Questions 1 to 8 are about Sonia Chinnappa Kukkunoor, aged 45 years, who is an arranged admission to the ward for a surgical investigation, where you are working as an enrolled nurse.

1. Sonia’s blood pressure, pulse, respiration rate and temperature are recorded on admission. The reason for this is
a) to give an indication of Sonia’s usual baseline recordings.
b) to indicate whether Sonia is a suitable for surgery.
c) to observe how anxious Sonia is.
d) because it is routine for all admissions.

Before surgery Sonia must sign an informed consent form for the operation.
2. Which of the following conditions must be met, to ensure the validity of Sonia’s consent for the operation?
a) Her relatives must have knowledge of the procedure to be performed.
b) The agreement must be witnessed by a registered medical practitioner.
c) The consent must be obtained at least an hour before surgery is begun.
d) She must have sufficient information to make an informed decision.

3. Sonia is to have nothing to eat or drink prior to surgery. This is necessary to
a) assist in the proper absorption of the anesthetic.
b) prevent nausea and vomiting immediately after surgery.
c) avoid the danger of her inhaling stomach contents.


1. Which of the following illnesses is the leading cause of death in the US?
a) Cancer
b) Renal failure
c) HIV Disease
d) Coronary artery disease
e) None of the above

Answer:  d. Coronary artery disease

2. A patient who has just had a miscarriage at 8 weeks of gestation is admitted to hospital. In
caring for this patient, the nurse should be alert for signs of:
a) Hemorrhage
b) Subinvolution
c) Dehydration
d) Hypertension
e) None of the above

Answer:  a) Hemorrhage

3. Which of the following arteries primarily feeds the anterior wall of the heart?
a) Circumflex artery
b) Left anterior descending artery
c) Internal mammary artery
d) Right coronary artery
e) None of the above

Answer:  b) Left anterior descending artery

4. A patient presents to the emergency department with diminished and thready pulses,
hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased
urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:
a) Renal failure
b) Dehydration
c) Pneumonia
d) Mal Nutrition


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1. A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse LEAST likely to find in an abusing parent?

A. Low self-esteem.
B. Unemployment.
C. Self-blame for the injury to the child.
D. Single status.

Answer: C. Self-blame for the injury to the child.

2. The nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate?

A. The patient must maintain a low calorie diet.
B. The patient must maintain a high protein/low carbohydrate diet.
C. The patient should limit sweets and sugary drinks.
D. The patient should limit fatty foods.

Answer: D. The patient should limit fatty foods.

3. Which of the following complications is indicated by a third heart sound (S3)?
A. Ventricular dilation
B. Systemic hypertension
C. Aortic valve malfunction
D. Increased atrial contractions

Answer: D. The patient should limit fatty foods.

4. A single tablet (0.5g) of chlorine is sufficient to disinfect :
A) 10 litres of water 
B) 15 litres of water
C) 20 litres of water 
D) 25 litres of water


1. A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?

A. Gastro Enteritis
B. Viral gastroenteritis.
C. Colon cancer.
D. Bowel perforation

Answer: D. Bowel perforation

2. Which of the following classes of drugs is most widely used in the treatment of cardiomyopathy?
a. Antihypertensive
b. Beta-adrenergic blockers
c. Calcium channel blockers
d. Nitrates

Answer: b. Beta-adrenergic blockers

3. What is the definitive test used to diagnose an abdominal aortic aneurysm?
a. Abdominal X-ray
b. Arteriogram
c. Ultrasound
d. CT scan


1. All of the following can result from overpressurization during abdominal insufflation with CO2 except:

A) Postoperative neck and shoulder pain
B) Hypocarbia
C) Regurgitation and aspiration
D) Decreased respiratory effort and cardiac output

Answer: B) Hypocarbia

2. A do-not-resuscitate order is most likely to be suspended and CPR performed if the patient experiences cardiac arrest in the preoperative period because of:

A) Drug reaction
B) Advanced cancer
C) Acute myocardial infarction
D) Sepsis

Answer: A) Drug reaction

3. A nurse is assessing a clinic patient with a diagnosis of hepatitis

A. Which of the following is the most likely route of transmission?
A. Sexual contact with an infected partner.
B. Contaminated food.
C. Blood transfusion.
D. Illegal drug use.

