āĻŦāĻŋāĻˇāĻ¯āĻŧāĻ đ WBHRB āĻ¸ā§āĻāĻžāĻĢ āĻ¨āĻžāĻ°ā§āĻ¸ CBT āĻā§āĻ¸ā§āĻ â 14 ( Medical-Surgical Nursing )
𧎠āĻā§āĻāĻ: đ WBHRB āĻ¸ā§āĻāĻžāĻĢ āĻ¨āĻžāĻ°ā§āĻ¸ CBT āĻā§āĻ¸ā§āĻ â 14 ( Medical-Surgical Nursing )
𧎠āĻŽā§āĻ āĻĒā§āĻ°āĻļā§āĻ¨: 50 āĻāĻŋ
âą āĻ¸āĻŽāĻ¯āĻŧāĻ¸ā§āĻŽāĻž: 60 Minute
â āĻ¨ā§āĻā§āĻāĻŋāĻ : -0.5 āĻĒā§āĻ°āĻ¤āĻŋ āĻĒā§āĻ°āĻļā§āĻ¨ā§
â ī¸ āĻā§āĻāĻ āĻļā§āĻˇ āĻšāĻ˛ā§ āĻ¸ā§āĻŦāĻ¯āĻŧāĻāĻā§āĻ°āĻŋāĻ¯āĻŧāĻāĻžāĻŦā§ āĻ°ā§āĻāĻžāĻ˛ā§āĻ āĻĻā§āĻāĻ¤ā§ āĻĒāĻžāĻŦā§āĻ¨āĨ¤
Time over
đ WBHRB āĻ¸ā§āĻāĻžāĻĢ āĻ¨āĻžāĻ°ā§āĻ¸ CBT āĻā§āĻ¸ā§āĻ â 14 ( Medical-Surgical Nursing )
1 / 50
1. Which complication is indicated by sudden severe abdominal pain after cholecystectomy?
Possible bile duct injury or hemorrhage.
2 / 50
2. Which lab value indicates worsening liver function in cirrhosis?
Elevated bilirubin and INR indicate hepatic decompensation.
3 / 50
3. A patient with COPD has PaO2 55 mmHg and PaCO2 65 mmHg. Nursing action?
Provide controlled oxygen therapy to avoid CO2 narcosis.
4 / 50
4. A post-op patient develops sudden hypotension, tachycardia, and pallor. Most likely cause?
Postoperative hemorrhage requires immediate fluid resuscitation.
5 / 50
5. A patient with Addisonâs disease develops hypotension and confusion. Nursing priority?
Adrenal crisis requires IV corticosteroids and fluids.
6 / 50
6. Which lab indicates acute pancreatitis?
Serum amylase and lipase rise during pancreatic inflammation.
7 / 50
7. A patient with acute MI develops ventricular tachycardia. Priority nursing action?
Initiate defibrillation if unstable; monitor ECG continuously.
8 / 50
8. Which lab test confirms diagnosis of acute pancreatitis?
Serum amylase and lipase rise significantly in acute pancreatitis.
9 / 50
9. Which electrolyte abnormality occurs in SIADH?
Excess ADH causes hyponatremia due to water retention.
10 / 50
10. Which electrolyte imbalance is associated with prolonged vomiting?
Loss of H+ leads to metabolic alkalosis and hypokalemia.
11 / 50
11. A patient with chronic heart failure presents with pink frothy sputum. What does this indicate?
Pulmonary edema due to left-sided heart failure.
12 / 50
12. A patient with acute kidney injury has rising BUN and creatinine. Priority nursing action?
Monitor fluid balance and renal function to prevent complications.
13 / 50
13. A patient with bowel obstruction has vomiting and metabolic alkalosis. Nursing intervention?
Correct fluid and electrolyte imbalance, NG decompression.
14 / 50
14. A post-op patient has sudden unilateral leg swelling and pain. Most likely cause?
Signs indicate deep vein thrombosis.
15 / 50
15. A patient with shock has cool clammy skin, tachycardia, hypotension. Type of shock?
Hypovolemic or distributive shock shows these compensatory signs.
