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NSS class test revision

Total questions: 55

Worksheet time: 18mins

Name
Class
Date
1.

A patient has body temperature of 38.9Deg Celsius. She is having

a)

anaemia

b)

hyperpyrexia

c)

hypoxia

d)

pyrexia

2.

Patient who has blood pressure >140/90mmHg, is considered to be

a)

hyperkalemia

b)

hypokalemia

c)

hypertensive

d)

hypotensive

3.

Nurse Jane check Mr Tan’s respiration every 2 hourly to

a)

count his respiration for 1 minute

b)

monitor his response to treatment

c)

assess his rate, rhythm and volume

d)

look at his rise and fall of his abdomen

4.

Pulse that is felt at the groin area is known as the

a)

apical pulse

b)

radial pulse

c)

femoral pulse

d)

popliteal pulse

5.

A loss in blood volume may lead to

a)

increased in blood pressure

b)

decreased in blood pressure

c)

increased in body temperature

d)

decreased in body temperature

6.

A patient who is emotionally upset will have

a)

increased in pulse rate

b)

decreased in pulse rate

c)

increased in body temperature

d)

decreased body in temperature

7.

Pulse rate below 60 beats per minute for an adult is known as

a)

bradypnoea

b)

bradycardia

c)

tachypnoea

d)

tachycardia

8.

A patient with no respiration is known to have

a)

apnoea

b)

dysrhythmia

c)

hypotension

d)

hypertension

9.

The term “cyanosis” mean

a)

difficulty in breathing

b)

lack of oxygen in the blood

c)

bluish discoloration on the nail bed

d)

lack of oxygen supply to the tissue

10.

Mr Ahmad c/o dyspnoea. The IMMEDIATE nursing action is to

a)

give him 5L oxygen.

b)

check his pulse rate.

c)

ask him to breathe slowly.

d)

prop him up to fowler’s position.

11.

Kathy just came back from physiotherapy. Nurse Lim took her B/P and the reading was 140/100 mmHg. Nurse Lim should

a)

inform the doctor about the abnormalities.

b)

document in the chart and inform the staff nurse.

c)

assist to give her the anti-hypertensive medication.

d)

advise her to rest and retake her B/P 30 minutes later.

12.

Which one of the following is NOT an abnormal respiration?

a)

cyanosis.

b)

orthopnea.

c)

stridor.

d)

wheezing.

13.

The following are factors that may affect blood pressure measurement EXCEPT

a)

age.

b)

pain.

c)

shock.

d)

food intake.

14.

The common location for pulse taking is

a)

branchial

b)

femoral

c)

radial

d)

temporal

15.

Respiration of 12 breaths per minute is known as..

a)

Bradycardia.

b)

Bradypnoea.

c)

Tachycardia.

d)

Tachypnoea.

16.

To ensure accuracy in Mr. Tan's blood pressure taking, Nurse Dora should

a)

ensure cuff is wrapped appropriately.

b)

ensure cuff is wrapped over clothing.

c)

release cuff pressure at a rate of 5-10mmHg.

d)

deflate the cuff only after hearing the first loud sound.

17.

A gauze which is heavily soaked with blood is discarded into the

a)

cytotoxic bag.

b)

MRSA bag.

c)

biohazard bag.

d)

general waste bag.

18.

Which type of precautions requires N95mask, gown and gloves before entering the isolation room?

a)

Airborne precaution e.g. Tuberculosis

b)

Contact precaution e.g. MRSA

c)

Vector precaution e.g Dengue fever

d)

Droplet precaution e.g. H1N1

19.

Patient with neutropenia (low WBC) may be nursed in an isolation room. What type of isolation will he/she be put on?

a)

barrier isolation.

b)

source isolation.

c)

contact isolation.

d)

protective isolation.

20.

Asepsis refers to

a)

Treatment of infection.

b)

Reduced microorganism.

c)

Cause of infection.

d)

Absence of microorganism.

21.

Syringe with needle is discarded directly into the

a)

red box.

b)

biohazard waste bin.

c)

radioactive waste bin.

d)

punctured resistant container

22.

Julie should don on Personal Protective Equipment when she is handling care for a patient with

a)

Hypertension.

b)

Tuberculosis.

c)

Pressure ulcers.

d)

Difficulty in swallowing.

23.

The term “disinfection” is a process that

a)

stop micro-organisms from causing disease.

b)

reduce micro-organisms and prevent cross infection.

c)

destroy pathogenic microorganisms including bacterial spores.

d)

destroy pathogenic microorganisms excluding bacterial spores.

24.

All are common types of disinfectants EXCEPT

a)

iodine.

b)

hibiscrub.

c)

distilled water.

d)

alcohol 70%.

25.

The recommended disinfectant for blood spillage is

a)

iodine.

b)

1% sodium hypochlorite solution.

c)

normal saline.

d)

chlorhexidine.

26.

One of the ways to prevent nosocomial infection is to

a)

Disinfect all equipment.

b)

Practice good hand hygiene.

c)

Use disposable equipment.

d)

Proper disposal of biohazard materials into general waste.

27.

A sterile item could be contaminated when

a)

there is prolonged exposure to air.

b)

expiry date of the set is checked.

c)

open the first flap away from you.

d)

the item is held above the nurse’s waist.

28.

Used Chemotherapy drugs are discarded into the

a)

Biohazard waste bag.

b)

Cytotoxic waste bag.

c)

General waste bag.

d)

Radioactive waste bag.

29.

Nurse Joyce has to ensure accuracy when charting I/O. The purpose is to

a)

comply to legal documentation.

b)

communicate to patient on the charting.

c)

educate patient if he refused to comply.

d)

determine the efficiency of current treatment.

30.

A pureed diet is served to patient with

a)

indigestion.

b)

mouth ulcers.

c)

abdominal distension.

d)

swallowing difficulties.

31.

Mr. Lee is admitted to the hospital. He had forgotten his denture at home. The nurse should

a)

supervise him to have his diet.

b)

order for him soft diet instead.

c)

keep him Nil-By-Mouth till he have his drip.

d)

start him on a intravenous drip.

32.

Low suction pressure is applied when performing mechanical gastric aspiration. This is to

a)

reduce chances of aspiration.

b)

prevent trauma to the stomach lining.

c)

ensure effective stomach decompression.

d)

ensure patency during mechanical aspiration.

33.

Nurse John is about to remove Mr. Wee's nasogastric tube, the reason for removal is to

a)

irrigate patient's stomach.

b)

discontinue gastric decompression.

c)

prevent or relieve abdominal distention.

d)

obtain specimen for analysis.

34.

The purpose of placing patient in semi-fowler position after NG feeding is to prevent

a)

gastric reflux.

b)

abdominal distension.

c)

displacement of the tube.

d)

air entry into the stomach.

35.

One of the purpose of intake & output recording is to

a)

assess patient’s BMI.

b)

follow the doctor’s order.

c)

monitor the patient’s fluid balance.

d)

monitor patient’s eating preferences.

36.

During NG tube insertion, the nurse should observe for complication such as

a)

excessive aspiration.

b)

difficulty in swallowing.

c)

discomfort and tearing.

d)

excessive coughing and cyanosis.

37.

A therapeutic diet is to rectify a _________or to provide modifications in the texture or consistency in food

a)

balanced diet.

b)

dietary pattern.

c)

eating disorder.

d)

nutritional deficiency.

38.

Before NGT insertion, the nurse will measure the NGT from the tip of the nose to the

a)

trachea and then to the earlobe.

b)

earlobe, and then to the trachea.

c)

xiphoid process and then to the earlobe.

d)

earlobe, and then to the xiphoid process.

39.

One safety aspect to observe during NG feeding is

a)

observe for signs of coughing.

b)

check the NG tube is intact after feeding.

c)

don on gloves when performing aspiration.

d)

perform 7 steps handwashing before feeding.

40.

Everyone should have a healthy balanced diet which consist of

a)

food additives.

b)

total parental nutrition.

c)

fat, protein, vegetables and supplement.

d)

carbohydrates, fat, protein and fibres.

41.

When feeding a paralysed patient, the nurse should

a)

fill the mouth with food.

b)

feed on the affected side of the mouth.

c)

feed on the unaffected side of the mouth.

d)

stand at the affected side.

42.

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

a)

Ensure.

b)

Isocal.

c)

Jevity.

d)

Suplena.

43.

A jejunostomy tube is inserted for patients with feeding difficulties to meet long-term nutrition. It is inserted into

a)

bladder.

b)

stomach.

c)

small intestine.

d)

large intestine.

44.

When offering a bedpan, the nurse should ensure the patient’s safety by

a)

assisting the patient to sitting position.

b)

lowering the bed to the lowest height.

c)

assisting patient to clean his perineum.

d)

assisting the patient to supine position.

45.

Mr Ahmad had just moved his bowels. In order to document his intake & output chart, you would monitor to assess

a)

color, odour, consistency & amount.

b)

color, odour, clarity & amount.

c)

when was his last bowel movement.

d)

what he had eaten for the past 3 days.

46.

To ensure there is no backflow of urine, the nurse should check

a)

tubing is not obstructed or kink.

b)

tip of the urinary bag do not touch the floor.

c)

urinary bag is drained every hourly.

d)

urinary bag is placed at a level above patient’s bladder.

47.

A male patient on 2L oxygen wants to micturate. The nurse should offer him a

a)

bedpan.

b)

commode.

c)

urinal.

d)

urosheath.

48.

To avoid constriction and gangrene when applying urosheath, the nurse should

a)

perform penile toilet.

b)

ry the penis after cleaning.

c)

apply e uro-liner around e penis in a spiral fashion.

d)

allow 2.5-5 cm of space between e tip of e penis & e end of e uro-sheath.

49.

When patient had a fall, the IMMEDIATE nursing intervention should be

a)

call the family members.

b)

write an incident report.

c)

assess patient's level of consciousness.

d)

re-educate patient on safety precaution.

50.

Commode is used for

a)

unconscious patient.

b)

incontinent elderly patient.

c)

patient who has leg traction.

d)

elderly who is at risk for fall.

51.

The nurse swab the outlet port of the urinary drainage bag in a systematic manner to

a)

ensure there is no backflow of urine.

b)

prevent contaminating her own hands.

c)

release the outlet port without difficulty.

d)

reduce risk of introducing microorganism.

52.

One of the purpose of applying restrainer is

a)

for patient who is on high fall risk.

b)

to protect patient from harming himself.

c)

to allow the nurse to focus on his/her procedure.

d)

for patient who is too demanding and keep pressing the call bell.

53.

The nurse place 2 fingers between the hand and the wrist device to

a)

assess for any pain.

b)

check for pulse.

c)

check the skin is not moist.

d)

make sure the device does not impede circulation.

54.

Mdm Ong is confused and Nurse Judy applied a mitten restraint for her. This is to

a)

keep her hands warm.

b)

keep her in bed.

c)

prevent her from scratching herself.

d)

prevent her from climbing out of bed.

55.

Tom has confusion and has high risk for fall. He should be

a)

restrained with limb restraints.

b)

taught how to use the call bell.

c)

placed near the nurse’s station.

d)

given an identification coloured sticker on his locker.