PSM 100MCQ 5/12/17
MCQ of PSM (community medicine)
1 The vaccine used for the prevention of cervical cancer is _
A. HPV.
B. IgG
C. Hepatitis B
D. BCG............HPV
2. What is the most potentially Dangerous Complication of chronic peritoneal dialysis.?
A. Peritonitis.
B. Abdominal pain
C. Muscle cramps
D. dyspnea..............A
3. Which of the following function as First Referral Unit (FRUs)in India?
A. Sub center
B. Primary health centre
C. Community health centre.
D. Regional hospital..................C
4. The average weight gain per week during later months ofpregnancy is _
A. 1.5 kg
B. 1.0 kg
C. 0.25 kg
D. 0.5 kg.............D
5. A client's condition following cardiac catheterization is evaluated by palpating the pulse
A. Above the catheter insertion
B. At the insertion site
C. Distal to the catheter insertion.
D. In all extremities..........C
6. Which of the following anti-tubercular drug is bacteriostatic-
A. streptomycin
B. ethambutol
C. rifampicin
D. INH...........B
7. Normally by one year of age the birth weight of an infant should increase by _
A. 1.5 times
B. 2 times
C. 3 times.
D. 4 times............C
8. Specificity is the ability of .......identity-
A. true positive
B. true negative
C. false positive
D. false negative...........A
9. A patient was in an automobile accident, sustained a head injury. Following admission to the hospital, a diagnosis of increased intracranial pressure was made. The nursing intervention appropriate in the care of patients is to _
