NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 148
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1. The ability of an organism to maintain internal stability to compensate for environmental changes is termed as:
a. Adaptation
b. Homeostatic
c. Tolerance
d. Survival
Answer: b. Homeostatic
Description:The tendency of the body to maintain a condition of balance or equilibrium within its internal environment, even when faced with external changes. A simple example of homeostatic is the body’ ability to maintain an internal temperature around 99.6℉, whatever the temperature outside.
2. Diffusion of water form a hypotonic solution into a hypotonic solution across and selectivity permeable membrane is referred to as:
a. Active transport
b. Osmosis
c. Diffusion
d. Filtration
Answer: b. Osmosis
Description:The process you described, where water moves from a hypotonic solution to another hypotonic solution through a selectively permeable membrane, is referred to as osmosis.
3. Administration of 3 L of 5% dextrose solution will provide:
a. 400 Kilocalories
b. 600 kilocalories
c. 900 kilocalories
d. 1200 kilocalories
Answer: b. 600 kilocalories
Description:1 L of 5% dextrose contain 50 g of glucose. Each gram glucose (carbohydrate) provides 4 kcal. Therefore 3 L x 50 g x 4 kcal = 600 kcal.
4. The IV fluid of choice in patient with sever dehydration:
a. 5% dextrose
b. Dextrose Normal Saline (DNS)
c. IV albumin
d. Ringer Lactate
Answer: d. Ringer Lactate
Description:When a patient experiences severe dehydration, the preferred choice of intravenous (IV) fluid is "Ringer Lactate." This solution contains electrolytes like sodium, potassium, and calcium, which help restore the body's electrolyte balance and provide the necessary fluids to rehydrate the patient effectively.
5. Which of the following is the best guide for fluid administration?
a. Urine output
b. CVP
c. HR
d. Blood pressure
Answer: a. Urine output
Description:The most reliable indicator for guiding fluid administration is "urine output." Monitoring how much urine a patient produces helps healthcare professionals assess the body's hydration status and determine if additional fluids are needed.
6. Which type of solution causes water to shift from the cells into the plasma?
a. Hypertonic
b. Hypotonic
c. Isotonic
d. Alkaline
Answer: a. Hypertonic
Description:The type of solution that causes water to shift from the cells into the plasma is option a: Hypertonic. In a hypertonic solution, there is a higher concentration of solutes (such as salts or molecules) outside the cells compared to inside. This concentration difference draws water out of the cells and into the surrounding plasma, causing the cells to shrink or become less swollen.
7. Hypotonic solution among the following is:
a. 0.33% NS
b. 0.9% NS
c. 10% Dextrose
d. 25% Dextrose
Answer: a. 0.33% NS
Description:The hypotonic solution among the options is option a: 0.33% Normal Saline (NS). A hypotonic solution has a lower concentration of solutes compared to the solution inside the cells. In this case, 0.33% NS has fewer dissolved particles than the cells, which allows water to move into the cells to balance the concentration, potentially causing them to swell. The other options have higher solute concentrations and are not hypotonic solutions.
8. Isotonic solution among the following is:
a. 0.33% NS
b. 0.9% NS
c. Dextran
d. 50% Dextrose
Answer: b. 0.9% NS
Description:The isotonic solution among the options is option b: 0.9% Normal Saline (NS). An isotonic solution has a similar concentration of solutes as the solution inside the cells. 0.9% NS has a salt concentration that closely matches the salt concentration in our cells, so it doesn't cause water to move into or out of the cells, helping to maintain cell shape and function. The other options either have lower or higher solute concentrations compared to the cells and are not isotonic solutions.
9. Hypertonic solution among the following is:
a. 0.33% NS
b. 0.9% NS
c. 5% Dextran
d. 50% Dextrose
Answer: d. 50% Dextrose
Description:The hypertonic solution among the options is option d: 50% Dextrose. A hypertonic solution has a higher concentration of solutes compared to the solution inside the cells. In this case, 50% Dextrose has a greater concentration of sugar molecules than what's typically found inside the cells. This difference in concentration causes water to move out of the cells and into the solution to balance the concentrations, potentially causing the cells to shrink. The other options have lower solute concentrations and are not hypertonic solutions.
10. Colloid solution among the following is:
a. 0.33% NS
b. 0.9% NS
c. Dextran
d. 50% Dextrose
Answer: c. Dextran
Description:The colloid solution among the options is option c: Dextran. A colloid solution contains larger molecules or particles that do not readily dissolve, and these particles remain suspended in the solution. Dextran is an example of a colloid because it consists of larger molecules that do not fully dissolve in the liquid. In contrast, options a, b, and d are all examples of crystalloid solutions, which contain dissolved salts or molecules that are smaller and more readily dissolve into the liquid.
11. Nurse is totaling the intake and output for a patient. The patient diagnosed with septicemia who is on clear liquid diet. The client intakes 4 oz of orange juice, 900 ml of water, 8 oz ml of soup, and 1000 ml of half-normal saline solution and outputs 1, 400 ml of urine during the shift. How may milliliters should the nurse document as the patient intake:
a. 2160 ml
b. 2260 ml
c. 2500 ml
d. 2380 ml
Answer: b. 2260 ml
Description:The nurse is keeping track of how much the patient drinks and urinates. The patient with septicemia is only allowed clear liquids. The patient drank 4 oz of orange juice, 900 ml of water, 8 oz of soup, and 1000 ml of saline solution. The patient also urinated 1400 ml. To calculate the total intake, add up the liquids the patient drank: 4 oz + 900 ml + 8 oz + 1000 ml = 2260 ml So, the nurse should document the patient's intake as 2260 ml, which is option b.
12. Fluid loss first occurs from:
a. Intracellular
b. Intravascular
c. Extravascular
d. Interstitial
Answer: b. Intravascular
Description:Fluid loss initially happens from the blood vessels, which are called intravascular spaces. So, the answer is option b.
13. Insensible losses of water per day are:
a. 400 ml per day
b. 1200 ml per day
c. 800 ml per day
d. 1500 ml per day
Answer: c. 800 ml per day
Description:Insensible water losses are the water that our body loses without us really noticing, mainly through processes like breathing and evaporation from the skin. This happens all the time, not just when we sweat. The correct answer is option c, which is 800 ml per day.
14. In an adult fever increases water losses by………ml/day/℃:
a. 70
b. 175
c. 350
d. 600
Answer: b. 175
Description:With fever, each degree rise in temperature above 98.6℉ (37℃) adds 2.5 mL/kg/day to normal insensible water loss. Average weight of an adult is 70 kg. So 70x2.5 = 175 ml. Normal daily insensible water loss is nearly 600-900 ml.
15. Abrupt stoppage of vasoactive medication will lead to:
a. Hemodynamic instability
b. Increase in cardiac output
c. Anaphylactic reaction
d. All of the above,
Answer: d. All of the above,
Description:Stopping vasoactive medication suddenly can cause problems in the body's blood flow regulation. This might result in a shaky balance in the body's blood pressure and heart function. So, all the listed effects can happen: hemodynamic instability, an increase in cardiac output, and even an anaphylactic reaction. That's why the correct answer is option d, which includes all of these possibilities.
16. Mr. X is on fluid replacement therapy. Which of the following assessments finding by the nurse indicates adequate tissue perfusion to vital organs?
a. Blood pressure reading from 50/30 to 80/50 in an hour
b. Central venous pressure reading of 2 cm H2O
c. Pulse rate of 120 and 110 in a 15 minute period
d. Urinary output is 30 mL in an hour
Answer: d. Urinary output is 30 mL in an hour
Description:Urinary output of 30 mL/hr or more is one of the key indicators of adequacy of blood flow to vital organs such as heart brain and kidney.
17. Ideal fluid to provide in fluid volume deficit is:
a. DNS
b. 0.45% saline
c. Lactated Ringers
d. 5% dextrose in 0.45 saline
Answer: c. Lactated Ringers
Description:When someone doesn't have enough fluids in their body, it's important to provide them with the right kind of fluid. Lactated Ringers is a good choice because it contains a balanced mix of electrolytes that are similar to what's in our body. This helps in replenishing the lost fluids in a balanced way. So, the best answer is option c, Lactated Ringers.
18. One among the following is the reason for developing edema that is:
a. Dehydration
b. Excessive water intake
c. Hyponatremia
d. Lymphatic blockage
Answer: d. Lymphatic blockage
Description:Edema is the swelling that happens when excess fluid accumulates in tissues. A common reason for this is when the lymphatic system, which normally helps drain fluid from tissues, gets blocked. So, the correct answer is option d, lymphatic blockage.
19. Which complication of IV infusion can cause pulmonary edema or heart failure?
a. Infiltration
b. Circulatory overload
c. Infection
d. Pyrogenic reactions
Answer: b. Circulatory overload
Description:When too much fluid is given through an intravenous (IV) line too quickly, it can overwhelm the heart's ability to handle the extra volume. This can lead to problems like fluid backing up into the lungs (pulmonary edema) or causing strain on the heart (heart failure). This complication is known as circulatory overload. So, the correct answer is option b, circulatory overload.
20. Non-inflammatory edema occurs due to:
a. Raise in intravascular hydrostatic pressure
b. Decreased plasma oncotic pressure
c. Obstruction in the lymphatic flow channels
d. All of the above.
Answer: d. All of the above.
Description:Non-inflammatory edema happens when fluid accumulates in tissues, but it's not caused by inflammation. This can occur for various reasons. When the pressure inside blood vessels increases (intravascular hydrostatic pressure), when there's not enough protein in the blood to pull fluid back into the vessels (decreased plasma oncotic pressure), or when the lymphatic system, responsible for draining fluids, is blocked (obstruction in the lymphatic flow channels), it can lead to non-inflammatory edema. So, the correct answer is option d, which includes all of these possibilities.
21. All of the following are the manifestation of deep vein Thrombosis; EXCEPT:
a. Pitting edema in the affected leg
b. Cool and clammy skin the affected leg
c. Redness
d. Tenderness
Answer: b. Cool and clammy skin the affected leg
Description:Deep vein thrombosis (DVT) is a condition where a blood clot forms in a deep vein, usually in the legs. It can lead to various signs and symptoms. Among the given options, the one that is NOT a manifestation of DVT is option b, cool and clammy skin in the affected leg. The other options—pitting edema, redness, and tenderness—are all potential signs of DVT.
22. Generalized edema is not a common manifestation in one of the following conditions associated with hypoproteinemia:
a. Nephrotic syndrome
b. Cirrhosis of liver
c. Malnutrition
d. Renal failure
Answer: b. Cirrhosis of liver
Description:Edema in legs, feet and ankle and ascites in more common in liver cirrhosis and, liver failure. Generalize edema is not a common presentation in patients with liver cirrhosis.
23. Regulation of pH within the body is done by:
a. Spleen
b. Liver
c. Heart
d. Kidney
Answer: d. Kidney
Description:Kidneys help control acid-base balance by excreting hydrogen ions and generating bicarbonate that helps to maintain blood plasma pH within a normal range.
24. What is the normal PH of blood?
a. 6.65-6.45
b. 5.35-6.0
c. 7.35-7.45
d. 6.35-7.0
Answer: c. 7.35-7.45
Description:The pH of blood indicates how acidic or basic it is. For our body to function properly, the blood's pH needs to stay within a specific range. The correct answer is option c, which is 7.35-7.45. This range is considered normal for blood pH, helping to maintain the right balance for various bodily functions.
25. Most abundant buffer in blood is:
a. Bicarbonates
b. Hemoglobin
c. Protein
d. Phosphate
Answer: a. Bicarbonates
Description:Buffers are like helpers in our body that keep the pH (acidity level) of our blood stable. Among the options given, the most common buffer in our blood is bicarbonates. They work to prevent big changes in pH, making sure our body stays in a good balance. So, the correct answer is option a, bicarbonates.
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