ব্যাখ্যা: Function of religion: Relief of fear & anxiety, Self-justification, Social control, Moral guidance.
৫. Informed consent must include:
ক) Risks, benefits, and alternatives✔
খ) Only the benefits✔
গ) The cost of treatment✔
ঘ) The nurse's personal opinion✔
সঠিক উত্তর: ক) Risks, benefits, and alternatives
ব্যাখ্যা: Inform consent taken for- Risks, Benefits, Alternate care, Nature of treatment, Opportunity for questions, Check for understanding.
৬. The dopamine hypothesis is primarily associated with:
ক) Depression✔
খ) Schizophrenia✔
গ) Generalized Anxiety Disorder✔
ঘ) OCD✔
সঠিক উত্তর: খ) Schizophrenia
ব্যাখ্যা: Dopamine is one of the feel good neurotransmitters. It is a molecule that is important for movement, motivation & learning. Dopamine hypothesis- Psychosis/schizophrenia is due to excessive dopaminergic tone. Psychotic symptoms are relieved by blockade of dopamine receptors with neuroleptic medications.
৭. A diabetic patient insists on fasting during Ramadan despite health risks. What should the nurse do?
ক) Forbid fasting and threaten discharge✔
খ) Consult a religious leader and doctor for a balanced solution✔
গ) Ignore the issue to avoid conflict✔
ঘ) Scold the patient for irresponsible behavior✔
সঠিক উত্তর: খ) Consult a religious leader and doctor for a balanced solution
ব্যাখ্যা: If a Diabetic patient insists on fasting during Ramadan helps to Consult a religious leader and doctor for a balanced solution. Note: Healthcare providers are equipped to offer advice to Muslims with diabetes who choose to fast in order to avoid the common potential complications, such as hypoglycemia, hyperglycemia and diabetic.
৮. A patient complains about unhygienic hospital conditions. How should the nurse address this?
ক) Blame the patient for being ungrateful✔
খ) Acknowledge the concern and report it to management✔
গ) Ignore the complaint due to lack of resources✔
ঘ) Tell the patient to clean the area themselves✔
সঠিক উত্তর: খ) Acknowledge the concern and report it to management
ব্যাখ্যা: 6 ways to deal with patient complaints: Listen attentively, Stay calm & understand what the concern in, Apologize & repeat, Explain, Document patient complaints, Thanks the patient.
৯. What is the solvent in a saltwater solution?
ক) Water✔
খ) Salt✔
গ) Sodium✔
ঘ) Chloride✔
সঠিক উত্তর: ক) Water
ব্যাখ্যা: Solute, solvent, solution: Solute - the substance that dissolves in a liquid. E.g. salt. Solvent - the liquid that dissolves the solute. E.g. water. Solution - the mixture formed when solute dissolves in the solvent. E.g. saltwater.
১০. Immediate newborn care includes
ক) Dry, stimulate, and delay cord clamping✔
খ) Bathe before skin-to-skin✔
গ) Suction mouth aggressively✔
ঘ) Separate from mother✔
সঠিক উত্তর: ক) Dry, stimulate, and delay cord clamping
ব্যাখ্যা: Essential care measures for newborns that include: Drying, warming, tactile stimulation, delayed cord clamping, Assessment of breathing, Skin to skin contact & early breastfeeding initiation, Preventing infection, Assess health issues, Recognizing & responding to danger signs.
