DHS - 2018

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 08 Directorate of Health Services Maharashtra (DHS)
Solved Paper 2018 (Sift-01)
Original Paper
1. The client admitted with angina is given a prescription for 10. Which finding is the best indication that a client with
nitroglycerine. The client should be instructed to? ineffective airway clearance needs suctioning?
a. Replenish his supply every 3 months a. Oxygen saturation b. Respiratory rate
b. Take one every 15 minutes of pain occurs c. Breath sounds d. Arterial blood gas
c. Leave the medication in brown bottle 11. A home care nurse visits a pregnant client who has a
d. Crush the medication and take with water diagnosis of mild preeclampsia. Which assessment finding
2. Area rank of Maharashtra in India? indicates a worsening of the preeclampsia and the need to
notify the physician?
a. 2nd b. 4th c. 5th d. 3rd
a. Urinary output has increased
3. A doctor calls the nurse to obtain the daily laboratory
b. Dependent edema has resolved
results of a client who is receiving parenteral nutrition.
Which is the most important laboratory result for the nurse c. Blood pressure reading is at the prenatal baseline
to present to the doctor? d. The clients complains of a headache and blurred Vision
a. WBC count 12. Each time a client is scheduled for a therapy session she
b. Scrum electrolyte levels develops headache and nausea. The nurse might interpret
c. Arterial blood gas levels this behavior as?
d. Haemoglobin and haematocrit levels a. Conversion b. Reaction formation
c. Projection d. Suppression
4. The nurse caring for a client with a closed head injury
obtains an intracranial pressure (ICP) reading of 12 mmHg. 13. A large muscle that separates the chest cavity from the
The nurse recognizes that? abdominal cavity and helps with breathing?
a. The ICP is elevated and the doctor should be notified a. Larynx b. Trachea
b. The ICP is normal; therefore, no further action is needed c. Diaphragm d. None of these
c. The ICP is low and the client needs additional IV fluids 14. The nurse has an order for medication to be administered
d. The ICP reading is not as reliable as the Glasgow coma scale intrathecally. The nurse is aware that medications will be
administered by which method?
5. While caring for a client with hypertension, the nurse notes
the following vital signs, BP of 140/90 mm hg, pulse- 120, a. Intravenously b. Rectally
respirations-36, and temperature-100.8 degree Fahrenheit. c. Intramuscularly d. Into the cerebrospinal fluid
The nurse's initial action should be to? 15. The nurse is teaching a group of new graduates about the
a. Call the doctor b. Recheck the vital signs safety needs of the client receiving chemotherapy. Before
c. Obtain arterial blood gases d. Obtain an ECG administering chemotherapy, the nurse should:
6. What event occurring in the second trimester helps the a. Administer bolus of IV fluid b. Administer pain medication
expectant mother to accept the pregnancy? c. Administer an antiemetic d. Allow the patient a chance to cat
a. Lightening b. Ballottement 16. Total Number of Districts in Maharashtra?
c. Pseudocyesis d. Quickening a. 36 b. 34 c. 23 d. 28
7. A nurse is assessing a client with Addison's disease for signs 17. A nurse is preparing a woman in labor for an amniotomy.
of hyperkalemia. The nurse expects to note which of the The nurse should assess which priority data before the
following if hyperkalemia is present? procedure?
a. Polyuria b. Cardiac dysrhythmias a. Fetal heart rate b. Maternal heart rate
c. Dry mucous membranes d. Prolonged bleeding time c. Fetal scalp sampling d. Maternal blood pressure
8. When administering a tuberculin skin test, the nurse should 18. In severe pre-eclampsia women can develop HELLP
insert needle at a? syndrome which is very serious and lifethreatening. Which
a. 15° angle b. 30° angle c. 45° angle d. 90° angle of the following are characteristic finding in the HELLP
syndrome?
9. If green' is called 'white', 'white' is called yellow', 'yellow' is
called 'blue', 'blue' is called 'pink'and 'pink' is called a. Elevated liver enzymes b. Haemolysis
'black', then what is the colour of sky? c. Low platelets d. All of the choices
a. green b. blue c. pink d. yellow
Ans. 1.C 2.D 3.B 4.B 5.A 6.D 7.B 8.A 9.C 10.C 11.D 12.A 13.C
Ans. 14.D 15.C 16.A 17.A 18.D
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19. DIRECTIONS: Select the related numbers from the given 30. A client with increased intracranial pressure is placed on
alternatives. mechanical ventilation with hyperventilation. The nurse
21:3 :: 574 : ? knows that the purpose of the hyperventilation is to?
