RGN PI: MEDICINE AND MEDICAL

NURSING SEPTEMBER 2020

SAMMY AND TEAM
1
Question 1
Mr. Isaac Mann 46 years old is on admission at your ward with haemolytic anemia. Which of the
following is a cause of his condition?
Select one:
A.
Spherocytosis.
B.
Idiopathic thrombocytopenic purpura.
C.
Factor IX deficiency.
Clear my choice
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Question 2

A nurse was asked to develop a nursing care plan for a patient with the diagnosis of Gout, What
is the best nursing intervention to carry on?
Select one:
A.
Administer Asprin.
B.
Provide food high in purines.
C.
Apply cold and waarm compress on the right foot daily.
Clear my choice
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Question 3

The Nurse is planning care for a patient diagnosed with renal hepatitis. Which of the following
diagnostic findings is more likely to be expected?
Select one:
a.
Hyperalbumenemia.
b.
Anaemia.
c.
Hypoalbumenemia.
Clear my choice
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Question 4

Mr. Ato Alhassan has Coronary artery disease and would like to know the cause of his condition.
The Nurse explains that it is primarily due to the deposition of lipids in the .....................
Select one:
A.
Intima of the arterial walls.
B.
Smooth muscles of the vessel walls.
C.
Intima of the capillary walls.
Clear my choice
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Question 5

A Registered General Nurse is discussing end of life care with an elderly patient who has
metastatic lung cancer. Which of the following is TRUE?
Select one:
A.
Advance care planning increases quality of life for patients with serious illness.
B.
Living wills only address resuscitation and life support.

C.
Family meetings are an inappropriate way to discuss potential conflicts around treatment
decisions.

Clear my choice
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Question 6

A 5 year old child has been diagnosed of Fallot’s tetralogy. Defects forming this condition
include
I. Over-riding of the aorta
II. Pulmonary stenosis
III. Right ventricular hypertrophy
IV. Ventricular septal defect
Select one:
 A.
I, II and III.

B.
II, III and IV.

C.
I, II, III and IV.

Clear my choice
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Question 7

Adenewie Prempeh is a 45 year old man who has lost weight drastically. He is said to have been
diagnosed with HIV two years ago and started treatment. He is now on admission at the male
medical word and has to do HIV serology test for further management. Which of the following is
NOT HIV serology test?
Select one:

A.
Western blot test.

B.
CD5 count test.

C.
Eliza test.

Clear my choice
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Question 8

Mr. George Brandford a 70 year old cardiac patient has under gone cardiac catheterization. His
nursing care after this procedure would include
Select one:

A.
Encouraging early ambulation of the patient.

B.
Restricting fluid intake until blood pressure stabilizes.

C.
Monitoring the site used for bleeding.

Clear my choice
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Question 9

Which of the following would the Nurse expect when assessing a patient with suspected
atelectasis?
Select one:

A.
Diminished breath sounds.

B.
Normal oral temperature.

C.
Dry unproductive cough.

Clear my choice
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Question 10

A 32 year old man with a history of migraines reported for treatment. His headaches have not
changed in pattern, but he wants a treatment that works better than over the counter options.
What is the BEST next treatment to try?
Select one:

A.
Sumatriptan.

B.
Propranolol.

C.
Oxycodone.
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Question 11

When initiating treatment of acute pain in a healthcare setting, which of the following is true?
Select one:

A.
Acknowledgement of cultural differences in the expression of pain may result in better pain
management.

B.
Analgesic management should be delayed until identification of the etiology of pain.

C.
Patients with a history of addiction should not be treated with opioid analgesics.
 Clear my choice
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Question 12

A client newly diagnosed of Type I diabetes mellitus being educated by the Nurse on insulin
injection asked the reason for this medication. The BEST response from the Nurse would be:
Select one:

A.
Control the glucose level.

B.
Prevent diabetic ketoacidosis.

C.
Boost the pancreatic cells.

Clear my choice
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Question 13

The Charge Nurse is teaching Student Nurses on respiratory alkalosis. Which of these responses
by one of them requires further teaching? Respiratory alkalosis is caused by ..........................
Select one:

A.
Excess carbonic acid.

B.
Excess carbon dioxide.

C.
Deficient carbonic acid.

Clear my choice
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Question 14

A single unit of whole blood contains 450mls of blood and 50mls of an anticoagulant. The
primary components of whole blood are erythrocytes, platelets and plasma. When packed red
blood cells are well preserved, they can be stored for up to………. before it is discarded
Select one:

A.
50 days at 2oC.

B.
42 days at 4oC.

C.
30 days at 2oC.

Clear my choice
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Question 15

Mr. Adom Bonbah who was involved in an RTA was brought to the OPD in a state of shock. He
was diagnosed as having neurogenic shock. Which of the following findings is characteristic of
this condition?
Select one:

A.
Bradycardia.

B.
Diaphoresis.

C.
Cool skin.

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Question 16

What responses would the Nurse give to a diabetic patient who wants to know why he cannot
take his insulin by mouth because he knows a cousin who takes pills for diabetes?
Select one:

A.
“Oral hypoglycaemics predispose the patient to nephropathy”.

B.
“If you take insulin by mouth it will be destroy by gastric juice”.

C.
“your cousin probably is not suffering from true diabetes”.

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Question 17

Which of the following adventitious sounds indicate that a patient has a fluid filled lung?
Select one:

A.
Bronchial.

B.
Crackles.

C.
Wheezes.

Clear my choice
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Question 18

The HIV test conducted on Ms. Selikem Ametowode came out negative. The interpretation
indicate that Ms. Ametowode
I. Does not have the antibodies in his blood
II. Has not been infected with the virus
III. Has been infected with the virus but has not yet produced antibodies
IV. Is immune to the virus
Select one:

A.
II, III and IV.

B.
I, II and III.

C.
I, III and IV.

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Question 19

A patient is to receive one litre of IV infusion every 8 hours. The drop factor of the tubing is 10
drops per minute. The Nurse should set up the flow miter to provide how many drops per
minute?
Select one:

A.
17.

B.
20.

C.
24.

Clear my choice
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Question 20

Mrs. Awurama Allotey, a 50 year old patient and a known diabetic was rushed into the
Emergency Unit with severe vomiting, weakness and headache. She also presented with a weak,
rapid pulse and lethargy. She was diagnosed with diabetic ketoacidosis (DKA). In managing
DKA, the nurse MUST first ...................
Select one:

A.
Reverse acidosis.

B.
Restore electrolytes.

C.
Correct dehydration.
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Question 21

A 50 year old patient on your ward with deep vein thrombosis is on heparin therapy. Which of
the following is used to reverse the effects of heparin?
Select one:

A.
Vitamin K.

B.
Protamine.

C.
Penicillamine.

Clear my choice
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Question 22

A Patient on admission with type 1 diabetes goes into insulin coma. The causes of insulin coma
include
I. Inadequate food intake
II. Increased insulin dose
III. Skipping insulin dose
IV. Strenuous exercises
Select one:

