EMS Past Papers PDF

‫"قال رسول هللا صيل هللا عليه وسمل" إذإ مات إبن‬ ‫إدم إنقطع معهل الا من ثالث صدقة جاريه إوعمل‬ ‫ينتفع به إودل صاحل يدعو هل‪.‬‬ ‫إللهم إجعل معيل لكه صاحلا‪ ،‬وأجعهل لوهجك خالصا‪،‬‬ ‫وال جتعل لحد فيه شيئا‪.‬‬ ‫النرجو منمك سوي دعوة صادقه من إلقلب عيس إ...

‫"قال رسول هللا صيل هللا عليه وسمل" إذإ مات إبن‬ ‫إدم إنقطع معهل الا من ثالث صدقة جاريه إوعمل‬ ‫ينتفع به إودل صاحل يدعو هل‪.‬‬ ‫إللهم إجعل معيل لكه صاحلا‪ ،‬وأجعهل لوهجك خالصا‪،‬‬ ‫وال جتعل لحد فيه شيئا‪.‬‬ ‫النرجو منمك سوي دعوة صادقه من إلقلب عيس إن‬ ‫تكون من نصيبنا فاحب الاعامل إيل هللا إدلعاء ‪.‬‬  1 1( After subtotal thyroidectomy for patient. He complains restlessness the nurse is assessing his vital signs. BP is 150/100 Heart rate is 120. Temperature 40 The nurse should expect that the cause for his condition is: A. Hyper-metabolism due to increase in T3&T4 B. Hypo metabolism due to decrease T3&T4 C. Hypo metabolism due to increase in T3&T4 D. Hyper metabolism due to decrease in T3&T4. Answer: A 2) Calculate Total intake and output Patient in OR 1500ml Ringer,50 ml antibiotic, Nasogastric tube feeding 50ml, Blood loss 500ml, Urine out 120Answer: Total Intake = 1600 / Total Output = 620 3) Mother with hypothyroidism high risk for?? A. Preterm labor B. Hemorrhage C. Congenital anomalies D. Eclampsia Answer: A 4) Mother with hyperthyroidism high risk for?? A. Preterm labor B. Pre-eclampsia C. Hemorrhage D. Congenital anomalies Answer: B 5) Post right-side mastectomy where to take blood pressure? ‫وأما ما ينفع الناس فيمكث في األرض‬  2 Right brachial Left brachial. Right radial Left radial. Answer: B 6) one-week short-term goal for a total hip replacement patient sits up by himself three times a day. state pain control Answer: B 7) Broken infusion machine - what to do Put a sticker and report. Put in the broken machines area. Answer: A 8) ABG results - for an underweight girl 2 times? one is ABG disorder - Metabolic Alkalosis. uncompensated metabolic alkalosis Compensated metabolic acidosis. Answer: C 9) How to know it the left shoulder dislocated?? left arm longer than right arm patient cannot move the left shoulder. swelling in the left shoulder Answer: A 10) After taking the vital signs what should the nurse do next? A. pain assessment B. incision assessment Answer: B 11) Which of the following the arranged assessment for postoperative patient??? ‫وأما ما ينفع الناس فيمكث في األرض‬  3 A. Cardiovascular, Respiration, Surgery site, Neurological signs. B. Respiration, Cardiovascular, Neurological signs, Surgery site. C. Neurological signs, Cardiovascular, Respiration, Surgery site. D. Surgery site, Respiration, Cardiovascular, Neurological signs. Answer: B 12) 2-year-old child with pneumonia what is appropriate intervention? A. Chest Physiotherapy B. Encourage coughing and deep breathing. C. Postural drainage Answer: C 13) What is most appropriate blood test for patient who is going to surgery? A. WBC B. Albumin C. Prothrombin time D. Hemoglobin Answer: C 14) Physician order three times the normal dose - when the nurse calls him, he insists on giving the ordered medication - what does the nurse do? A. Call pharmacy B. Call another doctor. C. Call nurse supervisor Answer: C 15) Doctor's order excessed the recommended dose what to do? Call the doctor to clarify. A. Administer the dose. B. Hold the dose. C. Talk with supervisor. Answer: A 16) Major depression activities A. Watch a movie with other patients. B. Plan today's activities with the patient ‫وأما ما ينفع الناس فيمكث في األرض‬  4 Answer: B 17) Gum and tooth pain 一 what is the cranial nerve? A. Third nerve B. Fifth nerve C. Seventh nerve D. Ninth nerve Answer: B 18) Patient is 6 cm dilated what stage of labor? A. First stage B. Second stage C. Third stage D. Fourth stage Answer: A 19) Post ortho cast - patient have pale foot and cannot palpate pulse 一 nurse page the doctor and the doctor calls angry about this ward is paging him in 2 am with silly complaints