type DM is common in which age group

69.Old age group

70.    Pulmonary edema is for reducing preload and after load is which also achieves anxiety. Which is the drug of choice?

a.    aminophylline          
b.    dobutamine            
c.    morophine

71.CPR ratio for 1 person – 30:2

72.For warfarin theraphy, which lab value, we will monitor         – INR of 3-4

73.Patient had CHF, now patient recovered. What will be the change in ECG?

a.     QRS complex wide            
b.     ST segment back to bar line
c.     P-R interval prolonged

74. commonest sign of hypertension?

a.    visual disturbance   
b.    epitasis       
c.    headache

75.Before giving premeditation, what the nurse do first

a.     assess the vital signs
b.     completion of pre- op checklist
c.     see the ‘s line patent
d.     empty the bladder

76.Evaluation is done -At the end of nursing process.

77.Breast feeding is contra indicated

a.     mastitis       
b.     inverted nipples      
c.     Hepatitis C

78.A patient with pneumothorax, when will the chest tube be removed?

a.      when there is minimal drainage from test tube
          b.       when there is no fluctuation in the water seal drainage system

79.While transporting a patient with closed drainage system the nursing care include
a.     damp the tube while transporting   
b.     keep on the bed of the patient
c.     keep below the heart level

80. For the effectiveness of postural drainage, which position the patient will attain - lateral position

81.    The patients with hip replacement surgery advise the patient to avoid?

a.    sleeping upright in the chair  
b.    crossing over the legs
c.    not to do weight bearing for 6 weeks

    82.AFB rod seen on lab investigation of sputum indicate the presence of →

a.     bordetella pertussis            
b.     mycobacterium tuberculi



83.    Duodenal peptic ulcer, what is the signs and symptoms

a.    coffee brown coloured vomitus
b.    burning mid epigastric pain that occurs 2-4 hours after eating
c.    heat burn                              
d.    vomiting

84.    What plans to check FBS nest what is the advice given to the patient.

a.     take low fat diet before 1 week       
b.     take lot of fluids before the day of test
c.     can take a small meal at 6 am and do the test at 10 am
d.     avoid smoking for 1 week

85. CVP – Measure
a.     Pressure in Lt atrium
b.     pressure in Rt ventricle        
c.     pressure in Rt atrium

86.A patient with CVA has severe dysphagia. How will you meet the nutritional need of the patient?

a.     T PN        
b.     NU tube feeding 
c.     NPO until we has no dysphagia

87.    A patient is admitted to hospital with cerebral haemorrhage. How will you state to the patients family members that EEU is done to know

a.     the extend of haemorrhage                    
b.     electrical activity of the brain
c.     extend of functional brain tissue

88. A child is choking and holding his neck with the hand, what is the action by given - Heimlich maneuver

89.MRSA how is spread.

a.     contact                   
b.     air bone               
c.     droplet

90.For S/C administration of heparin in what is to be followed:

a.    use ½ to 1 inch gauge needle
b.    apply pressure for 2-5 sec after administration
c.    withdraw before injecting the medication

91.A patient is given packed cells, if the patient has a transfusion reaction.

92.A patient had an angiogram through left femoral artery after the procedure what is the nursing measures

a.     check bleeding       
b.     pedal pulse

 93.    A patient is asked to attend the medical research study, what protect the patient.

A. informed consent 
B. nurses act   
C.hospital policy procedure

94.    Registered nurse license is for     
            
            -    protecting the patient.
-    protecting nurse
-    protecting hospital

95.    Normal stimulation of respiration.

a.     02              
b.         CO2             
c.     CO

   96. Stat means

a.     giving drug if needed
b.     giving drug after meals
c.     giving as soon as the drug is order

   97.    HS means

a.         giving drug before sleeping 
b.         giving drug after meals
c.         giving drug only when needed

   98. A child with convulsion is start in the crib. What are the nursing measures?

  99. Safety protect from injury

100. A patient is having diarrhea for 1 week. What type of isolation?

a.    Dementia is  ___ loss of memory with some symptoms

101. After giving pethedine the ordered dose, what you do with remaining medication

a.    discard the remaining medication under supervision of other staff nurse.
b.    heart rate chills, pulmonary oedema

102. Rheumatic fever caused by – haemolytic beta streptococci

103.     The teaching made by the nurse is effective. When the patient states_______.

a.        medication should be taken with an antacid
b.         should not take medicine without doctors ordered


104.    A child is admitted for the diagnosis of congenital heart disease. What type of room is suitable for the child.

a.     isolation room                     
b.     private room
c.     multi bed set with other children                  
d.     sharing with an adult

105. Granulation tissue (appearance). Patient is pressure ulcer management.

a.     give inflatable ring              
b.     apply dressing

106.     A child weight is 18 kg. medicine 6 mg/1 kg/1 day to given in divided dose 8th hr/g. The medicine available in pharmacy 10 mg/ml. how many ml will you give?

107.Pencillin 750, 000 unit as ordered on band pencillin. 1 mega million/unit. How many will you give?

108.Patient is already diagnosed as AIDS the patient avoid the chance for following
a.     Kaposis Sarcoma   
b.     HIV           
c.     Opportunistic infection

109.     Otitis Media is the infection

a.     middle ear              
b.     inner ear     
c.     pinna of ear

110.     Venturi Mask is for

a.     giving 80% O2     
b.     100% O2
c.     delivers precise percentage of O2 inspired

111. If patient is having glucoma to prevent any infection, he should-

a.    follow proper washing        
b.     infill the eye
c.     cover the eye

112.     A patient is to be given 45 mg codiene and 650 mg aspirin. Available dose is 15 mg codene and 325 mg aspirin. How many tablets of each would you give.

113.    Side effect of aluminum hydroxide?-constipation

114. Side effect of magnesium? –diarrhoea

115. How we will apply rectal suppository for a patient   --above spincture

116. What we will do the unresponsive?   -call for help

117.    How we will confirm the pain is angina?   -it will relive with nitroglycerin

118.    Sickle cell anemia

119.    Pernicious anemia is caused by the deficiency of    __ Vitamine B12.

120.  ECG changes in CHF.

121. Immediate post operative assessment.

a.    Airway (bleeding will be second)
b.    Causes of thrombophebilis.
c.    Cloat formation in vein
d.    Venous strain, vessel trauma, pregnancy, obesity, pelvic surgery

122.    Action of Tab. Digoxin?       -cardiac glycoside    
 
123.  A normal person has minimum hourly urine output _______ 30 ml.

124. On the 3rd day after MI, the patient tells he is only having the problem of indigestion . What is the stage of reaction?

a.     anger         
b.     denial         
c.     depression              
d.     projection

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