In leukemias, the recurrent infections usually results from....
A.low haemoglobin levels
B.low platelet count C.low leukocyte count ANSWER: C Which of the following types of leukemia has an abrupt onset? A.both acute and chronic B.only acute C.only chronic ANSWER: B Secondary gout may develop in conditions that results in marked breakdown of ... A.body cells B.carbohydrates and fats C.enzymic reaction ANSWER: C The germs of bacillary dysentery are called.... A.salmonella B.taeniae C.shigella ANSWER: C An attack of an acute rheumatic fever is related to an antecedent.. A.streptococcal throat infection B.viral infection C.tuberculosis infection ANSWER: A A client diagnosed of Maniere's disease should avoid A.cereal products B.salty foods C.citrus foods ANSWER: B The coronary arteries... A.carry high oxygen content to the lungs B.carry blood from the aorta to the myocardium C.carry reduced oxygen content blood to the lungs ANSWER: B The raised cell count that occurs in polycythemia results in.. A.haemodilution B.hypoviscosity C.hypercellularity ANSWER: C People should be taught to avoid food products in bulged cans because they might contain A.clostridia tetani B.clostridia botulinum C.Escherichia coli ANSWER: B Which of the following is not a clinical indication of circulatory overload? A.decreased blood pressure B.moist productive cough C.increase blood pressure ANSWER: A In haemorrhagic anaemia, injection....is given to client to allay anxiety. A.pethidine B.morphine C.heparin ANSWER: B A typical measle rash that appear inside the mouth and cheeks of a patient is called.... A.Koplick's spots B.Leyman's spots C.Rose spot ANSWER: A Which of the following otoscopic findings indicates perforated eardrum? A.a colony of black dots in the ear drum B.dense white patches on the ear drum C.a red, bulging eardrum ANSWER: B Which of the following drugs is an anti-platelet? A.propranolol B.Lisinopril C.aspirin ANSWER: C A patient receiving propranolol hydrochloride should be told to expect A.acceleration of the heart rate after eating a heavy meal B.flushing sensations for a few minutes after taking the drug C.dizziness with strenuous activities ANSWER: C A patient with duodenal ulcer will describe the associated pain as A.a generalized abdominal pain intensified by moving B.a gnawing sensation relieved by food C.an ache radiating to the left side ANSWER: B Guinea worm disease is described as....... A.air borne only B.vector borne C.food borne ANSWER: B Cranial nerve I is also called A.Olfactory nerv B.Oculomotor nerve C.Trochlear nerve ANSWER: A A client is told that a tuberculin test is positive. Which statement would indicate that the client understands the test results? A."I have had previous exposure to tuberculosis" B."I have immunity and cannot develop the disease" C."I currently have active tuberculosis" ANSWER: A A positively charged ion in the body is called: A.cation B.anion C.Buffer ANSWER: A Laboratory criteria for diagnosis of rabies is............ A.leukocyte antigen B.immunofluorescent assay C.direct fluorescent antibody test ANSWER: C Without any pathological lesions, a patient's respiratory center is stimulated by A.calcium B.carbon dioxide C.lactic acid ANSWER: B A nurse who is caring for a client that has a hearing impaired will adopt which of the following approaches? A.speak in a normal tone B.speak loudly C.speak directly into the unaffected ear ANSWER: A A patient with CHF is given Lasix (frusemide), the nurse must monitor which of the following laboratory values to identify any side effects? A.glucose B.sodium C.potassium ANSWER: C Diabetes mellitus is... A.not treatable B.treatable but not curable C.not controllable ANSWER: B In pericarditis, which of the following clinical features differentiates it from other cardiopulmonary disease? A.chest pain that worsens on inspiration B.pericardial friction rub C.anterior chest pain ANSWER: B An example of primary prevention activities by the nurse would be A.assisting in immunization programme B.correcting of dietary deficiencies C.establishing goals for rehabilitation ANSWER: A Which of the following occurs in cardiogenic shock? A.flushed, dry skin with bounding pedal pulses B.cool, clammy skin with weak or thready pedal pulses C.cool, dry skin with alternating weak and strong pedal pulses ANSWER: B A simple non-toxic goiter is