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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 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
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.