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Семестр: 6
Nursing practice (situations real-life)
Опис:
3 course medical
Перелік питань:
1.
A.
B.
C.
D. *
E.
F.
2.
A. *
B.
C.
D.
E.
3.
A.
B.
C. *
D.
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A. *
B.
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5.
A.
B.
C.
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E. *
6.
A.
B.
By palpation patient’s pulse is low and slow. Such a pulse is observed in:
mirtal incompletence;
mitral stenosis;
aortal incompletence;
stenosis of ostium of aorta;
hypertension.
1 litre
Induction centre of hospital a patient entered 50 years with a diagnosis gastroenteric bleeding. Sick,
pale, covered a death-damp. AT - 90/60mm. mm of Hg. Pulse rate is 110/min. What decision
concerning sanitary preparation will be correct?
Not to conduct a preparation
Only hygienical bath
Only shower
Partial preparation
2% sodium hydrokarbonate solution
A junior nurse during cleaning up of toilet room found out absence of glass with the clarified solution
of chloric lime. She loudly informed the duty trained nurse which was in the opposite end of corridor.
What mode was violated by a junior nurse?
Sanitary-hygenic
Hospital
Treatment-protective
Tretament-protective and sanitary-hygenic
Sanitary-hygenic and hospital
A nurse during communication with a female elderly patient has pointed attention to increased body
weight of the patient. This decreases mobility of the woman. The nurse has recommended to keep the
main principle of elderly patients nutrition. What in the principle?
Limitation of volume of food
Increased calorie content of food
frequent meals
Increased protein content of food
Increased water intake
A nurse has finished checking of a “medical chest for emergency care”. There are present: 30 %
albucid solution, 5 % iodinum solution, 3 % peroxygen solution. Which component should be the
chest completed with?
96 % alcohol solution
Solution of brilliant green
Furacilin solution 1/4000
1 % chloramine solution
70 % alcohol solution
A nurse has finished checking of a “medical chest for emergency care”. There are present: 70 %
alcohol solution, 5 % iodinum solution, 3 % peroxygen solution. Which component should be the
chest completed with?
96 % alcohol solution
Solution of brilliant green
C.
D.
E. *
7.
A. *
B.
C.
D.
E.
8.
A. *
B.
C.
D.
E.
9.
A.
B.
C. *
D.
E.
10.
A.
B.
C. *
D.
E.
11.
A. *
B.
C.
D.
E.
12.
A. *
B.
C.
D.
Furacilin solution 1/4000
1 % chloramine solution
30 % albucid solution
A nurse is going to perform disinfection of instruments by immersion method. For this purpose all
the following solutions are used except of:
Potassium manganese solution
3 % chloramine B solution
6 % peroxigen solution
2 % glutaral solution
70 % alcohol solution
A nurse is visiting her neighbour who is the friend of her patient. The neighbour asks about health
condition of her friend. What should the nurse do?
To tell her that it is not possible to take all the information
To tell about everything
To point her opinion on another things
To analyze health condition of the patient in details
To send her to attending doctor
A nurse taking part in therapeutic communication with a patient promotes understanding of his
patient's feelings and condition to enable the nurse and patient to relate better. Which element of
therapeutic communication is the nurse practicing?
caring
empathy
sympathy
validation
No correct answer
A nurse taking part in therapeutic communication with a patient promotes understanding of his
patient's feelings and condition to enable the nurse and patient to relate better. Which element of
therapeutic communication is the nurse practicing?
caring
empathy
sympathy
validation
No correct answer
A nurses while they work in different departments of a hospiral fulfill different medical documents.
Select medical document which is fulfilled only by a nurse:
The journal of registration of admitted patients
Case history
The card of ambulatory patient
Prescription card
Epicrisis
A patient has the right for private life and confidentiality. Select actions of a nurse for support of this
right:
All mentioned
To obtain patient’s permission for examination
To cover the patient during examinations
To ask his permission to open his boxes, closets, stands
E.
To examine the patient behind a screen
13.
A patient who is treated in in-patient department speaks loudly at midnight. How to comment actions
of the patient?
Violation of internal regulation of the hospital
Violation of treatment-protection regimen
Violation of sanitary-epidemic regimen
The patient doesn’t violate any regulations
All mentioned
A patient who is treated in in-patient department was visited by 5 friends who brought for him a
tape-recorder, listened loud music in the department and spoke loudly. How to comment actions of
visitors?
Violation of internal regulation of the hospital
Violation of treatment-protection regimen
Violation of sanitary-epidemic regimen
The patient doesn’t violate any regulations
All mentioned
A radio announcer of fast train is “Donetsk – Kyiv” reported that for a woman from a carriage N 9
premature births began and asked medical staff which are in a train, to render and provide necessary
help. The nurse which rode in a nearby carriage explained to that she is on leave and renounced to
give help. How must the trained nurse act in a correct way?
To render medicare;
To renounce, explaining vacation;
To say no in medical help explaining absence
To renounce, explaining, that each has the personal time.
To suggest to land a woman at the nearest station, where help will be given it.
As a nurse, you are caring for Mr. J. His is an immigrant from Bosnia. Mr. J. speaks no English. You
obtain the services of an interpreter. What is the most effective way for you to work with an
interpreter?
Avoid
use of pictures or gestures to clarify meaning of words.
Speak to the patient rather than to the interpreter.
Use various interpreters for interactions with Mr. J. to allow him to become familiar with many
people.