Answer: Click here

4. Metoclopramide may be given as a preoperative medication in order to:

A) Relieve discomfort
B) To control secretions
C) Relieve apprehension
D) Reduce risk of aspiration

Answer: D) Reduce risk of aspiration

5.  A patient with Addison's disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended?

A) A diet high in grains.
B) A diet with adequate caloric intake.
C) A high protein diet.
D) A restricted sodium diet.

Answer: Click here

6. A patient with an Aldrete score of 7 in the PACU will generally be:

A) Transferred out of the PACU to the surgical unit
B) Transferred out of the PACU into the ICU
C) Returned to the OR
D) Retained in the PACU until condition improves

Answer: D) Retained in the PACU until condition improves


1. Four clients arrive in the emergency room. Which client should receive priority?
a) The client with burns of the chest and neck
b) The client with gastroenteritis
c) The client with a migraine headache
d) The client with a fractured tibia

Answer: a) The client with burns of the chest and neck

2.  The nurse observes the nursing assistant speaking harshly to an elderly client. Which action is most appropriate?
a) Ask the nursing assistant to speak in a lower tone because he is disturbing the other clients
b) Report the nursing assistant to the charge nurse
c) Reassign the nursing assistant to a younger client
d) Call the nursing assistant aside to discuss the observation


3.A category four tornado has injured 50 people from the community. The nurse is responsible for in field triage. According to triage protocol, which client should betreated last?
a) The 30-year-old with lacerations to the neck and face
b) The 70-year-old with chest pain and shortness of breath.
c) The 6-year-old with fixed, dilated pupils who is nonresponsive
d) The 40-year-old with tachypnea and tachycardia

Answer: b) The 70-year-old with chest pain and shortness of breath.

4. The nurse with 5 years experience in the emergency roomThe nurse is preparing to make rounds. Which client should be seen first?:
a) A 1-year-old with hand-and-foot syndrome
b) A 69-year-old with congestive heart failure
c) A 40-year-old with resolving pancreatitis
d) A 56-year-old with Cushing’s disease


1. A patient Named Deepa George with a history of diabetes mellitus is in the second post-operative day following cholecystectomy. She has complained of nausea and isn't able to eat solid foods. The nurse Reena enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient's symptoms?

a. Anesthesia reaction.
b. Diabetic ketoacidosis.
c. Hypoglycemia.
d.  Hyperglycemia.
e. None of the Above

Answer: C. Hypoglycemia.

2. Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
a. Plaques obstruct the vein
b. Hardened vessels dilate to allow the blood to flow through
c. Blood clots form outside the vessel wall
d. Plaques obstruct the artery
e. None of the Above

Answer: d. Plaques obstruct the artery

3. Nurse Mr. Kavya Shree caring for several patients on the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?

a. A patient with a history of ventricular tachycardia and syncopal episodes.
b. A post-operative coronary bypass patient, recovering on schedule.
c. A patient admitted for myocardial infarction without cardiac muscle damage.
d. A patient with a history of atrial tachycardia and fatigue.
e. None of the Above

Answer: a. A patient with a history of ventricular tachycardia and syncopal episodes.