a. 23 b. 82 c. 97 d. 113 a. Prevent the development of acute respiratory failure
20. The client with suspected meningitis is admitted to the unit. b. Decrease cerebral blood flow
The doctor is performing an assessment to determine c. Increase systemic tissue perfusion
meningeal irritation and spinal nerve root inflammation, A d. Prevent cerebral anoxia
positive Kernig's sign is charted if the nurse notes? 31. The nurse is evaluating nutritional outcomes for an elderly
a. Pain on flexion of the hip and knee client with anorexia nervosa. Which data best indicates that
b. Nuchal rigidity on flexion of the neck the plan of care is effective?
c. Pain when the head is turned to the left side a. The client selects a balanced diet from the menu
d. Dizziness when changing positions b. The clients hematocrit improves
21. *Qqykyk* ;k 'kCnkrhyyk çR;; dks.kR;k foHkfä çdkjkr eksMrks\ c. The clients tissue turgor improves
a. izFkek b. f}rh;k c. iapeh d. lIreh d. The client gains gait
32. A nurse is reviewing the record of a client in the labor room
22. If a train, with a speed of 60 km/hr, crossed a pole in 60
and notes that the nurse midwife has documented that the
second, the length of the train (in meters) is?
fetus is at - 1 station. The nurse determines that the fetal
a. 1000 b. 900 c. 730 d. 500
presenting part is?
Sol. Speed 60 Km., Time - 60 Sec., Length = ?
a. 1 inch below the coccyx
Length
Speed = Time b. 1 inch below the iliac crest
x 18
60 = 60 × 5 c. 1 cm above the ischial spine
x = 360018× 5 d. 1 fingerbreadth below the symphysis pubis
33. An important intervention in monitoring the dietary
x = 200 × 5 = 1000 mtr.
compliance of a client with bulimia is?
23. The longest vein in the human body is? a. Allowing the client privacy during mealtimes
a. Jugular b. Inferior vena cava b. Praising her for eating all her meal
c. Long saphenous d. Subclavian c. Observing her for 1-2 hours after meals
24. In which gestational age the Chronic villus sampling (CVS) d. Encouraging her to choose foods she likes and to cat in
can be performed trans-cervically? moderation
a. 7-9 weeks b. 10-12 weeks c. 16-18 weeks d. 20-22 weeks 34. The nurse is caring for a client following the removal of a
25. Albumin is one of the plasma protein is synthesized in? central line catheter when the client suddenly develops
a. Spleen b. Pancreas c. Adrenal gland d. Liver dyspnoea and complains of substernal chest pain. The client
26. Which cell organelle is responsible for making proteins? is noticeably confused and fearful. The nurse should suspect
which complication of central line use?
a. Lysosome b. Ribosomes
a. Myocardial infraction b. Air embolus
c. Mitochondria d. None of these
c. Intrathoracic bleeding d. Vagal response
27. A client with psychotic depression is receiving haloperidol
(Haldol). Which of the following side effects is associated 35. DIRECTIONS: Select the related letters from the given
with haloperidol? alternatives.
a. Akathisia b. Cataracts c. Diaphoresis d. Polyuria LOM : NMK :: PKI : ?
a. RIH b. SHG c. RIG d. RHG
28. In planning care for the patient with ulcerative colitis, the
nurse identifies which nursing diagnosis as a priority? 36. What is the function of blood platelets?
a. Anxiety b. Impaired skin integrity a. Carry haemoglobin b. Aid in coagulation of blood
c. Fluid volume deficit c. Ingest bacteria d. Transport CO2
d. Nutrition altered, less than body requirements 37. A client with a history of diabetes insipidus is admitted with
29. A nurse is performing an assessment on a pregnant client polyuria, polydipsia, and mental confusion. The priority
with a history of cardiac disease. The nurse checks which intervention for this client is?
body area for venous congestion, knowing that it is most a. Measure the urinary output
commonly noted in this area? b. Check the vital signs
a. Vulva b. Around the eyes c. Encourage increased fluid intake
c. Fingers of the hands d. Around the abdomen d. Weigh the client

Ans. 19.B 20.A 21.B 22.A 23.C 24.B 25.D 26.B 27.A 28.C 29.A 30.B 31.D
Ans. 32.C 33.C 34.B 35.C 36.B 37.B
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38. Which of the following meal selections is appropriate for the c. Intrauterine fetal demise
client with celiac disease? d. Premature rupture of the membranes
a. Toast, jam, and apple juice 45. A client with a spinal cord injury 2 months ago now
b. Peanut butter cookies and milk complains of a pounding headache. The pulse is 64 and the
c. Rice krispies bar and milk blood pressure is 220/110mmhg. Which of the following
d. Cheese pizza and cool-Aid action should the nurse take first?
