1. During peritoneal dialysis it is especially important to watch the patient for signs of

A.     abdominal discomfort

B.     infection

C.     excess drainage

D.     anxiety

 

2. A patient is prescribed methyl-dopa  250mg twice daily. Which of the following observations are the most important:  

A.     appetite and weight changes

B.     pulse and respiration at rest

C.     lying and standing blood pressure

D.     colour and texture of skin

 

3. A patient has left sided renal colic, urinalysis is likely to show:

A.     haematuria

B.     oliguria

C.     albuminuria

D.     ketonuria

 

4. Cardiac arrest would best be indicated by

A.     apnoea and pinpoint pupils

B.     dilated pupils and absence of carotid pulse

C.     unequal pupils and severe chest pain

D.     apnoea and absence of radial pulse

 

5. Which of the following observations would be most useful in aiding a diagnosis of renal colic

A.     type, frequency and duration of pain

B.     colour, quantity, specific gravity of urine

C.     colour, pulse, blood pressure of patient

D.     pulse, quantity of urine, amount of vomit

 

6. Following a partial thyroidectomy the patient develops hypotension. You should first of all

A.       elevate the foot of the bed

B.       note the redivac drainage

C.       report the hypotension to sister

D.       increase the infusion rate

 

7. Which patient on bed rest needs most careful observation for signs of pressure sores developing on the heels? One suffering from

A.     congestive cardiac failure

B.     rheumatoid arthritis

C.     chronic bronchitis

D.     intermittent claudication

 

8. Following a head injury it is important to observe a patient for

A.     rising pulse rate, falling blood pressure

B.     falling pulse rate, rising blood pressure

C.     rising pulse rate, rising blood pressure

D.     falling pulse rate, falling blood pressure

 

9. Overload of the patient’s circulation during a blood transfusion would be indicated by

A.     distended neck veins

B.     loin pain

C.     pyrexia

D.     haematuria

 

10. A patient has potassium added to the intravenous infusion. It is especially important to observe for

A.     nausea and vomiting

B.     oedema and dyspnoea

C.     pulse arrhythmias

D.     enhanced diuresis

 

11. When given an intramuscular injection of 2 mls of iron it is important to

A divide the dose between two injection sites

B inject it slowly into subcutaneous tissue

C avoid staining the skin

D dilute it can equal amount of water

 

12. A patient suffering from a chest infection is prescribed cough linctus . It would most likely be administered

A. early each morning

B. three times daily

C. before physiotherapy

D. late evening

 

13. A patient is prescribed 0.5 grams of tetracycline intramuscularly for one dose only, to be followed by 0.25 grams orally every 6 hours. A total of 10 grams of tetracycline is to be given, then treatment discontinued. How many 250 mg tablets will be given during the course of antibiotic treatment?

A. 24 tablets

B. 38 tablets

C. 52 tablets

D. 66 tablets

 

14. Anti-inflammatory drugs used in arthritic conditions include

A. Ismelin (Guanethidine)

B. Intal

C. Indocid

D. Inderal

 

15. Mydriatics would be used to

A constrict the pupil or the eye

B dilate

C constrict arteries

D dilate the pupil of the eye

 

16. Patients prescribed mono-amine oxidase inhibitors should avoid

A. potatoes

B. apples

C. pork

D. cheese

 

17. Jectofer（iron-sorbital）is administered

A. subcutaneously

B. intramuscularly

C. orally

D. intravenously

 

18. A patient suffering from pernicious anaemia continues to receive a maintenance dose of cyanocobalamin for

A. 6 months

B. 1 year

C. 5 years

D. life

 

19. Which one of the following drugs is an antibiotics

A. chlorpropamide

B. chlorpromazine

C. chloramphenicol

D. chloroquin

 

20. Another name for acetosalicylic acid is

A. codeine

B. panadol

C. phenacetin

D. aspirin

 

21. The“ universal donor” is

A  O Rh positive

B  A Rh negative

C  O Rh negative

D  AB Rh positive

 

22. Morphine Sulphate is prescribed following a coronary thrombosis in order to

A decrease the respiratory rate

B relieve the pain and shock

C decrease the heart rate

D increase the force of the heart beat

 

23. Catheterisation can cause

A. prostatic hypertrophy

B. pilonidal cyst

C. urethral stricture

D. ureteric stricture

 

24. Selected drugs are listed as controlled drugs because they

A are highly poisonous

B are habit forming

C have dangerous side effects

D are strong analgesics

 

25. The dose of the drugs prescribed is 1.5 grams. Each of the tablets of this drug in the bottle contains 375mg. How many tablets should you give?

A. 2 tablets

B. 3 tablets

C. 4 tablets

D. 6 tablets

26. Gloves should be worn when giving an intramuscular injection of some antibiotics because they

A keep your hands clean

B prevent cross infection

C help prevent skin reactions

D prevent the nurse becoming resistant to the antibiotic

 

27. Which one of the following is equivalent to 0.75 of a gram?

A. 750 milligrams

B. 75 micrograms

C. 750 kilograms

D. 75 milligrams

 

28. A common side effect of streptomycin is

A. eczema

B. deafness

C. diarrhea

D. constipation

 

29. Which of the following blood groups can receive from all other blood groups?

A  O+

B  A-

C  AB+

D  B-

 

30. It is important to administer drugs on time in order to

A. maintain an effective blood concentration of the drug

B. avoid interference with other treatments

C. maintain patients confidence through a regular routine

D. prevent the patient vomiting if drugs were administered near meal times

 

