NMC Past Questions on Surgery and Surgical Nursing Set 3

NMC Past Questions on Surgery and Surgical Nursing Set 3

101. The best time to do breast self-examination is usually………………..day after menses begin:
A. 3rd
B. 8th
C. 5th

102. In some Ghanaian culture, circumcision of a male child is paramount. Some other medical conditions in the male could be an indication for circumcision. These include:
I. Paraphimosis
II. Phimosis
III. Poor penile erection
IV. Recurrent infection of the foreskin
Correct Answer: I, II and IV

103. Mr. Kweku Atiapa has been discharged from the hospital after 11 days on admission. He is a civil servant and worried about his high discharged bill. What would be the Nurse’s responsibility toward Mr. Atiapa?
A. Report findings to in charge
B. Call a social worker to intervene
C. Advice Mr. Kweku to confide in his doctor

104. The urologist has booked several patients for prostatectomy. The approach to this surgery associated with high incidence of impotence is:
A. Perineal
B. Retropubic
C. Suprapubic

105. The following are methods of reducing fracture EXCEPT:
A. Splinting
B. Open reduction
C. Closed reduction

106. Which of the following tests is included in the diagnosis of varicose veins?
A. Trendelenburg test
B. Intermittent claudication determination
C. Carotid phonoangiogram

107. A patient returns to the ward fully awake following a bronchoscopy and biopsy. The Nurse should:
A. Evaluate the presence of gag reflex
B. Advise the patient to cough frequently
C. Advise patient to lie flat for 2 hours

108. Conservative management of haemorrhoids include the following except:
A. Ice compresses for discomfort
B. Laxatives and stool softeners
C. Ligation of the haemorrhoids

109. Suctioning of the patient with tracheostomy must be brief. It should not exceed:
A. 15 seconds
B. 10
C. 20

110. A female diabetic patient has been admitted to your ward for a laparotomy. What will you include in your nursing intervention to promote wound healing?
A. Apply dry, sterile dressing to wound daily
B. Maintain normal blood glucose range
C. Ensure adequate amount of dietary carbohydrate

111. A 32-year-old known hypertensive is admitted to your ward for abdominal surgery. During your assessment, you found out that he uses diuretics to manage hypertension. Which of the following would you report to the surgeon?
A. Serum potassium of 3.3
B. Blood pressure of 140/80
C. Pulse rate of 105 beats per minutes

112. Thoracic kyphosis is associated frequently with which of the following conditions?
A. Osteoporosis
B. Lumbar disc disease
C. Polymyalgia rheumatic

113. Madam Afi Awuah has been on admission with cancer of the cervix. Whiles reviewing her report with Nurses on duty, you noticed that the cancer is staged as Tis, N0 M0. This will translate to mean:
A. The cancer cells are differentiated
B. Further test is needed to determine spread of cancer
C. The cancer is localized to the cervix

114. In the immediate post-operative period following a splenectomy, the Nurse should observe the patient for:
A. Haemorrhage and abdominal distention
B. Intestinal obstruction and bleeding
C. Peritonitis and pulmonary complications

115. The reason why patients are placed prone for half an hour 4 times daily after undergoing amputation is to:
A. Ensure optimum stump image
B. Improve circulation in remaining tissue
C. Prevent flexion of contractures

116. A patient was rushed to the emergency unit with the diagnosis of Cholecystitis. Which diagnostic investigation will the doctor order to help diagnose Cholecystitis?
A. Abdominal ultrasound
B. Abdominal X-ray
C. Colonoscopy

117. A pharmacology tutor mentioned during her lectures that some category of medications could induce surgical risk in patients undergoing surgery. Among these is:
A. Antibiotics
B. Anticoagulants
C. Sedatives

118. Characteristics of malignant tumours include:
I. Encapsulation
II. Infiltration
III. Looks different from original organ
IV. Spread by blood or lymphatic vessels to other organs
*C. II, III and IV

119. Which of these is assessed to determine the course of prostate cancer?
A. Prostatic fluid for WBCs
B. Blood urea estimation
C. Prostate specific antigen

120. A patient with traumatic wound necessitated debridement of 4cm of devitalized tissues. Which of the following is the most appropriate wound care treatment?
A. Pack with wet to moist saline gauze
B. Primary closure with sutures or staples
C. Cover with a dry dressing fixed with tape or Tegaderm

121. A 69-year-old post-menopausal female complains of leakage of urine with coughing. She states it has become increasingly worse over the past six months. Which of the under listed by the Charge Nurse would be MOST beneficial to the patient?
A. Refer the patient to a urologist for cystoscopy
B. Recommend fluid restriction to 1 liter per day
C. Educate the patient about Kegel exercise

122. Mrs. Ramatu Abdulai is a 65-year-old woman diagnosed with a genitourinary cancer. She is to receive radiation therapy. This therapy is the treatment of choice for:
A. Uterine carcinoma
B. Ovarian cancer
C. Squamous cell carcinoma of the cervix

123. Which of the following is paramount in the resuscitation of Ms. Aisha Bio who has sustained severe burns of the trunk and lower limbs?
A. Use of clinical parameters
B. Physical assessment
C. Administration of medication

124. A 42-year-old designer has been admitted to the female surgical ward for removal of painful lump on the neck. The surgery was purposely to improve patient quality of life. This type of surgery will be termed:
A. Palliative
B. Reconstructive
C. Curative

125. A 30-year-old female is diagnosed with Hashimoto’s thyroiditis. Which of the following characterizes the disorder?
A. Autoantibodies against TSH receptors
B. Increased production of T4
C. Increased basal metabolic rate

126. Daavi Yawa is a 45-year-old who complains dyspareunia, itchy, reddened and oedematous vulva has been diagnosed with vulvitis. The following are possible causes of the condition EXCEPT:
*Coitus interruptus

127. Which of the following conditions would be managed by dilatation of the anal sphincter?
A. Faecal impaction
B. Fistula in ano
*C