AIIMS JODHPUR CLINICAL INSTRUCTOR QUESTION PAPER
Q.1A nurse in ICU observe the following ECG recording on the bedside monitor. Which of the following interpretation of this ECG, nurse will make and communicate to the physician?
1. Atrial fibrillation☑
2. Sinus bradycardia
3. First degree AV clock
4. Atrial flutter
Q.2A new born weighing 3.8 kg with Apgar scores of 7 and 8 at 1 and 5 min, respectively, is admitted to the intensive care unit. Because the mother is a Type-I diabetic, it is MOST important for the nurse to assess for which of the following?
1. Hyperglycaemia
2. Hypoglycaemia☑
3. Hypovolemia
4. Cold stress
Q.3A researcher is interested in studying the evolution of nursing research in India. Which of the following design is suitable for this study?
1. Historical research☑
2. Phenomenological design
3. Ethnographic study
4. Grounded theory
Q.4The nurse is caring for a patient during a cholecystogram. Which of the following actions by the nurse is BEST?
1. Insert a nasogastric tube
2. Offer patient a high-fat meal☑
3. Administer an antiemetic
4. Force fluids
Q.5A gravida four mother is induced with oxytocin in her 41 weeks’ period of gestation. The labour room nurse was observing the mother to note the effect of oxytocin. Which of the following would make her understand overstimulation of uterus by oxytocin during the induction of labor?
1. Increased pain with bright red vaginal bleeding
2. Weak contraction prolonged to more than 70 seconds
3. Tetanic contractions prolonged to more than 90 seconds☑
4. Increased restlessness and anxiety
Q.6On the first postoperative day, a patient develops a fever. The nurse auscultates rales bilaterally in the lower lobes. The nurse understands that which of the following complications of surgery is probably developing?
1. Lung consolidation
2. Acute respiratory distress syndrome
3. Pulmonary embolism
4. Atelectasis☑
Q.7A systematic review that contains only qualitative studies is called?
1. Traditional review
2. Hierarchical review
3. Meta-analysis
4. Meta-synthesis☑
Q.8The nurse should instruct a patient with diabetes that symptoms of hypoglycaemia include:
1. Hot, dry skin, rapid pulse, thirst
2. Nausea, fruity breath odor, diarrhoea
3. Cool skin, sweating, headache☑
4. Constipation, increase in weight, hunger
Q.9When measuring a woman’s fundal height during post-natal period, which of the following techniques denotes the correct method of measurement used by the nurse?
1. From the symphysis pubis to the fundus☑
2. From the symphysis pubis to the xiphoid process
3. From the xiphoid process to the umbilicus
4. From the fundus to the umbilicus
Q.10If a patient has an anaphylactic reaction to an antibiotic, it is MOST important for the nurse to prepare to take which of the following actions after notifying the doctor?
1. Suction the airway
2. Start an intravenous infusion
3. Administer artificial respirations
4. Administer adrenaline☑
Q.11The nurse identifies that which of the following volumes is a typical daily urinary output in the normal adult?
1. 500 cc
2. 1,500 cc☑
3. 2,500 cc
4. 3,000 cc
Q.12Cephalexin monohydrate 0.5 g has been ordered. The drug comes in 250 mg per capsule. How many capsules would the nurse give?
1. One capsule
2. Two capsules☑
3. Five capsules
4. Four capsules
Q.13The ideal power for any study for sample size calculation is considered as….?
1. 90%
2. 99%
3. 95%
4. 80%☑
Q.14The nurse understands that the MOST common reason for insertion of a nasogastric tube in a postop patient with a duodenal ulcer is to:
1. Decompress the stomach☑
2. Permit saline irrigations
3. Assess the stomach for bleeding
4. Take samples of gastric acid
Q.15The current study includes female nurses only. What is reflected in this statement?
1. Research problem
2. Variable
3. Delimitation☑
4. Assumption
Q.16The nurse understands that in a psychiatric inpatient setting, milieu therapy is BEST understood as:
1. Establishing therapeutic communication with numerous family members
2. Providing a therapeutic physical and social environment☑
3. Manipulation of the environment in a way that makes the patient feel at home
4. Providing a group counselling to the patient along with family members
Q.17A 13-year-old boy is brought to the emergency room because he was hit on the head while playing ball. After examination, a diagnosis of detached retain of the left eye is made. Which of the following signs or symptoms would the nurse expect the patient to exhibit?
