Adult Health MCQ with Answer Keys|| Bsc Nursing

Adult Health MCQ with Answer Keys|| Bsc Nursing

1. Involuntary loss of urine occurring for no apparent reason while suddenly feeling the need to urinate is called:

1. Functional incontinence
2. Reflex incontinence
3. Stress incontinence
4. Urge incontinence

2. Mr. A admitted in ward C with the complaint of acute renal failure, his urine output is less than 400 ml/day, increased BUN, Phos, K. He is in which of the following stage?

1. Diuretic
2. Oliguric
3. Prerenal
4. Recovery

3. Which one sentence is true for the mammary gland:

1. It synthesizes , secretes and ejects milk for nourishment of the newborn
2. Passage way for child birth
3. Protect the microorganism to inter  into vagina
4. Synthesize the ova

4. Anemia caused by deficiency of vitamin B12 is:

1. Aplastic anemia
2. Leukemia 
3. Pernicious anemia
4. Sickle cell anemia

5. Which of the following is a serious condition, which weakens the body’s immune system, leaving it unable to fight off illness:

1. Hepatitis
2. AIDS
3. Syphilis 
4. Genital herpes 

6. A blood disorder in which RBC’s, WBC’s and platelets are abnormally elevated in the blood is:

1. Aplastic anemia
2. Leukemia
3. Polycythemia vera
4. Thalassemia

7. Dilatation of renal pelvis of one or both kidneys due to obstruction is called:

1. Hydroureter
2. Hydronephrosis
3. Peripheral edema
4. Pyelonephritis

8. A patient diagnosed with renal cancer that has spread to other organs in the body such as lungs, his cancer is in which stage?

1. Stage I
2. Stage II
3. Stage III
4. Stage IV

9. Lithotripsy is used for clients who are suffering from:

1. Liver cirrhosis
2. MI
3. Nephritis
4. Renal calculi

10. Menstruation may be disturbed by :

1. Being overweight
2. Emotional stress
3. Excessive exercise
4. All of the above

11. A blood cancer characterized by increase in number of immature white blood cells is:

1. Anemia
2. Leukemia
3. Thalassemia
4. Thrombocytopenia 

12. All of the following are the complication of urinary retention Except:

1. Calculi
2. Heart failure
3. Perineal break down
4. Pyelonephritis

13. An increase in the number of cells due to an increase in the frequency of cell division is called:

1. Atrophy
2. Dysphasia
3. Hyperplasia
4. Hypertrophy

14. A disorder in which progressive adenomatous enlargement of the prostate gland that occurs with aging is:

1. BPH
2. Kidney failure
3. Renal sarcoma
4. UTI

15. A disease runs in families in which red blood cells form an abnormal crescent shape is:

1. Aplastic anemia
2. Iron deficiency anemia
3. Pernicious anemia
4. Sickle cell anemia

16. A blood disorder in which RBC’s, WBC’s and platelets are declined in the blood is:

5. Aplastic anemia
6. Leukemia
7. Polycythemia vera
8. Thalassemia

17. A 35 years old woman came to a clinic with complain of dyspareunia, fatigue, and infertility. After examination, a disease was diagnosed in which the endometrial tissues grows outside the uterus. This condition is called:
    1. Endometriosis
    2. Fibroids Tumors
    3. Pelvic Inflammatory Disease
    4. Prolapsed uterus

18. Pubertal gynecomastia in male occurs at age of: 

1. 10-13
2. 13-17
3. 17-21
4. 21-25

19. Invasive ductal carcinoma, Stage IV of the breast has:

1. An excellent prognosis
2. Decreased levels of serum alkaline phosphatase
3. Estrogen receptors
4. Metastasized to distant organs

20. The diagnostic and therapeutic procedure involves dilating the uterine cervix so that the lining tissue (endometrium) of the uterus can be removed by scraping or suction. It is a safe procedure that is done for a variety of reasons.

1. Conization
2. Dilatation and curettage (D&C)
3. Papanicolau smear test (Pap smear)
4. Ultrasonography

21. The termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo before viability is:

1. Abortion
2. Ectopic Pregnancy
3. Miscarriage
4. Molar pregnancy

22. The most common breast neoplasm (benign or malignant) found in young females (age 20-35) is:

1. Adenocarcinoma
2. Duct Papilloma
3. Fibroadenoma
4. Sarcoma

23. An autosomal recessive blood disorder in which blood doesn’t clot normally because it lacks sufficient blood-clotting proteins (clotting factors) factor VIII and IX is:

1. Hemophilia
2. Leukemia
3. Pernicious anemia
4. Thalassemia

24. An inflammation of the testes that most often occurs as a complication of a blood borne infection originating in the epididymis.

1. Balanitis
2. Nephritis 
3. Orchitis
4. Prostatitis

25. A solution having the same tonicity as that of body fluid or plasma is considered as:

1. Hypertonic
2. Hypotonic
3. Isotonic
4. Supersaturated

26. An invasive visual diagnostic procedure that is used to examine the interior surfaces of an organ or tissue is:

1. Endoscopy
2. MRI
3. Parenthesis
4. X-Ray

27. Paracenthesis is defined as: 

1. Radiological examination of Gall Bladder
2. Examination of the Large bowel
3. Stool assessment
4. Removal of peritoneal  fluids for analysis

28. In which one of the following excessive reflux of hydrochloric acid into the esophagus occurs

1. Esophagitis
2. GERD (Gastro esophageal reflux diseases)
3. Gastritis
4. B and c only

29. A patient is admitted in the CICU with the PH: 7.25, PaCO2: 40, HCO3: 18. Which acid base condition a patient is suffering?

