Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A client with severe Alzheimer’s disease has violent outbursts, wanders and is incontinent. He can no longer identify familiar people or objects. In developing the nursing care plan, the nurse would give highest priority to which nursing diagnosis?
A)
High risk for injury
B)
Impaired verbal communication
C)
Self care deficits
D)
Altered pattern of urinary elimination:incontinence
With wandering, violence and severe cognitive impairment, preventing injury is the priority.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
On reviewing information about glomerulonephritis, the nurse knows that which of the following children is at risk for developing the disease?
A)
A 10-year-old recovering from viral pneumonia
B)
A 6-year-old with new-onset type 1 diabetes
C)
A 3-year-old who had impetigo 1 week ago
D)
A 5-year-old with a history of five UTIs in the previous year
Post-streptococcal glomerulonephritis can follow impetigo after about 1–3 weeks.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
With which of the following placental anomalies is the placenta deeply attached to the uterus?
A)
Battledore placenta
B)
Placenta succenturiata
C)
Placenta accreta
D)
Placenta circumvallata
Placenta accreta is abnormally and deeply adherent to the uterine wall.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A newly admitted client is diagnosed with posttraumatic stress disorder. Which behavioral symptom would the nurse expect to assess?
A)
Recurrent, distressing flashbacks
B)
Intense fear, helplessness, and horror
C)
Diminished participation in significant activities
D)
Detachment or estrangement from others
PTSD commonly includes recurrent distressing intrusive memories/flashbacks.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of the behaviours listed below would assist the nurse in establishing the diagnosis of borderline personality disorder?
A)
Impulsivity
B)
Hallucinations
C)
Self-mutilation
D)
Narcissism
Self-mutilation/impulsive self-harm is characteristic of borderline personality disorder; among the listed choices self-mutilation is the strongest indicator.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Universal children’s day is observed on:
A)
November 14th
B)
November 20th
C)
July 14th
D)
July 20th
Universal Children’s Day is observed on 20 November.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
During adolescence, psychosocial development focuses on:
A)
Becoming industrious
B)
Establishing an identity
C)
Achieving intimacy
D)
Developing initiative
Erikson’s adolescent task is establishing identity.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of the following is the most important concept associated with all high-risk newborn?
A)
Support the high-risk newborn cardiopulmonary adaptation by maintaining adequate airway
B)
Identify complications with early intervention in the high-risk newborn to reduce morbidity and mortality
C)
Assess the high-risk newborn for any physical complications that will assist the parent with bonding
D)
Support mother and significant others in their request toward adaptation to the high-risk newborn
Early recognition and treatment of complications is the central goal in high-risk newborn care.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
The nurse notes that a newborn, who is 5 minutes old, exhibits the following characteristics: heart rate 108 bpm, respiratory rate 29 rpm with lusty cry, pink body with bluish hands and feet, some flexion. What does the nurse determine the baby’s Apgar score is?
A)
6
B)
7
C)
8
D)
9
Apgar: HR 2, respiration 2, color 1, tone 1, reflex response likely 2 from the lusty cry context = 8.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
A neonate has an elevated bilirubin and is slightly jaundiced on day 3 of life. What is the probable reason for these changes?
A)
Hemolysis of neonatal red blood cells by the maternal antibodies
B)
Physiological destruction of fetal red blood cells during the extrauterine period
C)
Pathological liver function resulting from hypoxemia during the birthing process
D)
Delayed meconium excretion resulting in the production of direct bilirubin
Physiologic jaundice around day 3 results largely from normal breakdown of fetal red cells.
Combined Technical (NG) • 2019 • Nursing Sciences Paper-II
Which of the following would be appropriate anticipatory guidance for a well-care visit of a 17-year-old?
A)
Discuss alcohol use and potential for alcohol poisoning
B)
Discuss secondary sex characteristics that will develop
C)
Teach about anger management and safe sex
D)
Teach about peer pressure and desire for independence
At 17, guidance appropriately addresses independence and peer pressure.
