SNLE Reviewer PDF

‫‪M.H‬‬ ‫تحديث ‪30. September.2019‬‬ ‫للملف تحديث يوميا‬ ‫‪1‬‬ ‫وهل جزاء االحسان اال االحسان‬ M.H 1. Temperature 41 c is ……………Hyperpyrexia 2. When checking rectal temperature how depth thermometer should be inserted A. 2cm...

‫‪M.H‬‬ ‫تحديث ‪30. September.2019‬‬ ‫للملف تحديث يوميا‬ ‫‪1‬‬ ‫وهل جزاء االحسان اال االحسان‬ M.H 1. Temperature 41 c is ……………Hyperpyrexia 2. When checking rectal temperature how depth thermometer should be inserted A. 2cm B. 3.5cm C. 4cm D. 4.5 3. A 15-year-old girl is admitted to the hospital with diarrhea. She has been repeatedly vomiting for now weak and lethargic. She is oriented to time to questions appropriately. The nurse prepares temperature using an electronic thermometer. Which measurement would be most appropriate? A. Oral B. Rectal C. Axillary D. Tympanic 4. Fastest and most sanitary thermometer is : A. Glass B. Electronic C. Chemical D. Tympanic Infection control 5. Which of the following is an example of epidemic point source? A. Tuberculosis B. Public health agency C. Contaminated water source D. Communicable disease pavilion 6. TB epidemic disease Corona virus measles Small pox chicken pox Airborne Airborne Airborne Airborne Airborne 7. Meningitis Diphtheria Rubella influenza Droplet Droplet Droplet Droplet 8. RSV.. ‫؟‬Respiratory syncytial virus (RSV) MRSA isolation ?! Ebola virus Contact Contact contract Tuberculosis  TB epidemic disease  TB. Wear N95 mask  TB. Test Mantoux test / PPD TEST  TB TEST WITHIN 48-72 Hours  Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes  Tb accurate test sputum culture and to be done early morning Meningitis....  Streptococcal pneumonia  meningococcal vaccine. Hib  Neck rigidity  Droplet  Cloudy CSF  Lumber puncture  Surgical mask. No N95 mask 2 ‫وهل جزاء االحسان اال االحسان‬ M.H 9. A 32 years old man develops chronic productive cough. He has not been feeling hungry and has lost three kilograms body weight in the past three weeks. On examination of his lung fields, there was diminished breath sound and widespread crackles. An early morning sputum culture was sent to the lab. A. Droplet B. Contact C. Airborne Rationale TB chest XRAY 10. year-old man is diagnosed with tuberculosis (TB) and negative pressure room. Which of the following should wear a facemask? A. Patient's health care providers B. All people who enter the patient's room C. Person has close contact with the patient D. Family members who are at risk for infection 11. A nurse working in medical unit is preparing to with droplet precaution measures in place. The following personal protective equipment; eyewear. What is the correct sequence foe putting the equipment on? A. Face Mask, Gown, Eyewear, and Gloves B. Gown, Face Mask, Eyewear, and Gloves C. Eyewear, Cloves, Face Mask, and Gown D. Gloves, Gown, Face Mask, and Eyewear 12. A nurse working in medical unit is going out (removing) with droplet precaution measures in place. The following personal protective equipment; eyewear. What is the correct sequence foe putting the equipment on? A. Face Mask, Gown, Eyewear, and Gloves B. Gown, Face Mask, Eyewear, and Gloves C. Eyewear, Cloves, Face Mask, and Gown D. Gloves, Eyewear , Gown, , and Face Mask 13. Mr X attended in outpatient clinic with symptoms of shortness of breath, diarrhea and severe respiratory distress Which of the following is the best diagnosis of Mrs. A case? A. Corona virus B. Swine Flue C. Zika virus D. Hepatitis 14. A nurse receives a telephone call from the admission office of the hospital and is told that a patient with streptococcal meningitis will be admitted to the Medical Unit. The nurse is planning to apply infection control measures for the patient.Which type of isolation precaution the nurse must observe? A. Droplet precautions B. Contact precautions C. Airborne precautions D. Standard precautions 15. A 45-year-old patient admitted with pulmonary tuberculosis. The unit nurse placed the patient in an isolation room with negative air pressure and prepared all the personal protective equipment at the entrance of the room. What type of precaution measure has the nurse activated? 3 ‫وهل جزاء االحسان اال االحسان‬ M.H A. Contact B. Droplet C. Airborne D. Standard 16. To reduce the risk of transmitting methicillin-resistant sta aurous (MRSA) from an infectious wound, which of the following precautions should be implemented? A. Airborne B. Contact C. Droplet D. Reverse isolation 17. A 5-year-old child is seen in the primary care clinic with mild fever, headache, and malaise for about 2 days and today he has a rash filled with fluids. which of the following is the best suggested diagnosis? A. Chicken pox B. German measles C. Measles D. Scarlet fever 18. patient with measles (rubella) is on airborne precautions. Which of the following precaution techniques would be essential to implement for non-immune persons entering the room? A. Gloves B. Gowns C. Masks D. Face shields 19. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST? A. Shake the patient’s hand B. Place the nursing supply bagon a clean, dry surface. C. Obtain the patient’s written consent for home health care D. Perform hand hygiene per the agency protocol 20. You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which type of isolation should be suitable for the patient? A. Air borne B. Contact C. Droplet 21. Patient with a colostomy complains of itching of the peris tornal skin. On assessment, the skin is covered in a red rash with white patches visible. What is the most likely cause of this condition? A. Not changing the pouch regularly B. Candidiasis C. Consuming acid-producing foods D. Dehydration 4 ‫وهل جزاء االحسان اال االحسان‬ M.H 22. A 33-year-old woman has come to the outpatient clinic for treatment of a vaginal infection. Physical assessment reveals yellowish excessive, thin offensive and frothy discharge. Which of the following is the most likely diagnosis? A. Candidiasis B. Trichomoniasis C. Bacterial vaginosis D. Chlamydia 23. A 5-year-old child is seen in the primary care clinic with headache, malaise for about 2 days and today he has a fluids for how long the child should be isolated after formation of? A. 2 days B. 6 days C. 10 days D. 15 days Rationale chicken pox 24. A toddler is seen in the Emergency Room with a history of high temperature for 5 days. He had watery eyes and a cough for the last 3days, and then he developed a rash all over the body which started in his face and spread down to his body. The mother did not remember the vaccination schedule of her son. For how long the child should be isolated? A. 5 days B. 10 days C. 15 days D. 20 days Rationale Measles 25. The nurse is assessing a 65-year-old patient, who reports the fatigue, weight loss, night sweats, and a productive cough with thrick sputum The nurse should immediately initiate isolation precautions for which of the following? A. Influenza B. Pertussis C. Bacterial pneumonia D. Pulmonary tuberculosis 26. Which of the following diagnostic tests is definitive for TB? A. Chest x-ray B. Mantoux test C. Sputum culture D. Tuberculin test 27. patient presented with high fever, headache, vomiting and neck stiffness for the past 3 days, which of the following is the first diagnostic intervention for this patient: A. Urine and stool analysis B. lumber puncture with CSF aspiration C. Complete blood count D. Chest and abdomen x-ray 5 ‫وهل جزاء االحسان اال االحسان‬ M.H Cleft palate and Cleft lip Age for surgery repair 28. Cleft lip 3 – 6 month after surgery consideration elbow restrain after surgery the infant should not be allow to cry and the infant not allow to breast feed by sucking. never to put the baby prone position after cleft lip repair surgery 29. Cleft palate 12 – 18 month position after surgery prone position , 30. Consideration after cleft lip and cleft palate is :  Burping the child frequently every 15 minutes  To prevent cleft lip and cleft palate the pregent woman u should advice:  Folic acide 400 iu  Increase green vegetables & Citrus intake  Feeding up right setting position Questions 31. A 2-month-old infant with cleft lip is seen in the primary health care to get the regular vaccine of 2 months. The mother asked proper time for the corrective cleft lip surgery of her infant. Which of following is the best nurse response? A. No specific age for repair of cleft lip B. It is too late, repair should be done immediate after delivery C. The age of 2 months old is the time for repair D. The proper time for repair after the age of one year, 32. The nurse have 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 33. Mother came to the Outpatient Department with an infant having cleft and palate. The infant was underweight, so the nurse has to consider ching 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 34. A 40-year-old women is a gravida 2, para 2 and is current conceive. Her previous pregnancy resulted in the birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic counseling and Which foods would most effectively prevent recurrence a palate? A. Green vegetables and citrus fruit B. Eggs, milk and dairy products C. Wheat, corn, rice, oats and rye D. Beef, chicken and yellow vegetables 35. A nurse is caring for a newborn with cleft lip. At which age would the nurse expect the doctor to perform? A. 3-6 months 6 ‫وهل جزاء االحسان اال االحسان‬ M.H B. 6-10 months C. 11-14 months D. more than 14 months 36. A 2-day-old newborn is admitted to the nursery. While the nurse is administrating oral feeding, the milk returns through the child's nose and mouth and the infant become cyanotic.Which of the following condition the newborn should have? A. Anorectal malformation B. Tracheoesophageal fistula C. Cleft lip and palate D. Cardiac condition 37. 