NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 159
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1. Which of the following is the characteristics of inverse fever?
a. Temperature comes to normal at least once in a day.
b. The sudden fall of temperature from high to normal
c. In the morning temperature is higher than in the evening.
d. The fall of temperature in zig-zag manner to normal
Answer: c. In the morning temperature is higher than in the evening.
Description:Inverse fever is a term used to describe a condition where the body temperature is higher in the morning and decreases to normal levels in the evening. This is in contrast to the typical pattern of fever where body temperature is higher in the evening. So, option c is actually describing the opposite of inverse fever.
2. The sudden return to a normal temperature from very high fever is called:
a. Homeostasis
b. Crisis
c. Thermostasis
d. Lysis
Answer: b. Crisis
Description:When the body temperature suddenly returns to normal from a very high fever, it is referred to as a "crisis." This term is often used to describe the rapid drop in temperature during the resolution phase of a fever.
3. Temperature difference between axillary and rectal route is:
a. 4℉
b. 2℉
c. 3℉
d. 1℉
Answer: b. 2℉
Description:The typical temperature difference between axillary (armpit) and rectal measurements is about 2 degrees Fahrenheit (or approximately 1 degree Celsius), with rectal temperatures being higher than axillary temperatures.
4. Temperature difference between axillary and oral route is:
a. 2℉
b. 1℉
c. 0℉
d. 3℉
Answer: b. 1℉
Description:The typical temperature difference between axillary (armpit) and oral measurements is about 1 degree Fahrenheit (or approximately 0.5 degrees Celsius), with oral temperatures being higher than axillary temperatures.
5. 97℉ is equal to
a. 36.1℃
b. 36.8℃
c. 37.1℃
d. 37.5℃
Answer: a. 36.1℃
Description:97℉ is approximately equal to 36.1℃.
6. 37℃ is equal to:
a. 98.0℉
b. 98.6℉
c. 99.6℉
d. 99.8℉
Answer: b. 98.6℉
Description:37℃ is approximately equal to 98.6℉
7. 102℉ is equal to:
a. 38.5℃
b. 38℃
c. 38.9℃
d. 39.5℃
Answer: c. 38.9℃
Description:102℉ is approximately equal to 38.9℃.
8. 38℃ is equal to:
a. 100.0℉
b. 99.8℉
c. 100.4℉
d. 101.2℉
Answer: c. 100.4℉
Description:38℃ is approximately equal to 100.4℉.
9. Body tissues works better with temperature of:
a. 34-36℃
b. 32-34℃
c. 36-38℃
d. 38-40℃
Answer: c. 36-38℃
Description:Body tissues generally work better within a temperature range of 36-38℃ (98.6-100.4℉), which is considered the normal body temperature range for most individuals.
10. The primary source of heat in the body is:
a. Heartbeat
b. Metabolism
c. Circulation
d. Sunlight
Answer: b. Metabolism
Description:The primary source of heat in the body is metabolism. Metabolism refers to the chemical processes that occur within cells to maintain life, and these processes generate heat as a byproduct. This heat production helps to regulate the body's temperature.
11. If a patient’s blood pressure is 160/96, his pulse pressure is:
a. 64
b. 256
c. 160
d. 96
Answer: a. 64
Description:Pulse pressure is the difference between the systolic and diastolic blood pressure. Normal pulse pressure is 30-50 mm Hg. Pulse pressure = systolic BP-Diastolic BP=64 mmHg.
12. Pulse deficit refers to the difference between:
a. Apical pulse and radial pulse
c. Two radical pulse obtained with 5 minutes gap
d. Two apical pulse obtained with 5 minutes gap
b. Radial pulse and femoral pulse
Answer: a. Apical pulse and radial pulse
Description:The pulse deficit (difference between heartbeats and pulsations at the periphery) is determined by simultaneous palpation of the radial artery and auscultation at the apex of the heart. In other words, it is the difference between heart rate and pulse rate.
13. Location of auscultation for apical pulse is:
a. 5th intercostal space at the right mid-axillary line
b. 5th intercostal space at the left mid-clavicular line
c. 5th intercostal space at the right mid-clavicular line
d. 5th intercostal space at the left mid-axillary line
Answer: b. 5th intercostal space at the left mid-clavicular line
Description:Location of auscultation of apical pulse is 5th intercostal space at the left mid-clavicular line, where the apex of the heart is located.
14. Apical pulse is assessed by placing the diaphragm of the stethoscope at the area of:
a. Pulmonic area
b. Aortic area
c. Mitral area
d. Tricuspid area
Answer: c. Mitral area
Description:Fifth intercostal space for adults and the fourth intercostal space for a young child or infant. Stethoscope at the apex of the heart.
15. The apex beta is felt at which intercostal space?
a. 6th
b. 3rd
c. 5th
d. 4th
Answer: c. 5th
Description:The apex beat (also known as the point of maximal impulse or PMI) is the point on the chest where the heartbeat can be felt most strongly. It is typically located at the 5th intercostal space, just medial to the left midclavicular line.
16. The difference between systolic and diastolic blood pressure is known as:
a. Pulse pressure
b. Systolic pressure
c. Pulse difference
d. Pulse pressure
Answer: d. Pulse pressure
Description:The difference between systolic and diastolic blood pressure is known as pulse pressure. It is a measure of the force exerted by the heart's contraction (systole) and the relaxation of the arteries (diastole).
17. The pulse assessed from the neck to the side of the wind pipe is called:
a. Brachial pulse
b. Carotid pulse
c. Nuchal pulse
d. Popliteal pulse
Answer: b. Carotid pulse
Description:The pulse assessed from the neck to the side of the windpipe is called the carotid pulse. The carotid artery is located in the neck and is one of the major arteries that supplies blood to the brain. It's commonly used to assess the pulse in emergency situations.
18. Appropriate time duration to asses pulse is:
a. 30 seconds
b. 15 seconds
c. 45 seconds
d. 1 minutes
Answer: d. 1 minutes
Description:The appropriate time duration to assess the pulse is generally 1 minute. This allows for a more accurate measurement of the heart rate. However, in some cases, if time is limited, you can assess the pulse for 15 seconds and then multiply the count by 4 to estimate the beats per minute, or assess for 30 seconds and multiply by 2. But for a more precise measurement, it's recommended to count the pulse for a full minute.
19. Other name for collapsing pulse is:
a. Bounding pulse
b. Water-harmer pulse
c. Thread pulse
d. Pulse deficit
Answer: b. Water-harmer pulse
Description:Another name for collapsing pulse is "water-hammer pulse." This term describes a pulse that feels forceful and strong on palpation but collapses quickly, resembling the pulsation of a water hammer. This type of pulse can be associated with conditions like aortic regurgitation.
20. Core body temperature is highest at:
a. Night
b. Early morning
c. Later afternoon
d. Noon
Answer: c. Later afternoon
Description:Core body temperature tends to be highest in the late afternoon. It typically reaches its peak during the later part of the day, usually around 4-6 PM. This diurnal variation in body temperature is a normal physiological phenomenon.
21. The difference between the apical and radial pulse rates is called the:
a. Heart amplitude
b. Pulse amplitude
c. Pulse deficit
d. Rhythm deficit
Answer: c. Pulse deficit
Description:The difference between the apical and radial pulse rates is called the pulse deficit. This deficit can occur when there is a discrepancy between the number of heartbeats (as heard at the apex of the heart) and the number of pulses felt at the radial artery. It may indicate a problem with the transmission of the heartbeat to the peripheral arteries.
22. Appropriate site to verify radial pulse measurement in:
a. Brachial artery
b. Femoral artery
c. Temporal artery
d. Apex of the heart
Answer: d. Apex of the heart
Description:The radial pulse is usually felt on the wrist. However, among the options provided, the best choice for verifying the radial pulse is the apex of the heart. The apex of the heart is located on the chest, and while it's not where the radial pulse is directly measured, it represents the heart's beats. Checking the pulse at the apex of the heart can help ensure that the pulse on the wrist (radial pulse) is in sync with the heart's actual beats. This provides a way to confirm the accuracy of the radial pulse measurement.
23. Poor oxygenation of the blood ordinarily will affect the pulse rate and causes it to become:
a. Bounding
b. Faster than normal
c. Slower than normal
d. Irregular
Answer: b. Faster than normal
Description:Poor oxygenation of the blood typically affects the pulse rate and causes it to become b. Faster than normal. Explanation: The pulse rate, also known as the heart rate, refers to the number of times the heart beats per minute. It is a crucial indicator of cardiovascular health and overall well-being. The rate at which the heart beats is influenced by various factors, and one of these factors is the level of oxygen in the blood. When the blood is inadequately oxygenated, such as in cases of poor lung function or decreased oxygen content in the blood, the body's natural response is to increase the heart rate. This physiological mechanism is an attempt to compensate for the reduced oxygen supply by increasing the rate at which oxygen-rich blood is pumped to vital organs and tissues. Consequently, the heart beats faster than normal as a means of attempting to deliver a sufficient amount of oxygen to the body's cells. This increased heart rate helps maintain a balance between oxygen supply and demand in various tissues. In a clinical context, healthcare professionals often observe an elevated pulse rate as an early sign of compromised oxygenation. Given the options provided: a. Bounding: A bounding pulse is characterized by a forceful and noticeably strong pulse. It is not directly associated with poor oxygenation of the blood. b. Faster than normal: As explained above, poor oxygenation leads to an increased heart rate, which is faster than the usual resting heart rate. c. Irregular: Irregular pulse refers to an irregular heartbeat or arrhythmia, which can have various causes but is not a direct consequence of poor oxygenation. d. Slower than normal: Poor oxygenation does not typically result in a slower heart rate; rather, it tends to cause an increase in heart rate to compensate for the oxygen deficiency. Therefore, the correct answer is option b. Faster than normal.
24. The nurse is examining an 8 year old boy with tachycardia and tachypnea. Which one of these non-invasive tests can determine the extent of hypoxia?
a. Chest X-ray
b. Pulse oximetry
c. Peak expiratory flow
d. Pulmonary function test
Answer: b. Pulse oximetry
Description:Arterial oxygen can be monitored non-invasively and continuously using pulse oximeter probe on finger or toe.
25. What is the term used for normal respiratory rhythm and depth in a client?
a. Eupnea
b. Bradypnea
c. Apnea
d. Tachypnea
Answer: a. Eupnea
Description:Eupnea is normal, good, unlabored ventilation, sometimes known as quite breathing or resting respiratory rate. It is derived from the words eu- “wellâ€+pnoia, “breathâ€.
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