31. Which insulin has a rapid but relatively short action?

A. protamine zinc

B. lente

C. soluble

D. isophane

 

32. Acute renal failure is caused by

A an enlarged prostate

B hypertensive kidney disease

C mismatched blood transfusion

D bilateral calculi

 

33. A clear fluid intravenous infusion is running very slowly and behind schedule, the cannula site is satisfactory. You should initially

A. withdraw the cannula slightly

B. remove constricting bandages

C. change the giving set

D. raise the bag and open the clamp (gate)

 

34. A complication of long term corticosteroid therapy is

A. peptic ulcer

B. renal calculi

C. tetany

D. asthma

 

35. A patient must not cough whilst having a chest aspiration because this could cause

A. the cannula to be forcibly ejected

B. an increase in aspiration rate

C. air to be drawn in through the cannula site

D. the lung to be pricked by the aspiration cannula 

 

36. Agglutination will occur when

A. Group AB receives group A

B. Group A receives group O

C. Group O receives group B

D. Group B receives group O

 

37．A 2 ml syringe contains insulin up to the 18^th mark on the syringe. The insulin is a bottle marked “80 units/ml”. How many units of insulin are there in the syringe?

A .18 units

B. 36 units

C. 64 units

D. 72 units

 

38. Which one of the following nerves may be damaged when streptomycin is administered?

A. optic

B. vagus

C. olfactory

D. auditory

 

39. A patient is in the physiotherapy department during a round. His drugs should be

A. checked and left on the locker

B. checked and left in the trolley

C. checked and given on his return

D. taken to the physiotherapy department

 

40. The primary function of digitalis is to

A. aid the excretion of salt

B. strengthen the heart beat 

C. increase the pulse rate

D. lower the blood pressure

 

41. A complication of oral frusemide therapy is

A. hypotension

B. calcium depletion

C. retention of urine

D. potassium depletion

 

42. Which of the following liquid medicines may cause discolouration of the teeth?

A. magnesium trisilicate

B. Benylin（relieve cough and symptoms）

C. ferrous sulphate

D. Aludrox

 

43. Codeine linctus acts as a A

A. cough suppressant

B. bronchodilator

C. respiratory stimulant

D. vasoconstrictor

 

44. Once begun, it is considered most important to complete a course of antibiotic therapy because

A. expensive drugs ought not to be wasted

B. development of drug resistance is minimized

C. side effects may be better tolerated

D. vomiting could lead to malabsorption

 

45. Drugs which have an enteric coat will always

A. be absorbed more quickly than those without

B. treat enteritis very effectively

C. be absorbed more slowly than those without

D. treat hyperemesis very effectively

 

46. Purpose of CVP monitoring?    

A. assess hydration and right atrial pressure    

B. assess hydration

C. assess right and left atrial pressure           

D. assess ventricular pressure

 

47. Which of the following physiological changes can occur in prolonged bed rest?

A. reduced lung expansion            

B. reduced urine output

C. cardiac failure                      

D. changes in figure

 

48. Signs of increased ICP (intra cerebral pressure)    

a. tachycardia

b. increased BP

c. slowed breathing

d. increased temperature

A. all the above                B. a and b

C. b and c                    D. b, c and d

 

49. Mr. Tan admitted with complicated fracture. Position for intubation 

A. supine                  B. neck extended      

C. jaw extended             D. lateral position

 

50. How to apply cricoid pressure?    

A. upward and forward                

B. upward and backward

C. downward and backward          

D. all of the above

 

51. What is the advice for patient with chronic back pain is:  

A. to do leg exercise up and down          

B. to twist waist

C. proper lifting technique                

D. to apply hot compress for relief

 

52. Most accurate suggestion for Urinary Tract Infection（UTI） 

A. diagnosis needs random urine examination

B. fever, dysuria, cloudy urine

C. bacteria more than 1/10000

D. infection of urethra, ureter and bladder

 

53. Epinephrine  can be given for resuscitation of patient without IV line?

A. Intracardiac

B. Endotracheal tube

C. Intrathecal

D. Intra-arterial

54． Treatment of hyperkalemia    

A. Give glucose and insulin

B. Sodium Bicarbonate

C. Calcium gluconate

D. Ammonium chloride

 

55. Caring for an infant, the parent also include for? 

a. to encourage bonding

b. to educate the mother

c. to reduce workload of nurse

d. to prepare for discharge

A. a, b and c          B. a and c       

C. a, b, c and d        D. a, b and d

 

56. Primary aim of admitting patient to a psychiatric institution? 

A. Discharge early

B. Sedate patient

C. Ability to cope with and live independently

D. Promote institutional care

 

57. A patient with Sengstaken Blackmore tube , complaining of back pain. What can be indication? 

A. perforation of esophagus

B. displacement of tube

C. deflation of tube

D. hemorrhage

 

58. Preventing aspiration in NG feeding by? 

A. check residual volume

B. give bolus feeding

C. insert big tube

D. continuous feeding

 

59. Ileac conduit is to:     

A. drain urine               B. drain bile

C. drain feces                D. drain blood

 

60. Best time for SBE (self breast examination)  

A. one week before menstruation

B. one month before menstruation

C. one week after menstruation

 

 

 

1-5  BCABA              6-10  BDBAC

 

11-15  CDBCD            16-20  DBDCD

 

21-25  CBCBC            26-30  CABCA

 

31-35  CCBAD            36-40  CDDCB

 

41-45  DCABC            46-50  AACBC

 

51-55  CAAAD            56-60   CAAAC