26- 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 Thyroidectomy 38. A patient returned to the Surgical Unit from the thyroidectomy. The nurse observed that the arousable. Blood pressure 90/60 mmHg Heart rate 108 /min What immediate action should the nurse take? A. Recheck pulse and blood pressure B. Administer intravenous fluids as ordered C. Place client in modified Trendelenburg's D. Assess the back of neck surgical dressing for bleeding 39. Complication of thyroidectomy A. Distension B. Bleeding C. Vocal cord injury 40. progressive enlargement of a multi-nodular go tracheal compression including pain at the site of the ear and jaw, difficulty swallowing, change of pf breath by compressing the oesophagus. There is in otherwise the patient is at risk. What is the preferred treatment? A. Iodine treatment B. Thyroid hormone treatment C. Radioactive iodine treatment D. Surgical resection of abnormal thyroid 41. A Post thyroidectomy patient transferred to ward and developed tetany the nurse suspected that patient has ? A. Hypokalemia B. Hypocalcemia C. Hyponatremia 42. A nurse Wayne is aware that a positive Chvostek’s sign indicate A. Hypocalcemia B. Hyponatremia 7 ‫وهل جزاء االحسان اال االحسان‬ M.H C. Hypokalemia D. Hypermagnesemia 43. Patient is being admitted to the Recovery Room following a thyroidectomy. The back of the neck wound is covered with dressing. During the first 15 minutes, the patient started working and having diarrhea. A general assessment is performed with special attention given for the high risk for haemorrhage. Where would bleeding most likely occur? A. Stool B. Vomitus C. Dressing D. Back of neck 44. A 29 year-old man is in the Surgical Ward on his first post-ope thyroidectomy. He appears drowsy but the 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 Tonsillectomy 45. 3-year-old child with an elevated body temperature is administered oral aspirin. The nurse records the body temperature of the child two hours an The American Academy of pediatrics suggests that removal of the tonsils under certain conditions. Which of the following meets these conditions? A. times viral tonsillitis per year B. Infrequent snoring and nasal quality C. Three times bacterial tonsillitis per year D. Tonsillitis accompanied by adenoid inflammation 46. 5year-old child is postoperative after tonsillectomy. The nurse should ask the parents to give the child which of food after discharge from the hospital? A. Meat and rice B. Hot dog and potato chips C. Mashed potatoes and soup D. Cucumbers and tomato salad 47. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing assessment is suitable for the postop care? A. Encourage the child to cough spontaneously B. Observe for subtle signs of haemorrhage C. Place the child in the prone position D. Suction the mouth to clear the airway Because of violent behaviour 48. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing action is suitable for the postoperative care? A. Encourage the child to cough spontaneously B. Observe for subtle signs of haemorrhage 8 ‫وهل جزاء االحسان اال االحسان‬ M.H C. Place the child in the prone position D. Suction the mouth to clear the airway Because of violence 49. After tonsillectomy, a child begins to vomit bright red blood.the Initial nursing action is to? A. Notify the physician B. Turn the child to the side C. Maintain an NPO status D. Administer the prescribed antiemetic 50. The nurse cares for a client who has undergone a tonsillectomy. The nurse is most concerned about which post- operative finding? A. Lack of appetite B. Throat pain C. Frequent swallowing D. Nausea Appendicitis 51. 18-year-old man college student was rushed fainted at the school. He complained of severe quadrant. Upon palpation, he jerks even with sample was obtained. What is the most likely diagnosis of this patient? A. Appendicitis B. Liver Cirrhosis C. Kidney stones D. Duodenal ulcer 52. - year-old child was admitted with suspected appendicitis. A nurse was evaluating the child’s condition and the mother stated that the child did have his bowel movement for the past two days and requested for natives. What is the risk of giving laxative to patient with appendicitis? A. Pain B. Fever C. Rupture D. Diarrhea 53. A man is to be discharged from the General appendectomy. The precautionary measures, plans are discussed with him. What is the most important desired outcome after discharge A. Remain free of post-surgical complications B. Report fever, redness or drainage from the wound site C. Use pain management techniques approp D. Resume gradual activities and avoid weight 54. A 17 year-old arrived to the Emergency Room complaining abdominal pain on right lower quadrant. Pain was rated as 9 numeric scale with positive rebound tenderness over the pain Blood pressure Heart rate Respiratory rate Temperature 120/70 mmHg 95 /min 20 /min 39.2 Which of the following interventions has the highest priority? A. Keep NPO B. Secure an IV access C. Prepareforultrasound D. Prepare for abdominal surgery 9 ‫وهل جزاء االحسان اال االحسان‬ M.H 55. The nurse would increase the comfort of the patient with appendicitis by: A. Having the patient lie prone B. Flexing the patient's right knee C. Sitting the patient upright in a chair D. Turning the patient onto his or her left side Medication 56. Treatment of nephritic syndrome is corticosteroids 57. Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes 58. A nurse is preparing scheduled medications due at 6 pm. If a doctor orders paracetamol tab 1g QID, and it was supplied from the pharmacy in 250 mg tablets. Which of the following is the most appropriate nursing actions? A. Ask the pharmacy to provide 1g tablets B. Call the doctor to recheck the dosage C. Give the patient four 250 mg tablets D. Hold the medication and document in nursing notes 59. 13-year-old patient is admitted for diarrhea and vomiting. He looks pale and lethargic. A nurse is preparing to give IV hypotonic solution. Blood pressure 110/70 mmHg Heart rate 76 /min Respiratory rate 18 /min Temperature 36.1°C Which IV solution is most appropriate? A. 0.9% saline B. Lactated ringers C. 10% dextrose in water D. 0.45% sodium chloride 60. A nurse is assigned to care for a group of patient in the medi expected to review the medical records of these patient. What patient is at risk for excess fluid volume? A. Patient with ileostomy B. Patient taking a loop diuretic C. Patient with chronic renal failure D. Patient hooked to gastrointestinal 61. physician orders an intravenous fluid of D5NS at 100cc/hr. This is an example of which of the solution? A. hyper alimentation B. hypertonic C. hypotonic D. isotonic 62. When a patient was first diagnosed with schizophrenia, one of his family members asked the nurse about the possible causes. The nurse said that one reason is that he may have had an excess secretion of a neurotransmitter. Which of the following neurotransmitters? A. serotonin B. dopamine C. glutamate 10 ‫وهل جزاء االحسان اال االحسان‬ M.H 63. The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the post anesthesia care unit (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2saturation is 21 oxygen via cannula is 86%. The nurse should IMMEDIATELY administer: A. Flumazenil(Romazicon) B. Medazolum(versed) C. Naloxone (Narcan) D. Ondansetron (Zofran) 64. Digoxin not given to pàtient who has ? A. tachycardià B. hypertension C. tachypnea D. bradycardia 65. Atropine is indicated for increase A. Heart rate B. Respiratory rate 66. Morphine side effect ? A. tachycardià B. hypertension