A form of Shock that results from failure of the heart to pump adequate blood is called:

Select one:

a.

obstructive shock.

b.

hypovolemic shock.

c.

cardiogenic shock.

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The correct answer is:

cardiogenic shock.

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Which of the below is appropriate when teaching a patient diagnosed of hemorrhoids?

Select one:

a.

Teach the patient about the care of the anal area and visit the toilet frequently

b.

Teach the patient about the importance of diet, and the care of the anal area.

c.

Teach the patient to eat diet rich in cholesterol and iron

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The correct answer is:

Teach the patient about the importance of diet, and the care of the anal area.

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Step Time Action State M

Question 3

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The causative agent for peptic ulcer is:

Select one:

a.

Helicobacter pylori

b.

Helicobacter pyogen

c.

Helicobacter prins

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The correct answer is:

Helicobacter pylori

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The major advantage of a venuri mask is that it can:

Select one:

a.

provide continuous 100% humidity.

b.

deliver up to 80% O2.

c.

deliver precise concentration of 02.

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The correct answer is:

deliver up to 80% O2.

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The bone cell that absorbs bone fragments at fracture site during healing is termed as:

Select one:

a.

osteoclasts.

b.

osteocytes.

c.
osteoblasts.

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The correct answer is:

osteoclasts.

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Extracellular fluid that surrounds the body’s cells is termed as:

Select one:

a.

intravascular fluid.

b.
intracellular fluid.

c.

interstitial fluid.

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The correct answer is:

interstitial fluid.

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Question 7

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Which of the below statements is the most common clinical manifestations of hemorrhoids?

Select one:

a.

Bleeding with defecation

 b.

Bleeding without defecation

c.

Bleeding during constipation

Feedback

The correct answer is:

Bleeding with defecation

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If a fracture heals in a wrong direction or shift, the healing is termed as:

Select one:

a.

defective growth.

b.

malunion.

c.

callus.

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The correct answer is:

malunion.

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Question text

Which of the below hormones is produced by the pancreas to help raise the blood glucose when the
body experiences low sugar level?

Select one:

a.

Glucagon

b.

Insulin

c.

Pancreatic glucose releaser

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Glucagon

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Urticaria, wheezing, and bronchospasm are commonly seen in patient with which of the below
conditions?

Select one:

a.

Hypovolemic shock

b.

Neurogenic shock

c.

Anaphylactic shock

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Anaphylactic shock

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Question 11

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Which of the below hormones are produced by the thyroid gland?

Select one:

a.

T3, T4 and Calcitonin.

b.

T3, ADH and Calcitonin.

c.

T3, T4 and ADH.

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The correct answer is:

 T3, T4 and Calcitonin.

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Question 12

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Which of the below clinical manifestation should the nurse expect to find in a severely anemic patient?

Select one:

a.

Cold clammy skin

b.

Cyanosis and wheezes

c.

Dyspnea and tachycardia

Feedback

The correct answer is:

Dyspnea and tachycardia

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A soft tissue injury in which the ligament is torn is called______.

Select one:

a.

Contusion

b.

Strain
 c.

Sprain

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The correct answer is:

Sprain

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Question 14

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One of the hormones produced by the posterior Pituitary gland is:

Select one:

a.

thyroid stimulating Hormone (TSH).

 b.

oxytocin.

c.

prolactin.

Feedback

The correct answer is:

oxytocin.

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The process by which fluid move from area of higher concentration to an area of low concentration is
termed as:
Select one:

a.

osmosis

b.

diffusion.

c.

filtration

Feedback

The correct answer is:

osmosis

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A brain injury in which there is temporary loss of neurological functions without any structural damage
is termed as:

Select one:

a.

concussion.

b.

seizure.

c.

contusion

Feedback

The correct answer is:

contusion

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The teaching plan for patient with stomach cancer receiving chemotherapy should include:

Select one:

a.

wound and skin care, nutrition, and regular vigorous exercise

b.

cancer support group and spiritual healing

c.

wound and skin care and grief counseling

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The correct answer is:

wound and skin care and grief counseling

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In which phase of burn injury does restoration of capillary permeability occur?

Select one:

a.

Emergent phase.

b.

Rehabilitative phase.

c.

Acute phase.

Feedback

The correct answer is:

Emergent phase.

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Question 19

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What instruction would the nurse include in a teaching plan for a patient with mild gastroesophagus
reflex disease (GERD)?

Select one:

a.

the time to take an antacid is 1 to 3 hours after meals

b.

a glass of warm milk at bed time

c.

reduce the intake of food high in protein

Feedback

The correct answer is:

the time to take an antacid is 1 to 3 hours after meals

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A burn that consumes all layers of the skin including the muscle and the bone are considered:

Select one:

a.

4th degree burn.

b.

1st degree burn.

c.

3rd degree burn.

Feedback

The correct answer is:

4th degree burn.

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OES

PROFESSIONAL NURSE EXAMS: MEDICAL SURGICAL MAY 2022

Question 21

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When the nurse put aside his/her own perspective to understand another person’s perspective, he/she
is being:

Select one:

a.

empathetic.
 b.

genuine.

c.

culturally sensitive.

Feedback

The correct answer is:

empathetic.

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A complication of the hyperviscosity of polycythemia is:

Select one:

a.

thrombosis.

b.

cardiomyopathy.

c.

pulmonary edema.

Feedback

The correct answer is:

thrombosis.

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Question 23

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Anticoagulant therapy is more likely to cause:

Select one:

a.

emphysema.

b.

epistaxis.

c.

nasal polys.

Feedback

The correct answer is:

epistaxis.

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Question 24

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The nurse expects the long term treatment of a patient with hypophos phatemia secondary to renal
failure will include:

Select one:

a.

Magnesium Supplements

b.

Calcium Supplements

c.

Fluid restriction

Feedback

The correct answer is:

Calcium Supplements
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Question 25

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The best description of aging is:

Select one:

a.

Normal change process from birth and continue throughout life

b.

It begins with birth and ends with early adulthood

c.
The process isn’t time related

Feedback

The correct answer is:

Normal change process from birth and continue throughout life

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Question 26

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The roles of a nurse in geriatric care includes:

Select one:

a.

increasing anxiety and agitation.

b.

maintaining the patient physical safety and improving communications.

 c.

maintaining the patient safety and decrease communications.

Feedback

The correct answer is:

maintaining the patient physical safety and improving communications.

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Question 27

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During administration of a hypertonic IV solution, the mechanism involved in equalizing the fluid
concentration between ECF and the cells is:

Select one:

a.
Diffusion

b.

Active Transport

c.

Osmosis

Feedback

The correct answer is:

Osmosis

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Question 28

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Which of the below conditions triggers the release of ADH?

Select one:

a.

High fluid volume

 b.

Low sugar level in the blood

c.

Low fluid volume

Feedback

The correct answer is:

Low fluid volume

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Question 29

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Which of the below Hormones is NOT produced by the Anterior Pituitary?

Select one:

a.

Adrenocorticotropic hormone

b.

Antidiuretic Hormone (ADH)

c.

Thyroid Stimulating

Feedback

The correct answer is:

Antidiuretic Hormone (ADH)

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Question 30

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The Proper attire for the semi restricted area of the Surgical theater is:

Select one:

a.

head cover, scrub suit, mask, warm-up jacket and shoe.

b.

head cover, scrub suit, mask, warm-up jacket and shoes, sterile gloves.

c.

head cover, scrub suit, mask, sterile gloves and shoes.

Feedback

The correct answer is:

head cover, scrub suit, mask, warm-up jacket and shoe.

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Question 31

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What should a patient be taught after hemorrhoidectomy?

Select one:

a.

Use a prescribed pain predication before a bowel movement

b.

Take mineral oil before bedtime

c.

Administer oil retention enema to empty the colon.

Feedback

The correct answer is:

Use a prescribed pain predication before a bowel movement

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Question 32

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An example of transcellular fluid is:

Select one:

a.

Synovial Fluid

b.

