krok b nursing

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.,

Boyechko V.F., Brizhatova L.I., Bryancev O.M., Budnik O.M., Butyeva L.V., Chechel I.YU.,

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

Demyanchuk T.M., Dudko L.I., Gantimurova G.T., Gladchenko M.M., Gorodecka V.I.,

Gorovenko O.L., Gubar S.O., Guzenko B.V., Guzhva V.Y., Ignatova T.V., Ilyasov S.V.,

Kalinichenko O.V., Kharchenko YU.O., Khimich T.YU., Kobilyanska N.V., Koktishev I.V.,

Kornyushkin S.V., Koshan M.YU., Kovalchuk V.S., Kovtun M.G., Krivuschev B.I.,

Kukharkuk F.O., Lavska V.I., Lazko A.M., Lazko T.O., Lesik-Lisna O.A., Lizogub YU.I.,

Mekhtikhanov M.S., Melnik G.I., Mischenko O.M., Moskalenko L.M., Mukhina K.SH.,

Nagorniy A.I., Nefedova G.A., Nikolayenko V.V., Onopriyenko I.M., Osaulenko YU.V.,

Panikova T.M., Paschenko L.G., Pasichnik O.V., Pitukh O.O., Podnosova L.M., Popova L.V.,

Prilipska N.I., Prushkovska O.M., Ratushna S.V., Reznichenko L.I., Ruchko A.F., Rzevska O.O.,

Sabkovska KH.O., Shinkar O.V., Shinkariova S.K., Shveda YU.I., Sidorenko YU.V.,

Sinyugina V.O., Sklyanska N.YA., Slabodchikova S.YU., Sokolova N.S., Sovyak T.O.,

Sukhinskiy R.K., Titarenko G.G., Tokar-Bilyayeva O.P., Troc V.M., Trofimov M.V.,

Usenko S.G., Ustimenko V.A., Vaschuk V.I., Vesklyarova U.P., Vibicka O.V., Vinograd L.V.,

Vovk V.T., Yaremenko O.L., Yermolenko T.I., Zadorozhniy V.V., Zayceva V.P.,

Zhuromskiy V.S. 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 2013 1

1. A male patient with a severe crani-ocerebral trauma has been unconsci-ousness for a long time. What feedingmethod should be used in this case?

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

2. A 58-year-old patient has a long historyof gastric ulcer. For the last year he hascomplained of appetite loss, dissatisfacti-on with food, bloating and heaviness in thestomach, belching. He has also lost up to 10kg within two months. In blood: anaemia.What kind of disease should be suspectedin the first place?

A. Malignization of gastric ulcerB. Exacerbation of gastric ulcerC. Iron deficiency anemiaD. Complication of gastric ulcer withhemorrhageE. Alimentary cachexia

3. A 34-year-old patiet got a cut wound7х0,3 cm large in the region of poplitealfossa. The wound is gaping and bleeding.Bright red blood comes out in pulsatingjets. Specify the scope of the first aid:

A. Application of a tourniquetB. Application of an occlusive bandageC. Application of a compressive bandageD. Application of haemostatic spongeE. Immobilization with Diterichs’ splint

4. 2 hours after the operation on stomachunder general anesthesia a 36-year-oldpatient presented with respiratory di-sorder: superficial, arrhythmic respirationup to 24-26/min, cyanosis and tachycardia.AP- 140/90 mm Hg, the patient stayedconscious. The first aid should be startedwith:

A. Ensuring airway patencyB. An injection of caffeine solutionC. Artificial lung ventilationD. Further active monitoring of the patientE. Connecting the patient to the artificialrespirator

5. 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

6. Ten days after an intramuscularinjection a patient developed a painfulinflammatory formation in the upperexternal quadrant of the right buttock.Over the last three days she has presentedwith body temperature rise up to 38oC atnight. What is the most likely diagnosis?

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

7. Medical histories are kept in the cells ofregistry. There is such information as distri-cts, steets, house and flat numbers. Eachdistrict has a colour code that can be foundon the cells and medical history covers.What organizational system of medical hi-stories storage is used in this registry?

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

8. A municipal hospital rendersambulatory services in the following way:each internist along with a nurse servesadult population of assigned territory witha certain number of dwellers. What princi-ple of ambulatory care organisation is usedin this municipal hospital?

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

9. 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


10. 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"

11. A 66-year-old male patient complai-ns about discomfort, anus itch and peri-odical bleeding after defecation. He hashad these presentations for about 3 years.Bleeding has become more frequent overthe last 6 months. Examination revealsbluish nodes sized about 1cm in the analregion in 7 and 11 o’clock-position. Whatis the most likely cause 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 visiting nurse makes a regular homevisit to a healthy 3-month-old child. Tocalculate the daily amount of food she usesthe volumetric method. What is the duedaily amount for this child?

A. 1/6 of body weightB. 1/5 of body weightC. 1/7of body weightD. 1/8 of body weightE. 1/4 of body weight

14. A child developed a disease Iin thesecond year of life when his mother noti-ced formation of large bruises after mi-nor injuries. The child was admitted to thehospital with a bleeding into the knee joi-nt. What disease can be suspected?

A. HaemophiliaB. Rheumatic carditisC. Rheumatoid arthritisD. Thrombocytopenic purpuraE. Acute vascular purpura

15. Examination of a 7-year-old chi-ld revealed dullness on percussion overthe lungs below the angle of scapula,auscultation revealed harsh respirationand small bubbling rales. A nurse shouldthink of the following disease:

A. Focal pneumoniaB. Acute viral pneumoniaC. Acute laryngotracheitisD. Acute nasopharyngitisE. Acute bronchitis

16. 2 weeks after recovering from angina a10-year-old boy presented with headache,swelling of eyelids, gross hematuria. Whatdisease are these symptoms typical for?

A. GlomerulonephritisB. RheumatismC. PyelonephritisD. PneumoniaE. Cholecystitis

17. A 7-year-old child underwent Mantouxtest. 72 hors later an infiltration 18 mmin diameter was revealed. What does itmean?

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 thatwere born 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. It is required to calculate the profi-tability of a medical preventive instituti-on. What data should be applied for thispurpose?

A. Economic profit of the institution andthe net cost of production assetsB. Net cost of medical servicesC. Net cost of production assets and generalexpensesD. Price and net cost of medical servicesE. Net cost of medical services and totalspending according to budget items

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 surgical unit of a municipal hospi-tal had been found to have high rateof postoperative mortality. The medi-cal council took some management deci-sions aimed at identifying the causesand reduction of mortality rate in thesurgical unit. Which form of healthcaremanagement is observed in this situation?

A. ExpertB. LinearC. FunctionalD. CollectiveE. Corporate

23. The study investigates causes of injuri-es among workers of a metallurgical plant.What type of observation (in terms of ti-me) should be used?

A. CurrentB. MethodicalC. ProlongedD. RandomE. Simultaneous

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. A 45-year-old driller complains of dullpain in his hands at night, creeps, chi-ll hands, headaches, poor sleep. He alsoobserves whitening of fingers after washi-ng his hands with cold water. Whiteningof skin of the finger phalanges is observedduring application of the following exami-nation test:

A. Cold testB. CapillaroscopyC. Test for reactive hyperaemiaD. PallesthesiometryE. Dolorimetry

27. The plan for rickets prevention inpremature infants should include moni-toring the timely specific prevention of ri-ckets. It should be done since the followingage of a child:

A. From the 10th day of lifeB. From the 1st monthC. From the 1st week of lifeD. From 1,5 monthsE. In the 2nd month of life

28. 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 epigastriumregion. Ps- 95/min. The tongue is coated.What manipulation should be carried outby the nurse on doctor’s orders first of all?

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


29. A patient with facial andoropharyngeal trauma was delivered to thetraumatology department. These traumasmay cause such potential problems asaspiration of vomit masses and aspirationpneumonia. The main method of solvingthese problems is:

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

30. 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

31. What is the aim of briefing sessionconducted by the head nurse, deputy chiefdoctor for nursing?

A. To pass the information down the lineaccording to the management instructionB. To exchange the information on taskperformanceC. To give the instructions to the staffD. To instruct the staff on task performanceE. -

32. 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

33. 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

34. 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 crepitationat the deformity site. What can a nursesuspect?

