NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 145
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1. The advantages of using a monofilament suture material are:
a. Low risk of infection and minimal tissue reactive.
b. Low risk of infection and good knot security
c. Good knot security and minimal tissue reactive
d. None of the above.
Answer: a. Low risk of infection and minimal tissue reactive.
Description:A monofilament suture material offers the advantage of reduced infection risk and minimal tissue reactivity. This means that it is less likely to cause infections and irritation in the body compared to other types of sutures.
2. Which of the following statement regarding plain Catgut is NOT true?
a. Catgut is derived from the submucosa of the sheep intestine
b. Color of plain catgut is yellow
c. It last 14 to 28 days
d. It is monofilament suture material
Answer: c. It last 14 to 28 days
Description:Plain catgut lasts about 7 to 10 days, hence its use is minimal. All other statements about plain catgut are correct. It can be used to put subcutaneous fat stitches.
3. All of the statements regarding chromic catgut is true; EXCEPT:
a. Color of chromic catgut is blue
b. It lasts about 15 to 20 days
c. Plain catgut is mixed with chromic salts to obtain chromic catgut.
d. The chromic catgut is preserved in 70% alcohol.
Answer: a. Color of chromic catgut is blue
Description:The color of the chromic catgut is brown. Other statements are true about chromic catgut. Chromic catgut is biological, absorbable and monofilament suture material. It is used a intestinal anastomosis, closure of urinary bladder, closure of bile duct, etc.
4. What type of material that Monocryl suture would be
a. Braided.
b. Monofilament
c. Threads
d. Silicone
Answer: a. Braided.
Description:Monocryl suture is a type of "b. Monofilament" material. This means that it is made from a single strand of material, which has a smooth surface and reduces the risk of tissue irritation and infection.
5. Vicryl rapid is:
a. Synthetic absorbable suture
b. Synthetic non-absorbable suture
c. Natural absorbable suture.
d. Natural non-absorbable suture.
Answer: a. Synthetic absorbable suture
Description:Vicryl Rapid is a type of suture material that falls under the category of "a. Synthetic absorbable suture." This means that it is made from synthetic (man-made) materials and is designed to be absorbed by the body over time, eliminating the need for suture removal
6. The suture variety chromic gut is an a:
a. Absorbable suture
b. Non-absorbable suture
c. Semi absorbable
d. Not a suture material
Answer: b. Non-absorbable suture
Description:The suture variety chromic gut is a type of "a. Absorbable suture." This means that it is designed to be naturally broken down and absorbed by the body over time, eliminating the need for suture removal.
7. Ethibond suture is an a:
a. Absorbable suture
b. Non-absorbable suture
c. Semi absorbable
d. Not a suture material
Answer: d. Not a suture material
Description:Ethibond suture is not a suture material itself. Instead, it's a brand name for a specific type of suture. The question doesn't provide enough information to determine whether it's absorbable or non-absorbable. So, the correct answer is (d) "Not a suture material," as Ethibond refers to a brand of sutures rather than a specific suture type.
8. Suture ethion is a/an:
a. Absorbable suture
b. Non-absorbable suture
c. Semi absorbable
d. Not a suture material
Answer: b. Non-absorbable suture
Description:Suture ethion is a type of "b. Non-absorbable suture" material. This means that it is not designed to be absorbed by the body and may need to be removed manually after the healing process.
9. Which of the parameter indicates infection in a post-operative patient?
a. White blood count of 6,000 cells/cu.mm
b. Presence of an indwelling urinary catheter
c. Rectal temperature of 37.8℃
d. Red, warm and tender incision site.
Answer: d. Red, warm and tender incision site.
Description:The parameter that indicates infection in a post-operative patient is "d. Red, warm and tender incision site." If the incision site appears red, feels warm to the touch, and is tender or painful, it could be a sign of infection in the area.
10. Which among the following parameter of a patient in post-operative unit requires immediate attention?
a. Oxygen saturation of 85%
b. Respiratory rate of 14/min
c. Temperature of 980 F (38℃)
d. Blood pressure of 110/180 mm Hg.
