BSC_RGNS01_ SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.

11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Dashboard / My courses / SURG / BSC/RGN: SURGERY AND SURGICAL NURSING UNCOVERED NMC EXAMS NOV-DEC 2021. / BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021. Started on Thursday, 11 November 2021, 7:52 PM State Finished Completed on Thursday, 11 November 2021, 7:53 PM Time taken 1 min 24 secs Grade 0.00 out of 180.00 (0%) Question 1 Not answered Marked out of 1.00 Question 2 Not answered Marked out of 1.00 Question 3 Not answered Marked out of 1.00 Amidu fell with the stomach and got punctured at the chest. A penetrating wound of the chest may permit air to enter the pleural cavity resulting in: Select one: a. Empyema b. Pneumothorax c. Emphysema The correct answer is: Pneumothorax Which of the following is at the greatest risk for post-operative nausea and vomiting? Select one: a. 81 year old, 55kg following cystoscopy under local anaesthesia b. 45year old, 70kg man following an arthroscopy under epidural anaesthesia c. 23 year old, 125kg following a diagnostic laparoscopy under general anaesthesia The correct answer is: 23 year old, 125kg following a diagnostic laparoscopy under general anaesthesia A serious danger to which a patient with intestinal obstruction is exposed because of intestinal suction is excessive loss of: Select one: a. Vitamins and minerals b. Water and electrolytes c. Protein enzymes The correct answer is: Water and electrolytes 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 4 Not answered Marked out of 1.00 Question 5 Not answered Marked out of 1.00 Question 6 Not answered Marked out of 1.00 The symptoms to be observed in a patient after radium insertion for cancer of the cervix that are indicative of a radium reaction are: Select one: a. Vaginal discharge and excoriation b. Nausea and vomiting c. Pain and elevation of temperature The correct answer is: Nausea and vomiting The characteristic of the stage of progression in the development of cancer is: Select one: a. Oncologenic viral transfusion of target cell b. Continual steady growth, facilitated by promoting factors c. Proliferation of cancer cells in spite of host control mechanism The correct answer is: Proliferation of cancer cells in spite of host control mechanism One of the functions of circulating nurse is: Select one: a. Assisting the surgeon by anticipating the required instrument b. Setting up the sterile trolley c. Ensuring safe functioning of the theatre equipment The correct answer is: Ensuring safe functioning of the theatre equipment 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 7 Not answered Marked out of 1.00 Question 8 Not answered Marked out of 1.00 Question 9 Not answered Marked out of 1.00 At the OPD, Allan complained of sharp pains in his urethra when urinating, followed by creamy discharges immediately after urinating. A diagnosis of UTI was made. When assessing the urine of a patient with urinary tract infection, the nurse should assess each specimen for: Select one: a. Specific gravity b. Clarity c. Sugar and acetone The correct answer is: Specific gravity After cataract extraction the nurse should: Select one: a. Instruct the patient to avoid driving for 2 weeks b. Advise the patient to refrain from vigorous brushing of the teeth and hair c. Teach the patient coughing and deep breathing exercises The correct answer is: Instruct the patient to avoid driving for 2 weeks A client reported to the health unit with complains of intermittent rectal bleeding, cramping abdominal pains, and diarrhea. He was diagnosed of ulcerative colitis. Which of the following diets would be appropriate for the patient with ulcerative colitis? Select one: a. Low residue, high protein b. High fibre, low fat c. Low protein, high calorie The correct answer is: Low residue, high protein 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 10 Not answered Marked out of 1.00 Question 11 Not answered Marked out of 1.00 Question 12 Not answered Marked out of 1.00 The definitive diagnosis of benign prostatic hypertrophy is arrived at by: Select one: a. Rectal examination b. Biopsy of prostatic tissue c. Pap smear of prostatic fluid The correct answer is: Rectal examination A patient complains of severe pains of 2 days following surgery. The nurse should first: Select one: a. Find out when the last analgesic was given b. Administer the p.r.n analgesic c. Take vital signs The correct answer is: Take vital signs Two road accident victims were brought to the emergency department following a severe road accident that happened at Accra-Tachiman high way. An amputation of both limbs has been planned. Following the amputation, the nurse can help a patient prepare the residual limb for prosthesis by encouraging him to: Select one: a. Abduct the residue limb when ambulating b. Change the residual limb off the bed frequently c. Sock the residual limb in warm water twice a day The correct answer is: Change the residual limb off the bed frequently 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 13 Not answered Marked out of 1.00 Question 14 Not answered Marked out of 1.00 Question 15 Not answered Marked out of 1.00 Teaching points to be emphasised to minimise hair loss in breast cancer chemotherapy include: I. Avoiding electric hair dryers, let hair dry naturally II. Shampoo hair daily III. Use eyebrow pencil if hair loss affects the eye area IV. Use wide –toothed comb instead of a brush: Select one: a. I, II and III b. I, III and IV c. II, III and IV The correct answer is: I, III and IV Kwesi Moro got burnt and he was rushed to the emergency unit. It is important for the burn patient and family to: Select one: a. Avoid discussion of the patient’s progress to minimize false hope b. Allow the nurse to the patient to give total care to prevent infection c. See the burn wound three times daily The correct answer is: Allow the nurse to the patient to give total care to prevent infection Mrs. Sowa, is a pregnant woman at term. She started exhibiting some signs and symptoms of toxaemia. The signs and symptoms of toxaemia include the following EXCEPT: Select one: a. Pyrexia b. Constipation c. Headaches The correct answer is: Constipation 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 16 Not answered Marked out of 1.00 Question 17 Not answered Marked out of 1.00 Question 18 Not answered Marked out of 1.00 Question 19 Not answered Marked out of 1.00 The unique problems to the patient with ileostomy are that: Select one: a. Sexual activity is restricted b. Regular bowel habits cannot be established c. The colostomy is bag is bulky and large The correct answer is: Regular bowel habits cannot be established The nurse will do all the following in case a patient has dehiscence with evisceration (burst abdomen) EXCEPT: Select one: a. Try and push back contents of abdomen b. Instruct patient to stay calm c. Prepare patient for theatre The correct answer is: Try and push back contents of abdomen The most serious complication associated with chronic inflammatory of the bowel is: Select one: a. Obstruction b. Bleeding c. Perforation The correct answer is: Perforation Which of the following is a potential risk factor for cancer of the colon? Select one: a. History of smoking b. Long term use of laxatives c. History of inflammatory bowel disease The correct answer is: History of inflammatory bowel disease 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 20 Not answered Marked out of 1.00 Question 21 Not answered Marked out of 1.00 Question 22 Not answered