State Finals Practice Questions

Question 1

Tony’s (50yr) blood pressure, pulse, respiration rate and temperature are recorded on admission. The reason for this is:
A) to give an indication of Mr Ross’s usual baseline recordings
B) to indicate whether Mr Ross is fit for surgery
C) to observe how anxious Mr Ross is about his surgery
D) because it is routine for all admissions

Answer 1

A) to give an indication of Mr Ross’s usual baseline recordings.

Question 2

While you are admitting Tony (50yr) he asks you why he is being weighed. Your best reply would be:
A) no operations are performed on patients who are above the ideal body weight
B) we want to compare your weight on arrival with that on discharge
C) some drug dosages are calculated according to body weight
D) it is routine for all admissions to this ward.

Answer 2

C) some drug dosages are calculated according to body weight

Question 3

Before surgery, you must gain consent. Which of the following conditions must be met, to ensure the validity of Tony’s consent for the procedure:
A) his relatives must have knowledge of the procedure to be performed
B) the agreement must be witnessed by a registered medical practitioner
C) the consent must be obtained at least an hour before surgery is begun
D) he must have sufficient information to make an informed decision

Answer 3

D) he must have sufficient information to make an informed decision.

Question 4

Tony is to have nothing to eat or drink prior to surgery. This is necessary to:
A) assist in the proper absorption of the anaesthesia
B) prevent nausea and vomiting immediately after the surgery
C) avoid the danger of him aspirating stomach contents
D) avoid incontinance during surgery

Answer 4

C) avoid the danger of him aspirating stomach contents

Question 5

Following surgery Tony is transferred to recovery. One of you responsibilities when caring for Tony in the early post-op phase is to observe for any signs of haemorrhage. The type of shock resulting from haemorrhage is:
A) hypovolemic
B) vasogenic
C) neurogenic
D) cardiogenic

Answer 5

A) hypovolemic

Question 6

Eight hours following surgery, Tony has difficulty passing urine. He has an intravenous infusion running. Your most appropriate action would be to:
A) offer him adequate analgesia so that he is able to use his abdominal muscles
B) assist him to stand up to pass urine
C) increase his oral fluids to counteract any dehydration
D) ring the house surgeon and prepare a tray for catheterisation

Answer 6

B) assist him to stand up to pass urine

Question 7

Tony complains of severe pain. He is prescribed morphine 8mg 2-3 hourly PRN. Ward stock of morphine is 10mg/1ml. Which of the following quantities of morphine would you draw up?
A) 0.08ml
B) 0.25ml
C) 0.75ml
D) 0.80ml

Answer 7

D) 0.80ml

Question 8

Tony has one litre of fluid running intravenously every 12 hours. The drop factor is 60 drops per ml. How many drops per minute should be given?
A) 68 DPM
B) 83 DPM
C) 96 DPM
D) 120 DPM

Answer 8

B) 83 DPM

Question 9

Jenny is discharged. The next week she telephones and asks if she should have her usual dose of insulin as she has influenza and has no appetite. What is the most appropriate advice Jenny should be given?
A) omit her injection for that day
B) tell her to telephone the doctor
C) inject herself and take extra sugary drinks
D) tell her to give herself an injection later on

Question 10

Mrs Stone, aged 38, is admitted to hospital after a motor vehicle accident. Mrs Stone has
one litre of fluid running intravenously every 12 hours.The drop factor of the metriset is 60
drops per minute. How many drops per minute should be given?
A) 68 DPM
B) 83 DPM
C) 96 DPM
D) 120 DPM

Answer 10

B) 83 DPM

Question 11

Mrs Stone has severe bruising. Her condition begins to deteriorate and she complains of abdominal pain and swelling. After assessing her vital signs what is the appropriate further assessment to make before contacting the doctor?
A) assess her urine output
B) assess the intravenous flow rate
C) measure her abdominal girth
D) check if her bowels have moved

Answer 11

A) assess urine output

Question 12

Pethidine 75 mg is prescribed. The ampoule available contains 10ml. How much should be given?
A) 0.75 ml.
B) 1.25 ml.
C) 1.425 ml.
D) 1.5 ml.

Question 13

The intravenous infusion prescription is changed to be completed in 4 hours’ time and has 600ml left in the bottle. The drop factor is 15 drops per mL. How many drops per minute will ensure the infusion finishes at the correct time?
A) 24
B) 27
C) 34
D) 37