Krok B NURSING - testcentr.org.ua · Krok B Nursing 2011 1 1. A male patient with a severe...

MINISTRY OF PUBLIC HEALTH OF UKRAINE

Department of human resources policy, education and science of MPH of

Ukraine

Testing Board

Test items for licensing examination

Krok B

NURSING

Student ID Last name

Variant ________________

General Instruction

Each of these numbered questions or unfinished statements in this

chapter corresponds to answers or statements endings. Choose the

answer (finished statements) that fits best and fill in the circle with

the corresponding Latin letter on the answer sheet.

Authors of items: Agarkov V.I., Androschuk O.V., Bab’yak V.I., Bagriy D.YA., Bilik O.B.,

Brizhatova L.I., Bryancev O.M., Budnik O.M., Burdun N.M., Butyeva L.V., Butkova L.O.,

Cherednik A.YU., Cvetkova I.I., Danko V.V., Davidova V.F., Davidchuk G.M.,

Demyanchuk T.M., Dzhula I.M., Esaulova K.V., Gantimurova G.T., Gladchenko M.M.,

Golod V.M., Gorovenko O.L., Gubar S.O., Ignatenko G.A., Ignatova T.V., Kalinichenko O.V.,

Kharchenko YU.O., Kiyashko G.P., Kobilyanska N.V., Koktishev I.V., Kornyushkin S.V.,

Krivonosova O.M., Krivushev B.I., Koshan M.YU., Koshelyeva O.M., Kovalchuk V.S.,

Kukharkuk F.O., Lavska V.I., Lazko T.O., Mekhtikhanov M.S., Melnik G.I., Michenko O.M.,

Moroz V.V., Moskalenko L.M., Mukhina K.SH., Myakotkina G.V., Nagorniy A.I.,

Nikolayenko V.V., Oribko S.D., Panikova T.M., Paschenko L.G., Pasichnik O.V., Patoka N.G.,

Pitukh O.O., Podnosova L.M., Popova L.V., Prilipska N.I., Reznichenko L.I., Ruchko A.F.,

Rzevska O.O., Sabkovska KH.O., Sheyko I.A., Shikhaliova Z.M., Shinkariova S.K.,

Shveda YU.I., Sinyugina V.O., Slabodchikova S.YU., Sokol K.M., Sokolova N.S., Sovyak T.O.,

Stefanchuk O.R., Titarenko G.G., Usenko S.G., Ustimenko V.A., Vaschuk V.I., Vibicka O.V.,

Vinograd L.V., Yackova N.S., Yaremenko O.L., Yefremenko L.M., Yermolenko T.I.,

Zadorozhniy V.V., Zaika S.V., Zayceva V.P., Zhuromskiy V.S., Zinchenko N.M. and

committees of professional expertise.

Item reviewers. Bab’yak V.I., Demchur L.V., Dukhonchenko I.M., Kubani YA.M.,

Kulaga N.K., Martinenko N.V., Moroz V.V., Mukhina T.S., Novicka L.A., Onopriyenko O.D.,

Orekhivska I.YE., Shegedin M.B., Steblina N.P., Sukhinskiy R.K., Suslich G.I., Visocka T.V.,

Vovk V.T., Zhuromskiy V.S.

Composers: Mrouga M., Bulakh I.

The book includes test items for use at licensing integrated examination “Krok B. Nursing” and

further use in teaching.

The book has been developed for students and academic staff of higher medical educational

establishments, for teaching of nursing.

Approved by Ministry of Public Health of Ukraine as examination and teaching

publication based on expert conclusions.

© Copyright Testing Board.

Krok B Nursing 2011 1

1. A male patient with a severe crani-ocerebral trauma has been unconsciousnessfor a long time. What feeding methodshould be used in this case?

A. Through nasoenteric tubeB. ParenteralC. By mean of nutrient enemasD. GastrostogavageE. Enteroalimentation

2. A patient diagnosed with anaerobic gasgangrene of hip has been delivered to thehospital. Which antiseptic must be used forinstrument treatment after bandaging?

A. 6% hydrogen peroxide solutionB. 0,0002% furacilin solutionC. 5% iodine solutioD. 0,02% decamethoxin solutionE. 0,1% potassium permanganate solution

3. A 31-year-old male patient consulted adoctor about body temperature rise up to38oC, pain and swelling in the lumbar regi-on. Objectively: there is a painful infiltratesized 5х6 cm in the right lumbar region, theskin above it is crimson, there are multiplepurulo-necrotic fistulas in the centre. Whatis the most likely diagnosis?

A. CarbuncleB. AbscessC. ErysipelasD. ParanephritisE. Furuncle

4. Ten days after an intramuscular injectiona patient developed a painful inflammatoryformation in the upper external quadrant ofthe right buttock. Over the last three daysshe has presented with body temperaturerise up to 38oC at night. What is the mostlikely diagnosis?

A. Post-injection abscessB. Haematoma of buttockC. Erysipelatous inflammationD. Purulent abscessE. Phlegmon

5. Medical histories are kept in the cells ofregistry. There is such information as distri-cts, steets, house and flat numbers. Each di-strict has a colour code that can be found onthe cells and medical history covers. Whatorganizational system of medical historiesstorage is used in this registry?

A. AddressB. IndexC. AlphabeticalD. NumberedE. Self-storage (private)

6. A municipal hospital renders ambulatoryservices in the following way: each internistalong with a nurse serves adult populationof assigned territory with a certain numberof dwellers. What principle of ambulatorycare organisation is used in this municipalhospital?

A. Territorial districtB. Shopfloor systemC. Familial districtD. CombinedE. Advisory

7. One of the structural hospital subdivisi-ons consists of the following departments:special medical ward departments, auxili-ary diagnostic department, surgery unit,department of morbid anatomy andpharmacy. Structure of this subdivision willcorrespond with the structure of a typicalin-patient municipal hospital if the followi-ng department is present:

A. Admission wardB. Emergency departmentC. Therapeutics departmentD. Preventive departmentE. Home care

8. A medical institution has the followingstructural units: administrative-economic,therapeutic, manipulation, functional anddiagnostic, social-legal and reception roomsfor pregnant women, puerperants, healthywomen and women with gynaecological di-sorders. Medicoprophylactic institution wi-th such structure relates to the followingnomenclatural type:

A. Antenatal clinicB. United maternity hospitalC. PolyclinicD. Dermatovenerologic dispensaryE. Feldsher-obstetric station

9. An airport traffic controller who hadworked with high power radiolocators for16 years was referred to the in-patienthospital. Choose a clinical syndrome whichis most typical for chronic electromagneticradiation affection:

A. Asthenovegetative syndromeB. Hyperthermic syndromeC. Convulsive disorderD. Depressive syndromeE. Syndrome of "acute abdomen"

10. During a fight a 42-year-old man got achest injury produced with a sharp object.Objectively: the wound is in IX projectionof intercostal space along the left scapularline. The wound is open allowing blood todrain and air to escape with a loud sound


during breathing. What first aid should berendered?

A. To apply occlusive dressingB. To apply aseptic dressingC. To inject analgetic agentsD. To refer to doctor immediatelyE. To inject hemostatics

11. A 66-year-old male patient complainsabout discomfort, anus itch and periodicalbleeding after defecation. He has had thesepresentations for about 3 years. Bleedinghas become more frequent over the last 6months. Examination reveals bluish nodessized about 1cm in the anal region in 7 and11 o’clock-position. What is the most likelycause of such condition?

