haad bullets.docx

8/17/2019 Haad Bullets.docx

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HAAD BULLETS

1. Patient who is receiving methotrexate and vincristine

what lab works to check? CBC

2. Jaundice occurs within 24 hours of birth? ABO

incompatibility

3. Symptoms of alchohol withdrawal syndrome?

Diaphoresis, tremors

4. If ICP is 12 mmhg? Normal

5. When does Quickening occurs? 20 weeks

6. Sings of ICP? Tachycardia, Tachypnea, Increase RR 7. If pregnant women with epitasis and bleeding gums on

21st week of pregnancy which hormone is

responsible? Progesterone.

8. How to check MORO REFLEX

9. ROOTING REFLEX?

10. Definitive test for AIDS? CD4 + 1 CELLS > 300

11. What to observe for patients on their first hour post

tonsillectomy? Bleeding, Frequent swallowing.

12. Pulmonary edema symptoms? Crackles, pink frothy

sputum.

13. Parkinson’s ---- pill rolling, involuntary jerky

movements, mask like face, drooling.

14. What you will do for wrong documentation? Draw a

straight line and sign.

15. Duodenal ulcer symptoms? Pain 2-3 hours after eating-relief after eating.

16. In giving mouth care to unconscious patients what

not to do/ Do not put your fingers inside patient’s

mouth.

17. An unconscious patient came to AU what is the

priority? Assess level of consciousness if head

trauma-do head tilt, chin lift-if suspected trauma-


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jaw thrust.

18. Patient in seizure child or adult always maintain

safety-padding side -------, removing sharp objects.

19. In DM patients foot care is done-Every day.

20. An elderly patient is prone to UTI due to – due to

decreases muscle tone.21. What is an outcome goal after giving Albumin?

Increases Albumin

22. An asthma-there is narrowing of airway.

23. In COPD-CO2 retention.

24. Thalassemia why give deferoxamine? To relief the

toxic effect of iron loaded.

25. Parkinson’s- Dopamine depletion.

26. Parathyroid removal shows signs of-TETANY

27. Why empty urine bags 6-8 hours. To prevent

bacterial contamination.

28. NGT inserted and patient became cyanotic what to

do? Remove the assess

29. While ET tube is inserted you hear a gurgling sound-

ET tube is in the esophagus.

30. You are about to give a medication and themedication label is not clear? Call the pharmacist

and ask to give a clear label medicine.

31. Patient with angina pectorius came to emergency

room with headache, dizziness, palpitations what to

suspect? Overdose of nitroglycerine tablet.

32. If a junior nurse commits mistake in medicating and

procedure who is responsible? Senior nurse.

33. What drug has a negative inotropic effect? Isoptin

34. What is the defense mechanism usually exhibits by

rape victims? Suppression

35. Patients on Warfarin what lab works need to be

checked? PT/INR.

36. Warfarin not safe for pregnant women-Heparin is

safe

37. Large BP CUFF gives a false low BP reading-Small


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BP cuff gives a false high BP reading.

38. Patient is for repeat laparoscopy is anxious and

asking why to repeat the surgery? Call attending

physicians and let him explain the need for repeat

surgery.

39. Patient on diuretics-monitor body weight.40. Apgar scoring-To study-

0-3 need resuscitation

4-6 monitoring

7-10 normal

41. Gestational Diabetes observe baby for-

Hypoglycaemia

42. You are collecting 24 hours urine then doctor ordered

for urine analysis what to do? Collect U/A after the

24 hours urine collection.

43. Urine for analysis collected at 10: 00 hrs should be in

lab-not more than 30 minutes, if no personnel in the

lab. Refrigerate the urine.

44. Diet for pregnancy induced hypertension-LOW

SALT

45. Pre-op patient with BP 117/68 MMGH on admissionBP is 125/72MMHG Now 112/60MMHG what is

the next action? Inform anesthetist patient condition

is changing, (answer not sure).

46. Priority care for patient undergoing surgery-Assess

patient stress level.

47. Symptoms of anemia? Diziness, easy fatigability, low

hematocrit, low hemoglobin

48. Morphine 2.5 mg ordered. In hand 1000mcg/ml.

How much to give? 2.5 ml.

49. What part of NCP when mistaken all other steps are

affected?Assessment

50. NCP are –ASSESSMENT, DIAGNOSIS,

PLANNING, INTERVENTION & EVALUATION.

51. Nursing Care Plan-Done according to priority and

urgency.


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52. Patient is post casting of lower extremity and

complaints of severe pain, Nursing action?

Administer analgesics as ordered.

