Prof’s Secret

MEDICINE AND MEDICAL NURSING QUIZ I

Answer All Questions By Choosing The Most Appropriate Answers
1. A patient on Lasix and Digoxin should be observed for D. Decreased oncotic pressure with plasma shift from
symptoms of electrolytes depletion caused by vasculature to the interstitium
a. Continuous dyspepsia 5. The coronary arteries.
b. Diuretic therapy A. Carry high oxygen content blood to the lungs
c. Inadequate oral intake B. Carry blood from the aorta to the myocardium
d. Sodium restriction C. Carry reduced oxygen content blood to the lungs
2. An important nursing responsibility after intravenous D. Supply blood to the endocardium
pyelogram is to 6. An antidiuretic substance important for maintaining fluid
a. Assess the patient for flank pain balance is released by
b. Encourage extra oral fluid intake A. Adrenal cortex
c. Observe urine for remaining contrast material B. Adrenal medulla
d. Encourage ambulation 2 to 3 hours after the study C. Anterior pituitary gland
3. A patient with gastric ulcer is put on antibacterial agents. D. Posterior pituitary gland
The nurse should explain to the patient that these are ordered 7. The pain associated with coronary thrombosis is caused
to primarily by
A. Augment the immune response A. Arterial spasm
B. Potentiate the effect of antacids B. Blocking in the coronary veins
C. Reduce hydrochloric acid secretion C. Irritation of nerve endings in the cardiac plexus
D. Treat Helicobacter pylori infection D. Ischemia of the heart muscles
4. Conditions that result in decreased serum albumin will result 8. The ideal fluid replacement for the patient with an Extra
in: cellular fluid volume deficit is:
A. Decreased hydrostatic pressure with pressure shift A. Isotonic
from the interstitium to the vasculature B. Hypotonic
B. Increased hydrostatic pressure with plasma shift from C. Hypertonic
vasculature to the interstitium D. A plasma expander
C. Increased oncotic pressure with plasma shift from the
interstitium to the vasculature
Prof’s Secret
9. To assess the effectiveness of vasodilators administered for
the management of hypertension, the nurse should take the
patient’s pulse and blood pressure
a. After a resting position is maintained for 5 minutes
b. Immediately after the patient gets out of bed
c. Prior to administering the drug
d. 30 minutes after giving the drugs
10. In a respiratory acidosis, compensation would be
accomplished by:
a. Lungs retaining carbon dioxide
b. Lungs elimination carbon dioxide
c. Kidneys eliminating bicarbonate
d. Kidneys retaining bicarbonate
11. The benefit in using tetanus antitoxin is that it
a. Provides a high titre of antibodies
b. Provides immediate active immunity
c. Stimulates long lasting passive immunity
d. Stimulates plasma cells directly
12. When a patient is receiving anticoagulant the nursing care
should include observation for
a. Chest pain
b. Epistaxis
c. Headache
d. Nausea
13. A pacemaker is used in some patients to serve the function
normally performed by
a. Accelerate nerves to the heart
b. A V node
c. Bundle of His
d. S A node
14. An example of primary prevention activities by the nurse
would be
a. Assisting in immunization programme
b. Correction of dietary deficiencies
c. Establishing goals for rehabilitation
d. Prevention of disabilities
15. When caring for a patient who is HIV positive, the nurse
should explain to the patient how to prevent
a. AIDS
b. Kaposis sarcoma
c. Other infections
d. Social isolation
16. During physical examination of the patient’s skin, the nurse
should
a. Provide a private, well lighted room
b. Wear gloves during palpation of the skin
c. Focus initially on examination of specific lesions or
problem areas
d. Maintain the patient’s privacy by undressing only
areas that are abnormal
17. A patient with duodenal ulcer would probably describe the
associated pain as
a. A generalised abdominal pain intensified by moving
b. A gnawing sensation relieved by food
c. An ache radiating to the left side
d. An intermittent colicky abdominal pain
18. As a result of inadequate production of erythropoietin in
chronic renal failure, patient develops
a. Acidosis
b. Anaemia
Prof’s Secret

