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MEDICINE AND MEDICAL
NURSING SEPTEMBER
2020. June 2022
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Mr. Kwesi Afrani was brought to the OPD
in an unconscious state. The initial
method of assessing his level of
consciousness is by
Monitoring his reaction to painful stimuli.
Examining the pupillary reaction to light.
Checking his response to verbal stimulant.
Ms. Abena Nyarkoa, a 19-year-old SHS
student of Ahamasu is being treated for
a urinary tract infection. As a child, the
patient developed hives due to sulphar.
Which of the following antibiotics is
contraindicated in this patient?
Trimethoprim-sulfamethoxazole.
Nitrofurantoin.
Cephalexin.
The MAIN function of adipose tissue in
fat metabolism is synthesizing and
Releasing glucose for energy.
Regulating cholesterol production.
Storing triglycerides for energy reserve.
Severe Acute Malnutrition (SAM) usually
manifested by wasting and/or oedema
has major contributory factors like
I. Nutritional deficiency
II. Recurrent infections
III. Severe anaemia
I only.
I and II.
II and III.
An unconscious patient is receiving
intermittent feeding through a NG tube.
To evaluate if the previous feeding has
been absorbed, the Nurse should
Evaluate the intake in relation to the output.
Compare the patient’s body weight to the
baseline data.
Aspirate for residual volume and re-instill it.
The Nurse is planning care for Madam
Kusa who has just been rushed to the
Accident and Emergency, and diagnosed
of Myocardial infarction. The Nurse must
prepare to administer ..................
Tablet soluble Aspirin, 300mg stat.
IV Nitroglycerine 2.5mg stat.
IM Pethidine 50mg stat.
Ms.Abua Philips, 10 years old JHS pupil
has been admitted to the ward with
severe malaria. She has fever of 37.2oC,
chills and bitterness in the mouth. The
Nurse educates her on the following
measures to protect herself from
mosquito bites EXCEPT:
Closing all her windows at night.
Using mosquito repellent creams.
Sleeping in insecticide treated net.
Which of the following schistosoma
species inhabits the terminal venules of
the urinary bladder? Schistosoma
Haematobium.
Mansoni
Japonicum.
A patient is admitted with pulmonary
oedema. The Nurse would expect the
physician to order a rapidly acting
diuretic such as
Aldactone.
Chlorothiazide.
Laxis.
Ms. Atswei Kpekpeye had an ECG done
and the test revealed that she has a third
degree arterio ventricular block. She is
likely to develop the following
complications EXCEPT:
Cardiac tamponade.
Cardiac arrest.
Thrombo embolic event.
Mr. Stands Blankson, a 53 year old
farmer was rushed to the Accident and
Emergency Unit by his wife. History
taking revealed dysuria, urge and
hesitancy of micturition for the past 5
days. As a Nurse on duty, you were
asked by the Charge Nurse to perform
physical examination to determine the
status of the kidneys. A student Nurse
mentioned that the amount of urine in
millilitres in the bladder that makes it
purcussible is ..........................
140
150
130
What is the most common pathogen in
urinary tract infections?
Escherichia coli.
Enterococcus faecalis.
Staphylococcus aureus.
A disease with an unknown cause is
usually described as ……………. disease.
Idiopathic.
Communicable
Iatrogenic.
Which of the following assessment
techniques would be the BEST for
determining fluid in the pleural cavity?
Percussion
Auscultation
Palpation
Mr. Andrews Fofo, 35 year old driver has
been diagnosed of gonorrhoea. Which of
the following medications would be a
first line treatment for his condition?
Azithromycin plus ceftriaxone.
Benzathine Penicillin G.
Ceftriaxone alone.
Nurse Mpuni is caring for Mr. Inkoon
45years old who has undergone
esophagogastroduodenoscopy. As part of
the patient’s care plan, which of the
following aspects of care should Nurse
Mpuni place the highest priority on?
Administering warm gargles to sooth throat.
Assessing for the return of the gag reflex.
Monitoring the temperature.
