Final-Year Bachelor of Science in Nursing (BScN)
Course Code: NSC 409
Course Title: Advanced Nursing Practice and Clinical Decision-Making
Duration: 3 Hours
Total Marks: 100
SECTION A: MULTIPLE CHOICE QUESTIONS (20 Marks)
Instructions: Choose the most appropriate answer for each question.
1. Which of the following best defines evidence-based practice in nursing?
A. Using intuition to guide care decisions
B. Relying solely on past experiences
C. Integrating research evidence with clinical expertise and patient
preferences
D. Following hospital policies blindly
2. Which electrolyte imbalance is most likely to cause cardiac
dysrhythmias?
A. Hypocalcemia
B. Hypermagnesemia
C. Hyperkalemia
D. Hyponatremia
3. A patient on warfarin has an INR of 5.0. What is the best nursing action?
A. Administer another dose
B. Hold the dose and notify the physician
C. Give aspirin to lower INR
D. No action needed
, 4. Which nursing diagnosis is most appropriate for a patient in acute pain
post-op?
A. Risk for falls
B. Impaired gas exchange
C. Activity intolerance
D. Acute pain
5. What is the primary function of the loop of Henle in the nephron?
A. Reabsorption of glucose
B. Production of erythropoietin
C. Reabsorption of water and salts
D. Secretion of insulin
6. A major side effect of aminoglycosides is:
A. Nephrotoxicity
B. Hypertension
C. Tachycardia
D. Hypoglycemia
7. What is the purpose of heparin?
A. Dissolves blood clots
B. Prevents clot formation
C. Promotes clotting
D. Increases platelet count
8. Which action shows advocacy in nursing?
A. Prioritizing paperwork
B. Ignoring a patient’s request
Course Code: NSC 409
Course Title: Advanced Nursing Practice and Clinical Decision-Making
Duration: 3 Hours
Total Marks: 100
SECTION A: MULTIPLE CHOICE QUESTIONS (20 Marks)
Instructions: Choose the most appropriate answer for each question.
1. Which of the following best defines evidence-based practice in nursing?
A. Using intuition to guide care decisions
B. Relying solely on past experiences
C. Integrating research evidence with clinical expertise and patient
preferences
D. Following hospital policies blindly
2. Which electrolyte imbalance is most likely to cause cardiac
dysrhythmias?
A. Hypocalcemia
B. Hypermagnesemia
C. Hyperkalemia
D. Hyponatremia
3. A patient on warfarin has an INR of 5.0. What is the best nursing action?
A. Administer another dose
B. Hold the dose and notify the physician
C. Give aspirin to lower INR
D. No action needed
, 4. Which nursing diagnosis is most appropriate for a patient in acute pain
post-op?
A. Risk for falls
B. Impaired gas exchange
C. Activity intolerance
D. Acute pain
5. What is the primary function of the loop of Henle in the nephron?
A. Reabsorption of glucose
B. Production of erythropoietin
C. Reabsorption of water and salts
D. Secretion of insulin
6. A major side effect of aminoglycosides is:
A. Nephrotoxicity
B. Hypertension
C. Tachycardia
D. Hypoglycemia
7. What is the purpose of heparin?
A. Dissolves blood clots
B. Prevents clot formation
C. Promotes clotting
D. Increases platelet count
8. Which action shows advocacy in nursing?
A. Prioritizing paperwork
B. Ignoring a patient’s request
