1.

Common symptom of myocardial infarction- chest pain

2. Best position for myocardial infarction- supine with head of bed elevated 45
degrees to 90 degrees.

3. Correct landmark for obtaining apical pulse- left 5th intercostals space mid
clavicular line.

4. Which blood test indicative of myocardial infarction- ckmb.

5. Which blood test most sensitive with myocardial infarction- troponin.

6. What medication is supplement with lasix- potassium?

7. What the most quickest and widest tolls in detecting myocardial infarction-
ecg.

8. First intervention patient experiencing myocardial infarction- administer

oxygen.

9. Which class of drugs that protect the heart muscle by decreasing the effect of
symphatetic nervous system- beta adrenergic blocker.

10. Which class of drug that decreasing the heart rate- calcium channel blocker.

11. Most common complication of myocardial infarction- ARYTHMIAS.

12. What is the classic sign of right sided heart failure- EDEMA AND JUGULAR
VEIN DISTENTION?

What position should replace the head of the patient with jugular vein
distension? Head of bed 30degree.

What always check before administering digoxin- apical pulse.

What are the common sign of digoxin toxicity-halo around lights nausea and
vomiting.

What is the classic sign of lshf-crackles or rales in the lungs?

What causes drug increase ventricular contractility- inotropic drugs.

What is the common of abdominal aortic aneurysm- atherosclerosis.

What is the classic sign of abdominal aortic aneurysm- abdominal pain.

What is definitive test to diagnose abdominal aortic aneurysm- arteriogram.

What is the client concern in client with abdominal aortic aneurysm- rapture of
aneurysm.

What sound is heard in client with abdominal aortic aneurysm- bruise sound.

Client with hereditary disease can cause aneurysm- morphine syndrome.

What is definitive treatment for raptured aneurysm- surgery.

What is the predominant cause of angina- inadequate oxygen supply to the heart
muscle?

What is the primary treatment goal for angina- reversal of ischemia

What is the common cause of cardiogenic shock- acute myocardial infarction.

What is earliest sign of cerebral blood flow- altered loc.

What is the initial treatment for cardiogenic shock- increase myocardial oxygen
supply?

Which drug is common in treatment with cardiogenic shock-dopamine

What hormone raises arterial pressure by vasoconstriction and promotes venous

return- angiotensin2.

13. lshf what side damage of chamber of the heart- left ventricles

14. 5 stage of dying- denial anger bargaining depression acceptance.

16. in the cardiac arrest what is the usual dose of epinephrine- 1mg iv push
every 3 to 5 minutes.

17. the order in the regular nph in the insulin how to we draw the mixture?- draw
the regular first then the nph.

18. a patient is in the aneuric phase of renal failure how much urine output do
we have- less than 100cc in 24 hour.

19. a client is in the oligoric phase of renal failure how much urine output do we
have- lesss than 400cc in 24 hour.

20. What is pulse deficit- difference between the apical and radial pulses taken
at the same time.

21. When postural drainage can be done- before meals or 2-4 hours after meals.

22. What is the positive kernig’s sign- an attempt to flex the hips result in painful
spasm of the hand string muscle usually in meningitis.

23. Where is the common location of herniated disc- l4-l5 l5-s1.

24. What is valsalva manoeuvre- force exhalation against against close

24. What are the sign and symptoms of alcohol withdraw- anxiety, tremors, and
insomnia.
25. what is the main reason in pain in angina?- ischemia of myocardium.

26. what position should the nurse place the client with blakemoretub- semi-
fowlers

27.what is intermittent claudication –pain in the leg during ambulation that

relieve with dress usually a symptom of arterial insufficiency.

28. what is the common symptom of bladder cancer- painless hematuria.

29. what is the positive trousseaus sign suggest?- hypocalcemia.

30. what is the positive chvostek sign suggest- HYPOCALCEMIA

31. what is priority intervention of burn patient- A PATENT AIRWAY

32. what is the best time to apply elastic stocking- before the client gets up from
bed.

33. what is the treatment of choice for gonorrhoea- penicillin.

34. what is intractable pain- pain that cant relieve by drugs.

35. when inform consent required?- in any invasive procedures.

36. how myotic medication reduce intra- ocular pressure in the client with
glaucoma- by constricting the pupil and increasing the outflow of aqueous
humour.

37. what is the widening pulse suggest- increase intra cranial pressure.

38. what is the purpose of mistent- to liquefy and loosen secretion.

39. what is the classic symptom of pruritus- chest pain that increase in
respiratory movement.

Which organism commonly cause community acquired pneumonia in adult-

streptococcus pneumonia

In pneumonia which lung sound expect to hear with lung considilation- bronchial
breath sound

What is the best way to know the organism affecting by pneumonia- sputum
culture and sensitivity.

What is the treatment with any client with dyspnea- oxygen.

How tuberculosis transmitted- airbourne and droplets.

How long should the ppd test should be red- 48 to 72 hours.

What is considered the positive ppd test? REDEN than raise 10m and more.
What are the sign and symptom of tuberculosis- chills, fever, night sweat and
haemoptysis?

What are the side effects of tb medication- nephrotoxicity nad phatotoxicitty

What is the definitive test to diagnose with tuberculosis- sputum culture and afv

How long the treatment with a client diagnose tuberculosis- 9-12months.

What is the nursing action with the client suspected with tuberculosis- to further
spread the infection reapiratory isolation.

What is classic sign diagnoses asthma- inspiratory and expiratory wheezing.

What kind of drugs that first line for asthma- bronchodilators.

What is the common side effects of broncho dilators- tachychardia.

What is the common assessment of a clinet with gullian barre syndrome-

respiratory assessment.

What is the antidote of opiate antidote- NARCAN

Which condition is preferring with with puppers- emphysema

Which condition with blue blutter- chronic obstructive bronchitis

What respiratory disorder common 28-48 hours surgery- aatelectasis

What is the serious side effect of morphine- respiratory depression

What is the best way of diagnose a patient with pneumothorax- chest xray.

What test the doctor order inserting catheter in sub-clavian vein- chest xray to
confirm placement

What normal sound called- broncho vesicular

In a client in a test tube to treat pneumothorax what is the lung reexpansion in

assess with the close drainage system- no fluctuation when water seal is applied.

What to assess when reexpansion of lungs client with pneumothorax- chest xray
for comparison

What is the number cause of lung cancer- smoking

What is definitive test to diagnose cancer- biopsy and cytology exam

What is the key eith surviving rates for cancer patient- early detection

What is the intervention when the test tube accidentally pulled out- apply
occlusive dressing on the site.
Primary goal for surgical resection for lung cancer- to remove tissues that have
tumor that surrounding tissue as possible.

What is the nursing focus with a patient with terminal disease- comfort measure
and complete measure?

What is the definition of pulmonary embolism-occlusion of pulmonary blood

vessels.

What are the classic sign and symptom of pulmonary embolism- shortness of
breath dyspnoea and chest pain.