Assistant Professor / Lecturer • 2017 • Paper-II

The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?

A) Total loss of vision
B) A sense of a curtain falling across the field of vision.
C) Pain in the affected eye
D) A yellow d
The correct choice is A sense of a curtain falling across the field of vision..
Assistant Professor / Lecturer • 2017 • Paper-II

When caring for a client with a diagnosis of diabetes insipidus, which nursing intervention should be the priority?

A) Watching for signs and symptoms of septic shock
B) Maintaining adequate fluid intake
C) Checking weight every 3 days
D) Monitoring urine for specific gravity greater than 1.030
The correct choice is Maintaining adequate fluid intake.
Assistant Professor / Lecturer • 2017 • Paper-II

An unresponsive client is admitted to the emergency room with a history of diabetes mellitus. The client’s skin is cold and clammy, and her blood pressure reading is 82/56. The first step in emergency treatment of the client’s symptoms would be:

A) Checking the client’s blood sugar
B) Administering intravenous dextrose
C) Intubation and ventilator support
D) Administering regular insulin
The correct choice is Checking the client’s blood sugar.
Assistant Professor / Lecturer • 2017 • Paper-II

A nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which of the following indicates that the child is bleeding?

A) Frequent swallowing
B) A decreased pulse rate
C) Complaints of discomfort
D) An elevation in blood pressure
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II

Burnt Rope Odour is associated with which poisoning:

A) Hydrogen sulphide
B) Cyannide
C) Nirtobenzene
D) Cannabis
The correct choice is Cyannide.
Assistant Professor / Lecturer • 2017 • Paper-II

A client is scheduled for several tests. Which test should be performed after the thyroid function tests?

A) Ultrasound of the carotid arteries
B) EEG
C) Chest X-ray
D) Contrast CT
The correct choice is Chest X-ray.
Assistant Professor / Lecturer • 2017 • Paper-II

The nurse is caring for a client who has experienced a cerebral vascular accident. The client is displaying oliguria and hyponatremia. The nurse suspects which of the following disorders?

A) Thyrotoxic crisis
B) Diabetes insipidus
C) Primary adrenocortical insufficiency
D) Syndrome of inappropriate antidiuretic harmone (SIADH)
The correct choice is Syndrome of inappropriate antidiuretic harmone (SIADH).
Assistant Professor / Lecturer • 2017 • Paper-II

A client is diagnosed with urticaria. How would the nurse describe this manifestation?

A) Elevated, firm circumscribed lesion in the dermis, 1 to 2 cm in diameter
B) Flat, nonpalpable, irregularly shaped lesion, more than 1 cm in diameter
C) Transient, elevated, solid, firm, irregularly shaped area of cutaneous edema, with a variable diameter
D) Elevated, circumscribed lesion in the dermis or subcutaneous layer, filled with liquid or semisolid material
The correct choice is Transient, elevated, solid, firm, irregularly shaped area of cutaneous edema, with a variable diameter.
Assistant Professor / Lecturer • 2017 • Paper-II

The nurse is performing an assessment on a client with a suspected diagnosis of cataract. The chief clinical manifestation that the nurse would expect to note in the early stages of cataract formation is:

A) Diplopia
B) Eye pain
C) Floating spots
D) Blurred vision
The correct choice is Blurred vision.
Assistant Professor / Lecturer • 2017 • Paper-II

A nurse is reviewing the laboratory results for a child scheduled for tonsillectomy. The nurse determines that which laboratory value is most significant to review?

A) Creatinine level
B) Prothrombin time
C) Sedimentation rate
D) Blood urea nitrogen level
The correct choice is Prothrombin time.
Assistant Professor / Lecturer • 2017 • Paper-II

A client is diagnosed with a fungal infection of the scalp. The nurse would document this as:

A) Tinea capitis
B) Tinea corporis
C) Tinea cruris
D) Tinea pedis
The correct choice is Tinea capitis.
Assistant Professor / Lecturer • 2017 • Paper-II

Which of the following IOP lowering drug causes dry mouth:

A) Brimonidine
B) Brinzolamide
C) Tafluprost
D) Timolol
The correct choice is Brimonidine.
Assistant Professor / Lecturer • 2017 • Paper-II

A nursing instructor asks a student to describe the pathophysiology that occurs in Cushing’s disease. Which statement by the student indicates an accurate understanding of this disorder?

A) “Cushing’s disease results from an oversecretion of insulin.”
B) “Cushing’s disease results from an undersecretion of corticotropic hormones.”
C) “Cushing’s disease results from an undersecretion of mineralocorticoid hormones.”
D) “Cushing’s disease results from an increased pituitary secretion of adrenocorticotropic hormone.”
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II

The client has sustained a burn wound. What is the most important intervention by the nurse to decrease hyperthyroid scarring during later stages of healing?

A) Remove all tissue in the wound area
B) Apply continuous pressure using elastic wraps
C) Wear clothing to protect the burn from the sun
D) Maintain wound dressing changes
The correct choice is Apply continuous pressure using elastic wraps.
Assistant Professor / Lecturer • 2017 • Paper-II

A client is diagnosed with pheochromocytoma. A nurse prepares a plan of care for the client; while planning, the nurse understands that pheochromocytoma is a condition that:

A) Causes profound hypotension
B) Is maintained by severe hypoglycemia
C) Is not curable and is treated symptomatically
D) Causes the release of excessive amounts of catecholamines
The correct choice is Causes the release of excessive amounts of catecholamines.
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

A client has recently had a skin graft. What is the most important instruction for the nurse to give the client?

A) Continue physical therapy
B) Protect the graft from direct sunlight
C) Use cosmetic camouflage techniques
D) Apply lubricating lotion to the graft site
The correct choice is Protect the graft from direct sunlight.
Assistant Professor / Lecturer • 2017 • Paper-II

The emergency room staff is practicing for its annual disaster drill. According to disaster triage, which of the following four clients would be cared for last?

A) A client with a Pneumothorax
B) A client with 70% TBSA full thickness burns
C) A client with fractures of the tibia and fibula
D) A client with smoke inhalation injuries
Participatory Rural Appraisal emphasizes incorporating local people's knowledge, experience and priorities.
Assistant Professor / Lecturer • 2017 • Paper-II

The client sustains a contusion of the eyeball following a traumatic injury with a blunt object which intervention is initiated immediately?

A) Notify the physician
B) Irrigate the eye with cool water
C) Apply ice to the affected eye
D) Accompany the client to the emergency room
The correct choice is Apply ice to the affected eye.
Assistant Professor / Lecturer • 2017 • Paper-II

Back’s triad consist of all except:

A) Hypotension
B) Distended neck veins
C) Muffled heart sounds
D) Decrease JVP
The selected option is the exception/incorrect statement: Decrease JVP.
Assistant Professor / Lecturer • 2017 • Paper-II

The nurse is caring for a client who is 1 day postoperative from a total thyroidectomy. The nurse determines it is necessary to call the rapid response team (RRT) when the client displays which of the following?

A) Blood pressure of 150/92 mm Hg
B) Harsh, high-pitched respiratory sounds
C) Weak voice and / or hoarseness
D) Decreased deep tendon reflexes
The correct choice is Harsh, high-pitched respiratory sounds.
Assistant Professor / Lecturer • 2017 • Paper-III (Common Paper)

As shirt is related to ‘Cloth’, similarly Shoes is related to-

A) Cobbler
B) Tailor
C) Leather
D) Hammer
The correct choice is Leather.
Assistant Professor / Lecturer • 2017 • Paper-III (Common Paper)

Which statement is not true for Formative evaluation?

A) Monitor progress of students by getting feedback
B) Assign regular assignments
C) Do quarterly assessment
D) Detailed content to be focused
The selected option follows from the stated numerical/logical relationship: Do quarterly assessment.
Assistant Professor / Lecturer • 2017 • Paper-III (Common Paper)

ROSE is coded as 6821, CHAIR is coded as 73456 and PREACH is coded as 961473, then what will be the code for SEARCH?

A) 246173
B) 214673
C) 214763
D) 216473
The selected option follows from the stated numerical/logical relationship: 214673.
Assistant Professor / Lecturer • 2017 • Paper-III (Common Paper)

If a test was generally very easy, except for a few students who had very low scores, then the distribution of scores would be______

A) Positively skewed
B) Negatively skewed
C) Not skewed at all
D) Normal distribution
The selected option is the exception/incorrect statement: Negatively skewed.
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