NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 163
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1. Which of the following is used for assessing the pain in children?
a. Visual analogue scale
b. Verbal descriptor scale
c. Numerical rating scale
d. Wrong baker faces pain rating scale.
Answer: d. Wrong baker faces pain rating scale.
Description:It seems like there might be a misunderstanding. The correct answer for assessing pain in children is not option "d" (Wrong baker faces pain rating scale). The commonly used tools for assessing pain in children are: a. Verbal Descriptor Scale: This scale involves the child using words to describe their pain, such as "no pain," "mild pain," "moderate pain," or "severe pain." b. Numerical Rating Scale: Children are asked to rate their pain on a scale of 0 to 10, where 0 represents no pain and 10 represents the worst pain imaginable. c. Visual Analog Scale: This involves using a straight line with "no pain" at one end and "worst pain" at the other. The child is asked to mark on the line to indicate their level of pain. d. Faces Pain Scale - Revised (FPS-R): This scale uses a series of faces that depict varying levels of pain intensity, ranging from a smiling face (no pain) to a crying face (worst pain). The "Wrong baker faces pain rating scale" doesn't appear to be a valid option or tool for assessing pain in children. The correct answer among the options you've provided would likely be one of the other options, such as "a. Verbal Descriptor Scale," "b. Numerical Rating Scale," or "c. Visual Analog Scale."
2. Use of pain scale is an example of adherence to intellectual standard:
a. Accuracy
b. Responsibility
c. Consistency
d. Specificity
Answer: c. Consistency
Description:Using a pain scale consistently ensures that pain assessment is done in a standardized manner, allowing for accurate comparisons and tracking of pain levels over time. This adherence to consistency helps maintain the reliability of the pain assessment process.
3. A comprehensive health assessment of an older person includes:
a. Psychosocial assessment
b. Functional assessment
c. Clinical assessment
d. All of these.
Answer: d. All of these.
Description:A thorough assessment of an older person's health involves considering various aspects, including their physical well-being (clinical assessment), their ability to perform daily activities (functional assessment), and their psychological and social well-being (psychosocial assessment). This holistic approach helps healthcare professionals understand the individual's overall health status and develop appropriate care plans.
4. The first assessment performed by the nurse while initiating nurse patient relationship is:
a. Observing specific body system
b. Appearance and behavior
c. Collection of a detailed health history
d. Vital signs
Answer: b. Appearance and behavior
Description:When initiating a nurse-patient relationship, the nurse often begins by observing the patient's appearance and behavior. This initial assessment helps the nurse establish rapport, understand the patient's demeanor, and gather preliminary information about the patient's overall condition. It sets the tone for further interactions and assessments.
5. Reassessment of client is:
a. Carried out when the client complains of discomfort
b. Done as per the nurse’s convenience
c. Carried out during emergency situations
d. A continuous process.
Answer: d. A continuous process.
Description:Reassessment of a client is an ongoing and continuous process in healthcare. It involves regularly evaluating the client's condition, responses to interventions, changes in health status, and any new concerns that may arise. This helps ensure that the care being provided is appropriate and effective, and it allows for timely adjustments to the care plan as needed. Reassessment is not limited to specific situations like discomfort, emergencies, or convenience; it is a fundamental aspect of providing high-quality patient care.
6. At what time nurse assess the gait of an ambulatory patient?
a. While the patient is lying supine on the examining table
b. After the neurologic assessment
c. At the end of the physical examination
d. When the patient walks into the room
Answer: d. When the patient walks into the room
Description:Assessing the gait of an ambulatory patient is typically done when the patient walks into the room. Gait assessment provides valuable information about the patient's mobility, balance, and coordination. Observing the patient's gait as they walk into the room allows the nurse to assess any abnormalities or difficulties in their walking pattern and helps inform the overall assessment of their physical condition.
7. During the examination of ear of a 2-year-old child, the pinna needs to be held in……………..direction:
a. Pull it downward
b. Downward and backward
c. Straightly back
d. Upward and backward
Answer: b. Downward and backward
Description:For examination of ear, straighten the patients ear canal by pulling the pinna downward and backward in children <3 years. Pull upward and backward in children aged 3 years and above.
8. Adequacy of collateral circulation before radial artery cannulation is done with the help of……….test:
a. Allen’s test
b. Rinnie’s test
c. Cold’s test
d. Weber’s test
Answer: a. Allen’s test
Description:Allen’s test will be performed to find out the adequacy of ulnar circulation before radial artery cannulation. Option b and c belong to hearing assessment. Cold test is a urine test done to examine urine for albumin.
9. Which of the following is used to assess the function of brain stem?
a. Cold calorie test
b. Intracranial pressure.
c. Glasgow coma scale
d. Braden scale
Answer: a. Cold calorie test
Description:Cold calorie test is performed to assess the function of brain stem.
