Practice Medical Surgical Nursing Questions

Practice Medical Surgical Nursing Questions

1. The SIMV mode has all the following characteristics Except
(a) Patient receives preset tidal volume and preset number of breaths
(b) Asynchrony with patient inspiratory effort
(c) Synchronize with patient inspiratory effort
(d) Between mandatory breaths patient can have spontaneous breaths

2. The best way to place an oropharyngeal Airway in an unconscious patient is ______________
(a) Inserted “upside down” with the tip against tongue and rotated at mandibular level
(b) Inserted “upside down” with the tip against hard palate and the airway is slid into the mouth until the soft palate is reached, at which point it is rotated
(c) Inserted “downside to upside” with concave tip facing soft palate and rotated at incisor teeth level, at which point it is placed
(d) It’s just placed like ET tube

3. Ventilator Associated Pnemonia (VAP) bundle has all Except
(a) Frequent suction of ET tube
(b) Frequent oral care
(c) Head elevated to 30 degree
(d) Peptic ulcer prophylaxis

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4. Among the following, which one is NOT an appropriate method to confirm the position ET tube after intubation?
(a) Bilateral air entry
(b) EtCo2
(c) Chest X ray
(d) Increase in SaO2

5. The commonest complication of mechanical ventilation all, Except_________
(a) VAP
(b) Hypercapnia
(c) Subcutaneous emphysema
(d) Barotrauma

6. The Nurse identifies Decreased Airway pressure alarm associated with decreased SaO2 while caring a patient on SIMV mode of mechanical ventilation. What is the priority action of Nurse?
(a) Check Oxygen supply
(b) Check for leakage in tubing
(c) Check whether tube is kinked due to biting of tube by client
(d) Increase FiO2 to 0.7 and above

7. The ideal cuff pressure to be maintained for a client who had Oro-tracheal Intubation is _____
(a) 25 to 30 cm H2O
(b) 10 to 20 cm H2O
(c) 30 to 45 cm H2O
(d) 0 to 10 cm H2O

8. Jones Major Criteria is associated with ______
(a) Heart failure
(b) RHD
(c) Heart Block
(d) Cardiomeghaly

9. Presence of prominent Q wave in V5 to V6 and avL leads suggestive of ____
(a) Lateral wall Myocardial Injury
(b) Left Bundle Branch Block
(c) Lateral wall Myocardial Infarction
(d) Right Bundle Branch Block

10. Among the following, which one is NOT the feature of Tetralogy of fallot?
(a) Left ventricular Hypertrophy
(b) Right ventricular Hypertrophy
(c) Overriding of aorta
(d) Ventricular Septal Defect(VSD)

11. The subsequent prolongation of PR interval in ECG suggestive of ______
(a) Asystole
(b) Mobitz I
(c) Mobitz II
(d) Complete Heart Block

12. Cardiac diseased pregnant women complaints that she is symptomatic with normal activity. What is her functional status of classification as per NYHA?
(a) Class I
(b) Class II
(c) Class III
(d) Class IV

13. The important teaching that should be given to the patient who is having permanent pace maker is
(a) Avoid cell phones
(b) Checking his own pulse
(c) Exercise
(d) Checking his own Blood Pressure

14. Physician ordered Dopamine 5mcg/kg/min .The patient body weight is 50 kg. The dopamine is available in 250mg in 50 ml of Normal Saline. How much ml/hour to be given using infusion pump in order to deliver 5mcg/kg/min to the patient?
(a) 3 ml/hour
(b) 5 ml/hour
(c) 10 ml/hour
(d) 15 ml/hour

15. Intra Aortic Balloon Pump (IABP) used in ______
(a) Aortic aneurysm
(b) Corpulmonale
(c) Cardiogenic shock
(d) Cardiac arrest

16. Among the following, which drug should not be administered as Bolus Dose?
(a) Calcium
(b) Potassium
(c) Atropine
(d) Heparin

17. Dressler syndrome is a complication of ______
(a) Myocardial Infarction
(b) RHD
(c) VSD
(d) Ventricular fibrillation

18. Hepatomegaly,spleenomegaly,Orthopnea,Jugular vein distension(JVP) and pedal edema are the clinical features of _____
(a) RHD
(b) IHD
(c) Pulmonary edema
(d) Heart failure

19. The position contraindicated for client suffering from cardiogenic shock is ____
(a) Tendenlenberg position
(b) High Fowler position
(c) Supine Upright
(d) Head and Neck elevated

20. Among the following drug, which one is administered through sublingual route for cardiac patients?
(a) Lasix
(b) Metabolites
(c) Aspirin
(d) Dopamine