Madam Adoma Botan, a known
hypertensive and diabetic reported to
the Emergency Unit with severe chest
pain of sudden onset which could not be
relieved by rest. She was diagnosed of
Myocardial Infarction. Examination
revealed several spots of subcutaneous
bleeding on the skin. She told the Doctor
that she bleeds from the gums any time
she brushes her teeth and it takes a long
time for the bleeding to stop. The Doctor
ordered for subcutaneous Heparin.
Which of the following nursing actions is
MOST appropriate?
Confirm the order with the Doctor.
Use a fine hypodermal needle to prevent
bleeding.
Serve oral form of the medicine instead.
Significant nursing assessment data
relevant to renal function should include
information about
I. Voiding disorders
II. Patient’s occupation
III. Presence of diabetes mellitus
IV. Presence of hypertension
I, III and IV.
I, II, III and IV.
I, II and III.
What would be the MOST effective way
to increase the probability that a patient
will implement a self-care regime at
home after being diagnosed and treated
of angina.
Identify patients coping mechanism at home.
Provide patient with a 24-hour diet plan.
Provide adequate education on heart healthy
living.
An asthmatic patient on your ward is
placed on theophylline as treatment. This
medication is given to the patient to
Reduce the constriction of bronchioles.
Decrease airway inflammation.
Reduce irritation in the airway.
Which of these would occur when protein
is being lost in the urine and is not being
replaced?
Less lymph would be produced.
Arterial blood pressure would rise steeply.
Increased tissue fluid formation.
A patient is on admission on your ward
with pericarditis. The following could be
the causes of of his condition.
I. Infections
II. Brain injury
III. Renal failure
I and II.
I and III.
II and III.
Madam Ashia Keteke, a known
hypertensive and diabetic reported to
the Emergency Unit with severe chest
pain of sudden onset which could not be
relieved by rest. She was diagnosed of
Myocardial Infarction. Examination
revealed several spots of subcutaneous
bleeding on the skin. She told the Doctor
that she bleeds from the gums any time
she brushes her teeth and it takes a long
time for the bleeding to stop. Madam
Keteke asked the Nurse about the cause
of bleeding form her gum. Which of the
following responses is CORRECT?
It could be a result of prolonged use of anti
diabetic agents.
It is usual complication of myocardial infarction.
It could be a result of prolonged use of Aspirin.
Madam Afua Brugya, 57 year old health
worker, during a routine check up visit to
the hospital showed clinical
manifestations of metabolic acidosis. The
following are among the manifestations
EXCEPT:
Drowsiness.
Increased blood pressure.
Dysrhythmias.
Madam Afua Brugya, 57 year old health
worker, during a routine check up visit to
the hospital showed clinical
manifestations of metabolic acidosis. The
following are among the manifestations
EXCEPT:
Drowsiness.
Increased blood pressure.
Dysrhythmias.
The Nurse is educating a group of Market
Women on the need to do regular
exercises to prevent obesity. Which
statement by one of the women would
mean a successful teaching session?
I need to walk down the street at least 30
minutes each day.
I don’t need to walk around at the market once I
do regular exercise at home.
Once I walk around at the market I don’t need
any formal exercise.
Mr. George Brandford a 70 year old
cardiac patient has under gone cardiac
catheterization. His nursing care after
this procedure would include
Restricting fluid intake until blood pressure
stabilizes.
Monitoring the site used for bleeding.
Encouraging early ambulation of the patient.
The body’s tendency to maintain a state
of physiologic balance in the presence of
constantly changing conditions is
referred to as
Homeostasis.
Haemostasis.
Homeothermic.
Which of the following signs is consistent
with hypothyroidism?
Constipation.
Weight loss.
Diaphoresis.
A 78-year-old male patient from Vietnam
is being evaluated for morning
headaches of new onset and he is
diagnosed with stage 2 hypertension.
The nurse prescribes hydrochlorothiazide
25 mg daily. On a follow-up visit, the
patient tells the nurse that since the
medication stopped the headache, he is
no longer taking it. What is the best
course of action?
The nurse should tell the patient she will reduce
the dose to 12.5 mg daily.
