Here are the important model Test paper for NORCET AIIMS MODEL TEST PAPER .This NORCET Model paper will help you to clear NORCET AIIMS NURSING OFFICER EXAMINATION .
1. The parents of a 2-year-old child ask a nurse how to best manage their child’s temper tantrums. What advice should the nurse give the parents ? ?
…Answer is B)
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2. A client, who is a 24-year-old gravida 6, para 5, delivered a 10-pound, 10-ounce baby 6 hours ago, after a 26-hour labor. Upon assessment, an NURSE finds the client’s fundus is 2 fingerbreadths above the umbilicus and slightly deviated to the right. Based on the information provided, for which complication is this client at risk? ?
A) Postpartum hemorrhage B) Mastitis C) Endometriosis D) Thrombophlebitis
…Answer is A)
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3. A client is seen in an emergency department for rotator cuff tendonitis. What is the correct immediate treatment? ?
A) Hot packs prn B) Muscle relaxant C) A sling for the arm D) ROM every 4 hours
…Answer is C)
injured tissue needs to be immobilized .
4. A 3-year-old child is admitted to an emergency department after being struck by an automobile. A nurse’s assessment reveals a child with spontaneous eye opening. The child is confused and does not obey commands but is able to localize pain. The nurse correctly calculates a score of __________ on the Glasgow Coma Scale. ?
A) 6 B) 3 C) 13 D)10
…Answer is C)
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5. The correct nursing action to prevent infection in a client with an external fixation device for an open fracture is to ?
A) Double-glove for dressing changes B) Scrub pin sites with Betadine. C) Give prophylactic antibiotics D) Place on contact isolation
…Answer is C)
open wound creates the oppotunity for microbes to enter wound .
6. During the active phase of labor, a client, who is a gravida 2, para 0, begins to complain of dizziness, tingling in her fingers, and numbness in her lips. The most appropriate nursing intervention for this client would be to?
A) Have her breathe into a paper bag B) Help her assume a left lateral position in bed C) Instruct her in shallow chest breathing D) Notify the physician immediately
…Answer is A)
Patient is hyperventilating resulting in reduction of co2 in blood and causing symptoms bag mask will increase co2 in blood .
7. A client has been receiving warfarin (Coumadin) and heparin for 2 days following a total knee arthroplasty. Laboratory results show that INR is 1.2, Hct is 34%. A nurse should ?
A) Hold the Coumadin, continue the heparin B) Hold the heparin, continue the Coumadin C) Hold both drugs and call the physician D) Continue both drugs as ordered
…Answer is D)
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8. Which assessment finding should a nurse most expect in a newborn infant with a cyanotic heart defect ?
A) Clubbing of fingers and toes B) Tachycardia C) Polycythemia D) Distended neck veins
…Answer is B)
bcz heart attempts to improve oxygenation .
9. A client will receive a spinal anesthetic for cesarean birth. As the client discusses the surgery, she asks an Nurse about the possibility of postanesthesia headaches. Which is the most appropriate response by the nurse ? ?
A) If there is an allergy to the agent used, headaches may occur B) Headaches should not be a problem with this type of anesthesia C) This problem may be prevented by keeping the head of the bed flat D)Medication is available to counteract headaches and is given as needed
…Answer is C)
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10. A 50-year-old client, who is overweight, is tested at a health fair and the result of a nonfasting blood sugar is 210 mg/dL. A nurse should ?
A) Encourage re-testing in 1 hour B) Encourage re-testing in 1 week C) Tell the client that follow-up is needed later in the week D) Tell the client that the results are normal
…Answer is C)
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11. A clinic nurse prepares to administer an IM injection to a school-age child. Which pain management technique would be best suited for this child and should be applied during the procedure? ?
A) Guided imagery B) Being held by a parent C) Distraction D) Providing oral sucrose
…Answer is A)
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12. What advice should a nurse give to a person with type 1 diabetes who is beginning a running program in an effort to get in shape ?
A) Administer insulin 30 minutes before running B) Rotate injection sites from one thigh to the other each day > C) Carry a sugar source D) Avoid running
…Answer is C)
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13. Which client has the best control of diabetes ?
A) A client who has trouble sticking to diet and exercising but takes meds regularly. FBS is 132 mg/dL, HgbA1c is 11%. B) A client who has perfect compliance with diet, exercise, and meds. FBS is 96 mg/dL, HgbA1c is 11% C) A client whose diabetes is controlled with diet alone. FBS is 452 mg/dL, HgbA1c is 12% D) A client who has trouble remembering meds, but good compliance with diet and exercise. FBS is 110 mg/dL, HgbA1c is 7%
…Answer is D)
the goal isof hBA1c is less than 7% .
14. If a client’s blood sugar is lowered too rapidly, for what manifestation or dangerous outcome should a nurse observe? ?
