NATIONAL AND STATE NURSING EXAM- MCQ _MG_0098
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1. The most common ocular infection after renal transplantation is by:
a. Cytomegalovirus
b. Toxoplasma
c. Herpes virus
d. EB virus
Answer: a. Cytomegalovirus
Description:Cytomegalovirus (CMV) is a common virus that can cause a variety of infections, including ocular infections. In renal transplant patients, CMV is the most common ocular infection, occurring in up to 20% of patients. CMV ocular infection can cause a variety of symptoms, including blurred vision, floaters, and pain. In severe cases, CMV ocular infection can lead to blindness. Toxoplasma is a parasite that can cause toxoplasmosis, an infection that can affect the eyes. However, toxoplasmosis is not as common as CMV ocular infection in renal transplant patients. Herpes virus and EB virus can also cause ocular infections, but they are less common than CMV ocular infection.
2. Benign prostatic hypertrophy results in obstruction of urinary tract. Specific condition is associated with enlargement of:
a. Entire prostate gland
b. Lateral lobes
c. Median lobe
d. Posterior lobes
Answer: c. Median lobe
Description:Benign prostatic hyperplasia (BPH) is a condition characterized by the enlargement of the prostate gland, which can lead to obstruction of the urinary tract. In BPH, the enlargement typically affects the median lobe of the prostate. The lateral lobes and posterior lobes may also be involved to varying degrees, but it is the median lobe that is most commonly associated with urinary obstruction in BPH.
3. Characterisitcs of urinary system that helps in maintaining its sterility includes all; EXCECPT:
a. Adequate urine volume
b. Complete bladder emptying
c. Ureterovesical junction
d. Alkaline urine
Answer: d. Alkaline urine
Description:The urinary system has several characteristics that help maintain its sterility and prevent infections. These include: a. Adequate urine volume: Sufficient urine production helps flush out any potential pathogens or bacteria from the urinary system. b. Complete bladder emptying: Ensuring that the bladder is fully emptied during urination helps prevent the buildup of stagnant urine, which can lead to bacterial growth and infections. c. Ureterovesical junction: The ureterovesical junction, which is the point where the ureter connects to the bladder, has a valve-like mechanism that prevents the backflow of urine from the bladder to the ureters. This helps maintain the sterility of the upper urinary tract. d. Alkaline urine: This option is incorrect. The urine is normally slightly acidic, with a pH ranging from 5.5 to 7.0. The acidic nature of urine helps create an unfavorable environment for bacterial growth. Therefore, the correct answer is d. Alkaline urine, as it does not contribute to the maintenance of sterility in the urinary system.
4. The most common lower urinary tract infection is:
a. Prostatitis
b. Cystitis
c. Urethritis
d. Renal and peri renal abscess
Answer: b. Cystitis
Description:Cystitis is an infection of the bladder. It is the most common type of urinary tract infection (UTI). Cystitis is caused by bacteria that enter the bladder through the urethra. The most common bacteria that cause cystitis are Escherichia coli (E. coli). Symptoms of cystitis include: Frequent urination Urgency to urinate Pain or burning when urinating Cloudy or bloody urine Lower back pain Cystitis is usually treated with antibiotics. The antibiotics will kill the bacteria that are causing the infection. Cystitis usually gets better within a few days of starting antibiotics. Prostatitis is an infection of the prostate gland. It is less common than cystitis. Prostatitis can be caused by bacteria, viruses, or fungi. Urethritis is an infection of the urethra. It is less common than cystitis and prostatitis. Urethritis can be caused by bacteria, viruses, or fungi. Renal and peri renal abscess is a rare type of UTI. It is an infection of the kidney or the tissue around the kidney. Renal and peri renal abscess is usually caused by bacteria.
5. Married women comes to the clinic with frequent history of UTI, nurse need to educate the client to:
a. Take sitz bath
b. Urinate before and after sexual intercourse
c. Clean the area with luke-warm and apply topical antibiotic creams
d. Take acid-ash diet
Answer: b. Urinate before and after sexual intercourse
Description:The answer is b) Urinate before and after sexual intercourse. Urinating before and after sexual intercourse can help to flush out bacteria that may have been introduced into the urethra during sex. This is one of the most effective ways to prevent UTIs in women. Sitz baths can also be helpful in relieving the symptoms of a UTI, but they will not prevent future infections. Cleaning the area with warm water and applying topical antibiotic creams is not necessary unless there is an existing infection. Taking an acid-ash diet is not recommended for the prevention of UTIs. Here are some other tips for preventing UTIs in women: Drink plenty of fluids, especially water. Empty your bladder often. Wipe from front to back after urinating and bowel movements. Avoid using feminine hygiene products that contain perfumes or dyes. Use a condom during sexual intercourse. If you have a history of UTIs, it is important to see your doctor as soon as you start to experience symptoms. Early treatment can help to prevent the infection from spreading to the kidneys.
