NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 179
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1. CPR stands for:
a. Cardiopulmonary recycle
b. Cardiopulmonary resuscitation
c. Cardiopulmonary recovery.
d. Cardiopulmonary revival
Answer: b. Cardiopulmonary resuscitation
Description:CPR stands for Cardiopulmonary Resuscitation. It is a life-saving technique used in emergencies when someone's heartbeat or breathing has stopped, with the aim of restoring circulation and oxygenation to the body's vital organs.
2. Blood vessel that extends and branches out from an artery and leads to capillaries is:
a. Sinus
b. Arteriole
c. Venule
d. Capillary
Answer: b. Arteriole
Description:Arterioles are the blood vessels in the microcirculation that extend and branch our from an artery and lead to capillaries. A very small vein, especially one collecting blood from the capillaries and return to vein. Capillary beds can consist branch from arterials and provide exchanges between cells and the blood, and short vessels that directly connect the arterioles and venules at opposite ends or the beds.
3. The factors that interfere correct function of pulse oximeter include all; EXCEPT:
a. Pulse volume
b. Hypertension
c. Vasoconstriction.
d. Carbon monoxide poisoning
Answer: a. Pulse volume
Description:Factors that can interfere with the correct functioning of a pulse oximeter include: a. Carbon monoxide poisoning: Carbon monoxide can bind to hemoglobin in a similar manner to oxygen, leading to inaccurate readings. b. Hypertension: High blood pressure can affect the accuracy of pulse oximeter readings, but it is not excluded from the list of factors that can interfere. c. Pulse volume: This is incorrect. Pulse volume can indeed affect the accuracy of pulse oximeter readings. d. Vasoconstriction: Constricted blood vessels can lead to reduced blood flow, which can impact the accuracy of pulse oximeter readings.
4. After receiving a patient from OT following cardiac surgery:
a. Start the medication and IV fluids.
b. Ensure patient airway
c. Connect the patient to cardiac monitor
d. Check vital signs of the patient
Answer: b. Ensure patient airway
Description:ABC are the priority. So ensure that the client is having an open airway.
5. The priority nursing intervention for a patient during the immediate post-operative period is:
a. Checking the vital signs every 15 minutes
b. Maintaining a patient airway
c. Observing for hemorrhage
d. Recording the intake and output
Answer: b. Maintaining a patient airway
Description:During the immediate post-operative period, ensuring the patient's airway is open and unobstructed is a critical priority. This involves monitoring the patient's breathing, positioning, and taking necessary actions to prevent airway obstruction. Proper oxygenation and ventilation are essential for the patient's recovery and overall well-being. While other options like observing for hemorrhage, recording intake and output, and checking vital signs are important aspects of post-operative care, maintaining a patient's airway takes precedence as it directly impacts the patient's ability to breathe and receive oxygen.
6. The nurse is administering oxygen to a client with chest pain who is restless. What is the method of oxygen administration that is least likely to increase apprehension in the client?
a. Nasal cannula
b. Venturi mask
c. Rebreather mask
d. Catheter
Answer: a. Nasal cannula
Description:Nasal cannula is the best method for administering oxygen as it does not interfere with the usual activities of drinking, eating and mobility. A nasal cannula is generally used wherever small amounts of supplement oxygen are required.
7. Equipment used to measure the oxygen saturation is:
a. Goniometer
b. Pulse oximeter
c. Billy blanket
d. Ophthalmoscope
Answer: b. Pulse oximeter
Description:Pulse oximeter is the instrument used to measure the oxygen saturation. Billy blanket is used in double surface phototherapy.
8. The percentage and the flow of oxygen is a red color venturi mask is:
a. 60% and 15 L/min
b. 31% and 6 L/min
c. 40% and 10 L/min
d. 35% and 8 L/min
Answer: c. 40% and 10 L/min
Description:A red color venturi mask is generally used to deliver a specific concentration of oxygen to the patient. In this case, it delivers approximately 40% oxygen concentration at a flow rate of 10 liters per minute. Venturi masks are designed to provide accurate and controlled oxygen delivery, which is particularly important in patients with respiratory conditions who require precise oxygen concentrations.
