MN502 MCQ QUESTIONS WITH VERIFIED ANSWERS
urinary retention is - Answers - the inability to completely empty the bladder of urine
While taking a health history from your client, a 53-year-old female, she discloses to you
that she sometimes experiences urinary incontinence when she sneezes and laughs.
What would be the most appropriate response to this information?? - Answers - Usual
voiding pattern
Characteristics of urine (colour, odour, clarity, volume)
Fluid intake/balance
Onset, duration and pattern
Impact on ADL's
Pelvic exercises/Kegel Exercises?
3. The nurse notes that a patient has had a black, tarry stool and recalls that a possible
cause would be: - Answers - Upper Gi tract bleeding (ulcers) (peptic ulcers, gastritis, or
esophageal varices)
OR the use of iron supplements
A patient states that they are worried because they have not had a bowel movement
each day. The nurse's best response concerning defecation patterns would be: -
Answers - As long as their bowel movement is a 3-4 on the Bristol stool chart and not
hard or passing with blood.
This is normal, some adult has a bowel movement everyday whereas others only have
a bowel movement 2 to 3 times a week.
ASK:
How often do you have a bowel movement
When was the last time you had a bowel movement
What consistency is your faecal matter, is it hard/painful to pass, does it contain blood?
Any new meds, diet, exercise, stress/anxiety?
Which of the following statements regarding the ageing adult and abdominal
assessment is true: - Answers - · Gastric acid secretion decreases with ageing. This
may cause gastric ulceration, pernicious anaemia
· The incidence of gallstones increases with age, occurring in 10% to 15% of adults, and
being more common in females
· Liver size and hepatic blood flow decrease with age, particularly after 80 years.
· Older persons frequently report constipation.
· Decreased salivation and digestive enzymes leading to slower digestion
· Constipation - decreased GI tract functioning
what is the normal finding on palpation of abdomen - Answers - Should be able to feel
lower edge of liver and right kidney.
, The (hollow viscera) Gall bladder, small intestine, colon and bladder are usually NOT
palpable.
There should be no tenderness, masses or swelling, pain or rigidity.
During report the student nurse hears that a patient has 'hepatomegaly' and recognises
that the term refers to: - Answers - An enlarged liver
When inspecting a client's abdominal contour, the nurse observes the abdomen to be
swollen and distended. The nurse describes and documents this as: - Answers -
Distension in contour of abdominal - objective data
Potential ascites, distended, protuberant in shape
A patient tells the nurse that she is having a hard time bringing her hand to her mouth
when she eats or tries to brush her teeth. The nurse knows that for her to move her
hand to her mouth, she must perform the following movement: - Answers - Flexion of
the elbow.
You are inspecting your client's spinal symmetry and assessing their posture. You
identify that the client has scoliosis. This is: - Answers - Lateral curvature of the spine
The nurse is examining the ROM of a client's shoulder. Which of the following is a
normal finding? - Answers - · Forward flexion of 180 & hyperextension 50
· internal rotation 90 & external rotation 90
· Abduction 180 & adduction 50
- Any pain, restriction or crepitus, is there a full ROM?
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the
patient's problems have been appropriately described? - Answers - Nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: - Answers
- Brakes ON when lifting/lowering, brakes OFF when moving the hoist.
LITE:
Load - age, gender, weight, size, neurological status, co-operation
Individual - language, education, training, YOUR personal characteristics, physical
characteristics
Task - what has to be done, how and when
Environment - staffing levels, facility, equipment, resources, immediate environment
(tripping hazards, lighting, space/room for movement)
Non- slip clothing, patient safety and comfort
The older person's tendency to take smaller steps with feet close together will mostly
likely result in: - Answers - Increased fall risk
The most significant problem with restricted mobility is: - Answers - Venous
thromboembolism (VTE)
urinary retention is - Answers - the inability to completely empty the bladder of urine
While taking a health history from your client, a 53-year-old female, she discloses to you
that she sometimes experiences urinary incontinence when she sneezes and laughs.
What would be the most appropriate response to this information?? - Answers - Usual
voiding pattern
Characteristics of urine (colour, odour, clarity, volume)
Fluid intake/balance
Onset, duration and pattern
Impact on ADL's
Pelvic exercises/Kegel Exercises?
3. The nurse notes that a patient has had a black, tarry stool and recalls that a possible
cause would be: - Answers - Upper Gi tract bleeding (ulcers) (peptic ulcers, gastritis, or
esophageal varices)
OR the use of iron supplements
A patient states that they are worried because they have not had a bowel movement
each day. The nurse's best response concerning defecation patterns would be: -
Answers - As long as their bowel movement is a 3-4 on the Bristol stool chart and not
hard or passing with blood.
This is normal, some adult has a bowel movement everyday whereas others only have
a bowel movement 2 to 3 times a week.
ASK:
How often do you have a bowel movement
When was the last time you had a bowel movement
What consistency is your faecal matter, is it hard/painful to pass, does it contain blood?
Any new meds, diet, exercise, stress/anxiety?
Which of the following statements regarding the ageing adult and abdominal
assessment is true: - Answers - · Gastric acid secretion decreases with ageing. This
may cause gastric ulceration, pernicious anaemia
· The incidence of gallstones increases with age, occurring in 10% to 15% of adults, and
being more common in females
· Liver size and hepatic blood flow decrease with age, particularly after 80 years.
· Older persons frequently report constipation.
· Decreased salivation and digestive enzymes leading to slower digestion
· Constipation - decreased GI tract functioning
what is the normal finding on palpation of abdomen - Answers - Should be able to feel
lower edge of liver and right kidney.
, The (hollow viscera) Gall bladder, small intestine, colon and bladder are usually NOT
palpable.
There should be no tenderness, masses or swelling, pain or rigidity.
During report the student nurse hears that a patient has 'hepatomegaly' and recognises
that the term refers to: - Answers - An enlarged liver
When inspecting a client's abdominal contour, the nurse observes the abdomen to be
swollen and distended. The nurse describes and documents this as: - Answers -
Distension in contour of abdominal - objective data
Potential ascites, distended, protuberant in shape
A patient tells the nurse that she is having a hard time bringing her hand to her mouth
when she eats or tries to brush her teeth. The nurse knows that for her to move her
hand to her mouth, she must perform the following movement: - Answers - Flexion of
the elbow.
You are inspecting your client's spinal symmetry and assessing their posture. You
identify that the client has scoliosis. This is: - Answers - Lateral curvature of the spine
The nurse is examining the ROM of a client's shoulder. Which of the following is a
normal finding? - Answers - · Forward flexion of 180 & hyperextension 50
· internal rotation 90 & external rotation 90
· Abduction 180 & adduction 50
- Any pain, restriction or crepitus, is there a full ROM?
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the
patient's problems have been appropriately described? - Answers - Nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: - Answers
- Brakes ON when lifting/lowering, brakes OFF when moving the hoist.
LITE:
Load - age, gender, weight, size, neurological status, co-operation
Individual - language, education, training, YOUR personal characteristics, physical
characteristics
Task - what has to be done, how and when
Environment - staffing levels, facility, equipment, resources, immediate environment
(tripping hazards, lighting, space/room for movement)
Non- slip clothing, patient safety and comfort
The older person's tendency to take smaller steps with feet close together will mostly
likely result in: - Answers - Increased fall risk
The most significant problem with restricted mobility is: - Answers - Venous
thromboembolism (VTE)