6. Which of the following causes majortiy of UTI in hospitalized patients?
a. Decrease fluid intake
b. Invasive procedures
c. Inadequate self-care
d. Immunosuppressant
Answer: b. Invasive procedures
Description:Urinary tract infections (UTIs) in hospitalized patients are commonly caused by invasive procedures. These procedures can introduce bacteria into the urinary tract and increase the risk of infection. Examples of invasive procedures that can lead to UTIs include urinary catheterization, which involves inserting a tube into the bladder to drain urine, and other interventions that involve manipulation of the urinary tract. While factors such as decreased fluid intake, inadequate self-care, and immunosuppression can contribute to the risk of UTIs, invasive procedures are a major cause of UTIs in hospitalized patients.
7. Who among the following is at a risk of developing UTI?
a. A woman with otitis media
b. A post-menopausal woman
c. A woman with pneumonia
d. A woman with fracture in upper extremity
Answer: b. A post-menopausal woman
Description:Post-menopausal women are at a higher risk of developing UTIs because of the decrease in estrogen levels. Estrogen helps to keep the lining of the urethra healthy and helps to prevent bacteria from sticking to the urethra. After menopause, the lining of the urethra becomes thinner and more susceptible to infection. Women with otitis media, pneumonia, or a fracture in the upper extremity are not at an increased risk of developing UTIs. Here are some other factors that can increase the risk of developing UTIs: Being female Being sexually active Having a history of UTIs Using diaphragms or spermicides Having diabetes Being pregnant Having an enlarged prostate Having a urinary tract abnormality If you are at a risk of developing UTIs, there are some things you can do to help prevent them: Drink plenty of fluids, especially water. Empty your bladder often. Wipe from front to back after urinating and bowel movements. Avoid using feminine hygiene products that contain perfumes or dyes. Use a condom during sexual intercourse. If you start to experience symptoms of a UTI, such as frequent urination, urgency to urinate, pain or burning when urinating, cloudy or bloody urine, or lower back pain, see your doctor right away. Early treatment can help to prevent the infection from spreading to the kidneys.
8. Discharge teaching for a patient taking pyridium for the managemnet of UIT include:
a. Take this drug along with food
b. Stop this drug if you develop abdominal pain
c. Urine become bright orange
d. Take drug at bed time
Answer: c. Urine become bright orange
Description:Pyridium (phenazopyridine) is a medication commonly used for the management of urinary tract infections (UTIs) to relieve symptoms such as pain, burning, and urgency. When providing discharge teaching to a patient taking Pyridium, it is important to include the following information: a. Take this drug along with food: Pyridium can be taken with or without food. It is generally recommended to take it after meals to reduce the likelihood of stomach upset, but it is not necessary to take it specifically with food. b. Stop this drug if you develop abdominal pain: This statement is incorrect. Abdominal pain is not a typical side effect of Pyridium. However, if a patient experiences severe abdominal pain or any other concerning symptoms while taking the medication, it is important to seek medical advice. c. Urine becomes bright orange: Pyridium can cause the urine to turn a reddish-orange color. This is a harmless and temporary side effect of the medication and should not cause concern. It is important to inform the patient that this is a normal effect of Pyridium and that it may stain underwear or other fabric. d. Take the drug at bedtime: The timing of Pyridium administration is not dependent on bedtime. It is typically taken three times a day after meals or as directed by the healthcare provider. It is important to follow the prescribed dosing instructions.
9. Which of the following juices is recommended for a patient with UIT?
a. Apple juice
b. Lemon juice
c. Cranberry juice
d. Grape juice
Answer: c. Cranberry juice
Description:Cranberry juice is often recommended for patients with urinary tract infections (UTIs) due to its potential beneficial effects. Cranberry juice contains compounds that can help prevent certain bacteria, such as Escherichia coli, from adhering to the walls of the urinary tract, reducing the risk of infection. However, it's important to note that cranberry juice is not a substitute for antibiotics in treating UTIs, but it may help as a preventive measure or in conjunction with medical treatment. The other juices listed, apple juice, lemon juice, and grape juice, do not have the same reputation for being recommended specifically for UTIs. While they may have other health benefits, they are not typically associated with preventing or managing UTIs like cranberry juice is.
