NURSING WRITTEN TEST SAMPLE QUESTIONS

1. A positive over-the-counter pregnancy test is considered a: Possible sign of pregnancy. Presumptive sign of pregnancy. Probable sign of pregnancy. Positive sign of pregnancy. Correct Response: C A positive pregnancy test and changes in the reproductive organs are both considered probable signs of pregnancy. Presumptive signs include amenorrhea, frequent urination and pigment changes in skin. Determining the estimated day of birth or delivery (EDB or EDD) is considered to be a positive sign of pregnancy. 2. The recommended daily caloric intake for sedentary older men, active adult women and children is: 2400 calories 1600 calories 2800 calories 2000 calories Correct Response: D Sedentary older men, active adult women and children should all have 6 ounces of grains, 2½ cups of vegetables, 2 cups of fruits, and 3 cups of milk to help make up their 2000 calorie requirement. Sedentary adolescents require 2400 calories, sedentary women and children require 1...

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. MOH Staff Nurse Exam Questions Question # 2. The patient Shasheendra Rai is prescr...

Question No. 1. The nurse Pronoshree Bharoli is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching? A. “I will have blood drawn every month.” B. “I will assess my skin for a rash.” C. “I take aspirin for a headache.” D. “I will use an electric razor to shave.” Answer C is correct. The client taking an anticoagulant should not take aspirin because it will further thin the blood. He should return to have a Protime drawn for bleeding time, report a rash, and use an electric razor. Therefore, answers A, B, and D are incorrect. Question No. 2. The nurse Reena Patel is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests ordered? A. Colonoscopy B. Barium enema C. Complete blood count D. Computed tomography (CT) scan Answer B is correct. A barium enema is contraindicated in the client with diverticulitis because it can caus...

1. The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The nurse is aware that the most likely explanation for the elevated temperature is: ❍ A. There was damage to the hypothalamus. ❍ B. He has an infection from the abrasions to the head and face. ❍ C. He will require a cooling blanket to decrease the temperature. ❍ D. There was damage to the frontal lobe of the brain. Answer A is correct. Damage to the hypothalamus can result in an elevated temperature because this portion of the brain helps to regulate body temperature. Answers B, C, and D are incorrect because there is no data to support the possibility of an infection, a cooling blanket might not be required, and the frontal lobe is not responsible for regulation of the body temperature. 2. The nurse is evaluating the client’s pulmonary artery pressure. The nurse is aware that this test will evaluate: ❍ A. Pressure in the left ventricle ❍ B. The systolic, diastolic, ...

Question No. 1. A client has been receiving cyanocobalamine (B12) injections forthe past 6 weeks. Which laboratory finding indicates that the medication is having the desired effect? ❍ A. Neutrophil count of 60% ❍ B. Basophil count of 0.5% ❍ C. Monocyte count of 2% ❍ D. Reticulocyte count of 1% Find the Answer for this Question at the bottom of this post Question No. 2. During the change of shift, the oncoming nurse notes a discrepancy in the number of Percocet (Oxycodone) listed and the number present in the narcotic drawer. The nurse’s first action should be to: ❍ A. Notify the hospital pharmacist ❍ B. Notify the nursing supervisor ❍ C. Notify the Board of Nursing ❍ D. Notify the director of nursing Find the Answer for this Question at the bottom of this post Question No. 3. The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain which type of culture? ❍ A. Blood ❍ B. Nasopharyngeal secretions ❍ C. Stool ❍ D. Genital ...

Question No.1. Independent nursing intervention commonly used for immobilized patients include all of the following except: a.  Weight bearing on a tilt table, total parenteral nutrition, and vitamin therapy b. Deep-breathing and coughing exercises with change of position every 2 hours c. Diaphragmatic and abdominal breathing exercises and increased hydration d.   Active or passive ROM exercises, body repositioning, and activities of daily living (ADLs) as tolerated Answer: a.  Weight bearing on a tilt table, total parenteral nutrition, and vitamin therapy Question No.2. Normal Saline contains: a. 0.9%Sodium chloride b. 0.5%Sodium chloride c. 0.8% Sodium bicarbonate d. 3% Sodium chloride Answer: Question No.3. A patient asks you what vitamin is best for eye sight. Your response is: a) Vitamin C b) Vitamin B6 c) Vitamin A d)Vitamin B12 Answer: c) Vitamin A Question No.4. The nurse is working on a unit that uses nursing assessment flow she...

