NEW
Font size
WorksheetsNSS class test revision
Total questions: 55
Worksheet time: 18mins
A patient has body temperature of 38.9Deg Celsius. She is having
anaemia
hyperpyrexia
hypoxia
pyrexia
Patient who has blood pressure >140/90mmHg, is considered to be
hyperkalemia
hypokalemia
hypertensive
hypotensive
Nurse Jane check Mr Tan’s respiration every 2 hourly to
count his respiration for 1 minute
monitor his response to treatment
assess his rate, rhythm and volume
look at his rise and fall of his abdomen
Pulse that is felt at the groin area is known as the
apical pulse
radial pulse
femoral pulse
popliteal pulse
A loss in blood volume may lead to
increased in blood pressure
decreased in blood pressure
increased in body temperature
decreased in body temperature
A patient who is emotionally upset will have
increased in pulse rate
decreased in pulse rate
increased in body temperature
decreased body in temperature
Pulse rate below 60 beats per minute for an adult is known as
bradypnoea
bradycardia
tachypnoea
tachycardia
A patient with no respiration is known to have
apnoea
dysrhythmia
hypotension
hypertension
The term “cyanosis” mean
difficulty in breathing
lack of oxygen in the blood
bluish discoloration on the nail bed
lack of oxygen supply to the tissue
Mr Ahmad c/o dyspnoea. The IMMEDIATE nursing action is to
give him 5L oxygen.
check his pulse rate.
ask him to breathe slowly.
prop him up to fowler’s position.
Kathy just came back from physiotherapy. Nurse Lim took her B/P and the reading was 140/100 mmHg. Nurse Lim should
inform the doctor about the abnormalities.
document in the chart and inform the staff nurse.
assist to give her the anti-hypertensive medication.
advise her to rest and retake her B/P 30 minutes later.
Which one of the following is NOT an abnormal respiration?
cyanosis.
orthopnea.
stridor.
wheezing.
The following are factors that may affect blood pressure measurement EXCEPT
age.
pain.
shock.
food intake.
The common location for pulse taking is
branchial
femoral
radial
temporal
Respiration of 12 breaths per minute is known as..
Bradycardia.
Bradypnoea.
Tachycardia.
Tachypnoea.
To ensure accuracy in Mr. Tan's blood pressure taking, Nurse Dora should
ensure cuff is wrapped appropriately.
ensure cuff is wrapped over clothing.
release cuff pressure at a rate of 5-10mmHg.
deflate the cuff only after hearing the first loud sound.
A gauze which is heavily soaked with blood is discarded into the
cytotoxic bag.
MRSA bag.
biohazard bag.
general waste bag.
Which type of precautions requires N95mask, gown and gloves before entering the isolation room?
Airborne precaution e.g. Tuberculosis
Contact precaution e.g. MRSA
Vector precaution e.g Dengue fever
Droplet precaution e.g. H1N1
Patient with neutropenia (low WBC) may be nursed in an isolation room. What type of isolation will he/she be put on?
barrier isolation.
source isolation.
contact isolation.
protective isolation.
Asepsis refers to
Treatment of infection.
Reduced microorganism.
Cause of infection.
Absence of microorganism.
Syringe with needle is discarded directly into the
red box.
biohazard waste bin.
radioactive waste bin.
punctured resistant container
Julie should don on Personal Protective Equipment when she is handling care for a patient with
Hypertension.
Tuberculosis.
Pressure ulcers.
Difficulty in swallowing.
The term “disinfection” is a process that
stop micro-organisms from causing disease.
reduce micro-organisms and prevent cross infection.
destroy pathogenic microorganisms including bacterial spores.
destroy pathogenic microorganisms excluding bacterial spores.
All are common types of disinfectants EXCEPT
iodine.
hibiscrub.
distilled water.
alcohol 70%.
The recommended disinfectant for blood spillage is
iodine.
1% sodium hypochlorite solution.
normal saline.
chlorhexidine.
One of the ways to prevent nosocomial infection is to
Disinfect all equipment.
Practice good hand hygiene.
Use disposable equipment.
Proper disposal of biohazard materials into general waste.
A sterile item could be contaminated when
there is prolonged exposure to air.
expiry date of the set is checked.
open the first flap away from you.
the item is held above the nurse’s waist.
Used Chemotherapy drugs are discarded into the
Biohazard waste bag.
Cytotoxic waste bag.
General waste bag.
Radioactive waste bag.
Nurse Joyce has to ensure accuracy when charting I/O. The purpose is to
comply to legal documentation.
communicate to patient on the charting.
educate patient if he refused to comply.
determine the efficiency of current treatment.
A pureed diet is served to patient with
indigestion.
mouth ulcers.
abdominal distension.
swallowing difficulties.
Mr. Lee is admitted to the hospital. He had forgotten his denture at home. The nurse should
supervise him to have his diet.
order for him soft diet instead.
keep him Nil-By-Mouth till he have his drip.
start him on a intravenous drip.
Low suction pressure is applied when performing mechanical gastric aspiration. This is to
reduce chances of aspiration.
prevent trauma to the stomach lining.
ensure effective stomach decompression.
ensure patency during mechanical aspiration.
Nurse John is about to remove Mr. Wee's nasogastric tube, the reason for removal is to
irrigate patient's stomach.
discontinue gastric decompression.
prevent or relieve abdominal distention.
obtain specimen for analysis.
The purpose of placing patient in semi-fowler position after NG feeding is to prevent
gastric reflux.
abdominal distension.
displacement of the tube.
air entry into the stomach.
One of the purpose of intake & output recording is to
assess patient’s BMI.
follow the doctor’s order.
monitor the patient’s fluid balance.
monitor patient’s eating preferences.
During NG tube insertion, the nurse should observe for complication such as
excessive aspiration.
difficulty in swallowing.
discomfort and tearing.
excessive coughing and cyanosis.
A therapeutic diet is to rectify a _________or to provide modifications in the texture or consistency in food
balanced diet.
dietary pattern.
eating disorder.
nutritional deficiency.
Before NGT insertion, the nurse will measure the NGT from the tip of the nose to the
trachea and then to the earlobe.
earlobe, and then to the trachea.
xiphoid process and then to the earlobe.
earlobe, and then to the xiphoid process.
One safety aspect to observe during NG feeding is
observe for signs of coughing.
check the NG tube is intact after feeding.
don on gloves when performing aspiration.
perform 7 steps handwashing before feeding.
Everyone should have a healthy balanced diet which consist of
food additives.
total parental nutrition.
fat, protein, vegetables and supplement.
carbohydrates, fat, protein and fibres.
When feeding a paralysed patient, the nurse should
fill the mouth with food.
feed on the affected side of the mouth.
feed on the unaffected side of the mouth.
stand at the affected side.
Mr Lim was put on NG feeding in view of his difficulty in swallowing. He has no other special nutritional requirement, in view of that, the most appropriate milk feed he should has is
Ensure.
Isocal.
Jevity.
Suplena.
A jejunostomy tube is inserted for patients with feeding difficulties to meet long-term nutrition. It is inserted into
bladder.
stomach.
small intestine.
large intestine.
When offering a bedpan, the nurse should ensure the patient’s safety by
assisting the patient to sitting position.
lowering the bed to the lowest height.
assisting patient to clean his perineum.
assisting the patient to supine position.
Mr Ahmad had just moved his bowels. In order to document his intake & output chart, you would monitor to assess
color, odour, consistency & amount.
color, odour, clarity & amount.
when was his last bowel movement.
what he had eaten for the past 3 days.
To ensure there is no backflow of urine, the nurse should check
tubing is not obstructed or kink.
tip of the urinary bag do not touch the floor.
urinary bag is drained every hourly.
urinary bag is placed at a level above patient’s bladder.
A male patient on 2L oxygen wants to micturate. The nurse should offer him a
bedpan.
commode.
urinal.
urosheath.
To avoid constriction and gangrene when applying urosheath, the nurse should
perform penile toilet.
ry the penis after cleaning.
apply e uro-liner around e penis in a spiral fashion.
allow 2.5-5 cm of space between e tip of e penis & e end of e uro-sheath.
When patient had a fall, the IMMEDIATE nursing intervention should be
call the family members.
write an incident report.
assess patient's level of consciousness.
re-educate patient on safety precaution.
Commode is used for
unconscious patient.
incontinent elderly patient.
patient who has leg traction.
elderly who is at risk for fall.
The nurse swab the outlet port of the urinary drainage bag in a systematic manner to
ensure there is no backflow of urine.
prevent contaminating her own hands.
release the outlet port without difficulty.
reduce risk of introducing microorganism.
One of the purpose of applying restrainer is
for patient who is on high fall risk.
to protect patient from harming himself.
to allow the nurse to focus on his/her procedure.
for patient who is too demanding and keep pressing the call bell.
The nurse place 2 fingers between the hand and the wrist device to
assess for any pain.
check for pulse.
check the skin is not moist.
make sure the device does not impede circulation.
Mdm Ong is confused and Nurse Judy applied a mitten restraint for her. This is to
keep her hands warm.
keep her in bed.
prevent her from scratching herself.
prevent her from climbing out of bed.
Tom has confusion and has high risk for fall. He should be
restrained with limb restraints.
taught how to use the call bell.
placed near the nurse’s station.
given an identification coloured sticker on his locker.