39. A pregnant client with diabetes mellitus arrives at the a. Give analgesic as ordered
health care clinic for a follow-up visit. What priority b. Check for fecal impaction
assessment should the nurse monitor? c. Elevate the client's head and lower the legs
a. Urine for specific gravity d. Notify the physician
b. For the presence of edema 46. A nurse plans to assess a client for the vegetative signs of
c. Urine for glucose and ketones depression. The nurse assesses for these signs by
d. Blood pressure, pulse and respirations determining the clients?
40. During which of the following stages of labour would the a. Level of self-esteem
nurse assess 'crowning' ? b. Level of suicidal ideation
a. First stage b. Second stage c. Ability to think, concentrate and make rational decisions
c. Third stage d. Fourth stage d. Appetite, weight, sleep patterns and psychomotor activity
41. The client is taking rifampin 600mg PO daily to treat his 47. A nurse is caring for an infant who is admitted to the
tuberculosis. Which action by the nurse indicates hospital with a diagnosis of haemolytic disease. The nurse
understanding of the medication? reviews the laboratory results, expecting to note which of
a. Telling the client that the medication will need to be taken the following in this infant?
with juice a. Decreased bilirubin count
b. Telling the client that the medication will change the colour b. Elevated blood glucose level
of the urine c. Decreased RBC count
c. Telling the client to take the medication before going to bed d. Decreased white blood cell count
at night 48. A client had arterial blood gases drawn. The results are a pH
d. Telling the client to take medication if the night sweats of 7.34, a partial pressure of carbon dioxide of 37 mm Hg, a
occur partial pressure of oxygen of 89 mm Hg and a bicarbonate
42. A client with hemophilia has nosebleed. Which nursing level of 19 mEq/L. the nurse interprets that the client is
action is most appropriate to control the bleeding? experiencing?
a. Place the client in a sitting position with the head hyper a. Metabolic acidosis b. Metabolic alkalosis
extended c. Respiratory acidosis d. Respiratory alkalosis
b. Pack the nares tightly with gauze to apply pressure to the 49. At 28-30 weeks gestation where would you expect to find the
source of bleeding uterine fundus?
c. Pinch the soft lower part of the nose for a minimum 5 a. Umbilicus b. Xiphisternum
minutes c. Symphysis pubis
d. apply ice packs to the forehead and back of the neck d. Half way between umbilicus and xiphisternum
43. The nurse is planning dietary changes for a client following 50. The nursing care plan is…………….?
an episode of pancreatitis. Which diet is suitable for the a. A written guideline for implementation and evaluation
client?
b. A documentation of client care
a. Low calorie, low carbohydrate
c. A projection of potential alterations in client behaviors
b. High calorie, low fat
d. A tool to set goals and project outcomes
c. High protein, high fat
51. In an examination a candidate who got 30% of the total
d. Low protein, high carbohydrate
marks failed by 8 marks. Another candidate who got 35%
44. A client is at 35 weeks of gestation calls the nurse at the clinic got 12 marks more than the passing marks. Total marks
and reports a sudden discharge of fluid from the vagina. are?
Based on the data provided, the suspects which of the a. 500 b. 400 c. 800 d. 300
following conditions?
52. Tunica adventitia is a part of?
a. Miscarriage
a. Blood vessels b. Testes
b. Preterm labor
c. Scrotum d. Kidney

Ans. 38.C 39.C 40.B 41.B 42.C 43.B 44.D 45.C 46.D 47.C 48.A 49.D 50.A
Ans. 51.B 52.A
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53. A nurse is preparing to administer a chemotherapeutic 61. A home care nurse assesses an older client's functional
agent via intraperitoneal therapy. In which position should status and ability to perform activities of daily living. The
the nurse plan to place the client before administering this nurse focuses the assessment on?
therapy? a. Everyday routines b. Self-care activities
a. Supine b. Semi-fowler's c. Household management d. Endurance and flexibility
c. Trendelenburg's d. Dorsal recumbent 62. Which of the following post-operative diets is most
54. In a certain code GONE is written as '5139' and NODAL is appropriate for the client who has had a
written as '31268'. How is LODGE written in that code haemorrhoidectomy?
language? a. High-fibre b. Low-residue
a. 81259 b. 84259 c. 82459 d. 82659 c. Bland d. Clear-liquid
Sol. Particular word is particular code 63. Out of the given options, choose the most appropriate one to
G = 5, O = 1, N = 3, E = 9 fill in the blank. She has fought a constant
N = 3, O = 1, D = 2, A = 6, L = 8 battle…………depression throughout her career?