C. tachypnea D. bradypnea 67. patient with ongoing magnesium sulfate the nurse should be alert to ? A. temperature B. respiratory rate C. heart rate 68. Soldier was brought to triage area after being exposed to chemical weapons. Signs and symptoms of nerve gas exposure were noticed. A nurse prepares for medical management. Which medication should the nurse prepare for the patient? A. Atropine B. Adrenaline C. Sodium nitrate D. Sodium thiosulphate 69. Nitroglycine administration route : A. Intramuscular B. Sublingual C. Subcutaneous D. Oral 70. A nurse checks the medication chart of a part, which has the following order; Nitroglycerin tab Buccal at stat. Which of the following medication administration routes should the nurse use? A. In the ear B. Intravenous C. Under the skin 11 ‫وهل جزاء االحسان اال االحسان‬ M.H D. Between cheek and gum 71. A nurse is caring for a patient who had Coronary Artery bypass Graft Surgery (CABG) four hours ago. The nurse notices that the patient has increased confusion and is restless. The patient reports nausea, weakness and paresthesia in the extremities (see lab results) Normal Values Result Test 134-146 mmol/L 145 Sodium 3.5-5.2 mmol/L 6.8 Potassium 2.15-2.62 mmol/L 2.50 Calcium Which of the following is the best medication? A. Naloxone (Narcan) B. Hydralazine (Apresoline) C. Potassium chloride (KCI) D. Sodium polystyrene sulfonate (Kayexalate 72. Which of the following statement by the nurse about the clomid as an ovulation inducing drug? A. Given for the first 15 days in each cycle B. Maximum dose is 50 mg daily for a month C. It increases the risk of birth defects D. It increase the risk of multiple pregnancies 73. Clomiphene citrate (Clomid) is prescribed for a 32-year-old infertility treatment. The nurse should understand that this medication is used fo following actions? A. induce ovulation B. Decrease prolactin level C. Reduce endometriosis D. Stimulate the release of Follicle-Stimulating Hormone 74. A nurse is caring for a client with bipolar disorder, who is receiving Lithium carbonate. Before Administration of the next dose, the client complains of nausea and vomiting and the nurse finds that the client’s lithium blood level 1.5mEq/lL. Which of the following actions is considered Apriority? A. call the client’s physician immediately B. withhold the next dose. C. Administer IV fluids D. Repeat the blood lithium level testing 75. patient was on a regular dose of lithium carbonate. The nurse noticed he has hand tremor, polyuria, diarrhea and vomiting. What immediate action should be taken by the nurse? A. Diuretics B. Withholding lithium C. Calling the psychiatrist D. Monitoring serum lithium level 76. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms? A. Overdose B. Mild toxicity C. Severe toxicity D. Moderate toxicity 12 ‫وهل جزاء االحسان اال االحسان‬ M.H 77. 49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG showed that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. What is the primary indication of aspirin in this case? A. Breaks down the thrombus B. Decreases the formation of platelet plugs C. Inhibits the conversion of prothrombine to D. Interferes with vitamin k to maintain 78. which of the following condition is a Contraindication for a woman oral Contraceptives? A. Dysmenorrhea B. Menorrhagia C. Thrombophlebitis D. Toxic shock syndrom 79. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms? A. Overdose B. Mild toxicity C. Severe toxicity D. Moderate toxicity 80. A 45-year-old distressed and restless patient in the Psychiatric Ward was unable to sleep during the nights for the last two days. He was ordered sleep medication which was to be administered at 10 pm. At the time medicine administration, the patient was found asleep in bed Which of the following action should the nurse take regarding the dication? A. Discard medicine and cancel the order B. Leave it at the bed side for the patient C. Wake him up and administer D. Hold, record and report 81. 13- nurse is given health education to the parent how to reduce febrile avulsion in the child at home. Which of the following medication in the safest intervention? A. Analgesic B. Antipyretic C. Antibiotic D. Antiemetic 82. DR order to give Ofloxacin Otic route the nurse understand that medication will be given : A. Nasal B. Eye C. Ear D. Sublingual. 83. A home care patient with chronic Obstructive reports an upset stomach. The patient is taking and triamcinolone acetonide (azmacort). Which of the following counselling should be given A. Theo-dur on an empty stomach B. Theo-dur and azmacort at the same time C. Theo-dur and azmacort 12 hours apart 13 ‫وهل جزاء االحسان اال االحسان‬ M.H D. Theo-dur with milk or crackers 84. Which of the following vitamins is necessary for wound healing process? A. Vitamin A B. Vitamin C C. Vitamin D D. Vitamin K 85. 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 86. A 78-year-old woman who lives in a long-term care facility has been ving repeated episodes of urinary tract infections. She is prescribed then amine mandelate one gram to be taken by mouth four times per before meals and at bedtime. The nurse advises the patient that she need to remove milk from the diet while taking the medication. What is the primary purpose for this dietary advice? A. To prevent mal absorption of medication B. Decrease risk of gastrointestinal upset C. Reduces effectiveness of medication D. To make the urine acidic 87. A nurse received the serum digoxin level result for the patient the day and notes that the result is 2.6 ng/mL (see lab result) Test result normal value Digoxin (men) 2.6 0.8-2ng/mL Which of following nursing actions is the most important? A. Notify the physician B. Check previous vital signs of patient C. Record normal value on nursing note D. Administer scheduled dose of medication 88. A patient is being admitted in medical unit and has orders for fluid restriction of 1400ml / 24 hours. He is receiving IV medications in 50ml solutions QID. How much fluid should the caring nurse allocate for cra intake in 24 hours? A. 400 ml B. 800 ml C. 1000 ml D. 1200 ml 89. nurse is preparing an order of Amydramine 30 mg PO BD. The available check is 15 mg /5 ml. What is the correct dosage of the medication to be administered? A. 5 ML 14 ‫وهل جزاء االحسان اال االحسان‬ M.H B. 10 ML C. 15 ML D. 20 ML 90. A nurse is preparing a medication order of 100 mg IV stat. The available hydrocortisone is 200mg per 5 ml distilled water for injection. Which of the following is the correct administered? A. 4.5 ML B. 3.5 ML C. 2.5 ML D. 1.5 ML 91. A nurse is preparing to administer an intravenous infusion of 2000 ml of Ringer's lactate over 12-hours. The administration set has a chamber that delivers 15 drops per ml. How many drops per minute should be administered? A. 14 B. 24 C. 42 D. 56 92. Doctor order to give medication x 300mg and available is 900mg/6ml how many ml the nurse will give A. 1.2 B. 2 C. 4 D. 6 93. A 56-year-old man was admitted with complaint working for three days. The nurse is preparing to administer infusion of saline 1000 ml over six hours. What is the hourly infusion rate that the nurse needs to infusion therapy in mL/hour? A. 155 B. 167 C. 190 D. 217 94. Doctor Order: Heparin 10000 units OD S/C Standard Solution 40000 units/ml How many ml would you administer? A. 0,25.ml 95. A nurse check the medication chart of a patient, which has the following order; Paracetamol 500mg P.O. QID. How many times a day should the nurse administer the medication? A. Once B. Twice C. Three times D. Four times 96. The following syringe contains 2 gm of morphine sulphate, how many grams are there in 1 ml: A. 0.5 gm B. 1 gm C. 2 gm D. 4 gm 15 ‫وهل جزاء االحسان اال االحسان‬ M.H 97. The following syringe contains morphine sulphate in a concentration of 2 mg/cc, how much total morphine this syringe contains: A. 0.5 mg B. 1 mg C. 2mg D. 4 mg Administration 98.. During Cardiopulmonary Resuscitation (CPR) for a 75-year-old man in the Emergency Department, the doctor introduced himself as a leader for the CPR. What is the most appropriate leadership style for this situation? A. Autocratic B. Democratic C. Bureaucratic D. Laissez-faire 99. A nurse manager is open minded, listens to the team, understands others, makes changes to improve unit operations and procedures. What type of leadership style is this? A. Situational B. Democratic C. Compassionate D. Transformational 100. A nurse manager includes staff in decision-making process what unit structure is used? A. Divisional B. Centralized C. Functional D. Decentralized 101. What is the main limitation of democratic style of leadership? A. it