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PREVIOUSLY ASKED MOH/HAAD /NCLEX QUESTIONS SHORT NOTES: 1. Pneumocystis Pneumonia (PCP) –Priority-Maintain patent airway. 2. Miotics –used in cataract-to prevent IOP(intra ocular pressure) 3. P... ost mastectomy-Tamoxifen 4. Digoxin –used in CHF and Heart block –Cardiac Glycoside. 5. Apnea first symptom-Cyanosis 6. Epidural analgesia-complication-hypotension 7. Restrict protein-In liver failure 8. Drug contraindicated in glaucoma-Atropine 9. Give analgesic medications before pain become severe 10. MAOI contraindicated with tyramine food-develop hypertension. 11. Blister-second stage of pressure ulcer. 12. Os-left eye 13. If infant is dehydrated –absence of tears while crying 14. Check skin turgor and monitor temperature –dehydration 15. If ankle edema-management –elevate leg 16. 95 year old –safety –teach how to use buzzer 17. Sickle Cell Anemia –priority nursing management-administer IV fluid. 18. Alzheimer’s disease-give ample time to do activities and encourage patient to do it. 19. EEG(Electroencephalogram)-restrict Caffein. 20. PMI Position-5th intercostals space and left midclavicular line(with in 10cm of sternum on left side) 21. Position for kidney biopsy-Prone 22. Heparin therapy-Monitor APTT. 23. Post op Appendicectomy-administer atrophine reason-to reduce anxiety 24. Side effect of thaizide diuretics-hypokalemia 25. Breast feeding contraindication in hepatitis C 26. Rheumatic fever-Group A beta hemolytic streptococci 27. Cancer bladder-painless hematuria 28. Post op patient complaints of gastric pain-ambulate patient 29. If you see a chocking client -1st response-ask “Are you chocking”?. MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 4 30. Prevention of dumping syndrome-avoid water with meals 31. Prevention of UTI in skin traction-encourage fluid intake 32. Thrombophlebitis –leg is warm ,tender ,pain while dorsiflexion –early ambulation-elevate extremity above heart level-main cause is smoking 33. Post delivery 8 hour-newborn skin color is yellow –Rh Incompatibility 34. Empty bladder before amniocentesis-to prevent accidental rupture of bladder. 35. Gastric ulcer-clinical manifestation –diarrhoea 36. Action of deferoxamine in thalassemia-excretion of iron 37. Fire disaster –first step-RACE_PASS 38. If patient is unconscious in CPR_call for help 39. My head is controlled by a satellite –example for-delusion 40. Error in nurses note-draw an oblique line through error and sign it 41. Diet in PIH-high protein, adequate sodium, balanced diet. 42. Reason for hypovolemia in burns-shock phase –shifting of plasma from vascular compartment. 43. Complication of hyperemesis gravidarum-metabolic acidosis 44. Prevention of recurrent asthma attack-administration of cromydyn sodium. 45. Luteinizing hormone-stimulate ovulation and maintain secondary sexual characteristics in female. 46. Ectopic pregnancy –rupture –hemorrhage and hypovolemic shock 47. 24 hour after PROM –priority –monitor temperature and assess sign of infection 48. NSAID-take with meals to prevent GI distress 49. Post THR-don’t cross leg 50. Peritonitis in a patient with ulcerative colitis-monitor temperature and abdominal distention 51. Post op patient-sudden onset of SOB, JVD, crackles-pulmonary edema 52. Notify physician if urine output is below 25ml/hour 53. Side effect of iron therapy- constipation 54. ICD(Inter costal drainage ) removal-ask patient to exhale and hold it 55. Neutropenia –precaution-restrict visitors 56. Nursing care after coal tar preparation-avoid direct sunlight MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 5 57. Side effect of long term corticosteroids-hyperglycemia 58. Complication of thyroidectomy-accidental removal of parathyroid gland 59. Vitamin D –increases absorption of calcium 60. Unconscious –hypoglycemia patient- administer 25% dextrose 61. Primary management of kidney stones-IVF therapy 62. AFP_to detect open neural tube defect 63. Hydatidiform mole-extremely high level HCG 64. Painless uterine bleeding-placenta previa 65. Paracetamol-affect liver and kidney 66. Variable deceleration-due to cord compression 67. Post partum elevation of temperature within 24 hour is due to –fluid deficit 68. Signs and symptoms of ovarian cancer –abdominal bloating, pressure and