১১. How many pairs of ribs are present in the human body?
ক) 10✔
খ) 11✔
গ) 12✔
ঘ) 13✔
সঠিক উত্তর: গ) 12
ব্যাখ্যা: How many? 24 Ribs (12 pairs) 3 Types: True Ribs (1-7), False Ribs (8-10), Floating Ribs (11-12) (চিত্র বিবরণ: বক্ষপিঞ্জর বা Rib cage এর Anterior view তে বিভিন্ন প্রকার পাঁজরের অবস্থান নির্দেশিত)
১২. The smallest bone in the human body is:
ক) Incus✔
খ) Malleus✔
গ) Stapes✔
ঘ) Hyoid✔
সঠিক উত্তর: গ) Stapes
ব্যাখ্যা: The stapes also known as stirrup is the smallest & lightest bone in the human body. (চিত্র বিবরণ: কানের তিনটি অস্থি- Malleus, Incus এবং Stapes এর গঠন)
১৩. The primary function of hemoglobin is to:
ক) Fight infection✔
খ) Transport oxygen✔
গ) Regulate blood pressure✔
ঘ) Produce hormones✔
সঠিক উত্তর: খ) Transport oxygen
ব্যাখ্যা: Functions of hemoglobin: Oxygen transport - primary function, Carbon-di-oxide transport, pH regulation, Transport of Nitric-oxide, Role in oxygen affinity regulation, Gives blood its red color.
১৪. Which analgesic is contraindicated in peptic ulcer disease?
ক) Acetaminophen✔
খ) Diclofenac✔
গ) Morphine✔
ঘ) Tramadol✔
সঠিক উত্তর: খ) Diclofenac
ব্যাখ্যা: NSAIDs risks for patients with peptic ulcer disease- Diclofenac, Ibuprofen, Naproxen, ✓ Aspirin.
১৫. Hookworm infection typically causes:
ক) Jaundice✔
খ) Diarrhea✔
গ) Hematuria✔
ঘ) Iron deficiency anemia✔
সঠিক উত্তর: ঘ) Iron deficiency anemia
ব্যাখ্যা: Hookworms are parasites that affect the small intestine & lungs. If a hookworm infection that lasts a long in a person's body, that person could become anemic.
১৬. Which of the following is a DNA virus?
ক) Influenza virus✔
খ) HIV✔
গ) Hepatitis B virus✔
ঘ) Dengue virus✔
সঠিক উত্তর: গ) Hepatitis B virus
ব্যাখ্যা: On the basis of genetic material viruses are classified as DNA & RNA viruses-
DNA viruses
RNA viruses
✓ Herpesviridae - EBV, CMV
✓ Bunyaviridae - hantaan
✓ Hepadnaviridae - HBV
✓ Arenaviridae - lassa
✓ Adenoviridae - adenovirus
✓ Togaviridae - rubella, chikungunya
✓ Parvoviridae - B19
✓ Orthomyxoviridae - influenza virus
✓ Poxviridae - smallpox
✓ Flaviviridae - yellow fever, dengue, Hepatitis C
-
✓ Filoviridae - ebola, marburg
১৭. She is allergic ___ cats.
ক) to✔
খ) with✔
গ) for✔
ঘ) at✔
সঠিক উত্তর: ক) to
ব্যাখ্যা: English grammar এ 'Allergic' শব্দটির পর সর্বদা Appropriate Preposition হিসেবে 'to' ব্যবহৃত হয়। কোনো ব্যক্তি, কোনো নির্দিষ্ট খাবার, প্রাণী, বস্তুর প্রতি অসুস্থতা অনুভব করা বুঝালে to ব্যবহৃত হয়। উদাহরণ: He is allergic to dust.
১৮. What does LAN stand for?
ক) Large Area Network✔
খ) Low Access Network✔
গ) Local Area Network✔
ঘ) Limited Area Network✔
সঠিক উত্তর: গ) Local Area Network
ব্যাখ্যা: LAN এর পূর্ণরূপ হল Local Area Network। এটি এমন একটি কম্পিউটার নেটওয়ার্ক যা খুব সীমিত এলাকা বা নির্দিষ্ট ভৌগোলিক সীমানার মধ্যে সীমাবদ্ধ থাকে। পরিধি: সাধারণত একটি বাড়ি, অফিস কক্ষ, স্কুল বা কোনো একটি নির্দিষ্ট ভবনের মধ্যে এই নেটওয়ার্ক কাজ করে। গতি: এর ডেটা ট্রান্সফার গতি অনেক বেশি হয়। উদাহরণ: WiFi, ইথারনেট ক্যাবলের মাধ্যমে একটি অফিসের সব কম্পিউটারকে একটি LAN Network এ তৈরি করা হয়।
