← Assistant Professor / Lecturer

Past Questions — 2017

Assistant Professor / Lecturer • 2017 • Paper-II

A client received burns to his entire back and left arm. The nurse uses the Rules of Nines to calculate that he has sustained burns to what percentage of his body?

A) 9%
B) 18%
C) 27%
D) 36%
The correct choice is 27%.
Assistant Professor / Lecturer • 2017 • Paper-II

A client is admitted to an emergency room, and a diagnosis of myxedema coma is made. Which action would the nurse prepare to carry out initially?

A) Warm the client
B) Maintain a patient airway
C) Administer thyroid hormone
D) Administer fluid replacement
The correct choice is Maintain a patient airway.
Assistant Professor / Lecturer • 2017 • Paper-II

A nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper thighs. The nurse would appropriately inquire whether the client

A) Rotates sites for injection
B) Administers the insulin at a 45 degree angle
C) Cleanses the skin with alcohol before each injection
D) Aspirates for blood before injection into the subcutaneous tissue
The correct choice is Rotates sites for injection.
Assistant Professor / Lecturer • 2017 • Paper-II

After hypophysectomy, a client complains of being thirsty and having to urinate frequently. The initial nursing action is to:

A) Increase fluid intake
B) Document the complaints
C) Assess for urinary glucose
D) Assess urine specific gravity
The correct choice is Assess urine specific gravity.
Assistant Professor / Lecturer • 2017 • Paper-II

A client has been diagnosed with late-stage Lyme disease. The nurse anticipates that the client may exhibit which of the following?

A) Arthritis
B) Lung abscess
C) Renal failure
D) Sterility
The correct choice is Arthritis.
Assistant Professor / Lecturer • 2017 • Paper-II

The nurse is performing an otoscopic examination on a client with mastoditis. On examination of the tympanic membrane, which of the following would the nurse expect to observe?

A) A pink-coloured tympanic membrane
B) A pearly coloured tympanic membrane
C) A transparent and clear tympanic membrane
D) A red, dull, thick and immobile tympanic membrane
The correct choice is A red, dull, thick and immobile tympanic membrane.
Assistant Professor / Lecturer • 2017 • Paper-II

Using the coding system for triaging mass casualties, which of the following clients would receive treatment first?

A) The client with a black tag
B) The client with a green tag
C) The client with a yellow tag
D) The client with a red tag
The correct choice is The client with a red tag.
Assistant Professor / Lecturer • 2017 • Paper-II

A nurse is caring for a client after hypophysectomy. The nurse notices clear nasal drainage from the client’s nostril. The initial nursing action would be to:

A) Lower the head of the bed
B) Test the drainage for glucose
C) Obtain a culture of the drainage
D) Continue to observe the drainage
The correct choice is Test the drainage for glucose.
Assistant Professor / Lecturer • 2017 • Paper-II

A nurse is preparing to provide instructions to a client with Addison’s disease regarding diet therapy. The nurse knows that which of the following diets most likely would be prescribed for this client?

A) High-fat intake
B) Low-protein intake
C) Normal sodium intake
D) Low-carbohydrate intake
The correct choice is Normal sodium intake.
Assistant Professor / Lecturer • 2017 • Paper-II

A client is admitted to a hospital with a diagnosis of diabetif ketoacidosis (DKA). The initial blood glucose level was 950 mg/dL. A continuous intravenous infusion of regular insulin is initiated, along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg / dL. The nurse would next prepare to administer which of the following?

A) Ampule of 50% dextrose
B) NPH insulin subcutaneously
C) Intravenous fluids containing 5% dextrose
D) Phenytoin (dilantin) for the prevention of seizures
The correct choice is Intravenous fluids containing 5% dextrose.
Assistant Professor / Lecturer • 2017 • Paper-II

In preparation for cataract surgery, the nurse is to administer prescribed eye drops. The nurse reviews the physician’s orders, expecting which type of eye drops to be prescribed?

A) A miotic agent
B) A thiazide diuretic
C) An osmotic diuretic
D) A mydriatic medication
The correct choice is A mydriatic medication.
Assistant Professor / Lecturer • 2017 • Paper-II

An intubated client with full-thickness, circumferential burns to the chest is experiencing pressure from edema that is inhibiting chest wall expansion. The nurse anticipates that which of the following is the priority intervention for the client?