pain 69. Taste preference begins at -6 month 70. Before administering digoxin –monitor apical pulse 71. Signs and symptoms of LVF- tachycardia 72. Signs and symptoms of cardiac arrest-absence of response 73. Pancreas-both exocrine and endocrine function 74. Digoxin toxicity-decrease in potassium and increase in magnesium 75. Lipid reducing agents-zimvastatin 76. Edema of head and arms –PIH 77. Macrocytic RBC-Pernicious anemia 78. AIDS precaution-reverse Isolation 79. Post bronchoscopy-monitor swallowing reflex and keep NPO. 80. Amphotericin B-histoplasmosis 81. Paradoxical chest movement-Flail chest 82. Pain after meals and relieved by food-Duodenal ulcer 83. In alcoholics which type of cirrhosis of liver occurs-Laennec’s coL 84. 6year child-puffiness around eyes, proteinuria –nephrotic syndrome 85. Child-itching in anal area –early morning –pinworm infection 86. Presence of reed stern berg cells-Hodgkin’s lymphoma 87. Systematic desensitization-Psychotherapy-behaviour modification 88. Warning sign of cancer ovary-pelvic pain ,discomfort and increased frequency of urination, loss of appetite or feeling full quickly after eating. 89. Post liver biopsy position-right side MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 6 90. Patient with CVA complaints of dysphagia –nasogastric tube feeding. 91. Odor in colostomy –avoid gas producing agents 92. Bucks traction-weigh should hang freely 93. If meningitis is caused by virus-decrease glucose in LP(lumbar Puncture). 94. Parkinsons disease-deficiency of dopamine 95. PIH-increase sodium and decrease potassium 96. Patient with col.enema is given-to reduce anemia levels 97. To prevent hypoxia during suction-Pre oxygenate suction with 100% oxygen 98. Signs and symptoms of acute renal failure-Oliguria and hematuria 99. Colostomy irrigation-warm(tap) water. 100. Post TURP urine colour(24hour) –dark red or pink –isotonic fluid irrigation 101. Prevention of DVT-elevate extremity on a pillow 102. Rectal suppository -1/2 -1 inch in infant and 1 inch in adult. 103. Bone marrow aspiration site in children-tibia or sternum 104. MMR vaccine ---15th month 105. Responsibilities of registered nurse-blood transfusion, medicine administration 106. Responsibilities of primary nurse-Ambulation , bed bath 107. Nephrotic syndrome –Urine appearence –coffee coloured , tobacco juice 108. Genital herpes –Painful vesicles at genitalia 109. Signs and symptoms of hip dislocation-ortholani’s chick sound 110. Wilm’s tumor-mother shouldn’t palpate abdomen of child 111. Sympathetic system activated –Increase vital functions 112. First day of life-Infant have jaundice-ABO incompatibility 113. Hyperkalemia –administration diuretics 114. Post coronary angiogram-Avoid ROM exercise of leg punctured 115. Bullemia management-weight monitoring 116. CSF leakage –Blood spot surrounded by pale yellow ring 117. Pethidine administration –monitor respiration 118. Important observation post tonsillectomy-breathing difficulty 119. Tetrollogy of fallot-cyanosis on exertion 120. Meningitis –dim light room MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 7 121. Cerebral edema-elevate head end 20-30 degree 122. Serum amylase and serum lipase increased in pancreatitis 123. Post ECT-lateral position 124. When mixing of 2 insulin-first withdraw regular insulin followed by NPH. 125. Belittling disorder-disclose negative feelings of patient 126. Quickening –fetal movement 127. Appear GI bleeding –stool colour-positive 128. While caring leukemia patient –nurse should avoid parenteral injections , because decrease platelet count. 129. Thalessemia investigation done by –Electrophoresis 130. Drug of choice for bradycardia-Atropine 131. Drug of choice in VT(ventricular Tachycardia)-Amiodarone 132. Left side consoliodation in Pneumonia-Stridor 133. Patient is on digoxin-which diuretic you will chose-Spirinolactone 134. Chlamydia trachomatis-cervicitis 135. Diet for PIH- legumes with no added salt 136. Early diagnosis of PKU- can prevent MR(mental Retardation). 137. Droplet precaution-use surgical mask when approaching 3 feet close to the patient 138. Propranol –beta blocker and antiarrhythmic 139. Use cane in the hand opposite of affected extremity 140. For cholecystectomy patient-nasogastric tube used-to gastric decompression. 