المراجعة النهائية Final July EMS .pdf
Transcript
بسمَّهللاَّالرمحنَّالرحمي (فَأَمَّاَّالزبَدُ َّفَيَ ْذه َُبَّ ُجفَ ًاء ََّوأَماَّ َماَّي َ ْنفَ ُعَّالن َاسَّفَيَ ْم ُك ُث يَِّفَّ َّاَّلل َّْاْلَ ْمث َا ََّل) ْ...
بسمَّهللاَّالرمحنَّالرحمي (فَأَمَّاَّالزبَدُ َّفَيَ ْذه َُبَّ ُجفَ ًاء ََّوأَماَّ َماَّي َ ْنفَ ُعَّالن َاسَّفَيَ ْم ُك ُث يَِّفَّ َّاَّلل َّْاْلَ ْمث َا ََّل) ْض ُب ُ ْاْلَ ْر يضَّكَ َذ ي َِلَّي َ ْ ي قالَّرسولَّهللاَّصيلَّهللاَّعليهَّ"اذاَّماتَّابنَّأدمَّانقطعَّمعهلَّ االَّمنَّثالثَّ:صدقةَّجاريةَّ،أوَّعملَّينتفعَّبهَّ،أوَّودلَّصاحلَّ يدعوَّهل" اللهمَّاجعلَّهذاَّالعملَّخالصاَّلوهجكَّوانَّيرباانَّممنَّيس تغهلَّ ملصاحلَّماديهَّاوَّمعنويهَّوانَّيرزقناَّحسنَّالعمل. الَّنرجوَّمنمكَّسويَّدعوةَّصادقهَّمنَّالقلبَّعيسَّانَّتكونَّ منَّنصيبناَّفاحبَّالاعاملَّايلَّهللاَّادلعاء. نسألَّهللاَّالتوفيقَّوالنجاحَّوالسدادَّوانَّيرزقمكَّماَّتمتنونَّ واس تغفرَّهللاَّيلَّولمك (امللفَّالرئييس) EMS َّ {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 120 Answer: 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {2} 5) Post right-side mastectomy where to take blood pressure? A. Right brachial B. Left brachial. C. Right radial D. Left radial. Answer: B 6) one-week short-term goal for a total hip replacement patient A sits up by himself three times a day. B. state pain control Answer: B 7) Broken infusion machine - what to do A. Put a sticker and report. B. Put in the broken machines area. Answer: A 8) ABG results - for an underweight girl 2 times? A. one is ABG disorder - Metabolic Alkalosis. B. uncompensated metabolic alkalosis C. Compensated metabolic acidosis. Answer: C 9) How to know it the left shoulder dislocated?? A. left arm longer than right arm B. patient cannot move the left shoulder. C. swelling in the left shoulder Answer: A 10) A patient is admitted to the emergency department after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not talking coherently. Vital signs upon admission are temperature 98.0 F (36.3 C), heart rate 130 beats/minute, respiratory rate 34 breaths/minute, blood ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {3} pressure 50/40mmHg. The healthcare provider suspects which type of shock? A. Distributive B. Neurogenic C. Cardiogenic D. Hypovolemic Answer: D 11) Which of the following the arranged assessment for postoperative patient??? 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) A woman at 24 weeks' gestational age has fever body ache and has coughing last 5 days she is sent to hospital with admission prescriptions for H1N1influenza. which prescription has the highest priority? A. Assign private room B. Vital signs every 4 hours C. Obtain specimens for culture D. Ringer lactate IV Answer: A 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {4} B. Call another doctor. C. Call nurse supervisor Answer: C 15) Doctor's order excessed the recommended dose what to do? A. Call the doctor to clarify. B. Administer the dose. C. Hold the dose. D. Talk with supervisor. Answer: A 16) Major depression activities A. Watch a movie with other patients. B. Plan today's activities with the patient 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) The nurse was caring for patient wound staples after operation. While she was preparing the patient sneezed and one staple fell down the floor. What should the nurse do? A. Bring the staple from floor B. Bring it and put back on wound C. Apply dressing to the wound✅ Answer: C ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {5} 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 22) After cardiac catheterization, the nurse should do first ? A. Assess blood pressure B. Assess apical pulse /distal site✅ C. Elevated the head of the bed Answer: B 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {6} 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? 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {7} 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 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. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {8} 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 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ {9} C. Communication with patient through words and language D. Process to encourage the expression of feelings and needs. Answer: D 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 self-care 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 10 } 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. 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 11 } Answer: D 45) Leaving the tourniquet for a long-time cause? 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? ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 12 } A. loving and belonging B. psychological needs 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 13 } B) Avoid movement C) To protect the spinal cord from moving 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 14 } B. knee extension Answer: B 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) How the nurse ensure that the mother is breast feeding well? A. It is normal that suppose you know B. Referral to breast feeding educator for one day C. Check mother while she is breast feeding and progression✅ Answer: C 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 15 } C-skin breakdown D-body disturbance 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. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 16 } B- Pain in the epigastric C - Painless in right quadrant / No hurts suddenly ✔️ Answer: C 68) Nursing supervisor newly elected Wants to use" disciplinary evaluation to nurses’ behavior " What type of power she is using? A. Reward B. Coercive C. legitimate D. Formal Answer: Bbb 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 17 } 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 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 18 } 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 neighbors. Answer: B 75) What are the symptoms of the BCG vaccination side effect? A. Diarrhea B. Skin ulcer or scar 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 19 } 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) The nurse has been teaching a new mother how to feed was born with a cleft lip and palate before surgical repair of Which of the following action from the mother indicate teaching has been successful? A. burping the baby frequently ✅✅ B. Prevent the infant from crying C. Placing the baby flat during feeding D. Keep the infant prone following feedings Answer: A 80) The age of Cleft lip surgery is 2 – 6 months. 81) Definition of Word Salad: 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 20 } 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) Mother came to the Outpatient Department with an infant having cleft and palate. The infant was underweight, so the nurse has to consider Teaching the proper way of feeding the child in the treatment plan. Which of the following is the proper way of feeding A. Use a non-squeezable bottle during feeding B. Feed infant in an upright, sitting position ✅✅ C. Enlarge nipple holes of bottle to allow more milk to pass through D. Feed infant longer than 45 minutes to allow more food to be small 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 87) Elderly Immunization - - - - - - Pneumonia, Influenza 88) what is the action to prevent cleft lip & palate? A. Give immunizations B. Advice pregnant folic acid ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 21 } Answer: B 89) Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-born? 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? A. Halo effect B. Horn effect C. Central tendency Answer: C ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 22 } 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 B. Anemia client with pain level 6/10 Answer: A ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 23 } 98) The speed of transmission of the disease from person to person? A. Infective✅ B. Infection C. Infectivity D. Precaution Answer: A 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- To help countries for solutions D- To make research and studies 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 24 } 103) Treatment of pyloric stenosis? * Rehydration and pyloromyotomy 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 ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 25 } 110) How measure Orthostatic hypotension? * The Systolic is >>> Reverse isolation 787)Position that increases heart Murmur. A. High Fowler B. Sideline C. Trendelenburg✅ Answer: C 788) Definition of effacement >> thining of cervix 789) The Height of enema is ? A. 50 cm ✅ B. 150 cm C. Blow red edge Answer: A 790)A 1-year-old girl admitted to podiatric medical unit significant weight loss, diminished mid-arm. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 199 } circumference diarrhea, and red hair. Which of the following type of malnutrition do the nurse suspect? A. Marasmus B. Spitting up C. Kwashiorkor ✅ D. Rickets Answer: C Stick like muscle is Marasmus. 791)A 12- year- old boy was brought to the Emergency respiratory arrest due to drowning. Cardiac resuscitation what is the major complication that might happen if treated after drowning quickly? A. Sepsis B. Alkalosis C. Acidosis D. Hypothermia Answer: C 792)A 40-year-old man. smoker, presents to the clinic. On examination, the toes are cold to the touch. Extremities are pale to blue. The pedal pulse examination of the fingers shows small ulceration the skin. Blood glucose testing is normal and then history of diabetes. On admission Blood pressure 140/90 mmHg Heart rate 86 /min Respiratory rate 22 /min Oxygen saturation 98% room air Which of the following would be most effective? A. Antibiotic administration B. Reduced fat intake C. Smoking cessation D. Regular exercise Answer: C 793)A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert? A. Endometritis B. Endometriosis ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 200 } C. Salpingitis D. Pelvic thrombophlebitis Answer: A 794)schizophrenia patient started shouting loudly in the ward to anyone who speaks to him. what should the nurse do? A) administer tranquilizer IM B) call the security C) isolate the patient D) speak quietly to the patient and be cautious Answer: D 795)patient with Alzheimer's disease has been hospitalized after sustaining a fall and fractured hip. The patient attempts to get out of bed and has fallen twice since admission. What is the most likely nursing action? A. Continue the care plan as written. B. Revise the goals and interventions✅ C. Add restraints to the interventions. D. Add a new nursing diagnosis of noncompliance. Answer: B 796)Patient with (HF) he is on Digoxin, when the nurse checks vital signs, she noticed pulse was 110. what is the nurse intervention? A) hold digoxin medication B) inform doctor C) recheck pulse D) give medication ✅ Answer: D 797)When examining the fetal monitor strip after the rupture of the membranes in a laboring client. the nurse notes variable decelerations in the fetal heart rate. The nurse should: A. Stop the oxytocin infusion. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 201 } B. Change the client’s position✅ C. Prepare for immediate delivery. D. Take the client’s blood pressure. Answer: B 798)When providing care for and collecting evidence from a victim of sexual assault, which initial step should the nurse focus on? A- Obtaining consent ✅ B- Collecting specimens C- Assessing the client's emotional state. Answer: A 799).: Offer....... medical equipment to encourage the child to expression of his feelings about new hospitalization experience and illness. A. Imitation B. Toys✅ C. Material D. Rules Answer: B 800)The wrong management for marasmus may lead. A. CNS complication B. Kwashiorkor C. Rickets D. Diarrhea✅ Answer: D 801)the child fears of being alone and some machine sound during hospitalization at age. A.5 months B.8 months C.9 months ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 202 } D.7years✅ Answer: D 802)The immunity system of the child reaches normal full mature level, at age. A. 10 years B. 9 years C. 12 months✅ D. 15 years Answer: C 803)A student taking the Saudi Commission exam in Dublin for the first time was optimistic and happy accompanied by his friend, a nurse specialist, and after the exam, his mood was sour, anxious and frustrated. Which of the following is the first intervention that his friend makes? 1 let him cry✅✅ 2 Hold him and lie down on his back. 3 share a hot drink. 4 drinks a cold beer Answer: A 804) the doctor writes a new order (PRN RESTRAIN) for an aggressive patient, how can doctor know the nurse understand the order: A. Restrain patient once if need. B. Call the doctor if patient be aggressive to restrain. C. Do not follow the order and call supervisor. D. Isolate the patient and not restrain. Answer: A 805)Disadvantages of lntra Uterine Contrastive (IUD) Expensive Increase Bleeding✅✅ Answer: B 806) A 60-year-old patient was admitted with hepatic coma in the intensive care unit. The physician has ordered. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 203 } protein restriction diet for the patient. Which of the following substances is most likely causes harmful effects when? the patient increases protein intake. A. urea B. creatinine C. ammonia D. amino acid Answer: C 807)A patient complains of severe pain which he stated to be 9/10, the physician ordered morphine 50 mg IV every 4 hours, the last dose was given 2 hours ago, what is the best action his caring nurse would take: A. Give another dose of morphine. B. Inform the doctor to change the order. C. Distract the patient by TV, radio or games for 2 hours. D. Ignore the patient completely. Answer: B 808)The infant 1 month with colic. What should nurse do?? Inform mother to increase milk product. Put infant in prone position✅✅ Answer: B 809)Spina pifida risk for Which of the following complication?? Infection ✅✅ Fever Bleeding Which of the following Noninvasive test used to assess fetus?? A. Contraction stress B. Non stress test✅✅ Answer: B Aspirin should be stopped at least 7 to 10 days before surgery. Heparin should be held 6 hours before surgery. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 204 } Warfarin should be stopped at least 2 to 3 days before operation. 810)The most risk of death?? hemorrhage ✅ pulmonary embolism -cervical cancer Cardiac disease Answer: A VF - - - - - - Life Threatening Stress incontinence - - - - - Kegel exercise ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 205 } 811)Which of the following we consider Congenital diaphragmatic hernia is related to any conditions or under cases?? A-Sepsis B-Pulmonary C-Heart D-Alkalosis Answer: B 812)a nurse is putting together a presentation Meningitis. on Which of the following has not been linked to Meningitis in? A-S. Pneumonia B-H. Influenza C-n. Meningitis D-C. difficile Answer: D 813)A patient who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept? A. At the nurses’ station. B. On the isolation cart outside the patient’s room. C. In the dirty utility room. D. In the patient’s room Answer: D 814)The nurse is caring for an adult patient who is admitted with. chest pain that started four hours ago. Which test will be? most specific in identifying acute heart damage. A. CKP B. Troponin level C. CK-MB D. Cholesterol level ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 206 } Answer: B 815)The nurse is caring for a patient who is admitted with chest pain and diagnosed with MI. Which test is assisting in diagnosis? A. CK-MR B. CK-MH C. CK-MB D. CK-HM Answer: C 816)The purpose of the Adam's forward bend test is detecting structural or functional scoliosis. This test is most often used during school screening for scoliosis. تيجي باالختبار 👇👇أشهر تعريفات ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 207 } 817) Evaluation -a systematic process by which the worth or value of something is judged and a basis for those judgments is defined. -a continuous feedback process whereby information is used to guide and direct decisions. -requires measurement. 818)Surveillance Systematic continuous observation of populations, and collection and analysis of data from many varied sources. FOR: Rapid detection and timely, appropriate response to important health events. Social surveillance for public health in community. Health surveillance for hospitals and health facilities. 819) Incubation period Person is most infectious and nonspecific signs and symptoms. 