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

35. What are the indoor storage conditionsfor the medical products made of plastic?

A. Temperature of 10-15oC, relative humi-dity of 55-70%B. Temperature of 10-20oC, relative humi-dity of 60-70%C. Temperature of 0-20oC, relative humidi-ty less than 50%D. Temperature of 0-20oC, relative humidi-ty 60%E. Temperature of 10-20oC, relative humi-dity of 55-70%

36. What normative document regulatesthe conditions and rules for drug storage?

A. Order of Ministry of Health of Ukraine№ 44B. Order of Ministry of Health of Ukraine№ 436C. Decree of the Cabinet of MinistersUkraine № 447D. Order of Ministry of Health of Ukraine№ 356E. Order of Ministry of Health of Ukraine№ 197

37. 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

38. An information document comprisi-


ng bibliographic records and including asummary of the document’s contents orits parts, containing basic factual data andconclusions required for the initial insightinto a document is called:

A. Abstract documentB. Bibliographic documentC. Overview documentD. Analytical documentE. Overview and analysis document

39. At the first stage of nursing examinati-on a nurse revealed mucous membranebleeding, metrorrhagia and "leopardspots". Bleeding time was increased. Whatis the most likely diagnosis?

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

40. 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

41. What occupational diseases isaccompanied by angiodystrophic, angi-ospastic, vestibular syndromes as wellas syndromes of nerve affection andvegetomyofascitis?

A. Pneumatic hammer diseaseB. Caisson diseaseC. Altitude sicknessD. Radiation sicknessE. Occupational deafness

42. A patient with haemorrhoids asksto explain the most common causes thatprovoke exacerbation of the disease. Whi-ch of the listed provocations is most likely?

A. Alcohol consumptionB. Hot bathsC. CyclingD. Abstinence of rich foodE. Use of laxatives

43. A victim delivered to a feldsher-midwife station was found to have clinicalsigns of internal bleeding. First aid drugs

for arterial bleeding include:

A. DicynoneB. HydrocortisoneC. AlmagelD. VikasolE. Cresolum

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

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

45. 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

46. A patient complains of generalweakness, dizziness, sensation of creeps,numbness in the lower extremities, peri-odical darting pain in the extremities, aswell as burning of the tongue tip. Objecti-vely: pale skin, subicteric scleras, bri-ght red, glossy and smooth tongue. Inblood: colour index - 1,4, macrocytosis ofred blood cells, anisocytosis, Jolly bodi-es, Cabot’s rings. What disease are thesesymptoms typical for?

A. B12-folic acid deficiency anaemiaB. Iron deficiency anaemiaC. Chronic haemorrhagic anaemiaD. Haemolytic anaemiaE. Thrombocytopenia

47. 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 todrink in such condition per 1 kg of child’sbody weight?


A. 50-100 mlB. 70-90 mlC. 100-130 mlD. 160-170 mlE. 170-200 ml

48. 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

49. 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

50. A 42-year-old female patient complainsabout foul taste in the moth, poor appeti-te, nausea, stomachache, eructation, vomi-ting at times, frequent pangs in the epi-gastric region. There are constipationstaking turns with diarrheas. Objectively:there is a lilac-grey stipe on the gums, theskin is sallow and pale. What substance isthe cause of intoxication?

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

51. At the beginning of the working day thehead nurse of a department holds a dailybriefing session (dispatching session) withthe department staff. What is its purpose?

A. To give the information on the currentsituation, plans for the dayB. To pass the information down the lineaccording to the managerial structureC. To instruct the staff on the taskperformanceD. To solve an urgent problemE. To exchange the information on the taskperformance

52. You work as a nurse at a private cli-nic and one of your functional duties ismarketing promotion of medical servi-ces. It involves realization of the followingfunctions:

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

53. Collecting material for an essayinvolves psychological and pedagogicalresearch. To increase the objectivity andreliability of the results it is recommendedto apply:

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

54. 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

55. To make a report on the research workone should use the following type of bibli-ographic list:

A. NumericB. AlphabeticalC. ChronologicalD. Alphabetical and chronologicalE. Systematic

56. A 45-year-old drillman complainsabout aching hand pain disturbing himat night, creeping sensation, hands chill,headache and sleep disorder. In addition,notes blanching of fingers after washinghands with cold water. What disease mightbe suspected?


