1538. A client with Hepatitis A, which of the following statement made by the client indicate understanding of the disease?
A. Transmitted only through blood transfusion
B. Sexual intimacy and kissing are allowed
C. Dose require hospitalization
D. All the above
1540. Which is prevented through Brest feeding?
A. Infection
B. Haemolytic disease
C. Hepatitis
D. HIV
1531. How would you care for a patient with Necrotic wound?
A. Systemic antibiotic therapy and apply a dry dressing
B. Debride and apply a hydrogel dressing
C. Debride and apply an antimicrobial dressing
D. Apply a negative pressure dressing
1534. What is the best position to put medication in the eye?
A. Supine
B. Lateral
C. Sit back with neck slightly hyperextended or lie down
D. Standing
1535. Choose the Signs and Symptoms of septic shock form below
A. Tachycardia, hypertension, normal WBC, non pyrexial
B. Tachycardia, hypotension, increased WBC, pyrexial
C. Tachycardia, increased WBC, normotension, non pyrexial
D. Decreased heart rate, decreased blood pressure, normal WBC and pyrexial
1536. What are the symptoms of compensated shock?
A. Tachycardia, vasoconstriction and confusion
B. Bradycardia, low blood pressure and drowsy
C. Circulatory collapse, cardiovascular dysfunction, brain stem damage
D. None of the above
1537. Which one is not a symptom of anaemia?
A. Easy fatigue and loss of energy
B. Pale skin
C. Difficulty concentrating
D. Shivering
1547. Which is the most suitable site for assessing edema?
A. Foot/Ankle
B. Clavicle
,C. Sternum
D. Thighs
1564. During the day, Mrs x was sat on a chair and has a table put in front of her to stop her getting up and walking about. What
type of abuse is this?
A. Physical Abuse
B. Psychological Abuse
C. Emotional Abuse
D. Discriminatory Abuse
1554. A nurse is preparing to initiate an IV line containing high dose of KCL and plans to use an infusion pump. The nurse brings
the pump to the bedside prepare to plug the pump cord into the wall and notes that no receptacle is available in wall socket. Which
of the following in most appropriate nursing action?
A. Use an extension cord from nurse’s lounge for the pump plug
B. Initiate the IV line without the use of pump
C. Plug the pump cord in the available plug above the room sink
D. Contact the electrical maintenance department for assistance
1551. The infection control nurse phoned and reported to you the following results of samples taken from our patient in Bay A-
one of the patients was tested positive to MRSA; another was tested positive for clostridium difficile and the remaining to were
negative for both. Your ward has one isolated room only. What action will you do?
A. Put patient with c-diff in isolation room
B. Put patient with MRSA in isolation room
C. Transfer the two patients who are negative to both infections to another bay
D. Keep them all in the same bay but reinforce strict hand washing
1552. which is the most dangerous site for intramuscular injection?
A. Ventrogluteal
B. Deltoid
C. Rectus femoris
D. Dorsogluteal
1561. A diabetic patient with suspected Liver Tumour has been prescribed with triphasic CT Scan. Which Medication needs to be
on hold after the scan?
A. Furosemide
B. Metformin
C. Docusate Sodium
D. Paracetamol
1558. A patient with leukaemia was about to receive a transfusion of blood platelets. The experiences nurse on duty in the ward
noticed small clumps visible in the platelet pack and questions whether the transfusion should proceed. What should the nurse do?
A. Proceed with platelet transfusion and monitor for signs of rejection
B. Withhold platelet transfusion and document it on the patient’s chart
C. Ring the blood bank and enquire about the platelet pack received
D. All the above
1572. delegation of work to HCA, which statement is true
,A. Delegate only physiologically stable
B. RN is accountable for the total patient management
C. RN delegate accountability
D. Delegate only physical direct care3
>>When are women most vulnerable to domestic violence?
a. When they leave school
b. When they become pregnant
c. When they have suffered from physical ill health
d. When they are under 18
Which team should be contacted while making discharge plan for a patient that require complex discharge plan.
A. Social worker team
B. Physiotherapy team
C. District nurses team
Which of the following is a behavioural risk factor when assessing the potential risk of falling in an older person?
A. Poor nutrition
B. Poor heating
C. Foot problems
D. Fear of falling
1. Which of the following is a sign of dehydration in elderly
a diminished skin turgor
b hypertension
c anxiety attacks
d pyrexia
2. Which of the following is not a component of end of life care
a resuscitation and defibrillation
b reduced pain
c maintain dignity
d provide family support
3. You are the named nurse of Mr Corbyn who has just undergone an abdominal surgery 4 hours ago. You have administered his
regular analgesia 2 hours ago and he is still in pain. Your most immediate , most appropriate nursing action
a call doctor
b look for a heating pad
c assist patient in comfortable position and give another dose
d carry on with other duties
4. Which of the following is a severe complication during 24 hours post liver biopsy
a pain at insertion site
b nausea and vomiting
, c bleeding
d back pain
5. Which of the following senses is to fade last when a person dies
a hearing
b smelling
c seeing
d speaking
6. You have observed av IV catheter insertion site with erythema, swelling, pain and warm. what VIP score would you document
on his notes?
a5
b2
c3
d4
7. How do you remove a negative pressure dressing?
a remove pressure then detach dressing gently
b remove in a quick fashion
c get TVN nurse to remove dressing
8. What position should you prepare the patient in pre-op for abdominal paracentesis?
a supine
b supine with head of bed elevated to 40-50cm
c prone
d side lying
9. What is not a sign of meconium aspiration
a floppy in appearance
b apnoea
c crying
11. What is the purpose of clamping a chest tube?
a prevent further lung collapse and entry of air
b minimise feeling of pain on drainage insertion
c aid the drain into the correct position
d minimise risk of infection
12. What do early/initial symptoms of Alzheimer`s disease include?
a lapses in memory
b aggression
c pacing or wondering
d incontinence
13. Nurses working with a pt who says they are drinking excessive amounts of alcohol. How does the nurse respond to prevent ill
health in this pt?