A.
I, II and III.
 B.
II, III and IV.

C.
I, II and IV.

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Question 23

Factors altering absorption of medications in the elderly include

I. Gastric pH
II. Rate of gastric emptying
III. Reduction in interstitial blood flow
Select one:

A.
II and III.

B.
I and III.

C.
I, II and III.

Clear my choice
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Question 24

Maame Akosua Manu had rheumatoid endocarditis, which is a complication of one of the
following infections
Select one:

A.
Staphylococcal skin infection.

B.
Streptococcal sore throats.

C.
Streptococcal food poisoning.

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Question 25
A 34-year-old woman is seen in the clinic for the second time in 5 months for urinary tract
infection. She is started on antibiotics. The next day she had a painful red rash with blisters and
feels “achy” and feverish. This patient was most likely started on which antibiotic?
Select one:

A.
Macrobid.

B.
Ciprofloxacin.

C.
Bactrim.

Clear my choice
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Question 26

A patient with arthritis is on steroid medication. The Nurse should educate her to take the drug
with meals because
Select one:

A.
It will decrease gastric irritation.

B.
It will serve as a reminder to take the drug.

C.
The medication is ineffective in an acid medium.

Clear my choice
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Question 27

A 30 year old female with a history of iron deficiency anemia presents with a complaint of
double vision that increases in the evening. She also had difficult swallowing food over the past
month. She takes no medications and does not drink or smoke. She was diagnosed as having
Myastinia Gravis. Which of the following medications will be used to treat her?
Select one:

A.
Sinemet.

B.
Pyridostigmine.

C.
Fibrinolytics.

Clear my choice
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Question 28

Evaluation of the effectiveness of nitroglycerine sublingual is based on

Select one:

A.
Relief of angina pain.

B.
Improved cardiac output.

C.
Dilatation of superficial blood vessel.

Clear my choice
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Question 29

A patient is to under go treatment for candidiasis. Which of the following medications is MOST
appropriate for the treatment?
Select one:

A.
Clindamycin.

B.
Nystatin.

C.
Doxycycline.

Clear my choice
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Question 30

Urinary retention with overflow is evidenced by

Select one:

A.
Frequent voiding.

B.
Continual incontinence.
 C.
Oliguria and oedema.
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Question 31

Signs of food poisoning caused by clostridium botulinum include

I. Blurred vision and diplopia
II. Dryness of mouth and throat
III. Nausea and vomiting
IV. Severe diarrhoea
Select one:

A.
I, III and IV.

B.
II, III and IV.

C.
I, II and III.

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Question 32

Mr. Akwasi Anti, a 60-year-old man is on admission at your unit with atelectasis. What measures
would you take to enhance adequate lung expansion.
Select one:

A.
Change patients position frequently.

B.
Encourage early ambulation from bed to chair.

C.
Encourage voluntary deep breathing maneuvers.

Clear my choice
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Question 33

Madam Esi Ankomah has been diagnosed of acute coronary syndrome and is on admission at the
medical ward. To identify nervous system involvement of patient’s condition, the Nurse assesses
for anxiety, restlessness and
Select one:
 A.
Palpitation and heart murmurs.

B.
Decreased muscle contractility.

C.
Shortness of breath and crackles.

Clear my choice
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Question 34

A 40 year old male patient with type 2 diabetes and hypertension is treated for acute myocardial
infarction. Prior to this hospitalization, his cholesterol level has not been checked for five years,
at which time he says it was “normal.” His current LDL is 195 mg/dL. Which of the following is
true?
Select one:

A.
He should be treated to achieve a 30% reduction in his LDL cholesterol.

B.
Because he is diabetic, his LDL level should be targeted to less than 130 mg/dL.

C.
He should be treated to achieve at least a 50% reduction in his LDL cholesterol.

Clear my choice
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Question 35

Which of these actions should the nurse take if a patient refuses to cooperate with care which has
been planned?
Select one:

A.
Report the incident to the senior nurse on duty.

B.
Record on the plan that the patient has refused care.

C.
Explain fully the reason why the action is needed.

Clear my choice
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Question 36

A patient is to receive 3000mls of IV fluid in 12 hours. The drop factor is 10 gtt/ml. The Nurse
should regulate the flow to approximately how many drops per minute?
Select one:

A.
40 to 42.

B.
30 to 32.

C.
27 to 29.

Clear my choice
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Question 37

The Nurse is educating a group of old patients at the Hypertension/Diabetes clinic on coronary
heart diseases. Which of the following category of patients are at greater risk of myocardial
infarction? A 45 year old newly diagnosed ........................
Select one:

A.
Hypertensive with poorly controlled blood sugar.

B.
Diabetic with familly history of hypertension.

C.
Hypertensive of family history of diabetes.

Clear my choice
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Question 38

As a Registered General Nurse, which test would you utilize if you suspect a patient has had a
stroke?
Select one:

A.
Face, arms, speech, test.

B.
Response, airway, breathing, circulation.

C.
Alert, voice, pain, unresponsiveness.

Clear my choice
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Question 39

An eating disorder that usually occur in adolescence and has features of distorted body image,
irrational fear of gaining weight and excessive exercise to maintain body weight is known as
Select one:

A.
Anorexia nervosa.

B.
Bulimia nervosa.

C.
Gross anorexia.

Clear my choice
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Question 40

Baba Fuseni has been diagnosed of hypocalceamia.Which of the following is a clinical sign
indicative of hypocalceamia?
Select one:

A.
Babinski sign.

B.
Romberg’s sign.

C.
Trousseau’s sign.
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Question 41

During percussion, the Nurse strikes the terminal phalanx of one of the fingers with the other
hand. Which of the fingers is to be used for the correct percussion technique?
Select one:

A.
Ring finger.

B.
Middle finger.
 C.
Five fingers.

Clear my choice
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Question 42

A patient with diabetes mellitus says “I cannot eat big meals. I prefer eating snacks throughout
the day”. The Nurse should explain that
Select one:

A.
Large meals can bring about weight problems.

B.
Salt and sugar restriction is the main concern.

C.
Regulated food intake is basic to diabetic control.

Clear my choice
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Question 43

Abiba Koomson, 25 years old has been admitted to the ward with meningitis. The nurse observes
that Abiba’s neck gets flexed when flexion of the knees and hips is produced. This manifestation
is termed:
Select one:

A.
Babinski’s sign.

B.
Kernig’s sign.

C.
Brudzinski’s sign.

Clear my choice
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Question 44

Plans to assist in the rehabilitation of a patient after a cerebrovascular accident is to

Select one:

A.
Keep working on skills until they are perfected.
 B.
Accept that independent existence is impossible.

C.
Encourage any attempts to assist in care activities.

Clear my choice
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Question 45

A patient is admitted with pulmonary oedema. The Nurse would expect the physician to order a
rapidly acting diuretic such as
Select one:

A.
Laxis.

B.
Chlorothiazide.

C.
Aldactone.

Clear my choice
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Question 46

Madam Akua Mansah, a 59 year old woman reported to the unit with the complaint of chocking
and a heavy sensation in the upper chest. She described the chest pain as sharp radiating to the
neck, jaw and shoulders, subsiding when she is at rest in the couch. She was apprehensive and
felt she was going to die. She was diagnosed of Stable Angina. Which of the following
medications is the MOST appropriate to be administered?
Select one:

A.
Aspirin.

B.
Digoxin.

C.
Nitroglycerin.

Clear my choice
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Question 47
One of the recommended medications for the treatment of malaria is ………….. tablets
Select one:

A.
Amodiaquine.

B.
Arthemeter lumefantrine.

C.
Artesunate.

Clear my choice
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Question 48

Which of the following is a contraindication to lumbar puncture?