ignores the incompetent personnel B. cannot be used in emergency situations C. decreases collaboration among the team D. may end up in inappropriate decision making 102. A nurse manger is preparing and writing a plan for dealing disasters (code red). Which procedure is the top priority for the nurse manager the plan? A. Infection control B. Staff orientation C. Patient education D. Patient relocation 103. nurse manager was not happy about low results of patient’s survey. Which of the following is the first step for nurse manager? A. Schedule meeting with staff B. Start changes to improve C. Review evaluation details D. Report to director 16 ‫وهل جزاء االحسان اال االحسان‬ M.H 104. A 14- nurse manager assigns tasks according to clinical competencies of the nurses.Which of the following is the management function? A. Delegating B. Evaluating C. Planning D. Controlling 105. post-operative patient who underwent an abdominal procedure requests a pain medication from the nurse and rates the pain at a level nine. There a standing order for narcotic administration. When the nurse opera the narcotic box and performs a count, the number of pills remaining in the box is different than the number of pills recorded on thesheet. What is the most appropriate initial nursing action? A. Notify the nursing supervisor B. Write the finding on the narcotic sheet C. Administer the patient's requested medication D. Identify the last nurse who used the narcotic box 106. An 81-year-old bed ridden patient in the Geriatric Ward was pyretic through his nasogastric tube. After an hour, the patient deep sleep, his breathing pattern changed and he did not rep calling his name. Which of the following should be the immediate nursing inte A. Call the physician to examine the patient B. Check for the correct dosage given C. Check vitals and inform physician D. Try to wake up the patient 107. The nurses in the Male Medical Unit took a signature on the from a patient who needs an abdominal CT with contrast. What is the best nursing practice? A. Consent should be taken after the procedure B. Verbal consent is acceptable for this procedure C. Consent should be taken from the patient's relatives D. Consent should be taken according to the organization's 108. In the hospital digital dashboard, what types of data displayed? A. Staffing B. Financial C. Performance D. Knowledge-based 109. nurse is showing stress and anxiety due to long duty hours. Which of the following should the nurse manager do? A. Give day off B. Give light tasks C. Offer vacation D. Talk about coping 110. A newly nursing director assigned to a hospital. That is the first should he do? A. Evaluates the staff B. Change the head nurses C. Change the roles 17 ‫وهل جزاء االحسان اال االحسان‬ M.H D. Nothing to do 111. A post-operative patient who underwent an abdominal procedure request pain medication from the nurse and rates the pain at a level nine. There a standing order for narcotic administration. When the nurse opera the narcotic box and performs a count, the number of pills remaining in the box is different than the number of pills recorded on the sheet. What is the most appropriate initial nursing action? A. Notify the nursing supervisor B. Write the finding on the narcotic sheet C. Administer the patient's requested medication D. Identify the last nurse who used the narcotic box 112. surgeon instructs a nurse to serve as a witness to an elderly patient’s informed consent for surgery. During the explanations to the patient, it becomes clear that the patient is confused and does not understand the procedure, but reluctantly sign the consent form. The nurse should: A. Sign the form as a witness, making a nation that the patient did not appear to understand B. Not sign the form as a witness and notify the nurse supervisor C. Not sign the form and answer the patient’s questions after the surgeon leaves he room 113. A community nurse assigned to work in a Makkah, one of the most multicultural cities in Saudi Arab has to interact with multicultural population every day What is the most important step the nurse should do before with the clients? A. Asking the client about his/her cultural background B. Conducting an appropriate culturological assessment C. Ensuring that the client has his/her a privacy D. Looking at the client's file to take history 114. The head nurse meets with staff nurses to discuss ways to improve communication among shifts Which of the following statement best exemplifies the final stage of conflict management? A. "We need to clearly define the nature of the conflict” B. " I will evaluate the outcomes of the strategies used monthly C. " Let us create a time line for the implementation of our strategies” D. " I have to force you to follow the rules to resolve the issue” 115. The head nurse of a Coronary Care Unit delegated the staff a senior nurse in that unit What initial step must the head nurse implement before? A. Check the hospital policies for delegating tasks B. Explain the task to the senior nurse C. Negotiate with the senior nurse D. Take the signature of the senior nurse 116. What must be known on legal points of delegation when process to a new nurse? A. Evaluation of performance of delegate by clients B. Actual time it takes to complete the task by delegat C. Institution definition of the job description of D. Number of times that the delegate has previously task 18 ‫وهل جزاء االحسان اال االحسان‬ M.H 117. The nursing director wants to evaluate the quality of nursing care at the in-patient areas. The management team will evaluate on quarterly basis the documentation and the relationship between the patient's length of stay and the quality of care which of the following is the most important data source to identify the quality of care? A. Patient's complaints and time taken to resolve them B. Patient's satisfaction level at the time of discharge C. Details of nursing notes for patient's progress 118. The nurse manager received complaints from some nursing to improper work distribution and discrimination How should the nurse manager handle the situation? A. Investigate the complaints B. Individual counselling C. Identify list of problems D. Continue to observe 119. which of the following is the most appropriate action for a head nurse starting at a new hospital? A. Make immediate change at the unit B. Plan and coordinate new strategies C. Assess unit activities for at least three months D. Ask about the previous head nurse managerial style 120. After teaching the deep breathing and coughing who is undergoing a surgery, the nurse asked Demonstration and then helped him in correcting what part of therapeutic communication is used A. Evaluation B. Intervention C. Identification D. Demonstration 121. the intensive care unit nurse manager plans to delegates a nurse. What is indicated for a successful delegation? A. Nurse Manager supervises nurse. B. Nurse has authority to change task. C. Nurse Manager checks task sometimes. D. Nurse Manager asks another nurse to check task. 122. The head nurse of a Coronary Care Unit delegated the staff a senior nurse in that unit What initial step must the head nurse implement before? A. Check the hospital policies for delegating tasks B. Explain the task to the senior nurse C. Negotiate with the senior nurse D. Take the signature of the senior nurse 123. nurse accidently dropped a medication ampoule, informed the charge nurse, and completed an incident report form. The charge nurse arranges medication replacement. Which of the following is the immediate nursing action required? A. Revise protocol for medication related incidences B. Allocate senior nurses to medication assignments C. Provide missed medication dosage to patient first D. Incident reporting must be given the priority 19 ‫وهل جزاء االحسان اال االحسان‬ M.H 124. The nursing assistant with 20 years of experience approaches a recently graduated nurse who recently passed the licensing examination. The nursing assistant states “the only difference between you and me is the size of our pay checks”. Which of the following is the most appropriate response for the newly graduated nurse? A. assert a hierarchical position B. emphasize the additional education received C. explain the legal difference in the scope of practice D. focus on the need to work together for quality client care 125. Nurse manager first days in new hospital will..? A. introduce plan and strategy to top manager in hospital B. introduce himself to staff C. observation for 3 month before begin work 126. patient fall down in hospital where is the nurse documentation? A. incident report B. care plan C. kadex 127. After accessing patients' medical records, which behavior nurse shows that patients confidentiality has been breached? A. Reviews patients medical record B. Read patients care plan C. Disclosing patients information Maternity and Child 128. 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 129. A nurse is leading an educational session on the correct use of oral contraceptives. One of the attendees ask the nurse what to do if she missed taking an oral contraceptive for one day? Which of the following should be the nurse advice to her? A. Continue as usual with no back up contraception B. Take an active pill immediately and take the next pill at the usual time C. Take two pills as soon as possible and then one pill daily at the usual time D. Use back up contraception such as a condom for the next 7 days 130. Which of the following represents secondary infertility? A. Male infertility B. A couple that does not conceive C. Infertility that occurs after previous pregnancy D. Infertility lasts for more than 3 years 131. 15. A pregnant client with organ dysfunction presents with visual changes. 3+ deep tendon reflexes and a severe headache. At a subsequent follow-up visit the client reports that the symptoms have resolved. What is the most likely reason for the improvement? A. Sleeping in a lateral position 20 ‫وهل جزاء االحسان اال االحسان‬ M.H B. Consumption of 8 ounces of water per day C. Exposure to bright lighting D. Ambulation every 30 minutes 132. A women patient with a body mass index of 35 is admitted to ward. Which of the following nursing diagnosis, related to Imbalance the most appropriate : A. Activity intolerance B. Less than body requirement C. More than body requirement D. Deficient knowledge on normal nutrition 133. Gestational diabetes is high blood sugar (diabetes) that starts or is found during pregnancy. The best time for glucose screening tests during pregnancy is: A. 7 – 12 weeks B. 17 – 18 weeks C. 24 – 28 weeks D. 20 – 35 weeks 134. laboring women desires to participate in her cesarean and have pain control. Which of the following methods would satisfy the women's needs A. Epidural block B. Pudendal block C. Meperidine injection D. General anesthesia 135. which of the following statement described the latent phase? A. First 3 cm of cervical dilatation B. From onset of labour to full dilatation C. When the cervix is 100% effaced D. Time of progress from 4 cm to 7 cm 136. A nurse is performing an assessment of a women who is delivery Which assessment finding would indicates a need to physician? A. Hemoglobin of 11.0 g/dl B. White blood cell count of 12,000 C. Fetal heart rate of 180 beats per minute D. Maternal pulse rate of 85 beats per minute 137. Amniotic fluid importance. surrounds ,cushion ,protect baby. allow the fetus to move freely , maintain body temperature to the fetus , and contain urine from the fetus cushion 138. A 34-weeks-pregnant mother experiences a sudden gush o from her vagina and mild uterine contractions. She informs about her condition and requests if she could wait until the delivery. Which of the following is the best desired response for report to the hospital? A. Intravenous fluids and medicines need to be administer B. Observation is necessary to identify premature labor C. Pain and fluid flow both need to be controlled D. Fetal heart sound monitoring is necessary 21 ‫وهل جزاء االحسان اال االحسان‬ M.H 139. During A Vaginal Delivery of Woman 38 Years Old the Nurse Should Consider the Risk of Which of The Following A. Acute bleeding and coma B. Low potassium C. Brain Injury D. Fetal heart rate 140. Pregnant woman 34 weeks has hypertension this problem is identified as? A. Hypertension B. pregnancy induced DM C. PIH (Pregnancy induced hypertension) D. placenta Previa 141. A nurse is explaining to the nursing students working on the antepartum unit how to assess edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area? A. +1 B. +2 C. +3 D. +4 142. 38weeks-pregnant woman complains that she has been craving to eat non food substance What is the term that describes this pregnant mother’s condition? A. Pica B. Bulimia C. Anorexia D. Binge eating 143. pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks. a 5 year old daughter born at 38 weeks and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format the nurse should identify that the client is: A. G4 T3 P2 A1 L4 B. G5 T2 P2 A1 L4 C. G5 T2 P1 A1 L4 D. G4 T3 P1 A1 L4 144. multiparous woman is admitted to postpartum ward after vaginal delivery. Assessment showed, lochia: steady trickle of bright red blood and ndus: firm. Blood pressure 110/70 mmHg Heart rate 80 /min Respiratory rate 20 /min Temperature 37.5 Which of the following is the most likely diagnosis/. A. Endometritis B. Uterine atony C. Vulvar hematoma D. laceration of the genital tract 145. A 7-year-old insulin dependent diabetic mother has delivered normally in 38 gestational weeks. The nurse was assessing the insulin requirement this mother after delivery. What is the insulin requirement for this patient? A. Higher than before pregnancy B. No changes in insulin requirement 22 ‫وهل جزاء االحسان اال االحسان‬ M.H C. Lower than when she was pregnant D. Slightly increased than before deliver 146. A term baby boy has diagnosed with Down syndrome. Physical examination revealed flattened nose, low set ears, upward slanting eyes, single palmer crease. Which of the following is the most common congenital anomaly associated with the this disease? A. Developmental dysplasia of hip (DDH) B. Congenital heart disease C. Hypospadias D. Pyloric stenosis 147. Mother of nine children, three of them with congenital anomalies and one down syndrome; she is a primary school graduate, with low financial status. She is not using any method of family planning. Accordingly, the primary health care nurse has referred her for counseling. Which of the following is a barrier facing the team responsible for providing health services to handicapped individuals? A. Sensory limitations B. Rigid rules C. Developmental disabilities D. Deafness & hearing limitations 148. Mother of nine children, three of them with congenital anomalies and one down syndrome; she is primary school graduate, with low financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following is the best health education method that can be used? A. community organization B. individual counseling C. group discussion D. health class 149. When assess newborn wight in scale the nurse must avoid A. Radiation B. Evaporation C. Conduction D. Convection 150. multiparous patient on day 1 postpartum is asking the nurse to send her baby to the nursery so she can sleep. What is the most likely phase of psychological adaptation? A. Taking-in B. Letting-go C. Taking-go D. Letting-in 151. A 65-year-old women visited the gynecological outpatient history reveals that she had 3 pregnancies, one abortion gestational age, had 2 normal deliveries. She smokes 20 Her complaint is that she wets herself when she cough embarrassing for her? Which of the following can be considered as risk factors pelvic floor muscles? A. Chronic coughing B. Diabetes mellitus 23 ‫وهل جزاء االحسان اال االحسان‬ M.H C. Excessive spot D. Sedentary life style 152. At is the recommended weight gain during pregnancy of a woman with MI of < 18.5? A. 12.5 -18 Kg B. 11.5 -16 Kg C. 7 -11.5 Kg D. 5- 9 Kg 153. A 25-year-old mother gravid 2 para q came for a routine check Antenatal Clinic. The nurse assessed fetal heart rate for the 38 pregnant mother. What is the expected normal fetal heart rate per minute? A. 90 B. 100 C. 140 D. 170 154. A woman has polycystic ovary syndrome which is 3cm in size what should the nurse do? A. A repeat the ultrasound after menstruation B. Remove it by laparoscopy. C. Give the medication D. None 155. 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 156. Nancy, a primipara who is due to deliver next week, calls and tells the nurse she has been having contractions every four minutes for an hour. Before asking any further questions, the nurse confirms that Nancy knows how to correctly time contractions, which is A. from the end of one contraction to the beginning of the next. B. from the beginning of one contraction to the end of the next. C. from the end of one contraction to the end of the next. D. from the beginning of one contraction to the beginning of the next 157. A 22-year-old gravida 2 para 1 with gestational age 38 week admitted to the hospital. The chief complaint is decreased the fetal non-stress test revealed decreased variability and fetal movement. The next morning as part of the antenatal the nurse checks the fetal heart rate by Doppler Sonicaid decreased the fetal heart rate to less than 100 /min. which of the following action the nurse should do first? A. Reassure the mother that the FHR is Ok B. Notify immediately the physician or midwife C. Reposition the patient to left lateral position D. Ask the mother about the pattern of fetal movement 158. Pregnant patient admission to triage with abdominal pain on assessment the FHR found 70 p/m. what is the first action for the nurse? 24 ‫وهل جزاء االحسان اال االحسان‬ M.H A. Call the doctor B. Report the finding C. Put the patient in left lateral position 159. A newborn has a diagnosed Developmental Dysplasia of the Hip (DDH) and is using a Pavlik Harness as treatment. Which of the following mechanical factors is associated with DDH? A. Intrauterine breech position B. Caesarean section C. Small infant size D. Single fetus 160. The relative of a 25-year-old post-partum patient stopped her from taking bath until the 40 days provided with the food by the family that was of saturated fat and a liter of reduced full asking, she said the diet was good for the milk Which of the following should be the prioritized patient's understanding about? A. A healthy and balanced diet is beneficial B. Breast feed is not affected by mother's diet C. Maintaining personal hygiene is most D. Rest and relaxation is necessary to regain 161. When the nurse assessed the fundus of a multiparous mother who delivered 2 hours ago, she found the following Level: 2 cm above the umbilicus. Position: deviated to the right. Consistency: Not well contracted what is the next nursing action after massaging the fundus until it becomes firm? A. Assess vital signs B. Increase V fluids C. Evacuate the bladder D. Ask the mother to rest Mastitis question 162. Mastitis caused by...... E.colia Streptococcus, & V aureus 163. A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements if made by the mother indicates a need for further teaching? A. I need to take antibiotics. And I should begin to feel better in 24-48 hours. B. I can use analgesics to assist in alleviating some of the discomfort. C. I need to wear a supportive bra to relieve the discomfort. D. “I need to stop breastfeeding until this condition resolves.” 164. A primiparous mother who has mastitis is asking the nurse Feeding Which of the following would be the proper nursing responthe organism of mastitis? A. It will not affect the newborn B. It will be deactivated by salivation C. It will not be expressed in breast milk D. It will be killed by immunoglobulins in breast milk 165. 41- A nurse is giving health education for a mother who has mastitis.Which of the following if stated by the mother about what she needs to do, indicate that additional education is needed? A. Take antibiotics B. Use analgesics C. Wear a supportive bra D. Stop breast-feeding 25 ‫وهل جزاء االحسان اال االحسان‬ M.H 166. A 23-year-old vaginal delivery primigravida mother was discomfort due to breast engorgement on the second post The mother complained of pain on the breast site and the able to suck the milk. Which of the following will relief the mother's discomfort? A. Breast binder B. Well-fitting brassiere C. Encourage breast feeding D. Lactation suppressing medication 167. The nurse was planning care for a 25-year-old primigravida post-partum mother who had engorgement due to poor feeding technique. the left breast appeared red and swollen and was diagnosed as Which of the following is the best education for the mother A. Avoid wearing brassiere B. Begin suckling on the right breast C. Stop pumping milk from the left breast D. Take antibiotics till the soreness subside 168. After 3 days of breast feeding a post partial patient reports nipple soreness. To relieve her discomfort the nurse should suggest that she: A. lubricate her nipples with expressed milk before feeding. B. dry her nipples with soft towel after feeding. C. Apply warm compresses to her nipples just before feeding. D. Apply soap directly to her nipples, and then rinse. 169. The nurse is teaching a newly delivered mother about breast feeding which of the following statements indicates that the mother need further teaching? A. I will empty my breast and use an alternate breast at B. I will take a daily shower and clean the nipples with C. I will let my nipples dry after feeding to prevent nipple tenderness D. I will always wear a supportive wireless bra 170. The nurse is teaching a 32-week pregnant women how to distinguish between pre-labor (false) contractions and true labor contractions. Which statement about pre-labor contraction is accurate? A. They are regular and increase gradually B. They are felt in the abdomen C. They start at the back and radiate to the abdomen D. They become more intense during walking 171. Azithromycin is prescribed for an adolescent female who has pneumonia and recurrent chlamydia. What information is most important for the nurse to provide the A. Use two forms of contraception while taking this drug B. Have partners screened for human immunodeficiency C. Decrease intake of high-fat foods, caffeine, and alcohol D. Report a sudden onset arthralgia to the healthcare provider 172. A mother, who is planned for the labour induction, is started on intravenous medication. She is in the first stage of her labour and is having regular and increasingly stronger uterine contractions. Her cervix is 1 cm dilated for the past few hours; both the mother and the baby are being monitored. Which of the following signs should alert the midwife? 26 ‫وهل جزاء االحسان اال االحسان‬ M.H A. Baby's head not engaged B. Decreasing heart rate of the baby C. Mother's blood pressure 110/60 mmHg D. Mother's perspiration and increased thirst 173. A nurse is teaching a 26-year-old primigravida who are 33 weeks pregnant on the how to use a kick chart. Which of the following statements will indicate that she understand the nurse's teaching? A. Fetal movements must be counted three times per day B. Fetal movements are felt best when the women is on her right side C. Fetal movements is a reassuring sign which indicates that the fetushealthy D. The kick chart is used to record fetal movement for the first time during pregnancy 174. Which test should be performed to screen for cervical neoplasia during antenatal assessment? A. Papanicolau (PAP) B. Vaginal rectal culture C. Rapid plasma regain test (PPR) D. Venereal disease research laboratory test (VDRL) 175. While the nurse is performing postpartum assessment for a primiparous mother delivered 2 hours ago, she found the following: Fundus level: Midway between symphysis pubis and umbilicus Position: At the mid line Consistency: Contracted Lochia: Constantly Which of the following is the most likely diagnosis? A. full bladder B. Perineal hematoma C. Birth canal laceration D. Retained placental part 176. A multipara mother complained of small vulva with swelling following vaginal delivery of a baby weight 3.8 Kg What is the initial nursing action should the nurse advise the mother to perform? A. Apply ice pack B. Maintain bed rest C. Administer analgesics D. Encourage fluid intake 177. A primigravida mother is assisted out of the bed a few normal vaginal delivery. She is taken to the bathroom cleaning herself and to pass urine. She has difficulty in commode seat and is having no urge to urinate. Which of the following intervention is the most desired? A. Teach kegel's exercises B. Give warm sits bath first C. Pour warm water over vulva D. Identify possible perineal tears 27 ‫وهل جزاء االحسان اال االحسان‬ M.H 178. A 20-year-old primigravida, who is pregnant at 40 weeks admitted to labor and delivery unit in active labor. Vaginal revealed that, the fetal occiput is close to the maternal Which of the following ould the nurse expect to be increase this fetal position? A. Leg cramps B. Back discomfort C. Vaginal bleeding D. Nausea and vomiting 179. A mother, who is planned for the labor induction, is started on intravenous medication. She is in the first stage of her labor and is having regular and increasingly stronger uterine contractions Her cervix is1cm dilated for the past few hours; both the mother and the baby are being monitored. Which of the following signs should alert the midwife? A. Baby's head not engaged B. Decreasing heart rate of the baby C. Mother's blood pressure 110/60 mmHg D. Mother's perspiration and increased thirst 180. Molar pregnancy: is an abnormal form of pregnancy in which a non-viable fertilized egg implants in the uterus and will fail to come to term. 181. Molar pregnancy sings ………. Rapid increase of uterine