Charge Nurse: General Nursing Test Online

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Question 1

1. Which scale is commonly used to assess pressure-injury risk on admission?

Answer

Morse Fall Scale

Answer

Braden Scale

Answer

APGAR Score

Answer

Glasgow Scale

Question 2

2. Which infection precaution is recommended for influenza?

Answer

Contact only

Answer

Airborne only

Answer

Droplet precautions

Answer

Protective (reverse) isolation

Question 3

3. Which lab test is the most specific cardiac marker for acute myocardial infarction?

Answer

Troponin I/T

Question 4

4. Which medication is the antidote for opioid-induced respiratory depression?

Answer

Flumazenil

Answer

Protamine sulfate

Question 5

5. Which finding is most consistent with diabetic ketoacidosis (DKA)?

Answer

Severe hypertension

Answer

Kussmaul respirations and fruity breath

Answer

Pinpoint pupils

Answer

Bradycardia

Question 6

6. Which emergency position is preferred during a seizure to protect airway?

Answer

Supine with pillow

Answer

High Fowler’s

Answer

Side-lying (lateral)

Answer

Trendelenburg

Question 7

7. Which electrolyte imbalance commonly causes flattened T waves and U waves on ECG?

Answer

Hyperkalemia

Answer

Hypokalemia

Answer

Hypercalcemia

Answer

Hyponatremia

Question 8

8. Which symptom suggests hypercalcemia?

Answer

Tetany and muscle spasms

Answer

Numbness around mouth

Answer

Constipation and lethargy

Question 9

9. Which oxygen saturation target is often used in stable COPD to avoid CO₂ retention?

Question 10

10. Which is the first nursing action if a chest tube disconnects from the drainage system?

Answer

Clamp the tube immediately

Answer

Reconnect to suction after cleaning

Answer

Place the tube end in sterile water

Answer

Remove the chest tube

Question 11

11. Which statement about tracheostomy suctioning is correct?

Answer

Suction continuously while inserting

Answer

Limit each pass to 10–15 seconds

Answer

Use hyperoxygenation only after suction

Answer

Perform every hour routinely

Question 12

12. Which action is appropriate for evisceration of an abdominal wound?

Answer

Push organs back in

Answer

Cover with sterile dry gauze

Answer

Cover with sterile saline-moistened gauze and call surgeon

Answer

Apply abdominal binder tightly

Question 13

13. Which ethical principle means “do good” for the patient?

Answer

Beneficence

Answer

Nonmaleficence

Question 14

14. Which action best prevents catheter-associated UTI (CAUTI)?

Answer

Routine bladder irrigation

Answer

Insertion for convenience

Answer

Keep a closed drainage system and bag below bladder

Answer

Replace catheter daily

Question 15

15. Which vaccine is given intramuscularly in the deltoid for adults?

Answer

Oral polio

Answer

Hepatitis B

Question 16

16. Which adverse effect is associated with vancomycin rapid infusion?

Answer

Blue man syndrome

Answer

Red man syndrome

Answer

Malignant hyperthermia

Answer

Reye syndrome

Question 17

17. Which lab result best indicates heart failure severity and fluid overload?

Answer

BNP/NT-proBNP

Question 18

18. Which is the antidote for heparin overdose?

Answer

Protamine sulfate

Question 19

19. Which nursing measure reduces increased intracranial pressure (ICP)?

Answer

Keep head flat

Answer

Flex hips and neck

Answer

Elevate head of bed ~30° and keep neck midline

Answer

Frequent endotracheal suctioning

Question 20

20. Which dietary advice is best for a client on warfarin?

Answer

Avoid all fruits

Answer

Keep vitamin K intake consistent

Answer

Eliminate all greens

Answer

Increase vitamin K suddenly

Question 21

21. Which position is safest after liver biopsy?

Answer

Left lateral

Answer

Right lateral (on biopsy site)

Answer

Supine with knees flexed

Answer

High Fowler’s only

Question 22

22. Which sign is typical of left-sided heart failure?

Answer

Peripheral edema

Answer

Jugular venous distention

Answer

Pulmonary crackles and dyspnea

Answer

Hepatomegaly

Question 23

23. Which is the priority with suspected anaphylaxis?

Answer

Start IV antibiotics

Answer

Administer epinephrine IM

Answer

Give oral antihistamine

Answer

Apply cold compress

Question 24

24. Which isolation and mask are indicated for meningococcal meningitis?

Answer

Contact; gloves only

Answer

Droplet; surgical mask

Answer

Airborne; N95

Answer

Protective; HEPA

Question 25

25. Which patient statement shows correct use of an incentive spirometer?

Answer

“I exhale into it forcefully.”

Answer

“I inhale slowly to raise the ball and hold for a few seconds.”

Answer

“I use it only before sleep.”

Answer

“I should cough during inhalation.”