53. Patient with burn on face, mouth and neck

complaints for diff. breathing? Prepare for

INTUBATION.54. Patient receiving NH which medication is given with

it? Vit B6 Pyridoxine

55. Correct way to give insulin? Aspirate regular insulin first check with another nurse thenaspirate Humulin N

56. Beta Blocker causing arrhythmia-Propranolol57. Post amputation should keep elevated within 24

hours But prevent elevation after 24 hours toprevent HIP CONTRACTURE.

58. Patient post amputation feels pain on amputated leg-

PHANTOM Pain

59. Abruptio placenta-risk for DIC

60. Placenta previa-Contraindicated vaginal examination.

61. Patient is neutropenic what is to monitor? WBC

(answer not sure)CBC62. Patient risk for Hospital acquired infection-Patients

with Tracheostomy Tube.

63. How to collect urine for urinalysis and CS? Ask

patient to clean perineum front to back, Void and

collect midstream then discard last void.

64. For Alzheimers disease what is the collaborative

treatment? Enhancement of skills and prevention of

disease progression.

65. Glucagon is given to increase sugar for

hypoglycemic patient.

66. Assessment of DVT shows-Pain on calf on

dorsiflexion of foot.

67. To prevent DVT-Ambulation and leg

exercises/Compression stockings

68. Patient post extubation signs of respiratory failure-


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Stridor

69. Nurses prone to what when frequently changing

diapers? HEPA

70. Early deceleration in active labour is due to- Head

compression on pelvis.

71. Early irrigation done to patient abnormal sign when patient is not exhibiting-NYSTAGMUS

72. After ear medication-Pinna pulled upward and

maintain upward position for 2 minutes.

73. Post-partum patient with uterus relax and shifted to

the right-CHECK BLADDER/Empty bladder.

74. Senior nurse and the doctor talks about the case of

the patient in front of some visitors what you will

do? Let them finish the conversation and converse

to your senior later when you are alone.

75. Patient told nurse not to tell parents and relatives

about her condition what you will do? Document in

nurses notes and endorse to all staff (PATIENT

CONFIDENTIALITY)

76. What is the purpose of incident report? To know

what happened and prevent recurrence.77. MgSO4 gms is ordered pharmacy prepared 4gms in

250ml how much you will give? 125 ml.

78. Patient with Upper GI bleeding- BLACK TARRY

STOOL

79. Gall bladder obstruction- Clay coloured stool.

80. The purpose of NGT post cholecystectomy patient –

To relieve abdominal distention.

81. Signs of pacemaker failure- HICCUPS.

82. Water Seal bottle of patient with chest tube is

oscillating-NORMAL

83. Bubbling of water seal bottle when in intermittent

suction- NORMAL

84. Flapping in the water seal drainage system- Check

for leakage

85. Patient on 25% albumin how to find out the desired


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effect-Serum albumin level

86. Patient with cerebral edema.What is the immediate

nursing action? Elevate head of the bed

87. Post craniotomy-Elevated head 30-45 degrees

88. Obsessive compulsive disorder goal-establish defense

mechanism to decrease the symptom.89. Which is unlikely to reduce K+-Giving NACL

90. How to secure Foley’s catheter in the bladder-Inflate

the balloon

91. Thalassemia confirmation test-Hemoglobin

erythropoiesis

92. Patient on Warfarin understand teaching except-My

urine will be dark in colour

93. IV site is swelling, red, no back flow. What is your

nursing action? Stop the IV and remove the catheter.

94. What is respiratory drive? Co2

95. In preventing lipodystrophy-Rotate sites of injection

96. Action of Digoxin cardiac glycoside: Increase the

contractility of the heart.

97. Patient taking fefol- Causes gastrointestinal upset

98. Liquid iron prep-Causes teeth staining99. Breast feeding contraindicated- HEPA C, AIDS

100. Therapeutic level of Lithium- 0.5-1.2 mg/L

101. Pain-Subjective

102. Depressed patient-Encouraged to join the group

therapy

103. Patient who says I gave up I am just a burden-

Suicidal Tendency

104. OS-Left, OD-Right, OU-Both eyes

105. Patient in acute Ménière's disease attack, Nursing

action

106. Common in CPR and ACLS-Maintenance of airway

107. Patient 3 year old grimacing in pain-Scale to use-

Wong Baker face scale

108. Patient says pain score is 8 but your observation it’s

less than 8. What you will do? Give pain


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medication.

109. Purpose of hydrogel dressing-To hydrate necrotic

tissues.

