Nurses Licensure Exams: Medicine Past Questions and Answers

The following are sampled questions for the Nurses Licensure Exams: Medicine Past Questions and Answers. Applications from candidates who wish to sit for the licensing examinations are received by the Examination Unit which coordinates the preparation of test items, obtains examination centers, identifies invigilators and examiners, assesses examination scripts, and publishes results.
Licensing examinations by the NMC for the various programs are held in February/March, June/July, August, and November/December every year.
Candidates who pass the licensing examination are issued a Professional Identification Number (PIN) and a certificate of registration. Those who pursue Auxiliary programs are issued with an Auxiliary Identification Number (AIN) and a certificate of registration.

Nursing is a hugely varied profession. Every day is different, with new challenges to navigate, often in highly pressurized situations. Ultimately, nurses are there to offer emotional and practical support to ill people, so first and foremost a caring nature is essential. The Council conducts licensing examinations for qualification as Nurse Assistants, Nurses, and Midwives.

The following are Past Questions and Answers for the Medicine Papers for Nurses.

Medicine Papers for Nurses

Question 1
Mr. Isaac Mann 46 years old is on admission to your ward with hemolytic anemia. Which of the following is a cause of his condition?
A. Spherocytosis.
B. Idiopathic thrombocytopenic purpura.
C. Factor IX deficiency.

Question 2
A nurse was asked to develop a nursing care plan for a patient with the diagnosis of Gout, What is the best nursing intervention to carry on?
A. Administer Asprin.
B. Provide food high in purines.
C. Apply cold and warm compress on the right foot daily.

Question 3
The Nurse is planning care for a patient diagnosed with renal hepatitis. Which of the following diagnostic findings is more likely to be expected?
a. Hyperalbumenemia.
b. Anaemia.
c. Hypoalbumenemia.

Question 4
Mr. AtoAlhassan has Coronary artery disease and would like to know the cause of his condition. The Nurse explains that it is primarily due to the deposition of lipids in the …………………
A. Intima of the arterial walls.
B. Smooth muscles of the vessel walls.
C. Intima of the capillary walls.

Question 5
A Registered General Nurse is discussing the end of life care with an elderly patient who has metastatic lung cancer. Which of the following is TRUE?
A. Advanced care planning increases the quality of life for patients with serious illnesses.
B. Living will only address resuscitation and life support.
C. Family meetings are an inappropriate way to discuss potential conflicts around treatment decisions.

Also:
Nurses Licensure Exams: Medicine Past Questions and Answers

Nurses licensure exams: SURGICAL NURSING Past Questions

Nurses Licensure Exams: General Paper Past Questions

Question 6
A 5-year-old child has been diagnosed with Fallot’s tetralogy. Defects forming this condition include
I. Over-riding of the aorta
II. Pulmonary stenosis
III. Right ventricular hypertrophy
IV. Ventricular septal defect
A. I, II, and III.
B. II, III and IV.
C. I, II, III and IV.

Question 7
AdenewiePrempeh is a 45-year-old man who has lost weight drastically. He is said to have been diagnosed with HIV two years ago and started treatment. He is now on admission at the male medical word and has to do an HIV serology test for further management. Which of the following is NOT an HIV serology test?
A. Western blot test.
B. CD5 count test.
C. Eliza test.

Question 8
Mr. George Brandford a 70-year-old cardiac patient has undergone cardiac catheterization. His nursing care after this procedure would include
A. Encouraging early ambulation of the patient.
B. Restrict fluid intake until blood pressure stabilizes.
C. Monitoring the site used for bleeding.

Question 9
Which of the following would the Nurse expect when assessing a patient with suspected atelectasis?
A. Diminished breath sounds.
B. Normal oral temperature.
C. Dry unproductive cough.

Question 10
A 32-year-old man with a history of migraines was reported for treatment. His headaches have not changed in pattern, but he wants a treatment that works better than over-the-counter options. What is the BEST next treatment to try?
A. Sumatriptan.
B. Propranolol.
C. Oxycodone.

Question 11
When initiating treatment of acute pain in a healthcare setting, which of the following is true?
A. Acknowledgement of cultural differences in the expression of pain may result in better pain management.
B. Analgesic management should be delayed until the identification of the etiology of pain.
C. Patients with a history of addiction should not be treated with opioid analgesics.

