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All state and Central government Nursing exam preparation

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A client with a central venous catheter develops shortness of breath and chest pain. The nurse notes a drop in BP and muffled heart sounds. What is the priority action?
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A client is receiving IV potassium chloride for hypokalemia. Which of the following f indings should the nurse report immediately?
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A nurse is caring for a patient with heart failure who has gained 3 lbs (1.4 kg) in 24 hours and reports dyspnea. What is the nurse’s next action?
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A client is post-op day 1 after abdominal surgery. The nurse notes absent bowel sounds and a distended abdomen. What is the nurse’s priority action?
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*✨ ALCOHOL DEPENDENCE IMPORTANT MCQs ✨* 1. What is the most commonly used screening tool for alcohol use disorder? *CAGE questionnaire* 2. What is the most severe form of alcohol withdrawal? *Delirium tremens* 3. Which neurotransmitter is primarily affected in alcohol use disorder? *GABA* 4. Which vitamin deficiency is commonly seen in chronic alcoholics? *Thiamine (Vitamin B1)* 5. What is the triad of Wernicke’s encephalopathy? *Confusion, ophthalmoplegia, ataxia* 6. Which syndrome results from untreated Wernicke’s encephalopathy? *Korsakoff syndrome* 7. What is the first-line pharmacological treatment for alcohol dependence? *Naltrexone* 8. Which drug causes an aversive reaction to alcohol? *Disulfiram* 9. What is the term for liver disease due to chronic alcohol use? *Alcoholic hepatitis* 10. Which liver enzyme ratio is commonly elevated in alcohol use disorder? *AST > ALT (usually 2:1)* 11. What is the term for alcohol-induced reversible memory impairment? *Blackout* 12. Which electrolyte abnormality is common in chronic alcoholism? *Hypomagnesemia* 13. Which scoring system is used to assess alcohol withdrawal severity? *CIWA-Ar* (Clinical Institute Withdrawal Assessment for Alcohol) 14. What is the mechanism of action of disulfiram? *Inhibits aldehyde* *dehydrogenase* 15. Which medication is used to reduce alcohol cravings? *Acamprosate* 16. What is the most common complication of chronic alcohol use? *Liver cirrhosis* 17. What is the characteristic hand tremor in alcohol withdrawal? *Intentional tremor* 18. Which psychiatric disorder is commonly comorbid with alcohol use disorder? *Depression* 19. Which ocular sign is seen in Wernicke’s encephalopathy? *Nystagmus* 20. Which drug is used to treat acute alcohol withdrawal? *Benzodiazepines* 21. What is the legal blood alcohol concentration (BAC) limit for driving in most countries? *0.08%* 22. Which fetal condition results from alcohol consumption during pregnancy? *Fetal alcohol syndrome* 23. What is the term for inflammation of the pancreas due to alcohol use? *Alcoholic pancreatitis* 24. Which medication should be given before glucose in suspected Wernicke’s encephalopathy? *Thiamine* 25. What is the hallmark neuropsychiatric symptom of Korsakoff syndrome? *Anterograde amnesia* 26. Which enzyme metabolizes ethanol in the liver? *Alcohol dehydrogenase* 27. What is the term for skin redness in chronic alcohol users? *Facial flushing* 28. Which social factor is commonly linked to alcohol use disorder? *Stress* 29. Which part of the brain is most affected in chronic alcohol use? *Cerebellum* 30. Which therapy is commonly used in alcohol use disorder rehabilitation? *Cognitive-behavioral therapy (CBT)*

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A patient complains of sudden onset of floaters and flashes of light, followed by a shadow over their visual field. Which condition is most likely?
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A patient presents with a red, swollen eyelid and purulent discharge. Which condition is most likely?
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A patient presents with a painless, progressive enlargement of a pigmented lesion on the iris. Which condition should be considered?
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Which ocular malignancy is most common in children?
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A 70-year-old patient reports gradual loss of central vision, making it difficult to read or recognize faces. Fundoscopic examination reveals drusen deposits. What is the most likely diagnosis?
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Which of the following is a characteristic feature of retinitis pigmentosa?
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