Charge Nurse: Medical Sciences Test Online

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Question 1

1. In wound cleaning, the nurse should clean:

Answer

From dirty to clean

Answer

From surrounding skin toward wound center

Answer

From clean to dirty (center outward)

Question 2

2. Which drug class reduces fever and pain but not inflammation?

Answer

Acetaminophen (paracetamol)

Question 3

3. Which electrolyte must never be given IV push?

Question 4

4. Which is the best specimen for sputum culture?

Answer

After mouthwash

Answer

Early morning deep cough

Answer

Saliva sample

Question 5

5. Which electrolyte imbalance can cause muscle cramps and Trousseau sign?

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hypocalcemia

Answer

Hypermagnesemia

Question 6

6. Which is the normal adult blood pressure (approx.)?

Answer

90/50 mmHg

Answer

100/60 mmHg

Answer

120/80 mmHg

Answer

150/90 mmHg

Question 7

7. Which finding is most urgent during blood transfusion?

Answer

Mild headache

Answer

Fever and chills with back pain

Answer

Slight anxiety

Question 8

8. Which sign is commonly seen in hypoglycemia?

Answer

Polydipsia

Answer

Sweating and tremors

Question 9

9. Which is the first step of adult BLS when you see a collapsed person?

Answer

Check pulse

Answer

Check responsiveness and breathing

Answer

Start rescue breaths

Answer

Give two shocks

Question 10

10. Which urine sample is best for pregnancy test (hCG)?

Answer

Random afternoon

Answer

First morning specimen

Answer

After heavy fluid intake

Answer

After exercise

Question 11

11. Which statement about insulin is correct?

Answer

Given IV push routinely

Answer

Given deep intramuscular

Answer

Given subcutaneously; rotate sites

Answer

Given only at bedtime

Question 12

12. Which type of isolation for Clostridioides difficile diarrhea?

Answer

Contact (soap & water hand wash)

Answer

Protective isolation

Question 13

13. Which value is concerning for urine output in an adult?

Question 14

14. Which lab value suggests hypoglycemia in adults?

Answer

Random glucose 200 mg/dL

Answer

Fasting glucose 110 mg/dL

Answer

Capillary glucose 50 mg/dL

Question 15

15. Which PPE is essential for airborne isolation (e.g., TB)?

Answer

Surgical mask

Answer

Face shield only

Answer

N95 respirator

Answer

Cloth mask

Question 16

16. Which is the preferred IM injection site for adults due to safety (avoids sciatic nerve)?

Answer

Dorsogluteal

Answer

Ventrogluteal

Answer

Vastus lateralis

Question 17

17. Which vaccine route is intradermal in the EPI schedule?

Answer

Hepatitis B

Answer

Pentavalent

Question 18

18. Which is a beta-blocker nursing consideration?

Answer

Causes tachycardia

Answer

Check blood pressure and pulse before dose

Answer

Causes hyperglycemia

Answer

Causes hypokalemia

Question 19

19. APGAR score is recorded at:

Answer

Birth only

Answer

1 and 5 minutes after birth

Answer

10 minutes only

Answer

15 minutes only

Question 20

20. Which lab indicates iron-deficiency anemia?

Answer

High hemoglobin

Answer

Low hemoglobin and low MCV

Answer

High platelets only

Question 21

21. Which cranial nerve is tested by pupillary light reflex?

Answer

II and III

Question 22

22. What is the first nursing action in a suspected blood transfusion reaction?

Answer

Slow the transfusion

Answer

Stop the transfusion

Answer

Call the lab first

Answer

Give antihistamine immediately

Question 23

23. Which wound stage shows non-blanchable erythema of intact skin?

Question 24

24. Which angle is appropriate for IV cannulation?

Answer

90° then flatten

Answer

45° throughout

Answer

15–30° then advance shallow

Answer

0° parallel to skin

Question 25

25. Which waste should be disposed in a puncture-proof sharps container?

Answer

Cotton balls

Answer

Swab sticks

Answer

Used needles

Answer

IV tubings

Question 26

26. What is the adult compression-to-ventilation ratio for a single rescuer?

Question 27

27. Which is the normal adult respiratory rate at rest?

Answer

6–10/min

Answer

10–12/min

Answer

12–20/min

Answer

20–30/min

Question 28

28. Which acid-base value is normal arterial pH?

Answer

7.15–7.25

Answer

7.25–7.35

Answer

7.35–7.45

Answer

7.45–7.55

Question 29

29. Which is the normal range for adult pulse at rest?

Answer

30–50 bpm

Answer

60–100 bpm

Answer

90–120 bpm

Answer

110–150 bpm

Question 30

30. Which is the normal fetal heart rate (in labor)?

Answer

80–100 bpm

Answer

100–120 bpm

Answer

110–160 bpm

Answer

160–190 bpm

Question 31

31. Before giving morphine, the nurse should primarily assess:

Answer

Temperature

Answer

Blood glucose

Answer

Respiratory rate and level of consciousness

Answer

Urine output

Question 32

32. Which oxygen device delivers the most precise FiO₂, especially in COPD?

Answer

Nasal cannula

Answer

Simple face mask

Answer

Non-rebreather mask

Answer

Venturi mask

Question 33

33. Which is a cardinal sign of inflammation?

Answer

Redness and warmth

Question 34

34. Which statement about autoclaving is true?

Answer

100°C for 10 min

Answer

121°C, ~15 psi, 15–20 min

Answer

Dry heat 140°C for 30 min

Answer

70% alcohol for 10 min

Question 35

35. A patient on loop diuretics (e.g., furosemide) is at risk for:

Answer

Hyperkalemia

Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hypercalcemia

Question 36

36. Which is not a “Right” of medication administration?

Answer

Right patient

Answer

Right dose

Answer

Right diagnosis

Answer

Right route

Question 37

37. Which GCS (Glasgow Coma Scale) component is not included?

Answer

Eye opening

Answer

Verbal response

Answer

Motor response

Answer

Pupillary size

Question 38

38. What is the recommended adult chest compression rate during CPR?

Answer

60–80/min

Answer

80–100/min

Answer

100–120/min

Answer

140–160/min

Question 39

39. Which finding suggests dehydration in an infant?

Answer

Moist mucosa

Answer

Tearful crying

Answer

Sunken fontanelle

Answer

Normal urine output

Question 40

40. Which is true about metered-dose inhaler (MDI) with spacer?

Answer

Exhale into spacer first

Answer

Do not shake

Answer

Inhale slowly and deeply after actuation

Answer

Take rapid shallow breaths

Question 41

41. Which sign is typical of hyperkalemia on ECG?

Answer

Peaked T waves

Answer

Prolonged QT interval

Answer

ST elevation

Question 42

42. Which IV solution is isotonic?

Answer

0.45% NaCl

Answer

5% dextrose in water (initially)

Question 43

43. What is the WHO 5 Moments principle about?

Answer

Steps of CPR

Answer

Surgical count protocol

Answer

When to perform hand hygiene

Answer

IV cannulation steps

Question 44

44. At what angle is an intradermal injection given?

Question 45

45. Which statement about fever management is correct?

Answer

Use aspirin routinely in children

Answer

Sponge with ice water

Answer

Encourage fluids and use antipyretics as ordered

Answer

Restrict fluids

Question 46

46. Which position improves breathing in respiratory distress?

Answer

Trendelenburg

Answer

Fowler’s (45–60°)

Question 47

47. Which is the best site to check the pulse before giving digoxin?

Answer

Dorsalis pedis

Question 48

48. Which hand hygiene method is best when hands are visibly soiled?

Answer

Alcohol rub for 10 seconds

Answer

Alcohol rub for 20 seconds

Answer

Soap and water

Answer

Wipe with tissue

Question 49

49. Which test is used to monitor warfarin therapy?

Answer

Platelet count

Question 50

50. Which is the normal serum sodium range?

Answer

120–130 mEq/L

Answer

130–135 mEq/L

Answer

135–145 mEq/L

Answer

145–155 mEq/L

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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