NATIONAL AND STATE NURSING EXAM- MCQ _MG_0091
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1. In a patient who is complaining of intra- abdominal pressure nurse is suspecting certain mass like structure above the pubis symphysis, that is:
a. Appendix
b. Cholelithiasis
c. Nephrolithiasis
d. Urinary bladder
Answer: d. Urinary bladder
Description:The urinary bladder is a hollow muscular organ that stores urine. It is located in the pelvic region, just above the pubis symphysis. When the bladder is full, it can feel like a mass above the pubis symphysis. The appendix is a finger-like projection of the colon that is located in the right lower quadrant of the abdomen. It is not typically palpable, so it is unlikely to be the cause of the patient's symptoms. Cholelithiasis is the formation of gallstones in the gallbladder. Gallstones can cause pain in the right upper quadrant of the abdomen, but they are not typically felt above the pubis symphysis. Nephrolithiasis is the formation of kidney stones. Kidney stones can cause pain in the back or flank, but they are not typically felt above the pubis symphysis. Therefore, the most likely cause of the patient's symptoms is a full urinary bladder.
2. Oliguria and decreased creatinine clearance indicate problem with:
a. Tubular secretion
b. Glomerular filtration
c. Tubular reabsorption
d. Counter current mechanism
Answer: b. Glomerular filtration
Description:Oliguria is a decrease in urine output, and decreased creatinine clearance is a decrease in the amount of creatinine that is cleared from the blood by the kidneys. Both of these conditions can indicate a problem with glomerular filtration, which is the process by which the kidneys filter waste products and excess water from the blood. Tubular secretion and tubular reabsorption are processes that occur after glomerular filtration. Tubular secretion is the process by which the kidneys secrete waste products into the urine. Tubular reabsorption is the process by which the kidneys reabsorb water and nutrients from the urine back into the blood. The counter current mechanism is a process that helps the kidneys concentrate urine. It does not affect glomerular filtration, so it is not a likely cause of oliguria or decreased creatinine clearance. Therefore, the most likely cause of oliguria and decreased creatinine clearance is a problem with glomerular filtration.
3. How furosemide (Lasix) helps to control Bp?
a. It dilates renal blood vessels
b. It deactivates renal blood vessels
c. Activate RAAS mechanism
d. Decrease reabsorption of sodium and water in the loop of Henle
Answer: d. Decrease reabsorption of sodium and water in the loop of Henle
Description:Furosemide is a loop diuretic, which means that it works by decreasing the reabsorption of sodium and water in the loop of Henle. This causes the kidneys to excrete more sodium and water, which can help to lower blood pressure. Furosemide does not dilate renal blood vessels or activate RAAS. RAAS stands for renin-angiotensin-aldosterone system. It is a system of hormones that regulates blood pressure. Furosemide does not activate this system, but it can have an indirect effect on blood pressure by decreasing the reabsorption of sodium and water. Therefore, furosemide helps to control blood pressure by decreasing the reabsorption of sodium and water in the loop of Henle.
4. Length of female urethra is:
a. 2 cm
b. 3 cm
c. 4 cm
d. 6 cm
Answer: c. 4 cm
Description:The length of the female urethra is typically around 4 cm. It is a much shorter structure than the male urethra, which is typically around 20 cm long. The female urethra is located in the anterior wall of the vagina. It is a muscular tube that carries urine from the bladder to the outside of the body. The urethra is lined with transitional epithelium, which is a type of tissue that can change shape to allow the urethra to expand and contract. The length of the female urethra can vary from person to person. It is also important to note that the length of the urethra can change over time, due to factors such as childbirth or surgery.
5. The urethra connects the bladder to the:
a. Kidney
b. Renal pelvis
c. Urethral orifice
d. Uterus
Answer: c. Urethral orifice
Description:The urethra is a tube that connects the bladder to the urethral orifice, which is the opening of the urethra at the outside of the body. The urethra carries urine from the bladder to the outside of the body. The urethra does not connect to the kidney or renal pelvis. The kidney is where urine is produced, and the renal pelvis is the funnel-shaped structure that collects urine from the kidney. The urethra does not connect to the uterus either. The uterus is the female reproductive organ that houses the fetus during pregnancy. Therefore, the urethra connects the bladder to the urethral orifice.
