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Krok M. Nursing 2010

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Krok M. Nursing


1. During a regular home visit to a 3-week-old breastfed infant a nurse noticed I degree intertrigos, moderate crusting on the scalp. There were no other changes. What nursing diagnosis should be made?

A. Neuroarthritic diathesis

B. Lymphohypoplastic diathesis

C. Alimentary allergy

D. I degree intertrigos, gneiss

E. Exudative catarrhal diathesis

2. Before an operation a patient was administered a cleansing enema. In what position should the patient be placed for this procedure?

A. On the left side

B. On the right side

C. In supine position

D. In prone position

E. In standing position

3. A 42-year-old patient was admitted to the infectious diseases hospital with diagnosis of "typhoid fever". What is the most likely source of the infection?

A. Infected rats and mice

B. Infected water

C. An infected person or bacteria carrier

D. Infected meat

E. Infected pigs

4. A patient with apparent dyspnea, cyanosis and shin edemata has been delivered to the admission ward. A nurse
should transport him to the department by the following way:

A. On a wheelchair

B. On a wheel stretcher

C. Slowly, escorted by a single nurse

D. On a stretcher

E. Slowly, escorted by two aid-women

5. A patient has chronic circulatory failure of II B grade. During studying his fluid balance it was established that the patient had consumed 1,5 1 of fluid within a day and his daily diuresis was 800 ml. This phenomenon is called:

A. Anuria

B. Negative diuresis

C. Dysuria

D. Positive diuresis

E. Polyuria

6. A 6-year-old child suffering from bronchitis suddenly got worse at night: he presented with dyspnea with long wheezing expiration, skin pallor with cyanotic shade, strain of neck muscles. What condition are these presentations typical for?

A. Convulsive

B. Asthmatic

C. Laryngospasm

D. Hyperthermic

E. Comatose

7. Among the 7th-grade pupils of a comprehensive school the cases of virus A hepatitis were registered. Children who had contacts with the affected were given an injection of:

A. Immunoglobulin

B. Vitamin C

C. Serum

D. Vaccine

E. Anatoxin

8. In case of climacteric haemorrhage the emergency aid should be started with:

A. Curretage of uterine cavity

B. Administration of uterine-contracting
and haemostatic drugs

C. Antianemic therapy

D. Hormonal haemostasis

E. Anti-shock actions

9. A gravida in her 6-7 week of gestation has been registered at the antenatal clinic. She complains of nausea. What would be the first-priority issue of discussion with this patient?

A. Importance of regular check-ups at the antenatal clinic

B. Mammary glands care

C. Importance of examination

D. Rational diet

E. Genital hygiene

10. A patient with edemata of cardiac origin suffering from constipations was administered a cleansing enema for hypertension reduction. What solution should be applied for this kind of enema?

A. 0,9/

B. 10% solution of calcium chloride

C. 2% solution of sodium hydrocarbonate

D. Furacillin solution 1:5000

E. 10% solution of sodium chloride

11. A patient has a serum cholesterol of 250 with a low HDL and high triglycerides. What is the patient's coronary heart disease risk?

A. Borderline

B. High

C. Low

D. Not enough information to determine

12. A patient was diagnosed with acute rhinitis. He was administered UHF therapy. The nurse should place the electrodes within the following distance from the patient's body:

A. 4cm

B. 10 cm

C. 6 cm

D. 2cm

E. 0,5 cm

13. Caregivers may be excited about the
family relocating to another city so they
can have better jobs and a bigger home.
After the move, however, the children will
most likely:

A. Reflect the excitement modelled by the aregivers and suffer little emotional upset

B. Grieve for the loss of comfortable and familiar people, surroundings, and things left behind

C. Appreciate the better surroundings and seek new friendships in the neighborhood

D. -

E. Do better emotionally than the caregivers, as the children will acclimate to their new surroundings with greater ease

14. External electronic fetal monitoring will be used for a woman just admitted to the labour unit in active labor. A guideline the nurse should follow when implementing this form of monitoring would be:

A. Apply a spiral electrode if nonreassuring FHR signs are noted


C. Use Leopold maneuvers to determine correct placement of the tocotransducer

D. Apply contact gel to the ultrasound transducer prior to application over the point of maximum intensity

E. Reposition the ultrasound transducer every hour and massage the site

15. A 33-year-old patient complains about pain in the right subcostal space, skin icteritiousness, dark urine, light-coloured feces, rapid fatiguability, body temperature rise. Objectively: the abdomen is soft, moderately painful in the right subcostal space. It is known that 5 months ago the patient underwent tooth extraction. The described clinical presentations afford ground to suspect:

A. Hepatitis B virus

B. Acute cholecystitis

C. Liver abscess

D. Liver cirrhosis

E. Chronic pancreatitis

16. The patient who has just had a mastectomy for breast cancer is crying as the nurse enters the room. When asked why she is crying, the patient responds "I know I shouldn't cry because this surgery may well save my life, but I was so pleased with my figure before and I know that things will not be the same."What is the nurse's best response?

