Nursing Officer Exam MCQ
1. Mr. Raj Kumar is a chronic alcoholic who comes to the outpatient department with complaints of weakness and anorexia. His physical assessment shows abdominal distention, dull pain inthe right upper quadrant, pale conjunctiva, and hepatomegaly. The nurse understands which of the following tests is not required for Mr. Raj Kumar?
a. Ultrasonography
b. Biopsy
c. Blood biochemistry
d. Colonoscopy
Ans. (d) Colonoscopy
Explanation: The patient shows the clinical features related to liver disease, hence to confirm the condition USG, Biopsy and
Blood testing are relevant, whereas the colonoscopy is not relevant to diagnose the liver condition rather it is used to rule out the problems related to the large intestine.
2.The patient was diagnosed with Stage II liver cancer. The priority nursing diagnosis for this patient is ?
a. Fluid volume excess
b. Imbalanced nutrition
c. Impaired skin integrity
d. Disturbed body image
Ans. (b) Imbalanced nutrition
Explanation: A client with this condition is not able to digest and process the food materials and absorb the nutrient, hence he/she experiences weight loss and poor muscle tone. Thus, the priority nursing care plan should be focused on imbalanced nutrition
which is less than the body requirements.
3. Mr. Ruma, 27-year-old, has fever and pain in the right upper quadrant that increases on eating fatty food and anorexia. She is recently diagnosed with cholelithiasis on abdominal ultrasound. The nurse explains to the patient food which she should avoid taking, is
a. Potato
b. Rice
c. Bread
d. Cheese
Ans. (d) Cheese
Explanation: The patients with cholelithiasis are advised not to take food with high fat content such as dairy products like butter, cheese and ghee and should avoid fried foods. Because these fatty foods will further worsen the condition and result in severe pain to the patient. Other listed food items are appropriate for the client to consume.
4.A male patient is admitted with Addison’s disease. Laboratory test report reveals low aldosterone. The patient is on high doses of corticosteroids. The nurse is planning for a health teaching on dietary modifications. The nurse is aware that the following dietary modifications is NOT recommended for this patient.
a. High carbohydrate diet
b. Calcium rich food
c. Food rich in vitamin-D
d. Sodium restricted diet
Ans. (d) Sodium restricted diet
Explanation: Sodium should not be restricted in patient with low aldosterone levels. A patient with Addison’s disease (adrenal insufficiency) needs to take adequate sodium to prevent excess fluid loss and to maintain electrolyte balance. High doses of
corticosteroids are linked to a higher risk of osteoporosis, so calcium and vitamin-D rich diet is recommended. The patient should be instructed to have diet rich in complex carbohydrates and protein.
5. A 58-year-old male patient with Chronic Renal Failure (CRF) is on hemodialysis. He is advised to do peritoneal dialysis at home. While teaching the patient about how to perform peritoneal dialysis, the nurse instructs to warm the dialyzing solution to 37°C. The primary reason behind warming the dialyzing solution is to
a. Remove the waste materials from body cells
b. Relax the abdominal muscles
c. Dilate peritoneal blood vessels
d. Maintain a constant body temperature
Ans. (c) Dilate peritoneal blood vessels
Explanation: Warming the dialyzing solution to 37°C helps in the dilation of peritoneal blood vessels, which improves the rate of urea clearance. Nursing Officer Exam MCQ Warmed solution also helps in prevention of cold sensations and maintains body temperature, however, the primary reason is to dilate peritoneal blood vessels.
6.A 60-year-old female patient who is admitted for more than two weeks in Intensive Care Unit has developed a pressure ulcer on the sacral region. The nurse assessed the site of pressure ulcer and observed that the wound extends through the dermis into fatty subcutaneous tissue but the bone and tendons are not visible. Which of the following stages will the nurse assign this pressure ulcer?
a. Stage-I
b. Stage-II
c. Stage-III
d. Stage-IV
Ans. (c) Stage-III
Explanation: Signs of stage-III wound: The wound extends through the dermis (second layer of skin) into the fatty subcutaneous (below the skin) tissue. Bone, tendon and muscle are not visible. Possible signs of infection include redness around the edge of the sore, pus, odor, fever, or greenish drainage from the sore and possible necrosis (black, dead tissue)
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