Zhara Activities PDF Practice Questions

‫‪RN. ZAHRA ACTIVITIES‬‬ ‫تم بحمد هللا و توفيقه تحديث ملفات األنشطة الثالث الموجودة في خطة المذاكرة على القنوات التالية‪:‬‬ ‫‪ -1‬قناة تجميعات سعيد‬ ‫‪https://t.me/SAEED5ALAKLABI‬‬ ‫‪ -2‬قناة التمر...

‫‪RN. ZAHRA ACTIVITIES‬‬ ‫تم بحمد هللا و توفيقه تحديث ملفات األنشطة الثالث الموجودة في خطة المذاكرة على القنوات التالية‪:‬‬ ‫‪ -1‬قناة تجميعات سعيد‬ ‫‪https://t.me/SAEED5ALAKLABI‬‬ ‫‪ -2‬قناة التمريض واالمتياز‬ ‫‪https://t.me/Nursing_training‬‬ ‫‪ -3‬قناة االنشطة ( ‪)Zahra activities‬‬ ‫‪https://t.me/Zahraactivities‬‬ ‫وهي عبارة عن أسئلة نشاط من ملف غيث و ملف )‪(EMS‬‬ ‫لألسئلة المهمة و تم ترتيبها حسب المواضيع في هذا الملف و حذف المكرر منها و إضافة المزيد من‬ ‫األسئلة من ملف غيث و ملف )‪ (EMS‬كذلك تم إضافة جميع األسئلة من ملف‬ ‫‪Cleft lip and Palate, Period Isolation‬‬  ‫تنبيه ‪..‬‬ ‫جميع الملفات المعتمدة موجودة على قنواتنا ‪.‬‬ ‫ال نحلل و ال نبيح من يستغل هذا العمل و يقوم بسرقته و يتاجر فيه لمصالح مادية‬ ‫وغيرها ‪..‬‬ ‫و في الختام ‪..‬‬ ‫هذا العمل خالصا لوجه هللا ال نريد منكم جزاء وال شكورا‪..‬نسأل هللا لنا ولكم التوفيق و‬ ‫النجاح دائما و أبدا ‪.‬‬ ‫‪1‬‬ 1- A 16 year-old girl developed an infection over the surface of the heart after having her nose pierced to place jewelry On admission, she had developed pyrexia of 38C, a heart murmur and petechiae over the whole body. She was admitted to the hospital and treated with intravenous antibiotics. The nurse explains to the patient that she is at high-risk for re-infection and provides discharge teaching on preventive measures. Which of the following would most likely require prophylactic treatment? A. Pelvic examination ‫سؤال أم زمام‬ B. Dental. Care ✓ C. Bronchoscopy D. Urinary catheterization 2- A 20 year-old woman is hospitalized with a strong and uncontrollable cough and has difficulty breathing while coughing. A doctor writes an order for the patient to be transported from the medical surgical department to the radiology department for an Xray examination. The nurse prepares to transfer the patient and considers standard precautions and additional transmission precautions. Who of the following would be required to wear a mask? A. Radiology staff B. Nurse and patient ✓ C. Patient D. Nurse 3- A nurse is caring for an elderly bed ridden patient who is dependent on staff most activities of daily living. There is an order for standard precautions in the patient's chart. The patient's care plan includes feeding, washing hair with dry shampoo, brushing teeth, and nail care. Which of the activities would require precaution? A. Brushing teeth ✓ B. Feeding C. Hair washing D. Nail car 4- Diaphragmatic hernia diagnostic test? A. Radiology ✓ B. Ultrasound C. MRI D. CT scan 2 5- A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when you palpate the left lower quadrant of the child’s abdomen, the child feels pain in the right quadrant. Which of the following is the name of this signs? A. Rebound tenderness B. McBurney sign C. Roving’s sign ✓ D. Obdurat signs 6- A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when you palpate the right lower quadrant of the child’s abdomen, the child feels pain in the right quadrant. Which of the following is the name of this sign? A. Rebound tenderness ✓ B. McBurney sign C. Roving’s sign D. Obdurate sign 7- A nurse called the doctor while he is at home when she asked him for an order for patient's medication as a nurse how many hours must the doctor took to write the order in the hospital documentation? A. 6 hours B. 24 hour ✓ C. 48 hours D. 12 hours 8- A patient treated an insect bite with traditional alternative therapy of row garlic juice caused strong skin reaction. The patient agreed not use it again after the nurse explained its harmful effects. Which of the following is the best expression of the nurse's role? A. patient's advocate B. Resource person C. Care planning D. Caregiver ✓ 9- Leaving the tourniquet for long time can cause? A. Low blood flow ✓ B. Limb embolism 3 10- Leaving the tourniquet for long time can cause? A. Hemoconcentration ✓ B. Low blood flow C. Limb embolism 11- Following a lumbar puncture, a patient has several complaints. Which of the following complaints indicate that patient is experiencing a complaints? A. I have a headache that gets worse when I sit up ✓ B. I am having pain in my lower back when I move my legs C. My throat hurts when I swallow D. I feel sick to my stomach and I'm going throw up 12- The nurse is performing a physical examination to the client with hearing difficulty. The nurse activated the tuning fork and placed it on top of the client’s head. What test did the nurse perform? A. Whisper test B. Rinne test C. Audiometer D. Weber test ✓ 13- 62 year old man present to the clinic with complains of hearing loss in the left ear the hearing loss has been progressive over the past year. A semi-transparent, a pale grey color and clear of cerumen. A weber test is performed and the sound lateralized to the right ear. Which type of hearing loss is suspected? A. Left-sided conductive B. Right-sided conductive C. Left-sided sensorineural ✓ D. Right-sided sensorineural 14- What is the name of procedure? ( see image ) A. Myringoplasty B. Tympanoplasty ✓ C. Tympanotomy 4 15- Otitis media surgery is? A. Myringotomy ✓ B. Tympanoplasty C. Sitting 16- During skin assessment of a patient the nurse observed a skin described as round solid mass beneath the skin (see image). Which of the following terms is best to describe the lesion? A. Cyst ✓ B. Papule C. Pastul D. Blister 17- A nurse measures blood pressure of a patient admitted to the male Medical Ward for 3 days. Which of the following is the best method to ensure that the nurse's reading is reliable and accurate? A. Check patient's blood pressure every shift ✓ B. Measure patient's temperature C. Document result in chart D. Measure patient's heart rate 18- A 65 year-old woman who was diagnosed with hyperthyroidism at the age of 45 brought to the clinic by ambulance. On arrival, she had a severely decreased level of consciousness. Her breathing is shallow and irregular. Th skin is cool, dry and pale. There is generalized non- pitting edema of all extremities and face. Blood pressure 70/40 mmhg Heart rate 60/min Respiratory rate 12/ min Body temperature 35.5 C tympanic What is the most appropriate method to rewarm this patient? A. Warmed intravenous isotonic fluids B. Place the patient is a warm bath C. Apply heat packs to the head and neck D. Cover the patient with hospital blankets ✓ 5 19- Adult patient complains of diarrhea, vomiting, abdomen cramp and pain within the past 2 weeks. The patient reported that the pain increases when he eats and relieves when he passes stool. Which of the following may be the cause? A. Appendicitis B. Crohns disease ✓ C. Ectopic pregnant D. Cholecystitis 20- A 45-year-old of man was admitted to the Surgical Ward after removed of pancreatic cyst. The registered nurse checked the post- operative orders Ondansetron (Zofran) PRN was prescribed for the patient. Which of the following complaints from the patient will require the registered nurse to serve the Ondansetron after 12 hours of pos - operative period? A. Wound pain B. Nausea and vomiting ✓ C. Congestion of flame D. difficulty in passing urine. 21- A patient comes to the Emergency Department after falling out The nurse notices that the patient's left leg is externally rotate shorter than the right leg The patient cannot move the left complains of severe pain. What is the most likely cause of these symptoms? A. A Dislocated patella B. Fractured left hip ✓ C. Fractured left tibia D. Dislocated left fibula 22- A patient is admitted to the emergency department after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not talking coherently Vital signs upon admission are temperature 98.0 F (36.3 C), heart rate 130 beats/minute, respiratory rate 34 breaths /minute, blood pressure 50/40mmHg The healthcare provider suspects which type of shock? A. Distributive B. Neurogenic C. Cardiogenic D. Hypovolemic ✓ 6 23- The nurse was caring for patient wound staples after operation. While she was preparing the patient sneezed and one staple fell down the floor. What should the nurse do? A. Bring the staple from floor B. Bring it and put back on wound C. Apply dressing to the wound ✓ 24- A 38-year- old patient is about to have lumber disk surgery. during preoperative care, the nurse instructs the patient including the family. members how to do "log rolling" to change patient position. One of the family members ask why they must do such action in turning the patient. postoperative. Which of the following is the nurse best response? A. Facility good circulation B. Avoid spinal movement ✓ C. Prevent post-operative bed sore. D. Makes changing of patient position easier. 25- A 38-year- old patient is about to have lumber disk surgery during preoperative care, the nurse instructs the patient including the family members how to do log rolling to change patient position One of the family members ask why they must do such action in turning the patient postoperative Which of the following is the nurse best response? A. Facility good circulation B. Avoid movement C. Prevent post-operative bedsore ✓ D. Makes changing of patient position easier 26- Patient will start TPN and should started gradually to avoid which? A. Hyperinsulinemia B. Hypoinsulinemia C. Hypoglycemia D. Hyperglycemia ✓ 27- What is the complication of disc? A. Continue muscle spasm B. Impaired motor response ✓ C. Cerebrovascular accident 7 28- A 25 year old patient is admitted for observation in the surgical unit with ad concussion after being involved in a road traffic accident. A nurse performs a routine neurological assessment and notes a decrease in the patient’s level of consciousness. BP 170/110 HR 52 RR 11 TEM 36.1 SAT 93%. Which of the following is the most likely cause? A. Hypovolemia B. Hypothermia C. Pulmonary embolism D. Increased intracranial pressure ✓ 29-The doctor ordered for patient TPN How can we prevent infection from central line if the nurse suspect that there is bacteria inside? A. Give antibiotics 3 times per day B. Apply dressing with alcohol on central line ✓ C. Apply one lumen for TPN D. Apply dressing with antibiotics TPN daily 30- A Female patient will do the breast implant surgery and she tell the nurse not to tell her family about the surgery. What is the nature of this action? A. Confidentiality ✓ B. Ethical dilemma C. Illegal nursing practice D. Medico-legal practice 31- The nurse is caring for a client who has had a right modified radical mastectomy this morning. Which exercise should the nurse encourage the client to perform this evening? A. Hair combing exercises with the right arm. B. Wall climbing exercises with the right arm. C. Movement of the fingers and wrists of the right arm ✓ 32- Radon can cause any cancer? A. skin ✓ B. cervical C. colon D. prostatic 8 33- Radon cancer mostly affected? A. Lung ✓ B. Cervical C. Prostate 34- Radon cancer mostly affected? A. pancreas ✓ B. Cervical Note: Causes lung or pancreas cancer also C. Prostate 35- A 5-year - old child was brought to the Emergency Room with a fractured of forearm. He had several bruises on his body but showed no signs of pain while palpating them. He seemed scared and did not answer any questions asked. How should the nurse initiate therapeutic communication with the child? A. Start interviewing B. Encourage him to speak. C. Explain about the fracture D. Greet and show gentleness - nurse gives health.✓ 36- You are assisting a MD with the removal of a chest tube. What activity may the MD have the patient perform while the chest tube is being removed? A. Valsalva maneuver. ✓ B. Leopold Maneuver C. Chest physiotherapy D. Huff Cough Technique 37- A 76 years-old man is admitted to the Post-anesthesia Recovery unit following chest surgery. The patient has a right chest tube that is attached to low suction. Three hours after admission to the unit, the nurse observes the drainage output from the chest tube is 300 milliliters. What is the most appropriate initial intervention? A. Notify the doctor ✓ B. Reduce IV infusion rate C. Strip tube with roller device D. Re-position in left lateral decubitus 9 38- Patient developed ascites which procedure will help relieve this condition? A. Paracenthesis ✓ B. Hemodialysis C. Lumber puncture 39- 8 years -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 40- A woman patient is admitted for abdominal pain. She complain generalized plan nausea vomiting and constipation rebound tenderness and abdominal rigidity the past hour her localized on right side BP 130/68 HR 92 RR 18 TEM 38.6 What should the nurse suspect? A. Intestinal obstruction B. Influenza C. Appendicitis ✓ D. Pyloric stenosis 41- Which of the following nursing intervention assists in the prevention of pressure ulcers following abdominal surgeries? A. Frequent surgery site every two hours B. Frequent moisturizing of skin C. Use side rails as restrains D. Encourage ambulation ✓ 42- A 36 years old man ha undergone a subtotal thyroidectomy ago. he Is suspected to develop tetany after the surgery. Which of the following symptoms best indicates tetanus? A. Tingling in the fingers ✓ B. Pain in hands and feet C. Tension on the suture lines D. Bleeding on the back of the dressing 10 43- What is the Location of rheumatic arthritis? A. Wrist ✓ B. Elbow C. Knee D. Shoulder 44- A 28 year man admitted to orthopedic ward complaining of throbbing pain in casted leg. Which of the following nursing intervention should be taken first? A. Remove the cast B. Notify a doctor C. Assess pedal pulse ✓ D. Administer PRN medication 45- During physical assessment of a male infant genitalia, the nurse found that one of the testes are enlarged. Which of the following could be the reason for swollen testes? A. Chordee B. Cryptorchidism C. Hydrocele ✓ D. Hypospadias 46- A 55-year-old male has a myocardial infarction requiring admission to the hospital. He is being treated with an anticoagulant. The healthcare provider would be most concerned about Which of the following? A. Trouble sleeping B. Nausea C. An elevated creatinine D. Purpura ✓ 47- The float nurse is transferring from surgical word to neurological ward which of the following cases should delegate for her? A. Patient with myasthenia gravis B. Patient stable with fracture hip and casted ✓ C. Patient with chronic disease and on oxygen 11 48- A man is to be discharged from the General appendectomy the precautionary measures, plans are discussed with him what the most important desired outcome is after discharge? A. Remain free of post-surgical complications. ✓ B. Report fever, redness or drainage from the wound site C. Use pain management techniques apropos. D. Resume gradual activities and avoid weight. 49- Which of the following considered a complex nursing assessment? A. Laps time. B. Admission. C. Emergency ✓ 50- There is crisis in hospital. Which of the following category of patients should be evacuated first during fire? A. Infant B. Ambulate ✓ C. Elderly D. Critically ill 51- Patient came to ER with dyspnea, Heart rate 136, Respiration rate 29. After doing x-ray the patient diagnosed lung abscess. Which Unit should the nurse have admitted the patient? A. ICU B. Medical, Surgical ward ✓ C. Cardiac ward 52- Patient have sore throat, lesions in mouth that didn't cure, dysphagia, loss of weight. What's the expected diagnosis? A. Gastritis B. Tonsillitis C. Laryngeal cancer ✓ D. Emphysema 12 53- A 21-year-old in oversized clothing presents to the hospital with of felling dizzy and faint the hair and nail appear thin and dry the skin appears pale, and she has sunk eye sockets and tenting skin. Her body mass index is 16.She often induces vomiting after eating blood is collected for analysis (see lab results). Blood pressure 90/52 mmHg, Heart rate118 /min Respiratory rate 26/min Temperature37.2C, Oxygen saturation 97%. ABG Test Result Normal value : - HCO₃ 31 22 – 88mmol/L - PCO₂ 10.3 4.7-6.0 kPa - PH 750 7.36-7.45. Which nursing problems stem is the most appropriate? A. Impaired nutrition B. Decreased cardiac output. ✓ C. Infective airway clearance D. Ineffective breathing pattern 54- The nurse care for a 60 year old woman who history hypertension, hypothyroidism and elevated cholesterol levels. She takes tablets daily for each of the health problem. The doctor orders a routine dual- x-ray absorptiometry test that shows decrease bone density. Which medication most likely contributed the test result? A. Statins B. Anti-hypertensive C. Synthetic thyroid hormones ✓ D. Cholesterol absorption inhibitors 55- Client chest tube is connected to a chest tube drainage system with a water seal. The nurse noted that the water seal c is fluctuating with each breath that client takes. The fluctuation means that? A. There is an obstruction in the chest tube B. The client is developing emphysema C. The chest tube system is functioning properly ✓ D. There is leak in the chest tube system 56- Which of the following tests is important assessment before operation? A. HIV screening B. Blood grouping and cross matching ✓ 13 57- The nurse is caring for a client who has had a chest tube inserted and connected to water seal drainage. The nurse determines the drainage system is functioning correctly when which of the following is observed? A. Continuous bubbling in the water seal chamber B. Fluctuation in the water seal chamber ✓ C. Suction tubing attached to a wall unit D. Vesicular breath sounds throughout the lung fields 58- The nurse is caring for a client who has just had a chest tube attached to a water seal drainage system. To ensure that the system is functioning effectively the nurse should? A. Observe for intermittent bubbling in the water seal chamber ✓ B. Flush the chest tubes with 30-60 ml of NSS every 4-6 hours C. Maintain the client in an extreme lateral position D. Strip the chest tubes in the direction of the client 59- The patient come to ER with head injury after one hour the expected Vital/Signs for patient is? A. Bp 126/85 RR 12 HR 78 B. Bp 158/92 RR 9 HR 60 ✓ 60- Patient take anticoagulant daily what is the common risk factor should the nurse concern? A. Infection B. Bleeding ✓ C. Pain 61- The doctor ordered to give nitroglycerine sublingual to a patient with angina. What is the most likely effect that drug has on the patient body? A. Increase heart rate B. Increase blood pressure C. Increase blood supply to the heart ✓ D. Increase myocardial oxygen consumption 14 62- Which is consider as normal blood pressure? A. 90/60 B. 111/72 ✓ C.136/82 63- Patient with BP:145/95. What stage of hypertension? A. Stage 1 B. Stage 2 ✓ C. Elevated D. Crisis 64- Patient with BP: 230/180. What stage of hypertension? A. Stage 1 B. Stage 2 C. Elevated D. Hypertensive Crisis ✓ 65- After subtotal thyroidectomy for patient. He complains restlessness the nurse is assessing his vital signs: BP is 150/100 , Heart rate is120, Temperature 40.The nurse should expect that the cause for his condition is? A. Hyper-metabolism due to increase in T3&T4 ✓ B. Hypo metabolism due to decrease T3&T4 C. Hypo metabolism due to increase in T3&T4 D. Hyper metabolism due to decrease in T3&T4. 66- The nurse is assessing 50-year-old woman whose thyroid enlarged. A blood sample was collected and an analysis confirm diagnosis. TSH 0.12 normal 0.4-6.5 Free 210 normal 50-140. Thyroxin T4 normal 4.5-11? A. Thyroidectomy ✓ B. Incision and drainage C. Polythyroidectomy D. Adrenalectomy 15 67- Patient came to ER with high fever she had hyperthyroidism since 10 years ago and she has now symptoms of thyroid storm. What should the nurse observe? A. Bulging eyes. B. Increased sensitivity to heat ✓ 68- A 58 years- old woman present to clinic with tiredness and weakness. She is tired throughout the day and usually sleeps for in the mid afternoon. The last bowel movement was four days has a prescription for levothyroxine but says she doesn’t remember to take it as prescribed. The doctor arrange for specimen to be sent to the Lab. Which laboratory test result are most likely? A. Increase T4 and decrease TSH B. Increase T4 and TSH unchanged. C. Decrease T4 and TSH increase ✓ D. Unchanged T4 and TSH decrease. 69- A 48 years- old patient in the male Surgical Ward had his gall bladder removed through laparoscopic cholecystectomy 24 hours ago. While evaluating his general condition, the patient appears lethargic and complains of severe nauseated feeling along with discomfort in the abdomen. What nursing problem needs to be prioritized ? A. Disturbed metabolism due to higher energy demand B. Weak and lethargic due to low food and fluid intake C. Nausea and vomiting due to slower gut movement ✓ D. Impaired comfort related to postsurgical effects 70- A Patient has a dissection aortic aneurysm. The patient’s surgery would be categorized as? A. Elective B. Urgent C. Emergency ✓ 71- A patient is scheduled for an abdominal aneurysm repair. This is what type of surgical intervention? A. Diagnostic B. Transplant C. Curative ✓ D. Palliative 16 72- A cardiac care unit nurse decides to gather relevant data about a myocardial infraction patient who has breathing difficulty and sever bradycardia. Which of the following would be the most relevant and suitable database? A. Focused B. Emergency ✓ C. Complete D. Follow up 73- A 42 years-old patient went to the clinic for an eye consult. Patient complained of blurred vision, ocular pain and head active. During assessment tonometry was done (see results). Test Result Normal Values Intraocular pressure 34 10-20mmHg. Which surgical procedure is the most appropriate? A. Laminectomy B. Laser trabeculoplasty ✓ C. Incision and drainage D. Extra capsular cataract extraction 74- What does time out mean? A. Anesthesia is ready B. All equipments are ready C. Time for patient identity, the surgical procedure and the site to start✓ D. Time for patient to go back to ward 75- A nurse is assigned to care for a Muslim female emergency caesarean section. The patient asks the to wear a head scarf during the surgery. Which of the following is the most appropriate? A. Ask the patient to remove the scarf B. Tell the patient that it is ok to wear the scarf C. Ask the patient to wear a surgical cap ✓ D. Tell the patient that a request will be during the surger 17 76- The nurse begins a morning shift with the following see the doctor in the waiting room (see table)? 1.A first time mother who delivered two days ago and is having Difficulties breast feeding. 2. A60 year-old man who has a history of deep vein thrombosis and is taking daily heparin. 3. A76 year-old women who was hospitalized three days Previously with pneumonia. 4. A 56-year-old man who has used all his diuretic pills Coughing up sputum. Which patient should be seen first? A. One B. Two C. Three D. Four ✓ 77- Which of the following electrolyte cause cardiac arrest? A. Chloride B. Potassium ✓ C. Sodium D. Calcium 78- A 46-year-old man diabetic patient is admitted to the surgical department because he has gangrened leg due to uncontrolled blood sugar and contamination of leg ulcer. The admission plan is to do under knee amputation of the left leg. The nurse is explaining to the patient that this will cause a permanent disability. Which of the following statements is the best description for permanent disability? A. Problems in body function and loss B. Difficulties to experience life situations C. Difficulties in executing activities ✓ D. Loss of interaction with community 79- During the evaluation at a community clinic, the patient completes the medical history. Which of the following is NOT a risk factor for an acute myocardial infarction? A. Coronary artery disease B. Smoking C. Hemophilia ✓ D. Hyperlipidemia 18 80- After the pericardiocentesis, the doctor inserted a polyethylene catheter left it in the pericardial sac. The patient asked the nurse about the response of the catheter. What should be the nurse's response? A. Monitor consistency of drainage ✓ B. Prevent movement of pericardial sac C. Prevent recurrence of cardiac tamponed D. Prevent increase in venous and blood pressure 81- A 71-year-old woman who resides in a long-term nursing home fell while walking down stairs. The attending nurse arrives to find the patient sitting motionless on the stairs. She is alert and oriented but wishes to rest. While she rests, the nurse reviews the chart and notes that her medication regimen includes metformin, loratadine, warfarin and diclofenac. Which of the following sign most concern and should the nurse be alert? A. Bleeding B. Bone fracture C. Brain concussion ✓ D. Hypoglycemia 82- A 62-years old patient present to the emergency department and complains of muscle cramps nausea vomiting and fatigue. The outside temp 45 and had been working outside day all day in the sun. he says that his fingers are numb and cannot feel anything with them. BP 106/58 HR 99 RR 22 TEM 37.4 which of the following electrolyte will be below the normal range? A. Chromium B. Magnesium C. Potassium ✓ D. Bicarbonate 83- A patient has undergone pericardiocentesis as part of the management of cardiac tamponed Which of the following would be most indicative of cardiac tamponade recurring? A. Facial flushing B. Declining heart sounds C. Muffled heart sounds ✓ D. Increasing blood pressure 19 84- At 6:00 PM while admitting a woman for a scheduled repeat C section1, a patient tells a nurse that she drank a cup of coffee at 4:00AM because she wanted to avoid getting a headache. Which of the following actions should the take first? A. Inform anesthesia care provider ✓ B. Ensure preoperative lab results are available C. Start prescribed IV with lactated ringers D. Contact patient's obstetrician 85- A patient has been experiencing recurrence of this media antibiotic therapy and the patient was scheduled for preparative teaching, the patient asked the nurse about the purpose of the procedure. What is the best answer that the nurse should provide? A. Stimulates motion of the ossicles B. Detects permanent hearing loss C. Allows drainage of purulent fluid from the middle ear ✓ D. Enables medication administration directly to the affected ear 86- The nurse has started intravenous fluid therapy on a child. Which of the following action is appropriate? A. Using a padded arm board if the child is active to restrict movement. B. Apply lotion twice daily to prevent readiness and irritation C. Determining the total volume infused every four hours. D. Using an infusion pump to control the rate of infusion ✓ 87- Height of enema is? A. 50 cm ✓ B. 150 cm C. Blow red edge 88- What is the best nutrition teaching instruction for patient with Parkinson disease? A. Choking B. Drooling ✓ C. Aspirations D. Dysphasia 20 89- A 44 years- old obese patient was subject for a surgery called bariatric gastric bypass to specific. The nurse and the physician are giving information about the procedure to the patient. Which of the following statement is the best describing the patient understanding? A. Same effect with liposuction B. An opening will placed in my medication C. The surgery will reduce the size of my stomach ✓ D. Easiest way to lose weight no need to exercise after surgery 90- A 43 year old woman accompanied by her son to the primary health clinic and she speaks different language of the nurse. The nurse in the clinic in the clinic does not speak the same language of the patient. In this situation, what should the nurse do to assess the needs of this patient? A. Ask the patient if it is OK to let her son translate for her B. Try to use an Urdu translation application in her phone C. Find out an interpreter employed the clinic ✓ D. Try to make flash with common phrases used 91- A 82 years old patient has Parkinson’s disease. During the assessment, the nurse would expect which of the following actions to produce the most tremor activity of the hands? A. Eating with a fork B. Resting hands in lab ✓ C. Standing with hands loose at sides D. Rolling a small pill between the fingers 92- Patient with 88% O2 saturation What should use? A. Facial mask ✓ A. Nasal cannula 93- Patient with COPD came to ER. The patient was very exhausted. He was complaining shortness of breathing and cough. What is the most appropriate PaO2 percentage should be given for him? A. 55 or below mmhg ✓ B. 80 or high C. 70 mmhg 21 94- Patient is being weaned off from the mechanical ventilator is about to hook the endotracheal tube to oxygen at FiO2 of 40 Which of the following oxygen administration device is the best the nurse in this situation? A. Ambo bag B. Ventura mask C. Tracheostomy collar D. T-piece/ Briggs ✓ 95- A nurse is assigned to care for a patient on oxygen. The nurse checks the oxygen concentration using a pulse oximeter. Which of the following reading indicates that the patient has adequate oxygenation? A. Less than 90% B. 91%-92% C. 93%-94% D. 95% and above ✓ 96- What is the oxygen partial pressure? A. Fio2 B. Pao2 ✓ C. So2 97- Ineffective airway clearance related to COPD as evidence persistent cough. The problems refer to which of the following? A. Airway clearance ✓ B. COPD C. Persistent cough 98- Patient has Colostomy we transfer the Patient? A-Belt abdomen B- Belt chest ✓ C- Restrain 22 99- A nurse is caring for a 72-year-old man patient, is unsteady. The patient requests the nurse to help nurse asked the patient to wait few minutes device to transfer him. Which of the following transfer devices is the nurse to use? A. Belt ✓ B. Board C. Handle D. Mechanical lift 100- The nurse is preparing to transfer a 55-year-old patient on a the CT- scan unit. The patient is too heavy for the nurse to transport, nurse went to get an assistive device to transfer the patient. Which of the following transfer device is the most appropriate for the nurse to use? A. Board B. Handle Note: Too heavy or morbidity obese = mechanical lift C. Trapeze Heavy or obese = board D. Mechanical lift ✓ Unsteady unconscious = belt 101- What is most common symptoms of COPD? A. Air hunger B. Dyspnea C. Cough with sweat night D. Persistent cough ✓ 102- A 78 years-old alert and oriented patient is returning from the radiology department and the nurse is preparing to transfer the patient from the wheelchair back into the bed. The nurse places the gait belt on the patient and prepares to lift the patient from the chair. Which body mechanics would be most appropriate? A. Widen leg stance ✓ B. Bend over to left C. Rotate from the waist D. Maintain base of gravity in the feet 103- A patient teeth brush & bathing should be write in? A. Daily care activity ✓ B. Medication chart 23 104- Patient is receiving chemotherapy. When should the nurse give antiemetic to avoid side effect? A. Before session ✓ B. During session C. Half hour After session 105- A conscious victim of a motor vehicle accident arrives at the emergency department. The patient is Gasping for air, is extremely anxious, and has a deviated trachea. What diagnosis should the nurse Anticipate? A. Pleural effusion. B. Tension pneumothorax ✓ C. Pneumothorax D. Cardiac tamponed 106- A 16 years-old man is in the Emergency Department with S Ose bleeding as a result of falling down while climbing up the wall. On assessment, his nose appears slightly deviated and 2 swollen. He is breathing from his mouth What sign helps evaluate that his nose is still bleeding? A. Complain of sharp pain in the nasal bone B. Experience more difficulty in breathing C. patient is swallowing frequently ✓ D. Increased swelling of the nose 107- What is the priority nursing assessment before administering methergine for management of postpartum hemorrhage? A. Blood pressure ✓ B. Uterine atony C. Amount of lochia D. Deep tendon reflex 108- The patient has Huntington's disease. Which of following is the most expected symptoms of disease? A. Weight gain B. Sever Headache C. CNS depression ✓ 24 109- Patient came to ER after traffic accident and have sever bleeding The doctor order she must enter operating room immediately what is appropriate actions to do to obtain consent? A. Call his husband to obtain telephone consent from him B. Obtain order from nurse supervisor to enter operation room and do surgery C. Enter pateint to operation immediately according to dr order without obtaining consent ✓ D. Obtain consent from her friend who come with her to hospital 110- The patient has skull fracture. The patient is complaining racoon eye, pain,and posterior neck fracture what is the type of skull fracture? A. Basilar ✓ B. Depressed C. Compound D. Linear 111- A 24 years old patient brought to emergency room after an accident and the nurse noticed a leaking of clear fluid from the nose. A nurse anticipated the injury is? A. Basilar ✓ B. Frontal lob C. Neuropathic D. Neuropathic 112- Patient came to ER after motor accident. The patient has sever bleeding. Post operative head Surgery the vital signs are BP 90/60, HR 126 b/m, respiration 24 b/m). The doctor ask the nurse to assess good tissue perfusion. Which of What is Indication of Improve tissue perfusion? A. decrease HR to 100 B. increase pulmonary wedge pressure C. Increase Systolic BP to 86 D. 100 ml dark urine ✓ 25 113- A nurse is caring for a child who sustained a head injury after falling from a tree. On assessment of the child, the nurse notes the presence of a watery discharge from the child's nose. The nurse will immediately test the discharge for the presence of which of the following substance? A. Glucose ✓ B. Protein C. White blood cells D. Neutrophils 114- How to know it the left shoulder dislocated? A. left arm longer than right arm ✓ B. patient cannot move the left shoulder C. swelling in the left shoulder 115- What is the authority that issues licenses for workers in the health sector in Saudi Arabia? A. Saudi commission for health specialties (SCFHS) ✓ B. Saudi hospitals 116- Nursing staff If they take Saudi commission for health specialties. Which is the Ministry is responsible for that? A. Ministry of Health ✓ B. Saudi nursing Authority 117- Saudi Arabia neonatal screening for? A. Hypothyroidism diseases ✓ B. Congenital diseases C. Immunodeficiency disease 118- Multicultural team work on Saudi Arabia what's important thing for the all team member to have? A. Have the same value and belief in Saudi B. Have the same professional guidelines C. Have the same goal and objectives toward work ✓ D. Have the same qualification 26 119- A 1 year-old girl admitted to pediatric medical unit significant weight loss ,diminished mid -arm circumference diarrhea, muscle like stick.which of the following type of malnutrition do the nurse suspect? A. Marasmus ✓ B. Spitting up C. Kwashiorkor 120- A 1-year-old girl admitted to podiatric medical unit significant weight loss, diminished mid-arm circumference diarrhea, and red hair. Which of the following type of malnutrition do the nurse suspect? A. Marasmus B. Spitting up Note: Kwashiorkor = Red hair C. Kwashiorkor ✓ Marasmus = Muscle stick D. Rickets 121- Nurse makes a clinical judgment that an African American male patient in a stressful job is more vulnerable to developing hypertension than White male patients in the same or similar situation. The nurse has formulated what type of nursing diagnosis? A. Actual B. Risk ✓ C. Possible D. Wellness 27 122-The patient has Renaud's syndrome on his toes. The patient has yellow ulceration changed from blue to pale. What is the most common cause? A. Ascites B. Palpitation C. Digital sensitivity to cold ✓ 123- Patient in triage area. What is the first subjective data should triage nurse Obtain? A. Chief compliance ✓ B. Level of pain C. Family history 124-The nurse is teaching a patient about spironolactone (Aldactone). Which of the following instructions should review with the patient? A- Increasing the intake of foods that are high in potassium B- Taking the medication right before going to sleep C- Avoid seasonings that are labeled as salt substitutes ✓ D- Scheduling the medication so that a multivitamin is taken an hour later 125- Patient has a defect with the beta cells of the Islet of Langerhans. Which of the following should the nurse most likely expect this patient to exhibit? A. Anemia B. Appendicitis C. Cholelithiasis D. Hyperglycemia ✓ 126- 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 C. Excessive spot D. Sedentary life style ✓ 28 127- What is the intervention for open fracture? A. Mobilize as much as possible B. Left uncovered C. Splinting leg ✓ D. Rise leg 90 degree 128- During the assessment of an adolescent's back, the nurse notice a lateral deviation of the spine and an elevation of one shoulder blade than the other. Which of the following is indicated by these findings? A. Spinal fusion B. Kyphosis C. Lordosis D. Scoliosis ✓ 129- Which of the following is the best action to effectively increase surgery capacity? A. Adapt outpatient departments for inpatients ✓ B. Bring the injured people into the green zone C. Provide care for the injured people with the available staff D. Use the available supplies as it is difficult to arrange for additional 130- A newly admitted patient diagnosed with right-sided brain strok has a nursing diagnosis of disturbed visual sensory perception related to homonymous hemianopsia. Early in the care of the patient , what should the nurse do? A. Place objects on the right side within the patient’s field of vision. ✓ B. Approach the patient from the left side to encourage the patient to turn the head. C. Place objects on the patient’s left side to assess the patient’s ability to compensate. D. Patch the affected eye to encourage the patient to turn the head to scan the environment. 131- A 12 years old child diagnosed with Diabetes mellitus. The doctor ordered insulin for him. The nurse should teach how to take insulin. Which of the following is the most appropriate nursing intervention? A. Teach parent how to inject B. Teach child how to inject himself ✓ 29 132- A 15 year old girl diagnosed with DM and she tell the nurse she could not give her self-injection. What is the nursing intervention? A. Refer to home care B. Teach her how to inject her self ✓ C. Instruct her to come to the hospital 133- A 4 years old diabetic patient went to party. He came back with lethargic and tired. What is the First action? A. Check blood glucose levels ✓ B. Administer juice 134- A 69 year-old man is admitted to the intensive care unit following cardiac surgery. Two hours after admission, the nurse performs a routine assessment and notes the patient's chest tube drainage is 200 milliliters and a dark red color. He has had 60 milliliters output from the indwelling urinary catheter Blood pressure 138/68 mmhg Heart rate 76/min Respiratory rate 16/min Body temperature 37.0C oral Oxygen saturation 94% 6L/min nasal cannula. Which finding should be reported to the doctor? A. Dark red chest tube drainage B. Urinary output C. Oxygen saturation ✓ D. Chest tube output volume 135- A 57-year-old woman presents with complaints of pain in the bones of her toes, foot and swelling on knees. What type of musculoskeletal disorder is most likely? A. Osteoarthritis. B. Rheumatic arthritis C. Osteomyelitis D. Gout ✓ 136- A 57 year-old woman presents with complaints of pain in the bones of her both hands. What type of musculoskeletal disorder is most likely? A. Osteoarthritis. B. Rheumatic arthritis ✓ C. Osteomyelitis D. Gout 30 137- A nurse is planning to assess the corneal reflex on unconscious client. Which of the following is the safest? stimulus to touch the client’s cornea? A. Cotton buds B. Sterile glove C. Sterile tongue depressor D. Wisp of cotton ✓ 138- The patient is unconscious and need emergency OR and the family is 2 hours before reach the hospital to whom to get the consent? A. Call the family and get the consent B. Do the procedure ✓ C. Let the supervisor do the consent D. Nurse will sign the consent 139- During transferring for patient to operation room. The patient changed his mind to do surgery. What should the nurse do? A. Try to convince patient to do operation B. Talk with relatives C. Say that is not according to your mind D. Inform operation staff and manager ✓ 140- Classical signs of adrenal insufficiency? A. Hyperpigmentation ✓ B. Hyponatremia C. Hypernatremia 141- A 45-year-old man is admitted to the neurosurgery ward for the surgical elevation of depressed skull fracture. He has episodic severe headache with seizure and is unable to concentrate. Which of the following initial nursing problem needs more attention? A. Disturbed coping and anger spells B. Risk of injury to seizure ✓ C. Disturbed communication and irritability D. Pain management and comfort measure 142- Coombs test used to detect and screening for which of the following? A. Sickle cell anemia ✓ B. Congenital anomaly C. Neural tube deficient 31 143- A 40 years old complains of severe pain, scheduled for surgery of abdomen, medical history he smokes one packed of cigarettes per day. Which of the following complications he might develop? A. Atelectasis ✓ B. DVT C. Constipation 144- A nurses is providing teaching session for pre-operative patient before appendectomy about how to use spirometer, which of the following nursing process? A. Assessment B. Evaluation C. Implementation ✓ D. Diagnoses 145- A 45 year old patient has a colostomy bag attached as a result of benign mass removal, while conducting the discharge teaching session, the nurse assessed the patient's wife understanding of the teaching. Which of the following steps of nursing process is exercised here? A. Implementation B. Planning C. Assessment D. Evaluation ✓ 146- 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 147- A nurse is providing session regarding lung cancer, which statement indicates teaching was not effective? A. I will eat fruit and vegetables B. If I have COPD does not mean I will have lung cancer C. No need to worry because I do not smoke, my husband does ✓ 32 148- Patient with casted leg on discharge. Which of the following instructions should the nurse include? A. Rise your leg 90 degree B. Remove cast after finishing treatment C. Inform doctor for any abnormalities in circulation ✓ 149- A patient is admitted to the hospital for a right total knee replacement. during the preoperative assessment the patient reports no known during allergies but the patient does report a severe allergic reaction to shellfish. Why is this allergic reaction to shellfish of special importance? A. Shellfish allergies could indicate a negative reaction to anesthesia B. This patient will not be able to receive donor packed red blood cells if needed C. A seafood allergy can be an indication of allergy to provide one-iodine ✓ D. A seafood allergy can be precursor to malignant hyperthermia 150- During suction of child, ensure that each pass of the suction catheter take no more than? A. 5 Sec ✓ B. 10 Sec C. 15 Sec 151- During suction of adult, ensure that each pass of the suction catheter take no more than? A-5 Sec B-10 Sec ✓ C-15 Sec 152- The nurse is caring for a critically ill patient on mechanical ventilation. The physician identifies the need for a bronchoscopy, which requires informed consent. If the physician were to obtain consent from the patient, the patient must be able to? A. Be weaned from mechanical ventilation B. Have knowledge and competence to decision ✓ C. Nod his head that it is okay to proceed D. Read and write in English 33 153- Doctor order sputum culture how to collect? A. Cough deeply ✓ B. Collect 30ml C. Cough the first sputum in the throat D. Cough in the morning and send it in the night 154- A 68-year-old diabetic women undergoes a below knee amputation to vascular insufficiency and infection. On admission to care unit, the nurse makes the priority diagnosis: Risk for ineffective peripheral tissue perfusion. Which intervention is most appropriate? A. Ensure adequate pain relief B. Elevate residual limb on a pillow C. Administer oxygen by facemask D. Apply ice to the stump ✓ 155- Post right-side mastectomy where to take blood pressure? A. Right brachial B. Left brachial. ✓ C. Right radial D. Left radial. 