Staff Nurse exam prepration:

super selected Staff nurse.

Q. 1. The nurse uses of Maslow's hierarchy of needs to prioritize nursing care. According to maslow hierarchy which patient needs takes priority?
A. Security
B. Belonging
C. Self steam
D. Self actualization

Ans. A. Security

Theory proposed by Abraham maslow in 1943 in his paper "A theory of human motivation"
Top level - self actualization
(सबसे कम जरूरी)
Lower level - basic physiological need
(सबसे पहले और सबसे ज्यादा जरूरी)

Q. 2. When assessing a patient with a PTH deficiency, the nurse would expect abnormal serum level of which substance?
A. Calcium and phosphorus
B. Urea and uric acid
C. Potassium and glucose
D. Sodium and chloride

Ans. A. Calcium and phosphorus

PTH leads to decrease level of calcium and increased level of phosphorus(hyperphosphatemia)

Q.3. which of the following patient is the highest risk for developing diarrhoea?
A. Patient who physically active
B. Patient who drink a lot of fluids
C. Patient who eats whole grain cereal 
D. Patient who is  experience emotional problems

Ans. D Patient who is experience emotional problems
Stress is known for causing muscle tension, which may lead to your gastrointestinal system not digesting food effectively and causing an increased effect on defecation.
Q.4. A nurse takes the pt's blood pressure and records a diastolic pressure of 120 mmHg What should the the nurse do first?
A. Document the finding in file
B. Notify the physician
C. Take the other vital sign
D. Retake the BP
Ans. D. Retake the BP

Q.5 The nurse administrating heparin IV to a patient with DVT, which is the most important for the nurse to have readily available on the unit while patient is receiving heparin IV ?
A. Plasma
B. Prothrombin
C. Protamine sulfate
D. Potassium chloride

Ans. C. Protamine sulfate
Protamine sulfate is the antidote of heparin used in heparin toxicity
Heparin is an anticoagulant, meaning it inhibits the formation of blood clots in the body

Symptoms of heparin toxicity are
1. Bruising easily
2. Easily an expected bleeding that last for long time
3. Pink or brown urine
4. Dark Tarry stool
5. Coughing up blood or blood clots

Q.6. A patient is admitted to the with a diagnosis of fever and unknown origin. Which laboratory results should the nurse record physician?
A. Haematocrit value 42%
B. HB 14.5 gm/dl

C. Urine specific gravity 1.020
D. WBC 20,000

Ans. WBC 20,000

WBC 20,000 is indicator of infection. So the nurse report physician

And other laboratory values are normal
Q. 7.Which of the following types of insulin can be given intravenously
A. Regular
B. Intermediate acting
C. Long acting
D. None of the above

Ans. A. Regular insulin

Rapid acting insulin and short acting insulin can be given IV
Long acting insulin never give the IV and can't mix with any insulin

Q.8. A child is HIV positive and his immune system is severely compromised. which vaccination type should be avoided in this child ?
A. Passive immunization
B. Attenuated vaccine
C. Toxoid vaccine
D. Killed vaccine

Ans. Attenuated vaccine

Q. 9. When assessing a client during acute episode of diabetic insipidus on which problem would nurse focus?
A. Risk for impaired skin integrity
B. Ineffective coping
C. Deficient fluid volume
D. Imbalanced nutrition

Ans. C. Deficient fluid volume

Diabetes insipidus a disorder of salt and water metabolism marked by intense thirst and urination

Q. 10. Destruction theory in pain management?
A. Uses medications
B. Cognitive reappraisal
C. Focus on one's attention on other stimuli rather than the pain
D. Replace positive images of pain with other images
Ans. C. Focus on one's attention on other stimuli rather than the pain

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