১৯. During acute respiratory distress syndrome, what ventilator mode is commonly used?
গ) Volume Control Ventilation with low tidal volume✔
ঘ) Pressure support ventilation✔
সঠিক উত্তর: গ) Volume Control Ventilation with low tidal volume
ব্যাখ্যা: Most common ventilator mode used for ARDS that is Assist-control modes whether using volume or pressure control. It's primarily used in conjunction with a lung-protective strategy to prevent further lung damage. 10 golden rules to lung-protective ventilation in ARDS: 1. Low tidal volume 2. Plateau pressure control 3. Driving pressure optimization 4. Respiratory rate: slower is better 5. PEEP: Individualized, not universal 6. Mechanical power: integrative concept 7. Positioning 8. Neuromuscular blocking agents 9. Recruitment maneuvers 10. Rescue therapies.
২০. Which of the following drugs is contraindicated in a patient with increased intracranial pressure?
ক) Mannitol✔
খ) Furosemide✔
গ) Hypertonic saline✔
ঘ) Morphine✔
সঠিক উত্তর: ঘ) Morphine
ব্যাখ্যা: Opioids are causes of nausea & vomiting. Vomiting severely spikes ICP. These types of medicine contraindicated for IICP- Morphine, Alfentanil.
২১. What is the first step in triage during a mass casualty incident?
ক) Start CPR on all victims✔
খ) Identify and treat the most injured first✔
গ) Sort patients based on severity✔
ঘ) Call for ambulance✔
সঠিক উত্তর: গ) Sort patients based on severity
ব্যাখ্যা: Understanding triage system: Immediate - given according to severity. Any airway, breathing or circulation issues. Unable to follow commands, breathing but unconscious. Delayed - obeys commands, strong pulses, not in respiratory distress, bleeding is controlled but they have got something serious going on. Minor - walking wounded ask anyone that is able to walk relocate themselves to other predesignated area for a secondary assessment later.
২২. After CPR, the nurse finds no pulse. What is the next step?
ক) Stop CPR✔
খ) Continue compressions✔
গ) Give aspirin✔
ঘ) Wait for doctor✔
সঠিক উত্তর: খ) Continue compressions
ব্যাখ্যা: Basic steps of CPR- Check responsiveness, Call for help, Chest compressions 30 compressions: 2 Rescue breaths. Rescue breath - 2 after every 30 compressions. If pulse is not palpable, continue cycles until the help arrives, Use AED if available.
২৩. Tetanus prophylaxis is important for patients with:
ক) High fever✔
খ) Clean surgical wounds✔
গ) Contaminated open wounds✔
ঘ) Blunt trauma✔
সঠিক উত্তর: গ) Contaminated open wounds
ব্যাখ্যা: Tetanus prophylaxis in wound management-
History of tetanus immunization
Clean, minor wounds
All other wounds dirty, severe
Uncertain or <3 doses
Tetanus toxoid
Tetanus toxoid + TIG
3 or more doses
If >10 years since last dose give TT
If >5 years since last dose give TT
২৪. What is the 'golden hour' in trauma care?
ক) First 10 minutes after injury✔
খ) First 30 minutes✔
গ) First 1 hour✔
ঘ) After 24 hours✔
সঠিক উত্তর: গ) First 1 hour
ব্যাখ্যা: The first 60minutes after trauma are crucial. (চিত্র বিবরণ: 'THE GOLDEN HOUR' সাইক্লিক ডায়াগ্রাম- Response and scene assessment, Casualty emergency care, Rapid extrication, Transportation, ER, Surgical intervention)
২৫. Which position is best for a patient in shock?
ক) Sitting upright✔
খ) Legs elevated✔
গ) Lying flat with head elevated✔
ঘ) Right lateral✔
সঠিক উত্তর: খ) Legs elevated
ব্যাখ্যা: For a patient in shock the best position is lying flat on their back with their feet elevated.
