Question 1

All the following will help in relieving the pain and discomfort caused by Pericarditis except:
A)Use of analgesics
B)Use of anti-inflammatory drugs like ibuprofen, etc.
C)Use of corticosteroids
D)Use of nitroglycerines

Accepted Answer

All the following will help in relieving the pain and discomfort caused by Pericarditis except use of nitroglycerines. Nitroglycerines have no role in relieving the pain and discomfort of treating Pericarditis. However, analgesics will relieve pain from Pericarditis, anti-inflammatory drugs will decrease inflammation, thus relieving discomfort and improving the rate of fluid reabsorption. Steroids also have an anti-inflammatory component.

Question 2

A lady presented to medical emergency with cough, Tachypnea and Dyspnea. On examination, she had wheeze in her chest; she was not able to complete one sentence in a single breath and was having tachycardia. She had a history of allergic dermatitis and hay fever. What is the likely diagnosis?
A)Status asthmaticus
B)Acute exacerbation of COPD
C)Pulmonary embolism
D)Pulmonary infarction

Accepted Answer

The likely diagnosis is Status Asthmaticus because in this condition patient has Tachypnea, Dyspnea, wheeze and Tachycardia. Moreover, patient has history of allergy which also suggests Asthma.

Question 3

A patient was put on ventilator after doing a tracheostomy. What points are considered during the care of a tracheostomy patient?
A)Continuous monitoring of vital signs
B)Respiratory status to ensure patency
C)Regular suctioning of secretions
D)All of the above

Accepted Answer

All of the above are considered during the care of a tracheostomy patient. Tracheostomy, a surgical tracheal opening which is used for mechanical ventilation. Tracheostomy tube is inserted in the tracheal opening to provide a conduit which maintains the opening. All of the factors listed are to be considered when caring for a tracheostomy patient.

Question 4

Which of the following insulins has the longest duration of action?
A)Humalog (lispro H)
B)NPH
C)Regular
D)Ultralente

Accepted Answer

Insulin with longest duration of action is Ultralente with 24 to 28 hours duration. A synthetic type of insulin used to treat diabetes. Also classified as long acting, Ultralatene have peak action occurring 12-16 hours after administering.

Question 5

All of the following factors can increase the level of glucose in the blood except:
A)Stress
B)Renal failure
C)Hyperthyroidism
D)Insulinoma

Accepted Answer

All of the following factors can increase the level of glucose in the blood except Inulinoma. Different conditions can increase the levels of glucose in the body. Stress, renal failure, Cushing syndrome, hyperthyroidism, and pancreas disorders are one of the leading causes of high glucose levels in the body. Insulinoma, that causes blood glucose levels to be lowered, is a tumor of the pancreas where there is increased secretion of insulin.

Question 6

If a patient is anemic, then what do you expect in the cardiovascular examination of the patient?
A)Third heart sound
B)Gallop rhythm
C)Murmurs
D)All of above

Accepted Answer

In cardiovascular examination of the anemic patient, murmurs will be there because the viscosity of blood is decreased in anemia, which results in decreased peripheral resistance. So, more blood is pumped into the heart, and this increased flow can cause turbulence that result in heart murmurs.

Question 7

A patient was suspected to be having disseminated intravascular coagulation (DIC). His D-dimers were carried out. What finding do you expect from a patient if he is really having DIC?
A)Increased
B)Decreased
C)No change
D)All of the above

Accepted Answer

Increased findings are expected from a patient if he is really having DIC. Numbers of tests are included in the panel of disseminated intravascular coagulation. In these tests materials needed for clotting are decreased and those that measure clotting times are increased. D-dimers are increased in case of DIC. D-dimer is a specific polymer that results when fibrin breaks down, giving a marker to indicate the degree of fibrinolysis.

Question 8

The branch of ethics that involves making sure that the medical treatment given is the most morally correct choice, given the different options that might be available and the differences inherent in the varied levels of treatment is called:
A)Empowering patients
B)Bioethics
C)Confidentiality
D)None of the above

Accepted Answer

The branch of ethics that is most morally correct in this situation is called Bioethics. Bioethics is the philosophical study of the ethical controversies brought about by advances in biology and medicine. Bioethicists are concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, and philosophy.

