Medical and Surgical Nursing MCQs for AIIMS NORCET 2021
1. A health care provider prescribes 0.5 mg of protamine sulfate for a client who is showing signs of bleeding after receiving a 100-unit dose of heparin. The nurse should expect the effects of the protamine sulfate to be noted in which of the following time frames?
a. 5 minutes
b. 10 minutes
c. 20 minutes
d. 30 minutes
2. The nurse should instruct the client with a platelet count of 31,000/μL to:
a. Pad sharp surfaces to avoid minor trauma when walking.
b. Assess for spontaneous petechiae in the extremities.
c. Keep the room darkened.
d. Check for blood in the urine.
3. When a client with thrombocytopenia has a severe headache, the nurse interprets that this may indicate which of the following?
a. Stress of the disease
b. Cerebral bleeding
c. Migraine headache
d. Sinus congestion
4. The nurse should assess a client with thrombocytopenia who has developed a haemorrhage for which of the following?
a. Tachycardia
b. Bradycardia
c. Decreased PaO2
d. Narrowed pulse pressure
5. Platelets should not be administered under which of the following conditions?
a. The platelet bag is too cold
b. The platelets are 2 days old
c. The platelet bag is at room temperature
d. The platelets are 12 hours old
6. The nurse is preparing to administer platelets. The nurse should:
a. Check the ABO compatibility
b. Administer the platelets slowly
c. Gently rotate the bag
d. Use a IV set
7. When receiving a client from the post-anesthesia care unit after a splenectomy, which should the nurse assess next after obtaining vital signs?
a. Nasogastric drainage
b. Urinary catheter
c. Dressing
d. Need for pain medication
8. What is the earliest clinical manifestation in a client with acute disseminated intravascular coagulation (DIC)?
a. Severe shortness of breath
b. Bleeding without history or cause
c. Orthopnea
d. Haematuria
9. Which of the following is an assessment finding associated with internal bleeding with disseminated intravascular coagulation?
a. Bradycardia
b. Hypertension
c. Increased abdominal girth
d. Petechiae
10. A client with neutropenia has an absolute neutrophil count or ANC of 900. What is the client’s risk of infection?
a. Normal risk
b. Moderate risk
c. High risk
d. Extremely high risk
11. The goal of nursing care for a client with acute myeloid leukaemia (AML) is to prevent:
a. Cardiac arrhythmias
b. Liver failure
c. Renal failure
d. Haemorrhage
12. The nurse is assessing a client with chronic myeloid leukemia (CML). The nurse should assess the client for:
a. Lymphadenopathy
b. Hyperplasia of the gum
c. Bone pain from expansion of marrow
d. Shortness of breath
13. Which of the following clinical manifestations does the nurse most likely observe in a client with Hodgkin’s disease?
a. Difficulty swallowing.
b. Painless, enlarged cervical lymph nodes.
c. Difficulty breathing.
d. A feeling of fullness over the liver.
14. Which of the following is the most important goal of nursing care for a client who is in shock?
a. Manage fluid overload.
b. Manage increased cardiac output.
c. Manage inadequate tissue perfusion.
d. Manage vasoconstriction of vascular beds.
15. Which of the following is a risk factor for hypovolemic shock?
a. Hemorrhage.
b. Antigen-antibody reaction.
c. Gram-negative bacteria.
d. Vasodilation.
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