The nurse informs a graduate nurse on a postpartum unit that the human chorionic gonadotropin (HCG) would no longer be detected in the client’s blood at:
A) One week postpartum
B) Two days postpartum
C) Four weeks postpartum
D) One hour postpartum

Answer: A) One week postpartum


1. When nurses are assigned specific tasks for care of patients is referred as :
1) functional method
2) patient method
3) team method
4)  Nursing method
5) None of the above

2. Nurse researcher can use one of the following methods for collecting data from large number of people :
1) Questionnaire
2) Survey Method
3) Discussion
4) Telephonic interview
5) None of the above

3. Nurse researcher should review all of the following before conducting a study except :
1) Old research reports
2) Only published documents
3) Journals
4) Thesis


1. Number of subordinates an administrator can control or supervise is known as :
(1) unity of command
(2) span of control
(3) delegation
(4) hierarchy

2. All of the following points should be kept in mind while doing any sterile procedure
except :
1) face the sterile field
2) keep sterile equipment below the waist level
3) never cross sterile area
4) do not speak over sterile field

3.Passive range of motion is performed by
A. The person
B. A health team member
C. The person with little help
D. The person with the use of a trapeze

4. Nurse must observe one of the following side effects in a patient who is on antipsychotics
1) Arrhythmia
2) Hypertension
3) Extra Pyramidal symptom
4) Anorexia

5.Objective data is:
a. Information that is collected through the care giver's senses about the patient
b. Information that is reported by the patient
c. A verbal account of patient care and observation
d. The exchange of information

6. While nursing the patient with skeletal traction all the following should be kept in mind
except :
1) remove the weight while changing the position
2) maintain the accuracy of weight
3) ensure that weight does not touch the floor
4) remove the weight if required without causing jerk

7.A person with dementia is being admitted to a nursing center, which statement is correct.
a. Family members are asked to leave to help the person adjust
b. The admission process is completed as quickly as possible
c. The person's confusion may increase in new surroundings
d. All of the above


1. When ANS of one unit communicates decision regarding training of nursing personnel with ANS of another unit it is an example of :
(1) horizontal communication
(2) diagonal communication
(3) vertical communication
(4) upward communication

2. A neonate weighing less than 2500 gms at birth irrespective of the gestational age is referred as :
(1) term baby
(2) low birth weight baby
(3) very low birth weight baby
(4) pre term baby

3. Non verbal communication includes
1. Body language
2. Talking
3. Shouting
4. All of the above

4. If you patient is in traction you should not
1. Change the position of the weights
2. Monitor the patient's vital signs
3. Give a total bed bath
4. Report weights that are on the floor

5. Number of subordinates an administrator can control or supervise is known as :
(1) unity of command
(2) hierarchy
(3) delegation
(4) span of control

6. Mr. Burns just smoked a cigarette. You should wait to take his oral temperature
1. You don’t need to wait
2. 15-20 minutes
3. 10 minutes
4. 5 minutes

7. Mr. Green’s water pitcher holds 1000 cc’s and is full when you came on shift. You refill it once during your shift. At the end of the shift it is half full. How much water has Mr. Green had to drink?
1. 2000 cc’s
2. 1000 cc’s
3. 1500 cc’s
4. 500 cc’s


1. When an individual expresses his failures and difficulties by blaming others is known as :
(1) sublimation
(2) projection
(3) repression
(4) denial

2. The normal value of pH of blood is :
(1) 7.4
(3) 7.5
(4) 7.3

3. When thoughts are too quick without association it is called :
(1) flight of ideas
(2) mannerisms
(3) catalespy
(4) clang association

4. Normal bleeding time is :
(1) 1 - 5 minutes
(2) 1 - 4 minutes
(3) 1 - 3 minutes
(4) 1 - 2 minutes

5. Patient with mania are having all of the following symptoms except :
1) elated and unstable mood
2) increased motor activity
3) increased pressure of speech
4) sluggish and fatigue

6. All the following are types of bones except :
(1) long bones
(2) short bones
(3) flat bones
(4) regular bones

7. Primary symptoms of schizophrenia are all except :
(1) Autistic thinking
(2) Appropriate response
(3) Auditory hallucination
(4) Ambivalence

