Nepal Nursing Council License Exam Model Questions/Answer with explanation

Sample Model Questions with Answer

1. The correct sequence of the nursing process is,

(a) Assessment, evaluation, implementation

(b) Assessment, implementation, planning

(c) Assessment, planning, implementation, evaluation

(d) Assessment, implementation, evaluation

The correct sequence that closely matches the traditional steps of the nursing process is:
(c) Assessment, planning, implementation, evaluation

Category: Fundamentals Of Nursing.

Explanation:

The nursing process is a structured methodology nurses use to ensure that quality care is delivered to patients efficiently and effectively. This process typically follows a sequence of steps to provide a systematic approach to patient care.

The correct sequence of the nursing process is as follows:

Assessment
Diagnosis
Planning
Implementation
Evaluation

Given the options provided:

(a) Assessment, evaluation, implementation 
(b) Assessment, implementation, planning 
(c) Assessment, planning, implementation, evaluation 
(d) Assessment, implementation, evaluation

The correct sequence that closely matches the traditional steps of the nursing process is:
(c) Assessment, planning, implementation, evaluation
So the answer is (c).

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2. Local hot and cold application transfer temperature to and from the body by:

(a) Radiation
(b) Convections
(c) Insulation
(d) Conduction.

The primary mode of heat transfer for local hot and cold applications is: 

(d) Conduction 

Category: Fundamentals Of Nursing 

Explanation: 

Local hot and cold applications are utilized in nursing for various therapeutic purposes such as reducing inflammation, promoting blood flow, alleviating pain, and aiding in the healing process. The transfer of heat to and from the body can occur through different modes, including radiation, convection, conduction, and evaporation.

(a) Radiation: This is the transfer of heat through space from one object to another without contact between the objects. This is not the primary mode through which local hot and cold applications work.

(b) Convections: In convection, heat is transferred by the movement of fluid or air. While convection can play a role, especially in hot air or water baths, it’s not the primary mode of heat transfer for localized applications like hot or cold packs.

(c) Insulation: This involves the use of materials that slow down the transfer of heat. Insulation is used to retain the body’s heat or the heat from a hot pack, but it does not transfer heat itself.

(d) Conduction: This is the direct transfer of heat between two objects in contact. Local hot and cold applications typically work through conduction, where the hot or cold substance directly touches the skin, transferring heat to or from the body.

Given the options provided:
(a) Radiation
(b) Convections
(c) Insulation
(d) Conduction

The primary mode of heat transfer for local hot and cold applications is: 

(d) Conduction 

So the answer is (d).

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Download the Nepal Nursing Council Preparation App for Complete resources with an Explanation

3. Two substances having the same osmotic pressure are said to be:
(a) Isotonic
(b) hypotonic
(c) Hypertonic
(d) Distention

4. Tube feeding is administered to reduce the hazards of
(a) Indigestion
(b) Regurgitation
(c) Flatulence
(d) Distention

5. Which temperature is considered most accurate?
(a) Oral
(b) Groin
(c) Rectal
(d) Axillary.

6. For what clinical indicator should a nurse assess a client who is having a gastric lavage?
(a) Increased serum bicarbonate level
(b) Increased serum oxygen level
(c) Decreased serum ph
(d) Decreased serum osmotic pressure

7. A patient with albuminuria develops edema because of
(a) Fall in tissue hydrostatic pressure
(b) Rice in plasma hydrostatic pressure
(c) Fall in plasma colloid oncotic pressure
(d) Rise in tissue colloid osmotic pressure

8. After an initial assessment, the nurse documents the presence of a reddened area that has blistere(d) According to recognized systems, ulcer is classified as.
(a) Stage I
(b) Stage 11
(c) Stage 111
(d) Stage IV

9. When percussing a normal lung, which of the following sounds should be heard?
(a) Tympany
(b) Resonance
(c) Dullness
(d) Hyper resonance

10. The usual sequence for assessing the bowel is:
(a) Right lower quadrant, right upper quadrant, left upper quadrant. left lower quadrant
(b) Right lower lobe, right upper lobe, left upper lobe, left lower lobe
(c) Right hypochondriac, left hypochondriac and umbilical regions
(d) Rectum, pancreas, stomach and liver 

11. For tepid sponging, the temperature of water should be
(a) 80° F to 93′ F
(b) 90° F to 103° F
(c) 100° F to 105° F
(d) 105° F to 107° F

12. A patient’s medication order is to take digoxin 0.125 mg p.o. q.i.(d) The nurse has on hand
Lanoxin 0.25 mg tablet. The best course of action is to:
(a) Dispense 1 ‘/ tab
(b) Dispense Y2 tab
(c) Dispense 2 tablets
(d) Return the medication to the pharmacy

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