what is the nurse best response A. Can you tell me more about why this ward is bothering you? B. I am afraid that the patient might lose his leg. C. What if it is your father that is having the symptoms. D. lam going to report this to my supervisor to deal with you. Answer: A 20) Recurrent urinary tract infection what advice to give? A. Drink 2-3 liters of water B. Wipe from back to front C. Urinate only when you have the urge. Answer: A 21) What is the complication that needs observation after the birth of the child for diabetic mother? A. Preterm labor B. Term labor C. Macrosomia D. Hyperglycemia Answer: C ‫وأما ما ينفع الناس فيمكث في األرض‬  5 22) What to give in asthma attack? A. Beta agonist and corticosteroids B. Alpha agonist and corticosteroids C. beta antagonist and corticosteroids D. alpha antagonist and corticosteroids Answer: A 23) post- operative patient to be discharged and his temperature is 37.6 at 8:00 - everything else is normal what to do? A. informs the physician to delay discharge. B. gives aspirin dose earlier than scheduled. C. temperature is normal because of the time. D. suspected infection Answer: C 24) pregnant women Said to nurse I feel I depends on my husband and my family? A-self concern B-ambivalence C-normal D-esteem Answer: A 25) What is the incidence rate Definition? A. All new cases of specific disease during giving time. B. All old cases of specific disease during giving time. C. All new and old cases of specific disease during giving time. Answer: A 26) What is the definition of prevalence rate? A. All new cases of specific disease during giving time. B. All old cases of specific disease during giving time. C. All new and old cases of specific disease during giving time. Answer: C 27) Woman went to gynecological clinic for routine examination then she diagnosed for positive Chlamydia. What is this considered? ‫وأما ما ينفع الناس فيمكث في األرض‬  6 A. Clinical B. Sub clinical C. Suspect Answer: B 28) What is New-born examination after delivery? A. Vital Signs. Inspection. Auscultation. Percussion. Palpation. B. Inspection. Auscultation. Percussion. Palpation. Vital Signs C. Palpation Inspection. Auscultation. Percussion. Vital Signs D. Auscultation. Inspection. Palpation. Percussion. Vital Signs Answer: A 29) The doctor order 0.2 g, the available 400 mg in quantity 10 ml, how many ml needed?? A-2.5ml B-5ml C- 2ml D- 4ml Answer: B 30) A 28-year man admitted to orthopedic ward complaining of throbbing pain in casted leg. Which of the following nursing intervention should be taken first? A. Remove the cast B. Notify a doctor C. Assess pedal pulse. D. Administer PRN medication Answer: C ‫وأما ما ينفع الناس فيمكث في األرض‬  7 31) Doctor write new order restrain (PRN) for Psychiatric patient that he is overly aggressive. Which of the following indicate that the nurse should do?? A. Call doctor while patient aggressive to do that by himself. B. Apply the order one time only or if needed. C. Close patient room and do not apply restrain. D. Express that is not acceptable and complains about your supervisor. Answer: B 32) The Oral contraceptives increase risk for any cancer for long-term using?? A. Cervical cancer B. Ovarian cancer C. Skin cancer D. Breast cancer Answer: D 33) Yemeni soldier caught in the war and he got many injuries. The patient anxious and he is speaking about death for the nurse. What is the most appropriate action for the nurse?? A -You say no or yes. B. Why do you say you are dying? C. Why you say you will die. D. Restating for patient wards Answer: D 34) There is someone his father is dead. Then he turned his sadness and anger by learning martial arts. What is the defense mechanism that he used? A. Displacement B. Sublimation C. Projection D. Denial Answer: B 35) In teaching a female client who is HIV-positive about pregnancy, the nurse would ‫وأما ما ينفع الناس فيمكث في األرض‬  8 know more teaching is necessary when the client