growth 182. A women was discharged from gynecological ward after gestational trophoblastic disease (molar pregnancy) Which of the following is the best advice to give her? A. Never to fall pregnant again B. To request the doctor to sterilize her C. To consider having her uterus removed D. to avoid falling pregnant for at least one year 183. postpartum mother is to be discharged on the second day of her forceps delivery. She had sutures on her vaginal and perineum tears. She is breastfeeding her baby and eating thespecial food provided by her family. what discharge teaching needs more emphasis? A. Diet management and exercise plan B. Newborn care and vaccination records C. Hygiene practices and alert signs to report D. Family planning and child growth monitoring 184. When performing a postpartum assessment on a women the presence of clots in the lochia. The nurse examines the that they are larger than 1 cm, Which of the following nursing actions is most appropriate? A. Document the findings B. Notify the physician C. Reassess the client in 2 hours D. Encourage increased intake of fluids 185. Multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action? A. Document normal finding 28 ‫وهل جزاء االحسان اال االحسان‬ M.H B. Massage the fundus to be firm C. Assess lochia amount and color D. Admit the mother to the hospital 186. Lochia red fleshy odor mean : A. Normal B. Infection C. Bleeding 187. A newborn is delivered by the midwife. The umbilical cord i cut safely by following necessary aseptic techniques. Furth newborn is to be taken. Which of the following intervention is the most desired? A. Assess sucking response B. Increase mother child bonding C. Assess and record APGAR score D. Keep dry and maintain thermoregulation 188. The nurse was educating a postpartum woman during discharge about importance of breast feeding. Which of the following if said by the women, indicates the need for further education? A. Breast milk is nutritionally balanced B. Breast milk reduces the risk of infection C. Breast feeding promotes mother-child bonding D. Breast feeding prevents pregnancy 189. 4 weeks of gestation neonate is admitted to the Neonatal Intensive Unit immediately after delivery with respirator distress syndrome de 1. hart rate 140 /min respiratory rate 77 /min Temperature 36.5 Which of the following method of feeding is recommended to promote with of this premature? A. Enteral feeding of breast milk B. Enteral feeding of premature formula C. Oral breast feeding D. Oral premature formula 190. Multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action? A. Document normal finding B. Massage the fundus to be firm C. Assess lochia amount and color D. Admit the mother to the hospital 191. A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in her breast. Which of the following instructions are appropriate for the nurse to give the mother: A. Regulate breast feeding every 3 hours B. That’s normal feeding problem C. Shift to bottle feeding D. Start weaning your baby 192. A 17-years-old mother presented to the primary health after delivery. She is suffering from fatigue, anemia, fever vaginal discharge (see lab results) 81/50 mmHg Blood pressure 98 /min Heart rate 29 ‫وهل جزاء االحسان اال االحسان‬ M.H 26 /min Respiratory rate 39.6C Temperature Result Test 4.6 RBC 4.7-6.1 × 1012/L (Male) Normal Values 4.2-5.4 ×1012 /L (Female) 88 Hb 130-170 g/L (Male) 120-160 g/L (Female) 2.50 Calcium 2.15-2.62 mmol/L Which of the following is considered as the main maternal postpartum haemorrhage complication ? A. Death B. Candidacies C. Cervical cancer D. Uterine prolapsed 193. A pregnant woman she come to gynocolical word she have vaginal bleeding and no FHS and cervex not dialted they diagnosis invetable abortion the treatment for this ledy : A. surgical treatment B. induction of labor(syntocinon) C. dialitation and curtage 194. A gravid 8 para 8 women has just delivered a 4.5Kg infant a pregnancy. Which of the following is a possible complication? A. Postpartum depression B. Maternal hypoglycemia C. Postpartum hemorrhage D. Pregnancy-induced hypertension 195. Puerperal sepsis symptoms is ? A. Temperature of 38c or higher 2 – 10days postpartum 196. A 17-year-old mother presented to the primary health center ten after delivery. She is suffering from fatigue, anemia, fever and vaginal discharge (see lab results) Blood pressure 80/50 mmHg Heart rate 112 /min Respiratory rate 35 /min Temperature 39.6 C Test Result Normal Values RBC 4 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female) Hb 90 130-170 g/L 120-160 g/L (female) HCT 0.29 0.42-0.52 (male) 0.37-0.48 (female) WBC 12.8 4.5-10.5 × 109/L Which of the following is the best diagnosis of health problem in this case? A. Severe urinary track infiction B. Vesico-vaginal fistula C. Puerperal sepsis D. Post-partum haemorrhage 197. A newborn born by elective caesarian section under general anesthesia ter 28 weeks of pregnancy. His weight is 850 gm, and he is in (20) th percentile in intrauterine growth chart. He is admitted to Neonatal tensive Care Unit. Which of the following is the classification of this newborn according to stational age and birth weight using intrauterine growth chart? 30 ‫وهل جزاء االحسان اال االحسان‬ M.H A. He is appropriate for gestational age B. He is extremely low birth weight C. He is small for gestational age D. He is very low birth weight. 198. 32- 5-year-old child was brought to the Emergency Room with a fractured ght forearm. He had several bruises on his body but showed no signs of ain while palpating them. He seemed scared and did not answer any questions asked. Why should the nurse discuss this case with the nurse manager? A. Continuity of care B. Rule out child abuse C. Psychological support D. Fracture management 199. Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing 46, XY? A. Normal male B. Abnormal male C. Normal female D. Abnormal female 200. Which of the following would be the proper interpretation by the nurse for a chromosomal analysis showing 46, XX? A. Normal male B. Abnormal male C. Normal female D. Abnormal female 201. To measure fatal heat rate fetus daily activity through ? A. Doppler sound B. Weighting measures C. Non-stress test D. Daily fetus kicks 202. A30week gestational preterm admitted to NICU 2hours ago the neonate starts to have grunting ,nasal flaring which of the following the nurse recognize regarding signs and symptoms? A. Neonate has RDS B. It is normally in the first 24 hours of birth C. This is not significant unless become cyanosis D. Neonate has hypoglycaemia 203. A nurse in the Neonatal Intensive Care Unit is caring for premature newborn, is diagnosed with Respiratory Distress (RDS) and the doctor ordered administrating surfactant Surfactant should be given by which of the following routes? A. Intravenous B. Subcutaneous C. Intramuscular D. Endtracheal 204. while a nurse is assessing an infant born 11 hours ago caesarean section, she auscultated moist lung sounds. Which of the following is the most likely interpretation? 31 ‫وهل جزاء االحسان اال االحسان‬ M.H A. Abnormal finding B. Normal finding C. Pneumothorax D. Surfactant aspiration 205. Lanugo hair is fine hair in preterm baby less than 30weeks 206. Vernix caseosa, also known as vernix, is the waxy or cheese-like white substance found coating the skin of newborn human babies. It is produced by dedicated cells and is thought to have some protective roles during fetal development and for a few hours after birth. 