Answer: a. Oxygen saturation of 85%
Description:The parameter of a patient in the post-operative unit that requires immediate attention is "a. Oxygen saturation of 85%." An oxygen saturation level of 85% is quite low and indicates that the patient is not getting enough oxygen into their bloodstream. This situation requires immediate attention to ensure the patient receives adequate oxygen supply.
11. Which among the following is the most appropriate intervention in the post-operative client to prevent respiratory complication?
a. Deep breathing and coughing
b. Use of an incentive spirometer
c. Both a and b
d. Oxygen administration
Answer: c. Both a and b
Description:The most appropriate intervention in a post-operative client to prevent respiratory complications is "c. Both a and b." Deep breathing and coughing, as well as the use of an incentive spirometer, are both effective techniques to promote lung expansion, clear mucus, and prevent respiratory issues after surgery. These interventions help maintain healthy lung function and minimize the risk of complications.
12. In the immediate post-operative period nursing interventions are directed to prevent which of the following respiratory complication?
a. Atelectasis
b. Emphysema
c. COPD
d. ARDS
Answer: a. Atelectasis
Description:In the immediate post-operative period, nursing interventions are focused on preventing "a. Atelectasis" which is a respiratory complication. Atelectasis occurs when small areas of the lung collapse or don't fully inflate, leading to decreased lung function. Nursing interventions aim to encourage deep breathing, coughing, and early ambulation to prevent this condition.
13. How frequent should the nurse monitor the vital sign of the patient in the recovery room?
a. Every 14 minutes.
b. Every 60 min
c. Every 30 min
d. Every 45 min
Answer: a. Every 14 minutes.
Description:Every 15 minutes the vitals need to monitor to find out the occurrence of any complication as early as possible.
14. On the first post-operative day of a patient with abdominal resection procedure has been ordered opioid for pain relief. Which of the following critical aspects has to be considered before administration of an opioid injection to prevent respiratory depression?
a. Bowel movements
b. Post surgical blood loss
c. Level of consciousness
d. Oxygen saturation
Answer: d. Oxygen saturation
Description:Opioid induced respiratory depression is potentially life-threatening and the case of substantial morbidity and mortality. So, before administering opioid, patient’s oxygen saturation level should be monitored to assess the level of oxygenation or to prevent the complication due to respiratory depression.
15. A child in post-operative ward under observation after tonsillectomy is suspected to have post-operative hemorrhage when the child.
a. Snores noisily
b. Becomes pale
c. Complains of thirst
d. Swallows frequently
Answer: d. Swallows frequently
Description:A child in the post-operative ward after a tonsillectomy is suspected to have post-operative hemorrhage when the child "d. Swallows frequently." Frequent swallowing can indicate bleeding in the throat area, which might be causing discomfort or irritation. This symptom should be taken seriously and promptly reported to the medical staff for further assessment and appropriate intervention.
16. A patient has just returned from the post anesthesia care unit (PACU) after hemorrhoidectomy. His post-operative order includes sitz bath every morning. The nurse understand that sitz bath necessary for:
a. Relieving tension
b. Promote healing
c. Lower body temperature
d. Reduce pain.
Answer: b. Promote healing
Description:Anticoagulants may increase the risk of bleeding post-operative. Pre-operatively client is advised based on type of anticoagulants he/she used or about the associated risks. Example, if warfarin is used by the patient it should be discontinued 5 days before the surgery because of its long acting effects.
17. The most important factor in the prevention of post-operative infection is:
a. Frequent change of wound dressings.
b. Proper administration of antibiotics
c. Fluid intake of 2-3 L/day
d. Practice of strict aseptic techniques.
Answer: d. Practice of strict aseptic techniques.
Description:The most important factor in preventing post-operative infection is "d. Practice of strict aseptic techniques." Aseptic techniques involve maintaining a sterile and clean environment during procedures and wound care to prevent the introduction of harmful microorganisms that could lead to infections. This is a crucial measure to minimize the risk of post-operative infections.
