Download D) 20 36. A patient who is receiving intravenous fluids

1. Care of patients is the subject deals with the study of complex measures, including
performance of different recommendations, diagnostic manipulations, preparation of
patient for specific investigations and also include:
A) Surgical aid
B) First aid
C) Doctor’s aid
D) Additional aid
2. The terms “medical care” is :
A) Doctor’s recommendation
B) Nursing procedure
C) Physical examination
D) Lab. investigation
3. The science of professional duty of a medical person, behavior and relation to patient and
attendant is called:
A) Deontology
B) Ethics
C) Norms
D) Social aspects
4. A patient has severe epigastric pain with nausea and vomiting. A medical student thought
it a case of food poisoning, referred him to infectious hospital. After detailed
investigations confirmed that it was a case of myocardial infarction. Your remarks?
A) Patient is absolutely normal
B) Patient has white-coat phobia
C) It is a diagnostic mistake
D) It is a correct diagnosis
5. In the OPD, a patient without reference documents suddenly feels bad. Your tactics?
A) Investigate and provide care to patient
B) Call an ambulance for help
C) Send him for laboratory tests
D) Send him for reference documents
6. Iatrogenic diseases are those which develop due to:
A) Pathogenic microbes
B) Genetic disorders
C) Unknown etiology
D) Medical mistakes
7. A patient has diagnosed with malignant gastric tumor, in the stage that it can be radically
removed surgically. Patient categorically avoids surgery. Your tactics?
A) Discharge the patient from hospital
B) Refer the patient to nearby hospital
C) Hide exact diagnosis from the patient
D) Tell the patient about exact diagnosis
8. Before admitting in the hospital, patient initially investigated and registered in:
A) Ward
B) Counter
C) OPD
D) OT
9. A patient admitted in hospital with abdominal pain. His general status is severe. Hygienic
bath for him is:
A) Allowed
B) Recommended
C) Avoided
D) His doctor decides
10. Ambulatory care is the supervision, provided to the patient in specialized medicoprophylactic department known as:
A) Hospital
B) Dispensary
C) Maternity home
D) Children hospital
11. A patient has presented with history of vomiting with the presence of blood. Patient says
it was 5 hours before. How you will transport the patient to the ward?
A) By foot
B) By wheel-chair
C) By stretcher
D) By ambulance
12. Temperature chart and medicine recommendation list keep a nurse working at:
A) Dressing room
B) Sweeper
C) Counter
D) ICU
13. What is the usual cause of nosocomial (hospital acquired) infections?
A) Transfusion of blood in larger volumes
B) Disturbance in rules of aseptics and antiseptics
C) Mates in the patient’s hair
D) Non-rational diet of the patient
14. Wet sweeping is performed by using which one of the following solutions?
A) Spirit
B) Chloramine
C) Potassium permanganate
D) Normal saline
15. Antiseptics is the complex of measures directed towards the prevention of infections, to
kill microbial agents:
A) When present
B) When absent
C) When replicate
D) When infect
16. Autoclave is a container in which all obligate, pathogenic and spore-forming microbes
are killed by the help of:
A) High pressure and heat
B) Antiseptic solutions
C) Ultra violet rays
D) Ultrasound waves
17. A nurse on duty in a children hospital, while caring the patient is advised to:
A) Keep long-polished nails
B) Take history of the patient
C) Avoid heavy perfumes
D) Dress well
18. Anthropometry is the measurement of body weight, height, head and chest
circumference, performed in:
A) Therapeutic ward
B) Surgical department
C) Outdoor patient department
D) Intensive care unit
19. A 70 years old male patient has presented with myocardial infarction in the hospital.
While transporting him in the cardiology ward, located on the 2nd floor, how you will
keep position of the patient in the stretcher?
A) Head-end forward
B) Feet-end forward
C) Sitting position
D) Condition dependent
20. Infection that occurs, while being in the hospital within three days or after any medical
procedure within fourteen days, are called:
A) Gram positive bacterial infection
B) Gram negative bacterial infection
C) Community acquired infection
D) Hospital acquired infection
21. Wet-sweeping in the hospital is performed:
A) Every day
B) Once a week
C) Twice a week
D) Trice a week
22. For doing naso-tracheal suctioning, during which of the following patient activity, the
catheter should be inserted?