6. The internal urethral sphincter is made of:
a. Smooth involuntary muscles
b. Skeletal voluntary muscles
c. Smooth voluntary muscles
d. Skeletal involuntary muscles
Answer: a. Smooth involuntary muscles
Description:Smooth involuntary muscles. The internal urethral sphincter is a ring of smooth muscle that surrounds the urethra at the neck of the bladder. It is controlled by the autonomic nervous system, and it is responsible for maintaining urinary continence. The external urethral sphincter is also a ring of muscle, but it is made of skeletal muscle. It is controlled by the conscious mind, and it is responsible for voluntarily controlling urination. Smooth muscles are involuntary muscles that are not under conscious control. They are responsible for a variety of functions, including moving food through the digestive tract, constricting the airways, and controlling the heartbeat. Skeletal muscles are voluntary muscles that are under conscious control. They are responsible for moving the body and maintaining posture. Therefore, the internal urethral sphincter is made of smooth involuntary muscles.
7. The external urethral sphincter is made up of:
a. Smooth involuntary muscles
b. Skeletal voluntary muscles
c. Smooth voluntary muscles
d. Skeletal involuntary muscles
Answer: b. Skeletal voluntary muscles
Description:Skeletal voluntary muscles. The external urethral sphincter is a ring of skeletal muscle that surrounds the urethra just below the prostate gland in men and the vagina in women. It is controlled by the conscious mind, and it is responsible for voluntarily controlling urination. Smooth muscles are involuntary muscles that are not under conscious control. They are responsible for a variety of functions, including moving food through the digestive tract, constricting the airways, and controlling the heartbeat. Skeletal muscles are voluntary muscles that are under conscious control. They are responsible for moving the body and maintaining posture. Therefore, the external urethral sphincter is made up of skeletal voluntary muscles.
8. Urine formation is most likely reduced in this condition:
a. Pulse rate of 100-110/minute
b. Pulse rate of 60-70/minute
c. Blood pressure of 70/40 mm Hg
d. Blood pressure of 90/40 mm Hg
Answer: c. Blood pressure of 70/40 mm Hg
Description:lood pressure of 70/40 mm Hg. Urine formation is most likely reduced in this condition because low blood pressure can reduce blood flow to the kidneys. This can lead to a decrease in the glomerular filtration rate (GFR), which is the process by which the kidneys filter waste products and excess water from the blood. A normal blood pressure is considered to be between 90/60 mmHg and 120/80 mmHg. A blood pressure of 70/40 mmHg is considered to be low, and it can lead to a number of health problems, including reduced urine formation. The other options, pulse rate of 100-110/minute and pulse rate of 60-70/minute, are not associated with reduced urine formation. A pulse rate of 100-110/minute is considered to be slightly elevated, but it is not high enough to cause a significant decrease in urine formation. A pulse rate of 60-70/minute is considered to be normal. Therefore, the most likely condition that would reduce urine formation is a blood pressure of 70/40 mmHg.
9. A Patient weighing 50 kg would be suspected of oliguria if the hourly urine output is:
a. 15 mL
b. 25 mL
c. 35 mL
d. 45 mL
Answer: a. 15 mL
Description:15 mL. Oliguria is defined as a urine output of less than 0.5 mL/kg/hr. In a patient weighing 50 kg, this would be equivalent to an hourly urine output of 25 mL. An hourly urine output of 15 mL would therefore be considered oliguric. The other options, 25 mL, 35 mL, and 45 mL, are all above the threshold for oliguria. Therefore, a patient weighing 50 kg would not be suspected of oliguria if their hourly urine output was 25 mL, 35 mL, or 45 mL. Oliguria can be a sign of a number of medical conditions, including kidney disease, dehydration, and heart failure. If you are concerned that you or someone you know may be experiencing oliguria, it is important to see a doctor right away.