Marked out of 1.00 Mr. Arhin has undergone mastectomy and has been transferred to the ward. The principle to follow when changing a surgical dressing of a patient is to: Select one: a. Keep the area free of microorganism b. Keep the number of opportunistic organisms to minimum c. Protect self from microorganisms in the wound The correct answer is: Keep the number of opportunistic organisms to minimum The goals of cure, control and palliation of cancer are achieved through the following EXCEPT: Select one: a. Surgery b. Physiotherapy c. Chemotherapy The correct answer is: Physiotherapy Objective of managing burns include: I. Prevention of deformity II. Prevention of infection III. Provision of adequate diet IV. Replacement of loss fluid and electrolyte: Select one: a. I, II, III and IV b. I, II and IV c. II, III and IV The correct answer is: I, II, III and IV 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 23 Not answered Marked out of 1.00 Question 24 Not answered Marked out of 1.00 Question 25 Not answered Marked out of 1.00 Question 26 Not answered Marked out of 1.00 Which of the following is NOT included in nursing assessment of a patient in traction? Select one: a. Circulation, sensation and motion of the extremities b. Lung and bowel sounds c. Turning the patient frequently in bed The correct answer is: Turning the patient frequently in bed Causes of peptic ulcer include the following EXCEPT: Select one: a. Excessive secretion of hydrochloric acid b. Patient with blood group A, AB or B are at risk c. Stress The correct answer is: Patient with blood group A, AB or B are at risk As general rule after abdominal operation, normal bowel sounds should be present before: Select one: a. IV fluids are discontinued b. Ambulation is begun c. Pain medication is administered The correct answer is: IV fluids are discontinued Which of the following is a need of the patient undergoing surgery? I. Comfort measures II. Privacy III. Reduction of anxiety Select one: a. I, II and III b. I and III c. I and II The correct answer is: I and III 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 27 Not answered Marked out of 1.00 Question 28 Not answered Marked out of 1.00 Question 29 Not answered Marked out of 1.00 Auntie Akosua Adjei has undergone splenectomy. In the immediate post-operative period following a splenectomy, the nurse should specifically observe the patient for: Select one: a. Haemorrhage and abdominal distension b. Shock and infections c. Intestinal obstruction and bleeding The correct answer is: Haemorrhage and abdominal distension A nursing intervention to assist the patient in coping with the fear of pain would be to: Select one: a. Inform the patient of the frequency of pain medication b. Explain the availability of pain medication c. Describe the degree of pain expected The correct answer is: Describe the degree of pain expected Which of the following is NOT an outcome of inflammation? Select one: a. Dehydration b. Resolution c. Suppuration The correct answer is: Dehydration 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 30 Not answered Marked out of 1.00 Question 31 Not answered Marked out of 1.00 Question 32 Not answered Marked out of 1.00 Mrs. Nkatia has been placed on the operating bed for cesarean sectioning (CS). Which of the following will be used to prepare the skin before the surgery? Select one: a. Decontaminant b. Antiseptic c. Antisepsis The correct answer is: Antiseptic The most appropriate treatment for a 60 year old woman with hip fracture is the application of: Select one: a. Internal fixation device b. Plaster of Paris c. Skeletal traction The correct answer is: Skeletal traction Nurse Mustapha taught a patient deep-breathing exercise. Nurse Mustapha has a knowledge that the deep-Breathing exercise is effectively taught: Select one: a. Intra operatively b. Post operatively c. Pre operatively The correct answer is: Pre operatively 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 33 Not answered Marked out of 1.00 Question 34 Not answered Marked out of 1.00 Question 35 Not answered Marked out of 1.00 The study of tumour formation is known as: Select one: a. Excrescence b. Neoplasm c. Oncology The correct answer is: Oncology A patient being prepared for a major abdominal surgery is instructed to take nothing by mouth by a period of: Select one: a. 6 to 8 hours before surgery b. 8 to 12 hours before surgery c. 2 to 4 hours before surgery The correct answer is: 6 to 8 hours before surgery Gilbert, 12 years old boy had incision and drainage for injection abscess of the gluteal muscle. Which position would be appropriate after surgery? Select one: a. Prone b. Dorsal c. Recumbent The correct answer is: Prone 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 36 Not answered Marked out of 1.00 Question 37 Not answered Marked out of 1.00 Question 38 Not answered Marked out of 1.00 The immediate postoperative complications of thyroidectomy include: I. Laryngeal oedema II. Keloid III. Respiration distress IV. Surgical emphysema Select one: a. I, III and IV b. I, II and IV c. I, II, III and IV The correct answer is: I, III and IV Which of the following nursing actions is NOT desirable during recovery from anaesthesia? Select one: a. Encouraging deep breathing and coughing b. Auscultating the patient chest bilaterally c. Placing the patient in a supine position The correct answer is: Placing the patient in a supine position Frimpomaa, a 19year old student was knocked by a car, which ended her in an unconscious state after being admitted to the emergency unit. Soon after being admitted for head injuries a patient’s temperature risen up to 39.4OC. This suggests injury to the: Select one: a. Temporal lobe b. Medulla oblongata c. Hypothalamus The correct answer is: Hypothalamus 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 39 Not answered Marked out of 1.00 Question 40 Not answered Marked out of 1.00 Question 41 Not answered Marked out of 1.00 Question 42 Not answered Marked out of 1.00 A tumour removed from the ovary of a lady was found to contain a tooth. The tumour is most likely to be: Select one: a. Abnormal foetal development b. Dermoid tumour c. Abnormal bone formation The correct answer is: Dermoid tumour Which of the following condition is NOT an indication for colostomy? Select one: a. Cancer of the rectum b. Ulcerative colitis c. Acute abdomen The correct answer is: Acute abdomen Clinical manifestation of renal calculi include: Select one: a. Urgent uncontrollable urination b. Frequency of urination and polyuria c. Severe flank pain and haematuria The correct answer is: Severe flank pain and haematuria A third year nursing student asked you which arteries supply blood to the neck and arms. What will be your response? Select one: a. Subclavian b. Temporal c. Common carotid The correct answer is: Subclavian 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 43 Not answered Marked out of 1.00 Question 44 Not answered Marked out of 1.00 Question 45 Not answered Marked out of 1.00 A patient arrives in the emergency department and reports splashing concentrated household cleaner in his eye. Which of the following nursing actions is a priority? Select one: a. Test visual acuity. b. Irrigate the eye repeatedly with normal saline solution. c. Place fluorescein drops in the eye. The correct answer is: Irrigate the eye repeatedly with normal saline solution. Auntie Esi, a 56year market woman has been admitted and diagnosed of third degree goiter. She has undergone surgery to remove the enlarge thyroid gland, and she has