Now, L = 8, O = 1, D = 2, G = 5, E = 9 a. with b. from c. at d. into
Now, become code = 81259 64. If a: b is 3:4, b:c is 2:5, find a : b: c.?
55. A client with hyperthyroidism is taking lithium carbonate a. 3:4:10 b. 3:5:7 c. 3:4:8 d. 3:2:9
to inhibit thyroid hormone release. With complaint by the Sol. A : B = 3 : 4, B : C = 2 : 5
client should alert the nurse to a problem with the client's A: B : C
medication? 3: 4:
a. The client complains of blurred vision 2:5
b. The client complains of increased thirst and increased urination 6 : 8 : 20
c. The client complains of increased weight gain over the past year Now, 3 : 4 : 10
d. The client complains of ringing in the ears
65. The nurse is providing dietary teaching for a client with
56. Out of the given four words only one is not spelt correctly. elevated cholesterol levels. Which cooking oil is not
Find the word that is not correctly spelt? suggested for the client on a low-cholesterol diet?
a. apparantlly b. noticeable a. Safflower oil b. Sunflower oil
c. necessary d. occurrence c. Coconut oil d. Canola oil
57. A client is scheduled for an arteriogram using a radiopaque 66. A 6-month-old is hospitalized with symptoms of botulism.
dye. The nurse assesses which most critical item before the What aspect of the infant's history is associated with
procedure? Clostridium Botulism infection?
a. Vital signs b. Intake and output a. The infant sucks on his fingers and toes
c. Height and weight d. Allergy to iodine or shellfish b. The mother sweetens the infant's cereal with honey
58. DIRECTIONS : A sentence with an underlined word is c. The infant was switched to soy-based formula
given below. Find the Word which is most similar in d. The father recently purchased an aquarium
meaning to the underlined word. New technology means
67. Which of the following is not included in the definition of
that astronomers can accomplish in a single night what once
personality psychology?
took years?
a. It deals with adaptations to the environment
a. Achieve b. Separate
b. It deals with how traits influence the environment
c. Eliminate d. Abandon
c. It deals with how the environment influences traits
59. FHS can be auscultated with a fetoscope as early as which of
d. All of the above are included
the following?
a. 5 weeks gestation b. 10 weeks gestation 68. The nurse is caring for a client who is receiving parenteral
nutrition through a central venous catheter. Which action
c. 15 weeks gestation d. 20 weeks gestation
should the nurse plan to implement to decrease the risk of
60. The nurse is caring for a client with an intracranial infection in this client?
aneurysm. The nurse interprets that which of the following a. Track the client's oral temperature
is related to the dysfunction of cranial nerve III?
b. Administer antibiotics intravenously
a. Mild drowsiness
c. Evaluate the differential of the leukocytes
b. Ptosis of the left eyelid
d. Use sterile technique for dressing changes
c. Slight slurring of speech
d. Less frequent spontaneous speech

Ans. 53.B 54.A 55.B 56.A 57.D 58.A 59.D 60.B 61.B 62.D 63.A 64.A 65.C
Ans. 66.B 67.D 68.D
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69. Total Area of Maharashtra State? 78. Labour is called normal if it fulfills the following criteria,
a. 307,713 km2 b. 607,713 km2 except?
c.189,718 kın 2
d. 217,718 km2 a. Spontaneous in onset and at term
70. During the first 4 hours after a male circumcision, assessing b. With vertex presentation
for which of the following is the priority? c. Modifying the nature of termination
a. Infection b. Haemorrhage d. Without undue prolongation
c. Discomfort d. Dehydration 79. Pale white vaginal discharge for the first fortnight during
71. A client receiving parnate (tranylcyprominne) is admitted puerperium is?
in hypertensive crisis. Which food is capable of producing a a. Lochia rubra b. Lochia serosa
hypertensive crisis when taken with the medication? c. Lochia alba d. Lochia tuna
a. Processed cheese b. Cottage cheese 80. DIRECTIONS: A sentence with an underlined word is
c. Cream cheese d. Cheddar cheese given below. Find the word which is opposite to the
72. The nurse is caring for a client with a diagnosis of hepatitis highlighted word from the given options. The city was
with experiencing pruritis. Which would be the most annihilated by an atomic bomb?
appropriate nursing intervention? a. Created b. Ruined
a. Suggest that the client take warm showers two times per day c. Demolished d. Destructed
b. Add baby oil to the client's bath water 81. The nurse is teaching the client regarding use of sodium
c. Apply powder to the client's skin warfarin. Which statement made by the client would
d. Suggest a hot-water rinse after bathing require further teaching?
