NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 167
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1. The solution used to disinfect the bed linen of HIV positive patient is:
a. Lysol
b. Salvon
c. Dettol
d. Sodium hypochlorite
Answer: d. Sodium hypochlorite
Description:The solution commonly used to disinfect bed linens of HIV positive patients is d. Sodium hypochlorite. Sodium hypochlorite is a chemical compound commonly known as bleach and is effective in killing a wide range of pathogens, including HIV. It's important to follow proper disinfection protocols and guidelines to ensure the safety of healthcare workers and the prevention of disease transmission.
2. The pressure set in autoclave for sterilization is:
a. 15 Ib
b. 10 Ib
c. 20 Ib
d. 5 Ib
Answer: c. 20 Ib
Description: The inoculating loop is sterilized by c. Flaming. Flaming is a common method used to sterilize inoculating loops and needles in microbiology laboratories. The loop is heated until it becomes red-hot in a flame, effectively killing any microorganisms present. This ensures that the loop is sterile before it is used to transfer bacteria or other microorganisms onto culture media.
3. Inoculating loop is sterilized by:
a. Radiation
b. Autoclave
c. Flaming
d. Hot air oven
Answer: c. Flaming
Description: The inoculating loop is sterilized by c. Flaming. Flaming is a common method used to sterilize inoculating loops and needles in microbiology laboratories. The loop is heated until it becomes red-hot in a flame, effectively killing any microorganisms present. This ensures that the loop is sterile before it is used to transfer bacteria or other microorganisms onto culture media.
4. The amount of bleaching powder for disinfection of 1000 gallons of water is:
a. 10 z
b. 50 gm
c. 2 oz
d. 10 gm
Answer: d. 10 gm
Description:Bleaching powder is often used for water disinfection. The amount required depends on the concentration of available chlorine in the bleaching powder. Generally, around 10 grams of bleaching powder is used to disinfect 1000 gallons of water. This is done to ensure that the water is safe for consumption by effectively killing harmful microorganisms.
5. All theses are sterilized by chemicals; EXCEPT:
a. Scissors
b. Gauze
c. Cables
d. Endoscopes
Answer: b. Gauze
Description:Gauze is not typically sterilized by chemicals. It is a woven fabric used for wound care, dressings, and other medical purposes. Sterilization of gauze is typically achieved through methods like autoclaving, dry heat, or gamma irradiation, rather than chemical sterilization. On the other hand, items like endoscopes, scissors, and cables can be chemically sterilized using appropriate disinfectants or solutions.
6. Recommended disinfectant used for handling spills is:
a. 5% bleach solution
b. 10% sodium hypochlorite
c. 1% sodium hypochlorite
d. 2% bleach solution
Answer: c. 1% sodium hypochlorite
Description:A 1% sodium hypochlorite solution is recommended for handling spills. Sodium hypochlorite, commonly known as bleach, is an effective disinfectant that can help in deactivating various pathogens. It's important to follow proper guidelines for handling spills and using the appropriate concentration of disinfectant to ensure effective disinfection and safety.
7. Which of the following chemicals is most powerful disinfectant?
a. Lysol
b. KMnO4
c. Phenol
d. Dettol
Answer: c. Phenol
Description:Among the options provided, phenol is considered one of the most powerful disinfectants. It has a broad-spectrum antimicrobial activity and is effective against a wide range of microorganisms. However, it's important to note that phenol can be toxic and its use requires careful handling and proper dilution to ensure safety.
8. Fresh bleaching powder contains:
a. 0.33% chlorine
b. 33% chlorine
c. 3.3% chlorine
d. 0.33% chlorine
Answer: b. 33% chlorine
Description:Fresh bleaching powder contains approximately 33% chlorine. This chlorine content makes it effective for disinfection and water treatment purposes. It's important to use bleaching powder as directed and to calculate the appropriate amount based on its chlorine content when using it for disinfection or water purification.
9. HIV contaminated waste products can be decontaminated by:
a. Sodium hypochlorite
b. Glutaraldehyde
c. Formaldehyde
d. All of the above.
Answer: d. All of the above.
