MCQ Flashcards

1
Q

What is urinary retention?

A

A condition where your bladder doesn’t empty all the way or at all when you urinate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to catheterisation for this patient would be?

A

A uridome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The mechanism of action of the oral laxative docusate sodium (coloxyl) is?

A

A stool softener indicated for the treatment of constipation. Increases the amount of water the stool absorbs in the gut, making the stool softer and easier to pass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days when the patient?

A
  • Has Abdominal pain
  • Bleeding
  • Absent bowel sounds in LLQ
  • Distended bowl sounds
  • Tenderness on palpation
  • Dull sound on percussion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

An elderly patient states that she is worried because she has not had a bowel movement each day. The nurse’s best response concerning defecation patterns for elderly people would be:

A

Ask what her usual patterns are?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ascites is defined as?

A

Ascites is defined as the accumulation of fluid in the peritoneal cavity causing swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a normal finding on palpation of the abdomen?

A

Abdominal is soft, symmetric, non tender and without distention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When inspecting a client’s abdominal contour, the nurse observes the abdomen to be sunken with the lower edges of the ribs visible. The nurse describes and documents this as?

A

Scaphoid. This is a condition in which the anterior abdominal wall is sunken and presents a concave rather than a convex contour.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A nurse asks a patient to turn their palm down with the elbows straight. The specific joint movement the nurse is testing for is?

A

Pronation of the elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A client who presents in the medical centre with lower limb pain following a motor vehicle accident requires a musculoskeletal assessment. When completing the assessment, the nurse should apply all of the following principles except?

A

Ask the client to move the joint quickly whilst applying pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

You are inspecting your client’s spinal symmetry and assessing their posture. You identify that the client has kyphosis. This is?

A

A Dorsally exaggerated thoracic curve. Most common in older females with osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The nurse is examining the ROM of a client’s shoulder. Which of the following is a normal finding?

A

Forward flexion and hypertension of 180 degrees. Internal and external rotation of 90degress. Abduction and adduction of the shoulder. Full active and painless ROM with no crepitus. Bilateral equal muscle strengh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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?

A

Nursing care plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When using a mobile hoist with a dependent patient, identify the correct rule?

A

How many people assist, lite assessment, brakes on hoist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The older person’s tendency to take smaller steps with feet close together will mostly likely result in?

A

Increased risk of falls and injury. Balance is increased with a wider base of support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A person with normal gait should demonstrate all the below actions, except?

A

Pick the one that isn’t a normal gait. A normal gait is a normal walking pattern, coordinated movements, able to maintain balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

To ensure safe administration of medications the nurse must be aware of the seven rights of medication administration. These are the right?

A
  • Right medication
  • Right dose
  • Right client
  • Right route
  • Right time
  • Right reason
  • Right documentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What term is given to an unexpected effect of a medication?

A

Adverse effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A nurse administers medication to a patient. Who has the ultimate responsibility for the medication to be administered correctly?

A

The nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

While the nurse is administering medication, the patient states, “This pill looks different to what I usually take.” What is the correct practice in this situation?

A

Check the medication bottle and prescribed medication again to double check it is correct. Follow up with colleges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A nurse administering medications has many responsibilities including knowledge of pharmacodynamic. Pharmacodynamic best described as?

A

Essentially describe as the effect the drug has on the body. What the drug does to the body

22
Q

A nurse needs to document that a medication has been administered under the tongue. What term would they use?

A

Sublingual

23
Q

The prescription for a patient instructs the nurse to administer flucloxacillin 250mg po QID. How and when is the medication administered?

A

Oral, 4 times daily

24
Q

Mary Brown is 17 years old and presents with a diagnosis of Type 1 Diabetes Mellitus. Clinical manifestations associated with T1D include all the following except:

A

Hyponatraemia

25
Q

John Smith has a history of Type 2 Diabetes Mellitus. As the nurse, you are performing a risk assessment. Identify a modifiable risk factor for John:

A

Insufficient exercise/sedentary lifestyle

26
Q

Microvascular complications of diabetes mellitus include damage to the kidney. This is called?

