1. Which of the following cranial nerves is responsible for the movement of the tongue?
a) Cranial nerve V
b) Cranial nerve VII
c) Cranial nerve IX
d) Cranial nerve XII
2. A patient with diabetic ketoacidosis (DKA) presents with Kussmaul’s breathing. What is the primary purpose of this type of respiration?
a) Compensate for metabolic alkalosis
b) Compensate for metabolic acidosis
c) Decrease blood oxygen levels
d) Retain carbon dioxide
3. A nurse is caring for a patient with increased intracranial pressure (ICP). Which of the following interventions should be avoided?
a) Elevating the head of the bed to 30 degrees
b) Hyperventilation to maintain a PaCO₂ of 25 mmHg
c) Suctioning the airway frequently
d) Keeping the neck in a neutral position
4. Which electrolyte imbalance is most commonly associated with the use of loop diuretics like furosemide?
a) Hyperkalemia
b) Hypernatremia
c) Hypokalemia
d) Hypercalcemia
5. A nurse notes a positive Chvostek’s sign in a patient. Which condition does this indicate?
a) Hyperkalemia
b) Hypocalcemia
c) Hypernatremia
d) Hypermagnesemia
6. What is the recommended dose of oxytocin for active management of the third stage of labor (AMTSL) according to WHO guidelines?
a) 2 IU IV
b) 5 IU IM
c) 10 IU IM
d) 20 IU IV
7. Which of the following is a contraindication for thrombolytic therapy in a patient with acute myocardial infarction?
a) History of peptic ulcer disease
b) Active internal bleeding
c) Hypertension (BP 140/90 mmHg)
d) Age above 65 years
8. Which of the following vaccines is contraindicated during pregnancy?
a) Influenza vaccine
b) Tetanus toxoid vaccine
c) Hepatitis B vaccine
d) MMR vaccine
9. In nephrotic syndrome, which of the following is the main pathological feature?
a) Hematuria
b) Massive proteinuria
c) Oliguria
d) Increased glomerular filtration rate
10. Which of the following ECG findings is characteristic of hyperkalemia?
a) Prolonged QT interval
b) Peaked T waves
c) ST-segment depression
d) Widened QRS complex
11. A nurse is monitoring a patient on warfarin therapy. Which lab test should be regularly checked?
a) aPTT
b) INR
c) D-dimer
d) Bleeding time
12. What is the first-line drug for the treatment of status epilepticus?
a) Phenytoin
b) Diazepam
c) Carbamazepine
d) Levetiracetam
13. In a patient with septic shock, which of the following is the initial management step?
a) Administering broad-spectrum antibiotics
b) Giving vasopressors
c) Initiating fluid resuscitation
d) Providing corticosteroids
14. A nurse is caring for a postpartum patient with uterine atony. What is the priority nursing intervention?
a) Administering oxytocin
b) Encouraging ambulation
c) Applying fundal massage
d) Inserting a urinary catheter
15. Which of the following conditions is a contraindication for magnesium sulfate therapy in preeclampsia?
a) Respiratory rate below 12 breaths/min
b) Blood pressure of 150/100 mmHg
c) Urine output of 40 ml/hr
d) Reflexes graded as 2+
16. What is the most appropriate nursing intervention for a patient experiencing serotonin syndrome?
a) Administering acetaminophen
b) Providing cooling blankets
c) Giving an SSRI
d) Encouraging caffeine intake
17. Which of the following ABG results indicate uncompensated metabolic acidosis?
a) pH 7.48, PaCO₂ 50 mmHg, HCO₃ 30 mEq/L
b) pH 7.28, PaCO₂ 38 mmHg, HCO₃ 18 mEq/L
c) pH 7.38, PaCO₂ 40 mmHg, HCO₃ 24 mEq/L
d) pH 7.32, PaCO₂ 55 mmHg, HCO₃ 28 mEq/L
18. In which condition does a patient experience a paradoxical pulse?
a) Pericardial tamponade
b) Mitral valve stenosis
c) Pulmonary embolism
d) Aortic dissection
19. Which medication is given to reverse opioid overdose?
a) Flumazenil
b) Naloxone
c) Atropine
d) Protamine sulfate
20. A 24-year-old woman presents with a painless, firm, mobile breast lump. What is the most likely diagnosis?
a) Fibroadenoma
b) Breast carcinoma
c) Intraductal papilloma
d) Breast abscess
21. Which class of drugs is most commonly associated with ototoxicity?
a) Beta-blockers
b) Aminoglycosides
c) Proton pump inhibitors
d) Antifungals
22. What is the purpose of administering Rho(D) immune globulin (RhoGAM) to an Rh-negative mother?
a) To prevent Rh incompatibility in future pregnancies
b) To treat existing fetal hemolytic anemia
c) To promote active immunity
d) To increase fetal hemoglobin levels
23. Which of the following is a characteristic feature of left-sided heart failure?
a) Peripheral edema
b) Jugular vein distension
c) Pulmonary congestion
d) Hepatomegaly
24. Which nerve is most likely damaged in a patient presenting with wrist drop?
a) Ulnar nerve
b) Radial nerve
c) Median nerve
d) Musculocutaneous nerve
25. A nurse is assessing a patient with Cushing’s syndrome. Which of the following findings is most characteristic?
a) Hypotension
b) Moon face and buffalo hump
c) Weight loss
d) Hyperpigmentation
Answer Key
- d) Cranial nerve XII
- b) Compensate for metabolic acidosis
- c) Suctioning the airway frequently
- c) Hypokalemia
- b) Hypocalcemia
- c) 10 IU IM
- b) Active internal bleeding
- d) MMR vaccine
- b) Massive proteinuria
- b) Peaked T waves
- b) INR
- b) Diazepam
- c) Initiating fluid resuscitation
- c) Applying fundal massage
- a) Respiratory rate below 12 breaths/min
- b) Providing cooling blankets
- b) pH 7.28, PaCO₂ 38 mmHg, HCO₃ 18 mEq/L
- a) Pericardial tamponade
- b) Naloxone
- a) Fibroadenoma
- b) Aminoglycosides
- a) To prevent Rh incompatibility in future pregnancies
- c) Pulmonary congestion
- b) Radial nerve
- b) Moon face and buffalo hump