says: A. The baby can get the virus from my placenta.” B. “I’m planning on starting on birth control pills.” C. “Not everyone who has the virus gives birth to a baby who has the virus.” D. “I’ll need to have a C-section if I become pregnant and have a baby.” Answer: D 36) The neonate is delivered by cesarean section the baby should be transported to NICU. Which type of baby incubator should be used? A - Closed box incubators B - Portable incubators C - Double - walled incubators D- Servo - control incubators Answer: B 37) Therapeutic communication is used by the nurse to create a beneficial outcome in the delivery of quality nursing care. Which of the following statement best describe the term ‘’therapeutic communication’’? A. interactive process of socialization. B. Assessment component of nursing process C. Communication with patient through words and language D. Process to encourage the expression of feelings and needs. Answer: D ‫وأما ما ينفع الناس فيمكث في األرض‬  9 38) Click image to enlarge A 56 - year - old patient presents with psoriasis. Secondary lesions are present on the upper and lower extremities (see image). Which of the following best describes the appearance of psoriasis? A. Scales B. Crusts C. Scars D. Fissures Answer: A ‫” نركز في كل األنواع بشكل الصور ألنه‬ "‫بيجيب الصورة ويسأل على االسم‬ 39) While taking the history from a new patient, the nurse densified that he had hypomanic episode which was alternating with a mirror depressive\episode for the last two years. what is the most likely diagnosis? A. Bipolar I disorder B. Bipolar II disorder C. Dysthymic disorder D. Cyclothymic disorder Answer: D 40) talking with the parents of a child with Down syndrome, which of the Police would the appropriate foal for the care of the child? A. Encourage selfcare skills in the child. B. Teaching the child something new each day C. Encourage more lenient behavior limits for the Cho. D. Achieving age-appropriate social skills Answer: D 41) 28-year-old married woman is admitted in the Gynecology Ward for the observation after her miscarriage. She has not been able to sustain any pregnancy since she got married for the past three years and she had three miscarriages during this time. ‫وأما ما ينفع الناس فيمكث في األرض‬  10 What intervention is the most appropriate? A. Family history B. Past medical history C. Physical examination D. Laboratory investigations Answer: B 42) It is a managerial function that indicates leading the staff in the most effective method. A: Planning B: Directing C: Organizing D: Controlling Answer: B 43) which of the following best describes the role of a case management? A. promotes healthy lifestyle. B. provides coordination of care to ensure continuity. C. possesses highly skilled communication methods. D. promotes the comfort of the patient. Answer: B 44) A 30-year-old female patient went to the clinic for a consultation after her work due to Pain no both legs during prolongs standing and sitting Doppler ultrasound was cone and confirmed the initial diagnosis of varicose veins. The patient asked what is the possible surgical procedure in relation to her case? A. Amputation B. Sclerotherapy C. Thermal ablation D. Ligation and stripping Answer: D 45) Leaving the tourniquet for a long-time cause? ‫وأما ما ينفع الناس فيمكث في األرض‬  11 A- Low blood flow B- Limb embolism C- Hemoconcentration Answer: C 46) Which drug would be used to treat a patient who has increased intracranial pressure (ICP) resulting from head trauma after an accident: a-Mannitol b-Atropine sulphate c- epinephrine hydrochloride d-Sodium bicarbonate Answer: A 47) Leaving the tourniquet for a long-time cause: A. Embolism B. Low blood flow C. Ischemia Answer: B 48) When the nurse on duty accidentally bumps the bassinet. the neonate throws out its arms. hands opened. and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes? A. Startle reflex B. Babinski reflex C. Grasping reflex D. Tonic