16 / 50
16. Which post-op complication is indicated by sudden abdominal distension, vomiting, and absent bowel sounds?
Postoperative ileus or bowel obstruction.
17 / 50
17. A patient with ascites from liver disease is at risk for which complication?
Fluid accumulation increases risk of spontaneous bacterial peritonitis.
18 / 50
18. Which nursing intervention prevents ventilator-associated pneumonia?
Elevate head of bed and oral care reduce VAP risk.
19 / 50
19. Which fluid is preferred in hypovolemic shock?
Isotonic crystalloids restore circulating volume effectively.
20 / 50
20. Which symptom indicates early hypoglycemia?
Anxiety, sweating, and tremors precede neurological changes.
21 / 50
21. A post-op patient develops sudden shortness of breath, chest pain, and tachycardia. Most likely cause?
Classic presentation of pulmonary embolism after surgery.
22 / 50
22. Which lab test monitors heparin therapy?
aPTT is prolonged in therapeutic heparin therapy.
23 / 50
23. A patient with hyperthyroidism has palpitations, heat intolerance, and tremors. Priority intervention?
Beta-blockers control adrenergic symptoms; monitor for thyroid storm.
24 / 50
24. Which medication is contraindicated in a patient with severe heart block?
Beta-blockers may worsen AV conduction defects.
25 / 50
25. Which electrolyte abnormality is most dangerous in renal failure?
Hyperkalemia can cause life-threatening arrhythmias.
26 / 50
26. Which symptom is earliest in hypoxia?
Restlessness and anxiety are early neurologic signs.
27 / 50
27. A patient with burns develops low urine output and tachycardia. Nursing priority?
Hypovolemic shock due to fluid loss is life-threatening.
28 / 50
28. Which intervention is priority in a patient with acute asthma attack?
Rapid bronchodilation with inhaled beta-agonist.
29 / 50
29. A patient with renal failure develops pericardial friction rub and uremic frost. Nursing implication?
Uremic symptoms indicate need for dialysis.
30 / 50
30. Which symptom is most suggestive of hypovolemic shock?
Rapid, weak pulse, hypotension, and cold clammy skin indicate hypovolemic shock.
31 / 50
31. Which sign indicates hypoglycemia in an elderly patient?
Confusion and agitation may be subtle signs of low blood sugar.
32 / 50
32. A patient with COPD exacerbation has PaCO2 of 60 mmHg and O2 sat of 88%. Priority intervention?
Provide controlled oxygen therapy to avoid CO2 retention.
33 / 50
33. A patient with tension pneumothorax has tracheal deviation and hypotension. Immediate action?
Needle decompression relieves pressure before chest tube insertion.
34 / 50
34. A patient with DKA shows Kussmaul respirations. What is the underlying cause?
Deep rapid breathing is a compensatory mechanism for metabolic acidosis.
35 / 50
35. Which acid-base imbalance occurs in prolonged vomiting?
Loss of gastric H+ causes metabolic alkalosis.
36 / 50
36. Which lab test monitors anticoagulation for warfarin therapy?
INR is used to monitor warfarin therapy effectiveness.
37 / 50
37. A patient with myasthenia gravis shows worsening muscle weakness and respiratory distress. What is it?
Myasthenic crisis requiring ventilatory support.
38 / 50
38. What is the first-line treatment for a patient with STEMI?
Reperfusion therapy with PCI or thrombolytics is priority.
39 / 50
39. Which assessment finding suggests increased ICP?
Headache, vomiting, bradycardia, and hypertension (Cushingâs triad).
40 / 50
40. A patient with fluid overload has pulmonary crackles and edema. Which diuretic is preferred?
Loop diuretics are potent and effective for rapid fluid removal.
41 / 50
41. Which electrolyte imbalance is most likely in a patient with chronic kidney disease?
CKD reduces potassium excretion, causing hyperkalemia.
42 / 50
42. Which symptom indicates increased intracranial pressure?
43 / 50
43. Which symptom is earliest in hypovolemic shock?
Tachycardia occurs before hypotension as compensatory mechanism.
44 / 50
44. A patient with COPD presents with barrel chest and pursed-lip breathing. What is the priority nursing intervention?
Pursed-lip breathing helps improve oxygenation and reduces CO2 retention.