A. "Would you like to talk to someone who also has had a mastectomy?"

B. "How have you coped with difficult situations in the past?"

C. -

D. "You're right. It is silly to carry on like this when a prosthesis is available."

E. "It is all right to cry. Mourning this loss is important in getting past this point."

17. A 9-month-old child with rickets has been given Videin-3 for 6 months. The child presents with vomiting, appetite loss, tonoclonic spasms. What condition has developed in this child?

A. Toxicosis together with exicosis

B. Hypocalcemia syndrome

C. Hypervitaminosis D

D. Infectious toxic shock

E. Neurotoxicosis

18. A 45-year-old patient with abdomen and upper limbs burns undergoes treatment in a burns department. What anatomic region should be chosen for the subcutaneous injection?

A. Interscapular region

B. Popliteal regions

C. Sural regions

D. Superoexternal quadrant of buttocks

E. Anteroexternal surface of thighs

19. A 32-year-old primagravida in her 32 week of gestation complains of headache, vision impairment, black spots floating before the eyes, epigastric pain. AP-180/110 mm Hg. The described presentations are typical for the following state:

A. Pyelonephritis gravidarum

B. Late gestosis

C. Essential hypertension

D. Severe preeclampsia

E. Eclampsia

20. You are a nurse working in a pediatric clinic. Your goal is to have accurate, up-to-date immunization records on all the children who come to the clinic. Which of the following record-keeping efforts would best help you meet your goal?

A. Assume that immunizations are not up-to-date and begin the process at the beginning

B. Have the caregiver document all past immunizations with a note that this is caregiver recall and then chart new immunizations

C. Have the caregivers document all the immunizations and dates of immunizations for each child

D. Have caregivers list all those who gave immunizations to their children and sign consent forms for release of information; then combine the records into one


21. A nurse is caring for a patient with chronic atrial fibrillation who is at risk for systemic embolism. Which drug should the nurse expect to administer to prevent this complication?

A. Atropine

B. All above mentioned

C. Sotalol

D. Heparin

E. Lidocaine

22. A patient complains about weakness, dizziness, black stool. He has a history of stomach ulcer. After physical stress everything went dark before his eyes; the patient presented with cold sweat and considerable weakness. Objectively: the patient is pale, Ps- 90 bpm, AP-100/60 mm Hg. What independent nursing intervention is required in this case?

A. A nurse should inject dicynone solution

B. A nurse should inject adrenaline solution

C. A nurse should inject vicasol solution

D. A nurse should put an ice pack on the epigastrium

E. A nurse should put a hot-water bottle on the epigastrium

23. A child who had an intracranial birth injury presents with convulsions. What drug should a nurse apply first of all in order to eliminate the convulsions?

A. Dimedrol

B. Seduxen

C. Analgin

D. Spasmalgon

E. Paracetamol

24. A 35-year-old patient has got a shin injury. The wound is 3x2 cm large, moderately bleeding. What is the optimal term for the initial surgical d-bridement with suturing?

A. Up to 54 hours

B. Up to 12 hours

C. Up to 42 hours

D. Up to 24 hours

E. Up to 36 hours

25. While visiting a patient being under dispensary observation for chronic glomerulonephritis a district nurse payed attention to the following problems: skin dryness nad itch, appetite loss, nausea, epigastric pain. The patient's skin was pale and had signs of scratching; there was also the smell of ammonia from the mouth. What complication is likely to have developed?

A. Chronic renal failure

B. Urolithiasis

C. Acute renal failure

D. Acute glomerulonephritis

E. Chronic pyelonephritis

26. The physician is about to perform carotid sinus massage on a patient with supraventricular tachycardia. What equipment or supplies should the nurse have ready for possible complications associated with this procedure?