Direct your conversation to the interpreter who will then translate the information to Mr. J.
No correct answer
At the discussion of Code of Ethics of nurses of Ukraine, among the trained nurses of a department
there was a dispute: what actions, in obedience to Code, is acknowledged unethical. Help to find a
right answer
Euthanasia on the request of patient
Intervention from the trained nurse is critical conditionwithout the consent of a patient
A receipt of consent of patient is upon nursing examination
A receipt of consent of family members is upon nursing intervention
Implementation of intimate procedures.
Discussion was provided in nurse collective about conflict patient. It was established that he has
utilitarian attitude towards his disease. What does it mean?
The patient tend to get outcome from the disease
Ignoration of the disease
Underestimation of the disease
Groundless fear of a disease
Submerged in the disease
A.
B. *
C.
D.
E.
14.
A.
B. *
C.
D.
E.
15.
A. *
B.
C.
D.
E.
16.
A.
B.
C. *
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B.
C.
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A. *
B.
C.
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B.
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A.
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C.
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21.
A.
B.
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A.
B.
C.
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23.
A.
B.
C.
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24.
A. *
B.
C.
D.
E.
25.
A. *
B.
Discussion was provided in nurse collective about conflict patient. It was established that patient’s
behavior may be estimated like agravation. What does it mean?
The patient tend to get outcome from the disease
Ignoration of the disease
Underestimation of the disease
Groundless fear of a disease
Overstatement of signs of the disease
Discussion was provided in nurse collective about conflict patient. It was established that patient’s
behavior may be estimated like dissimulation. What does it mean?
The patient tend to get outcome from the disease
Ignoration of the disease
Underestimation of the disease
Groundless fear of a disease
Submerged in the disease
During examination of a patient some patient’s blood has appeared in nurse’s ears. Which
disinfectant solution should be used in this case?
0,05 % Potassium manganese solution
6 % peroxygen solution
2 % glutaral solution
Distillated water
70 % alcohol solution
During examination of a patient some patient’s blood has appeared in nurse’s nasal mucosa. Which
disinfectant solution should be used in this case?
0,05 % Potassium manganese solution
6 % peroxygen solution
2 % glutaral solution
Distillated water
1 % protargol solution
During examination of a patient some patient’s blood has appeared on nurse’s uniform. Which
disinfectant solution should be used in this case?
0,05 % potassium manganese solution
6 % peroxygen solution
2 % glutaral solution
Distillated water
3 % chloramine solution
During examination of a patient some patient’s blood has dropped on nurse’s eyes. Which
disinfectant solution should be used for cleansing of eyes?
0,05 % Potassium manganese solution
6 % peroxygen solution
2 % glutaral solution
Distillated water
1 % protargol solution
During intravenous infusion for a patient some patient’s blood has dropped on nurse’s hand. Which
prophylaxis measures should be performed?
To wash hands with a soap, to treat them with a tampon wetted with 70 % alcohol solution
To wash hands with a soap, to treat them with 1 % chloramine solution
C.
D.
E.
26.
A. *
B.
C.
D.
E.
27.
A. *
B.
C.
D.
28.
A.
B. *
C.
D.
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29.
A. *
B.
C.
D.
E.
30.
A. *
B.
C.
D.
E.
31.
A.
B.
To remove blood with sterile dry serviette
To treat hands with 3% chloramine solution, to treat them with a tampon wetted with 70 % alcohol
solution
To treat hands twice with a tampon wetted with 5 % iodinum solution
For preparation of 0,5 % chloramine B solution 5 gram of chloramine were taken. What will be the
volume of disinfectant solution?
1 litre
2 litres
3 litres
6 litres
0,5 litre
For preparation of 5 % chloramine B solution 400 gram of chloramine were taken. What will be the
volume of disinfectant solution?
4 litres
3 litres
6 litres
0,5 liter
In a hospital department a pregnant woman is admitted. The patient has AIDS. Which disinfectant
solution should be used in this case for washing hands of a nurse before and after examination of the
patient?
Timasin
Sterilium viruguard
Iodonat
Chlorhexidin
Potassium manganese solution
In a procedure room there is a “Medicine chest for accidents” which contains bandages, a vial for
preparation of solutions, a vial for cleansing eyes, 70 % alcohol solution, 5 % iodinum solution, 0,05
% solution of potassium permanganatis. This chest is used for prophylaxis of viral and bacterial
infections as well. Which component should be the chest completed with?
6 % peroxygen solution
96 % alcohol solution
1 % chloramine solution
5 % chloramine solution
2 % glutaral solution
Into admissious department of a hospital a patient was transported who felt himself ill on the street
(pain in abdominal region). The patient was followed by a passer-by. What should be the first
measure of admissious department personell?
Examination by a doctor of admissious department
Examination by a surgeon
Examination by a therapist
Examination by a neurologist
Examination by emergency care doctor
Into admissious department of a hospital a patient was transported who felt himself ill on the street
(pain in abdominal region). The patient was followed by a passer-by. Which examination should a
nurse of admissious department perform?
Inquiry of the patient
Inspection of the patient
C.
D. *
E.
32.
A. *
B.
C.
D.
E.
33.
A. *
B.
C.
D.
E.
34.
A.
B.
C.
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E. *
35.
A.
B.
C. *
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E.
36.
A. *
B.
C.
D.
E.
37.
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B.
Palpation, percussion, ECG
Taking body temperature, assessment for signs of infectious diseases, pediculosis and scabies, other
examinations - according to prescriptions of a admissious department doctor.
All mentioned
It is necessary to provide ventilation of a ward in a hospital department where severe patients are on
the bed mode, but other patients do not let to do it for a nurse. What should be the action of the
nurse?
To explain the importance of fresh air for severe patients, to cover severe patients with blankets and
to open a window
To point on necessity of ventilation
Do not provide ventilation
To call an a doctor
To ask all the patients to leave the ward
On a reception a worker which got a trauma in the workplace in the state of alcoholic intoxication
appealed to the medical assistant of the clinic. However medical assistant, being the relative of a
victim, at direction of him to the trauma department, the fact of injuring in the state of alcoholic
intoxication. Estimate the conduct of medical assistant.
carried out post violation;
carried out a noble act;
broke rule of conduct
helped a relative
carried out no offences
Patient C. was accompanied to the admissions department of a hospital by a passer-by after the
patient has fallen unconscious on the street near the hospital. During inspection myocardial infarction
was revealed. What kind of sanitary treatment should be performed in this case?
Complete (bath);
Complete (shower);
Partial;
All mentioned;
Patient is to be hospitalized into the hospital without sanitary preparation.
Patient D. walked into the admissious department of a hospital with a severe pain in the heart region.
Upon physical examination the doctor on duty revealed acute myocardial infarction. How should the
pateinet be transported?
On his feet;
Not transported at all;
On the stretcher;
All of the above ways are possible;
None are correct.
Patient S, is treated in a therapeutical department. He wants to visit his friend in infectious
department. What should be the tactic of the nurse on duty?
Such visits are not allowed
To allow the visit;
To call the patient from infectious department to the therapeutical one;
To advice for both patients to meet in the hospital hall;
All mentioned above are correct .
Practical work of a nurse is regulated with the certain standards. What are standards of nursing?
Positions which determine the volume, value and quality of working activity
Positions which determine diagnosis and treatment of pathological condition
C.
D.
E.
38.
A.
B.
C.
D. *
E.
39.
A.
B.
C.
D. *
E.
40.
A.
B.
C. *
D.
E.
41.
A. *
B.
C.
D.
E.
42.
A.
B. *
C.
D.
E.
Positions which determine actual and potential problems of a patient
Positions which determine teaching of a patient different skills
Positions which determine duties of a nurse
The patient is terminally ill and has signed an advance directive. In accordance with the patient’s
wishes, the physician has written a “do not resuscitate” (DNR) order. The family tells the nurse that
they expect cardiopulmonary resuscitation (CPR) to be performed if their mother stops breathing.
While they are talking, the patient suddenly stops breathing. What should the nurse do?
Respect the wishes of the family
Have the family leave the room immediately
Notify the physician immediately.
Follow the DNR order.
No correct answer
The patient tells the nurse that even though it has been 4 months since her sister's death from a
ruptured aneurysm, the patient finds herself crying uncontrollably several times a week. The patient
is afraid she is "losing her mind. " What is the nurse’s best response?
“Most people get on with their lives within a few months. You should see a grief counselor.”
“Whenever you start to cry, distract yourself from thoughts of your sister and try to sing.”
“You should try not to cry. I'm sure your sister is in a better place now.”
“Your feelings are completely normal and may continue for a long time.”
No correct answer
The patient was recently in an accident that left him paralyzed from the neck down. He is constantly
criticizing the nurses. They can do nothing to please him. What is the most appropriate nursing
diagnosis for this patient?
Ineffective Individual Coping
Powerlessness
Anxiety
Altered Role Performance
No correct answer
The dying patient and family have been approached by their physician to consider a move to a
hospice-like facility for palliative care. The family members tell the nurse they are afraid that their
loved one will receive only custodial care because therapy for a cure is no longer being pursueD.
What is the nurse’s best response?
“The goal of palliative care is to provide the greatest degree of comfort possible and help the dying
person enjoy whatever time is left.”
“Palliative care will release you from the burden of having to care for someone in the home; it does
not mean that curative treatment will stop.”
“A palliative care facility is like a nursing home, which costs less than a hospital because less care is
being provided. ”
“Your loved one is unaware of his surroundings and will not notice the difference between home and
a palliative care facility.”
No correct answer
The nurse is caring for a patient who is living at home. The patient's family does everything for the
patient and does not encourage the patient to function independently. This condition is described as
well-adjusted dependence
well-adjusted independence
maladjusted dependence
codependence
No correct answer
43.
A.
B.
C.
D. *
E.
44.
A. *
B.
C.
D.
E.
45.
A.
B.
C. *
D.
E.
46.
A. *
B.
C.
D.
E.
47.
A. *
B.
C.
D.
E.
48.
A.
B.
C.
D.
E. *
The nurse is caring for an anxious patient who is having difficulty communicating. The patient can
make no decisions and sits seemingly unable to take any action. The nurse determines that this
patient is at which level of anxiety?
mild
severe
moderate
panic
No correct answer
The spouse of a person remaining at home during a terminal illness is concerned because the dying
patient does not want to eat. What is the nurse’s best response?
“If he says he is not hungry, let him know that food is available when he wants it but don't insist that
he eat.”
“A feeding tube can be placed in the nose to provide important nutrients.”
“Force him to eat even if he doesn't feel hungry, or he will die sooner.”
“He is getting all the nutrients he needs from his IV.”
