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.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
What is a symptom for chronic use of antipsychotic medication:
A)
Hypotension
B)
Hypertension
C)
Oral dyskinesis
D)
Myopia
Chronic antipsychotic use can cause tardive/oral dyskinesia.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Patient diagnosed with major depression disorders spends majority of the day lying in bed with the sheet pulled over his head. Which of the following approaches by the nurse would be the most therapeutic?
A)
Question the client until he responds
B)
Initiate contact with the client frequently
C)
Sit outside the client’s room
D)
Wait for the client to begin the conversation
Frequent brief contact helps prevent isolation while respecting the depressed client.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Most common cause of first trimester abortion is:
A)
chromosomal abnormalities
B)
syphilis
C)
rhesus isoimmunisation
D)
cervical incompetence
Chromosomal abnormalities are the commonest cause of first-trimester miscarriage.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A nursing teacher is teaching about the cause of mood disorders. Which statement by a nursing student best indicates an understanding of the etiology of mood disorders?
A)
“When clients experience loss, they learn that it is inevitable and become hopeless and helpless.”
B)
“There are alterations in the neurochemicals, such as serotonin, which cause the client’s symptoms.”
C)
“Evidence continues to support multiple causations related to an individual’s susceptibility to mood symptoms.”
D)
“There is a genetic component affecting the development of mood disorders.”
Mood disorders have multifactorial causes, including biological, psychological and social factors.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
What is the most serious complication of meningitis in young children:
A)
Epilepsy
B)
Blindness
C)
Peripheral circulatory collapse
D)
Communication hydrocephalus
Severe meningitis can cause shock/peripheral circulatory collapse, a life-threatening complication.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Complication associated with intractable anorexia nervosa would be:
A)
Cardiac dysrhythmias resulting to cardiac arrest
B)
Glucose intolerance resulting in protracted hypoglycemia
C)
Endocrine imbalance causing cold amenorrhea
D)
Decreased metabolism causing cold intolerance.
Severe anorexia can cause electrolyte disturbance and lethal cardiac dysrhythmias/cardiac arrest.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A client with OCD has an elaborate handwashing and touching ritual that interferes with her activities of daily living. She misses meals and therapy sessions. What effective therapy could the nurse initiate to limit her ritual?
A)
Teach thought stopping techniques
B)
Prevent the ritualistic behavior
C)
Use adjunctive therapies for distraction
D)
Facilitate insight regarding the need for the ritual
Response prevention limits the compulsive ritual in OCD.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
What is the most common site for an ectopic pregnancy?
A)
Fallopian tube
B)
Tubo ovarian ligament
C)
Ovary
D)
Cervical os
Most ectopic pregnancies implant in a fallopian tube.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
When elevating the head of an infant in a spica cast, the nurse should:
A)
Place two pillows under the shoulders
B)
Limit the position to 1 hour at a time
C)
Pad the edge of the cast with folded diapers
D)
Raise the entire mattress at the head of the crib
For a spica cast, elevating the infant’s head safely is done by supporting the shoulders.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
In disorders of sexuality and sexual functioning, the term ‘paraphilias’ refers to:
A)
Problems with the normal sexual response cycle
B)
Sexual urges or fantasies involving unusual sources of gratification problems
C)
An individual is dissatisfied his/her their own biological sex and has a strong desire to be a member of the opposite sex
D)
Problems with sexual fantasies
Paraphilias involve atypical sexual urges or fantasies involving unusual objects, situations or targets.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Enuresis is inability to control bladder function beyond the age of:
A)
4 years
B)
5 years
C)
6 years
D)
7 years
Enuresis is bed-wetting beyond the age of about 5 years.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The commonest cause of neonatal death in India is:
A)
Prematurity
B)
Birth injury
C)
Metabolic disease
D)
Diarrhoea
Prematurity is a leading cause of neonatal mortality in India.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The true contra indications of breastfeeding is:
A)
Galactosemia
B)
Diabetes mellitus
C)
Cystic fibrosis
D)
Turner’s syndrome
Classical galactosemia is a true contraindication to breastfeeding.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of the following full-term babies requires immediate intervention?
A)
Baby with seesaw breathing
B)
Baby with irregular breathing with 10-second apnea spells
C)
Baby with coordinated thoracic and abdominal breathing
D)
Baby with respiratory rate of 52
Seesaw/paradoxical breathing indicates respiratory distress and requires immediate attention.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Immediate complication of low birth weight babies is:
A)
Intrauterine fetal death
B)
Perinatal asphyxia
C)
Pulmonary haemorrhage
D)
Sensorineural injury
Perinatal asphyxia is an important immediate complication of low birth weight.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Hypospadius is :
A)
Ventral curvature of penis
B)
Urethral opening along the dorsal surface of the penis
C)
Urethral opening along the ventral surface of the penis
D)
Stenosis of the urethral opening
Hypospadias is a ventral displacement of the urethral meatus.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The United nations adopted the ‘Declaration of the Rights of the child’ on
A)
20th November 1959
B)
14th November 1959
C)
20th November 1947
D)
14th November 1947
The UN adopted the Declaration of the Rights of the Child on 20 November 1959.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The milk secreted towards the end of regular breastfeed which contains more fat and energy is called:
A)
Transitional milk
B)
Mature milk
C)
Preterm milk
D)
Hind milk
Hind milk is richer in fat and energy and comes later in a feed.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of the following signs and symptoms require immediate attention and may indicate most serious complications during pregnancy?
A)
Severe abdominal pain or fluid discharge from the vagina.
B)
Excessive saliva, “bumps around the areola, and increased vaginal mucus.
C)
Fatigue, nausea, and urinary frequency at any time during pregnancy.
D)
Ankle oedema, enlarging varicosities, and heartburn
Severe abdominal pain or vaginal fluid loss can signal serious obstetric complications and needs urgent assessment.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The uterine tubes are paired structures, measuring about:
A)
8 cm
B)
10 cm
C)
12 cm
D)
14 cm
The uterine tube is about 10–12 cm long; 12 cm is the standard approximate figure.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which is an example of the therapeutic communication technique of “focusing”?
A)
“Can we talk more about how you feel about your father?”
B)
“I’m not sure what you mean when you use the word ‘fragile.’”
C)
“I notice that you seem angry today.”
D)
“How does your mood today compare with yesterday?”
Focusing directs attention to a particular issue for deeper discussion.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of the following procedures involves injecting radioactive molecules into the bloodstream?
A)
Positron emission tomography(PET)
B)
Functional magnetic resonance imaging(FMRI)
C)
Magnetic resonance imaging
D)
Computerized axial tomography
PET uses radiolabeled tracers injected into the bloodstream.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse’s best method for explaining the procedure to the child is to:
A)
Show the child a pamphlet with pictures showing the IV placement procedure
B)
Have the 5-year-old patient next door tell the 4-year-old about her experience with her IV placement
C)
Show the child the IV placement equipment, and demonstrate the procedure on a doll
D)
Tell the child that if she remains still, the procedure will be over quickly
For a 4-year-old, concrete demonstration with equipment and a doll is age-appropriate.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A child has third-degree burns on the hands, face and chest. Which nursing diagnosis takes priority?
A)
Ineffective airway clearance related to edema
B)
Disturbed body image related to physical appearance
C)
Impaired urinary elimination related to fluid loss
D)
Risk for infection related to epidermal disruption
Face/chest burns risk airway edema, so airway clearance has highest priority.
