B.Sc. (Nursing) question paper - Med Sur - MCQ -Typhoid fever is transmitted by . . .

B.Sc. (Nursing) Degree Examination

Fourth semester

(Revised/Modified Regulations)

Paper I - Principles and Practice of Adult Nursing/Medical Surgical Nursing

Time : Half an hour Maximum : 20 marks

Paper I - PRINCIPLES AND PRACTICE OF ADULT NURSING /MEDICAL SURGICAL NURSING

SECTION -C (15 x 1 = 20 marks)

(Multiple Choice Questions)

Select the most appropriate response.

1. Typhoid fever is transmitted by

a) Contaminated food and fluid

b) Droplet nuclei

c) Infected syringes and needles

d) Sexual intercourse

2. Red raised patches of skin covered with silvery scales is seen in

a) Scabies

b) Pemphigus vulgaris

c) Psoariasis

d) Contact dermatitis

3. The normal serum potassium level is

a) 2- 2.5 mEq / liters

b) 2.1 - 2.3 mEq / litre

c) 6 - 6.5 mEq / litre

d) 3.5 - 5.5 mEq / litre

4. The primary goal in withholding food before surgery is to prevent

a) Abdominal distension

b) Aspiration

c) Infection

d) Obstruction

5. When vomiting occurs in the immediate post-operative period, most important nursing intervention is to

a) Measure the amount and record

b) Offer tepid water or juice

c) Support the wound

d) Turn the patient's head to one side to prevent aspiration into the lungs

6. An early sign of cancer of the larynx is

a) Burning of throat when hot liquids are ingested

b) Enlarged cervical nodes

c) Hoarseness of voice

d) Dysphagia

7. Nursing intervention for a patient who is scheduled for bronchoscopy includes

a) An informed consent to be obtained

b) Food and fluids are withheld for 6 hours before the test

c) preanesthetic medication is given as prescribed

d) All of the above

8. The drug of choice for bacterial pneumonia is

a) Erythromycin

b) Penicillin G

c) Clindamycin

d) Streptomycin

9. The most specific enzyme analysis in the diagnosis of acute myocardial infarction is

a) Serum glutamic oxaloacetic transaminase (SGOT)

b) Creatine kinase (CK)

c) Serum glutamic pyruvic transaminase (SGPT)

d) Aspartate aminoatransferase (AST)

10. QRS complex in an ECG represents

a) Atrial muscle depolarization

b) Atrial muscle re-polarization

c) Ventricular muscle depolarization

d) Ventricular muscle repolarization

11. A common side effect of nitroglycerine is

a) Musculo - skeletal weakness

b) Hypertension

c) Headache

d) Bradycardia

12. Rheumatic endocarditis is an inflammatory reaction to

a) Pseudomonas aerugenosa

b) Staphylococcus aureus

c) Group A streptococcus

d) Serratio marcescens.

13. Post operative nursing management for vein ligation and stripping include all of the following except :

a) Dangling the legs over over the side of the bed for 10 minutes every 4 hours for the first 24 hours

b) Elevating the foot of the bed to promote venous blood return

c) Maintaining elastic compression of the leg for 1 week

d) Ambulating the patient 24-48 hours after surgery

14. For a patient diagnosed as having iron deficiency anemia, the nurse should recommend an increased intake of

a) Fresh citrus fruits

b) Milk and cheese

c) Organ meat

d) Whole grain bread.

15. The major cause of death in patients with leukemia is believed to be

a) Fever

b) Melena and haematuria

c) Infection

d) Dehydration

There are 3 isoenzymes of creatine kinase (CK)-BB, -MM, and -MB. The primary source of CKMB is myocardium, although it is also found in skeletal muscle. CKMB levels increase with myocardial damage.

Serial quantitation of serum creatine kinase MB (CKMB) levels, often performed at admission and 8-hours, 16-hours, and 24-hours after admission, has traditionally been used as an aid in the diagnosis of myocardial injury

May be useful if the initial troponin determination is abnormal or if a hospitalized patient has a suspected reinfarction

It can also be elevated in cases of carbon monoxide poisoning, crush injuries, pulmonary embolism, hypothyroidism, and muscular dystrophy.

While CKMB has been replaced by troponin assays in the workup of many patients with acute chest pain, CKMB may be useful if the initial troponin determination is abnormal or if a hospitalized patient has a suspected reinfarction.

Reference Values

Males: < or =7.7 ng/mL

Females: < or =4.3 ng/mL

A normal ECG

1. P wave:

upright in leads I, aVF and V3 - V6

normal duration of less than or equal to 0.11 seconds

polarity is positive in leads I, II, aVF and V4 - V6; diphasic in leads V1 and V3; negative in aVR

shape is generally smooth, not notched or peaked

2. PR interval:

Normally between 0.12 and 0.20 seconds.

3. QRS complex:

Duration less than or equal to 0.12 seconds, amplitude greater than 0.5 mV in at least one standard lead, and greater than 1.0 mV in at least one precordial lead. Upper limit of normal amplitude is 2.5 - 3.0 mV.

small septal Q waves in I, aVL, V5 and V6 (duration less than or equal to 0.04 seconds; amplitude less than 1/3 of the amplitude of the R wave in the same lead).

represented by a positive deflection with a large, upright R in leads I, II, V4 - V6 and a negative deflection with a large, deep S in aVR, V1 and V2

in general, proceeding from V1 to V6, the R waves get taller while the S waves get smaller. At V3 or V4, these waves are usually equal. This is called the transitional zone.

4. ST segment:

isoelectric, slanting upwards to the T wave in the normal ECG

can be slightly elevated (up to 2.0 mm in some precordial leads)

never normally depressed greater than 0.5 mm in any lead

5. T wave:

T wave deflection should be in the same direction as the QRS complex in at least 5 of the 6 limb leads

normally rounded and asymmetrical, with a more gradual ascent than descent

should be upright in leads V2 - V6, inverted in aVR

amplitude of at least 0.2 mV in leads V3 and V4 and at least 0.1 mV in leads V5 and V6

isolated T wave inversion in an asymptomatic adult is generally a normal variant

6. QT interval:

Durations normally less than or equal to 0.40 seconds for males and 0.44 seconds for females.