ADULT HEALTH NURSING -I&II
Section 1: Respiratory System (Q1-15)
Q1. The most common causative organism for community-
acquired pneumonia is:
a) Staphylococcus aureus
b) Klebsiella pneumoniae
c) Streptococcus pneumoniae
d) Haemophilus influenzae
Answer: c) Streptococcus pneumoniae
Q2. A patient with COPD is prescribed low-flow oxygen
(2L/min). The rationale is:
a) To prevent oxygen toxicity
b) To maintain the hypoxic drive
c) To reduce carbon dioxide retention
d) To prevent drying of mucous membranes
Answer: b) To maintain the hypoxic drive
Q3. In Tuberculosis, the most important diagnostic test for
confirmation is:
a) Chest X-ray
b) Mantoux test
c) Sputum for AFB (ZN stain) & culture
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,d) ESR
Answer: c) Sputum for AFB (ZN stain) & culture
Q4. The earliest sign of hypoxemia is:
a) Cyanosis
b) Tachypnea
c) Restlessness
d) Bradycardia
Answer: c) Restlessness
Q5. In a patient with status asthmaticus, which medication is
given first?
a) Oral prednisolone
b) Inhaled corticosteroid
c) Nebulized short-acting beta-2 agonist (salbutamol)
d) IV antibiotics
Answer: c) Nebulized short-acting beta-2 agonist (salbutamol)
Q6. Postural drainage is most effective when performed:
a) Immediately after meals
b) Before breakfast and at bedtime
c) Mid-afternoon only
d) Only when the patient has fever
Answer: b) Before breakfast and at bedtime
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,Q7. A patient with a chest tube has continuous bubbling in the
water seal chamber. This indicates:
a) Normal functioning
b) Air leak
c) Tension pneumothorax
d) The tube is clamped
Answer: b) Air leak
Q8. The classic triad of lung cancer (central tumor) includes all
except:
a) Cough
b) Hemoptysis
c) Chest pain
d) Weight gain
Answer: d) Weight gain
Q9. In ARDS, the pathophysiological hallmark is:
a) Increased lung compliance
b) Non-cardiogenic pulmonary edema
c) Cardiogenic pulmonary edema
d) Collapsed alveoli only
Answer: b) Non-cardiogenic pulmonary edema
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, Q10. Which position is best for a patient with severe dyspnea?
a) Supine
b) Trendelenburg
c) High Fowler's with arms supported
d) Left lateral
Answer: c) High Fowler's with arms supported
Q11. The Mantoux test is read after:
a) 24 hours
b) 48-72 hours
c) 1 week
d) 2 weeks
Answer: b) 48-72 hours
Q12. In a patient with massive hemoptysis, the priority nursing
action is:
a) Administer oxygen
b) Maintain airway and position patient in lateral decubitus
(affected side down)
c) Call the doctor
d) Measure blood pressure
Answer: b) Maintain airway and position patient in lateral
decubitus (affected side down)
Q13. Clubbing of fingers is commonly seen in:
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Section 1: Respiratory System (Q1-15)
Q1. The most common causative organism for community-
acquired pneumonia is:
a) Staphylococcus aureus
b) Klebsiella pneumoniae
c) Streptococcus pneumoniae
d) Haemophilus influenzae
Answer: c) Streptococcus pneumoniae
Q2. A patient with COPD is prescribed low-flow oxygen
(2L/min). The rationale is:
a) To prevent oxygen toxicity
b) To maintain the hypoxic drive
c) To reduce carbon dioxide retention
d) To prevent drying of mucous membranes
Answer: b) To maintain the hypoxic drive
Q3. In Tuberculosis, the most important diagnostic test for
confirmation is:
a) Chest X-ray
b) Mantoux test
c) Sputum for AFB (ZN stain) & culture
Page 1
,d) ESR
Answer: c) Sputum for AFB (ZN stain) & culture
Q4. The earliest sign of hypoxemia is:
a) Cyanosis
b) Tachypnea
c) Restlessness
d) Bradycardia
Answer: c) Restlessness
Q5. In a patient with status asthmaticus, which medication is
given first?
a) Oral prednisolone
b) Inhaled corticosteroid
c) Nebulized short-acting beta-2 agonist (salbutamol)
d) IV antibiotics
Answer: c) Nebulized short-acting beta-2 agonist (salbutamol)
Q6. Postural drainage is most effective when performed:
a) Immediately after meals
b) Before breakfast and at bedtime
c) Mid-afternoon only
d) Only when the patient has fever
Answer: b) Before breakfast and at bedtime
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,Q7. A patient with a chest tube has continuous bubbling in the
water seal chamber. This indicates:
a) Normal functioning
b) Air leak
c) Tension pneumothorax
d) The tube is clamped
Answer: b) Air leak
Q8. The classic triad of lung cancer (central tumor) includes all
except:
a) Cough
b) Hemoptysis
c) Chest pain
d) Weight gain
Answer: d) Weight gain
Q9. In ARDS, the pathophysiological hallmark is:
a) Increased lung compliance
b) Non-cardiogenic pulmonary edema
c) Cardiogenic pulmonary edema
d) Collapsed alveoli only
Answer: b) Non-cardiogenic pulmonary edema
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, Q10. Which position is best for a patient with severe dyspnea?
a) Supine
b) Trendelenburg
c) High Fowler's with arms supported
d) Left lateral
Answer: c) High Fowler's with arms supported
Q11. The Mantoux test is read after:
a) 24 hours
b) 48-72 hours
c) 1 week
d) 2 weeks
Answer: b) 48-72 hours
Q12. In a patient with massive hemoptysis, the priority nursing
action is:
a) Administer oxygen
b) Maintain airway and position patient in lateral decubitus
(affected side down)
c) Call the doctor
d) Measure blood pressure
Answer: b) Maintain airway and position patient in lateral
decubitus (affected side down)
Q13. Clubbing of fingers is commonly seen in:
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