45 / 50
45. A patient with MI has chest pain unrelieved by nitroglycerin. Next nursing action?
Prepare for emergency reperfusion; notify physician immediately.
46 / 50
46. A patient with liver cirrhosis and confusion shows asterixis. Likely cause?
Hepatic encephalopathy due to ammonia accumulation.
47 / 50
47. A patient with GI bleed has hypotension and tachycardia. Nursing priority?
Fluid resuscitation and hemodynamic monitoring are critical.
48 / 50
48. A patient with diabetic ketoacidosis has Kussmaul respirations. Nursing priority?
Correct hyperglycemia and fluid-electrolyte imbalance promptly.
49 / 50
49. A patient with CVA develops sudden left-sided weakness and slurred speech. Nursing priority?
Assess airway, breathing, circulation, and prepare for thrombolysis if ischemic.
50 / 50
50. A patient develops sudden confusion, agitation, and tremors after missing insulin dose. Likely complication?
Hyperglycemia with potential diabetic ketoacidosis.
āĻā§āĻāĻ āĻĒā§āĻ¨āĻ°āĻžāĻ¯āĻŧ
Exam āĻ¸āĻžāĻŦāĻā§āĻā§āĻ āĻ¨āĻŋāĻ°ā§āĻŦāĻžāĻāĻ¨ āĻāĻ°ā§āĻ¨đ RAILđ WBCSđ WBHRB āĻ¸ā§āĻāĻžāĻĢ āĻ¨āĻžāĻ°ā§āĻ¸đ āĻ āĻ°ā§āĻĨāĻ¨ā§āĻ¤āĻŋđ āĻāĻ¤āĻŋāĻšāĻžāĻ¸đ āĻāĻāĻ°ā§āĻāĻŋđ āĻāĻžāĻ°ā§āĻ¨ā§āĻ āĻ ā§āĻ¯āĻžāĻĢā§āĻ¯āĻŧāĻžāĻ°ā§āĻ¸đ āĻāĻŖāĻŋāĻ¤đ āĻā§āĻŦāĻ¨ āĻŦāĻŋāĻā§āĻāĻžāĻ¨đ āĻā§āĻ¨āĻžāĻ°ā§āĻ˛ āĻāĻ¨ā§āĻā§āĻ˛āĻŋāĻā§āĻ¨ā§āĻ¸đ āĻĒā§āĻ°āĻžāĻā§āĻāĻŋāĻ¸ āĻ¸ā§āĻ (āĻ¸āĻŽāĻ¸ā§āĻ¤ āĻŦāĻŋāĻˇāĻ¯āĻŧ)đ āĻā§āĻā§āĻ˛đ āĻā§āĻ¤ āĻŦāĻŋāĻā§āĻāĻžāĻ¨đ āĻŽāĻ āĻā§āĻ¸ā§āĻđ āĻ°āĻžāĻˇā§āĻā§āĻ°āĻŦāĻŋāĻā§āĻāĻžāĻ¨đ āĻ¸āĻžāĻ§āĻžāĻ°āĻŖ āĻā§āĻāĻžāĻ¨đ RRB Group Dđ RRB NTPCđ āĻā§āĻ¨ āĻāĻžāĻ°ā§āĻ¨ā§āĻ āĻ ā§āĻ¯āĻžāĻĢā§āĻ¯āĻŧāĻžāĻ°ā§āĻ¸đ āĻā§āĻ˛āĻžāĻ āĻāĻžāĻ°ā§āĻ¨ā§āĻ āĻ ā§āĻ¯āĻžāĻĢā§āĻ¯āĻŧāĻžāĻ°ā§āĻ¸
āĻāĻĒāĻ¨āĻŋ āĻāĻ āĻĒā§āĻˇā§āĻ āĻžāĻ° āĻŦāĻŋāĻˇāĻ¯āĻŧāĻŦāĻ¸ā§āĻ¤ā§ āĻāĻĒāĻŋ āĻāĻ°āĻ¤ā§ āĻĒāĻžāĻ°āĻŦā§āĻ¨ āĻ¨āĻž