২৬. What is the normal respiratory rate in infants (0-12 months)?
ক) 10-20 breaths/min✔
খ) 30-60 breaths/min✔
গ) 20-30 breaths/min✔
ঘ) 60-80 breaths/min✔
সঠিক উত্তর: খ) 30-60 breaths/min
ব্যাখ্যা: Breathing rates by age-
Age category
Age range
Normal respiratory range
Infant
0-12months
30-60 breaths/min
Toddler
1-3years
24-40 breaths/min
School age
6-12 years
18-30breaths/min
Adolescent
13-18years
12-16breaths/min
২৭. WHO recommends continued breastfeeding up to:
ক) 12 months✔
খ) 18 months✔
গ) 24 months and beyond✔
ঘ) 9 months✔
সঠিক উত্তর: গ) 24 months and beyond
ব্যাখ্যা: WHO & UNICEF recommends for breastfeeding- Early initiation of breastfeeding within 1 hour of birth, Exclusive breastfeeding for the first 6 months of life, Introduction of nutritionally adequate & safe complementary foods at 6 months together with continue breast feeding up to 2 years of age & beyond.
২৮. Which vitamin is essential for blood clotting?
ক) Vitamin A✔
খ) Vitamin D✔
গ) Vitamin E✔
ঘ) Vitamin K✔
সঠিক উত্তর: ঘ) Vitamin K
ব্যাখ্যা: Essential vitamins for human body
Vitamins
Benefits
Vitamin A
Eye health
Vitamin B1
Energy
Vitamin B6
Brain & mood
Vitamin B12
Red blood cells
Vitamin C
Immunity, anti oxidant, wound healing
Vitamin D
Bone mineralization
Vitamin K
Blood clotting, bone health
২৯. The most effective method of preventing infectious disease is:
ক) Immunization✔
খ) Antibiotics✔
গ) Surgery✔
ঘ) Bed rest✔
সঠিক উত্তর: ক) Immunization
ব্যাখ্যা: Prevention of infections- Hand washing, Immunization, Use protective gear, Disinfect surfaces, Cover coughs & sneezes, Cover up cuts & wounds.
৩০. The most important characteristic of a nurse is:
ক) Technical skills✔
খ) Empathy✔
গ) Strong voice✔
ঘ) Physical strength✔
সঠিক উত্তর: খ) Empathy
ব্যাখ্যা: Qualities of a nurse- Truthfulness, Honesty, Caring, Empathy, Acceptance, Punctuality, Confidence, Kindness, Intelligence.
৩১. Which method is used to assess oxygen saturation?
ক) Thermometer✔
খ) Pulse oximeter✔
গ) Sphygmomanometer✔
ঘ) Glucose meter✔
সঠিক উত্তর: খ) Pulse oximeter
ব্যাখ্যা: Pulse oximeter is a medical device to assess oxygen saturation & heart rate.
৩২. How often should repositioning be done for patients confined to bed?
ক) Every 8 hours✔
খ) Every 12 hours✔
গ) Every 2 hours✔
ঘ) Once daily✔
সঠিক উত্তর: গ) Every 2 hours
ব্যাখ্যা: Standard guidelines for repositioning- Every 2 hours, The rule of 30- keeping head of the bed elevated at 30°, Skin checks.
৩৩. Which route provides the fastest drug absorption?
৩৬. A highly contagious skin infestation caused by mites is:
ক) Impetigo✔
খ) Psoriasis✔
গ) Herpes✔
ঘ) Scabies✔
সঠিক উত্তর: ঘ) Scabies
ব্যাখ্যা: Highly contagious skin infestation in scabies. It's caused by the human itch mite.
৩৭. Blood transfusion reactions most commonly occur within:
ক) 2-4 hours✔
খ) 6-8 hours✔
গ) 15-30 minutes✔
ঘ) 1 hours✔
সঠিক উত্তর: গ) 15-30 minutes
ব্যাখ্যা: The most severe acute reactions frequently present within the first 15-30minutes of starting the blood product.