110. VSD-Harsh heart murmur

111. Patient with Alzhiemer’s disease agitated wants to

go home-Provide diversional activities112. Patient with leukemia-Limit visitors

113. Which patient will alert for care- Patient with

25ml/hr urine output

114. For passive exercise of hand and wrist-Use soft

squeeze ball

115. S/S of perforated gastric ulcer-tender, rigid abdomen

116. In patient with COPD-Increase air residual volume

& Decreased forced expiratory volume

117. Position of patient pose ORIF tibia-elevated

118. Patient is 3 days post hip replacement complaint of

dyspnea and petechiae- SUSPECT FAT

EMBOLISM

119. Patient with suicide attempt admitted again to

hospital-Ask patient clearly if he has any intention

to commit suicide.120. Colostomy irrigation-Use luke warm tap water

121. Lumbar puncture position- Semi recumbent position

122. Patient with CVA with difficulty to swallow how to

give nutritional supplements-NGT

123. Patient with chest tube when transferred- Keep the

tube below the chest level

124. For comatose patient, RN and assistant doing

morning care which practice the RN will interfere?

Answering phone with gloved hands.

125. After mastectomy, what positions will you put the

patient? Elevate the arm with pillow above heart

level.

126. A senior nurse prepared a medication and asked the

junior nurse to administer the medicine- Don’t give

the medicines which you did not prepare.


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127. Patient on diabetic acidosis what insulin to give?

Regular insulin IV

128. Doctor ordered dijoxin 125 mcg/qd how much you

will give?Digoxin 0.125 mg once daily

129. Normal PH 7.35 to 7.45 PCO2 35-45, HCO3 22-28

130. Patient with K-Level of 2.9 ordered to give 40 mcgof KCL in 100ml DSw over 4 hours, how many

ml/hr you will give? 50ml/hr.

131. Treatment for VF- Defribillation.

132. Purpose for rehabilitation for older patients- To

li8ve independently.

133. Prior to tonsillectomy what lab work to do?

Coagulation profile.

134. Why tetracycline contraindicated for children?

Staining of teeth occurs.

135. For burn patients, how to assess fluid volume

deficit? Urine output less than 30ml/hr- 30-50ml/hr.

136. Burn patient risk for INFECTION after 24 hours of

burn.

137. Daonil is given to patient with type 2 DM why? The

pancreas is able to produce some insulin.138. While collecting subjective data with patients with

HTN, which one of the data is a modifiable factor?

Hyperlipidemia and sedentary lifestyle.

139. Female patient admitted for chemotherapy what

education you will give? After successful treatment

patient can be active like before.

140. Patient is taking Propranolol what is the adverse

effect? Wheezes present on expiration

141. All suicidal patient’s room should be free of

SHARP OBJECTS.

142. Patient had a bee bite as a nurse what you will

observe? Anaphylactic shock

143. A patient with MI for 4 days, after that he is saying

that the reason for his disease is just indigestion

what defense mechanism he is using? Denial.


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144. Nurse taking care of a patient with J Pratt Drain in

the 1st post op day bag is full of serous fluid what

you will do? Take all accessories, put gloves, empty,

monitor drain and decompress.

145. For pancreatitis patients NGT placed for

decompression but last 4 hours there is no output,what is the nursing action.Check for any----------- in

NGT.

146. Patients with esophageal varices, why cold saline is

used in irrigating via NGT. Vasoconstriction and

reduce bleeding.

147. Patient for bronchoscopy the next day, but he is

worried about the procedure. What you will do as a

nurse? Reassure the patient and explore the

feelings.

148. Patient with hypertensive crisis, the doctor ordered

HYDRALAZINE 20 mg/IV/Stat for BP more than

210/100mmhg. What is the nursing action?

Immediately give the dose once only.

149. Manic patient what is the nursing diagnosis? Risk

for injury due to hyperactive behavior.150. Patient with diarrhea, during observation found with

dry mucous membrane, low urine output,

hypotensive what is NSG.Diagnosis? FLUID

VOLUME DEFICIT.

151. Patients with nephritic syndrome how to detect

patient is improving? Daily weighing.

152. For ventricular septal defect.Correct statement. It

may not need surgery.

153. In pre-eclampsia how PH occurs? Renin

Angiotensin

154. You saw patient having difficulty breathing, holding

her neck what is the priority action? Assess-Ask the

patient are you chocking.

155. You are to transfer an obese patient what is your

nursing action? Ask assistance to shift the patient.


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156. A mother of 3 children asks the nurse about how to

prevent infection from her child having gastroentitis

to another. Advise frequent hand washing.