A. Encourage the intake of clear fluid
B. Teach controlled coughing and deep breathing.
C. Provide a quiet and bright environment
D. Elevating the head 15 to 30 degree......D
10. Which of the best method for removing of temporary hardness of water-
A. sterilization
B. boiling
C. filtration.........B
11. Involution of uterus is completed by _
A. 6 weeks.
B. 8 weeks
C. 12 weeks
D. 16 weeks ..........A
12. Strongest stimulus of lactation is by_
A. PPH
B. Sucking.
C. Metoclopramide
D. Bromocriptine ........B
13. " Injection Anti-D " should be given following Rh(+)ve delivery within _
A. 8 hours
B. 72 hours
C. 7 days
D. 24 hours..........B
14. Dyspnea associated with congestive heart failure is primarily due to-
A. blockage of pulmonary artery by an embolus.
B. accumulation of fluid in the interstitial space & alveoli of the lungs.
C. blockage of bronchi by mucus secretion.
D. compretion of lungs by the dilated heart. ...........B
15. Territory level of prevention of diseases is related to-
A. vaccination
B. good nutrition
C. rehabilitation
D. good rest & sleep. ........C
16 Placental bed blood circulation through-
A. villi
B. spiral artery
C. chorional membrane
D. umblical artery. ..........A
17. The danger of convulsion in a woman with preeclampsia ends-
A. After labour begins
B. after delivery occurs
C. 24 hours postpartum
D. 48 hours postpartum.........D
18. All of the following are mosquito born disease except-
A. malaria
B. kala azar
C. KTO
D. dengue..........B
19. Immunity by antibody formation during the course of a disease is-
A. active natural immunity
B. active artificial immunity
C. passive natural Immunity
D. passive natural immunity.......A
20. Major route of transmission of hepatitis-A is-
A. faeco-oral route
B. parenteral route
C sexual transmission
D placental transmission.......A
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
21. The uterine blood flow at term-
A. 50 ml/min
B. 100-150 ml/min
C. 350-375 ml/min
D. 500-750 ml/min....C
22. A woman has been pushing effectively for 1 hour, a nurse should need at this time is to-
A. change position frequently
B. ambulate
C. consume oral food & fluids.
D. rest b/w contractions. ...........D
23. A patient need an intradermal injection for mantoux test, but he currently has bilateral forearm cast in place. which of the following would be the best alternative site-
A. abdomen
B. lateral upper arm
C. medial upper arm
D. antecubital space........B
24. Which is not a freeze dried vaccine is-
A. BCG
B. DPT
C. measles
D. yellow fever.......B
25. Major cause of blindness in india is-
A. glaucoma
B. refractive error
C. cornea blindness
D. cataract........D
26. India accounts for nearly...... of the global incidence of tuberculosis-
A. 50%
B. 25%
C. 33%
D. 20%.........C(DOUBTFULL)
27. Inadequate intake of which vitamin by the pregnant women may cause neural tube defects-
A. niacin
B.riboflavin
C. folic acid
D. thiamine........C
28. The safest method of termination of pregnancy before 12 weeks is -
A. suction evacuation
B. D&C
C. luminaria tant
D. prostaglandin.........D
29. The principal features of kawashiorkor is -
A. visible muscle wasting
B. usually good appetite
C. severe fat wasting
D. Oedema in lower leg & face.......D
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
30. The concept of MHW was given by-
A. kartar singh committee
B. shrivastva committee
C. chada committee.......A
31. A characteristic of infant & young children who have experienced maternal deprivation is -
A. tendency toward overeating
B. responsiveness to stimuli
C. proneness to illness
D. extreme activity.........C
32. A skin infection that can be a sequela of a staphylococus infection is -
A. herpes simplex
B. scabies
C. intertrigo
D. impetigo.......D
33. Caput succedenum is -
A. birth mark
B.swelling on the face of the body
C. collection of fluid under scalp
D. swelling will not cross the suture line. .....C
34. The reason for using the parenteral route to administer medication includes -
A. parenteral medication last longer than an oral medication
B. it is the least expensive method
C. it is easier to measure an accurate dose
D. the parenteral route allow more rapid absorption than the oral route.......D
35. Which of the following is an appropriate nursing action when caring a patient a patient who has a radium implant for cancer of cervix-
A. restrict the visitors to 10 minutes stay
B. store urine in a lead-lined container
C. wear a lead apron when giving care
D. avoid giving IM injection to gluteal region....A
36. A patient's physics orders nuclear cardiography and makes an appointment for a thallium scan.
The purpose of injecting a radioisotope into the blood stream is to detect-
A. normal versus abnormal tissue
B. damage in area of the heart
C. ventricular function
D. myocardial scanning & perfusion.....D
37. Protein are required for-
A. weight reduction
B. absorption of calcium
C. maintenance of body tissue.
D. synthesis of steroid hormone. ...C
38. The enzyme release by the sperm which allow penetration of the ovum is-
A. amylase
B. hyaluronidase
C. lipase
D. trypsin...B
39. Total blood volume of a newborn at birth is-
A. 80 ml/kg
B. 100 ml/kg
C. 125 ml/kg
D. 150 ml/kg.....A
40. A 20 months old is to receive isotype-P 240 ml IV in 6 hours.
The drop factor of the minidropper is 60 drops/ml. The nurse should regulate the IV to run at-
A. 36 drop/min
B. 40 drop/min
C. 32 drop/min
D. 20 drop/min.....B
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
41. When a patient is in liver failure, which of the following behavioral changes is the most important assessment is report-
A. shortness of breath
B. lethargy
C. fatigue
D. nausea......A
42. Under IMNCI care is rendered to-
A. only newborn
B. under 5 children
C. 2 months to 5 year old children
D. age upto 2 months and 2 months to 5 year old children.....B
43. Which of the following clinical finding indicates the patient is experiencing hypokalamia-
A. Edema
B. muscle spasm
C. kussmaul breathing
D. abdominal distention....D
44. Pain felt in calf muscle when the foot is dorsiflexed with the leg extended at the knee is called-
A. kernig's sign
B. spalding's sign
C. homan sign
D. goodell's sign....C
45. The population covered by a suncenters in plain area is-
A. 1000
B. 5000
C. 30000
D. 80000.......B
46. The mean cardiac output of the foetus is-
A. 100 ml/kg/min
B. 225 ml/kg/min
C. 350 ml/kg/min
D. 415 ml/kg/min......C
47. A 20 year old male patient is admitted to the Hospital for a suspected brain tumor, while asseesing the patient, the nurse would keep in mind that the most reliable index of cerebral status is-
A. pulil response
B. deep tendon reflexes
C. muscle strength
D. level of consciousness......D
48. EPI include all vaccines except-
A. DPT
B. MMR
C. BCG
D. polio.......A.
49. Most appropriate age for early primary immunization against TB, DPT, polio, measles, & hepatitis-B is-
A . birth to 1 year
B. birth to 6 months
C. birth to 9 months
D. birth to 18 months.....C
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
50. The first person becoming sick in an epidemic is called-
A. primary case
B.secondary case
C. contact case
D. index case.......A
51. ART-DOTS linkage are being established at all-
A. health centers
B. ART centers under AIDS control progtamme
C. Hospital
D. TB centers.......B
52. The immunity develop as a results of infection by pathogenic organisms is-
A. active immunity
B. passive immunity
C. natural immunity
D. acquired immunity......A
53. Normally newborn lose weight in first week of life-
A. 10 % of birth weight
B. 5 % of birth weight
C. 1 % of birth weight
D. 20 % of birth weight.....A
54. Which of the following is a preparation of choice for a patient who has been admitted in emergency department with an open contaminated injury and no recent history of tetanus immunization-
A. DPT vaccine
B. tetanus toxoid
C. tetanus antitoxin
D. tetanus immunoglobulin. ....B
55. BCG, measles, MMR, should be stored in-
A. 10 to 120* C
B. 20 to 250* C
C. 2 to 8* C
D. 15 to 200* C......C
56. The nurse will evaluate for the most significant complications in patients undergone chronic peritoneal dialysis , which is-
