NURSING WRITTEN TEST SAMPLE QUESTIONS

1. Mrs. Hajeeja Sail is on Continuous Renal Replacement and is receiving hemodiafiltration. Which one of the following interventions would increase clearance? a. Increased fluid removal b. Use of citrate anticoagulation c. Use of a larger filter d. Reduction in the blood flow rate 2. Mrs. Fathima develops a leak of gastric contents around her new gastrostomy tube site. She is placed NPO and started on a medication to decrease gastroenteropancreatic secretions. Which medication has been ordered to produce this effect? a. Pantoprozole (Pantoloc) b. Octreotide (Sandostatin) c. Metoclopramide (Maxeran) d. Vasopressin 3. Ms. Febina  is in a positive fluid balance with urine output < 30 ml/hr and significant peripheral edmea. Labs are as follows: Na 148 K 4.9 Cl 105 HCO3 23 Urea 16 mmol/L Creatinine 85 umol/L. Urine sodium is low, and serum and urine osmolality increased. Which one of the following interventions would you anticipate? a. Furosemide (Lasix) b. ...

MOH EXAM QUESTIONS 1. Mr. Albu Ainstin is a 66 year old man who had an intraventricular hemorrhage. He has an external ventricular drain (EVD) that is open to drainage at 5 cmH20 above the reference level. It has been draining ~20 ml per hour for the past 24 hours. The waveform suddenly becomes dampened with a pressure reading of 8 mmHg, and there has been no CSF drainage during the past hour. How should these findings be interpreted? a. Lack of drainage is an expected finding b. Clotting of the catheter should be suspected c. The hydrocephalus has resolved d. The drainage chamber should be raised 2. Mr. Mohammed Iqbal had an ischemic bowel requiring urgent total colectomy and ileostomy and TPN. One week following admission to ICU, his Alanine Aminotransferase (ALT) and his Aspartate Aminotransferase (AST) double, and his alkaline phosphatase and direct bilirubin increase 4 fold. His lipase and pancreatic amylase are mildly elevated and his ammonia is normal. These ...

1. Jomon is an 18 year old man admitted with pneumonia and exacerbation of his asthma. He complains of chest tightness and develops increased wheezes. Which one of the following interventions is the priority? a. Ipratropium bromide (Atrovent) b. Bethamethasone (QVAR) c. Salmeterol/fluticasone (Advair) d. Salbutamol (Ventolin) 2. During surgery, Mrs. Flossy develops malignant hyperthermia. Which one of the following is the priority? a. Aggressive cooling b. Potassium boluses c. Sodium citrate d. Dantrolene 3. Mrs. Tejavani is recovering from septic shock. After failing several spontaneous breathing trials, she received a percutaneous tracheostomy tube. Two days later, within 10 minutes of starting a tracheostomy mask trial, she complains of shortness of breath and demands to return to the ventilator. Her SpO2 remains > 95% during the trial. Which one of the following interventions pre trachestomy mask trial is most likely to reduce her dyspnea and facilitate ...

1. Mrs. Bhavya Amin is on Coumadin for atrial fibrillation. She is admitted with ischemic bowel and requires urgent surgery. Her INR is 10.4 and aPTT 52. Which one of the following interventions is the priority? a. Protamine sulphate b. Octaplex c. Cryoprecipitate d. Vitamin K infusion 2.. Mr. Amal Mathew is awaiting a bed on the ward and is no longer on the bedside monitor. The nurse enters his room to assess him, and finds him cyanotic, apneic and pulseless. ECG leads are connected and reveal ventricular fibrillation. Which one of the following is the priority? a. Intubation and ventilation b. Compressions X 2 minutes at 100/minute c. Epinephrine 1 mg IV d. Defibrillation with 3 quick shocks NCLEX QUESTION ANSWERS 3. Mrs. Anu Jose becomes agitated and is at risk for self-exubation. Which one of the following interventions is the priority? a. Apply restraints b. Assess cause of agitation c. Increase dose of sedatives d. Have family sit with Mrs. Anu Jose 4. M...

DHA Exam Question 16121. Calculate Cerebral Perfusion Pressure (CPP) based on the following data: HR 75 BP 120/80 (MAP 65) CVP 12 ICP 15 RR 25 Minute Volume 10.5 L/min a. 60 b. 50 c. 105 d. 52 DHA Questions Part 1 Question No 14511-14520 DHA Exam Question 16122. Mr. Alberta is declared neurologically dead and his family consents to organ donation. Which one of the following interventions is the priority? a. Antibiotics, vasopressin and intensive insulin b. Vasopressin, methylprednisolone (Solumedrol) and levothyroxine c. Desmopressin (DDAVP), Epinephrine and dexamethasone (Decadron) d. Antibiotics, Immunoglobulin and Vasopressin DHA Exam Question 16123. Mr. Smith is admitted with pulmonary edema requiring intubation. His cardiac troponin and CK increase 5 fold, 2 hours after admission and he develops ST segment depression in his lateral leads. He has a history of diabetes, COPD and renal insufficiency. Which one of the following interventions is the prior...

1. Mr. Sing has a massive GI bleed from a gastric ulcer. Following 12 units of packed cells and 4 units of fresh frozen plasma, he has the following labs: Hb 80 Platelets 82,000 INR 1.9 aPTT 58 and fibrinogen 0.4 g/L (normal 2-4 g/L). Which one of the following interventions is the priority? a. Potassium bolus b. Octoplex c. Cryoprecipitate d. Protamine sulphate 2. Ms. Tirani is on FiO2 0.5 PEEP 5 and PS 15. She has a total minute volume of 12 L and her RR has increased to 36 from 22. She is restless and agitated. Blood gases are: PaO2 69 PCO2 49 pH 7.36 HCO3 30 Which one of the following interventions is most appropriate? a. Increase her FiO2 b. Convert to AC c. Increase her Pressure Support d. Increase her sedation 3.. Calculate Cerebral Perfusion Pressure (CPP) based on the following data: HR 75 BP 120/80 (MAP 65) CVP 12 ICP 15 RR 25 Minute Volume 10.5 L/min  a. 60  b. 50 c. 105 d. 52 4. Mrs. Butovsky develops sepsis due to an infecte...

CASE 1 Mr. Jackle, 68 yrs old, is admitted with hypotension and respiratory distress requiring intubation following a large ST elevation anterior-lateral wall myocardial infarction. 1. Shortly after insertion of a rights subclavian catheter, he develops worsening shortness of breath and bibasilar crackles. Blood is noted to be backing up from the central venous catheter and his oxygen saturation decreases with supine positioning. Which one of the following problems is consistent with these findings? a. Pulmonary embolus b. Right heart failure c. Cardiac pulmonary edema d. Hemopneumothorax 2. Mr. Jackle’s will be monitored for signs of reinfarction. Which one of the following lab tests would best indicate reinfarction? a. Creatinine kinase b. Cardiac troponin c. Lactate dehydrogenase d. Venous oxygen saturation 3. Mr. Jackle develops cardiogenic shock, respiratory failure and acute kidney injury. He is receiving epinephrine at 2 ug/min and is fully ventilated on a...

1. Which of the following hormones increases the force of contraction of the heart chambers? Aldosterone Luteinising hormone Somatostatin Thyroxine  Answer: Thyroxine 2. Which valve prevents the backwards flow of blood in to the left atrium? Mitral valve Aortic valve Pulmonary valve Tricuspid valve Answer: Mitral valve 3.What sort of space exists between the parietal and visceral pericardium? Absolute Virtual  Essential Virtuous Answer: Virtual 4. The ‘p’ wave on the electrocardiogram corresponds to: Ventricular depolarisation Atrial depolarisation Atrial repolarisation Ventricular repolarisation Answer: Atrial depolarisation 5. The Frank-Starling Law states: The greater the heart rate the higher the blood pressure. The amount of stretch the ventricle is subject to affects the force of contraction The amount of afterload affects the force of ventricular contraction Cardiac output equals stroke volume times heart...

1. Which of the following conditions is linked to more than 50% of clients with abdominal aortic aneurysms? a. DM b. Syphilis c. PVD d. HPN Answer: d. HPN 2:-Which of the following communicable disease is eradicated in our country ?  A:-Filariasis  B:-Poliomyelitis  C:-Tuberculosis  D:-Small pox Answer:-  D:-Small pox 3. Which of the following complications is of greatest concern when caring for a preoperative abdominal aneurysm client? a. HPN b. Aneurysm rupture c. Cardiac arrythmias