HAAD BULLETS

1. Patient who is receiving methotrexate and vincristine

what lab works to check? CBC
2. Jaundice occurs within 24 hours of birth? ABO
incompatibility
3. Symptoms of alchohol withdrawal syndrome?
Diaphoresis, tremors
4. If ICP is 12 mmhg? Normal
5. When does Quickening occurs? 20 weeks
6. Sings of ICP? Tachycardia, Tachypnea, Increase RR
7. If pregnant women with epitasis and bleeding gums on
21 week of pregnancy which hormone is
responsible? Progesterone.
8. How to check MORO REFLEX
9. ROOTING REFLEX?
10. Definitive test for AIDS? CD4 + 1 CELLS > 300
11. What to observe for patients on their first hour post
tonsillectomy? Bleeding, Frequent swallowing.
12. Pulmonary edema symptoms? Crackles, pink frothy
sputum.
13. Parkinsons ---- pill rolling, involuntary jerky
movements, mask like face, drooling.
14. What you will do for wrong documentation? Draw a
straight line and sign.
15. Duodenal ulcer symptoms? Pain 2-3 hours after
eating-relief after eating.
16. In giving mouth care to unconscious patients what
not to do/ Do not put your fingers inside patients
mouth.
17. An unconscious patient came to AU what is the
priority? Assess level of consciousness if head
trauma-do head tilt, chin lift-if suspected traumast

jaw thrust.
18. Patient in seizure child or adult always maintain
safety-padding side -------, removing sharp objects.
19. In DM patients foot care is done-Every day.
20. An elderly patient is prone to UTI due to due to
decreases muscle tone.
21. What is an outcome goal after giving Albumin?
Increases Albumin
22. An asthma-there is narrowing of airway.
23. In COPD-CO2 retention.
24. Thalassemia why give deferoxamine? To relief the
toxic effect of iron loaded.
25. Parkinsons- Dopamine depletion.
26. Parathyroid removal shows signs of-TETANY
27. Why empty urine bags 6-8 hours. To prevent
bacterial contamination.
28. NGT inserted and patient became cyanotic what to
do? Remove the assess
29. While ET tube is inserted you hear a gurgling soundET tube is in the esophagus.
30. You are about to give a medication and the
medication label is not clear? Call the pharmacist
and ask to give a clear label medicine.
31. Patient with angina pectorius came to emergency
room with headache, dizziness, palpitations what to
suspect? Overdose of nitroglycerine tablet.
32. If a junior nurse commits mistake in medicating and
procedure who is responsible? Senior nurse.
33. What drug has a negative inotropic effect? Isoptin
34. What is the defense mechanism usually exhibits by
rape victims? Suppression
35. Patients on Warfarin what lab works need to be
checked? PT/INR.
36. Warfarin not safe for pregnant women-Heparin is
safe
37. Large BP CUFF gives a false low BP reading-Small

BP cuff gives a false high BP reading.

38. Patient is for repeat laparoscopy is anxious and
asking why to repeat the surgery? Call attending
physicians and let him explain the need for repeat
surgery.
39. Patient on diuretics-monitor body weight.
40. Apgar scoring-To study0-3 need resuscitation
4-6 monitoring
7-10 normal
41. Gestational Diabetes observe baby forHypoglycaemia
42. You are collecting 24 hours urine then doctor ordered
for urine analysis what to do? Collect U/A after the
24 hours urine collection.
43. Urine for analysis collected at 10: 00 hrs should be in
lab-not more than 30 minutes, if no personnel in the
lab. Refrigerate the urine.
44. Diet for pregnancy induced hypertension-LOW
SALT
45. Pre-op patient with BP 117/68 MMGH on admission
BP is 125/72MMHG Now 112/60MMHG what is
the next action? Inform anesthetist patient condition
is changing, (answer not sure).
46. Priority care for patient undergoing surgery-Assess
patient stress level.
47. Symptoms of anemia? Diziness, easy fatigability, low
hematocrit, low hemoglobin
48. Morphine 2.5 mg ordered. In hand 1000mcg/ml.
How much to give? 2.5 ml.
49. What part of NCP when mistaken all other steps are
affected?Assessment
50. NCP are ASSESSMENT, DIAGNOSIS,
PLANNING, INTERVENTION & EVALUATION.
51. Nursing Care Plan-Done according to priority and
urgency.

52. Patient is post casting of lower extremity and

complaints of severe pain, Nursing action?
Administer analgesics as ordered.
53. Patient with burn on face, mouth and neck
complaints for diff. breathing? Prepare for
INTUBATION.
54. Patient receiving NH which medication is given with
it? Vit B6 Pyridoxine
55. Correct way to give insulin? Aspirate regular
insulin first check with another nurse then
aspirate Humulin N
56. Beta Blocker causing arrhythmia-Propranolol
57. Post amputation should keep elevated within 24
hours But prevent elevation after 24 hours to
prevent HIP CONTRACTURE.
58. Patient post amputation feels pain on amputated legPHANTOM Pain
59. Abruptio placenta-risk for DIC
60. Placenta previa-Contraindicated vaginal examination.
61. Patient is neutropenic what is to monitor? WBC
(answer not sure)CBC
62. Patient risk for Hospital acquired infection-Patients
with Tracheostomy Tube.
63. How to collect urine for urinalysis and CS? Ask
patient to clean perineum front to back, Void and
collect midstream then discard last void.
64. For Alzheimers disease what is the collaborative
treatment? Enhancement of skills and prevention of
disease progression.
65. Glucagon is given to increase sugar for
hypoglycemic patient.
66. Assessment of DVT shows-Pain on calf on
dorsiflexion of foot.
67. To prevent DVT-Ambulation and leg
exercises/Compression stockings
68. Patient post extubation signs of respiratory failure-

Stridor
69. Nurses prone to what when frequently changing
diapers? HEPA
70. Early deceleration in active labour is due to- Head
compression on pelvis.
71. Early irrigation done to patient abnormal sign when
patient is not exhibiting-NYSTAGMUS
72. After ear medication-Pinna pulled upward and
maintain upward position for 2 minutes.
73. Post-partum patient with uterus relax and shifted to
the right-CHECK BLADDER/Empty bladder.
74. Senior nurse and the doctor talks about the case of
the patient in front of some visitors what you will
do? Let them finish the conversation and converse
to your senior later when you are alone.
75. Patient told nurse not to tell parents and relatives
about her condition what you will do? Document in
nurses notes and endorse to all staff (PATIENT
CONFIDENTIALITY)
76. What is the purpose of incident report? To know
what happened and prevent recurrence.
77. MgSO4 gms is ordered pharmacy prepared 4gms in
250ml how much you will give? 125 ml.
78. Patient with Upper GI bleeding- BLACK TARRY
STOOL
79. Gall bladder obstruction- Clay coloured stool.
80. The purpose of NGT post cholecystectomy patient
To relieve abdominal distention.
81. Signs of pacemaker failure- HICCUPS.
82. Water Seal bottle of patient with chest tube is
oscillating-NORMAL
83. Bubbling of water seal bottle when in intermittent
suction- NORMAL
84. Flapping in the water seal drainage system- Check
for leakage
85. Patient on 25% albumin how to find out the desired

effect-Serum albumin level

86. Patient with cerebral edema.What is the immediate
nursing action? Elevate head of the bed
87. Post craniotomy-Elevated head 30-45 degrees
88. Obsessive compulsive disorder goal-establish defense
mechanism to decrease the symptom.
89. Which is unlikely to reduce K+-Giving NACL
90. How to secure Foleys catheter in the bladder-Inflate
the balloon
91. Thalassemia confirmation test-Hemoglobin
erythropoiesis
92. Patient on Warfarin understand teaching except-My
urine will be dark in colour
93. IV site is swelling, red, no back flow. What is your
nursing action? Stop the IV and remove the catheter.
94. What is respiratory drive? Co2
95. In preventing lipodystrophy-Rotate sites of injection
96. Action of Digoxin cardiac glycoside: Increase the
contractility of the heart.
97. Patient taking fefol- Causes gastrointestinal upset
98. Liquid iron prep-Causes teeth staining
99. Breast feeding contraindicated- HEPA C, AIDS
100. Therapeutic level of Lithium- 0.5-1.2 mg/L
101. Pain-Subjective
102. Depressed patient-Encouraged to join the group
therapy
103. Patient who says I gave up I am just a burdenSuicidal Tendency
104. OS-Left, OD-Right, OU-Both eyes
105. Patient in acute Mnire's disease attack, Nursing
action
106. Common in CPR and ACLS-Maintenance of airway
107. Patient 3 year old grimacing in pain-Scale to useWong Baker face scale
108. Patient says pain score is 8 but your observation its
less than 8. What you will do? Give pain

medication.
109. Purpose of hydrogel dressing-To hydrate necrotic
tissues.
110. VSD-Harsh heart murmur
111. Patient with Alzhiemers disease agitated wants to
go home-Provide diversional activities
112. Patient with leukemia-Limit visitors
113. Which patient will alert for care- Patient with
25ml/hr urine output
114. For passive exercise of hand and wrist-Use soft
squeeze ball
115. S/S of perforated gastric ulcer-tender, rigid abdomen
116. In patient with COPD-Increase air residual volume
& Decreased forced expiratory volume
117. Position of patient pose ORIF tibia-elevated
118. Patient is 3 days post hip replacement complaint of
dyspnea and petechiae- SUSPECT FAT
EMBOLISM
119. Patient with suicide attempt admitted again to
hospital-Ask patient clearly if he has any intention
to commit suicide.
120. Colostomy irrigation-Use luke warm tap water
121. Lumbar puncture position- Semi recumbent position
122. Patient with CVA with difficulty to swallow how to
give nutritional supplements-NGT
123. Patient with chest tube when transferred- Keep the
tube below the chest level
124. For comatose patient, RN and assistant doing
morning care which practice the RN will interfere?
Answering phone with gloved hands.
125. After mastectomy, what positions will you put the
patient? Elevate the arm with pillow above heart
level.
126. A senior nurse prepared a medication and asked the
junior nurse to administer the medicine- Dont give
the medicines which you did not prepare.

127. Patient on diabetic acidosis what insulin to give?

Regular insulin IV
128. Doctor ordered dijoxin 125 mcg/qd how much you
will give?Digoxin 0.125 mg once daily
129. Normal PH 7.35 to 7.45 PCO2 35-45, HCO3 22-28
130. Patient with K-Level of 2.9 ordered to give 40 mcg
of KCL in 100ml DSw over 4 hours, how many
ml/hr you will give? 50ml/hr.
131. Treatment for VF- Defribillation.
132. Purpose for rehabilitation for older patients- To
li8ve independently.
133. Prior to tonsillectomy what lab work to do?
Coagulation profile.
134. Why tetracycline contraindicated for children?
Staining of teeth occurs.
135. For burn patients, how to assess fluid volume
deficit? Urine output less than 30ml/hr- 30-50ml/hr.
136. Burn patient risk for INFECTION after 24 hours of
burn.
137. Daonil is given to patient with type 2 DM why? The
pancreas is able to produce some insulin.
138. While collecting subjective data with patients with
HTN, which one of the data is a modifiable factor?
Hyperlipidemia and sedentary lifestyle.
139. Female patient admitted for chemotherapy what
education you will give? After successful treatment
patient can be active like before.
140. Patient is taking Propranolol what is the adverse
effect? Wheezes present on expiration
141. All suicidal patients room should be free of
SHARP OBJECTS.
142. Patient had a bee bite as a nurse what you will
observe? Anaphylactic shock
143. A patient with MI for 4 days, after that he is saying
that the reason for his disease is just indigestion
what defense mechanism he is using? Denial.

144. Nurse taking care of a patient with J Pratt Drain in

the 1 post op day bag is full of serous fluid what
you will do? Take all accessories, put gloves, empty,
monitor drain and decompress.
145. For pancreatitis patients NGT placed for
decompression but last 4 hours there is no output,
what is the nursing action.Check for any----------- in
NGT.
146. Patients with esophageal varices, why cold saline is
used in irrigating via NGT. Vasoconstriction and
reduce bleeding.
147. Patient for bronchoscopy the next day, but he is
worried about the procedure. What you will do as a
nurse? Reassure the patient and explore the
feelings.
148. Patient with hypertensive crisis, the doctor ordered
HYDRALAZINE 20 mg/IV/Stat for BP more than
210/100mmhg. What is the nursing action?
Immediately give the dose once only.
149. Manic patient what is the nursing diagnosis? Risk
for injury due to hyperactive behavior.
150. Patient with diarrhea, during observation found with
dry mucous membrane, low urine output,
hypotensive what is NSG.Diagnosis? FLUID
VOLUME DEFICIT.
151. Patients with nephritic syndrome how to detect
patient is improving? Daily weighing.
152. For ventricular septal defect.Correct statement. It
may not need surgery.
153. In pre-eclampsia how PH occurs? Renin
Angiotensin
154. You saw patient having difficulty breathing, holding
her neck what is the priority action? Assess-Ask the
patient are you chocking.
155. You are to transfer an obese patient what is your
nursing action? Ask assistance to shift the patient.
st

156. A mother of 3 children asks the nurse about how to

prevent infection from her child having gastroentitis
to another. Advise frequent hand washing.
157. Nurse working in neonatal unit who is changing
diaper frequently is prone to? Hepatitis A.
158. Patient complaints of pruritus, jaundice and clay
coloured stool suspect of? Gall bladder obstruction.
159. Assessment of alcoholic patient who came to ER
due to accident what to ask? When was the last time
he take alcohol.
160. ORIF means-Fixation with screw plate.
161. Patient with pneumonia with thick purulent sputum
do? Postural drainage.
162. Doctor told a nurse to assist him in the procedure
she doesnt know what to do? Observe experienced
nurse how she is doing it.
163. Patient admitted to ER as a nurse you will-Assess
patient for priority/triage.
164. Triage priority- Child and elderly.
165. Patient with bacterial meningitis has- Low glucose
level in CSF.
166. Meningitis-droplet precaution wear surgical mask.
167. PTB-Airborne precaution wear N95 particulate
mask, Keep door always closed.
168. To prevent pressure sore-Remove soiled linen.
169. 5 weeks pregnant women what to advise? Avoid
strenuous activity
170. Thoracentesis-Removal of air/ fluid in pleural
cavity.
171. To avoid hypoxemia with patient on ventilator, how
will you suction? Hyperventillate or give 100%
oxygen before and after suctioning.
172. Care of meningitis patient who is agitated-KEEP on
quiet environment and darkened room.
173. Child who is lying on the crib suddenly have
seizure, First action would be? Keep environment

safe.
174. To give 1 gm of antibiotics 4 x a day. Stock is
500mg/cap. How many cap to give each dose? Give
2 caps/dose.
175. Renal biopsy position-Prone position with sand bag.
176. Post renal biopsy position-Lie of affected
site/supine.
177. Naegele's rule-LMP-minus 3 months + 7 days exLMP 14 February 2010 expected delivery 21 Nov
2010.
178. In collecting urine for analysis with patient on Foley
cath. Aspirate from the port.
179. Morphine sulfate 7 mg/ml ordered. Stock is
10mg/ml vial. What you will do with the remaining
dose? Discard the remaining dose and have it
witnessed by another nurse.
180. Doctors order is illegible as received by the nurse.
What to do? Call the doctor and verify.
181. ATSO4 administered per-op 10- Decrease bronchial
secretions.
182. Action of bronchodilator-Relax the muscles of the
airway/vasodilators
183. Cheyne-Stokes breathing-Fast, irregular periods of
Apnea
184. Patient had burn with blister noted what stage of
burn- 2 stage.
185. Congestive heart failure-monitor daily weight
186. Cause of perforated appendix- Inflammation
surrounding the appendix.
187. How to collect linens in the ward? Keep away from
uniform.
188. How to assess flexion with patient on CAST? Ask
to move his fingers
189. Rheumatic fever caused by? Beta Hemolytic
Streptococcal Infection.
190. Severely dehydrated child on assessment-Crying

without Tears.
191. In ER patient had car accident with bleeding what is
the immediate action? Assess ABC
192. To avoid dumping syndrome-Avoid drinking water
with meals (take water in between meals only
before eating and after entire feeding finished)
Avoid semi fowlers should be in supine.
193. Muslim belief how to bury the dead-Before
SUNSET
194. Diabetic Insipidus- Diluted urine, concentrated
serum
195. Patient is febrile on the 1 post op day-Encourage
deep breathing exercises.
196. 1000ml of IV fluids using microset to run for 12
hours. How many drops/min to give? 83 drops/min.
197. Signs of increased intracranial pressure in child?
Bulging fontanels (not sure answer) Separated
sutures, drowsiness and vomiting.
198. A child in oncology ward develops neutropeniaLimit visitors.
199. A school age child admitted to R/o cardiac problem,
proper room placement? Multibed with school age
group patients (not isolation cause he is only to be
ruled out)
200. Doctor ordered for medicine you think its high dose
what to do? Inform doctor and discuss.
201. Who is responsible for the renewal of Nurses
license- Nurse herself.
202. Early signs of increased ICP? Restlessness,
Increased level of consciousness, Behaviour
changes, headache, lethargy, neurological problem,
seizures vomiting.
203. Diet of a patient with pregnancy induced
hypertension? Low salt with high protein diet
204. S/S of Pulmonary Edema? Pink frothy sputum,
diaphoresis, dyspnea, confusion, tachypnea,
st

tachycardia.
205. Antidote of hyperkalemia- KAYEXELATE
206. Position of defibrillation pad-right clavicular area
and left below nipple area.
207. S/S of increased ICP- Bradycardia, hypertension,
hyperthermia
208. Patient in AFB positive to confirm diagnosis for
PTB do Chest x ray.
209. Position of ICT-Lateral position.
210. Doctor ordered medicine you are not sure about the
dose? Check with the pharmacist
211. What to advise patient post hip surgery? Avoid
sitting with cross legs.
212. Therapeutic effect of Warfarin-Increased PT- 1% to
2 times the baseline PT.
213. Prior to paracentesis-Empty bladder to prevent
injury.
214. Proper breast feeding- Hold baby at nipple level
with face turned to the breast.
215. Child to prevent otitis media- Feed the child on
upright position.
216. Baby with gastroenteritis- Ask mother to wear
gloves when changing diaper.
217. Patient under suicidal precaution-Close monitor.
218. Should be avoided in leukemia-Stool softener
219. If patient is on skin traction- Make sure weight is
hanging freely.
220. Which is best for plasma expander-Albumin
221. Patient is 2 day hemicolectomy what to observe?
Gastric drainage.
222. Obsessive compulsive patient-Provide recreational
activity.
223. In nephritic syndrome mother ask why to weigh
diaper? To check for water retention.
224. ABG in Asthma-Increased PCO?
225. After collecting blood from blood bank, before
nd

starting transfusion what to do? Check vital signs.

226. Child with CHF what is the priority of care-Small
frequent feeding.
227. What are the good markers to check in COPD?
ABG and SPO2
228. Patient came with edema of ankle what is your
nursing action. Elevate the leg.
229. DVT patient developed dypnea, tachycardia-What is
the first intervention- Elevate the bed.
230. Burn patient complaint of constipation- Increased
fluid intake 3L/day
231. 70 year old patient obese with small pressure ulcer
what is the nursing diagnosis? Altered in skin
integrity related to immobility.
232. After removal of patient dressing what to do? Check
for discharge and throw in soiled dressing bin.
233. Patient with infection what is seen in the lab resultsIncreased WBC.
234. Child CPR Ration- 15:2 Adult 30:2
235. Fractured humerus how to assess for neurovascular
involvement? Decreasing sensation
236. Quickening means-First fetal movement
237. Patient for surgery, what to check first? Informed
consent
238. Patient to receive 750000 units available stock is 1
mega million units/ml How much you will give to
the patient? 0.75 ml.
239. Importance of exercise in DM patients? Lower
sugar count.
240. Doctor ordered to give tab Acitane 45 mg and
Aspirin 650mg, available stock is tab Acitane 15mg
and tab Aspirin 325mg. How many tabs each you
will give-Acitane 3 tabs-Aspirin 2 tabs.
241. Doctor ordered to give digoxin 0.25mg, available
stock is 0.50mg/2ml, how many mililitres you will
give? 1ml

242. Doctor ordered to give 18mmol of KCL, available

stock is 40mmol in 20ml. How much you will give?
9ml.
243. Doctor ordered injection Morphine 2.5mg-available
stock is 1000mcg/ml. How many ml you will give?
2.5 ml.
244. Doctor ordered to give .3gm med, available stock is
100mcg. How many tabs you will give? 3 tablets.
245. Nursing diagnosis depends on-Actual potential
problem.
246. Accidental injury to parathyroid-decrease calcium,
CHEVSTEK sign.
247. Rheumatic fever child needs rest in order to? To
decrease workload of the heart.
248. Post op patient complaint of abdominal cramping,
pain-Early ambulation.
249. What causes redness in ileostomy site? Gastric juice
leakage.
250. Diabetic mother delivered. What to observe on her
baby? Tremors and jitters.
251. Apgar score 6 needs attention.
252. Post leg amputation. Elevate legs 1 24 hours; dont
elevate after 24 hours to prevent HIP Contracture.
253. While preparing patient for the surgery-Check stress
level.
254. IVF of 1000ml to run over 10 hours in microdrip,
how many ml/hr to deliver? 100ml/hr.
255. 10 weeks pregnant having morning sickness what is
the nurse advise? Take dry crackers before getting
up in the morning?
256. A doctor bringing a new evidence-based practice
would you implement this in your unit? if it is
validated against better patient outcome.
257. 14 weeks pregnant with Hyperemesis gravidarum.
What is the complication? ELECTROLYTE
IMBALANCE.
st

258. If hospitals do not have guidelines or policy about

certain procedure, what guideline should the nurse
follow? Look up in evidence based material and
discuss it with other staff.
259. COPD patient, smoking 30 Cigarrettes a day-for
PFT what is the result? REDUCE FUNCTIONAL
RESIDUAL VOLUME.
260. Pursed lip breathing encouraged to COPD patients
for what purpose? Excrete CO2.
261. Venture mask given to patient to deliver-PRECISED
O2
262. A depressed patient talks, walks at a slow pace what
is the plan of care? Encourage the patient to
socialize.
263. Post tonsillectomy position-Side lying/Lateral
264. Oncology patient under treatment and vomited.
What should be given? Anti-emeic 1 hour before
treatment.
265. Post Thyroidectomy patient had tetany-Give CA
gluconate 10%
266. How should rectal suppository be given? Insert
above the muscle of Sphincter.
267. A diagnosis of fluid electrolyte imbalance is for
patient? Patient with colostomy
268. Diabetic patient complaint of diet if- Keep diary of
food taken.
269. Colostomy irrigation being done and the patient
complaint of abdominal cramps? SLOW DOWN the
FLOW OF IRRIGATION.
270. 3% solution-60mg/ml stock how much to give? 2 ml
271. Child is 18 kgs. Gentamycin to be given
6mg/kg/body wt how much you will give? .8 mg.
272. Parents ask what is the importance of immunization
to her child? Immunization prevents occurrence of
disease as long as it is taken on scheduled time.
273. A solution of dressing is with unclear label. What

should she do? Return to pharmacy and ask

pharmacist to label it clearly.
274. A post op patient had undergone screw fixation of
fractured tibia. Elevate legs to prevent venous stasis.
275. A manic patient says that a satellite is controlling
him? Delusion Reply should be- I understand your
fear but that is not true.
276. Patient complaint of sleeplessness, plan of care?
Allow to do regular exercise at day time.
277. Most elder patient with substance abuse uses what?
Alchohol and opiates (Answer not true).
278. Patient admitted for heroin abuse, his friends visited
him then after they left he became Euphoric. What
should the nurse do? Look inside the room for
hidden drug.
279. Which of the patient can undergo for a test? Patient
for MRI who has a biological mitral valve
replacement
280. What deficiency can affect absorption of calcium?
Vit D.
281. Fefol better absorbed with Vit C
282. The nurse will be alerted with what urine output?
20ml/hr.
283. A patient is on O2 inhalation with mucous secretion
drying up, what should the nurse do? PUT
HUMIDIFIER.
284. IVF of 50 ml/hr to run for 30 minutes. How many
ml/hr to give?
285. Al elderly patient with pressure ulcer, what is the
priority nursing diagnosis? Altered skin integrity;
risk for infection.
286. Doctor ordered for Penicillin and the patient has an
allergy to it-CALL the doctor to change the
medicine.
287. If there is no available stock of _______________
to be used for dressing what you will do? Call

pharmacist for any substitute.

288. PH 7 48 PCO2-20 PO2-30 respiratory alkalosis
289. Nitroslycerine sublingual to be given every 4 hours
how many times you give? 6 x/day
290. After delivery, patient brought back to the ward,
nurse saw------------- history during delivery what
should the nurse do? Put it inside the patient file for
future reference.
291. Meningitis patient-room should not be near the
nurses station (noisy)
292. Nursing priority for patient on active labour? Assess
for labour interval.
293. 4 gms ofMgSO4 diluted in 50ml of DSW stock is 2
gms/ml. How much ml you will give? 25ml.
294. Nurse found a fire inside the room. What to do?
RACE.
295. Phenylketunuria-Patient with mental retardation.
296. Effectiveness of iron supplement-Dark Tarry Stool
297. Nephrotic Syndrome-Proteinuria, albuminuria
298. Patient post ESWL (Electric shock wave lithotripsy)
Nursing action-Encourage patient to increase fluid
and strain the urine.
299. Patient with hearing impairment-Approach with
simple sentence.
300. Patient with visual impairment-Inform patient
before entering the room and after leaving the room.
301. Patient obese 4 day post op. coughs and vomitsWound dehiscence.
302. Patient on heat stroke after exposure to extreme
heat- Apply ice pack over axilla groin.
303. Patient with femur surgical treatment what to
expect? Pin an Plate
304. Blood investigation for MI-CK CKMB/troponin.
305. Patient with Comminuted fracture undergone
surgery, the next day there is oozing of blood from
the dressing what is your nursing action? Mark the
th

dressing and inform physician (answer not sure).

