NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 150
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1. In hyperphosphatemia, the electrolyte that needs to be provided is:
a. Potassium
b. Calcium
c. Sodium
d. Magnesium
Answer: b. Calcium
Description:Hyperphosphatemia is a condition where there is an excessive amount of phosphorus in the blood. This can lead to a decrease in calcium levels in the blood. Calcium and phosphorus have a delicate balance in the body, and when phosphorus levels are high, it can cause calcium levels to drop. Therefore, providing calcium can help to restore the balance between these two electrolytes and manage the effects of hyperphosphatemia.
2. Hypokalemia is seen in all; EXCEPT:
a. Vomiting
b. Hyperaldosteronism
c. Administration of loop diuretics
d. Rhabdomyolysis
Answer: d. Rhabdomyolysis
Description:Rhabdomyolysis is not typically associated with causing hypokalemia. Rhabdomyolysis is a condition where muscle tissue breaks down rapidly, releasing substances into the blood that can lead to kidney problems and electrolyte imbalances. While it can affect potassium levels indirectly, it is not a primary cause of hypokalemia. The other options (a, b, and c) can lead to potassium loss and hypokalemia due to various mechanisms such as vomiting, hyperaldosteronism, and the use of loop diuretics.
3. Which among the following signs need to be reported to the physician of a client receiving loop diuretic?
a. Restlessness and agitation
b. Irregular cardiac rhythm
c. Weak, irregular pulse and poor muscle tone
d. Chvostek’s sign
Answer: c. Weak, irregular pulse and poor muscle tone
Description:Loop diuretics are medications that help the body get rid of excess fluid and sodium. However, they can also lead to the loss of important electrolytes like potassium. When potassium levels drop too low, it can affect the heart's rhythm and muscle function. Symptoms like a weak and irregular pulse, as well as poor muscle tone, could be indicators of low potassium levels and potentially serious electrolyte imbalances. It's important to report these symptoms to the physician so that appropriate measures can be taken to address the issue.
4. Electrolyte needs to be replaced in a client receiving furosemide (Lasix) is:
a. Sodium
b. Potassium
c. Chlorine
d. Magnesium
Answer: b. Potassium
Description:Furosemide is a type of diuretic medication that helps the body get rid of excess fluid and salt. However, it can also cause the loss of important electrolytes, especially potassium, through increased urine output. Potassium is crucial for proper muscle and nerve function, including the heart. Since furosemide can lead to low potassium levels, it's important to replace potassium through dietary changes or supplements under medical guidance to maintain a healthy balance of electrolytes in the body.
5. Identify the electrolyte imbalance which is responsible for weakness vertigo and convulsions?
a. Hypomagnesemia
b. Hypocalcemia
c. Hypokalemia
d. Hypophosphatemia
Answer: a. Hypomagnesemia
Description:Hypomagnesemia refers to a low level of magnesium in the blood. Magnesium is an essential mineral that plays a role in muscle and nerve function, as well as maintaining a steady heartbeat. When magnesium levels are too low, it can lead to symptoms like weakness, dizziness (vertigo), and even convulsions (seizures) due to its impact on the nervous system. It's important to address hypomagnesemia to prevent these symptoms and potential complications.
6. Hypercalcemia can cause all; EXCEPT:
a. Confusion
b. Muscle weakness
c. Oliguria
d. Loss of appetite
Answer: c. Oliguria
Description:Hypercalcemia is a condition where there is an elevated level of calcium in the blood. This can occur due to various reasons, including certain medical conditions. The symptoms of hypercalcemia can include confusion, muscle weakness, and loss of appetite. However, oliguria, which refers to decreased urine output, is not typically associated with hypercalcemia. Instead, high levels of calcium might affect the kidneys and lead to increased urine production, which is called polyuria.
