تجميعات سعيد (أسئلة جديدة 2022-2023-2024) PDF

‫ﺗﺠﻤﯿﻌـﺎت ﺳﻌـﯿﺪ‬ (https://t.me/SAEED5ALAKLABI) NEW QUESTIONS 2022 – 2023 – 2024 ‫ زھﺮاء أﺣﻤﺪ‬: ‫إﻋﺪاد و ﻣﺮاﺟﻌﺔ‬ RN. ZAHRA AHMAD ‫‪https://t.me/SAEED5ALAKLABI‬‬ ‫ﺑﺴﻢ ﷲ و اﻟﺼﻼة و اﻟﺴﻼم ﻋﻠﻰ رﺳﻮل ﷲ‪ ,‬أﻣﺎ ﺑﻌﺪ‪:‬‬ ‫ﺑﺪاﯾﺔ ﻧﺤﻤﺪﷲ اﻟﺬي ﯾﺴﺮ و ﺳﮭﻞ ﻟﻨﺎ ھﺬا اﻟﻌﻤﻞ ﻓﺈن أﺻﺒﻨﺎ ﻓﻤﻦ ﷲ وﺣﺪه ‪ ,‬و إن أﺧﻄﺄﻧﺎ ﻓﻤﻦ أﻧﻔﺴﻨﺎ‬ ‫واﻟﺸﯿﻄﺎن‬ ‫ﻧﺸﻜﺮﻛﻢ ﺟﻤﯿﻌًﺎ ﻋﻠﻰ ﺗﻌﺎوﻧﻜﻢ ﻣﻌﻨﺎ و ﻣﺸﺎرﻛﺘﻜﻢ اﻷﺳﺌﻠﺔ اﻟﺠﺪﯾﺪة وھﺬا ﻣﻦ ﻓﻀﻞ ﷲ أوﻻً ﺛﻢ ﺑﻔﻀﻠﻜﻢ‪.‬‬ ‫ﺗﻢ ﺗﺠﻤﯿﻊ ھﺬه اﻷﺳﺌﻠﺔ و ﺗﻢ ﺻﯿﺎﻏﺘﮭﺎ و ﺗﻨﺴﯿﻘﮭﺎ ﺣﺴﺐ ﻣﺎ وﺻﻠﻨﺎ ﻣﻨﻜﻢ ﻟﺬﻟﻚ ﻧﻮد اﻟﺘﻨﻮﯾﮫ ﺣﻮل اﻟﻨﻘﺎط‬ ‫اﻟﺘﺎﻟﯿﺔ ‪:‬‬ ‫‪ /1‬اﻟﻜﺜﯿﺮ ﻣﻦ اﻷﺳﺌﻠﺔ ﺗﻜﻮن ب ‪ situation‬وﻷن اﻟﻤﺨﺘﺒﺮﯾﻦ ﻻ ﯾﺘﺬﻛﺮون ﻛﻞ ﺗﻔﺎﺻﯿﻞ اﻟﺴﺆال وﻟﻜﻦ‬ ‫ذﻛﺮوا ﻟﻨﺎ أھﻢ ﻣﺎ ورد ﻓﯿﮫ ﻟﺬﻟﻚ ﺗﺠﺪون ﺑﻌﺾ اﻷﺳﺌﻠﺔ ﻣﺨﺘﺼﺮة‪.‬‬ ‫‪ /2‬ﺑﻌﺾ اﻷﺳﺌﻠﺔ ﻗﺪ ﺗﻜﻮن ﻣﻜﺮرة ﻣﻦ اﻟﻤﻠﻔﺎت اﻟﺴﺎﺑﻘﺔ اﻟﻤﻮﺟﻮدة ﻓﻲ ﺧﻄﺔ اﻟﻤﺬاﻛﺮة ﻟﻜﻦ ذﻛﺮت ﻣﻦ ﻗﺒﻞ‬ ‫اﻟﻤﺨﺘﺒﺮﯾﻦ ﺑﻄﺮﯾﻘﺔ ﻣﺨﺘﻠﻔﺔ أو إﺣﺪى اﻟﺨﯿﺎرات ﻣﺨﺘﻠﻔﺔ و ﺑﻌﻀﮭﺎ ﻛﺎن اﻟﺨﯿﺎر ﻧﺎﻗﺺ وﺗﻤﺖ إﺿﺎﻓﺘﮭﺎ‬ ‫ﻛﺎﻣﻠﺔ ﺿﻤﻦ ھﺬا اﻟﻤﻠﻒ و ھﻲ ﻗﻠﯿﻠﺔ ‪.‬‬ ‫‪ /3‬اﻟﺒﻌﺾ ﻣﻨﮭﺎ ﺗﻢ اﻟﺒﺤﺚ ﻋﻨﮫ وﻧﺴﺨﮫ ﻣﻦ ‪ NCLEX‬وھﻲ ﺑﻨﻔﺲ اﻟﻔﻜﺮة و اﻟﻤﻀﻤﻮن‬ ‫‪ /4‬ﺗﻢ ﺗﺤﺪﯾﺚ اﻟﻤﻠﻒ و ﺗﻌﺪﯾﻞ ﺑﻌﺾ اﻹﺟﺎﺑﺎت و إﺿﺎﻓﺔ اﻷﺳﺌﻠﺔ ﻣﻦ ﺳﺆال ‪ 319‬و ﺣﺘﻰ ﺳﺆال‪551‬‬ ‫‪ /5‬ﺑﻌﺾ اﻷﺳﺌﻠﺔ ﺑﺪون ﺣﻞ ﻟﻸﺟﻮﺑﺔ و اﻟﺒﻌﺾ و ﺿﻌﻨﺎ اﻟﺤﻞ إﺟﺎﺑﺘﯿﻦ ﺑﺎﻹﺳﺘﺒﻌﺎد و ﺳﯿﻜﻮن اﻟﻨﻘﺎش‬ ‫ﺣﻮﻟﮭﺎ ﻣﻊ ﺑﻌﻀﻜﻢ اﻟﺒﻌﺾ ﻓﻲ اﻟﻜﻮﻣﻨﺖ اﻟﺨﺎص ﻟﻠﻤﻠﻒ‬ ‫‪ /6‬أي اﺳﺘﻔﺴﺎرات و أﺳﺌﻠﺔ ﻟﺪﯾﻜﻢ ﻋﻦ اﻟﻤﻠﻒ إﻛﺘﺒﻮھﺎ ﻓﻲ اﻟﻜﻮﻣﻨﺖ اﻟﺨﺎص ﻟﻠﻤﻠﻒ‬ ‫ﺗﻨﺒﯿﮫ ‪..‬‬ ‫ﺟﻤﯿﻊ اﻟﻤﻠﻔﺎت اﻟﻤﻌﺘﻤﺪة ﻣﻮﺟﻮدة ﻋﻠﻰ ﻗﻨﻮاﺗﻨﺎ ‪.‬‬ ‫ﻻ ﻧﺤﻠﻞ و ﻻ ﻧﺒﯿﺢ ﻣﻦ ﯾﺴﺘﻐﻞ ھﺬا اﻟﻌﻤﻞ و ﯾﻘﻮم ﺑﺴﺮﻗﺘﮫ و ﯾﺘﺎﺟﺮ ﻓﯿﮫ ﻟﻤﺼﺎﻟﺢ ﻣﺎدﯾﺔ وﻏﯿﺮھﺎ ‪..‬‬ ‫ﺑﻌﺾ ﺿﻌﺎف اﻟﻨﻔﻮس ﯾﺴﺮق ﻣﻦ اﻟﻤﻠﻔﺎت اﻟﻤﻌﺘﻤﺪة ﻋﻠﻰ ﻗﻨﻮاﺗﻨﺎ أو ﻣﻦ ﺗﺠﻤﯿﻌﺎت اﻟﻘﻨﺎة و ﯾﻌﻤﻞ ﻣﻨﮭﺎ‬ ‫دورات أو ﻗﻨﻮات و ﻣﻠﻔﺎت ﺑﺈﺳﻤﮫ‪.‬‬ ‫و ﻓﻲ اﻟﺨﺘﺎم ‪..‬‬ ‫ھﺬا اﻟﻌﻤﻞ ﺧﺎﻟﺼﺎ ً ﻟﻮﺟﮫ ﷲ ‪..‬ﻧﺴﺄل ﷲ ﻟﻨﺎ وﻟﻜﻢ اﻟﺘﻮﻓﯿﻖ و اﻟﻨﺠﺎح داﺋﻤﺎ ً و أﺑﺪا ً‪..‬‬ ‫‪-1-‬‬ https://t.me/SAEED5ALAKLABI 1- Every patient complain from chest pain came to ER the doctors order Troponin level , This considering as ? A. Overuse B. Misuse ✓ C. Negligence 2- Patient with measles (rubella) is in airborne precaution nurse should be were ? A. Gown B. Gloves C. Face mask ✓ D. Face Shilled 3-Researcher nurse give all participants ID band and matching them with personal information? A-Justice B-Beneficence C-Autonomy D. Confidentially ✓ 4- What is the first principle that empowers nurses' decision-making? A. Justice B. Autonomy ✓ C. Beneficence D. Fidelity 5- What is the first ethical principle should the nurse attention when make NCP? A. Justice B. Non-maleficence C. Beneficence D. Autonomy ✓ -2- https://t.me/SAEED5ALAKLABI 6- A nurse forced a patient who wished to take a one-day postoperative rest to take a walk. Which ethical principle did the nurse violate? A. Justice B. Beneficence C. Autonomy ✓ D. Nonmaleficence 7- A nurse insists to obtain urine sample despite patient refuse. Which ethical principle for patient? A. Justice B. Autonomy ✓ C. Beneficence D. Nonmaleficence 8- Health education to patient after prostatic surgery? A. Restrict fluid intake to 1000 ml B. Avoid carry heavy things for 6 weeks ✓ 9- Scenario.. patient with signs of urinary tract infection (urgency , frequency,....)Treatment will be? A. Anti fungal B. Antibiotic ✓ C. Antimicrobial 10- Mother is depressed and tell the nurse that her son is dead in swimming pool and she is responsible about that. What should the nurse do? A. You are right B. Show Sympathy C. Repeat mother words to clarify D. Empathy ✓ 11- Where to place an enema bag for patient? A. Below patient level B. Same patient level C. Above 20 cm ✓ D. Above 150 cm -3- https://t.me/SAEED5ALAKLABI 12- The nurse is caring for a patient who has abdominal pain last three days. The nurse teaches the patient about the most likely active- producing foods. What are the foods that are mostly useful to produce laxative? A. Cheese, pasta and eggs B. Rice, eggs, and lean meat C. Bran(Oats), figs, and chocolate ✓ D. Cabbage, bananas, and soda 13- Spoon nails due to? A. Zinc deficiency ✓ B. Vitamin D deficiency C. Vitamin E deficiency D. Vitamin B deficiency 14- A patient has fatigue, easily tired and has Brittle Spoon nails due to? A. Malnutrition ✓ B. Overnutrition B. Vitamin B deficiency C. Vitamin E deficiency 15- Spoon nails due to? A. Zinc deficiency B. Vitamin D deficiency C. Malnutrition D. Iron deficiency anemia ✓ 16- A patient has an operation surgery on his left knee. And the scrub nurse did all Preoperative Preparation Steps. But She sterilized and cleaned right knee. Which of the following describes the nurse's actions? A. Negligence B. Malpractice ✓ C. Assault B. Battery -4- https://t.me/SAEED5ALAKLABI 17- What causes cyanosis in adult extremities? A. High altitude ✓ B. Room with cold temperature 18- A patient woman whose husband died of an untreated illness (cancer). The nurse provides care and support patient. What is the type of support? A. Counseling ✓ B. Participate 19- When can breastfeeding jaundice develop with a latent onset? A. 2 - 4 weeks ✓ B. 4 - 7 weeks C. After month D. After 3 months 20- When occurs late jaundice related to breast feeding? A. 1 to 2 days B. 7 days C. 10 days ✓ D. More than 3 month 21- What is the important nutrition during pregnancy? A. High mercury fish (tuna, marlin, king mackerel) B. Undercooked or raw fish C. Vitamin B9 ✓ D. Raw eggs 22- What is complication of rheumatic fever? A. Aortic Valve Stenosis ✓ B. Cyanosis C. Convulsion D. Heart damage -5- https://t.me/SAEED5ALAKLABI 23- The nurse begins a morning shift and has patients in the waiting room. ( see the table) 1. Patient with hypothyroidism and heart rate 54 2. Patient with hyperthyroidism heart rate 95 3. Patient with Cushing's syndrome 4. Patient with COPD and saturation 95% in room air Which patient has priority to see the doctor first? A. One ✓ B. Two C. Three D. Four 24- Patient have depression, physician advice to procedure ECT. What is this procedure? A. Involves a brief electrical stimulation of the brain while the patient is under anesthesia ✓ B. A Medical procedure that involves passing a mild electric current through your heart. 25- What is the most common indication of ECT? A. Generalized Anxiety Disorder B. Manic episodes C. Schizophrenia - Given D. Major depression ✓ 26- The nurse assess low of consciousness for patient after surgery, she asked patient about name and he give her correct answer then she asked about place, time but patient cannot answer, what should nurse do? A. Ask patient again later B. Notify the surgeon ✓ -6- https://t.me/SAEED5ALAKLABI 27- A nurse is caring for a patient with diabetes who has a blood glucose level of 30mg/dl after a meal. What is the nurse's priority action? A. Measure the blood glucose level again after 30 minutes B. Notify the physician immediately ✓ C. Ask another nurse (or head nurse) to measure the blood glucose level 28- Doctor inserts for patient subclavian catheter (CVL) in right subclavian vein sudden patient developed tachycardia destitution no back flow blood from CVL. What is the expected complication? A. Pneumothorax ✓ B. Pulmonary embolism C. Hemothorax 29- Doctor, after inserting a subclavian catheter for the patient, blood flow is observed from the catheter, and the patient is experiencing respiratory restlessness. What is the expected problem with the patient? A. Right side failure B. Pneumonia C. Pulmonary embolism ✓ 30- Doctor after inserting a subclavian catheter for the patient, blood flow is observed from the catheter, and the patient is experiencing respiratory restlessness. What is the expected problem with the patient? A. Right side failure B. Pneumonia NOTE: If option D is not available, C. Pulmonary embolism we choose C D. Pneumothorax ✓ 31- What recommendations should parents follow for a child with hyperthyroidism? A. Providing a calm and quite environment ✓ B. Limiting activities -7- https://t.me/SAEED5ALAKLABI 32- Patient came to ER after accident the vital signs all stable and conscious but expected has increased the pressure (ICP). Which of the following first indicate ICP? A. Change in consciousness (loss of consciousness) ✓ B. Unreactive pupil C. Bradycardia D. Depress respiratory 33- Patient for cardiac catheterization by cardiologist. What is the purpose of this procedure? A. Check cardiac pressure ✓ B. Check the O2 in heart C. Pulmonary embolism D. Pneumothorax 34- The nurse is caring for a client newly diagnosed with hyperthyroidism. Which nursing intervention is priority to decrease the client’s anxiety? A. Keeping the client warm B. Encouraging the client to increase activity C. Providing a calm, restful environment ✓ D. Placing the client in semi-fowler’s position 35- Patient, who has experienced a stroke, presents with weakness in the right side of the body affecting the shoulder, pelvic, and knee. Which of the following options would be appropriate for the patient? A. Dependent ambulation with assistance. B. Independent wheelchair use. C. Independent ambulation for short distances with the use of an assistive device. ✓ 36- Which of the following is the appropriate feeding method for a baby with a cleft lip? A. Exclusive breastfeeding B. Exclusive formula feeding C. Combination of breastfeeding and formula feeding ✓ -8- https://t.me/SAEED5ALAKLABI 37- A 36-weeks pregnant woman is experiencing irregular contractions and has a closed cervix. What would be the appropriate advice during contractions? A. Drinking warm milk B. Encourage in regular walking ✓ C. Monitoring fetal heart movement 38- The child has undergone hypospadias repair, where would be the appropriate location of the drainage urine bag? A. Above bladder level B. Below bladder level ✓ C. At the level of the bladder 39- In the year 1930, children had developed immunity against measles without being vaccinated, and as a result, the infection rate among children decreased. What is type of immunity? A. Artificial B. Passive C. Herd D. Innate ✓ 40- A patient is experiencing symptoms, including tingling in the fingers. Which deficiency could be the cause ? B. Potassium C. Magnesium D. Calcium ✓ 41- The child had a cleft lip repaired and is currently in elbow restraints. What should the nurse do? A. Remove the restrain every 2 hours ✓ B. Remove the restrain when the parents are with the child C. Put mittens. -9- https://t.me/SAEED5ALAKLABI 42- The doctor ordered a blood sample from the patient. A nurse wants to insert an IV line for the patient after selecting a vein for IV-line placement. What is the next step they should take? A. Wipe the vein with alcohol swap B. Apply tourniquet above vein✓ C. Flatten the palpation/ palpate the vein D. Needle insertion 43- While inserting an NGT (Nasogastric Tube) for a patient before abdominal surgery, which of the following should prompt the insertion to be stopped? A. Saliva NOTE: If not talking means it is going in B. Inability to speak ✓ the trachea C. Discomfort D. Tearing eye 44- 10 years old boy diagnosis appendicitis has serve pain, the tool of pain scale to be use is? A. Face pain rating ✓ B. Flacc rating scale 