Question 12
A client newly diagnosed with Type I diabetes mellitus was being educated by the Nurse on insulin injection and asked the reason for this medication. The BEST response from the Nurse would be:
A. Control the glucose level.
B. Prevent diabetic ketoacidosis.
C. Boost the pancreatic cells.

Question 13
The Charge Nurse is teaching Student Nurses about respiratory alkalosis. Which of these responses by one of them requires further teaching? Respiratory alkalosis is caused by ……………………..
A. Excess carbonic acid.
B. Excess carbon dioxide.
C. Deficient carbonic acid.

Question 14
A single unit of whole blood contains 450mls of blood and 50mls of an anticoagulant. The primary components of whole blood are erythrocytes, platelets, and plasma. When packed red blood cells are well preserved, they can be stored for up to………. before it is discarded
A. 50 days at 2oC.
B. 42 days at 4oC.
C. 30 days at 2oC.

Question 15
Mr. AdomBonbah who was involved in an RTA was brought to the OPD in a state of shock. He was diagnosed as having neurogenic shock. Which of the following findings is characteristic of this condition?
A. Bradycardia.
B. Diaphoresis.
C. Cool skin.

Question 16
What responses would the Nurse give to a diabetic patient who wants to know why he cannot take his insulin by mouth because he knows a cousin who takes pills for diabetes?
A. “Oral hypoglycaemics predispose the patient to nephropathy”.
B. “If you take insulin by mouth it will be destroyed by gastric juice”.
C. “your cousin probably is not suffering from true diabetes”.

Also:
Nurses Licensure Exams: Medicine Past Questions and Answers

Nurses licensure exams: SURGICAL NURSING Past Questions

Nurses Licensure Exams: General Paper Past Questions

Question 17
Which of the following adventitious sounds indicates that a patient has a fluid-filled lung?
A. Bronchial.
B. Crackles.
C. Wheezes.

Question 18
The HIV test conducted on Ms. SelikemAmetowode came out negative. The interpretation indicates that Ms. Ametowode
I. Does not have the antibodies in his blood
II. Has not been infected with the virus
III. Has been infected with the virus but has not yet produced antibodies
IV. Is immune to the virus
A. II, III, and IV.
B. I, II and III.
C. I, III and IV.

ALSO READ

Nurses licensure exams: SURGICAL NURSING Past Questions
Nurses Licensure Exams: General Paper Past Questions

Question 19
A patient is to receive one liter of IV infusion every 8 hours. The drop factor of the tubing is 10 drops per minute. The Nurse should set up the flow miter to provide how many drops per minute.
A. 17.
B. 20.
C. 24.
Question 20
Mrs. AwuramaAllotey, a 50-year-old patient and a known diabetic was rushed into the Emergency Unit with severe vomiting, weakness, and headache. She also presented with a weak, rapid pulse and lethargy. She was diagnosed with diabetic ketoacidosis (DKA). In managing DKA, the nurse MUST first ……………….
A. Reverse acidosis.
B. Restore electrolytes.
C. Correct dehydration.

Question 21
A 50-year-old patient on your ward with deep vein thrombosis is on heparin therapy. Which of the following is used to reverse the effects of heparin?
A. Vitamin K.
B. Protamine.
C. Penicillamine.

Question 22
A Patient on admission with type 1 diabetes goes into an insulin coma. The causes of insulin coma include
I. Inadequate food intake
II. Increased insulin dose
III. Skipping insulin dose
IV. Strenuous exercises
A. I, II, and III.
B. II, III and IV.
C. I, II and IV.

Question 23
Factors altering the absorption of medications in the elderly include
I. Gastric pH
II. Rate of gastric emptying
III. Reduction in interstitial blood flow
A. II and III.
B. I and III.

C. I, II and III.

Question 24
MaameAkosua Manu had rheumatoid endocarditis, which is a complication of one of the following infections
A. Staphylococcal skin infection.
B. Streptococcal sore throats.
C. Streptococcal food poisoning.

Question 25
A 34-year-old woman is seen in the clinic for the second time in 5 months for a urinary tract infection. She is started on antibiotics. The next day she had a painful red rash with blisters and feels “achy” and feverish. This patient was most likely started on which antibiotic?
A. Macrobid.
B. Ciprofloxacin.
C. Bactrim.

