NUR203 Mock Exam Flashcards
1
Q
- Following diagnostic testing, a patient with recurring heartburn and indigestion is diagnosed with a hiatal hernia. The nurse explains to the patient that this condition involves
a. Extension of the oesophagus through the diaphragm.
b. Displacement of the duodenum through the stomach to the oesophagus.
c. Twisting of the stomach around the oesophagus, occluding the oesophagus.
d. Protrusion of the stomach into the oesophagus through an opening in the diaphragm.
A
d) Protrusion of the stomach into the oesophagus through an opening in the diaphragm
2
Q
- A patient with a severe allergic reaction is treated with adrenaline. The nurse recognizes that the rationale for the use of adrenaline is that adrenaline opposes the effects of-
a. Histamine
b. Lymphokines
c. Interleukin-2
d. Lysosomal enzymes
A
a) Histamine
3
Q
- The Braden and Norton scales are used in the clinical area to…
a. Assess the skin in patient’s to identify any pressures area risk.
b. Assess the patient’s own physical ability to take care of skin
c. Assess the pressure ulcer once developed
d. Assess the wound care of patients with pressure ulcers
A
a) assess the skin in patients to identify any pressure area risks
4
Q
- When assessing a patient with a neurologic disorder using the Glasgow Coma Scale, the nurse is obtaining general information related to the-
a. Level of consciousness.
b. Presence of cerebral oedema.
c. Presence of corneal and pupillary reflexes
d. Integrated functions of the cerebral cortex
A
a) level of consciousness
5
Q
- When using the AORC Observation Chart, observations falling in which colour box according to the escalation protocol necessitates activating a medical emergency?
a. Orange
b. Blue
c. Purple
d. Yellow
A
b) Blue
6
Q
- A prima facie rule in ethics includes all the following except-
a. Beneficence
b. Justice
c. Benevolence
d. Autonomy
A
c) benevolence
7
Q
- “Non-maleficence and beneficence fix the physician’s primary obligations to the patient and triumph over patient’s preferences and decision making rights”.
a. True
b. False
A
b) false
8
Q
- Which of the following is not a rationale for the practice of intermittent self-catheterisation?
a. To reduce the risk of infection.
b. To allow the patient to be catheter-free between catheterisations.
c. To prevent bladder over distension and incontinence.
d. To reduce irritation on the neck of the bladder from the balloon of an indwelling urinary catheter.
A
b) to allo the patient to be catheter free between catherisation
9
Q
- Which of the following is not a common cause of upper GI bleeding?
a. Mallory-Weiss tear
b. Neoplasia
c. Drugs such as NSAIDs and Alcohol
d. Crohn’s Disease
- Which of the following is not a common cause of upper GI bleeding?
A
d) Crohn’s disease
10
Q
- Which of the following is incorrect in regard to H.pylori?
a. H.pylori is present in 90% of all patients with duodenal ulcers.
b. H.pylori in 75-80% patients with gastric ulcers.
c. Routine eradication of H.pylori for all not recommended due to suspected protective benefits.
d. H.pylori is only found in the stomach, duodenum and jejunum of colonised people.
A
d) H.Pylori is found in the stomach, duodenum and jejuneum of colonised people
11
Q
- Oesophageal Varices are-
a. Formed as a direct result of liver dysfunction increasing splanchnic pressure in the GIT.
b. Formed as a direct result of liver dysfunction decreasing the formation of essential clotting factors such as Factor VII and XI.
c. Formed as direct result of liver dysfunction resulting in raised oesophageal venous pressure.
d. Formed as a direct result of liver dysfunction reducing portal vein and intrahepatic resistance
A
c) formed as a direct result of liver dysfunction resulting in raised oesophageal venous pressure
12
Q
- While obtaining a nursing history from a patient with inflammatory bowel disease, the nurse recognizes that the patient most likely has ulcerative colitis rather than Crohn’s disease when the patient reports experiencing
a. Weight loss.
b. Bloody diarrhoea.
c. Abdominal pain and cramping.
d. The onset of the disease at age 20.
A
a) weight loss
b) bloody diarrhoea
c) Abdominal pain and cramping
13
Q
- A patient has a newly formed ileostomy for treatment of ulcerative colitis. In teaching the patient about the care of her ileostomy, the nurse informs the patient that she should
a. Restrict fluid intake to prevent constant liquid drainage from the stoma.
b. Change the pouch every day to prevent leakage of contents onto the skin.
c. Maintain as normal a diet as possible, avoiding foods that cause gas or diarrhoea.
d. Irrigate the ileostomy daily or every other day to avoid having to wear a drainage appliance.
A
c) maintain as normal diet as possible avoid foods that cause gas and diarrhoea
14
Q
- When the nurse applies a painful stimulus to an unconscious patient, the patient responds by stiffly extending and abducting the arms and hyperpronating the wrists. The nurse interprets this finding as
a. Decorticate posturing indicating an interruption of voluntary motor tracts.
b. Decerebrate posturing indicating an interruption of voluntary motor tracts.
c. Decorticate posturing indicating a disruption of motor fibres in the midbrain and brainstem.
d. Decerebrate posturing indicating a disruption of motor fibres in the midbrain and brainstem.
A
d) Decerebrate posturing indicating a disruption of motor fibres in the midbrain and brainstem
15
Q
- A patient is admitted to the emergency department, with possible fractures of the bones of the left lower extremity. Prior to initiating treatment for the patient, it is most important for the nurse to
a. Splint the lower leg.
b. Elevate the injured limb.
c. Check neurovascular status distal to the injury.
d. Assess the patient’s tetanus immunization status.
A
b) splint the lower leg