A

Diabetic nephropathy

27
Q

Three common complications of diabetes mellitus are?

A

Diabetic retinopathy, Diabetic nephropathy, Diabetic neuropathy or change of weight, change in appetite, frequency of urination and thirst

28
Q

Measures of glycosylated haemoglobin, such as HbA1c, monitor glucose control over a period of time, relative to the average life span of a red blood cell. This is normally?

A

3 months

29
Q

Which of the following statements, regarding T1D, is true?

A

Total inability to produce insulin

30
Q

You are working in a family planning centre and providing an education session on genital warts. Information you provide includes?

A

HPV vaccine. Personal hygiene, STI checks, Contraception/protection, Frequency of tests

31
Q

Which of the following is NOT a bacterial sexually transmitted infection?

A

Genital warts

32
Q

An early sign/symptom of syphilis is?

A

Small, painless open sore or ulcer (called a chancre) on the body including, inside the rectum and vagina. Enlarged lymph nodes near the groin.

33
Q

You are providing education to a women’s group on breast cancer. Identify the factor below that is incorrect?

A

Men cannot not get breast cancer, it’s always heredity, healthy people don’t get breast cancer

34
Q

Folate is a particularly important nutrient for which patient group?

A

Pregnant women, women trying to conceive

35
Q

Which age and gender are most at risk of developing an iron deficiency?

A

Pregnant woman, infants, toddlers, women of childbearing age

36
Q

Foods permitted on a clear, liquid diet include all the following except?

A

Anything you can not see through

37
Q

What type of diet is most likely to prevent constipation?

A

Foods high in fibre

38
Q

A patient who has had a stroke is assessed by the nurse. The nursing diagnosis identified for the patient is: risk of aspiration related to dysphagia and left sided facial weakness. An appropriate technique for the nurse to use when assisting the patient to eat is to?

A

Soft diet, sitting up 90 degrees with assisted eating on the side that isn’t weak, small spoon, supervision

39
Q

Identify the condition that is not an abnormality of the nose?

A

Epistaxis, deviation of the septum, cleft palate, rhino, nasal polyps

40
Q

An elderly patient, who has recently had a stroke, is assessed by the nurse as having a reddened area over the coccyx. To prevent this from progressing the nurse decides to?

A

Rotation every 2hrs to keep them off the area, air mattress, pressure cushion, keep dry

41
Q

The tissue surfaces of an incision that are brought together are described as?

A

Little tissue loss (primary intention) stitches

42
Q

There are several instruments for assessing patients who are at risk of developing a pressure injury. The Braden Scale is commonly used. What risk factors are assessed using the Braden Scale?

A

Mobility, nutrition, moisture level, friction, activity

43
Q

The haemostasis phase of wound healing is characterised by?

A

Vascular spasm, platelet plug formation, blood clotting

44
Q

The nurse observes that the client has a pressure injury on their right heel. There is full thickness loss of the dermis. The nurse can see subcutaneous fat, but no muscle or bone. Classify the stage of the pressure injury as?

A

Stage 3

45
Q

The nurse uses a surgical aseptic technique when?

A

Cleaning wounds

46
Q

An effective question to assess orientation in a mental health assessment may include?

A

Names, date, time, place

47
Q

You are caring for Mrs X and her daughter Jane phones accusing staff of physically abusing her mother. Jane is very angry and upset and you recognise that the situation needs to be de-escalated. What is an appropriate approach with Jane?

A

Understanding and empathetic, negotiate with Jane, let Jane explain without interrupting

48
Q

Delirium is characterised by?

A

Confusion, disorientation, restless, acute or sudden onset of confusion, agitation, decreased in cognition and awareness/orientation

49
Q

The nurse is performing a lymph node assessment on a client who has been complaining of a sore throat. In palpating for the occipital lymph nodes, the nurse must position the pads of their fingers in which position?

A

Top of the spine, base of the skull, occipital bone

50
Q

Which symptoms are commonly associated with enlarged head and neck lymph nodes?

A

Headaches, difficulty swallowing, blocked sinuses, blocked ears