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

57. 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

58. 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

59. 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

60. 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

61. A 35-year-old patient consults asurgeon about the right shin injury. Thesurgeon found out that the patient hadn’tbeen vaccinated against tetanus over thelast 3 years. What drug should be used forurgent tetanus prevention in this case?

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

62. A 65-year-old female patientundergoes treatment for right cervical hipfracture at the traumatology department.After the operation the skeletal extensi-on was applied. What can be the cause ofosteomyelitis development?

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

63. 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

64. A 40-year-old in-patient undergoestreatment for the community-acquiredpneumonia with pronounced clinicalsymptoms. What can happen to himin the period of sudden drop in bodytemperature?

A. CollapseB. InsultC. InfarctionD. ComaE. Biliary colic

65. A patient complains about cough wi-th expectorating a mouth-full of sputum.Objectively: "drumstick fingers", "watch-glass nails". What disease are thesesymptoms characteristic of?

A. BronchiectasisB. Pulmonary emphysemaC. Pulmonary tuberculosisD. PleurisyE. Pneumonia

66. 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 injection


should be given to the patient first of all?

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

67. A 2-year-old boy has been ill for 3 days.He is gravel-voiced, "barking cough"ispresent. The child developed dyspneaat night. The skin is cyanotic, auxiliarymuscular system takes part in breathing.What urgent state corresponds with suchsymptoms?

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

68. A patient was found to have uri-nary syndrome: cloudy urine with a foulsmell, proteinuria (0,99 g/l), pyuria, cyli-ndruria, bacteriuria. What disease can besuspected?

A. PyelonephritisB. Chronic renal diseaseC. GlomerulonephritisD. CystitisE. Nephrotic syndrome

69. A patient complains of cough, bodytemperature rise up to 39oC and sternalpain. He has been provisionally diagnosedwith pneumonia. What is the most credibleadditional examination that will allow toconfirm the diagnosis?

A. X-rayB. SpirographyC. PneumotachometryD. PeakflowmetryE. Bronchoscopy

70. A 30-year-old patient complains ofhoarseness, laborious cough, inspiratorydyspnea. Objectively: stridor, pale andedematic face and neck. The edema isdense, localized on the lips, eyelids, neck.The patient has a history of allergies tocertain foodstuffs. What condition arethese symptoms typical for?

A. Quincke’s edemB. Bronchial asthmaC. Acute bronchitisD. PneumoniaE. Heart failure

71. A nurse looks after a patient of the

gastroenterologic department. Specify thepeculiarities of diet in case of gastric ulcer:

A. Boiled and ground foodB. Limited fluid intakeC. Increase in carbohydratesD. Avoidance of dairy productsE. Fasting days

72. A nurse cares for a patient withhypertensive crisis. She should applymustard plasters to the following anatomicregion:

A. OcciputB. Region of heartC. InterscapularD. ForeheadE. Sternum

73. A patient suddenly developedpronounced inspiratory dyspnea and drycough during the sleep. The patient’scondition progressively worsened, hedeveloped noisy bubbling breathing, coughwith pink foamy sputum. The patient wasadministered oxygen inhalation. Oxygenshould be humidified with:

A. Ethyl alcoholB. Distilled waterC. Tap waterD. Methyl alcoholE. Saline solution

74. A nurse working at the urologydepartment was asked to prepare theindigo carmine solution. What study is itintended for?

A. CystochromoscopyB. Intravenous urographyC. Retrograde pyeloureterographyD. Antegrade urographyE. Renal phlebography

75. After the transfusion of 500 ml of bloodstabilized with sodium citrate a 42-year-old patient developed convulsions, anxi-ety, accelerated heart rate, pressure drop,dyspnea. What complication is it?

A. Citrate shockB. Allergic reactionC. Anaphylactic shockD. Pyrogenic reactionE. Transfusion shock

76. A man with symptoms of acutecatarrhal intoxication with arseniccompounds was delivered to the hospital.Choose the antidotes that should be usedfor his treatment:


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

77. A head nurse working at a municipalhospital has been asked by a patient toexplain the main sources of public fundingof healthcare. What explanation should begiven?