Select one:

A.
Anticoagulation therapy.

B.
Brain abscess.

C.
Encephalitis.

Clear my choice
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Question 49

Ms.Abua Philips, 10 years old JHS pupil has been admitted to the ward with severe malaria. She
has fever of 37.2oC, chills and bitterness in the mouth. The Nurse educates her on the following
measures to protect herself from mosquito bites EXCEPT:
Select one:

A.
Closing all her windows at night.

B.
Sleeping in insecticide treated net.

C.
Using mosquito repellent creams.

Clear my choice
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Question 50

The Nurse is planning care for Madam Kusah who has just been rushed to the Accident and
Emergency, and diagnosed of Myocardial infarction. The Nurse must prepare to
administer .......................
Select one:

a.
Tablet soluble Aspirin, 300mg stat.

b.
IM Pethidine 50mg stat.

c.
IV Nitroglycerine 2.5mg stat.
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Question 51

A diagnosis of hypotension made for a 29 year old factory worker could be associated with

I. Haemorrhage

II. Severe burns

III. Dehydration

IV. High blood cholesterol

Select one:

A.
I, II and III.

B.
I and IV.

C.
II and III.

Clear my choice
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Question 52
The Nurse observes that a patient with acute renal failure becomes confused and irritable. She
realizes that this behaviour may be caused by
Select one:

A.
limited fluid intake.

B.
An elevated blood urea nitrogen.

C.
Hypernatraemics.

Clear my choice
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Question 53

When assessing elderly patients the Nurse should be aware that normal aging will usually NOT
affect their;
Select one:

A.
Ability to handle life’s stress.

B.
Muscle or motor strength.

C.
Sense of taste or smell.

Clear my choice
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Question 54

Anticholinergic medications are ordered for patients with peptic ulcer to

Select one:

A.
Provide a protective coating in the stomach lining.

B.
Inhibit smooth muscle contraction in the G.I. tract.

C.
Inhibit and neutralize gastric acid secretion.

Clear my choice
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Question 55

The most important differential diagnosis between measles and meningococcaemia is that
measles has marked respiratory symptoms and sign, whereas menningococcaemia can be marked
by
Select one:

A.
Adenopathy.

B.
Skin rashes.

C.
Dry skin.

Clear my choice
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Question 56

A 15 year old Nephrotic syndrome patient is on furosemide (Laxis). Which of the following
electrolytes would be depleted in this patient?
Select one:

A.
Calcium.

B.
Potassium.

C.
Phosphate.

Clear my choice
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Question 57

A 69-year-old female presents with painful vesicular lesions on the right side of her back in the T
10 dermatome. Which of the following is indicated for treatment of herpes zoster (shingles)?
Select one:

A.
Prednisone (oral).

B.
Miconazole.

C.
Acyclovir.

Clear my choice
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Question 58

Severe Acute Malnutrition (SAM) usually manifested by wasting and/or oedema has major
contributory factors like

I. Nutritional deficiency

II. Recurrent infections

III. Severe anaemia

Select one:

A.
I only.

B.
I and II.

C.
II and III.

Clear my choice
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Question 59

What should a Nurse do for a patient receiving intravenous infusion who complains of
breathlessness, headache and palpitation?
Select one:

A.
Stop the infusion.

B.
Check if the infusion solution is the right one.

C.
Change the infusion solution.

Clear my choice
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Question 60

The factors below increase respiratory rate EXCEPT:

Select one:

A.
Use of narcotic drugs.

B.
Increased environmental temperature.

C.
Lowered oxygen concentration.
Question 61

Not yet answered

Marked out of 1

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Question text
1

Which of the following vasopressors is MOST commonly associated with lactic acidosis and
hypokalemia?
Select one:

A.
Dopamine.

B.
Dobutamine.

C.
Epinephrine.

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Question 62

Nursing diagnosis mostly differs from medical diagnosis in that they are ........................
Select one:

A.
Primarily concerned with caring while medical diagnosis is concerned with curing.
 B.
Primarily involved in human response while medical diagnosis is primarily concerned with
curing.

C.
Dependent on medical diagnosis for direction of appropriate interventions.

Clear my choice
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Question 63

Ms. Juliet Torgle, 36 years has been diagnosed as having syphilis. Which of the following
organisms is the causes of Juliet’s condition?
Select one:

A.
Chlamydia trachomatis.

B.
Treponema pallidum.

C.
Haemophilus ducreyi.

Clear my choice
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Question 64

The nurse is preparing a patient for intravenous pyelogram (IVP), which of the following actions
by the Nurse is essential?
Select one:

A.
Empty the bladder the morning before the procedure.

B.
Administer laxatives the morning before the procedure to empty the bowels.

C.
With hold the patient’s metformin medication on the day of the test and 48 hours after.

Clear my choice
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Question 65

Madam Besiwaa Antwi aged 50, came to your unit with hypovolemic shock. What would be the
Nurses first action to take during the compensatory stage of the shock?
Select one:

A.
Administer prescribed medications.

B.
Administer prescribed IV fluids.

C.
Monitor the patient’s hemodynamic status.

Clear my choice
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Question 66

A 35year old long truck Driver was admitted into the medical unit with a history of shortness of
breath, dyspnea, cough, chest pain and fever. On admission, he complained of loss of appetite,
nausea, vomiting and lesions on some parts of his body. What is he likely to be suffering from?

I. HIV/AIDS

II. Malaria

III. Tuberculosis

IV. hypertension

Select one:

A.
I and II.

B.
I and III.

C.
I, II, III and IV.

Clear my choice
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Question 67

Sister Rose Parry, 30 years old who has been on haemodialysis for the past three years has been
diagnosed of anaemia. Which of the following is the primary cause of anaemia in patients on
hemodialysis?
Select one:

A.
Red blood cell fragility.

B.
Iron deficiency.

C.
Decreased erythropoietin synthesis.

Clear my choice
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Question 68

The following are among the general observations that should be noted in the initial examination
of the patient EXCEPT:
Select one:

A.
Body mass index.

B.
Nutritional status.

C.
Posture.

Clear my choice
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Question 69

Mr. Maurice Alonso, a 49 years old baker, has been in diabetic coma since his admission two
days ago. Such a condition could result from an excess accumulation of …………….. in the
blood.
Select one:

A.
Ketones from rapid fat breakdown, causing acidosis.

B.
Nitrogen from protein catabolism causing ammonia intoxication.

C.
Glucose from rapid CHO metabolism causing drowsiness.

Clear my choice
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Question 70
Mr. Mastof Iddris, a 43-year-old mechanic reported to the hospital with bleeding from the right
arm resulting from an R.T.A. The doctor assessed and put him on 0.45% normal saline for 2
hours. Normal saline is usually described as
Select one:

A.
Hypertonic.

B.
Iso-hypertonic.

C.
Isotonic.
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Question 71

Which of the following signs is consistent with hypothyroidism?