A. Padded tongue blade

B. All above mentioned

C. Resuscitation cart

D. Magnesium sulfate

E. Emesis basin

27. A single, young adult woman received instructions from the nurse regarding the use of an oral contraceptive. The woman would demonstrate a need for further instruction if she:


B. Stops asking her sexual partners to use condoms with spermicide

C. Enrolls in a smoking cessation program

D. Takes a pill every morning

E. Uses a barrier method of birth control if she misses two or more pills

28. A 7-month-old child has suddenly presented with convulsions. He undergoes treatment in the infectious diseases hospital for meningococcal infection. What is the first-priority action to be taken by a nurse during the emergency aid?

A. To apply an ice pack to the head

B. To warm the child with hot-water bottles

C. To stimulate the root of tongue

D. To perform ALV, external cardiac massage

E. To prevent tongue-swallowing

29. A 30-year-old patient has an over 10-year history of a disease. This disease exacerbates in autumn and winter. Objectively: the scalp skin and extensor surface of limbs have pinkish red, slightly inflamed nodules and plaques covered with dry silver squamae. Subjectively: the patient feels a slight itch. What disease are these presentations typical for?

A. Psoriasis

B. Lichen ruber planus

C. Lupus erythematosus

D. Seborrhea sicca

E. Neurodermitis

30. During a subcutaneous injection of camphor in oil solution a patient suddenly got cardiac pain, asphyxia, cough, upper chest and face cyanosis. What complication was caused by the injection?

A. Collapse

B. Air embolism

C. Pyrogenic reaction

D. Allergic reaction

E. Fat embolism

31. What precautions/instructions should the nurse provide to the patient initiating chronic digoxin therapy?

A. Avoid taking aspirin or aspirin-containing products

B. All above mentioned

C. Do not take this medication if your pulse rate is below 80 beats/min

D. Do not take this medication within 1 hour of taking an antacid

E. Increase your fluid intake to at least 3000 mL daily

32. A nulliparous woman is in the active phase of labor and her cervix has progressed to 6 cm dilatation. The nurse caring for this woman evaluates the external monitor tracing and notes the following: decrease in FHR shortly after onset of several uterine contractions returning to baseline rate by the end of the contraction; shape is uniform. Based on these findings the nurse should:


B. Change the woman's position to her left side

C. Perform a vaginal examination to check for cord prolapse

D. Document the finding on the woman's chart

E. Notify the physician

33. A patient was diagnosed with an acute attack of chronic pancreatitis. A doctor ordered him absolute starvation. How long should a nurse check the patient for observation of this regulation?

A. 5-6 days

B. 2-3 days

C. 24 hours

D. 6 hours

E. 12 hours

34. In reviewing the laboratory report of white blood cell count with differential for a patient receiving chemotherapy for cancer, all of the following results are listed. Which laboratory finding should alert the nurse to the possibility of sepsis?

A. The total white blood cell count is 9000/mm3

B. The monocyte count is 1800/mm3

C. -

D. The lymphocytes outnumber the basophils

E. The "bands"outnumber the "segs."

35. A 23-year-old man got an electrical injury. He got spasmatic muscle contraction and lost consciousness. The emergency aid should be started with:


B. Calling the emergency brigade

C. Deliverance of the victim from the current source

D. Estimation of the victim's general condition

E. External cardiac massage

36. A 25-year-old gravida has come to the antenatl clinic for registration. The external pelvic measurements are 26-28-31-20. What type of pelvis is it?

A. Normal

B. Flat rachitic

C. Pelvis justo minor

D. Android

E. Simple flat

37. Which pre-existing patient problem or characteristic would preclude the use of radiation therapy for breast cancer treatment?

A. The patient is over 75 years of age

B. The patient underwent a lumpectomy for the breast cancer one month ago

C. The patient has severe arthritis and cannot assume the position needed for radiation therapy


E. The patient is a Jehovah's Witness

38. While communicating with a patient a nurse has noticed that he is very concerned about his health, groundlessly considers himself to have various diseases, is anxious about all the results of laboratory analyses. Specify the psychological type of this patient:

A. Hypochondriacal

B. Aggressive

C. Depressive

D. Demonstrative

E. Anxious

39. A gynaecological department admitted a woman with complaints of acute pain in the right iliac region irradiating to the rectum and sacrum. The last menstrual period ended 2 weeks ago. The patient was diagnosed with ovarian apoplexy. A nurse noticed the aggravation of the patient's condition. What is the first-priority action to be taken?

