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Nursing Exam Questions and Answers PDF on Medical Surgical Nursing


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Mock Test Topic: Cardiovascular System
Total MCQ Questions: 30

Time: 00:00
1. Deficiency of which cause anemia:
(a) Fe +
(b) Vitamin B12
(c) Folic acid
(d) All of above

2. Schilling test is used for detection of:
(a) Folic acid deficiency
(b) Cyanocobalamin deficiency
(c) Iron deficiency
(d) Iodine deficiency

3. Thalassemia is a congenital:
(a) Defect in bones
(b) Blood disorder
(c) Neural defect
(d) Muscular defect

4. A nurse is caring an anemic patient. What finding should suggest her that it is acute blood loss anemia?
(a) Exertional dyspnea
(b) Easy fatigue on exertion
(c) Bradycardia at rest
(d) Postural hypotension

5. The nursing management of a patient in sickle cell crisis includes:
(a) Platelet administration and monitoring of complete blood count
(b) Blood transfusion and iron replacement
(c) Bed rest and heparin therapy
(d) Aggressive analgesic and oxygen therapy

6. All of the following are signs of anemia in a patient except:
(a) Yellowness of the skin
(b) Tachycardia
(c) Dyspnea on exertion
(d) Lethargy

7. A client hasn't had a bowel movement for 3 days. Which of the following medication may contribute to constipation?
(a) Folic acid
(b) Iron
(c) Potassium
(d) Vitamin E

8. All of the following nursing interventions are correct when using the Z-track method of injection except:
(a) Prepare the injection site with alcohol
(b) Use a needle that's at least 1" long
(c) Aspirate for blood before injection
(d) Rub the site vigorously after the injection

9. In which disease, blood does not clot?
(a) Thalassemia
(b) Lung cancer
(c) Hemophilia
(d) Diabetes

10. Drug contraindicated into hemophilia:
(a) Aspirin
(b) Penicillin
(c) Ciprofloxacin
(d) Morphine sulphate

11. Most common type of leukemia in children is:
(a) Chronic Myeloid Leukemia (CML)
(b) Chronic Lymphoid Leukemia (CLL)
(c) Acute Myeloid Leukemia (AML)
(d) Acute Lymphoblastic Leukemia (ALL)

12. The patient with leukemia is receiving busulfan and allopurinol. Nurse tells patient that purpose of allopurinol is to prevent...?
(a) Alopecia
(b) Hyperuricemia
(c) Vomiting
(d) Nausea

13. Most common cause of coronary artery disease is:
(a) Atherosclerosis
(b) Hyperglycaemia
(c) Stress
(d) Vasospasm of coronary artery

14. The laboratory test which confirm a diagnosis of myocardial infarction is:
(a) Serum calcium, APPT
(b) Sedimentation rate, ALT
(c) LDH, CK-MB, troponin
(d) BUN (blood urea nitrogen)

15. Which of the following blood tests is most indicative of cardiac damage?
(a) Lactate dehydrogenase
(b) CBC
(c) Troponin 1
(d) Creatine kinase (CK)

16. What type of abnormal finding is identified in ECG during myocardial ischemia?
(a) Ectopic 'T' wave appears
(b) Horizontal and smaller 'T' appears
(c) W pattern T wave appears
(d) Inverted and larger 'T' wave appears

17. Medication appropriate to treat an acute anginal attack is:
(a) Propranolol
(b) Nadolol
(c) Atenolol
(d) Nitroglycerin

18. Medical treatment of coronary artery disease includes which of the following procedure?
(a) Cardiac catheterization
(b) Oral medication administration
(c) Coronary artery bypass surgery
(d) Percutaneous angioplasty

19. CABG stands for:
(a) Cranial Artery Bypass Graft
(b) Cerebral Artery Bypass Graft
(c) Coronary Artery Bypass Graft
(d) Cerebellum Artery Bypass Graft

20. Which of following condition is predominant cause of angina?
(a) Increased preload
(b) Decreased afterload
(c) Coronary artery spasm
(d) Inadequate oxygen supply to myocardium

21. The symptom most commonly associated with left-sided heart failure:
(a) Shortness of breath
(b) Oedema
(c) Hepatic failure
(d) Polyuria

22. Nurse is teaching a patient with Congestive Heart Failure about his medication. Nurse explains that the purpose of digoxin is to:
(a) Dilate the coronary arteries
(b) Increase the rate of myocardial contractions
(c) Prevent premature ventricular contractions
(d) Increase strength of the heart's contractions

23. A patient with congestive heart failure is given digitalis. Which of following indicates the earliest manifestation of digitalis toxicity:
(a) Hypokalemia
(b) Tachycardia
(c) Nausea and vomiting
(d) Gynecomastia

24. Sign and symptoms of cardiogenic shock:
(a) Oliguria
(b) Bradycardia
(c) Elevated BP
(d) Fever

25. Which of the following findings would a nurse identify as indicative of septic shock:
(a) Flushed appearance
(b) Bradycardia
(c) Cool, clammy skin
(d) Gallop S3

26. Which of the following action should a nurse take first when caring for a patient with cardiac arrest:
(a) Initiate cardiac monitoring
(b) Provide intravenous access
(c) Establish and open airway
(d) Obtain pulse oxymeter reading

27. Defibrillator is used in situation of:
(a) Cardiac arrest
(b) Shock
(c) Respiratory arrest
(d) Peritonitis

28. If medical treatments fail, which of the following invasive procedures is necessary for treating cardiomyopathy?
(a) Cardiac catheterization
(b) Coronary artery bypass graft (CABG)
(c) Heart transplantation
(d) Intra-aortic balloon pump (IABP)

29. After cardiac catheterization, immediate priority nursing intervention is:
(a) Check for distal pulses & bleeding from site
(b) Provide bed rest for 4-6 hours and move the extremities every hourly
(c) Ensure patient safety by helping him get out of the bed
(d) Instruct to drink adequate fluid to flush out the contrast agent if used

30. Right ventricular failure is associated with one of the following assessment findings:
(a) Pink frothy sputum
(b) Paroxysmal nocturnal dyspnea
(c) Jugular venous distension
(d) Crackles




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