MULTIPLE CHOICE QUESTIONS AND ANSWERS FOR NURSING EXAM IN INDIA AND ABROAD

1. A 62 yr old diabetic man comes to the physician for followup. He recently had diabetic screening tests, including urine microalbumin check, foot exam, and Hb A1c. Having failed oral therapy, diabetes is now well controlled with insulin. Lab values and foot exam are within normal range. During the man's annual eye exam three months ago, fundoscopy revealed diffuse, opaque white spots throughout the fundus, a few scattered hard exudates, and multiple small microaneurysms. Visual exam is 20/20 OS and 20/25 OD. He denies floaters, diplopia, or blurred vision. Which of the following is the most likely cause of these findings?

A.  Proliferative diabetic retinopathy

B. Macular edema
C. Non proliferative diabetic retinopathy
D. Age related ocular changes

Answer: C. Non proliferative diabetic retinopathy

2.. A one and Half year old boy is diagnosed with a degenerative disease involving the basal ganglia. Further studies show less than 1 % normal activity of the enzyme hypoxanthine guanine phosphoribosyl transferase (HGPRT). Which of the following enzymes is most likely to show increased activity in this patient?
A. Arginase
B. Xanthine oxidase
C. 3,4 dihydroxy phenylalanine (dopa) decarboxylase
D. Mitochondrial carbamoyl phosphate synthetase

Answer: B. Xanthine oxidase

3. A 68 yr old man is diagnosed with colon cancer during a routine screening. He gets an abdominal CT scan to check for metastasis. No metastatic lesions are found but the gallbladder has significant intramural calcification. The calcified walls are thickened though there is no pericholecystitic fluid present. There's no history of abdominal pain and the man report feeling healthy. In addition to surgical resection of colon cancer, which is the most appropriate treatment for the calcified gallbladder?
A. Prophylactic open cholecystectomy
B. Medical treatment with ursodeoxycholic acid
C. Repeat CT scans at 6 months and 1 yr
D. Reassurance that the finding is inconsequential

Answer: A. Prophylactic open cholecystectomy

4. A 47 year old woman comes to the physician because of poor sleep, general weakness, fatigue, mood disturbances, headache, musculoskeletal pain, and joint tenderness for the last seven months. Her recent lab report of CBC, ESR, basic metabolic panel, TFTs, muscle enzymes, urinalysis, ECG, chest xray were within normal limits. Physical exam was significant for multiple areas of joint tenderness. What is the most appropriate initial management in this patient?
A. Cognitive behavioral therapy
B. Prednisone
C. Fluoxetine
D. Amitriptyline

Answer: D. Amitriptyline

5. A 3 yr old caucasian girl is brought to the ER because of severe cough with sputum, fever, and rapid breathing. The cough started 1 month ago with sputum and has become persistent. Her past medical history is significant for prolonged neonatal jaundice and 2-3 episodes of bronchiolitis at the age of  six and twelve months. Temp is 101.8. Exam reveals tachypnea, nasal polyps and coarse breath sounds on auscultation. Pulse oximetry shows O2 saturation of 87%. Chest X-ray shows hyperinflation with patchy consolidations. She is below the 5th percentile for height and weight. Which of the following is the most appropriate next step in management?
A. IV ceftazidime with tobramycin
B. Histopathologic analysis of nasal polyps
C.Pilocarpine iontophoresis test
D. IV levofloxacin

Answer: A. IV ceftazidime with tobramycin

INDUSTRIAL NURSE EXAM QUESTIONS

1. The nurse in the immediate care clinic is assessing an 80-year-old client who lives with his son’s family and has scald burns on his hands and both forearms (first- and second-degree burns on 10% of his body surface area). What should the nurse do first?

1. Clean the wounds with warm water.
2. Refer the client to a burn center.
3. Apply antibiotic cream.
4. Cover the burns with a sterile dressing.

Answer: 2. Refer the client to a burn center.

2. Pleural effusion is also known as :
1. pneumothorax
2. hemothorax
3. hydrothorax
4. spontaneous pneumothorax

Answer:

BURNS PATIENT RELATED NURSING QUESTION AND ANSWER

1. There has been a fire in an apartment building. All residents have been evacuated, but many are burned. Which clients should be transported to a burn center for treatment? Select all that apply.
1. An 8-year-old with third-degree burns over 10% of his body surface area (BSA).
2. A 20-year-old who inhaled the smoke of the fire.
3. A 40-year-old with second-degree burns on his right arm (about 10% of his BSA).
4. A 30-year-old with second-degree burns on the back of his left leg.
5. A 50-year-old diabetic with first- and second degree burns on his left forearm (about 5% of his BSA).

Answer:

NURSING QUESTION AND ANSWERS

1. Which of the following systems is the most likely origin of pain the client describes as knifelike chest pain that increases in intensity with inspiration?
a. Cardiac
b. Pulmonary
c. Musculoskeletal
d. Gastrointestinal
e. None of the above

Answer: b. Pulmonary

2. The nurse Mr. Aneesh P Vergees is reviewing the results of laboratory tests for a client who has AIDS. Which finding should alert the nurse that the client is at risk for a serious opportunistic infection?
a) CD4+ lymphocyte count of 350–450cells/µl
b) decreased amount of human immunodeficiency virus
c) 2:1 ratio of T-helper cells to T-suppressor cells
d) negative polymerase chain reaction
e) None of the above

Answer: 1) CD4+ lymphocyte count of 350–450cells/µl

3. The best drug of choice to relive anxiety is
a. Safinaze
b. Tofranil
c. Benzodiazepines
d. Cogentin
e. None of the above

Answer: ? (Answer in the comment Box below with question Number)

4. A newborn infant is assessed using the Apgar assessment tool and scores 6. The infant has a
heart rate of 90, slow and irregular respiratory effort, and some flexion of extremities. The infant is
pink, but has a weak cry. The nurse should know that this Apgar score along with the additional
symptoms indicates the neonate is: