COC Examination in Ethiopia | 2023

COC Examination in Ethiopia

26. Nurse working in health center noticed the presence of epidemic of bacillary
dysentery in his catchment area. He planned to control the epidemic and prevent
further occurrence of the diseases.

What is the most effective method the nurse should follow?

A, Case detection and treatment

B, Teaching about proper excreta disposal

C, Teaching about cleaning and cooking of foods

D, Teaching about effective hand washing practice

27.A34 year’s old woman with headache, malaise, generalized edema, flank pain
and cola colored urine was referred to renal unit. On laboratory investigation her
urine protein level was 4g/day, serum BUN level 25 mg/dl.(normal range 10-20
mg/dl) and serum creatinine level is 1.1 mg/dl (normal range ,0.6-1.2 mg/dl).

What is the most likely diagnosis of this woman?

A, Nephrotic syndrome

B, Glomerulonephritis

C, Pyelonephritis

D, Urolithiasis

28. A 43 years old man with sever dehydration and persistent diarrhea was
admitted to medical ICU.on assessment ,he had metabolic acidosis and his blood
pressure was 80/40mmhg ,the serum potassium level was 7meq/l(normal range
3.5-5.5 meq/l).serum BUN level is 35 mg /dl (normal range 10-20mg/dl)and
creatinine level was 1.9 mg/dl (normal range 0.6-1.2 mg/dl).

What is the most appropriate treatment for this patient?

A, Intravenous fluid transfusion

B, Infusion of albumin

C, Regular insulin

D, Hemodialysis

29. A 45 years old anemic woman came to emergency department with

complaint of headache, featgue and edema. After examination, it is confirmed
that 80%of her kidney’s failed with the serum creatinine level of 1.8mg/dl (normal
range 0.6 -1.2 mg/dl).

What is the most likely pathophysiological stage of the patient?

A, Renal insufficiency

B, Reduced renal reserve

C, End stage renal failure

D, Retention of nitrogenous wastes

30.A patient with renal stone was admitted to renal unit of medical ward. The
nurse in charge sent the urine sample of the patient to the laboratory. The result
of laboratory investigation revealed the presences of uric acid calculi.

What is the best nursing management for this patient?

A, Restrict alcohol and salt

B, Restrict chocolates and tea

C, Restrict organ meats and shellfish

D, Restrict dairy products and poultry

31.A nurse was caring and preparing nursing care plan for patient with end stage
renal disease .physician prescribed oral furosemide (Lasix) to be added to the
therapy.

What is the most likely expected serious risk of the above drug?

A, Hypernatremia

B, Hyponatremia

C, Hypokalemia

D, Hyperkalemia

32.A researcher finding on diarrhea status among children 6-23 months showed
47%million Diarrhea, 36%moderate diarrhea and 17%severe diarrhea .finally the
researcher wants to present the data in graphs.

What is the most likely type of graph to be used by this researcher?

A, Bar graph

B, Line graph

C, Histogram

D, Ogive curve

34.A nurse working in district with total population of 45,000.in the area, there
was an acute epidemic of acute watery diarrhea that lasts for three consecutive
weeks. The nurse observed 26 cases in the first week, 10 cases in 2nd and 5 cases
in the 3rd week and 4 deaths over the three weeks.

Calculate attack rate of AWD over the three weeks?

A, 89 AWD cases per 1,00,0000 people at risk

B, 911 AWD cases per 1,00,0000 people at risk

C, 587 AWD cases per 1,00,0000 people at risk

D, 333 AWD cases per 1,00,0000 people at risk

35. A nurse was assigned in aworeda health office where immigration and out
migration of the people is high from different parts of the country. Monthly
health report of the office indicated that tuberculosis incidence is stable. But, the
prevalence of tuberculosis increased highly in the woreda.

What is the most likely reason for increment of tuberculosis patients in the
woreda?

A, Out migration of cases

B, Improved cure rate of disease

C, Out migration of healthy people

D, High case fatality rate from disease

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36. The nurse wants to test whether the mean age of adult who visited the youth
friendly services is not different from 25 years. The nurse took sample of 196
adult patients from population. The mean age of sampled adult was 20 years and
the given population standard deviation was 6years.

What is the most appropriate statically test used for the given hypothesis?

A, Paired t-test

B, Student t-test

C, Chi-squire test

D, Standard normal Z-test

37.A nurse works in district where health service is 100% available and with more
than 80%expected coverage of rotavirus vaccination among under five children,
however, at the end of the year rotavirus vaccination coverage in the district was
found to be 16%.

What is the most likely research problem needed to study in the district?

A, Expected rotavirus vaccination coverage for under –five children

B, Availability of rotavirus vaccination for under –five children

C, Rotavirus vaccination coverage among under –five children

D, Factor influencing low rotavirus vaccination coverage

38. Researcher wants to conduct a study on the prevalence and associated factors
of trachoma among under-five children in a destrict.then the researcher wants to
set appropriate objectives.

What is the most likely specific objective of this research?