A . pulmonary embolism
B. hypotension
C. dyspnoea
D. peritonitis......D
57. Communicability of measles decline-
A. after onset of fever
B. during prodromal period
C. at the time of eruption
D. after appearance of rash.....D
58. The physician has ordered a 24 hours urine specimen.
after explaining the procedure to the patients, the nurse collects the first specimen, this specimen is then-
A. discarded then the collection begain
B. saved as part of the 24 hours collection
C. tested, than discarded
D. placed in a separate container & later added to the collection. .....A
59. Tertiory prevention is needed in which stage of the natural history of disease-
A. prepathogenesis
B. pathogenesis
C. predromal
D. terminal.....D
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
60. Strawberry spot vagina is seen in-
A. candida
B. trichomonas
C. CMV
D. herpes simplex.....B
61. A non-stess test is prescribed for a pregnant monther and nurse about the procedure, the nurse tells the client that-
A. the test is an invasive procedure and requires that an informed consent be signed
B. the test will take about 2 hours and will require close monitoring for 2 hours after procedure is completed
C. an ultrasound transducer that records fetal heart activity is secured over the abdomen where the fetal heart sound is heared most clearly.
D. The fetus is challenged a stresed by uterine contraction to obtain the necessary information.....C
62. The first dose of vitamin-A is given at the age of-
A. 18 months
B. 2 years
C. 9 months
D. 6 months.....C
63. A way to promote trust with a patient is to-
A. allow family members to visit whenever they want
B. assure the patient that her doctor is excellent
C. follow through when u say u will do something
D. talk with her at length, about her life, likes & dislikes.......D
64. Physiological anemia in pregnant women is a result of-
A. poor dietary intake of iron
B. increased erthropoiesis
C. increased detoxification demands
D. increased blood volume of women...D
65. A young patient who was hit by a car was fortunate because the level of his injury did not interrupt his respiratory function. The cord segment invoved with maintaining respiratory functions are-
A. thoracic level 5 & 6
B. thoracic level 2 & 3
C. cervical level 7 & 8
D. cervical level 3 & 4.....D
66. When a patient's medical record is needed as evidence for a ligal action, you are aware that the record is the property of-
A. the patient
B. the court
C. the patient's lawyer
D. the health care agency....D
67. Which of the clients would nurse identity as being at most risk for developing DIC-
A. a 4th gravida delivered 8 hours ago & has lost 500 ml of blood
B. a 2nd gravida diagnosed with dead foetus syndrome
C. a primigravida with mild preeclampsia
D. a primigravida who delivered a 3.5 kg baby 3 hours ago.....B
68. the principle of risk approach is-
A. something for all
B. more for the needly
C. all for some
D. all for all....C(DOUBTFUL)
69. A patient has the diagnosis of left ventricular failure and a high pulmonary capillary wedge pressure (PCWP). The physician order dopamine to improve ventricular function. The nurse will know the medication is working if the patient's-
A. blood pressure rises
B. blood pressure decreases
C. cardiac index falls
D. PCWP rises........B
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
70. A main objective of intensive IEC activities for leprosy programme is-
A. cure of illness
B. case identification
C. reduction of stigma
D. eradication of disease.....D
71. Promotion of infant & young child feeding practice is ancompassed along with continuous of complementary feeding up to-
A. 1 year of life
B. 2 year of life
C. 3 year of life
D. 4 year of life.....B
72. Thrombophlebitis is a common complication following vascular surgery. Which of the following sign indicates that a possible thrombus has occured-
A. kernig's sign
B. hegar's sig
C. homan's sign
D. brudzindki's sign.....C
73. During a retention catheter insertion or bladder irrigation, the nurse must use-
A. clean equipment & maintain surgical asepsis
B. sterile equipment & maintain medical asepsis
C. clean equipment & techniques
D. sterile equipment & wear sterile gloves....D
74. Saffron coloured meconium seen in-
A. post maturity
B. TB
C. breech
D. normal in appearance.....A
75 The extra calories needed by a woman having singleton pregnancy-
A. 100 kcal
B. 200 kcal
C. 300 kcal
D. 500 kcal......C
76. Which of the following principle guided nurses priorities at a disaster cause by a collapse building in an earthquake-
A. haemorrhage necessitates immediate care to save most lives
B. those requiring minimal care are treated first so that they can help others
C. those with head injuries are treated first so that their care more complex
D. children should get highest priority because they have the greatest life expectancy.......B
77. Mantoux test is done to diagnose-
A. malaria
B. filaria
C. tuberculosis
D. typhoid.....C
78. A 45 year old patient Mrs. sunita devi has just been admitted to the Hospital for ab abdominal hysterectomy following a diagnosis of uterine cancer. Results of lab tests indicate that the patient's WBC is 9800/cumm.