9. Color coding for oxygen cylinder is:
a. Black
b. Black with white shoulders
c. Light blue
d. Gray
Answer: b. Black with white shoulders
Description:Nitrous oxide cylinder is blue in color, oxygen cylinder is black with white cap, chlorine, yellow and nitrogen: black
10. All of the following are complication associated with oxygenation: EXCEPT:
a. Peau d’orange
b. Paul bert effect
c. Lorrain smith effect
d. Retinopathy of prematurity
Answer: a. Peau d’orange
Description:Peau d'orange refers to a condition where the skin of the breast takes on a dimpled or orange-peel appearance, often associated with breast cancer. It is not directly related to oxygenation or oxygen therapy. The other options are indeed complications or effects associated with oxygenation: b. Paul Bert effect: This refers to the toxic effects of high partial pressures of oxygen (hyperoxia), which can occur when a person is exposed to high levels of oxygen for an extended period. It can lead to oxygen toxicity and various health issues. c. Lorrain Smith effect: This refers to the phenomenon where breathing in a higher percentage of carbon dioxide (hypercapnia) can stimulate the respiratory drive in some individuals, especially those with chronic obstructive pulmonary disease (COPD). d. Retinopathy of prematurity: This is an eye condition that affects premature babies and is associated with abnormal blood vessel development in the retina. Oxygen therapy can play a role in its development.
11. In what of the following conditions is oxygen therapy not indicated:
a. Poisoning
b. Drowning
c. Chest injuries
d. Normal uncomplicated labor
Answer: d. Normal uncomplicated labor
Description:Oxygen therapy is not typically indicated for normal uncomplicated labor. In most cases of normal labor and delivery, the oxygen levels in the mother and baby are well-maintained without the need for supplemental oxygen. However, if complications arise during labor, such as fetal distress or maternal oxygen desaturation, oxygen therapy might be considered. In contrast: a. Drowning: Oxygen therapy is commonly used in cases of drowning to assist with resuscitation and to improve oxygenation. b. Chest injuries: Oxygen therapy is often used in cases of chest injuries to ensure proper oxygen supply to the body and promote healing. c. Poisoning: Oxygen therapy can be helpful in cases of poisoning to increase the oxygen supply to tissues and aid in the elimination of toxic substances. So, the correct answer is d. Normal uncomplicated labor.
12. Oxygen therapy is recommended in:
a. Acute myocardial infarction
b. Severe trauma a
c. Severe respiratory distress
d. All of the above.
Answer: d. All of the above.
Description:Oxygen therapy is recommended in various medical conditions, including: a. Severe respiratory distress: Oxygen therapy can help improve oxygenation in patients experiencing severe respiratory distress, such as those with acute respiratory failure, exacerbation of chronic obstructive pulmonary disease (COPD), or acute respiratory distress syndrome (ARDS). b. Acute myocardial infarction (heart attack): Oxygen therapy might be recommended in cases of acute myocardial infarction to ensure adequate oxygen supply to the heart muscle and other tissues. c. Severe trauma: Oxygen therapy can be beneficial for patients with severe trauma to support tissue oxygenation and overall recovery. Oxygen therapy is used to address hypoxemia (low blood oxygen levels) and to provide sufficient oxygen to the body's tissues and organs in various critical or high-risk situations.
13. What is the recommended flow rate of oxygen via nasal cannula?
a. 1-4 L/min
b. 6-8 L/min
c. 3-6 L/min
d. 4-7 L/min
Answer: a. 1-4 L/min
Description:The recommended flow rate of oxygen via a nasal cannula typically ranges from 1 to 4 liters per minute. Nasal cannulas are commonly used for delivering low to moderate levels of supplemental oxygen to patients who require a mild increase in their oxygen intake. The flow rate is adjusted based on the patient's oxygen requirements and clinical condition.