Question 26
A patient with arthritis is on steroid medication. The Nurse should educate her to take the drug with meals because of
A. It will decrease gastric irritation.
B. It will serve as a reminder to take the drug.
C. The medication is ineffective in an acid medium.
Question 27
A 30-year-old female with a history of iron deficiency anemia presents with a complaintnt of double vision that increases in the evening. She also had difficulty swallowing food over the past month. She takes no medications and does not drink or smoke. She was diagnosed as having Myastinia Gravis. Which of the following medications will be used to treat her?
A. Sinemet.
B. Pyridostigmine.
C. fibrinolytic.

Question 28
Evaluation of the effectiveness of nitroglycerine is sublingual based on
A. Relief of angina pain.
B. Improved cardiac output.
C. Dilatation of superficial blood vessel.
Question 29
A patient is to under go treatment for candidiasis. Which of the following medications is MOST appropriate for the treatment?
A. Clindamycin.
B. Nystatin.
C. Doxycycline.

Question 30
Urinary retention with overflow is evidenced by
A. Frequent voiding.
B. Continual incontinence.
C. Oliguria and oedema.

Also:
Nurses Licensure Exams: Medicine Past Questions and Answers

Nurses licensure exams: SURGICAL NURSING Past Questions

Nurses Licensure Exams: General Paper Past Questions

Question 31
Signs of food poisoning caused by clostridium botulinum include
I. Blurred vision and diplopia
II. Dryness of mouth and throat
III. Nausea and vomiting
IV. Severe diarrhoea
A. I, III and IV.
B. II, III and IV.
C. I, II and III.

Question 32
Mr. Akwasi Anti, a 60-year-old man is on admission at your unit with atelectasis. What measures would you take to enhance adequate lung expansion.
A. Change patients position frequently.
B. Encourage early ambulation from bed to chair.
C. Encourage voluntary deep breathing maneuvers.

Question 33
Madam EsiAnkomah has been diagnosed of acute coronary syndrome and is on admission at the medical ward. To identify nervous system involvement of patient’s condition, the Nurse assesses for anxiety, restlessness and
A. Palpitation and heart murmurs.
B. Decreased muscle contractility.
C. Shortness of breath and crackles.

Question 34
A 40 year old male patient with type 2 diabetes and hypertension is treated for acute myocardial infarction. Prior to this hospitalization, his cholesterol level has not been checked for five years, at which time he says it was “normal.” His current LDL is 195 mg/dL. Which of the following is true?
A. He should be treated to achieve a 30% reduction in his LDL cholesterol.
B. Because he is diabetic, his LDL level should be targeted to less than 130 mg/dL.
C. He should be treated to achieve at least a 50% reduction in his LDL cholesterol.

Question 35
Which of these actions should the nurse take if a patient refuses to cooperate with care which has been planned?
A. Report the incident to the senior nurse on duty.
B. Record on the plan that the patient has refused care.
C. Explain fully the reason why the action is needed.

Question 36
A patient is to receive 3000mls of IV fluid in 12 hours. The drop factor is 10 gtt/ml. The Nurse should regulate the flow to approximately how many drops per minute?
A. 40 to 42.
B. 30 to 32.
C. 27 to 29.

Question 37
The Nurse is educating a group of old patients at the Hypertension/Diabetes clinic on coronary heart diseases. Which of the following category of patients are at greater risk of myocardial infarction? A 45 year old newly diagnosed ……………………
A. Hypertensive with poorly controlled blood sugar.
B. Diabetic with familly history of hypertension.
C. Hypertensive of family history of diabetes.

Question 38
As a Registered General Nurse, which test would you utilize if you suspect a patient has had a stroke?
A. Face, arms, speech, test.
B. Response, airway, breathing, circulation.
C. Alert, voice, pain, unresponsiveness.

Question 39
An eating disorder that usually occur in adolescence and has features of distorted body image, irrational fear of gaining weight and excessive exercise to maintain body weight is known as
A. Anorexia nervosa.
B. Bulimia nervosa.
C. Gross anorexia.

ALSO READ

Nurses licensure exams: SURGICAL NURSING Past Questions
Nurses Licensure Exams: General Paper Past Questions

Question 40
Baba Fuseni has been diagnosed of hypocalceamia.Which of the following is a clinical sign indicative of hypocalceamia?
A. Babinski sign.
B. Romberg’s sign.
C. Trousseau’s sign.

