Time : Half an hour Maximum : 20 marks
Paper I - PRINCIPLES AND PRACTICE OF ADULT NURSING /MEDICAL SURGICAL NURSING
SECTION - (20 X 1 = 20 marks)
(Multiple Choice Questions)
Select the most appropriate response.
1. All of the following are side effects of frusemide (Lasix) except :-
a) Postural hypotension.
b) Precipitation of digitoxin toxicity.
c) Pruritus
d) Hyperkalemia
2. A second degree burn is very susceptible to which of the following complications?
a) Scarring
b) Infection
c) Deep pigmentation
d) Disfiguration
3. On palpating the left lower quadrant, pain will be felt in the right lower quadrant. This is termed as:
a) Rebound tenderness
b) Babinski response
c) Rovsing's sign
d) None of the above.
4. After gastrectomy the patient has to continue a drug life long, which is
a) Vit K
b) Vit B12
c) Tab. Ranitidine
d) Vit C.
5. The removal of an entire lung is termed as
a) Lobectomy
b) Segmentectomy
c) Pneumonectomy
d) Wedge resection.
6. The nursing care of a patient with water-seal chest drainage include :
a) Ensure that the tube is not looping or interfering with the movements of the patient
b) Make sure there is fluctuation of the fluid level in the water seal chamber.
c) Encourage the patient to breathe deeeply and cough at regular intervals
d) Ensure that the drainage system is kept at the chest level.
(1.) a, b, c
(2.) b, c, d
(3.) a, c, d
(4.) a, b, c, d.
7. The choice of thrombolytic therapy in myocardial infarction is:
a) Nitroglycerine
b) Heparin
c) Morphine Sulphate
d) Streptokinase
8. The dietary management of a patient with congestive cardiac failure includes:
a) Salt restricted diet
b) Fat restricted diet
c) High protein and high calorie diet
d) Rich fibre content diet
(1.) a, b, c
(2.) a, c, d
(3.) a,b,d
(4.) a,b c, d
9. The post operative complications following valve replacement include:
a) Thromboembolism
b) Infection
c) Haemolysis
d) Congestive heart failure
(1.) a, b, c
(2.) a, c d
(3.) b, c, d
(4.) a, b, c, d
10. The hallmark of peripheral arterial insufficiency is :
a) Angina
b) Intermittent claudication
c) Cyanosis
d) Clubbing
11. When a clot develops in the veins as a relult of stasis, but without inflammation, the process is termed as :
a) Thrombophlebitis
b) Phlebothrombosis
c) Varicose veins
d) Burger's disease.
12. Patient education regarding care of the feet and legs for the person with peripheral vascular problem include:
a) Wash feet daily with soap and luke werm water and dry thoroughly especially between the toes
b) Wear clean loose soft cotton socks to absorb moisture.
c) Avoid circular compression around feet or knees, such as knee high stockings.
d) Do not avoid sunburn
(1.) a, b, c
(2.) b, c, d
(3.) a, c, d
(4.) a, b, c, d
13. A group of hereditory disorders, associated with defective haemoglobin - chain synthesis is termed as :
a) Sickle cell anaemia
b) Pernicious anaemia
c) Thalassemia
d) Iron deficiency anaemia
14. A condition in which the white cells are fewer in number than normal is termed as :
a) Polycythemia
b) Leukaemia
c) Leukopenia
d) None of the above.
15. The clinical manifestations of a patient with Acute lymphocytic leukaemia include:
a) Pain from an enlarged liver or spleen
b) Headache and vomiting because of meningeal involvement
c) Bone pain
d) Bleeding disorders
(1.) a, b, c
(2.) b, c, d
(3.) a, c, d
(4.) a, b, c, d
16. The goals of nutritional management of a patient with diabetes include ALL EXCEPT
a) Provision of all food constituents eg. Vitamins and minerals
b) Increase of blood lipid levels
c) Achievement and maintenance of reasonable weight
d) Meeting energy needs.
17. The preoperative management of a patient undergoing thyroidectomy include ALL EXCEPT
a) The patient is treated with appropriate medication, therapy to return the hormone levels to normal
b) Reduce the risk of thyroid storm
c) Medications that may prolong clotting eg. Aspirin should not be stopped
d) Reduce the vascularity of the thyroid gland
18. The most common complication following fracture of long bones
a) Haemorrhage
b) Fat embolism
c) Deep vein thrombosis
d) Constipation
19. Malignant cells when transferred to another part of the body is
a) Carcinoma
b) Metastasis
c) Keloid
d) Sarcoma
20. Epistaxis is bleeding from
a) Stomach
b) Nose
c) Colon
d) lungs
