Nursing Exam Questions (011-020.pdf)

ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ A. B. C. D. This is normal and expected The chest tube has a leak The left chest tube is occluded The water seal suction should be increased 2-5 mmHg 29. 21-You are assisting a MD with the removal of a chest tube. What activity may the MD have ?the patient perfo...

ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ A. B. C. D. This is normal and expected The chest tube has a leak The left chest tube is occluded The water seal suction should be increased 2-5 mmHg 29. 21-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 30. A 67 year-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 31. 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 11 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 32. Which of the following is an example of epidemic point source? A. Tuberculosis B. Public health agency C. Contaminated water source D. Communicable disease pavilion Airborne Droplet TB epidemic disease Streptococcus Corona virus Meningitis measles Diphtheria chicken pox Rubella Small pox influenza Contact RSV MRSA Staphylococcus Ebola virus Tuberculosis       TB epidemic disease TB. Wear N95 mask TB. Test Mantoux test / PPD TEST TB TEST WITHIN 48-72 Hours Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes Tb accurate test sputum culture and to be done early morning Meningitis. ...        Streptococcal pneumonia meningococcal vaccine. Hib Neck rigidity Droplet Cloudy CSF Lumber puncture Surgical mask. No N95 mask 33. A 32 years old man develops chronic productive cough. He has not been feeling hungry and has lost three kilograms body weight in the past three weeks. On examination of his lung fields, there was diminished breath sound and widespread crackles. An early morning sputum culture was sent to the lab. A. Droplet B. Contact C. Airborne Rationale TB chest XRAY 34. 8 year-old man is diagnosed with tuberculosis (TB) and negative pressure room. Which of the following should wear a facemask? A. Patient's health care providers B. All people who enter the patient's room C. Person has close contact with the patient D. Family members who are at risk for infection 12 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 35. A nurse working in medical unit is preparing to with droplet precaution measures in place. The following personal protective equipment; eyewear. What is the correct sequence foe putting the equipment on? A. Face Mask, Gown, Eyewear, and Gloves B. Gown, Face Mask, Eyewear, and Gloves C. Eyewear, Cloves, Face Mask, and Gown D. Gloves, Gown, Face Mask, and Eyewear 36. A nurse working in medical unit is going out (removing) with droplet precaution measures in place. The following personal protective equipment; eyewear. What is the correct sequence foe putting the equipment 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 37. 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 38. A nurse receives a telephone call from the admission office of the hospital and is told that a patient with streptococcal meningitis will be admitted to the Medical Unit. The nurse is planning to apply infection control measures for the patient. Which type of isolation precaution the nurse must observe? A. Droplet precautions B. Contact precautions C. Airborne precautions D. Standard precautions 39. A 35 year old patient was admitted to a medical ward with confirmed agnosies f 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 40. A 16 month old child is hospital in the intensive care unit with multi resistant sepsis. On the 3rd day. She had explosive diarrhea. A stool sample was sent to the laboratory for C. difficle investigation. Which of the following transmission based precaution is most appropriate? A. Combination airborne and droplet B. Contact C. Droplet D. Airborne 41. Which of the following is the most effective infection control precaution to prevent nosocomial infection? A. Hand washing before and after patient contact B. Wearing gloves and mask for direct patient care C. Isolation precaution D. Broad spectrum antibiotic 42. Mantoux test done for a patient result was 6.5cm it consider? 13 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ A. Latent B. Suspected C. Active 43. 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 44. An infection control nurse notices purulent exudates , redness and tenderness on the surgical wound site for few post –operative patients in a surgical unit , She discussed with the ward nurse and emphasized that wound infection after the surgery can be prevented. Which of the following is the best possible action to minimize the incidence of wound infection ? A. Perform assessment of pain on the wound site B. Wash hand before and after each patient activity C. Encourage adequate intake and early ambulation 45. 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 would 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 46. Medical asepsis requires which of the following hand washing techniques? A. Use hot water to ensure that pathogens are killed B. Use circular motion washing from clean to dirty areas C. Rinse soap off keeping hands and forearms lower than downs D. Hands shall be held higher than elbows and scrub 47. 