10. Which of the following physiological response is expected
a. Detrusor contracts
b. Detrusor
c. External sphincter contracts
d. External sphincter relaxes
Answer: d. External sphincter relaxes
Description:External sphincter relaxes. The external sphincter is a ring of skeletal muscle that surrounds the urethra just below the prostate gland in men and the vagina in women. It is controlled by the conscious mind, and it is responsible for voluntarily controlling urination. When the bladder is full, the detrusor muscle, which is a smooth muscle that surrounds the bladder, contracts. This causes the bladder to empty. The external sphincter relaxes to allow the urine to flow out of the bladder. Therefore, the expected physiological response when the bladder is full is for the external sphincter to relax.
11. Which of the following physiological response is expected in a client with hypernatremia?
a. Diminished action of ADH
b. Increased secretion of ADH
c. Secretion of aldosterone
d. Decreased reabsorption of water in the renal system
Answer: b. Increased secretion of ADH
Description:Normal defenses against hypernatremia are thirst and the secretion of ADH. ADH plays a role in lowering osmolarity (reducing sodium concentration) by increasing water reabsorption in the kidneys, thus helping to dilute bodily fluids.
12. Glycosuria is the manifestation of all the following: EXCEPT:
a. Diabetes mellitus
b. Cushing’s syndrome
c. Hyperthyroidism
d. SIADH
Answer: d. SIADH
Description:Diabetes mellitus is a chronic disease that causes high blood sugar levels. Glycosuria is a common symptom of diabetes mellitus, as the kidneys are unable to reabsorb all of the glucose in the blood. Cushing's syndrome is a condition caused by too much cortisol in the body. Cortisol is a hormone that can increase blood sugar levels, which can lead to glycosuria. Hyperthyroidism is a condition caused by an overactive thyroid gland. The thyroid gland produces hormones that can increase blood sugar levels, which can lead to glycosuria. SIADH (syndrome of inappropriate antidiuretic hormone secretion) is a condition caused by too much antidiuretic hormone (ADH) in the body. ADH is a hormone that causes the kidneys to retain water, which can lead to low blood sodium levels. Low blood sodium levels can cause glycosuria, but this is not a common symptom of SIADH.
13. Anuria means:
a. More urine at night time
b. Urine output of less than 100 mL in 24 hours
c. Urine output of at least 100 mL in 2 hours
d. Urine output less than 400 mL in 24 hours
Answer: b. Urine output of less than 100 mL in 24 hours
Description:Anuria is a medical condition characterized by the absence of urine output. This means that the kidneys are not producing any urine. Anuria can be a sign of a serious medical condition, such as kidney failure or urinary tract obstruction. The normal urine output for an adult is about 1-2 liters per day. If a person's urine output is less than 100 mL in 24 hours, they are considered to be anuric. Here are some of the symptoms of anuria: Decreased urine output Fatigue Nausea Vomiting Swelling Confusion Lethargy If you experience any of these symptoms, it is important to see a doctor right away. Anuria can be a serious medical condition, but it is often treatable. The other options, more urine at night time, urine output of at least 100 mL in 2 hours, and urine output less than 400 mL in 24 hours, are not correct definitions of anuria.
14. Oliguria means:
a. More urine at night time
b. Urine output of less than 100 mL in 24 hours
c. Urine output of at least 100 mL in 2 hours
d. Urine output less than 400 mL in 24 hours
Answer: d. Urine output less than 400 mL in 24 hours
Description:Oliguria is a medical condition characterized by a decrease in urine output. The normal urine output for an adult is about 1-2 liters per day. If a person's urine output is less than 400 mL in 24 hours, they are considered to be oliguric. Oliguria can be a sign of a serious medical condition, such as kidney failure or dehydration. It can also be caused by certain medications, such as diuretics. Here are some of the symptoms of oliguria: Decreased urine output Fatigue Nausea Vomiting Swelling Confusion Lethargy If you experience any of these symptoms, it is important to see a doctor right away. Oliguria can be a serious medical condition, but it is often treatable. The other options, more urine at night time, urine output of less than 100 mL in 24 hours, and urine output of at least 100 mL in 2 hours, are not correct definitions of oliguria.
