STATE EXAM REVISION (PAST STATE
PAPER QUESTIONS WITH CORRECT
ANSWERS
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
1. Which of the following symptoms would you anticipate observing in bill
a) Elevated white blood cell count, ankle oedema and right groin pain
b) Left upper quadrant abdominal pain, nausea, and vomiting
c) Hypoglycaemia, hypertension, and hypochondrial pain
d) Epigastric pain, pyrexia, and elevated white blood cell count - Correct Answers -Left
upper quadrant abdo pain, nausea, vomiting
The initial diagnosis of pancreatitis would be confirmed if bills blood test showed a
significant elevation in serum
a) Amylase
b) Glucose
c) Potassium
d) Trypsin - Correct Answers -Amylase
Pain control is an important nursing goal. Which of the following medications would be
the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine - Correct Answers -Morphine
4. You monitor bills vital signs frequently, observing for the signs of shock. Shock is
extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis - Correct Answers -Frequency and
severity of gastrointestinal haemorrhage
While helping bill change position in bed, you note bill has muscle twitching in his bands
and forearms. These symptoms are significant because clients who suffer from
pancreatitis are at risk of
,a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia - Correct Answers -Hypocalcaemia
Bill does not drink alcohol because of his religious beliefs. When the physician persists
in asking him about his alcohol intake, bill becomes annoyed. You explain the reasoning
behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis
Alcoholism is a major health problem and all hospitalised clients are asked about
their alcohol intake
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered - Correct Answers -Alcoholism is a major health problem and all hospitalised
clients are asked about
their alcohol intake
home care nurse begins caring for a 25 year old female called Lydia who has just been
diagnosed with human immunodeficiency virus (HIV)
7. Lydia asks the nurse, 'how could this have happened?" the nurse responds to the
question based on the most frequent mode of HIV transmission, which is
a) Hugging an HIV positive sexual partner without using barrier precautions
b) Inhaling cocaine or other recreational drugs
c) Sharing a drink bottle with an HIV positive person
d) Sexual intercourse with an HIV positive person without using a condom - Correct
Answers -d) Sexual intercourse with an HIV positive person without using a condom
The physician prescribes zidovudine (AZT) a drug that acts to help
a) Destroy the virus
b) Enhance the body's antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the causative organism - Correct Answers -Slow
replication of the virus
Lydia acquires herpes genitalis and is counselled by the nurse concerning follow up
care. Women who have this disease are at risk of developing
a) Sterility
b) Cervical cancer
c) Uterine fibroid rumours
d) Irregular menses - Correct Answers -d) Irregular menses
The typical chancre of syphilis appears as
a) A grouping of small, tender pimples
b) An elevated wart
c) A painless moist ulcer
d) An itching, crusted area - Correct Answers -c) A painless moist ulcer
,7. Probenecid is prescribed in conjunction with penicillin as treatment for syphilis
because probenecid helps
a) Delay detoxification of penicillin
b) Inhibit excretion of penicillin
c) Maintain sensitivity of organisms to penicillin
d) Decrease the likelihood of an allergic reaction to penicillin - Correct Answers -Inhibit
excretion of penicillin
the client informs the nurse that she has had sexual intercourse with her boyfriend and
asks the nurse 'would he have any symptoms?' the nurse responds that in males,
symptoms of gonorrhoea include
a) impotence
b) scrotal swelling
c) urine retention
d) dysuria - Correct Answers -b) scrotal swelling
A 24 year old female client, who is on her honeymoon, comes to an ambulatory care
clinic in moderate distress with a probable diagnosis of acute cystitis
22. Which of the following symptoms would the nurse expect the client to report during
the assessment
a) fever and chills
b) frequency and burning on urination
c) suprapubic pain and nausea
d) dark, concentrated urine - Correct Answers -b) frequency and burning on urination
The client asks the nurse, 'how did I get this infection?' the nurse should explain that in
most instances, cystitis is caused by
a) congenital strictures in the urethra
b) an infection elsewhere in the body
c) urine stasis in the urinary bladder
d) an ascending infection from the urethra - Correct Answers -d) an ascending infection