A. HemorrhoidB. Rectal fissureC. Rectal cancerD. PeriproctitisE. Rectal prolapse

12. A newborn child has heart rate of92/min, his breathing rate is irregular,muscular tone is low, extremities arecyanotic, irritation with a catheter causesa grimace. Estimate the child’s conditionaccording to Apgar score:

A. 5-6 pointsB. 7-8 pointsC. 9-10 pointsD. 3-4 pointsE. 1-2 points

13. A 9-year-old child complains aboutweakness, headache, sternal pain and drycough. Objectively: the skin is pale, bodytemperature is 38, 6oC. The auscultation oflungs reveals rough respiration, dry andheterogeneous bubbling crackles whichquantity diminishes after cough. Percussionreveals clear pulmonary sound above thelungs. X-ray examination reveals symmetricintensification of pulmonary vasculatureand pulmonary roots expansion. What isthe most likely disease?

A. Acute bronchitisB. Bronchial asthmaC. Acute pneumoniaD. Acute bronchitisE. Acute laryngotracheitis

14. After medical examination of a 4-month-old baby a nurse revealed 26% defi-cit of body weight. Specify this chronichypotrophy:

A. Hypotrophy of II degreeB. Hypotrophy of I degreeC. Hypotrophy of III degreeD. Paratrophia of II degreeE. Paratrophia of III degree

15. A 9-year-old girl had angina. Twoweeks after recovery she developederythema annulare and polyarthritissymptoms. Objectively: skin is pale,dyspnea, tachycardia and cardiac borderdilatation are present. Specify the disease:

A. Acute rheumatic feverB. PneumoniaC. VasoneurosisD. AnaemiaE. Systemic lupus erythematosus

16. An infant is 3 months old, he is breast-fed. Medical examination reveals hyperhi-drosis especially in the occiput region,symptom of "occiput alopecia", acrimony,anxiety, softness of prefontanel borders andmoderate craniotabes. What disease is it?

A. RachitisB. PneumoniaC. HydrocephalusD. Acute respiratory diseaseE. Dysostosis

17. A 7-year-old child underwent Mantouxtest. 72 hors later an infiltration 18 mm indiameter was revealed. What does it mean?

A. Hyperergic reactionB. Negative reactionC. Dubious reactionD. Positive reactionE. -

18. Demographic situation in a towncan be characterized by a factor thatis calculated acorting to the followi-ng formula: number born alive·1000

quantity ofwomen aged 15−49 years.

What factor is it?

A. General fecundity rateB. NatalityC. Age-specific birth rateD. Age-specific fecundityE. Index of unit weight of children that wereborn alive of women aged 15-49 years

19. A financial document drawn up at amedical institution has three main secti-ons such as: production planning indices,staffs and contingents, expense items andaccompanying calculations. What financialdocument is it?


A. Estimate of an institutionB. Budget of an institutionC. Financial statementD. Financial inquiryE. Investment plan

20. A patient has been suffering fromrheumatic heart disease for 15 years. Hecomplains about experiencing inspiratorydyspnea at minimal physical activity for amonth. The cardiophony shows that the fi-rst heart sound is apparently quiet at theapex, there is rough holosystolic murmur.The auscultation of lungs reveals vesicularrespiration, diminished breath sounds inthe lower parts on both sides, crackles inthe zone of diminished breath sounds. Thispatient has:

A. Chronic left ventricular failureB. Acute left ventricular failureC. Acute right ventricular failureD. Chronic right ventricular failureE. Acute circulatory collapse

21. During the routine bacteriologicalinspection in a pediatric polyclinic themunicipal disinfectant station revealedpathogenic microflora in manipulation andvaccination room. The head nurse of thepediatric polyclinic made a whole rangeof administrative decisions that focusedon organisation of urgent antiepidemicmeasures in this polyclinic. What admini-strative level were these decisions madeon?

A. OperativeB. TacticalC. StrategicD. PerspectiveE. Coordinating

22. A professional marketer analyzes themarket of medical diagnostics services.He has estimated possible market size,determined the rate of consumer demandand possible demand for a certain di-agnostic service by using statistic data fromthe periodical press. What type of marketi-ng researches takes place in this case?

A. Armchair researchB. Panel investigationsC. Field investigationsD. ObservationE. Survey

23. Clinical urine analysis gave followingresults: relative density - 1,018, protein -0,033 g/l, 10-20 unchanged erythrocytes inthe field of vision, 3-5 leucocytes in the fi-eld of vision, here and there epitheliumof urinary bladder, high concentration ofoxalates. Such results are typical for the

following pathological state:

A. UrolithiasisB. PyelitisC. Acute pyelonephritisD. Acute glomerulonephritisE. Urethritis

24. While studying the correlation betweenair pollution and prevalence of respi-ratory diseases the correlation coefficientof +0,4 was determined. Estimate the stati-stic interconnection between the analyzedfactors:

A. Medium, directB. Strong, directC. Weak, directD. Strong, reverseE. Medium, reverse

25. An authorized person must give noticeof revealed defective drugs within:

A. 10 working daysB. 7 working daysC. 10 calendar daysD. 5 working daysE. 7 calendar days

26. An emergency team arrived to a 42-year-old male patient. He complainedabout general weakness, headache, si-ckness, vomiting and body temperature riseup to 38, 9oC. Such condition developedan hour ago after processing trees withchlorindan chemicals. Objectively: thereis reddening of eye and pharynx mucousmembranes, cough and tremor of hands.The first aid should include the treatmentof skin and mucous membranes with:

A. 2% sodium bicarbonate solutionB. Running waterC. Soap waterD. 5% ammonia solutionE. Strzyzewski antidote

27. A 26-year-old male patient had beenoperated for acute appendicitis. On the fifthday after the operation a nurse revealed thefollowing: suture line was straight, borderswere well matched, the healing process wasquick, there were no infection symptoms.Specify the way of wound healing?

A. Primary intentionB. Under scabC. Secondary early intentionD. Secondary late intentionE. -

28. A young child attending day nurserywas hospitalised to contagious isolationward with complaints of fever, general


weakness, frequent vomiting and defecati-on. What should the kindergarten nurse doto comply with sanitary and antiepidemicconditions?

A. Place the kindergarten in quarantine for7 days, terminal disinfectionB. Place the kindergarten in quarantine for21 days, current disinfectionC. Place the kindergarten in quarantine for2 weeks, physical disinfectionD. Place the kindergarten in quarantine for5 days, chemical disinfectionE. Place the kindergarten in quarantine for10 days, terminal disinfection

29. A 6-year-old child was vaccinated with"Priorix". After that he developed petechi-al skin rash. There were no other pathologi-cal symptoms. Blood analysis: Hb- 130g/l,leukocytes - 6, 0 · 109/l, thrombocytes -120, 0 ·109/l. What disease corresponds withsuch child’s condition?

A. Immune thrombocytopenic purpuraB. AnemiaC. Purpura rheumaticaD. Acute leukaemiaE. Systemic lupus erythematosus

30. A 24-year-old male patient consulted adoctor about stomachache, sickness, vomi-ting and body temperature rise up to 38oC.Last food intake was 6 hours ago. Objecti-vely: the skin is pale, covered with coldsweat. There is pain in the epigastrium regi-on. Ps- 95/min. The tongue is coated. Whatmanipulation should be carried out by thenurse on doctor’s orders first of all?

A. Gastric lavageB. Antibiotic injectionC. Fractional gastric intubationD. Vitamin injectionE. Enzymatic drug injection

31. A 49-year-old male patient spendsthe postoperative period at the surgicaldepartment. Choose the factor that willfacilitate the development of deep venousthrombosis:

A. Limitation of movements after operationB. Operation under noninhalation narcosisC. Operation under local anaesthesiaD. Use of anticoagulating agentsE. Application of crepe bandages

32. A 50-year-old male patient withabdominal injury was delivered to thehospital. He complained about abdominalpain, sickness and vomiting. After physicalexamination he was found to have positiveBlumberg’s sign. What disease was it?

A. Acute abdomenB. Acute pancreatitisC. Acute appendicitisD. Perforated ulcerE. Acute cholecystitis

33. A patient with facial and oropharyngealtrauma was delivered to the traumatologydepartment. These traumas may cause suchpotential problems as aspiration of vomitmasses and aspiration pneumonia. Themain method of solving these problems is:

A. Suction of contents from the respiratorytractsB. Drainage position in bedC. Wet oxygen inhalationsD. Respiratory gymnasticsE. Drainages

34. Which of the following researchmethods ivolves determining commonfeatures as well as properties of objectsrelating to a certain class and going fromparticular to general, from less general tomore general:

A. GeneralizationB. ExperimentC. IdealizationD. ModelingE. Typologization

35. A 40-year-old male patient has gastriculcer. He complains about progresingweakness and dizziness. When the patientgot up in the morning he turned pale andlost consciousness for a few seconds. Thereare no peritonitis symptomw. What compli-cation of gastric ulcer might be suspected?

A. Bleeding ulcerB. Pyloric stenosisC. Penetration of ulcerD. Perforation of ulcerE. Malignization of ulcer

36. A 44-year-old victim undergoes anoperation for intraperitoneal haemorrhagebeing the result of a road accident. Whattrauma allows to use patient’s abdominalblood for autohemotransfusion?

A. Splenic ruptureB. Liver ruptureC. Thin bowel ruptureD. Bladder ruptureE. Stomach rupture

37. A woman fell down in the street twohours ago, she is unable of moving byherself. She complains about pain in herleft shin. Examination revealed edema ofthe lower third and deformity in the middlethird of shin. There is pain and crepitati-


on at the deformity site. What can a nursesuspect?

A. Shin bone fractureB. Shin contusionC. Sprain of ligamentsD. Joint dislocationE. Myorrhexis

38. People having irreversible morphologi-cal and functional damages can be assignedto disability group for the following term:

A. With no fixed termB. 1 yearC. 2 yearsD. 3 yearsE. 4 years

39. What document should be completed ifdrugs are to be confiscated for analysis bythe State Inspection of Quality Control ofMedical Drugs?

A. Statement in duplicateB. Sola statementC. ProtocolD. Consignment noteE. Receipt

40. Who makes the final decision onintroduction of a new drug into medicalpractice?

A. Minister of Public Health of UkraineB. Pharmaceutical committee of PublicHealth Ministry of UkraineC. Ukrainian State Inspection of QualityControl of Medical DrugsD. Research instituteE. Ministry of Public Healthof Ukraine

41. What methods of studying morbidityrates are used for characterizing diseasescausing temporary disability?

A. Use of information on seeking medicalaidB. Use of information on medical inspecti-onsC. Use of information on causes of deathD. Use of information from medical histori-esE. Use of information brought by specialsampling studies

42. A 30-year-old woman consulted a familynurse about acute headache. Examinationrevealed that AP was160/90 mm Hg. Whatshould the nurse do for initial care?

A. Apply mustard plasters to the occipitalregion of headB. Put ice pack to the occipital region ofheadC. Put hot-water bag on legsD. Apply mustard plasters to the chestE. Raise lower extremities

43. A 35-year-old man who had mistakenlydrunk 150 ml of methyl alcohol was deli-vered to the admission ward. What antidoteshould be used in this case?

A. EthanolB. UnithiolC. Absorbed carbonD. Sodium bicarbonate solutionE. Atropine sulphate

44. At the first stage of nursing examinationa nurse revealed mucous membrane bleedi-ng, metrorrhagia and "leopard spots".Bleeding time was increased. What is themost likely diagnosis?

A. Thrombocytopenic purpuraB. Purpura rheumaticaC. LymphogranulomatosisD. HaemophiliaE. Acute leukaemia

45. According to the nursing interventi-on plan a nurse asked the mother of a 6-month-old child to visit children’s hospi-tal for compulsory virus B hepatitis vacci-nation. Choose the dose and method ofvaccination in accordance with nursingintervention plan:

A. 0,5 ml i/m to exterior hip surfaceB. 0,5 ml s/c to shoulderC. 0,1 ml i/d to forearmD. 0,1 ml s/c to shoulderE. 1,0 ml i/m to buttock

46. A man has lung disease caused by conti-nuous ingress of productive dust into thelungs. He complains about cough, stabbingchest pain and dyspnea. What is the mostlikely diagnosis?

A. PneumoconiosisB. BerylliosisC. Decompression sicknessD. Pneumatic hammer diseaseE. Radiation sickness

47. There is a psychological relief roomat the factory department. During worki-ng day the workers can listen to classicalmusic, plunge into the world of forestrysounds and inhale the aroma of healing oils.What zone of relations can be influenced?


A. Psychologic climateB. Civil status of workerC. Moral environmentD. Official status of workerE. Private status of worker

48. The head nurse of a surgery departmentmade a report on the "Role of nursingin patients’ treatment (on the departmentexample)"at a regional nursing conference.Their administrator observed, that theemployees’ attitude to their work becamemore responsible. What managementschool regulations will correspond withsuch situation?

A. School of humane relationshipsmovementB. School of scientific approach tomanagementC. Behavioural science school ofmanagementD. Classical school of managementE. School of system administration

49. Swiss company "Zepter"is famous allover the world. The company introducednew type of medical equipment such aslamp"Bioptron". What pricing strategy isthe most effective in such case?

A. Prestigious pricesB. Flexible pricesC. Stable pricesD. Flat priceE. Zone prices

50. A 66-year-old male patient haspulmonary tuberculosis. What drug shouldbe used for secondary prophylaxis?

A. IsoniazidB. Bicillin-5C. LevamisoleD. AmoxicillinE. Remantadin

51. A patient is registered in a dispensaryfor gastric ulcer. He complains aboutconstant abdominal pain that is gettingworse at night, foul-smelling eructation,morning vomiting. Objectively: the pati-ent is 178 cm high and weighs 52 kg, hisskin is dry, his tongue is coated with greyi-sh deposit. Heart sounds are muffled, epi-gastrium is painful, there is visible peri-stalsis. What complication is it?

A. Pyloric stenosisB. HemorrhageC. PenetrationD. PerforationE. Malignization

52. A 6-month-old boy was diagnosed wi-

th dehydration of I degree against thebackground of intestinal toxicosis. Whatdaily amount of liquid is it necessary to dri-nk in such condition per 1 kg of child’s bodyweight?

A. 50-100 millilitresB. 70-90 millilitresC. 100-130 millilitresD. 160-170 millilitresE. 170-200 millilitres

53. A 43-year-old male patient is a foundryworker with 16 years of service record.He complains about exertional dyspnea,dry cough and sensation of chest tinglingduring cough. Instrumental examinationrevealed: restrictive type of external respi-ration disturbance of I degree. X-ray exami-nation of lungs revealed: diffuse, round-shaped, small and well-defined opacitiesof average intensity located in the upperlung segments. The occupational pathologi-st suspected silicosis. What dust can causethis disease?

A. Silicon dioxide in free stateB. CarbonC. Silicon dioxide in bound stateD. GraphiteE. Manganese

54. A 20-year-old patient has been hospi-talised in grave condition. He complainsabout chest pain, stomatorrhagia, bodytemperature rise up to 38oC, shiver andgeneral weakness. Objectively: skin is pale,cervical and axillary lymph nodes areenlarged, painless. Blood analysis: Hb- 59g/l, RBCs - 2, 2 · 1012/l, colour index - 0,8,reticulocytes - 0,1%, WBCs - 80 · 109/l,blastocytes - 40%, stab neutrophils - 2%,segmented neutrophils - 28%, lymphocytes- 10%, monocytes - 18%, trombocytes -76 · 109/l, ESR - 38 mm/h. What is the mostlikely diagnosis?

A. Acute leukaemiaB. Chronic leukaemiaC. Aplastic anemiaD. Hypochromic anemiaE. Hemorrhagic diathesis

55. A female patient has developedhyperemic rash, skin itch, dizziness anddyspnea after penicillin test. What shouldyou do immediately on doctor’s orders?

A. Inject benadryl intramuscularlyB. Hospitalise the patientC. Put hot-water bag on extremitiesD. Call an ambulanceE. To repeat the test

56. A female patient has gastric ulcer. She


has developed coffee-grounds vomiting.What emergency care should be rendered?

A. Ice pack on stomachB. Gastric lavageC. Injection of analginD. Hot-water bag on stomachE. Warm drink

57. A 42-year-old female patient complainsabout foul taste in the moth, poor appetite,nausea, stomachache, eructation, vomiti-ng at times, frequent pangs in the epigastricregion. There are constipations taking turnswith diarrheas. Objectively: there is a lilac-grey stipe on the gums, the skin is sallowand pale. What substance is the cause ofintoxication?

A. LeadB. BenzolC. Amino compound of benzolD. Mercury vaporE. Tetraethyl lead

58. A patient developed intensive burni-ng retrosternal pain 6 hours ago. Bodytemperature is 37, 2oC. Heart action isrhythmic. Heart rate - 68/m, AP- 110/75 mmHg. The abdomen is soft and painless onpalpation. What instrumental examinationshould the patient be prepared?

A. ElectrocardiographyB. EchocardioscopyC. Coronary arteriographyD. VeloergometryE. Daily monitoring

59. A nurse working with a family doctorsupervises the treatment of a patient withbronchial asthma. What drugs should hetake?

A. Salbutamol, berotecB. Ketotifen, lasolvanC. Strophanthin, mucaltinumD. CorglyconE. Atropine

60. You work as a nurse at a private cli-nic and one of your functional duties ismarketing promotion of medical services. Itinvolves realization of the following functi-ons:

A. Satisfaction of consumer needsB. Improving of patient’s life qualityC. Price setting for goods or servicesD. Sale of goods or medical servicesE. Reduction of costs

61. Collecting material for an essay involvespsychological and pedagogical research. Toincrease the objectivity and reliability of the

results it is recommended to apply:

A. Crossover studyB. Natural experimentC. State experimentD. ObservationE. Formative experiment

62. After doing researches you shouldanalyse and generalize the collectedinformation. First of all, it is necessary to:

A. Group dataB. Evaluate information criticallyC. Compare the informationD. Determine dependence between dataE. Draw conclusions

63. A 42-year-old patient has been deli-vered to a hospital in grave condition wi-th body temperature 39, 8oC. He complai-ns about chest pain on the right that isgetting worse while coughing. The pati-ent presents with headache and cough wi-th "rusty"sputum. Which disease are thesesymptoms most typical for?

A. PneumoniaB. BronchitisC. Bronchial asthmaD. PneumonectasiaE. Multiple bronchiectasis

64. A 62-year-old man has developed burni-ng retrosternal pain irradiating to the lefthand after a psychologic overexertion. Thepain cannot be relieved by nitroglyceri-ne. What is the most likely provisional di-agnosis?

A. Myocardial infarctionB. Rest anginaC. Pulmonary edemaD. Cardiogenic shockE. Hypertensic crisis

65. A 45-year-old drillman complains aboutaching hand pain disturbing him at night,creeping sensation, hands chill, headacheand sleep disorder. In addition, notesblanching of fingers after washing handswith cold water. What disease might besuspected?

A. Pneumatic hammer diseaseB. SilicatosisC. AnthracosisD. SiderosisE. Silicosis

66. The process of primary dentition fini-shes at the age of two years. How manydeciduous teeth should children have?


A. 20B. 24C. 14D. 10E. 6

67. A child with diabetes mellitus needs tobe given an injection of 16 units of insulin.(1ml - 40 units). Specify the insulin dose inmillilitres:

A. 0,4 mlB. 0,2 mlC. 0,8 mlD. 1,0 mlE. 0,1 ml

68. A full-term infant with A(II) Rh(+)blood group was born of mother with 0(I)Rh(-) blood group. Jaundice appeared onthe first day of life. Bilirubin level is 150micromole/l. What is the most likely di-agnosis?

A. Hemolytic disease of newbornB. Physiologic jaundiceC. Birth traumaD. Impetigo neonatorumE. Vesiculopustulosis

69. A child is 6 years old. There arecomplaints about body temperature riseto 39oC, headache, inertness, myalgia and,joint pain and backache. The symptomshas been present for two days. His noseis bunged, he has a tickling in his throat andhyperaemic larynx. What disease is it?

A. InfluenzaB. Adenovirus infectionC. PneumoniaD. TracheobronchitisE. Laryngitis

70. A patient has suffered a stroke. Whichdrug should be inluded in complex therapyfor normalization of neurometabolicprocesses in brain?

A. PyracetamB. No-shpaC. SeduxenD. CaffeineE. Droperidol

71. A 10-year-old child complains aboutfrequent stranguria, body temperature ri-se and symptoms of intoxication. Commonurine examination shows leukocyturia andbacteriuria. What disease is it?

A. PyelonephritisB. Renal insufficiencyC. GlomerulonephritisD. PneumoniaE. Urolithiasis

72. A 35-year-old patient consults a surgeonabout the right shin injury. The surgeonfound out that the patient hadn’t beenvaccinated against tetanus over the last 3years. What drug should be used for urgenttetanus prevention in this case?

A. Tetanus anatoxinB. Antitetanus serumC. Antitetanus horse immunoglobulinD. Tetanus anatoxin and antitetanus serumE. Diphteria and tetanus toxoids andpertussis vaccine

73. A 33-year-old male patient fell andhit his head but stayed conscious. Hecomplained about headache. The patientfainted two hours later. Medical examinati-on revealed: he was unconscious, anisocoriawas present. What is the most likely di-agnosis?

A. Cerebral compressionB. Brain concussionC. Traumatic shockD. SyncopeE. Collapse

74. A 65-year-old female patient undergoestreatment for right cervical hip fracture atthe traumatology department. After theoperation the skeletal extension was appli-ed. What can be the cause of osteomyelitisdevelopment?

A. Unsterile instrumentsB. Non-union of a broken boneC. Absolute bed restD. Bedsore developmentE. Bone osteoporosis

75. A 28-year-old male patient consulted asurgeon about acute pain, reddening wi-th scalloped margins, cutaneous edema inthe lower third of his right shin and bodytemperature rise up to 39oC. What diseasemight be suspected?

A. ErysipelasB. Varix dilatationC. ThrombophlebitisD. LymphadenitisE. Obliterating endarteritis

76. A 29-year-old male patient withtraumatic kidney affection has been atthe urology department for 1 day. Whatsymptom will be the most informative inthis case?


A. HematuriaB. Paradoxal ischuriaC. PolyuriaD. PollakiuriaE. Stranguria

77. A female patient with chronic nephri-tis undergoes treatment at the nephrologi-cal department. She complains about si-ckness, food aversion, headache and skinitch. What examination will allow to confi-rm nephratonia?

A. Test for urea and creatinine level in bloodB. Clinical urine examinationC. Nechiporenko urine examinationD. Bacteriological urine examinationE. Complete blood count

78. A patient with gastric ulcer complai-ns about general weakness, fatiguability,body weight loss, aversion to meat foodand constant pain in the epigastrium. Whatcomplication is it?

A. MalignizationB. PerforationC. HaemorrhageD. PylorostenosisE. Penetration

79. A 36-year-old male patient sufferingfrom insulin-dependent diabetes mellituswas delivered to a hospital in grave conditi-on. Objectively: he is unconsciousness, hasmuscular jerks, skin is pale and wet, thereis no acetone odour. What drug injectionshould be given to the patient first of all?

A. 40% glucose solutionB. 5% glucose solutionC. GlucagonD. InsulinE. Noradrenaline

80. A patient with complaints of heartbeats,limb tremor, tearfulness, body weight lossand sleep disturbance has been admi-tted to the endocrinological department.Objectively: Ps- 120/min, heart sounds arerhythmic, AP- 150/90 mm Hg. The isthmusof thyroid gland is enlarged on palpation.What drug shoud be applied for treatment?

A. MercazolilB. ThyroidinC. ThyreocombD. HydrochlorothiazideE. Furosemide

81. The victim was found clinically dead.There were attempts to revive him by cardi-opulmonary resuscitation. Which of the li-sted actions indicate efficiency of external

cardiac massage?

A. Pulsation in carotid arteryB. Spontaneous chest movementsC. Body temperature riseD. Epigastrium movementsE. Rib fracture

82. Intubation of trachea involved injecti-ng a muscle relaxant of short-time actioncalled dithylinum. What drug can eliminateits residual action?

A. ProserinB. NaloxoneC. MesatoneD. AdrenalineE. Atropine

83. A drowned man was pulled out to theshore after 6 minutes. Resuscitation actionsinvolved closed-chest massage and ALV.What symptoms indicate the efficiency ofresuscitation actions?

A. CorestenomaB. Arterial pressure riseC. Pulse accelerationD. MydriasisE. Faster breathing

84. A 2-year-old boy has been ill for 3 days.He is gravel-voiced, "barking cough"ispresent. The child developed dyspnea at ni-ght. The skin is cyanotic, auxiliary muscularsystem takes part in breathing. What urgentstate corresponds with such symptoms?

A. Stenosing laryngotracheitisB. Asthmatic attackC. Diphtheritic croupD. PneumoniaE. Foreign body in the upper respiratorytracts

85. A body temperature drop in an 8-yearold child caused weakness, paleness, coldclammy sweat and thready pulse. Whatcondition corresponds with such clinical si-gns?

A. CollapseB. SyncopeC. Acute left ventricular failureD. Acute right ventricular failureE. Cold coma

86. On the 5th day after birth a newbornchild presents with purulent dischargesfrom umbilical wound, hyperaemia ofumbilical ring. He was diagnosed withpurulent omphalitis. What is the necessarynursing intervention?


A. Inoculation of umbilical wound di-schargesB. Chest roentgenographyC. EncephalogramD. Echography of heartE. Electrocardiogram

87. A 3-year-old child during vaccinationlost consciousness, the skin turned pale andgot covered with cold sweat. What compli-cation might be suspected by a nurse first ofall?

A. Anaphylactic shockB. EclampsyC. FrightD. EpisyndromeE. Syncope

88. A 5-year-old child was delivered to thehospital with nosebleed. Te child has alsoskin haemorrhages in form of irregularpetechia and ecchymosis. What changesin complete blood count will confirm theprovisional diagnosis?

A. ThrombocytopeniaB. AnaemiaC. LeukopeniaD. Presence of blast cellsE. Neutrophilia

89. A man with symptoms of acute catarrhalintoxication with arsenic compounds wasdelivered to the hospital. Choose the anti-dotes that should be used for his treatment:

A. Sodium thiosulfate, tetacine calciumB. Glucose, ascorbic acid, vitamins of BgroupC. Proserin, tropazineD. Atropine sulphate, unithiolE. Cordiamin, sodium caffeine benzoate

90. A nurse receives sterile bandagingmaterials for her department from a drug-store. While checking the marking of sterilemedical gauze she reveals non-complianceof the marking with the State Standard1172-93. What non-compliance might havebeen revealed?

A. Absence of sterilization dateB. Red Cross emblemC. Description and size of bandageD. Manufacture dateE. Inscription "sterile"

91. A head nurse of the surgical departmentfills in the register of accidents thathappened during rendering medical aidto HIV-positive people and working withHIV-positive materials. Which form is it?

A. Form № 108-0B. Form № 107-0C. Form № 109-0D. Form № 110-0E. Form № 112-0

92. How often should a head nurse of thetherapeutics department exercise qualitycontrol of pre-sterilization treatment?

A. WeeklyB. Once a monthC. Twice a monthD. QuarterlyE. Once per six months

93. A 12-year-old boy suddenly felt anxi-ety, weakness and tachycardia during PElesson. The skin was pale and very wet.Some time later he developed convulsionsand lost consciousness. He has been ill withdiabetes mellitus for 5 years. Estimate thepatient’s condition:

A. Hypoglycemic comaB. Diabetic ketoacidic comaC. Diabetic ketoacidosisD. Epileptic seizureE. Uremic coma

94. 2 years after having B hepatitis a 12-year-old child has been diagnosed withchronic hepatitis. What laboratory testwill be the most objective indicator ofcompromised liver function?

A. Bilirubin level in blood serumB. Clinical blood analysisC. Clinical urine analysisD. Bile pigment urine analysisE. Glucose concentration in blood serum

95. Birth registration takes place accordingto the place of residence of parents. Whatis the main document that should be filedto the registry office for the registration ofa child?

A. Medical birth certificateB. Hospital childbirth registryC. Birth certificate issued by a doctorD. Card of newborn developmentE. Birth certificate issued by the maternityhospital

96. Risk factors having influence on healthstatus are divided into endogenous andexogenous ones, which in turn are dividedinto controllable and uncontrollable ones.Select endogenous uncontrollable factors:


A. Age, sex, heredityB. Arterial hypertension, dyslipidosis,dysmenorrheaC. State of environment, life-style, medicalfaultsD. Climate, natural conditionsE. -

97. It is important to choose main hierarchylevels for effective management of healthcare system. What management levels arepresent in the system of Ukranian publichealth?

A. Basic, regional, stateB. Regional, provincial, districtC. Municipal, provincial, ruralD. Basic, stateE. Provincial, regional

98. The mismatch between supply anddemand caused by a number of factorsobjectively results in deviation of pri-ce from the initial cost. Such situationcorresponds with the following law:

A. Law of supply and demandB. Law of time savingC. Law of valueD. Law of competitionE. Law of effectiveness

99. The participants of market economycompete for better conditions of producti-on, purchase and sale. What economic lawcorresponds with such situation?

A. Law of competitionB. Law of time savingC. Law of valueD. Law of supply and demandE. Law of effectiveness

100. Which figure of bar code is the controlone and is used for checking the correctnessof reading of strokes by the scanner?

A. LastB. First and secondC. ThirdD. FourthE. Fifth

101. Drugs are stored according to thenormative-technical documation requi-rements. Choose the document whichrequirements we should follow in storageof drugs or finished dosage forms in Ukrai-ne:

A. Order of the Ministry of Public Health№44 as of 16.03.93B. Enactment of the Cabinet of Ministers ofUkrainel № 400 as of 20.03.2006C. Order of the Ministry of Public Health№360 as of 19.07.2005D. Order of the Ministry of Public Health№117 as of 30.06.94E. Technical conditions

102. After discharge from the maternityhospital a baby presented with blisters thatburst uncovering the erosive surface. Hiscondition is getting worse and worse. Bodytemperature is 39oC. What disease mightbe suspected?

A. Impetigo neonatorumB. PseudofurunculosisC. Umbilical sepsisD. VesiculopustulosisE. Toxic erythema of a newborn

103. When deciding where to seek medi-cal aid a patient will choose the institutionwhere he or she can be rehabilitated fasterand with best results. At the same time hemust know that paid medical services canbe offered by the following medical insti-tutions:

A. Of all patterns of ownershipB. PrivateC. PublicD. Special medical institutionsE. Preventive clinics

104. One of the components of financialmanagement is estimation of health careprofitability. It indicates the quantity ofmedical services rendered per year whichcover the expenses for maintaining an insti-tution and taking medical prevention acti-ons. Profitability of an institution dependson the following indicators of its acivity:

A. Fixed expenses and price, running costsof one serviceB. Budget of an institutionC. Average price of serviceD. Fixed expenses of an institutionE. Quality of services

105. The head nurse of the central regi-onal hospital knows how to convinceher employees in reasonability of certainactions. As a supervisor she uses non-traditional methods of influence anddepartment stuff management. She hasa good reputation and is held in respectby her fellow employees. What type ofleadership is it?


A. Charismatic leadershipB. Reformative leadershipC. Leadership as demonstration of inherentabilitiesD. Leadership as a result of acquiredcharacter traitsE. Leadership as a result of situationalimpact

106. The head of the neurology departmentof municipal hospital №2 has authority wi-th the co-workers and is highly respectedby the management. He considers differentpeople’s opinion and takes into accounttheir wishes and advices. In this way heachieves his goals. Such type of leader’sactivity is called:

A. CompromiseB. BusinessC. DemonstrationD. DiplomaticE. Authoritarian

107. The head doctor of the munici-pal hospital №5 commissioned the headnurse to check if the division of labourbetween the employees meets the followi-ng requirements: tasks accomplished by theemployees should be compliant with theirqualification and work experience. Specifythe type of labour division:

A. CompetentB. FunctionalC. By ageD. TechnologicalE. By sex

108. The workers of the traumatologydepartment have a conflict with the workersof surgical department about untimelycleaning of hospital territory. What type ofconflict is it?

A. Intergroup conflictB. Nongroup conflictC. Intragroup conflictD. Intrapersonal conflictE. Interpersonal conflict

109. A head nurse of the gynecologydepartment filed the document to the headnurse of the municipal hospital about vi-olation of duty regulations by a nurse onduty. What document is it?

A. Internal documentB. OrderC. Explanatory noteD. InstructionE. Testimonial

110. A scientific research begins withchoosing scientific direction, problem, topic

and scientific questions. The direction of ascientific research is determined by:

A. Branch of scienceB. Availability of a scientific hypothesisC. Availability of conclusions and suggesti-ons on the subjectD. Science classifierE. Market requirements

111. A 6-year-old child has pain andborborygmus, sickness, vomiting and itchin the perianal folds region. Medical exami-nation reveals pinworm eggs. Choose thedrug for the child’s treatment:

A. VormilB. AscorutineC. NaphthamonnumD. CephazolineE. Festal

112. A 3-year-old child has skin cyanosis,"watch-glass"nails and "drumstick"nailbones. Auscultation reveals that II soundof pulmonary artery is weak, there isrough systolic murmur. The child hashypoxemic attacks such as tachypnoe,cyanosis aggravation and excitement. Thechild is physically underdeveloped. Choosethe disease that is characterised by thedescribed symptoms:

A. Congenital heart diseaseB. Rheumatic feverC. Acute myocarditisD. Bronchial asthmaE. Rheumatic pericarditis

113. A 17-year-old patient complains aboutpain in the right knee joint. He claims tohave been suffering from it since childhood.The nasal hemorrhages are frequent. Thereare three children in the family: two boysand one girl. His brother has similar di-sease. Objectively: the knee joint is swollen,palpation and movements cause pain. Whatis the most likely disease?

A. HaemophiliaB. Werlhof’s diseaseC. Schonlein-Henoch diseaseD. Acute leukaemiaE. Chronic leukaemia

114. Nursing examination of a 70-year-oldmale patient with chronic atonic colitisrevealed such problems as nausea, abdomi-nal swelling and costiveness for over 3days. What foodstuffs should the nurserecommend for costiveness prevention?


A. Beet, carrot, prunesB. Tinned food, white bread, cabbageC. Milk, brown bread, porkD. Vegetables, fresh milk, hard cheeseE. Vegetables, fruit juices, cakes

115. A nurse of therapeutics departmentwas summoned to a 59-year-old patient.Objectively: the patient was excited, hewas sitting on the bed and gasping forair. The skin was cyanotic, tachypnoe waspresent. Bubbling breathing could be heardat a distance. There was cough with pinkfoamy sputum and moist rales over thelungs. These symptoms are indicative of thefollowing urgent condition:

A. Pulmonary edemaB. Asthmatic attackC. Myocardial infarctionD. Hypertensic crisisE. Attack of stenocardia

116. A 45-year-old male patient complainsabout pain in the left lumbar region irradi-ating to his hip; frequent urination and uni-tary vomiting. Pasternatsky’s symptom ispositive on the left. What drug should beinjected as the first medical aid?

A. BaralgineB. LasixC. NitroxolineD. CystenalE. Avisanum

117. A nurse working at the statisticsdepartment estimates the primary morbi-dity rate for the first quarter of the currentyear. Choose the medical documents thatallow the nurse to study this factor:

A. Statistic card (f.№025-2/о)B. Journal of a polyclinic’s physician(f.№039/о)C. Statistic card of discharged patient(f.№066/о)D. Register of house calls by a physician(f.№031/о)E. Register of ambulatory patients(f.№074/о)

118. Specify the type of demand that remai-ns actually unchanged in case of price vari-ation:

A. NonelasticB. ElasticC. Partly elasticD. StableE. Relatively elastic

119. A 49-year-old female patient complai-ns about intermittent pain in the rightlumbar region, body temperature rise up

to 37 − 38oC and frequent urination. Shehas been diagnosed with exacerbation ofchronic pyelonephritis. Which changes inurine will confirm this diagnosis?

A. Leukocyturia, bacteriuriaB. Leukocyturia, hematuriaC. Leukocyturia, glucosuriaD. Glucosuria, cylindruriaE. Hematuria, proteinuria

120. A woman complains about abrupttemperature rise, myalgia, cough, sharpintermittent stomachache, metalic taste inthe mouth and nasal bleedings. It is knownfrom the past history that she had processedtomatoes with bordeaux chemicals for 2days. Objectively: AP- 80/50 mm Hg, Ps-60/min, there is skin rash on the upper andlower extremities. Which pesticides mighthave caused the described disease?

A. Metal-containing compoundsB. Organochlorine compoundsC. Organophosphorous compoundsD. Arsenic compoundsE. Carbonates

121. A 57-year-old man stays at the surgicaldepartment after venotomy (phlebotomy).In order to implement the nursing care plana nurse should teach the patient to:

A. Apply crepe bandageB. Do therapeutic physical massageC. Change body position in bedD. Keep to a dietE. Take body temperature

122. A head nurse is responsible for correctorganisation of drug storage, therefore shearranges certain drugs separately in thefollowing way:

A. By pharmacological groups according tothe way of drug introductionB. By pathologies whose pharmacotherapyivolves such drugsC. By supplier companiesD. AlphabeticallyE. Randomly, in her own way that iscomfortable for her

123. Two days after laparotomy performedunder endotracheal anaesthesia a 31-year-old male patient was told to turn from si-de to side, do respiratory gymnastics andalkaline inhalations on doctor’s orders.What complication can be prevented bydoing such things?


A. BronchitisB. EnteroparesisC. ThrombosisD. EmbolismE. Surgical drain obstruction

124. A 45-year-old man consulted a doctorabout pain in the right iliac area. After loadlifting the patient felt acute pain in the regi-on of protrusion which he failed to fix tothe abdominal cavity. Objectively: there is apainful tense protrusion in the iliac region.What diagnosis might be suspected?

A. Strangulated herniaB. Reducible herniaC. Incarcerated herniaD. Nonincarcerated herniaE. Noncomplicated hernia

125. A 7-year-old boy was hospitalised tote children’s hospital. He complains aboutknee joint edema that appeared duringplaying football. It is known from thepast history that his elder brother and hisgrandfather by mother’s side are disposedto bleeding sickness. What laboratoryexamination will allow to clarify the di-agnosis?

A. Bleeding-time testB. Complete blood countC. Biochemical blood analysisD. Common urine analysisE. Serologic examination of dynamic ofbundle branch reentry

126. A medical institution enters the medi-cal services market with a new offer. Whataction should be prior to the service positi-oning on the market?

A. Choosing a market segmentB. Analysis of assortmentsC. Evaluation of experts’ competenceD. Evaluation of medical service competiti-venessE. Building the ordered series

127. Specify, which method of conflict solvi-ng we should choose when one side is veryinterested in achieving good results and theother side is uninterested in it:

A. ConciliationB. AvoidanceC. PressureD. CollaborationE. Compromise

128. A patient is 70 years old. Objecti-vely: his condition is grave, skin is pale,Ps- 120/min, AP- 85/55 mm Hg. His tongueis dry and furred. He has insignificantabdominal swelling, Vale’s symptom is posi-

tive on palpation, splashing sound is alsopresent. A plan X-ray film shows severalhorizontal intestinal fluid levels. What isthe most likely diagnosis?

A. Bowel obstructionB. Acute cholecystitisC. Acute pancreatitisD. Renal colicE. Acute appendicitis

129. A 72-year-old male patient complainsabout stranguria. He claims that urine tri-ckles or drips and there are frequent uri-nations at night. What is the most likelydiagnosis?

A. Adenoma of prostate glandB. Acute prostatitisC. Acute urethritisD. Cystic tuberculosisE. Urolithiasis

130. A 7-year-old male patient undergoestreatment at the nephrological department.He complains about general weakness,to- 38oC, backache and sickness. Urineanalysis: leukocytes 30-40 in visual field andbacteriuria. What additional examinationsshould be included into the nursing exami-nation plan?

A. Nechiporenko’s analysisB. Test of RebergC. Sulcovich’s testD. Mantoux testE. Schick’s test

131. A 28-year-old man presents in thefirst-aid post. He had worked in the coldweather for 4 hours on the previous day.Objectively: there are blisters on handscontaining transparent liquid, skin sensi-tivity is decreased in the affected region.Choose the type and the degree of affecti-on:

A. Frostbite of II degreeB. Frostbite of III A degreeC. Burn of II degreeD. Burn of III degreeE. Frostbite of III B degree

132. What types of decisions are made atthe early stage of planning when it involvesconstant consultations with authorities andexperts?

A. Technical, politicalB. Constructional, radicalC. Technological, authoritarianD. Technical, nonpoliticalE. Technical, authoritarian

133. According to the receiving acts, a batch


of domestic goods couldn’t be acceptedto the warehouse because of quantity di-vergence. A claim must be filed within:

A. Three daysB. Seven daysC. Five daysD. Ten daysE. Twenty days

134. Each patent medicine has approvedattributes such as: labels stuck or printed onthe packing, inserts, wrappers and instructi-ons concerning the usage of medicines.Their graphic design must correspond wi-th:

A. Specifications of sectoral scientific-technical documentation and decorativeoriginalB. Contents of instruction and insertsC. Batch number and compositionD. Number of registration certificate andbatch numberE. Contents of instruction and composition

135. A patient complains about pain inhand and feet joints, morning stiffness anddeformity of these joints. What disease canbe suspected?

A. Rheumatoid arthritisB. OsteoarthritisC. RheumarthritisD. PodagraE. Systemic lupus erythematosus

136. Examination of a patient with lungcarcinoma revealed cough with bloodysputum, weakness, dysorexia, weight lossand chest pain. What is the most urgentproblem in this case?

A. HemoptysisB. WeaknessC. Chest painD. DysorexiaE. Weight loss

137. After eating forest berries a patientdeveloped choking cough, husky voice andinspiratory dyspnea. The patient is anxious,pale. Paraglossia and face edema are alsopresented. What drug should be injectedaccording to doctor’s orders?

A. PrednisoloneB. AnalginC. KetanovD. BaralgineE. No-shpa

138. It is required to study the cardi-ovascular morbidity rate in different admi-nistrative districts of a city. Urban populati-

on of each district has different agestructure. What statistic method should beused in order to exclude the impact of thisfactor on the inicators of morbidity rate?

A. StandardizationB. Calculation of relative numbersC. Calculation of average numbersD. Regression-correlation analysisE. Analysis of dynamical range

139. An insurance company launchesthe program "Voluntary insurance ofreproductive health", which provides forcovering the cost of prophylactic medicalexamination of married couples with steri-lity risk. It is necessary to develop the pri-cing policy. What is the most appropriatemethod of setting price for such medicalservices?

A. Prime cost + Profit + TaxesB. Prime cost + Profit - TaxesC. (Prime cost + Profit)

Taxes

D. ProfitP rime cost

· 100%

E. Prime costProfit

· 100%

140. A 42-year-old female patient isdepressed. She is sad and thoughtful, shecommunicates with nurse unwillingly andrefuses to eat. She lies on the bad with herface turned to the wall. The nurse shouldsuspect the following danger to the pati-ent’s life:

A. Suicidal thoughts and actionsB. Bedsore developmentC. Body weight lossD. Avitaminosis developmentE. Hypostatic pneumonia development

141. A patient has presented with low-grade fever, hyperhidrosis and decline inwork performance for two months. Thepatient associates body weight loss withdiarrhea. Medical examination revealedenlarged axillary lymph nodes and liver,multiple aphtae of oral mucosa. The pati-ent is intravenous drug abuser. What di-sease might be suspected?

A. Human immunodeficiency virusB. TuberculosisC. Viral hepatitis type BD. Viral hepatitis type CE. Chronic colitis

142. A scrub nurse is busy with preparati-ons for the operative intervention, namelytracheostomy. What are the specialinstruments required for this operation?


A. Tracheal dilator of TrousseanB. Farabif’s hookC. Surgical forcepsD. Three-prong hookE. Bellied scalpel

143. An ambulance nurse renders first aidto a victim with an open craniocerebraltrauma received in a traffic accident. Shenotes bone fragments in the brain tissue.What is her first-priority action?

A. To apply a sterile bandageB. To give intramuscular injection ofmorphineC. To remove bone fragments from thewoundD. To apply a capeline bandageE. To perform initial surgical d-bridement

144. A patient inadvertently seized a baredwire under 380 V. He is unconsciousness.What will be the first aid?

A. To release the patient from electriccurrentB. To resuscitateC. To apply aseptic dressingD. To do the toilet of oral cavityE. To perform surgical treatment of wound

145. A newborn child has symptoms ofintoxication. There is also asymmetri-cal enlargement and infiltration of onemammary gland. The skin over the glandis hot, there are purulent discharges fromthe duct. What is the most likely diagnosis?

A. Suppurative mastitis of a newbornB. AbscessC. Physiological swelling of mammaryglandsD. PhlegmonE. Toxic erythema of a newborn

146. A 5-year-old child has intoxicati-on symptoms and cough. The percussionreveals dullness of percussion sound underthe right scapula. The auscultation revealsquiet breath sounds and crepitations. Whatdisease are these symptoms most typicalfor?

A. BronchopneumoniaB. Bronchial asthmaC. TracheitisD. Acute stenosing laryngitisE. Bronchitis

147. An 8-year-old child has rash on thetrunk, face and scalp in form of papulae,maculae and vesicles with turbid contents.Such condition is typical for the followingdisease:

A. ChickenpoxB. MeaslesC. RubellaD. Epidemic parotiditisE. Allergic dermatitis

148. A patient with II degree silicosispresented in the occupational diseasedepartment. The nurse who followed up thepatient last year noticed that he lost weight,his body temperature could rise to 37, 3oCat night, there was profuse sweating. Whatcomplication is most likely?

A. TuberculosisB. BronchitisC. Pulmonary emphysemaD. Pulmonary insufficiencyE. Stenocardia

149. After drawing up statements theinspection board allows to unpack, acceptand record the goods as received. Quali-ty and package contents of goods deli-vered from outside the city limits shouldbe accepted within the following period oftime:

A. Not later than within 20 daysB. Not later than within 10 daysC. Not later than within 5 daysD. Not later than within 15 daysE. Not later than within 7 days

150. General practitioners of each di-strict have to fill in initial registrationdocumentation including reporting formswhich are intended for recording informati-on on population health level. Which formshould be filled in after revealing cases ofinfectious diseases?

A. F-025/oB. F-028-1/oC. F-058/oD. F-031/oE. F-063/o

INSTRUCTIONAL BOOK

Ministry of public health of Ukraine (MPH of Ukraine)

Department of human resources policy, education and science of MPH of Ukraine

Testing Board

TEST ITEMS FOR LICENSING EXAMINATION: KROK B. NURSING.

Composers: Mrouga Marina

Bulakh Iryna

Kyiv. Testing Board.

(English language).

Technical editors: P.Ostapenko, V.Zhdanov, V.Sobko

Translator: A.Potapova

Approved to print 28.04./№80. Формат 60х84 1/8

Offset paper. Typeface. Times New Roman Cyr. Offset print.

Conditional print pages 16. Accounting publishing pages 18.

Issue. 27 copies

List of abbreviations

A/G Albumin/globulin ratio

A-ANON Alcoholics anonymous

ACT Abdominal computed tomography

ADP Adenosine diphosphate

ALT Alanin aminotranspherase

AMP Adenosine monophosphate

AP Action potential

ARF Acute renal failure

AST Aspartat aminotranspherase

ATP Adenosine triphosphate

BP Blood pressure

bpm Beats per minute

C.I. Color Index

CBC Complete blood count

CHF Chronic heart failure

CT Computer tomography

DIC Disseminated intravascular coagualtion

DCC Doctoral controlling committee

DM-2 Non-Insulin dependent diabetes mellitus

DTP Anti diphtheria-tetanus vaccine

ECG Electrocardiogram

ESR Erythrocyte sedimentation rate

FC Function class

FAD Flavin adenine dinucleotide

FADH2 Flavin adenine dinucleotide restored

FEGDS Fibro-esphago-gastro-duodenoscopy

FMNH2 Flavin mononucleotide restored

GIT Gastrointestinal tract

GMP Guanosine monophosphate

Hb Hemoglobin

HbA1c Glycosylated hemoglobin

Hct Hematocrit

HIV Human immunodeficiency virus

HR Heart rate

IDDM Insulin dependent diabetes mellitus

IFA Immunofluorescence assay

IHD Ischemic heart disease

IU International unit

LDH Lactate dehydrogenase

MSEC Medical and sanitary expert committee

NAD Nicotine amide adenine dinucleotide

NADPH Nicotine amide adenine dinucleotide

phosphate restored

NIDDM Non-Insulin dependent diabetes mellitus

PAC Polyunsaturated aromatic carbohydrates

PAS Periodic acid & shiff reaction

pCO2 CO2 partial pressure

pO2 CO2 partial pressure

pm Per minute

Ps Pulse rate

r roentgen

RBC Red blood count

RDHA Reverse direct hemagglutination assay

Rh Rhesus

(R)CFT Reiter's complement fixation test

RIHA Reverse indirect hemagglutination assay

RNA Ribonucleic acid

RR Respiratory rate

S1 Heart sound 1

S2 Heart sound 2

TU Tuberculin unit

U Unit

USI Ultrasound investigation

V/f Vision field

WBC White blood count

X-ray Roentgenogram

Krok B NURSING - testcentr.org.ua · Krok B Nursing 2011 1 1. A male patient with a severe...

Documents

Transcript of Krok B NURSING - testcentr.org.ua · Krok B Nursing 2011 1 1. A male patient with a severe...