Nursing Exam Solved Question Paper 2024
89. While communicating to a client nurse ask, what time it is, place where they admitted and person with them, these questions help the nurse to assess:
a. Memory
c. Thought process
b. Orientation
d. For good rapport
Explanation: Questions related to time, place and person will give info about the orientation of the client .
90. The patient states “Give me five minutes to remember the name of the college lecturer who failed us in pediatric nursing
exam”. The patient is operating his:
a. Conscious self
b. Subconscious
c. Unconscious
d. Superego
91. The recording of talking between the nurse and patient in a psychiatric ward up is called as:
a. Therapeutic communication
b. Interview technique
c. Process recording
d. Case study
92. The best approach in helping a patient in withdrawn is .
a. Engage in group activities
b. Establish a specific routine
c. To provide a trusting relationship
d. Engage in ward activities
312.Barbiturates are not used in older persons because it cause:
a. Convulsions
b. Delirium
c. Panic attack
d. Urinary incontinence
313.Which of the following drug is used to reverse the muscle relaxant effect of tubocurarine?
a. Succinylcholine
b. Neostigmine
c. Dantrolene
d. Baclofen
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314. which skeletal muscle relaxant has the less duration of action?
a. Vecuronium
b. Succinylcholine
c. Dantrolene
d. Tubocurarine
315.Which of the following muscle relaxant is used to treat spasticity and malignant hyperthermia of neuroleptic malignant syndrome?
a. Vecuronium
b. Dantrolene
c. Neostigmine
d. Baclofen
316.A patient as a appointment for mastectomy surgery has a 10 year history of COPD. Which of the following muscle relaxant is contraindicated in this patient during the surgery?
a. Clonidine
b. Vecuronium
c. Tubocurarine
d. Succinylcholine
305.The nurse has applied EMLA cream as ordered. How does the nurse assess that cream has achieved its purpose?
a. Assess the skin for redness
b. Note any blanching of the skin
c. Lightly tap the area where the cream is applied
d. Gently poke the individual with a needle
306.Which of the following local anesthetic agent has less duration of action?
a. Lidocaine
b. Procaine
c. Bupivacaine
d. Ropivacaine
Explanation: Procaine exerts shorter local anesthetic action. Procaine is preferred local anesthetic agent in patient with liver disease. It is not used these days.
307.The local anesthetic which also acts as an antiarrhythmic agent:
a. Cocaine
b. Lidocaine
c. Bupivacaine
d. Ropivacaine
Explanation: Lidocaine acts as local anesthetic as well as anti arrhythmic agent.
308.The local anesthetics primarily acts on:
a. Inactivated K+ channels
b. Inactivated Na+ channels
c. Activated Ca+ channels
d. Resting K+ channel
309.The most cardiotoxic local anesthetic among given drugs is:
a. Procaine
b. Lidocaine
c. Bupivacaine
d. Lignocaine
310.The purpose of adding a vasoconstrictor to a local anesthetic drug is:
a. To increase the duration of local anesthetic effect
b. For rapid action of local anesthetic
c. To minimize the allergic reaction
d. To enhance the affinity to Na+ channels
Explanation: Addition of a vasoconstrictor to a local anesthetic has the following benefits:
1. Decrease in the peak plasma in of local anesthetic (LA)
2. Increase in the duration of local anesthesia effect (by reducing the absorption into the circulation)
3. Reduction in minimum concentration of LA required for nerve block.
4. Decrease of blood loss during surgery.
311.A higher dose of local anesthetic agent was inadvertently administered through Intravenous route. Which of the following system is most likely involved in the toxic effect?
a. Cardiovascular system
b. Immune system
c. Gastrointestinal system
d. Respiratory system
RRB Nursing Exams MCQ Series 2024
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