A) Cricothyrotomy
B) Escharotomy
C) Needle thoracentesis
D) Insertion of a chest tube
The correct choice is Escharotomy.
Assistant Professor / Lecturer • 2017 • Paper-II

A day care nurse is observing a 2-year-old child and suspects that the child may have strabismus. Which observation made by the nurse might indicate this condition?

A) The child has difficulty hearing.
B) The child consistently tilts the head to see.
C) The child consistently turns the head to see.
D) The child does not respond when spoken to
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II

Ideal body weight is used in dosage calculation for:

A) Suxamethonium
B) Vecuronium
C) Bupivacaine
D) Adrenaline
The correct choice is Vecuronium.
Assistant Professor / Lecturer • 2017 • Paper-II

A client is to receive antivenin following a snake bite. Before administering the antivenin, the nurse should give priority to:

A) Administering a local anesthetic
B) Checking for an allergic response
C) Administering an anxiolytic
D) Withholding fluids for 6–8 hours
The correct choice is Checking for an allergic response.
Assistant Professor / Lecturer • 2017 • Paper-II

A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:

A) Relief of pain
B) Signs of renal toxicity
C) Signs and symptoms of hyperglycemia
D) Signs and symptoms of hypothyroidism
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II

In which type of lung Cancer is Gynecomastia common:

A) Small cell
B) Large cell.
C) Epidermoid
D) Adeno Ca
The correct choice is Small cell.
Assistant Professor / Lecturer • 2017 • Paper-II

The nurse is preparing to administer Ringer’s lactate to a client with hypovolaemic shock. Which intervention is important in helping to stabilize the client’s condition?

A) Warming the intravenous fluids
B) Determining whether the client can take oral fluids
C) Checking for the strength of pedal pulses
D) Obtaining the specific gravity of the urine
The correct choice is Warming the intravenous fluids.
Assistant Professor / Lecturer • 2017 • Paper-II

A nurse is caring for a client with diabetes insipidus. Which laboratory value is most important for the nurse to monitor?

A) Glucose
B) Hemoglobin
C) Creatinine
D) Sodium
The correct choice is Sodium.
Assistant Professor / Lecturer • 2017 • Paper-II

A client has just been admitted to the hospital after sustaining partial-thickness burns to both lower extremities and portions of the trunk. The nurse is aware that the most important I.V. fluid to administer is:

A) Albumin
B) Dextrose 5% in water
C) Lactated Ringer’s solution
D) Normal saline solution with 2 mEq of potassium per 100 ml
The correct choice is Lactated Ringer’s solution.
Assistant Professor / Lecturer • 2017 • Paper-II

The nurse is called to the room of a client experiencing a tonic-clonic seizure. Which action would the nurse perform first?

A) Loosen restrictive clothing
B) Turn the client to the side-lying position
C) Ensure patency of the client’s airway
D) Document the sequence of the client’s movements
The correct choice is Ensure patency of the client’s airway.
Assistant Professor / Lecturer • 2017 • Paper-II

What is your first action after a shock is delivered?

A) Wait for the AED to analyze the patient
B) Check pulse
C) Clear the patient.
D) Begin CPR
The correct choice is Begin CPR.
Assistant Professor / Lecturer • 2017 • Paper-II

Most common premalignant oral lesion is :

A) Leukoplekia
B) Submucus fibrosis
C) Oral lichen planus
D) Oral hairy leukoplakia
The correct choice is Leukoplekia.
Assistant Professor / Lecturer • 2017 • Paper-II

PGMI classification is used for

A) Brain
B) Breast
C) Liver
D) Retinoblstoma
The correct choice is Retinoblstoma.
Assistant Professor / Lecturer • 2017 • Paper-II

The client with glaucoma asks the nurse if complete vision will return. The most appropriate response is:

A) “Your vision will return to normal.”
B) “Your vision will return as soon as the medication begins to work.”
C) “Your vision loss is temporary and will return in about 3 to 4 weeks.”
D) “Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan.”
The correct choice is “Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan.”.