820) Hirschsprung disease Absence of ganglion cells of intestine. OR is a congenital condition characterized by partial or complete colonic obstruction associated with the absence of intramural ganglion cells. Because of the ganglionitis, 821) Placenta previa Occurs when the placenta abnormally implants in the lower segment of the uterus near o over the cervical os instead of attaching to the fundus. 822)Abruptio placenta Premature Separation of a normally implanted placenta before the fetus is born. 823)OVR report. Incident reports write on clear legible handwriting. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 208 } 824)Nosocomial infection Hospital acquired infection. 825)Blood pressure Force of blood against arterial wall 826)Blood deficit The difference between apical pulse and and peripheral pulse 827)Fusion process The process that sperm starting penetrates the ovum. Process of egg and sperm fusing to form a new individual. 828)Capacitation process Switching on of sperm to become fertilizing; it’s a biochemical event as sperm essentially demonstrates expected morphology and motility. This step is a biochemical event the sperm move normally and look mature prior to Capacitation. 829) Pulse pressure The difference between systolic blood pressure and diastolic blood pressure Cranial Nerves اسم العصب الوظيفة األدوات المستخدمة I -Olfactory االول smell sensory Coffee or soap II- Optic الثاني Vision distances sensory Vision distances chart chart and cotton. Torch III-Oculomotor الثالث Eyelid elevation motor ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 209 } IV-Trochlear الرابع Turns eyes motor downward and laterally V- trigeminal الخامس Chewing facial both Pinprick and brushing and mouth teeth & Hammer for sensation jaw reflex VI-Abducens السادس Turns eye Motor laterally VII-Facial السابع Facial expression both sweet & salt & and lip closure hammer VIII- الثامن Hearing sensory The weber and Rinne vestibulocochlear equilibrium test) tuning fork IX- التاسع Gaging and both tongue depressor & glossopharyngeal swallowing penlight X-vague العاشر Gaging and both tongue depressor & swallowing penlight XI-Accessory الحادي عشر Shoulder motor tongue depressor movement and head rotation XII-Hypoglossal الثاني عشر Tongue motor tongue depressor movement and speech ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 210 } 830) A 29-year-old man is in the Surgical Ward on his first post-open thyroidectomy. He appears drowsy but he is. able to respiration by nodding head. He is developing mild dy restlessness. What is the initial recommended goal? of care? A. Monitor vital signs of thyroid storm B. Assess for bilateral vocal fold mobility. C. Monitor for swelling on the neck. D. Monitor for vocal cord paralysis Answer: B ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 211 } 831)The Barlow Maneuver is a physical examination performed on infants to screen for developmental dysplasia of the hip. Barlow's test identifies posterior sublimations or dislocation. Ortolani test also for DDH ` ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 212 } Answer: C 832)Nursing student training under the supervision of Staff Nurse 3-month-old infant came to a normal checkup and the student assessed the pulse it is 165 b/m What should you do? A. Inform the doctor B. Ask parents about a history of heart disease. C. The staff nurse should check all the vital signs and repeat assessment✅ D. Ask the student nurse to check child's file. Answer: C 833)A child with a diagnosis of tetralogy of Fallot is scheduled. to be discharged from the hospital the nurse planning discharge education should instruct the caregivers that. during a hyper cyanotic spell, the position MOST likely to benefit the child is: Supine Side-lying Prone Knee-chest✅ Answer: D ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 213 } 834) Nurse manager tells one of the staff, “I don’t have time to discuss the matter with you now. See me in my office later” when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use? A. Smoothing B. Compromise C. Avoidance✅ D. Restriction Answer: C 835)A COPD patient siting and leaning forward, what should be improve to patient? A. position B. oxygen exchange ✔️ C.respiration pattern Answer: B 836)Collection of air in pleural space? A. pneumothorax✔️ B. hemothorax C. Atelectasis C. Pleural effusion Answer: A 837)Patient has barrel chest, dyspnea and pink skin. what should the nurse expect another symptom for patient? A. Obese B. Thin✅ Answer: B 838)An 8-month-old patient has gastroenteritis, and He is treated, now what do you instruct the mother about? A. weaning B. Nutritional requirements✅ ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 214 } C. Toilet training D. Accidents Answer: B 839)Mothers of children aged 1-4 years, what should you teach them about for their child safety? A. Pick up medicine and sharps✅ B. Don't use violence because it turns out to be a homicide. C. Accidents Answer: A 840)Infant came to ER and during the examination, the doctor said he had spinal bifida occult. What does the doctor know about this condition? A. Infant has hair patch at back✅ B. Infant has open wound on back. Answer: A 841)How much does a full-term baby weigh? 