141. Medication error-inform concerned physician 142. Morphine 10mg ,atrophine 0.4mg , pre-op –to decrease secretion and dry mouth. 143. COPD patient-increase PCO2 –Respiratory acidosis, HCO3 increase, decrease PH, PCO2 increase-administer 2 litere oxygen in COPD patient to prevent apnoea 144. Digoxin therapy-monitor RFT 145. Baby with congenital heart disease –squatting position 146. Gastric ulcer –Pain occurs 1-2 hours after meals 147. Signs and symptoms of depression-hopelessness and helplessness 148. Signs and symptoms of PTSD-sleeplessness, nightmares. 149. Pain medication-administer around clock 150. Cessation of breathing-first symptom –hypoxia MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 8 151. Priority nursing care in active stage of labor-FHR monitoring 152. Side effects of tetracyclines-nephrotoxicity 153. Antidote of iron-Deferoxamine mesylate 154. Potassium sparing diuretic-Aldactone /spirinolactone 155. Signs and symptoms of digoxin toxicity-Greenish yellow halos 156. Signs and symptoms of Addison’s disease-Bronze like pigmentation. 157. AIDS-CD4 less than 200. 158. Sodium restricted –CVF, HTN. 159. Apgar score below 7-admit child in ICU 160. Ventricular fibrillation management-defibrillation 161. ICD patient is having intermittent bubbling in collection chamber-normal 162. Differentiate fracture of rib from other fracture-Paradoxical chest movement. 163. Example of splitting mechanism-borderline personality 164. Azathioprime (imuran)-immunosuppressant 165. Side effect of serenace-extrapyramidal symptom 166. Macular degeneration management –laser therapy 167. Caloric test-for vestibular function and nystagmus seen on affected side of eye 168. In meiners disease precaution –Elevate side rails 169. Magnesium sulphate toxicity- hyporeflex (knee reflex) 170. Meningeal irritation-Photosensitivity 171. Vomiting-check for hypokalemia and hypochloremia 172. Sinus bradycardia management-Atropine sulphate 173. Diabetes mellitus-cut toe nails straight across 174. Glomerular trauma-hematuria and oliguria 175. Rheumatic fever-ASO titer elevated 176. Schizophrenia –Remove sharp objects 177. OCD- Allow compulsive behavior but sety responsible limits. 178. Signs and symptoms of elder abuse-malnutrition 179. Signs and symptoms of extravasation –cool to touch 180. Methotrexate , vincristine affects-kidney 181. Side effects of chemotherapy-thrombocytopenia 182. Ratio of chest compression in CPR-30:2 183. Side effect iof ACE Inhibitors-hyperkalemia 184. Apple juice-example for clear fluids MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 9 185. For nausea in pregnancy-administer biscuits before getting out of bed 186. Peritoneal dialysis nursing management –remove the cannula and apply a sterile dressing after PD. 187. Digoxin administration –check pulse before and after administration 188. Full liquid diet example-gelatin soup. 189. Heat stroke-metabolic acidosis. 190. Confirming placement of PICC- by chest X-ray 191. RVF-signs and symptoms-Pedal edema 192. Pyrezinamide –TB drug-side effect-gout 193. Signs and symptoms of down’s syndrome-single simian crease and curved fingers. 194. Malena seen in –colorectal cancer. 195. Raynaud’s disease-avoid exposure to cold temperature. 196. Avoid vegetabvles ,fresh fruits , plants , flowers in a patiet with immunosuppressive therapy in hospital. 197. Leucopenia child-limit visitors 198. Hypokalemia ECG-T wave depression 199. 2nd stage of labour-from full dilatation of cervix to birth of baby 200. Sensation of phantom limb pain –post amputation 201. Dry wound care-with normal saline 202. Complication of subtotal thyroidectomy-tetany 203. CHF-high fowlers position 204. TOF( tetrollogy of fallot)-signs –clubbing of finger 205. Post mastectomy-not check BP on affected side 206. Hepatitis –Clay coloured stool 207. Hemophilia-administer factor 8 208. Thrombophlebitis-skin is hot and red 209. CVP normal-5-12 cm of water 210. Initial symptom of leukemia –sudden fever 211. Butterfly shaped rashes seen on nasal bridge –SLE(systemic lupus erythematous)-avoid sunlight in SLE. 212. Myasthenia gravis-related to thgymus gland 213. Alpha cell produces –glucagon , beta cell produces -insulin 214. Post ECT-place patient in lateral position 215. Post op tonsillectomy –sidelying position 216. Post op colostomy diet-low fiber diet. MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 10 217. Avoid tub bath-in ottitis media 218. Enema administration –Sim’s (left lateral) position. 