NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 175
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1. Which of the following is the reason for intradermal injection to be used for testing allergic reaction?
a. It is less painful
b. It is easy to administer
c. It diffuses rapidly
d. It diffuses slowly
Answer: d. It diffuses slowly
Description:The test for allergy requires the medicine to get absorbed slowly else it can result into serious anaphylaxis. So it is given through intradermal route as the blood supply in this layer is less which delays absorption. Additionally the body’s reaction to substance is more easily visible since it is closer to the surface. The layer underneath the epidermis contains a large number of immune cells, mainly dermal dendritic cells.
2. The preferred for intramuscular injection with Z-track technique in an adult is:
a. Deltoid
b. Rectus femoris
c. Ventrogluteal
d. Vastus laterals
Answer: c. Ventrogluteal
Description:The preferred site for intramuscular injection using the Z-track technique in adults is the ventrogluteal muscle. This site is considered safer and less prone to complications compared to other sites. The Z-track technique is a method used to minimize leakage of the injected medication into the subcutaneous tissue, which can occur when the needle is withdrawn. It involves displacing the skin and underlying tissues to create a zigzag path for the injection. The ventrogluteal site is located on the hip and buttock area and is recommended for adults due to its larger muscle mass and reduced risk of hitting major blood vessels or nerves.
3. The method used for administering medication into the ear is called:
a. Instillation
b. Injection
c. Inhalation
d. Infiltration
Answer: a. Instillation
Description:Instillation is the term used for administration of medication into the ear. Injection refers to parenteral administration of medication using a needle. Inhalation refers to administration of drugs that are gasses or those are dispersed in an aerosol. Infiltration refers to administration of drugs that results in drugs passing into tissue spaces or into cells.
4. Which among the following is a complication of spinal anesthesia?
a. Tachycardia
b. Hypotension
c. Hypertension
d. Dyspnea
Answer: b. Hypotension
Description:The most common neurological complication after spinal anesthesia are postural puncture, headache and hypotension. Hypotension after spinal anesthesia is a physiological consequence of sympathetic blockage.
5. An immunologic reaction to a drug to which a person has already been sensitized is known as:
a. Drug tolerance
b. Drug allergy
c. Drug toxicity
d. Drug intolerance
Answer: b. Drug allergy
Description:• A drug allergy is the abnormal reaction of the immune system to a medication. • Drug tolerance refers to patient reduced reaction to drug following its repeated use. During intolerance of drug sensitivity refers to an inability to tolerate the adverse effects of a medication. • Drug toxicity refers to gradual accumulation of too much of a drug in the blood stream.
6. Which of the following sites is recommended for adults as a safe site for the majority of intramuscular injection?
a. Ventrogluteal site
b. Vastus lateralis site
c. Dorsal gluteal site
d. Rectus fumoirs
Answer: a. Ventrogluteal site
Description:Ventrogluteal I/M injections are considered to e safest because this area is free from major blood vessels and nerves.
7. Which is the most important route of excretion of drugs?
a. Kidney
b. Saliva and sweat
c. Exhaled air
d. Feces
Answer: a. Kidney
Description:Kidney is the most common route for excretion of drugs, all others are minimally involved in excretion of drugs.
8. Which of the following drugs induces sleep?
a. Hypnotics
b. Analgesics
c. Antipyretics
d. Antihistamines.
Answer: a. Hypnotics
Description:Hypnotics are the group of drugs which induce sleep. Analgesics relieve pain. Antipyretics bring down temperature and antihistamines are used for treating allergy.
9. What is the ideal length of insertion of rectal suppository in an adult?
a. 2 inches beyond internal sphincter
b. 4 inches beyond internal sphincter
c. 9 inches beyond internal sphincter
d. 10 inches beyond internal sphincter
Answer: b. 4 inches beyond internal sphincter
Description:Ideal length of insertion of rectal suppository in an adult is 4 inches beyond internal sphincter.
10. How should a nurse administer an iron injection to an adult?
a. Intradermal in the forearm
b. Intramuscular in the deltoid
c. Subcutaneous in the arm
d. Z track intramuscular in the gluteal
Answer: d. Z track intramuscular in the gluteal
Description:Iron injection is irritable, so it is administered in well-developed muscles are deep I/M. To prevent leak of injection it is administered as deep I/M using Z track technique.
11. Which of the following nursing interventions is incorrect when using the Z tract method of injection?
a. Prepare the injection site with alcohol
b. Use a needle that is at least 1 long
c. Aspirate for blood before injection
d. Rub the injection site vigorously after the injection
Answer: d. Rub the injection site vigorously after the injection
Description:Rubbing the injection site vigorously after the injection is an incorrect nursing intervention when using the Z-track method of injection. The Z-track technique involves pulling the skin and underlying tissues to the side before inserting the needle and medication. This helps to create a zigzag path for the medication to follow, reducing the risk of the medication leaking back into the subcutaneous tissue when the needle is withdrawn. After the injection, the skin should be allowed to return to its original position without rubbing, as this could disrupt the intended sealing effect of the technique.
12. Which of the following medication orders is immediately administered?
a. PRN order
b. STAT order
c. Single order
d. Standing order
Answer: b. STAT order
Description:A STAT order is an immediate order that requires the medication to be administered as quickly as possible, usually within minutes. It is used for situations where the medication needs to be given urgently to address a critical condition or medical need. The healthcare provider's instructions are to be followed immediately when a STAT order is given.