207. Mongolian spots are a type of birthmark caused by the pigment in the skin. 208. newborn 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 209. A nurse is performing physical examination on the new born she notes that the baby has cephalhetoma this baby is risk to develop which of the following? A. Sudden death B. Pathological jaundice C. Infected umbilical cord D. Increased intracranial pressure 210. A newborn with hyperbilirubinemia was started on phototherapy What will be the nurse's instruction regarding feeding? A. Feed glucose drinks B. Breastfeed two hourly C. Bottle feed till the bilirubin level reduce D. Breastfeed alternatively with bottle feeds 211. Which action a nurse needs to include when caring for a newborn ceiving phototherapy? A. Expose all surfaces B. Prevent stimulation C. Cover the eyes with shield D. Change position every four hourly 212. A baby born at 35-week was admitted in neonatal intensive 27hours ago, physical examination revealed yellow discoloration sclera and mucus membrane. The result of bilirubin level every 170mol. The infant was diagnosed with neonatal jaundice physician order to start single phototherapy. Which of following should the nurse consider as a priority during phototherapy of this newborn? A. ensure proper fitting of eye covering (patches) B. monitor bilirubin levels every 48 hours C. feed the infant formula every 4 to 5 hours 32 ‫وهل جزاء االحسان اال االحسان‬ M.H D. avoid removing the infant from phototherapy 213. A nurse prepares to administer a vitamin K injection to a full term the mother wants to know the importance of the injection Which of the following is the best nurse response to the mother A. needed for blood clotting to prevent hemorrhage B. accelerate the growth and development of infants C. help in maintain healthy gut and passage of meconium D. protect the infant from developing sever respiratory distress 214. The nurse determines that a client understands the purpose of a vitamin K injection for her newborn if the client states that V K is administered for which purpose A. New born lack vitamin B. New born have low blood levels C. New born lack intestinal bacteria D. New born cannot produce vitamin k in the liver 215. A nurse is administering a shot of vitamin K to 30 days old infant. which of the following target areaad is the most appropriate A. Gluteus maximus B. Gluteus minimus C. Vastus lateralis D. Vastus medialis 216. Term baby boy is admitted to Neonatal Intensive Care Unit. Physical examination revealed flattened nose, low set ears, upward slanting eyes, gle palmer crease. Which of the following is the possible diagnosis of the newborn? A. Cushing syndrome B. Down syndrome C. Intra-Uterine Growth Retardation D. Congenital hypothyroidism 217. A nurse performing nursing care plan for a neonate after a birth, which intervention has the highest nursing priority neonate? A. obtained a dextrostix B. give the initial bath C. Give the vitamin k injection D. cover the neonate head with a cap 218. When performing a newborn assessment, the nurse should measure the vital signs in the following sequence: A. Pulse, respirations, temperature B. Temperature, pulse, respirations C. Respirations, temperature, pulse D. Respirations, pulse , temperature 219. A nurse is assessing a 2 days old full-term male neon circumcision. She observed that the circumcised area is re a large amount of fresh blood. Heart rate 110 /min Respiratory rate 40 /min Temperature 36.6 C 33 ‫وهل جزاء االحسان اال االحسان‬ M.H Which of the following action should the nurse take? A. Apply antibiotic ointment on the affected area B. Give the infant another injection of vitamin K C. Clean the area with betadine to prevent infection D. Apply gentle pressure with a sterile gauze 220. A newborn is diagnosed with hypospadias. When teaching the parents of this child, the nurse should tell them to avoid which of the following before the hypospadias repair? A. circumcision B. drinking acidic juices C. urinary catheterization D. riding a bicycle 221. A maternity nurse is performing a newborn assessment thirty minutes after delivery of a baby who did not receive any prenatal care and has an unknown gestational age. The skin is extensively leathery, cracked and dry and there is an absence of lanugo and vernix. How many weeks ’gestation is this neonate? A. 40 222. A newborn is diagnosed with hypospadias. When teaching the parents of this child, the nurse should tell them to avoid which of the following before the hypospadias repair? A. circumcision B. drinking acidic juices C. urinary catheterization D. riding a bicycle 223. normal systolic Bp for new Born:- A. 40-60 B. 60-80 C. 80-100 D. 100-120 224. Neonatal mortality rate : A. 1:100 B. 1:1000 C. 1:100000 D. 1:1000000 225. New born stomach capacity A. 6ml B. 12ml C. 28ml 226. Hirschsprung’s Disease :is a congenital anomaly also known as congenital aganglionosis or aganglionic megacolon. The disease occurs as the result of an absence of ganglion cells in the rectum and other areas of the affected intestine. 34 ‫وهل جزاء االحسان اال االحسان‬ M.H 227. 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 C. Cystic fibrosis D. Growth hormone deficiency 228. A 3 days old newborn is diagnosed with Hirschsprung disease. The nurse is conducting a physical examination. Which of the following findings will alert the nurse to suspect this disease in the newborn? A. palpable sausage-shaped mass B. cyanosis of fingers and toes C. failure to pass meconium within 24-48 hours of life D. weight less than expected for height and age 229. An 8-month-old infant is admitted with Hirschsprung disease. Which of the following would be a significant finding in this infant? A. Depressed anterior fontanel B. Polyuria, hematuria C. Weight gain, edema D. Failure to thrive, constipation 230. 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 Intussusceptions 231. 5-month-old boy has been vomiting green colored vomit He has intermittent abdominal pain during which he draws his chest, turns pale and cries forcefully. On observation, the in the stool which has a jelly-like consistency. Abdominal pal a long. tube-like mass. There is no fever, rash nor diarrhea are hyperactive in all quadrants which is the most likely form of initial treatment? A. Manual manipulation B. Surgical resection C. Normal saline enema D. Laparoscopy 232. A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant's stool became like red jelly. Abdominal examination revealed palpable sausage- shaped mass in the right upper quadrant. Which of the following is the first line of therapeutic management for this infant? A. Non-surgical hydrostatic reduction B. Surgical simple reduction C. Pyloromyotomy D. Endorectal pull-Through 35 ‫وهل جزاء االحسان اال االحسان‬ M.H 233. 7month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant’s stool become like red jelly. Abdominal examinassions revealed palpable sausage-shaped mass in the right upper quadrant which of the following is the best diagnosis? A. Hirschsprung disease B. Hypertrophic pyloric stenosis C. Infant colic D. Intussuception 234. Nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented? A. watery diarrhea B. rib bone-like stools C. profuse projectile vomiting D. Red jelly stool 235. 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 Pyloric stenosis 236. A 5-week-old newborn was admitted to pediatric Ward with pyloric stenosis, the newborn has weight loss, and projectile vomiting during feeding. They scheduled surgical repair of pyloric stenosis Which of the following postoperative intervention for this A. IV fluid infant is retaining adequate amount by mouth B. Administration of proper analgesia until infant discomfort resolve C. Start feeding immediately after postoperative D. Vomiting is uncommon in the first24-48 hrs 237. Surgery for pyloric stenosis movement? A. Pylorotomy B. Pylorectomy C. Pylorostomy D. Pyloromyotomy 238. PYLORIC stenosis peristalsis movement ? A. From right to left B. From left to right 239. 1 month-old infant is admitted to the surgical unit with hypertrophic pyloric stenosis and scheduled for the surgery. Which of the following is the findings of abdominal examination? A. palpable olive-like mass in the left side B. palpable olive-like mass in the right side C. Palpable olive-like mass moved from left to right D. Palpable olive-like mass moved from right to left 240. A 7-week-old infant boy is admitted with projectile vomiting decreased urine output, decreased bowel movements and weight loss. He has poor turgor and appears hungry. The nurse observes left-to right peristaltic waves after he vomits. The nurse would expect to find which of the following during the physical assessment? 36 ‫وهل جزاء االحسان اال االحسان‬ M.H A. Hepato-spleenomegaly B. A palpable pyloric mass C. Lymphadenopathy D. Bulging fontanelles 241. 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 242. tetralogy of Fallot where is it located : A. right heart side B. left heart side 243. The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot. Which of the following positions is used for congenital heart condition? A. Semi fowler's position B. knee chest position C. prone position 244. A four-year old child is seen in the Emergency Department with a spiral fracture of the left arm. The x-ray examination showed previously broken healed bones. What is your immediate action? A. Call social services to immediately arrange foster care for the child B. Ask the child about the previous accidents and management C. Report the child abuse to the local authorities D. Try to establish rapport and trust with the child’s family 245. Which of the following instruction should be given to the parents about colostomy care? A. Use baby powder after stoma cleaning B. Emp