157. Nurse working in neonatal unit who is changing

diaper frequently is prone to? Hepatitis A.

158. Patient complaints of pruritus, jaundice and claycoloured stool suspect of? Gall bladder obstruction.

159. Assessment of alcoholic patient who came to ER

due to accident what to ask? When was the last time

he take alcohol.

160. ORIF means-Fixation with screw plate.

161. Patient with pneumonia with thick purulent sputum

do? Postural drainage.

162. Doctor told a nurse to assist him in the procedure

she doesn’t know what to do? Observe experienced

nurse how she is doing it.

163. Patient admitted to ER as a nurse you will-Assess

patient for priority/triage.

164. Triage priority- Child and elderly.

165. Patient with bacterial meningitis has- Low glucose

level in CSF.166. Meningitis-droplet precaution wear surgical mask.

167. PTB-Airborne precaution wear N95 particulate

mask, Keep door always closed.

168. To prevent pressure sore-Remove soiled linen.

169. 5 weeks pregnant women what to advise? Avoid

strenuous activity

170. Thoracentesis-Removal of air/ fluid in pleural

cavity.

171. To avoid hypoxemia with patient on ventilator, how

will you suction? Hyperventillate or give 100%

oxygen before and after suctioning.

172. Care of meningitis patient who is agitated-KEEP on

quiet environment and darkened room.

173. Child who is lying on the crib suddenly have

seizure, First action would be? Keep environment


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safe.

174. To give 1 gm of antibiotics 4 x a day. Stock is

500mg/cap. How many cap to give each dose? Give

2 caps/dose.

175. Renal biopsy position-Prone position with sand bag.

176. Post renal biopsy position-Lie of affectedsite/supine.

177. Naegele's rule-LMP-minus 3 months + 7 days ex-

LMP 14 February 2010 expected delivery 21 Nov

2010.

178. In collecting urine for analysis with patient on Foley

cath. Aspirate from the port.

179. Morphine sulfate 7 mg/ml ordered. Stock is

10mg/ml vial. What you will do with the remaining

dose? Discard the remaining dose and have it

witnessed by another nurse.

180. Doctors’ order is illegible as received by the nurse.

What to do? Call the doctor and verify.

181. ATSO4 administered per-op 10- Decrease bronchial

secretions.

182. Action of bronchodilator-Relax the muscles of theairway/vasodilators

183. Cheyne-Stokes breathing-Fast, irregular periods of

Apnea

184. Patient had burn with blister noted what stage of

burn- 2 stage.

185. Congestive heart failure-monitor daily weight

186. Cause of perforated appendix- Inflammation

surrounding the appendix.

187. How to collect linens in the ward? Keep away from

uniform.

188. How to assess flexion with patient on CAST? Ask

to move his fingers

189. Rheumatic fever caused by? Beta Hemolytic

Streptococcal Infection.

190. Severely dehydrated child on assessment-Crying


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without Tears.

191. In ER patient had car accident with bleeding what is

the immediate action? Assess ABC

192. To avoid dumping syndrome-Avoid drinking water

with meals (take water in between meals only

before eating and after entire feeding finished)Avoid semi fowlers should be in supine.

193. Muslim belief how to bury the dead-Before

SUNSET

194. Diabetic Insipidus- Diluted urine, concentrated

serum

195. Patient is febrile on the 1st post op day-Encourage

deep breathing exercises.

196. 1000ml of IV fluids using microset to run for 12

hours. How many drops/min to give? 83 drops/min.

197. Signs of increased intracranial pressure in child?

Bulging fontanels (not sure answer) Separated

sutures, drowsiness and vomiting.

198. A child in oncology ward develops neutropenia-

Limit visitors.

199. A school age child admitted to R/o cardiac problem, proper room placement? Multibed with school age

group patients (not isolation cause he is only to be

ruled out)

200. Doctor ordered for medicine you think it’s high dose

what to do? Inform doctor and discuss.

201. Who is responsible for the renewal of Nurses

license- Nurse herself.

202. Early signs of increased ICP? Restlessness,

Increased level of consciousness, Behaviour

changes, headache, lethargy, neurological problem,

seizures vomiting.

203. Diet of a patient with pregnancy induced

hypertension? Low salt with high protein diet

204. S/S of Pulmonary Edema? Pink frothy sputum,

diaphoresis, dyspnea, confusion, tachypnea,


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tachycardia.

205. Antidote of hyperkalemia- KAYEXELATE

206. Position of defibrillation pad-right clavicular area

and left below nipple area.

207. S/S of increased ICP- Bradycardia, hypertension,

hyperthermia208. Patient in AFB positive to confirm diagnosis for

PTB do Chest x ray.