15. All of the food item cause color to the urine; EXCEPT:
a. Berries
b. Beets
c. Carrot
d. Food coloring agents
Answer: c. Carrot
Description:Is the correct answer except carrot all the given food items cause red color the urine
16. Frequency of urination at night is called:
a. Dysuria
b. Nocturia
c. Oliguria
d. Anuria
Answer: b. Nocturia
Description:Nocturia is the medical term for frequent urination at night. It is a common problem, especially in older adults. Nocturia can be caused by a number of factors, including: Dehydration. If you are not drinking enough fluids during the day, you may be more likely to wake up at night to urinate. Bladder problems. If you have a bladder infection, an enlarged prostate, or another bladder problem, you may need to urinate more often at night. Medications. Some medications, such as diuretics, can increase the amount of urine you produce, which can lead to nocturia. Sleep disorders. If you have a sleep disorder, such as sleep apnea, you may wake up more often at night, which can increase your chances of needing to urinate. If you are experiencing nocturia, it is important to see a doctor to rule out any underlying medical conditions. There are also a number of lifestyle changes that you can make to help reduce nocturia, such as: Drinking less fluids before bed. Going to the bathroom before going to bed. Losing weight. If you are overweight or obese, losing weight can help to reduce nocturia. Avoiding caffeine and alcohol. Caffeine and alcohol can both make you need to urinate more often. If you have tried these lifestyle changes and you are still experiencing nocturia, your doctor may prescribe medication to help reduce your urine production.
17. The highest concentration of HIV virus is found in:
a. Saliva
b. CSF
c. Blood
d. Semen
Answer: c. Blood
Description:The highest concentration of HIV virus is found in the blood of people who are infected with HIV. The virus is also found in other bodily fluids, such as semen, vaginal secretions, breast milk, and cerebrospinal fluid (CSF). However, the concentration of the virus in these fluids is much lower than in blood. The reason why the concentration of HIV virus is highest in blood is because the virus is found in the white blood cells, which are found in the blood. The virus can also be found in other cells, such as the cells that line the gut and the cells that line the lungs. However, the concentration of the virus in these cells is much lower than in white blood cells. It is important to note that the concentration of HIV virus in blood can vary depending on a number of factors, such as the stage of the infection and the use of antiretroviral therapy. In the early stages of the infection, the concentration of the virus in blood is typically very high. However, the concentration of the virus can decrease over time with the use of antiretroviral therapy. If you are concerned that you may have been exposed to HIV, it is important to get tested. The sooner you are tested, the sooner you can start treatment if you are infected.
18. Disease like chromosomal abnormalities, hemophilia and thalassemia are of…………………..;
a. Infectious origin
b. Hereditary origin
c. Development origin
d. Psychological origin
Answer: b. Hereditary origin
Description:Diseases like chromosomal abnormalities, hemophilia, and thalassemia are caused by changes in the genes. These changes can be inherited from parents or they can occur spontaneously. Chromosomal abnormalities are caused by changes in the number or structure of chromosomes. Chromosomes are the structures that contain the genes. There are 23 pairs of chromosomes in the human body. Changes in the number or structure of chromosomes can lead to a variety of disorders, including Down syndrome, Turner syndrome, and Klinefelter syndrome. Hemophilia is a blood disorder that is caused by a change in the gene that codes for a protein called factor VIII. Factor VIII is needed for blood clotting. People with hemophilia have a very difficult time clotting their blood, which can lead to excessive bleeding. Thalassemia is a blood disorder that is caused by a change in the gene that codes for a protein called hemoglobin. Hemoglobin is the protein that carries oxygen in the blood. People with thalassemia have a reduced amount of hemoglobin, which can lead to anemia. Hereditary diseases are passed down from parents to their children. They can be caused by changes in the genes, which are the units of inheritance. Genes are made up of DNA, which is the genetic material. The other options, infectious origin, developmental origin, and psychological origin, are not correct. Infectious diseases are caused by pathogens, such as bacteria, viruses, and parasites. Developmental diseases are caused by problems during the development of the fetus or child. Psychological diseases are caused by problems with the mind.