18. Most important post-operative teaching for a client scheduled for a vaginal hysterectomy?
a. Deep breathing and leg exercises.
b. Kegel exercises.
c. Vaginal pessaries.
d. Sitz bath.
Answer: a. Deep breathing and leg exercises.
Description:The most important post-operative teaching for a client scheduled for a vaginal hysterectomy is "a. Deep breathing and leg exercises." After the surgery, deep breathing helps prevent respiratory complications, and leg exercises promote circulation and prevent blood clots. Both of these activities contribute to a smoother recovery and reduced risk of complications.
19. In the recovery room patient is shivering uncontrollably. The first nursing intervention is:
a. Provide blanket and continue oxygen
b. Take temperature of the patient
c. Provide warm IVF
d. Inform the surgeon
Answer: a. Provide blanket and continue oxygen
Description:In the recovery room, if a patient is shivering uncontrollably, the first nursing intervention is "a. Provide blanket and continue oxygen." Shivering after surgery can be a normal response to the body's temperature regulation, so providing warmth through a blanket can help the patient feel more comfortable. Continuing oxygen ensures that the patient receives sufficient oxygen during the shivering episod
20. Following surgery gas can be expelled out through:
a. Ambulation and moving around
b. Insertion of flatus tube
c. Bearing down
d. Taking bed rest
Answer: a. Ambulation and moving around
Description:After surgery, gas can be expelled out through "a. Ambulation and moving around." Walking and moving around help to stimulate the digestive system and encourage the natural passage of gas, relieving post-operative discomfort caused by trapped gas.
21. Which of the following is a function of prostaglandin I2 or prostacyclin:
a. Vasoconstriction
b. Inhibition of platelet aggregation.
c. Helps in wound healing
d. Piloconstriction
Answer: b. Inhibition of platelet aggregation.
Description:The function of prostaglandin I2 or prostacyclin is "b. Inhibition of platelet aggregation." Prostaglandin I2 helps to prevent excessive clotting by inhibiting the aggregation of platelets, which are small blood cells involved in clot formation. This function is important for maintaining healthy blood flow and preventing unwanted clotting.
22. Risk factors for deep vein thrombosis (DVT) are:
a. Prolonged surgery
b. Overweight and obesity
c. Hormonal contraceptive
d. All of the above.
Answer: d. All of the above.
Description:The risk factors for deep vein thrombosis (DVT) are "d. All of the above." Prolonged surgery, being overweight or obese, and using hormonal contraceptives are all factors that can increase the likelihood of developing blood clots in the deep veins, known as DVT. These factors contribute to the formation of clots within the veins, which can lead to serious complications if not addressed.
23. After a child returns from post anesthesia care unit after surgery. Which of the following would the nurse assess first?
a. The intravenous fluid access site
b. The child’s level of pain
c. Surgical site dressing
d. Functioning of the nasogastric tube.
Answer: c. Surgical site dressing
Description:After a child returns from the post anesthesia care unit (PACU) after surgery, the nurse would assess "c. Surgical site dressing" first. Monitoring the surgical site dressing is crucial to ensure that there is no bleeding, infection, or other complications related to the surgery. This assessment helps to catch any issues early and ensures the child's safety and recovery.
24. Which of the following response to stress is due to negative feedback mechanism?
a. Neurophysiological response
b. Hypothermia
c. Hyperventilation
d. Altered level of consciousness.
Answer: a. Neurophysiological response
Description:The response to stress that is due to negative feedback mechanism is "a. Neurophysiological response." Negative feedback is a regulatory mechanism where the body's response works to counteract a stressor and restore balance. In this case, the neurophysiological response helps the body manage stress by activating certain physiological processes to counter the effects of stressors.
25. An adolescent boy who is shifting to different school expresses anxiety over changing his school. Voicing anxiety is an act of:
a. Reaction
b. Evaluation
c. Adaption
d. Resistance.
Answer: c. Adaption
Description:An adolescent boy expressing anxiety over changing his school is an act of "c. Adaptation." Expressing anxiety about shifting to a different school shows that the boy is acknowledging his feelings and adjusting to the upcoming change. Adapting involves recognizing and addressing emotions related to new situations.
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