8. Normal urine output for an adult during 24 hours is :
(1) 1200 ml
(2) 1400 ml
(3) 1300 ml
(4) 1500 ml


1. A 35 year old 40 kg male patient was diagnosed to be a case of pulmonary tuberculosis.
 The appropriate conventional regimen of antitubercular drugs would be:
(a) Rifampicin 450 mg + Isoniazid 300 mg + Pyrazinamide 1500 mg
(b) Rifampicin 450 mg + Isoniazid 200 mg + Pyrazinamide 1500 mg 
(c) Rifampicin 450 mg + Isoniazid 200 mg + Pyrazinamide 1000 mg
(d) Rifampicin 600 mg + Isoniazid 300 mg + Pyrazinamide 1000 mg

2. The Chief of laparoscopic surgery asked his assistant to give him a laparoscopic port which has absolutely no chance of “capacitance coupling” during laparoscopic surgery. Which port should the assistant give to the Chief?
(a) Metal laparoscopic port
(b) Metal port with plastic cuff
(c) Partial plastic port
(d) Complete plastic port

3. Which of the auscultatory signs is absent in mitral stenosis in the presence of atrial fibrillation?
(a) Variable first heart sound
(b) Pre -systolic accentuation
(c) Mid diastolic murmur
(d) P2 accentuation

4. Southampton wound grading system and ASEPSIS wound score is used for
(a) Severity of wound infections
(b) Surgical site cosmesis
(c) Surgical scar
(d) Severity of granulation tissue


1.Which of the following about foot care is incorrect
A. Feet are easily infected and injured
B. Nursing Assistants use scissors to cut toenails
C. Dirty feet and dirty socks can harbor microbes
D. Cleaning toenails is easier afer soaking

2. A patient is sobbing. What is the best thing for the nursing assistant to say?
a. “Stop crying.”
b. “Don’t be a baby.”
c. “Cheer up.”
d. “You appear sad.”

3. A patient has had hip surgery. Her legs should be:
a. abducted
b. adducted
c. in the most comfortable position for the patient
d. elevated

4. A patient rings for the bedpan while visitors are in the room. The nurses’ assistant should:
a. wait until the visitors leave
b. give the bedpan to the patient in front of family
c. ask the visitors to leave the room during the procedure
d. ask the supervisor what to do

5. A patient complains of pain. A nurses’ aide who has completed the basic certified nurses’ aide course should:
a. get the patient some pain medication.
b. Tell the patient to tell the med nurse when he or she comes in.
c. tell the med nurse.
d.  call the doctor.

6. Which of the following should be reported immediately?
a. A blood pressure of 90/40
b. A pulse of 90
c. Respirations of 15
d. Temperature of 99.4


1. Universal precautions are used for
a-all people
b-persons who have AIDS
c-persons with colds
d-persons with Hepatitis B

2. Before performing any procedure a nurses’ aide must:
a. identify the patient
b. wash your hands
c. explain the procedure
d. all the above.

3.When performing patient care you must wash your hands
a-before patient care
b-after patient care
c-before and after patient care
d-when you think your hands are dirty

4. The circulatory system consists of the:
a. heart, arteries, veins and capillaries.
b. blood vessels, arteries, veins and capillaries
c. heart, aorta, pulmonary vessels, lungs
d. blood vessels, lymph nodes, spleen

5. A patient has a diagnosis of psoriasis. Her nurses’ aide should:
a. avoid contact with the highly contagious lesions.
b. wear gloves for patient care.
c. treat her the same as any other patient with a non-infectious disease.
d. wear a mask when entering the room.

6. It is important that dressings remain:
a. tight to keep out bacteria.
b. loose to admit air.
c. clean and dry.
d. untouched until ordered removed.

7. Which of the following will not put undue strain onto the back?
a. crossing one’s legs.
b. lifting with the knees.
c. slouching.
d. twisting the back while moving patients.

8. Which of the following is associated with smoking?
a. Pneumonia.
b. heart attacks.
c. vitamin C deficiency.
d. all of the above.