The most appropriate intervention is to-
A. call the operating room & cancel the surgery
B. notify the surgeon immediately
C. take no action as this is a normal value
D. call the lab & have the test repeated...C
79. The result of mantoux test are read after-
A. 6 hours
B. 24 hours
C. 48 hours
D. 72 hours....D
80. Bitot's spot are due to the deficiency of-
A. vitamin-A
B. vitamin-B
C. vitamin-D
D. carbohydrate....A
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
81. Chikunguniya is a non-fatal. .... illness-
A. viral
B. bacterial
C. protozoa
D. plasmodoum....A
82. following a liver biopsy, the highest priority assessment of the patient's conditions is to check for-
A. pulmonary edema
B. uneven respiratory pattern
C. haemorrhag
D. pain.....C
83. The number of death per 1000 population per year in a given community is known as-
A. crude death rate
B. infant death rate
C. neonatal death rate
D. perinatal death rate....A
84. A pregnant women in Labour room is attached to external electronic fetal monitor, nurse should do Initial assessment which of the following-
A. identity type of acceleration
B. assessing baseline FHR
C. determining frequency of the contractions
D. determining intensity of the contractions....B
85. A female patient Mrs. seema verma has a ceslum needle implanted in her cervix. She ask the nurse if she may get out of bed to go to the bathroom.
The appropriate response is to tell her-
A. she may not get out of the bed while the needle is implanted
B. she may get out of bed with the nurse's help
C. the nurse will have to get a physician order for her to get out of bed
D. she must stay in bed , but she can move around to be more comfortable while the needle is implanted....A(DOUBTFUL)
86. Rice water stool is the typical sign of-
A. cholera
B. hepatitis-A
C. hepatitis-B
D. dysentery.....A
87. The assessment finding that shold be reported immediately should it develop in the patient with acute pancreatitis is-
A. nausea & vomiting
B. abdominal pain
C. decreased bowel sound
D. shortness of breath.....B
88. A nurse is assessing a child for dehydration. The nurse determines that the which moderately dehydrated if which of the symptom is noted-
A. flat fontonalle
B. moist mucus membrane
C. pale skin
D. oligouria.....D
89. The nurse know that the most informative measurement for determining carcinogenic shock is-
A. arterial blood pressure
B. CVP
C. pulmonary artery pressure
D. cardiac index.....A
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
90. Which of the following is the appropriate nursing intervention for a patient with a terminal illness who is passing through the "acceptance stage"-
A. allowing the patient to cry
B. encouraging unrestricted visiting
C. explains the patient what is being done
D. begin around through not speaking.....C
91. A female patient has a laparoscopic cholecystectomy this morning. She is now complaining of right shoulder pain. The nurse would explain to the patient this symptoms is-
A. common following this operation
B.expected after General anesthesia
C. unusual & Will be reported to the surgeon
D. indicative of a need to use the incentive spirometer....C(DOUBTFUL)
92. Which immunization produces a permanent scar-
A. DPT
B. BCG
C. Measles vaccination
D. hepatitis-B vaccination...B
93. To disinfect 20 litres of water, one shold use a single chlorine tablet of-
A. 0.5 g
B. 1.5 g
C. 2.5 g
D. 3.5 g......C
94. Expenditure in health sector a public health is about. .... of the GDP-
A. 1%
B. 2%
C. 5%
D. 6%......D(DOUBTFUL)
95. Which of the following system is an Indian origin-
A. homeopathy
B. Siddha
C. unani-tibb
D. acupuncture ...B
96. Normal crown-rump length at birth is-
A. 20-25 cms
B. 38-50 cms
C. 72-80 cms
D. 78-85 cms....A
97. Which of the following assessment indicates is extra cellular fluid loss-
A. distended jugular vein.
B. elevated haemocrate value
C. rapid thready pulse
D. increased serum sodium level.....B
98. INH is prescribed for a 2 year old child with positive mantoux test. The nurse know the prescribed medicine should be given for-