A. Uterine-contracting drug injection

B. Haemostatic drug injection

C. Application of cold to the lower abdomen

D. Spasmolytic drug injection

E. Calling a doctor

40. Fetal heartbeats can be auscultated above the navel on the left. Specify the presentation:

A. Pelvic

B. Cephalic

C. Transverse

D. Vertex

E. Shoulder

41. In which situation is the nurse performing the role of patient's advocate during the preoperative period?

A. Teaching the patient how to perform coughing and deep breathing exercises

B. Assuring the patient whose religion does not permit blood transfusions that his or her wishes will be followed

C. –

D. Ensuring that the patient's impaired hearing problem is clearly communicated to the entire surgical team

E. Serving as a witness to the informed consent procedure

42. Fifty percent of the drug's original dose is in the blood 4 hours after administration. What is the half-life of the drug?

A. 8 hours B.

C. 1 hour

D. 2 hours

E. 4 hours

43. Condition of a patient with myocardial infarction suddenly got worse: the patient grew pale, broke into a cold clammy sweat, lost consciousness. Ps- 95 bpm. What complication has developed?



C. Lung edema

D. Cardiac asthma

E. Cardiogenic shock

44. A 25-year-old patient complains of acute pain in the lower abdomen, dizziness. The latest menstruation came duly 2 weeks ago and had no peculiarities. Test for pregnancy showed negative result. Such clinical presentations are typical for the following pathology:

A. Appendicitis

B. Extrauterine pregnancy

C. Chronic adnexitis

D. Ovarian apoplexy

E. Ovarian carcinoma

45. A nurse is attempting to administer medications to a preschool-aged child. Which of the following statements made by the nurse would be most appropriate given the child's developmental stage?

A. "Would you like to take your red pill or the pink pill first?"

B. "We can't play until you've taken your medication."

C. "Would you like to play with the pills before you take them?"


E. "If you take your medication, I will give you a sticker that you can wear on your shirt."

46. A 25-year-old patient has a radial bone fracture. A plaster splint has been applied in a typical region. On the second day the patient complains of acute pain in the limb, finger numbness. The fingers look pale and feel cold. The patient consulted a nurse about these presentations. What actions should she take apart from refer the patient to a doctor?

A. Perform the massage

B. Fix the splint with additional bandaging

C. Change the splint

D. Part the edges of the splint

E. Remove the splint

47. During a regular home visit to a 5-day-old infant a nurse noticed a slight acrocyanosis of lips and limbs that was getting more evident during sucking. The child's mother was diagnosed with toxoplasmosis during the first months of gestation. What pathology is likely to be found in this child?

A. Rickets

B. Pneumonia

C. Congenital, heart disease

D. Asphyxia

E. Spasmophilia

48. After the viral hepatitis the patient hasn't been keeping to a diet. Now he presents with pain in the right subcostal space, nausea, vomiting. Objectively: the liver is enlarged, painful; scleras are icteric. What disease are these clinical presentations typical for?

A. Chronic cholecystitis

B. Chronic hepatitis

C. Cholelithiasis

D. Stomach ulcer

E. Chronic pancreatitis

49. A female patient complains of pain and reddening in the region of her left limb, body temperature rise up to 39, 2°C. Objectively: the left shin is slightly edematous and has a well-demarcated hyperaemia zone in form of flame tips; there is local temperature rise. What is the most likely diagnosis?

A. Furunculosis

B. Phlegmon

C. Lymphangitis

D. Erysipelas

E. Acute thrombophlebitis

50. Lower-limb amputation surgery is scheduled for 11 o'clock a.m. What nursing intervention should be carried out 30-40 minuted before the surgery?

A. Cleansing enema

B. Shaving of the surgical site

C. Gastric lavage

D. Giving of the hypotensive drugs

E. Premedication on doctor's orders

51. For which type of foreign object in the ear canal is irrigation contraindicated?

A. Cerumen

B. Pencil eraser
C. Dried beans

D. All above mentioned

E. Live insect

52. A man has been stung by a bee. A few minutes later he developed skin itch, weakness, nausea, abdominal pain, paleness, anxiety. What drug should he be given in the first place?

A. Papaverine

B. Prednisolone

C. Analgin

D. Cordiamin

E. Furosemide

53. During a regular home visit to a 14-day-old child a nurse revealed that the umbilical wound was moist with serous discharges. What disease can be suspected?

A. Phlegmonous omphalitis

B. Sepsis

C. Impetigo neonatorum

D. Catarrhal omphalitis

E. Vesiculopustules

54. A person was exposed to an illness and 2 weeks later developed the symptoms. Which stage of infection was the person in two weeks prior to developing the illness?