7. Hypercalcemia can cause:
a. Fracture
b. Muscle spasms
c. Renal insufficiency
d. Seizure
Answer: c. Renal insufficiency
Description:Hypercalcemia is a condition where there is an excessive level of calcium in the blood. High levels of calcium can have various effects on the body, including potentially affecting the kidneys. The kidneys play a crucial role in regulating calcium levels in the blood. In cases of severe and prolonged hypercalcemia, calcium deposits can form in the kidneys, potentially leading to impaired kidney function or renal insufficiency. While hypercalcemia can also lead to symptoms like fractures, muscle spasms, and seizures, renal insufficiency is one of the complications that can arise from this condition.
8. Cause of hypercalcemia:
a. Hypoparathyroidism
b. Renal tubular acidosis
c. Less intake of vit D
d. Increased of calcitriol
Answer: d. Increased of calcitriol
Description:Hypercalcemia is a condition where there is too much calcium in the blood. Calcitriol is the active form of vitamin D, and it helps the body absorb calcium from the intestines. If there is an excessive production of calcitriol, it can lead to an increased absorption of calcium from the digestive system, resulting in elevated calcium levels in the blood. Options a, b, and c are not the primary causes of hypercalcemia: a. Hypoparathyroidism involves a deficiency of parathyroid hormone, which would typically lead to lower calcium levels. b. Renal tubular acidosis can affect acid-base balance in the kidneys, but it's not a primary cause of increased calcium levels. c. Less intake of vitamin D could contribute to lower calcium absorption, not hypercalcemia.
9. Select the cause of hypercalcemia from the following:
a. Primary hyper parathyroids
b. Excess vitamin D
c. Acute pancreatitis
d. Both a and b
Answer: d. Both a and b
Description:Hypercalcemia is a condition where there is an elevated level of calcium in the blood. In this case, both primary hyperparathyroidism (option a) and excess vitamin D (option b) can lead to hypercalcemia. a. Primary hyperparathyroidism involves the overactivity of the parathyroid glands, leading to increased secretion of parathyroid hormone (PTH), which in turn causes an increase in calcium levels. b. Excess vitamin D, when consumed in large amounts or due to certain medical conditions, can enhance calcium absorption from the digestive tract and result in elevated calcium levels in the blood. Option c, acute pancreatitis, is not a direct cause of hypercalcemia, although it can lead to other metabolic imbalances.
10. Signs related to hypocalcemia is:
a. Chvostek’s sign
b. Trousseau’s sign
c. Tenderness at McBurney’s point
d. Allen’s test
Answer: d. Allen’s test
Description:Hypocalcemia is a condition where there is a low level of calcium in the blood. Two specific signs associated with hypocalcemia are: a. Chvostek’s sign: This is a sign where tapping on the facial nerve in front of the ear leads to twitching of the muscles on the same side of the face. It's an indicator of increased nerve excitability due to low calcium levels. b. Trousseau’s sign: In this sign, when a blood pressure cuff is inflated above systolic pressure for a few minutes, it causes spasms or twitching of the hand and forearm muscles. This is another indicator of nerve irritability caused by low calcium levels. Option c, tenderness at McBurney’s point, is associated with appendicitis, not hypocalcemia. Option d, Allen’s test, is a test to assess the patency of the radial and ulnar arteries in the hand and is not directly related to hypocalcemia.
11. Twitching of the facial muscles in response to tapping over the area of the facial nerve:
a. Chvostek’s sign
b. Trousseau’s sign
c. Tenderness at McBurney’s point
d. Allen’s test
Answer: a. Chvostek’s sign
Description:Twitching of the facial muscles in response to tapping over the area of the facial nerve is called: a. Chvostek’s sign Chvostek's sign is a medical indication of increased nerve excitability, often due to low levels of calcium in the blood. When the facial nerve is tapped in front of the ear, it can trigger involuntary muscle contractions or twitching on the same side of the face. This sign is associated with hypocalcemia. Option b, Trousseau's sign, involves spasms of hand and forearm muscles when a blood pressure cuff is inflated and is also related to hypocalcemia.