a. "I will have blood drawn every month”
73. A client with pancreatitis has been transferred to the
intensive care unit. Which order would the nurse b. "I will assess my skin for a rash"
anticipate? c. “I take aspirin for a headache"
a. Blood pressure every 15 minutes d. “I will use an electric razor for shave"
b. Insertion of a Levine tube 82. Which activity is best suited to the 12 -year-old with juvenile
c. Cardiac monitoring rheumatoid arthritis?
d. Dressing changes two times per day a. Playing video games b. Swimming
74. A client is being discharged to home while recovering from c. Working crossword puzzles d. Playing slow-pitch softball
acute renal failure. The client indicates an understanding of 83. Planning is a category of nursing behaviors in which:
the therapeutic dietary regimen if the client states the need a. The nurse determines the health care needed for the Patient
to eat foods that are lower in: b. The Physician determines the plan of care for the Patient
a. Fats b. Vitamins c. Patient-centered goals and expected outcomes are established
c. Potassium d. Carbohydrates d. The Patient determines the care needed
75. What will come in place of Question mark (?) in the 84. The home health nurse is visiting a 15-year old with sickle
following number series? cell disease. Which information obtained on the visit would
3, 4.5, 9, 22.5, 67.5, (?), 945 cause the most concern? The client?
a. 265.25 b. 236.25 c. 225.36 d. 150 a. Likes to play baseball
Sol. 3, 4.5, 9, 22.5, 67.5, 236.25, 945 b. Drinks several carbonated drinks per day
× 12 ×2 ×2 12 ×3 ×3 12 ×4 c. Has two sisters with sickle cell tract
76. An adult is pacing about the unit and wringing his hands. d. Is taking Tylenol to control pain
He is breathing rapidly and complains of palpitations and 85. The nurse prepares to administer an enteral feeding to a
nausea and he has difficulty focusing on what the nurse is client through a nasogastric tube. Which is the priority
saying. He says he is having a heart attack but refuses to intervention for the nurse to complete before administering
rest. The nurse would interpret his level of anxiety as? the feeding?
a. Mild b. Moderate c. Severe d. Panic a. Determining tube placement
77. A mother and her 3-week-old infant arrive at the well-baby b. Auscultating the tube bowel sounds
clinic for a rescreening test for phenylketonuria (PKU). The c. Measuring the intake and output
nurse reviews the results of the serum phenylalanine levels d. Establishing the client's baseline weight
and notes that the level is 1.0 mg/dl. The nurse interprets
this level as?
a. Normal b. Inconclusive
c. Requiring a repeat study d. Elevated and indicating PKU
Ans. 69.A 70.B 71.D 72.B 73.B 74.C 75.B 76.D 77.A 78.C 79.C 80.A 81.C
Ans. 82.B 83.C 84.A 85.A
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86. The client delivered a 9- pound infant two days ago. An 94. A client is hospitalized with signs of transplant rejection
effective means of managing discomfort from an episiotomy following a recent transplant. Assessment of the client
is? would be expected to reveal?
a. Medicated suppository b. Aspirin a. A weight loss of 2 pounds in 1 day
c. Sitz baths d. Ice packs b. A serum creatinine 1.25 mg/dl
87. The client is having electroconvulsive therapy for treatment c. Urinary output of 50ml /hr
of severe depression. Which of the following indicates that d. Rising blood pressure
the client's ECT has been effective? 95. A nurse is caring for an infant with laryngomalacia. Which
a. The client loses consciousness position would the nurse place the infant in to decrease the
b. The client vomits incidence of stridor?
c. The client's ECG indicates tachycardia a. Prone
d. The client has grand mal seizure b. Supine
88. A man is admitted to the intensive care unit with chest pain, c. Supine with the neck flexed
an abnormal ECG, and elevated enzymes. When the d. Prone with the neck hyperextended
significance of this is explained to him, he says, “I can't be 96. A 5-year-old is a family contact to the client with
having a heart attack. No way. You must be mistaken.” The tuberculosis. Isoniazid (INH) has been prescribed for the
nurse suspect the client is using which defense mechanism? client. The nurse is aware that the length of time that the
a. Sublimation b. Regression medication will be taken is?
c. Dissociation d. Denial a. 1 year b. 3 months c. 6 months d. 2 years
89. The nurse is obtaining a history from a client who was 97. Which of the following is/are part of the definition of learning?
admitted to the hospital with a thrombotic brain attack. The a. Change in behavior b. Relatively permanent
nurse assesses the client, knowing that before the stroke c. Brought about by experience d. All of the above
occurred, the client most likely experienced?