10. Which of the following is not a common cause of UTI among men?
a. Prostate enlargement
b. Erectile dysfunction
c. Renal stone
d. Indwelling catheter
Answer: b. Erectile dysfunction
Description:Erectile dysfunction is not a common cause of UTI among men. UTIs are more commonly caused by bacteria that enter the urethra from the outside, such as through sexual activity or during catheterization. Prostate enlargement, renal stones, and indwelling catheters can all increase the risk of UTIs in men. Prostate enlargement can block the flow of urine, which can make it more difficult to empty the bladder completely. This can create an environment that is more conducive to bacterial growth. Renal stones can also block the flow of urine, and they can also irritate the lining of the urinary tract, which can make it more susceptible to infection. Indwelling catheters are tubes that are inserted into the bladder to drain urine. They can increase the risk of UTIs because they provide a direct pathway for bacteria to enter the bladder. If you are a man who is experiencing symptoms of a UTI, such as frequent urination, urgency to urinate, pain or burning when urinating, cloudy or bloody urine, or lower back pain, see your doctor right away. Early treatment can help to prevent the infection from spreading to the kidneys.
11. Urine urge occurs at which bladder capacity?
a. 50 mL
b. 150 mL
c. 250 mL
d. 400 mL
Answer: b. 150 mL
Description:Bladder capacity refers to the amount of urine the bladder can hold before the individual feels the urge to urinate. The sensation of needing to urinate, or urine urge, is often experienced when the bladder is filled to approximately 150 mL. However, it is important to note that the specific bladder capacity at which urine urge occurs can vary among individuals. Factors such as hydration levels, individual bladder size, and personal sensitivity to bladder fullness can influence the bladder capacity at which urine urge is felt.
12. Christmas tree appearnce of urinary bladder is seen in:
a. Enuresis
b. Stress incontinence
c. Neurogenic bladder
d. Autonomous bladder
Answer: c. Neurogenic bladder
Description:A Christmas tree bladder is a cystographic appearance that is seen in severe neurogenic bladder with increased sphincter tone. It is characterized by a vertically oriented bladder with a wide base that tapers superiorly towards the dome with irregular walls from associated trabeculations. The conical shape of the bladder has also been referred to as a "pine cone" bladder. The Christmas tree bladder is caused by detrusor hyperreflexia, which is a condition in which the bladder muscles contract involuntarily and forcefully. This can lead to bladder overactivity and urinary incontinence. In neurogenic bladder, the nerves that control the bladder are damaged, which can lead to detrusor hyperreflexia. Enuresis is involuntary urination during sleep. Stress incontinence is the involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or laughing. Autonomous bladder is a type of bladder that functions independently of the nervous system.
13. Invountary loss of urine which result from sudden increases in abdominal presure such as coughing/sneezing is known as:
a. Functional incontinece
b. Stress incontinence
c. Reflex incontinence
d. Total incontinence
Answer: b. Stress incontinence
Description:Stress incontinence is the involuntary loss of urine that occurs due to sudden increases in abdominal pressure, such as coughing, sneezing, laughing, or physical exertion. These activities put stress on the bladder, causing urine to leak. Stress incontinence is often related to weakened pelvic floor muscles and can be more common in women, particularly after childbirth or during menopause. The other options listed are different types of urinary incontinence: a. Functional incontinence refers to the inability to reach the toilet in time due to physical or cognitive impairments, such as mobility issues or dementia. c. Reflex incontinence is characterized by the loss of urine without warning or sensation due to a neurological condition or spinal cord injury. d. Total incontinence involves the continuous, unpredictable loss of urine without the ability to control or hold it. It is usually caused by anatomical abnormalities or neurological conditions.
14. Which among of the following help to increase the bladder control in an incontience client?
a. Frequent micturition
b. Intermittent self-catheterization
c. Kegel exercises
d. Douching
Answer: c. Kegel exercises
Description:Kegel exercises are a well-known and effective method for increasing bladder control in individuals with urinary incontinence. These exercises involve contracting and relaxing the pelvic floor muscles, which are responsible for supporting the bladder and controlling urination. Regularly performing Kegel exercises can help strengthen the pelvic floor muscles, improve bladder control, and reduce episodes of urinary incontinence. The other options listed do not directly contribute to increasing bladder control in an incontinence client: a. Frequent micturition (frequent urination) is not necessarily related to increasing bladder control. It may be used as a strategy to manage urinary incontinence in some cases, but it does not improve bladder control itself. b. Intermittent self-catheterization is a technique used to empty the bladder in individuals who have difficulty urinating on their own. It is not directly associated with increasing bladder control. d. Douching, which refers to rinsing the vaginal or rectal area with water or other solutions, is not relevant to improving bladder control. It is a separate practice used for hygiene purposes but does not directly impact bladder control.
15. Enuresis is:
a. Involuntary passage of urine
b. Painful urination
c. Involuntary passage of urine during night
d. Excessive urination at night
Answer: c. Involuntary passage of urine during night
Description:Enuresis specifically refers to the involuntary loss of urine during sleep, typically at night. It is commonly seen in children but can also occur in adults. Enuresis can be classified as primary (when a child has never achieved consistent nighttime dryness) or secondary (when bedwetting resumes after a period of dryness). Various factors, including developmental, genetic, and psychological factors, can contribute to enuresis. The other options are not accurate definitions of enuresis: a. Involuntary passage of urine refers to any situation where urine is passed without conscious control, which can include daytime as well as nighttime. b. Painful urination is known as dysuria and is characterized by discomfort or pain during the act of urination. It is a separate condition from enuresis. d. Excessive urination at night is called nocturia and refers to the need to urinate frequently during the night, often disrupting sleep. It is different from enuresis, which involves involuntary nighttime bedwetting.
16. Amphetamine is indicated in:
a. Attention deficit hyperkinetic disorder in children
b. Enuresis
c. Obesity
d. All of these
Answer: d. All of these
Description:Amphetamine is a central nervous system stimulant that is used to treat a variety of conditions, including attention deficit hyperactivity disorder (ADHD), narcolepsy, and obesity. It is also sometimes used to treat enuresis, but this is not its primary indication. Amphetamine works by increasing the levels of dopamine and norepinephrine in the brain. These neurotransmitters are involved in attention, motivation, and learning. Amphetamine can help to improve focus, concentration, and impulse control in people with ADHD. It can also help to reduce excessive daytime sleepiness in people with narcolepsy. In addition to its stimulant effects, amphetamine also has appetite suppressant effects. This is why it is sometimes used to treat obesity. However, amphetamine is not a long-term treatment for obesity. It is only recommended for short-term use, as it can have serious side effects, including addiction. Amphetamine is a controlled substance, which means that it has the potential for abuse.
17. Hardening of the renal arteries are called as:
a. Nephrosclerosis
b. Nephritis
c. Nephrotic syndrome
d. Arteriosis
Answer: a. Nephrosclerosis
Description:The hardening of the renal arteries is known as nephrosclerosis. Nephrosclerosis refers to the thickening and narrowing of the renal arteries, which can lead to reduced blood flow to the kidneys and subsequent kidney damage. It is often associated with hypertension (high blood pressure) and can contribute to the development of chronic kidney disease.
18. When the posterior bladder wall protrudes downwards through the anterior vaginal wall. It is known as:
a. Rectocele
b. Pyocele
c. Cystocele
d. Bubonocele
Answer: c. Cystocele
Description:When the posterior bladder wall protrudes downward through the anterior vaginal wall.it is known as cystocele. It is alos called prolapsed or dropped bladder, is the bulging or dropping of the bladder into the vagina.
19. Distention of renal pelvis caused by obstruction to normal urine flow:
a. Renal failure
b. Renal calculi
c. Hydronephrosis
d. Polycystic kidney
Answer: c. Hydronephrosis
Description:Hydronephrosis is swelling of one or both kidneys. It occurs when urine cannot drain from a kidney and builds up in the kidney as a result. This can occur from a blockage in the tubes that drain urine from the kidneys (ureters) or from an anatomical defect that does not allow urine to drain properly.
20. Clinical features of CKD includes:
a. Hypertension
b. Anemia
c. Hyperkalemia
d. All of these
Answer: d. All of these
Description:The clinical features of chronic kidney disease (CKD) can include hypertension, anemia, and hyperkalemia, among other symptoms. These three are commonly observed in individuals with CKD. Hypertension: High blood pressure is a common feature of CKD. The kidneys play a crucial role in regulating blood pressure, and when they are affected by CKD, blood pressure can rise. Anemia: CKD can lead to a decrease in the production of red blood cells, resulting in anemia. Anemia in CKD is usually caused by a decrease in the hormone erythropoietin, which is produced by the kidneys and is responsible for stimulating red blood cell production in the bone marrow. Hyperkalemia: CKD can disrupt the balance of electrolytes in the body, including potassium. Hyperkalemia refers to high levels of potassium in the blood. As kidney function declines, the kidneys may have difficulty excreting excess potassium, leading to its buildup in the bloodstream. It's important to note that while these are common features of CKD, they may not be present in every individual with the condition, and other symptoms and complications can also occur. It is always recommended to consult with a healthcare professional for an accurate diagnosis and appropriate management of CKD.
