Ama Norya, a 42 year old mother of three has been transferred to your ward from recovery ward after myomectomy. As the recipient nurse, your first nursing action will be...........

What would be you immediate intervention when a patient’s tracheostomy tube dislodges?

Which of the following refers to a metabolic bone disorder characterized by inadequate mineralization of the bone matrix?

A 60 year-old woman has reported to the hospital with complaint of urinary incontinence. Which of the following is true?

Following sub-total gastrectomy for cancer of the stomach, the patient develops dumping syndrome. The nurse explain this to the junior nurse as

Director in a law firm reported to the hospital with complaints of bleeding haemorrhoids. He is shy and withdrawn. What will be the primary role of the nurse before assessment?

Mrs. Emelia Adeyoba reported to the OPD with complaints of abdominal pain that feels worse after eating, fever, nausea and vomiting. Cullen’s sign was elicited on examination. Which of the following conditions will you suspect?

To monitor adequate fluid in Mr. Otoo Ayivor who has undergone a thoracic surgery, the nurse would...........

Mr. Appiah Kangaba, a 20 year old university student was involved in Inter-university football competition. Accidentally, he fell on his outstretched arm and hand. Physical examination by the Sports Medical Team revealed pain, pronounced swelling and silver-fork deformity at the wrist. As a staff nurse with the Sports Medical Team, which of the following types of fracture is Mr. Appiah likely to suffer from?

Osteomyelitis is the inflammation of the bones, especially in the arms and foot. This condition in most cases is caused by......................

A 48-yrear old patient undergoes open repair of a femur fracture sustained in a motor vehicle collision. Three days post-op, she develops a low grade fever, tachypnea, pleuritic chest pain and a cough. CT scan reveals a pulmonary embolism. Which of the following findings is most likely to be associated with this condition?

Mrs. Amina Oteng, a 55 year old woman diagnosed as having Mitral Stenosis is on admission on your ward, she is to have mitral valve replacement performed for her. A possible cause of Mrs. Oteng’s condition would be...............

Which of the following instruments should the nurse add when setting a trolley for the Doctor to conduct vaginal examination?

Which of the following is the most common cause of acute scrotal pain in adults in the outpatient setting?

Which of the following clinical signs is associated with grating from friction of bones and cartilage or entrance of air into an open fracture?

A 63-year old man with history of tobacco use, diabetes, and hypertension presents with severe symptoms of claudication. His left lower extremity is cool to touch and his left big toe shows shiny skin, absent hair and no palpable dorsal pedis or posterior tibialis pulses. The arterial brachial index confirms peripheral arterial disease. What is the next step in the management of this patient?

The rational for wearing face masks by the surgical team is to.....

A 52 year-old man spilled hot coffee on a small portion of his thigh. The burn blisters is painful. The burn blanches on examination. Which of the following is the best treatment for the burn?

An optimal teaching plan for an out-patient with stomach cancer receiving radiation therapy should include information about..........

Which suture will be used to close the subcutaneous tissue after a laparotomy?

Which of the following methods of prostatectomy is NOT an open surgical removal of the prostrate?

Before a patient signs a consent form for an Abdominopelvic resection, the nurse should explain to him that the surgery will probably result in a

Madam Atswei Mansa, a 42 year old is recovering from anaesthesia after myomectomy. On admission, her initial BP was 120/80mmHg, 30 minutes later, her BP recorded was 112/60mmHg with pulse rate of 70bpm. Her skin was dry and warm to touch. What would be the MOST appropriate nursing action to take as the Nurse in Charge?

A 19 year old female who bites her nails presents with pain that she relates to a hangnail. On examination, there is painful, fluctuant area with erythema at the proximal nail bed. She has full painless range of motion of the joints of her finger. Sensation is intact. What is the patient’s diagnosis?

To promote healing and prevent formation of necrotic tissue formation of venous ulcers, which of the following procedures may be performed with this condition?

A 5 year old boy was brought to the hospital with tympanic membrane perforation. He has been booked for surgery. Which of the following surgical procedure will the Doctor perform for the patient?

Mr. Frank Akowuah, a 70 year old farmer is on admission with ulcerative colitis. A serious complication of his condition could be

A man sustained cut while gardening. Why would he be given anti-tetanus immunization?

To prevent bleeding after prostatectomy, the patient should be advised to stop straining on defaecation. The nurse should therefore advise him to increase his intake of

Which of the under listed symptoms of fluid and electrolyte imbalance caused by colitis of which the nurse should report immediately?

Ms. Kakraba Forson has intermittent bleeding per vagina. She reported to the hospital and was diagnosed of myoma. She has been booked for hysterectomy and has asked you to explain the procedure to her. Your response will be the removal of the..............

A patient with metastatic colorectal cancer is scheduled for both chemotherapy and radiation therapy. Patient teaching regarding these therapies would include an explanation that....................

Ms. Brikisi is a 32 year old chain smoker. She has a hoarse voice during phonation and has inspiratory stridor. She is diagnosed with metastatic lesion in the larynx. She is to undergo surgery to aid phonation and respiration as well as administer chemotherapy. One of the under listed is the surgery to be done.

Which of the following is pulmonary diseases is characterized by loss of elastic recoil, chronic hyperinflation of the lungs, and increased AP chest diameter?

A patient presents with wrist drop. The Charge Nurse would be concerned about compression of which of the following nerve?

Baby Kwabena is a new born. He is to undergo circumcision one week post-delivery. Neonatal circumcision is an important protective measure against carcinoma of the............

Kojo Abusu is an 18 year old boy who reported to the OPD with multiple boils in the axilla and perineal areas. He is diagnosed with furunculosis and is being managed on Flucloxacillin. How will you educate the patient on dosage of Flucloxacillin?

The Nurse’s priority when caring for a patient with second degree burns is to

Which h of the following is not a precipitating cause of haemorhoids?

The Charge Nurse at the intensive care unit provides an incentive spirometer to her post-operative tray in order to do which of the following?

Mr. Kofi Kakabuka developed venous ulcer due to chronic venous insufficiency. To determine the appropriate dressings to be applied, the Nurse will consider all the following EXCEPT

The source of succus entericus is in the

You have been informed by the Emergency Unit to prepare and receive a patient with the diagnosis of intrinsic renal failure. What is the most common cause of intrinsic renal failure?

Madam Esi Nyarkoa has just been brought to the ward after successfully undergoing mastectomy of the left breast. Nurse encourages her to begin deep breathing and leg exercises. The aim of for these exercises is to prevent.....................

A 5- year old girl presents with a recurrent UTI. Physical examination indicates possible sexual abuse. The child’s mother is a single parent and lives with her boyfriend. She claimed she is “certain” that the boyfriend has not sexually abused the child. She requests confidentially and states she will not leave the child alone with the boyfriend. Which of the MOST appropriate next step?

Baba Yakubu, a 52 year old teacher has undergone haemorhoidectomy. His post-operative care should include

Which of the following is NOT an indication for colostomy

A final year student Nurse asked to explain lordosis to him. Your response will be “an excessive inward curvature of the.................... spine

Mrs. Anabert Koomson has been scheduled for craniotomy. This type of operation is performed to I. Evacuate a blood clot II. Relieve intracranial pressure III. Remove a tumour IV.Stop haemorrhage in the brain

Nurse Kodjo is carrying out routine wound dressing on the surgical ward. He must know that:

The tonsils are composed of lymphoid tissues situated bilaterally in the

You have been tasked by the Charge Nurse to perform catheter hygiene for a bed ridden patient. The correct method in carrying out this procedure is to:

The greatest percentage of an adult’s total body water is contained in which fluid compartment?

Which of the following drug classes is the first line of treatment for patients with erectile dysfunction?

Mr. Kwesi Adom has been diagnosed with chronic prostatitis. What is the preferred antibiotic agent/class for Mr. Adom’s condition?

Which of the following is a feature of pre-eclampsia?

Which of the following is the MOST common symptom of Achalasia that patients complain of?

Daniel Akpaso, a 5 year old boy on admission at the pediatric ward with a history of sore throat, difficulty in swallowing when eating, fever and chills. He was diagnosed with tonsillitis and has been booked for tonsillectomy. To rule out any systemic or related condition, in Daniel, which of the following actions will the nurse take?

Before cholecystectomy, the surgeon orders Vitamin K. This is administered because it is used in the formation of

Which of the under listed will indicate a third degree burns?

Mustaph Ogoe, a 30 year old farmer underwent open reduction and internal fixation (ORIF) for a hip fracture. On ward rounds, patient appeared stable and had normal vital signs. Few hours later, his brother frantically calls you to his room and says Ogoe is suddenly acting confused and has difficulty in breathing. Which of the following complications may explain the clinical manifestations of the patient? I. Deep vein thrombosis II. Pulmonary embolism III. Compartment syndrome IV. Cerebral hypoxia

A 75 year old man with a history of type 1 von Willebrand disease (vWD) and an Hgb of 14.3g/dl is scheduled for total hip replacement surgery. Which of the following is the most appropriate treatment to decrease risk of severe bleeding during his procedure?

Mr. Wilfred Sam has undergone tracheostomy. Which of the following would be the Nurse’s main goal for placing sterile moist gauze under the tracheostomy tube?

You have been assigned by the charge nurse to examine a patient who has sustained burns from gas explosion. He has burns on his right arm, chest and abdomen. He has superficial burns on the right side of his neck and face. Using the rule of 9, calculate the estimated body surface of burnt area.