306. Hepatic encephalopathy patient was ordered to give
enema. For what purpose? Decrease protein and
ammonia.
307. What is the intervention to prevent odor from
colostomy? Dietary restriction.
308. Safety before doing defibrillation? Do not touch the
bed
309. If NGT feeding is running too fast? Abdominal
distention.
310. Patient with diabetic peripheral neuropathy, what
you will instruct? Check the temperature of the
warm water with thermometer before bathing.
311. You are doing research in your area, what you will
consider first? Previous results done by somebody
else.
312. Disease happened to glomerular membrane will
result in What? Proteinuria.
313. Patient received from PACU, immediately after
receiving the patient become and agitated and
restless? What is the nursing action? Check
conscious level and check the last pain medication
received.
314. How will you diagnose type2 DM? Fasting blood
sugar> 120mg/dl.
315. How will you maintain infection control in postpartum patient? Wash hands before and after
changing the sanitary pad.
316. Which pulses are easily accessible? Radial and
Carotid
317. In Chlamydial infection what you will suspect?
Cervicitis
318. Patient come to hospital with infection, at night he
became confused, agitated and disoriented, what
could be the reason?Delirium
319. Colostomy patient encourage what food? Crackers,

toast, yoghurt (low fiber)

320. Pain assessment with a 3 year old child who is
grimacing use? Wong Baker Face Scale
321. Orinase (tolbutamide) what is the contraindication?
MAO Inhibitor.
322. How to secure swab from fungal infection? Use a
DACRON tipped swab
323. Glaucoma-Loss of peripheral vision.
324. Post cataract surgery- Patch eyes during night
325. What nursing process if mistaken, all other process
is affected? Assessment
326. ABG in asthma patient- Respiratory acidosis
327. Action of Salbutamol in asthma patient? Relax
muscles of bronchi
328. Dietary modification of DM patient take into
consideration? Patients preference of food.
329. Where can you best hear the apical pulse-5
intercostal space, mid-clavicular area
330. Pressure ulcer-Reposition patient every 2 hours
331. Bulemia-Controlling behavior
332. What position indicated for patient after surgery for
perforated appendix with localized peritonitis?
Semi-Fowlers positon.
333. Which of the disease needs Airborne precaution?
Measles and varicella
334. Patients with fluid on the chest what sound?
Crackles
335. In breast cancer patient ERP (Estrogen Reactive
Protein) is positive, what does it mean? DNA
Bonding.
336. Drug that will increase blood sugar level? Stool
softener (not sure other choices, betablockers, ACE
inhibitors, Diretics)
337. When a patient is with urinary retention, how you
will assess? Palpation
338. When the patient is unresponsive, in a standard
th

cardio-pulmonary arrest tx.What is the immediate

intervention? Call the Emergency Response Team.
339. To preserve communication ability for
Parkinsonism patient, what is the nurses action?
Teach to do facial exercises such as smiling and
frowning.
340. Purpose of NGT with patient with intestinal
obstruction? To decompress air and fluid from the
stomach.
341. HIV patients precaution to take? Prevent
opportunistic infection.
342. A senior nurse who is mentoring a junior nurse, ask
the junior nurse to insert NGT which she will be
doing first time. Who will be responsible? Senior
nurse.
343. For patient with temporary pacemaker who is going
for surgery, which equipment to accompany in or
ECG monitor.
344. A patient tells she feels dizzy while the nurse is
passing in the hall way what will be your nursing
action? Make the patient sit. Do not leave the
patient.
345. Which food is rich in iron? LETTUCE
346. Patient post abdominal surgery complains of gas
pain, nursing action? Encourage early ambulation.
347. Based on patient history and assessment, what
causes patient to have MICCROCYTIC
HYPOCHROMIC ANEMIA? Decrease the intake.
348. Give 50 ml of 0.9% NACL to run in 30 minutes
with microdrip. The rate set to run in ml/hr is how
much? 100ml/hr.
349. Patient with depression, what is the assessment for
him? Hopelessness and helplessness
350. When you will consider patient with TB on
treatment improved? Sputum AFB Negative
351. Insulin (Mixtard/NPH) taken from the fridge, what

you will do before preparing? Rotate between your

hands.
352. Streptokinsa contraindication? HYPERTENSION
353. Kidney biopsy position? PRONE POST-SUPINE
354. Patient receiving warfarin and INR is 3 what to do?
Give the warfarin
355. Patient on warfarin with PT of 35, nursing action?
Give Vit.K
356. For violent patients-Assign room near nurses
station
357. In diabetes insipidus patient is give Desmopressin/
vasopressin why? To decrease urine output.
358. For hip replacement patient what to provide? High
toilet seat
359. Before pre-medication the patient claimed the
procedure not clear to her, what to do? Hold the
medication and inform the doctor.
360. Nursing action after giving pre-medication? Raise
side rails up.
361. Side effects of corticosteroid?
Hypoglycemia/orthostatic hypotension
362. Ultimate aim of Alzheimers disease is-Maximize
functional ability, improve quality of life, mood and
behavior.
363. Peculiar symptoms of anorexia nervosa-Fear of
weight gain
364. Bulemia-Compulsive eating with self-induced
vomiting
365. After head trauma patient spent long time in
hospital, the nurse should teach moral support to the
family because- the family become dysfunctional
and needs support/they have rok in the tx cycle of
the patient.
366. When extubating the patient how you will know that
she is not fit for extubation? No breath sounds,
Difficulty in breathing, secretions.

