Question 1 : - The physician has ordered nalbuphine HCL long 1/v for a client in active labour . The pharmacy Supplies a vial Labeled as 50 mg in a 5 ml –vial . Which of the following amounts would the nurse administer ?
1.
0.5 ml
2.
1.0 ml
3.
1.5 ml
4.
2.0 ml
Answer :- (2) 10 mg / 50 mg = x / 5 ml
1/5 = x/5ml
5x = 5 ml
x= 1 ml
Question 2 :- Which of the following would the nurse teach the mother about her neonate diagnosed with FAS?
1.
Neonates are often listless and lethargic
2.
The IQ scores are usually average
3.
Hyperactivity and speech disorders are common
4.
The mortality rate is 70% unless treated.
Answer :- (3) Central nervous system disorders are common in neonates with FAS . Speech and languages disorders and hyperactivity are common manifestations of CNS dysfunction . Mild to severe mental retardation and feeding problems also are common. Delayed growth and development is expected. These neonates feed poorly and often have persistent vomiting until age 6 to 7 mths.These neonates do not have a 70 % mortality rate and there is no treatment.
Question 3: The father of a 16mth old calls the clinic because the child has a low – grade fever cold symptoms, and a hoarse cough. Which of the following would the nurse suggest that the father do?
1.
Offer extra fluids frequently
2.
Bring the child to the clinic immediately
3.
Count the child’s respiratory rate
4.
Use a hot air vaporizer
Answer :- (1 ) The toddler is exhibiting cold symptoms. A hoarse cough may be part of the upper respiratory tract infection. The best suggestion is to have the father offer the child additional fluids at frequent intervals to help keep secretions loose and membranes moist.

Question 4 :- When developing the plan of care for a newly admitted 2 – yr. Old with the diagnosis of
Kawasaki disease (KD) which of the following would be the priority ?
1.
Taking vital signs every 6 hrs.
2.
Monitoring intake and output every hour.
3.
Minimizing skin discomfort.
4.
Providing passive range of motion exercise.
Answer :- (2) Cardiac status must be monitored carefully in the initial phase of KD because the child is at high risk of CHF. Signs of CHF are respiratory distress and decreased urine output.
Question 5:- A child is receiving methyl prednisolone I/v as treatment for a severe asthamatic attack .
The nurse closely monitors the flow rate of the intravenous infusion to prevent the development of which of the following.
1.
Hypertention
2.
Nausea
3.
Flushing of the skin
4.
Seizures
Answer :- ( 1 ) Serious side effect of Methyl prednisolone is Hypertention which occurs more frequently when the infusion is administered at too rapid a flow rate.
Question 6:- The nurse expects that a client with mitral stenosis would demonstrate symptoms associated with congestion in the.
1.
Aorta
2.
Right atrium
3.
Superior vena cava
4.
Pulmonary circulation
Answer :- (4 ) When stenosis of mitral valve is present the left atrium has difficulty emptying its contents into the left ventricle. The pulmonary circulation is under pressure.
Question 7 :- A client has the following ABG values
Ph – 7.52
Po
2
- 50
Paco
2
- 28
Hco
3
- 24mEq/L
What is the nurse’s suggestion .
1.
Client is severly hypoxic
2.
The O
2
Level is low but poses no risk for the client
3.
The client PaO
2
level is with in normal range
4.
The client requires O
2
therapy with very low O
2
concentration

Answer :- ( 1 ) Normal PaO
2
level range between 80 and 100 mmHg. When the PaO
2
value falls to 50 mmHg the nurse should be alert for signs of hypoxia and impending respiratory failure.
Question 8 :- Patient is suffering from Graves disease . The nurse should asses the client for.
1.
Anorexia
2.
Tachycardia
3.
Wt gain
4.
Cold Skin
Answer :- ( 2 ) Graves disease is most common type of thyrotoxicosis is the state of hyper metabolism
The increased metabolic rate generates heat and produces tachy cardia and fine muscle tremors.
Question 9 :- The nurse is witnessing the client’s signature on the informed surgical consent for an abdominal hystertomy it is important to ascertain that the client understands that with this surgical procedure she will have
1.
Decreased Libido
2.
Infertility
3.
Depression
4.
weight gain
Answer :- (2) The best approach for a client who is fearful about having surgery is to allow the client opportunities to express her fears. Open – ended questions should elicit the client individual and specific fears.
Question 10 :- Which of the following is not a typical clinical manifestation of multiple sclerosis ?
1.
Double vision
2.
Sudden bursts of energy
3.
Weakness in the extremities
4.
Muscle tremors
Answer :- ( 3 ) With MS, hyper excitability and Euphoria may occurs but because of muscle weakness sudden bursts of energy are unlikely.