The Nightingales Nursing hub IMP MCQ
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A patient presents with a metallic taste, foul mouth odor, painful and swollen gingiva. Which condition is most likely?
A. Chronic gingivitis
B. Intrapulpal abscess
C. Acute necrotizing ulcerative gingivitis (ANUG)
D. Plaque-induced gingivitis
MCQ – Drug Calculation
A 70-kg patient is prescribed dopamine at 5 mcg/kg/min. The available IV solution contains 200 mg of dopamine in 50 mL of D5W. What infusion rate should the nurse set on the infusion pump?
A. 3.5 mL/hr
B. 4.5 mL/hr
C. 5.25 mL/hr
D. 7.0 mL/hr
An 11-kg child is prescribed IV fluid over 24 hours using holiday sengar rulean with a drop factor of 60 gtt/mL. What is the infusion rate?
A. 35 gtt/min
B. 40 gtt/min
C. 44 gtt/min
D. 50 gtt/min
A baby with SVT is prescribed IV adenosine. Which nursing action is appropriate for administration?
A. Administer as a slow IV push
B. SLOW PUSH , it is Bolus drug
C. Administer with 30 mL NS as a continuous infusion
D. Administer as a IV through a vein in the upper limb
A patient has a femoral arterial catheter in place. Which nursing action is most important to assess for potential vascular complications?
A. Encourage early ambulation
B. Assess the distal pedal pulse of the affected limb
C. Encourage active leg exercises
D. Apply a warm compress to the insertion site
A newborn is being given the Hepatitis B vaccine. Which drug should be kept readily available to manage a severe hypersensitivity reaction?
A. Adrenaline
B. Hydrocortisone
C. Hepatitis B immunoglobulin (HBIG)
D. Atropine
The constant presence of a disease in a particular geographical area is known as:
A. Epidemic
B. Pandemic
C. Endemic
D. Sporadic
After a cystoscopy, the patient passes pinkish/tinged urine. What is the nurse’s best interpretation?
A. This indicates severe urinary tract injury
B. Increase oral fluids only
C. Wait for 2 hours without intervention
D. This is an expected finding after cystoscopy
A patient with acute cholecystitis is being assessed by the nurse. The nurse palpates the right upper quadrant (RUQ) and asks the patient to take a deep breath and hold it. The patient experiences increased pain and stops/limits inspiration. Which finding is this?
A. Rebound tenderness
B. Pain increases during inspiration
C. Inspiration hold
D. Rovsing’s sign
A patient with intestinal obstruction is kept NPO and an NG tube is connected to suction. Which nursing intervention is the priority?
A. Encourage oral fluids
B. Monitor and maintain fluid & electrolyte balance
C. Start a high-fiber diet
D. Clamp the NG tube continuously
A patient with intestinal obstruction is kept NPO and an NG tube is connected to suction. Which nursing intervention is the priority?
A. Encourage oral fluids
B. Monitor and maintain fluid & electrolyte balance
C. Start a high-fiber diet
D. Clamp the NG tube continuously
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