MOH/ DHA EXAM QUESTIONS WITH ANSWER
The Solved Questions of DHA/MOH Examination
Question # 1. A client Mr. PK Shetty who has been receiving urokinase has a large bloody bowel movement. What nursing action would be best for the nurse to take immediately?
A. Administer vitamin K IM
B. Discontinue the urokinase
C. Reduce the urokinase and administer heparin
D. Stop the urokinase, notify the physician, and prepare to administer amicar
Answer D is correct. Urokinase is a thrombolytic used to destroy a clot following a myocardial infraction. If the client exhibits overt signs of bleeding, the nurse should stop the medication, call the doctor immediately, and prepare the antidote, which is Amicar. Answer B is not correct because simply stopping the urokinase is not enough. In answer A, vitamin K is not the antidote for urokinase, and reducing the urokinase,
as stated in answer B, is not enough.
A. Administer vitamin K IM
B. Discontinue the urokinase
C. Reduce the urokinase and administer heparin
D. Stop the urokinase, notify the physician, and prepare to administer amicar
Answer D is correct. Urokinase is a thrombolytic used to destroy a clot following a myocardial infraction. If the client exhibits overt signs of bleeding, the nurse should stop the medication, call the doctor immediately, and prepare the antidote, which is Amicar. Answer B is not correct because simply stopping the urokinase is not enough. In answer A, vitamin K is not the antidote for urokinase, and reducing the urokinase,
as stated in answer B, is not enough.
Question # 2. The patient Shasheendra Rai is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would say:
A. “This medication should be taken only until you begin to feel better.”
B. “This medication should be taken on an empty stomach to increase absorption.”
C. “While taking this medication, you do not have to be concerned about being in the sun.”
D. “While taking this medication, alcoholic beverages and products containing alcohol should be avoided.”
Answer D is correct. Alcohol will cause extreme nausea if consumed with Flagyl.
Answer A is incorrect because the full course of treatment should be taken. The medication should be taken with a full 8oz. of water, with meals, and the client should avoid direct sunlight because he will most likely be photosensitive; therefore, answers A, B, and C are incorrect.
Question # 3. The client Mrs. Majula Kamat with brain cancer refuses to care for herself. Which action by the nurse would be best?
A. Alternate nurses caring for the client so that the staff will not get tired of caring for this client
B. Talk to the client and explain the need for self-care
C. Explore the reason for the lack of motivation seen in the client
D. Talk to the doctor about the client’s lack of motivation
Answer C is correct. The nurse should explore the cause for the lack of motivation. The client might be anemic and lack energy, might be in pain, or might be depressed. Alternating staff, as stated in answer A, will prevent a bond from being formed with the nurse. Answer B is not enough, and answer D is not necessary.
MOH EXAM QUESTIONS WITH ANSWER
Question # 4. The client Serina Gomes arrives in the emergency room with a “bull’s eye” rash. Which question would be most appropriate for the nurse to ask the client?
A. “Have you found any ticks on your body?”
B. “Have you had any nausea in the last 24 hours?”
C. “Have you been outside the country in the last 6 months?”
D. “Have you had any fever for the past few days?”
Answer B is correct. The client scheduled for a pericentesis should be told to empty the bladder, to prevent the risk of puncturing the bladder when the needle is inserted.A pericentesis is done to remove fluid from the peritoneal cavity. The client will be positioned sitting up or leaning over a table, making answer A incorrect. The client is usually awake during the procedure, and medications are not commonly inserted into
the peritoneal cavity during this procedure; thus, answers C and D are incorrect (although this could depend on the circumstances).
Question # 9. Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
D. Caput succedaneum
Answer A is correct. A swelling over the right parietal area is a cephalohematoma, an area of bleeding outside the cranium. This type of hematoma does not cross the suture line because it is outside the cranium but beneath the periosteum. Answer B, molding, is overlapping of the bones of the cranium and, thus, incorrect. In answer C, a subdural hematoma, or intracranial bleeding, is ominous and can be seen only on a
CAT scan or x-ray. A caput succedaneum, in answer D, crosses the suture line and is edema.
DHA EXAM QUESTIONS
Question # 10. A client Mr. Bijoy Mon with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6, WBC 6480, K+ 1.7, uric acid 7.0, Na+ 134, and platelets 173,000. The nurse evaluates that the client is experiencing which of the following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
A. “Have you found any ticks on your body?”
B. “Have you had any nausea in the last 24 hours?”
C. “Have you been outside the country in the last 6 months?”
D. “Have you had any fever for the past few days?”
Answer A is correct. The “bull’s eye” rash is indicative of Lyme’s disease, a disease spread by ticks. The signs and symptoms include elevated temp-erature, headache, nausea, and the rash. Although answers B and D are important, the question asks which would be best. Answer C has no significance.