209. Position of ICT-Lateral position.

210. Doctor ordered medicine you are not sure about the

dose? Check with the pharmacist

211. What to advise patient post hip surgery? Avoid

sitting with cross legs.

212. Therapeutic effect of Warfarin-Increased PT- 1% to

2 times the baseline PT.

213. Prior to paracentesis-Empty bladder to prevent

injury.

214. Proper breast feeding- Hold baby at nipple level

with face turned to the breast.

215. Child to prevent otitis media- Feed the child on

upright position.216. Baby with gastroenteritis- Ask mother to wear

gloves when changing diaper.

217. Patient under suicidal precaution-Close monitor.

218. Should be avoided in leukemia-Stool softener

219. If patient is on skin traction- Make sure weight is

hanging freely.

220. Which is best for plasma expander-Albumin

221. Patient is 2nd day hemicolectomy what to observe?

Gastric drainage.

222. Obsessive compulsive patient-Provide recreational

activity.

223. In nephritic syndrome mother ask why to weigh

diaper? To check for water retention.

224. ABG in Asthma-Increased PCO?

225. After collecting blood from blood bank, before


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starting transfusion what to do? Check vital signs.

226. Child with CHF what is the priority of care-Small

frequent feeding.

227. What are the good markers to check in COPD?

ABG and SPO2

228. Patient came with edema of ankle what is your nursing action. Elevate the leg.

229. DVT patient developed dypnea, tachycardia-What is

the first intervention- Elevate the bed.

230. Burn patient complaint of constipation- Increased

fluid intake 3L/day

231. 70 year old patient obese with small pressure ulcer

what is the nursing diagnosis? Altered in skin

integrity related to immobility.

232. After removal of patient dressing what to do? Check

for discharge and throw in soiled dressing bin.

233. Patient with infection what is seen in the lab results-

Increased WBC.

234. Child CPR Ration- 15:2 Adult 30:2

235. Fractured humerus how to assess for neurovascular

involvement? Decreasing sensation236. Quickening means-First fetal movement

237. Patient for surgery, what to check first? Informed

consent

238. Patient to receive 750000 units available stock is 1

mega million units/ml How much you will give to

the patient? 0.75 ml.

239. Importance of exercise in DM patients? Lower

sugar count.

240. Doctor ordered to give tab Acitane 45 mg and

Aspirin 650mg, available stock is tab Acitane 15mg

and tab Aspirin 325mg. How many tabs each you

will give-Acitane 3 tabs-Aspirin 2 tabs.

241. Doctor ordered to give digoxin 0.25mg, available

stock is 0.50mg/2ml, how many mililitres you will

give? 1ml


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242. Doctor ordered to give 18mmol of KCL, available

stock is 40mmol in 20ml. How much you will give?

9ml.

243. Doctor ordered injection Morphine 2.5mg-available

stock is 1000mcg/ml. How many ml you will give?

2.5 ml.244. Doctor ordered to give .3gm med, available stock is

100mcg. How many tabs you will give? 3 tablets.

245. Nursing diagnosis depends on-Actual potential

problem.

246. Accidental injury to parathyroid-decrease calcium,

CHEVSTEK sign.

247. Rheumatic fever child needs rest in order to? To

decrease workload of the heart.

248. Post op patient complaint of abdominal cramping,

pain-Early ambulation.

249. What causes redness in ileostomy site? Gastric juice

leakage.

250. Diabetic mother delivered. What to observe on her

baby? Tremors and jitters.

251. Apgar score 6 –needs attention.252. Post leg amputation. Elevate legs 1st 24 hours; don’t

elevate after 24 hours to prevent HIP Contracture.

253. While preparing patient for the surgery-Check stress

level.

254. IVF of 1000ml to run over 10 hours in microdrip,

how many ml/hr to deliver? 100ml/hr.

255. 10 weeks pregnant having morning sickness what is

the nurse advise? Take dry crackers before getting

up in the morning?

256. A doctor bringing a new evidence-based practice

would you implement this in your unit? if it is

validated against better patient outcome.

257. 14 weeks pregnant with Hyperemesis gravidarum.

What is the complication? ELECTROLYTE

IMBALANCE.


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258. If hospitals do not have guidelines or policy about

certain procedure, what guideline should the nurse

follow? Look up in evidence based material and

discuss it with other staff.

259. COPD patient, smoking 30 Cigarrettes a day-for

PFT what is the result? REDUCE FUNCTIONALRESIDUAL VOLUME.

