MOH Nursing exam questions and answers
Fundamentals of Nursing
Which is the most accurate method for measuring a patient’s core body temperature?
a) Oral
b) Axillary
c) Rectal
d) Tympanic
Answer: c) Rectal
When lifting a heavy object, the nurse should:
a) Bend at the waist
b) Keep knees straight
c) Use back muscles
d) Bend knees and keep back straight
Answer: d) Bend knees and keep back straight
Which action best prevents hospital-acquired infection?
a) Wearing gloves during procedures
b) Frequent hand hygiene
c) Cleaning equipment once a day
d) Isolating all patients
Answer: b) Frequent hand hygiene
Explanation: Hand hygiene is the most effective infection control measure.
When transferring a patient from bed to wheelchair, the nurse should:
a) Pull the patient with arms
b) Lock the wheelchair brakes
c) Lower bed to the lowest level
d) Remove patient’s footwear
Answer: b) Lock the wheelchair brakes
Explanation: Prevents accidental movement and falls.
Normal range of urine output per hour in adults is:
a) 10–20 mL/hr
b) 20–30 mL/hr
c) 30–50 mL/hr
d) 50–80 mL/hr
Answer: c) 30–50 mL/hr
Explanation: Below 30 mL/hr indicates oliguria.
The best position for a patient with respiratory distress is:
a) Supine
b) Prone
c) Fowler’s (45–60°)
d) Trendelenburg
Answer: c) Fowler’s (45–60°)
Explanation: Promotes lung expansion and ease of breathing.
Which pulse site is commonly used during CPR in adults?
a) Radial
b) Carotid
c) Brachial
d) Femoral
Answer: b) Carotid
Explanation: Carotid artery is easily palpable in emergencies.
Which is the most accurate method for measuring a patient’s core body temperature?
a) Oral
b) Axillary
c) Rectal
d) Tympanic
Answer: c) Rectal
When lifting a heavy object, the nurse should:
a) Bend at the waist
b) Keep knees straight
c) Use back muscles
d) Bend knees and keep back straight
Answer: d) Bend knees and keep back straight
Which action best prevents hospital-acquired infection?
a) Wearing gloves during procedures
b) Frequent hand hygiene
c) Cleaning equipment once a day
d) Isolating all patients
Answer: b) Frequent hand hygiene
Explanation: Hand hygiene is the most effective infection control measure.
When transferring a patient from bed to wheelchair, the nurse should:
a) Pull the patient with arms
b) Lock the wheelchair brakes
c) Lower bed to the lowest level
d) Remove patient’s footwear
Answer: b) Lock the wheelchair brakes
Explanation: Prevents accidental movement and falls.
Normal range of urine output per hour in adults is:
a) 10–20 mL/hr
b) 20–30 mL/hr
c) 30–50 mL/hr
d) 50–80 mL/hr
Answer: c) 30–50 mL/hr
Explanation: Below 30 mL/hr indicates oliguria.
The best position for a patient with respiratory distress is:
a) Supine
b) Prone
c) Fowler’s (45–60°)
d) Trendelenburg
Answer: c) Fowler’s (45–60°)
Explanation: Promotes lung expansion and ease of breathing.
Which pulse site is commonly used during CPR in adults?
a) Radial
b) Carotid
c) Brachial
d) Femoral
Answer: b) Carotid
Explanation: Carotid artery is easily palpable in emergencies.
Medical-Surgical Nursing
A patient with COPD should be given oxygen at:
a) 2–3 L/min
b) 6–8 L/min
c) 10–12 L/min
d) As high as possible
Answer: a) 2–3 L/min
The classic sign of hypocalcemia is:
a) Chvostek’s sign
b) Cullen’s sign
c) Grey Turner’s sign
d) Babinski reflex
Answer: a) Chvostek’s sign
A patient with COPD should be given oxygen at:
a) 2–3 L/min
b) 6–8 L/min
c) 10–12 L/min
d) As high as possible
Answer: a) 2–3 L/min
The classic sign of hypocalcemia is:
a) Chvostek’s sign
b) Cullen’s sign
c) Grey Turner’s sign
d) Babinski reflex
Answer: a) Chvostek’s sign
Obstetric Nursing
10. The first stage of labor ends with:
a) Full cervical dilation
b) Expulsion of placenta
c) Delivery of the baby
d) Onset of contractions
Answer: a) Full cervical dilation
11. Normal fetal heart rate is:
a) 80–100 bpm
b) 100–120 bpm
c) 110–160 bpm
d) 160–200 bpm
Answer: c) 110–160 bpm
Pediatric Nursing
12 The vaccine given at birth is:
a) BCG, OPV, Hepatitis B
b) DPT, OPV
c) MMR
d) Typhoid
Answer: a) BCG, OPV, Hepatitis B
13. A 3-year-old child’s expected weight is approximately:
a) Birth weight × 2
b) Birth weight × 3
c) Birth weight × 4
d) Birth weight × 5
Answer: b) Birth weight × 3
Psychiatric Nursing
14. A nurse caring for a patient with schizophrenia should avoid:
a) Giving simple, clear instructions
b) Encouraging reality orientation
c) Arguing with delusions
d) Maintaining eye contact
Answer: c) Arguing with delusions
Pharmacology
15The antidote for heparin overdose is:
a) Vitamin K
b) Protamine sulfate
c) Atropine
d) Naloxone
Answer: b) Protamine sulfate
MOH Nursing Practice Questions
A nurse caring for a client with severe preeclampsia should first:
a) Administer magnesium sulfate bolus
b) Monitor deep tendon reflexes every hour
c) Place seizure pads on both sides of the bed
d) Assess intake & output strictly
Answer: c) Place seizure pads on both sides of the bed
Explanation: Safety first — seizure precautions minimize injury risk in case a convulsion occurs.