A. 6 months
B. 9 month?
C. 12 months
D. 18 months..
1 The vaccine used for the prevention of cervical cancer is _
A. HPV.
B. IgG
C. Hepatitis B
D. BCG............HPV
2. What is the most potentially Dangerous Complication of chronic peritoneal dialysis.?
A. Peritonitis.
B. Abdominal pain
C. Muscle cramps
D. dyspnea..............A
3. Which of the following function as First Referral Unit (FRUs)in India?
A. Sub center
B. Primary health centre
C. Community health centre.
D. Regional hospital..................C
4. The average weight gain per week during later months ofpregnancy is _
A. 1.5 kg
B. 1.0 kg
C. 0.25 kg
D. 0.5 kg.............D
5. A client's condition following cardiac catheterization is evaluated by palpating the pulse
A. Above the catheter insertion
B. At the insertion site
C. Distal to the catheter insertion.
D. In all extremities..........C
6. Which of the following anti-tubercular drug is bacteriostatic-
A. streptomycin
B. ethambutol
C. rifampicin
D. INH...........B
7. Normally by one year of age the birth weight of an infant should increase by _
A. 1.5 times
B. 2 times
C. 3 times.
D. 4 times............C
8. Specificity is the ability of .......identity-
A. true positive
B. true negative
C. false positive
D. false negative...........A
9. A patient was in an automobile accident, sustained a head injury. Following admission to the hospital, a diagnosis of increased intracranial pressure was made. The nursing intervention appropriate in the care of patients is to _