Question 26

26. Which finding is classic for thyroid storm?

Answer

Hypothermia

Answer

Severe bradycardia

Answer

High fever and tachycardia

Answer

Constipation

Question 27

27. Which is the most reliable indicator of fluid resuscitation success in shock?

Answer

Skin color alone

Answer

Blood pressure only

Answer

Urine output ≥0.5 mL/kg/hr

Answer

Capillary refill time alone

Question 28

28. Which lab value confirms C. difficile infection?

Answer

Positive blood culture

Answer

Positive stool toxin assay/PCR

Answer

Elevated serum amylase

Answer

Low albumin

Question 29

29. Which action prevents aspiration during enteral feeding?

Answer

Flat supine during feeding

Answer

Head of bed 30–45° during and after feeding

Answer

Turn to prone

Answer

Encourage coughing fits

Question 30

30. Which step is correct for donning PPE?

Answer

Gloves → Gown → Mask → Goggles

Answer

Gown → Mask/Respirator → Goggles/Face shield → Gloves

Answer

Mask → Gloves → Gown → Goggles

Answer

Gown → Gloves → Mask → Goggles

Question 31

31. Which immediate action follows a needlestick injury?

Answer

Suck the wound to remove blood

Answer

Wash with soap and water and report/expose to occupational health

Answer

Apply tourniquet

Answer

Ignore if no bleeding

Question 32

32. Which sign suggests SIADH rather than diabetes insipidus?

Answer

Polyuria and dehydration

Answer

Hypernatremia

Answer

Dilutional hyponatremia with low urine output

Answer

High serum osmolality

Question 33

33. Which electrolyte abnormality is expected in Addison’s disease (adrenal insufficiency)?

Answer

Hypernatremia and hypokalemia

Answer

Hyponatremia and hyperkalemia

Answer

Hypercalcemia and hypernatremia

Answer

Hypokalemia and hypocalcemia

Question 34

34. Which test evaluates long-term glycemic control?

Answer

Fasting glucose today

Answer

Random capillary glucose

Answer

Oral glucose tolerance only

Question 35

35. Which nursing action reduces falls in older adults?

Answer

Dim corridor lights

Answer

Keep frequently used items within reach

Answer

Raise all side rails

Answer

Use small rugs for comfort

Question 36

36. Which is the antidote for benzodiazepine overdose?

Answer

Flumazenil

Answer

N-acetylcysteine

Question 37

37. Which lab best monitors unfractionated heparin therapy?

Answer

Bleeding time

Answer

Platelet count only

Question 38

38. Which statement about restraints is appropriate?

Answer

Can be applied for staff convenience

Answer

Require a provider order and frequent reassessment

Answer

Once applied, leave in place until discharge

Answer

Ties to side rails tightly

Question 39

39. Which position supports postural drainage of lower lobes?

Answer

High Fowler’s

Answer

Trendelenburg with supine or prone variations

Answer

Flat supine only

Answer

Sitting leaning forward

Question 40

40. Which device is used to check peak expiratory flow at home in asthma?

Answer

Incentive spirometer

Answer

Peak flow meter

Answer

Pulse oximeter

Question 41

41. Which burn estimate tool helps calculate total body surface area (TBSA) in adults?

Answer

Parkland chart

Answer

Rule of Nines

Answer

Wells score

Answer

CHA₂DS₂-VASc

Question 42

42. Which initial fluid is recommended for septic shock resuscitation?

Answer

5% dextrose only

Answer

0.9% normal saline or balanced crystalloids

Answer

3% hypertonic saline

Answer

Albumin first-line

Question 43

43. Which medication is the antidote for acetaminophen toxicity?

Answer

N-acetylcysteine

Answer

Deferoxamine

Answer

Digoxin immune Fab

Question 44

44. Which sign is typical of right-sided heart failure?

Answer

Pulmonary edema

Answer

Pink frothy sputum

Answer

Jugular venous distention and peripheral edema

Answer

Orthopnea only

Question 45

45. Which statement about pain assessment is correct?

Answer

Nurse’s observation outweighs patient report

Answer

Use a standardized scale (e.g., 0–10) and reassess after intervention

Answer

Record only severe pain

Answer

Withhold analgesics until diagnosis

Question 46

46. Which action is appropriate for suspected stroke in the emergency setting?

Answer

Give food and water

Answer

Delay CT scan 24 hours

Answer

Note last-known-well time and send for urgent neuroimaging

Answer

Start heparin immediately

Question 47

47. Which medication is the antidote for severe magnesium sulfate toxicity (e.g., in preeclampsia)?

Answer

Calcium gluconate

Question 48

48. Which maternal condition is associated with placenta previa?

Answer

Sudden painful bleeding with rigid uterus

Answer

Painless bright red bleeding in late pregnancy

Answer

Meconium-stained fluid

Answer

Hypertension with proteinuria

Question 49

49. Which step helps prevent ventilator-associated pneumonia (VAP)?

Answer

Head of bed flat

Answer

Daily sedation interruption and oral care with chlorhexidine

Answer

Routine prophylactic antibiotics

Answer

Avoid suctioning

Question 50

50. Which sample collection is correct for a midstream clean-catch urine culture?

Answer

First few mL into container

Answer

Start voiding in toilet, then collect midstream

Answer

Collect at end of stream

Answer

Use catheter for all patients

Question 51

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Total Questions:	50
Time Allowed:	25 Minutes
Total Marks:	50
How to Attempt Test:	Please choose the right Option in MCQ-type question.
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