156- Which of the following interventions is appropriate for the diagnosis of risk for injury of patient that has a pacemaker? A. Offer back rubs to promote relaxation B. Instruct patient in dorsiflexion exercise of ankles C. Have patient avoid exposure to magnetic resonance image ✓ D. Observe incision site for the redness purulent drainage warm ,soreness 157- The nurse is giving health teaching for patient with stage pressure ulcer for discharge. What should the nurse tell? A. Clean the wound with normal saline B. Avoid using bedpan ✓ 158- Patient with systemic Lepus arthritis complain pain in the joint She has butterfly rash in her face what is most appropriate nursing action? A. Maintain skin integrity B. Manage pain discomfort relief ✓ 34 159- Registered nurses must be able to measure blood pressure accurately. What could possibly result in incorrect high blood pressure reading? A. Bladder cuff is to wide B. Cuff is deflated too quickly C. Cuff is wrapped too loosely ✓ D. Arm is above the level of the heart 160- Nurse started shift and received two patient. One with thoracotomy and the 2nd with pneumonia. Which of the following assess first? A. Head to toe assessment for patient with pneumonia B. Assess level of consciousness and vital signs for both patients ✓ C. Review for care plan and medication for both patients 161- A 38-year-old teacher who reported dizziness and shortness of breath while supervising recess is admitted with a dysrhythmia. Which medication if ordered requires the nurse to carefully monitor the patient for asystole? A. Atropine sulfate B. Digoxin (Lanoxin) C. Metoprolol (Lopressor) D. Adenosine (Adenocard) ✓ 162- The patient complained from stomachache continue after eating for 2 to 3 hours. The patient has increased weight 3 kg during short time. Which of the following is the most important nursing diagnosis? A. Imbalance nutrition B. Acute pain ✓ C. Fluid volume deficit 163- How can the nurse give health education to prevent or reduce sinusitis by health education? A. Increase carbohydrate intake B. Increase fluids intake C. Avoid travel with air plane ✓ 35 164- A nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item (s) need to be placed at the child's bedside? A. Emergency cart B. Tracheotomy set C. Padded tongue blade D. Suctioning equipment and oxygen ✓ 165- What should be your first concern at the scene where a person has been seriously burned? A. Checking the scene for safety. ✓ B. Checking the victims breathing and pulse. C. Calling your local emergency phone number. D. Cooling the burned area. 166- A nurse is completing the preoperative checklist for one of the patients who ring is wearing a ring. What is the most appropriate action? A. Give ring to security office B. Lock ring with patient's valuables ✓ C. Call patient's family to give them the ring D. Respect patient's choice and leave ring on patient's finger 167- Patient has difficulty in walking and lethargic, there decrease in capillary refill and urine incontinence, has risk for? A. Aspiration B. Infection C. Skin breakdown ✓ D. Body disturbance 168- A 17-year-old arrived at 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 120/70 Heart rate 100 Respiratory rate 22. Which of the following interventions has the highest priority? A. Keep NPO. ✓ B. Secure an IV access. C. Prepares for ultrasound. D. Prepares for abdominal surgery. 36 169- The nurse sustains a needle-stick injury after administration an intramuscular to a patient. It is recommended that the nurse be tested for human immune deficiency virus (HIV)? A. Immediately with repeat testing 6 weeks. ✓ B. If patient refuses HIV testing. C. If patient has a symptom of HIV infection. D. A month after taking prophylactic antiviral. 170- MI patient in the cardiac care unit suffers from SOB and dyspnea. the nurse gather data from relative. What type of database? A. Focus database B. Follow up database C. Emergency database ✓ 171- 74- A 56-year-old man with a history of COPD was rushed to the Emergency Department with chest pain, shortness of breath, fever and a cough. Upon assessment, crackles can be heard over the low lobes. The patient looks pale and lethargic (see image). Blood pressure 110/70 mmHg Heart rate 130 /min Respiratory rate 9 /min Temperature 38.1C. Oxygen saturation 85 % What is the most likely condition? A. Bronchial asthma B. Respiratory failure ✓ C. Pulmonary embolism D. Myocardial infraction 172- Woman has a history of depression and chronic disease and asked the nurse What is the best contraceptive? A. Copper ✓ B. Combined C. Hormonal 173- The patient is postoperative cardiac surgery. The pulse rate is changed to bradycardia. What is the most common cause of decrease Heart rate after operation? A. Pain B. Stimulate Vegas nerve ✓ C. Anxiety 37 174- A 19-year-old girl was scheduled for the extraction under general anesthesia. Her pre-operative was done and the consent was signed by her, but her nail polish and trim her long nails, requirement. What should be the nurse's action in response to? A. Explain why nails need to be cleaned ✓ B. Respect the patient's right to refuse C. Record and inform physician D. Remove as per protocol 175- A 28-year-old man and his wife involved in which his wife was killed. The client is being Care Unit for multiple rib fractures and a broken which room his wife is located. Which of the following is the most appropriate? A. "Your wife is not in the hospital" B." I'm sorry, but your wife did not survive the C. "I need to get your family so that you can wife” D." The doctor will be talking to you about located” ✓ 176- A patient presents to the clinic with 3+ edema of the lower extremities, diagnosed neck veins, tachycardia, bounding pulse, weight gain of 4 kilograms with 7 days, shortness of breath, and wheezing. Fluid intake over the past 24 hours has been 3700ml output is estimated at 2400ml. which of the following is the most likely nursing diagnosis? A. Fluid volume excess ✓ B. Urinary tract infection C. Hypothyroidism D. Ketoacidosis 177- A 25 year-old woman present to the Emergency Room with acute gastritis and signs of moderate dehydration. Which is the most appropriate nursing diagnosis? A. Infection B. Fluid volume deficit ✓ C. Activity intolerance D. Fluid volume excess 38 178- A nurse is assigned to care for a group of patient in the medion 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 179- Patient with fluid volume deficit. What is the most likely symptoms will be found by nurse? A. Tachypnea B. Tachycardia ✓ C. Nausea 180- A patient with congestive heart failure and severe peripheral edema has a nursing diagnosis of fluid volume excess What are the two MOST important interventions for the nurse to initiate? A. Diuretic therapy and intake and output B. Nutritional education and low-sodium diet C. Daily weights and intake and output ✓ D. Low-sodium diet and elevate legs when in bed UTI, Kidney 181- During the night shift routine rounds, a nurse found that a patient complain of sleep disturbance due to frequent voiding several times at night. Which of the following is the best condition that describes the patient complain? A. Dysuria B. Polyuria C. Nocturia ✓ D. Hematuria 182- Steal syndrome in hemodialysis symptoms? A. Pain and hotness of skin B. Pain and coldness of skin ✓ 39 183- Renal failure patient came for dialysis, the nurse suspect that the patient develop Steal Syndrome. What is the Steal Syndrome characteristic? A. Pain and warmth B. Pain and coldness ✓ C. Redness and warmth D. Redness and coldness 184- Child has urine incontinence two day ago with increase WBC in urine. What is the cause? A. Psychological abuse B. Urinary tract infection ✓ C. Genitalia defect 185- A 60 years-old man is being discharged from the post-operative Care Unit following a transurethral resection of the prostate. The nurse provides discharge information regarding the care of the bladder catheter. Which method would be most effective in bladder retraining for this patient? A. Scheduled urination every 2-3 hours ✓ B. Limit fluid intake before sleeping time C. Perform pelvic floor exercises daily D. Increase fluid intake during the daytime 186- Patient diagnosed with UTI. He has frequent urination. The urine analysis is rescheduled to the next day. What is the best action for the patient? A. Increase fluid intake ✓ B. Decrease fluid intake C. Normal fluid intake D. Avoid fluid intak 187- Recurrent urinary tract infection what advice to give? A. Drink 2-3 liters of water ✓ B. Wipe from back to front C. Urinate only when you have the urge. 40 188- 10 years boy with polyuria and dysuria after assessment diagnosed with urinary tract infections what should do to take urine sample? A. Increase fluid intake ✓ B. Decrease urine intake C. Regular intake of fluid D. Zero intake of fluid 189- Patient with urine output less than 400 ml for 24h what is the common diagnosis? A. Dysuria B. Polyuria C. Oliguria ✓ 190- A 36 year old man present to the hospital with complaints of breathing difficulties and fever. He had undergone a liver transplant one year before upon assessment a yellowish colored skin was noted on entire body HR 102 RR 29 BP 110/80 TEM 39.2 HB 11 WBC ( white blood cells) 4 RBC ( red blood cells) 3.5 Which complication is most likely to occur? A. Bleeding B. Embolism C. Superinfection D. Organ rejection ✓ 191- Patient has AV fistula in his leg. The patient came to dialysis unit for session. When the nurse check the fistula, She found that fistula not working. What is the first action? A. Auscultate the fistula B. Notify the physician ✓ C. Monitor vital signs 192- Patient with decrease Glomerular filtration rate GFR and small kidney size 8cm, creatinine 8.5 mg/dl. What is the appropriate treatment? A. Nephrotomy B. Nephrectomy C. Hemodialysis ✓ 41 193- The patient with a kidney transplantation, then he came after few days from discharge complaining from fever, tenderness and edema. What should the nurse expect? A. UTI B. Organ rejection ✓ 194- Which of the following is a sign of rejection after a renal transplantation operation? A. Decrease potassium B. Decrease sodium C. Decrease creatinine D. Decrease urine out put ✓ 195- Most common cause for acute renal failure? A. pyelonephritis B. Tubular destruction C. Urinary tract obstruction D. Dehydration ✓ 196- The patient is receiving hemodialysis. The patient is experiencing disequilibrium syndrome. What is the cause of the syndrome? A. Increase urea and Na B. Decrease urea and Na ✓ 197- Disequilibrium syndrome post dialysis? A. Increase urea and increase sodium B. Decrease urea and decrease sodium ✓ 198- A patient with chronic kidney disease receives hemodialysis week. The nurse notices that the arteriovenous fistula is red (see lab results). Test result normal value WBC 12.0 4-10.5x10^9/L Glucose 5.3 3.5-6.5 mmol/L HCT 0.38 0.41-0.50 Iron 10.7 11.7-31.8 mol/L Phosphorus 1.4 2.5 mg/Dl. Which of the following nursing diagnoses takes priority? A. Activity intolerance related to generalized weakness se B. Impaired skin integrity related to dry skin secondary hypophosphatemia C. Constipation related to changes in iron level secondary hemodialysis D. Risk for infection related to invasive ✓ 42 199- Patient with chronic renal failure before performing peritoneal dialysis the nurse should warm the solution before administering to? A. Promote abdominal muscle relaxation B. Maintain extra body warmth temperature C. Encourage the removal of serum urea ✓ D. Stimulate potassium back into body cells 200- The dialysis solution is warmed before use in peritoneal dialysis primarily to? A. Encourage the removal of serum urea ✓ B. Force potassium back into the cells. C. Add extra warmth to the body. D. Promote abdominal muscle relaxation. 201- The patient with CRF should perform peritoneal dialysis at home. The nurse is learning patient and instructing the client to warm the dialyzing solution to 37 degrees Celsius. Why should the patient warm the solution before using? A. Dilate the peritoneal blood vessels ✓ B. Maintain a constant body temperature C. Remove toxins from the body's cells D. Relax the abdominal muscles 202- A 46 years-old patient is in the male Urology Ward after the surgical removal of the stone from his left kidney through percutaneous nephrolithotomy under general anesthesia. He has nurse and dull acting pain in left lumbar region. His nephrostomy bag is attached through a tube in his left kidney for a few days ( see image) What findings should alert the nurse to? ‫السؤال له أربع اشكال مختلفة و نفس الصورة‬ A. Abdominal discomfort B. Patient Very exhausted C. Presence of blood and stone gravels in urine D. Urine output less than 30 ml/hour ✓ 43 203- A 46 year-old patient is in the male Urology Ward after the surgical removal of the stone from his left kidney through percutaneous nephrolithotomy under general anesthesia He has nausea and dull aching pain in left lumbar region His nephrostomy bag is attached through a tube in his left kidney for a few days (see image). What of the following is definition of the procedure? A. Surgical procedure B. Incision of the skin to kideny for removal of the stone ✓ C. Destruction of a kidney stone using sound waves 204- A 46 year-old patient is in the male Urology Ward after the surgical removal of the stone from his left kidney through percutaneous nephrolithotomy under general anesthesia He has nausea and dull aching pain in left lumbar region His nephrostomy bag is attached through a tube in his left kidney for a few days (see image). What of the following problems is needed to focus on? A. Risk of impaired skin integrity due to infection ✓ B. Disturbed life cycle related to nephrostomy bag C. Knowledge deficiency for self-care management D. Impaired social interaction due to altered life style 205- 46-year-old patient is in the male Urology Ward after the surgical removal of the stone from his left kidney through percutaneous nephrolithotomy under general anesthesia. He has nurse and dull acting pain in left lumbar region. His nephrostomy bag is attached through a tube in his left kidney for a few days (see image) What findings should alert the nurse to report to the physician immediately? A. Abdominal discomfort and conniption B. Severe pain and discomfort at surgical site ✓ C. Presence of blood and stone gravels in urine D. Urine output less than the identified amount 206- Nephritic syndrome urine color? A. Bright red ✓ B. Dark Brown 44 207- A nurse is collecting a urine of a 4-year-old child with nephrotic syndrome. Which of following observation about the color of the child's urine the nurse expected to will chart? A. Bright red B. Amber C. Dark, frothy ✓ D. Orange 208- Nephrotic syndrome urine color? A- Bright red B- Dark brown urine ✓ 209- A nurse is collecting a urine of a 4-year-old child with nephritic syndrome. Which of following observation about the color of the child's urine the nurse expected to will chart? A. Bright red ✓ B. Amber C. Dark, frothy D. Orange 210- Which patient is a contraindicated for enema? A. Glaucoma B. Hypertensive C. Renal failure. ✓ D. liver disease 211- A nurse is caring for a 55 years patient with abdominal pain. On assessment the nurse noticed lower abdominal distention on palpation and was concerned about urinary retention. Which of the following clinical indicators supports the nurses concerns? A. Hyperthermia B. Urine output of 35 ml/hour C. Imbalanced electrolytes level D. Voiding small amounts of urine at a time ✓ 45 212- Skeletal traction urinary catheter were discontinued for a patient who was immobilized in traction for sex weeks. The patient developed a problem with urinary incontinence. Which of the following is the most appropriate intervention? A. Scheduled toileting B. Bladder retraining ✓ C. Promoted voiding D. Behavioral training ICP 213- The nurse is assessing patient after craniotomy. The patient's blood pressure is 180/65 ICP is 25.What is the patient's cerebral perfusion pressure? Note: A. 72mmHg CPP= MAP-ICP B. 81mmHg ICP = 25 C. 78mmHg ✓ MAP (main arterial pressure ): Systolic blood pressure +(2× Diastolic blood pressure)/3 180 +(2×65) ÷3= 103 ‫نطبق القانون‬ ICP= MAP-ICP >> 103-25 =78 214-The patient ICP 10 : 15 mmhg. What should the nurse expect to do? A. Normal B. Slight elevation ✓ 215- Which one of the following signs and symptoms is associated with increased intracranial pressure? A. Restlessness and confusion B. Bradycardia and hypertension ✓ C. Tachycardia and hypotension D. Respiratory depression and headache 216- What is Signs of ICP? A. Tachypnea B. Intermittent tachycardia C. Restlessness ✓ 46 217- Which one of the following early signs and symptoms is associated with increased intracranial pressure? A. Restlessness and confusion ✓ B. Bradycardia and hypertension C. Tachycardia and hypotension D. Respiratory depression and headache 218- What is the initial sign should the nurse Assess indicates that ICP for patient not increased? A. Patient tolerate lower head of bed B. Normal blood pressure C. Absence of confusion and restlessness ✓ D. Absence of headache 219- A 10 month old infant is admitted to the surgical ward with hydrocephalus. Which of the following indicate increased intracranial pressure? A. Bulging ✓ B. Decrease blood pressure C. Rapid, shallow breathing D. Increase body temperature 220- A nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP? A. Excessive vomiting ✓ B. Bulging anterior fontanel C. Increasing head circumference D. Complaints of a frontal headache 221- Child after Ventriculoperitoneal shunt surgery and the nurse note the shunt not working , What sign of increase ICP? A. Nausea and refund to eat B. Change in neurological state ✓ C. Blood drain from ear 47 222- For an infant with hydrocephalus, a nurse should plan to monitor for what sign or symptom of increased intracranial pressure? A. High-pitched, shrill cry ✓ B. Decrease in systolic blood pressures C. Depressed fontanel D. Increase in respirations Blood Transfusion 223- Which of the following religion is prohibited the blood transfusion? A. Christian B. Muslims C. Jewish D. Jehovah ✓ 224- During blood transfusion. The patient suffering from low back pain and chills. What should the nurse to do? A. Give normal saline B. Slow rate ✓ C. Review identification of blood 225- A nurse is caring for a client who is having an allergic reaction febrile, flushed what the first nursing action? A. Stop blood transfusion immediately ✓ B. Replace the blood with saline. C. Administer an antihistamine. D. Place the client flat with the feet elevated. 226- Patient with ongoing blood transfusion and the nurse observe that patient has difficulty to breathing and shivering. What the nursing priority? A. stop infusion ✓ B. call physician C. slow rate of infusion D. give Intravenous fluid 48 227- During a patient's blood transfusion, which of the following are associated with an allergic reaction the nurse should recognize that? A. Diarrhea and rapid onset of chills B. Itching and asthmatic wheezing ✓ C. Low back pain and acute renal failure D. Distended neck veins and a rise in venous pressure 228- Patient with reaction from blood transfusion. What is the first action? A. Start open I.V infusion ✓ B. Change I.V set C. Notify the doctor D. Check vital signs 229- Patient with blood transfusions start to have blood transfusion reactions the nurse stop the infusion, what should the nurse do next? A. Check vital signs B. Insert new IV set C. Start normal saline ✓ D. Notify physician 230- The nurse is monitoring a client receiving a blood transfusion after 30 minutes when the client develops a cough with shortness of breath. The client also complains of a headache and a racing heart. What should the nurse do first? A. Stop transfusion immediately B. Replace the blood with saline. C. Administer an antihistamine. D. Slow the infusion rate ✓ 231- A patient is to receive a prescribed blood transfusion using a subclavian catheter. Catheter was inserted about 30 minutes ago. Which of the following is the most appropriate step before starting blood transfusion? A. Check patency of catheter by flushing with normal saline solution B. Position patient with the head of the bed elevated 30 degrees C. Review result of chest radiograph completed 15 minutes ago ✓ D. Obtain patient's most recent complete blood count result. 49 232- The common complication for patent has osteoporosis Hip fracture Patient has fracture in right arm with cast. The left arm has blood transfusions IV and patient need another cannula for medication which area should we put the new cannula? A- Right arm B- Left arm ✓ 233- A 60 years old patient was diagnosed as having chronic inflammatory bowel disease and was scheduled for colonoscopy. He was ordered for the packed cells transfusion which to prior to colonoscopy procedure. Before starting the infusion, the patient name, identification number, date and blood type are cross checked by the nurse. What else must be assessed before starting the blood infusion? A. Drug allergic B. Blood screening C. Patient condition (V/S) ✓ D. Patient identification 234- A hospitalized patient has received transfusions of 2 units of blood over the past few hours. A nurse enters the room to find the patient sitting up in bed, dyspnea and uncomfortable. On assessment, crackles are heard in the bases of both lungs, probably indicating that the patient is experiencing a complication of transfusion. Which of the following complications is most likely the cause of the patient’s symptoms? A. Febrile non-hemolytic reaction. B. Allergic transfusion reaction. C. Acute hemolytic reaction. D. Fluid overload. ✓ 235- A Girl come hospital with thalassemia. She is given blood transfusion every 3 weeks. She came to hospital for blood transfusion and the doctor ordered lab investigation before administration, he found on results increase ferritin level. What should the nurse give for her to prevent complication? A. Deferasirox ✓ B. Iron supplement C. Sodium chloride 50 236- A 50 years-old woman is receiving a blood transduction during the post- operative period following a surgical removal of the uterus. The patient had begun following a surgical removal of the uterus. The patient had begun bleeding profusely four hours after the operation and the surgeon ordered a blood transfusion. Thirty minutes after starting the infusion of blood products, the patient begins to complain of lower back pain and chills. Blood pressure 90/60 mmHg Heart rate 114/min Respiratory rate 26/ min Temperature 38.4ْ C. What is the most likely underling problem? A- Hemolytic reaction ✓ B. Allergic reaction 237- Patient with blood type AB-ve for blood transfusion what are the compatible blood group for this patient? 1- A- 2- B- 3- O- 4- AB- ✓ 238- A 45 years old with severe upper GI bleeding is admitted to the medical ward. The doctor orders the nurse to give the patient blood transfusion Which peripheral IV catheter gauge is best for this procedure? A. 14 gauge B. 16 gauge ✓ C. 20 gauge D. 24 gauge 239- A nurse has an order to transfuse a unit of packed red blood cells to a client who does not currently have an intravenous (IV) line inserted. When obtaining supplies to start the IV infusion, the nurse selects an Angio catheter with a size of? A. 18 gauge ✓ B. 21 gauge C. 22 gauge D. 24 gauge 51 240- What will happen to the patient if whole blood transfused exceeds four hours in room temperature? A. Hypokalemia B. Hyperkalemia ✓ C. Hyponatremia D. Hypernatremia 241- A 24 Years-old woman a diagnosed as having hemolytic anent physician ordered to transfuse one unit of packed red blood transfusion, the patient starts flushing and complained of dyspnea generalized body itching (see lab results) TEST Result Normal values Hb 130 142-176 g/L WBC 4.5 4-10.5 X 10°/L RBC 3.0 3.8-5.1 X 102/L which following nursing diagnosis is related to blood and occludes the patient's problem? A. Bacteremia B. Fluid overload C. Hypovolemic shock D. Transfusion reaction ✓ 242- A 42 year old man with thalassemia received a packed cell transfusion. The nurse assess the stability of his condition after transfusion by monitoring the vital signs and general condition every two hour. When should the nurse immediately report the patient condition? A. Sever headache and raised blood pressure B. Raised body temperature and flushed skin ✓ C. Joint pain, body ache listlessness D. Restlessness & bradycardia 243- Medical Ward manager was evaluating a blood transfusion to a patient admitted with vehicle accident. The nurse knows that the patient post blood transfusion. What is the time interval the student should asse hour of the blood transfusion process? A. As ordered by the physician B. As stated in the hospital policy ✓ C. As instructed by the registered nurse in D. As directed by the blood bank staff 52 244- The hospital director attended to ward for evaluation of staff regarding vital signs follow up during blood transfusion. What is the most appropriate action for monitoring vital signs during blood transfusion depends on? A. According to physician order B. According to nursing supervisor instructions C. According to hospital policy ✓ D. According to blood bank staff instruction 245- A patient receives a blood transfusion for severe anemia after surgery. While evaluating the patient, the nurse finds that the patient’s oral temperature has begun to rise from 36.8C to 38.3 C. Which of the following should the nurse do? A. Discontinue the intravenous line and restart at another site B. Use a blood cooling device to cool the blood as it infuses C. Give the patient antipyretic medication and continue the transfusion as ordered D. Stop the transfusion, keep the vein open with normal saline, and notify the doctor immediately ✓ 246- Postoperative patient the doctor ordered blood transfusion. The nurse assessed the patient after 15 minutes. The patient feels freezing and tight breathing. What should the nurse do first? A. Stop infusion, start normal saline and notify the doctor ✓ B. Stop infusion , cover patient with blanket and notify the doctor C. Slow infusion rate to half and give anti allergic medication 247- How much of blood volume for patient has a 10% blood loss and his weight is 50kg? A. 300ml Note: B. 400ml ✓ Formula of Blood Transfusion =50*80/10= 400 C. 3000ml Adult weight kg *70 D. 4000ml Child weight kg *80 53 248- 5 years old boy experienced an accident. A stranger taken him to hospital, after stabilization he needs blood transfusion. From whom you should take the consent? A. Just wait for the parents ✓ B. From the stranger C. From the child ABG Note: Normal value PH: 7.35 – 7.45 PaCO2: 35 – 45 mm Hg HCO3: 22 – 26 mEq/L 249- Nurse is caring for a client with a nasogastric tube that is attached to low suction the nurse monitors the client, knowing that the client is at risk for which acid-base disorder? A. Metabolic acidosis B. Metabolic alkalosis ✓ C. Respiratory acidosis D. Respiratory alkalosis 250- Patient ABG PH 7.38, Paco2 50, Hco3 6 normal. What is the ABG interpretation? A. Compensated Metabolic alkalosis B. Uncompensated Metabolic acidosis C. Compensated Respiratory acidosis ✓ D. Uncompensated Respiratory alkalosis 251- ABG reading was low PH,high PCO2, normal Hco3 what the interpretation? A. Compensated respiratory acidosis B. Uncompensated respiratory acidosis ✓ C. Metabolic acidosis D. Metabolic alkalosis 54 252- Gastric suction can cause? A. Metabolic acidosis B. Respiratory acidosis C. Metabolic alkalosis ✓ D. Respiratory alkalosis. 253- Patient with ABG PH low, pco2 high, hco3 normal what is expected signs and symptoms for the patient? A. Vomiting and difficult breathing SOB ✓ B. Headache and vomiting C. Shallow, rapid breath and vomiting D. Kaussmal respiration 254- Patient when entered ER he said, my heart will get out of my chest I fell that I will die he diagnosed with panic attack what is the medical problem that will be developed if panic not controlled? A. Respiratory acidosis B. Respiratory alkalosis ✓ C. Metabolic acidosis D. Metabolic alkalosis Nasogastric Tube 255- A surgical unit nurse assessed a 35 years-old post appendectomy observe abdominal distention with absent bowel sounds. Which of the following interventions is most appropriate? A. Encourage ambulation B. Provide liquid diet as tolerated C. Ensure patency of nasogastric tube ✓ D. Check surgical site for signs of infection 256- A child with tracheoesophageal fistula is scheduled for an operation. What should the nurse do preoperatively? A. Insert NGT B. Suction periodically ✓ C. Prepare tracheostomy set if necessary 55 257- The nurse is preparing to administer an enteral feeding to client via a nasogastric feeding tube the most important actions of the nurse? A. Averify correct placement ✓ B. Check the feeding solutions matches the dietary order C. Aspirate abdominal content to determine the amount of last remaining in stomach D. Ensure that feeding solutions is at room temperature 258- W hat is the goal for NGT insertion after cholecystectomy? A. Prevent aspiration B. Decompress stomach ✓ C. Suction gastric content 259- What is rational of insertion therapeutic NGT of patient in the hospital? A. Lavage ✓ B. Decompression C. Juice suction 260- The comatose patient with NGT for feeding and positioned in low fowler. The nurse enter the patient room. She found the patient in supine position. She auscultated lung sound with diventure. What is the most appropriate nursing diagnosis? A. Risk for injury B. Risk for aspiration due to NGT ✓ 261- 80 years old patient married from 70 years old woman. He suffers from Inability to do daily activities, bedridden with diaper and NGT for feeding. The patient need long term care. Which of the following developmental stage for both of them? A. Aging ✓ B. Middle age C. Adulthood 262- What is the most common Complication of NGT? A. Hemorrhage B. Aspiration ✓ C. Infection 56 263- Patient with ulcerative colitis the doctor order to give him 300ml through NGT. What is nursing intervention? A.Warm the feed before giving ✓ B. Give every 15 minute 264- Nurse is preparing to insert a nasogastric tube into a client. The nurse places the client in which position for insertion? A. Right side B. Low Fowler's C. High Fowler's ✓ D. Supine with the head flat 265- A nurse is starting the morning shift and has received the patient’s handover from night shift nurses and completed the morning rounds. The nurse is preparing to perform physical assessment for the patients Which of the following patients should be assessed first? A. A postoperative patient with total hip replacement ✓ B. A patient with a stroke who is on nasogastric tube. C. A patient with congestive heart failure D. A patient scheduled for appendectomy who was admitted. 266- Patient with abdominal pain and abdominal distention and unable to pass stool. When preforming rectal examination there is no stool and rectum clean. After that the nurse inserted nasogastric tube for patient. What is the purpose for Nasogastric tube For this patient? A. Obstruction B. Enteral feeding C. Decompression ✓ 267- Patient admitted to ICU with tracheotomy and Nasogastric tube. The vital signs are normal. The nurse was doing suction for patient and yellow secretion coming out. What is the cause? A. Diet imbalance B. Infection around tracheotomy ✓ C. Iatrogenic infection 57 268- Patient with NGT and intermittent suction, suddenly the patient complaining of pain and the abdomen is distended, at 10:00am NGT output=120 cc, 14:00 NGT output= 60 cc, what is the first action should be taken by the nurse? A. Increase the suction B. Administer pain medication C. Irrigate NGT to check patency ✓ D. Notify the physician 269- Patient connected with NGT. The nurse noticed that the patient is dry and crackles. What is a first action before start feeding? A. Aspiration content. B. Check place of NGT. C. Check line is patent. ✓ 270- The patient is postoperative and sedated. Which of the following signs require immediate intervention? A. Urine bag is full B. Hemovac bag is full with serosanguineous drainage C. Intermediate nasogastric suction is not connected ✓ D. Nasal cannula 4L without humidification 271- A patient underwent gastric procedure. The nurse provides post- operative care and an hour after the operation the patient’s a face becomes pale and she is distressed. She reports feeling nauseous and requests a vomit bowl. The nurse notes that she frequently pushes the button of the patient - controlled analgesia pump? A. Administer a post-operative anti-emetic B. Check the patency of the Nasogastric tube ✓ 272- The nurse prepares the client for the removal of a nasogastric tube. during the tube removal, the nurse instructs the client to take which action? A. Inhale deeply. B. Exhale slowly. C. Hold in a deep breath. ✓ D. Pause between breaths 58 273- A 53 years old man patient in transferred to the recovery room after coronary bypass surgery. He is on mechanical ventilation and chest tube drainage is attached. Intravenous line, nasogastric tube and urinary catheter are intact. What short term goal of care needs priority? A. Monitor heart sounds and report abnormality B. Monitor kidney functioning by urinary output C. Appropriate positioning and promote rest ✓ D. Prevent infection at the incision site 274- Patient admitted to ICU with tracheotomy and Nasogastric tube. The vital signs are normal. The nurse was doing suction for patient and yellow secretion coming out. What is the cause? A. Diet imbalance B. Infection around tracheotomy ✓ C. Iatrogenic infection 275- A 73 years old bed ridden man is admitted in the geriatric ward in a semi-conscious state accompanied by one of his neighbors. He has loose motions on and off for the past few months. He is wearing diaper and has nasogastric tube inserted. He has bruises on his forearms and is developing bedsores at the sacral area. In physical examination, mild crackles sounds are auscultated bilaterally in the upper part of his chest and at sternum. Blood pressure 106/86mmHg Heart rate 96/min Respiratory rate 28/min Temperature 39.6 C. Which of the following nursing problems should be prioritized? A. Self-care deficit due to dependency on others B. Altered conscious level related to disease process C. Impaired physical mobility related to weakness D. Ineffective airway clearance due to chest congestion ✓ 276- 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 intervention? 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 59  Infection Controle 277- 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. Airborn ✓ 278- Diphtheria which type of isolation? A. Droplet ✓ B. Airborne 279- 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? A. Contact B. Droplet C. Airborne ✓ D. Standard 60 280- 8 month-old child diagnosed with bronchiolitis due to respiratory Syncytial virus (RSV) is admitted to the pediatric hospital. The nurse should initiate which of the following isolation precaution? A. Contact ✓ B. Airborne C. Standard D. Droplet 281- The nurse is assigned to care for the a patient with Ebola virus disease. Which of the following is the most common mode of transmission for Ebola virus? A. Vector B. Airborne C. Direct contact ✓ D. Common vehicle 282- 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 283- TB transmission? A. Air drop ✓ B. Exposure to mouth C. Physical 284- A 35 year old patient was admitted to a medical ward with confirmed agnosies of meningococcal infection. Which of the following infection control preventions the nurse should implement? A. Droplet precaution ✓ B. Contact precaution C. Airborne precaution D. Standard precaution 61 285- In order to reduce the risk of disease transmission from a patient with diphtheria, which of the following standard precautions would the nurse implement? A. Airborne B. Contact C. Droplet ✓ D. Ventilatory 286- 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 ✓ 287- A 5 years-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 288- What is the type of isolation to Pt with Meningitis? A. Negative pressure B. Positive pressure ✓ C. Reserve 289- HIV patient will be risk for which of life threating disease? A. Pneumonia B. Tuberculosis ✓ 62 290- Suspect patient with TB what is the highest priority nursing action? A. Isolate the patient in private negative pressure room. ✓ B. Take nasal swab Note: Airborne precautions = Negative pressure room Droplet precautions = Positive pressure room 291- HIV patient will be risk for which of life threating disease? A. Pneumonia B. Tuberculosis ✓ 292- What is the organism that causes cervical cancer? A. HPV ✓ B. Herpes 2 C. HIV 293- Which of the following diagnostic tests is definitive for TB? A. Chest x-ray B. Mantoux test C. Sputum culture ✓ D. Tuberculin test 294- What is the transmission method of HAb virus? A. Food ✓ B. Blood C. Sexual transmission 295- Patient came to ER and diagnosed with meningitis. How should the nurse handle with patient? A. Keep patient in same isolation room ✓ B. Use mask N95 all times C. Limit the visitors 296- Incubation period of infection is? A. Person is most infectious and nonspecific sign and symptom. ✓ B. Organism growing and multiplying. C. Recovery from infection. D. Presence of specific sign and symptoms 63 297- The hospital observed MERS-COV infection speed to many persons. The hospital not identified the affected from non-affected person. What should do to reduce the risk? A. Isolate all patients B. Prevent visiting C. Apply standard precautions to all patients ✓ D. Wear protective equipment 298- 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 for 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 299- What is the Minimal PPE for aids? A. Gloves + nonsterile gown ✓ B. Sterile gloves +sterile gown , C. Mask +sterile gloves 300- 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 for putting the equipment off? 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 ✓ 301- The doctor touches the bed by the sterile gloves the nurse should? A. Ask him to change the gloves and give him new one ✓ B. Let him to complete the Central line procedure. 64 302- To make cornea reflux you should use? A. Straily gloves. B. Swap cotton ✓ C. Cotton tap D. Sterile tongue depressor 303- 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 304- A nurse is caring a patient diagnosed with pulmonary tuberculosis and she has to wear N95 mask when she enters to the parent room. Based on the cycle of infection, which of the following is the reason to use the mask? A. Break the transmission chain at the portal of entry. ✓ B. Break the transmission chain at the portal exit 305- Patients eat contaminated food and the diagnosed with hepatitis A as result of that food which of the followings related to hepatitis A disease? A-The disease is transmitted through the blood. B- The disease is transmitted through sexual contact. C- Incubation period 3-5weeks. ✓ D- Incubation period 4-5 month 306- Patient with smallpox. He became fine and no symptoms but still isolated for 12-14 days. What is the type of the period? A. Incubation period ✓ B. Infective period C. Latency period D. Communicable period 65 307- A patient in surgical was transferred to isolation room after the wound swab confirmed to have methicillin Resistant staphylococcus Atreus MRSA. Which of the following measures should the nurse take to prevent infection in the ward? A. Clean the Room three times a day B. Discard all soiled dressing into waste bag C. Instruct the patient to wash hands regularly D. Wear gloves and gown on every entry into the room ✓ 308- The nurse administered a prescribed intramuscular medication to a patient during a home health visit. How should the nurse dispose of the used needle and syringe? A. Recap the needle, then place the needle and syringe into a waterproof. container until safe disposal can be made. B. Bend the needle back towards the barrel of the syringe before putting The and syringe in metal trash container. C. Wrap the needle and syringe in disposable paper before putting the needle and syringe into the dirty section of the nurse’s equipment bag. D. Put the needle and syringe directly into a puncture-resistant plastic.container that has a lid ✓ 309- When planning discharge teaching for a patient hospitalized for treatment of the 3rd burns over 30% of the body, a nurse knows it is most important to include instructions regarding the loss of large amounts of serum occurring with burns and the resulting loss of immune function. Which of the following instructions should be include? A. Wash hands frequently each day ✓ B. Wear supplemental oxygen at night C. Wear masks while in public spaces D. Take a multiple vitamin tablet night 310-Incubation period of infection is? A. Person is most infectious and nonspecific sign and symptom. ✓ B. Organism growing and multiplying. C. Recovery from infection. D. Presence of specific sign and symptom. 66 311- A 53 years old man is diagnosed as HIV positive. He had a history of and off diarrhea and progressive weakness for past few months. He sigmoidoscopy. Which of the following measure should the healthcare providers evaluate? A. Reverse isolation and optimum nutrition ✓ B. Confidentiality and social support system C. Health maintenance and follow up regimen D. Family screening and prevent spread of infection 312- Patient with chlamydia she delivers then baby given erythromycin ointment to prevent? A. Bilateral cataracts B. Opthalmic neontorum ✓ 313- A patient visiting the 10 days after a sinus surgery for a follow up complains of having a bad taste in the mouth. The nurse smells of foul odor while examining the patient mouth. What does the suspect the patient may have? A. Pulmonary decompensation B. Hemorrhage C. Aspiration D. Infection ✓ 314- 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 315- 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 67 316- An infection control nurse is responsible to conduct the surveillance on how the hospital staff take precautionary measures against flu, based on her findings, she is responsible to conduct the awareness razing for the doctors and nurses in the in-patient areas. Which of the following is the goal of the nursing practice here? A. Infection control management B. Research and survey C. Primary prevention ✓ 317- Before preparing a client for the first surgical case of the day, a part- time scrub nurse asks the circulating nurse if a three minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide? A. Inform the nurse that hand scrubs should be three minutes between cases B. Direct the nurse to continue the surgical hand scrub for five minute duration ✓ C. Validate that the nurse is implementing the OR policy for a surgical hand scrub. D. Ask the experienced nurse to perform this scrub since it is the first one of the day 318- A patient diagnosed with septic shock had an upward-trending glucose level (180-225 mg/dL) requiring control with insulin. The patient's spouse asks why is insulin needed as the patient does not have diabetes Which of the following is the most appropriate nursing response to educate the patient's spouse? A. "It is common for critically clients to develop type diabetes. We give insulin to keep glucose level under control (less than140 mg/dL) B. " Patient had diabetes before, you just didn't know it. we give insulin to keep glucose level in the normal range (70-110 mg/dL) C. " Increase in glucose is a normal response to stress by the body. We give insulin to keep the level 1t 140-180- mg/dL" ✓ D. " Increase is common in critically ill clients and effects their ability to fight off infection. We give insulin to keep the glucose level in the normal range (70-110 mg/dL)" 68  3 Questions Jizan 319- Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance? A. Social surveillance B. Public surveillance and prevent infection. ✓ C. Financial surveillance and previous health diseases. 320- Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance? A. Social surveillance B. Financial surveillance and previous health diseases. C. Incidence and prevalence of the health diseases. ✓ 321- Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance? A. Social surveillance B. Surveillance for previous and new health problems ✓ C. Financial surveillance and previous health diseases Note: Social and financial ‫في أسئلة جيزان نستبعد‬ 69  Community and Leadership question 322- Health education about accident in school, role of who? A. Nurse ✓ B. Doctor C. Social worker D. Administrati