14. The dose of oxygen to be delivered through a nasal mask by a patient with chronic respiratory failure is:
a. 10 L/min
b. 2L/min
c. 1 L/min
d. 5L/min
Answer: b. 2L/min
Description:78.04% nitrogen; 13.6% -16% oxygen:4%-5.3% carbon dioxide, 1% argon and other gases.
15. The purpose of humidifying oxygen during oxygen therapy is that the oxygen is:
a. Free of pathogens by humidification
b. Easily absorbed because humidification adds H-ion to it
c. A dry gas may thicken the mucus
d. A hot air and it may burn
Answer: c. A dry gas may thicken the mucus
Description:The purpose of humidifying oxygen during oxygen therapy is to prevent the respiratory tract from becoming too dry due to the administration of dry oxygen. Breathing dry oxygen can lead to the drying of mucous membranes in the respiratory tract, causing discomfort and potentially leading to increased production of thicker mucus. This can make it more difficult for the patient to clear their airways effectively. By humidifying the oxygen, moisture is added to the inhaled air, helping to keep the respiratory tract more comfortable and reducing the risk of mucus becoming too thick and difficult to manage. The other options are not accurate explanations for the purpose of humidifying oxygen during oxygen therapy.
16. Which of the following symptoms would the nurse assess to determine the oxygen status of patient with iron deficiency anemia?
a. Increased breathlessness but increased activity tolerance
b. Increased breathlessness and decreased activity tolerance
c. Decreased breathlessness and increased activity tolerance
d. Decreased breathlessness and decreased activity tolerance.
Answer: b. Increased breathlessness and decreased activity tolerance
Description:Iron deficiency anemia is a condition characterized by a decreased amount of red blood cells in the body due to insufficient iron. This can lead to decreased oxygen-carrying capacity in the blood, which in turn can result in symptoms such as increased breathlessness (dyspnea) and decreased activity tolerance. Since the blood is unable to transport sufficient oxygen to body tissues, patients with iron deficiency anemia often experience these symptoms when they exert themselves or engage in physical activities. So, option b. Increased breathlessness and decreased activity tolerance would be the symptoms a nurse would assess to determine the oxygen status of a patient with iron deficiency anemia.
17. A prescribed amount of oxygen is required for a patient with Chronic Obstructive Pulmonary Disease (COPD) to prevent
a. To maintain airway patency
b. Inhibition of the respiratory volumes
c. To prevent atelectasis.
d. Increased partial pressure of carbon dioxide in arterial blood (PaCO2)
Answer: b. Inhibition of the respiratory volumes
Description:Patients with Chronic Obstructive Pulmonary Disease (COPD) often have obstructed airways and reduced lung function. Oxygen therapy in these patients must be carefully managed to avoid inhibiting their respiratory drive, which can occur if too much oxygen is given. Giving high concentrations of oxygen can suppress the drive to breathe, leading to inadequate ventilation and accumulation of carbon dioxide (CO2) in the body, a condition known as "carbon dioxide narcosis." This is why oxygen therapy in COPD patients is usually prescribed with caution and titrated carefully to avoid worsening their condition. The other options (increased PaCO2, maintaining airway patency, preventing atelectasis) do play roles in managing COPD patients, but they are not the primary concern when it comes to the cautious administration of oxygen therapy in COPD.
18. Objectives of the incentive spirometry includes all; EXCEPT:
a. To reduce transpulmonary pressure
b. To prevent atelectasis.
c. To maintain airway patency
d. To increase inspiratory volumes
Answer: a. To reduce transpulmonary pressure
Description:Incentive spirometry is a breathing exercise device used to improve lung function and prevent pulmonary complications, particularly after surgery or when a patient has conditions that may lead to reduced lung expansion. The objectives of incentive spirometry include: a. To reduce transpulmonary pressure: This is not a specific objective of incentive spirometry. In fact, incentive spirometry is aimed at increasing lung volumes and improving lung expansion, which may indirectly affect transpulmonary pressure, but it's not a primary objective. b. To increase inspiratory volumes: Incentive spirometry is designed to encourage patients to take deep breaths, which helps increase their inspiratory volumes and lung expansion. c. To maintain airway patency: Deep breaths encouraged by incentive spirometry can help prevent the collapse of alveoli and maintain the patency of the airways. d. To prevent atelectasis: Atelectasis is the collapse or closure of a portion of the lung, and incentive spirometry is often used to help prevent it by promoting full lung expansion.
