NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 173
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1. The position to be maintained for a patient with increased ICP is:
a. Fowler’s position
b. Supine position.
c. Trendelenburg’s position
d. Side lying
Answer: a. Fowler’s position
Description:Fowler's position involves elevating the head of the bed to an angle between 30 and 45 degrees. This helps to promote venous drainage from the head and brain, reducing the pressure within the cranial vault. It's an important measure to help manage increased ICP and can be part of the overall care plan for patients with neurological issues or traumatic brain injuries.
2. Which of the following positions is given to patient with severe breathing difficultly?
a. Supine
b. Fowler’s
c. Trendelenburg
d. Dorsal recumbent
Answer: b. Fowler’s
Description:Fowler’s position helps in proper expansion of lung by moving diaphragm downward and promoting lung expansion.
3. Whild giving NG tube feeding which of the following nursing actions prevents complication?
a. Advance tube 2 cm
b. Plug the air vent during feeding
c. Provide high Fowler’s position
d. Flush with 20 mL of air
Answer: c. Provide high Fowler’s position
Description:High Fowler’s position helps in easy administration and also prevent regurgitation.
4. Position used during pleural tapping is:
a. Orthopneic
b. Prone
c. Knee chest
d. Supine
Answer: a. Orthopneic
Description:Patient who are alert and cooperative are most comfortable in a seated poison leaning slightly forward resting the head on the arm or hands or on a pillow, which is placed on an adjustable bedside table. This position facilities access to the posterior axillary space, which is the most dependent part of the thorax. Orthopneic position is the one in which a person sits upright in a bed, possible bending forward.
5. Before providing NG feed to the client, what all are the pre-procedural care a nurse needs to do?
a. Provide Fowler’s position
b. Take abdominal girth
c. Aspirate the gastric content
d. All of the above.
Answer: d. All of the above.
Description:All of the above are the actions expected from a nurse before NG feeding. Abdominal girth monitoring and aspiration of gastric content will help to recognize feed intolerance.
6. Position in which the patient is to be cared after lower extremity amputation:
a. Left lateral
b. Supine with head turned to one side
c. Side lying with amputated side up
d. Prone
Answer: c. Side lying with amputated side up
Description:After a lower extremity amputation, the patient is often positioned on their side with the amputated side facing upward. This helps in preventing pressure on the surgical site, promoting circulation, and aiding in the healing process. This positioning can also assist in preventing contractures and maintaining proper alignment of the remaining limb.
7. Patient recovering from general anesthesia should be positioned:
a. Supine position
b. Fowler’s position
c. Trendelenburg position
d. Side lying position
Answer: d. Side lying position
Description:After recovering from general anesthesia, patients are often positioned on their side. This lateral position helps maintain an open airway and prevents aspiration, as well as allows for proper drainage of fluids from the mouth and airway. It also reduces the risk of pressure ulcers that can occur with prolonged supine positioning. However, it's important to note that the specific positioning might vary depending on the patient's condition and the type of surgery performed.
8. Position for enema:
a. Left lateral
b. Supine
c. Right lateral
d. Prone
Answer: a. Left lateral
Description:The left lateral position is commonly used for administering an enema. This position helps to facilitate the flow of the enema solution into the colon while minimizing discomfort for the patient. It allows the enema solution to reach the descending and sigmoid colon more effectively.
9. The best position for an unconscious patient to provide mouth care:
a. High Fowler’s position
b. Supine
c. Side lying
d. Trendelenburg
Answer: c. Side lying
Description:When providing mouth care to an unconscious patient, the best position is side lying. This position helps prevent aspiration, as it allows saliva and any fluids used during mouth care to drain out of the mouth more easily, reducing the risk of choking and aspiration pneumonia. It's a safer and more effective position for providing oral care to unconscious patients.