A patient with COPD has oxygen prescribed at 2 L/min via nasal cannula. The patient becomes confused and more lethargic. The nurse should first:
a) Increase the oxygen flow rate
b) Check arterial blood gases (ABG)
c) Raise the head of the bed & encourage deep breathing
d) Switch to a venturi mask
Answer: b) Check arterial blood gases (ABG)
Explanation: In COPD patients, over-oxygenation can lead to CO₂ retention; ABG helps assess gas exchange & guide therapy.
Which statement by a patient indicates understanding of teaching about warfarin therapy?
a) “I should take vitamin K supplements every day.”
b) “I will avoid foods high in leafy green vegetables.”
c) “I won’t need to have regular blood tests after starting.”
d) “I can take aspirin if I have pain.”
Answer: b) “I will avoid foods high in leafy green vegetables.”
Explanation: Vitamin K impacts warfarin effect; consistent intake is important. Choices (a), (c), (d) are incorrect or unsafe.
A nurse assesses a post-op client who is complaining of sudden chest pain, shortness of breath, and has tachycardia and hypotension. What is the priority action?
a) Give supplemental oxygen
b) Obtain ECG
c) Assess for deep vein thrombosis signs
d) Contact surgeon immediately
Answer: a) Give supplemental oxygen
Explanation: First priority is to ensure oxygenation; then further diagnostics & notifying appropriate personnel.
A pediatric client with dehydration from diarrhea has dry mucous membranes, sunken eyes, decreased skin turgor. Which electrolyte imbalance is the nurse especially concerned about?
a) Hyperkalemia
b) Hypokalemia
c) Hypernatremia
d) Hyponatremia
Answer: b) Hypokalemia
Explanation: Diarrhea causes loss of K⁺; hypokalemia can cause cardiac & muscular dysfunction.
Which is the best action to reduce risk of medication error when administering multiple drugs?
a) Use trailing zero (like 1.0 mg) where necessary
b) Read the label only once before giving the medication
c) Check the “five rights” each time (right patient, drug, dose, route, time)
d) Rely on memory for frequently administered medications
Answer: c) Check the “five rights” each time
Explanation: Using the five rights consistently is a core safety strategy.
A client in labor at 9 cm dilation says “I feel like pushing” but the cervix is not yet fully dilated. The nurse’s best response:
a) Assist with bearing down anyway to relieve discomfort
b) Encourage panting breaths until full dilation
c) Administer pain medication immediately
d) Help change position every 15 minutes
Answer: b) Encourage panting breaths until full dilation
Explanation: Pushing too early can cause cervical edema and complications; panting breaths help postpone pushing until full dilation.
The nurse is planning discharge teaching for a newborn’s umbilical cord care. Which instruction is correct?
a) Keep the cord covered with a wet sterile dressing for the first week
b) Clean the stump with alcohol twice daily
c) Sponge bathe the infant until the stump falls off
d) Avoid exposing the stump to air
Answer: c) Sponge bathe the infant until the stump falls off
Explanation: Until the stump is dry and separated, sponge baths prevent moisture and infection. Exposure to air helps drying.
Which sign is an early indicator of internal hemorrhage?
a) Elevated blood pressure
b) Absent pulses in extremities
c) Increased heart rate and restlessness
d) Cool, flushed skin
Answer: c) Increased heart rate and restlessness
Explanation: Tachycardia and restlessness often precede hypotension in internal bleeding.
