Trier questions for nursing training collage final year students in Ghana (Medicine).

1. Which statement describes the contagious stage of varicella?

A. The contagious stage is 1 day before the onset of the rash until the appearance of vesicles.

B. The contagious stage is from the onset of the rash until the rash disappears.

C. The contagious stage is 1 day before the onset of the rash until all the lesions are crusted.

2. A 3-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

A. “Currant jelly” stools

B. Projectile vomiting

C. “Ribbonlike” stools

3. Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:

A. Wear a gown, gloves, and a mask while caring for the infant.

B. Offer the baby sterile water between feedings of formula.

C. Apply an emollient to the baby’s skin to prevent drying.

4. Kwame, an 19-year-old school boy has recently been diagnosed as having diabetes mellitus. He is preparing for the WASSCE examination and he is a keen player on the school football team. He is put on insulin and is told to have a snack at bedtime. The reason for giving Kwame the snack at bedtime is to:

A. Maintain normal blood glucose

B. Prevent hypoglycemia whilst sleeping

C. Ensure normal metabolism at night

5. A patient on the ward is been managed for severe dehydration. The nurse in planning care for this patient should be alert to the following risk factors:

I. Diabetes insipidus

II. Excessive vomiting

III. Gastrointestinal suctioning

IV. Osmotic diuresis

A. I, II, and III

B. I, II, and IV

C. I and II

6. A student collapsed in front of your health facility and was rushed inside. The student recovered in a few minutes and you suspected epilepsy. Which of the following describes epilepsy?

A. Head injury or brain cell death

B. Occasional irregular brain waves

C. Involuntary loss of consciousness

7. Risk factors associated with aspiration pneumonia include:

I. Delayed emptying of the stomach

II. Nasogastric tube feeding

III. Obesity

IV. Unconsciousness

A. II, III and IV

B. I, II, III and IV

C. I, II, and IV

8. A client with hyperthyroidism is taking lithium carbonate. This is

A. to inhibit thyroid hormone

B. to shrink the thyroid

C. to prevent thyroid storm

9. Which of the following should the nurse include in a plan of care for a 4-year-old child admitted to the hospital with the diagnosis of epiglottitis?

A. Restrict fluids

B. Encourage the child to assume a tripod position

C. Perform a throat culture to identify the pathogen

10. A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal:

A. Slow pulse rate, weight loss, diarrhoea, and cardiac failure

B. Rapid pulse, constipation, and bulging eyes

C. Weight gain, lethargy, slowed speech, and decreased respiratory rate.

11. The nurse is giving discharge instructions to a client with pulmonary sarcoidosis. The nurse concludes that the client understands the information if the client indicates to report which early sign of exacerbation?

A. Fever

B. Shortness of breath

C. Fatigue.

12. Nurse Worlako is caring for preschoolers in a day care center will find which of the following problems is more common at this age than at any other?

A. Accidents, cuts, bruises, and major traumas requiring emergency room care

B. Minor illnesses such as colds, otitis media, and GI disturbances

C. Appendicitis and tonsillitis requiring day surgeries or 1-day hospitalization

13. A client is admitted with a suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:

A. Pulsations in the periumbilical area

B. Back pain that lessens when standing

C. Loss of sensation in the lower extremities

14. If Mrs. Amoah tells the nurse her feet are cold. Which of the following nursing action would be best?

A. Elevate her feet on a stool

B. Wrap them in a warm blanket

C. Apply a hot water bottle

15. During peritoneal dialysis the nurse observes that drainage of dialysate from the peritoneal cavity has ceased before the required amount has drained out. The nurse should assist the client to:

A. Drink 8 ounces of water

B. Deep breath and cough

C. Turn from side to side

16. A patient admitted to the ward was being suspect of having pneumothorax. Which of the following assessment techniques will be the best for determining fluid in the pleural cavity?

A. Percussion

B. Auscultation

C. Palpitation

17. Mr. Adu is an admitted client following acute glomerulonephritis. One of the primary objectives of treating acute glomerulonephritis would be to:

A. Restore fluid and electrolyte balance

B. Give a high protein diet to restore nutritional state

C. Encourage the patient to do moderate active exercise

18. Mr. Hushuru Moro has pleural effusion. Which of the following adventitious sounds indicate that this patient has a fluid fill lung?

