MEDICAL PRE LICENSURE EXAMS

TEAM UNSAG
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1. Mr. Adae is an aged of 76 years with vision problems. He has been diagnosed of a
disorder involving the eye. Atta mann, a nurse knows that In preparing a client for
accommodation test, a client’s vision is tested with Snellen chart. The result of the
least is documented as 20/60. The nurse interprets this as: Select One:

a.The client is vision is normal

b.The client can read at a distance of 20 feet what a client with normal vision can read at 60
feet.

c.The Client can read at a distance of 60 feet what a client with normal vision can read at 20
feet.

2.A patient admitted at the emergency ward as a result of road accident is bleeding
profusely. The nurse knows that during acute severe blood loss the body will: Select One:

a.increase haemolytic process

b.reduce blood flow to the peripheral structures

c.inhibit erythropoiesis

3 Mr. Sam, a 82year old unconscious patient has been admitted at the hospital as a
result of a fall, wounded and has lost much blood. Which of the following common
signs or symptoms indicate that the patient is suffering from myocardial infarction?
Select One:

a.client’s pain is not relieved by rest and nitroglycerin

b.the client experiencing nausea and vomiting

c.the client complains of pain while walking

4.A 55year old blacksmith visit the nutritionist for better understanding on why his stomach
keeps becoming big. As a staff, you know that the byproducts of all foods oxidized in the
body are; Select One:

a.glucose, amino acids and water

b.carbon dioxide, energy and water

c.fatty acids, glycerol and carbon dioxide

5. In geriatric nursing, there are certain special therapeutic techniques when nursing for an
aged. To facilitate communication with Mr. Ntoo, an 80 year old client A nurse who is caring
for a client who has a hearing impaired will has to adopt which of the following
approaches? Select One:

a.speak in a normal tone

a.speak frequently

c.speak directly into the unaffected ear

6. In geriatric nursing, there are certain special therapeutic techniques when nursing for an
aged. To facilitate communication with Mr. Ntoo, an 80 year old client A nurse who is caring
for a client who has a hearing impaired will has to adopt which of the following
approaches? Select One:

a.speak in a normal tone

b.speak frequently

c.speak directly into the unaffected ear

7. A patient after investigation was known to have haemoglobin-S. In patient with

haemoglobin S, the amino acid, valine is substituted with which of the following:

a.Hydrochloric acid

b.Ferrous sulphate

c.Glutamic acid
8. A patient admitted at the children’s ward has been diagnosed of pernicious anaemia.
Nurse Esinam knows that Pernicious anaemia is also called: Select One:

a.Addison’s anaemia

b.Koilonychias

c.Hanson’s disease

9. Miss Mensah has been admitted at the Kade Government hospital with systemic lupus
erythematosus. Which of the following findings is a suggestive of the systemic lupus
erythematosus ? Select One:

a.Two haeinoglobin s genes

b.Ascites

c.Butterfly rash on cheeks and bridges of nose

10. A client with tuberculosis who is co-infected with HIV requires that anti-tubercular
therapy lasts for: Select One:

a.6 total month and at least 3 months after culture converts to negative

b.9 total month and at least 3 months after culture converts to negative

c.9 total months and at least 6months after culture converts to negative

11. Most patients admitted worldwide require some form of medications for intervention.
The reasons of intramuscularly injection include the following EXCEPT: Select One:

a.When the volume is so large as to preclude the use of other route

b.When quicker absorption is required than from subcutaneous route

c.When administering antibiotics

12.You are nursing a patient with heart disease, and exhibiting heart failures. Which of the
following does not exacerbate the condition of a patient suffering from heart failure? Select
One:

a.peptic ulcer disease

b.recent upper respiratory infection

c.nutritional anaemia

13. Nurse Gina has been admitted at the hospital in which she works as a result of
metabolic problems. A drug which is a metabolite has been prescribed for her to aid in
normal biochemical reaction. Antimetabolites include: Select One:

A. Methrotrexate and thioguanine

b.Sulphonamides and methrotrexate

c.Aminoglycocides and vinblastine deconoate

14. A farmer reported to the health facility and he was known to be haemophiliac. In
haemophiliacs, the swelling of the joints result from which of the under listed: Select One:

a.Bleeding

b.Bruising

c.Infection

15. Maame Mansah has been diagnosed of leukemia when admitted at the hospital. Nurse
Nkransah knows that, in leukemia there is: Select One:

a.Excessive and controllable production of reticulocytes

b.Excessive and uncontrollable production of leucocytes

c.Excessive and ineffective production of enzymes

16. A patient admitted at the children’s ward has been diagnosed of Anaemia due to sickle
cell disease. The child’s condition becomes evident and severe at what point? Select One:
a.Fewer cells are produced.

b.More cells are produced

c.Erythropoiesis is suppressed

17. There are many nutritional deficiencies. When a patient exhibits Dermatitis, diarrhea,
and dermatitis, they are characteristic of which of the following conditions: Select One:

a.pellagra

b.Rickets

c.osteomyelitis

18. Mr. Akoto, a patient with vitamin B12 deficiency has been planned to undertake
schilling test. His urine need to be collected for this process. He has been diagnosed of
pernicious anaemia. This patient with pernicious anaemia may be given: Select One:

a.Aminoglycoides

b.Sulphonamides

c.Tranquilizers

19. An aspirate of synovial fluid from Abena Ataa, a patient with rheumatoid arthritis
reveals which of the following findings? Select One:

a.cloudy synovial fluid

b.bloody synovial fluid

c.presence of urate crystals

20. About 70% of the body’s iron is found in the red blood cells of your blood. This body iron
is more available in which form? Select One:

a.haemosiderin

b.ferritin
c.ferrous

21. Acute myeloid leukemia is not common in children under 4 years. Other names in
which we can refer this condition are as follows except: Select One:

a.Granulocytic leukemia

b.Aplastic leukemia

c.Nonlymphocytic leukemia

22. An attack of an acute rheumatic fever is related to an antecedent by which of the

following occurring? Select One:

a.streptococcal throat infection

b.tuberculosis infection

c.gonococci infection

23. A patient with ascites has been scheduled for parenthesis. Prior to abdominal
parenthesis for a client with ascites, the first action of the nurse is: Select

a.Take the client’s temperature every quarter hourly.

b.Make sure the bladder is empty

c.Mature the weight of the client

24. A farmer reported to the health facility and he was known to be haemophiliac. In
haemophiliacs, there is a: Select One:

a.Fast clotting time

b.Absence of clotting

c.Delay clotting time

25. A nurse knows that there are other cranial nerves that send impulses to other parts of
the body. Oculomotor nerve is also called: Select One:

a.cranial nerve VII

b.cranial nerve III

c.cranial nerve IV

26. Nurse Bright has administered a beta-blocker to his patient and the patient has started
experiencing some common side effect as nausea, abdominal pain and constipation.
Which of the following drugs is a beta-blocker? Select one;

a.Nifedipine

b.Propranolol

c.Heparin

27. A client arrives at the emergency unit with as foreign body in the left ear that has been
found to be an insect. In nursing this case, what is the most important thing, the nurse
must do.? Select One:

a.instill antibiotic ear drop

b.instill corticosteroid ointment

c.instill diluted alcohol

28. The red blood cells have a relatively low haemoglobin-F. This normal fetal hemoglobin
is the main type of hem in fetus. Nurse Wassy knows that this relatively low haemoglobin-F
has: Select One:

a.Less normal haemoglobin

b.More haemoglobin S

c.Less life span

29. A nurse knows that there are other cranial nerves that send impulses to other parts of
the body. Cranial nerve I is also called the: Select One:

a.Facial nerve

b.Oculomotor nerve

c.Olfactory nerve

30. Mr. Binn, a newly admitted patient with gout. Nurse Bright made an assessment on him
and notices some level of component in his blood. What do you think Nurse Bright noticed
in this client diagnosed of gout will show in the blood? Select One:

a.phosphorus level of 3.0mg/dl

b.uric acid level of 8.0mg/dl

c.calcium level of 9.0 mg/dl

31. A semi-conscious patient who is very weak wants to lift himself from bed to urinate.
Before nurses lift a patient into a wheelchair, there should be: Select One:

a.Two chairs placed back-to-back so he sit for a while

b.Adequate space around the bed

c.The presence a relative

32. Acute lymphoblastic leukemia is more common in children under 10 years but can also
occur in adults. In the care of a patient with leukemia, which of the following drugs is often
prescribed to relief pain of leukemia patient? Select One:

a.Morphine

b.Metformin

c.Cyclophosphamide

33. Mr. Adae is an aged of 76 years with vision problems. He has been diagnosed of a
disorder involving the eyes. Atta mann, a nurse knows that A client admitted with a
diagnosis of retinal detachment, Which of the following would she include in the plan of
care? Select One:

a.maintain high-Fowler’s position

b.restrict visitors

c.place an eye patch over the affected eye

34. Attah Baah, a patient at the ward who has been diagnosed with TB. He has been
scheduled to undertake a mantoux skin test. A Mantoux test that results positive has
indurations greater than how many mm? Select One:

a.5mm

b.10mm

c.3mm

35. Atta Siaw, a client admitted at the hospital with coronary artery disease. The patient has
been directed in terms of his diet, what he should eat and what he is not supposed to eat.
The client suffering from coronary artery disease should be encouraged to take: Select
One:

a.rice and grilled chicken

b.fruits, vegetables and baked fish

c.eggs, buttered rice with fried chicken

36. A patient was involved in a road accident and went unconscious. She was admitted at
your ward for immediate assessment. Upon the assessment, the patient cannot breathe
well and there was shock. Which of the following occurs in cardiogenic shock? Select One:

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
37. A patient with a congestive heart failure, need to be served with a medication. Before a
nurse serves digoxin to the client, she should do which of the following? Select One:

a.Cheek the blood pressure

b.Cheek the respiratory rate

c.Check the pulse rate

38. Miss Sowah is a patient at the female’s ward at 37 Military hospital. Due to her state,
there is NG tube insitu. A nurse planning care for this client with hepatitis, plans to meet
the client’s safety needs would be: Select One:

a.monitoring prothrombin and partial thromboplastin values

b.assisting with meals

c.weighing and recording a weight daily

39. Ababio, a patient has been admitted to your ward following peptic ulcer. Which of the
following data collected by the nurse is least associated with Peptic ulcer diseases? Select
One:

a.History of alcohol abuse

b.History of tarry black stools

c.History of the use of acetaminophen

40. Acute lymphoblastic leukemia is more common in children under 10 years but can also
occur in adults. In the care of a patient with leukemia, the nurse has knowledge that acute
leukemias show which of the nature of the cells? Select One:

a.Immature and smaller than normal cells

b.Mature and larger than normal cells

c.Mature and smaller than normal cells

41. Auntie Amah, a patient who looked very weak and pale. After investigation, it was found
that there are greater than normal level of carbon dioxide in the blood which is termed as
hypercapnia. What is another name for hypercapnia is? Select One:

a.Hypercarbin

b.Hyperdyspnoea

c.Hypernopxia

42. A 6year old child, a boy, was admitted to the hospital with malnutrition. He requires a
supplementation of some food substances. As a staff nurse, you know that Vitamins are
needed IN CERTAIN AMOUNT to sustain growth and health of the child. Which is: Select
One:

a.periodically in greater quantities

b.periodically in smaller quantities

c.daily in smaller quantities

43. A patient has been at the male’s ward and has been on dialysis for some couple of days
now. His body fluid imbalance has been monitored timely. Laboratory results indicate there
is a negative charged ion. Nurse Kimbi knows that a negatively charged ion in the body is:
Select One:

a.anion

b.cation

c.hydrolysis

44. Miss Kate is a patient at the female’s ward at 37 Military hospital. A nurse is collecting
data on the hepatitis patient, which of the following suggest a severe damage to the liver?
Select One:

a.Clay stools, pruritus and dark urine

b.Dark stools, pruritus, and amber urine

c.Clay stools, yellow sclera, and blood tinged urine

45. Among male patients receiving antihypertensive drugs the commonest side effect the
nurse should discuss with the client and his wife is: Select One:

a.Dizziness

b.Impotence

c.Nausea and dizziness

46. A patient has an increased appetite, but sudden weight loss. He was diagnosed of
hyperthyroidism. In severe hyperthyroidism, the increased utilization of oxygen is due to
which of the following: Select One:

a.Rapid rate of metabolism

b.Rapid rate of absorption

c.Decrease rate of utilization of carbon dioxide

47. A nurse is assigned to administer the prescribed eye drops for a client preparing for
cataract Surgery. Which of the following types of eye drops will the nurse expect to be
prescribed? Select One:

a.A mydriatic medication

b.A thiazide diuretic

c.An osmotic diuretic

48. It is important for the nurse to prevent infection in sickle cell patient. This is because it
has been proven. What do you think is the reason for the nurse to prevent infection in sickle
cell patient? Select One:

a.Infection can cause sickling

b.Infection causes clubbing of the fingers

c.Infection kills instantly

49. A mother came to the hospital with her 5year old child with severe dehydration. The
nurse told the mother that, in preparation of home-made oral rehydration salt, the following
are needed except: Select One:

a.1000mls of wholesome water

b.a clean container and its cover

c.8 heaped teaspoonfuls of sugar

50. A nurse should advise a client with Maniere’s disease and experiencing severe vertigo to
do which of the following: Select One:

a.decrease sodium intake

b.avoid sudden head movements

c.lie still in bed and watch television

51. In geriatric nursing, there are certain special therapeutic techniques when nursing for
an aged. To facilitate communication with Mr. Ntoo, an 80 year old client, a nurse
understands that presbycusis is accurately described as: Select One:

a.a sensori-neural loss that occurs with aging

b.nystagmus that occurs with aging

c.a conductive hearing loss that occurs with aging

52. A client always has an urgency to defecate but inability to defecate. You are the nurse in
charge of this patient. Later the client was diagnosed with pernicious anaemia. Pernicious
anaemia is associated with: Select One:

a.Excessive consumption of iron

b.Decreased consumption of iron

c.Decreased absorption of cobalamin

53. Mrs. Boateng is an aged of 76 years with vision problems. She has been diagnosed of a
disorder involving the eye. To minimize the systemic effects that eye drops can produce,
the nurse plans to instruct the client to: Select One:

a.occlude the nasolacrimal duct with the finger for several minutes after instilling the drops

b.Swallow several times after instilling the drops.

c.Blink vigorously to encourage tearing after instilling drops.

54. A well-known diabetic patient experiencing burning pains, has been given food to eat
that will buffer stomach acid. In providing instructions to a client with peptic ulcer disease,
the nurse tells the client to: Select One:

a.Consume a bland diet only

b.Eat everything that does not aggravate or cause pain.

c.Eat foods that will increase gastrointestinal motility.

55. A 40year old baker has been admitted to Atua Government hospital. She has been
known for the excess of Potassium. Which of the following indicates she is having
Potassium excess and can result in? Select One:

a.muscle cramps

b.sunken eyes

c.increased sweating

56. A boy, age 14 is admitted to the hospital with acute myelogenous leukemia and
presented bruises and petechiae over his legs. Which nursing measure would best prevent
additional bruising? Select One:

a.Brushing his teeth only once per day

b.Trimming his nails short

c.Handling him well with the palms of the hands

57. One of the devastating health issue is a patient with Raynaud’s disease. Which of the
following foods can worsen the pain of a client suffering from Raynaud’s disease? Select
One:

a.ingestion of an offal

b.ingestion of cereals and pulses

c.ingestion of coffee or chocolate

58. Nurse Ato is caring for an emergency case, where there is a need for cold compresses.
When cold compress are applied to the skin, the superficial blood vessels constrict and
this may: Select One:

a.Help to increase blood flow and relieve anxiety

b.Help to increase blood supply and relieve pain

c.Help to check capillary flow and relieve anxiety

59. A physician assessed a patient’s fluid. Upon assessment, it was found that there were
excess. As a nurse, you have knowledge that, the major function of sodium in the body is
to: Select One:

a.balance body fluid

b.to form ATP

c.promote wound healing

60. Nurse Ababio has prescribed a Calcium channel blocker for his patient. The reason for
administering such medication to act on blood vessels to: Select One:

a.Decrease the preload

b.Decrease the force of contraction

c.Dilate coronary and peripheral vessels

61. Mr. Nyantakyi is an aged of 76 years with vision problems. He has been diagnosed with
a disorder involving the eye. Bernice, a nurse knows that in preparing a client for
accommodation test, initially the nurse asks the client to do which of the following? Select
One:

a.raise one finger when the sound is heard

b.focus on a close object

c.focus on a distant object

62. Food nutrients are very important ingredients that support and good growth and
promote health. Nurse Anita is educating mothers on nutrition for their children. Which of
the following vitamins cannot be found from a plant source, she will definitely include?
Select One:

a.vitamin A

b.vitamin E

c.vitamin B12

63. Wound care and management is very necessary after an invasive procedure. What is
the initial action the nurse should take after realizing that the peripheral intravenous site
dressing is wet? Select One:

a.Check that the tubing is securely attached

b.Stop infusion immediately and notify the physician

c.Remove the plaster and discontinue the infusion

64. Physiological mechanisms of adaptation of a human body works in several ways. Nurse
Ababio knows that these physiological mechanisms work together through complex
relationships in which of the following: Select One:

a.nervous and endocrine systems

b.respiratory and nervous systems

c.digestive and nervous systems

65. A nurse is assigned to administer the prescribed eye drops for a client preparing for
cataract Surgery. She is to apply an agent. The nurse knows that a myotic agent would
always do which of the following: Select One:

a.Dilate the pupil

b.Constrict the pupil

c.Improve the sight

66. John Mensah is a farmer of 73years, and has been admitted at the male ward. His vital
signs have been assessed by Nurse Twum timely. The patient is experiencing respiratory
distress but unchanged blood pressure. The immediate nursing action to perform is: Select
One:

a.Suction of the patient vigorously

b.Put the patient in high-Fowler’s position

c.Give all the prescribed medications

67. Many people from Antoa community has been reporting to your health facility with a
guinea worm infestation. Nurse Akey knows that, Guinea worm disease is described as:
Select One:

a.air borne only

b.vector borne

c.Food borne

68. A client diagnosed of thrombophlebitis 24 hours ago suddenly complains of chest pain,
shortness of breath and visible anxiousness. The nurse, Bright nursing this client must
check the client for other signs and symptoms of: Select One:
a.pulmonary embolism

b.pulmonary oedema

c.myocardial infarction

69. A patient with proprioception has imbalances in his posture and movements. Which of
the following techniques will the nurse perform to adequately assess this client with
proprioception? Select One:

a.Tap the Achille’s tendon using the reflex harmer

b.Firmly strike lateral sole of the foot and the under the toe with a blunt instruments

c.Hold the sides of the client’s toe, while moving it, ask what position it is in

70. A client will undergo a barium swallow the next morning to determine whether a hiatal
hernia is present. As a nurse how or what would you instructs the client to do? Select One:

a.Have a clear liquid breakfast only on the morning of the test

b.Take all routine medications on the morning of the test.

c.Avoid eating or drinking after midnight before the test.