৩৮. A patient with chickenpox is isolated until:
ক) Fever subsides✔
খ) Cough ends✔
গ) Pain stops✔
ঘ) All lesions are crusted✔
সঠিক উত্তর: ঘ) All lesions are crusted
ব্যাখ্যা: Patients with chickenpox are contagious for 1-2days before the rash appears & continue until all the blisters are crusted over. So that, a patient with chickenpox should be isolated until all lesions/ blisters are crusted over.
৩৯. Which of the following is a cardinal symptom of disease?
ক) Cyanosis✔
খ) Anemia✔
গ) Edema✔
ঘ) None of above✔
সঠিক উত্তর: ঘ) None of above
ব্যাখ্যা: Cardinal symptoms of inflammation- Rubor-redness, Calor-heat, Tumor- swelling, Dolor-pain, Functio laesa- loss of function.
৪০. The normal urine output per day in an adult is:
ক) 500-1000 mL✔
খ) 1000-1500 mL✔
গ) 1500-2000 mL✔
ঘ) 2000-2500 mL✔
সঠিক উত্তর: খ) 1000-1500 mL
ব্যাখ্যা: Normal volume of urine excreted per day is 1000-1500ml. Note: Normal standard range 800-2000ml/day so that 1000-1500 is the most appropriate answer.
৪১. The primary goal of preoperative nursing is to:
ক) Administer anesthesia✔
খ) Ensure patient safety and readiness for surgery✔
গ) Perform surgical skin prep✔
ঘ) Monitor postoperative pain✔
সঠিক উত্তর: খ) Ensure patient safety and readiness for surgery
ব্যাখ্যা: Goals of preoperative nursing: Assess all kinds of risk & ensure patient safety. Health teaching patient & supportive people. Preparation of the patient for surgery.
৪২. Why is proper ventilation important in the operating room?
ক) To reduce the risk of airborne pathogens✔
খ) To keep the surgical team comfortable✔
গ) To prevent the buildup of anesthetic gases✔
ঘ) All of the above✔
সঠিক উত্তর: ঘ) All of the above
ব্যাখ্যা: Main functions of operating room ventilation: To dilute airborne contamination, To assist the removal of dilute, waste anesthetic gases, To control temperature, if necessary- the humidity of the space, To control air movement, To prevent suffocation inside the closed space.
৪৩. Which surgical procedure is used to treat severe epilepsy when medications fail?
৪৪. Which of the following is a late sign of hemorrhage in a postoperative patient?
ক) Restlessness✔
খ) Tachycardia✔
গ) Hypotension✔
ঘ) Decreased urine output✔
সঠিক উত্তর: গ) Hypotension
ব্যাখ্যা: Late signs of postoperative hemorrhage: Sudden tachycardia, Hypotension, Pallor, Confusion, New bright bleeding from the surgical wound.
৪৫. Which surgical team member is responsible for ensuring proper equipment function?
ক) Biomedical technician✔
খ) Circulating nurse✔
গ) Scrub nurse✔
ঘ) Surgeon✔
সঠিক উত্তর: গ) Scrub nurse
ব্যাখ্যা: Members of surgical team: Surgeon, Surgical assistant, Anesthesiologist, Certified registered nurse anesthetist, Holding area nurse, Circulating nurse, Scrub nurse, Surgical technologist, ✓ Operating room technician. Role of Scrub nurse: Work directly with surgeon within the sterile field. Ensures proper equipment functioning by performing rigorous checks & maintaining sterility. Passing instruments, sponges & other items needed during the procedure. Members of the surgical team who prepares & preserves a sterile field in which the operation can take place. Responsible for sponge counts, the blades & needles, instruments check throughout the operation.
৪৬. A placenta previa presents with:
ক) Painless bright red bleeding✔
খ) Severe abdominal pain✔
গ) No symptoms✔
ঘ) Hypertension✔
সঠিক উত্তর: ক) Painless bright red bleeding
ব্যাখ্যা: Features of placenta previa: Painless bright red vaginal bleeding, Gradual anemia, Pallor, ✓ Rapid, weak pulse, Hypotension, Abnormal fetal position.