A) Swallowing
B) Inhaling
C) Exhaling
D) Retching
23. In certain heart and respiratory diseases skin surfaces becomes blue, called:
A) Erythema
B) Cyanosis
C) Pallor
D) Rashes
24. In severe patients, care of skin is performed with the help of warm water sponging,
containing:
A) Spirit solution
B) Hydrogen peroxide
C) Sodium bicarbonate
D) Iodine
25. Normal body temperature at which tissues and cells can best function is:
A) 25 C
B) 37 C
C) 40 C
D) 42 C
26. Which of the following structures controls heat loss?
A) Anterior pituitary
B) Posterior pituitary
C) Hypothalamus
D) Cortex
27. Exposure of the body to subnormal temperature can lead to:
A) Frost-bite
B) Bed sores
C) Burns
D) Inflammation
28. What is the effect of an antipyretic?
A) Reduce fever
B) Increase fever
C) No effect on fever
D) Cause fever
29. The volume of blood pumped by the heart during one minute is called:
A) Cardiac output
B) Stroke volume
C) Blood pressure
D) pulse rate
30. What is the normal pulse rate of an infant?
A) 120 -160
B) 80 - 120
C) 60 – 80
D) 40 - 60
31. The phase of respiration in which gases move in and out of the lungs is:
A) Diffusion
B) Ventilation
C) Perfusion
D) Inhalation
32. What is the normal level of arterial blood pressure (mm Hg)?
A) 150 / 100
B) 140 / 90
C) 120 / 80
D) 100 / 60
33. What is the term used to denote regular, abnormally slow respirations?
A) Tachypnea
B) Dyspnea
C) Orthopnea
D) Bradypnea
34. The most effective way to break the chain of infection is by:
A) Antibiotics
B) Hand hygiene
C) Boiling
D) Sun-bath
35. How many drops in a standard drip set makes one ml?
A) 5
B) 10
C) 15
D) 20
36. A patient who is receiving intravenous fluids develops tenderness, warmth, erythema and
pain at the infusion site. Which of the following conditions will you suspect?
A) Sepsis
B) Infiltration
C) Fluid overload
D) Phlebitis
37. When providing oral hygiene to an unconscious patient, care must be taken to prevent:
A) Aspiration
B) Vomiting
C) Cutting tongue
D) Mouth ulcers
38. Adult dose of paracetamol for treatment of fever is:
A) 200 mg
B) 300 mg
C) 400 mg
D) 500 mg
39. A 15-year-old boy, playing cricket in the street, suddenly has nasal bleeds. What will be your
initial step of first aid to stop bleeding?
A) Nasal packing
B) Compression of nostrils
C) Trotter’s method
D) Insertion of ice pack
40. Before syringing, impacted wax in the ear is softened with:
A) Oil drops
B) Water drops
C) Hydrogen peroxide drops
D) Methylated spirit drops
41. Which of the following is intravascular fluid?
A) Lymph
B) Pleural fluid
C) Plasma
D) Synovial fluid
42. A 5 years old child has presented in your clinic with sore throat and body temperature 40
degree centigrade. Your first step of management?
A) Paracetamol
B) Sponging
C) Antibiotics
D) Soft diet
43. Subfibrilar temperature is elevation of body temperature in between following ranges:
A) 37 – 38
B) 38 – 39
C) 39 – 40
D) 40 – 41
44. Prior to antibiotic injection, a test dose of 1-2 drops is injected in the thickness of skin of:
A) Arm
B) Fore arm
C) Deltoid region
D) Gluteal region
45. Oily preparations are injected:
A) I/V
B) I/M
C) Sub cutaneous
B) Intra dermal
46. Which of the following is an isotonic solution?
A) 0.9 % Normal saline
B) Half –Normal Saline
C) One-third Normal Saline
D) 10 % glucose
47. A patient admitted with vomiting, has the following arterial blood gas levels-pH 7.30;
PaCO2 36 mm Hg; Pa O2 92mm Hg; and HCO3 18; what is the acid-base imbalance that is
present?