c. Calcium and phosphorus a. No acid fast bacteria are in the sputum

d. Sodium and water retention b. The patient no longer has the disease
19. The quickest and most effective method of removing uremic c. The patients temperature is normal
waste products from the body when the kidneys are unable to d. The tuberculin skin test is negative
do so in cases of hyperkalaemia, hypercalcaemia, hepatic 24. The risk of osteoporosis is increased when an individual
coma and uraemia is a. Engages in strenuous physical activities
a. Haemodialysis b. Has a history of hypoparathyroidism
b. Paracenthesis abdominis c. Receives long term steroid therapy
c. Pericardiocenthesis d. Takes excessive amounts of oestrogen
d. Peritoneal dialysis 25. When emphysema is present, there is decrease oxygen
20. The nurse should administer nasogastric tube feeding slowly supply because of
to reduce the hazard of a. Infectious obstructions
a. Abdominal distension b. Loss of aerating surface
b. Flatulence c. Pleural effusion
c. Indigestion d. Respiratory muscle paralysis
d. Regurgitation 26. The use of amino acids from protein for gluconeogenesis
21. People should be taught to avoid food products in bulged results in the formation of...... as by product.
cans because they might contain a. Ammonia
a. Clostridia tetani b. Fatty acids
b. Clostridia botulinum c. Ketone bodies
c. Escherichia coli d. Lipoproteins
d. Salmonella 27. Hydrocortisone is injected into the knee joint of a patient
22. The vitamin needed by the liver for the synthesis of with rheumatoid arthritis in order to
prothrombin and some other clotting factors is a. Prevent ankylosis of the joint
a. A b. Provide physiotherapy
b. D c. Reduce inflammation
c. E d. Relieve pain
d. K 28. A patient’s laboratory report shows acid – fast rods in his
23. Before a tuberculosis patient is declared non-infective, the sputum. These rods are presumed to be
nurse must ensure that a. Bordetella pertussis
Prof’s Secret

b. Diphtheria bacillus 34. A hormone that regulates reabsorption of calcium and

c. Influenza virus phosphorus is
d. Mycobacterium tuberculosis a. Aldosterone
29. The nurse encourages the patient to void before b. Parathormone
paracenthesis abdominis to c. Somatostatin
a. Encourage patient to sit upright d. Thyroxin
b. Maintain the sterility of the procedure 35. A hormone that plays an important role in maintaining a
c. Minimise bleeding at the puncture site normal fluid balance is
d. Minimise the risk of bladder puncture a. Calcium
30. Normal renal function is necessary for the maintenance of b. Parathormone
a. Bicarbonate c. Thyroxin
b. Calcium d. Vasopressin
c. Potassium 36. A patient with ascites is scheduled for paracenthesis
d. Sodium abdominis. Before the procedure, the nurse instruct the
31. When caring for a patient with Hepatitis A, the nursed patient to
should take special precaution to a. Assume the supine position
a. Prevent droplets spread of the infection b. Eat foods low in fats
b. Use caution when bringing food to the patient c. Empty bladder
c. Use gloves when removing the patient’s bedpan d. Remain nil per os for 24 hours
d. Wear mask and gown before entering his room 37. Black water fever is characterised by
32. The nurse should expect a patient with bradycardia to have a a. Coffee ground vomiting
a. Grossly irregular heart beat b. Dark red urine
b. Heartbeat that has regular skipped beats c. Diarrhoea
c. Heart rate of over 90 per minute d. Low grade fever
d. Heart rate of under 60 per minute 38. What blood type is considered the universal donor?
33. Koilonychia is a condition of the nails which occurs in a. A negative
a. Blood calcium depletion b. B negative
b. Chronic bronchial asthma c. AB negative
c. Iron deficiency anaemia d. O negative
d. Osteomyelitis
Prof’s Secret