No correct answer
You are the charge nurse. You have been asked to meet with the husband of a patient being cared for
on the unit. The staff tells you he is very angry and wants to talk to someone about the lousy care his
wife is receiving. Which of the following communication techniques should you use when interacting
with this individual?
Arrange the setting so the husband is in front of the door with you directly behind him.
Start the conversation with a handshake or touch to his shoulder to express your care and concern.
Do not turn your back on the man.
Stay above his line of vision.
No correct answer
A patient 65 years is in a surgical department, operated because of cholelithiasis. In a postoperative
period a nurse did him a hypertensive enema. Emptying of intestine must take a place:
in 20 min
in 1 hour
in 10 hour
in 8 hour
in 5 min
A patient of 62 years old is on treatment in a pulmonologic department concerning exacerbation of
chronic bronchitis. The bacteriologic examination of sputum is appointed to him. Sputum should be
collected:
In a sterile capacity, not touching to its edges
In the clean vial of 3 - 5 ml
In a clean vial for days
In a clean vial for 3 days
In a steril capacity for 3 days
It is necessary to take urine for laboratory analysis in a woman with acute pyelonephritis. The patient
has menstruation at the moment. What to do?
To collect urine in a usual way;
To instruct the patient to collect urine into the vial;
To instruct the patient to collect urine into the vial after cleansing of perineum;
To wait and take the urine when menstruation will finish;
To take urine by a catheter.
49.
A. *
B.
C.
D.
E.
50.
A. *
B.
C.
D.
E.
51.
A. *
B.
C.
D.
E.
52.
A. *
B.
C.
D.
E.
53.
A. *
B.
C.
D.
E.
54.
A. *
B.
C.
D.
E.
Research of feces for hidden blood was prescribed for a patient. Wich preparation of a patient is
necessary:
Diet withourt hemoglobin
Normal diet
Diet N1-a
Diet N15
Diet N 5.
The patient of 34 years old passes an ambulatory inspection in a policlinic. A nurse teaches the
patient of rules of fence of urine on a uranalysis. When must urine for uranalyses be delivered in a
laboratory after a fence?
Not later than 1 hr
Not later than 6 hr
Not later than 10 hr
For a day long
Through 3 hr
To the patient I., 34, that is on treatment in a gastroenterologic department, duodenal probing is
appointed. Appearance of darkly olive liquid during the duodenal probing corresponds to:
Cystic bile
Hepatic bile
edema of pancreas
Gastric juice
contents of cystic duct
To the patient M. is 45 years, which is in a gastroenterology separation concerning a chronic
cholecystitis, appointed v/v cholecystography. What must a medical sister do, to prevent
development of allergic reaction for a patient during the leadthrough of research?
To conduct in the evening a test on verografin
To conduct in the evening a test on yodolipol
To conduct in the evening a test on yodognost
To conduct a morning a test on urografin
To conduct a morning a test on barium mixture
To the patient of 42 appointed factious research of gastric juice. Weight of patient is 70 kg What
amount of Histaminum of dihydrohloridi does need to be entered this patient for stimulation of
gastric secretion?
0,50
0,24
0,32
0,48
0,56
To the patient of 42 appointed factious research of gastric juice. Weight of patient is 70 kg What
amount of Histaminum of digidrokhloridu does need to be entered this patient for stimulation of
gastric secretion?
0,50
0,24
0,32
0,48
0,56
55.
A. *
B.
C.
D.
E.
56.
A. *
B.
C.
D.
E.
57.
A. *
B.
C.
D.
E.
58.
A.
B.
C. *
D.
E.
59.
A. *
B.
C.
D.
E.
60.
A.
B.
C. *
D.
E.
61.
To the patient of F., 35 years, which treats oneself in a gastroenterology separation, a doctor
appointed to collect an excrement on the eggs of intestinal worms. Explain to the patient the
technique of collection of excrement.
To collect an excrement at once after emptying in an amount a 30-50 gramme in a warm kind from
3th different places
To collect the morning svizhovidileniy (in a warm kind) excrement in an amount a 5-10 gramme
To collect an excrement in a sterile test tube with konservantom
To collect an excrement in sterile double-dish
To collect an excrement after the special preparation (bezgemoglobinova diet)
While assisting during the procedure of abdominal cavity puncture (paracentesisi) the trained nurse si
tightening the patient’s abdomen with a towel. What is the purpose of this action?
Maximal evacuation of ascitic liquid
Diminishing of pain
Decline of blood pressure
Prevention of bleeding from a wound
To support the patient in necessary position
A patient 62 y.o developed ischemia in early post operative period. Cauterization of a gallbladder is
prescribed for him. What should a nurse apply to a catheter before inserting the catheter into the
bladder?
steril glycerine
vasline oil
furacyline solution 1\ 500
3% enlarged solution
0.55 KMn04 solution.
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test is necessary to
prescribe to reveal Helicobacter Pylori infection?
Intragastral PH-metry
CBC
C-respiratory test
Stomach probing
Duodenal probing
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test is necessary to
prescribe to assess acidity of stomach juice in different parts of the stomach?
Intragastral PH-metry
CBC
C-respiratory test
Stomach probing
Duodenal probing
a patient with pleurisy is undergone pleural puncture. Which complication may occur during the
procedure?
convulsion
dyspnea
collapse
hypertension
coma
A patient with renal edema is hospitalized in nephrological department. Zimnitsky’s test is prescribed
for him. Which preparation is to be performed?