Question #1. The nurse has just received shift report and is preparing to make rounds. Which client should be seen first? A. The client who has a history of a cerebral aneurysm with an oxygen saturation rate of 99% B. The client who was admitted 1 hour ago with shortness of breath C. The client who is three days post–coronary artery bypass graft with a temperature of 100.2°F D. The client who is being prepared for discharge following a femoral popliteal bypass graft Answer B is correct. The client admitted 1 hour ago with shortness of breath should be seen first because this client might require oxygen therapy. The client in answer A with a low-grade temperature can be assessed after the client with shortness of breath. The client in answer C can also be seen later. This client will have some Question #2. The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should: A. Aspirate for blood B. Check the pul...

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...

Answer for Question No. 1 Answer D is correct. Taking corticosteroids in the morning mimics the body’s natural release of cortisol. Answers A is not necessarily true, and answers B and C are not true. Answer for Question No. 2 Answer B is correct. A persistent cough might be related to an adverse reaction to Captoten. Answers A and D are incorrect because tinnitus and diarrhea are not associated with the medication. Muscle weakness might occur when beginning the treatment but is not an adverse effect; thus, answer C is incorrect. Answer for Question No. 3 Answer B is correct. The vital signs are abnormal and should be reported to the doctor immediately. Answer A, continuing to monitor the vital signs, can result in deterioration of the client’s condition. Answer C, asking the client how he feels, would supply only subjective data. Involving the LPN, in answer D, is not the best solution to help this client because he is unstable. Answer for Question No. 4 Answer D is correct...

1. The client is taking prednisone 7.5mg po each morning to treat his systemic lupus errythymatosis. Which statement best explains the reason for taking the prednisone in the morning? ❍ A. There is less chance of forgetting the medication if taken in the morning. ❍ B. There will be less fluid retention if taken in the morning. ❍ C. Prednisone is absorbed best with the breakfast meal. ❍ D. Morning administration mimics the body’s natural secretion of corticosteroid. Click here for Answer 2. The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten? ❍ A. Tinnitus ❍ B. Persistent cough ❍ C. Muscle weakness ❍ D. Diarrhea Click here for Answer 3. The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority? ❍ A. Continue to monitor the vital signs ❍ B. Contact the phy...

Question 1. The nurse understands that the diagnosis of oral cancer is confirmed with: ❍ A. Biopsy ❍ B. Gram Stain ❍ C. Scrape cytology ❍ D. Oral washings for cytology Click here for Answer with Rationale Question 2. The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause: ❍ A. Hypertension ❍ B. Hyperthermia ❍ C. Melanoma ❍ D. Urinary retention Click here for Answer with Rationale Question 3. A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first? ❍ A. A client with brain attack (stroke) with tube feedings ❍ B. A client with congestive heart failure complaining of nighttime dyspnea ❍ C. A client with a thoracotomy 6 months ago

The Answers with Rationale published here are for the questions published on 28/11/2016- Click here to view Questions Question 1. -Answer A is correct. The best diagnostic tool for cancer is the biopsy. Other assessment includes checking the lymph nodes. Answers B, C, and D will not confirm a diagnosis of oral cancer. Question 2- Answer A is correct. If the client eats foods high in tyramine, he might experience malignant hypertension. Tyramine is found in cheese, sour cream, Chianti wine, sherry, beer, pickled herring, liver, canned figs, raisins, bananas, avocados, chocolate, soy sauce, fava beans, and yeast. These episodes are treated with Regitine, an alphaadrenergic blocking agent. Answers B, C, and D are not related to the question. Question 3 - Answer B is correct. The client with congestive heart failure who is complaining of nighttime dyspnea should be seen first because airway is no. 1 in nursing care. In answers A, C, and D, the clients are more stable.

1. Which is NOT among common causes of secondary hyperlipidaemia: A. Hyperthyroidism B. Diabetes Mellitus C. Alcohol Abuse D. Estrogen Replacement therapy 2. In case child is having phimosis with oedema, it can be reduced by applying : A. cold compress B. hot compress C. cold and hot compress D. medicated hot compress 3.A 32-year-old female complains of fatigue, constipation, and weight gain. There is no prior history of neck surgery or radiation. Her voice is hoarse and her skin is dry. Serum is elevated and T4 is low. The most likely cause of these findings is: A. Autoimmune disease B. Pituitary hypofunction C. Thyroid carcinoma

1. The client is admitted to the hospital in chronic renal failure. A diet low in protein is ordered. The rationale for alow-protein diet is: A. Protein breaks down into blood urea nitrogen and metabolic waste. B. High protein increases the sodium and potassium levels. C. A high-protein diet decreases albumin production. D. A high-protein diet depletes calcium and phosphorous. Answer A is correct. A low-protein diet is required because protein breaks down into nitrogenous waste and causes an increased workload on the kidneys. Answers B, C, and D are incorrect. 2. The nurse is assisting in the care of a patient who is 2 days postoperative from a hemorroidectomy. The nurse would be correct in instructing the patient to: A. Avoid a high-fiber diet because this can hasten the healing time B. Continue to use ice packs until discharge and then when at home C. Take 200mg of Colace bid to prevent constipation

1. After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected stroke, a medical-surgical nurse anticipates the next step in the immediate care of this patient to include: A) preparing for carotid Doppler ultrasonography. B) administering tissue plasminogen activator. C) obtaining a neurosurgical consultation. D) obtaining a computed tomography scan of the head without contrast. Answer: D) obtaining a computed tomography scan of the head without contrast. 2. An infant weighs 7 pounds at birth. The expected weight by 1 year should be: A. 10 pounds B. 12 pounds C. 21 pounds D. 25 pounds Answer: C. 21 pounds 3. The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the patient outcome criterion of: A)  experiencing no dyspnea on exertion. B)  agreeing to discontinue smoking. C)  ambulating 50 feet without experiencing dyspne...

1. If the nurse is unable to illicit the deep tendon reflexes of the patella, the nurse should ask the client to: ❍ A. Pull against the palms ❍ B. Grimace the facial muscles ❍ C. Cross the legs at the ankles ❍ D. Perform Valsalva maneuver Answer A is correct. If the nurse cannot elicit the patella reflex (knee jerk), the client should be asked to pull against the palms. This helps the client to relax the legs and makes it easier to get an objective reading. Answers B, C, and D will not help with the test. 2. A new diabetic is learning to administer his insulin. He receives 10U of NPH and 12U of regular insulin each morning. Which of the following statements reflects understanding of the nurse’s teaching? ❍ A. “When drawing up my insulin, I should draw up the regular insulin first.” ❍ B. “When drawing up my insulin, I should draw up the NPH insulin first.”  ❍ C. “It doesn’t matter which insulin I draw up first.” ❍ D. “I cannot mix the insulin, so I will need two shots...

Question # 1. A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is: ❍ A. Superior intelligence ❍ B. Underlying hostility ❍ C. Dependence on others ❍ D. Ability to share feelings Answer B is correct. The client with passive-aggressive personality disorder often has underlying hostility that is exhibited as acting-out behavior. Answers A, C, and D are incorrect. Although these individuals might have a high IQ, it cannot be said that they have superior intelligence. They also do not necessarily have dependence on others or an inability to share feelings. Question # 2. The nurse Greeshma is caring for the patient’s post-surgical removal of a 6mm oral cancerous lesion. The priority nursing measure would be to: ❍ A. Maintain a patent airway ❍ B. Perform meticulous oral care every 2 hours

Question #1. The nurse is assisting in the assessment of the patient admitted with abdominal pain. Why should the nurse ask about medications that the client is taking? ❍ A. Interactions between medications can be identified. ❍ B. Various medications taken by mouth can affect the alimentary tract. ❍ C. This will provide an opportunity to educate the patient regarding the medications used. ❍ D. The types of medications might be attributable to an abdominal pathology not already identified. Answer B is correct. Many medications can irritate the stomach and contribute to abdominal pain. For answer A, the primary reason for asking about medications is not to identify interactions between medication. Although this might provide an opportunity for teaching, this is not the best time to teach. Therefore, answers C and D are incorrect. Question #2. Shortly after the client was admitted to the postpartum unit, the nurse notes heavy lochia rubra with large clots. The nurse should an...