Select one:

A.
Constipation.

B.
Weight loss.

C.
Diaphoresis.

Clear my choice
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Question 72

Intravenous Ringer’s Lactate is prescribed for Madam Esi Bruce after she reported with
diarrhoae and weakness. The Nurse knows that Ringer’s Lactate is used to expand intravascular
volume and replace ……………………. fluid loss.
Select one:

A.
Intravascular.

B.
Intracellular.

C.
Extracellular.

Clear my choice
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Question 73

Nurse Sogbordjor rushed to rescue passengers who got involved in road traffic accident. On her
arrival at the scene she found that one female passenger was bleeding profusely and had sighing
respiration. Another passenger was found unconscious with noisy respiration. The type of
respiration experience by the unconscious passenger is known as ...........................
Select one:

A.
Wheezing respiration.

B.
Steterous respiration.

C.
Cheyne- stroke breathing.

Clear my choice
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Question 74

In your assessment of a patient on your ward you made a nursing diagnosis of “fluid volume
deficit”. What are the risk factors of fluid volume deficit?

I. Diabetes insipidus

II. Excessive vomiting

III. Gastro – intestinal suctioning

IV. Osmotic diuresis

Select one:

A.
I, II, III and IV.

B.
II and III.

C.
I, II and III.

Clear my choice
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Question 75

A patient at home has an in-dwelling urethral catheter. His care should include;
Select one:

A.
Changing the catheter every month.

B.
Irrigating the catheter once a week.

C.
Clamping the catheter for 2 hours every day.

Clear my choice
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Question 76

To prevent orthostatic hypotension in a patient on Methyldopa (Aldomet) the patient should be

taught to
Select one:

A.
Sit on the edge of the bed a short time before getting up.

B.
Lie down for 30 minutes after taking the medication.

C.
Avoid tasks that require high, energy expenditure.

Clear my choice
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Question 77

Clinical features resulting from gastrointestinal anthrax is as a result of invasion of the following
EXCEPT:
Select one:

A.
Respiratory system.

B.
Gastrointestinal Tract.

C.
Circulatory system.
 Clear my choice

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Question 78

Nurse Akosua is educating Madam Ajupi who has angina pectoris. Nurse Akosua is to include in
her teaching administration of sublingual nitroglycerin tablets. The education on administering
this medication is to instruct the patient to....................…
Select one:

A.
Lie or sit and place one tablet under the tongue when the chest pains occurs.

B.
Report immediately to the hospital if one tablet does not relieve the pain within 15 minutes.

C.
Take the tablet with a large amount of water to dissolve the tablet immediately.

Clear my choice
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Question 79

Which of the following statements describes heart failure?

I. Inability of the heart to pump sufficient blood to meet the needs of tissues for oxygen
II. Characterized by signs and symptoms of fluid overload
III. Characterized by adequate tissue perfusion
Select one:

A.
II and III.

B.
I and II.

C.
I, II and III.

Clear my choice
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Question 80
A client was sent to the emergency unit with the diagnosis of Diabetic ketoacidosis(DKA).In
planning the care which of the underlisted is NOT a nursing diagnosis of DKA?
Select one:

A.
Risk of fluid volume deficit related to polyuria.

B.
Fluid and electrolyte imbalance related to fluid loss.

C.
Acute pain related to urinary tract infection.
0 qaid=9462546&qu 0 1
Question 81

Ms. Abena Nyarkoa, a 19-year-old SHS student of Ahamasu is being treated for a urinary tract
infection. As a child, the patient developed hives due to sulphar. Which of the following
antibiotics is contraindicated in this patient?
Select one:

A.
Cephalexin.

B.
Nitrofurantoin.

C.
Trimethoprim-sulfamethoxazole.

Clear my choice
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Question 82

Master Yaw Ohene 10 years old ate some wild berries whiles playing behind their house.After
one hour, he developed an allergic reaction and was rushed to the OPD. The Physician assisstant
suspected an anaphylactic shock. What is the first line of treatment for Yaw?
Select one:

A.
Dopamine.

B.
Epinephrine.

C.
Norepinephrine.

Clear my choice
 0 qaid=9462554&qu 0 1
Question 83

Madam Abena Manu, 64 years old, with the history of an overdose of aspirin tablets was brought
to the OPD by her son. Which of the following is consistent with acute aspirin toxicity?
Select one:

A.
Hypothermia.

B.
Respiratory depression.

C.
Tinnitus.

Clear my choice
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Question 84

A patient reported to a health facility with the complain of diarrhea, muscle spasm and
laryngospasm. On assessment, patient was observed to have positive Chvostek’s sign. What is
the likely diagnosis for this patient?
Select one:

A.
Hypermagnesemia.

B.
Hypercalcemia.

C.
Hypocalcemia.

Clear my choice
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Question 85

A 40-year-old male patient presents with sudden onset of severe headache that increases with
movement of the head. Which of the following diagnoses would be considered?
Select one:

A.
Subarachnoid hemorrhage.
 B.
Migraine headache.

C.
Cluster headache.

Clear my choice
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Question 86

The Nurse Incharge is evaluating a patient with macrocytic anemia, most likely due to Vitamin
B12 deficiency. Which of the following is associated with this type of anemia?
Select one:

A.
Asterixis.

B.
Hair thinning.

C.
Tingling and numbness in the feet.

Clear my choice
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Question 87

The MOST therapeutic diet for a patient with hepatic cirrhosis would be
Select one:

A.
High carbohydrate, low saturated fats, 1200 calories.

B.
Low sodium, protein to tolerate, moderate fats, high calorie.

C.
Low protein, low carbohydrates, high fat.

Clear my choice
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Question 88

Barikisu Lamptey has developed pleurisy as a result of recurrent pneumonia. She complains of
severe chest pain. The Nurse explains to Barikisu that the pain may get worse on .......................
Select one:
 A.
Changing her position.