2.5-4 Kg 842) NICU child, when his mother came out, he sat shouting, and crying at Which stage of separation? A. Despair B. Denial C. Protest✅ D. Anxiety Answer: C 843) Which option helps the mother in the taking in stage? A. let her talk about her experience✅ B. Let her take care of the baby independent C. Give her educational papers and instruction ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 215 } Answer: A 844)Vaccine temperature 2-8° c 845)-Patient with blood type AB-ve for blood transfusion what are the compatible blood group for this patient: A- B- O- AB-✅ Answer: D 846)-nurse manager told his staff if one of you demonstrate punctuality, will have extra day off, what are the method of motivation used by the nurse manager? A. Coercive B. Rewarding✅ Answer: B 847) The healthcare provider is caring for a patient with a diagnosis of first- degree atrioventricular (AV) block. Which of these waveform patterns identified on the cardiac monitor is consistent with this arrhythmia? A. QRS complexes are dropped randomly B. No association between the P waves and QRS complexes C.Significant shortening of the PR interval D. Slowed conduction through the AV node✅ Answer: D 848) When the nurse starting change dressing procedure. What is the first step for her? A. Wear mask B. Wear gown C. Sterile gloves✅ Answer: C 849)pregnant women G1 P0 vaginal delivery observed in the second postpartum day that the perineal pad. ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 216 } saturated with bright red lochia rubra what is the priority nursing intervention? A. Massage fundus B. Obtain vital signs. C. Inform physician D. Inquire about time of pervious saturated perineal pads. Answer: D 850)A patient with sever varicose veins of the left leg presents to the clinic. The patient states that three days ago the right leg became very swollen and the skin on the right half area was very darkly colored. The capillary refill in the fingers is three seconds and on the right toes is four seconds. A. Teach the patient self-blood monitoring. B. Assess the patient to sided heart failure. C. Encourage the patient to joint an exercise class. D. Teach the patient how to apply thigh high anti embolic stocking✅ Answer: D 851)What is the most common hazard in hospitals? A. Chemical B. Physical✅ C. Biological D. Psychological Answer: B 852)Patient with bipolar disorder / schizophrenia. What should the nurse ask the patient to assess orientation for him? A. Family history B. The last events in country C. Date, Time, Person name✅ D. Months from back to first Answer: C ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 217 } 853)The head nurse needs to increase her staff nursing the next year. What is this considering?? A. Selection B. Recruitment C. Downsizing D. Rightsizing ✅✅ Answer: D 854)The head nurse needs to increase her staff nursing the next year. What is this considering?? A. Selection B. Recruitment C. Downsizing D. Organizing ✅✅ Answer: D 855) A nurse cares for a group of clients in a long-term care facility. Which situation represents a situation in which the nurse supports the client's autonomy? A.A client falls and fractures a hip. The nurse contacts the health care. provider for a prescription for pain medication prior to transfer for treatment. B.A client reports to the nurse regarding observing staff smoking on facility grounds when it was banned for residents and family members. C.A competent client who has received a terminal diagnosis request. the nurse to not reveal the diagnosis to the family due to fear of them. seeking long-term mechanical ventilation. D. A client wishes to have a do not resuscitate (DNR) order to prevent heroic measures by the health care team in the event of cardiac or respiratory arrest. ✅ ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 218 } Answer: D 856) A nurse cares for a group of clients in a long-term care facility. Which situation represents a situation in which the nurse supports the client’s autonomy? A. Patient refused to get I. V line B. Doctor order for patient no CPR but patient insists to do CPR ✅ Answer: B 857)Patient came to ER with dyspnea, Heart rate 136, Respiration rate 29. After doing x- ray the patient diagnosed lung abscess. Which Unit should the nurse have admitted the patient? A. ICU B. Medical, Surgical ward✅ C. Cardiac ward Answer: B 858) The patient with dementia and complaining of memory deficit. When the nurse enters patient room. She found the patient on the floor beside the bed. When she asked him What happened he said I forgot to press the call bell. She applied her nursing diagnosis and set intervention for that. See the table includes Nursing diagnosis: _Risk for fall related to cognitive impairment _Steps for intervention (Nurse care plan) : _Remind patient to use call bell continuously _Immediate Response to the patient after calling _Don't wait while patient is asking What is the most appropriate action? A. Continue for applying care plan that is enough interventions B. Change care plan and add more intervention to punish patient and provide restrain for him to avoid reoccurrence. C. Change intervention to add bed sensor in the side rails for quick response and provide bedside cane If he forgot call bell✅ ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 219 } Answer: C 859)A 19-year-old boy has been hospitalized with fracture in upper and lower extremities after accident then provided with casts for upper and lower limbs. Which of these Nursing diagnoses should the nurse consider in the Nursing plan of care According to his age?? A. Impaired social interaction B. Alteration in body image✅ C. Risk for infection D. Anxiety Answer: B Definition of hemiparesis /weakness of one entire side of the body Osteoma / to remove waste from body. 860)DM patient at night shift with cold skin, tachycardia, diaphoresis what you will do fist? A. check blood glucose. B. give him cup of orange juice✅ Answer: B 861) Nurse said to patient... your identity will not be linked to responses... What's the principal? A. Privacy B. Confidentiality C. Anonymity ✅ D. Debrifeing Answer: C complication of COPD: (core pulmonale) 862)Patient with Crackle, wheezing, fever and dull sound after percussion. What is the Diagnosis? A. Pneumonia✅ ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 220 } B. Tuberculosis C. Cor pulmonale Answer: A 863)Patient has ulcers in his foot. What is most important nursing diagnosis?? A. High risk for injury✅ B. Altered body image. Answer: A 864)COPD patient attached on mechanical ventilation. We need to change his position to prevent bed sores. What is the most appropriate position? A. Supine with elevation head of bed B. Lateral with elevated HOB 40 degree✅ C. Setting position Answer: B 865)What should the nurse do post test for the patient after IVP intravenous pyelogram? A. Doing exercise B. Encourage oral intake fluids✅✅ C. Eat something Answer: B 866)Woman came to ER with euphoric mood, hyperactive and talkative. But after physical examination and assessment she does not has any psychotic symptoms. The symptoms of hyperactivity and talkative not effect on her social life or job. What is the appropriate diagnosis? A. Dysesthesia B. Mania✅ C. Mood disorder Answer: B 868)Woman with severe pain in left iliac fossa and tenderness. They request for her CT. What should the nurse expect on CT?? A. Sigmoid diverticulosis✅ B. Sanitary diverticulosis ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 221 } C. Diverticolum Answer: A 869)Nurse supervising on assistant nurses and delegate assignment to him and say “diving up patient's assignment." what type of leadership A. Autocratic B. laissez-faire C. Situational D.transformational2 Answer: B 870)A 46-year-old patient is in the male Urology Ward after the surgical removal of the stone from his left kidney. through percutaneous nephrolithotomy under general anesthesia He ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 222 } has nausea and dull aching pain in left lumbar region His nephrostomy. bag is attached through a tube in his left kidney for a few days (see image). What of the following problems is is needed to focus on? A. Risk of impaired skin integrity due to infection✅ B. Disturbed life cycle related to nephrostomy bag. C. Knowledge deficiency for self-care management D. Impaired social interaction due to altered lifestyle Answer: A 871)46-year-old patient is in the male Urology Ward after the surgical removal of the stone from his left kidney through percutaneous nephrolithotomy under general anesthesia. He has nurse and dull acting pain in left lumbar region. His nephrostomy bag is attached through a tube in his left kidney for a few days (see image) What findings should alert the nurse to report to the physician immediately? A. Abdominal discomfort B. Patient Very exhausted C. Presence of blood and stone gravels in urine D. Urine output less than 30 ml/hr.✅ Answer: D 872) Pregnant mother always delivery on 36 weeks. She was asking the nurse What to do to prevent that. May be because of frequent sexual intercourse. How many times should the nurse provide education for her? A. Once per week✅ B. Once per month Answer: A 873)Patient came to ER after motor accident. The patient diagnosed hemiparesis /hemiplegia. Which part of spinal cord injury is affected? A. Cervical✅ B. Lumbar C. Thoracic D. Sacral Answer: A ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 223 } 874)Patient has sever itching all over the body. What medication should the nurse give? A. Antibiotic B. Diphenhydramine✅ C. Zinc Oxide Rational Antihistamine Answer: B 875)Patient came to ER complain from blood in stool. What is the most common diagnosis?? A. GERD B. Gastroenteritis C. BID bowel inflammatory disease ✅ Answer: C 876. Quinine sulphate drug side effects: A. Ringing in ears ✅ B. Blindness C. Hypotension D. Insomnia Answer: A 877. Measurements rates of epidemiology.. rate of birth in the year of 2016 is 19.5 per 1000.. what is it considered? A. Crude rate ✅ B. Observation rate C. Specific rate D. Standardized rate Answer: A ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 224 } 878. Schizophrenic patients says “ i feel like my arms and limbs are deatcahed from my body and i don’t feel like i am a alive and it made me avoid socializing” the nurse interpreted this as : 1. Depersonalization ✅ 2. Loss of association 3. Dissociative identity disorder 4. Dissociative amnesia Answer: A 879. The nurse is monitoring a post surgery patient, she noticed that his urine output has declined from 50 ml to 30 ml, she interprets this as witch cause? 