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 48. To reduce the risk of transmitting methicillin-resistant staphylococcus auras (MRSA) from an infectious wound, which of the following precautions should be implemented? A. Airborne B. Contact C. Droplet D. Reverse isolation 14 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 49. A 45 year old patient is admitted with pulmonary tuberculosis. The unit nurse placed the patient in isolation room with negative air pressure and prepared all PPE at the entrance of the room. Which of the following PPE is the most important for the nurse when caring for this patient? A. Hair cover B. Sterile gloves C. N95 respirator D. Protective goggle 50. 8 month-old child diagnosed with bronchiolitis due to respiratory ncytial 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 51. A 5-year-old child is seen in the primary care clinic with mild fever, headache, and malaise for about 2 days and today he has a rash filled with fluids. which of the following is the best suggested diagnosis? A. Chicken pox B. German measles C. Measles D. Scarlet fever 52. A eight year-old boy present to the pediatric clinic with his mother who complains that the child has developed a skin rash. There is a clear drainage from the nose and he appears tired. The rash first appeared on the face and then spread over the trunk and is now beginning to appear over the hands. Some lesions show open ulcerations and other have crusted over. There are scratch marks over the skin. Which finding would indicate the child is ready to return to school A. Normal body temperature B. Dry and scabbed lesions C. Nares of free of drainage D. Absence of rash over trunk 53. A patient with measles (rubella) is on airborne precautions. Which of the following precaution techniques would be essential to implement for non-immune persons entering the room? A. Gloves B. Gowns C. Masks D. Face shields 54. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST? A. Shake the patient’s hand B. Place the nursing supply began a clean, dry surface. C. Obtain the patient’s written consent for home health care D. Perform hand hygiene per the agency protocol 55. 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? 15 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ A. Air borne B. Contact C. Droplet 56. 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 57. 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 58. 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 59. The nurse is assessing a 65-year-old patient, who reports the fatigue, weight loss, night sweats, and a productive cough with thick sputum The nurse should immediately initiate isolation precautions for which of the following? A. Influenza B. Pertussis C. Bacterial pneumonia D. Pulmonary tuberculosis 60. Which of the following diagnostic tests is definitive for TB? A. Chest x-ray B. Mantoux test C. Sputum culture D. Tuberculin test 61. A patient presented with high fever, headache, vomiting and neck stiffness for the past 3 days, which of the following is the first diagnostic intervention for this patient: A. Urine and stool analysis B. lumber puncture with CSF aspiration C. Complete blood count D. Chest and abdomen x-ray 62. When a patient is admitted with acute influenza, what type of isolation is MOST appropriate? A. Reverse isolation B. Contact isolation C. strict isolation D. Respiratory isolation 16 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 63. What precautions are necessary when caring for a patient with Hepatitis A? A. Gowning before entering the room B. Wearing gloves for direct care C. Wearing a mask at all times D. Placing the patient in a private room 64. 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 65. 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 C. Kill the agent exits in the patients room. D. Eliminate the reservoir of the bacteria 66. After receiving the initial treatment of TB , a 27 years old woman in the chest disease ward was given discharge instruction on dietary management , medication, regimen, hygiene care and follow up visits. What is the instructions need to be emphasized the most? A. Increase protein diet to promote healing B. More rest and relaxation to restore therapy C. Maintain daily exercise schedule to improve health D. Dispose sputum as guided to avoid spread of disease 67. A patient is admitted to the emergency room with an unknown infection disorder. Which of the following is the most important measure a nurse implement to reduce the risks of transmitting these microorganisms other? A. Hand hygiene B. Wearing gloves C. Wearing a mask D. Wearing a gown 68. A nurse is assigned to care for a patient with small that needs to be placed on airborne precaution. Which of the following item should be used before entering the patient room? A. Gloves and gown B. Gloves and goggles C. Gloves and mask D. Gloves , gown N 95 69. Which of the following is the primary level of prevention? A. Detect and treat existing disease B. Prevent illness or injury occurring C. Reduce the extent and severity of health problem D. Minimize