The nurse should advise patient to continue not
taking hydrochlorothiazide.
The nurse should educate the patient about
hypertension and the importance of taking his
medication each day.
Vitamin A requires one of the under
listed in order to be absorbed.
Amylase
Bile
Lipase
Mr. Bentum Elikem, a 25 year old patient
and a known hypertensive is a school
dropout who had been involved in mining
activities for more than 5 years. He
experienced multiple bee stings. He
reported to the outpatient department on
the 5th day; physical examination
revealed peripheral oedema, proteinuria
and hypertension. Blood chemistry
showed decreased albumin and elevated
serum cholesterol. Which of the
following is a likely diagnosis based on
the findings?
Nephrotic syndrome.
Glomerulonephritis.
Pyelonephritis.
To prevent the transmission of
pulmonary tuberculosis to others, the
Nurse instructs Madam Aminatu on the
importance of:
I. Hand washing
II. Cough ethics
III. Perineal care
IV. Wound care
I and IV.
I and II.
I, II and III.
Miss Silvia Ateh, an 18 year old student
was rushed to the Accident and
Emergency Unit by her school authority.
History taking revealed dysuria, urge and
hesitancy of micturition for the past 5
days. As a Nurse on duty, you were
asked by the Charge Nurse to perform
physical examination to determine the
status of the kidneys. As you were
performing posterior palpation to
determine renal function, understand
that normal-sized kidney is rarely
palpable because the
I. Urinary bladder lies on top of the left
kidney
II. Strong back muscles
III. Spleen lies on top of the left kidney
IV. Spleen lies below the left kidney
I and II.
II, III and IV.
III.
A 20-year-old male reports with
jaundice, fatigue, and dark urine two
days after beginning treatment for
traveler’s diarrhoea with trimethoprimsulfamethoxazole. Which of the following
is the likely cause of the patient’s
reaction to the treatment?
Stevens-Johnson syndrome.
Glucose-6-phosphate dehydrogenase deficiency.
Paroxysmal nocturnal hemoglobinuria.
Mr. Nuku 68 year old with peripheral
arterial disease has a nursing diagnosis
of ineffective peripheral tissue perfusion.
Which of the following nursing
intervention should be included in the
teaching plan for the patient?
I. Apply warm compresses on the legs
and feet
II. Apply cold compress on the legs and
feet
III. Engage in walking exercises as tolerated
IV. Inspect lower extremities for pulse,
temperature and injury
I, II and III.
I and III.
I, III and IV.
Mr. Lee Coffie, a 55 year old patient on
your ward has been scheduled for ECG
examination. Patient is anxious and
eager to know the reason for the ECG.
Which of the following will be the BEST
response from the Nurse? ECG
Shows how the heart performs when at rest.
Determines the patients potential target heart
rate.
Shows the presence of myocardial infarction.
Miss Elsie Prah a 30 year old client was
rushed into the Accident and Emergency
Unit by some Market women. History
taking revealed dysuria, severe
costovertebral angle angle pain, urge
and hesitancy of micturition for the past
5 days. As a Nurse on duty, you were
informed by the In-charge to perform
physical examination to determine the
status of the kidneys. The Nurse wants
to assess for severe costovertebral angle
pain presented by the client. Which of
the following steps will the Nurse
consider MOST appropriate?
I. Striking the fist of one hand against
the dorsal surface of the other
II. Placing the hand flat at the posterior
costovertebral angle margin at the 10th
rib
III. Placing the hand flat at the posterior
costovertebral angle margin at the 12th rib
IV. Thump the hand with the ulnar the
ulnar edge of the other fist
I, III and IV.
I and II.
I, II and III.
Antiretroviral drugs (ARV) is used to
treat all patients who test positive for
HIV. One mechanism of action of the ARV
is to
Increase the lifespan of the red blood cells.
Neutralize the toxins produced by the HIV.
Prevent the production of HIV.
Which of the following is the cause of
hypocalcemia in patients with end stage
renal disease?
Decreased conversion of vitamin D.