Plasma

c.

Lymph.

Feedback

The correct answer is:

Synovial Fluid

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Question 33

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Aging is associated with changes in:

Select one:

a.

Height

b.

Bone structure

c.

cognitive Function

Feedback

The correct answer is:

cognitive Function

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Question 34

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The early detection of problems in an adult result in:

Select one:

a.

late intervention

b.

early intervention

c.

prolong intervention

Feedback

The correct answer is: early intervention

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Question 35

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The portions of the vertebra column more prone to injury are the:

Select one:

a.

thoracic and lumbar region

b.

the cervical and lumbar region.

c.

sacral and caudal region

Feedback

The correct answer is:

the cervical and lumbar region.

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Question 36

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What are the priority interventions of the nurse for a patient who is admitted to the Post Anesthesia
Care Unit (PACU)?

Select one:

a.

Assess for airway potency and quality of respiration and other vital signs.

b.
Review results of intra operative laboratory value and medication.

c.

Assess the surgical cite noting presence and character of drainages.

Feedback

The correct answer is:

Assess for airway potency and quality of respiration and other vital signs.

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10:20

Question 37

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Question text

Freely moveable joints are called:

Select one:

a.

diarthrotic joints.

b.

synarthrotic joints.

c.

amphiarthrotic joints.

Feedback

The correct answer is:

diarthrotic joints.

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Question text

Injury to the brain subsequent to the original traumatic event is termed as:

Select one:

a.

primary injury.

b.

tertiary injury.

c.

secondary injury.

Feedback

The correct answer is:

secondary injury.

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Question 39

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Which of the below statements best describes fecal incontinence?

Select one:

a.

The involuntary passage of stool

b.

The voluntary passage of stool

c.

Passage of dry hard stool

Feedback

The correct answer is:

The involuntary passage of stool

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Question 40
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A seizure that is characterized by at least 30 minutes of repetitive seizure activity without a return to
consciousness is termed as:

Select one:

a.

neuro-toxic seizure.

b.

status epilepticus.

c.

grand mal seizures.

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The correct answer is:

status epilepticus.

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PROFESSIONAL NURSE EXAMS: MEDICAL SURGICAL MAY 2022

Question 41

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The major Anion in the Extracellular fluid (ECF) is called______.

Select one:

a.

Phosphate.

b.

Bicarbonate.

c.

Chloride.

Feedback

The correct answer is:

Chloride.

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Question 42

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The most important nursing care for a bed ridden patient with fecal incontinence is:

Select one:

a.

encouraging patient to wear pampers

b.

maintaining perineal integrity

c.

washing genital area only

Feedback

The correct answer is:

maintaining perineal integrity

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Question 43

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Question text

Constipation is defined as:

Select one:

a.

frequent passage of hard, dry stools

b.

passage of semi solid stools

c.

passage of hard, dry stools

Feedback

The correct answer is:

passage of hard, dry stools

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Question 44

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When a patient who suffered head injury opened his eyes to verbal command, localizes pain and but
confused will be scored using the Glasgow Coma Scale at:

Select one:

a.

12

b.

c.

Feedback
The correct answer is:

12

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Question 45

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A collection of a perianal pus is known as:

Select one:

a.

Anal fissure

b.

Anorectal abscess

c.

Anal fistula
Feedback

The correct answer is:

Anorectal abscess

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Question 46

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The primary responsibility of a nurse caring for a patient undergoing surgery is:

Select one:

a.

ensuring that the patient has been assessed for safe administration of anesthesia.

b.

developing an individualized nursing care plan for the patient.

 c.

carrying out specific task related to surgical policies and principles.

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developing an individualized nursing care plan for the patient.

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Question 47

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The pressure inside the alveoli and the bronchial tree is referred to as:

Select one:
 a.

Intrapleural pressure.

b.

Potential pressure.

c.

Intrapulmonic pressure.

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The correct answer is:

Intrapulmonic pressure.

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Question 48

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The dominant Cat-ion in the intracellular fluid (ICF) is:

Select one:

a.

sodium.

b.

potassium.

c.

calcium.