10. Which of the following is the best position for examining the rectum?
a. Lithotomy
b. Sims’
c. Knee chest
d. Lest lateral
Answer: c. Knee chest
Description:The knee-chest position is often used for examining the rectum. In this position, the patient kneels on the examination table, with their chest resting on the table and their buttocks elevated. This position allows for better visualization and access to the rectal area during examinations or procedures.
11. To perform catheterization, the nurse should place a woman in the:
a. Dorsal recumbent position
b. Side lying
c. Lithotomy position
d. Supine position
Answer: a. Dorsal recumbent position
Description:For catheterization in a female patient, the nurse should place the patient in the lithotomy position. This position involves the patient lying on their back with their hips at the edge of the examination table, legs flexed and thighs abducted, supported by stirrups. This position provides optimal access to the genital area and facilitates the insertion of the catheter.
12. Which of the following nursing interventions decreases the risk of aspiration while feeding a patient with dysphagia?
a. Sit the patient upright in a chair
b. Provide only soft food
c. Instruct the patient to lie down for 45 minutes after food.
d. Provide liquid only at the end of the meal
Answer: a. Sit the patient upright in a chair
Description:Sitting the patient upright in a chair is a nursing intervention that decreases the risk of aspiration while feeding a patient with dysphagia. This position helps ensure that the patient's airway is aligned properly, and it facilitates the safe passage of food or liquids down the esophagus, reducing the risk of food or liquid entering the airway and causing aspiration pneumonia. The other options do not promote safe swallowing and can increase the risk of aspiration.
13. Appropriate position to provide oral care of conscious patient is:
a. Trendelenburg position
b. Supine position with head turned sideways
c. Left lateral position
d. Fowler’s position.
Answer: d. Fowler’s position.
Description:When providing oral care to a conscious patient, the appropriate position is Fowler’s position. This involves elevating the head of the bed to a semi-sitting position, typically at a 45-degree angle. This position helps prevent aspiration and allows the patient to spit out excess fluids and toothpaste more easily. It also provides better access to the oral cavity for proper oral care.
14. Position given to patient while inserting gavage tube is:
a. Mild-Fowler’s position
b. Knee chest
c. Supine position
d. High-Fowler’s position
Answer: d. High-Fowler’s position
Description:When inserting a gavage tube (also known as a nasogastric or NG tube) into a patient, the High-Fowler’s position is often used. This position involves elevating the head of the bed to a high angle, usually around 90 degrees. This helps facilitate the passage of the tube through the esophagus and into the stomach with minimal risk of the tube entering the trachea. It also helps prevent aspiration during the insertion process.
15. When helping a stroke patient, nurse should assist:
a. On strong side
b. On weak side
c. From back
d. From behind
Answer: b. On weak side
Description:When assisting a stroke patient, the nurse should typically provide support on the weaker side of the patient's body. This is because stroke patients often experience hemiparesis or hemiplegia, which means weakness or paralysis on one side of the body. Assisting on the weak side helps the patient maintain balance and prevents falls. It also allows the patient to use their stronger side for support and stability.
16. After spinal injury, position given to the patient is:
a. Supine
b. Lithotomy
c. Lateral
d. Prone
Answer: a. Supine
Description:After a spinal injury, the initial position given to the patient is usually the supine position. This position helps stabilize the spine and reduce the risk of further injury, as it keeps the spine in a neutral alignment. Special care is taken during the transfer and positioning of the patient to avoid any movement that could potentially worsen the spinal injury.
17. Which of the following positions is appropriate to do percussion and promote postural drainage of lower lobe of lungs in a patient with bronchiectasis?
a. Prone position
b. Decubitus position
c. Prone position
d. Fowler’s position
Answer: c. Prone position
Description:For promoting postural drainage of the lower lobe of the lungs in a patient with bronchiectasis, the prone position is appropriate. In the prone position, the patient lies face down, which helps facilitate drainage of secretions from the lower parts of the lungs. This position allows gravity to assist in moving mucus and fluids towards the larger airways, making it easier for the patient to clear their airways through coughing or suctioning.