A) Metabolic acidosis
B) Dehydration
C) Alkalosis
D) Shock
48. Which of the following is a first-line drug used for pain management?
A) Acetaminophen
B) Clonidine
C) Morphine
D) Ketamine
49. Which of the following nutrients helps for tissue repair?
A) Vitamin
B) Fat
C) Carbohydrate
D) Protein
50. Sputum specimen is collected in a sterilized container, after:
A) Break fast
B) Tooth brushing
C) Mouth wash with water
D) Antiseptic mouthwash
51. Microscopic examination of urine reveals elevated levels of red blood cells. What does it
indicate?
A) Damage to Glomeruli
B) Damage to calyces
C) Damage to urinary bladder
D) Damage to urethra
52. Correct method to collect urine for laboratory investigation is the:
A) Initial stream
B) Mid-stream
C) End stream
D) Whole urine
53. Which of the following patient activities helps to relax the external anal sphincter, while
administering enema?
A) Proper position
B) Lubricating the catheter tip
C) Inserting the catheter slowly
D) Breathing out through the mouth.
54. Which of the following is the best method to confirm placement of the nasogastric tube?
A) Checking patient’s ability to talk
B) Aspiration of intestinal content
C) Introducing air and auscultating
D) X-ray of chest and abdomen
55. Which of the following minerals a child suffering from rickets should take?
A) Potassium
B) Calcium
C) Sodium
D) Iron
56. First aid in case of fractures is:
A) immobility
B) I/V infusion
C) Fluid intake
D) Salt restriction
57. A large infection made up of several boils is known as :
A) Carbuncle
B) Furuncle
C) Folliculitis
D) Blister
58. Preparing the patient for sigmoidoscopy:
A) In the evening, clean enema after dinner
B) On the morning of 2 hours prior to the study, enema
C) On an empty stomach in the morning
D) Gastric lavage morning
69. In what diseases the most common gastrointestinal bleeding?
A) Inflammation of the gastric mucosa
B) Gastric motility disorders
C) Malignant tumors of the stomach
D) Ulcerative lesions of the stomach
60. Late period after chemical burns of the pharynx, esophagus
A) Cerebrovascular accident
B) Myocardial infarction
C) The narrowing of the stomach outlet
D) Chronic renal failure with uremic gastritis
61. What symptoms are gastrointestinal bleeding?
A) Vomiting with blood clots (hematemesis)
B) Black tarry stools (melena)
C) Color-less stool (achylic)
D) Blood in sputum (hemoptysis)
62. Indication for gastric lavage is one of the following:
A) Poisoning by various toxins
B) The narrowing of the stomach outlet
C) In chronic renal failure
D) Acute esophageal and gastric bleeding
63. Contraindications for enema:
A) poisoning to remove toxic substances
B) Ulcerative lesions of the colon
C) Acute appendicitis
D) Acute peritonitis
64. Features of preparation of the patient to the barium enema:
A) Held in the study day on an empty stomach
B) Required cleansing enema in the morning of the study
C) A preliminary sample preparation tolerance radiopaque
D) Atropine for 30 minutes to study
65. The oral cavity healthy children 1 year of life
A)
B)
C)
D)
wipe after each meal
wipe once per day
wipe once a weak
wipe twice a weak
66. The appearance of pressure ulcers - is the evidence:
A)
B)
C)
D)
Wrong treatment prescribed by a doctor.
Inadequate care for the sick.
Bad hospital treatment.
Improper diet of the patient.
67. To prevent bedsores should:
A)
B)
C)
D)
Every 2 hours change the position of the patient.
Spreads sheets and linens.
Wipe the skin with an antiseptic solution.
Surgically incise the skin.
68. Before syringing of the ears of the patient, wax must be softened prior with:
A)
B)
C)
D)
Oil.
Hydrogen peroxide.
Vaseline.
Water.
69. To remove the crusts from the nose is used:
A)
B)
C)
D)
Water.