98. A client with advanced cirrhosis of the liver is not tolerating
a. No symptoms at all
protein well, as evidenced by abnormal laboratory values.
b. Throbbing headaches The nurse anticipates that which of the following
c. Transient hemiplegia and loss of speech medications will be prescribed for the client?
d. Unexplained episodes of loss of consciousness a. Folic acid b. Lactulose
90. Which of the following statements about AIDS is true? c. Thiamine d. Ethacrynic acid
a. The disease is highly infectious 99. The client is admitted with chronic obstructive pulmonary
b. The fatality rate is low if the disease is detected in its early disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb
stages 28. The nurse would assess the client to be in?
c. Most people who get AIDS die due to pneumonia a. Uncompensated acidosis
d. None of the above b. Compensated alkalosis
91. The home health nurse is visiting a client with Paget's c. Compensated respiratory acidosis
disease. An important part of preventive care for the client d. Uncompensated metabolic acidosis
with Paget's disease is? 100. A client has had a laryngectomy for throat cancer and has
a. Keeping the environment free of clutter started oral intake. The nurse determines that the client has
b. Advising the client to see the dentist regularly tolerated the first stage of dietary advancement iſ the client
c. Encouraging the client to take influenza vaccine takes which of the following types of diet without aspirating
d. Telling the client to take a daily multivitamin or choking?
92. For blood clotting fibrinogen is changed into fibrin with the a. Bland b. Full lquids
help of? c. Clear liquids d. Semisolid foods
a. Antithrombin b. Thrombin 101. The immunoglobulin found in a mother's milk
c. Platelets d. Vitamin K. is……………?
93. The client is admitted with left-sided congestive heart a. IgM b. IgA c. IgE d. IgG
failure. In assessing the client for edema, the nurse should 102. DIRECTIONS: Select the one which is different from the
check the? other three responses?
a. Feet b. Neck a. 45 b. 35 c. 85 d. 72
c. Hands d. Sacrum

Ans. 86.C 87.D 88.D 89.C 90.D 91.A 92.B 93.B 94.D 95.D 96.A 97.D 98.B
Ans. 99.C 100.D 101.B 102.D
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103. A client with hypothyroidism frequently complains of 111. A nurse is caring for a child with renal disease and is
feeling cold. The nurse should tell the client that she will be analyzing the child's laboratory results. The nurse notes a
more comfortable if she? sodium level of 148 mEq/L, on the basis of this finding,
a. Uses an electric blanket at night which clinical manifestation would the nurse expect to note
b. Dresses in extra layers of clothing in the child?
c. Applies a heating pad to her feet a. Lethargy b. Diaphoresis
d. Takes a hot bath morning and evening c. Cold, wet skin d. Dry, sticky mucous membranes
104. The physician is preparing to remove a central line. The 112. A nurse is checking the fundus of a postpartum woman and
nurse should tell the client to? notes that the uterus is soft and spongy. Which nursing
a. Breathe normally action appropriate initially?
b. Take slow, deep breaths a. Notify the physician
c. Take a deep breath and hold it b. Encourage the mother to ambulate
d. Breathe as quickly as possible c. Massage the fundus gently until it is firm
d. Document fundal position, consistency and height
105. The home care nurse is preparing to visit a client with a
diagnosis of meniere's disease. The nurse reviews the 113. A nurse is performing an assessment of a client who is
physician prescription and expects to note that which of the scheduled for a caesarean delivery. Which assessment
following dietary measures is prescribed? finding would indicate a need to contact the physician?
a. A low-fiber diet with decreased fluid a. Haemoglobin of 11 g/dl
b. A low-sodium diet and fluid restriction b. Fetal heart rate of 180 beats/min
c. A low-fat diet with a restriction of citrus fruits c. Materal pulse rate of 85 beats/min
d. A low-carbohydrate diet and the elimination of red meats d. White blood cell count of 12000/mm
106. An elderly client is diagnosed with intestinal cystitis. Which 114. State which has decided to give 1% reservation to orphan
finding differentiates intestinal cystitis from other forms children in government jobs?
cystitis? a. Maharashtra b. Madhya Pradesh
a. The client is asymptomatic c. Karnata ka d. Uttar Pradesh
b. The urine is free of bacteria 115. To prevent deformities of the knee joints in a client with an
c. The urine contains blood exacerbation of rheumatoid arthritis, the nurse should?
d. Males are affected more often a. Tell the client to remain on bed rest until swelling subsides
107. A client is admitted with a blood alcohol level of 180mg/dl. b. Discourage passive range of motion because it will cause
The nurse recognizes that the alcohol in the client's system further swelling
should be fully metabolized within? c. Encourage motion of the joint within the limits of pain
a. 3 hours b. 5 hours d. Tell the client she will need joint immobilization for 2-3
c. 7 hours d. 9 hours weeks
 Alcohol is a depressant that has a short life span in the body. 116. The protein found in blood that is responsible for
Once alcohol has entered your bloodstream, your body will transporting oxygen is?