B. Convalescence

C. Incubation

D. Illness

E. Prodromal

55. A patient has chemotherapy-induced thrombocytopenia. Which agent should the nurse be prepared to administer?

A. Sargramostim (Prokine) B.

C. Epoetin alfa (Procrit)

D. Oprelvekin (Neumega)

E. Filgrastim (Neupogen)

56. A 5-year-old girl was found to have body temperature rise up to 38°C, pale skin, positive Pasternatsky's symptom, leukocyturia, bacteriuria. What disease are these presentations typical for?

A. Acute pyelonephritis

B. Influenza

C. Haemorrhagic vasculitis

D. Diabetes mellitus

E. Acute glomerulonephritis

57. A patient came to the admission ward and complained of chest pain and labored respiration. According to his words, he got a trauma after a fall. Objectively: a local edema, painfulness and crepitation of fragments at the level of the VII rib on the right. Chest compression causes acute pain. What is the most likely diagnosis?

A. Thoracic contusion

B. Rib fracture

C. Breastbone fracture

D. Lung contusion

E. Closed pneumothorax

58. At what age the development of secondary sexual characters is considered to be premature?

A. Before 10 years

B. Before 8 years

C. Before 11-12 years

D. Before 9 years

E. Before 13-14 years

59. A 5-year-old boy presents with periodical acetonemic vomiting, night terrors, emotional instability. Objectively: the child is undernourished, asthenic. The boy's intellect is well-developed, he can read and explain life situations in an adult-like manner. In the urine: urates +++. These clinical presentations are typical for the following diathesis:

A. Allergic

B. Exudative catarrhal

C. Neuroarthritic

D. Lymphohypoplastic

E. Atopic

60. A female patient complains about spasmodic pain in the lumbar region on the left that irradiate to the genitals; frequent urination. Objectively: the patient is anxious, often changes body position due to the unbearable pain. What symptom would be the most informative for the diagnosis specification?

A. Rovsing's symptom

B. Blumberg's sign

C. Sitkovsky's symptom

D. Voskresensky's symptom

E. Pasternatsky's symptom

61. A 42-year-old patient with suspected hernia of intervertebral disk of the lumbar spine as administered MRT. What preparation is required?

A. Laxative agents

B. Cleansing enema

C. Gastric lavage the day before

D. Bladder irrigation

62. A victim has a knife wound of chest. Within the fourth intercostal space on the right there is a cut wound 2x1 cm large with foamy blood effusing from it. During respiration a whizzing sound can be heard from the wound. What is the first-priority nursing intervention?

A. Aseptic dressing application

B. Injection of a haemostatic

C. Injection of an analgetic

D. Wound tamponade

E. Occlusive dressing application

63. When a clean-voided specimen is ordered, the nurse should instruct the patient to:

A. Clean the area as directed, start to void and collect three samples at different times during the voiding

B. Clean the area as directed and collect the initial urine voided


D. Clean the area as directed and collect all the urine voided

E. Clean the area as directed, start to void into the toilet, collect the urine in the sterile cup after a good flow of urine has been established

64. On doctor's orders a nurse gave a 40-year-old patient a subcutaneous injection of camphor in oil solution. The solution wasn't preliminary warmed. What complication is likely to arise?

A. Haemorrhage

B. Haematoma

C. Oil embolism

D. Abscess

E. Infiltration

65. A 30-year-old female patient has been administered vaginal baths with chamomile infusion. A nurse has to follow doctor's orders and prepare the infusion. What temperature of the infusion is required?

A. 18 - 20°C

B. 37 - 38°C

C. 30 - 31°C

D. 45 - 46°C

E. 20 - 22°C

66. A 25-year-old patient was admitted to the hospital with complaints of epigastric pain, nausea, vomiting, general weakness, body temperature rise. He associates the disease with unsound food he consumed 3 hours ago. After examination the patient was diagnosed with acute gastritis. What is the first-priority nursing intervention?

A. Hot-water bottle over stomach

B. Gastric lavage

C. Administration of warm tea with lemon

D. Cold to the abdominal region

E. Injection of papaverine solution

67. Which patient is most at risk of developing left-sided heart failure?

A. 60-year-old male with pulmonary hypertension

B. 48-year-old female who smokes two packs of cigarettes daily

C. All above mentioned

D. 52-year-old female with mitral valve disease

E. 72-year-old male who has had a right ventricular myocardial infarction

68. A nurse registered critical temperature drop in a patient in his III fever period. Complications may occur primarily in the following system:

A. Cardiovascular

B. Digestive

C. Respiratory

D. Central nervous

E. Locomotive •

69. While examining a patient in the hematological department a nurse revealed the following symptoms: skin dryness, nail brittleness, hair loss, angular cheilitis, dysgeusia (the patient was willing to eat lime, chalk). What anemia are these symptoms typical for?