39. Antiretroviral therapy is recommended for positive HIV a. myofils

patients b. haemosiderin
a. Who are manifesting signs and symptoms of AIDS c. ferrous
b. Who have development opportunistic infections d. iron compounds
c. Whose CD4 counts are below 500 45. Lasix is indicated in the following conditions except……….
d. Whose helper T cells lymphocytes count are above a. Congestive heart failure
800 b. nephritic syndrome
40. What blood type is considered the universal recipient? c. Hypertension
a. A positive d. status asthmaticus
b. B positive 46. Which of the following conditions can lead to bleeding
c. AB positive disorders?
d. O positive
a. Crohn’s disease
41. A .................... is a simple test for varicose veins:
a. Arteriography b. congestive heart failure
b. Babinski reflex c. pregnancy
c. Ramberg’s sign d. liver disease
d. Trendelenburg test 47. The basis of administration of placebos does not intend to
42. In acute phase of Diabetic Ketoacidosis the priority nursing look at ……
action is to …………….. a. the therapeutic properties of the substance
a. administer intravenous Regular insulin b. the concept of holism
b. administer intravenous 5% Dextrose c. the physiologic and psychologic reaction of the patient.
c. correct alkalosis d. the location and type of patient’s problem.
d. apply an ECG monitor 48. The following are diseases of lymphatic system except:
43. Hordeolum is also called a. Hodgkin’s disease
a. squint b. Elephantiasis
b. cataract c. Splenomegaly
c. cyst d. Raynaud’s disease.
d. stye 49. The pleural space, lungs and heart are filled with air under
44. . In the body, iron is available in the form of ferritin pressure in:
and………… a. spontaneous pneumothorax
Prof’s Secret

b. tension pneumothorax a. the blood has not been infected

c. open pneumothorax
d. idiopathic pneumothorax
50. An adult with acute respiratory distress syndrome has been
placed on mechanical ventilation. The ventilator alarm goes
off while the nurse is in the room. The most important initial
assessment by the nurse should be to:
a. Check the respiratory rate setting on the ventilator
b. Determine whether the machine has become
disconnected
c. Evaluate the client for any sign and symptom of
distress
d. Check the ventilator tubing for disconnections and leaks.
51. Left ventricular failure (left sided heart failure) is best
treated with……
a. intravenous injection of digitalis and antibiotics
b. intravenous injection of digitalis alone
c. intravenous injection of morphine, aminophylline and
frusemide
d. intravenous injection of aminophylline and frusemide
52. The primary action of the nurse in attending to an
unconscious patient suffering from severe hypertension is to
……..
a. serve the prescribed drugs immediately
b. check the vital signs immediately
c. inform the physician immediately
d. inform the relatives of the policy of the hospital
53. In the management of a patient suffering from nephrotic
syndrome, the nurse must
a. know that ………
b. the patient is susceptible to infection
c. the patient’s voice will become hoarse
d. the patient is helped with corticosteroid if it is associated
with diabetes mellitus
54. Injection of anti-tetanus toxoid produces in the body…..
a. inactive resistance
b. passive resistance
c. active resistance
d. unnatural resistance
55. Leukemia is classified according to ……
a. The blood group the individual belongs to
b. The type of cells that proliferate
c. The type of blood group and cells that are easily
destroyed
d. The cells that are involved and their inability to multiply
56. Calcium channel blockers act on blood vessels to …….
a. Decrease the preload
b. Dilate coronary and peripheral vessels
c. Increase thrombosis formation
d. Decrease the force of contraction
57. In a patient with a stone lodged in the cystic duct, the nurse
observes for..............................
a. A colicky pain after a fatty meal
b. A painful defaecation
c. A frequent passage of watery stools
d. A prolonged constipation
58. Which of the following is a beta-blocker?
Prof’s Secret

a. Glyceryl trinitrate
b. Pindolol
c. Nifedipine
d. Heparin
59. The action of aspirin is to ……………
a. Decrease platelet aggregation
b. Dilate coronary and peripheral vessels
c. Resists the conduction of neurons activities
d. d. Decrease heart rate with increase formation of
thrombosis
60. A clinical syndrome characterized by sharp chest pain,
radiating to the right arm, neck and the back and can be best
managed with nitrates is described as……………………..
a. Nocturnal dysponea
b. Angina pectoris
c. Cardiac asthma
d. Myocardial infarction