A. General tax revenuesB. Fixed payments to the labour fundC. Target contributions of entrepreneursD. State subsidies from public or targetrevenuesE. State subventions

78. A nurse receives sterile bandagingmaterials for her department from a drug-store. While checking the marking ofsterile medical gauze she reveals non-compliance of the marking with the StateStandard 1172-93. What non-compliancemight have been revealed?

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

79. 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 wi-th diabetes mellitus for 5 years. Estimatethe patient’s condition:

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

80. 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

81. Disease prevention includes primary,secondary and tertiary prevention. Whichof the following relates to the objectives ofprimary prevention?

A. Prevention of diseasesB. Prevention of complicationsC. Prevention of further diseasedevelopmentD. RehabilitationE. Relapse prevention

82. 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

83. 10 days after angina a 19-year-old gi-rl consulted a district doctor about faceledemata, severe weakness. Objectively:pale skin, to-37, 4oC, HR- 98/min, AP-165/98 mm Hg. Heart sounds are muffled,there is aortic accent of the second sound.Urine is dark red in amount of 400 ml perday. The patient is to be hospitalized to thefollowing department:

A. NephrologicB. TherapeuticC. UrologicD. CardiologicE. Infectious

84. Which figure of bar code is thecontrol one and is used for checking thecorrectness of reading of strokes by thescanner?

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

85. In case of quantity discrepanciesrevealed during the acceptance of domesti-cally produced drugs the claim can be filedwithin:

A. No later than three daysB. Not later than seven daysC. Not later than ten daysD. During the yearE. During the shelf-life

86. A 45-year-old patient has inguinalhernia. After performing hard physicalwork the hernia became very painful, fi-rm, irreducible. The abdomen is irregularlyswollen, there is no release of gases. Whatcomplication has developed in this pati-


ent?

A. Incarcerated herniaB. Irreducible herniaC. Hernial inflammationD. CoprostasiaE. Ileus

87. Since birth a 2-year-old child presentswith cyanosis of skin and mucousmembranes which progresses with physicalload. Auscultation reveals rough systolicheart murmur. The child lags behind inphysical development, body weight is 10kg. These symptoms are typical for thefollowing pathology:

A. AtelocardiaB. Bronchial asthmaC. Rheumatic carditisD. MyocardiopathyE. Anaemia

88. 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

89. A patient with suspected gastric ulcerperforation has been delivered to theadmission ward. What diagnostic methodcan confirm the diagnosis?

A. Survey radiographyB. Ultrasonography of the abdomenC. IrrigoscopyD. Contrast radiographyE. Rheography

90. 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

91. One of the components of financialmanagement is estimation of health careprofitability. It indicates the quantity of

medical services rendered per year whi-ch cover the expenses for maintaining aninstitution and taking medical preventi-on actions. Profitability of an institutiondepends on the following indicators of itsacivity:

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

92. When a commodity expert working fora wholesale firm reveals shortages, damageor breakage of goods he should completethe receiving report in:

A. TriplicateB. One copyC. QuadruplicateD. Receiving report is not to be completedE. Duplicate

93. 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

94. 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 bythe employees should be compliant withtheir qualification and work experience.Specify the type of labour division:

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

95. The workers of the traumatologydepartment have a conflict with theworkers of surgical department about unti-mely cleaning of hospital territory. Whattype of conflict is it?


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

96. A scientific research begins withchoosing scientific direction, problem,topic and scientific questions. The directi-on of a scientific 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

97. A 5-year-old child presents with poorappetite, inertness, pale skin and mucousmembranes, dry skin, brittle hair. Inblood: Hb- 91 g/l, colour index - 07, ESR- 8 mm/hour. What disease are thesesymptoms most typical for?

A. AnaemiaB. PneumoniaC. StomatitisD. DyspepsiaE. Rickets

98. 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.The child is physically underdeveloped.Choose the disease that is characterisedby the described symptoms:

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

99. A 60-year-old patient is depressed, hesees everything in black, feels anguish,anxiety, fear, has thoughts of suicide. Whatemotional disorder is it?

A. DepressionB. ApathyC. EuphoriaD. DysphoriaE. -

100. A 17-year-old patient complains aboutpain in the right knee joint. He clai-ms to have been suffering from it sincechildhood. The nasal hemorrhages are

frequent. There are three children in thefamily: two boys and one girl. His brotherhas similar disease. Objectively: the kneejoint is swollen, palpation and movementscause pain. What is the most likely disease?

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

101. Nursing examination of a 70-year-old male patient with chronic atonic coli-tis revealed such problems as nausea,abdominal swelling and costiveness forover 3 days. What foodstuffs should thenurse recommend for costiveness preventi-on?

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

102. A nurse cares for a 19-year-old patientin the framework of nursing process. Thepatient complains of stabbing heart pain,palpitation, dyspnea on exertion, bodytemperature rise up to 38, 3oC at night.She has a history of frequent anginas. Amonth ago she had angina but underwentno treatment. After that there appearedthe mentioned problems. What disease arethese problems typical for?

A. Rheumatic diseaseB. Rheumatoid arthritisC. Arthrosis deformansD. GlomerulonephritisE. -

103. 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

104. A nurse works in the office ofpreventive vaccination of children ata pediatric clinic. Specify the medicaldocument intended for keeping records ofcompleted vaccinations:


A. Register for preventive vaccinationcount (form. № 064/o)B. Outpatient medical sheet (form №025/o)C. Register for procedure count (form №029/o)D. Infection incidence register (form№060/o)E. Outpatient register (form № 074/o)

105. A nurse recommends a patient withdiabetes mellitus to eat 30 minutes afteran insulin injection. This can prevent thefollowing complication:

A. Hypoglycemic comaB. Hyperglycemic comaC. Hyperosmolar comaD. Lactic acid comaE. Thyrotoxic coma

106. A nurse performs preventivetuberculosis vaccination to a newborn wei-ghing 3400 g. How long can the dilutedvaccine be used?

A. 2 hoursB. 6 hoursC. 3 hoursD. 5 hoursE. 10 hours

107. What test should be administered to achild after an attack of laryngospasm inorder to confirm spasmophilia diagnosis?

A. Biochemical blood test for calciumB. Complete blood countC. UrinalysisD. Biochemical blood test for C-reactiveproteinE. Blood test for bilirubin

108. Specify the type of demand thatremains actually unchanged in case of pri-ce variation:

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

109. A patient consulted a doctor aboutdyspnea, dry cough, constant chest pain.Chest radiograph shows nodular shadows1-2 mm in diameter located in the middleand inferior segments. It is known from thehistory that the patient has worked as a mi-ner for over 15 years. What disease can besuspected?

A. AnthracosisB. Pneumatic hammer diseaseC. Chronic bronchitisD. Pulmonary tuberculosisE. Pneumonia

110. A woman complains about abrupttemperature rise, myalgia, cough, sharpintermittent stomachache, metalic tastein the mouth and nasal bleedings. It isknown from the past history that she hadprocessed tomatoes with bordeaux chemi-cals for 2 days. Objectively: AP- 80/50 mmHg, Ps- 60/min, there is skin rash on theupper and lower extremities. Which pesti-cides might have caused the described di-sease?

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

111. While drawing up an annual plan forpreventive vaccination of 6-year-old chi-ldren the head nurse of a kindergartenshould schedule the following vaccinati-ons:

A. DT, polio, rubella, measles, mumpsB. DPT, polio and Haemophilus influenzaeC. DT, polio, BCGD. DT, hepatitis B, measles, mumpsE. Polio, DT

112. A 23-year-old patient undergoestreatment at the endocrinologicdepartment for diabetes mellitus. A nurseshould control if the patient follows thefollowing diet:

A. Diet № 9B. Diet № 1C. Diet № 5D. Diet № 7E. Diet № 10

113. A 57-year-old man stays at the surgicaldepartment after venotomy (phlebotomy).In order to implement the nursing careplan a 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

114. A 10-year-old boy complains of drycough, dyspnea. He has a one-year historyof the disease. Dyspnea attacks occur 1-2 ti-mes per month. He has been diagnosed wi-th bronchial asthma. What changes in the


respiratory system can be revealed duringobjective examination?

A. Bilateral wheezes, expiratory dyspneaB. Suppressed breath sounds, crepitationC. Harsh respiration, moist ralesD. Inspiratory dyspnea with chest indrawi-ngE. Suppressed breath sounds, moist rales

115. A head nurse received drugs from thesupplier of wholesale company "Alba".What accompanying documents should bedelivered along with goods?