A. Iron-deficient

B. Haemolytic

C. Posthaemorrhagic

D. _B12-dencient

E. Aplastic

70. A patient has intense pain in the right subcostal area irradiating to the right shoulder; nausea, vomiting that doesn't give relief; flatulence, stool retention. What condition are these symptoms typical for?

A. Hepatic cirrhosis

B. Renal colic

C. Acute gastritis

D. Hepatic colic

E. Duodenal ulcer

71. A patient with heart failure has been ordered to receive a daily nitroglycerin transdermal patch. What action taken by the nurse would help avoid tolerance to the vasodilating effects of this medication?

A. All above mentioned

B. Rotate the skin site of nitroglycerin administration

C. Administer a larger loading dose before the initiation of therapy

D. Place an occlusive dressing over the patch

E. Remove the patch overnight

72. Which health problem in a woman who had radiation therapy 10 years ago for cancer in the right breast is most likely to be a consequence of the therapy?


B. Pathologic fracture of two ribs on the right chest

C. Myocardial infarction

D. Asthma

E. Chronic esophagitis with gastroesophageal reflux

73. A 19-year-old patient diagnosed with new-onset diabetes mellitus asked a nurse to inform her about the course and likely complications of this disease. The nurse should draw her attention to the following signals of hypoglycemic coma:

A. Thirst, abdominal pain, excitation

B. Hunger, palpitation, hand tremor

C. Appatite loss, vomiting, hyperhidrosis

D. Nausea, vision impairment, sleepiness

E. Headache, dizziness, dry skin

74. First-degree heart block in a stable patient requires no intervention. The nurse must establish whether the patient is hemodynamically stable. Measuring blood pressure can establish that the patient is stable. Which manipulation should be carried out by the nurse to confirm the patient's stability?

A. Perform pulse oximetry testing in the upper and lower extremities

B. All above mentioned

C. Measure blood pressure in the lying and sitting positions

D. Measure apical and radial pulses for a full minute

E. Measure blood pressure in each arm separately

75. When evaluating the hydration status, the nurse observes tenting of the skin on the back of the 87-year-old patient's hand when testing the skin turgor. What is the nurse's best action?

A. Notify the physician

B. Document the finding as the only action

C. Examine dependent body areas


E. Assess turgor on the patient's forehead

76. A patient with chronic cardiac failure in the stage of decompensation was found to have 140/min heart rate and 66 bpm pulse rate. What is the medical term for this pathology?

A. Bradycardia

B. Cardiac fibrillation

C. Deficient pulse

D. Tachycardia

E. Extrasystole

77. A patient has an elevated AST. Which condition is the patient most likely to have?

A. Prostate cancer


C. Diabetes

D. Rheumatoid arthritis

E. Hepatitis

78. A patient with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. What is the nurse's best first action?

A. Document this expected response to hormonal manipulation

B. Apply ice to the calf after massaging it for at least 5 minutes

C. Measure the calf circumference and assess for Homan's sign

D. Instruct the patient to keep the leg elevated for two days


79. A 30-year-old patient complains of itching genitals, purulent foamy discharges with foul smell. What disease are these presentations typical for?

A. Trichomoniasis

B. Chlamydia

C. Mycoplasmosis

D. Gonorrhoea

E. Candidiasis

80. What type of protection should the nurse use in addition to standard precautions when caring for a patient who has meningococcal meningitis?

A. Sharps precautions

B. Contact precautions


D. Airborne precautions

E. Droplet precautions

81. A patient has been admitted to the acute care unit for an exacerbation of heart failure. Which of the following nursing actions should be performed first?

A. Administration of intravenous fluids

B. Insertion of a Foley catheter

C. Monitoring of serum electrolyte levels

D. Assessment of respiratory and oxygenation status

E. All above mentioned

82. A patient's ECG tracing shows normal sinus rhythm followed by a complex of three PVCs, with a return to normal sinus rhythm. What is the nurse's interpretation of this finding?

A. Ventricular escape rhythm

B. Atrial flutter

C. Trigeminy

D. Nonsustained ventricular tachycardia

E. All above mentioned

83. The school nurse is working with teenaged parents and their babies in a high school program designed to keep these parents in school and to teach them how to care for their children. The nurse teaches the mothers to change diapers on:

A. A changing station with a cushioned cover

B. A soft towel that can be washed as needed

C. Upholstered furniture that can be wiped off


E. A washable surface that is disinfected after each use

84. You are the nurse preparing to give an injection to a child who is combative. Which of the following approaches would be best on your part?