neck reflex Answer: A 49) Women come to ER with her husband and the husband demonstrate she not talk or voluntary eat since the son died in accident, what the women need according to Maslow? A. loving and belonging B. psychological needs ‫وأما ما ينفع الناس فيمكث في األرض‬  12 C. spiritual support D. family support Answer: A 50) Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance? A. Social surveillance B. Financial surveillance and previous health diseases. C. Incidence and prevalence of the health diseases. Answer: C 51) Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance? A. Social surveillance B. Public surveillance and prevent infection. C. Financial surveillance and previous health diseases. Answer: B 52) Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance? A. Social surveillance B. Surveillance for previous and new health problems C. Financial surveillance and previous health diseases. Answer: B 53) Why do we use “log rolling" Technique? A) Facility good circulation B) Avoid movement C) To protect the spinal cord from moving ‫وأما ما ينفع الناس فيمكث في األرض‬  13 Answer: C 54) A 38-year- old patient is about to have lumber disk surgery. during preoperative care, the nurse instructs the patient including the family. members how to do "log rolling" to change patient position. One of the family members ask why they must do such action in turning the patient. postoperative. Which of the following is the nurse best response? A. Facility good circulation B. Avoid movement C. Prevent post-operative bed sore. D. Makes changing of patient position easier. Answer: C 55)The nurse is caring for 6 patients. Providing for them all care and activities. What is the type of nurse according to nursing care delivery system? A⁃ primary B⁃ Case management C⁃ Functional Answer: A 56) The patient is receiving hemodialysis. The patient is experiencing disequilibrium syndrome. What is the cause of the syndrome? A. Increase urea and Na B. Decrease urea and Na Answer: B 57) The pregnant woman is experiencing muscle cramps in her leg. She has less calcium intake. What should the nurse instruct her during spasm? A. knee flexion B. knee extension Answer: B ‫وأما ما ينفع الناس فيمكث في األرض‬  14 58) Classical sign of adrenal insufficiency? A. Hypernatremia B. Hypotension C. Hyperpigmentation Answer: C 59) position after appendectomy? A-high fowlers B-semi fowler C-sitting D-Dorsal recumbent Answer: B 60) 2years old child with pneumonia, what best intervention? A-encourage cough and deep breathing. B-encourage exercise. C-provide high carbohydrate diet. Answer: A 61) What is type of transport that carry oxygen and carbon dioxide from and to placenta during pregnancy? A. Simple diffusion B. Active transport C. Simple transport Answer: A 62) Patient has difficulty in walking and lethargic, there decrease in capillary refill and urine incontinence, has risk for? A-aspiration B-infection C-skin breakdown D-body disturbance ‫وأما ما ينفع الناس فيمكث في األرض‬  15 Answer: C 63) child with thalassemia pale and activity intolerance what the priority? A-RBC transfusion B-oxygen administration Answer: B 64) The nurse is giving instruction for a pregnant woman. Which of the following should be avoided during pregnancy? A-raw uncooked met. B-clean well fruit and vegetables C-cooked fish and chicken Answer: A 65) child has urine incontinence two day ago with WBC in urine.? A-psychological abuse B-urinary trac infection C-genitalia defect Answer: B 66) pt. has difficulty taking liquid medications from a cup. How should the nurse administer the medications? A. Request that the physician change the order to the IV route. B. Administer the medication by the IM route. C. Use a needleless syringe to place the medication in the side of the mouth. D. Add the dose to a small amount of food or beverage to facilitate swallowing. Answer: C 67) Patient diagnosed with appendicitis Which statement by patient indicates