A. Encourage the intake of clear fluid
B. Teach controlled coughing and deep breathing.
C. Provide a quiet and bright environment
D. Elevating the head 15 to 30 degree......D
10. Which of the best method for removing of temporary hardness of water-
A. sterilization
B. boiling
C. filtration.........B
11. Involution of uterus is completed by _
A. 6 weeks.
B. 8 weeks
C. 12 weeks
D. 16 weeks ..........A
12. Strongest stimulus of lactation is by_
A. PPH
B. Sucking.
C. Metoclopramide
D. Bromocriptine ........B
13. " Injection Anti-D " should be given following Rh(+)ve delivery within _
A. 8 hours
B. 72 hours
C. 7 days
D. 24 hours..........B
14. Dyspnea associated with congestive heart failure is primarily due to-
A. blockage of pulmonary artery by an embolus.
B. accumulation of fluid in the interstitial space & alveoli of the lungs.
C. blockage of bronchi by mucus secretion.
D. compretion of lungs by the dilated heart. ...........B
15. Territory level of prevention of diseases is related to-
A. vaccination
B. good nutrition
C. rehabilitation
D. good rest & sleep. ........C
16 Placental bed blood circulation through-
A. villi
B. spiral artery
C. chorional membrane
D. umblical artery. ..........A
17. The danger of convulsion in a woman with preeclampsia ends-
A. After labour begins
B. after delivery occurs
C. 24 hours postpartum
D. 48 hours postpartum.........D
18. All of the following are mosquito born disease except-
A. malaria
B. kala azar
C. KTO
D. dengue..........B
19. Immunity by antibody formation during the course of a disease is-
A. active natural immunity
B. active artificial immunity
C. passive natural Immunity
D. passive natural immunity.......A
20. Major route of transmission of hepatitis-A is-
A. faeco-oral route
B. parenteral route
C sexual transmission
D placental transmission.......A
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
21. The uterine blood flow at term-
A. 50 ml/min
B. 100-150 ml/min
C. 350-375 ml/min
D. 500-750 ml/min....C
22. A woman has been pushing effectively for 1 hour, a nurse should need at this time is to-
A. change position frequently
B. ambulate
C. consume oral food & fluids.
D. rest b/w contractions. ...........D
23. A patient need an intradermal injection for mantoux test, but he currently has bilateral forearm cast in place. which of the following would be the best alternative site-
A. abdomen
B. lateral upper arm
C. medial upper arm
D. antecubital space........B
24. Which is not a freeze dried vaccine is-
A. BCG
B. DPT
C. measles
D. yellow fever.......B
25. Major cause of blindness in india is-
A. glaucoma
B. refractive error
C. cornea blindness
D. cataract........D
26. India accounts for nearly...... of the global incidence of tuberculosis-
A. 50%
B. 25%
C. 33%
D. 20%.........C(DOUBTFULL)
27. Inadequate intake of which vitamin by the pregnant women may cause neural tube defects-
A. niacin
B.riboflavin
C. folic acid
D. thiamine........C
28. The safest method of termination of pregnancy before 12 weeks is -
A. suction evacuation
B. D&C
C. luminaria tant
D. prostaglandin.........D
29. The principal features of kawashiorkor is -
A. visible muscle wasting
B. usually good appetite
C. severe fat wasting
D. Oedema in lower leg & face.......D
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
30. The concept of MHW was given by-
A. kartar singh committee
B. shrivastva committee
C. chada committee.......A
31. A characteristic of infant & young children who have experienced maternal deprivation is -
A. tendency toward overeating
B. responsiveness to stimuli
C. proneness to illness
D. extreme activity.........C
32. A skin infection that can be a sequela of a staphylococus infection is -
A. herpes simplex
B. scabies
C. intertrigo
D. impetigo.......D
33. Caput succedenum is -
A. birth mark
B.swelling on the face of the body
C. collection of fluid under scalp
D. swelling will not cross the suture line. .....C
34. The reason for using the parenteral route to administer medication includes -
A. parenteral medication last longer than an oral medication
B. it is the least expensive method
C. it is easier to measure an accurate dose
D. the parenteral route allow more rapid absorption than the oral route.......D
35. Which of the following is an appropriate nursing action when caring a patient a patient who has a radium implant for cancer of cervix-
A. restrict the visitors to 10 minutes stay
B. store urine in a lead-lined container
C. wear a lead apron when giving care
D. avoid giving IM injection to gluteal region....A
36. A patient's physics orders nuclear cardiography and makes an appointment for a thallium scan.
The purpose of injecting a radioisotope into the blood stream is to detect-
A. normal versus abnormal tissue
B. damage in area of the heart
C. ventricular function
D. myocardial scanning & perfusion.....D
37. Protein are required for-
A. weight reduction
B. absorption of calcium
C. maintenance of body tissue.
D. synthesis of steroid hormone. ...C
38. The enzyme release by the sperm which allow penetration of the ovum is-
A. amylase
B. hyaluronidase
C. lipase
D. trypsin...B
39. Total blood volume of a newborn at birth is-
A. 80 ml/kg
B. 100 ml/kg
C. 125 ml/kg
D. 150 ml/kg.....A
40. A 20 months old is to receive isotype-P 240 ml IV in 6 hours.
The drop factor of the minidropper is 60 drops/ml. The nurse should regulate the IV to run at-
A. 36 drop/min
B. 40 drop/min
C. 32 drop/min
D. 20 drop/min.....B
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
41. When a patient is in liver failure, which of the following behavioral changes is the most important assessment is report-
A. shortness of breath
B. lethargy
C. fatigue
D. nausea......A
42. Under IMNCI care is rendered to-
A. only newborn
B. under 5 children
C. 2 months to 5 year old children
D. age upto 2 months and 2 months to 5 year old children.....B
43. Which of the following clinical finding indicates the patient is experiencing hypokalamia-
A. Edema
B. muscle spasm
C. kussmaul breathing
D. abdominal distention....D
44. Pain felt in calf muscle when the foot is dorsiflexed with the leg extended at the knee is called-
A. kernig's sign
B. spalding's sign
C. homan sign
D. goodell's sign....C
45. The population covered by a suncenters in plain area is-
A. 1000
B. 5000
C. 30000
D. 80000.......B
46. The mean cardiac output of the foetus is-
A. 100 ml/kg/min
B. 225 ml/kg/min
C. 350 ml/kg/min
D. 415 ml/kg/min......C
47. A 20 year old male patient is admitted to the Hospital for a suspected brain tumor, while asseesing the patient, the nurse would keep in mind that the most reliable index of cerebral status is-
A. pulil response
B. deep tendon reflexes
C. muscle strength
D. level of consciousness......D
48. EPI include all vaccines except-
A. DPT
B. MMR
C. BCG
D. polio.......A.
49. Most appropriate age for early primary immunization against TB, DPT, polio, measles, & hepatitis-B is-
A . birth to 1 year
B. birth to 6 months
C. birth to 9 months
D. birth to 18 months.....C
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
50. The first person becoming sick in an epidemic is called-
A. primary case
B.secondary case
C. contact case
D. index case.......A
51. ART-DOTS linkage are being established at all-
A. health centers
B. ART centers under AIDS control progtamme
C. Hospital
D. TB centers.......B
52. The immunity develop as a results of infection by pathogenic organisms is-
A. active immunity
B. passive immunity
C. natural immunity
D. acquired immunity......A
53. Normally newborn lose weight in first week of life-
A. 10 % of birth weight
B. 5 % of birth weight
C. 1 % of birth weight
D. 20 % of birth weight.....A
54. Which of the following is a preparation of choice for a patient who has been admitted in emergency department with an open contaminated injury and no recent history of tetanus immunization-
A. DPT vaccine
B. tetanus toxoid
C. tetanus antitoxin
D. tetanus immunoglobulin. ....B
55. BCG, measles, MMR, should be stored in-
A. 10 to 120* C
B. 20 to 250* C
C. 2 to 8* C
D. 15 to 200* C......C
56. The nurse will evaluate for the most significant complications in patients undergone chronic peritoneal dialysis , which is-