A nurse is teaching a diabetic client about a foot care regimen. Which instruction is most important to include?
a) Wash feet daily with hot water
b) Soak feet in warm water every evening
c) Inspect feet daily for cuts, blisters, or redness
d) Apply lotion between toes after washing
Answer: c) Inspect feet daily for cuts, blisters, or redness
Explanation: Early detection of issues helps prevent infections; lotion between toes can increase moisture and risk of fungal infections.
A nurse caring for a client with severe preeclampsia should first:
a) Administer magnesium sulfate bolus
b) Monitor deep tendon reflexes every hour
c) Place seizure pads on both sides of the bed
d) Assess intake & output strictly
Answer: c) Place seizure pads on both sides of the bed
Explanation: Safety first — seizure precautions minimize injury risk in case a convulsion occurs.
A patient with COPD has oxygen prescribed at 2 L/min via nasal cannula. The patient becomes confused and more lethargic. The nurse should first:
a) Increase the oxygen flow rate
b) Check arterial blood gases (ABG)
c) Raise the head of the bed & encourage deep breathing
d) Switch to a venturi mask
Answer: b) Check arterial blood gases (ABG)
Explanation: In COPD patients, over-oxygenation can lead to CO₂ retention; ABG helps assess gas exchange & guide therapy.
Which statement by a patient indicates understanding of teaching about warfarin therapy?
a) “I should take vitamin K supplements every day.”
b) “I will avoid foods high in leafy green vegetables.”
c) “I won’t need to have regular blood tests after starting.”
d) “I can take aspirin if I have pain.”
Answer: b) “I will avoid foods high in leafy green vegetables.”
Explanation: Vitamin K impacts warfarin effect; consistent intake is important. Choices (a), (c), (d) are incorrect or unsafe.
A nurse assesses a post-op client who is complaining of sudden chest pain, shortness of breath, and has tachycardia and hypotension. What is the priority action?
a) Give supplemental oxygen
b) Obtain ECG
c) Assess for deep vein thrombosis signs
d) Contact surgeon immediately
Answer: a) Give supplemental oxygen
Explanation: First priority is to ensure oxygenation; then further diagnostics & notifying appropriate personnel.
A pediatric client with dehydration from diarrhea has dry mucous membranes, sunken eyes, decreased skin turgor. Which electrolyte imbalance is the nurse especially concerned about?
a) Hyperkalemia
b) Hypokalemia
c) Hypernatremia
d) Hyponatremia
Answer: b) Hypokalemia
Explanation: Diarrhea causes loss of K⁺; hypokalemia can cause cardiac & muscular dysfunction.
Which is the best action to reduce risk of medication error when administering multiple drugs?
a) Use trailing zero (like 1.0 mg) where necessary
b) Read the label only once before giving the medication
c) Check the “five rights” each time (right patient, drug, dose, route, time)
d) Rely on memory for frequently administered medications
Answer: c) Check the “five rights” each time
Explanation: Using the five rights consistently is a core safety strategy.
A client in labor at 9 cm dilation says “I feel like pushing” but the cervix is not yet fully dilated. The nurse’s best response:
a) Assist with bearing down anyway to relieve discomfort
b) Encourage panting breaths until full dilation
c) Administer pain medication immediately
d) Help change position every 15 minutes
Answer: b) Encourage panting breaths until full dilation
Explanation: Pushing too early can cause cervical edema and complications; panting breaths help postpone pushing until full dilation.
The nurse is planning discharge teaching for a newborn’s umbilical cord care. Which instruction is correct?
a) Keep the cord covered with a wet sterile dressing for the first week
b) Clean the stump with alcohol twice daily
c) Sponge bathe the infant until the stump falls off
d) Avoid exposing the stump to air
Answer: c) Sponge bathe the infant until the stump falls off
Explanation: Until the stump is dry and separated, sponge baths prevent moisture and infection. Exposure to air helps drying.
Which sign is an early indicator of internal hemorrhage?
a) Elevated blood pressure
b) Absent pulses in extremities
c) Increased heart rate and restlessness
d) Cool, flushed skin
Answer: c) Increased heart rate and restlessness
Explanation: Tachycardia and restlessness often precede hypotension in internal bleeding.
A nurse is teaching a diabetic client about a foot care regimen. Which instruction is most important to include?
a) Wash feet daily with hot water
b) Soak feet in warm water every evening
c) Inspect feet daily for cuts, blisters, or redness
d) Apply lotion between toes after washing
Answer: c) Inspect feet daily for cuts, blisters, or redness
Explanation: Early detection of issues helps prevent infections; lotion between toes can increase moisture and risk of fungal infections.
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