called... A.hyperthyroidism B.endemic goiter C.hypothyroidism ANSWER: B A serious complication of malaria is... A.anaemia and haemorrhage B.black water fever C.congested lungs ANSWER: B A patient who has been exposed to Hepatitis A is given gamma globulin to provide passive immunity which A.accelerates antibody-antigen union at the hepatic site B.increases the production of short-lived antibodies C.provides antibodies that neutralize the antigen ANSWER: C Diabetic ketoacidosis is common in... A.Type I B.Type II C.both Type I and II ANSWER: A A client complains of intermittent episodes in which the fingers of both hands become pale, cold and numb. They become reddened and swollen with throbbing pain. The client is suffering from: A.Hodgkin's disease B.Parkinson's disease C.Raynauld's disease ANSWER: C Which of the following does not exacerbate the condition of a patient suffering from heart failure? A.recent upper respiratory infection B.nutritional anaemia C.peptic ulcer disease ANSWER: C A Client admitted with pulmonary oedema was put on digoxin 0.25mg daily, Furosemide 40mg daily and nasal oxygen therapy at 2 liters/minute. To evaluate the effectiveness of digoxin, the nurse should observe for.. A.increased urine output B.increased pulse rate C.lowered blood pressure ANSWER: C A patient on lasix and digoxin should be observed for symptoms of electrolyte depletion caused by... A.continuous dyspnoea B.diuretic therapy C.inadequate oral intake ANSWER: B A physician's prescription ordered for a client reads "injection cloxacillin 125 mg i.m". The medication vial states 100 mg per ml. How many milliliters of the drug should the nurse draw into the syringe for injection? A.125 ml B.1.25 ml C.1250 ml ANSWER: B The normal adult dosage of asprin is... A.300mg B.0.2g C.600mg ANSWER: A The by products of all foods oxidized in the body are; A.amino acids, oxygen and glycerol B.carbon dioxide, energy and water C.glucose, amino acids and water ANSWER: B Dermatitis, diarrhea, and dementia are characteristic of.... A.pellagra B.rickets C.osteomyelitis ANSWER: A Before giving a patient digoxin, the nurse should check the... A.apical heart rate B.difference between apical and radial pulse C.radial pulse ANSWER: A A common complication of myocardial infarction is A.anaphylactic shock B.cardiac arrhythmias C.cardiac enlargement ANSWER: B Which of the following vitamins cannot be found from a plant source? A.vitamin A B.vitamin B12 C.vitamin E ANSWER: B In preparation of home-made oral rehydration salt, the following are needed except: A.8 heaped teaspoonfuls of sugar B.1 level teaspoonful of salt C.1000mls of wholesome water ANSWER: A Which of the following drug is derived from animal products? A.opium B.insulin C.halothane ANSWER: B An Ambu-Bag is used at the intensive care unit when A.a respiratory arrest occurs B.a surgical incision with copious drainage is present C.the patient is in ventricular fibrillation ANSWER: A Maniere's disease is a disorder of the A.external ear B.inner ear C.middle ear ANSWER: B One of the commonest complications of chronic asthma is A.atelectasis B.emphysema C.pneumothorax ANSWER: A A nurse understands that presbycusis is accurately described as A.A sensori-neural loss that occurs with aging B.a conductive hearing loss that occurs with aging C.Tinnitus that occurs with aging ANSWER: A Which of the following is a classical feature of tetanus? A.vomiting B.trismus C.cyanosis ANSWER: D When emphysema is present there is decreased oxygen supply because of A.infectious obstructions B.loss of aerating surface C.pleural effusion ANSWER: A The classical signs and symptoms of nephrotic syndrome does not include.... A.cholestraemia B.hyponatraemia C.hyperalbuminaemia ANSWER: C The nurse administer nasogastric tube feeding slowly to avoid the risk of A.Regurgitation B.flatulence C.indigestion ANSWER: A When teaching about antacids therapy, the nurse should include the fact that antacid tablets... A.are as effective as the liquid form B.Interfere with the absorption of other drugs C.must be taken 1 hour before meals ANSWER: B In teaching a client who has been diagnosed of prostate cancer and put on diethylstilbesterol, the nurse should tell him he probably will experience which side effects? A.Priapism and increased libido B.gynaecomastia and high-pitched voice. C.Hirsutism and ascites ANSWER: B