Question # 5. Isoniazid (INH) has been prescribed for a family member exposed to tuberculosis. The nurse is aware that the length of time that the medication will be taken is:
A. 6 months
B. 3 months
C. 18 months
D. 24 months
Answer A is correct. The expected time for contact to tuberculosis is 1 year. Therefore, answers B, C, and D are incorrect.
Question # 6. The client Mr. Reni Abraham with a recent liver transplant asks the nurse how long he will have to take cyclosporine (Sandimmune). Which response is correct?
A. 1 year
B. 5 years
C. 10 years
D. The rest of his life
Answer D is correct. Cyclosporin is an immunosuppressant, and the client with a liver transplant will be on immunosuppressants for the rest of his life. Answers A, B, and C, therefore, are incorrect.
Question # 7. The client Lijo Kuriakose is admitted with a BP of 210/120. Her doctor orders furosemide (Lasix) 40mg IV stat. How should the nurse administer the prescribed furosemide to this client?
A. By giving it over 1–2 minutes
B. By hanging it IV piggyback
C. With normal saline only
D. By administering it through a venous access device
Answer A is correct. Lasix should be given approximately 1mL per minute to prevent hypotension. Answers B, C, and D are incorrect because it is not necessary to be given in an IV piggyback, with saline, or through a venous access device (VAD).
Question # 8. The client Anish P Vergese is scheduled for a pericentesis. Which instruction should be given to the client before the exam?
A. “You will need to lay flat during the exam.”
B. “You need to empty your bladder before the procedure.”
C. “You will be asleep during the procedure.”
D. “The doctor will inject a medication to treat your illness during the procedure.”
B. 3 months
C. 18 months
D. 24 months
Answer A is correct. The expected time for contact to tuberculosis is 1 year. Therefore, answers B, C, and D are incorrect.
MOH EXAM QUESTIONS APRIL 2016 PART II
Question # 6. The client Mr. Reni Abraham with a recent liver transplant asks the nurse how long he will have to take cyclosporine (Sandimmune). Which response is correct?
A. 1 year
B. 5 years
C. 10 years
D. The rest of his life
Answer D is correct. Cyclosporin is an immunosuppressant, and the client with a liver transplant will be on immunosuppressants for the rest of his life. Answers A, B, and C, therefore, are incorrect.
Question # 7. The client Lijo Kuriakose is admitted with a BP of 210/120. Her doctor orders furosemide (Lasix) 40mg IV stat. How should the nurse administer the prescribed furosemide to this client?
A. By giving it over 1–2 minutes
B. By hanging it IV piggyback
C. With normal saline only
D. By administering it through a venous access device
Answer A is correct. Lasix should be given approximately 1mL per minute to prevent hypotension. Answers B, C, and D are incorrect because it is not necessary to be given in an IV piggyback, with saline, or through a venous access device (VAD).
A. “You will need to lay flat during the exam.”
B. “You need to empty your bladder before the procedure.”
C. “You will be asleep during the procedure.”
D. “The doctor will inject a medication to treat your illness during the procedure.”
Answer B is correct. The client scheduled for a pericentesis should be told to empty the bladder, to prevent the risk of puncturing the bladder when the needle is inserted.A pericentesis is done to remove fluid from the peritoneal cavity. The client will be positioned sitting up or leaning over a table, making answer A incorrect. The client is usually awake during the procedure, and medications are not commonly inserted into
the peritoneal cavity during this procedure; thus, answers C and D are incorrect (although this could depend on the circumstances).
Question # 9. Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
D. Caput succedaneum
Answer A is correct. A swelling over the right parietal area is a cephalohematoma, an area of bleeding outside the cranium. This type of hematoma does not cross the suture line because it is outside the cranium but beneath the periosteum. Answer B, molding, is overlapping of the bones of the cranium and, thus, incorrect. In answer C, a subdural hematoma, or intracranial bleeding, is ominous and can be seen only on a
CAT scan or x-ray. A caput succedaneum, in answer D, crosses the suture line and is edema.
DHA EXAM QUESTIONS
Question # 10. A client Mr. Bijoy Mon with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6, WBC 6480, K+ 1.7, uric acid 7.0, Na+ 134, and platelets 173,000. The nurse evaluates that the client is experiencing which of the following?
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukocytosis
Answer B is correct. Hypokalemia is evident from the lab values listed. The other laboratory
findings are within normal limits, making answers A, C, and D incorrect.
findings are within normal limits, making answers A, C, and D incorrect.