10. Air conduction and bone conduction is tested using which among the following test?
a. Romberg’s test
b. Rinne’s test
c. Allen’s test
d. Weber’s test
Answer: b. Rinne’s test
Description:The Rinne's test is used to assess both air conduction and bone conduction of sound in the auditory system. It involves comparing the patient's ability to hear a tuning fork placed next to the ear (air conduction) with their ability to hear the tuning fork placed against the bone behind the ear (bone conduction). This test helps determine if there are any issues with conductive or sensorineural hearing loss.
11. Apart from vital signs, which of the following assessment would provide most important assessment information of ten month old infant with diarrhea and dehydration?
a. Inspection of infants posterior fontanel
b. Infant’s body weight
c. Stool specimen analysis
d. Urine specimen analysis
Answer: b. Infant’s body weight
Description:In the case of a ten-month-old infant with diarrhea and dehydration, one of the most important assessments to gauge the severity of dehydration is the infant's body weight. Infants and children are more susceptible to dehydration due to their smaller body size and faster metabolic rates. Checking the infant's body weight helps determine the extent of fluid loss and dehydration. A significant decrease in weight can indicate a severe loss of fluids and electrolytes. This information is crucial for assessing the severity of the condition and guiding appropriate treatment, such as rehydration therapy. While the other options (stool specimen analysis, inspection of the infant's posterior fontanel, and urine specimen analysis) can provide important information, the assessment of the infant's body weight is particularly vital in assessing and managing dehydration.
12. All are the components of Braden scale; EXCEPT:
a. Shear
b. Mobility
c. Sensory perception
d. Length of hospital stay.
Answer: d. Length of hospital stay.
Description:Length of hospital stay is not component. Component of Braden scale include sensory perception, moisture activity, mobility, nutrition, and friction or shear.
13. All of the following are the methods to calculate extent of burn injury; EXCEPT:
a. Palmar method
b. Rule of nine
c. Lund Browder method
d. Water low method
Answer: c. Lund Browder method
Description:The Lund Browder method is actually one of the methods used to calculate the extent of burn injury. It takes into consideration the changing proportions of body surface area in relation to age. The Lund Browder method provides a more accurate estimation of the extent of burn injury in children, as it takes into account the varying body proportions as they grow. The other methods mentioned, Rule of Nine, Water low method, and Palmar method, are indeed used for calculating the extent of burn injury.
14. The type of assessment that includes data related to a client’s biological, cultural, spiritual and social need is called:
a. Comprehensive assessment
b. Behavioral assessment
c. Screening assessment
d. Focused assessment
Answer: d. Focused assessment
Description:Comprehensive means including everything. Assessing biological, cultural, spiritual and social needs is called comprehensive assessment. Behavioral assessment is a method used to assess behavior. Screening is a process for evaluating the possible presence of a problem. Detailed nursing assessment of specific body system (s) relating to the presenting problem is known as screening.
15. The nurse is charge is assessing a patient abdomen. Which examination technique should the nurse use first?
a. Palpation
b. Percussion
c. Auscultation
d. Inspection
Answer: d. Inspection
Description:When assessing a patient's abdomen, the nurse should begin with the inspection technique. Inspection involves visually examining the abdomen for any obvious abnormalities, such as distension, scars, skin changes, or masses. This initial visual assessment provides important information and helps guide the subsequent examination techniques, such as auscultation, palpation, and percussion.
16. EDTA containing tubes are not suitable for sample collection meant for coagulation studies because:
a. Calcium concentration will increase in the sample
b. They binds the calcium which is needed for coagulation.
c. They activate the fibrinogen to form fibrin.
d. They will lead to thrombolysis
Answer: b. They binds the calcium which is needed for coagulation.
Description:EDTA strongly binds to calcium in the sample which is needed for coagulation. It will affect the coagulation time. EDTA tubes are purple or lavender colored tube which is used for completed blood counts (CBC).
17. Anticoagulant of choice for estimating blood glucose is:
a. Sodium citrate
b. Sodium fluoride
c. EDTA
d. Heparin
Answer: b. Sodium fluoride
Description:Sodium fluoride is the anticoagulant of choice for estimating blood glucose levels. It helps preserve the blood sample by inhibiting glycolysis (the breakdown of glucose). This ensures that the glucose level in the blood sample remains stable until it can be accurately measured.
18. Sputum sample for AFB should be collected:
a. Morning after wake up
b. In the evening
c. Whenever the person coughs
d. After breakfast
Answer: a. Morning after wake up
Description:Early morning sputum is ideal for mycobacteriological exam for tuberculosis. Cough reflex is usually suppressed at night. Thus, the first early morning expectoration represents overnight secretions accumulated in the chest.