219. Colostomy irrigation -500-1000ml 220. Use of corticosteroid in premature labour-to improve fetal lung maturity. 221. Causative organism for cystitis –E-coli 222. Rubella infection in pregnancy-Orofacial defect in foetus 223. Cleft palate repair-1-5 year of age. 224. ESSR-bottles with nipples used to feed baby with cleft lip.E-Enlarge opening of nipples, S-Stimulate suck reflex, S-Swallow –long nipples, R-Rest. 225. Post op cleft lip repair –wear logan bow –to prevent stress on suture line and immobilize. Baby sleep on their back (supine) post op. if lay on prone-sudden infant death syndrome . After cleft palate –put baby in prone. No straws/no pacifiers/ no tongue depressor/ no oral thermometers. 226. Trachea esophageal fistula -4th week pregnancy-cause poly hydramnios. 227. Hirschsprung disease-Aganglionic megadem or congenital. Mechanical obstruction caused by inadequate mobility of intestine –associated with down’s syndrome. Signs and symptoms –bilious vomiting, failure to pass meconium, refusal to feed. Ribbon like , foul smelling stool-child hood 228. Pyloric stenosis-Projectile , non bilous vomiting , palpable mass (olive shaped). String sign in barium swallow. Shoulder sign and double tract sign. Treatment –Pyloromyotomy. 229. Triple test-alpha foeto protein is elevated –in NTD or open gastro intestine defect. Alpha foeto protein decrease with down syndrome. 230. Gastroschisis-herniation of abdominal viscera outside the abdominal cavity through a defect in abdominal wall-assess for paralytic ileus (absent bowel sound).. pre –op : Cover with warm –sterile saline soaked dressing to prevent fluid loss. 231. Omphalocele-herniation of abdominal contents through umbilical cord 232. Intussuseption –invagination of a section of intestine into distal bowel that cause bowel obstruction. 3-12 months. Common site –ascending colon . clinical manifestation –current jelly like stool (blood with pus). MOH/DHA/HAAD/PROMETRIC/NCLEX RN QUESTIONS WITH RATIONALE w w w . n u r s i n g m a n t h r a . c o m Page 11 233. Volvulus-twisting of bowel. 234. Diarrhea /gastroenteritis-Rotavirus and clostridium difficle –metabolic acidosis-daily weight. 235. Ceiliac disease-gluten enteropathy –wasting of muscles –take gluten free diet-Avoid wheat , Rye, Oats, Barley(BROW). 236. Lactose intolerance-avoid diary products –supplement calcium and vitamin D Moh /prometric recently asked questions-2018 1. After administering Inj.Clexane , the nurses should avoid- Massaging the injection site. 2. RTA patient admitted in Emergency department, What is the mode of transfer of patient from stretcher to bed-----Log rolling 3. RTA patient has L4,L5 disc herniation. What can be expected as a complication of this-----Spinal nerve damage 4. Position after laminectomy----- Back is kept straight.Patient is logrolled if turned. Sit straight in straight-backed chair when out of bed or when ambulating. Prone position-on the surgical table. supine or lateral –post op. 5. Dumping syndrome signs------ feeling of abdominal fullness and abdominal cramping, diarrhea, palpitation and tachycardia, perspiration ,borborygmi(loud gurgles indication hyperperistalsi) 6. Patient has left side CVA. Which side you will assess for weakness initially-----Right side 7. Patient has right side weakness , how the nurse will ambulate the patient?-----Approach from unaffected side. 8. Immediately post op advise of a thyroidectomy patient ……. Following thyroidectomy,maintain semi-fowler’s position. Monitor surgical site for edema,and for signs of bleeding and check dressing anteriorly and at the back of the neck.assess level of hoarsness. 9. Hepatitis B patient nursing care plan include……educate regarding avoidance of intimate sexual contact. 10. Mode of transmission of Hepatitis B……blood and body fluid contact,infected blood products, infected saliva or semen, contaminated needles, sexual contact, parenteral,perinatal period . 11. For a mastectomy patient which position is good to avoid limbedema…. Semi-Fowler’s with arm on affected side elevated. [Show More]

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