18. The common position for administration of cleaning enema is:
a. Supine
b. Lithotomy
c. Prone
d. Sim’s left lateral
Answer: d. Sim’s left lateral
Description:The common position for the administration of a cleaning enema is the Sim's left lateral position. This position allows for easier insertion of the enema tube and promotes the flow of the enema solution into the lower rectum and colon. The left lateral position helps ensure proper distribution of the enema solution and facilitates its desired effects.
19. To provide Fowler’s position, the head end of the client should be elevated to:
a. 35° angle
b. 60° angle
c. 45° angle
d. 15° angle
Answer: c. 45° angle
Description:In the Fowler's position, the head end of the client's bed is elevated at a 45-degree angle. This position is commonly used in healthcare settings to assist patients with breathing and to promote comfort, particularly for patients with respiratory difficulties or those who are recovering from surgery. The semi-upright position helps reduce strain on the chest and allows for better lung expansion.
20. Position given to patients during sigmoidoscopy is:
a. Supine
b. Prone
c. Lithotomy
d. Left lateral
Answer: d. Left lateral
Description:During a sigmoidoscopy procedure, patients are typically positioned on their left side. This position is referred to as the "left lateral" position. This allows for easier access to the rectum and sigmoid colon, which are the areas being examined during sigmoidoscopy. The left lateral position helps facilitate the insertion of the sigmoidoscope into the rectum and allows the healthcare provider to visualize the colon lining effectively.
21. Position used for visualizing internal sex organs is:
a. Prone position
b. Knee chest
c. Lithotomy position
d. Trendelenburg
Answer: c. Lithotomy position
Description:The lithotomy position is used for visualizing internal sex organs. It involves the patient lying on their back with their hips at the edge of the examination table and their legs flexed and raised, typically in stirrups. This position provides optimal access to the pelvic area, allowing healthcare professionals to examine and visualize the internal reproductive organs. It is commonly used for gynecological examinations and procedures.
22. Position used for flatus tube insertion is:
a. Left lateral
b. Knee chest
c. Prone
d. Right lateral
Answer: a. Left lateral
Description:The left lateral position is commonly used for flatus tube insertion. In this position, the patient lies on their left side with their right knee bent slightly. This position helps facilitate the insertion of the flatus tube into the rectum and allows for the release of gas or air from the digestive tract.
23. All of the following positions are used for enema administration; EXCEPT:
a. Knee chest position
b. Prone positions
c. Supine with knees flexed and legs separated
d. Sims position
Answer: b. Prone positions
Description:Enema administration positions include the Sims position, knee-chest position, and supine position with knees flexed and legs separated. The prone position, where the patient lies face-down, is not typically used for enema administration. The other positions mentioned are more suitable for facilitating the insertion and distribution of the enema solution.
24. For assessing rectum, Position given to the patient is:
a. Knee chest
b. Lithotomy
c. Both a and b
d. Sims position
Answer: c. Both a and b
Description:For assessing the rectum, both the Sims position and the knee-chest position can be used. These positions provide optimal access to the rectal area, allowing healthcare professionals to perform rectal examinations or procedures. The Sims position involves the patient lying on their left side with the upper leg flexed and the knee bent, while the knee-chest position involves the patient kneeling with their chest and head resting on the examination table. Both positions facilitate visualization and access to the rectum for assessment.
25. In postural drainage, anterior segments of left upper lobes drained by providing………….position
a. Supine with head elevated
b. Leaning forward 30 degrees
c. Left side lying with pillow under the chest
d. Right side lying with pillow under the chest.
Answer: a. Supine with head elevated
Description:In postural drainage, the anterior segments of the left upper lobes are typically drained by positioning the patient in a supine position with the head elevated. This helps encourage the drainage of secretions from those specific lung segments and aids in preventing complications associated with stagnant mucus buildup.
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