A. Invoice, certificate of qualityB. Request, invoice, certificate of qualityC. Tax invoice, certificate of qualityD. Invoice, order, certificate of quality,expert’s report on qualityE. Invoice, check-list of drugs

116. 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

117. 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

118. A company producing medi-cal tools has launched a new modelof thermometers. Choose the correctsequence of stages in the process ofperception of the brand-new product:

A. Awareness, interest, evaluation, tryingout, perceptionB. Interest, awareness, evaluation, tryingout, perceptionC. Awareness, evaluation, interest,perceptionD. Awareness, evaluation, trying out,interest, perceptionE. Interest, awareness, trying out, evaluati-on, perception

119. A medical institution enters the medi-cal services market with a new offer. Whataction should be prior to the service posi-tioning 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

120. What method of conflict managementshould be chosen if a person is extremelyinterested in achieving the desired resultfor him and is little concerned about achi-eving the desired results by the otherparty?

A. PressureB. AvoidanceC. ReconciliationD. CooperationE. Compromise

121. A 30-year-old patient has been admi-tted to the surgical department withcomplaints of pain in the region of wound,muscle twitching, swelling of the extremi-ties, headache, fever up to 39oC, palpi-tations. The skin is cold to the touch, thewound is contaminated with soil. What di-sease is most likely?

A. TetanusB. ErysipelasC. PhlegmonD. AnginaE. Gas gangrene

122. A 39-year-old injured man with acraniocerebral trauma has been deliveredto the admission ward. Objectively: thevictim is unconscious, there is pink li-quid slowly coming out from the externalacoustic meatus and nasal passages. Thereare haemorrhages around both eyes. AP is105/55 mm Hg, Ps- 65/min. What is yourprovisional diagnosis?


A. Basal skull fractureB. Fracture of the cranial vaultC. Fracture of zygomatic bonesD. Cerebral compressionE. Intracranial hematoma

123. A 72-year-old male patient complai-ns about stranguria. He claims that urinetrickles 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

124. A 25-year-old patient consulted adoctor about reduced sensitivity of nose,cheeks and forehead that developed afterskiing. Objectively: the skin is pale andcold to the touch. Describe the patient’scondition:

A. Prereactive period frostbiteB. Initial stage of general frostbiteC. General supercoolingD. Reactive period of frostbiteE. Second degree frostbite

125. A patient had been admitted to thethoracic department with a penetratingchest wound complicated by lung injury.The patient underwent pulmonectomy andwas administered thoracostomy. Specifythe required passive drainage:

A. Siphonic, by Bulau’s methodB. With 3-ampoule systemC. With electrical deviceD. With water-jet deviceE. With a rubber balloon

126. A child is 2 years old. His motherconsulted a doctor about deterioratinghealth of the child, inertness, capriciousmood, loss of appetite, liquid, someti-mes greenish stool. Laboratory analysis offeces revealed a significant decrease in bifi-dobacteria and lactobacilli rate and growthof opportunistic microflora. What state canbe suspected?

A. DysbiosisB. Toxicosis with exsicosisC. Functional dyspepsiaD. Food poisoningE. Rotavirus

127. During the inhalation anesthesia apatient had respiratory standstill as a resultof tongue-swallowing. A nurse appliedtriple-airway maneuver but it was ineffecti-

ve. What should the staff do to renderfurther aid?

A. Establish an artificial airwayB. Give an injection of 2,4% aminophyllinesolutionC. Give an injection of 10% solution ofcalcium chlorideD. Press upon chestE. Perform defibrillation

128. A woman presented at the plant medi-cal station and complained of swelling andbursting pain in the lower limb. She has ahistory of varix dilatation of deep veins onthe left. Objectively: the limb is enlargedand cyanotic. Pulse on the pedal arteriesis present. The nurse suspected acute deepvein thrombosis of the left leg. The primaryaction of the nurse should be:

A. Apply ice packsB. Give spasmolyticsC. Give diureticsD. Raise the affected limbE. Apply hot compress on the limb

129. Each patent medicine has approvedattributes such as: labels stuck or pri-nted on the packing, inserts, wrappersand instructions concerning the usageof medicines. Their graphic design mustcorrespond with:

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

130. 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

131. 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

132. After eating forest berries a pati-ent developed choking cough, husky voi-ce and inspiratory dyspnea. The patient isanxious, pale. Paraglossia and face edemaare also presented. What drug should beinjected according to doctor’s orders?