21. Early sign of renal carcinoma is:
a. Dysuria
b. Flank pain
c. Pyuria
d. Hematuria
Answer: d. Hematuria
Description:Hematuria is the classical and early sign of renal carcinoma. The presence of blood in urine is known as hematuria
22. Clinical manifestations of cystitis are:
a. Persistent urge to urinate
b. Burning sensation when urinating
c. Hematuria
d. All of these
Answer: d. All of these
Description:Cystitis is an infection of the bladder. It is the most common type of urinary tract infection (UTI). The clinical manifestations of cystitis include: Frequent urination Urgency to urinate Pain or burning when urinating Cloudy or bloody urine Lower back pain Hematuria is the presence of blood in the urine. It is not a common symptom of cystitis, but it can occur in some cases. If you are experiencing any of the symptoms of cystitis, it is important to see a doctor right away. Early treatment can help to prevent the infection from spreading to the kidneys. Here are some other symptoms that may be present in cystitis: Pain in the lower abdomen Fever Chills Nausea Vomiting If you have any of these symptoms, it is important to see a doctor right away. Early treatment can help to prevent the infection from spreading to the kidneys.
23. Positive dipstick for RBC with red color urine and clear supernatant after centrifugation is due to:
a. Porphyria
b. Hematuria
c. Hemolysis
d. Rhabdomyolysis
Answer: b. Hematuria
Description:A positive dipstick for red blood cells (RBCs) with red-colored urine and a clear supernatant after centrifugation is indeed due to hematuria. Hematuria refers to the presence of blood in the urine, which can result from various conditions such as urinary tract infections, kidney stones, trauma to the urinary tract, bladder or kidney infections, or kidney disease. Porphyria is a group of rare genetic disorders that affect heme production, but it typically does not directly cause visible blood in the urine. Hemolysis refers to the destruction of red blood cells, which can release hemoglobin into the bloodstream. While hemolysis can lead to the presence of free hemoglobin in the urine, it is not typically associated with red-colored urine. Additionally, the supernatant after centrifugation may appear cloudy due to the presence of cell debris from the hemolysis. Rhabdomyolysis is a condition characterized by the breakdown of skeletal muscle tissue, which can release myoglobin into the bloodstream. This can cause reddish-brown urine, but the supernatant after centrifugation is typically not clear. It may appear dark or discolored due to the presence of myoglobin. Once again, I apologize for the confusion, and the correct answer is b. Hematuria. If you are experiencing these symptoms, it is important to consult a healthcare professional for a proper evaluation and diagnosis.
24. Micro-organism responsible for renal candidiasis is:
a. Bacterial
b. Viral
c. Protozoal
d. Fungi
Answer: d. Fungi
Description:Renal candidiasis is a condition characterized by the presence of the fungus Candida in the kidneys. Candida is a type of fungus that commonly resides on the skin and mucous membranes without causing any harm. However, under certain circumstances, such as a weakened immune system or the use of antibiotics, Candida can overgrow and cause infections. In the case of renal candidiasis, Candida species can enter the kidneys through the bloodstream or by ascending from the lower urinary tract. The most common Candida species responsible for renal candidiasis is Candida albicans, although other species, such as Candida glabrata and Candida tropicalis, can also be involved. It is important to note that while bacteria, viruses, and protozoa can also cause kidney infections, renal candidiasis specifically refers to a fungal infection of the kidneys. Therefore, the micro-organism responsible for renal candidiasis is fungi (option d). If you suspect you have renal candidiasis or any kidney-related infection, it is essential to consult a healthcare professional for proper diagnosis and treatment.
25. A patient with heart failure in on diuretics. Which of the following is the accurate indicator of such patient’s health status?
a. Vital signs
b. Urine-specific gravity
c. Fluid intake and output
d. Weight
Answer: d. Weight
Description:Assessing the weight is the accurate indicator of helaht status in heart failure patient who is on diuretics. Measuring weight daily helps to detect hypervolemia before symptoms develop and may prevent full exacerbations.
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