1. Anesthesia effects ✅ Answer: A 880. Which patient is a contraindicated for enema?? A. Gluocoma B. hypertensive C. renal failure D. liver disease Answer: C 881. A 48yearold patient in the male Surgical Ward had his gall bladder removed through laparoscopic cholecystectomy 24 hours ago. While evaluating his general condition, the patient appears lethargic and complains of severe nauseated feeling along with disco mfort in the abdomen. What nursing problem needs to be prioritized? A. Disturbed metabolism due to higher energy demand B. Weak and lethargic due to low food and fluid intake C. Nausea and vomiting due to slower gut movement ✅ D. Impaired comfort related to postsurgical effects Answer: C ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 225 } 882)Patient with Manic bipolar disorder. He is hyperactive, too much moving, talk alot and he has loss of appetite, very thin. The patient also don't sleep. What is the most appropriate nursing diagnosis? A. High risk for suicide B. High risk for injury✅ C. Nutritional disturbance D. Alter sleep pattern Answer: B 883)Psychiatric patient was crying. When the nurse asked him, He said I want to stay alone. I don’t want anyone with me leave me cry. What is the best action for the nurse? A. Maintain privacy and leave him alone B. You appear sad. I am here to help you✅ C. Stay with him and be silent D. Say Okay and let him cry Answer: B 884) The nurse was transporting patient with H1N1. She was asking another nurse for use of N95 with this patient. What is the action? A. Use the mask only inside patient room✅ B. Use the mask if patient has cold symptoms Answer: A 885)The nurse was discussing with group of women and providing educational session about breast self-examination. Which of the following if said need furthur education? A. Breast examination after age of 20 years' old✅ B. Doing the examination after the shower C. Doing the examination either standing or sleeping D. Doing the examination 5/6 days after period. Answer: A ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 226 } 886)Patient with 88% O2 saturation What should use? A. Facial mask✅ A. Nasal cannula Answer: A 887)The patient in ICU weaned from ventilator and start endotracheal tube. What should the nurse use? A. Ventru mask✅ B. trachestomy collar Answer: A 888)Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-born or congenital anomalies? A. Vitamin A B. Riboflavin C. Folic Acid✅ D. Vitamin K Answer: C 889) While caring for a neonate with a meningococcal, the nurse should avoid positioning the child on the: A. Abdomen B. Left side C. Right side D. Back✅ Answer: D 890) A nurse is assessing a 6-month-old infant that has retar reduced responsiveness and interaction with the environment to smile or make eye contact. The nurse notices that the attempt to hold or comfort the crying infant. What diagnosis should the nurse anticipate? A. Celiac disease B. Failure to thrive✅ ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 227 } C. Cystic fibrosis D. Growth hormone deficiency Answer: B 891)When assessing the funds level At 36 week it is at the >>>> Xiphoid process Midway between symphysis pubis and Umblical level >>>> 16 week At the level of Umblicus >>>>>> 20 week At symphysis pubis level>>>>> 12 week 892)A 28-year-old pregnant woman at 9 weeks presents to the o with vaginal bleeding. During assessment, the nurse found height is 12cm. Which of the following is the most likely diagnosis? A. Placenta previa B. Abruptio placenta C. Ectopic pregnancy D. Hydatidiform mole✅ Answer: D 893)Orthostatic hypotension: A - 80/60.✅ B- 90/70. C- 110/75. Answer: A 894)while taking care of the a patient with a spinal cord injury, the patient suddenly complains of pounding headache upon assessment the patient was found to have diaphoresis , drop in heart and elevated blood pressure , autonomic dysreflexia is suspected and the head on the bed is elevate. Which of the following is the most appropriate to important immediately? A-Notify the physician B-Assess bladder for distension ✅ C-Continue to monitor for next hour Answer: B ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 228 } 895)During vaginal examination the nurse palpated the posterior fontanel to be at the right side and upper quadrant of the maternal pelvis ? A. ROP B. LOP. C. ROA✅ D. LOA Answer: C 896)The nurse is assessing a child (an infant) with pyloric stenosis. which of the following is likely to note? A. Diarrhea B. Projectile vomiting✅ C. Swallowing difficulties D. Currant jelly like stool Answer: B 897) A 5- week old newborn admitted paediatric ward with pyloric stenosis the newborn has weight loss, and projectile vomiting after feeing. Which of the following abdominal organs are directly affected when stenosis diagnosed? A. Stomach and duodenum✅ B. Stomach and esophagus C. Liver and spleen D. Liver and bile duct Answer: A 898) A 5year-old child was seen to the Emergency Department abdominal pain, palpable sauge-shaped mass, and Intussusception is suspected Which of the following is the best diagnostic evaluation to? A. X-ray B. endoscopy C. Rectal biopsy D. Ultrasonograph✅ Answer: D ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 229 } 899)57- A 30-year-old pregnant lady in her 33 weeks' pregnancy. When the nurse assesses the health condition of the lady, she provides nursing care and health teaching. Which of the following types of home visiting is the best to be conducted? A. Follow up✅ B. Selective C. Systematic routine Answer: A 900) Complication of hyperthyroidism? A. Bleeding B. Thyrotoxicosis✅ Answer: B 901)A Rehabilitation nurse reviews post stroke patient immunization history which immunization is a priority for a 72-year-old patient A. hepatitis A vaccine B. hepatitis B vaccine C. rotavirus vaccine D. pneumococcal vaccine Answer: D 902) Pregnant woman in third trimaster is complaining fatigue, tired and chest heavieness and dificulty breath. The nurse told her that is normal specially in the last months of pregnancy. What is the Medical cause and interpretation filor that? A. The fetus and uterus on exophoid and press on lung and limit its expand ✅ Answer: A 903)Polycystic ovary syndrome (PCOS) Complications? A. Amenorrhea B. Dysmenorrhea C. Infertility✅ Answer: C 904)Polycystic ovary syndrome (PCOS) Common Signs and symptoms? A. Dysmenorrhea ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 230 } B. Infertility✅ C. Polymenorrhea Answer: B 905)Nursing manager her scheduled staff absence. She had to float another staff to cover defect from another unit What is the manner that manager use? A. self-staffing B. on call staffing C. Borrowing staffing D. Floating staffing✅ Answer: D 906)When nursing manager invite unscheduled staff from same unit to cover nursing shortage. What this manner? A. Self-staffing B. On call staffing✅ Answer: B 907)Patient with fever, cough with blood. The nurse call to infection center to provide precaution to the patient. Which precaution should the nurse Apply? A. Airborne✅ B. Droplet C. Contact D. Precaution until the confirm of diagnosis Answer: A 908) A group of mothers, in their third trimesters, are attending the education session regarding the alert signs for which they are immediately contact the hospital. The midwife is to assess the understanding of the session by asking question. What response for the mothers helps assure the midwife about right understanding? A. Gush of urinary outflow without any urge B. Low back pain at night and difficulty in sleep C. Activity intolerance and breathlessness on exertion ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 231 } D. Absence of contraction after 42 week of pregnancy✅ Answer: D 909)What is the Assessment of data after patient discharge?? A. Audit B. Retrospective✅ C. Concrete Answer: B 910) Patient post heart valve replacement. What is the expected drug for the patient after operation? A. Nitrates B. Beta blockers C. Anticoagulant✅ Answer: C 911) A patient with a history of atrial fibrillation has an order for 0.25 milligrams of drug (X), the available supply/dose is 0.125 milligrams. Which of the following doses in correct? A. Dispense two tablets to the patient ✅ B. Administer one tablet twice daily C. Dispense one half tablet to the patient D. Return tablets to the pharmacy and re-order Answer: A 912) Patient Bl. P 230/135. What would patient high risk for?? A. Stroke✅ B. Hypertensive crisis Answer: A 913) Why should control of high blood pressure with hypertensive patient. What is the most common complication? ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 232 } A. Hypertensive Encephalopcy✅ B. Cardiac decompensation Answer: A 914) Patient with unstable angina. The chest pain is ruled out. What is the priority nursing diagnosis? A. Anxiety from threatened disease B. Pain related to Angina pectoris✅ Answer: B 915) Self limited crisis Duration for solving ?? A. 2 weeks B. 4 weeks✅ C. 6 weeks D. 8 weeks Answer: B 916) Mother has 8 months child wants to give her baby an egg to eat what is the kind of egg she should give? A. Give whole egg B. Don’t give for child until 1 year C. Give white egg without yolk D. Give yolk egg without white✅ Answer: D 917) Patient on oxygen with nasal cannula. How should the nurse ensure effectiveness? A. Increase HR to 90 b/m B. Increase RR to 24 C. Increase O2 saturation 95%✅ D. Increase Bl. P 120/80 mmhg Answer: C 918) A nurse manager is open minded, listens to the team, understands others, makes changes to improve unit ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 233 } operations and procedures. What type of leadership style is this? A. Situational B. Democratic ✅ C. Compassionate D. Transformational Answer: B 919) The Postpartum mother was asking the nurse about timing for restating sexual intercourse activity. What should the nurse response? A. 3 weeks after delivery B. As long as taking contraceptives C. After stop of lochia discharges✅ D. Any time she wants Answer: C 920)Chicken box vaccine - - - - - - Varicella vaccine Patient with COPD came to ER. The patient was very exhausted. He was complaining shortness of breathing and cough. What is the most appropriate PaO2 percentage should be given for him? A. 55 or below mmhg✅ B. 80 or high C. 70 mmhg Answer: A 921) What is the best system that help nursing in data interpertation for patient care? A. Patient documentation system✅ B. Nursing documentation system Answer: A 922) Sulfa allergy patient should avoid - - - - - Sulfadiazine, sulfamethoxazole, sulfapyridine & sulfisoxazole are Antibiotics. 923) Primary prevention - - - - prevent disease occurrence rather than cure ِيِاْلَ أرض أ ُ َم ُ ك ثِِف َ اس ِِفي أَ َّ ع ِالن ُ ف َ ماِيَ أن َّ َوأ َ ِما َ { 234 } 924) The nurse use internet to see patient file outside hospital? A. Telehealth B. Telecommunication✅ C. Nursing informatics Answer: B 925)Child with pyloric stenosis and re-hydration. What should the nurse do? A. Induces Vomiting for child B. Give oral feeding C. Start rehydration by nasogastric tube ✅ Answer: C 926)Patient in triage area. What is the first subjective data should triage nurse Obtain? A. Chief compliance ✅ B. Level of pain C. Family history Answer: A 927) Person work in factory. Every day expose to hazard. What type of hazard? A. Chemical✅ B. Environmental C. Biological D. Psychological Answer: A 928) Psychiatric patient doesn’t like her nose and mouth shape. She has false belief of disturbed body image and counselled many doctors' for doing operation. Doctor's not accepted her due to no need everything is normal. What is type of disorder? A. P