367. When giving medication-CHECK NAME BANDIF

IF PHOTO ID in the file is not present.
368. In which case you see increased sodium? Vomiting
and diarrhea
369. In elderly why pupils become small? Due to lipid
deposits (not sure)
370. Psycho-behavioral therapy for pain-advantage?
Pleas study
371. Patient is to take 2 mg/kg/hr medicine, his weight is
70 kgs how may mgs she will take? 140 mgs.
372. When you have high precaution-Use gloves when
touching body fluids.
373. There is a new article about dressing. Nsg.
Intervention-inform the charge nurse and discuss in
the meeting with staff.
374. Narcotics are locked- To avoid misuse
375. A.E.D- The nurse applies the pad in right below
clavicle; left in precordium
376. Premature babies appearance- Thin waisted
appearance.
377. After cholecystectomy nursing diagnosis-Acute pain
378. Time Management means-It is a technique designed
to assist in completing task in a definitive period.
379. Patient on morphine but still complains of pain?
Assess characteristics and type of pain.
380. Cardiac problem in children- Activity intolerance
381. Sickle cell crisis- Contact sports (soccer) should be
avoided.
382. Patient with ileostomy-Chew food well.
383. Doctor ordered 500mg dopamine in 500mlavailable stock is 200mg/5ml, how many ml/hr to
give 40ml/hr.
384. Action of Inderal-anti-dysrhythmia
385. Action of Digoxin/Dopamine-increase myocardial
contractility.
386. Action of Beta-blocker-vasodilation/Decrease BP

387. Diltiazem-CA Channel Blocker

388. 80 year old admitted to ward what is the priority car
for safety? Teach how to use the call bell.
389. Acute pancreatitis-Left upper quadrant pain
390. Patient on Aldactone prone to-hyperkalemia
391. Color and odor of wounds indicates- Phases of
wound healing
392. PPD Test-For TB
393. Insulin given by tuberculine syringe 20 units give?
0.2ml
394. What is IHD (Ischaemic Heart Disease) describes
as-deposits of Lipis containing plaque
395. What is the use of draw sheet with patient on
skeletal traction? Prevent shearing of the
skin/breakdown.
396. After laminectomy-Check lower extremities for
pulse.
397. Cellulitis/edema on leg-Priority elevate the legs.
398. Digoxin was ordered 125mcg qid. Stock is
250mcg/tab. How much you will give? Half tablet 4
x
399. 40000 units heparin in 1 liter. Patient need 1000
nits. How many ml you will give? 25ml
400. NPH given at 8 am what time is the peak of action?
401. Regular insulin peak time? 2-4 hrs
402. Hyperemesis gravidarum-Metabolic alkalosis
403. Fracture of acetabulum which part of the femur is
affected-Head
404. Patient for CT scan-ask for allergy to seafoods.
405. Homans sign-DVT ( Calf Pain on dorsiflexion of
the foot)
406. DM2 affects-Middle aged people
407. Before preparing to administer drug-Check
physicians order.
408. Oxygen is considered dangerous cause-Explosive
409. After renal biopsy what should not be done? Avoid

strenuous activity
410. Patient with cancer terminal stage, he says that I
want to die today, I dont want to live anymore
what is the coping mechanism? Expected coping
mechanism for terminally ill.
411. Patient receiving gentamycin complication?
Ototoxicity/hearing problem.
412. After giving IM injection- If bleeding occurs, Apply
gentle pressure for some time.
413. A nurse was seen taking medicine from the cabinet
what is your nursing action? Talk to the nurse tell
her to return the medicine or you will inform
supervisor.
414. Emphysema- Destruction of Alveolar walls.
415. Bedridden patient long term to determine beginning
bedsore check for-Redness in the skin.
416. Nursing diagnosis should be Clear and precise
417. Needle stick injury-Inform supervisor.
418. Needle stick injury what you will do first? Wash
with soap and water
419. Cholecystitis-Right upper quadrant pain