Question 9

Edward from another hospital comes to seek the medical record of patient William. The duty nurse should ensure that:
A)The senior nurse signs a release before providing medical records to another party
B)The doctor signs a release before providing medical records to another party
C)The patient signs a release before providing medical records to another party
D)She directly hands over the medical records since the person seeking this information is a doctor.

Accepted Answer

The nurse should ensure patient signs a release before providing medical records to another party. Confidentiality is the obligation and ethical responsibility in a professional-patient relationship. Nurses should ethically protect the information they possess concerning the patient and family. The patient needs to sign a release before the duty nurse can give over his medical records to another doctor.

Question 10

White, who was suffering from sarcoidosis, said to the nurse, "I shouldn't cry about this."? The nurse replied, "That's right! You are an adult."? This communication of the nurse is?
A)Therapeutic communication
B)Non-therapeutic communication
C)Diagnostic communication
D)Curative communication

Accepted Answer

This communication of the nurse is non-therapeutic. Every communication between nurse and the patient should starts with respect and honor. This is call as therapeutic communication. The nurse showed non-therapeutic communication in her comment to the patient suffering from sarcoidosis.

Question 11

Patient characteristics that must be considered if a nurse's competencies are to match the patient's include:
A)Resiliency and vulnerability
B)Stability and complexity
C)Both A and B
D)None of the above

Accepted Answer

Patient characteristics that must be considered if a nurse's competencies are to match the patient does include Resiliency and vulnerability as well as stability and complexity. The synergy method for patient care reveals a number of patient characteristics that must be considered according to nurse's competencies matching those of the patient/family. Patient's characteristics of resiliency, vulnerability, stability and complexity must be considered when matching a nurse's competencies.

Question 12

The delivery of care is impacted by all of the forces except:
A)Social forces
B)Political forces
C)Economic forces
D)Regional forces

Accepted Answer

The delivery of care is impacted by all of the forces except regional forces. Delivery of care has different forces like Social forces, Political forces, Regulatory forces, and Economic forces. Regional forces are not part of the delivery of care.

Question 13

The Ethical principle that the patient has the right to make decisions about his or her own care is called as:
A)Informed consent
B)Autonomy
C)Bioethics
D)None of the above

Accepted Answer

The Ethical principle that the patient has the right to make decisions about his or her own care is called as autonomy. Autonomy is the Ethical Principle that gives the patient the right to make decisions about his or her own care. Patient family or parents are the legal autonomy of making decision if the patient is not in the state of making decisions. Nurse must keep the patient and his family well informed about this power of autonomy.

Question 14

An Ethical Principle that relates to the distribution of limited resources of healthcare benefits to members of society is called:
A)Bioethics
B)Justice
C)Empowering patients
D)None of the above

Accepted Answer

An Ethical Principle that relates to the distribution of limited resources of healthcare benefits to members of society is called is justice. Justice is the Ethical Principle that relates to the distribution of limited healthcare resources to society. It means that the health care facilities should be distributed to all patients fairly and equally according to their needs. Nurse should not be Patient bias and should make justice between two patients.

Question 15

An Ethical Principle that involves performing actions that are for the purpose of benefiting another person is called:
A)Informed consent
B)Bioethics
C)Confidentiality
D)Beneficence

Accepted Answer

An Ethical Principle that involves performing actions that are for the purpose of benefiting another person is called beneficence. Beneficence is the Ethical Principle that involves performing actions that benefit another person. While managing a patient, any treatment or procedure should be done with the only goal of benefiting the patient.

Question 16

The nurse is caring for an elderly client who is prescribed with oral pain medications. The nurse would particularly monitor the signs of adverse reactions of the drugs for the following reasons except:
A)Decreased number of nerve cells
B)Decreased drug clearance by the kidneys
C)Increased number of nephrons
D)Decreased blood flow to the brain

Accepted Answer

In the elderly, the number of cells in the kidneys, or nephrons, decreases and less blood flows through them. The other options are not correct.