45- What is the best type of evidence-based practice for teaching diabetic patients? A. Randomize control study B. Comparison of diabetic teaching types C. Systematic review of randomize control ✓ D. Study about diabetic teaching type. 46- A teenager girl cannot administer insulin to herself. What should a nurse do for the patient? A. I make her come back to the hospital every few weeks B. I teach the patient ✓ C. I teach her parents - 10 - https://t.me/SAEED5ALAKLABI 47- The child has tracheoesophageal fistula. The physician has planned surgical repair. Which of the following preoperative interventions are appropriate for this? A. Put the patient in supine position B. Give Sedatives C. Oral feeding D. Antibiotic therapy ✓ 48- The patient arrived at the emergency department, and vital signs were taken. The physician examined and assessed the patient and made a diagnosis of neurogenic shock. What are the signs of neurogenic shock? A. Bradycardia and hypertension C. Tachycardia and hypertension D. Bradycardia and Hypotension ✓ 49- A woman came to the clinic with her husband for long-term family planning and contraception. What advice should the physician give them? A. Copper IUD ✓ B. Hormonal IUD C. Combined 50- The patient has hepatitis B and has had the injury for a prolonged time. The patient tells the nurse that he has taken all precautions to prevent an increase in the injury but there has been no improvement. What appropriate intervention should the nurse perform? A. Ignore complaining B. Inform the physician ✓ C. Revise intervention 51- What is the most common site of myocardial infarction? A. left atrium B. Left ventricle ✓ C. Right atrium D. Right ventricle - 11 - https://t.me/SAEED5ALAKLABI 52- How much fluid intake per day does a pregnant woman need? A. 100 ml B. 400 ml C. 600 ml D. 800 ml ✓ 53- The girl patient presented with diarrhea, vomiting, decreased tear production in the eyes, clammy skin, and a sodium level (NA) below 130. What level of dehydration is she experiencing? A. Mild isotonic B. Moderate isotonic C. Moderate hypotonic ✓ D. Moderate hypertonic 54- Current research has shown no benefit for certain routine interventions that were previously used during labor. Based on current evidence-based practice, which of the following interventions for women in labor are considered harmful? A. Enema during delivery✓ B. Amniotomy D. Vaginal examination D. Filling the portogram 55- The patient has kidney stones. What foods should the patient eat to prevent kidney stone? A. Cranberry and prunes ✓ B. Cola C. Salt food D. Liver 56- Why is the patient with kidney stones advised to drink cranberry juice? A. Lower acidity ✓ - 12 - https://t.me/SAEED5ALAKLABI 57- A client has a history of urolithiasis related to hyperuricemia. To prevent the formation of future stones, the nurse instructs the client to avoid certain foods, including? A. Liver ✓ B. Carrots C. Skim milk D. White rice 58- Which of the following diet instructions should be given to the client with recurring urinary tract infections? A. Increase intake of meats. B. Avoid citrus fruits. C. Perform peri care with hydrogen peroxide. D. Drink a glass of cranberry juice every day ✓ 59- The patient has a UTI. What advice is given regarding drinking to prevent UTI? A. Cranberry ✓ B. Yogurt C. Orange juice D. Vegetable juice 60- Why is the patient educated to drink cranberry juice after having a stone removed? A. Help Inhibit infection ✓ B. Increase urine output C. Inhibit urinary retention C. Decrease stone formation ✓ 61- Patients with hip or femoral fractures. What should be monitored during the early post-traumatic period? A. Fever B. Hypertension C. Acute pain ✓ D. Hematuria - 13 - https://t.me/SAEED5ALAKLABI 62- The physician order for a client cap Amoxycillin 500mg BID for 3 days. The available stock is 250 -mg per capsule. How many capsules will you give for 3 days ? A. 2 Capsules / 3 days B. 12 Capsules / 3 days ✓ C. 4 Capsules / 3 days D. 6 Capsules / 3 days 63- Hazard factory workers exposed to accidents and lesions and complain from backache and other problems it is called ? A. Physical ✓ B. Psychological C. Mechanical 64- A nurse started a blood transfusion for the patient. Then the patient experienced complications due to receiving the wrong blood type. What is this behavior by the nurse called? A. Lack of attention. B. Defect (impaired) documentation. C. Failure to follow policy. ✓ D. Weak communication. 65- Pancreatic cancer is life threatening disease, there is low chance of survive if diagnosed in end stag , only 1% can survive for 2 year , what is best describe of mortality rate? A. Incidence rate higher than mortality rate B. mortality rate higher than incidence rate ✓ C. incidence rate not related to mortality rate D. Mortality rate and incidence rate are approximately the same 66- What is the side effect of oxytocin ? A. Water intoxication ✓ B. Kidney toxicity C. Diuretics D. Fluid excess - 14 - https://t.me/SAEED5ALAKLABI 67- A nurse is caring for an immobile and ventilated patient in the intensive care unit. The patient is at high risk for pressure ulcers. Which intervention should the nurse prioritize to prevent pressure ulcers in this patient? A. Keep the patient's skin dry ✓ B. Keep the head of the bed at 40° C. Massage the reddened prominent bones D. Keep the head of the bed at 30° while in a side-lying position ✓ 68- Because cervical effacement and dilation aren't progressing in a client in labor, the physician orders I.V. administration of oxytocin (Pitocin). Why must the nurse monitor the client's fluid intake and output closely during oxytocin administration? A. Oxytocin causes water intoxication ✓ B. Oxytocin causes excessive thirst C. Oxytocin is toxic to the kidneys D. Oxytocin has a diuretic effect 69- What is the meaning of Black box alarming for severe medication reactions ? A. Alerting ✓ B. Interpreting C. Critique 70- What type of exercise is recommended for individuals with left side weakness hemiparesis? A. Passive B. Active 71- The Elderly patient, 80 years old, underwent a nurse assessment of activities to measure their ability to perform self-care tasks such as bathing and eating. What type of assessment is the nurse conducting? A. Psychosocial B. Economic C. Functional ✓ D. Psychological - 15 - https://t.me/SAEED5ALAKLABI 72- Patient with chest pain, which radiates to the shoulder, sings of a myocardial infarction (MI). What should be the nurse's first intervention for this patient? A. Reduce Anxiety B. Give oxygen ✓ C. Give nitroglycerin D. Give aspirin 73- A patient with a chest tube is at risk of developing infections. What is the appropriate action for a nurse? A. Monitor bleeding and discharge B. Prevent infections and complications ✓ 74- What is a common finding in most children with congenital heart disease? A. Mental retardation B. Delayed physical growth ✓ C. Clubbing of fingers D. Cyanosis ✓ 75- A nurse is assessing a 4 years-old child with a suspected congenital heart disease. Which clinical finding is commonly associated with congenital heart disease in children? A. Mental retardation B. Delayed physical growth C. Clubbing of fingers D. Cyanosis ✓ 76- The patient with Parkinsonism is taking an antibiotic. The doctor changed the dose of his medication. The next day, the patient doesn't move and feels freezing. What can be expected for the patient? A. Acute akinesia ✓ B. Neuroleptic malignance syndrome - 16 - https://t.me/SAEED5ALAKLABI 77- The patient has a strangulation hernia causing severe pain and requires hernia repair. What is an explanation of the procedure? A. Short procedure to poll in the hernia organ B. To restore the blood supply to affected organ ✓ 78- What is the position of vulvar carcinoma after surgery? A. Recumbent ✓ B. Semi Recumbent ✓ NOTE: Lithotomy position during C. Prone surgery D. Lithotomy 79- What are the disadvantage of the mini pill (progesterone-only pill)? A. Spotting between menses ✓ B. Premenstrual syndrome C. Weight loss D. Endometriosis 80- The patient with pneumonia completed a course of levofloxacin. What indicators can determine the effectiveness or Lt progress of the treatment? an A.WBC ✓ B. K antibioite C. Platelet D. Hematocrit (HCT) 0 81- What is the role of k in wound healing? A. Epithelial B. Collagen C. Coagulation ✓ D. Coenzyme 82- Which patient will the nurse prioritize seeing first? A. BP is 190/110 B. The patient is unresponsive to verbal stimuli ✓ Loc code not C. The patient has frequent premature contractions - 17 - https://t.me/SAEED5ALAKLABI o 83- The patient is on Atenolol 20 mg once daily for hypertension. What instructions should be given to the patient? A. Measure Bp daily B. Take the medication with water after a meal C. Report any occurrences of nausea or headache D. Do not stop taking the medication abruptly ✓ 84- The patient with DM informs the nurse that their medication is not the same. The nurse checks and confirms that the medication name has been changed. What is the appropriate response from the nurse to the patient? A. Medication may have more than one trade name ✓ B. Contact the doctor to double-check ✓ C. Contact the pharmacist 85- The patient received a blood transfusion. After 30 minutes, the I patient developed neck vein distension, pulmonary edema, increased blood pressure, tachycardia, and dyspnea. Which of the following nursing diagnoses is related to blood and occludes the patient's problem? A. Hemolytic reaction (Patient and donor incompatibility) B. Allergic reaction C. Fluid volume excess ✓ 86- How can we prevent infections in patients with diabetes mellitus? A. Keep prominent bone moist B. Keep skin clear and dry ✓ 87- In a patient with partial placenta previa, which of the following L measures can be taken to decrease the risk of infection or complications? A. Bed rest ✓ B. Not dealing with people who have respiratory infection 88- Which clients has a high risk of obesity and diabetes mellitus? A. A 45-years-old ✓ B. A 23-year-old C. A 20-year-old - 18 - https://t.me/SAEED5ALAKLABI 89- A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of: A. Veins carrying deoxygenated blood to the fetus B. Arteries carrying oxygenated blood to the fetus C. Two umbilical arteries and one umbilical vein ✓ O D. Two umbilical veins and one umbilical artery 90- The charge nurse found a problem in the scheduling and wants to change it. What is the first step of the change? A. Set goals B. Implement C. Strategies D. Understand improvement or occurrence ✓ 91- What is the first step of the change management process? A. Set goals o B. Identify needs / Determine all stages of the change ✓ C. Implement solution D. Select change strategy 92- Which is the preferred method of taking a newborn's temperature? A. Tympanic. a B. Axillary. ✓ C. Oral. D. Rectal. 