EXAMINATIONS PAPERS
FOR PAPER 1, 2, 3 AND 4
Table of contents
PAPER 1 REVISION PAPERS PAGE 2-95
PAPER 2 REVISION PAPERS
PAGE 96-206 PAPER 3 REVISION PAPERS PAGE 207-266
PAPER 4 REVISION PAPERS PAGE 267-321
PAPER 1 REVISION PAPERS
Part I: Multiple Choice Questions (MCQs) – 20mrks
Q1.The following finding is suggestive of a pneumothorax in a patient
with chest
trauma;
a) Absent breath sounds
b) Inspiratory wheezing
c) Dullness on chest percussion
d) Pronounced crackles
Q2. The primary reason for administering digoxin (Lanoxin) to a patient
is to,
a) Relax the walls of the heart’s arteries.
b) Improve the strength of the heart beat.
c) Prevent irregularities in ventricular contractions.
d) Decrease inflammation of the heart wall.
,Q3.The priority nursing diagnosis for a patient with heart failure and
pulmonary oedema is,
a) Risk for infection related to stasis of alveolar secretions
b) Impaired skin integrity related to pressure
c) Activity intolerance related to pump failure
d) Constipation related to immobility
Q4. When preparing a patient for colonoscopy procedure the nurse
should, a) Perform a high colonic washout procedure the night
before the procedure b) Ensure the patient takes a high roughage
diet with a laxative the night before procedure
c) Educate the patient to report any “needle prick” sensations
within 12 hrs after the procedure
d) Advise the patient to take low fiber diet for 1 week before the
procedure
1
Q5. The characteristics of a “Cushingoid” appearance in Cushing’s
disease include,
a) Hypotension, Kussmauls’ breathing, hunch back & diaphoresis b)
Moon face, buffalo hump, central obesity & thin musculature c)
Mood swings, slow wound healing, hypertension & tunnel vision d)
Flushing, brittle skin, abdominal pain and encephalopathy
Q6. The sensitivity part of a culture & sensitivity test is for the purpose
of, a)
Identifying the causative organism for the infection diagnosed b)
Identifying the most effective antibiotics against the causative
organism c)
Identifying the antibiotics that the patient is resistant to
d) Testing the concentration of antibiotic required to cure an
infection
Q7. A client with a cataract would most likely complain of,
, a) Halos and rainbows around lights
b) Eye pain and irritation that worsens at night
c) Blurred and hazy vision
d) Eye strain and headache when doing close work
Q8. Indicate whether the following statements are True (T) or False (F)
in the provided answer sheet
a) Acute angle closure glaucoma is a medical emergency
b) In spinal injury there is complete anesthesia below the
level of injury Q9. The primary rationales for tube feeding for a client
post total laryngectomy due to cancer of larynx is to,
a) Meet dietary needs and prevent fistula formation
b) Maintain an open airway and prevent aspiration
c) Meet fluid & dietary needs and prevent aspiration
d) Prevent fistula formation and reduce aspiration
2
Q10. When a burn occurs in an adult,
a)Using rule of nine, right arm is calculated as being 18% & right
leg 9%.
b)Capillaries & small vessels dilate, renal blood flow reduces c)
Fluid shifts from ICF to ECF space/compartment along with
potassium. d)
Permeability of the kidney tubules increases with oliguria
Q11. The following technique should be avoided when changing a
hemiparalysis clients’ position in bed;
a) Sliding the client to move her up in bed
b) Rolling the client onto her side
c) Lifting the client when moving her up in bed
d) Having the client lift herself off the bed using a trapeze
Q12. When a blood pressure (BP) reading is abnormal upon initial
assessment, it is best to check the BP,
a) On the other arm
b) On both arms sitting and standing
, c) With the patient standing
d) After a 5 min wait
Q13. Swabs, instruments and sharps count during surgery is carried
out by,
a) Circulating and anaesthetic nurses
b) Anaesthetic and scrub nurses
c) Circulating and Scrub nurses
d) Recovery room and scrub nurses
Q14. When nursing a patient with chronic obstructive pulmonary
disease, the nurse should,
a) Ensure the patient gets high flow rate oxygen at 100%
b) Advise the patient to get influenza and pneumococcal vaccines
c) Avoid administration of prophylactic bronchodilators
d) Position the patient in dorsal recumbent position to enhance
ventilation
3
Q15. After a clients’ nasogastric tube has been removed the
nurse should, a) Offer the client liquids to drink
b) Provide the client with oral hygiene
c) Encourage client to cough and deep breath
d) Auscultate the client’s bowel sounds
Q16. Neurovascular assessment of the lower limb post-cast application
involves observation of,
a) Color, sensation and pulses
b) Level of consciousness, limb symmetry and muscular strength
c) Capillary refill, sensation and muscle power
d) Color, warmth and muscle power
Q17. The risk for macrovascular complications in diabetes mellitus
may be reduced by,
a) Lowering BP, avoiding nephrotoxic substances & reducing
strenuous exercises.