12. Carpopedal spasm caused by inflating the blood-pressure cuff to a level above systolic pressure for 3 minutes:
a. Chvostek’s sign
b. Trousseau’s sign
c. Tenderness at McBurney’s point
d. Allen’s test
Answer: b. Trousseau’s sign
Description:Trousseau's sign is a medical phenomenon where a blood pressure cuff is inflated above the patient's systolic blood pressure for a few minutes. If carpopedal spasm, which involves involuntary muscle contractions in the hand and forearm, occurs during this process, it can indicate increased nerve excitability due to low levels of calcium in the blood. Trousseau's sign is often used as an indicator of hypocalcemia.
13. Positive Chvostek’s and Trousseau’s signs are early indication of:
a. Rickets
b. Addison’s disease
c. Tetany
d. Cushing’s syndrome
Answer: c. Tetany
Description:Chvostek's and Trousseau's signs are both indicators of increased nerve excitability, particularly due to low levels of calcium in the blood. These signs can be observed in a condition called tetany, which is characterized by muscle spasms, twitching, and cramps caused by an imbalance in calcium levels. Tetany can result from hypocalcemia, and Chvostek's and Trousseau's signs are often used to diagnose this condition.
14. Hyperkalemia is caused due to all of the following; EXCEPT:
a. Addison disease
b. Acute renal failure
c. Excess hemolysis
d. Alkalosis
Answer: d. Alkalosis
Description:d. Alkalosis Hyperkalemia is a condition characterized by high levels of potassium in the blood. It can lead to various health issues, including heart rhythm disturbances. Among the given options: d. Alkalosis Alkalosis refers to a condition where the body's pH becomes more basic (higher pH). While alkalosis can have its own effects on electrolyte balance, it is not typically a direct cause of hyperkalemia. The other options (a, b, and c) can lead to potassium accumulation in the blood and contribute to hyperkalemia.
15. Hyperkalemia can be managed with
a. Sodium
b. Dextrose with insulin
c. Dextrose with calcium
d. Sodium nitroprusside
Answer: b. Dextrose with insulin
Description:Hyperkalemia is a condition characterized by elevated levels of potassium in the blood. Dextrose (a type of sugar) along with insulin is commonly used to treat hyperkalemia. Insulin helps to move potassium from the blood into the cells, which can effectively lower blood potassium levels. Dextrose is given along with insulin to prevent hypoglycemia (low blood sugar) that insulin alone can cause. The other options (a, c, and d) are not typically used to manage hyperkalemia.
16. K Bind is given for patient with:
a. Hypernatremia
b. Hypokalemia
c. Hyperkalemia
d. Hyponatremia
Answer: c. Hyperkalemia
Description:Hyperkalemia is a condition characterized by high levels of potassium in the blood. K Bind, also known as potassium binders or potassium-reducing agents, are medications given to help lower blood potassium levels by binding to excess potassium in the digestive tract and facilitating its removal from the body through feces. This can be helpful in managing hyperkalemia and preventing its associated complications. The other options (a, b, and d) are not the primary conditions for which K Bind is used.
17. Which of the following electrolyte is most frequently administered in conjunction with furosemide?
a. Sodium
b. Chloride
c. Calcium
d. Potassium
Answer: d. Potassium
Description:Furosemide is a type of diuretic medication that helps the body eliminate excess fluid and salt. However, it can also lead to the loss of important electrolytes, especially potassium, through increased urine output. To prevent potassium depletion, healthcare providers often administer supplemental potassium when prescribing furosemide. This helps maintain a healthy balance of electrolytes in the body and prevents potential complications associated with low potassium levels.
18. Which among the following electrolyte imbalance manifest with confusion and lethargy?
a. Hyperkalemia
b. Hypermagnesemia
c. Hypercalcemia
d. Hypocalcemia
Answer: c. Hypercalcemia
Description:Hypercalcemia refers to elevated levels of calcium in the blood. High levels of calcium can affect the nervous system, leading to symptoms like confusion and lethargy. Calcium is an important mineral that plays a role in nerve function, and when its levels become too high, it can disrupt normal nerve signaling and lead to cognitive and mental changes.