93- Which method should be used to check the temperature of a one- month-old? A. Tympanic. B. Axillary. ✓ C. Oral. D. Rectal. - 19 - https://t.me/SAEED5ALAKLABI 94- From where is human chorionic gonadotropin (HCG) secreted in early pregnancy? A. Embryo ✓ B. Corpus luteum C. Ovary D. Pituitary gland 95- What does the blastocyst secrete? so A. HCG ✓ B. Estrogen C. ADH D. Progesterone 96- The patient presents with symptoms of unilateral weakness and/or numbness, facial droop, and speech deficits ranging from mild dysarthria e this patient's symptoms? e and mild aphasia to global aphasia. Which of the following best describes A. Brain stem Cordinet movement B. Middle cerebral artery damage ✓ D. Posterior cerebral artery A. Increase fluid intake ✓ O 97- What is the diet for a patient with Pyelonephritis? una B. Increase dietary fiber Awater C. Low protein in dinner 98- A patient is coming with a radiograph and complaining of chest pain. Which of the following questions should the radiologist ask the patient first before conducting the radiograph for chest X-ray? A. Can you hold your breath well or not? B. Do you have any accessories on or are you wearing any accessories? C. Ask her if she is pregnant ✓ D. Can you raise your hand to perform a certain action? - 20 - https://t.me/SAEED5ALAKLABI 99- What are the important concerns for laboratory results in a patient with second-degree burns? A. WBC ✓ B. RBC C. PLATELET 100- A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media? A. Infants are in a supine or prone position most of the time. B. Sucking on a nipple creates middle ear pressure. C. They have increased susceptibility to upper respiratory tract infections. D. The eustachian tube is short, straight, and wide. ✓ 101-What is Risk factors of otitis media? A. Breast feeding B. Vertical position of feeding C. Feeding formula D. Short wide ear 102- What is the sign of Cushing Syndrome? A. Hypertension ✓ Note: C. Hypercalcemia Option B,C and D are signs of Addison's Do D. Hypermagnesemia disease 103- A patient with Cushing's syndrome has been using corticosteroids for a long time. What are the effects of using corticosteroids for long time? A. Hypertension ✓ B. Hypercalcemia C. Hypermagnesemia D. Hypotension - 21 - https://t.me/SAEED5ALAKLABI 104- The patient plans to undergo coronary heart surgery. The post- anesthesia nurse noted a decrease in urine output from the urinary catheter, from 50 ml to 30 ml per hour. What is the likely reason for this decrease? A. Stimulate Vagus nerve B. Decreased cardiac output C. The Effects of anesthesia 105- A patient is schedule for operation from out patient clinic one day ago came to surgical ward and admitted. Who is responsible to informed patient about surgery? A. Nurse B. Head Nurse C. Surgeon ✓ D. Anesthesia 106- The patient who came to the emergency room presents with a two- day history of vomiting and abdominal pain that is referred to the right shoulder after eating fried food. Where should the patient be feeling the pain? A. Upper right abdomen ✓ B. Upper left abdomen C. Lower right abdomen D. Lower left abdomen 107- A 32-year old woman presents with 4-day history of sudden right upper quadrant abdominal pain that is referred to the right shoulder tip. Pain was initially colicky, and then became constant. Positive history of fever, nausea and vomiting. On examination, she's acutely ill looking, anicteric, febrile, positive murphy's sign, right upper quadrant abdominal tenderness with muscle guarding and rebound tenderness present. CBC done showed WBC: 13 x 109/L; Serum amylase: 170U/L. What is the most likely diagnosis? A. Acute pancreatitis B. Acute appendicitis C. Acute cholecystitis ✓ D. Right basal pneumonia - 22 - https://t.me/SAEED5ALAKLABI 108- A patient 4 years old needs to receive a doctor-prescribed medication at a dosage of 10mg/kg/day for one week. The medication is available in a concentration of 125mg/5ml. The patient's body weight is 15 kg. How many ml per day should be given to the patient? A. 2 ml QID B. 3 ml Bid ✓ C. 5 ml OD D. 6 ml PRN 109- A patient 4 years old needs to receive a doctor-prescribed medication at a dosage of 10mg/kg/day. The medication is available in a concentration of 125mg/5ml. The patient's body weight is 12 kg. How many ml per day should be given to the patient? A. 2 ml Bid ✓ B. 3 ml Bid C. 6 ml PRN 110- A patient 4 years old needs to receive a doctor-prescribed medication at a dosage of 10mg/kg/day. The medication is available in a concentration of 125mg/5ml. The patient's body weight is 15 kg. How many ml per day should be given to the patient? A. 2 ml QID B. 2 ml BID C. 1.5 ml TID D. 6 ml PRN ✓ 111- A patient 4 years old needs to receive a doctor-prescribed medication at a dosage of 12mg/kg/day. The medication is available in a concentration of 125mg/5ml. The patient's body weight is 25kg. How many ml per day should be given to the patient? A. 4 ml TID ✓ B. 3 ml BID C. 2 ml QID - 23 - https://t.me/SAEED5ALAKLABI 112- A patient 4 years old needs to receive a doctor-prescribed medication at a dosage of 150 mg for one week. The medication is available in a concentration of 125mg/5ml. How many ml per day should be given to the patient? A. 3 ml BID ✓ B. 3 ml QID C. 6 ml PRN 113- Signs of pancytopenia ? A. RBCs and platelet deficiency ✓ 114- In a disaster plan, what priority concerns should you have about the patient? A. Hemorrhage patients ✓ B. Elderly and infants C. Head injury patients ExesaineVortigern M 115- Pregnant women are having hyperemesis. Which one of the following actions should be taken immediately by the nurse? A. Check daily weight B. Check urine output and input ✓ C. Support her psychologically 116- Patient has intracranial pressure. What will you tell the patient to avoid? A. Coughing ✓ B. Turning a 117- What are the most common causes of fetal death or mortality? A. Asthma B. Accident C. Malnutrition disease D. Cardiac disease ✓ o - 24 - https://t.me/SAEED5ALAKLABI 118- What is signs indication of left side heart failure? A. Breathing Sound ✓ (Crackles, Wheezes) body B. Swelling C. Edema lung I D. Jugular vein distension NOTE: B,C and C signs of right heart failure 119- The patient came in ER with prolonged vomiting related gastric sleeve. What can be expected in his arterial blood gas (ABG) results? A. Elevated oxygen levels B. Decreased PH Note: Vomiting = Metabolic Alkalosis. C. Elevated HCO3 ✓ o Elevated PH and HCO3 120- A patient with diabetes has a morning glucose of 50. The patient is sweaty, cold, and clammy. Which of the following nursing interventions is m m the MOST important? A. Recheck the glucose level B. Give the patient 1⁄2 cup (4 oz) of fruit juice ✓ C. Call the doctor D. Keep the patient nothing by mouth. 121- Right hemiparesis (stroke) affected which side of the body? A. Left side weakness ✓ B. Right side weakness 122- Death rate of disease in proportion to those who are at high risk to this disease? A. Specific Mortality B. Case Fatality ✓ C. Specific Morbidity - 25 - https://t.me/SAEED5ALAKLABI 123- A Community nurse make Antenatal education for group of pregnant women, what’s the goal of this program? (NCLEX) A. Psychological adaptation to parenthood B. Reducing risks and problems ✓ C. Modes of delivery during childbirth D. Birth control options 124- Term neonate meconium aspiration which of the following initial action by the nurse? A. Give oxygen B. Suction mouth and nose ✓ 125- The surgeon aspirated both tonsils. What is the diagnosis? A. Bilateral tonsils abscess ✓ B. Laryngitis C. Tonsillectomy 126- What is Food rich in fiber? A. Boiled egg with green salad ✓ B. Caeser salade, beef, boiled shrimp C. Meat, pasta 127- What is the most common side effects of metoclopramide? A. Abdominal pain X α B. Flatulence C. Headache ✓ D. Constipation 128- What Anthropometric measurements are included? G A. Weight and Wrist B. BMI, Wrist and Arm C. BMI, Wrist and Skinfold thickness ✓ - 26 - https://t.me/SAEED5ALAKLABI 129- Clients with gestational diabetes are usually managed by which of the following therapies? A. Oral hypoglycemic drugs and insulin B. Oral hypoglycemic drugs C. NPH insulin (long-acting) D. Diet ✓ 130- A 26-year old multigravida is 14 weeks’ pregnant and is scheduled for an alpha-fetoprotein test. She asks the nurse, “What does the alpha- fetoprotein test indicate? The nurse bases a response on the knowledge that this test can detect? A. Kidney defects B. Urinary tract defects C. Neural tube defects ✓ D. Cardiac defects 131- Gastric suction lead to PH change: A. Decrease PH in the serum B. Increase the H in the serum C. Acidemia D. Alkalemia ✓ 132- What is the Initial treatment for hyperthyroidism? A. Radioactive iodine B. Methimazole ✓ C. Thyroidectomy 133- A patient had a blood pressure of 180/90. After the nurse administered an antihypertensive drug, it increased to 195/100. What is the reason? A. Allergic reaction B. Paradoxical hypertension ✓ - 27 - https://t.me/SAEED5ALAKLABI 134- A patient postoperatively on the chest tube. What type of secretion should be in the chest tube after three hours? A. Blood B. Serous drainage ✓ C. Serious Song drainage D. Mucous secretion 135- What is the normal lung sound over the sternum? A. Bronchial ✓ B. Vesicular C. Bronchovesicular 136- To decrease edema in a baby with craniotomy, what medication would the nurse administer to the client? A. Diuretic ✓ B. Prednisolone C. Ceftriaxone 137- What is the drug to minimize intracranial pressure? A. Warfarin NOTE: B. Morphine Generic name: Bisacodyl C. Potassium Brand names: Dulcolax D. Bisacodyl ✓ 138- A newborn was admitted to pediatric Ward with pyloric stenosis, suspected with pyloric stenosis. What is the best diagnostic test? A. X ray ✓ NOTE: B. Ct abdomen X-ray ‫ ﻧﺨﺘﺎرھﺎ ﻗﺒﻞ‬Barium swallow ‫ﻟﻮ ﻓﻲ اﻟﺨﯿﺎرات‬ C. Enema with barium ‫ھﻲ اﻷﺻﺢ ﻧﺨﺘﺎرھﺎ اﻷول‬Ultra Sound ‫و ﻟﻮ ﻓﻲ اﻟﺨﯿﺎر‬ 139- Which of the following drugs will not be affected by grapefruit? A. Aspirin ✓ B. Atorvastatin C. Verapamil D. Plavix - 28 - https://t.me/SAEED5ALAKLABI 140- The community nurse visits a patient with epilepsy and arranges for hospitalization to prevent harm to the patient. What type of ethical issue is this? A. Malfeasance B. Negligence C. Misfeasance D. Beneficence ✓ 141- A patient came to the ER after a motor accident. The patient has severe bleeding with urine output of 30 ml/hr, blood pressure of 90/60, and a heart rate of 112. The doctor asks the nurse to assess good tissue perfusion. Which of the following signs detects that? A. Heart rate NOTE: B. Respiration rate To assess good tissue perfusion: C. Urine output ✓ A. First Assess, capillary refill B. Second, Assess skin turgor D. Blood pressure C. Third, Assess urine output 142- What is the complication of thalassemia? A. Hepatomegaly ✓ B. Bleeding C. Heart Failure 143- A 5-year-old has been diagnosed with Wilms tumor. The doctor discussed the condition and available treatment options with the parents and provided them with an appointment to make a decision. What is the description of this action? A. Inspiring B. Empower ✓ C. Enabling D. Encouraging - 29 - https://t.me/SAEED5ALAKLABI 144- A nurse is teaching a 13- years- old patient how to give an insulin injection. What is the description of the nurse's action? A. Inspiring B. Empower ✓ C. Enabling D. Encouraging 145- Hyperemesis gravidarum is a common occurrence for pregnant women, and there are home remedies that have been proven to relieve nausea and vomiting. Which one of the following is one of them? A. Cucumber B. Ginger ✓ C. Coffee D. Cinnamon 146- What is the diet for a patient after cholecystectomy? A. Grapes and gelatin ✓ B. Cola and macaroni C. Cheese cake and yogurt 147- A researcher want to conduct a research for measles vaccine at 1 year of age then will remeasure again at age of 6 years in the relation to healthy child. What is the type of research? A. Longitudinal/correlation. B. Longitudinal/ Cross sectional ✓ C. Cross sectional/correlation. 