A.
B.
C. *
D.
E.
62.
A.
B.
C.
D.
E. *
63.
A. *
B.
C.
D.
E.
64.
A.
B.
C. *
D.
E.
65.
A. *
B.
C.
D.
E.
66.
A.
B. *
C.
D.
E.
67.
A. *
B.
Limitation of salt intake in diet
Usage of diuretics
Abstinence from diuretics
Limitation of sugar in diet
Diet without hemoglobin-containing products
In patient C., with chronic kidney disease, it is necessary to assess amount of formed elements
excreted with urine in 1minute. Which test should be used for the purpose?
Weryporenko’s test
Zimnitsky’s test
Reberg’s test
urine collected at any time
evening portion of urine
A doctor prescribed hypertonic enema for the patient 54 years old with the atony of intestine . What
liquid must a nurse use for implementation of procedure?
10% saline solution
4% solution of hydrochloric acid
4% sodium hydrocarbonatis
20% solution of glucose
7% solution to potassium chloride.
A nurse conducts the duodenal probing. What irritant needs to be entered to the patient to obtain the
second portion of bile :
40% solution of glucose
0,1% solution of Histamin
30% magnesium sulfatis solution
0,025% pentagastrin solution
5% ethyl spirit
A patient 65 years is in a surgical department, an operation is conducted him concerning
cholelithiasis. In postoperative period, on the purpose of attanding doctor, the trained nurse did him
hypertonic. Emptying of intestine must pass:
In 20 minutes
In 1 hour
In 10 hours
In 8 hours
In 5 minutes
A patient has gingival bleeding. Research of excrement was appointed him to the hidden blood. At
preparation to research a patient must:
To clean teeth only in the evening
Not to clean teeth with a brush
Not to rinse a mouth with 3% sodium hydrocarbonatis
Not to rinse a mouth with decoction of camomile
There is not a right answer
A patient of 22 years is in oncologic department concerning to the disease of stomach. A doctor
prescribed him analysis of feces on the hidden blood. In the period of preparation to this research the
patient must:
observe a diet without haemoglobin for 3 days
do a cleansing enema in the evening
C.
D.
E.
68.
A. *
B.
C.
D.
E.
69.
A. *
B.
C.
D.
70.
A. *
B.
C.
D.
E.
71.
A. *
B.
C.
D.
E.
72.
A. *
B.
C.
D.
E.
73.
A. *
B.
C.
D.
take iodinum preparation 12 hours before research
take preparations of iron
observe the diet without cereals for 3 days
A patient of 41 years old is in a gastroenterology department with suspicion on stomach ulcer.
Gastroduodenoscopy is appointed to him. At preparation to this research the patient must:
come in the day of research with an empty stomach
conduct the series of cleansing enemas
do a cleansing enema after 2 hours before research
accept purgative preparations for purpose of doctor
exclude brown bread and milk from a ration
For a patient which is on treatment in a gastroenterology depatment, vomiting appeared. What from
the transferred facilities can utillize the trained nurse for stopping of vomiting independently of a
doctor?
some mint drops
solution to potassium permanganate
warm water
2% novocaine solution
In a gynaecological department in a patient D., 45 years old, abdominal flatulence developed after
operation. A gas-freeing tube was appointed. On what depth in an intestine must the trained nurse
enter a gas-freeing tube?
20-30 cm
8-10 cm
10-15cm
15-20cm
30-40cm
Ppatient A., 18 years old, was quickly delivered into admissious department of infectious hospital
by an ambulance. Diagnosis is "poisoning medicinal preparations (ranquilizers)". Infirst aid washing
of stomach was started. What temperature must water be for this manipulation?
18 -20
10 -12
25 -30
30 -35
35 -40
On purpose of a doctor hypertonic enema is appointed a patient. What amount of water must be used
for the procedure?
1,5 litre
1 litre
2 liters
200 ml
500 ml
The man of 43 entered induction centre with the signs of the food poisoning. For washing of stomach
a medical sister prepared: 2 sterile stomach probes, glass watering-can, towel, serviettes, gloves, 2
aprons, vaseline. What must a medical sister add for the leadthrough of procedure?
Sterile test tubes
Janet's syringe
Vacuum setting
Stand
E.
74.
A. *
B.
C.
D.
E.
75.
A. *
B.
C.
D.
E.
76.
A. *
B.
C.
D.
E.
77.
A. *
B.
C.
D.
E.
78.
A. *
B.
C.
D.
E.
79.
A. *
B.
C.
D.
E.
phonendoskop
The nurse of gastroenterologicy department conducts the duodental probing.What irritant and before
taking of what portion of bile is it necessary to enter?
33% manganese sulfate solution, before potrion B
40% glucose solution, before portion C
Olive oil, before portion A
7% cabbage decoction, before portion B
No correct answer
The patient O. 28 years old. entered gastroenterologic department with complaints on general
weakness, indisposition, shortness of breath at the physical loading, pains in the area of heart. During
three years he is ill with peptic ulcer of stomach. Aamount of red blood cells and haemoglobin in
CBC are decreased. What research of excrement must be appointed to a patient?
An analysis of excrement for the hidden blood
Coprologic research
An analysis of excrement on the eggs of helmints
Bacteriologic examination of excrement
An analysis of excrement on an intestinal group of bacteria
To patient D., 50 years old, by the district doctor of policlinic prescribed medical microclyster for
treatment of inflammatory process of rectum 50 ml of warm oil). That the trained nurse must do after
30-40 min of this manipulation?