from the urethra
28. As Winston's condition worsens, his rising intracranial pressure would be indicated
by
a) rising blood pressure and falling pulse rate
b) rising pulse rate and falling blood pressure
c) rising blood pressure and rising pulse rate
d) falling pulse rate and falling blood pressure - Correct Answers -a) rising blood
pressure and falling pulse rate
29. the
nurse assesses the client frequently for signs of intracranial pressure, including
a) unequal pupil size
b) decreasing systolic blood pressure
, c) tachycardia
d) decreasing body temperature - Correct Answers -unequal pupil size
which of the following respiratory signs would indicate increasing intracranial pressure in
the brain stem
a) slow, irregular respirations
b) rapid, shallow respirations
c) asymmetric chest expansion
d) nasal flaring - Correct Answers -rapid, shallow respirations
The nurse teaches Elizabeth that common expected side effects of nitro-glycerine
include
a) Headache, hypotension, and dizziness
b) Hypertension, flushing and forgetfulness
c) Hypotension, diplopia and shortness of breath
d) Stomach cramps, constipation and urinary frequency - Correct Answers -Headache,
hypotension, and dizziness
38. Which of the following points should the nurse include when instructing the client
with angina about sublingual nitro-glycerine
a) The drug will cause your urine to turn bright orange
b) Store the tablets in a tight, light resistant container
c) Use the tablets only when the pain is severe
d) The shelf life of nitro-glycerine is up to 2 years - Correct Answers -Store the tablets in
a tight, light resistant container
45. When assessing josies respiratory status, which of the following symptoms may be
an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension - Correct Answers -Restlessness
43. The nursing goal for performing passive range of motion exercises for an
unconscious client such as josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility - Correct Answers -d) Maintain joint mobility
child who has an arterial blood gas that depicts respiratory acidosis will show
17. A
a) pH is acidic, PaO2 is raised and PaCO2 is raised
b) pH is acidic, PaO2 is raised and PaCO is lowered
c) pH is acidic, PaO2 is lowered and PaCO2 is raised
PAPER QUESTIONS WITH CORRECT
ANSWERS
You are caring for bill, a 50 year old man who has been hospitalised with a possible
diagnosis of pancreatitis
1. Which of the following symptoms would you anticipate observing in bill
a) Elevated white blood cell count, ankle oedema and right groin pain
b) Left upper quadrant abdominal pain, nausea, and vomiting
c) Hypoglycaemia, hypertension, and hypochondrial pain
d) Epigastric pain, pyrexia, and elevated white blood cell count - Correct Answers -Left
upper quadrant abdo pain, nausea, vomiting
The initial diagnosis of pancreatitis would be confirmed if bills blood test showed a
significant elevation in serum
a) Amylase
b) Glucose
c) Potassium
d) Trypsin - Correct Answers -Amylase
Pain control is an important nursing goal. Which of the following medications would be
the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine - Correct Answers -Morphine
4. You monitor bills vital signs frequently, observing for the signs of shock. Shock is
extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis - Correct Answers -Frequency and
severity of gastrointestinal haemorrhage
While helping bill change position in bed, you note bill has muscle twitching in his bands
and forearms. These symptoms are significant because clients who suffer from
pancreatitis are at risk of
,a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia - Correct Answers -Hypocalcaemia
Bill does not drink alcohol because of his religious beliefs. When the physician persists
in asking him about his alcohol intake, bill becomes annoyed. You explain the reasoning
behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose pancreatitis
Alcoholism is a major health problem and all hospitalised clients are asked about
their alcohol intake
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered - Correct Answers -Alcoholism is a major health problem and all hospitalised
clients are asked about
their alcohol intake
home care nurse begins caring for a 25 year old female called Lydia who has just been
diagnosed with human immunodeficiency virus (HIV)
7. Lydia asks the nurse, 'how could this have happened?" the nurse responds to the
question based on the most frequent mode of HIV transmission, which is
a) Hugging an HIV positive sexual partner without using barrier precautions
b) Inhaling cocaine or other recreational drugs