Vaseline oil.
Dry wool.
Glycerin.
70. For the instillation of drops into the eye is sufficient:
A)
B)
C)
D)
One drop.
2-3 drops.
4-5 drops.
6-7 drops.
71. Bedsores develop due to:
A)
B)
C)
D)
Permanent compression of the skin.
Improperly performed injections
Malnutrition
Fungal infections of the skin
72. Nasal crusts are softened by using which one of the following?
A) Glycerin
B) Potassium permanganate
C) Normal saline
D) Antimicrobial agents
73. Contractures frequently occur after burn healing because of:
A) Excess fibrous tissue formation
B) Excess necrotic tissue formation
C) Excess tissue clots formation
D) Excess New blood vessels formation
74. Acquired position of the patient is that one which is used to:
A) Decrease pain
B) Breath normally
C) Decrease temperature
D) Increase heart activity
75. Site for intra muscular injections in the gluteal region is:
A) Upper medial quadrant
B) Lower medial quadrant
C) Upper lateral quadrant
D) Lower later quadrant
76. In case if I/V injection tourniquet is tied, before puncturing the vein:
A) Proximal to the site of injection
B) Distal to the site of injection
C) Depends upon the position
D) Parallel to the site of injection
77. Plural puncture is performed at posterior axillary line in the:
A) 6th intercostal space
B) 7th intercostal space
C) 8th intercostal space
D) 9th intercostal space
78. Clean enema is the procedure of:
A) Stomach wash
B) Intestinal wash
C) Bronchial wash
D) Peritoneal wash
79. ABC rule is carried out in case of:
A) Clinical death
B) Biological death
C) Myocardial infarction
D) Road traffic accident
80. Which of the following symptoms should be watched for in a patient receiving a loop
diuretic?
A) Restlessness and agitation
B) Paresthesia
C) Increased blood pressure
D) Weak irregular pulse
81. Which of the following surgical procedures involves removal of a body organ?
A) Tracheostomy
B) Laparotomy
C) Mammoplasty
D) Mastectomy
82. The most appropriate technique to assess skin for temperature and moisture is ….
A) Palpation
B) Percussion
C) Auscultation
D) Laboratory
83. Complete absence of melanin pigment in patchy areas on a patient’s hand is described as:
A) Vitiligo
B) Albinism
C) Melanoma
D) Birth spots
84. Which of the following parameters is commonly used to assess adequacy of fluid
replacement in a patient with burns?
A) Urine output
B) Body temperature
C) Blood pressure
D) Pulse rate
85. Which of the following is an earliest manifestation of inadequate oxygenation?
A) Diaphoresis
B) Cyanosis
C) Restlessness
D) Hypotension
86. A diagnostic procedure which involves removal of pleural fluid for analysis is :
A) Thoracentesis
B) Dialysis
C) Peritoneal lavage
D) Bronchial lavage
87. Which of the following helps to identify flail chest in a patient with chest trauma:
A) Multiple rib fractures seen in X-ray
B) Decreased movement of chest wall
C) Tracheal deviation
D) Paradoxical chest movement during respiration.
88. The blood vessel that brings blood to the right atrium is ….
A) Venae Cavae
B) Aorta
C) Coronary arteries
D) Pulmonary artery
89. Which of the following conditions is caused by elevated intra ocular pressure?
A) Glaucoma
B) Cataract
C) Strabismus
D) Myopia.
90. A patient is admitted with a diagnosis of diarrhea with dehydration. What will be your
management?
A) I/V fluid
B) NSAIDs
C) Diuretics
D) Hunger
91. What are the main objectives of the student in the study of the overall care of patients?
A) Mastering the art of operations.
B) Mastering the technique of examination of the patient.
C) Providing the first medical aid.
D) Diagnosis.
92. What is studying medical ethics?
A) The relationship between a patient.
B) The relationship between doctor and patient.
C) Questions duty, morality and professional ethics.
D) The relationship between medical staff and patients' relatives.
93. What are the health care institutions have outpatient care?
A) Hospitals.
B) Clinics, dispensaries, health centers.