Cleansing enema
Hypertensive enema
Drop enema
Siphon enema
Gas-freeing tube
To the patient 55 years old a doctor appointed a cholecystography. What the sort of research is it?
Roentgenologic research of gall-bladder
Endoskopic research of colon
Roentgenologic examination of stomach, duodenum
Rentgelogic research of kidneys
Endoskopic research of trachea and bronchial tubes
To the patient after an operation on esophagus nasogastric probe is inserted for a feeding. What
volume of meal from day's norm would a nurse enter in the first day?
50%
30%
70%
80%
100%
To the patient 40 years old with the purpose of preparation to the irrigoscopy it is necessary to carry
out cleaning of intestine by cleansing enemas. For cleansing enema it is necessary to use boiled
water in following volume:
1-1,5 l
500 ml
700 ml
800 ml
2000 ml
80.
A. *
B.
C.
D.
E.
81.
A.
B.
C.
D. *
E.
82.
A.
B. *
C.
D.
E.
83.
A. *
B.
C.
D.
E.
84.
A.
B.
C. *
D.
E.
85.
A.
B. *
C.
D.
E.
To the patient K. 32years old, which is in a gastroenterologic department, a doctor appointed
gastroscopy. What must the trained nurse do for preparation of patient to this research?
To warn a patient that research is conducted on an empty stomach and the last reception of meal must
be not later than 18.00
To put an enema in the evening and by a morning before research
To give to have a drink castoir oil before the research
To conduct psychological preparation of patient, explaining a purpose and motion of leadthrough of
research
To appoint a diet without fibers for 2-3 days, siphon enema 2 hours prior to an inspection
To the patient K., 46 years old, which is in gastroenterologic department with suspicion on tumor of
the stomach , endoscopic examination was prescribed. What medical inspection will the trained
nurse prepare the patient for?
colonoscopy
irrigoscopy
cystoscopy
gastroscopy
duodenoscopy
To the patient K., 46 years old, which is in gastroenterologic department with suspicion on intestinal
tumor, X-rayexaminatiuon of a large intestine mucosa was prescribed. What medical inspection will
the trained nurse prepare the patient for?
colonoscopy
irrigoscopy
gastrosopy
cystoscopy
duodenoscopy
To the patient K., 46 years old, which is ingastroenterologic department with suspicion on intestinal
tumor, endoscopic examinatiuon of a large intestine mucosa was prescribed. What medical inspection
will the trained nurse prepare the patient for?
Colonoscopy
Irrigoscopy
Cystoscopy
Gastroscopy
Duodenoskopy
Patient K. have developed pain in the abdominal region. What should be the actions of the nurse on
duty when he asks a hot-water bottle to release pain?
To allow usage of a hot-water bottle;
A hot-water bottle is not allowed at all;
A hot-water bottle is not allowed while the patient will be inspected by a doctor;
Instead of a hot-water bottle a nurse can take spasmolitics for the patient;
Instead of a hot-water bottle a nurse can take analgin for the patient.
A doctor prescribed application of mustard plasters on patient’s chest. What is duration of the
procedure?
5-9 min.
0-15 min.
16-20 min.
1 hr
21-30 min
86.
A.
B.
C.
D.
E. *
87.
A. *
B.
C.
D.
E.
88.
A. *
B. *
C.
D.
E.
89.
A.
B.
C.
D.
E. *
90.
A. *
B.
C.
D.
E.
91.
A.
B.
C.
D. *
E.
92.
A doctor made a consideration that it is necessary to prescribe an application of cold for the patient.
Characterise an influence of cold on organism:
resorption of infiltration
antiinflammatory action
increase of blood inflow
antypiretic action
decrease of bleeding
A doctor made a conclusion that the patient developed hyperetonic crisis and it is necessary to
prescribe mustard plasters for him. What is a place of their application in this case:
on the back of the head
upper part of the sternum
between scapulas
below scapulas
lumbar region
A doctor made a consideration that it is necessary to prescribe hirudotherapy for the patient. A nurse
is explainig to the patient the technique of the procedure. One leech can suck the following amount of
the blood:
5 ml
+ 10 ml
20 ml
15 ml
25 ml
A doctor made a conclusion that application of mustard plasters is contraindicated for the patient.
Select, which influence in the organism is not typical for mustard plasters:
antiallergic action
resorptive action
warming action
analgetic action
antiviral action
A doctor prescribed for a patient application of mustard plasters. During the procedure the patient
complains of itch and burning sensations in places of application. What should be duration of the
procedure in this case?
to stop immediatelly
10-15 min.
16-20 min.
21-30 min.
1 hr
A patient suffers from high body temperature, severe headache heat and excitation. Which
physiotherapeutic procedure is it possible to use?
a hot water bottle
mustard plasters
cups
treating of patient's skin with 50 % alcohol solution
warming compress
A patient with acute bronchitis complains of fever 37,2°C, dry cough. Which among the following
measures are necessary to perform?
A.
B.
C.
D. *
E.
93.
A. *
B.
C.
D.
E.
94.
A.
B.
C.
D. *
E.
95.
A.
B.
C.
D. *
E.
96.
A.
B. *
C.
D.
E.
97.
A.
B. *
C.
D.
E.