13. The most appropriate and safest way to verify the patient identify before administering of medication is:
a. State the name of the patient aloud and ask her/him to repeat
b. Check the room number and bed number of the patient
c. Check the patient identification band
d. Ask the patient his/her name
Answer: c. Check the patient identification band
Description:The most appropriate and safest way to verify the patient's identity before administering medication is to check the patient's identification band. Patient identification bands typically have important information such as the patient's name, date of birth, and sometimes a unique identifier. This helps ensure that the medication is being administered to the correct patient. It's a crucial step in preventing medication errors and ensuring patient safety.
14. Which is the most serious complication caused by before administering of KCI?
a. Arrhythmia and cardiac arrest
b. Respiratory depression
c. Paralytic ileus
d. All of the above.
Answer: a. Arrhythmia and cardiac arrest
Description:Arrhythmia and cardiac arrest is the complication caused by bolus administration of KCI
15. While administering albumin to a client, nurse needs to give this drug;
a. Rapidly and restrict water intake
b. Rapidly and increase the water intake
c. Slowly and increase water intake
d. Slowly and restrict the water intake
Answer: d. Slowly and restrict the water intake
Description:The therapeutic effect of albumin will be achieved if it is administered slowly along the restricted water intake.
16. A client is receiving prednisolone. Which among the following is the most important nursing intervention?
a. Check the urine output hourly
b. Check hourly urine specific gravity
c. Check blood sugar hourly
d. Check the blood level of the drug
Answer: c. Check blood sugar hourly
Description:When a client is receiving prednisolone or any other corticosteroid, checking blood sugar levels regularly is an important nursing intervention. Corticosteroids can lead to elevated blood glucose levels, especially in individuals who are already at risk for diabetes or have diabetes. Monitoring blood sugar helps ensure timely intervention if hyperglycemia occurs and enables appropriate management to prevent complications. While other interventions like monitoring urine output, specific gravity, and drug levels might be relevant in certain contexts, checking blood sugar is particularly important due to the potential impact of corticosteroids on blood glucose levels.
17. Intradermal injection is given at an angle of:
a. 15 degrees
b. 30 degrees
c. 45 degrees
d. 90 degrees
Answer: a. 15 degrees
Description:ID at 15 degrees. Subcutaneous (SC) at 30-45 degrees intramuscular (IM) at 90 degrees.
18. Antidote for heparin is:
a. Vitamin K
b. Protamine sulfate
c. Aminocaproic acid
d. Amiodarone
Answer: b. Protamine sulfate
Description:The antidote for heparin, an anticoagulant medication, is protamine sulfate. Protamine sulfate can reverse the anticoagulant effects of heparin by binding to it and neutralizing its activity. This is particularly important in situations where excessive bleeding or the need for immediate reversal of heparin's effects is necessary, such as during surgery or in cases of heparin overdose.
19. A patient GRBS is 40 mg%. The immediate management is to administer:
a. 5% dextrose
b. 50% dextrose
c. 10 units Human actrapid insulin
d. Normal saline
Answer: b. 50% dextrose
Description:When a patient's blood glucose level is critically low (as in this case with a GRBS of 40 mg%), the immediate management is to administer a concentrated source of glucose to rapidly raise the blood sugar levels. In this situation, 50% dextrose is administered intravenously to provide a quick increase in blood glucose levels. This helps to prevent or manage hypoglycemia, which can lead to various complications if not addressed promptly.
20. Sensitivity and reaction are tested by administering the drug
a. Intradermally
b. Intramuscularly
c. Intravenously
d. Subcutaneously
Answer: a. Intradermally
Description:Sensitivity and reaction to a drug are tested by administering the drug intradermally. This means injecting a small amount of the drug just under the skin using a very fine needle. This type of test is often referred to as a skin test or intradermal test and is commonly used to assess allergies or sensitivities to specific substances, such as certain medications or allergens.
21. Medications used for nausea and vomiting are known as:
a. Analgesics
b. Antipyretics
c. Antiemetics
d. Antibiotics
Answer: c. Antiemetics
Description:Antiemetics are the medications used for nausea and vomiting. Analgesics for pain relief. Antipyretics to bring down temperature and antibiotics to treat infections.
22. The appropriate needle size for insulin injection is:
a. 18 G, 1 ½’’ long
b. 22 G, 1’’ long
c. 22 G, I ½’’ long
d. 25 G, 5/8’’ long
Answer: d. 25 G, 5/8’’ long
Description:25 G, 5/8’’ long needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. Large needle like 18G is recommended for IM injection.
23. Which of the following is the preferred site for intramuscular injection in infants?
a. Deltoid
b. Rectus femoris
c. Vastus lateralis
d. Ventrogluteal
Answer: c. Vastus lateralis
Description:Vastus lateralis site is the preferred site for IM injection in infants.
24. Which among the following abbreviations indicates ‘once a day’?
a. OD
b. BD
c. TD
d. HS
Answer: a. OD
Description:The abbreviation "OD" stands for "once a day." It's commonly used in medical contexts to indicate that a medication should be taken once per day. The other abbreviations have different meanings: "BD" stands for "twice a day," "TD" stands for "three times a day," and "HS" stands for "at bedtime."
25. Which among the following abbreviation indicates ‘ at bed time’?
a. OD
b. BD
c. TD
d. HS
Answer: d. HS
Description:The abbreviation "HS" stands for "hora somni," which means "at bedtime" in Latin. It's commonly used in medical contexts to indicate that a medication should be taken at the time of going to bed. The other abbreviations have different meanings: "OD" stands for "once a day," "BD" stands for "twice a day," and "TD" stands for "three times a day."
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