Question 41
During percussion, the Nurse strikes the terminal phalanx of one of the fingers with the other hand. Which of the fingers is to be used for the correct percussion technique?
A. Ring finger.
B. Middle finger.
C. Five fingers.

Question 42
A patient with diabetes mellitus says “I cannot eat big meals. I prefer eating snacks throughout the day”. The Nurse should explain that
A. Large meals can bring about weight problems.
B. Salt and sugar restriction is the main concern.
C. Regulated food intake is basic to diabetic control.

Question 43
AbibaKoomson, 25 years old has been admitted to the ward with meningitis. The nurse observes that Abiba’s neck gets flexed when flexion of the knees and hips is produced. This manifestation is termed:
A. Babinski’s sign.
B. Kernig’s sign.
C. Brudzinski’s sign.

Question 44
Plans to assist in the rehabilitation of a patient after a cerebrovascular accident is to
A. Keep working on skills until they are perfected.
B. Accept that independent existence is impossible.
C.Encourage any attempts to assist in care activities.

Question 45
A patient is admitted with pulmonary oedema. The Nurse would expect the physician to order a rapidly acting diuretic such as
A. Laxis.
B.Chlorothiazide.
C. Aldactone.

Question 46
Madam AkuaMansah, a 59 year old woman reported to the unit with the complaint of chocking and a heavy sensation in the upper chest. She described the chest pain as sharp radiating to the neck, jaw and shoulders, subsiding when she is at rest in the couch. She was apprehensive and felt she was going to die. She was diagnosed of Stable Angina. Which of the following medications is the MOST appropriate to be administered?
A. Aspirin.
B. Digoxin.
C. Nitroglycerin.

Question 47
One of the recommended medications for the treatment of malaria is ………….. tablets
A. Amodiaquine.
B. Arthemeterlumefantrine.
C. Artesunate.

Question 48
Which of the following is a contraindication to lumbar puncture?
A. Anticoagulation therapy.
B. Brain abscess.
C.Encephalitis.

Question 49
Ms.Abua Philips, 10 years old JHS pupil has been admitted to the ward with severe malaria. She has fever of 37.2oC, chills and bitterness in the mouth. The Nurse educates her on the following measures to protect herself from mosquito bites EXCEPT:
A. Closing all her windows at night.
B. Sleeping in insecticide treated net.
C.Using mosquito repellent creams.

Question 50
The Nurse is planning care for Madam Kusah who has just been rushed to the Accident and Emergency, and diagnosed of Myocardial infarction. The Nurse must prepare to administer …………………..
a. Tablet soluble Aspirin, 300mg stat.
s b. IM Pethidine 50mg stat.
c. IV Nitroglycerine 2.5mg stat.Nursing is a hugely varied profession. Every day is different, with new challenges to navigate, often in highly pressurised situations. Ultimately, nurses are there to offer emotional and practical support to ill people, so first and foremost a caring nature is essential. The Council conducts licensing examinations for qualification as Nurse Assistants, Nurses and Midwives.

ALSO READ

Nurses licensure exams: SURGICAL NURSING Past Questions
Nurses Licensure Exams: General Paper Past Questions

The following are Past Questions and Answers for the Medicine Papers for Nurses.

Question 1
Mr. Isaac Mann 46 years old is on admission at your ward with haemolytic anemia. Which of the following is a cause of his condition?
A. Spherocytosis.
B. Idiopathic thrombocytopenic purpura.
C. Factor IX deficiency.

Question 2
A nurse was asked to develop a nursing care plan for a patient with the diagnosis of Gout, What is the best nursing intervention to carry on?
A. Administer Asprin.
B. Provide food high in purines.
C. Apply cold and waarm compress on the right foot daily.

Question 3
The Nurse is planning care for a patient diagnosed with renal hepatitis. Which of the following diagnostic findings is more likely to be expected?
a. Hyperalbumenemia.
b. Anaemia.
c. Hypoalbumenemia.

Question 4
Mr. AtoAlhassan has Coronary artery disease and would like to know the cause of his condition. The Nurse explains that it is primarily due to the deposition of lipids in the …………………
A. Intima of the arterial walls.
B. Smooth muscles of the vessel walls.
C. Intima of the capillary walls.