260. Pursed lip breathing encouraged to COPD patients

for what purpose? Excrete CO2.

261. Venture mask given to patient to deliver-PRECISED

O2

262. A depressed patient talks, walks at a slow pace what

is the plan of care? Encourage the patient to

socialize.

263. Post tonsillectomy position-Side lying/Lateral

264. Oncology patient under treatment and vomited.

What should be given? Anti-emeic 1 hour before

treatment.

265. Post Thyroidectomy patient had tetany-Give CA

gluconate 10%

266. How should rectal suppository be given? Insertabove the muscle of Sphincter.

267. A diagnosis of fluid electrolyte imbalance is for

patient? Patient with colostomy

268. Diabetic patient complaint of diet if- Keep diary of

food taken.

269. Colostomy irrigation being done and the patient

complaint of abdominal cramps? SLOW DOWN the

FLOW OF IRRIGATION.

270. 3% solution-60mg/ml stock how much to give? 2 ml

271. Child is 18 kgs. Gentamycin to be given

6mg/kg/body wt how much you will give? .8 mg.

272. Parents ask what is the importance of immunization

to her child? Immunization prevents occurrence of

disease as long as it is taken on scheduled time.

273. A solution of dressing is with unclear label. What


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should she do? Return to pharmacy and ask

pharmacist to label it clearly.

274. A post op patient had undergone screw fixation of

fractured tibia. Elevate legs to prevent venous stasis.

275. A manic patient says that a satellite is controlling

him? Delusion Reply should be- I understand your fear but that is not true.

276. Patient complaint of sleeplessness, plan of care?

Allow to do regular exercise at day time.

277. Most elder patient with substance abuse uses what?

Alchohol and opiates (Answer not true).

278. Patient admitted for heroin abuse, his friends visited

him then after they left he became Euphoric. What

should the nurse do? Look inside the room for

hidden drug.

279. Which of the patient can undergo for a test? Patient

for MRI who has a biological mitral valve

replacement

280. What deficiency can affect absorption of calcium?

Vit D.

281. Fefol better absorbed with Vit C282. The nurse will be alerted with what urine output?

20ml/hr.

283. A patient is on O2 inhalation with mucous secretion

drying up, what should the nurse do? PUT

HUMIDIFIER.

284. IVF of 50 ml/hr to run for 30 minutes. How many

ml/hr to give?

285. Al elderly patient with pressure ulcer, what is the

priority nursing diagnosis? Altered skin integrity;

risk for infection.

286. Doctor ordered for Penicillin and the patient has an

allergy to it-CALL the doctor to change the

medicine.

287. If there is no available stock of _______________

to be used for dressing what you will do? Call


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pharmacist for any substitute.

288. PH 7 48 PCO2-20 PO2-30 respiratory alkalosis

289. Nitroslycerine sublingual to be given every 4 hours

how many times you give? 6 x/day

290. After delivery, patient brought back to the ward,

nurse saw------------- history during delivery whatshould the nurse do? Put it inside the patient file for

future reference.

291. Meningitis patient-room should not be near the

nurses station (noisy)

292. Nursing priority for patient on active labour? Assess

for labour interval.

293. 4 gms ofMgSO4 diluted in 50ml of DSW stock is 2

gms/ml. How much ml you will give? 25ml.

294. Nurse found a fire inside the room. What to do?

RACE.

295. Phenylketunuria-Patient with mental retardation.

296. Effectiveness of iron supplement-Dark Tarry Stool

297. Nephrotic Syndrome-Proteinuria, albuminuria

298. Patient post ESWL (Electric shock wave lithotripsy)

Nursing action-Encourage patient to increase fluidand strain the urine.

299. Patient with hearing impairment-Approach with

simple sentence.

300. Patient with visual impairment-Inform patient

before entering the room and after leaving the room.

301. Patient obese 4th day post op. coughs and vomits-

Wound dehiscence.

302. Patient on heat stroke after exposure to extreme

heat- Apply ice pack over axilla groin.

303. Patient with femur surgical treatment what to

expect? Pin an Plate

304. Blood investigation for MI-CK CKMB/troponin.

305. Patient with Comminuted fracture undergone

surgery, the next day there is oozing of blood from

the dressing what is your nursing action? Mark the


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dressing and inform physician (answer not sure).

306. Hepatic encephalopathy patient was ordered to give

enema. For what purpose? Decrease protein and

ammonia.

307. What is the intervention to prevent odor from

colostomy? Dietary restriction.308. Safety before doing defibrillation? Do not touch the

bed

309. If NGT feeding is running too fast? Abdominal

distention.

310. Patient with diabetic peripheral neuropathy, what

you will instruct? Check the temperature of the

warm water with thermometer before bathing.

311. You are doing research in your area, what you will

consider first? Previous results done by somebody

else.

312. Disease happened to glomerular membrane will

result in What? Proteinuria.

313. Patient received from PACU, immediately after

receiving the patient become and agitated and

restless? What is the nursing action? Check conscious level and check the last pain medication

received.

314. How will you diagnose type2 DM? Fasting blood

sugar> 120mg/dl.

315. How will you maintain infection control in post-

partum patient? Wash hands before and after

changing the sanitary pad.

316. Which pulses are easily accessible? Radial and

Carotid

317. In Chlamydial infection what you will suspect?

Cervicitis

318. Patient come to hospital with infection, at night he

became confused, agitated and disoriented, what

could be the reason?Delirium

319. Colostomy patient encourage what food? Crackers,


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toast, yoghurt (low fiber)

320. Pain assessment with a 3 year old child who is

grimacing use? Wong Baker Face Scale

321. Orinase (tolbutamide) what is the contraindication?

MAO Inhibitor.

322. How to secure swab from fungal infection? Use aDACRON tipped swab

323. Glaucoma-Loss of peripheral vision.

324. Post cataract surgery- Patch eyes during night

325. What nursing process if mistaken, all other process

is affected? Assessment

326. ABG in asthma patient- Respiratory acidosis

327. Action of Salbutamol in asthma patient? Relax

muscles of bronchi

328. Dietary modification of DM patient take into

consideration? Patient’s preference of food.

329. Where can you best hear the apical pulse-5th

intercostal space, mid-clavicular area

330. Pressure ulcer-Reposition patient every 2 hours

331. Bulemia-Controlling behavior

332. What position indicated for patient after surgery for perforated appendix with localized peritonitis?

Semi-Fowler’s positon.

333. Which of the disease needs Airborne precaution?

Measles and varicella

334. Patients with fluid on the chest what sound?

Crackles

335. In breast cancer patient ERP (Estrogen Reactive

Protein) is positive, what does it mean? DNA

Bonding.

336. Drug that will increase blood sugar level? Stool

softener (not sure other choices, betablockers, ACE

inhibitors, Diretics)

337. When a patient is with urinary retention, how you

will assess? Palpation

338. When the patient is unresponsive, in a standard


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cardio-pulmonary arrest tx.What is the immediate

intervention? Call the Emergency Response Team.

339. To preserve communication ability for

Parkinsonism patient, what is the nurse’s action?

Teach to do facial exercises such as smiling and

frowning.340. Purpose of NGT with patient with intestinal

obstruction? To decompress air and fluid from the

stomach.

341. HIV patients precaution to take? Prevent

opportunistic infection.

342. A senior nurse who is mentoring a junior nurse, ask

the junior nurse to insert NGT which she will be

doing first time. Who will be responsible? Senior

nurse.

343. For patient with temporary pacemaker who is going

for surgery, which equipment to accompany in or

ECG monitor.

344. A patient tells she feels dizzy while the nurse is

passing in the hall way what will be your nursing

action? Make the patient sit. Do not leave the patient.

345. Which food is rich in iron? LETTUCE

346. Patient post abdominal surgery complains of gas

pain, nursing action? Encourage early ambulation.

347. Based on patient history and assessment, what

causes patient to have MICCROCYTIC

HYPOCHROMIC ANEMIA? Decrease the intake.

348. Give 50 ml of 0.9% NACL to run in 30 minutes

with microdrip. The rate set to run in ml/hr is how

much? 100ml/hr.

349. Patient with depression, what is the assessment for

him? Hopelessness and helplessness

350. When you will consider patient with TB on

treatment improved? Sputum AFB Negative

351. Insulin (Mixtard/NPH) taken from the fridge, what


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you will do before preparing? Rotate between your

hands.

352. Streptokinsa contraindication? HYPERTENSION

353. Kidney biopsy position? PRONE POST-SUPINE

354. Patient receiving warfarin and INR is 3 what to do?

Give the warfarin355. Patient on warfarin with PT of 35, nursing action?

Give Vit.K

356. For violent patients-Assign room near nurses’

station

357. In diabetes insipidus patient is give Desmopressin/

vasopressin why? To decrease urine output.

358. For hip replacement patient what to provide? High

toilet seat

359. Before pre-medication the patient claimed the

procedure not clear to her, what to do? Hold the

medication and inform the doctor.

360. Nursing action after giving pre-medication? Raise

side rails up.

361. Side effects of corticosteroid?

Hypoglycemia/orthostatic hypotension362. Ultimate aim of Alzheimer’s disease is-Maximize

functional ability, improve quality of life, mood and

behavior.

363. Peculiar symptoms of anorexia nervosa-Fear of

weight gain

364. Bulemia-Compulsive eating with self-induced

vomiting

365. After head trauma patient spent long time in

hospital, the nurse should teach moral support to the

family because- the family become dysfunctional

and needs support/they have rok in the tx cycle of

the patient.

366. When extubating the patient how you will know that

she is not fit for extubation? No breath sounds,

Difficulty in breathing, secretions.


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367. When giving medication-CHECK NAME BANDIF

IF PHOTO ID in the file is not present.

368. In which case you see increased sodium? Vomiting

and diarrhea

369. In elderly why pupils become small? Due to lipid

deposits (not sure)370. Psycho-behavioral therapy for pain-advantage?

Pleas study

371. Patient is to take 2 mg/kg/hr medicine, his weight is

70 kgs how may mgs she will take? 140 mgs.

372. When you have high precaution-Use gloves when

touching body fluids.

373. There is a new article about dressing. Nsg.

Intervention-inform the charge nurse and discuss in

the meeting with staff.

374. Narcotics are locked- To avoid misuse

375. A.E.D- The nurse applies the pad in –right below

clavicle; left in precordium

376. Premature babies appearance- Thin waisted

appearance.

377. After cholecystectomy nursing diagnosis-Acute pain378. Time Management means-It is a technique designed

to assist in completing task in a definitive period.

379. Patient on morphine but still complains of pain?

Assess characteristics and type of pain.

380. Cardiac problem in children- Activity intolerance

381. Sickle cell crisis- Contact sports (soccer) should be

avoided.

382. Patient with ileostomy-Chew food well.

383. Doctor ordered 500mg dopamine in 500ml-

available stock is 200mg/5ml, how many ml/hr to

give 40ml/hr.

384. Action of Inderal-anti-dysrhythmia

385. Action of Digoxin/Dopamine-increase myocardial

contractility.

386. Action of Beta-blocker-vasodilation/Decrease BP


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387. Diltiazem-CA Channel Blocker

388. 80 year old admitted to ward what is the priority car

for safety? Teach how to use the call bell.

389. Acute pancreatitis-Left upper quadrant pain

390. Patient on Aldactone prone to-hyperkalemia

391. Color and odor of wounds indicates- Phases of wound healing

392. PPD Test-For TB

393. Insulin given by tuberculine syringe 20 units give?

0.2ml

394. What is IHD (Ischaemic Heart Disease) describes

as-deposits of Lipis containing plaque

395. What is the use of draw sheet with patient on

skeletal traction? Prevent shearing of the

skin/breakdown.

396. After laminectomy-Check lower extremities for

pulse.

397. Cellulitis/edema on leg-Priority elevate the legs.

398. Digoxin was ordered 125mcg qid. Stock is

250mcg/tab. How much you will give? Half tablet 4

x399. 40000 units heparin in 1 liter. Patient need 1000

nits. How many ml you will give? 25ml

400. NPH given at 8 am what time is the peak of action?

401. Regular insulin peak time? 2-4 hrs

402. Hyperemesis gravidarum-Metabolic alkalosis

403. Fracture of acetabulum which part of the femur is

affected-Head

404. Patient for CT scan-ask for allergy to seafoods.

405. Homan’s sign-DVT ( Calf Pain on dorsiflexion of

the foot)

406. DM2 affects-Middle aged people

407. Before preparing to administer drug-Check

physicians order.

408. Oxygen is considered dangerous cause-Explosive

409. After renal biopsy what should not be done? Avoid


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strenuous activity

410. Patient with cancer terminal stage, he says that “I

want to die today, I don’t want to live anymore”

what is the coping mechanism? Expected coping

mechanism for terminally ill.

411. Patient receiving gentamycin complication?Ototoxicity/hearing problem.

412. After giving IM injection- If bleeding occurs, Apply

gentle pressure for some time.

413. A nurse was seen taking medicine from the cabinet

what is your nursing action? Talk to the nurse tell

her to return the medicine or you will inform

supervisor.

414. Emphysema- Destruction of Alveolar walls.

415. Bedridden patient long term to determine beginning

bedsore check for-Redness in the skin.

416. Nursing diagnosis should be –Clear and precise

417. Needle stick injury-Inform supervisor.

418. Needle stick injury what you will do first? Wash

with soap and water

419. Cholecystitis-Right upper quadrant pain

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