1. Severe pain in the affected eye
2. Seeing quick flashed of light☑
3. Narrowing of his peripheral field of vision
4. Orbital edema
Q.18The nurse understands that the pain of angina is caused by:
1. Inflammation of the pericardium
2. Insufficient oxygen in the heart muscles☑
3. Ineffective contractions of the heart muscles
4. Severe dysrhythmias
Q.19Vitamin K is available as 1 mg/ 0.5 ml. Vitamin K 0.5 mg has been ordered. The amount of vitamin K to be administered is:
1. 0.25 ml☑
2. 1.0 ml
3. 2.5 ml
4. 0.50 ml
Q.20In an adult with an advanced airway in place during two-rescuer CPR, how often should the breaths be administered?
1. Every 10 to 12 seconds (5 to 6 breaths per minute)
2. Every 2 to 3 seconds (20 to 30 breaths per minute)
3. Every 4 to 5 seconds (12 to 15 breaths per minute)
4. Every 6 to 8 seconds (8 to 10 breaths per minute)☑
Q.21A nurse is caring a patient in acute renal failure. The nurse should expect hypertonic glucose, insulin infusion and sodium bicarbonate to be used to treat which of the following:
1. Serum potassium level 7.2mEq/L☑
2. Serum potassium level 2.9mEq/L
3. Serum calcium level 10 mg/dl
4. Serum sodium level 120mEq/L
Q.22Methergine is prescribed for a primi para woman to treat post-partum hemorrhage, who has undergone labour process for 18 hours. Before administration of these medications, the priority nursing assessment is to check the:
1. Amount of lochia
2. Uterine tone
3. Deep tendon reflexes
4. Blood pressure☑
Q.23What is the name of the process used to obtain a child’s agreement for participation in a research study?
1. Minor consent
2. Assent☑
3. Lassent
4. Consent
Q.24The nurse understands that which of the following behaviors would be helpful to facilitate a patient to have bowel elimination?
1. Eat more foods that increase bulk☑
2. Long term use of oral laxatives so that a bowel pattern is established
3. Decrease fluid intake to decrease urinary losses
4. Avoid strenuous activity
Q.25What is the median of the following set of scores? 0, 18, 6, 24, 4, 12, 20, 2, 10, 22, 14?
1. 18
2. 10
3. 14
4. 12☑
Q.26The nurse informs a patient with angina that some common side effects of nitorglycerin are:
1. Flushing, bradycardia, and muscle weakness☑
2. Palpitations, hypertension, and tachycardia
3. Flushing, vertigo, and seizures
4. Dizziness, headache, and hypotension
Q.27The nurse cares for a patient diagnosed with sickle cell crisis. The patient’s son comes to visit his father, and the nurse observes that the son has an upper respiratory infection. It is MOST important for the nurse to take which of the following actions?
1. Give the son a mask to wear when visiting his father☑
2. Instruct the son to stand at least 6 ft. away from his father
3. Inform the son that he cannot visit his father
4. Demonstrate to the son the correct way to put on a gown and gloves
Q.28A study to evaluate the effect of aloe vera dressing on healing parameters of diabetic foot among patients with Type II Diabetes Mellitus. According to PICOT model, what is 'O' in this research?
1. Aloe vera dressing
2. Healing Parameters of diabetic foot☑
3. Diabetes Mellitus
4. Patients with Type-II Diabetes Mellitus
Q.29Which of the following method of analysis is used for assessing quality of a multiple choice question?
1. Distractive analysis
2. Item analysis☑
3. Pragmatic analysis
4. Stem analysis
Q.30Which of the following is the best source of literature search to be used when conducting a Level-I systematic review and meta-analysis?
1. The Cochrane database☑
2. Doctoral dissertations
3. Electronic journals
4. An electronic database
Q.31The nurse understands that the purpose of a drain in a wound is to:
1. Create a space that will facilitate reconstructive surgery at a later date
2. Prevent infection by providing a means for bacteria to escape
3. Evaluate the effectiveness of haemostasis
4. Keep the tissues close together so that healing can occur☑
Q.32Several days following bone marrow aspiration, the nurse notes that the patient has a fever of 103°F (39.5°C), and there is yellow drainage from the aspiration site. The MOST accurate interpretation of these finding is that:
1. Patient’s condition is worsening
2. Patient has developed osteomyelitis☑
3. Patient is showing a normal response
4. Patient has contaminated the site
Q.33The nurse identifies that which of the following diets would BEST meet the needs of a person with multiple wounds?
1. High-vitamin A, high-calcium, high-fat diet
2. High-vitamin C, high-protein, high-carbohydrate diet☑
3. High-vitamin B, high-protein, low-carbohydrate diet
4. High-protein, low-fat, high-iron diet
Q.34The nurse understands that the primary purpose of performing a myringotomy on a patient with acute otitis media is to:
1. Create a pathway for administering medications
2. Relieve pressure on the eardrum☑
3. Remove debris from the outer ear
4. Avert the need for analgesia
Q.35A nurse is caring for a woman in labor and prepares to auscultate the fetal heart rate by using a Doppler ultrasound device. The nurse MOST accurately determines that the fetal heart sounds are heard by:
1. Palpating the maternal radial pulse while listening to the fetal heart rate
2. Performing Leopold’s maneuvers first to determine the fetal position
3. Placing the diaphragm of the Doppler on woman’s abdomen☑
4. Noting if the heart rate is greater than 140 BPM
Q.36What does the above figure depicts?
1. Perfectly negative correlation☑
2. Moderately negative correlation
3. Perfectly positive correlation
4. Absolutely no correlation
Q.37The nurse identifies that which of the following sets of vital signs is within the normal range for an adult?
1. BP 120/70, P 68, R 16☑
2. BP 110/80, P 56, R 20
3. BP 130/90, P 72, R 24
4. BP 80/50, P 110, R 32
Q.38Patel et al studied how nurses spent clinical time in a nursing home. Observations of work activities were made for 30-second intervals every 5 minutes. This is an example of which type of sampling?
1. Event sampling
2. Time management
3. Time observation
4. Time sampling☑
Q.39In the following APA formatted reference, what does ‘3’ refer to?
“Harris, R. M., Bausell, R. B., Scott, D. E., Hetherington, S. E., & Kavanagh, K. H. (1998). An intervention for changing high-risk HIV behaviors of African American drug-dependent women. Research in Nursing and Health, 21(3), pp. 239-250.”
1. Chapter number
2. Issue number☑
3. Volume number
4. Bibliographic reference
Q.40The nurse is preparing a patient for a Schilling test. Which of the following is MOST important for the patient to know before starting the test?
1. Why radioactivity is used
2. How vitamin B₁₂ is measured
3. How the results will be interpreted
4. How to collect a 24-hour urine specimen☑
Q.41Which of the following strategy is used to set aside his own beliefs, attitude, feelings about phenomenon in qualitative studies?
1. Memoing
2. Participant observation
3. Bracketing☑
4. Audit trail
Q.42Cardiac patients who receive support from former patients have less anxiety and higher self-efficacy than other patients. This statement is an example of which type of hypothesis?
1. Statistical hypothesis
2. Null hypothesis
3. Non-directional hypothesis
4. Directional hypothesis☑
Q.43Which of the following correlation coefficients would indicate the strongest relationship between anxiety and ability to concentrate?
1. r = -0.60
2. r = -1.30
3. r = 0.30
4. r = 0.80☑
Q.44Which organization issued a position paper on nursing research priorities?
1. World Health Organization
2. National Research Society of India
3. American Nurses Association
4. Sigma Theat Tau International☑
Q.45Which of the following is true for preparing the power point presentation?
1. Present single concept on one slide☑
2. Often use dark background with most bright colours
3. Always use one or other image with written content
4. Use best possible sufficient content for students to read
Q.46Which of the following is the BEST method to assess the cognitive domain of leaning among nursing students?
1. Clinical case vignettes☑
2. Essay type questions
3. Multiple choice questions
4. Objective structured clinical examination
Q.47Which of the following description clearly explains the term ‘Andragogy’?
1. The method and practice of teaching of action-based learning
2. The method and practice of teaching adult learning☑
3. The method and practice of teaching child learning
4. The method and practice of teaching adolescent learning
Q.48Which of the following approach is the strongest for establishing that a causal relationship between two or more variables?
1. Experimental☑
2. Cohort
3. Case-control
4. Cross-sectional
Q.49In which of the following sampling technique participants are chosen deliberately which is in researcher’s judgement are representative of the whole data:
1. Cluster sampling
2. Purposive sampling☑
3. Convenience sampling
4. Quota sampling
Q.50The nurse cares for a woman diagnosed with cancer of the left breast. The nurse knows that breast cancer is most likely to metastasize to which of the following sites?
1. Pancreas
2. Gastrointestinal tract
3. Central nervous system
4. Bone☑