A. Wheezes

B. Vesicular

C. Crackles

19. Twumasi, a teenager of 13 years old was diagnosed with urine retention. Which assessment technique would you use when determining whether an underlying tissue is filled with fluid?

A. Auscultation

B. Percussion

C. Palpation

20. Maame Abena brought her 9year old daughter to the ward for medical assistance. The daughter was diagnosed of leukaemia. Which type of Leukaemia is the most common in young children?

A. Acute lymphoblastic

B. Chronic lymphoblastic

C. Acute myeloid

21. The nurse is assigned to give Ms. Milton perineal care. When cleansing the perineum, the cotton ball or washcloth is gently directed:

A. Side to side across the labia majora

B. Downward from the pubic area to the anus

C. Prom the urinary meatus to the vagina

22. The risk of osteoporosis is increased when an individual:

A. Takes excessive amount of oestrogen

B. Has a history of hypoparathyroidism

C. Receive long-term steroid therapy

23. A child was brought to your facility with presenting complaints of fever, headache constipation, malaise, chills, and muscle pain. Which of the following investigations would assist in the diagnosis of typhoid fever?

A. Blood for urea and electrolyte and stool for routine examination

B. Wassermann’s test, stool for culture and sensitivity

C. Stool and urine for culture and sensitivity test.

24. A 24-year-old man has glomerulonephritis. Which of the following readings would indicate that he also has high blood pressure?

A. An irregular pulse rate

B. Diastolic pressure of 95mmHg

C. Systolic pressure of 130mmHg

D. Pulse deficit of 10 per minute

25. Clinical manifestations of pulmonary congestion include the following except:

A. Cough

B. Dyspnea

C. Nausea

D. Pulmonary crackles

26. Henry Peters a hypertensive patient has developed ascites associated with right-sided heart failure. The condition of this patient may be due to:

A. Congestion in the peripheral tissue and viscera

B. Decreased in ejected ventricular volume

C. Increased pulmonary pressure

27. The priority nursing diagnosis for a patient with chronic lymphocytic leukemia who is very weak and cachectic would be:

A. Potential of haemorrhage

B. Fluid volume deficit

C. Impaired gas exchange

28. Which of the following is the nurse likely to observe in a patient with haemolytic jaundice?

A. Urine appears dark brown

B. Fats in the stool

C. Skin is hot and dry

29. Alhaji Koo Baba, a 52-year-old mechanic reported to the hospital with complaints of headache, dizziness, and palpitations. His body mass index was calculated to be 50kg/m3. The probable diagnosis will be:

A. Morbidly obese

B. Obese

C. Overweight

30. A patient with restlessness, agitations, twitching, convulsion and serum sodium greater than 145Eq/L can be said to be suffering from which of the following?

A. Hypokalaemia

B. Hypercalcemia

C. Hypernatremia

31. Bismark, a nurse, is monitoring a client who is taking propranolol (Inderal LA). Which assessment data indicates a potential serious complication associated with this medication?

A. A baseline blood pressure of 150/80 mm Hg followed by a blood pressure of 138/72 mm Hg after two doses of the medication 

B. The development of audible expiratory wheezes

C. The development of complaints of insomnia

32. The nurse is admitting a client with a suspected gastric ulcer. The client will most likely report that his abdominal discomfort lessens when he:

A. Skips a meal

B. Rests in a recumbent position

C. Eats a meal

D. Sits upright after eating

33. An infertile man is being treated with Viagra (sildenafil citrate) for erectile dysfunction (ED). Which of the following is a contraindication for this medication?

A. Nitroglycerin ingestion for angina pectoris.

B. Preexisting diagnosis of herpes simplex 2.

C. Postsurgical care for resection of the prostate

34. Mr. Marfo, 76 years was discharged after he was managed for angina pectoris. Which of the following should the nurse include in his teaching?

A. Reduced smoking

B. Avoid alcohol

C. Eat a diet high in fiber

35. The priority nursing diagnosis for a patient with chronic lymphocytic leukemia who is very weak and cachectic would be: