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MODEL QUESTIONS AND ANSWERS FOR STAFF NURSE EXAM

1. The treatment protocol for a client with acute lymphatic leukemia includes prednisone and cimetadine. The purpose of the cimetadine is to:

A. Decrease the secretion of pancreatic enzymes
B. Enhance the effectiveness of methotrexate
C. Increase digestion 
D. Prevent a common side effect of prednisone 

Answer: D. Prevent a common side effect of prednisone 

 2. The Nurse Pramitha is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?

 A. Tremulousness 
B. decreased pulse rate
C. Nausea and vomiting
D. Flushed skin

 Answer: A. Tremulousness 

 3. Which of the following conditions is most likely related to the development of renal calculi?

A. Gout 
B. Pancreatitis
C. Fractured femur
D. AIDS

 Answer: A. Gout 

 4. The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:

 A. Rectus femoris muscle
B. Vastus lateralis muscle 
C. Hand or Buttocks
D. Dorsogluteal muscle

 Answer: B. Vastus lateralis muscle 

 5. The nurse Seema George is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal?

 A. Antabuse (disulfiram)
B. Perinorm (Metaclopramide)
C. Dolophine (methodone)
D. Ativan (lorazepam) 

 Answer: D. Ativan (lorazepam) 

6. The physician Dr. Salma has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse Salima should:

A. Encourage the client to drink extra fluids 
B. Request a low-protein diet for the client
C. Bathe the client using only mild soap and water

D. Provide additional warmth for swollen, inflamed joints

 Answer: A. Encourage the client to drink extra fluids 

 7. A client Mr. Sonu Hembram with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:

 A. 8 a.m.
B. 10 a.m.
C. 3 p.m. 
D. 5 a.m.

 Answer: C. 3 p.m. 

 8. A factory worker Mr. Naga Bhushan is brought to the nurse’s office after a metal fragment enters his right eye. The nurse should:

 A. Cover the Eye with cotton and apply pressure bandage
B. Attempt to remove the metal with Needle
C. Flush the eye for Five minutes with running water
D. Cover both eyes and transport the client to the ER

 Answer: D. Cover both eyes and transport the client to the ER

 9. The licensed practical nurse Mrs. Neena Joseph is assisting the charge nurse Mrs. Harina Pinto  in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority?

 A. Alteration in comfort
B. Alteration in mobility 
C. Alteration in skin integrity
D. Alteration in O2 perfusion

 Answer: B. Alteration in mobility 

 10. A client Mr. Narasimha Moorthy with AIDS is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?

 A. Thoroughly cooking all foods and eat hot
B. Offering yogurt and buttermilk and fruit juice between meals
C. Giving more fluids than normal intake
D. Providing small, frequent meals 

 Answer: D. Providing small, frequent meals 
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