A, To study the prevalence of trachoma among under five children

B, To appreciate the prevalence of trachoma among under five children

C, To understand associated factors of trachoma among under five children

D, To determine factors associated with trachoma among under five children

39.Researcher wants to conduct a study among 867 sample of households to

determine accesses to safe water supply in a destrict.the district has 10,000house
holds ,of which 20%are from urban and 80%from rural households.

What is the most likely sampling technique the researcher will uses?

A, Systematic sampling

B, Stratified sampling

C, Multi stage sampling

D, Simple random sampling

40.A nurse working in ART Clinic of a hospital wants to summarize CD4 T-cell
counts for 13 HIV positive patients who were treated with highly active
antiretroviral therapy (HAART) for the last 6 month is .their CD4 T-cell counts
were 230,205,313,207,227,245,173,58,103,181,105,301 and 169.

Calculate the median cd T- Cell counts of these HIV positive patients/

A, 173

B, 181

C, 205

D, 207

41.A 48 years old male patient who was diagnosed with hypovolemic shock
refused blood transfusion irrespective of repeated counselling by the nurse in
charge

What is the most appropriate legal frame work in dealing with this patient?

A, Continue patient rescstation

B, Take verbal consent and let him go.

C, Have written consent and let him go.

D, Look for family permission and let him go.

42. A32 years old female patient came to hospital with sudden onset of sharp
knife like chest pain accompanied by her family. On assessment, she pronounced
dyspnea and central cyanosis. The physician and the nursing team in charge
performed emergency surgery .the patient and her family presented the case to
court because she developed iatrogenic pleural effusion as complication.

What nursing action most likely prevent accusation?

A, Keep fidelity
B, Take consent

C, Keep veracity

D, Assess patient capacity

43. An experienced nurse who was not happy with the working environment,
accepted a 56 years old male patient that came with complaint of joint. The nurse
looks at the eye of the patient, listen and feels the pain of the patient. The nurse
touches the patients shoulder while teaching and reassuring him about the case.
The patient was happy with the nurse approaches.

What is the most likely principle of compassion the nurse lacks?

A, Affection

B, Attention

C, Acceptance

D, acknowledgment

44. A 32 years old female patients came to health center for wound care. A nurse
in charge provided the wound care. The patient developed infection and referred
to a hospital.in the hospital, she got treated and cured. After six years, she
informed that the infection she developed in the health center was due to
inappropriate dressing. The patient filed malpractice act against the nurse in
health center and prosecuted the nurse for malpractice act.

What is the first things nurse’s attorney should have as a defense?

A, Assumption of risk

B, Comparative negligence

C, Contributory negligence

D, Statute of limitation
45. A 42 year’s old male patient was admitted to surgical ward with chest
drainage tube patients pulse rate 110 min, respiratory rate 28 min, blood
pressure 80/60 mmhg temperature 37.8 0c and oxygen was 80 %( normal 95%-
100 %).

What is the priority nursing diagnosing for this patient?

A, Acute pain related to drainage tube

B, Hyperthermia related to diseases process

C, Fluid volume deficit related to the incision

D, Impaired gas exchange related to lung impairment

46.A 45 years old chronic glomurlonephreites patient was admitted to medical

ward the nurse assessed the patient for edema by pressing the index finger over
the bony promince of tibia the nurse found very deep pitting with about 8mm
depression that lasts 2to 3 min.

What is the most likely grade of edema for this patients?

A, Grade -I

B, Grade -II

C, Grade -III

D, Grade -IV

47.A62 Year’s old obese diabetic woman with renal calculi came to a renal unit
seeking advice on the prevention of renal failure a nurse prepared counselling
session for the woman by considering her case.

What advice is appropriate for this woman?

A, Increase intake of water

B, Prevent toxic drugs for the kidney

C, Prevent and treat infection promptly

D, Increase intake of calcium contain foods

48.A 56 years old patient was admitted to a hospitals four days ago after she
presented with sever supra pubic secondary to renal calculus. On morning
assessment a nurse identified that the patient was lethargic and absence of urine
over the urine bag for the last 12 hours. The serum creatinine and blood urea
nitrogen are also raised above the normal value.

What is the appropriate nursing action for this patient?

A, Checking the patency of catheter

B, Initiating diuretics to promote urination

C, Changing patients position to maximize comfort

D, Consulting a physician for further intervention

49.A60 years old male hypertensive patient who was otherwise healthy
,deteriorates with in hour after admission for an elective surgery .occasionally he
become confused his current medication include enalapriel 10mg po/day and
furosemide 20 mg IV bid he drank three standard drinks of alcohol every day
but no history of psychiatric disorder.

What is the most likely diagnosis of the above case?

A, Delirium

B, Dementia

C, Amnesia

D, Depression

50.A nurse is taking care of 52 years old male patient hospitalized with diagnosis
of dementia.in contrary to the reality, the patient believes and argue that the
nurse is his daughter and currently he is at his office chairing a meeting with his
workmates.
What is the best nursing intervention to deal with the patient’s belief?

A, Attempt to challenge his delusion logically

B, Accept his idea and advise to evaluate yours

C, Tell him that his false idea is due to the illness

D, Acknowledgement his feeling and reinforce reality