A . pulmonary embolism
B. hypotension
C. dyspnoea
D. peritonitis......D
57. Communicability of measles decline-
A. after onset of fever
B. during prodromal period
C. at the time of eruption
D. after appearance of rash.....D
58. The physician has ordered a 24 hours urine specimen.
after explaining the procedure to the patients, the nurse collects the first specimen, this specimen is then-
A. discarded then the collection begain
B. saved as part of the 24 hours collection
C. tested, than discarded
D. placed in a separate container & later added to the collection. .....A
59. Tertiory prevention is needed in which stage of the natural history of disease-
A. prepathogenesis
B. pathogenesis
C. predromal
D. terminal.....D
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
60. Strawberry spot vagina is seen in-
A. candida
B. trichomonas
C. CMV
D. herpes simplex.....B
61. A non-stess test is prescribed for a pregnant monther and nurse about the procedure, the nurse tells the client that-
A. the test is an invasive procedure and requires that an informed consent be signed
B. the test will take about 2 hours and will require close monitoring for 2 hours after procedure is completed
C. an ultrasound transducer that records fetal heart activity is secured over the abdomen where the fetal heart sound is heared most clearly.
D. The fetus is challenged a stresed by uterine contraction to obtain the necessary information.....C
62. The first dose of vitamin-A is given at the age of-
A. 18 months
B. 2 years
C. 9 months
D. 6 months.....C
63. A way to promote trust with a patient is to-
A. allow family members to visit whenever they want
B. assure the patient that her doctor is excellent
C. follow through when u say u will do something
D. talk with her at length, about her life, likes & dislikes.......D
64. Physiological anemia in pregnant women is a result of-
A. poor dietary intake of iron
B. increased erthropoiesis
C. increased detoxification demands
D. increased blood volume of women...D
65. A young patient who was hit by a car was fortunate because the level of his injury did not interrupt his respiratory function. The cord segment invoved with maintaining respiratory functions are-
A. thoracic level 5 & 6
B. thoracic level 2 & 3
C. cervical level 7 & 8
D. cervical level 3 & 4.....D
66. When a patient's medical record is needed as evidence for a ligal action, you are aware that the record is the property of-
A. the patient
B. the court
C. the patient's lawyer
D. the health care agency....D
67. Which of the clients would nurse identity as being at most risk for developing DIC-
A. a 4th gravida delivered 8 hours ago & has lost 500 ml of blood
B. a 2nd gravida diagnosed with dead foetus syndrome
C. a primigravida with mild preeclampsia
D. a primigravida who delivered a 3.5 kg baby 3 hours ago.....B
68. the principle of risk approach is-
A. something for all
B. more for the needly
C. all for some
D. all for all....C(DOUBTFUL)
69. A patient has the diagnosis of left ventricular failure and a high pulmonary capillary wedge pressure (PCWP). The physician order dopamine to improve ventricular function. The nurse will know the medication is working if the patient's-
A. blood pressure rises
B. blood pressure decreases
C. cardiac index falls
D. PCWP rises........B
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70. A main objective of intensive IEC activities for leprosy programme is-
A. cure of illness
B. case identification
C. reduction of stigma
D. eradication of disease.....D
71. Promotion of infant & young child feeding practice is ancompassed along with continuous of complementary feeding up to-
A. 1 year of life
B. 2 year of life
C. 3 year of life
D. 4 year of life.....B
72. Thrombophlebitis is a common complication following vascular surgery. Which of the following sign indicates that a possible thrombus has occured-
A. kernig's sign
B. hegar's sig
C. homan's sign
D. brudzindki's sign.....C
73. During a retention catheter insertion or bladder irrigation, the nurse must use-
A. clean equipment & maintain surgical asepsis
B. sterile equipment & maintain medical asepsis
C. clean equipment & techniques
D. sterile equipment & wear sterile gloves....D
74. Saffron coloured meconium seen in-
A. post maturity
B. TB
C. breech
D. normal in appearance.....A
75 The extra calories needed by a woman having singleton pregnancy-
A. 100 kcal
B. 200 kcal
C. 300 kcal
D. 500 kcal......C
76. Which of the following principle guided nurses priorities at a disaster cause by a collapse building in an earthquake-
A. haemorrhage necessitates immediate care to save most lives
B. those requiring minimal care are treated first so that they can help others
C. those with head injuries are treated first so that their care more complex
D. children should get highest priority because they have the greatest life expectancy.......B
77. Mantoux test is done to diagnose-
A. malaria
B. filaria
C. tuberculosis
D. typhoid.....C
78. A 45 year old patient Mrs. sunita devi has just been admitted to the Hospital for ab abdominal hysterectomy following a diagnosis of uterine cancer. Results of lab tests indicate that the patient's WBC is 9800/cumm.
