Medical Quiz 021-030 PDF

ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ D. Suction the mouth to clear the airway Because of violent behaviour 91. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing action is suitable for the postoperative care? A. Encourage the child to cough spontaneously B. Obs...

ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ D. Suction the mouth to clear the airway Because of violent behaviour 91. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing action is suitable for the postoperative care? A. Encourage the child to cough spontaneously B. Observe for subtle signs of hemorrhage C. Place the child in the prone position D. Suction the mouth to clear the airway Because of violence 92. After tonsillectomy, a child begins to vomit bright red blood .the Initial nursing action is to? A. B. C. D. Notify the physician Turn the child to the side Maintain an NPO status Administer the prescribed antiemetic 93. A client presents with Hypocalcemia, hyperphosphatemia, muscle cramps, and positive Trousseau's sign. What diagnosis does this support? A. Diabetes insipidus B. Conn's syndrome C. Hypoparathyroidism D. Acromegaly 94. The nurse cares for a client who has undergone a tonsillectomy. The nurse is most concerned about which postoperative finding? A. Lack of appetite B. Throat pain C. Frequent swallowing D. Nausea Appendicitis 95. 18-year-old man college student was rushed fainted at the school. He complained of severe quadrant. Upon palpation, he jerks even with sample was obtained. What is the most likely diagnosis of this patient? A. Appendicitis B. Liver Cirrhosis C. Kidney stones D. Duodenal ulcer 96. - year-old child was admitted with suspected appendicitis. A nurse was evaluating the child’s condition and the mother stated that the child did have his bowel movement for the past two days and requested for natives. What is the risk of giving laxative to patient with appendicitis? A. Pain B. Fever C. Rupture D. Diarrhea 97. 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 21 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 98. A man is to be discharged from the General appendectomy. The precautionary measures, plans are discussed with him. What is the most important desired outcome after discharge A. Remain free of post-surgical complications B. Report fever, redness or drainage from the wound site C. Use pain management techniques appropriate D. Resume gradual activities and avoid weight 99. A 17 year-old arrived to the Emergency Room complaining abdominal pain on right lower quadrant. Pain was rated as 9 numeric scale with positive rebound tenderness over the pain Blood pressure Heart rate Respiratory rate Température 120/70 mmHg 95 /min 20 /min 39.2 Which of the following interventions has the highest priority? A. Keep NPO B. Secure an IV access C. Prepare for ultrasound D. Prepare for abdominal surgery 100. The nurse would increase the comfort of the patient with appendicitis by: A. Having the patient lie prone B. Flexing the patient's right knee C. Sitting the patient upright in a chair D. Turning the patient onto his or her left side 101. 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 rig quadrant. Which of the following is the name of this sign? A. Rebound tenderness B. McBurney sign C. Roving’s sign D. Obdurate sign 102. 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 rig quadrant. Which of the following is the name of this sign? A. Rebound tenderness B. McBurney sign C. Roving’s sign D. Obdurate sign 22 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 103. Treatment of nephritic syndrome is corticosteroids 104. Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes 105. A 66 year old woman with a history of unstable angina and hypertension present to the emergency department with a dull chess pain that she describes as similar to heartburn. The pain radiates down the left arm. She had taken sublingual nitro-glycerine tablets with any relief any electrocardiograph is perform and shows elevated S T segments. Which medication is most likely to given to dissolve the thrombus? A. Heparin B. Warfarin C. Streptokinase D. Aspirin 106. A 62 year man with a history of intracerebral bleeding three months ago, was referred primary health care following acute starch symptoms. Brain CT scan is normal and the patient is receiving oxygen by nasal cannula at 4LPM BP 185/105 HR 82 RR 18 TEM 36.6 SO2 93% Which of the following medication would be ordered first? A. RtPA B. Aspirin C. Dopamine D. Nicardipine Rational :Probable acute ischemic stroke; consider fibrinolytic therapy. If the CT scan shows no sign of hemorrhage, it is probable that the patient experienced an ischemic stroke and is a candidate for fibrinolytic therapy. Check for fibrinolytic exclusions such as significant head trauma or stroke in the previous 3 months, history of intracranial hemorrhage, elevated blood pressure, active internal bleeding, or a blood glucose concentration less than 50 milligrams per deciliter. Then repeat the neurologic exam.Consult neurologist or neurosurgeon. If the CT scan indicates hemorrhage, consult neurologists and neurosurgeons, and begin the stroke or hemorrhage pathway.Administer aspirin. If the patient is not a candidate for fibrinolytic therapy, administer aspirin and begin the stroke or hemorrhage pathwa 107. A nurse checks the medication chart of a patient, which has the following order, nitroglycerin Tab sublingual. Which of the following medication administration routes should the nurse use? A. In the nose B. In the eyelid C. Under the skin D. Under the tongue 108. 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 109. A 62 year old woman presents to the clinic with a primary compliant of fatigue. An assess shows a smooth and reddened tongue with a loss of papillae and pallid mucous membranes. She complaints of a sense of 23 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ constant fullness of the stomach, with a decreased appetite and two three loose bowel movement per day. A neurological assessment shows numbness in the feet and lower legs. The patient type of test would the most likely? A. Schilling B. Erythropoietin C. Folic acid levels D. Vitamin B12 levels 110. A mother of a patient who is on antipsychotic drug asked a doctor about some more detail about the drug. The doctor told the mother that her son is taking an atypical antipsychotic drug. Which of the following is an examples of this type of drug? A. Thioridazine B. Clozapine C. Chlorpromazine D. Haloperidol 111. A nurse is preparing scheduled medications due at 6 pm. If a doctor orders paracetamol tab 1g QID, and it was supplied from the pharmacy in 250 mg tablets. Which of the following is the most appropriate nursing actions? A. Ask the pharmacy to provide 1g tablets B. Call the doctor to recheck the dosage C. Give the patient four 250 mg tablets D. Hold the medication and document in nursing notes 112. A patient with a history of atrial fibrillation has an order for 25 milligrams of drug (X), the available supply/dose is 0.25 milligrams. Which of the following doses in correct? A. Dispense two tablets to the patient B. Administer one tablet twice daily C. Dispense one half tablet to the patient D. Return tablets to the pharmacy and re-order 113. A patient with a history of atrial fibrillation has an order for 0.25 milligrams of drug (X), the available supply/dose is 0.125 milligrams. Which of the following doses in correct? A. Dispense two tablets to the patient B. Administer one tablet twice daily C. Dispense one half tablet to the patient D. Return tablets to the pharmacy and re-order 114. 13-year-old patient is admitted for diarrhea and vomiting. He looks pale and lethargic. A nurse is preparing to give IV hypotonic solution. Blood pressure 110/70 mmHg Heart rate 76 /min Respiratory rate 18 /min Temperature 36.1°C Which IV solution is most appropriate? A. 0.9% saline B. Lactated ringers C. 10% dextrose in water D. 0.45% sodium chloride 24 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 115. 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 116. physician orders an intravenous fluid of D5NS at 100cc/hr. This is an example of which of the solution? A. hyper alimentation B. hypertonic C. hypotonic D. isotonic 117. When a patient was first diagnosed with schizophrenia, one of his family members asked the nurse about the possible causes. The nurse said that one reason is that he may have had an excess secretion of a neurotransmitter. Which of the following neurotransmitters? A. serotonin B. dopamine C. glutamate 118. The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the post anesthesia care unit (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2saturation is 21 oxygen via cannula is 86%. The nurse should IMMEDIATELY administer: A. Flumazenil(Romazicon) B. Medazolum(versed) C. Naloxone (Narcan) D. Ondansetron (Zofran) 119. Digoxin not given to pàtient who has which of the following ? A. tachycardià B. hypertension C. tachypnea D. bradycardia 120. Atropine is indicated for increase A. Heart rate B. Respiratory rate 121. Morphine side effect ? A. tachycardià B. hypertension C. tachypnea D. bradypnea 122. patient with ongoing magnesium sulfate the nurse should be alert to ? A. temperature B. respiratory rate C. heart rate 123. Soldier was brought to triage area after being exposed to chemical weapons. Signs and symptoms of nerve gas exposure were noticed. A nurse prepares for medical management. Which medication should the nurse prepare for the patient? 