19. Lipid profile does not include:
a. Total cholesterol
b. HDL
c. SGOT
d. VLDL
Answer: c. SGOT
Description:Lipid profile is a blood test that measures different types of lipids (fats) in the blood. It typically includes measurements of: a. HDL (High-Density Lipoprotein): Often referred to as "good" cholesterol, HDL helps remove excess cholesterol from the bloodstream. b. Total Cholesterol: This is the sum of all types of cholesterol in the blood, including HDL, LDL, and VLDL. d. VLDL (Very-Low-Density Lipoprotein): VLDL contains mostly triglycerides and is considered a precursor to LDL. SGOT (Serum Glutamic-Oxaloacetic Transaminase), also known as AST (Aspartate Aminotransferase), is not related to lipid levels. It is an enzyme primarily found in the liver and heart and is often used as a marker for liver and heart health, not for lipid assessment.
20. In Benedict’s test which of the end color indicates absence of sugar in urine?
a. Orange
b. Yellow
c. Green
d. Blue
Answer: d. Blue
Description:In Benedict's test for the presence of reducing sugars (such as glucose) in urine, a blue color indicates the absence of sugar. The color change in Benedict's test progresses from blue to green to yellow to orange to brick-red, depending on the concentration of reducing sugars present. A blue color at the end of the test tube indicates that there is no significant amount of reducing sugars in the urine sample.
21. What should be the sequence of events during collection of blood sample?
a. Ask the patient his name → verify from file → collect blood → label the sample at bedside
b. Collect sample → confirm name from file → label the sample vial
c. Prelabeled the sample vials → check the file patient details → collect sample
d. Look at the file → collect sample → label the sample at bedside
Answer: a. Ask the patient his name → verify from file → collect blood → label the sample at bedside
Description:This sequence ensures proper patient identification, verification, and accurate labeling of the blood sample at the bedside. It's important to confirm the patient's identity before collecting the sample to prevent errors and ensure patient safety.
22. Clay colored stool is suggestive of:
a. Ulcerative colitis
b. Typhoid
c. Amoebic dysentery
d. Obstructive jaundice
Answer: d. Obstructive jaundice
Description:Clay-colored or pale stools can be indicative of obstructive jaundice. Obstructive jaundice occurs when there is a blockage in the bile ducts, which can lead to a reduced flow of bile into the intestines. Bile gives stool its characteristic brown color, and when the flow of bile is obstructed, the stool can become pale or clay-colored. This is because bilirubin, a pigment found in bile, contributes to the normal brown color of stool. If there's a lack of bilirubin in the stool due to obstructed bile flow, the stool can appear light in color.
23. Which among the following blood tests is recommended to a client on heparin therapy?
a. Prothrombin time
b. Bleeding time
c. Clotting time
d. Activated partial thromboplastin time (APTT)
Answer: d. Activated partial thromboplastin time (APTT)
Description:When a client is on heparin therapy, monitoring the effectiveness and safety of the treatment is crucial. The activated partial thromboplastin time (APTT) is the blood test commonly used to assess the clotting time for patients receiving heparin. Heparin is an anticoagulant medication that affects the intrinsic pathway of coagulation, and the APTT reflects this pathway's function. The APTT test helps healthcare providers adjust the heparin dosage to ensure that the blood doesn't become too thin, leading to excessive bleeding, or too thick, increasing the risk of blood clots.
24. Stool specimen for guaiac fecal occult blood testing is done to screen for:
a. Colorectal cancer
b. Irritable bowel syndrome
c. Fistula
d. Cancer prostate.
Answer: a. Colorectal cancer
Description:Stool specimen for guaiac fecal occult blood testing (also known as FOBT or fecal occult blood test) is done to screen for colorectal cancer. This test detects the presence of hidden (occult) blood in the stool, which can be an early sign of colorectal cancer or other gastrointestinal conditions. It's used as a non-invasive method to identify potential cases of colorectal cancer and prompt further diagnostic evaluation.
25. The reagent used for testing urine sugar of:
a. Amoebic dysentery
b. Obstructive jaundice
c. Typhoid
d. Ulcerative colitis
Answer: a. Amoebic dysentery
Description:The reagent used for testing urine sugar is not specifically related to any of the conditions mentioned (amoebic dysentery, typhoid, ulcerative colitis, or obstructive jaundice). Urine sugar testing is typically done to detect the presence of glucose (sugar) in the urine, which can indicate elevated blood sugar levels, as seen in conditions like diabetes. The reagent commonly used for urine sugar testing is Benedict's reagent or Fehling's solution. This reagent changes color in the presence of reducing sugars like glucose, allowing for the detection of sugar in the urine. It's important to note that this test is primarily used for monitoring blood sugar levels in individuals with diabetes and is not specific to the mentioned medical conditions.
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