b) Weight reduction, reducing fat/triglyceride levels, quitting
smoking. c)
Foot care, early diagnosis of retinal detachment & daily U/Es
checkups. d)
FOR PAPER 1, 2, 3 AND 4
Table of contents
PAPER 1 REVISION PAPERS PAGE 2-95
PAPER 2 REVISION PAPERS
PAGE 96-206 PAPER 3 REVISION PAPERS PAGE 207-266
PAPER 4 REVISION PAPERS PAGE 267-321
PAPER 1 REVISION PAPERS
Part I: Multiple Choice Questions (MCQs) – 20mrks
Q1.The following finding is suggestive of a pneumothorax in a patient
with chest
trauma;
a) Absent breath sounds
b) Inspiratory wheezing
c) Dullness on chest percussion
d) Pronounced crackles
Q2. The primary reason for administering digoxin (Lanoxin) to a patient
is to,
a) Relax the walls of the heart’s arteries.
b) Improve the strength of the heart beat.
c) Prevent irregularities in ventricular contractions.
d) Decrease inflammation of the heart wall.
,Q3.The priority nursing diagnosis for a patient with heart failure and
pulmonary oedema is,
a) Risk for infection related to stasis of alveolar secretions
b) Impaired skin integrity related to pressure
c) Activity intolerance related to pump failure
d) Constipation related to immobility
Q4. When preparing a patient for colonoscopy procedure the nurse
should, a) Perform a high colonic washout procedure the night
before the procedure b) Ensure the patient takes a high roughage
diet with a laxative the night before procedure
c) Educate the patient to report any “needle prick” sensations
within 12 hrs after the procedure
d) Advise the patient to take low fiber diet for 1 week before the
procedure
1
Q5. The characteristics of a “Cushingoid” appearance in Cushing’s
disease include,
a) Hypotension, Kussmauls’ breathing, hunch back & diaphoresis b)
Moon face, buffalo hump, central obesity & thin musculature c)
Mood swings, slow wound healing, hypertension & tunnel vision d)
Flushing, brittle skin, abdominal pain and encephalopathy
Q6. The sensitivity part of a culture & sensitivity test is for the purpose
of, a)
Identifying the causative organism for the infection diagnosed b)
Identifying the most effective antibiotics against the causative
organism c)
Identifying the antibiotics that the patient is resistant to
d) Testing the concentration of antibiotic required to cure an
infection
Q7. A client with a cataract would most likely complain of,
, a) Halos and rainbows around lights
b) Eye pain and irritation that worsens at night
c) Blurred and hazy vision
d) Eye strain and headache when doing close work
Q8. Indicate whether the following statements are True (T) or False (F)
in the provided answer sheet
a) Acute angle closure glaucoma is a medical emergency
b) In spinal injury there is complete anesthesia below the
level of injury Q9. The primary rationales for tube feeding for a client
post total laryngectomy due to cancer of larynx is to,
a) Meet dietary needs and prevent fistula formation
b) Maintain an open airway and prevent aspiration
c) Meet fluid & dietary needs and prevent aspiration
d) Prevent fistula formation and reduce aspiration
2
Q10. When a burn occurs in an adult,
a)Using rule of nine, right arm is calculated as being 18% & right
leg 9%.
b)Capillaries & small vessels dilate, renal blood flow reduces c)
Fluid shifts from ICF to ECF space/compartment along with
potassium. d)
Permeability of the kidney tubules increases with oliguria
Q11. The following technique should be avoided when changing a
hemiparalysis clients’ position in bed;
a) Sliding the client to move her up in bed
b) Rolling the client onto her side
c) Lifting the client when moving her up in bed
d) Having the client lift herself off the bed using a trapeze
Q12. When a blood pressure (BP) reading is abnormal upon initial
assessment, it is best to check the BP,
a) On the other arm
b) On both arms sitting and standing
, c) With the patient standing
d) After a 5 min wait
Q13. Swabs, instruments and sharps count during surgery is carried
out by,
a) Circulating and anaesthetic nurses
b) Anaesthetic and scrub nurses
c) Circulating and Scrub nurses
d) Recovery room and scrub nurses
Q14. When nursing a patient with chronic obstructive pulmonary
disease, the nurse should,
a) Ensure the patient gets high flow rate oxygen at 100%
b) Advise the patient to get influenza and pneumococcal vaccines
c) Avoid administration of prophylactic bronchodilators
d) Position the patient in dorsal recumbent position to enhance
ventilation
3
Q15. After a clients’ nasogastric tube has been removed the
nurse should, a) Offer the client liquids to drink
b) Provide the client with oral hygiene
c) Encourage client to cough and deep breath
d) Auscultate the client’s bowel sounds
Q16. Neurovascular assessment of the lower limb post-cast application
involves observation of,
a) Color, sensation and pulses
b) Level of consciousness, limb symmetry and muscular strength
c) Capillary refill, sensation and muscle power
d) Color, warmth and muscle power
Q17. The risk for macrovascular complications in diabetes mellitus
may be reduced by,
a) Lowering BP, avoiding nephrotoxic substances & reducing
strenuous exercises.
b) Weight reduction, reducing fat/triglyceride levels, quitting
smoking. c)
Foot care, early diagnosis of retinal detachment & daily U/Es
checkups. d)
