MEDICAL SURGICAL NURSING EXAM QUESTIONS
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.
d) avoid incontinence during surgery. Railway Staff Nurse Exam CBT Question Answers
4. You are working as part of a multidisciplinary/interdisciplinary team. Your role in this team is
a) to rely on the registered nurse to give the team information about the clients you are providing care to.
b) as an active participant in decision making around the delivery of care.
c) to ensure client documentation is complete.
d) to carry out orders given by team members.
5. Sonia says to you “I’m afraid of the surgery”. You should
a) call the hospital chaplain to come talk with her.
b) listen and use reflective communication skills.
c) change the subject to something positive.
d) call the family and report her concerns to them.
Sonia complains of severe pain. He is prescribed morphine 8 mg 2-3 hourly PRN. Ward stock of morphine is 10 mg in 1 ml.
6. Which of the following quantities of morphine should be drawn up for Mr Ross?
a) 0.08 ml.
b) 0.25 ml.
c) 0.75 ml.
d) 0.80 ml.
7. You find Sonia lying on the floor of her room. What is the first action you should take when you discover Sonia?
a) Gently lift up Sonia and put her to bed.
b) Stay with Sonia and call for help.
c) Find out if Sonia has pain when weight bearing.
d) Assess Sonia injuries before sitting her in a chair.
8. Following surgery, Sonia is turned frequently until she is able to turn herself. The
main reason for turning her frequently is to
a) change the wound dressing
b) relieve pressure on her bony prominences
c) prevent deep vein thrombosis
d) prevent oedema of the lungs.