Question 5
A Registered General Nurse is discussing end of life care with an elderly patient who has metastatic lung cancer. Which of the following is TRUE?
A. Advance care planning increases quality of life for patients with serious illness.
B. Living wills only address resuscitation and life support.
C. Family meetings are an inappropriate way to discuss potential conflicts around treatment decisions.

Question 6
A 5 year old child has been diagnosed of Fallot’s tetralogy. Defects forming this condition include
I. Over-riding of the aorta
II. Pulmonary stenosis
III. Right ventricular hypertrophy
IV. Ventricular septal defect
A. I, II and III.
B. II, III and IV.
C. I, II, III and IV.

Question 7
AdenewiePrempeh is a 45 year old man who has lost weight drastically. He is said to have been diagnosed with HIV two years ago and started treatment. He is now on admission at the male medical word and has to do HIV serology test for further management. Which of the following is NOT HIV serology test?
A. Western blot test.
B. CD5 count test.
C. Eliza test.

Question 8
Mr. George Brandford a 70 year old cardiac patient has under gone cardiac catheterization. His nursing care after this procedure would include
A. Encouraging early ambulation of the patient.
B. Restricting fluid intake until blood pressure stabilizes.
C. Monitoring the site used for bleeding.

Question 9
Which of the following would the Nurse expect when assessing a patient with suspected atelectasis?
A. Diminished breath sounds.
B. Normal oral temperature.
C. Dry unproductive cough.

Question 10
A 32 year old man with a history of migraines reported for treatment. His headaches have not changed in pattern, but he wants a treatment that works better than over the counter options. What is the BEST next treatment to try?
A. Sumatriptan.
B. Propranolol.
C. Oxycodone.

Question 11
When initiating treatment of acute pain in a healthcare setting, which of the following is true?
A. Acknowledgement of cultural differences in the expression of pain may result in better pain management.
B. Analgesic management should be delayed until identification of the etiology of pain.
C. Patients with a history of addiction should not be treated with opioid analgesics.

Question 12
A client newly diagnosed of Type I diabetes mellitus being educated by the Nurse on insulin injection asked the reason for this medication. The BEST response from the Nurse would be:
A. Control the glucose level.
B. Prevent diabetic ketoacidosis.
C. Boost the pancreatic cells.

Question 13
The Charge Nurse is teaching Student Nurses on respiratory alkalosis. Which of these responses by one of them requires further teaching? Respiratory alkalosis is caused by ……………………..
A. Excess carbonic acid.
B. Excess carbon dioxide.
C. Deficient carbonic acid.

Question 14
A single unit of whole blood contains 450mls of blood and 50mls of an anticoagulant. The primary components of whole blood are erythrocytes, platelets and plasma. When packed red blood cells are well preserved, they can be stored for up to………. before it is discarded
A. 50 days at 2oC.
B. 42 days at 4oC.
C. 30 days at 2oC.

Question 15
Mr. AdomBonbah who was involved in an RTA was brought to the OPD in a state of shock. He was diagnosed as having neurogenic shock. Which of the following findings is characteristic of this condition?
A. Bradycardia.
B. Diaphoresis.
C. Cool skin.

Question 16
What responses would the Nurse give to a diabetic patient who wants to know why he cannot take his insulin by mouth because he knows a cousin who takes pills for diabetes?
A. “Oral hypoglycaemics predispose the patient to nephropathy”.
B. “If you take insulin by mouth it will be destroy by gastric juice”.
C. “your cousin probably is not suffering from true diabetes”.

Question 17
Which of the following adventitious sounds indicate that a patient has a fluid filled lung?
A. Bronchial.
B. Crackles.
C. Wheezes.

Question 18
The HIV test conducted on Ms. SelikemAmetowode came out negative. The interpretation indicate that Ms. Ametowode
I. Does not have the antibodies in his blood
II. Has not been infected with the virus
III. Has been infected with the virus but has not yet produced antibodies
IV. Is immune to the virus
A. II, III and IV.
B. I, II and III.
C. I, III and IV.

Question 19
A patient is to receive one litre of IV infusion every 8 hours. The drop factor of the tubing is 10 drops per minute. The Nurse should set up the flow miter to provide how many drops per minute?
A. 17.
B. 20.
C. 24.
Question 20
Mrs. AwuramaAllotey, a 50 year old patient and a known diabetic was rushed into the Emergency Unit with severe vomiting, weakness and headache. She also presented with a weak, rapid pulse and lethargy. She was diagnosed with diabetic ketoacidosis (DKA). In managing DKA, the nurse MUST first ……………….
A. Reverse acidosis.
B. Restore electrolytes.
C. Correct dehydration.

Question 21
A 50 year old patient on your ward with deep vein thrombosis is on heparin therapy. Which of the following is used to reverse the effects of heparin?
A. Vitamin K.
B. Protamine.
C. Penicillamine.

Question 22
A Patient on admission with type 1 diabetes goes into insulin coma. The causes of insulin coma include
I. Inadequate food intake
II. Increased insulin dose
III. Skipping insulin dose
IV. Strenuous exercises
A. I, II and III.
B. II, III and IV.
C. I, II and IV.

Question 23
Factors altering absorption of medications in the elderly include
I. Gastric pH
II. Rate of gastric emptying
III. Reduction in interstitial blood flow
A. II and III.
B. I and III.

C. I, II and III.

Question 24
MaameAkosua Manu had rheumatoid endocarditis, which is a complication of one of the following infections
A. Staphylococcal skin infection.
B. Streptococcal sore throats.
C. Streptococcal food poisoning.

Question 25
A 34-year-old woman is seen in the clinic for the second time in 5 months for urinary tract infection. She is started on antibiotics. The next day she had a painful red rash with blisters and feels “achy” and feverish. This patient was most likely started on which antibiotic?
A. Macrobid.
B. Ciprofloxacin.
C. Bactrim.
Question 26
A patient with arthritis is on steroid medication. The Nurse should educate her to take the drug with meals because
A. It will decrease gastric irritation.
B. It will serve as a reminder to take the drug.
C. The medication is ineffective in an acid medium.
Question 27
A 30 year old female with a history of iron deficiency anemia presents with a complaint of double vision that increases in the evening. She also had difficult swallowing food over the past month. She takes no medications and does not drink or smoke. She was diagnosed as having Myastinia Gravis. Which of the following medications will be used to treat her?
A. Sinemet.
B. Pyridostigmine.
C. Fibrinolytics.
Question 28
Evaluation of the effectiveness of nitroglycerine sublingual is based on
A. Relief of angina pain.
B. Improved cardiac output.
C. Dilatation of superficial blood vessel.

Question 29
A patient is to under go treatment for candidiasis. Which of the following medications is MOST appropriate for the treatment?
A. Clindamycin.
B. Nystatin.
C. Doxycycline.
Question 30
Urinary retention with overflow is evidenced by
A. Frequent voiding.
B. Continual incontinence.
C. Oliguria and oedema.

Question 31
Signs of food poisoning caused by clostridium botulinum include
I. Blurred vision and diplopia
II. Dryness of mouth and throat
III. Nausea and vomiting
IV. Severe diarrhoea
A. I, III and IV.
B. II, III and IV.
C. I, II and III.

Question 32
Mr. Akwasi Anti, a 60-year-old man is on admission at your unit with atelectasis. What measures would you take to enhance adequate lung expansion.
A. Change patients position frequently.
B. Encourage early ambulation from bed to chair.
C. Encourage voluntary deep breathing maneuvers.

Question 33
Madam EsiAnkomah has been diagnosed of acute coronary syndrome and is on admission at the medical ward. To identify nervous system involvement of patient’s condition, the Nurse assesses for anxiety, restlessness and
A. Palpitation and heart murmurs.
B. Decreased muscle contractility.
C. Shortness of breath and crackles.

Question 34
A 40 year old male patient with type 2 diabetes and hypertension is treated for acute myocardial infarction. Prior to this hospitalization, his cholesterol level has not been checked for five years, at which time he says it was “normal.” His current LDL is 195 mg/dL. Which of the following is true?
A. He should be treated to achieve a 30% reduction in his LDL cholesterol.
B. Because he is diabetic, his LDL level should be targeted to less than 130 mg/dL.
C. He should be treated to achieve at least a 50% reduction in his LDL cholesterol.