19. The secretion of aldosterone would be inhibited in this situation:
a. Serum urea of 5.0 mmol/L
b. Serum creatinine of 100 mmol/L
c. Serum potassium of 4.0 mmol/L
d. Serum sodium of 160 mmol/L
Answer: d. Serum sodium of 160 mmol/L
Description:Aldosterone is a hormone that is produced by the adrenal glands. It helps to regulate the reabsorption of sodium and water in the kidneys. When serum sodium levels are high, aldosterone secretion is inhibited. This is because the kidneys do not need to reabsorb as much sodium when serum sodium levels are high. The other options, serum urea of 5.0 mmol/L, serum creatinine of 100 mmol/L, and serum potassium of 4.0 mmol/L, do not affect aldosterone secretion. Urea is a waste product that is produced by the body. Creatinine is a waste product that is produced by the muscles. Potassium is an electrolyte that is important for the body. These substances do not have a direct effect on aldosterone secretion. Therefore, the only situation that would inhibit aldosterone secretion is a high serum sodium level.
20. Best method to collect urine for culture in children under 2 years is:
a. Midstream voiding
b. Bag aspiration
c. Catheter aspiration
d. Suprapubic aspiration
Answer: d. Suprapubic aspiration
Description:The best method to collect urine for culture in children under 2 years is suprapubic aspiration. This is a procedure in which a needle is inserted through the abdominal wall into the bladder to collect urine. Suprapubic aspiration is the most reliable method of collecting urine for culture in children under 2 years because it is less likely to be contaminated by bacteria from the skin or the urethra. The other methods, midstream voiding, bag aspiration, and catheter aspiration, are less reliable because they are more likely to be contaminated by bacteria from the skin or the urethra. Midstream voiding is a method of collecting urine by having the child urinate into a cup. However, it can be difficult for young children to cooperate with this method, and the urine may be contaminated by bacteria from the skin or the urethra. Bag aspiration is a method of collecting urine by placing a bag over the urethral opening. However, this method can also be contaminated by bacteria from the skin or the urethra. Catheter aspiration is a method of collecting urine by inserting a catheter into the urethra. However, this method can be uncomfortable for young children, and it is also possible for the catheter to become contaminated with bacteria. Therefore, the best method to collect urine for culture in children under 2 years is suprapubic aspiration.
21. Way to obtain sterile urine specimen from an indwelling urinary catheter is:
a. Clamp the catheter above the bifurcation and aspirate
b. Disconnect the tubing and collect
c. From the urinary bay
d. All of these
Answer: a. Clamp the catheter above the bifurcation and aspirate
Description:This is the most common way to obtain a sterile urine specimen from an indwelling urinary catheter. The catheter is clamped above the bifurcation, which is the point where the catheter splits into two tubes. This prevents urine from flowing back into the bladder. A sterile syringe is then attached to the catheter and the urine is aspirated. The other methods, disconnecting the tubing and collecting urine from the urinary bag, are not sterile methods. Disconnecting the tubing can introduce bacteria into the urine, and urine from the urinary bag may be contaminated by bacteria from the skin or the urethra. Therefore, the best way to obtain a sterile urine specimen from an indwelling urinary catheter is to clamp the catheter above the bifurcation and aspirate. Here are some additional steps to obtain a sterile urine specimen from an indwelling urinary catheter: Wash your hands thoroughly with soap and water. Gather the necessary supplies, including a sterile syringe, a sterile collection container, and a pair of sterile gloves. Put on the sterile gloves. Locate the bifurcation of the catheter. Clamp the catheter above the bifurcation. Attach the sterile syringe to the catheter. Aspirate the urine into the syringe. Disconnect the syringe from the catheter. Transfer the urine to the sterile collection container. Label the collection container with the patient's name, date, and time. Transport the collection container to the laboratory. It is important to follow these steps carefully to ensure that the urine specimen is sterile. A contaminated urine specimen can lead to inaccurate test results.
