NIMHANS Staff Nurse Question 2019

NIMHANS Staff Nurse Questions 2019 

Q.1 A 28 year old male client is admitted to the hospital for a suspected brain tumor. While assessing this client, the nurse would keep in mind that the most reliable index of the cerebral status is-

  1. Deep tendon reflexes
  2. Pupil response
  3. Muscle strength
  4. Level of Consciousness

Ans-Level of Consciousness

Q.2 Following admission to the hospital, a diagnosis of increasing intracranial pressure was made. The nursing intervention appropriate in the care of this client is to-

  1. Elevate the head 15 to 30 degrees
  2. Teach controlled coughing and deep breathing
  3. Provide a quiet and brightly lit environment
  4. Encourage the intake of clear fluids

Ans- Elevate the head 15 to 30 degrees

Q.3 The nurse has orders to administer Phenytoin (Dilantin) 100 mg IV as an anticoagulant. The priority action while administering this drug is to-

  1.  Administer the drug as quickly as possible to prevent a seizure
  2. Assess for effects of the drug
  3. Assess for infiltration of the drug
  4. Check pupil dilation of the client to detect for overdose

Ans- Assess for infiltration of the drug

Q.4 Indication of ECT-

  1.  Schizophrenia
  2.  Adolescent with depression
  3. Old age with depression
  4. None of these 

Ans- Adolescent with depression

Q.5 Which is not an Antipsychotic?

  1. Risperidone
  2. Clonazepa
  3. Diazepam
  4. Haloperidol

Ans-Diazepam

Q.6 Complications of last stage of Labour includes all EXCEPT?

  1. Obstructed labour 
  2. PPH
  3. Retained placenta
  4.  Uterine inversion

Ans-Obstructed labour

Q.7 The enters the room of a patient who is in the clonic phase of a tonic-clonic seizure. The initial nursing action should be to-

  1. Gently restrain the limbs
  2. Insert a padded mouth gag
  3. Obtain equipment for orotracheal suctioning
  4. Place some padding under the head

Ans-Place some padding under the head


Q.8 In teaching about pain management, a nurse Educator should discuss?

  1.  The pain medication will be ordered according to the patient need
  2.  How the method of pain medication administration can be altered after surgery
  3.  The need to use pain medication only when absolutely necessary
  4. The use of a patient controlled device that will deliver medication to the patient whenever he wants it

Ans- The need to use pain medication only when absolutely necessary


Q.9 A patient with increased sodium. What will you do first-

  1. Give isotonic solutions
  2. Give Hypotonic fluids
  3. Give hypertonic fluids
  4.  More oral clear fluids

Ans- More oral clear fluids

Q.10 First way you assess a full thickness burn?

  1. Auscultation
  2. Palpation
  3. Observation
  4. Percussion

Ans-Observation

Q.11 Neonatal vigorous sectioning leads to-

  1.  Reflex bradycardia 
  2. Reflex tachycardia
  3. Reflex Tachypnoea
  4.  Reflex Bradypnea

Ans- Reflex bradycardia

Q.12 Priority nursing Assessment in Anorexia nervosa-

  1. Family problem
  2. Depression due to body image
  3. Health issues
  4. Social isolation

Ans-Health issues

Q.13  Myasthenia crisis and cholinergic crisis are the major complications of Myasthenia Gravis. Which of the following is essential nursing knowledge when caring for a client in crisis?

  1.  Loss of body function creates high levels of anxiety and fear
  2.  Weakness and paralysis of the muscles for swallowing and breathing occur in either
  3. Cholinergic drugs should be administered to prevent further complications associated with the crisis
  4. The clinical condition of the client usually improves after several days of treatment

Ans-Weakness and paralysis of the muscles for swallowing and breathing occur in either


Q.14 For a client with a cerebrovascular accident, which of the following criteria must be fulfilled before the client is fed-

  1.  The client swallowing small sips of water without coughing
  2.  Cranial nerves III, IV and VI are intact
  3. Speech returns to normal
  4. The gag reflex returns

Ans-The gag reflex returns


Q.15 Which of the following are solutions available for high level disinfection of soiled instruments?

  1.  Alcohol
  2.  Glutaraldehyde
  3. Chlorine
  4. Formaldehyde

Ans-Glutaraldehyde


Q.16 A 35 year old man was in an automobile accident with admitting diagnosis of head injury. He has a Glasgow Coma Scale score of 3-5-4. Upon MRI and CT Scan, brain tumor was also suspected. He was with another person who had sustained head contusion. The nurse's understanding of this test is that the client-

  1. Can Follow simple commands
  2. Will make no attempt to vocalize
  3.  Is able to open his eyes when spoken to 
  4. Is unconscious

Ans- Is able to open his eyes when spoken to

Q.17 The client is to take lithium regularly after she is discharged from the hospital. The Nursing care plan includes discharge planning. The most important information to impart to the client and his family is that the client should-

  1. Limit his fluid intake
  2. Have an adequate intake of sodium 
  3. Have a limited intake of sodium
  4. Not eat foods that have a high tyramine content (e.g. Cheese, wine, liver, yeast) or drink alcohol

Ans-Have an adequate intake of sodium

Q.18 For a client with a cerebrovascular accident, which of the following criteria must be fulfilled before the client is fed-

  1.  The client swallowing small sips of water without coughing
  2.  The gag reflex returns
  3. Cranial nerves III, IV and VI are intact
  4.  Speech returns to normal

 Ans-The gag reflex returns


Q.19 The most appropriate nursing action to a depressed patient who do not want to join a group is to-

  1.  Tell her the rules of the unit are that no client can remain in bed
  2.  Tell her that the nurse will assist her out of bed and help her to dress
  3. Suggest she better get out of the bed or she will go hungry later
  4. Allow her to remain in bed until she feels ready to join the other clients

Ans- Tell her that the nurse will assist her out of bed and help her to dress

Q.20 Another tentative diagnosis made to the client is Wernicke's Encephalopathy. If the client has this, the nurse anticipates that the first physician's order will include-

  1. Ordering an MRI
  2.  Giving Thiamine 100mg IM STAT 
  3. Administering a steroid medication, such as Decadron
  4. Ordering an EEG

 Ans-Giving Thiamine 100mg IM STAT


 

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