been transferred to the recovery ward. Emergency equipment that should be at the bed side of Auntie ESi after thyroidectomy includes: Select one: a. A crushing clamp b. A tracheostomy set and oxygen c. An air way and ambubag The correct answer is: A tracheostomy set and oxygen Miss. Helena reported to the emergency ward following urine retention. A urinary catheter has been inserted for urinary irrigation. When irrigating the indwelling urinary catheter the nurse should: Select one: a. Obtain and use sterile equipment b. Warm the solution to body temperature c. Aspirate immediately to ensure return flow The correct answer is: Obtain and use sterile equipment 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 46 Not answered Marked out of 1.00 Question 47 Not answered Marked out of 1.00 Question 48 Not answered Marked out of 1.00 Following a traumatic amputation of a limb the nursing diagnosis that should receive the LOWEST priority in the first 24 hours is: Select one: a. Ineffective tissue perfusion (potential) b. Deficient knowledge related to stump care c. Activity intolerance The correct answer is: Deficient knowledge related to stump care Prince Manu, a carpenter of 34years fell from a roof and got his spinal cord injured. Following spinal cord injury a patient should be encourage to drink fluids primary to prevent: Select one: a. Fluid and electrolyte imbalance b. Dehydration c. Urinary tract infection The correct answer is: Urinary tract infection When scrubbing at the scrub sink in preparation for surgery, team members should: Select one: a. Scrub from elbow to hands b. Scrub for a minimum of 10 minutes c. Hold hands higher than the elbow The correct answer is: Scrub for a minimum of 10 minutes 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 49 Not answered Marked out of 1.00 Question 50 Not answered Marked out of 1.00 Question 51 Not answered Marked out of 1.00 Sammy reported to the OPD with complains of nausea, pains, and vomiting. As a nurse at the OPD, which of the following is NOT a symptom? Select one: a. Pain b. Nausea c. Vomiting The correct answer is: Vomiting Mr. Koi, an alert 75 years old man is to undergone elective hip surgery. The consent form must be signed in the presence of the witness by: Select one: a. Mr. and Mrs. Koi b. Either Mr. or Mrs. Koi c. Mr. Koi and the surgeon The correct answer is: Mr. Koi and the surgeon Reconstructive surgery is performed to: Select one: a. Restore function to traumatize tissues and improve self-concept b. Relieve or reduce intensity of an illness or disease symptoms will not produce cure c. Restore function lost or reduced as a result of congenital anomalie The correct answer is: Restore function lost or reduced as a result of congenital anomalie 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 52 Not answered Marked out of 1.00 Question 53 Not answered Marked out of 1.00 Question 54 Not answered Marked out of 1.00 Benjamin, an admitted patient with severe bowel obstruction has been scheduled for enema injection to stimulate evacuation of the bowels and heal inflammation of the colon. When giving the enema, Bejamin should be placed in a: Select one: a. Left sim’s position b. Prone position c. Knee chest position The correct answer is: Left sim’s position Which of the following interventions would a nurse first perform on a patient who has arrived from theatre with retention of urine? Select one: a. Serve bedpan and encourage patient to urinate b. Insert urethral catheter c. Serve prescribed analgesics to relieve pain The correct answer is: Insert urethral catheter Predisposing causes of cancer of the lungs include: I. Air pollution II. Chronic respiratory infection III. Heavy alcohol ingestion IV. Poor dentine hygiene Select one: a. I, II, III and IV b. I, II and III c. I, II and IV The correct answer is: I, II and III 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 55 Not answered Marked out of 1.00 Question 56 Not answered Marked out of 1.00 Question 57 Not answered Marked out of 1.00 A man reported to the health facility and complained of having problem urinating. A routine rectal examination done detected a hard nodule. Later a biopsy was performed and he was diagnosed of prostate cancer. Which of these is assessed to determine the course of prostate cancer? Select one: a. Prostate fluid for WBC b. Blood urea estimation c. Prostate specific antigen The correct answer is: Prostate specific antigen A patient involved in a RTA has compound fracture of the left. It means that: Select one: a. There is risk for impaired skin integrity b. Skin integrity is impaired as well as bone c. Bone is broken inside but skin is intact The correct answer is: Skin integrity is impaired as well as bone A serious gastrointestinal disturbance that frequently occur to a severely burn patient: Select one: a. Peritonitis b. Ulcerative colitis c. Paralytic ileus The correct answer is: Paralytic ileus 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 58 Not answered Marked out of 1.00 Question 59 Not answered Marked out of 1.00 Question 60 Not answered Marked out of 1.00 The most important factors to consider the burnt patient are: I. Age of patient II. Depth of the burnt area III. Extent of skin area involve IV. Weight of patient Select one: a. II and IV b. I and III c. I and II The correct answer is: I and III Frimpomaa, a 19year old student was knocked by a car, which ended her in an unconscious state after being admitted to the emergency unit. When caring for a patient who has a possible skull fracture. The nurse should: Select one: a. Elevate the foot end of the bed if patient develops symptoms of shock b. Observe the patient for signs of increased intracranial pressure c. Check for haemorrhaging from the oral cavity The correct answer is: Observe the patient for signs of increased intracranial pressure A dietician is planning diet with his patient. Which of the following diet would be appropriate for a patient with ulcerative colitis? Select one: a. Low sodium, high carbohydrates b. Low fat, high fibres c. High protein, low residue The correct answer is: High protein, low residue 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 61 Not answered Marked out of 1.00 Question 62 Not answered Marked out of 1.00 Question 63 Not answered Marked out of 1.00 Question 64 Not answered Marked out of 1.00 The role of the circulating nurse in the theatre is to assist the: Select one: a. Nurse to set up trolleys b. Surgeon to perform operation c. Pharmacist selects analgesics for patient The correct answer is: Nurse to set up trolleys Kwame is receiving analgesics after surgery. How often would it be given? Select one: a. Every 30 minutes b. According to Surgeon’s prescription c. Whenever necessary The correct answer is: According to Surgeon’s prescription When assessing a patient suspected of raptured ectopic, which of these would you monitor? Select one: a. Haemoglobin and haematocrit b. Abdominal distension c. Uterine clamping The correct answer is: Haemoglobin and haematocrit Which of the following actions would NOT be taken to prevent postoperative shock? Select one: a. Avoid overheating by covering patient with one light sheet only b. Control pain by administering prescribed analgesics c. Proper preoperative preparation The correct answer is: Avoid overheating by covering patient with one light sheet only 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 65 Not answered Marked out of 1.00 Question 66 Not answered Marked out of 1.00 Question 67 Not answered Marked out of 1.00 To prevent dangers