begin to metabolize it at a rate of 20 milligrams per deciliter a. Erythropoeitin b. Hemoglobin
(mg/dL) per hour. c. Gamma globulin d. All of the above
 That means that if your blood alcohol level were 180 mg/dL, it 117. The process by which the muscular fibers of the cervix are
would take about 9 hours to metabolize the alcohol. pulled upward and merges with the fibers of the lower
108. The cell body of neuron is also called as……………? uterine segment is?
a. Dendrite b. Axon a. Polarity of uterus b. Effacement
c. Soma d. None of these c. Efforts d. Engagement
109. Which of the following is a prostaglandin commonly used in 118. The nurse prepares to administer a continuous intravenous
induction of labour? infusion through a peripheral IV to a client who has
a. Misoprostol b. Atenolol dehydration. Which is the priority nursing assessment
c. Labetalol d. None of the above before initiating the IV infusion?
a. Checking a daily body weight
110. The average of 10, 12, 16 and 18 is?
b. Checking the serum electrolyte
a. 14 b. 13 c. 12 d. 15
c. Checking intake and output records
d. Asking the client about the dominant side

Ans. 103.B 104.C 105.B 106.A 107.D 108.C 109.A 110.A 111.D 112.C 113.B 114.A
Ans. 115.C 116.B 117.B 118.A
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119. The nurse is admitting a client with a suspected duodenal 129. Which of the following groups of newborn reflexes below
ulcer. The client will most likely to that his abdominal are present at birth and remain unchanged through
discomfort decreases when? adulthood?
a. Skips a meal b. Rests in a recumbent position a. Blink, cough, rooting, gag
c. Eats a meal d. Sits upright after eating b. Blink, cough, sneeze, gag
120. When providing postoperative care for the child with a cleft c. Rooting, sneeze, swallowing, cough
palate, the nurse should position the child in which of the d. Stepping, blink, cough, sneeze
following positions? 130. Diaphragm is supplied by…………..artery?
a. Supine b. Prone a. Coronary b. Phrenic
c. In an infant seat d. On the side c. Vasa vasorum d. Renal
121. To initiate an intervention the nurse must be competent in 131. The two major opening of the left ventricle are?
three areas, which include?
a. Tricuspid valve and pulmonary artery
a. Knowledge, function, and specific skills
b. Bicuspid valve and aorta
b. Experience, advanced education, and skills
c. Inferior vena cava and aorta
c. Skills, finances, and leadership
d. Pulmonary vein and aorta
d. Leadership, autonomy, and skills
132. Which activity is suitable for a client who suffered
122. Chordae tendinae is found in? uncomplicated myocardial infarction (MI) 2-days ago?
a. Auricles of heart b. Ventricles of heart a. Sitting in the bedside chair for 15 minutes three times a day
c. Ventricles of brain d. Sinus venous b. Remaining on strict bed rest with bedside commode
123. The pacemaker of heart is? privileges
a. SA node b. AV node c. Ambulating in the room and hall as tolerated
c. Bundle of His d. Purkinje fibre d. Sitting on the bedside for 5 minutes three times a day with
124. A client goes into respiratory distress, and blood for an assistance
arterial blood gas assessment is drawn from the radial 133. The nurse is caring for a client with myasthenia gravis. The
artery. The nurse performs Allen's test before the blood is client is vomiting and complaining of abdominal cramps
drown to determine the adequacy of the? and diarrhea. The nurse also notes that the client is
a. Ulnar circulation b. Carotid circulation hypotensive and experiencing facial muscle twitching. The
c. Brachial circulation d. Femoral circulation nurse interprets that these symptoms are compatible with?
125. The most common means of transmitting the tubercle a. Myasthenic crisis b. Cholinergic crisis
bacillus from one individual to another by……………? c. Systemic infection d. A reaction to plasmapheresis
a. Air borne b. Using public toilet 134. The nurse is checking the client's central venous pressure.
c. Milk products d. Eating utensils The nurse should place the zero of the manometer at the?