B.
Taking in a deep breathe.

C.
Holding her breathe for a while.

Clear my choice
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Question 89

.......................... is a condition causing plaques of ned scary skin all over the body and scalp is
known as
Select one:

A.
Psoriasis.

B.
Eczema.

C.
Scabies.

Clear my choice
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Question 90

Erica was admitted into your ward from the medical OPD with the history of swelling of the
anterior part of the neck and was diagnosed of goitre. The following are the signs and symptoms
of goitre EXCEPT:
Select one:

A.
Choking may occur with monstrous goitre.

B.
Electrolyte imbalance.

C.
Hoarseness of the voice.
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Question 91
Madam Adwoa Nko aged 46 is on admission on your ward with a diagnosis of Hepatitis B. she is
to be discharged in two days. In educating madam Adwoa Nko on her condition, which of the
following will the nurse take into consideration?
Select one:

A.
Her level of fluency in English.

B.
Patient’s readiness for the health education.

C.
Use of appropriate technology.

Clear my choice
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Question 92

Efo Mawutor Nuagbe a 42 year old mechanic sustained injury in the performance of his work.
He was rushed to the OPD some days later with clinical features of tetanus which include
I. Kernig’s sign
II. Opisthotonos
III. Risus sardonicus
IV. Trismus
Select one:

A.
I, III and IV.

B.
II, III and IV.

C.
I, II and III.

Clear my choice
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Question 93

A 6 year old patient is on your ward with nephrotic syndrome. In planning the diet for this
patient, the Nurse would advise his parents to avoid foods high in;
Select one:

A.
Carbohydrates.

B.
Sodium.
 C.
Protein.

Clear my choice
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Question 94

An 88 years old man comes to the hospital and complains to you that he has recently been
troubled with impotence. The most appropriate action at this time is to;
Select one:

A.
Take a complete health history including medications.

B.
Listen and respond empathetically.

C.
Explain to him that at his age, it is normal.

Clear my choice
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Question 95

Madam Ama Dorse 60-year-old trader reported to your facillity with morning stiffness in her
hips and shoulders. She is diagnosed with polymyalgia rheumatica. Which of the following
medications is first-line treatment for her condition?
Select one:

A.
Indomethacin.

B.
Oral prednisone.

C.
Methotrexate.

Clear my choice
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Question 96

A 24 year old man presents with headaches. He describes the headaches as a severe unilateral
throbbing pain that is aggravated by movement. His headache is associated with nausea and
sensitivity to light. His physical examination is completely normal. What is the MOST likely
diagnosis? ................... headache
Select one:
 A.
Migraine.

B.
Tension.

C.
Cluster.

Clear my choice
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Question 97

Mama Ataa complains of feeling of fullness in the throat and heart burns soon after eating. She is
seen in your facility and diagnosed with gastroesophageal reflux disease (GERD). The most
common symptom that most patients experience with this disease is .................................
Select one:

A.
Dyspepsia.

B.
Pyrosis.

C.
Odynophagia.

Clear my choice
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Question 98

Which of the following observations would indicate a rising intracranial pressure?

Select one:

A.
Decreasing pulse rate, rising B/P, unequal pupils.

B.
Increasing B/P, decreasing respiratory rate, rigors.

C.
Decreasing pulse rate, rising respiratory rate, unequal pupils.

Clear my choice
0 qaid=9462547&qu 0 1
Question 99
Pellagra is a nutritional disease caused by the combined deficiency of
Select one:

A.
Vitamin B and amino acid tryptophan.

B.
Niacin and amino acid tryptophan.

C.
Vitamin C and amino acid tryptophan.

Clear my choice
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Question 100

When teaching a patient about antacid therapy, the Nurse should include the fact that antacid
tablets
Select one:

A.
Are as effective as the liquid form.

B.
Must be taken one hour before meals.

C.
Interfere with the absorption of other drugs.
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Question 101

Mr. Ahyia Kwade, a driver, has been diagnosed with acute gastritis. The Nurse explains that the
possible causes of his condition include:
Select one:

A.
Excessive alcohol.

B.
Small ulcers in the stomach.

C.
Excessive fat intake.

Clear my choice
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Question 102
Sodium restriction is an effective therapeutic tool in the treatment of heart failure because it
Select one:

A.
Allows excess fluids in the tissue to be excreted.

B.
Helps to control food intake and body weight.

C.
Aids the weakened heart muscles to contract and improve cardiac output.

Clear my choice
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Question 103

The following are the typical first symptom(s) of myasthenia gravis EXCEPT:
Select one:

A.
Weakness of eyelids and extraocular muscles.

B.
Generalized weakness of limbs.

C.
Ascending symmetrical weakness.

Clear my choice
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Question 104

Mr. Kwaokume is a 72 year old retired Engineer, complaints of pain and difficulty to micturate.
He was admitted to your facility on account of nocturia, hematuria and oliguria. Physical
examination revealed a tender and enlarged organ in the anal region.. Mr. Kwaokume will have
all of the investigations below to confirm his diagnosis EXCEPT:
Select one:

A.
Rhinoscopy.

B.
Cystocopy.

C.
Endoscopy.

Clear my choice
 0 qaid=9462535&qu 0 1
Question 105

A patient receiving a blood transfusion develops a fever and chills two hours after the
transfusion. Vital signs are:T:37.80C, Respiratory Rate: 16cpm, Blood pressure:110/70mmHg,
pulse:78bpm.Which of the following is the MOST likely cause?
Select one:

A.
ABO incompatibility.

B.
Host antibody response to donor white blood cell antigens.

C.
Leukoagglutination reaction.

Clear my choice
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Question 106

A 72-year-old man with a history of alcoholic cirrhosis and recurrent ascites was admitted to the
hospital 5 days ago with hematemesis and dark-colored urine. He has bilateral oedema of the
lower extremities. What is the MOST likely explanation of the patient's condition?
Select one:

A.
Hepatorenal syndrome.

B.
Acute tubular necrosis.

C.
Contrast nephropathy.

Clear my choice
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Question 107

Madam Afua Brugya, 57 year old health worker, during a routine check up visit to the hospital
showed clinical manifestations of metabolic acidosis. The following are among the
manifestations EXCEPT:
Select one:

A.
Increased blood pressure.

B.
Drowsiness.

C.
Dysrhythmias.

Clear my choice

0 qaid=9462550&qu 0 1
Question 108

The Nurse initially will use an Ambu-bag in the Intensive Care Unit when
Select one:

A.
Respiratory output must be monitored.

B.
Respiratory arrest occurs.

C.
Patient is in ventricular fibrillation.

Clear my choice
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Question 109

A patient with acute renal failure complains of tingling of the fingers and toes and muscle
twitching. This is caused by
Select one:

A.
Potassium retention.

B.
Sodium chloride depletion.

C.
Calcium depletion.

Clear my choice
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Question 110

A patient with chronic iron deficiency anaemia may develop brittle spoon shaped nails known as
Select one:

A.
Onychomycosis.

B.
Cheilosis.

C.
Paronychia.

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Question 111

In a patient with dilated cardiomyopathy and heart failure, which of the following would you
expect on examination?
Select one:

A.
Bradycardia.

B.
Enlarged liver.

C.
Pulmonary emboli.

Clear my choice
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Question 112

John Abu was admitted to the Medical ward with the diagnosis of status asthmaticus. The Nurse
knows that a common complication of this condition is Respiratory ...........................
Select one:

A.
Collapse.

B.
Acidosis.

C.
Alkalosis.

Clear my choice
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Question 113
Mr. Ahuda Kotey has been coughing for one month, he produces purulent sputum, sweats more
at night and has lost some weight. The signs and symptoms Mr. Kotey has presented may be
caused by a respiratory disorder called:
Select one:

A.
Chronic bronchitis.

B.
Bronchial asthma.

C.
Pulmonary tuberculosis.

Clear my choice
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Question 114

Nurse Akua met Mr. Kojo in the hospital with complains of rapid onset of abdominal discomfort,
headache, lassitude, nausea, anorexia and hiccups. Patient is anxious and confused saying “I
don’t understand this hiccup”. What will be Nurse Akua’s response to the patient?
Select one:

A.
Don’t worry you are in safe hands.

B.
Hiccups are normal when your vagus nerve is irritated.

C.
Hiccup is a normal phenomenon; take water to stop it.

Clear my choice
0 qaid=9462445&qu 0 1
Question 115

Mr. Lamborn Seese, a 60 year old patient was admitted to your ward with rheumatoid arthritis
and would begin treatment with hydroxychloroquine (Plaquenil.) Which of the following should
be done before the patient begins this medication?
Select one:

A.
Fundoscopic exam.

B.
Serum creatinine.

C.
Pulmonary function testing.

Clear my choice
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Question 116

A 25-year-old patient asks the Nurse Incharge about the purpose of a recommended HPV
screening test. The Nurse Incharge replies that it is used to screen for risk of
Select one:

A.
Pelvic inflammatory disease.

B.
Cervical cancer.

C.
Ovarian cancer.

Clear my choice
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Question 117

It is NOT important for the Nurse to observe a patient with tetanus for
Select one:

A.
Restlessness and irritability.

B.
Respiratory tract spasm.

C.
Muscular rigidity.

Clear my choice
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Question 118

A patient with epigastric pain that is unrelieved by antacids presents for review. He has a
positive urea breath test. Which of the following of the medications would be appropriate for
treatment?
Select one:

A.
Metronidazole plus omeprazole plus clarithromycin.

B.
Metronidazole plus ranitidine.

C.
Amoxicillin plus clarithromycin plus sucralfate.

Clear my choice
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Question 119

The laboratory test that the nurse should refer to in reference to the diagnosis of rheumatoid
arthritis is
Select one:

A.
Antinuclear antibody.

B.
Bone marrow biopsy.

C.
Alkaline phosphates.

Clear my choice
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Question 120

Nursing care plan is prepared for nursing of patients to achieve one of the following goals:
Select one:

A.
Change the nursing actions to improve the patient’s response.

B.
Promote continuity of care from nurses on all shifts.

C.
Determine how far the patient has tolerated the care given.
0 qaid=9462548&qu 0 1
Question 121

When teaching a patient about nitroglycerin therapy, the Nurse should emphasize the importance
of
Select one:

A.
Increasing number of tablets if dizziness occurs.

B.
Discontinuing the medicine if headache develops.

C.
Making sure the medicine is stored in a dark container.

Clear my choice
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Question 122

Multiple Myeloma is similar to other cancers of the haematologic system. What distinguishes
multiple myeloma from the other types of haematologic cancers?
Select one:

A.
Pain in the bone.

B.
Low white blood cell count.

C.
Common in Caucasians.

Clear my choice
0 qaid=9462505&qu 0 1
Question 123

Mr. Hassan Jumine is diagnosed with psoriasis. The clinical manifestations of Mr. Jumine’s
condition includes
I. Erythema
II. Pruritus
III. Shedding scalding plagues
IV. Weeping dermatitis
Select one:

A.
I, II and III.

B.
I, II and IV.

C.
II, III and IV.

Clear my choice
0 qaid=9462589&qu 0 1
Question 124
Mr. Efo Tata who had an asthmatic attack while at work was rushed to the emergency unit. The
physician has prescribed a series of medications. The first line of medication the Nurse will
administer will be in a group of:
Select one:

A.
Beta adnergic blockers.

B.
Inhaled steroids.

C.
Bronchodilators.

Clear my choice
0 qaid=9462455&qu 0 1
Question 125

A 40-year-old male patient complains of epigastric pain and nausea. His epigastric pain is
relieved by antacids and food. His urea breath test is positive. Which of the following is
recommended for treatment?
Select one:

A.
Omeprazole, clarithromycin and amoxicillin.

B.
Ranitidine, clarithromycin and doxycycline.

C.
Ranitidine, bismuth and doxycycline.

Clear my choice
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Question 126

In the nursing process, nursing orders represent the

Select one:

A.
Assessment of patient’s data.

B.
Patient’s health problems.

C.
Actual nursing intervention.

Clear my choice
 0 qaid=9462572&qu 0 1
Question 127

Which of the following medications would place a patient at risk of thrombosis?

Select one:

A.
Iron supplements.

B.
Anthelmintics.

C.
Oral contraceptives.

Clear my choice
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Question 128

A nurse is treating a patient with hypertension and Chronic obstructive disease. Today his blood
pressure is 150/90 mmHg despite two-medication therapy. Which of the following medication
classes should the nurse practitioner generally try to avoid when treating this patient’s
hypertension?
Select one:

A.
Non-selective Beta-blockers.

B.
Diuretics.

C.
ACE inhibitors.

Clear my choice
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Question 129

A patient is scheduled for a pulmonary function test. The Nurse should explain to the patient that
during the test the therapist will ask him/her to breathe normally to measure the
Select one:

A.
Tidal volume.

B.
Inspiratory reserve.

C.
Expiratory reserve.

Clear my choice
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Question 130

Vitamin A requires one of the under listed in order to be absorbed.

Select one:

A.
Amylase.

B.
Bile.

C.
Lipase.

0 qaid=9462448&qu 0 1
Question 131

Gluconeogenesis is usually described as formation of glucose from

Select one:

A.
Glycogen.

B.
Fat.

C.
Protein.

Clear my choice
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Question 132

The laboratory results specimen taken from a 39 year old woman indicated the presence of HPV.
Which of the following will be MOST likely diagnosed?
Select one:

A.
Gonorrhoea.

B.
Herpes.

C.
Genital warts.
 Clear my choice
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Question 133

The nursing diagnosis for a patient with myocardial infarction is activity intolerance. The
outcome criterion for the plan of care for this patient includes:
Select one:

A.
Agreeing to discontinue smoking.

B.
Taking about 50 steps without experiencing dyspnoea.

C.
Experiencing no dyspnoea on exertion.

Clear my choice
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Question 134

In using the nursing process for the nursing care of a patient, nursing diagnosis represents
Select one:

A.
Actual nursing intervention.

B.
Patient health problems.

C.
Analysis of patient’s data.

Clear my choice
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Question 135

Madam Sonia Paul a 59 year old woman reported to the unit with the complaint of chocking and
a heavy sensation in the upper chest. She described the chest pain as sharp radiating to the neck,
jaw and shoulders, subsiding when she is at rest in the couch. She was apprehensive and felt she
was going to die. She was diagnosed of Stable Angina. The Nurse is educating the family of
Madam Mansa on the condition, which of the following statements by a family member require
further teaching?
Select one:

A.
Achieve and maintain normal blood pressure.
 B.
Alternate activities with periods of rest.

C.
I need to hold on to my daily walk since it aggravate my pain.

Clear my choice
0 qaid=9462604&qu 0 1
Question 136

Madam Agyeiwaa Lartey, a 56 year old woman reported to the unit with the complaint of
chocking and a heavy sensation in the upper chest. She described the chest pain as sharp
radiating to the neck, jaw and shoulders, subsiding when she is at rest in the couch. She was
apprehensive and felt she was going to die. She was diagnosed of Stable Angina. Which of the
following nursing diagnosis would require PROMPT management?
Select one:

A.
Anxiety related to cardiac symptoms and possible death.

B.
Risk for decreased cardiac tissue perfusion related to coronary artery constriction.

C.
Acute chest pain related to decreased cardiac tissue perfusion.

0 qaid=9462581&qu 0 1
Question 137

A young man of about 25 years reported to a health facility with the complaint of hair loss,
arthritis, fever, malaise, weight loss and lymphadenopathy. He presented with a rash on his trunk
and extremities (palms and feet). He said the rash appeared 2 to 8 weeks at the site of infection.
What is he likely to be suffering from?
Select one:

A.
Chicken pox.

B.
Syphilis.

C.
Measles.
 0 qaid=9462452&qu 0 1
Question 138

Which of these observations of a patient by the Nurse will indicate that the patient is dehydrated?
Select one:

A.
Weight loss, tarchycardia, oliguria, hypotension.

B.
Bradycardia, hypertension, polyuria, weight loss.

C.
Oliguria, wrinkled skin, hypertension, bradycardia.

0 qaid=9462579&qu 0 1
Question 139

Osmoreceptors are indicated in the regulation of thirst. Which part of the brain are these
receptors located?
Select one:

A.
Thalamus.

B.
Cerebellum.

C.
Hypothalamus.

0 qaid=9462568&qu 0 1
Question 140

An 18 year old SHS student reported to the hospital with painful and difficult micturition. A
diagnosis of urinary tract infection was made. Which of the under listed pathogen is the MOST
common cause of the disease?
Select one:

A.
Enterococcus faecalis.

B.
Escherichia coli.

C.
Staphylococcus aureus.
 0 qaid=9462552&qu 0 1
Question 141

Significant nursing assessment data relevant to renal function should include information about
I. Voiding disorders
II. Patient’s occupation
III. Presence of diabetes mellitus
IV. Presence of hypertension
Select one:

A.
I, II, III and IV.

B.
I, II and III.

C.
I, III and IV.

0 qaid=9462562&qu 0 1
Question 142

According to Kubler-Ross, an individual with serious health problems would MOST likely seek
other medical opinion during the stage of
Select one:

A.
Denial.

B.
Bargaining.

C.
Anger.

0 qaid=9462464&qu 0 1
Question 143

Which of the following will be prescribed by the physician if symptoms of warfarin overdose
occur?
Select one:

A.
Vitamin K.

B.
Heparin.
 C.
Protamine.

0 qaid=9462473&qu 0 1
Question 144

A 20-year-old male reports with jaundice, fatigue, and dark urine two days after beginning
treatment for traveler’s diarrhoea with trimethoprim-sulfamethoxazole. Which of the following is
the likely cause of the patient’s reaction to the treatment?
Select one:

A.
Paroxysmal nocturnal hemoglobinuria.

B.
Glucose-6-phosphate dehydrogenase deficiency.

C.
Stevens-Johnson syndrome.

0 qaid=9462608&qu 0 1
Question 145

As a nurse is using palpation as an examination tool, which of the following abdominal findings
are you likely to detect.
Select one:

A.
Head size.

B.
Skin colour.

C.
Body tenderness.

0 qaid=9462541&qu 0 1
Question 146

The major causative organisms for bacterial meningitis include the under listed EXCEPT
Select one:

A.
Haemophilus influenza.
 B.
Cryptococcus neoformans.

C.
Streptococcus pneumonia.

0 qaid=9462594&qu 0 1
Question 147

Koo Hia, a known diabetic and smoker reported to the Emergency Unit with purulent cough,
chest pain and difficulty in breathing including loss of appetite. He had lost some weight. A
provisional diagnosis of Pleural effusion was made and was scheduled for under water seal
drainage after chest tube insertion. Koo Hia reports to theNurse that he feels the tube is not
draining. The Nurse also notices that there is no change in the amount of drainage recorded the
previous day. Which of the following initial action by the Nurse is MOST appropriate?
Select one:

A.
Irrigate the tube to dislodge any clot.

B.
Change position of patient.

C.
Inform Physician and wait for his orders.

0 qaid=9462524&qu 0 1
Question 148

A young adult complains of pyrexia, intense fatigue and frequent bouts of severe sore throat for
the past five months. This morning she arrived at the OPD with hyper pyrexia and general
malaise. Laboratory investigations reaveled Epstein Barr virus. What would be her diagnosis?
Select one:

A.
Measles.

B.
Roseola.

C.
Infectious mononucleosis.

0 qaid=9462603&qu 0 1
Question 149
Mr. Kwae Bawa, 45 years, was admitted with complaints of stiff neck, fever (39.5oC), headache
and positive Kernig's sign. Which of the following would be inappropriate during his care?
Select one:

A.
Monitor vital signs.

B.
Assess neurological status.

C.
Monitor blood glucose level.

0 qaid=9462459&qu 0 1
Question 150

During physical assessment of a patient with breathing difficulty, the patient who assumes a
sitting position with arms thrust forward and laterally unto the edge of the bed (tripod position) is
likely to be suffering from
Select one:

A.
Atelectasis.

B.
Obstructive pulmonary disease.

C.
Pneumothorax.
0 qaid=9462474&qu 0 1
Question 151

Hepatitis can be transmitted in several ways; that most frequently transmitted by blood
transfusion is
Select one:

A.
Hepatitis C.

B.
Hepatitis B.

C.
Hepatitis A.
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Question 152

Mrs. Anokor Dartey, a 53 year old trader at Hafoman village reported to the OPD with the signs
of difficulty in swallowing, regurgitation and pain in the chest. In assessing Mrs. Dartey, the
nurse should acknowledge that there is paralysis of the
Select one:

A.
Pain in the mediastinum.

B.
Left lungs.

C.
Lower oesophagus.

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Question 153

Fluids located at both intra and extra cellular spaces contain some electrolytes. The MOST
important electrolyte in the intracellular fluid is
Select one:

A.
Calcium.

B.
Potassium.

C.
Chloride.

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Question 154

There are numerous risk factors associated with the long term development of arteriosclerosis
and atherosclerosis, which are direct precursors of cardiovascular disease (CVD). Non
modifiable risk factors include age, gender and
Select one:

A.
Constriction of the lumen of the vessels.

B.
Complete obstruction of the vessel.
 C.
Ethnicity of the client.

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Question 155

Nurse Atsupie in medical ward A is to collect sputum specimen from a patient. In the preparation
of a patient for the collection of sputum specimen, which of the following aspects of the
procedure would be MOST essential for the nurse to explain to the patient?
Select one:

A.
Breathe deeply followed by coughing up sputum.

B.
Avoid mouth care prior to collecting the specimen.

C.
Collect the sputum before bed time.

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Question 156

The main principles in preventing the transmission of pulmonary tuberculosis (TB) are

I. Early identification and treatment of people with active TB

II. Prevention of spread of infectious droplets

III. Surveillance for TB transmission

IV. Performing a physical examination on patients

Select one:

A.
I and IV.

B.
I, II and IV.

C.
I, II and III.
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Question 157

An outpatient with hepatitis A is put on phenobarbital sodium (Luminal). The nurse would
advise the patient to contact the doctor if he/she notices
Select one:

A.
Loss of appetite, persistent lethargy.

B.
Decreased tolerance to common foods, constipation.

C.
Anal pruritus, orthostatic hypotension.

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Question 158

To elicit appropriate responses from a 17-year-old about his/her sexual health and practices, the
Nurse would ask ……………. questions.
Select one:

A.
Open ended.

B.
Leading.

C.
Closed ended.

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Question 159

Mr. George Annan 64 years is on your ward with haemolytic uremic syndrome. Which of the
following is associated with his condition?
Select one:

A.
E. coli infection.

B.
Hypertension.

C.
Diabetes mellitus.
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Question 160

Yaw Amuzu is a 7 year old boy who was brought to the triage unit of your facility with acute
respiratory distress. As part of physical assessment to rule out asthma, the Nurse on duty
would ....................
Select one:

A.
Percuss.

B.
Palpate.

C.
Auscultate.
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Question 161

Which of the following is the cause of hypocalcemia in patients with end stage renal disease?
Select one:

A.
Decreased parathyroid hormone.

B.
Decreased vitamin D absorption.

C.
Decreased conversion of vitamin D.

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Question 162

Mrs. Selina Kweitey is being managed for type II diabetes. Which of these is TRUE of the
condition?
Select one:

A.
It begins more rapidly than that of Type I.

B.
Diabetic ketoacidosis is common.

C.
It does not normally require insulin injection.

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Question 163

Which of the following constitute an advice for a patient to maintain nutritional status at home?
I. Eat well balanced diet
II. Drink adequate fluids
III. Avoid processed foods
IV. Avoid foods high in fat
Select one:

A.
II, III and IV.

B.
I, II, III and IV.

C.
I, II and III.

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Question 164

To assess the effectiveness of vaso-dilators administered for the management of hypertension the
nurse should take the patient’s pulse and blood pressure
Select one:

A.
After a resting position is maintained for 5 minutes.

B.
Prior to administering the drug.

C.
Immediately after the patient gets out of bed.

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Question 165

There has been a high increase of hepatitis B in recent times. Prophylaxis for reducing this
increase would include
Select one:

A.
Screening of blood donors.

B.
Limiting hepatotoxic drug therapy.

C.
Preventing constipation.

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Question 166

Foods in damaged cans are likely to cause food poisoning by organisms called
Select one:

A.
Clostridium botulinum.

B.
Clostridium tetani.

C.
Escherichia coli.

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Question 167

A patient with pulmonary tuberculosis will be declared non-infectious when

Select one:

A.
No acid fast bacilli are in the sputum.

B.
The patient is no longer coughing.

C.
The patient no longer has the disease.

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Question 168

Madam Shetu Issa on your ward is having haematemesis. The MAIN principle of managing
Madam Shetu is to
Select one:

A.
Encourage oral fluids to replace lost fluid.

B.
Elevate head on one pillow and keep calm.

C.
Keep patient warm with extra blankets.

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Question 169

Mr. Dan Awuni a known diabetic reported at the OPD with diabetic ketoacidosis. Which of the
following would be administered in the treatment of Mr. Awuni’s condition?
Select one:

A.
Potassium.

B.
Phosphate.

C.
Bicarbonate.

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Question 170

A patient with restlessness, agitation, twitching, convulsion and serum sodium greater than
145mEq/L can be said to be suffering from
Select one:

A.
Hypernatraemia.

B.
Hypokalaemia.

C.
Hypercalcaemia.
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Question 171

A patient diagnosed of Tetanus was admitted to the medical ward. Which of the following is not
a sign of this condition?
Select one:

A.
Opisthotonos.

B.
Trismus.

C.
Nuchal rigidity.

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Question 172

Michael is a 17 year old student reported to the hospital with a high grade fever, chills and
muffled speech on phonation. He is diagnosed with Quincy. His condition can be managed with
the under listed treatments EXCEPT:
Select one:

A.
Anti tussive.

B.
Antibiotics.

C.
Analgesic.

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Question 173

While educating a patient with acute pancreatitis the Nurse should emphasize the fact that the
condition is precipitated by
Select one:

A.
Ingestion of animal fats.

B.
Heavy drinking of alcohol.

C.
Eating highly spiced foods.

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Question 174
A patient with right sided heart failure developed ascites. This could be associated with
Select one:

A.
Congestion in the peripheral tissues and viscera.

B.
Venous engorgement of the lungs.

C.
Decrease in ejected ventricular volume.

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Question 175

A patient with angina pectoris may be classified under one of the following types of the
condition EXCEPT:
Select one:

A.
Stable angina.

B.
Common angina.

C.
Silent angina.

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Question 176

Mr. Stands Blankson, a 53 year old farmer was rushed to the Accident and Emergency Unit by
his wife. History taking revealed dysuria, urge and hesitancy of micturition for the past 5 days.
As a Nurse on duty, you were asked by the Charge Nurse to perform physical examination to
determine the status of the kidneys. A student Nurse mentioned that the amount of urine in
millilitres in the bladder that makes it purcussible is ..........................
Select one:

A.
130.

B.
150.

C.
140.
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Question 177

Which of the following is MOST likely to put a patient with cirrhosis of the liver at risk for
hepatic coma?
Select one:

A.
Diarrhoea with tenesmus.

B.
Gastrointestinal bleeding.

C.
Consumption of alcoholic beverages.

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Question 178

The major test used to determine whether a person has been infected with the tuberculosis
bacillus is termed …………… test
Select one:

A.
Mantoux.

B.
Brudzinski’s.

C.
Koch’s.

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Question 179

A 75-year-old male with prostate cancer and bone metastases is being managed for pain. His
pain is described as 7-8/10. He has reduced creatinine clearance and the Physician is concerned
about accumulation of metabolites of medication. Which of the following medications is the
BEST choice for this patient?
Select one:

A.
Indomethacin.

B.
Fentanyl.

C.
Pethidine.

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Question 180

Which of these is the correct position for the Nurse to adopt when lifting a patient?
Select one:

A.
Feet wide apart and back straight.

B.
Back curved and feet wide apart.

C.
Back straight and feet together.

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