148- A 21-year-old female experiences irregular menstruation. Initially, her periods are unpredictable and painless. The irregularity is characterized by anovulatory cycles. What does 'anovulatory' mean? A. 1Ovum from ovary B. 2 Ovum produced from ovary C. 0 Ovum from ovary ✓ D. Period delay 2 days from expected /1 ovum produced two day later of ovulation - 30 - https://t.me/SAEED5ALAKLABI 149- Which of the following is not considered as an obstetrical emergency? A. Ectopic pregnancy B. Placenta previa C. Placenta anterior ✓ D. Eclampsia 150- What are the two glands inside to the urethral responsible for moisturizing? A. Seminal B. Bartholin C. Cowper's glands ✓ 151- A 12-year-old boy came to the clinic with his mother. He has a warm body, weight loss, and trouble sleeping. What does the nurse suspect? A. Hyperthyroidism ✓ B. Hypothyroidism C. Hyperparathyroidism D. Hypoparathyroidism 152- What prevents the recurrence of Rheumatic fever? A. Antibiotic ✓ B. Antibacterial C. Anti-viral D. Corticosteroids 153- The child with dehydration and projectile vomiting He diagnosed with hypertrophic pyloric stenosis what’s the best for feeding? A. NGT B. Rehydrate, and continue breast-feeding C. Rehydrate, and NGT feeding ✓ - 31 - https://t.me/SAEED5ALAKLABI 154- Why should hypospadias be repaired before three years old? A. The child's movement is limited. B. Decrease risk infection. C. This is because the child is cooperative. D. Before the penis/urethra is fully developed ✓ 155- The child came to the emergency room with a diagnostic of appendicitis, requiring emergency operation. What nursing interventions are needed? A. Giving medication as order and control pain and fever ✓ B. Positioning the patient on abdominal splint 156- What causes a decrease in respiratory rate in children post- operatively, leading to alterations in vital signs? A. Opioid ✓ B. Hypothermia C. Hyperthermia 157- What causes a decrease in body temperature in children post- operatively, leading to alterations in vital signs? A. Shock B. Environmental causes ✓ C. Infection 158- What is the recommended position for a patient with appendicitis before surgery? A. Sim’s B. High fowler C. Semi fowler ✓ D. Dorsal recumbent 159- A newborn having meconium aspiration. What are the appropriate diagnostic evaluation tests? A. Chest-Xray ✓ B. Blood gas C. Ultrasound - 32 - https://t.me/SAEED5ALAKLABI 160- Which assessment indicates therapeutic effect of mannitol (Osmitrol)? A. Decreased intracranial pressure ✓ B. Decreased potassium C. Increased urine osmolality D. Decreased serum osmolality 161- The doctor ordered a blood transfusion for the patient. What will be the appropriate action to prevent an allergic reaction? A. Slow rate of blood lower than the ordered rate B. Proper labeling and patient identification ✓ C. Administer antihistamine before the blood transfusion D. Administer antipyretic before the transfusion 162- After a skin graft on the patient's leg, there was red discharge leaking from the dressing. What should be the nurse's first action? A. Remove the dressing to assess B. Apply direct pressure for 10 minutes ✓ C. Elevate the leg 163- How to check jaundice in dark skin patients? A. Nail beds B. Palm of hand NOTE: C. Hard palate ✓ Hard palate and Sclera are a good sites to check for jaundice, but hard palate is a better option for D. Lip dark-skinned patients 164- A 3 days old newborn who is diagnosed with Hirschsprung disease presents with failure to pass meconium within 24-48 hours of life. What is the diagnostic test for Hirschsprung disease? A. Abdominal X-ray B. Ultrasound C. MRI D. Rectal Biopsy ✓ - 33 - https://t.me/SAEED5ALAKLABI 165- What is the complication of diaphragmatic hernia? A. Respiratory hypotension B. Decrease cardiac output ✓ 166- The nurse respects different cultures and beliefs. What is this considered? A. Nursing procedure B. Autonomy C. Beneficence ✓ 167- A nurse reviewing the drug chart of her patient needs to determine which of the following medications she must start first? A. Cefazolin BID B. Paracetamol Q6hr C. Vancomycin TID ✓ D. Amlodipine OD 168- A nurse researcher interviews parents of children who have diabetes and asks them to describe how they deal with their child's illness. The analysis of the interviews yields common themes and stories describing the parents' coping strategies. This is an example of which type of study? A. Historical B. Qualitative ✓ C. Correlational D. Experimental 169- What is the health education for patient with appendectomy? A. Resume activity gradually and avoid heavy lifting B. Prevent complications ✓ C. Signs to report 170- Which medication can take from local pharmacy? A. NSAIDs ✓ B. Contraceptives C. Antibiotics D. Antipsychotic - 34 - https://t.me/SAEED5ALAKLABI 171- A patient called the Ministry of Health at 937 to report that she lost her medication. She asked whether she can obtain it over the counter. What type of medication is allowed to be taken in that manner? A. Antipsychotic B. NSAIDs ✓ C. Contraceptive 172- The infant with congenital diaphragmatic hernia, who has been admitted to the NICU, what intervention should be done first? A. Mechanical ventilation and intubation ✓ B. Feeding via NGT (nasogastric tube) 173- When assessing the genitals of a newborn boy, the nurse notices that one testicle is larger than the other, what is this condition called? A. Cryptorchidism B. Hydrocele ✓ 174- A nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for Preeclampsia. The nurse checks the client for which specific signs of Preeclampsia? A. Increased respirations B. Negative urinary protein C. Elevated blood pressure and positive urinary protein ✓ D. Facial edema 175- A child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority? A. Risk for infection related to epidermal disruption B. Ineffective airway clearance related to edema ✓ C. Disturbed body image related to physical appearance D. Impaired urinary elimination related to fluid loss - 35 - https://t.me/SAEED5ALAKLABI 176- Which month does the government provide vaccinations for hepatitis B to children? A. 0,2,4 ✓ B. 0,3,6 C. 0,2,3 177- A woman comes to the ER with brown vaginal bleeding. After reviewing the ultrasound, the doctor decided to perform an emergency Cesarean section (CS). What should be anticipated? A. Preeclampsia B. Total placenta previa ✓ C. Partial placenta previa D. Preterm labor 178- The patient presented with hypertensive stage 1 blood pressure 130/80. What should be the nurse's advice to the patient? A. Change lifestyle /Modify lifestyle ✓ B. Administration beta blockers and diuretic 179- Which of the following mothers is most common susceptible for laceration during labor? A. 1 para mother for 11hours delivery B. 3 para mother for 6 hours delivery ✓ C. 2 para mother for 9 hours delivery D. 2 para mother for 6 hours delivery 180- What is diet of Vagotomy? A. Increase fluid intake and out put to prevent dehydration ✓ B. Increase fiber diet C. Reduce protein diet before bed time 181- A patient presents with a blood pressure reading of 189/90. What would patient at high risk for? A. Stroke ✓ B. Hypertension C. DVT D. DM - 36 - https://t.me/SAEED5ALAKLABI 182- A pregnant woman’s last menstrual period began on April 8, 2005, and ended on April 13. Using Naegele’s rule her estimated date of birth would be: A. July 1, 2006 NOTE: Naegele’s rule requires subtracting 3 months and adding 7 B. January 15, 2006 ✓ days and 1 year if appropriate to the first day of a pregnant C. January 20, 2006 woman’s last menstrual period. When this rule, is used with D. November 5, 2005 April 8, 2005, the estimated date of birth is January 15, 2006. 183- The old patient is suffering from hearing problems. What is the best way to measure their degree of hearing? A. Asking the family about their hearing level. B. Standing behind them and speaking loudly. C. Writing on a piece of paper and asking them to read it. D. Use verbal communication first and evaluate ✓ 184- The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? A. Sunscreen should be applied every 8 hours B. Use sunscreen when participating in outdoor activities ✓ C. Avoid exposure to the sun in the late afternoon D. Avoid exposure to the morning sun 185- A 66-year-old patient came to the emergency department with angina, and the doctor prescribed heparin. Which of the following is a risk factor for bleeding? A. Age ✓ B. Hypertension C. Angina - 37 - https://t.me/SAEED5ALAKLABI 186- In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-aged child for evaluation? (Nclex) A. Polyphagia B. Dehydration C. Bedwetting ✓ D. Weight loss 187- Child with type 1 diabetes mellitus. The nurse is instructing mother. Which of the following signs should be alert? A. Polyphagia B. Vomiting C. Bedwetting ✓ D. Thirsty 188- The older woman, who hasn't been doing BSE (Breast Self- Examination) for 7 years, came to the clinic. What advice should the nurse give her regarding performing BSE? How frequently should she perform it? A. Monthly ✓ B. Annually C. Quarterly D. Biannual 189- The patient has TB, and the nurse wants to educate him about the safe way to dispose of secretions. What can she do to ensure that he has done it correctly?/ What are the instructions during discharge? A. Washing hands before and after a meal B. Dispose of the dirty tissue in a plastic bag ✓ C. Instructing to move the head away when coughing 190- A patient presented with an aortic aneurysm and requires an urgent operation. What is the most important investigation to perform? A. PT B. PPT C. Cross match and type blood group ✓ D. Ultrasound - 38 - https://t.me/SAEED5ALAKLABI 191- Which one is subjective data? A. Patient say pain 6/10 ✓ B. Oxygen 90% C. Temperature 36.7 D. HR 90 192- While changing the tapes on a tracheostomy tube, the client coughs and the tube is dislodged. Which is the initial nursing action? A. Call a respiratory therapist to reinsert the tracheotomy. B. Cover the tracheostomy site with a sterile dressing. C. Call the physician to reinsert the tracheotomy. D. Grasp the retention sutures to spread the opening ✓ 193- Gracie, the mother of a 3-month-old infant calls the clinic and states that her child has a diaper rash. What should the nurse advise? A. Use baby wipes with each diaper change B. Switch to cloth diapers until the rash is gone C. Offer extra fluids to the infant until the rash improves D. Leave the diaper off while the infant sleeps ✓ 194- The patient visited the clinic to seek treatment for infertility. During the nurse's assessment of her medical history, the patient mentioned that her husband works in the X-Ray department of this hospital. What could be the cause of infertility? A. Radiation cause ✓ B. Chemical cause 195- A mother infected with COVID-19 wants to breastfeed her baby. What instructions should the nurse provide? A. Stop breastfeeding B. Exposed to breastfeeding C. Switch to bottle D. Breastfeeding with precautions ✓ - 39 - https://t.me/SAEED5ALAKLABI 196- Contains information that is gathered routinely, such as vital signs, the frequency of urination and bowel movements, and food and fluid intake? A. Medical History B. Graphic Sheet ✓ C. Recording D. Nursing History 197- The nurse research study to women eat more salt high risk for hypertension other group low risk. What is the type of study? A. Cohort study ✓ B. Randomized control trial C. Case report 198- Research Study about corona outbreak in period of march 2020 until October 2020. Which types of research? A. Retrospective ✓ B. Prospective C. Continue D. Concurrent 199- A pregnant woman at 38 weeks gestation and in stage 1 active phase. She presented to the emergency department with signs of labor, and her cervix is dilated 8 cm. The nurse needs to transfer her to the operating room (OR), but when she called the OR, they said there are no available beds. What is the expected action for the nurse to take? A. Tell her to go to another hospital. B. Refer to gynecology department C. Ask to take deep breath to prolong labor D. They deliver her in the emergency room ✓ 200- If un registered nurse apply cannula to the patient? A. Avoidance B. Assault C. Malpractice ✓ - 40 - https://t.me/SAEED5ALAKLABI 201- A patient does not speak the same language as the nurse. How does the nurse rate the pain scale? A. Assess nonverbal ✓ B. I ignore the Patience C. Wait for the patient's family 202- The patient is bedridden and not allowed to walk. How can the nurse measure the weight of a bedridden patient? A. Hoist scale ✓ B. Sitting scale C. Don’t do weight measure D. Standing scale 203- The physician writes an order for Ibuprofen 3 mg/kg by mouth TID for pain for a child. The child weighs 13 kg. Pharmacy dispenses you with 50 mg/2 ml. How many ml will you administer per dose ? A. 1.12 ml B. 1.56 ml ✓ 204- A postpartum woman in her third week after delivery came to the emergency room with heavy bleeding. What could be the cause of the bleeding? A. Infection or retained of product placenta ✓ 205- Which of the following is the accurate fluid intake for breastfeeding mother in first 6 months? A. 100 ml B. 400 ml C. 600 ml D. 800 ml ✓ - 41 - https://t.me/SAEED5ALAKLABI 206- After experiencing a needle stick injury from a patient in isolation, what should a nurse do? A. Squeezing her finger B. Informing a supervisor ✓ C. Withdrawing the needle D. Completing the procedure 207- A patient with renal calculi is undergoing a percutaneous nephrostomy and asks the nurse to explain the procedure. What should the nurse's answer be? A. Administering a chemical agent to dissolve the stone. B. Using laser waves C. Incision in renal pelvic to remove stone D. Using an incision in the skin with a scope and forceps to remove stones ✓ 208- A 33 week pregnant mother is on her routine medications that include iron supplement , folic acid , multivitamins and calcium supplement , despite all medication her hemoglobin has not been increase since last two month, she is experiencing more fatigue and lethargy since past few weeks HB 80 ….. HCT 0.22. Which of the following intervention is the most desired? A. should separate the iron and calcium for two hours ✓ B. Start injectable multivitamins as per regimen C. Advise increase intake of organ meat and fortified food D. Advise increased food intake by frequent small meals and snacks 209- Pregnant women in active labor, how many times the midwife did vaginal examination? A. With each contraction B. As much as pot C. Every 4 hours D. Limited vaginal examination ✓ - 42 - https://t.me/SAEED5ALAKLABI 210- The patient reported having pain and taking morphine, but the pain increased, leading the patient to request an increase in the dose. What is the patient experiencing? A. Drug addiction B. Drug tolerance ✓ 211- A nurse in the emergency department receives a report that a man has arrived, screaming and yelling that his wife is bleeding in the car. What is the nurse's first action? A. Provide emotional support and reassurance to the husband / Calm the patient B. Triage the wife ✓ C. Notify the attending physician D. Gather a team to prepare instruments for examination 212- Where is the best place to locate systematic reviews? Systemic reviews, which found located? A. PubMed B. Cochrane library ✓ C. MEDLIN D. CINAHL 213- The Wassermann test should be done before maternity for the early identification of which of the following? A. Hepatitis C B. HIV C. Syphilis ✓ D. Toxicology 214- There is a difference between invasive and non-invasive fetal assessments. What non-invasive assessment does not harm the mother and child? A. Amniocentesis B. Cordocentesis C. Non stress test - 43 - https://t.me/SAEED5ALAKLABI 215- A psychiatric patient received an overdose of benzodiazepine. The doctor prescribed an antidote. Which adverse effect of flumazenil should you check before administration? A. Anxiety B. Seizure ✓ C. Shivering D. Chest pain 216- A patient came with neck stiffness. He can't straighten his leg. What is this called? A. Kernig’s sign ✓ B. Brudzinski sign C. Seizure activity sign 217- A woman is diagnosed with gonorrhea, and she is worried about her diagnosis. Which of the following is the appropriate description of the disease? A. Partner test should not be present in B. Asymptomatic ✓ C. Sexual inactivity 218- A Patient with second degree AV block medication (atropine ,adenosine, diltiazem ) After confirmation safety in patient arrest what second action? A. Check responsiveness ✓ B. Shout for help C. Start chest compressions D. Activate EMR 219- 15-years old female needs urgent surgery. The informed consent should taken from which person? A. Patient B. Physician C. Nurse D. Legal guardian ✓ - 44 - https://t.me/SAEED5ALAKLABI 220- What is COPD position? A. Semi fowler B. Sitting position ✓ C. 40 degree level position D. 45 degree level position 221- Child irritable, cry , turning head side to side , which the diagnosis ‫؟‬ A. Acute otitis media ✓ B. Otitis media with effusion 222- Before giving any patient medication and to avoid medication errors, what should the nurse check? A. Code system B. Drug display C. Bar code ✓ 223- 80 years old geriatric patient fell and got injured, what should the nurse do? A. Ignore the patient B. Inform the nurse in the same shift C. Over hand with the next shift nurse D. Document this in patient file ✓ 224- What is used in past in normal delivery? A. Active management of third stag B. Use of enema ✓ 225- Which of the following signs and symptoms would indicate malnutrition? A. Nail patella B. Dry eyes C. Pale - 45 - https://t.me/SAEED5ALAKLABI 226- Research about medical errors? A. Grounded B. phenomenology C. Ethnography D. Case studies ✓ 227- German measles incubation period? A. 1 week B. 2 weeks ✓ C. 5 days 228- A woman first time do mammogram Pap smear testing. Which of the following is the goal of the nursing practice here? A. Health promotion B. Health protection C. Disease prevention ✓ 229- A 36 weeks pregnant woman went into labor and said that she uses cocaine. Who should the nurse report it to? A. Obstetric doctor ✓ B. Hospital police C. Not tell anyone. D. Husband or legal guardian 230- A female patient came to the ER two weeks after postpartum and presented with hemorrhage. What type of postpartum hemorrhage is the nurse expecting? A. Late postpartum hemorrhage ✓ B. Early postpartum hemorrhage C. Atonic D. Traumatic - 46 - https://t.me/SAEED5ALAKLABI 231- A pregnant woman in labor has a cervix dilated to 7cm. What is the frequency of Stage of Labor Frequency Duration contractions? A. 3-4 minutes ✓ Early Labor Every 5 to 30 30 to 45 seconds B. 2-3 minutes minutes C. 1-2 minutes Active Labor Every 3 to 5 40 to 70 seconds minutes Transition Phase Every 2 to 3 45 to 90 seconds minutes Second Stage Every 2 to 3 60 to 90 seconds minutes Third Stage Every 3 to 10 30 to 60 seconds minutes 232- When is abortion allowed in Saudi Arabia? A. There is a risk to the mother ✓ B There is a risk to the baby 233- The nurse has a patient whose condition has changed. The patient had a stroke and an increase in WBC (white blood cell count). They also developed a skin rash. Chest X-rays were taken, and they came back normal. The nurse requested the doctor to assess the patient's condition and order further tests. what is missing from SBAR? A. Situation B. Background C. Assessment D. Recommendation ✓ 234- What is the purpose of the Brodie-Trendelenburg Test ? A. DVT B. Varicose vein ✓ C. Valvular disorder D. Thrombophlebitis - 47 - https://t.me/SAEED5ALAKLABI 235- What are the foods that patients with gout should avoid, and what is the food that is considered high in protein? A. Eggs B. Nuts C. Red meat ✓ D. Legumes 236- In the elderly home, there is a common problem among the elderly, which is difficulty swallowing and the occurrence of aspiration. What is appropriate action by the nurse? A. Time limited meals B. Keep privacy during meals C. Implement Chin-tuck method for those with dysphagia ✓ 237- As parents with three children, which type of food should be maximized for their kids? A. Fat B. Protein ✓ C. Carbohydrate 238- When a postpartum mother is not showing affection to her newborn, such as smiling, kissing, and not making eye contact, what assessment should be used? A. Newborn initial assessment B. Newborn transitional assessment C. Newborn attachment assessment ✓ 239- A nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. The health care provider (HCP) prescribes a contraction stress test. The test is performed, and the nurse notes that the HCP has documented the results as negative. How should the nurse interpret this finding? A. A normal test result ✓ B. An abnormal test result C. A high risk for fetal demise D. The need for a cesarean delivery - 48 - https://t.me/SAEED5ALAKLABI 240-Lanugo hair found on? A. Back ✓ B. holder C. forehead 241- The child presented with a low-grade fever ,is sneezing and appears restless, What instructions would you give to the parents? A. Penicillin for 3 days B. Antivirus 10 days C. Antipyretic ✓ D. Cough depressant 242- A patient has a low- grade fever and is shivering. What is appropriate action? A. Analgesic B. Antipyretic ✓ C. Antibiotic 243- A newborn presented with mild fever cough, poor feeding, sneezing, crying and appears restless. What advice did the nurse give to the mother? A. Amoxicillin for 3 days B. Antiviral for a week C. Give antipyretic for mild fever and discomfort✓ D. Cough depressant 244- Pediatric patient with low temperature what should the mother do? A. Give an antipyretic ✓ B. Administer an antibiotic course of 3 days C. Administer an antibiotic course of 5 days - 49 - https://t.me/SAEED5ALAKLABI 245- A 2-months old infant was brought to the health center for immunization, during assessment the infant temperature registered at 38.1C. Which is the best course of action that you will take? A. Go on with the infant immunization ✓ B. Give paracetamol and wait for his fever to subside C. Refer the infant to the physician for further assessment D. Advise the infant mother to bring him back for immunization when he is well 246- A patient with diabetes has high blood sugar. The nurse informed the doctor over the phone that he was busy in an operation, and then the doctor asked the nurse to administer orders for NPH insulin over the phone. What is the reason for the nurse to administer the medication? A. Emergency situation ✓ B. Physician is busy C. Trust between nurse and doctor D. Phone order , the same witness 247- What are the most common causes of maternal mortality? A. Puerperal sepsis B. Hemorrhage ✓ C. Pre-eclampsia D. Diabetes mellitus 248- A patients mania ,delusion and hallucinations what is the most likely nursing diagnosis? A. Impaired thought processes ✓ B. Risk of direct violence C. Disturbances of sensory perception 249- A patient will go to rectal surgery, doctor ask the nurse to bath him for the surgery which kind of bath the nurse will do? A. Bed bath B. Sitz bath ✓ C. Partial bath D. With Cleansed - 50 - https://t.me/SAEED5ALAKLABI 250- Which of the following is not alif threating cause of chest pain? A. Pulmonary embolism B. M l (myocardial infarction) C. Acute coronary syndrome D. Esophageal rupture ✓ 251- Patient came in ER when the nurse checked the temperature found febrile 40. Which of the following refill should be? A. ICU B. CCU C. Medical D. Communicable disease pavilion ✓ 252- What is 4th degree perineal tear? A. Perineal and external anal sphincter ✓ B. Perineal anal sphincter mucosa 253- The doctor is conducting an assessment while the patient is uncomfortable and asks, What should the nurse do? A. Cover the unassessed area ✓ B. Stop the assessment and write a report C. Ignore the patient D. Complete the assessment 254- What is the recommended diet for gout disease? A. High fiber B. Potassium modified C. Low calcium D. Low-purine diet ✓ 255- The vegetarian people that not eat red meat. Which of deficiency is high risk? A. Vitamin D B. Vitamin C C. Folic Acid D. Riboflavin ✓ - 51 - https://t.me/SAEED5ALAKLABI 256- A child came into the ER presenting with diarrhea and vomiting. Which of the following can be considered signs of improvement in an infant? A. Decreased fontanelle B. Tears when the infant cries ✓ 257- Before administering NGT feeding, what should the nurse do? A. Aspirate 30 cc to check for residual feeding from the last time B. Check the consistency of the food C. Ensure the NGT is correctly placed ✓ 258- What are the side effects of furosemide IM injection? A. Weak pulse muscle cramps ✓ B. Hypertension C. Hyperkalemia 259- In the resuscitation room, if you suspect a neonate has a diaphragmatic hernia, what should you do? A. Avoid mask and bag ventilation ✓ B. Administer nitric oxide C. Immediate surgery repair after resuscitation D. Start iv fluid 260- A nurse checked the medication. Which medication does not require a refill or a new prescription? A. Diazepam B. Digoxin C. Ibuprofen ✓ D. Tetracycline 261- 2 months baby with cleft lip came to out patient to follow up the nurse should assess which ? A. Sucking B. Growth - 52 - https://t.me/SAEED5ALAKLABI 262- Patient 75 years old had a history of peptic ulcer..has pain in joint. What is the expected drug should be give by the nurse? A. Aspirin B. Ibuprofen C. Naproxen D. Acetaminophen (Paracetamol) ✓ 263- The nurse is caring for a critically ill patient on mechanical ventilation. The physician identifies the need for a bronchoscopy, which requires informed consent. What should do? A. Wait for the patient to awaken from MV (Mechanical Ventilation) B. Obtain consent from the medical staff (physician) ✓ C. Ask the patient to nod his head to indicate agreement D. Perform the procedure immediately 264- The mother has a child diagnosed with leukemia and wants the nurse to not inform the child about the diagnosis. What should the nurse do? A. Okay, I will not tell the child B. No, I will tell the child C. Let's talk with the mother about these feelings ✓ D. Tell me why you don't want your son to know 265- The patient has a Glasgow Coma Scale (GCS) score of 15/15. How can the risk of falling be prevented? A. Keep a table near the bed B. Set a bed alarm ✓ C. Keep non-slip bath rugs available - 53 - https://t.me/SAEED5ALAKLABI 266- A registered nurse reviews a plan of care developed by a nursing student for a client with depression and notes a nursing diagnosis of impaired nutrition: less than body requirements. The registered nurse asks the student to revise the plan if which incorrect intervention is documented? A. Offer small, high-calorie, high protein snacks frequently throughout the day and evening B. Offer high protein, high-calorie fluids frequently throughout the day and evening C. remain with the client during meals D. complete the food menu for the client during the depressed period ✓ 267- The day following surgery, the nurse notes bloody drainage on the dressing. How will the nurse describe this drainage when documenting? A. Serosanguineous B. Sanguineous ✓ C. Serous D. Purulent 268- Which assessment finding would lead the nurse to suspect that a patient’s IV has infiltrated? A. In the past hour, only 50 mL of fluid has infused B. The insertion site is red, hot, and swollen C. The temp has risen to 38.3C. D. The site is pale, cool, swollen, and painful ✓ 269-What is the transmission method of H1N1? A. Blood B. Body fluid C. Saliva ✓ 270- What is the usual setting of Tidal Volume (VT)? A. 4-6 ml./kg B. 6-8 ml./kg ✓ - 54 - https://t.me/SAEED5ALAKLABI 271- What is the expected normal finding in an umbilical cord assessment immediately after delivery? A. Moist and pink ✓ NOTE: If it specifies in the question a week or two B. Dry and dark red after delivery we would choose D 272- What are the most significant pregnancy-related complications that lead to death in developing countries? A. Eclampsia B. Bleeding ✓ C. Infection D. Obstructed labor 273- A nurse receive pt one day post operative she expected to give antibiotic But she didn't find any antibiotic for the pt written in medication record.After reviewing dr. order she found antibiotic in order. And the another nurse not give it. And the pt missed 3 doses. What is the appropriate measure the nurse do to prevent harmful from the nurse malpractice ? A. Ask dr. to make another prescription B. Complain incident report ✓ C. Write the rational in pt record 274- The head nurse encourages nurses to reflect on themselves, their strengths, and their weaknesses. What should be considered? A. Self awareness B. Self understanding C. Self-concept ✓ 275- A female patient came to the ER complaining of high fever. She had hyperthyroidism for the past 10 years. She is now presenting with a thyroid storm. What should the nurse observe? A. Bulging eyes B. Increase sensitivity to heat ✓ - 55 - https://t.me/SAEED5ALAKLABI 276- Which of the following medications should the nurse give first? A. Vancomycin 200 mg TID B. Cefazolin 250 IV BID C. Furosemide 40 gm STAT ✓ D. Paracetamol 500 PRN 277- What are the symptoms of cystocele ? A. Burning urination B. Backache C. Urinary incontinence ✓ 278- When psychiatric patients use MAOI inhibitors and consume tyramine in food, what side effects can occur? A. Hypertensive crisis ✓ B. Neurological problem 279- After the operation, which of the following should the patient receive in full: fluids? A. Filtered apple Juice ✓ B. Tomato juice C. Tea with milk 280- A patient came to the ER presenting with agitation. Which drug should the nurse use for patient? A. Lorazepam B. Clozapine C. Haloperidol D. Zolpidem 281- The manager organized an education session to introduce new skills and provide orientation for newly joining nurses. What approach or method did the manager use? A. Directing B. Supervising C. Staff development ✓ - 56 - https://t.me/SAEED5ALAKLABI 282- Baby with cystocele, what is the most important assessment? B. Urine gravity B. Assess for contact cyst ✓ 283- A Nurse is caring for 3rd day post partum woman , what should the nurse be alert about mother take ? A. I am interested to return home. B. The baby hair look alike his grandmother hair C. I am tired and I can't sleep all night the baby cry all the night.( wont stop crying) ✓ D. I finally become a mother 284- A premature newborn born at 33 weeks gestation has been admitted to the ICU. How can the nurse prevent infection? A. Use standard precautions ✓ B. Feed the baby immediately 285- What is the cause of cord prolapse and infection? what is the factor causing a cord prolapse in first stage of labor A. Cardiocentesis B. Amniocentesis NOTE: D ‫ ﺑﺪون‬EMS ‫اﻟﺴﺆال ﻣﻮﺟﻮد ﺳﺎﺑﻘﺎ ﻓﻲ ﻣﻠﻒ‬ C. Trendelenburg position D. Amniotomy 286- Which of the following potential research subjects would be considered a vulnerable population for a research project? A. A -year-old with a heart valve replacement B. A -year-old hospitalized with cancer C. A 16-month-old hospitalized with pneumonia ✓ D. A -year-old hospitalized with pneumonia 287- What is the suitable position for the patient during a lumbar puncture? A. Prone position B. Supine position C. Sitting with head leaning forward ✓ D. Knee-chest position - 57 - https://t.me/SAEED5ALAKLABI 288- A psychiatric patient has a doctor’s order for restraints as needed (PRN). What does this mean? A. It needs to be done only once for the patient. B. This procedure should be done by a doctor. C. The nurse should clarify before performing this procedure. D. This order is acceptable because this procedure needs to be renewed 289- The patient is an amputee and is taking medication. They came to the clinic after two weeks complaining of recurring pain. What is the appropriate action by the nurse? A. Refer the patient to a psychiatrist B. Explain about phantom pain and how to cope with it ✓ C. Prescribe an analgesic drug D. Provide reassurance to reduce anxiety 290- What is the proper positioning during a hemorrhoidectomy operation? A. Head below knee B. Right knee out of material spot C. Pelvic placed on the table, with knees tied without touching the table ✓ 291- Before a hemorrhoidectomy operation, a patient asked the nurse what position they will be in during the surgery? A. Jackknife position ✓ B. Supine position 292- A nurse is caring for a toddler after surgical repair of a cleft palate, the nurse should position the child? A. On his back B. On his stomach ✓ C. On his back with his head slightly elevated D. For comfort - 58 - https://t.me/SAEED5ALAKLABI 293- A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to: A. Assess the woman’s blood pressure and pulse B. Have the woman breathe into a paper bag C. Turn the woman on her side ✓ D. Raise the woman’s legs NOTE: During a fundal height measurement the woman is placed in a supine position. This woman is experiencing supine hypotension as a result of uterine compression of the vena cava and abdominal aorta. Turning her on her side will remove the compression and restore cardiac output and blood pressure. Then vital signs can be assessed. Raising her legs will not solve the problem since pressure will still remain on the major abdominal blood vessels, thereby continuing to impede cardiac output. Breathing into a paper bag is the solution for dizziness related to respiratory alkalosis associated with hyperventilation. 294- Why doctor insert cardiac catheterization for cardiac patient? A. To assess ventricle pressure ✓ B. To assess O2 in champers 295- A patient’s wound is draining white clear and watery discharge. The nurse correctly describes the drainage as which of the following? A. Serous ✓ B. Purulent C. Sanguineous D. Serous-sanguineous 296- Which of the following position should the client with appendicitis assume to relieve pain? A. Prone position NOTE: B. Sitting position D. Lying still with legs drawn up towards chest helps relive tension on the abdominal muscle, C. Supine position which helps to reduce the amount of discomfort D. Lying with legs drawn up ✓ felt. Lying flat or sitting may increase the amount of pain experienced - 59 - https://t.me/SAEED5ALAKLABI 297- Nurse Mariane is caring for an infant with spina bifida. Which technique is most important in recognizing possible hydrocephalus? A. Magnetic resonance imaging (MRI) B. Performing a lumbar puncture C. Obtaining skull X-ray D. Measuring head circumference ✓ NOTE: Measuring head circumference is the most important assessment technique for recognizing possible hydrocephalus, and is a key part of routine infant screening. Skull X-rays and MRI may be used to confirm the diagnosis. A lumber puncture isn’t appropriate. 298- The patient came to the ER with fever, swelling on the right side of the abdomen with pain, nausea, vomiting, and a high white blood cell count of 18,000. Which of the following symptoms should the nurse most likely expect this patient to exhibit? A. Appendicitis ✓ B. Gastritis C. Colitis D. Peritonitis 299- There is a disease that started in a town, then it moved to two cities, spread to other areas, and killed more millions of people. What would this be considered as? A. Endemic B. Epidemic C. Sporadic D. Pandemic ✓ 300- There is a flu that started in Hong Kong and spread to other areas. What would this be considered as? A. Epidemic ✓ B. Endemic C. Pandemic D. Sporadic - 60 - https://t.me/SAEED5ALAKLABI 301- Obesity spread in Saudi Arabia is? A. Epidemic ✓ C. Pandemic C. Endemic D. Sporadic 302- Increase BMI spread in Saudi Arabia is? A. Epidemic ✓ C. Pandemic C. Endemic D. Sporadic 303- Unexpected increase case in geographic area consider as? A. Endemic B. Epidemic ✓ C. Sporadic D. Pandemic 304- Influenza in HONG Kong and killed millions of people consider as ? A. Epidemic ✓ B. Pandemic C. Endemic D. Sporadic 305- Malaria transmission occurs in large areas of Central and South America, Africa, Asia and has killed five millions of people. considered as? A. Epidemic B. Endemic C. Pandemic ✓ - 61 - https://t.me/SAEED5ALAKLABI 306- Malaria Asia Africa Europe and USA consider as? A. Endemic ✓ B. Pandemic C. Epidemic 307- What is timing for bone healing to child 3 years age? A. 2-4weeks ✓ B. 4-6 weeks C. 6-8 weeks 308- What is timing for bone healing to child 5 years age ? A. 3-5 weeks B. 4-6 week C. 7-9 weeks ✓ 309- A 9-year-old girl is seen in the emergency department because of a fracture in the right fibula. Which of the following is the expected response to parent question about bone healing period of the girl? A. 4-6 weeks B. 2-4 weeks C. 6-8 weeks ✓ D. 8-10 weeks 310- A 10-year-old girl is seen in the emergency department because of a fracture in the right fibula. Which of the following is the expected response to parent question about bone healing period of the girl? A. 4-6 weeks B. 2-4 weeks Note: Timing healing bone after fracture C. 6-8 weeks Early Childhood: 2 to 4 weeks until 3 years D. 8-10 weeks ✓ Late Childhood: 8 weeks for age 4,5,6,7,8,9 Adolescent: 8 to 12 weeks for age 10 and above - 62 - https://t.me/SAEED5ALAKLABI 311- What is bone healing for 13 years? A. 6-8 weeks ✓ B. 2-3 weeks Note: ‫ ھﻨﺎ ﻓﻲ اﻟﺴﺆال‬, ‫ ﻧﺨﺘﺎرھﺎ‬10 ‫ اﻟﻰ‬8 ‫ﻟﻮ ﻓﻲ اﻟﺨﯿﺎرات ﻓﻲ ﻣﻦ‬ C. 4-6 weeks ‫ﻣﺎ ﻓﻲ ھﺬا اﻟﺨﯿﺎر و اﺧﺘﺮﻧﺎ أﻗﺮب إﺟﺎﺑﺔ‬ D. 3-5 weeks 312- A 13-year-old girl is seen in the emergency department because of a fracture in the right fibula. Which of the following is the expected response to parent question about bone healing period of the girl? A. 4-6 weeks B. 2-4 weeks C. 6-8 weeks D. 8-10 weeks ✓ 313- A pregnant mother presented with a life-threatening condition. The doctor is discussing the abortion policy in Saudi Arabia. What is the policy in Saudi Arabia? A. It’s illegal to do abortion B. It’s done to elevate the threats on mother ✓ C. It’s done to save the child 314- A newborn born by elective caesarian section under general anesthesia 24 weeks of pregnancy. His weight is 1000 gm. He is admitted to Neonatal tensive Care Unit. Which of the following is the percentile gestation of this newborn on the chart? A. Between 10to 90 B. Less than 10 C. Greater than 90 D. At 90 percentage ✓ - 63 - https://t.me/SAEED5ALAKLABI 315- Outline how the nurses should behave ethically as a profession, and how they should decide when encounter barriers preventing them from fulfilling their professional obligations. Definition code is? A. Ethical code ✓ 316- What is the recommended duration for suctioning in a child? A. Less than 5 second B. Less than 10 second ✓ C. Less then 30 second D. Less than 40 second 317- The recommended action for pregnant women to take folic acid is to prevent which specific congenital disabilities? A. Cleft lip and palate B. Neural tube defects ✓ 318- A postpartum woman came to the clinic with her baby. The nurse assessed the umbilical cord. What are the signs of cord infection? A. Reddened base ✓ B. Bluish white C. Black and dry D. Dry 319- The nurse is preparing patient with knee replacement surgery. During physical examination for patient, The nurse observed abdominal pulsating mass in epigastria. The patient with high blood pressure. What is the first action for nurse? A. Continue in surgery preparation B. Make abdominal Ultrasound ✓ C. Refer the patient to an internist D. Ignore the symptoms - 64 - https://t.me/SAEED5ALAKLABI 320- 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. 2 months – 3 months Note: B. 4 months – 5 months Test for Gestational Diabetes:24-28 weeks C. 6 months – 7 moths ✓ 24-28 weeks D. 8 months – 9 months 321- Gestational diabetes is high blood sugar (diabetes) that starts or is found during pregnancy. When does gestational diabetes appear in a pregnant woman? A. 1-2 month B. 2-3 month C. 1-2 trimester D. 2-3 trimester ✓ 322- When do most patients tend to develop gestational diabetes during pregnancy? A. Usually during the 1-3 month of pregnancy B. Usually during the 2-3 month of pregnancy C. Usually during the 1-2 trimester of pregnancy D. Usually during the 2-3 trimester of pregnancy ✓ 323- How many times should pregnant women visit the clinic throughout the pregnancy? A. 10-12 ✓ B. 8-9 C. 12-14 D. 14- 16 324- What is Pap Smear considered? A. Health promotion B. Health protection C. Disease prevention ✓ - 65 - https://t.me/SAEED5ALAKLABI 325- A patient have thalassemia and nurse insert for him cannula when she give him blood transfusion the mother of child keep silence and attempted and go away. what sentence interpret communication between mother and nurse ? A. Open communication B. Close communication C. Sign of communication barrier ✓ D. Sign to providing communication information 326- Prevalence rate is high in those who younger than 5 years than who older than 10 years? A. Incidence rate is low in younger age B. Incidence rate is high in younger age ✓ C. Fatality rate higher in young children D. Fatality rate lower in young children 327- 18.A patient with conjunctivitis reports the presence of photophobia and moderate eye drainage. The nurse should teach patient to? A. Avoid touching the eye ✓ B. Use sterile gauze to remove the drainage C. Darken the room D. Rest in the prone position 328- 543- A patient came to the ER with dyspnea, and the nurse is assessing his vital signs: BP 99/80, HR 120, RR 11, and temperature 40°C. ABG results show PCO2 50, pH 7.33, and HCO3 23. After an X-ray, the patient was diagnosed with a lung abscess. Which unit should the nurse admit the patient to? A. ICU ✓ B. CCU C. Medical D. Communicable disease pavilion - 66 - https://t.me/SAEED5ALAKLABI 329- Hebephrenic schizophrenia definition is: Hebephrenic schizophrenia, also known as disorganized schizophrenia, is a subtype of schizophrenia characterized by disorganized speech and behavior, as well as incongruent or inappropriate emotional responses. Symptoms may include nonsensical or disorganized speech, erratic behaviors, emotional indifference or inappropriate emotional response, and lack of motivation or interest in daily activities 330- Jaime has a diagnosis of schizophrenia with negative symptoms. In planning care for the client, Nurse Brienne would anticipate a problem with? A. Auditory hallucinations. NOTE: B. Bizarre behaviors. In a client demonstrating negative symptoms C. Ideas of reference. of schizophrenia, avolition, or the lack of motivation for activities, is a common D. Motivation for activities ✓ problem. All of the other symptoms listed are the positive symptoms of schizophrenia. 331- Which food cause excessive gases? A. Asparagus and Broccoli ✓ B. Fried chicken and Boiled egg 332- A patient who has a colostomy is complaining about having excess gas. You ask the patient to tell you what he has ate in the past 48 hours. Which food would you suspect is causing the patient excessive gas? A. Cherries, Radishes, and Watermelon ✓ B. Squash, Spinach, and Pickles C. Caraway seeds, tomato soup, and eggs D. Chicken, grapes, and raspberries 333- A child admitted to the NICU presented with severe dehydration. What is the first action that should be taken? A. Insertion of an NGT (nasogastric tube) B. Insertion of an IV line for rehydration ✓ C. Administration of oral rehydration - 67 - https://t.me/SAEED5ALAKLABI 334- Child with Attention deficit hyperactivity disorder (ADHD(. The parent complains that child hyperactive and too much moving. What is your action? A. Instruct parent to provide private school for child. B. Instruct parent to provide normal school for child. C. Instruct the parent to allow the child to participate in activities designed for anger release ✓ 335- Which of these following indicates signs of severe COPD? A. Respiratory Acidosis ✓ NOTE: B. Respiratory Alkalosis Signs of severe COPD C. Metabolic Alkalosis Respiratory Acidosis Low = PO2 D. Metabolic Acidosis and high PCO2 336- Patient HIV contact with TB patient, Mantoux test done for a patient result was 6.5cm it consider? A. Latent B. Suspected C. Active ✓ 337- The hospital policy decided to give an new antibiotic to improve the health situation, the nurse gave the patient this antibiotic, but the patient had rash skin. What is the cause ? A. Adverse event B. Adverse reaction ✓ C. Malpractice D. Assault 338- The nurse was busy once and gave the patient an antibiotic without adhering to the hospital's policy, and the patient developed an allergy. What is the description of the nurse's action? A. Assault B. Negligence C. Abuse D. Malpractice ✓ - 68 - https://t.me/SAEED5ALAKLABI 339- A newborn presented with secretions. The nurse performed suction on the newborn, and as a result, the newborn developed cyanosis and low oxygen levels. What intervention should be done by the nurse? A. Stop suction and administer Oxygen ( O2 ) ✓ B. Continue suction until no secretion C. Wash suction catheter and resection 340- How to the check peripheral eye? A. Confrontation ✓ B. Eye acuity C. Oculomotor 341- A floor nurse will receive the patient from the post-anesthesia room. Which of the following should be the nurse check first? A. Vital signs B. Level of consciousness C. Affective airway ✓ 342- A postoperative patient has a pain level of 7/10. ABG results reveal a pH of 7.38, HCO3 of 24, and PCO2 of 50. What intervention should be taken by the nurse? A. Follow the same treatment plan B. Instruct the patient to pursed lip breathing ✓ 343- Which of the following is NOT a component of evidence-based practice? A. Outcomes of research studies B. Culturally competent care ✓ C. Patient values D. Clinical experts 344- A child presented with vomiting, diarrhea, and pallor. Which of the following are signs of dehydration? A. Na test B. Child's age C. Physical examination ✓ - 69 - https://t.me/SAEED5ALAKLABI 345- Which is the group that requires the most care from a community nurse? A. Toddler And elderly B. Infant And elderly ✓ 346- In hypertensive emergency which of the following signs required immediate hospitalization? A. High diastolic blood pressure & good urine output B. Seizure & neurological abnormalities ✓ C. Cold clammy skin & hypotension D. Tachycardia & tachypnea 347- A nurse prepares to administer an injection via intramuscular injection to a 5-year-old child. The nurse selects which site to administer the medication? A. Intramuscular anterolateral thigh B. Intramuscular vastus lateralis muscle C. Intramuscular deltoid muscle ✓ D. Intramuscular posterior thigh 348- A nurse prepares to administer a 3ml injection via intramuscular injection to a 5-year-old child. The nurse selects which site to administer the medication? A. Rectus femoris. B. Deltoid. Note: Intramuscular injection sites are chosen based C. Ventrogluteal ✓ on the child’s age and muscle development of the child. The ventrogluteal muscle is the ideal choice to D. Vastus lateralis administer 0.5ml-3ml amount of injection on a 3-12- year-old child. Options A and D only allows 2ml amount of injection. Option B allows 0.5-1ml amount of injection. - 70 - https://t.me/SAEED5ALAKLABI 349- A 6-year-old child is scheduled to have measles, mumps, and rubella (MMR) vaccine. Which of the following route will you expect the nurse to administer the vaccine? A. Intramuscularly in the vastus lateralis muscle B. Intramuscularly in the deltoid muscle. C. Subcutaneously in the gluteal area D. Subcutaneously in the outer aspect of the upper arm ✓ Note: (MMR) the vaccine is administered subcutaneously in the outer aspect of the upper arm. Options A and B: MMR is not administered intramuscularly. Option C: Gluteal area is not used as a site. 350- A nurse prepares to administer an intramuscular injection to a 6- month-old infant. The nurse selects which site to administer the Injection? A. Rectus femoris Note: Intramuscular injection sites are selected based B. Dorsal gluteal on the child’s age and muscle development of the child. The vastus lateralis is the only safe muscle group to use C. Ventrogluteal for intramuscular injection in a 6 month-old infant. D. Vastus lateralis ✓ Options A, B, and D are unsafe for that age. 351- The nurse prepares to administer an intramuscular injection to a 4- month-old infant. The nurse selects which best site to administer the injection? A. Ventrogluteal Intramuscular injection sites are selected on the B. Lateral deltoid basis of the child's age and muscle development of C. Rectus femoris the child. The vastus lateralis is the only safe muscle group to use for intramuscular injection in a 4- D. Vastus lateralis ✓ month-old infant. The sites identified in options 1, 2, and 3 are unsafe for a child of this age. - 71 - https://t.me/SAEED5ALAKLABI 352- A nurse prepares to give a MMR to a 5 year old. What route should this be given? A. Sub Q in the gluteal muscle B. IM in the deltoid C. Sub Q in the outer aspect of the upper arm ✓ D. IM in the anterolateral aspect of the thigh 353- Pregnancy with tonic clonic seizure. What should the nurse avoid? A. Put patient supine position ✓ 354- A 4 month-year-old infant has just received diphtheria, tetanus, and acellular pertussis (DtaP). Hours later, the mother report to the clinic because her child develops redness and swelling at the injection site. The nurse instruct the mother to do which of the following? A. Application of cold compress ✓ NOTE B. Application of hot compress. Redness, tenderness or swelling may happen C. Monitor for signs of fever at the site of injection. This will be relieved D. Report to the clinic for a repeat through cool application for the first 24 hours, followed by warm compress if inflammation injection on the other site. persists. Options B, C, and D are inappropriate intervention. 355- The patient with sign of severe asthma. What is the treatment you will administer first? A. Corticosteroids. B. Bronchodilator ✓ NOTE: C. Beta agonist. First line management of Bronchial Asthma is Short-acting beta-2 agonists (SABA). Bronchodilator: The patient experiences dyspnea (shortness of breath), so fast treatment is required. B. Bronchodilator. Corticosteroids: They treat the inflammatory process,but they take a longer time to work. - 72 - https://t.me/SAEED5ALAKLABI 356- An elderly patient is admitted to the hospital with urinary incontinence , dry skin and cracks on their lips and is restrained in bed due to pulling out the feeding tube. What is the most important action for the nurse to take? A. Change diaper frequently B. Skin care ✓ 357- The staff nurse becomes a quality control nurse as she is new in this position. What should she do first? A. Assess weakness and strongest point B. Know about the organization structure ✓ 358- According to information provider in the accompanying graphic, a transverse colostomy would be expected to produce which of the following? (see image) A. Fluid faces C. Semi-fluid feces ✓ D. Solid feces NOTE: ‫ﻧﻔﺲ اﻟﺴﺆال ﻣﻮﺟﻮد ﻓﻲ ﻣﻠﻒ ﻏﯿﺚ ﻟﻜﻦ ﻣﺎ ﻛﺎن‬ ‫ ﻟﻜﻦ‬, ‫ و أﺧﺘﺮﻧﺎ أﻗﺮب إﺟﺎﺑﺔ‬mushy feces ‫ﻓﯿﮫ اﻟﺨﯿﺎر‬ mushy faces ‫ﻟﻮ ﻓﻲ اﻟﺨﯿﺎر ﻧﺨﺘﺎره ھﻮ اﻷﺻﺢ‬ 359- According to information provider in the accompanying graphic, ascending colostomy would be expected to produce which of the following (see same image Q: 358 )? A. Fluid faces ✓ NOTE: B. Mushy feces 1/ Ascending colostomy: The feces are fluid. C. Semi-fluid feces 2/ Transverse colostomy: D. Solid feces The feces are mushy. 3/ Descending colostomy: The feces are semi-mushy. 4/ sigmoid colostomy: The feces are solid. - 73 - https://t.me/SAEED5ALAKLABI 360- The patient in the surgical ward underwent surgery for a diaphragmatic hernia. What should the nurse be alert for? A. Metabolic alkalosis B. Impaired cardiac output ✓ C. Portal hypotension 361- A child with a chest tube is then pulled from the child. The nurse immediately covers it with sterile gauze. What is the reason for the nurse's action? A. Prevent pneumothorax ✓ B. Prevent infection 362- The nurse in the neurological unit is caring for a client with a supratentorial lesion. The nurse assesses which measurement as the most critical index of central nervous system (CNS) dysfunction? ( NCLEX ) A. Temperature B. Blood pressure C. Ability to speak D. Level of consciousness ✓ 363- The nurse is caring for a client after a craniotomy and monitors the client for signs of increased intracranial pressure (ICP). Which finding, if noted in the client, would indicate an early sign of increased ICP? A. Confusion ✓ B. Bradycardia C. Sluggish pupils D. A widened pulse pressure 364- The nurse is preparing to care for a client who had a supratentorial craniotomy. The nurse should plan to place the client in which position? A. Prone B. Supine C. Side-lying D. Semi-Fowler's ✓ - 74 - https://t.me/SAEED5ALAKLABI 365- The nurse is preparing a plan of care for a client with a diagnosis of brain attack (stroke). On reviewing the client's record, the nurse notes an assessment finding of anosognosia. The nursing care plan should address which manifestation related to this finding? ( NCLEX ) A. The client will be easily fatigued B. The client will have difficulty speaking C. The client will have difficulty swallowing D. The client will exhibit neglect of the affected side ✓ Note: In anosognosia, the client neglects the affected side of the body. The client either may ignore the presence of the affected side (often creating a safety hazard as a result of potential injuries) or may state that the involved arm or leg belongs to someone else. The remaining options are not

تجميعات سعيد (أسئلة جديدة 2022-2023-2024) PDF

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