A. Do not administer the injection

B. Gently but firmly restrain the child using sufficient adults to do so and quickly give the injection


D. Wait until the child is asleep, and then give the injection before he wakes up

E. Talk to the child until he calms down and then give the injection

85. What is the purpose of subcutaneous injection of proserine (0,1%) in the postoperative period?

A. Elimination of pain syndrome

B. Elimination of cardiac malfunctions

C. Pneumonia prevention

D. Elimination of bowels paresis

E. Acceleration of tissue regeneration

86. In case of a cervical spine injury the patency of airways can be restored only via:

A. Throwing back the head

B. Jaw-thrust maneuver

C. Bolster under the back

D. Bolster under the neck

E. Sideward rotation of the head

87. A patient has edematic face with fat lips and narrow palpebral fissures; his skin feels dry and cold. These signs are indicative of the following disease:

A. Glomerulonephritis

B. Thyrotoxicosis

C. Obesity

D. Hypothyroidism

E. Quincke's edema

88. A patient has to undergo Nechiporenko urine analysis on doctor's order. A nurse should instruct the patient and explain him that he has to collect:

A. Daily urine

B. 24-hour urine

C. Midstream urine

D. Initial urine

E. First void urine

89. The physician writes an order for medication to be given every 4 hours p.r.n. How should the nurse administer this drug?

A. Every 4 hours if the patient's condition indicates a need for it

B. Every 4 hours around the clock

C. Every 4 hours if the patient asks for it


E. As many as four times a day

90. The nursing home resident with recurrent otitis media complains of new pain behind the ear. The area is red and swollen. What is the nurse's priority?

A. Document the referred pain

B. All above mentioned

C. Apply a heating pad on a low setting to the area

D. Test the patient's hearing acuity using the Rinne tuning fork test

E. Notify the physician

91. Which of the following would not be a source of data for measuring the adequacy of the health care facility to meet the needs of patients?

A. Staffing patterns

B. Patient interviews

C. Written care plans

D. -

E. Policy and procedure manuals

92. What physical assessment findings would be expected in a patient with atrial flutter with a rapid ventricular response?

A. Diaphoresis, hypertension, and mental status changes

B. Halo vision, anorexia, and nausea and vomiting

C. The presence of a split SI and rhonchi

D. Palpitations, shortness of breath, and anxiety

E. All above mentioned

93. Which clinical manifestation should alert the nurse to the possibility of impending pulmonary edema in a 75 year-old patient with heart failure?

A. All above mentioned

B. Dysphagia

C. Sacral edema

D. Irregular heart rate

E. Confusion

94. The patient returning to the clinic for a follow-up visit 3 weeks after abdominal surgery is concerned because she can feel small, uneven lumps under the suture line of the incision. What is the nurse's best response?

A. "Avoid touching those areas because you may dislodge the blood clots that keep your incision from bleeding."

B. "What you are feeling is growth of new tissue proceeding at different rates in the incision."

C. "Those are the deep stitches the surgeon placed, and they will eventually be absorbed and disappear."

D. "Keep the incision covered for as long as those lumps can be felt."


95. A patient consulted a nurse about attacks of morning cough with lots of sputum, often with a foul smell. What disease are these symptoms typical for?

A. Cancer of lungs

B. Pneumonia

C. Pulmonary tuberculosis

D. Multiple bronchiectasis

E. Chronic bronchitis

96. Which property of cardiac cells is the ability to generate electrical impulses spontaneously?

A. All above mentioned

B. Excitability

C. Conductivity

D. Contractility

E. Automaticity

97. A 63-year-old patient suffering from chronic cardiac insufficiency is in the cardiological department. A nurse determined the fluid balance: amount of consumed fluid was 1000 ml, amount of daily dieresis was 500 ml. Such diuresis is called:

A. Normal

B. Satisfactory

C. Doubtful

D. Negative

E. Positive

98. A patient is experiencing sinus bradycardia with hypotension and dizziness. Which of the following drugs/agents should the nurse be prepared to administer?

A. Metoprolol

B. Atropine

C. Digoxin

D. All above mentioned

E. Lidocaine

99. Examination of a newborn girl revealed a haematoma on her head within the limits of a single bone. The haematoma doesn't throb or hurt. What pathology is it?