126. In the given sentence there might be an error. Find out a. Phlebostatic axis b. PMI
which part of the sentence has an error.If there is no error, c. Erb'spont d. Tail of Spence
mark your answer as (d) i.e. 'No error'. ? 135. Normally cardiac cycle takes………….seconds to
He was (a) /one of the soldiers (b) /who fought for the complete?
independence of the country: (c) / No Error (d) a. 0.01 b. 0.8 c. 0.08 d. 0.1
a. (a) b. (b) c. (c) d. (d) 136. A client 12 weeks pregnant comes to the emergency
127. The nurse is caring for a patient with suspected department with abdominal cramping and moderate
diverticulitis. The nurse would be most prudent in vaginal bleeding. Speculum examination reveals 2 to 3 cms
questioning which of the following diagnostic tests ordered. cervical dilation. The nurse would document these findings
a. Colonoscopy b. Barium enema as which of the following?
c. Complete blood count d. Computed tomography (CT) scan a. Threatened abortion b. Imminent/Inevitable abortion
128. The nurse determines that a Mantoux tuberculin skin test is c. Complete abortion d. Missed abortion
positive. To most accurately diagnose tuberculosis, the 137. The nurse caring for a client with full thickness burns to the
nurse plans to consult with the physician to follow up the lower half of the torso and lower extremities. During the
skin test with a? emergent phase of injury, the primary nursing diagnosis
a. Chest X-ray b. Sputum culture would focus on?
c. CBC count d. CT scan of the chest a. In effective airway clearance b. Impaired gas exchange
c. Fluid volume deficit d. Pain

Ans. 119.C 120.B 121.A 122.B 123.A 124.A 125.A 126.D 127.B 128.B 129.B 130.B 131.B
Ans. 132.D 133.B 134.A 135.B 136.B 137.C
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138. A client manages peptic ulcer disease with excessive amount 146. A child was diagnosed with acute post streptococcal
of oral antacids. The client is at risk for which acid-base glomerulonephritis and renal insufficiency.Which
imbalance? laboratory result will the nurse expect to note in the child?
a. Metabolic acidosis b. Metabolic alkalosis a. Negative protein in the urinalysis
c. Respiratory acidosis d. Respiratory alkalosis b. Negative RBC in the urinalysis
139. A client develops a temperature of 102 degree Fahrenheit c. An elevated WBC count
following coronary artery bypass surgery.The nurse should d. Elevated blood urea nitrogen and Creatinine
notify the physician immediately because elevations in 147. A nurse is instructing a group of junior nurses on the
temperature? injection method of administering the BCG vaccine. What
a. Increased cardiac output b. Indicate cardiac tamponade injection method should the nurse teach?
c. Decrease cardiac output d. Indicate graft rejection a. Intradermal b. Subcutaneous
140. After an amniotomy has been performed, a nurse should
c. Intramuscular d. Intravenous
first assess?
a. For cervical dilation b. For bladder distention 148. Which nursing intervention required a nurse to use
standard precaution?
c. The maternal blood pressure d. The fetal heart rate pattern
141. The nurse is preparing to administer a feeding via a
a. Giving a back rub
nasogastric tube. The nurse would perform which of the b. Emptying a portable wound drainage system
following before initiating the feeding? c. Obtaining a blood pressure of a HIV positive person
a. Assess for tube placement by aspirating stomach content
d. Helping patient in physiotherapy
b. Place the patient in a left-lying position
c. Administer feeding with 50% H,0 concentration 149. Which of the following conditions is most important risk
factor for intracerebral hemorrhage?
d. Ensure the feeding solution has been warmed in a
microwave for 2 minutes a. Coronary artery disease b. Hypertension
142. What is the number of Rajya Sabha seats from c. Shock d. Thrombolytic drug
Maharashtra? 150. The nurse is teaching a patient with glaucoma regarding
a. 17 b. 18 c. 19 d. 20 self care. Which of the following teachings is appropriate?
143. A client with tuberculosis has a prescription for Myambutol a. Avoid watching television for more than one hour
(ethambutol HCL). The nurse should tell the client to notify
the doctor immediately if he notices? b. Avoid lifting heavy objects
a. Gastric distress c. Avoid caffeinated and carbonated beverages
b. Change in hearing d. To come to the ophthalmologist when symptoms increases
c. Red discoloration of body fluids
d. Change in colour vision
144. The nurse assessment of a patient with lung cancer reveals
the following: copious secretions, dyspnea, and cough.
Based on these findings the most appropriate nursing
diagnose is?
a. Impaired gas exchange b. Ineffective airway clearance
c. Pain d. Altered tissue perfusion
145. A client is experiencing diabetes insipidus as a result of
cranial surgery. The nurse who is caring for the client plans
to implement which of these anticipated therapies?
a. Fluid restriction
b. Administering diuretics
c. Increased sodium intake
d. Intravenous replacement of fluid losses

Ans. 138.B 139.A 140.D 141.A 142.C 143.D 144.B 145.D 146.D 147.A 148.B 149.B 150.B
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