← Combined Technical (NG)

Past Questions — 2019

Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of the following exercises should be taught to a pregnant woman who complains of backaches?

A) Kegeling
B) Pelvic tilting
C) Leg lifting
D) Crunching
Pelvic-tilt exercises strengthen/support the back and relieve pregnancy-related backache.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A client diagnosed with an eating disorder has a nursing diagnosis of low self-esteem. Which nursing intervention would address this client’s problem?

A) Offer independent decision-making opportunities
B) Review previously successful coping strategies
C) Provide a quiet environment with decreased stimulation
D) Allow the client to remain in a dependent role throughout treatment
Offering independent decision-making opportunities promotes autonomy and self-esteem.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type I DM. What information should the nurse provide about type I DM?

A) Best managed through diet, exercise, and oral medication
B) Can be prevented by proper nutrition and activity
C) Characterized mainly by insulin resistance
D) Characterized mainly by insulin deficiency
Type 1 diabetes is primarily due to insulin deficiency.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

During slow wave sleep (STAGES 3 AND 4 NREM sleep):

A) Dreams occur
B) The secretion of adrenal steroids is at its highest
C) Somnambulism and nightmare occur
D) The secretion of somatotropin is at its lowest.
Deep NREM sleep is associated with parasomnias such as somnambulism (sleepwalking).
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Elevated mood with increasing psychomotor activity is a characteristic feature of:

A) Mania
B) Euphoria
C) Bipolar disorder
D) Dysthymia
Marked elevated mood and increased psychomotor activity characterize mania.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

In the phases of physiological basis of lactation, synthesis and secretion from the breast alveoli is called:

A) mamogenesis
B) lactogenesis
C) galactokinesis
D) galactopoiesis
Milk synthesis and secretion by alveolar cells is lactogenesis.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A client is in the third stage of labor. Which of the following assessments should the nurse make/ observe for?

A) Fetal heart assessment after each contraction
B) Uterus rising in the abdomen and feeling globular
C) Rapid cervical dilation to ten centimeters
D) Maternal complaints of intense rectal pressure
During the third stage, placental separation causes the uterus to rise and become firm/globular.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The nurse monitors his or her postpartum clients carefully because which of the following physiological changes occurs during the early postpartum period?

A) Decreased urinary output
B) Increased blood pressure
C) Increased estrogen level
D) Decreased blood volume
After delivery, blood volume falls because of blood loss and fluid shifts.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Mrs. Sangi has contractions growing stronger which lasts for 30-60 seconds and occur approximately every 3-5 minutes. On performing vaginal examination, the nurse expects that the client’s cervical dilatation will be:

A) 0 – 3 cm
B) 4 – 7 cm
C) 8 – 10 cm
D) 11 – 13 cm
Contractions every 3–5 minutes lasting 30–60 seconds suggest active first stage, about 4–7 cm dilation.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A nurse is doing discharge education with a parent who has a child with beta-thalassemia (Cooley anemia). The nurse informs the parent that the child is at risk for which of the following conditions?

A) Hypertrophy of the thyroid
B) Polycythemia vera
C) Thrombocytopenia
D) Chronic hypoxia and iron overload
Thalassemia major causes chronic anemia/hypoxia and repeated transfusions lead to iron overload.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The nurse is caring for a 12-month-old girl. The child’s mother asks if the unit has any toys that her daughter can play with. The nurse goes to the toy area in search of a toy for the child. Which toy is the best choice for this child?

A) A doll
B) A musical rattle
C) A board book
D) Colorful beads
At 12 months, a musical rattle is developmentally appropriate and safe.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A woman is treated with lithium during pregnancy. The fetus should be tested for:

A) Neural tube defects
B) Cardiac malformations
C) Urogenital abnormalities
D) Scalp defects
Lithium exposure in pregnancy is associated with congenital cardiac malformations, classically Ebstein anomaly.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Pink color in classification system of IMNCI suggest:

A) Treatment in health facility
B) Management at home
C) Referral
D) Hospitalization
Pink in IMNCI indicates referral/hospital-level care.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A child diagnosed with severe mental retardation becomes aggressive with staff members when faced with the inability to complete simple tasks. Which nursing diagnosis would reflect this client’s problem?

A) Ineffective coping R/T inability to deal with frustration
B) Anxiety R/T feelings of powerlessness and threat to self-esteem
C) Social isolation R/T unconventional social behavior
D) Risk for injury R/T altered physical mobility
Aggression arising from inability to cope with frustration is best captured by ineffective coping.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of these nursing actions belong to the secondary level of preventive intervention?

A) Providing mental health consultation to health care providers
B) Providing emergency psychiatric services
C) Being politically active in relation to mental health issues
D) Providing mental health education to members of the community
Secondary prevention focuses on early intervention/treatment, including emergency psychiatric services.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A pediatric client is admitted to the hospital with left-sided pneumonia. The client is complaining of pain and wants to be repositioned in the bed. The nurse knows the patient may be most comfortable in which position?

A) Lying in the Trendelenburg position
B) Lying on the left side
C) Lying on the right side
D) Lying in the supine position
For unilateral pneumonia, positioning with the healthy lung dependent (right side down) generally improves oxygenation; with left-sided pneumonia, right side is preferred.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A young woman was returning home from work late and was sexually assaulted. She was brought to the emergency room upset and crying. What is the nurse’s main goal?

A) Assist her in crisis
B) Notify the police of the alleged assault
C) Understand she will have a long recovery period
D) Provide support and comfort
In the acute aftermath of sexual assault, the immediate nursing priority is crisis intervention and stabilization.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

The recording of conversation between the nurse and the patient in a psychiatric set up is termed as:

A) Therapeutic communication
B) Interview technique
C) Process recording
D) Case study
A verbatim record of the nurse-patient interaction is a process recording.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A client is admitted to the hospital with severe preeclampsia. The nurse is assessing for clonus. Which of the following actions should the nurse perform?

A) Strike the woman’s patellar tendon
B) Palpate the woman’s ankle
C) Dorsiflex the woman’s foot
D) Position the woman’s feet flat on the floor
Ankle clonus is elicited by briskly dorsiflexing the foot.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

A behavioural therapy of sudden, direct and maximum exposure to the fear-producing stimulus:

A) Biofeedback
B) Flooding
C) Desensitization
D) Response prevention
Flooding uses sudden, prolonged direct exposure to the feared stimulus.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

All milk teeth are erupted at what age?

A) 1.5 years
B) 2 years
C) 3 years
D) 3.5 years
All 20 primary teeth are normally erupted by about age 3.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

What nursing care would be included for a 4 year old boy with severe autistic disorder?

A) Psychotrpic medications
B) Social skills training
C) Play therapy
D) Group therapy
Social-skills training is a key intervention for children with severe autism.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Temporary discharge of the patient from the psychiatric hospital is referred to as:

A) Parole
B) Abscond
C) Termination
D) Escape
Parole refers to temporary authorized release from psychiatric/institutional care.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Another name of exstrophy of bladder is:

A) Wilm’s tumour
B) Nephrotic syndrome
C) Ectopia Vesicae
D) Vesico ureteric reflux
Bladder exstrophy is also called ectopia vesicae.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II

Which of the following signs/symptoms would the nurse expect to see in a woman with abruptio placentae?

A) Increasing fundal height measurements
B) Pain-free vaginal bleeding
C) Fetal heart accelerations
D) Hyperthermia with leukocytosis
Abruptio placentae can cause concealed bleeding with an increasing, tense fundal height.
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