19. While measuring central venous pressure, the zero point of the manometer is adjusted to:
a. Anterior axillary line
b. Mid axillary line
c. Posterior axillary line
d. Shoulder level.
Answer: b. Mid axillary line
Description:Zero level of the manometer is adjusted to mid axillary line, at the level of patients right atrium.
20. Which of the following is an indication for Bag-valve-mask ventilation?
a. Diaphragmatic hernia
b. Good respiratory efforts at birth with heart rate of 120 beats.
c. Baby is apneic with heat rates less than 100 beats.
d. Meconium stained delivery
Answer: c. Baby is apneic with heat rates less than 100 beats.
Description:Bag-valve-mask (BVM) ventilation is indicated when a newborn baby is apneic (not breathing) and has heart rates less than 100 beats per minute. It's a method used to provide positive pressure ventilation to help the baby breathe and improve oxygenation.
21. All of the following precautions are true while recording oral temperature of patient; EXCEPT:
a. Measurement of temperature should be done on a fixed time of the day
b. It is measured at least 3 mins after keeping the thermometer sublingually with lips closed
c. Not to record in patients who have recently smoked
d. In patient on oxygen inhalation, stop the oxygenation before recording oral temperature.
Answer: d. In patient on oxygen inhalation, stop the oxygenation before recording oral temperature.
Description:In recording oral temperature, precautions include consistent timing (a), waiting 3 minutes after placing the thermometer (b), avoiding recent smoking (c), but continuing oxygen for patients who require it (d).
22. All of the following are precautions in the care of a patient with high fever; EXCEPT:
a. Never leave a patient with high fever alone
b. Rigors and convulsions may occur any time
c. Administer antipyretic drugs
d. Tepid cold sponging is not useful in patient not responding to antipyretics.
Answer: d. Tepid cold sponging is not useful in patient not responding to antipyretics.
Description:Tepid cold sponging is useful for reducing fever, but not effective for patients not responding to antipyretic drugs. Other precautions include not leaving the patient alone, being aware of potential rigors and convulsions, and considering antipyretic administration.
23. Patient has intravenous fluids infusion in the right arm when taking a blood pressure on this patient, the nurse would:
a. Take the blood pressure in the left arm
b. Take the blood pressure in the right arm
c. Use the smallest possible cuff
d. Report inability to take the blood pressure
Answer: a. Take the blood pressure in the left arm
Description:To avoid disrupting the IV infusion, the nurse would take the blood pressure in the patient's left arm. This helps ensure accurate readings while maintaining the IV site's integrity.
24. While performing lumbar puncture in an adult, the needle is inserted between:
a. L3-L4 or L4-L5
b. L1-L2 or L2-L3
c. L2-L3 or L3-L4
d. L1-L2 or L3-L4
Answer: a. L3-L4 or L4-L5
Description:When performing a lumbar puncture (also known as a spinal tap) in an adult, the needle is typically inserted between the L3-L4 or L4-L5 vertebral levels. This is done in the lower back area of the spine. The purpose of a lumbar puncture is to collect cerebrospinal fluid (CSF) for diagnostic purposes or to measure the pressure within the spinal canal.
25. Concentration of oxygen present in expired air is:
a. 78.04%
b. 13.6%-16%
c. 4%-5.3%
d. 1%
Answer: b. 13.6%-16%
Description:The concentration of oxygen in expired air is around 13.6% to 16%, which is lower than the approximately 20.9% oxygen concentration in ambient air. This reduction in oxygen concentration is due to the exchange of oxygen for carbon dioxide during the process of respiration in the body.
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