absolute ruptured of appendicitis? A -I feel like I want to vomit. B- Pain in the epigastric C -painless in right quadrant ‫وأما ما ينفع الناس فيمكث في األرض‬  16 Answer: C 68) Nursing supervisor newly elected Wants to use" disciplinary evaluation to nurses’ behavior " What type of power she is using? A-legitimate B -coercive Answer: A 69) The patient weight 67 kg. He is receiving drug 30mg /kg/24hr. How many grams should the nurse give for 24 hr.? A.5 g B. 1.5g C. 1 g D. 2g Answer: D 70) Based upon the legal guidelines for documentation, which of following corrective action is correct? A Never erase entries do line under ward and write correct. B. erase the incorrect notes then write the correct Answer: A 71) The nurse is caring for child regarding his activity. Which of the following is consider fine? motor activity? A. Ride bicycle B. Walking C. Holding cup Answer: C 72) When the Zygote enter to the uterus after fertilization? A. 2 day ‫وأما ما ينفع الناس فيمكث في األرض‬  17 B. 4 day C. 6 day D. 8 day Answer: B *Take care: *Zygotes enter to the uterus 3 _ 5 day * Implant 7 _ 10 day after fertilization 73) A nurse is assisting during a normal vaginal delivery on a 22-year diabetic patient. The head was delivered without any complication head suddenly retracts against the perineum prompting the physician to immediately ask for the nurse assistance with this dystocia. Which of the following will be the nurse appropriate action to impacted shoulders of the infant? A. Fracture the infant’s clavicle. B. Prepare patient for immediate caesarean section. C. Apply fundal pressure to displace anterior shoulder. D. Perform supra public pressure to release anterior shoulder. Answer: D 74) The community nurse was providing home visit for a family to give health instruction. The nurse observed while she entered the garage, she was finding the car's oil had expired. What would you do? A. get rid of oil and throw it away junk. B. Call to the company and change it. C. Use the oil D. Give it to the neighbours. Answer: B 75) What are the symptoms of the BCG vaccination side effect? A. Diarrhea B. Skin ulcer or scar ‫وأما ما ينفع الناس فيمكث في األرض‬  18 C. no symptoms D. Seizure Answer: B 76) How many times shower the baby? A- twice a week with warm water B- Every day with warm water C- Every day with warm water and acidic soap D- Every day with warm water and alkaline soap Answer: A 77) A nurse is caring for a 72-year-old man patient, is unsteady. The patient requests the nurse to help nurse asked the patient to wait few minutes device to transfer him. Which of the following transfer devices is the nurse to use? A. Belt B. Board C. Handle D. Mechanical lift Answer: A 78) Neonate is near to cold window what is the type of heat loss? A. Radiation B. Convection C. Conduction D. Evaporation Answer: A 79) Consideration after cleft lip and cleft palate is: *Burping the child frequently✅ *Feeding up right setting position✅ 80) The age of Cleft lip surgery is 2 – 6 months. 81) Definition of Word Salad: ‫وأما ما ينفع الناس فيمكث في األرض‬  19 words or phrases are connected meaninglessly being forced. 82) A 49-year-old patient was admitted in the Medical Ward to rule out his pale appearance, loss of appetite, abdominal pain in the right upper quadrant, dark urine and grey colored stools for the last few days. He was diagnosed with Hepatitis C and was discharge from the hospital when his condition gets stable. He was given the advice to take his medication regularly. What should be the nurse’s prime focus in the discharge teachings for the patient? A. Family support B. Dietary counselling C. Activity and exercise D. Understanding of the disease Answer: D 83) The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid? A. Putting the child in lateral position. B. Palpating the child's abdomen. C. Putting the child in a private room. D. Provide mouth hygiene 30 minutes after meal. Answer: B 84) what is