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

133. Leadership style in management isan important way to influence the team.When the leader follows the principleof "one man, one vote"and encouragesemployees to actively participate in maki-ng decisions, controls and spurs eachperson into action, this style is called:

A. DemocraticB. TutorialC. ManagerialD. PersonalE. -

134. Guaranteed storage life of ready-made sterile dressing materials is:

A. 5 years since the date of manufactureB. 2 years since the date of acceptanceaccording to the invoiceC. 1 year since the date of acceptanceaccording to the invoiceD. 3 years since the date of manufactureE. They have no expiration date

135. 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

136. A scrub nurse makes preparations forcraniotomy. Which tool from the specialset should be prepared?

A. Gigli sawB. Surgical forcepsC. Lancet-shaped scalpelD. Farabeuf retractorsE. Amputational retractor

137. 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

138. 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

139. An 11-month-old child had been gi-ven whole cow milk in the morning. Inthe evening the child became inert, bodytemperature rose up to 38oC, there wererepeated vomiting and defecation 8 times aday with liquid mucous and blood-streakedstool. This state is interpreted as:

A. Acute gastroenterocolitisB. Acute gastritisC. Acute gastroenteritisD. Ulcerative colitisE. Acute enteritis

140. 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

141. 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

142. A 5-year-old child with pyelonephritishas been administered nitrofurans. Whatdrugs should be prepared?

A. Furaginum, furadoninB. Biseptol, aethazolumC. Nalidixic acid, nevigramonD. Voltaren, ortophenumE. Levamisole, thymogen

143. To normalize intestinal microflora andtreat dysbiosis in children with hypotrophyeubiotics are usually administred, namely:

A. Bifiform, linex, yogurtB. PolysorbC. Festal, enzystalD. Albumin, plasmaE. Tavegyl, suprastin

144. A 30-year-old milking machineoperator has been experiencing muscleand joint pain for several months. Onexamination the signs of affection ofshoulder, elbow and hip joints, fibrositiswere revealed. What kind of professionaldisease can be suspected?

A. BrucellosisB. ToxoplasmosisC. TularemiaD. GlandersE. Lymphogranulomatosis

145. In order to work successfully in anew job a nurse should master the systemof relationships, establish positive relati-ons with team members. What is the first-priority factor for her successful work in anew job?

A. Social adaptationB. Fair remunerationC. Relevant qualificationD. Growth prospectE. Friendly nature

146. Head nurse of a hospital relates to theprofessional group of "executives". She di-stributes (delegates) part of her responsi-

bilities among her employees. What is theaim of authority delegation?

A. Optimal solution of a complex taskB. Maintenance of "group"work styleC. Testing the skills of employeesD. Stimulating the origin of an informalorganizationE. Facilitating the work of an executive

147. A nurse working at a family outpati-ent clinic is in the second stage of statisticalanalysis. This stage includes:

A. Registration and collection of statisticaldataB. Consolidation of statistical dataC. Development of statistical dataD. Comparison of statistical data with theirstandardsE. Identifying the object of statisticalanalysis

148. In order to represent the contentsof documents in form of short codednotifications one should process thesedocuments in a certain way. Specify themethod of scientific document processing:

A. IndexingB. QuestioningC. InterviewingD. Task studyE. Research

149. Classification of a document databaseshows its certain aspect and is usedin appropriate information structures.Document classifications are divided into:

A. Subject and systematicB. Multiple-aspectC. AdaptiveD. DocumentE. Simple

150. Name the basic forms of training ofscientific and academical personnel:

A. Postgraduate course and doctorateB. Bachelor degree program and MAcourseC. Postgraduate course and MA courseD. Doctorate and MA courseE. Postgraduate course and bachelor degreeprogram

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.

Kyiv. Testing Board.

(English language).

Approved to print 22.04./№150. Paper size 60х84 1/8

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

Conditional print pages 18. Accounting publishing pages 20.

Issue. 10 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

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