NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 168
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1. Which among the following blood tests is recommended to a client on warfarin therapy?
a. Bleeding time
b. Clotting time
c. Prothrombin time (PT)
d. International normalized ratio (INR)
Answer: d. International normalized ratio (INR)
Description:Among the options provided, the recommended blood test for a client on warfarin therapy is "d. International normalized ratio (INR)." The INR is a standardized measure of the time it takes for blood to clot, and it's specifically used to monitor the effects of warfarin, a common anticoagulant medication. Maintaining the INR within a therapeutic range is crucial for ensuring that the client's blood is not too prone to clotting (risk of thrombosis) or too prone to bleeding (risk of hemorrhage) while on warfarin therapy.
2. The correct method to collect urine sample for culture from urinary collecting system is:
a. Collect from catheter
b. With needle aspiration
c. Empty urine from bag
d. Any of the above methods.
Answer: c. Empty urine from bag
Description:When collecting a urine sample for culture from the urinary collecting system, the most appropriate method is to collect a clean-catch or midstream urine sample. This is typically done by following these steps: Wash your hands thoroughly. Clean the genital area with an antiseptic wipe, usually provided in a sterile urine collection kit. Begin urinating into the toilet. After allowing some urine to pass, position the collection container under the urine stream to catch a midstream portion of the urine. Fill the container with the midstream urine and finish urinating into the toilet. This method helps to minimize contamination from the external genitalia, ensuring a more accurate urine culture result. Options a. Collect from catheter and b. With needle aspiration are not typically used for routine urine culture collection because they can introduce potential sources of contamination or carry some risks, such as introducing bacteria from the catheter or needle into the sample. These methods might be used in specific medical situations, but they are not the standard method for routine urine culture collection.
3. Glycated hemoglobin (HbA1c) is primarily measured to identify mean plasma glucose concentration of:
a. Over 7 days
b. Over 30 days
c. Over 60 days
d. Over 90 days
Answer: d. Over 90 days
Description:Glycated hemoglobin (HbA1c) is a blood test that provides an indication of a person's average blood glucose levels over the past 2 to 3 months. This time frame corresponds to the lifespan of red blood cells, which is approximately 90 to 120 days. The test measures the percentage of hemoglobin that is glycated (bound to glucose), and this percentage reflects the average plasma glucose concentration over that extended period. It is commonly used as a marker for long-term glucose control in individuals with diabetes.
4. Which of the following is one of the component of a solution present in blood transfusion bag?
a. Sodium citrate
b. Heparin
c. EDTA
d. Warfarin
Answer: a. Sodium citrate
Description:Sodium citrate is commonly used as an anticoagulant in blood transfusion bags. It helps prevent the blood from clotting within the bag, allowing it to remain in a liquid state during storage and transfusion. This anticoagulant effect is important to maintain the viability of the blood components and to prevent the formation of clots that could potentially obstruct blood vessels during transfusion.
5. The “Kahn Test†for syphilis is an example of:
a. Tube flocculation test
b. Slide flocculation test
c. Coombs test
d. Ring precipitation test
Answer: a. Tube flocculation test
Description:Kahn test for syphilis is an example of tube flocculation test. Slide flocculation test was employed as the routine serologic test for syphilis.
6. An individual who does not believe in the existence of god is an:
a. Agnostic
b. Agenic
c. Atheist
d. Anarchist
Answer: c. Atheist
Description:Atheism is not a disbelief in god or a denial of god. It is lack of belief in god.
7. Complication that can be prevented by using foot rest?
a. Bedsore
b. Foot edema
c. Foot drop
d. Rash
Answer: c. Foot drop
Description:Using a footrest can help prevent complications like foot drop. Foot drop is a condition where a person is unable to lift the front part of the foot, leading to dragging of the foot or toes along the ground while walking. This can occur due to various reasons such as nerve damage, muscle weakness, or prolonged immobility. Using a footrest can help maintain proper positioning of the foot, preventing the development of foot drop especially in situations where a person is seated or lying down for extended periods. It supports the feet and prevents them from hanging in a way that could contribute to muscle and nerve issues.
8. This comfort device is used to support hips and thighs preventing external rotation and keeping the feet in alignment in case of paralysis, fracture of femur and hip surgery.
a. Trochanter roll
b. Sand bags
c. Bed boards
d. Bed block
Answer: a. Trochanter roll
Description:Trochanter roll is a safety device which help helps to support hips and legs so that the femur does not rotate outward.
9. Comfort device used to prevent foot drop is:
a. Bed cradle
b. Foot board
c. Sand bag
d. Pillow
Answer: b. Foot board
Description:Foot drop occurs because of injury to peroneal nerve. Foot board helps to maintain the alignment of foot and thereby helps to prevent foot drop.
10. Best method to prevent foot drop in a client on bed rest is to use:
a. Splints
b. Blocks
c. Cradles
d. Sandbags
Answer: a. Splints
Description:To prevent foot drop in a client on bed rest, the use of splints is a common and effective method. Foot drop is a condition where a person is unable to lift the front part of the foot, and it can occur due to muscle weakness, nerve damage, or prolonged immobility. Splints are devices that provide support to the foot and ankle, helping to maintain proper alignment and preventing the foot from dropping. Using blocks, cradles, or sandbags may not provide the same level of support and immobilization that splints do, making splints a more suitable choice for preventing foot drop in a bedridden client. These other options might be used in different contexts, such as to elevate the limbs for various medical reasons, but they might not specifically address the prevention of foot drop.
11. Risk for fall injury is highest among:
a. School aged children
b. Adolescents
c. Toddlers
d. Older adults
Answer: d. Older adults
Description:Among the options provided, the risk for fall injuries is highest among older adults. As people age, their balance and coordination can decline, making them more susceptible to falls. Factors such as muscle weakness, reduced bone density, vision problems, medication side effects, and chronic health conditions can all contribute to the increased risk of falls in older adults. Fall injuries can be particularly serious in this age group, often leading to fractures, head injuries, and other complications. Taking precautions and making living environments safe for older adults are important steps in preventing fall-related injuries.
12. In which strength Savlon will be used to carbolize cot and mattress during bed making procedure?
a. 1:40 to 1:50
b. 1:20 to 1:40
c. 1:30 to 1:1:40
d. 1:40 to 1:60
Answer: b. 1:20 to 1:40
Description:During the bed-making procedure, to disinfect and clean surfaces like cots and mattresses, a solution of Savlon (a brand of antiseptic solution) is commonly used. The recommended strength for this solution is typically between 1:20 to 1:40, meaning one part of Savlon is mixed with 20 to 40 parts of water. This diluted solution is used to clean and disinfect the surfaces, helping to maintain a clean and hygienic environment for patients.
13. which of the following actions has to be avoided to prevent contamination of the environment during bed making?
a. Strip all linens at the same time
b. Embrace soiled linens
c. Fanning soiled linens
d. Finishes both sides at the time
Answer: c. Fanning soiled linens
Description:Fanning soiled linens can potentially spread contaminants, pathogens, and particulates in the air, leading to the contamination of the environment. This action can disperse any microorganisms or particles present on the linens into the air, increasing the risk of cross-contamination. To prevent contamination of the environment during bed making: Strip all linens at the same time: This is a good practice, as it reduces the exposure time to potentially contaminated linens. Embrace soiled linens: Handling soiled linens with proper precautions and avoiding direct contact with your body is important to prevent the spread of contaminants. Fanning soiled linens: This action should be avoided due to the potential to spread contaminants in the air. Finishing both sides at the same time: This can be an efficient method as long as proper infection control practices are followed, such as not allowing soiled linens to touch clean surfaces. Overall, maintaining proper hygiene and infection control practices during bed making is essential to prevent the spread of pathogens and contaminants.
14. The bed which contains extra firm matters with overhead frame is called:
a. Cardiac bed
b. Fracture bed
c. Fowler’s bed
d. Operation bed
Answer: b. Fracture bed
Description:A fracture bed is a type of bed designed to accommodate patients with fractures or orthopedic injuries. It typically features an extra firm mattress to provide support and stability for the patient. The overhead frame is often used to attach traction equipment or to provide support for the patient to reposition themselves without putting stress on the affected area. This type of bed is specifically tailored to meet the needs of patients with fractures or musculoskeletal injuries, allowing for proper healing and comfort.
15. Which type of bed should be kept ready for receiving the new patient?
a. Open bed
b. Closed bed
c. Admission bed
d. Post operative bed.
Answer: b. Closed bed
Description:A closed bed is typically prepared in advance to receive a new patient. It is a bed that has been made with fresh linens and is ready for the patient to use. The linens are tucked in and the bed is fully made, awaiting the arrival of the patient. This type of bed preparation ensures a clean and comfortable environment for the patient when they arrive.
16. In which of the following type of beds, the top covers are pulled up to the head of the bed over the bottom covers and a pillow is placed on top of the linens or is covered with the bedspread?
a. Open bed
b. Closed bed
c. Admission bed
d. Post operative bed.
Answer: b. Closed bed
Description:In a closed bed, the top covers are pulled up to the head of the bed over the bottom covers, and a pillow is placed on top of the linens or is covered with the bedspread. This type of bed is prepared in advance and is ready for the patient to use upon arrival. It presents a neat and inviting appearance.
17. A nurse had done the one side of the bed while doing bed making. She is planning to turn the patient toward her side and move away to make other side, before moving she should:
a. Raise the head end
b. Cover the patient’s side with blanket
c. Raise the foot end
d. Raise the side rails
Answer: d. Raise the side rails
Description:Before moving away from a patient's bed to complete the other side during bed making, the nurse should raise the side rails on the side that has been completed. Raising the side rails helps ensure the safety of the patient while the nurse is not directly attending to them. Side rails provide support and help prevent the patient from accidentally rolling off the bed or getting out of bed without assistance, reducing the risk of falls or injuries.
18. What should a nurse do if she witnessed an unoccupied bed that soiled and loos wet:
a. Use hot water to clean the bed
b. Bed should be fumigated
c. Wipe the moisture with disinfectant and dry thoroughly
d. Change the bedsheet with waterproof matters.
Answer: c. Wipe the moisture with disinfectant and dry thoroughly
Description:If a nurse comes across an unoccupied bed that is soiled and wet, the appropriate action would be to wipe the moisture and soiling with a disinfectant solution and then ensure the bed is thoroughly dried. This helps to prevent the growth of microbes and maintain a clean and hygienic environment. Using hot water, fumigating, or changing the bedsheet with waterproof materials might not be necessary or appropriate in this situation. Cleaning and disinfecting the affected area followed by thorough drying is the best course of action.
19. Before going to make an unoccupied bed. A nurse should primarily ensure which of the following things for an ideal bed making:
a. Use sterile gloves
b. Keep laundry bag near the bed
c. Call bell should kept near to the nurse
d. Keep the bed at comfortable working height
Answer: d. Keep the bed at comfortable working height
Description:Before making an unoccupied bed, a nurse should primarily ensure that the bed is at a comfortable working height. This is important to prevent strain and injury to the nurse's back and to ensure proper ergonomics while performing bed-making tasks. Keeping the bed at an appropriate height helps the nurse maintain good posture and work more efficiently. While the other options might also be important in various situations, ensuring the bed's working height is a key consideration to start the bed-making process.
20. A nurse is preparing a bed for a post-surgical patient who had undergone surgery over abdominal region. During this scenario, the nurse should place the waterproof pad on which part of the bed:
a. Over the top sheet
b. Place over the bottom sheet
c. Just over the mattress
d. Avoid water proof pad for this patient
Answer: b. Place over the bottom sheet
Description:When preparing a bed for a post-surgical patient, especially one who had surgery over the abdominal region, the nurse should place the waterproof pad over the bottom sheet. This helps protect the mattress and other linens from potential contamination due to any drainage or leakage that might occur post-surgery. Placing the waterproof pad over the bottom sheet creates a barrier that helps keep the bed clean and dry while providing comfort to the patient.
21. The nurse who is making the bed should avid which of the following actions to prevent environmental contamination and her uniform from contamination:
a. Using the bare hand to prepare bed
b. Having an and AC to function
c. Shaking the linen to wipe off dust
d. Keeping the windows open
Answer: c. Shaking the linen to wipe off dust
Description:Shaking the linen to remove dust can create airborne particles that may lead to contamination of the environment and potentially contaminate the nurse's uniform as well. It's important to use proper infection control practices and minimize the spread of dust and particles. The other options (a, b, d) don't directly involve actions that could lead to environmental or uniform contamination.
22. The nurse should follow which of the precautions while changing soiled bed linen to prevent the risk of microorganism transmission:
a. Do hand hygiene and wear sheet
b. Roll all the soiled linens outside the bottom sheet
c. Fresh linen should be placed over the foot end of the bed
d. Hold the soiled linen away from uniform and place it on the floor.
Answer: a. Do hand hygiene and wear sheet
Description:When changing soiled bed linen, it's important for the nurse to follow proper infection control precautions. Doing hand hygiene (washing hands or using hand sanitizer) is a crucial step to prevent the transmission of microorganisms. Additionally, wearing appropriate personal protective equipment (PPE), including gloves, may also be necessary to prevent contact with bodily fluids and potential pathogens. The other options might involve steps to manage the linens but might not directly address the prevention of microorganism transmission as effectively as proper hand hygiene and wearing PPE.
23. Most important aspect of hand washing is:
a. Time
b. Type of soap
c. Surface tension
d. Friction
Answer: d. Friction
Description:Friction is the most important aspect while doing hand washing.
24. Arrange the following steps of hand washing in order: 1. Wash palm and fingers 2. Wash fingers and knuckles 3. Wash thumbs 4. Wash back of hands
a. 1, 2, 3 and 4
b. 1, 4, 2 and 3
c. 4, 3, 2 and 1
d. 2, 3, 1 and 4
Answer: b. 1, 4, 2 and 3
Description:Steps of hand washing are as follows: 1. Wash palm and fingers 2. Wash back of the hands 3. Wash fingers and knuckles 4. Wash thumbs 5. Wash finger tips 6. Interlocking of hands 7. Wash wrists
25. Which of the following is not included in the 5 moments of hand washing?
a. Before touching patients surrounding
b. Before touching a patient
c. After touching patient surrounding
d. After body fluid exposure risk
Answer: a. Before touching patients surrounding
Description:The "5 moments of hand hygiene" is a framework developed by the World Health Organization (WHO) to promote hand hygiene practices in healthcare settings. The five moments include: Before touching a patient. Before clean/aseptic procedures. After body fluid exposure risk. After touching a patient. After touching patient surroundings.
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