2016 GENERAL MEDICAL NOTES PAPER FOR NURSING STUDENTS .pptx

Medical notes

1. L i c e n s u r e T e l e g r a m / WhatsApp p a g e SUBJECT : General Paper S a m m y a n d Team

2. 1. The Fundamental responsibility of the nurse as stipulated in the international Council of Nurses (ICN) code of ethics are the following EXCEPT A. obtain consent B. prevent illness C. promote health D. restore health

3. 2. codes of good manners that govern the actions of Nurses and Midwives Is referred to as A. Code of Ethics B ." Hospital Etiquette C. Morals D . values

4. 3. Madam Adoma gives you information about the properties she has acquired without the husband's knowledge. To whom would you disclose this Information? Biological Children Colleague nurses C. No one D . Spouse of patient/client

5. 4. Nurse Mensah failed to fix back the bed side rails after giving bed bath to Kojo , an epileptic patient. Patient fell and sustained a fracture, which of the following offences will he be charged with? Assault B . Battery C . Malpractice D . Misdemeanor

6. 5. Which of the following BEST describes care of patient's property? Dirty clothing should be kept in patient's cupboard In case of communicable disease disinfect clothing Label valuables such as watch, jewelry and keep It at the nurses' station Patient's valuables must be kept with the patient

7. 6. Hajia Mohammed Is 30 weeks pregnant and believes that someone want to take her baby from her womb. Which of the following Individuals would you Involve when counseling her I- Hospital Chaplain II. Husband of client III . Imam IV . Ward in charge I , II, III and IV I , III and IV I , II and III , II , III and IV

8. 7. What considerations will the nurse/midwife make concerning a patient's choice of food at the ward? educational background patient's preference religious denomination IV . socio-cultural background I and II I , II and III II and III II , III and IV

9. 8. Nurses who make FALSE statements about their clients or co-workers through writing can be sued for A . Battery B . Libel C . Slander D . Tort

10. 9. A way of communicating our feelings, thoughts and beliefs in an open honest manner without violating the rights of others is known as A. assertive behavior B . aggressive assertive behavior C . non - verbal communication D . verbal communication

11. 10. The accepted professional nursing attitudes and behaviors includes the following Acceptance of others views Commitment to work Loss of Interest In learning new skills Searching for new knowledge A. I , III and IV B . I, II and IV C . II, III and IV D . I, II, III and IV

12. 11. Alberta complained to the nurse manager that she had been given an injection without her consent. Which offence would the nurse be charged with? Criminal assault Malficience Technical assault Tort

13. 12. A patient fails to settle her hospital bill and is not allowed to go home by the nurses on duty which legal offense is the nurse liable A. False imprisonment B . Invasion of privacy C . Misdemanor D . Tort

14. 13. An adolescent girl has come to the health facility requesting for an abortion. The nurse considering her personal spiritual values thinks the girl is not taking the right decision yet she goes ahead to render the services to the girl because she has the duty to keep. Which ethical theory has the nurse applied here? Consequentialism B . Deontology C . Teleology D . Utilitarianism

15. 14. Nurse Ansah forgets to serve prescribed medicine to a patient who had surgery 24 hours ago. This act of the nurse is considered as- turned from A. Felony B . Misdemeanor C . Malpractice D . Negligence

16. 15. A nurse at the front desk behaves rudely to a patient . The patient reports the said nurse to the nurse- manager. Which aspect of the nurse's behavior should be worked on? Attitude Competence Knowledge Skill

17. 16. A nurse is to give health education to a patient who has been newly diagnosed with cancer of the breast. She enters the room and finds the room dark with the patient curled up in bed and sobbing. What factors will the nurse put In place to influence effective communication with the patient? Consider a comfortable environment, emotion and sociocultural background of patient B . Instruct patient not to talk back until you have finished the health talk C . Inform patient she has to sit up and listen to the health education D . Offer information while patient is still curled up and sobbing in bed

18. 17. A palliative nurse failed to Inform a patient the risk involved in radiotherapy. Based on the information given, the patient gives her written consent to the treatment and thereafter sustained painful burns and scarring of her skin. The patient sues the nurse for damages B . lack of Informed consent C . malpractice D . all of the above

19. 18. A nurse fails to give a patient full information about his condition and its management. Which of the following ethical principle did the nurse fail to practice ? Autonomy Beneficence Fidelity Justice

20. 19. Which of the following should a nurse possess, when providing holistic care. Data of client Knowledge in the area of practice Positive attitude Requisite skills A . I, II and III B . II, III and IV C . I, III and IV D . I, II and IV

21. 20. Which of the following are the rights of a patient consent or decline to a treatment comply with prescribed treatment personal safety and security second medical opinion I , II and IV I , II and III I , III and IV II , III and IV

22. 21. A nurse caring for a postoperative patient at ; night observed that the patient blood pressure begins to drop and the pulse began to rise. The nurse inform the surgeon who gave orders on the phone to increase Intravenous fluid rate . Patient condition continue to deteriorate but the nurse fails to seek further medical care for the patient . Select the BEST option that describes the nurse s action . A. Breach of duty B . Beneficence C . Non -maleficence D . Veracity

23. 22. You are on night duty and a patient who has been on the ward for 3 days suddenly becomes aggressive , breaks a louvre blade and stabs himself with it. The patient bleeds to death. What is the name given to the report that you will write? A. Daily report B . Incident report C . Twenty - four hour report D . Nurses' report

24. 23. Failure of professional duty is legally referred to as fidelity fraud liability D . negligence

25. 24. In Freud's stages of personality development, the period where the focus of the child centres on group activities, learning and socialization with peers is at the Stage . A. Genital B . Latency C. Oral D . Phallic

26. 25. is a technique of modifying behavior that pairs relaxation with the object of fear/phobic stimulus. Flooding Modling Shaping Systematic desensitization

27. 26. A client with moderate level of anxiety will manifest Diaphoresis Difficulty sleeping Headache Pounding pulse I , II and III 1 , III and IV I , II and IV II , III and IV

28. 27. Which of the following is an anxiety disorder? Delirium B . Depression C . Obsessive - compulsive disorder D . Schizophrenia

29. 28. Which of the following eating disorders will the client show severe under weight in addition to having the fear of gaining weight or becoming fat? Anorexia nervosa Binge eating Bulimia nervosa Pica

30. 29. Clinical features of panic attack Includes feeling of chocking Numbness a state of shock I and I I I and III 11 and III I,II and III

31. 30. Which of the following strategies can be used to minimize stress I. Attitude control II . Cultivating low self-esteem III . Exercising IV. using defence mechanisms I , II and III B . I, II and IV C. II, III, and IV D . I, II, III and IV

32. 31. A patient with bulimia nervosa frequent secret eating is usually followed by feeling of anger B . depression C . humiliation D . unreality

33. 32. Maturation results from the aging process whereas learning Is produced by experience B . occurs in adult C . results from heredity D . results from good nutrition

34. 33. Which of the following is not associated with turners syndrome A. Female gender identity B. Infertility C . Short stature D . XXY chromosome pattern

35. 34. In adolescence, the term "growth spurt" refers to A. a type of behavior Indicating a parahillia B. Confusional state characterized by memory loss C . the rapid physical development D. The identity confusion experienced in early sexual stimulation

36. 35. Freud's oral and anal stages are based on the principle of autonomy B . care giving C . sensual gratification D . toilet training

37. 36. Mental retardation may occur as a result of congenital syphilis galactosaemia Huntington's chorea sickle cell disease

38. 37. Patients with delirium are best nursed in a darkened room B . are best sedated with barbiturates C . are rarely disoriented to time D . experience visual hallucinations

39. 38. Madam Brago brought her three months old baby to your clinic with swelling on the right thigh after the child was immunized one week ago. What immunization was given? BCG DPT / Hibhep Pneumococcal vaccine Polio vaccine

40. 39. In dealing with temper tantrums, parents should Give in to child's demands B . Relax rules of the house C . Remain calm D Shout at child

41. 40. Pain relieving strategies of adolescents include the following except A. massage B . rhythmic breathing C . story telling D . touch

42. 41. The main objectives for a preventive nurse practice include I. advocating for the vulnerable II. prevention of diseases III. prolongation of life 1V. promotion of health A. I, II and III B. I, II and IV C. I , III and IV D II, III and IV

43. 42. Madan , Adzovi is a single parent with a six month old baby who always attends well-baby clinic late. She can be helped to change by A. advising her to set off early to the clinic B . asking family members to assist her with chores C . finding out the reason's for her habitual lateness D . Informing her the time the clinic begins and closes

44. 43. Children are more vulnerable to home accidents because they are fond of running around during play B . free to play without restrictions C . less able to recognize dangerous situations D . mostly changing their type of play materials

45. 44. Scald is a common accident that can occur In the home, resulting from: A child running into hot water Crawling into uncovered hot water Pouring hot water on the child Pouring corrosive substance on the child I , II and III I , II and IV I , III and IV II, III and IV

46. 45. You will educate children to prevent hiding in cupboards and other enclosed areas to prevent cuts B . drowning C . falls D . suffocation

47. 46. It is crucial to prevent children from drinking alcoholic beverages since this may lead to……………… disability in later life emotional mental C . physical D . social

48. 47. One main objective of School Health Services is to ensure learning opportunities are available and' conducive to the level of the children Foster teacher – parent relationship through cooperation C . promote optimum sanitary conditions and safe environment D . protect and promote the health, safety and welfare of school children

49. 48. BCG is one of the childhood immunizations which is injected ………… into the …………… upper arm of the deltoid muscles. Intradermally , left Intradermally, right Subcutaneously, left Subcutaneously, right

50. 49. Talking to a baby is important because it provides the building block for future ………………….. Development Cognitive Language Motor Social

51. 50. A client G1P0 came to your facility for antenatal care, during your observation you found out that there were changes in her skin pigmentation. This suggested to you that the client is………… weeks pregnant. A. Two B . four C . six D . eight

52. 51. A client G2P1 40 weeks gestation reported at your facility with the following history, select the option that suggest a danger sign in pregnancy. mucus bloody vaginal discharge painful uterine contraction ruptured membranes two days ago vomiting and nausea which Is continuous I and II I and III II and IV III and IV

53. 52. A teacher was describing' the chorion of the placenta and gave the following descriptions. Which of the following is out of place? Friable Smooth Tough Translucent

54. 53. The danger signs in this type of placenta is that a lobe may be retained after the placenta Is born. Choose the most appropriate answer. Battledore insertion Bipartite insertion Circumvallate lobe Succenturiate lobe

55. 54. the teacher explain that during labour there is funneling in the cavity which usually hinders the progress. The teacher was referring to which type of Pelvic ? Android Anthropoid Gynaecoid Platypelloid

56. 55. The matured sperm is stored In before ejaculation. epididymis a nd Deferent duct bulbourethral duct and Deferent duct ejaculatory duct and prostate gland prostate gland and seminal vesicles

57. Use the following options to answer questions 56 and 57. What will be the likely diagnosis for each of the two scenarios? Anaemia in pregnancy Malaria in pregnancy Puerperal sepsis Puerperal malaria

58. 56. A 20 year GIP1 complains of weakness, fatigue, pyrexia of 38 °C , headache, haemoglobin of 7g/ dL , pallor, loss of appetite and offensive liquor. 57. A 25 year old gravida G1 PO complains of weaknesses, fatigue, headache, vomiting, haemoglobin of 7g/ dL , loss of appetite and her temperature read 39 °C

59. Use the following matching to answer questions 58 to 60 For each of the following statements in option A select the corresponding history in option B. Options can be used more than once . 58. Still birth and Neonatal death A. Past obstetric 59. Rhesus Isoimmunisation B. Present obstetric 60. Hypertension and malaria C. Medical/surgical D. Menstrual

60. 61. To locate the fetal back the midwife performs ……….. Palpation Fundal Lateral Pelvic Pawlick

61. 62. Select the best option for the interpretation of Engagement in midwifery A. The narrowest presenting transverse diameter passed through the pelvic B. The widest presenting transverse diameter passed through the pelvic brim C. The relationship between diameter of the presenting part of the pelvic brim D. The relationship between where the fetus lies and the presenting part.

62. 63. During the second half of the menstrual period, progesterone Is largely produced by A. corpus luteum B. graafian follicle C . luteinizing hormone D . ovulation

63. 64. The common environmental factors responsible for causing congenital malformations are Drugs intake by the mother during pregnancy X-ray exposure during pregnancy Malaria in pregnancy Maternal addiction with alcohol 1 , II and III I , II and IV II, III and IV I , II, III and IV

64. 65. The under listed conditions are classified as congenital malformations EXCEPT A . Anencephaly B . Fallot's tetralogy C . Gastroschisis D . Sub- galeal Haematoma

65. 66. A condition In which there is an opening on the dorsal surface of the penis is known as Congenital Hydronephrosis Epispadias Hypospadias Teratoma

66. 67. In caring for an infant with cleft lip and cleft palate before surgery which of the following will you consider as the most important Ensuring adequate nutrition Promoting family coping Reducing family anxiety Relieving pain

67. 68. What advice would you give to a Parent whose baby has undergone surgical repair of cleft lip and palate after 24 hours? apply protective ointment around the skin of the suture line feed baby with normal food keep area around the suture line clean with soap and water wash hands with soap and water before attending to the baby

68. 69. What are the complications of cleft lip and palate? Altered dentition Altered speech development Feeding difficulties Otitis media I , III and IV only 1 , 111 and IV only II, III and IV only I , II, III and IV

69. 70. In assessing a child for Vitamin C deficiency disorder, which of the following features would you consider? Dermatitis : areas exposed to sun develops rashes Pale and cracked angles of the mouth Spontaneous bleeding from the skin Vascularization of the cornea of the eye

70. 72. When caring for child with pertussis who Is coughing so much the nurse should observe him for complications Including haemoptysis hunched back inguinal hernia permanent sore throat

71. 73 . The child who is having severe diarrhoea will be losing water and which electrolytes? I. bicarbonate II. chlorides III. potassium IV . sodium I, II and III only I , III and IV only II , III and IV only I, II, III and IV

72. 74. Nurses can prevent childhood injuries by I- educating parents through anticipatory guidance II- modeling safety practices III . supporting rules that advocates for safety measures I and II only B . I and III only C . II and III only D. I, II and III

73. 75. The reason for temper tantrums in toddlers Is because they. are unable to distinguish right from wrong B . do not get enough attention C . have poor parent-child attachments D . have limited language ability

74. 76. The nurse prepares a care plan for patient care to change the nursing actions to improve the patient's response B . determine If the patient has tolerated the care C . eliminate the need for the patient to make decisions D . promote consistency of care from nurses on all shifts

75. 77. The main function of the gastrointestinal system is to supply nutrients to the body cells. This is accomplished through the following EXCEPT Absorption B . Digestion C . Elimination D . Ingestion

76. 78. Gastric ulcer may be managed surgically using the following approaches EXCEPT Antrectomy B . Billroth's operation C . Gastrectomy D . Vagotomy

77. 79. The ideal position to place a patient soon after heamorrhoidectomy Is A. lateral B . prone C . seml -fowlers D- supine 80. Deep vein thrombosis usually originate from the veins In the A- gastro-intestinal tract B . lower extremities C- pulmonary circulation D . upper extremities

78. 81. A Mid-year old man complained of chest pain a nd chest x-ray was done for him. The physician noticed fluid accumulation in the pleural space. This is described as; empyema B . pleural abscess C . pleural effusion D . pulmonary effusion 82. A heterograft is used in burnt wound to improve healing B . prevent Infection C . reduce blood loss D . reduce pain

79. 83. Failure of fracture to consolidate in the expected time is due to A. delayed union B . non union C . malunion D . pseudo union

80. 84. The objective for fracture healing include Improve alignment II . reduce pain III . restore function IV . restore the normal anatomy I and II only B . I, and III only C . II,III and IV only D . I, II, III and IV

81. 85. Rehabilitation is necessary In fracture management to improve alignment B . bone strength C . bone healing D . weight gaining

82. 86. Sinusitis is ………………… Alteration in the normal functioning of the paranasal sinuses any alteration in the normal functioning of the sinuses Inflammation of one or more paranasal sinuses Inflammation of the sinuses

83. 87. The main purpose for preparing patient before surgery may include to alleviate post-operative pain II . maintain nil per os III . prevent post-operation complications IV . promote early recovery 1 and II B . II and III C. II, III and IV D . I, II, III and IV

84. 88. Patient undergoing general surgery is instructed to take nothing by mouth. This is to make the patient relax for the surgery B . prevent aspiration during surgery C . promote early recovery from anaesthesia D . promote easy administration of general anaesthesia

85. 89. TO confirm cervical cancer, the BEST investigation to be ordered is A . Blood test for Human Papiloma Virus B . Papanicolaou test C . Pelvic x-ray D . Ultrasonography

86. 90. All these viral Infections are transmitted through blood EXCEPT Hepatitis A B . Hepatitis B C . Hepatitis C D . Hepatitis D.

87. 91. Diagnostic investigations of Meningitis include the following EXCEPT Computerized Tomography B. Resonance Imaging C. Lumbar puncture D. ultrasonography

88. 92. Which of the following is a disease of the integumentary system I. pemphigus II . Psoriasis III . Warts I and II only I and III only I , II and III II and III only

89. 93. The goal of educating patient diagnosed with Nephrotic Syndrome to sit up In bed before getting out of bed includes EXCEPT exercise the body B . improve circulation C . improve oxygenation D . prevent a fall

90. 94. The dominant electrolytes in the intracellular fluid Is Calcium B . Chloride C . Potassium D . Sodium

91. 95. The BEST method used in preventing, sexually transmitted disease is Abstinence B Use of condom C. Use of foaming tablets D . Use of IUD

92. 96. The method of assessment where the nurses uses sound generated by a body through the application of a physical force is termed Auscultation B . Inspection C . palpation D . Percussion

93. 97. A "moon face appearance, swollen feet hands of a child is typical of Marasmus B . Marasmus - Kwashiorkor C. Kwashiorkor D . Obesity

94. 98. Hypertension usually occurs when there is Persistent rise in the arterial blood pressure of above 140/90mmHg Persistent rise in the venous pressure of above 140/90mmHg C . Severe headache with blood pressure of more than 120/90mmKg D . Sudden rise in blood pressure of l40/90mmHg

95. 99. The main focus of medical asepsis is to destroy all the micro organisms In the hospital setting prevent the spread of organisms from one patient to another prevent the spread of communicable diseases in the community prevent any organisms from coming in contact with the patient

96. 100. When a patient questions the correctness of medication the nurse should Call The doctor on duty to verify the order Check the patients chart to see the doctors signature Inform the patient it is the right drug Recheck the order, the label and the medication sheet Sammy ( 0247693186 ) Wishes You Best Of Luck