MIXED MCQ Questions and Answers 2023 (with answers)
You are caring for bill, a 50 year old man who has been hospitalised with a
possible diagnosis of pancreatitis
1. Which of the following symptoms would you anticipate observing in bill
a) Elevated white blood cell count, ankle oedema and right groin pain
b) Left upper quadrant abdominal pain, nausea, and vomiting
c) Hypoglycaemia, hypertension, and hypochondrial pain
d) Epigastric pain, pyrexia, and elevated white blood cell count
b) Left upper quadrant abdominal pain, nausea, and vomiting
Pain control is an important nursing goal. Which of the following medications
would be the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine
c) Morphine
You monitor bills vital signs frequently, observing for the signs of shock. Shock
is extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis
a) Frequency and severity of gastrointestinal haemorrhage
While helping bill change position in bed, you note bill has muscle twitching in
his bands and forearms. These symptoms are significant because clients who
suffer from pancreatitis are at risk of
a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia
c) Hypocalcaemia
Bill does not drink alcohol because of his religious beliefs. When the physician
persists in asking him about his alcohol intake, bill becomes annoyed. You
explain the reasoning behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose
pancreatitis
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered
c) Alcoholism is a major health problem and all hospitalised clients are asked about
their alcohol intake
11. The primary reason that a herpes simplex infection is a serious concern to a
client with HIV infection is that herpes simplex
a) Is an acquired immunodeficiency virus (AIDS) defining illness
b) Is curable only after 1 year of antiviral therapy
, c) Can lead to cervical cancer
d) Causes severe electrolyte imbalances
a) Is an acquired immunodeficiency virus (AIDS) defining illness
An 18 year old female college student is seen at the university health centre. She
undergoes a pelvic examination and is diagnosed with gonorrhoea
19. Which of the following responses by the nurse would be best when the client
says that she is nervous about the upcoming pelvic examination
a) can you tell me more about how you‟ re feeling
b) you‟ re not alone. Most women feel uncomfortable about this examination
c) do not worry about Dr smith. He‟ s a specialist in female problems
d) we‟ ll do everything we can to avoid embarrassing you
a) can you tell me more about how you‟re feeling
Gonorrhoea in women
a) is often marked by symptoms of dysuria or vaginal bleeding
b) does not lead to serious complications
c) can be treated but not cured
d) may not cause symptoms until complications occur
d) may not cause symptoms until complications occur
A 24 year old female client, who is on her honeymoon, comes to an ambulatory
care clinic in moderate distress with a probable diagnosis of acute cystitis
22. Which of the following symptoms would the nurse expect the client to report
during the assessment
a) fever and chills
b) frequency and burning on urination
c) suprapubic pain and nausea
d) dark, concentrated urine
b) frequency and burning on urination
24. The physician tells the client that the infection has likely been precipitated by
sexual intercourse and that an antibiotic will be prescribed. The client becomes
upset, and tearfully asks the nurse if this means she should abstain from
intercourse for the rest of her honeymoon. What advice should the nurse offer
her
a) avoid intercourse until you‟ ve completed the antibiotic therapy and then limit
intercourse to once a week
b) limit intercourse to once a day in the early morning after your bladder has
rested
d) you and your husband can enjoy intercourse as often as you wish. Just make
sure he wears a condom and uses a spermicide
c) as long as you‟re comfortable you can have intercourse as often as you wish; but
be sure to urinate within 15 minutes after intercourse
Winston, a 22 year old man, is brought to the emergency room with an apparent
head injury after being involved in a motor vehicle accident. He is unconscious
on arrival and exhibits signs of increasing intracranial pressure. His fiancée and
his older sister accompany him
26. On Winston‟ s arrival in the emergency room, which of the following
considerations should receive the highest priority
You are caring for bill, a 50 year old man who has been hospitalised with a
possible diagnosis of pancreatitis
