Daily Nursing Exam Questions #0087-92
Question 0087: Best method to assess malnutrition in adult?
- MUAC (Mid-Upper Arm Circumference) is the easiest and most reliable method to assess malnutrition in adults.
- It is quick, simple, and works well even in field settings.
- Skin fold measurements and Hb levels are less practical for adult malnutrition assessment.
- Chest circumference is not a standard method for adults.
Question 0088: At what stage of labor is episiotomy usually done?
- Second stage of labor is when episiotomy is usually performed to facilitate delivery and prevent severe perineal tears.
- The first stage involves cervical dilation, so episiotomy is not done here.
- The third stage is delivery of the placenta, and episiotomy is already completed before this.
- The fourth stage is the immediate postpartum period, mainly for monitoring; episiotomy is not performed here.
Question 0089: You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The medication label reads 40 mEq per 20 ml. How many milliliters of potassium chloride do you need to administer the correct dose?
- Step 1: Determine the concentration: 40 mEq per 20 ml → 2 mEq/ml.
- Step 2: Calculate the volume needed for 30 mEq: 30 ÷ 2 = 15 ml.
- Step 3: Therefore, you need to draw up 15 ml of potassium chloride and add to 1000 ml normal saline.
- Note: Always double-check the calculation before administration to prevent overdose.
Question 0090: The most useful test for the diagnosis of Diabetes Mellitus is:
- Glucose tolerance test (GTT) is the most useful and reliable test to diagnose Diabetes Mellitus, as it measures the body’s ability to handle glucose.
- Urine glucose can be positive only after blood glucose exceeds the renal threshold, so it’s not very reliable.
- ESR (Erythrocyte Sedimentation Rate) is a nonspecific marker of inflammation and not used for diagnosing diabetes.
- Ketone body levels indicate diabetic ketoacidosis or starvation, not for routine diagnosis of diabetes.
Question 0091: In placenta previa and bleeding during gestation, investigation of choice is?
- Ultrasonography (USG) is the investigation of choice for placenta previa as it is safe, non-invasive, and accurately locates the placenta.
- CT scan involves radiation and is generally avoided in pregnancy.
- MRI can be used in complicated cases but is not the first-line investigation.
- Pelvic X-ray is not useful for diagnosing placenta previa and exposes the fetus to radiation.
Question 0092: Which drug is used to treat PDA?
- Indomethacin is the drug of choice to treat Patent Ductus Arteriosus (PDA) in neonates, as it helps close the ductus arteriosus by inhibiting prostaglandin synthesis.
- Oxaceprol is used for cardiac insufficiency and not for PDA.
- Morphine is an analgesic and sedative; it does not close PDA.
- Dopamine is a vasopressor used in hypotension and shock, not in PDA closure.
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