98.
antipiretics per os
hot-water bottle
oxygenotherapy
inhalation with soda
cold compress
A patient with arterial hypertension was prescribed hirudotherapy. In 3 days after the procedure he
complains of pain and swelling in places of application, enlargement of lymph nodes, fever 39°C.
Which complication developed?
infectious contamination of wounds
bleeding from wounds
myositis
hematoma
allergic reaction
A doctor made a consideration that it is necessary to prescribe application of mustard plasters for
him. In which conditions mustard plasters may be used:
lung bleeding
pneumonia
tuberculosis
acute bronchitis
malignant tumor
A doctor made a consideration that it is necessary to prescribe application of mustard plasters for
him. In which conditions mustard plasters may be used:
lung bleeding
acute bronchitis
tuberculosis
exacerbation of chronic bronchitis
malignant tumor
A patient tells a nurse that she is considering using herbal supplements in addition to her prescription
medications. What would be the nurse’s best response?
“Herbs are not classified as drugs in the United States, so there is no contraindication to using them.”
“Herbs have pharmacologic effects on the body and can interact with some prescription
medications.”
“It is never permissible to use herbal supplements with prescription medications.”
“I will refer you to an herbalist who can help you decide which medications you can take.”
No correct answer
A patient with an aortic valve replacement is taking a daily dose of warfarin to prevent clot
formation. The patient states that he is also taking ginkgo biloba to improve his memory and
concentration. What would be the nurse’s best response?
Inform the patient that memory problems following valve replacement surgery are common, but
temporary.
Instruct the patient that ginkgo biloba interacts with anticoagulant drugs and then check for bruising
or bleeding.
Inform the patient that this drug combination is most effective if the ginkgo biloba is taken twice
daily.
Instruct the patient to keep a record of episodes of forgetfulness or memory disturbances to monitor
effectiveness.
No correct answer
A doctor appointed the patient of 54 years old with the atony of intestine hypertensive enema. What
liquid must a medical sister utillize for implementation of procedure?
A. *
B.
C.
D.
E.
99.
A. *
B.
C.
D.
E.
100.
A.
B.
C. *
D.
E.
101.
A.
B.
C.
D. *
E.
102.
A. *
B.
C.
D.
E.
103.
A.
B. *
C.
D.
E.
104.
A. *
B.
C.
10% soluble-sodium chloride
4% solution of khloristovodnevoy acid
4% soluble-sodium gidrokarbonatu
20% solution of glucose
7% solution to potassium of chloride.
A doctor prescribed for a patient with heart failure injections of strophanthin 0.05% 0.5 ml i/v diluted
in 0.9 % saline solution. Choose the syringe of proper capacity:
10 or 20ml
5ml
2ml
1ml
insulin syringe
A medical sister conducts the duodenal probing. What irritant needs to be entered a patient, that the
second portion of bile appeared
40% solution of glucose
0,1% solution of Histaminum
30% solution of sul'fata magniya
0,025% solution of pentagastrinu
5% ethyl spirit
A nurse is assisting a patient preparing for surgery by using progressive muscle relaxation. What
rationale best supports the use of this complementary therapy at this time?
This therapy rebalances or repatterns a person’s energy field.
This therapy improves flexibility and assists with positioning during surgery.
This therapy is based on the theory that applying pressure releases congestion and promotes energy
flow.
This therapy provides the intentional tensing and releasing of successive muscle groups, thereby
promoting relaxation and decreasing anxiety.
No correct answer
A patient 65 years is in a surgical department, operated because of cholelithiasis. In a postoperative
period a nurse did him a hypertensive enema. Emptying of intestine must take a place:
in 20 min
in 1 hour
in 10 hour
in 8 hour
in 5 min
A patient has gingival bleeding. Research of excrement was appointed him to the hidden blood. At
preparation to research a patient must\:
To clean teeth only in the evening
Not to clean teeth with a brush
Not to rinse a mouth with 3% sodium nhydrocarbonatis
Not to rinse a mouth decoction of camomile
There is not a right answer
A patient is in a gastroenterology department with suspicion on stomach ulcer. Gastroduodenoscopy
is appointed to him. At preparation to this research the patient must:
come in the day of research with an empty stomach
conduct the series of cleansing enemas
do a cleansing enema after 2 hours before research
D.
E.
105.
A. *
B.
C.
D.
E.
106.
A. *
B.
C.
D.
E.
107.
A. *
B.
C.
D.
E.
108.
A. *
B.
C.
D.
E.
109.
A. *
B.
C.
D.
E.
110.
A.
B.
C.
D. *
E.
accept purgative preparations for purpose of doctor
exclude brown bread and milk from a ration
A patient of 62 years old is on treatment in a pulmonologic department concerning exacerbation of
chronic bronchitis. The bacteriologic examination of sputum is appointed to him. Sputum should be
collected\:
In a sterile capacity, not touching to its edges
In the clean vial of 3 - 5 ml
In a clean vial for days
In a clean vial for 3 days
In a sterile capacity for 3 days
A patient was injected medical preparation in the morning. In the evening of the same day he
reported a nurse about pain in the place of injection, swelling of this area. How to solve the patient’s
problem?
to
apply a hot-water bottle
to use electrical procedures
to apply warming compress with 50% alcohol
to apply cold water compress with 50% alcohol
to apply an ice bag
A patient with infectious disease developed body temperature 40*C, delirium and hallucinations.
Which method should be used in care program?
application of an ice bag to patient’s head
application of mustard plasters on the back of the head
application of hot water bottle
application of warming compress
cups along spinal cord.
