1. Amin, 5years, refuses to eat due to slightly raised white patches on the mucus membrane of her mouth.

This infection is called A. B. C. D. hand foot and mouth infection herpes simplex, candidiasis, gingivitis.

2. Madam Dewi, aged 60 years, is suffering from ulcerative colitis and was put on nil by mouth for 5 days, this is intended to A. B. C. D. prevent vomiting and aspiration of food. Decrease abdominal pain and distension allow adequate time for the colon to heal. allow diagnostic testing to be completed.

3. Mr.Wong aged 70 years, is receiving Total Parenteral Nutriton (TPN) infusion in 24 hours. A. B. C. D. Patient nil orally during TPN infusion. Change infusion set every 48 hours. Monitor blood glucose levels every 2 hours. Use infusion set without filter.

4.Mr.Razak who is having intestinal obstruction has been listed for emergency laparotomy. Your main nursing action before the operation is to A. B. C. D. give enema to clean the bowel. give plain water to prevent dehydration. insert Ryles tube for free flow and gastric aspiration. commence blood transfusion to prevent hypovolemic.

5. Mr.Bala is suffering from postoperative paralytic ileus. What is your nursing intervention? A. B. C. D. Serve analgesics. Give milk drinks. Perform gastric aspiration. Give low fibre diet.

7. The information that should be given to patient after a barium enema examination is A. B. C. D. faeces will be grey in color. observe for presence of blood in the stool. increase intake of fibre for a week. decrease fluid intake for 24 hours.

8. The investigation performed to detect signs of acute pancreatitis is

A. B. C. D.

blood urea. serum lipase. serum creatinin. serum potassium.

9. Pleural effusion will cause dyspnoea. What is the main nursing intervention to overcome dyspnoea? A. B. C. D. Nurse patient in Fowlers position Assist doctor in thoracentesis Administer analgesic as prescribed. Encouraged deep breathing exercises.

10. The main purpose of giving corticosteroid therapy to a patient with acute asthma is to A. B. C. D. expel secretion reduce inflammation relax the bronchial muscles. prevent respiratory infection.

11. The first measure to relieve airway obstruction due to foreign body in a conscious adult patient is A. B. C. D. encourage victim to cough. perform Heimlich maneuver. give a strong back blow. attempt to remove foreign body with index finger.

12. Mr.Tan has just returned from the recovery room after hemorrhoidectomy, He informed the nurse that he is anxious because of anal pack. The most relevant answer by the nurse to reduce his anxiety is A. This pack is to prevent bleeding from the operation wound. B. Can I take a look at your anal pack? This is the doctors instruction; please do not remove the anal pack. C. This is a normal sensation. You can read magazine to divert your attention. D. Can I take a look at your anal pack? This pack is to prevent bleeding from the operation wound. It will be removed after examination by the doctor. 13. Wheezing experienced by patients with bronchial asthma is caused by A. B. C. D. thick viscous mucus in the lungs. reduce air exchange in the bronchioles. airflow through the narrowed bronchioles. obstruction of airflow in the lungs.

14. You are instructed to infuse Aminophyline 500mg in 500mls Dextrose 5% in 12 hours. The drop factor is 20. What is the flow rate per minute.? A. 7drops.

B. 14drops. C. 21 drops D. 28 drops. 15. Surfactant therapy is given to premature babies with respiratory distress to A. B. C. D. Stabilize alveoli size. moisten alveoli lining. strengthen intercostal muscles. increase alveoli surface tension

16. A patient who has coordination problem when using Metered Dose Inhaler (MDI)is advised to use it with A. B. C. D. Facemask. compressor. mouthpiece. aerochamber.

17.The most important preoperative teaching for a patient scheduled for open cholecystectomy is A. B. C. D. leg lifting exercises. diet intake restriction of fluid intake. coughing and deep breathing exercises.

18.Madam Laila had undergone total thyroidectomy and developed thyroid storm 4 hours later. The following nursing interventions were carried out of her EXCEPT A. B. C. D. Administer oxygen therapy. Perform tepid sponging. Commence intravenous dextrose infusion . Give aspirin as ordered

19.The nurse is monitoring the electrocardiography (ECG) of a patient and identifies an ischemic condition. The ECG characteristic condition is A. B. C. D. Sinus rhythm with pathologic Q wave. Sinus rhythm with an elevated ST segment. Sinus rhythm with a depressed ST segment. Sinus rhythm with premature atrial contraction.

20. 50 ml of Sodium Bicarbonate 8.4%is to be infused over 20 minutes for a patient with cardiogenic shock. The flow rate calculated in mls.per hour is A. 3.0ml/h

B. 18.0ml/h C. 24.0ml/h D. 150ml/h 21. Ali was prescribed with 800mg of syrup ampicillin orally . Strength of drug is 250 mg/5ml. Calculate the volume required. A. B. C. D. 1.6ml. 3.2ml. 16ml. 32ml.

22. Mr.Lam , 48 years is taking Tablet Metoprolol and Frusemide for hypertension. His blood pressure now is 120/70mmhg. The advice for Mr.Lam is A. B. C. D. reduce the dosage of medication and care of diet. Stop taking the medication and care of diet. Continue taking medication and care of diet. take medication when blood pressure is high and care of diet.

23.Madam lalitha has congestive cardiac failure is treated with tablet aldactone.What advice would you give him? A. B. C. D. Avoid taking salty food. Perform exercise for one hour daily. Increase nutritious fluid intake. Stop taking medication when heart symptoms decreases.

24.Mr,Ahmad known case of hypertension was admitted for unstable angina. His chest pain is caused by decreased A. B. C. D. myocardial perfusion. myocardial contractility. oxygen demand by myocardium. supply of nutrient to the coronary artery.

25.Several days after gastrectomy, Mr.Seng experiences tachycardia, palpitation, sweating, cramping pain and diarrhea. Based on the symptoms, the nurse would suspect this complication. A. B. C. D. Dyspnoea. Dumping syndrome. Post prandial hypoglycemia. Gastroesophageal reflux syndrome.

26.Mr.Hashim has myocardial infarction and was given streptokinase infusion. As a nurse you should observe for

A. B. C. D.

fever, bradycardia. bleeding. hypertension

27. what are the clinical manifestations that are detected in a patient whose haemoglobin level is 8.0gm/dl? A. B. C. D. Fatigue and weakness. Bradycardia and weak pulse. slow and shallow respiration. Face is red and flushed.

28.Mei.Ling age 2 years ,has glucose 6 phosphate dehydrogenase deficiency (G6PD).the advice you would give to her mother in order to prevent hemolysis is A. B. C. D. increase intake of food rich in vitamin k. take plenty of green leafy vegetables. take plenty of beans. not to eat fava beans.

29. The 27.year old male patient with Hodgkin,s lymphoma in the pelvic region need to be treated with radiation therapy. A. B. C. D. permanent alopecia. risk for lung cancer. disruption of spermatogenesis. constipation will be continuous throughout the therapy.

30. Madam lela with cholelithiasis often complaints of pain Nature of her pan is A. B. C. D. radiating from abdomen to chest. radiating from abdomen to suprapubic. involves the entire abdominal radiating to the right scapular region. in the right upper quadrant radiating to the right scapular region.