25 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ A. B. C. D. Atropine Adrenaline Sodium nitrate Sodium thiosulphate 124. Nitroglycine administration route : A. Intramuscular B. Sublingual C. Subcutaneous D. Oral 125. A nurse checks the medication chart of a part, which has the following order; Nitroglycerin tab Buccal at stat. Which of the following medication administration routes should the nurse use? A. In the ear B. Intravenous C. Under the skin D. Between cheek and gum 126. A nurse is caring for a patient who had Coronary Artery bypass Graft Surgery (CABG) four hours ago. The nurse notices that the patient has increased confusion and is restless. The patient reports nausea, weakness and paresthesia in the extremities (see lab results) Normal Values Result Test 134-146 mmol/L 145 Sodium 3.5-5.2 mmol/L 6.8 Potassium 2.15-2.62 mmol/L 2.50 Calcium Which of the following is the best medication? A. Naloxone (Narcan) B. Hydralazine (Apresoline) C. Potassium chloride (KCI) D. Sodium polystyrene sulfonate (Kayexalate 127. Which of the following statement by the nurse about the clomid as an ovulation inducing drug? A. Given for the first 15 days in each cycle B. Maximum dose is 50 mg daily for a month C. It increases the risk of birth defects D. It increase the risk of multiple pregnancies 128. Clomiphene citrate (Clomid) is prescribed for a 32-year-old infertility treatment. The nurse should understand that this medication is used for following actions? A. induce ovulation B. Decrease prolactin level C. Reduce endometriosis D. Stimulate the release of Follicle-Stimulating Hormone 129. A nurse is caring for a client with bipolar disorder, who is receiving Lithium carbonate. Before Administration of the next dose, the client complains of nausea and vomiting and the nurse finds that the client’s lithium blood level 1.5mEq/lL. Which of the following actions is considered Apriority? A. call the client’s physician immediately B. withhold the next dose. C. Administer IV fluids 26 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ D. Repeat the blood lithium level testing 130. A patient was on a regular dose of lithium carbonate. The nurse noticed he has hand tremor, polyuria, diarrhea and vomiting. What immediate action should be taken by the nurse? A. Diuretics B. Withholding lithium C. Calling the psychiatrist D. Monitoring serum lithium level 131. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms? A. Overdose B. Mild toxicity C. Severe toxicity D. Moderate toxicity 132. 49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG showed that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. What is the primary indication of aspirin in this case? A. Breaks down the thrombus B. Decreases the formation of platelet plugs C. Inhibits the conversion of prothrombine to D. Interferes with vitamin k to maintain 133. which of the following condition is a Contraindication for a woman oral Contraceptives? A. Dysmenorrhea B. Menorrhagia C. Thrombophlebitis D. Toxic shock syndrome 134. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms? A. Overdose B. Mild toxicity C. Severe toxicity D. Moderate toxicity 135. A 45-year-old distressed and restless patient in the Psychiatric Ward was unable to sleep during the nights for the last two days. He was ordered sleep medication which was to be administered at 10 pm. At the time medicine administration, the patient was found asleep in bed Which of the following action should the nurse take regarding the dictation? A. Discard medicine and cancel the order B. Leave it at the bed side for the patient C. Wake him up and administer D. Hold, record and report 136. 13- nurse is given health education to the parent how to reduce febrile avulsion in the child at home. Which of the following medication in the safest intervention? A. Analgesic B. Antipyretic C. Antibiotic D. Antiemetic 27 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 137. Doctor order to give Ofloxacin Otic route the nurse understand that medication will be given : A. Nasal B. Eye C. Ear D. Sublingual. 