– ETEA MCQs medical

No.	Topics.	No.	Topics.
1.	Adult health nursing -II	2.	Adult Health Nursing 1
3.	Anatomy & Physialogy 1	4.	Anatomy & Physiology -II
5.	Antomy	6.	Applied Nutrition
7.	Behavioral Psychology	8.	Bio chemistry for nurses
9.	Clinical Practicum	10.	Community Health Nursing -I
11.	Community Health nursing -III	12.	Community Health Nursing-I
13.	Community Health-II	14.	computer skills
15.	Critical Care Nursing	16.	Cultural Health & Society
17.	Developmental Pcychology	18.	English -1 ( Fundamental English )
19.	English -III ( Technical & Presentation Skills )	20.	English -VI ( Academic Writing )
21.	English-II Communication Skills	22.	English-IV
23.	English-V	24.	English-VII ( Professional Writing )
25.	Epidemoilogy	26.	Fundamenatals Of Nursing -II
27.	Fundamental of nursing	28.	Health Assessement 1
29.	Health Assessment -II	30.	Introduction To Biostatistics
31.	Introduction to Nursing Theories	32.	Islamiat
33.	Leadership & management in Nursing	34.	Mathematics
35.	Microbiology	36.	Mrental Health Nursinig
37.	Nursing Ethics	38.	Nursing Research
39.	Pak Study	40.	Pathophysiology
41.	Pathophysiology-II	42.	Pediartic Health Nursing -II
43.	Pharmacology -I	44.	Pharmacology -II
45.	Teaching Learning Principles & Practice

16. A patient asks you to keep a secret about their intent to self-harm. What is your ethical obligation in this situation?

Maintain confidentiality as requested
Inform your supervisor immediately, as client safety overrides confidentiality in this case
Advise the patient to tell someone else
Document the secret in a separate, locked file

17. When initiating therapeutic communication with a new patient, what is the most important aspect to establish?

Your educational background
A clear power dynamic
Trust and rapport
The patient's financial status

15. You are taking a patient’s vital signs and notice their respiratory rate is 6 breaths per minute, and they are difficult to arouse. They recently received an opioid analgesic. What is your immediate concern and action?

The patient is sleeping soundly; continue to monitor
Respiratory depression; administer naloxone as per protocol/order and notify physician
The patient has a viral infection; provide fluids
The patient is experiencing a pain flare; administer more opioid

13. During a counseling session, a client who identifies as LGBTQ+ expresses concerns about discrimination in their workplace. What is the most appropriate response demonstrating cultural competence?

Advise them to ignore the discrimination
Suggest they find a new job immediately
Acknowledge their experience, validate their feelings, and explore support systems or advocacy options
Tell them that everyone faces challenges at work

14. A patient’s electronic health record indicates a DNR (Do Not Resuscitate) order. The patient suddenly collapses and stops breathing. What is your immediate action?

Initiate CPR until a physician arrives
Respect the DNR order and provide comfort care
Call a code blue and begin resuscitation
Ask the family for clarification on the DNR order

11. You are preparing to draw blood from a patient. The patient states they have a strong fear of needles and are starting to hyperventilate. What is your best initial response?

Tell them to calm down and just get it over with
Explain the procedure quickly and proceed with the venipuncture
Pause, acknowledge their fear, and teach/guide them through deep breathing exercises
Walk away and ask another colleague to draw the blood

12. A patient with a severe penicillin allergy is inadvertently given penicillin. What is your immediate priority?

Document the error meticulously
Notify the physician, prepare emergency medications (e.g., epinephrine), and monitor the patient for anaphylaxis
Monitor the patient for a few hours before reporting
Inform the patient that it was a minor mistake

10. A practicum student is tasked with educating a patient about their newly prescribed medication, a selective serotonin reuptake inhibitor (SSRI) for depression. What is a key teaching point regarding the onset of therapeutic effects?

The medication will immediately alleviate all symptoms
It may take several weeks (e.g., 2-4 weeks) to experience the full antidepressant effect
The medication will only work if taken with food
It will only work if combined with sedative medications

8. A patient on your ward begins to yell loudly, throwing objects and threatening staff. What is the first step in de-escalation when a patient becomes agitated?

Call for immediate physical restraint
Engage in active listening and attempt to identify the trigger
Yell back at the patient to gain control
Administer a sedative without verbal interaction

9. You are performing wound care on a diabetic patient. You notice purulent drainage and increased redness around the incision site, accompanied by a foul odor. What is your most appropriate action?

Continue with routine dressing change and monitor
Immediately notify the attending physician and document findings
Apply more antibiotic ointment and reassess later
Advise the patient to increase sugar intake to promote healing

7. You are documenting patient care in an electronic health record (EHR). You accidentally open the chart of another patient who is not assigned to your care. What is your immediate action to maintain confidentiality?

Continue to view the chart to understand EHR navigation
Close the incorrect chart immediately and report the incident to your supervisor
Inform your peer about the error
Ignore the mistake, as no information was processed

5. You are assisting a physician with a sterile procedure. You notice that a sterile glove has touched the non-sterile bed rail. What is your immediate action?

Continue with the procedure, being careful not to touch it again
Inform the physician to proceed, as it's a minor contamination
Remove the contaminated glove, perform hand hygiene, and don a new sterile glove
Cover the contaminated area with a sterile towel

6. A patient with schizophrenia, who is prescribed an antipsychotic medication, suddenly develops muscle rigidity, high fever, altered mental status, and autonomic dysfunction. What life-threatening medication-related emergency should you suspect?

Serotonin Syndrome
Neuroleptic Malignant Syndrome (NMS)
Tardive Dyskinesia
Hypertensive Crisis

3. You are preparing to administer medication to a pediatric patient. The order is for 10 mg of a liquid medication. The available concentration is 20 mg/5 mL. How many milliliters (mL) should you administer?

1.5 mL
2.0 mL
2.5 mL
0.5 mL

4. A 25-year-old female patient presents to the clinic with symptoms of extreme anxiety, palpitations, shortness of breath, and a feeling of impending doom. She reports these episodes come on suddenly and peak within minutes. What is the most likely clinical diagnosis you would consider?

Generalized Anxiety Disorder
Social Anxiety Disorder
Panic Disorder
Obsessive-Compulsive Disorder

1. A 68-year-old male patient with a history of hypertension and diabetes is admitted to the emergency department complaining of sudden onset chest pain, shortness of breath, and diaphoresis. His blood pressure is 90/60 mmHg, and heart rate is 110 bpm. What is the immediate nursing priority?

Administer pain medication as ordered
Obtain a detailed medical history
Initiate continuous cardiac monitoring and prepare for oxygen administration
Educate the patient on lifestyle modifications

2. During a mental health practicum, your client, who has a history of major depressive disorder, confides that they have been having persistent thoughts of self-harm with a specific plan and means. What is your immediate ethical and clinical responsibility?

Document the statement in the chart for the supervisor to review later
Encourage the client to distract themselves from these thoughts
Assess the lethality of the plan and implement a safety protocol (e.g., hospitalization, constant observation)
Refer the client to a support group

200. A patient with psychosis is prescribed an antipsychotic medication. The nurse notes that as the positive symptoms (e.g., hallucinations) decrease, the patient is better able to engage in social skills training. This illustrates how medication can serve as a(n):

Punisher for delusions
Barrier to therapy
Enabling factor for behavioral interventions
Distracting element

Category: BS Nursing

16. A patient asks you to keep a secret about their intent to self-harm. What is your ethical obligation in this situation?

17. When initiating therapeutic communication with a new patient, what is the most important aspect to establish?

15. You are taking a patient’s vital signs and notice their respiratory rate is 6 breaths per minute, and they are difficult to arouse. They recently received an opioid analgesic. What is your immediate concern and action?

13. During a counseling session, a client who identifies as LGBTQ+ expresses concerns about discrimination in their workplace. What is the most appropriate response demonstrating cultural competence?

14. A patient’s electronic health record indicates a DNR (Do Not Resuscitate) order. The patient suddenly collapses and stops breathing. What is your immediate action?

11. You are preparing to draw blood from a patient. The patient states they have a strong fear of needles and are starting to hyperventilate. What is your best initial response?

12. A patient with a severe penicillin allergy is inadvertently given penicillin. What is your immediate priority?

10. A practicum student is tasked with educating a patient about their newly prescribed medication, a selective serotonin reuptake inhibitor (SSRI) for depression. What is a key teaching point regarding the onset of therapeutic effects?

8. A patient on your ward begins to yell loudly, throwing objects and threatening staff. What is the first step in de-escalation when a patient becomes agitated?

9. You are performing wound care on a diabetic patient. You notice purulent drainage and increased redness around the incision site, accompanied by a foul odor. What is your most appropriate action?

7. You are documenting patient care in an electronic health record (EHR). You accidentally open the chart of another patient who is not assigned to your care. What is your immediate action to maintain confidentiality?

5. You are assisting a physician with a sterile procedure. You notice that a sterile glove has touched the non-sterile bed rail. What is your immediate action?

6. A patient with schizophrenia, who is prescribed an antipsychotic medication, suddenly develops muscle rigidity, high fever, altered mental status, and autonomic dysfunction. What life-threatening medication-related emergency should you suspect?

3. You are preparing to administer medication to a pediatric patient. The order is for 10 mg of a liquid medication. The available concentration is 20 mg/5 mL. How many milliliters (mL) should you administer?

4. A 25-year-old female patient presents to the clinic with symptoms of extreme anxiety, palpitations, shortness of breath, and a feeling of impending doom. She reports these episodes come on suddenly and peak within minutes. What is the most likely clinical diagnosis you would consider?

1. A 68-year-old male patient with a history of hypertension and diabetes is admitted to the emergency department complaining of sudden onset chest pain, shortness of breath, and diaphoresis. His blood pressure is 90/60 mmHg, and heart rate is 110 bpm. What is the immediate nursing priority?

2. During a mental health practicum, your client, who has a history of major depressive disorder, confides that they have been having persistent thoughts of self-harm with a specific plan and means. What is your immediate ethical and clinical responsibility?

200. A patient with psychosis is prescribed an antipsychotic medication. The nurse notes that as the positive symptoms (e.g., hallucinations) decrease, the patient is better able to engage in social skills training. This illustrates how medication can serve as a(n):

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