the best way to ensure there will be no risk for falling of the patient? A. Lower the bed B. place fall risk sticker at the patient door. Answer: B 85) What is the type of umbilical cord care for neonate? A. Curing and treatment B. Infection prevention Answer: B 86) After lumbar puncture position? A. Supine B. Prone Answer: A ‫وأما ما ينفع الناس فيمكث في األرض‬  20 87) Elderly Immunization - - - - - - Pneumonia, Influenza 88) what is the action to prevent cleft lip & palate? A. Give immunizations B. Advice pregnant folic acid Answer: B 89) Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns? A. Vitamin A B. Riboflavin C. Folic Acid D. Vitamin K Answer: C 90) As identified by DR Elizabeth Kubler which stage of dying is characterized by the transition from ‘NO’ not me to “yes, me but....” A. Anger B. Depression C. Acceptance D. Bargaining Answer: D 91) The head nurse gives low evaluation to the nurse because of her late. What is the type of her evaluation effect? A. Halo effect B. Horn effect C. Central tendency Answer: B 92) The head nurse is too busy to give evaluation to her staff. She gave to everyone average evaluation. What is the evaluation type that the head nurse used? ‫وأما ما ينفع الناس فيمكث في األرض‬  21 A. Halo effect B. Horn effect C. Central tendency Answer: C 93) nurse educator said to a new nurse" our hospital provides the highest level of specialized healthcare in an integrated educational and research setting" which of the following aspects of the hospital's strategic plan is indicated by this statement? A. Vision B. Policy C. Values D. Mission Answer: D 94) New-born has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as: A. Milia B. Lanugo C. Whiteheads D. Mongolian spots Answer: A 95) The community health care Facility observed low response for immunizations activities. Then it decided to teach people about immunizations and the importance for applying it. What would improve the effect of response? A. Modify immunizations program schedule. B. Provide more health teaching programs. Answer: B 96) NORMAL FETAL HR 120-160 97) Which patient to see first: A. Patient with Potassium level 7.5 ‫وأما ما ينفع الناس فيمكث في األرض‬  22 B. Anaemia client with pain level 6/10 Answer: A 98) Client 40years old diagnosis with chlamydia with no signs or symptoms: A-clinical stage B-subclinical stage C-susceptibility stage Answer: B 99) Why should the community nurse know about the disease in other countries? A-to give patient needs accordingly. B-to know the perveance of the disease in certain country. C-Hepatic portal hypertension signs and symptoms D-Flat neck vein Answer: A 100) HIV patient will be risk for which life threating disease? A. Pneumonia B. Tuberculosis Answer: B 101) couple has a son and a daughter, and both moved out and got family on their own Which type of family structure? A. Extended B. Blended Answer: A 102) Patient with cardiac tamponed muffled heart sound Which of the following the nurse monitor? A. Pulse and respiratory rate. B. Paradoxical pulse 40 in inspiration. Answer: B ‫وأما ما ينفع الناس فيمكث في األرض‬  23 103) Treatment of pyloric stenosis? * Rehydration and polo myectomy 104) Which medicine prescription the nurse should question? A. Lasix 40mg oral BID B. Codeine oral PRN Answer: B 105) Float nurse from medicine floor. Came to telemetry unite Which patient she receives? A. MI patient in heparin infusion B. Hypertensive patient on Lasix. C. Atrial Fibrational with anticoagulant drug. Answer: C 106) Cause of death in Saudi Arabia? *ischemic heart disease and road accident. 107) Diphtheria which type of isolation? A. Droplet B. Airborne Answer: A 108) Patient with schizophrenia seen with which of the following signs? A -Word salad B -Associates lessness Answer: B 109) Why hemorrhage occurs postpartum? A-prolonged labor last 12 hours B-excusive analgesics given during labor. Answer: B 110) How measure Orthostatic hypotension? * The Systolic is