138. A home care patient with chronic Obstructive reports an upset stomach. The patient is taking and triamcinolone acetonide (azmacort). Which of the following counselling should be given A. Theo-dur on an empty stomach B. Theo-dur and azmacort at the same time C. Theo-dur and azmacort 12 hours apart D. Theo-dur with milk or crackers 139. Which of the following vitamins is necessary for wound healing process? A. Vitamin A B. Vitamin C C. Vitamin D D. Vitamin K 140. Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns ? A. Vitamin A B. Riboflavin C. Folic Acid D. Vitamin K 141. A 78-year-old woman who lives in a long-term care facility has been ving repeated episodes of urinary tract infections. She is prescribed then amine mandelate one gram to be taken by mouth four times per before meals and at bedtime. The nurse advises the patient that she need to remove milk from the diet while taking the medication. What is the primary purpose for this dietary advice? A. To prevent mal absorption of medication B. Decrease risk of gastrointestinal upset C. Reduces effectiveness of medication D. To make the urine acidic 142. A nurse received the serum digoxin level result for the patient the day and notes that the result is 2.6 ng/mL (see lab result) Test result Digoxin (men) 2.6 normal value 0.8-2ng/mL Which of following nursing actions is the most important? A. B. C. D. Notify the physician Check previous vital signs of patient Record normal value on nursing note Administer scheduled dose of medication 28 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 143. A patient is being admitted in medical unit and has orders for fluid restriction of 1400ml / 24 hours. He is receiving IV medications in 50ml solutions QID. How much fluid should the caring nurse allocate for cra intake in 24 hours? A. 400 ml B. 800 ml C. 1000 ml D. 1200 ml 144. A nurse is preparing an order of Amydramine 30 mg PO BD. The available check is 15 mg /5 ml. What is the correct dosage of the medication to be administered? A. 5 ML B. 10 ML C. 15 ML D. 20 ML 145. A nurse is preparing a medication order of 100 mg IV stat. The available hydrocortisone is 200mg per 5 ml distilled water for injection. Which of the following is the correct administered? A. 4.5 ML B. 3.5 ML C. 2.5 ML D. 1.5 ML 146. A nurse is preparing to administer an intravenous infusion of 2000 ml of Ringer's lactate over 12hours. The administration set has a chamber that delivers 15 drops per ml. How many drops per minute should be administered? A. 14 B. 24 C. 42 D. 56 147. Doctor order to give medication x 300mg and available is 900mg/6ml how many ml the nurse will give A. 1.2 B. 2 C. 4 D. 6 148. A 56-year-old man was admitted with complaint working for three days. The nurse is preparing to administer infusion of saline 1000 ml over six hours. What is the hourly infusion rate that the nurse needs to infusion therapy in mL/hour? A. 155 B. 167 C. 190 D. 217 149. Doctor Order: Heparin 10000 units OD S/C Standard Solution 40000 units/ml How many ml would you administer? A. 0,25.ml 29 ٌ ‫أوليس يُجزى ُم‬ ‫حسن اال باحسان‬ 150. A Physician has ordered clindamycin phosphate 300 mg to be administered intravenously the available stock was labelled . clindamycin phosphate 900mg mg in 6 ml what is the correct dose to be administered by the nurse ? A. 2 ml B. 4 ml C. 6 ml D. 8 ml 151. A nurse check the medication chart of a patient, which has the following order; Paracetamol 500mg P.O. QID. How many times a day should the nurse administer the medication? A. Once B. Twice C. Three times D. Four times 152. The following syringe contains 2 gm of morphine sulphate, how many grams are there in 1 ml: A. 0.5 gm B. 1 gm C. 2 gm D. 4 gm 153. The following syringe contains morphine sulphate in a concentration of 2 mg/cc, how much total morphine this syringe contains: A. 0.5 mg B. 1 mg C. 2mg D. 4 mg 154. A nurse is assigned to care for a patient in medical ward who has a physician order of 1500ml of normal saline 0.9% to be administered over 12 hour period. Which of the following is the infusion rate? A. 75 ml/hr B. 100ml/hr C. 125ml/hr D. 150ml/hr 155. Doctor order to give 75ml per hour over 12hours of normal saline how many ml total should be given? A. 450ml B. 600ml C. 900 ml D. 1000 ml 156. A 37year old female prevented to the Emergency room with complain of symptomatic bradycardia appropriate nursing intervention include establish intervention access what is the possible drug to be given in the IV solution ? A. Digoxin B. Atropine C. Anticoagulant D. Calcium channel blocker 157. A 25 year old woman present to the emergency room with decrease reflexes, hypoventilation, hypotension, and fuced pupils, a family member who is accompanying the patient has bottle of diazepam which the label 30