After i/m injection of 5ml 25 % MgS04 solution into buttock region the patient feels numbness on the
posterior and external surface of the tight, shin and the foot on the side of injection. What is the cause
of these sensations?
a nurse selected place for injection not correctly
radiculitis
ostheoporosis
increased individual sensitivity to drug
pyrogenic reaction
During I/V drop infusion of preparation the patient developed headache, chills, fever. If to be asked,
the patient reported that he kept this preparation on sunlight for 2days. What happened to the patient?
pyrogenic reaction
air embolism
necrosis
abscess
infiltration
In examining a peripheral IV site, the nurse observes a red streak along the length of the vein and the
vein feels hard and cordlike. What is the correct interpretation of these findings?
An allergic reaction in response to the tape, cleansing agent, or solution
Infiltration of drug solution into the extravascular tissues
Local infection from bacterial contamination
Phlebitis of the vein in use for IV therapy
No correct answer
111.
A.
B.
C.
D.
E. *
112.
A.
B. *
C.
D.
E.
113.
A.
B.
C. *
D.
E.
114.
A.
B.
C.
D. *
E.
115.
A.
B. *
C.
D.
E.
116.
A.
B. *
C.
D.
E.
117.
Patient of 65 year old is prescribed heparin.Which anatomical area on the patient’s body should a
nurse select for injection?
Upper-external quadrant of buttock region
lower-external quadrant of buttock region
internal surface of shoulder
internal surface of tight.
lateral surface of abdominal wall
The patient asks the nurse to leave his sleeping pill at the bedside because he wants to read for a few
more minutes before going to sleep. The most appropriate action for the nurse to take is to
leave the pill as requested
tell the patient to call the nurse when he is ready for his medication
tell the patient he can take it now or not at all since this is when it is ordered
leave the pill as requested and check back in half an hour to be sure the patient took the medication
No correct answer
The patient has a medication prescribed. When assessing the patient, the nurse discovers the patient
does not understand why the drug is being administered or exactly when it should be taken. The most
appropriate nursing diagnosis is
Altered Health Maintenance
Altered Nutrition
Knowledge Deficit
Ineffective Management of Therapeutic Regimen
No correct answer
The patient is receiving fluid therapy by the intraosseous route. On taking the morning vital signs, the
nurse finds the patient to have tachypnea, tachycardia, fever, and petechiae. What complication is
likely?
Compartment syndrome
Needle obstruction
Osteomyelitis
Embolus
No correct answer
The patient receiving intraperitoneal (IP) therapy for ovarian cancer has abdominal pain, rigidity, and
rebound tenderness. What is the nurse’s best first action?
Remove the IP catheter.
Take the patient's temperature.
Document the findings as the only action.
Culture the skin around the catheter exit site.
No correct answer
The patient who has just had an IV started in the right cephalic vein tells the nurse that the wrist and
hand below the IV site feel like there are “pins and needles” in them. What is the nurse’s best action?
Document the response as the only action.
Discontinue the IV and restart it at another site.
Check for the presence of a strong blood return.
Elevate the extremity so that it is above the level of the heart.
No correct answer
The patient with cancer is about to have an implanted port placed for chemotherapy. She cries and
tells the nurse that she is worried that she will not be able to swim or shower with this device, and
that its presence will remind her daily that she has cancer. What is the nurse’s best response?
A. *
B.
C.
D.
E.
118.
A.
B. *
C.
D.
E.
119.
A.
B.
C. *
D.
E.
120.
A.
B. *
C.
D.
E.
121.
A.
B.
C. *
D.
E.
“The device is totally under the skin, so you can swim, shower, and bathe when the incision is
healed.” this device in place will prevent a lot of pain and save your veins in case you need more
“Having
therapy later.”
“Try not to worry. This device is temporary and will be removed as soon as your regimen of
chemotherapy is over.”
“If you carefully tape plastic wrap over the tubes and caps, you can still shower, although taking a
tub bath and swimming are not permitted.”
No correct answer
The home care nurse is about to administer intravenous medication to the patient and reads in the
chart that the PICC line in the patient's left arm has been in place for 4 weeks. The IV is patent, with
a good blood return. The site is clean and free from manifestations of infiltration, irritation, and
infection. What is the nurse’s best action?
Notify the physician.
Document the findings; administer the prescribed medication.
Discontinue the PICC line; save the tip aseptically for culture; restart the IV at a new site.
Switch the medication to the oral route; arrange for the patient to have an x-ray to ascertain the PICC
location.
No correct answer
The physician has written an order for a drug for a patient. The nurse believes the drug dosage to be
in error. What is the nurse's responsibility?
Make a notation on the patient's medication administration recorD.
Ask another nurse if the order is correct.
Withhold the drug and ask the physician.
Administer the drug and question the physician later.
No correct answer
The physician writes an order for medication to be given every 4 hours p.r.n. How should the nurse
administer this drug?
every 4 hours around the clock
every 4 hours if the patient's condition indicates a need for it
as many as four times a day
every 4 hours if the patient asks for it
No correct answer
When assessing the patient’s peripheral IV site, the nurse observes a streak of red along the vein path
and can palpate a 4-cm venous corD. What is the most accurate documentation of this finding?
IV infiltration/extravasation with a 4-cm area of erythema and edema
Thrombosis and infection of IV site
Grade 3 phlebitis at IV site
Grade 1 phlebitis at IV site
No correct answer