The most appropriate intervention is to-
A. call the operating room & cancel the surgery
B. notify the surgeon immediately
C. take no action as this is a normal value
D. call the lab & have the test repeated...C
79. The result of mantoux test are read after-
A. 6 hours
B. 24 hours
C. 48 hours
D. 72 hours....D
80. Bitot's spot are due to the deficiency of-
A. vitamin-A
B. vitamin-B
C. vitamin-D
D. carbohydrate....A
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
81. Chikunguniya is a non-fatal. .... illness-
A. viral
B. bacterial
C. protozoa
D. plasmodoum....A
82. following a liver biopsy, the highest priority assessment of the patient's conditions is to check for-
A. pulmonary edema
B. uneven respiratory pattern
C. haemorrhag
D. pain.....C
83. The number of death per 1000 population per year in a given community is known as-
A. crude death rate
B. infant death rate
C. neonatal death rate
D. perinatal death rate....A
84. A pregnant women in Labour room is attached to external electronic fetal monitor, nurse should do Initial assessment which of the following-
A. identity type of acceleration
B. assessing baseline FHR
C. determining frequency of the contractions
D. determining intensity of the contractions....B
85. A female patient Mrs. seema verma has a ceslum needle implanted in her cervix. She ask the nurse if she may get out of bed to go to the bathroom.
The appropriate response is to tell her-
A. she may not get out of the bed while the needle is implanted
B. she may get out of bed with the nurse's help
C. the nurse will have to get a physician order for her to get out of bed
D. she must stay in bed , but she can move around to be more comfortable while the needle is implanted....A(DOUBTFUL)
86. Rice water stool is the typical sign of-
A. cholera
B. hepatitis-A
C. hepatitis-B
D. dysentery.....A
87. The assessment finding that shold be reported immediately should it develop in the patient with acute pancreatitis is-
A. nausea & vomiting
B. abdominal pain
C. decreased bowel sound
D. shortness of breath.....B
88. A nurse is assessing a child for dehydration. The nurse determines that the which moderately dehydrated if which of the symptom is noted-
A. flat fontonalle
B. moist mucus membrane
C. pale skin
D. oligouria.....D
89. The nurse know that the most informative measurement for determining carcinogenic shock is-
A. arterial blood pressure
B. CVP
C. pulmonary artery pressure
D. cardiac index.....A
https://www.youtube.com/channel/UC7VAd3eBpeSZvYMm0Ufe3Dw
90. Which of the following is the appropriate nursing intervention for a patient with a terminal illness who is passing through the "acceptance stage"-
A. allowing the patient to cry
B. encouraging unrestricted visiting
C. explains the patient what is being done
D. begin around through not speaking.....C
91. A female patient has a laparoscopic cholecystectomy this morning. She is now complaining of right shoulder pain. The nurse would explain to the patient this symptoms is-
A. common following this operation
B.expected after General anesthesia
C. unusual & Will be reported to the surgeon
D. indicative of a need to use the incentive spirometer....C(DOUBTFUL)
92. Which immunization produces a permanent scar-
A. DPT
B. BCG
C. Measles vaccination
D. hepatitis-B vaccination...B
93. To disinfect 20 litres of water, one shold use a single chlorine tablet of-
A. 0.5 g
B. 1.5 g
C. 2.5 g
D. 3.5 g......C
94. Expenditure in health sector a public health is about. .... of the GDP-
A. 1%
B. 2%
C. 5%
D. 6%......D(DOUBTFUL)
95. Which of the following system is an Indian origin-
A. homeopathy
B. Siddha
C. unani-tibb
D. acupuncture ...B
96. Normal crown-rump length at birth is-
A. 20-25 cms
B. 38-50 cms
C. 72-80 cms
D. 78-85 cms....A
97. Which of the following assessment indicates is extra cellular fluid loss-
A. distended jugular vein.
B. elevated haemocrate value
C. rapid thready pulse
D. increased serum sodium level.....B
98. INH is prescribed for a 2 year old child with positive mantoux test. The nurse know the prescribed medicine should be given for-
A. 6 months
B. 9 month?
C. 12 months
D. 18 months..
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