C) Hospitals.
D) Clinics.
94. Outpatient type of medical department include:
A) clinic
B) dispensary
C) ambulance station
D) sanatorium
95. The temperature of the water bath should be hygienic:
A) 27-29 ° C;
B) 30-33 ° C;
C) 35-40 ° C;
D) 40-43 ° C;
96. Sanitization of the patient include:
A) hygienic bath, shower, rubdown
B) cut hair and nails patient
C) disinfection chamber clothes
D) wearing of clean cloths
97. The objectives of the OPD are
A) reception and registration of the patient
B) Advisory ambulatory patients receiving
C) referrals to the medical department of the hospital
D) monitoring of the patient discharged from hospital
98. Children are transported in satisfactory condition at the medical department by:
A) a wheelchair
B) independently
C) by foot, accompanied by medical worker
D) alone, not accompanied by medical worker
99. Seriously ill children are transported:
A) on Wheel litter
B) on hands
C) independently
D) by parents
100. Young children are transported
A) on Wheel litter
B) on hands
C) are independently
D) by parents
101. Information services in the waiting room can inform parents by phone:
A) the severity of the child
B) diagnosis
C) information about treatment
D) body temperature
102. Initial examination of the patient to pediculosis held when he arrives:
A) in the medical department
B) in the emergency room
C) doctor on duty
D) outdoor patient department
103. Weigh the patient must be done under the condition:
A) In the morning, on an empty stomach, after emptying the bowel and bladder
B) In the morning on an empty stomach with a full bladder.
C) In the evening, after a meal, with a full bladder.
D) In the evening, after stomach wash and clean enema
103. Disinfection is the complex of measures, directed to prevent:
A) Pathogenic microbes
B) Resistant species
C) Normal flora
D) Microbial toxins
104. Focal final disinfection is carried out in which one of the following?
A) after the transfer of the patient to the infectious department
B) after recovery of infectious patient
C) after the death of the patient
D) after admitting of new patient in the ward
105. List the mechanical methods of disinfection:
A)
B)
C)
D)
wet cleaning
vacuum cleaning
painting rooms
hand washing
106. Preventive disinfection and cleaning of the wards, hallways and other areas of medical
department holds
A) nurse
B) junior nurse
C) matron
D) doctor
107. General cleaning is carried out in medical offices
A) 2 times per week
B) 1 every 7-10 days
C) 1 time in 2 weeks
D) 1 time per month
108. The surfaces (walls, doors, desks, tables, beds, etc.) on the premises of medical offices
conduct, are washed with:
A) warm water
B) warm soapy water
C) disinfectant solution
D) spirit solution
109. The weight of the child should be measured:
A) on admission
B) every day
C) every week
D) at discharge
110. Remove crusts from the nasal cavity is carried out with a cotton buds soaked in sterilized:
A) normal saline
B) mineral oil
C) half spirit solution
D) hydrogen peroxide
111. For infants optimal temperature in the room is
A) 19-20 ° C
B) 20-22 ° C
C) 23-25 ° C
D) 25-27 ° C
112. After cleaning the skin of a healthy child of the 1st year of life processed:
A) Antibiotic ointment
B) sterile vegetable oil
C) special baby cream
D) nothing is applied
113. Eyes are washed by applying which one of the following method?
A) from the outer to the inner corner
B) from the inner corner to the outer
C) one swab both eyes
D) each eye a separate swab
114. In some cases, use a rectal administration of drug:
A) If not possible or desirable their oral
B) If you want to have a local therapeutic effect
C) If you want to get a quick and pronounced effect
D) If you want to get less side effects
115. In some cases, drugs administered orally after meals
A) If they irritate the gastric mucosa
B) If they participate in the digestion process
C) If they are destroyed with hydrochloric acid
D) If they are having bad taste.
116. Which method is called parenteral administration of drugs?
A) The use of drugs by injection
B) Any route except gastrointestinal tract
C) Topical administration of drugs
D) Only intra venous administration
117. When is it advisable to use the methods of administering injectable drugs?
A) For rapid therapeutic effect
B) If the drug works briefly
C) If the drug is highly toxic
D) If accurate drug concentration is needed
118. Which conditions can lead to physiological body temperature rise?
A) Muscular effort
B) Sleep
C) Eating
D) Emotional stress
119. The body temperature is measured in the patient is in the rectum 37 as may be described at
that temperature?
A) Normal
B) Moderately High
C) Subfibrilar
D) Hectic
120. Specify the values of moderately high temperature
A) 38-39 C
B) 39-40 C
C) 40-41 C
D) Above 41
122. Acquired position the patient takes as orthopnoea indicates:
A) Bronchial asthma
B) Cardiac asthma
C) Pericardial effusion
D) Ascites
123. What is the purpose to patients suffering from diseases of the cardiovascular system, severe
shortness of breath, it is recommended to take in bed Half-upright position
A) In this position, it is more convenient to feed
B) Reduces blood flow in the pulmonary circulation
C) Reduces the risk of bedsores
D) Reduce chances of myocardial infarction
124. In the event of an attack of angina patients are encouraged to:
A) Stopping physical exertion;
B) Nitroglycerin;
C) Introduction adrenaline
D) Oxygen inhalation.
125. What kind of help should be given to a patient with pulmonary edema?
A) Give a semi-sitting position;
B) Enter blood liquids;
C) Put the mustard in the region of the heart;
D) Enter diuretics
126. To reduce the edema of cardiac patients should:
A) Move more;
B) Make bladder catheterization;
C) Apply diuretics;
D) Restrict fluid and salt;
127. During the measurement of blood pressure patient should:
A) Lying
B) Stand
C) To exercise
D) Sit.
128. The patient in a few hours there is a high temperature, it is
A) Acute fever
B) Subacute fever
C) Chronic fever
D) Critical fall
129. What is the purpose before measuring the temperature recommended to wipe dry armpit?
A) For hygienic reasons
B) To be thermometer in a stable position
C) In order not to get low results measurement
D) To decrease microbial colonization
130. Once bed sores develops, it is following solution is applied:
A) Iodine
B) Spirit
C) Dettol
D) Saline
131. What is the exact sign of biological death?
A) Respiratory arrest
B) Heart arrest
C) Cadaver rashes
D) Rigor mortis
132. Why head of the patient is extended backward, while performing artificial ventilation?
A) To provide best airway conduction
B) To achieve a comfortable position
C) To excite respiratory center in the brain
D) To avoid aspiration of gastric contents
133. Characteristic dyspeptic phenomenon in case of acute inflammation of abdominal organs:
A) Nausea
B) Vomiting
C) Diarrhea
D) Constipation
134. What is the characteristic physical sign that indicates involvement of parietal peritoneum in
the pathological process?
A) Increased peristaltic sounds by auscultation
B) Positive rebound tenderness by palpation
C) Dullness of percussion note over abdomen
D) Prominent veins around umbilicus by inspection.
135. A surgical procedure in which a part of large intestine is remained open through the anterior
abdominal wall is called:
A) Laparotomy
B) Laparostomy
C) Peritoneal lavage
D) Clean enema
136. Preoperative period timing depends upon:
A) Character of disease
B) Type of surgery
C) Patient status
D) Method of anesthesia
137. Rout of infection from external environment (exogenic infection).
A) Air-droplet
B) Haematogenic
C) Lymphogenic
D) Implantogenic
138. Select one of the following drug action amongst aged persons, as compared to younger:
A) Slow absorption from GIT
B) Slow elimination from the body
C) Usual anaphylactic reactions
D) Crossing of blood brain barrier
139. A 60 years old patient with a debilitating disease is on bed rest since two years. Which one
of the following is expected to develop in this patient?
A) Diabetes mellitus
B) Thrombosis
C) Bronchial asthma
D) Meningitis
140. A young male has performed blood count in his nearby laboratory to check if he has
anemia. His hemoglobin concentration is 12 g/dl. Your remarks:
A) Low hemoglobin concentration
B) High hemoglobin concentration
C) He has mild anemia.
D) He has severe anemia