A) Glycosuria B) Hyperkalemia C) Hypertensive crisis D) Confusion from cerebral edema
…Answer is D)
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15. A nurse assesses a child diagnosed with measles. Which symptom is the nurse least likely to observe in a child diagnosed with measles??
A) Slapped cheek appearance B) Fever and general malaise C) Rash on face, trunk, and limbs D) White and red spots on buccal mucosa
…Answer is A)
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16 . Health teaching for a client who is newly diagnosed with diabetes should include: ?
A) Notify health care provider immediately if the blood sugar is over 150 mg/dL B) Call provider if breath smells fruity C) Hold insulin if unable to eat D) Check blood sugar every hour if sick
…Answer is B)
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17 . Following a nephrectomy, which complication does a client have the greatest risk of developing ?
A) Altered nutrition related to NPO status and postoperative ileus B) Possible kidney stones related to urinary stasis C) Pedal and periorbital edema related to nephrotic syndrome D) Possible altered gas exchange related to shallow breathing from pain
…Answer is D)
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18 . Older adults often present with atypical assessment findings. Which symptom will an older adult with a urinary tract infection (UTI) most often develop first? ?
A) Anorexia B) Confusion C) Fever D) Restlessness
…Answer is B)
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19 . While visiting a local park, a nurse witnesses the collapse of a preschool-age child. The nurse assesses the child and finds no pulse and no respirations. The nurse begins compressions. At what rate per minute should the nurse deliver the compressions ?
A) 25 compressions per minute B) 50 compressions per minute C) 75 compressions per minute D) 100 compressions per minute
…Answer is D)
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20 . A client reports sharp pain in the calf of the left leg when walking to the bathroom. A nurse notes that the leg has a confined area of warmth, tenderness, and redness. Which nursing action is most appropriate for this client? ?
A) Encouraging the client to ambulate to increase circulation B) Instructing the client to massage the affected area to relieve the tenderness C) Applying cold packs to the affected area to decrease inflammation D) Elevating the affected extremity to promote venous blood flow
…Answer is D)
patient has superficial thrombophelibitis .
21 . Suddenly, during a labor contraction, a pregnant client experiences a gush of amniotic fluid. Which assessment finding should indicate to a nurse that the client is experiencing a deviation from normal labor patterns? ?
A) Colored amniotic fluid B) Fetal bradycardia with contractions C) The client complains of nausea and vomits D) The client becomes diaphoretic and irritable
…Answer is A)
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22 . A nurse auscultates the lungs of a client diagnosed with right middle lobe pneumonia. Where should the nurse place the stethoscope where crackles would most likely be heard?
A) A B) B C) C D) D
…Answer is C)
it is area where right middle lobe is accessible for auscultation .
23 . A nurse provides health teaching to the parents of a school-age child diagnosed with attention deficithyperactivity disorder (ADHD). What should the nurse include in the teaching plan? ?
A) One parent should be responsible for discipline B) Prescription bottles should be stored where the child can access for self-care C) The home’s televisions and radios should be kept at a low to moderate volume D) Participation in outdoor sports should be avoided
…Answer is C)
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24 . A client with a 6-month history of burning pain and weakness to the thumb and first and middle fingers has a carpal tunnel release done with regional anesthesia. In the PACU, the priority nursing assessment should be ?
A) Orientation to person, place, time, situation B) Brachial pulse C) Color, temperature, movement of the fingers D) Pupil reaction to light
…Answer is C)
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25 . The parents of a child isolated with scarlet fever ask a nurse. “Why didn’t our child get a vaccine for this disease?” The nurse’s best response is: ?
A) The disease is bacterial in nature and responds well to antibiotics B) A vaccine is in development C) Consult your pediatrician as to why the vaccine was not given D) This disease is not communicable; therefore, a vaccine is not necessary
…Answer is A)
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26 . A client is admitted to labor and delivery with a diagnosis of placental abruption. A nursing priority for this client is to minimize alterations in fetal tissue perfusion. A nurse recognizes that this goal has been met when which finding is noted ?
A) Presence of accelerations B) Consistent decreased fetal heart rate variability C) Evidence of prolonged fetal bradycardia D) Presence of consistent late decelerations
…Answer is A)
bcz acceleration are an indication of fetal wellbeing .
27 . A home health nurse visits a child with hemophilia following a dental extraction. Which medication would the nurse suggest be removed from the family’s bathroom medicine cabinet?
A) Acetaminophen B) Corticosteroid C) Ibuprofen D) Epsilon-aminocaproic acid
…Answer is C)
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28 . A nurse is preparing to administer intravenous magnesium sulfate to a client diagnosed with preeclampsia. Which action should the nurse take when administering this medication? ?