associated with application of tourniquet to arrest haemorrhage in emergency the nurse should: Select one: a. Loosen the tourniquet every 5mins in the event of traumatic amputation b. Keep the tourniquet on until patient is taken to theatre c. Loosen the tourniquet every 10mins and reapply after 5mins The correct answer is: Loosen the tourniquet every 10mins and reapply after 5mins Which of the following analgesics would NOT be administered to a patient after a closure of perforated duodenal ulcer? Select one: a. Suppository diclofenac b. Paracetamol c. Tramadol The correct answer is: Suppository diclofenac Mr. Ansong got his airway blocked and a tracheostomy tube has inserted for suctioning. When suctioning a patient with a tracheostomy, the nurse must remember to: Select one: a. Inflate suction as the catheter is being withdrawn b. Use a new sterile catheter with each insertion c. Remove the inner cannula before inserting the suction catheter The correct answer is: Remove the inner cannula before inserting the suction catheter 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 68 Not answered Marked out of 1.00 Question 69 Not answered Marked out of 1.00 Question 70 Not answered Marked out of 1.00 Which of the following new growths originate from adipose tissue? Select one: a. Lipoma b. Sarcoma c. Papilloma The correct answer is: Lipoma Mrs. Odoom has been admitted following a fall. Assessment indicates an injury to the spinal cord. To prevent the development of contractures in Mrs. Odoom with spinal injury, the nurse should give careful consideration to: Select one: a. Proper use of fracture board b. Proper positioning c. Active exercise The correct answer is: Proper positioning Which of these theatre instruments would be included on a trolley set for Orthopaedic surgery? Select one: a. Curved tonsil forceps b. Steinmann’s pin, introducer, stirrup c. Tracheostomy Dilator The correct answer is: Steinmann’s pin, introducer, stirrup 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 71 Not answered Marked out of 1.00 Question 72 Not answered Marked out of 1.00 Question 73 Not answered Marked out of 1.00 Which of the following characteristics of the operating room environment facilitates the prevention of infection in the surgical patient? Select one: a. Explosion proof electrical plugs b. Filters in the ventilating system c. Adjustable lightening The correct answer is: Filters in the ventilating system A patient convalescing from abdominal surgery develops thrombophlebitis. Which sign will indicate to nurse Aggrey that this complication has occurred? Select one: a. Localised warmth and tenderness of the leg b. Intermittent claudication c. Pitting oedema of the lower extremities The correct answer is: Intermittent claudication To prevent bleeding after prostatectomy the patient should be advised to avoid straining on defecaetion. The nurse should therefore advise him to his intake of: Select one: a. Milk product b. Meat and fish c. Green leafy vegetables The correct answer is: Green leafy vegetables 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 74 Not answered Marked out of 1.00 Question 75 Not answered Marked out of 1.00 Question 76 Not answered Marked out of 1.00 A client reported to the health unit with complains of intermittent rectal bleeding, cramping abdominal pains, and diarrhea. He was diagnosed of ulcerative colitis. A priority nursing diagnosis for a patient with ulcerative colitis is: Select one: a. Ineffective coping b. Imbalanced nutrition less than body requirement c. Diarrhoea related to hypermotility The correct answer is: Diarrhoea related to hypermotility Mr. Danso, a 78year old farmer with impaired vision has undergone cataract extraction. After the cataract extraction the patient is encourage to: Select one: a. Lie on his abdomen while sleeping b. Maintain bed rest for a week c. Avoid bending his head below the waist The correct answer is: Avoid bending his head below the waist A nurse is caring for a patient with severe bowel obstructions. Which of the following is suggestive of the fact that the patient has large bowel obstruction: Select one: a. Abdominal cramps b. Anorexia c. Constipation The correct answer is: Constipation 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 77 Not answered Marked out of 1.00 Question 78 Not answered Marked out of 1.00 Question 79 Not answered Marked out of 1.00 Anaesthesia is given to a patient before surgery for the following reasons: I. Induce state of loss of sensation II. Induce sleep in patient III. Produce absence of pain IV. Produce muscle relaxation Select one: a. I, II and III only b. I, III and IV only c. I, II, II and IV The correct answer is: I, II, II and IV Which of the following symptoms would be exhibited by a female patient with thyrotoxicosis? Select one: a. Dysmenorrhoea b. Oligomenorrhoea c. Menorrhagia The correct answer is: Menorrhagia Rita reported to the OPD and complained to the nurse that, she usually experiences prolonged constipation and bleeding after defaecation. The nurse suspects haemorrhoids and know that the most reliable way to diagnose haemorrhoids is: Select one: a. X-ray of the gastrointestinal tract using barium meal b. Patient complaining of itching in the anus c. Occult blood in stool The correct answer is: X-ray of the gastrointestinal tract using barium meal 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 80 Not answered Marked out of 1.00 Question 81 Not answered Marked out of 1.00 Question 82 Not answered Marked out of 1.00 Which one of these would be appropriate for the treatment of necrotic wound? Select one: a. Debridement b. Cleaning with antiseptic c. Skin grafting The correct answer is: Debridement Eunice Boakye, a nulligravida was transferred to the operating room following prolonged labor. During the immediate postoperative period the nurse should give the highest priority to: Select one: a. Observing for haemorrhage b. Check the vital signs every 15 minutes c. Maintaining a patent airway The correct answer is: Maintaining a patent airway Stones in the gall bladder is referred to as: Select one: a. Calculus b. Cholecystitis c. Cholelithiasis The correct answer is: Cholelithiasis 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 83 Not answered Marked out of 1.00 Question 84 Not answered Marked out of 1.00 Question 85 Not answered Marked out of 1.00 A patient has a fracture of the right femur and is in a skeletal traction. Which appropriate bed accessory would help relieve pressure on the buttocks? Select one: a. Trapeze b. Sand bag c. Bed cradle The correct answer is: Trapeze Drain and drainage tubes are inserted in wounds to: Select one: a. Improve on wound healing process b. Remove exudate from wound c. Prevent wound healing process The correct answer is: Remove exudate from wound Objective for managing burns include: I. Prevention of deformity II. Prevention of infection III. Provision of adequate diet IV. Replacement of lost fluid and electrolyte Select one: a. II, III and IV b. I, II and III c. I, II, III and IV The correct answer is: I, II, III and IV 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 86 Not answered Marked out of 1.00 Question 87 Not answered Marked out of 1.00 Question 88 Not answered Marked out of 1.00 Palliative treatment surgery is performed to: Select one: a. Provide therapy b. Relieve pain c. Treat a disease The correct answer is: Relieve pain Mensah Sabba has undergone laparotomy. What signs and symptoms will indicate that a patient is having internal bleeding within 24 hours after surgery? I. Cold clammy skin II. Low blood pressure III. Rapid pulse rate IV. Restlessness: Select one: a. I, III and IV only b. I, II and IV only c. I, II, III and IV only The correct answer is: I, II, III and IV only The nurse should protect the patient’s skin surrounding a colostomy opening by using: Select one: a. Barrier cream b. Methylated spirit c. Tincture benzoin The correct answer is: Barrier cream 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 89 Not answered Marked out of 1.00 Question 90 Not answered Marked out of 1.00 Question 91 Not answered Marked out of 1.00 Madam Adisa has ectopic pregnancy, which type of surgery would be performed on her? Select one: a. Salpingectomy b. Myomectomy c. Oophorectomy The correct answer is: Salpingectomy A patient with furunculosis is warned not to pierce any lesion. This is because, nurses has knowledge that doing so could: Select one: a. Cause bleeding b. Promote drainage c. Spread the infection The correct answer is: Spread the infection A patient who was involved in RTA was brought to the emergency unit. The nurse who assesses bone fracture pain would expect the patient to describe the pain as: Select one: a. Similar to muscle cramps b. Sharp and piercing c. A dull, deep, boring ache The correct answer is: Sharp and piercing 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 92 Not answered Marked out of 1.00 Question 93 Not answered Marked out of 1.00 Question 94 Not answered Marked out of 1.00 The following are types of surgery classified according to urgency EXCEPT: Select one: a. Major surgery b. Elective surgery c. Imperative surgery The correct answer is: Elective surgery A patient has been put on IV fluid therapy after abdominal surgery. Which of these observations would the nurse make to prevent fluid overload? I. Check skin and mucous membrane for hydration level II. Check BUE and creatinine level III. Monitor fluid intake and output IV. Monitor vital signs of patient: Select one: a. I, II, III and IV only b. I, III and IV only c. I, II and III only The correct answer is: I, III and IV only Ama Ataa, patient who was transferred to the recovery ward after laparotomy with Nasogastric tube connected to suction apparatus. The patient started vomiting coloured fluid. The nurse should: Select one: a. Administer anti-emetics b. Check the patency of the tube c. Elevate the head of the bed The correct answer is: Check the patency of the tube 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 95 Not answered Marked out of 1.00 Question 96 Not answered Marked out of 1.00 Question 97 Not answered Marked out of 1.00 Which one of the following surgery would be performed for madam Otu who has cancer of the breast? Select one: a. Hysterectomy b. Mastectomy c. Myomectomy The correct answer is: Mastectomy Possible outcome of inflammation include the following: I. Gangrene formation II. Pus formation III. Repair IV. Resolution Select one: a. I, II and IV b. II, III and IV c. I, II, III and IV The correct answer is: II, III and IV A theatre nurse has been tasked to administer pre-operative intestinal antibiotics. Pre-operative intestinal antibiotics are given for colon surgery to: Select one: a. Prevent voiding during surgery b. Soften the stool c. Reduce the bacteria content of the colon The correct answer is: Reduce the bacteria content of the colon 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 98 Not answered Marked out of 1.00 Question 99 Not answered Marked out of 1.00 Question 100 Not answered Marked out of 1.00 For a patient to be comfortable following admission, he or she needs to be positioned in a comfortable bed position according to his or her condition. If a patient has a chest tube in situ, she should assume which position? Select one: a. High Fowler’s b. Low Fowler’s c. Recumbent The correct answer is: Low Fowler’s Ellen Somaya was admitted at your ward following duodenal ulcer. After closure of duodenal ulcer, which of these analgesics would you NOT administer: Select one: a. Tramadol b. Paracetamol tablets c. Suppository diclofenac The correct answer is: Suppository diclofenac An early warning sign of laryngeal cancer is: Select one: a. Dysphagia b. Hoarseness c. Airway obstruction The correct answer is: Dysphagia 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 101 Not answered Marked out of 1.00 Question 102 Not answered Marked out of 1.00 Question 103 Not answered Marked out of 1.00 The primary objective in passing nasogastric tube postoperatively in abdominal surgery is: Select one: a. Prevent stomach from over distension b. Provide a means of feeding the patient postoperatively c. Prevent aspiration of the stomach contents The correct answer is: Prevent stomach from over distension Auntie Esi, a 56year market woman has been admitted and diagnosed of third degree goiter. She has undergone surgery to remove the enlarge thyroid gland, and she has been transferred to the recovery ward. When a patient returns from theatre after thyroidectomy the nurse should assess injury to the pharyngeal nerve by: Select one: a. Checking the patient for neck oedema b. Palpating the patient’s neck for blood seepage c. Asking the patient to speak The correct answer is: Asking the patient to speak Mr. Sammy Gyamfi, aged 40 and a newly admitted patient diagnosed of benign prostate hypertrophy. Benign prostate hypertrophy: Select one: a. Causes an elevated acid phosphatase b. Predisposes to hydronephrosis c. Usually becomes malignant The correct answer is: Predisposes to hydronephrosis 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 104 Not answered Marked out of 1.00 Question 105 Not answered Marked out of 1.00 Question 106 Not answered Marked out of 1.00 Kyei Mensah was involved in a fatal road accident and got both his upper and lower limbs fractured. He has been sent to the operating room for amputation of the limbs. Following extensive and prolong surgery, it is important that the nurse observes the patient for depletion of which electrolyte? Select one: a. Potassium b. Chloride c. Sodium The correct answer is: Potassium Burst abdomen after surgery (dehiscence) is a caused by: I. Early ambulation II. Infection III. Poor nutrition IV. Strenuous cough Select one: a. I, II and IV b. I, III and IV c. I, II, III and IV The correct answer is: I, II and IV The nurse would explain a Suprapubic prostatectomy to a patient that it differs from other surgical procedures of the prostrate in that: Select one: a. An incision is made directly into the urinary bladder b. A major complication of impotence may occur c. The postoperative convalescent period is shorter The correct answer is: An incision is made directly into the urinary bladder 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 107 Not answered Marked out of 1.00 Question 108 Not answered Marked out of 1.00 Question 109 Not answered Marked out of 1.00 Following subtotal gastrectomy for cancer of the stomach the patient develops dumping syndrome. The nurse would explain this to Bernice, a junior nurse as: Select one: a. Reflex of the intestinal contents into the oesophagus b. Rapid passage of osmotic fluid into the jejunum c. Build-up of faeces and gas within the large intestine The correct answer is: Rapid passage of osmotic fluid into the jejunum Cheatle forceps is an instrument used to pick items from a: Select one: a. Non sterile field b. Sterile field c. Disinfectant The correct answer is: Sterile field A patient reported having an allergy to penicillin. Which of the following questions would elicit the most useful information for the nurse confronting the patient? Select one: a. ``What type of allergic reaction did you have?’’ b. ``What infection did you have that required penicillin?’’ c. ``When did the reaction occur?’’ The correct answer is: ``When did the reaction occur?’’ 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 110 Not answered Marked out of 1.00 Question 111 Not answered Marked out of 1.00 Question 112 Not answered Marked out of 1.00 Which of the following factors does NOT promote wound healing? Select one: a. Blood transfusion b. Diet c. Lack of rest The correct answer is: Lack of rest A patient who has had a colostomy should follow a diet that is: Select one: a. Low in fibre content b. Rich in protein c. As close to normal as possible The correct answer is: As close to normal as possible Adusei came to the wound dressing unit for change of dressing. Which of the following would a nurse use when removing an old dressing from a wound? Select one: a. Cheatle forceps b. Examination glove c. Surgical glove The correct answer is: Examination glove 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 113 Not answered Marked out of 1.00 Question 114 Not answered Marked out of 1.00 Question 115 Not answered Marked out of 1.00 A patient who bled profusely during surgery is on blood transfusion and is having urticaria as an allergic reaction. The nurse will: Select one: a. Slow down the rate and give prescribed antihistamine b. Flush line with IV normal saline c. Stop transfusion The correct answer is: Stop transfusion A patient arrives at the emergency department complaining of mid-sternal chest pain. Which of the following nursing action should take priority? Select one: a. Complete history with emphasis on preceding events b. Chest exam with auscultation c. Careful assessment of vital signs The correct answer is: Careful assessment of vital signs A urine output averaging 20mls per hour the first post-operative day: Select one: a. Requires a return to the operating room b. Requires an evaluation of the patient’s fluid status c. Is normal if the patient had genitourinary surgery The correct answer is: Requires an evaluation of the patient’s fluid status 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 116 Not answered Marked out of 1.00 Question 117 Not answered Marked out of 1.00 Question 118 Not answered Marked out of 1.00 Nurse Mensah will go through the following in sequential order to prepare a patient skin for surgery. I. Cover skin with sterile towel II. Clean skin with antiseptic lotion III. Shave skin according to institution protocol IV. Wash skin with soap and water Select one: a. IV, III, II and I b. III, IV I and II c. I, II, III and IV The correct answer is: IV, III, II and I Factors that influence wound healing include the following: I. Life style II. Disease III. Medications IV. Nutrition Select one: a. I, II and IV only b. I, III and IV only c. I, II, III and IV The correct answer is: I, II, III and IV The best time to perform mammograms in woman in their forties is: Select one: a. During the early half of their menstrual cycle b. Just before menstruation c. During the last half of their menstrual cycle The correct answer is: During the early half of their menstrual cycle 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 119 Not answered Marked out of 1.00 Question 120 Not answered Marked out of 1.00 Question 121 Not answered Marked out of 1.00 In this type of wound, a sharp instrument enters a cavity deeply and may cause damage to internal organs: Select one: a. Incised wound b. Punctured wound c. Penetrating wound The correct answer is: Punctured wound Batsa was diagnosed of tongue cancer recently after exhibiting odynophagia, otalgia and a feeling of a mass in the neck. When assessing a patient with cancer of the tongue the specific sign the nurse should expect to find aside what the patient exhibited is: Select one: a. Halitosis b. Leukoplakia c. Bleeding gum The correct answer is: Leukoplakia The first steps to take whilst shortening a drainage tube is to: Select one: a. Clean the area around the drain b. Remove any stitch or pin used to secure the drain c. Rotate the drainage tube The correct answer is: Clean the area around the drain 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 122 Not answered Marked out of 1.00 Question 123 Not answered Marked out of 1.00 Question 124 Not answered Marked out of 1.00 Question 125 Not answered Marked out of 1.00 Which of these drugs are the most effective against anaerobic organism? Select one: a. Metronidazole b. Gentamycin c. Erythromycin The correct answer is: Metronidazole The following are signs and symptoms of post-operative paralytic ileus EXCEPT: Select one: a. Increasing abdominal distension with discomfort b. Absence of bowel sounds c. Diarrhoea The correct answer is: Diarrhoea All nurses must have knowledge that, Intra operative phase of surgery begins where: Select one: a. Decision for surgical intervention is made b. Client is transferred to an area for recovery c. Client is transferred to the operating room bed The correct answer is: Client is transferred to an area for recovery The formation of thrombus in association with inflammation of the vein is called: Select one: a. Embolism b. Thrombophlebitis c. Thromboembolism The correct answer is: Thrombophlebitis 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 126 Not answered Marked out of 1.00 Question 127 Not answered Marked out of 1.00 Question 128 Not answered Marked out of 1.00 The doctor reported to the charge nurse that Mr. Akoto has enlarged and destructed air sac of the lungs, and therefore the need for appropriate care of the chest tube inserted. To check for subcutaneous emphysema after the insertion of the chest tubes the nurse should: Select one: a. Auscultate the breath sounds for crackles b. Palpate around the chest tube insertion sites for crepitus c. Assess for the presence of a barrel-shaped chest The correct answer is: Palpate around the chest tube insertion sites for crepitus According to ‘Wallace rule of Nine’ the percentage of burnt area involving the anterior trunk, right arm and neck is: Select one: a. 19 b. 27 c. 28 The correct answer is: 28 Auntie Mansah, a pregnant woman of age 29years reported to the health unit with cramping pains and problem with movement. The nurse noticed that Auntie Mensah is suffering from varicose veins. She recommended to her of wearing supported hose to increase pressure. Varicose veins are usually the result of: Select one: a. The formation of thrombophlebitis b. Atherosclotic plaques along the veins c. Defective valves within the veins The correct answer is: Defective valves within the veins 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 129 Not answered Marked out of 1.00 Question 130 Not answered Marked out of 1.00 Question 131 Not answered Marked out of 1.00 Which of the following is NOT a complication of gastric surgery? Select one: a. Vitamin B12 deficiency b. Paralytic ileus c. Vitamin C deficiency The correct answer is: Vitamin C deficiency Emergency management of a fracture includes: I. Covering the area with clean dressing if fracture is open II. Immobilizing the affected limb III. Splinting the injured limb: Select one: a. I, II and III b. II and III c. I and II The correct answer is: I, II and III Francisca Odoom visited the OPD and complained of bleeding after defecation. She was diagnosed of hemorrhoids. Conservative management of haemorrhoids includes the following EXCEPT: Select one: a. Laxatives and stool softeners b. Ice compresses for discomfort