Question 35
Which of these actions should the nurse take if a patient refuses to cooperate with care which has been planned?
A. Report the incident to the senior nurse on duty.
B. Record on the plan that the patient has refused care.
C. Explain fully the reason why the action is needed.

Question 36
A patient is to receive 3000mls of IV fluid in 12 hours. The drop factor is 10 gtt/ml. The Nurse should regulate the flow to approximately how many drops per minute?
A. 40 to 42.
B. 30 to 32.
C. 27 to 29.

Question 37
The Nurse is educating a group of old patients at the Hypertension/Diabetes clinic on coronary heart diseases. Which of the following category of patients are at greater risk of myocardial infarction? A 45 year old newly diagnosed ……………………
A. Hypertensive with poorly controlled blood sugar.
B. Diabetic with familly history of hypertension.
C. Hypertensive of family history of diabetes.

Question 38
As a Registered General Nurse, which test would you utilize if you suspect a patient has had a stroke?
A. Face, arms, speech, test.
B. Response, airway, breathing, circulation.
C. Alert, voice, pain, unresponsiveness.

Question 39
An eating disorder that usually occur in adolescence and has features of distorted body image, irrational fear of gaining weight and excessive exercise to maintain body weight is known as
A. Anorexia nervosa.
B. Bulimia nervosa.
C. Gross anorexia.

ALSO READ
Nurses licensure exams: SURGICAL NURSING Past Questions
Nurses Licensure Exams: General Paper Past Questions

Question 40
Baba Fuseni has been diagnosed of hypocalceamia.Which of the following is a clinical sign indicative of hypocalceamia?
A. Babinski sign.
B. Romberg’s sign.
C. Trousseau’s sign.

Question 41
During percussion, the Nurse strikes the terminal phalanx of one of the fingers with the other hand. Which of the fingers is to be used for the correct percussion technique?
A. Ring finger.
B. Middle finger.
C. Five fingers.

Question 42
A patient with diabetes mellitus says “I cannot eat big meals. I prefer eating snacks throughout the day”. The Nurse should explain that
A. Large meals can bring about weight problems.
B. Salt and sugar restriction is the main concern.
C. Regulated food intake is basic to diabetic control.

Question 43
AbibaKoomson, 25 years old has been admitted to the ward with meningitis. The nurse observes that Abiba’s neck gets flexed when flexion of the knees and hips is produced. This manifestation is termed:
A. Babinski’s sign.
B. Kernig’s sign.
C. Brudzinski’s sign.

Question 44
Plans to assist in the rehabilitation of a patient after a cerebrovascular accident is to
A. Keep working on skills until they are perfected.
B. Accept that independent existence is impossible.
C.Encourage any attempts to assist in care activities.

Question 45
A patient is admitted with pulmonary oedema. The Nurse would expect the physician to order a rapidly acting diuretic such as
A. Laxis.
B.Chlorothiazide.
C. Aldactone.

Question 46
Madam AkuaMansah, a 59 year old woman reported to the unit with the complaint of chocking and a heavy sensation in the upper chest. She described the chest pain as sharp radiating to the neck, jaw and shoulders, subsiding when she is at rest in the couch. She was apprehensive and felt she was going to die. She was diagnosed of Stable Angina. Which of the following medications is the MOST appropriate to be administered?
A. Aspirin.
B. Digoxin.
C. Nitroglycerin.

Question 47
One of the recommended medications for the treatment of malaria is ………….. tablets
A. Amodiaquine.
B. Arthemeterlumefantrine.
C. Artesunate.

Question 48
Which of the following is a contraindication to lumbar puncture?
A. Anticoagulation therapy.
B. Brain abscess.
C.Encephalitis.

Question 49
Ms.Abua Philips, 10 years old JHS pupil has been admitted to the ward with severe malaria. She has fever of 37.2oC, chills and bitterness in the mouth. The Nurse educates her on the following measures to protect herself from mosquito bites EXCEPT:
A. Closing all her windows at night.
B. Sleeping in insecticide treated net.
C.Using mosquito repellent creams.

Question 50
The Nurse is planning care for Madam Kusah who has just been rushed to the Accident and Emergency, and diagnosed of Myocardial infarction. The Nurse must prepare to administer …………………..
a. Tablet soluble Aspirin, 300mg stat.
s b. IM Pethidine 50mg stat.
c. IV Nitroglycerine 2.5mg stat.