Sree Chitra Tirunal Institute of Medical Sciences and Technology (SCTIMST) Old Staff Nurse Exam (16-06-2013) Question Paper with answers Part 3

Sree Chitra Tirunal Institute of Medical Sciences and Technology 
Written Test for the post of Staff Nurse (Temporary)
Date: 16-06-2013

The nurse is caring for a patient with raised intra crania pressure. Which of the following trends in vital signs is applicable here?
a. increasing temperature, increasing pulse, increasing respiration, decreasing blood pressure
b. increasing temperature, decreasing pulse, increasing respiration, decreasing blood pressure.
c. Decreasing temperature, decreasing pulse, increasing respiration, increasing blood pressure
d. decreasing temperature, increasing pulse, decreasing respiration, increasing blood pressure
In autoclaving the water temperature can be raised to much higher degree by
a. adding chemicals
b. using filtered water
c. increasing temperature
d. all of the above
The nurse is assessing the adaptation of the patient to changes in the functional status after a stroke. The nurse determines that the patient is adapting most successfully if the patient
a. gets angry with family if they interrupt a task
b. experiences bouts of depression and irritability
c. has difficulty with using modified feeding utensils
d. consistently uses adaptive equipment in dressing self
The nurse would suspect a patient after craniotomy is developing meningitis if the patient exhibits
a. negative kernig sign
b. absence of nuchal rigidity
c. positive brudinski sign
d. glascow coma scale of 15
Antibiotic prophylaxis before surgery is to be administered
a. 120 mts prior to incision
b. 60 mts prior to incision
c. just before incision
d. 120mts prior to shifting patient to OT
The preferred position in which a patient with increased intracranial pressure to be placed is
a. supine
b. Trendelenberg
c. Lithotomy
d. Head tilted to 30 degree
A nurse has received the patient assignment for the day. Which among the following patient should the nurse assess first?
a. The patient who has a nasogastric tube attached to intermittent suction
b. The patient who has to receive subcutaneous insulin before breakfast
c. The patient who is 2 days post-operative and complaining of incisional pain
d. The patient who has a blood glucose level of 50mg per dilution and complaints of blurred vision
MRI study is prescribed for a patient with suspected brain tumor. The nurse implements which action to prepare the patient for this test?
a. IV mannitol for 6 hours before the procedure
b. shaves the groin for the insertion of femoral catheter
c. removes all metal containing objects from the patient
d. instructs the patient in inhalation technique for the administration of a radio isotope
The nurse is teaching a patient who has iron deficiency anemia about food she should include in her diet. The nurse determines that the patient understands the dietary modification if she selects which of the following menu
a. nuts
b. milk
c. boiled rice
d. dark green leafy vegetables
A patient has experienced acute pulmonary embolism. The Nurse assesses for which symptom which is mostly commonly reported
a. hot flushed feeling
b. sudden chills and fever
c. chest pain that occurs suddenly
d. occipital head ache
A nurse performs the admission assessment for a patient with diagnosis of tuberculosis. The nurse receives the results of which diagnostic test that will confirm the diagnosis
a. Chest X-ray
b. Bronchoscopy
c. Sputum examination
d. Tuberculin Test
A patient is taking isoniazid for one and half a month. The patient complaints of numbness, paresthesia and thinking in the extremities. Here the patient is experiencing
a. Hyperglycemia
b. peripheral neuritis
c. small blood vessel spasm
d. impaired peripheral circulation
A patient has been started on long term therapy of rifampicin. The nurse teaches the patient that the medication
a. should always be taken with food or antacid
b. should be double dosed if one dose is forgotten
c. causes orange discoloration of sweat, urine and a faeces
d. may be discontinued independently if symptoms are gone in 3 months
1000ml of normal saline is to be infused over 12 hours. The drop factor is 15 drops/ml. the flow rate should be set at how many drops/minute?
a. 10drops/mt
b. 15 drops/mt
c. 21drops/mt
d. 30 drops/mt
The nurse determines that the patient is having a transfusion reaction. After the transfusion is stopped which action should immediately be taken?
a. remove the IV line
b. run a solution of 5% dextrose
c. run a normal saline
d. obtain a culture of tip of the catheter
Which of the following is the most prevalent risk factor in the development of catheter associated urinary tract infections?
a. female gender
b. increasing age
c. prolonged catheterization
d. catheter care violations
Kussmaul’s breathing is manifested as
a. regular but abnormally slow respiration
b. orthopnoeic with excessive perspiration
c. normal rapid rate
d. abnormally deep with rapid rate respiration
Triage means
a. prioritizing
b. assessing
c. planning
d. evaluating
Cine angiography dye contains
a. iodine
b. sodium
c. iron
d. titanium
When performing Heimlich maneuver on a conscious adult patient the rescuer delivers inward and upward thrust specifically
a. above the umbilicus
b. at the level of xyphoid process
c. over the victims mid umbilical area
d. below the xiphoid process and above the umbilicus


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