A) Administer a solution of 20 gm magnesium sulfate in 100 mL of lactated Ringer’s solution B) Monitor maternal VS, FHR, and uterine contractions every hour C) Expect the maintenance dose to be approximately 4 gm/hr D) Discontinue the infusion and notify the physician of a respiratory rate of <12 breaths=”” label=”” min.=””>
…Answer is D)
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29 . When would a client with community-acquired pneumonia be clinically stable enough to change from IV antibiotics to oral antibiotics? When the client has
A) Temperature of 96.8°F (36°C) or lower B) O2 saturation of at least 80%. C) Systolic blood pressure that stays at 90 mm Hg or higher D) Heart rate that remains at 120 beats/min or lower
…Answer is C)
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30 . A 44-year-old client has just found out that she is pregnant. The client knows that she is at a higher risk for carrying a fetus with a chromosomal abnormality. Which genetic test for chromosomal abnormalities should a nurse recommend to provide the client with chromosomal results within the first trimester ?
A) Genetic karyotyping B) Amniocentesis C) Chorionic villus sampling (CVS) D) Ultrasonography
…Answer is C)
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31 . Which is the most important initial nursing action for a client with community-acquired pneumonia? ?
A) Maintain IV site used for antibiotic therapy B) Assess for indications of antibiotic effectiveness C) Assist with client mobility D) Assess for pain and treat as ordered
…Answer is A)
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32 . What type of dressing should a nurse use on a stage Ipressure ulcer ?
A) Wet to dry B) Wet C) Dry D) None
…Answer is D)
no dressing is needed in stage 1 ulcer bcz skin is intact .
33 . Which pediatrician’s orders for a newborn boy with a family history of hemophilia should a nurse question?
A) Administer hepatitis B vaccine B) Delay circumcision at this time C) Schedule series of well-infant appointments at time of discharge from birth hospital D) Finger or heel punctures for blood draws only
…Answer is D)
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34 . A toddler, who had a blood lead level (BLL) test result of <10 1=”” 48=”” a=”” ago=”” an:=”” anticipate=”” div=”” dl.=”” dl=”” for=”” in=”” level=”” mcg=”” need=”” nurse=”” of=”” office=”” pediatrician=”” presents=”” s=”” should=”” the=”” with=”” year=””>
A) EEG B) CBC C) Abdominal x-ray D) Chest x-ray
…Answer is C)
to detect abdominal lead chips .
35 . TDuring change of shift, a day shift nurse states that all of a client’s urine is to be strained. The evening nurse knows that straining is ordered because ?
A) Intake and output will be more accurate B) The client has been having difficulty voiding C) The composition of renal calculi needs to be identified D) Blood clots have been affecting the accuracy of the urinalysis
…Answer is C)
36 . A nurse is caring for a client with second-degree burns of both arms. Which care need will be more challenging because of the location of the burn? ?
A) Reducing risk for immunosuppression and infection B) Reducing potential for contractures and deformity C) Establishing IV access for administration of fluids D) Assessment of vital signs, including blood pressure
…Answer is B)
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37 . A nurse prepares to administer N-acetylcysteine (Mucomyst) to a child who ingested a toxic dose of acetaminophen (Tylenol). What equipment will the nurse need to gather in order to administer the medication ?
A) An IV setup B) An IM setup C) A glass of water D) A glass of juice
…Answer is D)
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38 . A 3-year-old child has ingested some “pink pills” in an unlabeled bottle found on the floor of the garage. In what order should a nurse correctly perform a gastric lavage and administration of activated charcoal? ?
A) Perform the gastric lavage and then administer the activated charcoale B Administer the activated charcoal and then perform the gastric lavage C) Perform the gastric lavage, leave the saline solutionin the stomach, and administer the activated charcoal D) Question the order because gastric lavage and activated charcoal are not used together
…Answer is A)
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39 . A client asks a nurse how soon after bowel surgery normal bowel function will return. The best response by the nurse would be ?
A) By 72 hours you should start to pass gas B) Around 48 hours, if there are no complications C) Some function will return by 12 hours D) You’ll pass gas by 24 hours
…Answer is A)
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40 . A client, who is diabetic, is scheduled for discharge. A nurse should recognize the need for further teaching if the client states?
A) I take my oral hypoglycemics during the day because I sleep 8 hours at night B) I’ve had diabetes for 15 years, and I’ve never had any problems until now C) “I live alone, so I use the microwave often to prepare my meals D) I had been taking a name brand drug, but the generic brand costs less
…Answer is D)
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41 . The lips and oral cavity of a child who ingested a corrosive substance are blistered, peeling, and swollen. The priority action for a nurse in the emergency department is to ?
A) Keep child NPO B) Administer an analgesic C) Prepare to induce vomiting D) Maintain a patent airway