1. The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
A. The mottled appearance of the trunk
B. The presence of conjunctival hemorrhages
C.Respiratory rate of 20–28 per minute
D. Cyanosis of the hands and feet
Answer: D. Cyanosis of the hands and feet
2. Which of the following symptoms is associated with exacerbation of multiple sclerosis?
A. Nausea
B. Diplopia
C. Seizures
D. Insomnia
Answer: B. Diplopia
3. A female child named Baby Pranjali is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
A. Being Killed
B. Responsible for evil world
C.Highly famous and important
D. Connected to client unrelated to oneself
Answer; C.Highly famous and important
4. A client named Mr. John Aldives with a bowel resection and anastamosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?
A. Mr. John Aldives drink plenty of Fluiids
B. Mr. John Aldives is able to swallow
C. Mr. John Aldives abdomen is soft.
D. MT. John Aldives Passed Urine
Answer: C. Mr. Shivaram's abdomen is soft.
5 . The nurse should observe for side effects associated with the use of bronchodialators. A common side effect of bronchodilators is:
A. Palpitation
B. Hypertension
C. Apnea
D. Nausea
Answer: D. Nausea
6. A 20 year old Mr. Malkhan Singh was diagnosed with dependent personality disorder. Which behavior is most likely to be evidence of ineffective individual coping?
A. Recurrent self-destructive behavior
B.Avoiding personal relationship
C. Not Showing interest in Social activities
D.Inability to make choices and decision without advise
Answer: D.Inability to make choices and decision without advise
7. A 5-month-old infant Baby Shamitha admitted to the Hospital with a temperature of 103.8°F and irritability. Her mother states that the child has been restless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
A. Edema
B. Reflexes
C. Tenseness of the anterior fontanel
D. Negative scarf sign
Answer: C. Tenseness of the anterior fontanel
8. Nurse Nikhitha is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Manisha should…
A. Observe her
B. Allow her to urinate and defecate.
C. Open the window and allow her to get some fresh air and let her go out.
D. Give her privacy
Answer: A. Observe her
9. A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
A. Staying with the client and speaking in short sentences
B. Leaving the client alone
C. Turning on the television
D. Ask the client to play with other clients
Answer: A. Staying with the client and speaking in short sentences
10. According to Erickson’s stage of growth and development, the developmental task associated with middle childhood is:
A. Trust
B. Industry
C. Independence
D. Initiative
Answer: B. Industry
A. The mottled appearance of the trunk
B. The presence of conjunctival hemorrhages
C.Respiratory rate of 20–28 per minute
D. Cyanosis of the hands and feet
Answer: D. Cyanosis of the hands and feet
A. Nausea
B. Diplopia
C. Seizures
D. Insomnia
Answer: B. Diplopia
3. A female child named Baby Pranjali is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
A. Being Killed
B. Responsible for evil world
C.Highly famous and important
D. Connected to client unrelated to oneself
Answer; C.Highly famous and important
4. A client named Mr. John Aldives with a bowel resection and anastamosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?
A. Mr. John Aldives drink plenty of Fluiids
B. Mr. John Aldives is able to swallow
C. Mr. John Aldives abdomen is soft.
D. MT. John Aldives Passed Urine
Answer: C. Mr. Shivaram's abdomen is soft.
5 . The nurse should observe for side effects associated with the use of bronchodialators. A common side effect of bronchodilators is:
A. Palpitation
B. Hypertension
C. Apnea
D. Nausea
Answer: D. Nausea
6. A 20 year old Mr. Malkhan Singh was diagnosed with dependent personality disorder. Which behavior is most likely to be evidence of ineffective individual coping?
A. Recurrent self-destructive behavior
B.Avoiding personal relationship
C. Not Showing interest in Social activities
D.Inability to make choices and decision without advise
Answer: D.Inability to make choices and decision without advise
7. A 5-month-old infant Baby Shamitha admitted to the Hospital with a temperature of 103.8°F and irritability. Her mother states that the child has been restless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
A. Edema
B. Reflexes
C. Tenseness of the anterior fontanel
D. Negative scarf sign
Answer: C. Tenseness of the anterior fontanel
8. Nurse Nikhitha is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Manisha should…
A. Observe her
B. Allow her to urinate and defecate.
C. Open the window and allow her to get some fresh air and let her go out.
D. Give her privacy
Answer: A. Observe her
9. A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
A. Staying with the client and speaking in short sentences
B. Leaving the client alone
C. Turning on the television
D. Ask the client to play with other clients
Answer: A. Staying with the client and speaking in short sentences
10. According to Erickson’s stage of growth and development, the developmental task associated with middle childhood is:
A. Trust
B. Industry
C. Independence
D. Initiative
Answer: B. Industry
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