19. The electrolyte imbalance that needs to be suspected in client receiving furosemide?
a. Hyperkalemia
b. Hyperphosphatemia
c. Hypokalemia
d. Hypernatremia
Answer: c. Hypokalemia
Description:Furosemide is a diuretic medication that helps the body get rid of excess fluid and salt. However, it can also lead to the loss of important electrolytes, especially potassium, through increased urine output. Since potassium is necessary for proper muscle and nerve function, including heart function, taking furosemide can potentially cause a decrease in potassium levels, leading to hypokalemia. It's important to monitor and address potassium levels when using furosemide to prevent complications associated with low potassium.
20. Phosphorous binders are administered:
a. 1 hour after food
b. 1 hour before food
c. With food
d. Bed time
Answer: c. With food
Description:Phosphorus binders are medications used to help control high levels of phosphorus in the blood, often seen in conditions like chronic kidney disease. These medications work by binding to dietary phosphorus in the digestive tract, preventing its absorption into the bloodstream. It's important to take phosphorus binders with food because they need to be present in the digestive system when you eat, to effectively bind to the phosphorus in the food you consume. This helps to reduce the amount of phosphorus that gets absorbed into the body, aiding in the management of phosphorus levels.
21. Choose phosphate binder drug from following:
a. Calcium carbonate
b. Calcium acetate
c. Sevelamer hydrochloride
d. All of the above.
Answer: d. All of the above.
Description:Phosphate binder drugs are used to manage high levels of phosphorus in the blood, often seen in conditions like chronic kidney disease. The options listed, including calcium carbonate, calcium acetate, and sevelamer hydrochloride, are all examples of phosphate binder medications. They work by binding to dietary phosphorus in the digestive tract, preventing its absorption into the bloodstream and helping to control phosphorus levels.
22. Which can be given in hemorrhagic stroke?
a. Isotonic fluids
b. Colloids
c. Blood transfusion
d. Packed RBC
Answer: a. Isotonic fluids
Description:Hemorrhagic stroke is a type of stroke that occurs when a blood vessel in the brain ruptures, leading to bleeding. It's important to maintain proper fluid balance and blood pressure in these cases. Isotonic fluids, which have a similar concentration of dissolved particles as blood, are often given to help stabilize blood pressure and maintain proper fluid levels in the body. This can be helpful in managing the condition and preventing complications. Options b, c, and d (colloids, blood transfusion, and packed red blood cells) are generally not the first-line choices in managing hemorrhagic stroke, as they can have specific indications and risks associated with their use.
23. Which of the following symptoms is NOT considered to be compensatory mechanism associated with hypovolemia due to hemorrhage?
a. Tachycardia
b. Tachypnea
c. Oliguria
d. Hypertension
Answer: d. Hypertension
Description:In hypovolemia, activation of the sympathetic nervous system increases the respiratory rate (tachypnea) and pulse rate (tachycardia) and help restore the BP to maintain tissue perfusion, but dose not case a hypertension. SNS stimulation also play a role in decreased glomerular filtration and increased reabsorption of water rand sodium which leads to oliguria.
24. Bleeding time is prolonged in all of the following conditions; EXCEPT:
a. DIC
b. Von-Willebrand disease
c. Hemophilia A
d. Idiopathic thrombocytopenia
Answer: c. Hemophilia A
Description:Bleeding time is a test that measures how long it takes for a small cut to stop bleeding. It can be affected by various bleeding disorders. Hemophilia A, characterized by a deficiency of clotting factor VIII, typically doesn't significantly affect bleeding time. On the other hand, conditions like DIC (disseminated intravascular coagulation), Von-Willebrand disease, and idiopathic thrombocytopenia can lead to a prolonged bleeding time due to abnormalities in the clotting process or low platelet counts.
25. Which of the following blood cells perform an important role in blood clotting
a. Lymphocytes
b. Thrombocytes
c. Erythrocytes
d. T-cells
Answer: b. Thrombocytes
Description:Thrombocytes, also known as platelets, are small cell fragments found in the blood. They play a vital role in the process of blood clotting, also known as coagulation. When there's an injury or damage to a blood vessel, platelets are activated and stick to the site of the injury, forming a plug to stop bleeding. This is a crucial step in preventing excessive blood loss when a blood vessel is damaged. The other options (a, c, and d) are not directly involved in blood clotting.
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