1. Metabolic acidosis
2. Metabolic alkalosis
3. Respiratory acidosis
4. Respiratory alkalosis

30. Each compartment of the body has a water-fluid distribution movement of its own. These fluids move and distribute themselves between these compartments via a process known as:
    1. Active transport.
    2. Diffusion.
    3. Filtration.
    4. Osmosis.

31. The nurse is assessing a client with an indwelling catheter and finds the catheter is not draining and the client’s bladder is distended. What is the nurse’s first best action?
    1. Notify the physician.
    2. Assess the catheter tubing for kinks and position so downhill flow is initiated.
    3. Change the catheter.
    4. Aspirate urine for culture.

32. The nurse explains that the autoimmune disease of acute glomerulonephritis is most usually caused by:
    1. Frequent cystitis.
    2. An upper respiratory infection.
    3. Childhood disease of mumps.
    4. A recent wound infection.

33. Both the intracellular and extracellular fluids are made up of many different electrolytes, but the most abundant intracellular positively charged electrolyte is:
    1. Calcium.
    2. Chloride.
    3. Potassium.
    4. Sodium.

34. The most common fatal complication of chronic peptic ulcer disease is
    1. Acute Gastritis
    2. Perforation and peritonitis
    3. Pancreatitis
    4. Pyloric outlet obstruction

35. Impaired peristalsis of the smooth muscle of the esophagus and inadequate relaxation of the lower esophageal sphincter (LES).
    1. Pyrosis
    2. Achalasia
    3. Regurgitation
    4. Pyloric stenosis

36. Passing black and tarry stool due to upper GI bleeding:
    1. Hematemesis
    2. Hematochezia
    3. Malena
    4. Hematuria
37. The nurse has administered an antibiotic, a proton pump inhibitor, and Pepto-Bismol for peptic ulcer disease secondary to H. pylori. Which data would indicate to the nurse that the medications are effective?
    1. A decrease in alcohol intake.
    2. Maintaining a bland diet.
    3. A return to previous activities.
    4. A decrease in gastric distress.
38. Which of the following problems is thought to be the most common cause of appendicitis?
    1. A fecalith
    2. Internal bowel occlusion
    3. Bowel kinking
    4. Abdominal wall swelling

39. The patient with a hiatal hernia should have a teaching plan to help with the reduction of the complaints of heartburn, regurgitation, and eructation. This would include instruction about:
    1. Eating three well-balanced meals.
    2. Lying down 1 hour after eating.
    3. Sleeping without pillows.
    4. Eating nothing for several hours prior to bedtime.

40. Ali is a client with jaundice who is experiencing pruritus. Which nursing intervention would be included in the care plan for the client?
    1. Administering vitamin K subcutaneously
    2. Applying pressure when giving I.M. injections
    3. Decreasing the client’s dietary protein intake
    4. Keeping the client’s fingernails short and smooth

41. When teaching a client about pancreatic function, the nurse understands that pancreatic lipase performs which function?
    1. Transports fatty acids into the brush border
    2. Breaks down fat into fatty acids and glycerol
    3. Triggers cholecystokinin to contract the gallbladder
    4. Breaks down protein into dipeptides and amino acids

42. A client is diagnosed with metabolic acidosis, which would the nurse expect the health care provider to order?
    1. Potassium
    2. Sodium bicarbonate
    3. Serum sodium level
    4. Bronchodilator

43. To prevent gastroesophageal reflux in a male client with hiatal hernia, the nurse should provide which discharge instruction?
    1. “Lie down after meals to promote digestion.”
    2. “Avoid coffee and alcoholic beverages.”
    3. “Take antacids after meals.”
    4. “Limit fluid intake with meals.”

44. Which of the following substances is most likely to cause gastritis?
    1. Milk
    2. Bicarbonate of soda, or baking soda
    3. Enteric coated aspirin
    4. Nonsteriodal anti-imflammatory drugs

45. The nurse includes in the teaching plan that malignant tumors are similar to benign tumors because both:
    1. Contain cells that closely resemble those in the tissue of origin.
    2. Travel quickly to invade and destroy other tissues and organs.
    3. Always grow and multiply very rapidly, competing for space and nutrients and causing severe pain.
    4. May press on nearby surrounding tissues, such as nerves and blood vessels, causing pain.

46. Which type of hepatitis is transmitted by the fecal–oral route via contaminated food,water, or direct contact with an infected person?
    1. Hepatitis A.
    2. Hepatitis B.
    3. Hepatitis C.
    4. Hepatitis D.

47. What is the normal pH range of the blood and what ratio of base to acid does this reflect?
    1. 7.32 to 7.42; 25 to 2
    2. 7.35 to 7.45; 20 to 1
    3. 7.32 to 7.42; 28 to 2
    4. 7.35 to 7.45; 30 to 1

48. The nurse explains that pruritus in the patient with hepatitis is related to:
    1. Decreased fat intake.
    2. Poor appetite and therefore poor protein intake.
    3. Accumulation of bile salts under the skin.
    4. Altered urinary output of bile.

49. The nurse would assess the progress of ascites on a daily basis by:
    1. Daily weights and measuring abdominal girth.
    2. Intake-output and electrolyte levels.
    3. Blood pressure and pulse.
    4. Daily temperatures and oxygen levels.

50. Erythropoietin is a hormone produced by the kidney. When the patient is in chronic renal failure, loss of this hormone will result in:
    1. Diminished immunologic function with fewer white blood cells.
    2. Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis.
    3. Anemia because of the diminished number of red blood cells being produced.
    4. Hypertension because of the increased, concentrated blood volume