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The correct answer is:

sodium.

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Question 49

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Which of the below conditions causes a pulse pressure to become widen?

Select one:

a.

Heart failure

b.

Hypovolemia

c.

Iron deficiency anemia

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The correct answer is:

Iron deficiency anemia

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Question 50

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A Nursing care plan for a patient with Chronic Obstructive Pulmonary Disease (COPD) include:

Select one:

a.

high flow rate of O2 administration.

b.

low dose of oral conticosteroid therapy.

c.

walking and breathing exercises.

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The correct answer is:

walking and breathing exercises.

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Question 51

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A narrow pulse pressure can be caused by:

Select one:

a.

aortic stenosis.

b.

hyperthyroidism.

c.

heart valve regurgitation.

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aortic stenosis.

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Question 52

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The hormone that Antagonizes the function of calcitonin in the body is known as:

Select one:

a.

thyroxin.

b.

parathyroid hormone.

c.

luteinizing hormone.

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The correct answer is:

parathyroid hormone.

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Question 53

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In a health care setting, a professional relationship whose aim is to foster the wellbeing of the client is
term as:

Select one:

a.

empathetic relationship.

b.

nurse-client relationship.

c.
bonding relationship.

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The correct answer is:

nurse-client relationship.

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Question 54

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A genetic disorder associated with an excessive production of thick and sticky mucus in the lungs is
considered as:

Select one:

a.

cystic fibrosis.
 b.

pulmonary embolism.

c.

acute respiratory distress syndrome.

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The correct answer is:

cystic fibrosis.

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Question 55

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The hormone responsible to initiate and maintain milk production by the mammary glands is known as:

Select one:
 a.

oxytocin.

b.

follicle Stimulating Hormone.

c.

prolactin.

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The correct answer is:

prolactin.

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Question 56

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An unconscious patient that expresses incomprehensible sound, opens eyes in response to painful
stimuli and has an abnormal flexion will have a Glasgow coma score of:

Select one:

a.

b.

c.

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Question 57

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The typical fluid replacement for the patient with a fluid volume deficit is:
with a fluid volume deficit is:

Select one:

a.

Dextrose

b.

0.49% saline

c.

Ringer Lactate

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Question 58

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Accumulation of excess fluid in the pleural space, is termed as:

Select one:

a.

cystic fibrosis.

b.

pleural effusion.

c.

pneumothorax.

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The correct answer is:

pleural effusion.

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Question 59

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Septic shock is a sub-class of:

Select one:

a.

Cardiogenic shock.

b.

Distributive shock.

c.

Obstructive shock.

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The correct answer is:

Distributive shock.

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Question 60

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Which of the below signs or symptoms will NOT easily be found in a patient with hypovolemic shock?

Select one:

a.

Altered mental status

b.

Decreased in urine output.

c.

Bounding pulse

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The correct answer is:

 Bounding pulse

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OES

PROFESSIONAL NURSE EXAMS: MEDICAL SURGICAL MAY 2022

Question 61

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A normal average pulse pressure for an adult is:

Select one:

a.

40mmHg.

b.

25mmHg.

c.

30mmHg.

Feedback
The correct answer is:

40mmHg.

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Question 62

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In managing patient with hypovolemic shock, the first action of the care provider is to:

Select one:

a.

establish a large gauge iv line and administer fluid.

b.

assess for patent airway.

c.
elevate the patient’s bed head to improve breathing.

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The correct answer is:

assess for patent airway.

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Question 63

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The hormone that is responsible to transport glucose to the cells for use is called:

Select one:

a.

insulin

b.

glucagon

c.
anti -Diuretic Hormones

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The correct answer is:

insulin

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Question 64

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Epinephrine and Norepinephrine are produced by the Adrenal Medulla in shock patient in order to:

Select one:

a.

decrease cardiac contractility.

b.
increase circulating volume.

c.

increase vasoconstriction.

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The correct answer is:

increase vasoconstriction.

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Question 65

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What is the initial symptom of anal fistula?

Select one:

a.

Anal bleeding
 b.

Anal pus discharge

c.

Anal edema

Feedback

The correct answer is:

Anal bleeding

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Question 66

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A shock that occurs as a result of excessive vomiting will be termed as:

Select one:

a.

hypovolemic shock.

b.

extra-cardiac shock.

c.

cardiogenic shock.

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The correct answer is:

hypovolemic shock.

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Question 67

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What should the nurse teach a female patient who suffers from frequent Urinary Tract Infection
(UTI)?

Select one:

a.

Take bubble bath frequently

b.

Restrict fluid intake to prevent the need for frequent voiding

c.

Urinate before and after sexual intercourse

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The correct answer is:

Urinate before and after sexual intercourse

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Question 68

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A patient who has bronchiectasis ask the nurse, what conditions would prompt a visit to the clinic?
what conditions would prompt a visit to the clinic?

Select one:

a.

Blood clots in the sputum

b.

Sticky sputum on the hot day

c.

Increased shortness of breath after eating a large meal

Feedback

The correct answer is:

Blood clots in the sputum

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Question 69

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The nurse can best determine adequate arterial oxygenation of the blood by assessing:

Select one:

a.

hemoglobin.

b.

arterial oxygen partial pressure.

c.

heart rate.
Feedback

The correct answer is:

arterial oxygen partial pressure.

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Question 70

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A 32-year-old female patient, is 3 months pregnant with acute abdominal pain and is admitted to the
emergency department. What is the appropriate diagnosis for this patient?

Select one:

a.

Ectopic pregnancy

b.
Placenta Previa

c.

Premature labour

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The correct answer is:

Ectopic pregnancy

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Question 71

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The sign that distinguishes cardiogenic shock from hypovolemic shock is:

Select one:

a.
low BP

b.

distended neck vein

c.

tachycardia

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The correct answer is:

distended neck vein

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Question 72

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A solution that is less concentrated than the blood is termed as:

Select one:

a.

Isotonic solution.

b.

Hypertonic solution.

c.

Hypotonic solution.

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The correct answer is:

Hypotonic solution.

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Question 73

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Which of the following conditions is a long term complication of Meningitis?

Select one:

a.

Valvular heart disease.

b.

Learning disabilities.

c.

Increased intracranial pressure.

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The correct answer is:

Learning disabilities.

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Question 74

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Immoveable joints are called:

Select one:

a.

diarthrotic joints.

b.

synarthrotic joints.

c.

amphiarthrotic joints.

Feedback

The correct answer is:

synarthrotic joints.
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Question 75

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Which of the below conditions is described as air entering the pleural space outside the lungs?

Select one:

a.

Emphysema

b.

Flail chest

c.

Pneumothorax
Feedback

The correct answer is:

Pneumothorax

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Question 76

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Joints that allow limited motion are called:

Select one:

a.

amphiarthrotic joints.

b.

diarthrotic joints.
 c.

synarthrotic joints.

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The correct answer is:

amphiarthrotic joints.

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Question 77

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The associated data for a postoperative patient admitted to the clinical unit that requires immediate
attention is:

Select one:

a.

respiratory rate of P3/mins.

 b.

O2 Saturation of 89%.

c.

blood pressure of 90/60mmHg.

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The correct answer is:

O2 Saturation of 89%.

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Question 78

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A disease condition that reduces the density of a bone making it proned to fracture is termed as:
Select one:

a.

osteomyelitis.

b.

osteoma.

c.

osteoporosis.

Feedback

The correct answer is:

osteoporosis.

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Question 79

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Which of the below assessment findings is associated with Peritonitis?

Select one:

a.

shallow respiration with bradypnea

b.

Rebound tenderness and intermittent abdominal pain

c.

A soft distended abdomen

Feedback

The correct answer is:

Rebound tenderness and intermittent abdominal pain

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Question 80

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An abnormal tunnel leading from the anus or rectum is called:

Select one:

a.

Anal fistula

b.

Anorectal abscess

c.

Vagina fistula

Feedback

The correct answer is:

Anal fistula

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