22. BUN used for kidney function tests stand for:
a. Blood urine nitrogen
b. Blood uric acid nitrogen
c. Blood uracil nitrogen
d. Blood urea nitrogen
Answer: d. Blood urea nitrogen
Description:BUN, or blood urea nitrogen, is a test that measures the amount of urea in the blood. Urea is a waste product that is produced by the body and is eliminated through the kidneys. A high BUN level can indicate kidney damage or kidney failure. The other options, blood urine nitrogen, blood uric acid nitrogen, and blood uracil nitrogen, are not correct. Blood urine nitrogen is not a valid medical term. Blood uric acid nitrogen and blood uracil nitrogen are not commonly used tests for kidney function. Therefore, the BUN test is a measure of the amount of urea in the blood, and it is a useful test for assessing kidney function. Here are some of the factors that can affect BUN levels: Diet. A high-protein diet can increase BUN levels. Dehydration. Dehydration can also increase BUN levels. Kidney disease. Kidney disease can cause BUN levels to rise. Liver disease. Liver disease can also cause BUN levels to rise. If you have a high BUN level, your doctor may order other tests, such as a creatinine test, to assess your kidney function.
23. Identify the change that does not occur in a urine sample after prolonged time?
a. Decrease in specific gravity
b. Loss of ketone bodies
c. Bacteria growth
d. Disintegration of casts
Answer: a. Decrease in specific gravity
Description:Specific gravity is a measure of the concentration of solutes in a solution. As urine sits, the solutes will precipitate out of solution, causing the specific gravity to decrease. Ketone bodies are byproducts of fat metabolism. They are normally present in small amounts in the urine, but their levels can increase in people with diabetes or other conditions. If ketone bodies are present in the urine, they will be lost over time as the urine evaporates. Bacteria can grow in urine if it is not stored properly. This can lead to cloudy or foul-smelling urine. Casts are cellular debris that can form in the urine. They are usually not present in normal urine, but they can be seen in people with kidney disease. Casts will disintegrate over time as the urine sits. Therefore, the only change that does not occur in a urine sample after prolonged time is a decrease in specific gravity. Here are some additional changes that can occur in a urine sample after prolonged time: Color changes. The color of urine can change due to the presence of certain substances, such as blood, bilirubin, or urobilinogen. Odor changes. The odor of urine can change due to the presence of certain substances, such as ketone bodies or bacteria. Cloudiness. Urine can become cloudy due to the presence of bacteria, casts, or other cellular debris.
24. Instrument used for measuring urinary specific gravity is all; EXCEPT:
a. Urinometer
b. Refractometer
c. Reagent strips
d. Densitometry
Answer: d. Densitometry
Description:Densitometry is the quantile measurement of optical density in light-sensitive materials. All other instruments are used for measuring specific gravity.
25. Normal specific gravity of urine is:
a. 1.010 to 1.030
b. 1.001 to 1.50
c. 1.05 to 1.5
d. 1.05 to 1.8
Answer: a. 1.010 to 1.030
Description:Specific gravity is a measure of the concentration of solutes in a solution. The specific gravity of urine is typically between 1.010 and 1.030. This means that urine is slightly more dense than water. The specific gravity of urine can vary depending on a number of factors, including: Diet. A high-protein diet can increase the specific gravity of urine. Fluid intake. Dehydration can decrease the specific gravity of urine. Kidney function. Kidney disease can decrease the specific gravity of urine. If the specific gravity of urine is too low, it may indicate dehydration. If the specific gravity of urine is too high, it may indicate kidney disease. Therefore, the normal specific gravity of urine is between 1.010 and 1.030.
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