c) Sharing a drink bottle with an HIV positive person
d) Sexual intercourse with an HIV positive person without using a condom - Correct
Answers -d) Sexual intercourse with an HIV positive person without using a condom
The physician prescribes zidovudine (AZT) a drug that acts to help
a) Destroy the virus
b) Enhance the body's antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the causative organism - Correct Answers -Slow
replication of the virus
Lydia acquires herpes genitalis and is counselled by the nurse concerning follow up
care. Women who have this disease are at risk of developing
a) Sterility
b) Cervical cancer
c) Uterine fibroid rumours
d) Irregular menses - Correct Answers -d) Irregular menses
The typical chancre of syphilis appears as
a) A grouping of small, tender pimples
b) An elevated wart
c) A painless moist ulcer
d) An itching, crusted area - Correct Answers -c) A painless moist ulcer
,7. Probenecid is prescribed in conjunction with penicillin as treatment for syphilis
because probenecid helps
a) Delay detoxification of penicillin
b) Inhibit excretion of penicillin
c) Maintain sensitivity of organisms to penicillin
d) Decrease the likelihood of an allergic reaction to penicillin - Correct Answers -Inhibit
excretion of penicillin
the client informs the nurse that she has had sexual intercourse with her boyfriend and
asks the nurse 'would he have any symptoms?' the nurse responds that in males,
symptoms of gonorrhoea include
a) impotence
b) scrotal swelling
c) urine retention
d) dysuria - Correct Answers -b) scrotal swelling
A 24 year old female client, who is on her honeymoon, comes to an ambulatory care
clinic in moderate distress with a probable diagnosis of acute cystitis
22. Which of the following symptoms would the nurse expect the client to report during
the assessment
a) fever and chills
b) frequency and burning on urination
c) suprapubic pain and nausea
d) dark, concentrated urine - Correct Answers -b) frequency and burning on urination
The client asks the nurse, 'how did I get this infection?' the nurse should explain that in
most instances, cystitis is caused by
a) congenital strictures in the urethra
b) an infection elsewhere in the body
c) urine stasis in the urinary bladder
d) an ascending infection from the urethra - Correct Answers -d) an ascending infection
from the urethra
28. As Winston's condition worsens, his rising intracranial pressure would be indicated
by
a) rising blood pressure and falling pulse rate
b) rising pulse rate and falling blood pressure
c) rising blood pressure and rising pulse rate
d) falling pulse rate and falling blood pressure - Correct Answers -a) rising blood
pressure and falling pulse rate
29. the
nurse assesses the client frequently for signs of intracranial pressure, including
a) unequal pupil size
b) decreasing systolic blood pressure
, c) tachycardia
d) decreasing body temperature - Correct Answers -unequal pupil size
which of the following respiratory signs would indicate increasing intracranial pressure in
the brain stem
a) slow, irregular respirations
b) rapid, shallow respirations
c) asymmetric chest expansion
d) nasal flaring - Correct Answers -rapid, shallow respirations
The nurse teaches Elizabeth that common expected side effects of nitro-glycerine
include
a) Headache, hypotension, and dizziness
b) Hypertension, flushing and forgetfulness
c) Hypotension, diplopia and shortness of breath
d) Stomach cramps, constipation and urinary frequency - Correct Answers -Headache,
hypotension, and dizziness
38. Which of the following points should the nurse include when instructing the client
with angina about sublingual nitro-glycerine
a) The drug will cause your urine to turn bright orange
b) Store the tablets in a tight, light resistant container
c) Use the tablets only when the pain is severe
d) The shelf life of nitro-glycerine is up to 2 years - Correct Answers -Store the tablets in
a tight, light resistant container
45. When assessing josies respiratory status, which of the following symptoms may be
an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension - Correct Answers -Restlessness
43. The nursing goal for performing passive range of motion exercises for an
unconscious client such as josie would be to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility - Correct Answers -d) Maintain joint mobility
child who has an arterial blood gas that depicts respiratory acidosis will show
17. A
a) pH is acidic, PaO2 is raised and PaCO2 is raised
b) pH is acidic, PaO2 is raised and PaCO is lowered
c) pH is acidic, PaO2 is lowered and PaCO2 is raised