Description:HIV contaminated waste products can be decontaminated by using a variety of methods, including formaldehyde, sodium hypochlorite (bleach), and glutaraldehyde. These disinfectants are effective in killing the virus and ensuring that contaminated waste materials are properly decontaminated. The specific disinfection method chosen depends on factors such as the nature of the waste and the applicable regulations and guidelines.
10. Temperature range used in autoclaving is:
a. 150-200℉
b. 260-275℉
c. 250-254℉
d. 121-123℉
Answer: c. 250-254℉
Description:Autoclaving is a process of sterilization that uses high pressure and high temperature steam to kill microorganisms. The typical temperature range used in autoclaving is between 250-254℉ (121-123℃). This combination of temperature and pressure helps ensure the effective sterilization of equipment, instruments, and other items used in medical and laboratory settings.
11. Pressure range used in autoclaving is:
a. 18-20 pounds
b. 15-17 pounds
c. 20-22 pounds
d. 10-12 pounds
Answer: b. 15-17 pounds
Description:The pressure range used in autoclaving is typically between 15-17 pounds per square inch (psi). This high pressure, combined with elevated temperatures, helps to effectively sterilize equipment and other items by killing microorganisms.
12. Solution of choice for disinfecting enamelware item is:
a. 0.5% chlorine
b. 2% glutaraldehyde
c. 50-70% alcohol
d. Savlon
Answer: a. 0.5% chlorine
Description:Enamelware items can be effectively disinfected using a 0.5% chlorine solution. Chlorine solutions are commonly used as disinfectants due to their ability to kill a wide range of microorganisms. It's important to prepare the solution accurately and follow proper guidelines to ensure effective disinfection and safety.
13. Fiber optic items are disinfected with:
a. 0.5% chlorine
b. 2% glutaraldehyde
c. 50-70% alcohol
d. Savlon
Answer: b. 2% glutaraldehyde
Description:Fiber optic items are often disinfected using a 2% glutaraldehyde solution. Glutaraldehyde is a high-level disinfectant that is effective against a wide range of microorganisms, including bacteria, viruses, and fungi. It is commonly used for sterilizing and disinfecting delicate medical equipment, such as endoscopes and fiber optic cables, due to its effectiveness and compatibility with sensitive materials.
14. Solution used in suction bottle before suctioning with disinfection purpose is:
a. Sodium hypochlorite
b. Savlon
c. Chlorine
d. Cidex
Answer: a. Sodium hypochlorite
Description:Sodium hypochlorite solution, commonly known as bleach, is often used for disinfecting the suction bottle before suctioning. This disinfection step helps prevent the spread of infections by ensuring that the equipment used in medical procedures remains clean and free from potential pathogens. It's important to use the appropriate concentration of disinfectant and follow proper procedures to ensure effective disinfection.
15. Agent used to inhibit the growth of bacteria:
a. Antiseptic
b. Bacteriostatic
c. Bactericidal
d. Disinfectant
Answer: b. Bacteriostatic
Description:Bacteriostatic agents are substances that inhibit the growth and reproduction of bacteria without necessarily killing them. These agents prevent bacterial cells from multiplying and spreading, which can help control bacterial infections. In contrast, bactericidal agents kill bacteria, antiseptics are used on living tissues to inhibit microbial growth, and disinfectants are used on surfaces and objects to destroy or inhibit microorganisms.
16. Immediate disinfection of all contaminated article and bodily discharge during the course of illness is:
a. Concurrent disinfection
b. Terminal disinfection
c. Sterilization
d. Quarantine
Answer: a. Concurrent disinfection
Description:Concurrent disinfection refers to the immediate disinfection of contaminated articles and bodily discharges during the course of an illness. It is a practice to prevent the spread of infections within healthcare settings and to ensure that potentially infectious materials are properly treated as soon as they are generated. Terminal disinfection, on the other hand, refers to the thorough cleaning and disinfection of a room or area after a patient has been discharged. Sterilization is the process of killing or eliminating all microorganisms, and quarantine involves isolating individuals who have been exposed to a contagious disease to prevent its spread.