1. Which of the following symptoms would you anticipate observing in bill
a) Elevated white blood cell count, ankle oedema and right groin pain
b) Left upper quadrant abdominal pain, nausea, and vomiting
c) Hypoglycaemia, hypertension, and hypochondrial pain
d) Epigastric pain, pyrexia, and elevated white blood cell count
b) Left upper quadrant abdominal pain, nausea, and vomiting
Pain control is an important nursing goal. Which of the following medications
would be the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine
c) Morphine
You monitor bills vital signs frequently, observing for the signs of shock. Shock
is extremely difficult to manage in pancreatitis primarily because of the
a) Frequency and severity of gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart failure
d) Frequent incidence of acute tubular necrosis
a) Frequency and severity of gastrointestinal haemorrhage
While helping bill change position in bed, you note bill has muscle twitching in
his bands and forearms. These symptoms are significant because clients who
suffer from pancreatitis are at risk of
a) Hypermagnisemia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia
c) Hypocalcaemia
Bill does not drink alcohol because of his religious beliefs. When the physician
persists in asking him about his alcohol intake, bill becomes annoyed. You
explain the reasoning behind the questioning by telling bill that
a) There is a strong link between alcohol use and pancreatitis
b) Alcohol intake can interfere with some of the tests used to diagnose
pancreatitis
d) The physician must obtain the pertinent facts, and religious beliefs cannot be
considered
c) Alcoholism is a major health problem and all hospitalised clients are asked about
their alcohol intake
11. The primary reason that a herpes simplex infection is a serious concern to a
client with HIV infection is that herpes simplex
a) Is an acquired immunodeficiency virus (AIDS) defining illness
b) Is curable only after 1 year of antiviral therapy
, c) Can lead to cervical cancer
d) Causes severe electrolyte imbalances
a) Is an acquired immunodeficiency virus (AIDS) defining illness
An 18 year old female college student is seen at the university health centre. She
undergoes a pelvic examination and is diagnosed with gonorrhoea
19. Which of the following responses by the nurse would be best when the client
says that she is nervous about the upcoming pelvic examination
a) can you tell me more about how you‟ re feeling
b) you‟ re not alone. Most women feel uncomfortable about this examination
c) do not worry about Dr smith. He‟ s a specialist in female problems
d) we‟ ll do everything we can to avoid embarrassing you
a) can you tell me more about how you‟re feeling
Gonorrhoea in women
a) is often marked by symptoms of dysuria or vaginal bleeding
b) does not lead to serious complications
c) can be treated but not cured
d) may not cause symptoms until complications occur
d) may not cause symptoms until complications occur
A 24 year old female client, who is on her honeymoon, comes to an ambulatory
care clinic in moderate distress with a probable diagnosis of acute cystitis
22. Which of the following symptoms would the nurse expect the client to report
during the assessment
a) fever and chills
b) frequency and burning on urination
c) suprapubic pain and nausea
d) dark, concentrated urine
b) frequency and burning on urination
24. The physician tells the client that the infection has likely been precipitated by
sexual intercourse and that an antibiotic will be prescribed. The client becomes
upset, and tearfully asks the nurse if this means she should abstain from
intercourse for the rest of her honeymoon. What advice should the nurse offer
her
a) avoid intercourse until you‟ ve completed the antibiotic therapy and then limit
intercourse to once a week
b) limit intercourse to once a day in the early morning after your bladder has
rested
d) you and your husband can enjoy intercourse as often as you wish. Just make
sure he wears a condom and uses a spermicide
c) as long as you‟re comfortable you can have intercourse as often as you wish; but
be sure to urinate within 15 minutes after intercourse
Winston, a 22 year old man, is brought to the emergency room with an apparent
head injury after being involved in a motor vehicle accident. He is unconscious
on arrival and exhibits signs of increasing intracranial pressure. His fiancée and
his older sister accompany him
26. On Winston‟ s arrival in the emergency room, which of the following
considerations should receive the highest priority
