NORCET AIIMS 7.0
SCENERIO
BASED
CLINICAL
QUESTIONS
, Nursing Booster
Scenerio Based Test 1
Time: 100mins Marks: 100
[1]:Your patient with chronic renal failure reports pruritus. Which instruction should you include in this
patient's teaching plan?
Option 1: Option 2: Option 3:
Rub the skin vigorously with a towel Take frequent baths Apply alcohol-based emollients to the skin
Option 4:
Keep fingernails short and clean
SolutionHeading:
Text:
Solution
Keep fingernails short and clean
Calcium-phosphate deposits in the skin may cause pruritus. Scratching leads to excoriation and breaks in the skin
that increase the patient's risk of infection. Keeping fingernails short and clean helps reduce the risk of infection.
Positive Marks: 1.00 Negative Marks: 0.33
[2]:
SolutionHeading:
Text:
Positive Marks: 1.00 Negative Marks: 0.00
,[3]: A pregnant client comes to the office for her first prenatal examination
at 10 weeks. She has been pregnant twice before; the first delivery
produced a viable baby girl at 39 weeks 3 years ago; the second
pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both
children are living and well. Using the GTPAL system to record her
obstetrical history, the nurse should record:
Option 1: Option 2: Option 3: Option 4:
A. 3-2-0-0-2 B. 2-2-0-2-2 C. 3-1-1-0-2 D. 2-1-1-0-2
SolutionHeading:
Text:
Explanation:
(A) This answer is an incorrect application of the GTPAL method.
One prior pregnancy was a preterm birth at 36 weeks (T =1, P= 1; not T = 2).
(B) This answer is an incorrect
application of the GTPAL method. The client is currently pregnant for the
third time (G = 3, not 2), one prior
pregnancy was preterm (T= 1, P= 1; not T= 2), and she has had no prior
abortions (A =0). (C) This answer is
the correct application of GTPAL method. The client is currently pregnant
for the third time (G =3), her first
pregnancy ended at term (>37 weeks) (T = 1), her second pregnancy ended
preterm 20–33 weeks) (P = 1), she
has no history of abortion (A=0), and she has two living children (L = 2). (D)
This answer is an incorrect
application of the GTPAL method. The client is currently pregnant for
the third time (G =3, not 2).
Positive Marks: 1.00 Negative Marks: 0.33
Nursing Booster
, [4]: A 68-year-old woman is admitted to the hospital with chronic
obstructive pulmonary disease (COPD). She is started on an
aminophylline infusion. Three days later she is breathing easier. A
serum theophylline level is drawn. Which of the following values
represents a therapeutic level?
Option 1: Option 2: Option 3: Option 4:
A. 14 μ g/mL B. 25 μ g/mL C. 4 μ g/mL D. 30 μ g/mL
SolutionHeading:
Text:
Explanation:
(A) The therapeutic blood level range of theophylline is 10–20 mg/mL.
Therapeutic drug monitoring determines
effective drug dosages and prevents toxicity. (B, D) This value is a toxic
level of the drug. (C) This value is a
nontherapeutic level of the drug.
Positive Marks: 1.00 Negative Marks: 0.33
[5]: A nasogastric (NG) tube inserted preoperatively is attached to low,
intermittent suctions. A client with an NG tube exhibits these symptoms:
He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This
client is most likely experiencing:
Option 1: Option 2: Option 3:
A. Hyperkalemia B. Hyponatremia C. Metabolic acidosis
Option 4:
D. Metabolic alkalosis
SolutionHeading:
Text:
Explanation:
(A) Sodium level is within normal limits. (B) Sodium level is within normal
limits. (C) pH level is consistent
with alkalosis. (D) With an NG tube attached to low, intermittent suction,
acids are removed and a client will
develop metabolic alkalosis.
Positive Marks: 1.00 Nursing Booster Negative Marks: 0.33
SCENERIO
BASED
CLINICAL
QUESTIONS
, Nursing Booster
Scenerio Based Test 1
Time: 100mins Marks: 100
[1]:Your patient with chronic renal failure reports pruritus. Which instruction should you include in this
patient's teaching plan?
Option 1: Option 2: Option 3:
Rub the skin vigorously with a towel Take frequent baths Apply alcohol-based emollients to the skin
Option 4:
Keep fingernails short and clean
SolutionHeading:
Text:
Solution
Keep fingernails short and clean
Calcium-phosphate deposits in the skin may cause pruritus. Scratching leads to excoriation and breaks in the skin
that increase the patient's risk of infection. Keeping fingernails short and clean helps reduce the risk of infection.
Positive Marks: 1.00 Negative Marks: 0.33
[2]:
SolutionHeading:
Text:
Positive Marks: 1.00 Negative Marks: 0.00
,[3]: A pregnant client comes to the office for her first prenatal examination
at 10 weeks. She has been pregnant twice before; the first delivery
produced a viable baby girl at 39 weeks 3 years ago; the second
pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both
children are living and well. Using the GTPAL system to record her
obstetrical history, the nurse should record:
Option 1: Option 2: Option 3: Option 4:
A. 3-2-0-0-2 B. 2-2-0-2-2 C. 3-1-1-0-2 D. 2-1-1-0-2
SolutionHeading:
Text:
Explanation:
(A) This answer is an incorrect application of the GTPAL method.
One prior pregnancy was a preterm birth at 36 weeks (T =1, P= 1; not T = 2).
(B) This answer is an incorrect
application of the GTPAL method. The client is currently pregnant for the
third time (G = 3, not 2), one prior
pregnancy was preterm (T= 1, P= 1; not T= 2), and she has had no prior
abortions (A =0). (C) This answer is
the correct application of GTPAL method. The client is currently pregnant
for the third time (G =3), her first
pregnancy ended at term (>37 weeks) (T = 1), her second pregnancy ended
preterm 20–33 weeks) (P = 1), she
has no history of abortion (A=0), and she has two living children (L = 2). (D)
This answer is an incorrect
application of the GTPAL method. The client is currently pregnant for
the third time (G =3, not 2).
Positive Marks: 1.00 Negative Marks: 0.33
Nursing Booster
, [4]: A 68-year-old woman is admitted to the hospital with chronic
obstructive pulmonary disease (COPD). She is started on an
aminophylline infusion. Three days later she is breathing easier. A
serum theophylline level is drawn. Which of the following values
represents a therapeutic level?
Option 1: Option 2: Option 3: Option 4:
A. 14 μ g/mL B. 25 μ g/mL C. 4 μ g/mL D. 30 μ g/mL
SolutionHeading:
Text:
Explanation:
(A) The therapeutic blood level range of theophylline is 10–20 mg/mL.
Therapeutic drug monitoring determines
effective drug dosages and prevents toxicity. (B, D) This value is a toxic
level of the drug. (C) This value is a
nontherapeutic level of the drug.
Positive Marks: 1.00 Negative Marks: 0.33
[5]: A nasogastric (NG) tube inserted preoperatively is attached to low,
intermittent suctions. A client with an NG tube exhibits these symptoms:
He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This
client is most likely experiencing:
Option 1: Option 2: Option 3:
A. Hyperkalemia B. Hyponatremia C. Metabolic acidosis
Option 4:
D. Metabolic alkalosis
SolutionHeading:
Text:
Explanation:
(A) Sodium level is within normal limits. (B) Sodium level is within normal
limits. (C) pH level is consistent
with alkalosis. (D) With an NG tube attached to low, intermittent suction,
acids are removed and a client will
develop metabolic alkalosis.
Positive Marks: 1.00 Nursing Booster Negative Marks: 0.33