c. Ligation of the haemorrhoids The correct answer is: Ligation of the haemorrhoids 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 132 Not answered Marked out of 1.00 Question 133 Not answered Marked out of 1.00 Question 134 Not answered Marked out of 1.00 Question 135 Not answered Marked out of 1.00 After removal of cast the patient can be instructed to do the following EXCEPT: Select one: a. Control swelling with elastic bandages as directed b. Gradually resume activities and exercise c. Use friction to remove dead surface skin The correct answer is: Use friction to remove dead surface skin A fundamental in the management of inflammation is: Select one: a. General rest of the body b. Provision of clean bed linen c. Raising foot end of the bed The correct answer is: General rest of the body Which patient is at the greatest risk for surgical and anaesthetic complications? A/An: Select one: a. Eighty- year old lady scheduled for exploratory laparotomy b. Three-year old boy scheduled for a hernia repair c. Eighteen- year old scheduled for emergency appendectomy The correct answer is: Eighty- year old lady scheduled for exploratory laparotomy A patient has chest tube insitu for drainage. The main purpose of under- water sealed drainage system is to: Select one: a. Drain air and blood from the pleural cavity b. Prevent air and fluid from entering the lung c. Drain air fluid and blood from the pleural cavity The correct answer is: Drain air fluid and blood from the pleural cavity 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 136 Not answered Marked out of 1.00 Question 137 Not answered Marked out of 1.00 Question 138 Not answered Marked out of 1.00 Mensah Sabba has undergone laparotomy. The nurse will perform which of these interventions for haemorrhage from wound site after the surgery? Select one: a. Prepare and send patient back to theatre b. Reinforce dressings and observe patient c. Change dressings and soiled linen The correct answer is: Reinforce dressings and observe patient Laparotomy has been scheduled for Frank, a client with severe bowel blockage. On the 3rd day after laparotomy a patient complains of severe pains in the right calf muscle. The nurse should first: Select one: a. Record the symptom son the nurses’ notes b. Elevate the leg above the heart c. Notify the surgeon The correct answer is: Elevate the leg above the heart A cystoscope allows visualization of the: I. Bladder II. Urethral orifices III. Urethera Select One: a. I and III b. II and III c. I, II and III The correct answer is: I and III 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 139 Not answered Marked out of 1.00 Question 140 Not answered Marked out of 1.00 Question 141 Not answered Marked out of 1.00 Before a patient sign a consent form for abdominoperineal resection, the nurse should explain to him that the surgery will probably result in a: Select one: a. Permanent ileostomy in the jejunum b. Permanent colostomy and impotence c. Temporary colostomy in the descending colon The correct answer is: Temporary colostomy in the descending colon Which of the following is clinical feature of a simple non-toxic goitre? Select one: a. Pressure symptoms such as dysphagia b. Eyes are protruding c. Tremors of fingers The correct answer is: Pressure symptoms such as dysphagia A patient has undergone haemorrhoidectomy. Which position would be ideal for a patient in early post-operative after the haemorrhoidectomy? Select one: a. High fowlers b. Supine c. Lateral position The correct answer is: Lateral position 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 142 Not answered Marked out of 1.00 Question 143 Not answered Marked out of 1.00 Question 144 Not answered Marked out of 1.00 Which of these surgical procedures involve the removal of a body organ? Select one: a. Colostomy b. Herniorrhaphy c. Cholecystectomy The correct answer is: Cholecystectomy Clinical features of breast cancer include: I. Dimpling of the breast II. Fixation of the lump III. Hard non tender regular lump IV. Palpable axillary lymph nodes Select one: a. I, II and III b. I, II, III and IV c. II, III and IV The correct answer is: II, III and IV A patient with spinal injury is lying in a supine position. Which area of the body is most likely to develop into pressure ulcer? Select one: a. Ears, sternum, sacrum and heel b. Occiput, scapular, sacrum and heel c. Forehead, sternum, patella and toes The correct answer is: Occiput, scapular, sacrum and heel 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 145 Not answered Marked out of 1.00 Question 146 Not answered Marked out of 1.00 Question 147 Not answered Marked out of 1.00 A client was brought to the emergency department semi-consciously. The nurse has a knowledge that when a patient is semi-conscious, the nurse should expect the patient to be unable to: Select one: a. Hear voices b. Move spontaneously c. React to painful stimuli The correct answer is: Move spontaneously The most common application after a huge inguino-scrotal Herniorrhaphy is: Select one: a. Scrotal haematoma b. Urinary retention c. Failure of ejaculation The correct answer is: Scrotal haematoma A patient with severe obstructed airways has a tracheostomy tube in situ. What would be your immediate intervention when a patient’s tracheostomy tube dislodges: Select one: a. Go and get a new tube b. Inform the doctor to give you directions c. Reassure patient that this can occur The correct answer is: Inform the doctor to give you directions 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 148 Not answered Marked out of 1.00 Question 149 Not answered Marked out of 1.00 Question 150 Not answered Marked out of 1.00 Question 151 Not answered Marked out of 1.00 Suctioning of the patient with tracheostomy must be brief. This means that the nurse must make sure it doesn’t exceed: Select one: a. 10 seconds b. 15 seconds c. 5 seconds The correct answer is: 5 seconds Post operatively the patient who has had eye operation should be placed: Select one: a. Supine with a small pillow under the head b. Flat on the back with pillows supporting the head c. On the unaffected side The correct answer is: On the unaffected side Pre-operative preparation includes the following EXCEPT: Select one: a. Psychoanalytical b. Physiological c. Psychosocial The correct answer is: Psychoanalytical Intravenous induction for general anaesthesia is the method choice for the most patients because: Select one: a. The odour of agent is not offensive b. They are no-explosive agents c. Induction is rapid and pleasant The correct answer is: Induction is rapid and pleasant 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 152 Not answered Marked out of 1.00 Question 153 Not answered Marked out of 1.00 Question 154 Not answered Marked out of 1.00 A patient who has sustained head injury regains consciousness and is able to move the extremities. This suggests non-involvement of the: Select one: a. Post central gyrus b. Basal ganglia c. Parietal lobes The correct answer is: Post central gyrus A patient sustained a laceration on the left leg and has become infected. The wound is expected to heal by which type of healing? Select one: a. Granulation b. Epithelial formation c. Approximation The correct answer is: Epithelial formation In a conservative management of haemorrhoids the most important aspect is to give: Select one: a. Warm sitz bath b. Topical application of xylocaine jelly c. High fibre diet The correct answer is: Warm sitz bath 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 155 Not answered Marked out of 1.00 Question 156 Not answered Marked out of 1.00 Question 157 Not answered Marked out of 1.00 A client was rushed to the emergency unit with presenting complaints of dizziness and loss of consciousness. A diagnosis of hypovolemic shock was made. The Nurse would expect a patient in an early stage of severe Hypovolemic shock to exhibit: Select one: a. An apical heart rate of 142bpm b. A blood pressure 150/90 c. A distension of the neck vein The correct answer is: An apical heart rate of 142bpm Which of these nursing diagnostic statements will be most appropriate for Abigail, a 16year old girl with inflammation of to the breast? Select one: a. Nausea related inflammation of breast tissue b. Pain related to inflammation of breast tissue c. Ineffective breast feeding related to inflammation of breast tissue The correct answer is: Pain related to inflammation of breast tissue Fluid replacement for a patient with severe burns during the immediate hypovolaemic stage is considered satisfactory if the urinary output is approximately: Select one: a. One third of intake b. One tenth of intake c. Half the intake The correct answer is: One third of intake 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 158 Not answered Marked out of 1.00 Question 159 Not answered Marked out of 1.00 Question 160 Not answered Marked out of 1.00 Prince Oduro, an auto mechanics got burnt with car battery acid. An effective first aid treatment for acid burns on the skin is to flush them with water and apply a solution of sodium: Select one: a. Hydroxide b. Chloride c. Bicarbonate The correct answer is: Chloride Francisca Odoom visited the OPD and complained of bleeding after defecation. She was diagnosed of hemorrhoids. Which of the following is NOT a precipitating cause of hemorrhoids? Select one: a. Occlusion of the arterial blood supply to the rectum b. Constipation c. Prolong sitting or standing The correct answer is: Prolong sitting or standing Prince Oduro, an auto mechanics got burnt with car battery acid. The condition of Prince Oduro with burns of 36% of the body according to Wallace Rule of Nine would be considered to be: Select one: a. Good b. Critical c. Poor The correct answer is: Critical 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 161 Not answered Marked out of 1.00 Question 162 Not answered Marked out of 1.00 Question 163 Not answered Marked out of 1.00 The most treatment for fissure-in ano is: Select one: a. Application of glycerine b. Warm sitz bath c. Fistulectomy The correct answer is: Fistulectomy A manifestation of cancer of the cervix that would bring the patient to the gynaecologist is: Select one: a. Blood spotting after intercourse b. Fowl-smelling discharge c. Heaviness of the abdomen The correct answer is: Blood spotting after intercourse A patient has frequent episodes of indigestion and accumulation of fats in her body. This is as a result of bile duct obstruction, and he has been scheduled for cholecystectomy. Before cholecystectomy the surgeon orders vitamin K, this is administered because it is used in the formation of: Select one: a. Bilirubin b. Prothrombin c. Cholecystokinin The correct answer is: Prothrombin 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 164 Not answered Marked out of 1.00 Question 165 Not answered Marked out of 1.00 Question 166 Not answered Marked out of 1.00 A patient has been visiting the wound dressing unit for the past three months. To enhance wound healing the nurse would encourage the patient to: Select one: a. Eat more fish than meat b. Increase energy giving foods c. Eats a lot of carrot and water melon The correct answer is: Eat more fish than meat The following are cytotoxic drugs for the treatment of malignant tumours EXCEPT: Select one: a. Scopolamine b. Methotrexate c. Cyclophosphamide The correct answer is: Scopolamine Which of the following would you tell your patient with varicose veins to do to promote comfort and minimize worsening condition? Tell patient to: Select one: a. Wear constrictive clothing b. Avoid wearing constrictive clothing c. Avoid putting on compression stockings before coming out of bed The correct answer is: Wear constrictive clothing 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 167 Not answered Marked out of 1.00 Question 168 Not answered Marked out of 1.00 Question 169 Not answered Marked out of 1.00 Mr. Arhin has been transferred to the operating room. The anesthetic performed general anesthesia before the operation. While caring for a patient who has undergone surgery under general anaesthesia, the nurse should notify the surgeon if the: Select one: a. Patient has a snoring respiration b. Respirations are regular but shallow c. Patient pushes the airway out The correct answer is: Patient pushes the airway out Two men reported dead and five ladies we're rushed to your emergency unit following a road accident that happened at Kumasi-Accra high road. When caring for road traffic accident victims the nurse would prioritize care and provide treatment first for a patient with: Select one: a. Head injury b. Ventricular fibrillation c. A penetrating abdominal wound The correct answer is: Ventricular fibrillation Maame Abena reported her 10months infant to the health facility complaining of child drawing his knees up to his chest due to abdominal cramping, sudden loud crying and fever. The nurse would probably diagnose the infant of: Select one: a. Hysteria b. Intussusception c. Ulcer The correct answer is: Intussusception 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 170 Not answered Marked out of 1.00 Question 171 Not answered Marked out of 1.00 Question 172 Not answered Marked out of 1.00 Mrs. Marfo, an aged of 67years fell into a gutter and got her left ribs broken and has been detained at the emergency unit. The nurse has a knowledge that, as a result of a fractured rib the patient may develop: Select one: a. Obstructive lung disease b. Herniation of the diaphragm c. Pneumothorax The correct answer is: Pneumothorax Alhaji Somaya is a client who has been detained at the emergency unit following breathing difficulties. He has been transferred to the ward fully awake following a bronchoscopy and biopsy. The nurse should: Select one: a. Advise the patient to cough frequently b. Provide ice chips to suck to reduce swelling c. Evaluate the presence of gag reflex The correct answer is: Evaluate the presence of gag reflex Informed consent from the patient is necessary for: Select one: a. Psychotic injectable drug administration b. Invasive procedures such as surgery c. Discharge procedure The correct answer is: Invasive procedures such as surgery 11/11/21, 7:55 PM BSC/RGNS01: SURGERY AND SURGICAL NURSING 01 NMC EXAMS NOV-DEC 2021.: Attempt review Question 173 Not answered Marked out of 1.00 Question 174 Not answered Marked out of 1.00 Question 175 Not answered Marked out of 1.00 Question 176 Not answered Marked out of 1.00 Complications of wound healing include: I. Dehiscence II. Evisceration III. Infection IV. Life style Select one: a. I, II, III and IV only b. I, III and IV only c. I, II and IV only The correct answer is: I, III and IV only Which of the following medication will be prescribed for a patient with postoperative shock? Select one: a. Antihistamine b. Oral corticosteroids c. Bronchodilators The correct answer is: Bronchodilators Kwakye Nissi finds it difficult to void after his indwelling catheter has been removed. This may be due to: Select one: a. Fluid imbalance b. An interruption in his normal voiding habit c. The patient’s recent sedenta