disability and restore to prevent function 70. A Nurse is surgical unit prepares for a wound dressing. While she is preparing. She sneeze over the dressing trolley without wearing a facemask. Which of the following is the most appropriate action should the nurse take? A. set up a new sterile field 17 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ B. put on a mask and continue working C. continue working the most sterile field D. Replace the equipment she thinks is contaminated 71. Which of the following is the most effective infection control precaution to prevent nosocomial infection? A. Hand washing before and after patient contact B. Wearing gloves and mask for direct patient care C. Isolation precaution D. Broad spectrum antibiotic 72. A 16 month old child is hospital in the intensive care unit with multi resistant sepsis. On the 3rd day. She had explosive diarrhea. A stool sample was sent to the laboratory for C. difficle investigation. Which of the following transmission based precaution is most appropriate? A. Combination airborne and droplet B. Contact C. Droplet D. Airborne 73. 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 74. 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 Thyroidectomy 75. A patient returned to the Surgical Unit from the thyroidectomy. The nurse observed that the arousable. Blood pressure 90/60 mmHg Heart rate 108 /min What immediate action should the nurse take? A. Recheck pulse and blood pressure B. Administer intravenous fluids as ordered C. Place client in modified Trendelenburg's D. Assess the back of neck surgical dressing for bleeding 76. Complication of thyroidectomy A. Distension B. Bleeding C. Vocal cord injury 77. progressive enlargement of a multi-nodular go tracheal compression including pain at the site of 18 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ the ear and jaw, difficulty swallowing, change of pf breath by compressing the oesophagus. There is in otherwise the patient is at risk. What is the preferred treatment? A. Iodine treatment B. Thyroid hormone treatment C. Radioactive iodine treatment D. Surgical resection of abnormal thyroid 78. A Post thyroidectomy A. B. C. patient transferred to ward and developed tetany the nurse suspected that patient has ? Hypokalemia Hypocalcemia Hyponatremia 79. A nurse Wayne is aware that a positive Chvostek’s sign indicate A. Hypocalcemia B. Hyponatremia C. Hypokalemia D. Hypermagnesemia 80. Trousseau’s sign A sign of hypocalcemia. Carpal spasm can be elicited by compressing the brachial artery with a blood pressure cuff for 3 minutes. 81. Chvostek’s sign A sign of hypocalcemia. A spasm of the facial muscles elicited by tapping the facial nerve just anterior to the ear 82. Patient is being admitted to the Recovery Room following a thyroidectomy. The back of the neck wound is covered with dressing. During the first 15 minutes, the patient started working and having diarrhea . A general assessment is performed with special attention given for the high risk for haemorrhage . Where would bleeding most likely occur? A. Stool B. Vomitus C. Dressing D. Back of neck 83. A 29 year-old man is in the Surgical Ward on his first post-operative thyroidectomy. He appears drowsy but the he is able to respiration by nodding head. He is developing mild restlessness. What is the initial recommended goal of care? A. Monitor vital signs of thyroid storm B. Assess for bilateral vocal fold mobility C. Monitor for swelling on the neck D. Monitor for vocal cord paralysis 84. A nuclear plant experienced a leakage, and all involved workers were brought to the Emergency Department for treatment . the medical team prescribed potassium iodide for the workers to block radioactive iodine to be absorbed by an organ in the body. Which of the following organs is the most sensitive to radioactive iodine? A. Brain B. Lungs C. Kidney 19 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ D. Thyroid 85. 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 86. 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 87. 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 4.5-11.2 A. Thyroidectomy B. Incision and drainage C. polythyroidectomy D. adrenalectomy Tonsillectomy 88. 3-year-old child with an elevated body temperature is administered oral aspirin. The nurse records the body temperature of the child two hours an The American Academy of pediatrics suggests that removal of the tonsils under certain conditions. Which of the following meets these conditions? A. times viral tonsillitis per year B. Infrequent snoring and nasal quality C. Three times bacterial tonsillitis per year D. Tonsillitis accompanied by adenoid inflammation 89. 5year-old child is postoperative after tonsillectomy. The nurse should ask the parents to give the child which of food after discharge from the hospital? A. Meat and rice B. Hot dog and potato chips C. Mashed potatoes and soup D. Cucumbers and tomato salad 90. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing assessment is suitable for the postop care? A. Encourage the child to cough spontaneously B. Observe for subtle signs of haemorrhage C. Place the child in the prone position 20