17. Cidex is also known as:
a. Glutaraldehyde
b. Formaldehyde
c. Korsolex
d. Hypochlorite
Answer: a. Glutaraldehyde
Description:Cidex is a brand name for a solution of glutaraldehyde, which is a high-level disinfectant commonly used for sterilizing and disinfecting medical equipment and instruments. It's effective against a wide range of microorganisms and is particularly suitable for items that cannot be exposed to high temperatures for sterilization.
18. Mantoux test is to determine
a. Tuberculosis
b. Measles
c. Diphtheria
d. AIDS
Answer: a. Tuberculosis
Description:The Mantoux test, also known as the Tuberculin Skin Test (TST), is used to determine whether a person has been infected with the bacteria that cause tuberculosis (TB). It involves injecting a small amount of tuberculin protein under the skin and then observing the skin's reaction. A positive reaction indicates that the person has been exposed to TB bacteria, but it doesn't necessarily mean they have active tuberculosis disease. Further tests are usually needed to confirm the diagnosis.
19. Urine bile can be tested through……test:
a. Hay’s test
b. Benedict test
c. Fehling’s test
d. Cold test
Answer: a. Hay’s test
Description:Hay’s test is used to detect urine bile presence. Benedict’s and Fehling’s tests are used to detect urine sugar and cold test and hot test are used to detect urine albumin.
20. The most appropriate time for the nurse to obtain a sputum specimen for culture is:
a. Early in the morning
b. After the patient eats a light breakfast
c. After aerosol therapy
d. After chest physiotherapy
Answer: a. Early in the morning
Description:Obtaining a sputum specimen for culture early in the morning is generally the most appropriate time. This is because sputum is usually more concentrated and representative of the lower respiratory tract early in the morning, after a night's rest. It's less likely to be contaminated with oral secretions that can occur during eating or other activities later in the day. This helps ensure the accuracy of the culture results for diagnosing respiratory infections or conditions.
21. Which test is done for identifying the presence of occult blood is stool:
a. Orthotolidine test
b. Fouchet’s test
c. Benzidine test
d. Guaiac test
Answer: d. Guaiac test
Description:The stool guaiac test screens for hidden (occult) blood in a stool sample. It is the most common type of fecal occult blood test (FOBT). The test involves placing a fecal sample on guaiac paper and applying hydrogen which, in the presence of blood, yield a blue reaction product within seconds.
22. Which is the preservative used in 24 hours urine collection:
a. 50% Acetic acid
b. Toluence
c. Boric acid
d. All of these
Answer: d. All of these
Description:All of the above mentioned preservatives and concentrated HCI and chloroform are also used as a preservative agent in 24 hours urine collection.
23. All of the following are the method used to assess urine specific gravity; EXCEPT:
a. Reagent strips
b. Urinometer
c. Refractometer
d. Biuret method
Answer: d. Biuret method
Description:Biuret method is used to determine protein in urine. All other methods are used for measurement of urine specific gravity. Most commonly used method is urinometer, which is simple and easy to carry out in the bed side of patient
24. Elevated specific gravity can be seen in:
a. Polyuria
b. Dehydration
c. Diabetes insipidus
d. Hypervolemia
Answer: b. Dehydration
Description:Adults generally have a specific gravity in the range of 1.010 to 1.030. Elevated specific gravity of urine is observed in dehydration and SIADH (Syndrome of Inappropriate Anti Diuretic Hormone). Low specific gravity is seen in diabetes insipidus hypervolemia and polyuria.
25. All of the following can be a cause of milky-white color urine; EXCEPT:
a. Urinary tract infection
b. Uric acid crystals from eating purine-rich foods
c. Strenuous exercise
d. Phosphate crystals from excess parathyroid hormone
Answer: c. Strenuous exercise
Description:Strenuous exercise can sometimes result in blood getting into urine, hence turns the urine color into red. Cause of milky-white colored urine include uric acid crystals from eating purine-rich foods, such as anchovies, herring, and red meat(lamb, beef, and pork), and phosphate crystals from excess parathyroid hormone.
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