A. Labour tumour

B. Impetigo neonatorum

C. Intracranial trauma

D. Septicopyemia

E. Cephalohematoma

100. The postoperative patient's arterial blood gas values are pH- 7,22, HCO3- 21 mEq/L, PCO2- 65 mm Hg, and PO2- 58 mm Hg. What is the nurse's best first action?

A. Assess the patient's airway


C. Notify the physician

D. Increase the oxygen flow rate

E. Document the finding as the only action

101. During transfusion of erythrocyte mass a patient developed lumbar pain, sensation of chest compression, face redness, death anxiety, dyspnea. Objectively: the patient is anxious, Ps- 110 bpm., AP- 110/80 mm Hg. What complication has developed?

A. Air embolism

B. Pulmonary embolism

C. Anaphylactic shock

D. Haemotransfusion shock

E. Citrate shock

102. A child has recently received the diphtheria, tetanus, and pertussis (DTaP) immunization. Which of the following would represent a reaction that would be considered a contraindication to receiving the immunization again?

A. Encephalopathy

B. Emesis and diarrhea


D. Upper respiratory infection

E. Otitis media

103. Placing no limits on the ages or numbers of visitors and providing sleeping facilities for the caregivers in a child's room in a health care facility will most likely bring which of the following results?


B. There will be loss of rest by the child

C. The child will be more dependent on the family

D. Nurses will find procedures less difficult to carry out

E. Family-centered care will be enhanced

104. In which of the following age groups is the concept of death most likely to be considered reversible and temporary?

A. 5 to 6 years

B. 7 to 11 years


D. 0 to 2 years

E. 2 to 3 years

105. What is the expected effect when capillary pores increase in size?

A. Increased filtration, increased plasma volume


C. Decreased filtration, increased plasma volume

D. Increased filtration, decreased plasma volume

E. Decreased filtration, decreased plasma volume

106. A patient has just undergone a balloon valvuloplasty. What complication of this procedure should the nurse monitor this patient for?

A. Bleeding

B. Pulmonary hypertension

C. All above mentioned

D. Acute tubular necrosis

E. Short-term memory loss

107. A nurse puts the bedridden patient's extremities through range of motion when giving the bath. This is an example of which type of nursing intervention?

A. Consultation

B. Dependent

C. Independent

E. Interdependent

108. What is the priority nursing diagnosis for the patient receiving interleukin-2 (IL-2) therapy for cancer?


B. Risk for infection related to drug-induced neutropenia

C. Impaired comfort related to drug side effect

D. Risk for injury related to excessive bleeding

E. Deficient fluid volume related to persistent diarrhea

109. A 24-year-old student consulted a nurse about acute pain in her lower abdomen on the left, considerable weakness, dizziness. The last menstrual period ended 2 weeks ago. What is the first-priority action to be taken by a nurse?

A. Cardiac drug injection

B. Further observation

C. Spasmolytic drug injection

D. Analgetic drug injection

E. Immediate hospitalization

110. An adult patient has a hematocrit of 64%. With what condition is this most consistent?

A. Dehydration

B. Anemia

C. Leukemia

D. Haemorrhage


111. If the radiation absorbed dose from an external source is 270 rad, 1 m from the source, what is the expected absorbed dose at 3 m from the source?

A. 270 rad

B. 30 rad


D. 68,5 rad

E. 140 rad

112. Which function or assessment finding in a patient being admitted to the postanesthesia care unit after surgery is the best indication that the patient's respiratory status does not require immediate attention?

A. The patient is alert and oriented

B. The patient's oxygen saturation is 90%

C. The patient is able to talk

D. The patient's chest rises and falls rhythmically during respiration


113. A school nurse will educate teachers of children diagnosed with sickle cell anemia that when these children have deterioration in school performance or a severe headache, this can be followed by which of the problems?

A. Migraine or cluster headaches

B. Cerebral vascular accident (CVA)


D. Loss of consciousness

E. Petit mal seizure

114. Specify the amount of 0,1% histamine solution that is to be applied as a parenteral stimulus for the patient with body weight at the rate of 60 kg:
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Krok M. Nursing 2010 iconKrok Medicine-2010

Krok M. Nursing 2010 iconKrok Medicine-2010

Krok M. Nursing 2010 iconKrok Medicine-2010

Krok M. Nursing 2010 iconKrok-1 Pharmacy – 2008- 2010-2011, 2012

Krok M. Nursing 2010 iconThematic plan of the practical nursing training

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