Question 17

A woman presented in medical OPD with epigastric pain, heart burn and dysphagia. On further inquiry, she also has earache and chronic cough, especially at night. What is she suffering from?
A)Gastroesophageal reflux disease
B)Pancreatitis
C)Respiratory tract infection
D)None of the above

Accepted Answer

According to the symptoms described, she is suffering from GERD, in which there is epigastric pain, heartburn and dysphagia. Gastroesophageal reflux disease (GERD) is regurgitation of stomach contents back into the esophagus. This is involuntary phenomenon. It is due to decreased tone in the gastroesophageal valve and hiatal hernia, causing damage to the mucosal lining of the esophagus.

Question 18

A 10-year-old girl comes to the emergency department crying after being hit in the face by a baseball. The nurse will assess the pain on a scale of:
A)1-5 scale
B)1-10 scale
C)1-15 scale
D)1-20 scale

Accepted Answer

The nurse will assess the pain on a scale of 1-10. Pain is a subjective feeling which depends on the individual's pain threshold and pain tolerance for a pain. But certainly onset of pain, its duration and its intensity does effects and so help in gradation of pain. The pain of being hit in the face by a baseball is assessed on a 1-10 scale.

Question 19

A 25-year-old patient presented to surgical OPD. Acute appendicitis was the likely diagnosis. Which other disease can mimic acute appendicitis among the following?
A)Ulcerative colitis
B)Acute flare up of Crohn's disease
C)Acute pancreatitis
D)Acute cholecystitis

Accepted Answer

Acute flare up of Crohn's disease can mimic acute appendicitis. Crohn's disease is usually a chronic disorder which manifests itself with the inflammation of the gastrointestinal system. Common sites of inflammation are terminal ileum or cecum. However, acute flare up may mimic acute appendicitis.

Question 20

All of the following are the causes of dysphagia in a patient except:
A)Stroke
B)Neuromuscular disorders like myasthenia gravis
C)Dementia
D)Pneumonia

Accepted Answer

All of the following are the causes of dysphagia in a patient except pneumonia. Dysphagia is a problem of swallowing and is seen in hospitalized patient who are unable to eat propely. Pneumonia has nothing to do with dysphagia, because it is consolidation of the lungs.

Quiz 1: Progressive Care Nursing (PCCN)

All the following will help in relieving the pain and discomfort caused by Pericarditis except:

A lady presented to medical emergency with cough, Tachypnea and Dyspnea. On examination, she had wheeze in her chest; she was not able to complete one sentence in a single breath and was having tachycardia. She had a history of allergic dermatitis and hay fever. What is the likely diagnosis?

A patient was put on ventilator after doing a tracheostomy. What points are considered during the care of a tracheostomy patient?

Which of the following insulins has the longest duration of action?

All of the following factors can increase the level of glucose in the blood except:

If a patient is anemic, then what do you expect in the cardiovascular examination of the patient?

A patient was suspected to be having disseminated intravascular coagulation (DIC) . His D-dimers were carried out. What finding do you expect from a patient if he is really having DIC?

The branch of ethics that involves making sure that the medical treatment given is the most morally correct choice, given the different options that might be available and the differences inherent in the varied levels of treatment is called:

Edward from another hospital comes to seek the medical record of patient William. The duty nurse should ensure that:

White, who was suffering from sarcoidosis, said to the nurse, "I shouldn't cry about this."? The nurse replied, "That's right! You are an adult."? This communication of the nurse is?

Patient characteristics that must be considered if a nurse's competencies are to match the patient's include:

The delivery of care is impacted by all of the forces except:

The Ethical principle that the patient has the right to make decisions about his or her own care is called as:

An Ethical Principle that relates to the distribution of limited resources of healthcare benefits to members of society is called:

An Ethical Principle that involves performing actions that are for the purpose of benefiting another person is called:

The nurse is caring for an elderly client who is prescribed with oral pain medications. The nurse would particularly monitor the signs of adverse reactions of the drugs for the following reasons except:

A woman presented in medical OPD with epigastric pain, heart burn and dysphagia. On further inquiry, she also has earache and chronic cough, especially at night. What is she suffering from?

A 10-year-old girl comes to the emergency department crying after being hit in the face by a baseball. The nurse will assess the pain on a scale of:

A 25-year-old patient presented to surgical OPD. Acute appendicitis was the likely diagnosis. Which other disease can mimic acute appendicitis among the following?

All of the following are the causes of dysphagia in a patient except: