Nursing Questions for License Exam PDF

( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ Nursing Questions for License Exam 1. The nurse observes the patient's amniotic fluid and decides that it appears normal because it is: A. Red and dark amber in color B. Milky turbid C...

( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ Nursing Questions for License Exam 1. The nurse observes the patient's amniotic fluid and decides that it appears normal because it is: A. Red and dark amber in color B. Milky turbid C. Clear and containing shreds of mucus, mostly colorless D. Cloudy, greenish-yellow, and containing little white specks E. Meconium stained 2. A patient is in her last trimester of pregnancy. The nurse should instruct her to notify her health care provider immediately if she notices: A. Blurred vision B. Hemorrhoids C. Increased vaginal mucus D. Shortness of breath on exertion E. Expression of colostrum 3. A nurse is caring for a patient in labor. The nurse determines that the patient is beginning in the second stage of labor when which of the following assessments is noted: A. The patient begins to expel clear vaginal fluid. B. The contractions are regular. C. The membranes have ruptured. D. The cervix is dilated completely. E. The patient has full body perspiration 4. Which of the following factors can cause hepatitis A: A. Contact with infected blood B. Blood transfusions with infected blood C. Eating contaminated food D. Sexual contact with an infected person E. Shared toothbrushes 5. When obtaining history from a patient, the nurse should ask about: A. Biographic data. B. The patient's chief complaint. C. Health insurance coverage. D. Family history. E. Past health history. 1|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 6. Kegel's exercise is done in pregnancy in order to: A. Strengthen perineal muscles B. Prevent leg varicosities and edema C. Relieve backache D. Strengthen abdominal muscles E. Strengthen chest muscles 7. While the nurse is administering medication, the patient says, "This pill looks different from what I usually take." What is the nurse's best action? A. Go recheck the medication order, taking along the medication B. Ask the patient to swallow the pill and observe any abnormality C. Tell the doctor about patient observation after taking medication D. Document on the medication administration record E. Tell the patient, "It is your medication, no different." 8. The nurse explained to the patient that common complications of the influenza virus include: A. Pneumonia B. Acute kidney injury C. Septicemia D. Sinusitis E. Myocarditis 9. A patient complains of chest pain, dyspnea, and cough. The nurse documents these data as: A. Objective data B. Subjective data C. Observable data D. General information E. Measurable data 10. The surgical procedure that creates an opening in the skull to gain access to the brain during neurosurgical procedures is called: A. Craniotomy B. Thalamotomy C. CSF analysis D. Lumbar puncture E. Lumbar hernia 2|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 11. Which blood type is considered the universal recipient: A. O+ B. AB C. B D. O- 12. Which nurse's measures are used to reduce the risk of healthcare-associated infections: A. Keeping employee health records up-to-date B. Performing hand hygiene C. Providing annual influenza vaccinations D. Wearing the same mask when caring for patients E. Wearing the same gloves when caring for patients 13. Which one of the following is non-professional nursing service personnel: A. Nursing director assistant B. Head nurse assistant C. Nursing aids D. Supervisor E. Head nurse 14. What is the Position during thyroidectomy: A. Supine with hyper flexion of neck B. Supine with hyperextended neck C. Semi Fowler D. Lateral with slightly flexed neck E. Flat face down 15. If the last menstrual period is January 30, the expected date of delivery is: A. 45589 B. 45603 C. 45572 D. 45604 E. 45627 3|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 16. A preschool child is admitted to the hospital the day before scheduled surgery. This is the child's first hospitalization. Which action would help reduce the child's anxiety about the upcoming surgery: A. Begin preoperative teaching immediately. B. Describe preoperative procedures in detail. C. Give the child dolls and toys to play. D. Explain that the child will be put to sleep during surgery and won't feel anything. E. Describe postoperative procedures in detail. 17. The Apgar score of a neonate after birth is eight. Which of the following is the interpretation by the nurse: A. Resuscitation is likely to be needed B. Adjustment to extra uterine life is adequate. C. Additional scoring in 5 more minutes is needed D. Maternal sedation or analgesia contributed to low score E. Neonatal need to admit to intensive care unit 18. To communicate effectively with a patient, the nurse needs to: A. Give false assurance B. Respond quickly to the patient C. Sit with legs crossed D. Keep her voice calm and steady E. Speak with the patient's family 19. The nurse in charge is caring for a patient who is in the first stage of labor. What is the last phase of this stage: A. Active phase B. Complete phase C. Latent phase D. Transitional phase E. Early latent phase 20. Which respiratory disorder is common in the first 24 hours after surgery: A. Atelectasis B. Bronchitis C. Pneumonia D. Pneumothorax E. Bronchial asthma 4|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 21. When the nurse prepares a sterile field, which action demonstrates a break in sterile technique: A. Remaining one foot away from non-sterile areas B. Placing sterile items on the sterile field C. Avoiding the border of the sterile drape D. Reaching over the sterile field E. Avoiding the crossing of the sterile drape 22. What is the first function of the management process: A. Motivating functions B. Planning functions C. Controlling functions D. Organizing functions E. Directing and supervising personnel working in the formulated organizational structure 23. Which of the following should be avoided when the nurse assesses patients suffering from appendicitis: A. Assess tenderness in the examination B. Administer oil enemas C. Administer soft diet D. Administer analgesic E. Multiple abdomen palpation 24. Using Maslow's hierarchy of needs, a nurse assigns the highest priority to which patient need: A. Physical needs B. Security C. Safety D. Belonging E. Self-trust 25. In which phase of the nursing process does the nurse decide whether her actions have successfully treated the patient's health problem: A. Assessment B. Diagnosis C. Planning outcomes D. Implementation E. Evaluation 5|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 26. A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is: A. Altered nutrition B. Impaired communication C. Risk for aspiration D. Altered urinary elimination E. Altered bowel elimination 27. After birth, where do you expect to assess fundal height? A. At the xiphoid process B. 5 cm below the umbilicus C. 2 cm above the pubic symphysis D. At or near the umbilicus E. Not palpable at the abdomen 28. The nurse is preparing to give a school-age child an injection. What is the first action the nurse should do: A. Wait until the child falls asleep before administering it. B. Explain what she is doing before giving the injection. C. Administer the injection without saying anything to the child. D. Administer the injection, saying to the child that it is not painful at all. E. Do none of these actions because they are all inappropriate. 29. While assessing a primipara during the immediate postpartum period, the nurse in charge plans to use both hands to assess the patient's fundus to: A. Prevent uterine inversion. B. Promote uterine involution. C. Hasten the puerperium period. D. Determine the size of the fundus and make uterine massage. E. Prevent leg varicosities and edema 30. A nurse is monitoring Mrs. A who was admitted to the labor and delivery unit about five hours ago. The nurse notes a cervical dilatation of 5 cm. The contractions occurring every five minutes usually last between 50 and 55 seconds. The client is in which phase of labor: A. Latent phase B. Active phase C. Complete phase D. Transitional phase E. Expulsion phase 6|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 31. Which measure would be ineffective in preventing postpartum hemorrhage? A. Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered. B. Encourage the woman to void every 2 hours. C. Massage the fundus every hour for the first 24 hours following birth. D. Teach the woman the importance of rest and nutrition to enhance healing. E. Encourage initiation of breast feeding. 32. A patient in labor is transported to the delivery room and is prepared for cesarean delivery. The patient is transferred to the delivery room table, and the nurse places the patient in the: A. Trendelenburg's position with the legs in stirrups. B. Semi-Fowler position with a pillow under the knees. C. Prone position with the legs separated and elevated. D. Supine position with a wedge under the right hip. E. Right lateral position. 33. In Leopold's maneuver step three, you palpate a hard round movable mass at the supra pubic area. The correct interpretation is that the mass palpated is the: A. Buttocks. B. Head C. Fetal small part. D. Fetal back. E. Fetal arms. 34. A pregnant patient asks the nurse if she can take castor oil for her constipation. How should the nurse respond? A. "Yes, it produces no adverse effect." B. "No, it can initiate premature uterine contractions." C. "No, it can promote sodium retention." D. "No, it can lead to increased absorption of fat-soluble vitamins." E. "Yes, you can take it with any amount." 35. Spinal Anesthesia is given between: A. L3 - L4 B. L2 - L4 C. L6 - L7 D. 87 – 77 E. L4 - L5 7|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 36. A nursing care priority in caring for an infant with severe diarrhea and dehydration is to: A. Provide medication to stop the diarrhea. B. Treat the cause to maintain weight. C. Give support to the child and family. D. Replace the lost fluid and electrolytes. E. Provide a diet rich in fat and sugar. 37. Which of the following is considered a very important requirement in effective time management? A. Analysis of the characteristic of the work. B. Telephone calls. C. Paperwork. D. Evaluation. E. Inability to say no. 38. A mother brought her child to the clinic with nose bleeding. The nurse showed the mother an appropriate position for her child: A. Sitting up. B. Low backrest. C. Moderate backrest. D. Lying semi-flat. E. Lying on the abdomen. 39. A patient who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus' head is: A. Not yet engaged. B. Entering the pelvic inlet. C. Below the ischial spines. D. Visible at the vaginal opening. E. Above ischial spine. 40. The priority of nursing intervention for patients during vomiting is to: A. Provide mouth care. B. Avoid aspiration of emesis. C. Avoid fluid and electrolyte imbalance. D. Assess the amount of emesis. E. Assess the intake and output. 8|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 41. Mrs. A is on her 5th pregnancy and has a history of abortion in the 4th pregnancy, and the first pregnancy was a twin. She is considered to be: A. G 5 P 3 (Gravida 5 Para 3). B. G 4 P 3 (Gravida 4 Para 3). C. G 4 P 4 (Gravida 4 Para 4). D. G 5 P 4 (Gravida 5 Para 4). E. G 5 P5 (Gravida 5 Para 5). 42. Which of the following process is considered the distribution of authority? A. Leading. B. Staffing systems. C. Decentralization. D. Schedule. E. Responsibility. 43. If the uterus is boggy during the 4th stage of labor, the nurse must: A. Check the consistency of the fundus after 30 min. B. Massage the fundus firmly until it becomes firm. C. Encourage woman to eat healthy nutrition. D. Turn the patient on her abdomen. E. Put the patient in lateral position. 44. Which neonate is at risk for developing respiratory distress syndrome? A. A neonate is born at less than 34 weeks gestation. B. A neonate is born at more than 36 weeks' gestation. C. A neonate is born at 38 weeks' gestation. D. A neonate is born at more than 38 weeks gestation. E. A neonate is born at more than 40 weeks gestation. 45. The management function that encourages employees to accomplish goals and objectives through communication, delegation, motivation, and conflict management is: A. Planning. B. Organizing. C. Staffing. D. Directing. E. Controlling. 9|Page  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 46. When a child's nasogastric tube stops draining, what is the nurse's first action? A. Clamp for 1 hour. B. Check tube placement. C. Instill 50 mL of water. D. Retract 2 inches. E. Remove the tube. 47. After 3 days of breastfeeding, a postpartum patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she: A. Apply warm compresses to her nipples just before feeding. B. Lubricate her nipples with expressed milk before feeding. C. Dry her nipples with a soft towel after feeding. D. Apply soap directly to her nipples, and then rinse. E. Take a bath before each feeding. 48. As a nurse, when assisting in cardiopulmonary resuscitation for children, which of the following indicates that external chest compressions are successful? A. Mottling of the skin. B. Pupillary dilation. C. Palpable pulse. D. Cool, dry skin. E. Shallow breathing. 49. Which color bag should you use when disposing of clinical waste? A. Red. B. Yellow. C. Green. D. Black. E. Pink. 50. During the administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement? A. Start another IV of dextrose solution and stay with the child. B. Continue the transfusion and monitor the child's vital signs. C. Stop the infusion immediately and notify the physician. D. Slow the transfusion and assess for cessation of symptoms. E. Divert the attention of the child until the transfusion is finished. 10 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 51. A school-age child is diagnosed with acute glomerulonephritis. Which nursing action takes priority when caring for this child? A. Checking hemoglobin every 8 hours. B. Monitoring urine output and blood pressure every 4 hours. C. Offering the child diet every hour. D. Providing the child with a regular diet and snacks. E. Providing divisional activities. 52. A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions? A. Every 5 minutes. B. Every 15 minutes. C. Every 30 minutes. D. Every 60 minutes. E. Every 2 minutes. 53. When the nurse inserts the nasogastric tube, she measures the required length of the nasogastric tube, measuring from the patient's: A. Ear to xiphisternum. B. Nose to ear to xiphisternum. C. Nose to xiphisternum. D. Angle of the jaw to xiphisternum. E. Ear to Nose to Xiphisternum. 54. Pain occurs more in first-degree and second-degree burns because of: A. Release of high prostaglandins by brain. B. Nerve endings have been injured and exposed. C. Destruction of sebaceous gland. D. Due to increased perspiration. E. Due to psychological disturbance. 55. Which step of the nursing process includes interpretation and validation of data? A. Assessment. B. Planning. C. Diagnosing. D. Implementing. E. Evaluation. 11 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 56. Which of the following instructions should the nurse provide for the patient on hypertension treatment? A. "Eat foods high in potassium." B. "Take daily potassium supplements." C. "Discontinue sodium restrictions." D. "Avoid salt substitutes." E. "Eat foods high in protein." 57. A nurse is teaching the parents of a school-age child. Which teaching topic should take priority? A. Accident prevention. B. Keeping a night light on to allay fears. C. Normalcy of fears about body integrity. D. Encouraging the child to dress without help. E. Encouraging the child to eat without help. 58. The nurse is evaluating a postoperative patient for infection. Which sign or symptom would be indicative of infection? A. Diarrhea. B. Blurring vision. C. Redness, warmth, and tenderness at the incision site. D. Pitting edema. E. Headache. 59. The important instruction for patients with arteriovenous fistula is: A. Wear tight clothes on the affected arm B. Carry a heavy object on the affected arm C. Use a stethoscope for auscultating the fistula D. Avoid taking a blood pressure reading on the affected arm E. Take a blood sample from the affected arm 60. The nurse provides discharge instructions to a mother about umbilical cord care. Which statement by the mother indicates effective health teaching? A. Child can have a tub bath every day. B. Clean the stump with alcohol with diaper care. C. Water and soap can be used if the stump is dirty. D. Apply an antibiotic ointment every day. E. Don't do anything. 12 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 61. Care for an indwelling urinary catheter should include which of the following interventions? A. Insert the catheter using a clean technique. B. Keep the drainage bag on the bed with the patient. C. Clean the external catheter surface by washing it gently with soap and water. D. Lay the drainage bag on the floor to allow for maximum drainage through gravity. E. Change the indwelling urinary catheter every three days. 62. Which of the following body functions is regulated by the thyroid hormones? A. Digestion B. Breathing C. Metabolism D. Blood pressure E. Urination 63. A nurse is performing a physical assessment. Which of the following is considered subjective data? A. Headache B. Jaundice C. Edema D. Cyanosis E. Vomiting 64. The nurse instructed the patient post-tonsillectomy to: A. Take a high sodium diet. B. Take a high potassium diet. C. Use a red-colored drink. D. Take cool fluid. E. Take fluid at body temperature. 65. The expected weight gain in a normal pregnancy is: A. 3 kg B. 5 kg C. 7 kg D. 11 kg E. 1 kg 13 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 66. Which of the following is an important factor that affects drug administration? A. Size of the child B. Age of the child C. IQ of the child D. Sex of the child E. Height of the child 67. The nurse has just administered antipyretic to a child with a temperature of 38.8°C. Which of the following actions would the nurse take? A. Withhold oral fluids for 8 hours. B. Sponge the child with iced water. C. Administer antipyretics every 2 hours without doctor instruction. D. Remove excess clothing and blankets. E. Close the windows and doors. 68. For a child with pneumonia, priority nursing care is directed to the maintenance of: A. Adequate nutritional intake. B. Normal body temperature. C. Appropriate fluid intake. D. Normal urine output. E. Clear and open airway. 69. The physician asks the nurse to measure the frequency of a laboring patient's contractions. The nurse assesses the patient's contractions by timing from the beginning of one contraction: A. Until the time it is completely over. B. To the end of a second contraction. C. To the beginning of the next contraction. D. Until the time that the uterus becomes very firm. E. To the end of the third contraction. 70. Which of the following indicates signs of severe COPD? A. High pO2 and high pCO2 B. Low pO2 and low pCO2 C. Low pO2 and high pCO2 D. High pO2 and low pCO2 E. Low pO2 14 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 71. Which type of shock is associated with low blood levels? A. Septic shock B. Hypovolemic shock C. Anaphylactic shock D. Cardiogenic shock E. Neurogenic shock 72. A patient is admitted with severe nausea, vomiting, diarrhea, and hypotension. The nurse noted that the patient had oliguria with an elevated blood urea nitrogen (BUN) level. The health care provider probably will write an order for which one of the following treatments? A. Force oral fluids. B. Give furosemide 20 mg I.V. C. Start hemodialysis after temporary access is obtained. D. Start I.V. infusion of normal saline solution bolus followed by a maintenance infusion. E. Start a hard diet. 73. Which of the following advice should the nurse give to mothers about weaning their infants? A. Start the weaning foods when the infant reaches 4 months. B. Start weaning with semi-solid foods. C. Give one type of food at a time. D. Egg yolk introduced at the age of 6 months. E. Offer the weaning food, and breastfeeding should be stopped. 74. A nurse is preparing a sterile field for a confused patient who is scheduled for a surgical procedure. When setting up the field, the patient accidentally touches an instrument in the sterile field. What is the appropriate nursing action in this situation? A. Ask another nurse to hold the hands of the patient. B. Remove the instrument that was touched by the patient. C. Discard the supplies and prepare a new sterile field. D. Discard the supplies, prepare a new sterile field, and ask another person to hold the patient's hand. E. No action is necessary since the patient has touched the sterile field. 15 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 75. The nurse prepares to administer an intramuscular injection to a 4-month-old infant. Which site should the nurse select to administer the injection? A. Ventrogluteal B. Lateral deltoid C. Rectus femoris D. Vastus lateralis E. Gluteal 76. Which of the following factors directly affects the amount of breast milk? A. The mother's breast size. B. The newborn's sucking stimulus. C. The newborn's weight. D. The nipple erectility. E. The newborn's gender. 77. The discharge plan for a female patient diagnosed with sepsis from a urinary tract infection must include: A. Taking a cool bath B. Using a tube bath C. Avoiding sexual activity D. Drinking 2-3 L of water daily E. Eating excessive vegetables 78. Which factor is frequently ignored in the performance appraisal standard? A. Employee punctuality B. Work quality and efficiency C. Team collaboration D. Personal preferences of the supervisor E. Attendance record 79. The process that concerned with determining goals, objectives, policies, and plans for which the organization and its management operate. What does this statement refer to? A. Management B. Administration C. Planning D. Organizing E. Staffing 16 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 80. In which condition is intraocular pressure increased? A. Conjunctivitis B. Cataract C. Glaucoma D. Detachment of the retina E. Iritis 81. The nurse places the first priority on taking which action to reduce the spread of microorganisms when caring for a child at risk for infection? A. Perform hand hygiene before and after child care. B. Use clean gloves when implementing child care. C. Institute transmission-based precautions. D. Transfer the child to the isolation room. E. Allow visitors to stay with the child at any time. 82. What should the nurse prioritize when preparing a patient for an angiogram scan? A. Assess the patient for allergy. B. Check the patient's NPO (nothing per mouth) status for 6 to 12 hours. C. Check signs on an informed consent form. D. Check calcium results. E. Check central venous pressure for the patient. 83. The nurse notes that a child is developing a rash shortly after the first dose of an intravenous antibiotic. Which team member should be called and reported to first? A. Physician B. Pharmacist C. Charge nurse D. Unit manager E. Hospital director 84. A nurse is performing a drug allergy test on the patient. The result is considered positive when: A. No redness or indurations B. An induration of only 2 mm C. A redness that disappears within 3 minutes D. About 10-mm red, indurate area E. Pain without redness or indurations 17 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 85. In stage 1 of labor, during the active phase, the cervix dilates: A. 1-3 cm B. 7-10 cm C. 4-7 cm D. 8-10 cm E. 3-5 cm 86. Mrs. S is often seen interacting with the medical intern during coffee breaks and after duty hours. What type of organizational structure is this? A. Formal B. Informal C. Staff D. Line E. Hierarchy 87. This step of the nursing process includes the systematic collection of all subjective and objective data about the patient. Name of this step: A. Assessment B. Planning C. Diagnosing D. Implementing E. Evaluation 88. The common normal position of the fetus in utero is: A. Left sacrum anterior position B. Transverse position C. Vertical position D. Oblique position E. Left sacrum posterior position 89. Which of the following should the nurse consider when measuring vital signs in children? A. Blood pressure is routinely measured in children. B. Apical pulse should be measured for children older than two years. C. Heart rate or respiratory rate should be counted for a full minute. D. Vital signs should be measured while the child is playing. E. Rectal temperature should be measured for children at any age. 18 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 90. What are the main objectives of an orientation program? A. Acquire the capacity to deal with changing situations B. Accept their responsibilities with confidence C. Locate the position on agency’s Organizational Chart D. Provide experienced staff the additional education needed E. Decrease fear of failure 91. In which step of the nursing process does the nurse analyze data and identify patient problems A. Assessment B. Diagnosis C. Planning outcome D. Implementation E. Evaluation 92. Which of the following process clarifies level of responsibility, authority and accountability? A. Controlling B. Planning C. Delegation D. Policy E. Directing 93. Which type of nutrition is the energy source? A. Protein B. Fluids C. Carbohydrates D. Vitamins E. Minerals 94. Absence of bowel sounds and distended abdomen after surgery indicates: A. Bleeding B. Perforating C. Paralytic ileus D. Constipation E. Diarrhea 19 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 95. A child is suffering from dyspnea. The first nursing care that will be provided to the child is: A. Start I.V infusion B. Provide supine position C. Start O2 therapy D. Increased fluid intake E. Start feeding 96. In preparing the incubator for safe use, the nurse: A. Keep the incubator in sunlight or warm radiant B. Adjust humidity knob between 80 – 95% C. Turn the temperature control dial between 15 – 20 C D. Turn the temperature control dial between 28 – 32 C E. Turn the room temperature between 33 – 39 C 97. Immediately after delivery of placenta and membranes the nurse’s first priority must be: A. Give the baby to its mother to hold B. Inspect the perimeum for laceration C. Examine the placenta D. Check that the vulva E. Turn the patient on her abdomen 98. To promote respiratory function in the immobilized patient, the nurse should: A. Not change the patient position. B. Encourage deep breathing and coughing every hour C. Give high fat diet D. Give chemotherapy treatments E. Provide hot application 99. A 31-year- old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 7 cm completely effaced (100 %), and at 0 station. What phase of labor is she in? A. Active phase B. Latent phase C. Expulsive phase D. Transitional phase E. Early latent phase 20 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 100. Which statement describes abruptio placenta A. This condition occurs due to an abnormal attachment of the placenta in the uterus near or over the cervical opening. B. A marginal placenta occurs when the placenta is located near the edge of the cervical opening. C. Nursing interventions for this condition includes measuring the fundal height. D. Fetal distress is not common in this condition as it is in placenta previa. E. Abruptio placenta is more common to occur during the first trimester 101. A patient with severe preeclampsia is admitted to the maternity department. Which room assignment is appropriate for this patient A. A private room across from the elevator B. A semiprivate room across from the nurses’ station C. A private room 2 doors away from the nurses’ station D. A semiprivate room with another patient who enjoys watching television E. A bed in general section. 102. Orientation staff on the patterns of reporting relationships throughout the organization. Which of the following principles refer to this A. Span of control B. Hierarchy C. Esprit de corps D. Unity of direction E. Unity of control 103. The nurse knows that elevated findings on which laboratory test typically validate a diagnosis of gout A. Creatinine clearance. B. Blood urea nitrogen C. Serum uric acid D. Serum calcium E. Lipid profile. 21 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 104. The nurse is providing teaching to a patient regarding pain control after surgery. What time does the nurse inform the patient is the best time to request pain medication A. Before the pain becomes severe B. After the pain becomes severe C. When the relaxation techniques have failed D. When the patient experiences a pain rating of 10 on a 1-10 pain scale E. When there is no pain, it is time for the medication to be administered 105. If the Last menstrual period is January 30, the expected date of delivery is A. 24th October 2004 B. 7th November 2024 C. 7th October 2024 D. 8th November 2024 E. 1st December 2024 106. To promote respiratory function in the immobilized patient, the nurse should A. Change the patient's position every 4 to 8 hours B. Encourage deep breathing and coughing every hour C. Use oxygen therapy 3 liters for protection D. Nebulizer treatments regularly for protection E. Suction the patient's secretions every hour 107. Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a professional nurse who takes care of patients with the same disease conditions and is located geographically near each other A. Case method B. Modular nursing C. Nursing case management D. Team nursing E. Functional method 108. When assessing the patient with a head injury, which of the following should receive priority attention A. Lung sounds B. Clarity of speech. C. Mobility of fingers. D. Pupillary responses E. Mobility of lower limb. 22 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 109. While the patient is in active labor with twins and the cervix is 5 cm dilates, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Which of the following would be the nurse's appropriate action A. Note the fetal heart rate patterns B. Notify the physician immediately C. Administer oxygen at 6 liters by mask D. Have the patient pant-blow during the contractions E. Change position of the patient. 110. The nurse is assessing a 4-year-old child with suspected acute otitis media. Which symptom is commonly associated with this condition A. Cough B. Rash C. Abdominal pain D. Ear pain E. Pallor 111. The nurse recognizes that lack of physical activity and increased consumption of fast food by children are causative factors contributing to which of the following problems A. Nutritional disorders B. Type I diabetes C. Dental caries D. Hepatitis E. Weight gain. 112. A patient has experienced full-thickness burns to the face and neck. As a nurse, it is a priority to: A. Prevent hypothermia B. Assess the blood pressure C. Assess the airway D. Prevent Infection E. Assess the urine output 23 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 113. A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100%), and at 0 stations. What phase of labor is she in? A. Active phase B. Latent phase C. Expulsive phase D. Transitional phase E. Placental stage 114. A nurse in the labor room is caring for a patient in the active phases of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. The appropriate nursing action is to: A. Place the mother in the supine position B. Document the findings and continue to monitor the fetal patterns C. Administer oxygen via face mask D. Increase the rate of Pitocin IV infusion. E. Move patient out of bed 115. When the nurse measured central vines pressure (CVP) found 17 mmH2O these indicate to A. Hypervolemia B. Hyperkalemia C. Hypernatremia D. Hypotension E. Hypervolemia 116. Your laboring patient has transitioned to stage 2 of labor. What changes in the perineum indicate the birth of the baby is imminent A. Increase in meconium-stained fluid and retracting perineum. B. Retracting perineum and anus with an increase of bloody show C. Rapid and intense contractions D. Bulging perineum and rectum with an increase in bloody show E. Normal intact perineum 24 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 117. The nurse is caring for a patient with left-sided heart failure. To reduce fluid volume excess, the nurse can anticipate using: A. Antiembolism stockings. B. Oxygen C. Diuretics D. Anticoagulants E. Antihypertensive 118. The patient was admitted to emergency room post motor vehicle accident which of the following emergency measures should the nurse perform immediately A. Check the victim's breathing B. Cover the victim with a blanket. C. Move the victim to the curb D. Assess the victim for injuries. E. Assess the victim level of consciousness 119. The nurse is preparing to administer digoxin to a hospitalized five-year-old child. Which of the following is the minimal apical pulse rate the nurse should obtain prior to administering this medication: A. 60 beats per minute B. 70 beats per minute. C. 90 beats per minute D. 100 beats per minute E. 120 beats per minute. 120. Which of the following is a common symptom of asthma in children A. Bradycardia B. Wheezing C. Hypertension D. Hypoglycemia E. Decreased urine output 25 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 121. Whish of the following nursing interventions is likely to prevent respiratory complications such as pneumonia and atelectasis in a post-surgical patient A. Control of anxiety and agitation B. Adequate nutrition C. Adequate fluids intake D. Adequate pain control E. Use of incentive spirometry 122. For a patient in active labor, the nurse plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied A. The membranes must be ruptured B. The patient must receive anesthesia C. The cervix must be dilated fully D. The fetus must be at 0 station E. Place patient in right lateral position. 123. Mrs.A has been working as an administrative assistant at specialized hospital for thirty-five years. When employees need to get a task done, they often get her advice. What type of power did Mrs.A have A. Expert B. Reward C. Legitimate D. Coercive E. Punishment 124. The care plan for a patient with viral encephalitis indicates that the nurse should perform neurologic checks every 2 hours if the patient had been unresponsive except to painful stimuli, which new assessment finding indicates that the patient is improving A. Patient's Glasgow Coma Scale score is 8 B. Pupils are unequal when stimulated with light C. Patient's Glasgow Coma Scale score is 12 D. Stroking the cheek with a swab causes swallowing E. Patient's Glasgow Coma Scale score is 4 26 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 125. A patient has active TB. Which of the following symptoms will he exhibit A. Chest and lower back pain B. Chills, fever, night sweats, and hemoptysis C. Fever of more than 38.5 and nausea D. Headache and photophobia E. Chest and abdominal pain 126. High-risk neonates with hyperbilirubinemia are liable to imbalanced temperature related to the use of: A. Exchange transfusion B. Phenobarbital administration. C. Albumin administration D. Phototherapy. E. Infection 127. A nurse is instructing a mother about the nutritional needs of her full-term, breastfeeding infant age 2 months. Which response shows that the mother understands the infant's dietary needs A. We won't start any new foods now. B. We'll start the baby on skim milk C. Well introduce cereal into the diet now. D. We should add new fruits to the diet one at a time E. Well introduce whole milk and baby food 128. A maternity unit nurse is creating a plan of care for a patient with severe preeclampsia who will be admitted to the nursing unit. The nurse should include which nursing intervention in the plan A. Restrict food and fluids. B. Reduce external stimuli C. Monitor blood glucose levels D. Maintain the patient in a supine position. E. Encourage ambulation out of the bed. 27 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 129. Which of the following arterial blood gas values are considered within normal ranges A. pH: 725-745-PaCo2 45-50-Pao2:90-100 B. PH: 725-745-PaCo2 30-40-Pao2:70-100 C. pH: 7.35-7.45-PaCo2 26-35-Pao260-100 D. pH:735-745-PaC0235-45-Pao280-100 E. pH: 7.45-7.55-PaCo2 45-55- Pao2:90-100 130. Pregnant patient is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the patient that the usual treatment for partial placenta previa is which of the following A. Activity limited to bed rest B. Platelet infusion C. Immediate cesarean delivery D. Labor induction with oxytocin E. Continuous fetal monitoring 131. Which of the following types of pain is always characteristic of angina? A. Knifelike B. Sharp and discomfort C. Shooting and crushing D. Tightness and squeezing E. Burning and choking 132. A patient in labor is transported to the delivery room and is prepared for Normal vaginal delivery. The patient is transferred to the delivery room table, and the nurse places the patient in the A. Trendelenburg's position with the legs in stirrups B. Semi-Fowler position with a pillow under the knees C. Prone position with the legs separated and elevated D. Supine position with a wedge under the right hip E. Lithotomy position 28 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 133. A 28 year old female, who is 33 weeks pregnant with her second child, has uncontrolled hypertension. What risk factor below found in the patient's health history places her at risk for abruptio placentae A. Childhood polia B. Preeclampisa C. C-section D. Her age E. BMI of 23% 134. A nurse is caring for an infant with spina bifida. Which assessment findings suggest hydrocephalus A. Depressed fontanels and suture lines B. Deep-set eyes, which appear to look upward only. C. Rapid increase in head size and irritability. D. Motor dysfunction in the foot and leg E. Sensory dysfunction in the foot and leg. 135. The nurse should take which action to determine the accurate measurement of the length of the nasogastric tube to be inserted for children A. Mark the tube at 5.5 cm B. Mark the tube at 3.2 cm. C. Place the tube at the tip of the nose and measure by extending the tube to the earlobe and then down to the xiphoid process D. Mark the tube at 42 cm E. Mark the tube at 1cm. 136. The patient has returned to bed from surgery with a dressing. Which of the following would the nurse identify as the top priority when documenting the postoperative A. Adequate neurovascular functioning B. Minimal pain on movement C. Vital signs within normal limit D. No drainage noted on the dressing E. Adequate urine output 29 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 137. Hypertension often goes undetected until symptoms of other system failures occur. This may occur in the form of: A. Cerebrovascular accident B. Liver disease C. Myocardial infarction D. Pulmonary disease E. Renal disease 138. A patient with bacterial pneumonia is to be started on IV antibiotics. Which of the following diagnostic tests must be completed before antibiotic therapy begins A. Urinalysis B. Sputum culture C. Chest radiograph D. Red blood cell count E. Complete blood count 139. A pediatric nurse is caring for a child who received chemotherapy 10 days ago. Which laboratory value requires the nurse's intervention A. A blood urea nitrogen level of 10 mg/d B. A hemoglobin of 8.6 g/dL C. A negative blood culture D. A platelet count of 18 x 103/µL E. A serum glucose of 110 mg/dL 140. When giving mouth care to an unconscious patient, the safest position to prevent aspiration is A. Recovery position B. Trendelenburg position C. Semi-Fowler's position. D. Supine position. E. Semi-Fowler's position and head on the side 141. A patient has a burn on the back that is extremely red and painful, but no blisters are present when you press on the skin it blanches. You document this as a A. Superficial burn B. Partial-thickness burn C. Full-thickness burn D. Deep full-thickness burn E. The third-degree burn 30 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 142. Some managers have a compassionate-authoritative style of management. Which of the following behaviors will exhibit? A. Have condescending trust and confidence in their subordinates. B. Gives economic or ego awards. C. Communicates downward to the staff. D. Allows decision-making among subordinates. E. Communicates upward to the staff 143. A nurse is caring for a child after shunt insertion to relieve hydrocephalus. Which intervention should the nurse perform? A. Place the child in an upright position B. Sleeping the child on the back C. Avoid lying the child on the side where the shunt is located D. Place the child in the semi-Fowler position. E. Place the child in a prone position 144. During the acute phase of rheumatic fever, the nurse do which of the following A. Measure urine output B. Maintain bed rest C. Divert child attention. D. Encourage diet E. Give Anticoagulant drugs 145. Which of the following is the inflammation and irritation of the mucous membrane of the nose? A. Laryngitis B. Pharyngitis C. Tracheitis D. Rhinitis E. Stomatitis 146. Which one of the following statements refers to the vision of the hospital A. Medical Center is a leader in tertiary health care in the next five years B. The officers and staff of The Medical Center believe in the unique nature of the human person C. The Medical Center mean to provide patient care in with no harm only D. All the nurses shall undergo a continuing competency training program E. The Medical Center aims to provide patient-centered care in a total healing environment 31 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 147. A woman, who is 22 weeks pregnant, has a routine ultrasound performed. The ultrasound shows that the placenta is located at the edge of the cervical opening. As the nurse you know that which statement is FALSE about this finding A. This is known as marginal placenta previa. B. The placenta may move upward as the pregnancy progresses and needs to be re-evaluated with another ultrasound at about 32 weeks gestation C. The patient will need to have a c-section and cannot deliver vaginally D. The woman should report any bleeding immediately to the doctor. E. This is known as laterals placenta previa 148. Which of the following would the nurse expect to find when assessing a pregnant patient with abruption placenta A. Excessive vaginal bleeding B. Rigid boardlike abdomen C. Titanic uterine contractions D. Premature rupture of membranes E. Well audible fetal heart rate 149. A clinical nurse specialist (CNS) is included in a hospital department's organizational chart. However, there are no solid lines leading to or from the nurse's position on the chart. What does this imply? A. The CNS lacks productive relationships with colleagues. B. Any member of staff may exercise authority over the CNS C. The CNS is not accountable for his or her practice D. The CNS does not have formal authority over other staff members E. The CNC Authority obedience management 150. Which of the following signs will require a pregnant woman to seek immediate medical attention: A. When the first fetal movement is felt B. Mild uterine contraction C. Slight dyspnea on the last month of gestation D. No fetal movement is felt on the 32 weeks gestation E. Nausea and vomiting at 12 weeks gestation 32 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 151. Careful hand-washing and using sterile techniques are ways in which nurses meet basic human needs, which are called: A. Physiological B. Safety and Security C. Self-esteem D. Love and belonging E. Self-Actualization 152. A 5-year-old is brought to the hospital with a temperature of 37.5°C, a barky cough, stridor, and hoarseness. Which nursing intervention should the nurse prepare for A. Immediate intravenous replacement B. Respiratory support to keep the airway open. C. A tracheostomy set at the bedside. D. Informing the child's parents about a tonsillectomy. E. Offer a well-balanced diet for the child. 153. A patient has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. The nurse is alert to A. Increased blood pressure B. Decreased heart rate C. Increased output D. Increased cardiac output E. Decreased peristalsis 154. A nurse is caring for a child who's experiencing a seizure. Which nursing intervention takes the priority when caring for this child A. Protect the child from injury. B. Shout at the child to end the seizure C. Allow seizure activity to end without interference D. Use a padded tongue blade to protect the airway. E. Take vital signs for the child 33 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 155. A nurse is performing an assessment of a patient who is scheduled for cesarean delivery, Which assessment finding would indicate a need to contact the physician A. Fetal heart rate of 180 beats per minute B. White blood cell count of 12000 C. Maternal pulse rate of 86 beats per minute D. Hemoglobin of 11.0 g/dL E. Maternal BF of 120 80 156. A patient had an open cholecystectomy 36 hours earlier, and the nurse's assessment this morning confirms that the patient has not yet had a bowel movement since before surgery. How the nurse should respond to this assessment finding A. Increase the rate of the patient's IV infusion B. Contact the physician to come assess the patient C. Administer o cleansing edema D. Monitor the patient closely and promote fluid intake E. Monitor the patient closely 157. What is the appropriate method the nurse should use when drawing blood from a child with a bleeding tendency A. Use a lancet to collect blood samples. B. Warm the child's extremities before venipuncture. C. Schedule all blood samples at one time D. Prepare platelets in case of prolonged bleeding. E. Administer aspirin for the child 158. The nurse is preparing a patient for a colonoscopy. The nurse is familiar with the colonoscopy procedures at the hospital and which type of anesthesia is commonly used for this procedure A. Conscious sedation B. Spinal anesthesia C. Epidural anesthesia D. Nerve block E. General anesthesia 34 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 159. Perineal care is an important infection control measure. When evaluating a postpartum woman's perineal care technique, the nurse would recognize the need for further instruction if the woman A. Uses soap and warm water to wash the vulva and perineum. B. Washes from symphysis pubis bock to episiotomy. C. Changes her perineal pad every 2-3 hours D. Uses the peri bottle to rinse upward into her vagina. E. Using betadine or Dettol as disinfectant 160. The nurse helps the patient with chronic renal failure to develop a home diet plan to help the patient maintain adequate nutritional intake. Which of the following diets would be appropriate for the patient A. High carbohydrate, high protein B. High calcium, high potassium, high protein C. Low protein, low sodium, low potassium D. Low protein, high potassium E. High protein, low sodium, High potassium 161. Mrs.W plans on assigning competent people to fill the roles designed in the hierarchy. Which process refers to this A. Staffing B. Scheduling C. Recruitment D. Induction E. Organizing 162. A child is prescribed an oral antibiotic. When should the nurse educate the parents about potential side effects? A. Before the medication is administered B. After the child has finished the entire course of antibiotics C. At the time of medication refill D. When the child starts showing improvement E. After the child has beginning the course of antibiotics by one week 35 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 163. A neonate girl delivered at 38 weeks gestation weighs 2,325 grams and is having difficulty maintaining body temperature. Which nursing action would prevent cold stress? A. immediately after birth, the neonate and place her under a radiant warmer for 2 hours B. Administer vitamin K after birth, C. Decrease integumentary stimulation after birth D. Give Anticoagulant drugs E. Protect the child from injury. 164. What method is used only as a last resort to control severe arm bleeding? A. Tourniquet B. Indirect pressure C. Direct pressured D. Elevation E. Press by a sterile dressing 165. A child has a fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted A. The child has no tears. B. Urine specific gravity is 1035. C. Urine output is less than 1 mL/kg/hr. D. Decreased skin elasticity. E. Capillary refill is less than 2 seconds 166. Which of the following actions that demonstrates reaching the third stage of change A. Wonders why things are not what they used to be B. Finds solutions to the problems. C. Integrate the solutions to day-to-day activities D. Selects the best change strategy. E. Threat to established power relationships 167. Patients in the oliguria phase of renal failure might have a 24-hour urine output of less than: A. 200 ml B. 500 ml C. 800 ml D. 1000 ml E. 1500 ml 36 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 168. The mother asks what to do when her infant with cyanotic heart disease becomes very blue and has trouble breathing, which of the following the nurse should instruct the mother: A. Leave the infant alone B. Put the infant in the knee-chest position, C. Feed the infant quickly. D. Offer the infant a toy to play with E. Cover the infant with extra clothes 169. Nurse is monitoring a pregnant patient with gestational hypertension who is at risk for preeclampsia. At each home care visit, the nurse assesses the patient for which classic signs of preeclampsia A. Proteinuria &Hypertension B. Low-grade fever C. Generalized edema D. Increased pulse rote E. Increased respiratory rate 170. A nurse is caring for a patient in labor and prepares to auscultate the fetal heart rate by using a Doppler ultrasound device. The nurse accurately determines that the fetal heart sounds are heard by A. Noting if the heart rate is greater than 140 BPM B. Placing the diaphragm of the Doppler on the mother's abdomen C. Performing Leopold's maneuvers fest to determine the location of the fetal heart. D. Palpating the maternal radial pulse while listening to the fetal heart rate E. Placing Doppler above the umbilicus of maternal abdomen. 171. A nurse is practicing in a case management context and a patient has been following a multidisciplinary action plan (MAP). In the last 24 hours, it has become clear that the patient's health status is not improving as quickly as expected and the patient is deviating from the MAP What is the appropriate action should the nurse do A. Cancel the patient's current MAP and call for a meeting to select a new one. B. Document the presence of a variance in the MAP. C. Collaborate with the core team to arrange a transfer to a new setting D. Cancel the current MAP and adopt customized, rather than standardized care E. Communicates downward to the staff 37 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 172. A preterm neonate is receiving oxygen. While administering oxygen, which of the following the nurse should do A. Humidify the air being delivered. B. Cover the neonate's scalp with a warm cap. C. Assess the neonate's vital signs every four hours. D. Record the neonate's intake and output. E. Change the neonate's diaper frequently. 173. The nurse analyze the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm3 (19.5×109/L). Which intervention should the nurse include in the plan of care? A. Initiate bleeding precautions. B. Monitor closely for signs of infection. C. Monitor the temperature every 4 hours. D. Follow protective isolation precautions. E. Administer antibiotics as ordered. 174. To avoid thrombophlebitis, the nurse changes the venous cannula after A. One day B. Two days C. Three days D. Four days E. Seven days 175. A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in the early part of the first stage of labor. Her pain is likely to be intense: A. Around the pelvic girdle B. Around the pelvic girdle and in the upper arms C. Around the pelvic girdle and at the perineum D. At the perineum E. Above the umbilicus 38 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 176. While caring for an eight month-old infant with congestive heart failure on digoxin, the nurse obtains assessment information. Which assessment indicates that the nurse needs to report the physician? A. The infant's apical pulse is 70 beats/minute at rest B. After crying the infant's heart rate is 150 beats/minute C. Respirations pre 40 per minute at rest D. Capillary-refill is less than a seconds E. Axillary temperature is 368 °C 177. Which one of the following is a method for checking the placement of nasogastric tube feeding in neonates? A. Injecting and auscultating 1-3 cc air. B. Injecting and auscultating 0.5-1 cc air. C. Injecting 1-2 co distilled water. D. Injecting 3-5 cc distilled water. E. Injecting 3-5 co normal saline. 178. Mrs.Y tells one of the staff, I don't have time to discuss the matter with you now. See me in my office later when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use? A. Smoothing B. Compromise C. Avoidance D. Restriction E. Collaborating 179. Which of the following is an acute complication of diabetes mellitus? A. Retinopathy. B. Nephropathy. C. Diabetic ketoacidosis. D. Neuropathy E. Microvascular 39 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 180. The diet that is appropriate in normal pregnancy should be high in A. Proteins, carbohydrates and fats B. Fats and minerals C. Protein, minerals and vitamins D. Carbohydrates and vitamins E. Minerals and vitamins 181. Mrs.Y is a Unit Manager of the Medical Unit. She is not satisfied with the way things are going in her unit Patient satisfaction rate is 50% for two consecutive months and staff morale is at its lowest She decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority? A. Call for a staff meeting and take this up in the agenda B. Seek help from her manager C. Implement a strategic action plan on how to deal with these concerns D. Ignore the issues since these will be resolved naturally E. Talk with patient 182. The nurse caring for a child at risk for tonic-colonic seizures. In the care plan, the nurse identifies seizure precautions and documents 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. E. Nasogastric feeding equipment. 183. A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms A. Proteinuria, headaches, vaginal bleeding B. Headaches, double vision, vaginal bleeding C. Proteinuria, headaches, double vision D. Proteinuria, double vision, uterine contractions E. Proteinuria, premature rupture of membranes, headache 40 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 184. Which of the following will the nurse include in the care plan for a patient hospitalized with acute hepatitis A A. Increase fluid intake B. Adequate bed rest C. Bland diet D. Administer antibiotics E. Administer anticoagulant 185. What occurs as a result of fluid retention in the lungs due to the chest muscles getting weak A. Pulmonary edema B. Hydrostatic pressure edema C. Permeability edema D. Diffuse alveolar damage (DAD) E. Mixed edema 186. A nurse assessing a patient for jugular vein distension, should place him in which of the following positions A. Prone B. Supine. C. Semi-Fowler's D. Side-laying. E. Trendelenburg 187. What position should the head be during a nosebleed A. Head in normal level B. Head forward C. Head backwards D. Head tilt chin lift E. Head tilted to the side 188. The main purpose for making sure that the smooth side of the linen is toward the patient is: A. Follow medical asepsis guidelines B. Decreases skin irritation C. Make the bed look neat D. Promotes feeling of self-worth E. Follow surgical asepsis guidelines 41 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 189. You have a new admission patient. While performing a head-to-toe assessment, you note the red dry superficial ulcer on the patient’s right heel. You document this as a: A. Stage 1 ulcer B. Stage 2 ulcer C. Stage 3 ulcer D. Stage 4 ulcer E. Stage 0 ulcer 190. A nurse is teaching Mrs E. how to perform breast self-examination. On return demonstration, which of the following actions by the Mrs E. indicates that further teaching is necessary? A. The woman uses the tips of her second, third and fourth fingers to press every part of her breast. B. Using the right hand to examine the left breast, the client examines the entire breast using small circular motions in a spiral pattern. C. In a supine position, the woman places a folded towel under her right shoulder and puts her right hand behind her head. Using the left hand, she palpates her right breast. D. In a standing position, the woman places her hands on her hips and presses down firmly. E. Using the pads of her fingers to palpate her breasts 191. Which patient is at risk for fluid volume deficit? A. A patient with nasogastric suction. B. A patient with vomiting and diarrhea C. A patient with wound drain D. A patient with IV infusion E. A patient with chest tube drain 192. Cardiac pacing is the preferred treatment for: A. Ventricular fibrillation B. Atrial fibrillation C. Complete Heart block D. Ventricular flutter E. Dropped beat 42 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 193. Which one of the following beds is used for the patient post spinal cord injury? A. Electric bed B. Open bed C. Closed bed D. Surgical bed E. Occupied bed 194. A patient has experienced full-thickness burns to the face, neck, and upper chest in the emergency room. As a nurse, it is a priority to do: A. Give O2 therapy B. Assess the blood pressure C. Assess oxygen saturation D. Insert endotracheal tube (ETT) E. Prevent the infection 195. Which of the following technique a nurse might suggest so a woman can avoid having an episiotomy? A. Use Supine position B. Practice exhaling while pushing, or spontaneously working with the body's contractions while bearing down C. Teaching the health care giver to avoid perineal support while the mother is pushing D. Holding her breath and pushing to the count of 10 several times during each contraction E. Start walking 196. A nurse is assessing four patients who recently gave birth through vaginal delivery. A part of the examination is measuring the fundal height. Which of the following patients' needs further evaluation A. A patient who gave birth 24 hours ago; the fundus is 1 fingerbreadth below the umbilicus. B. A patient who gave birth one hour ago; the fundus is at the level of the umbilicus. C. A patient who gave birth 72 hours ago; the fundus is 2 cm below the umbilicus. D. A patient who gave birth 10 days ago; the fundus is non-palpable. E. A patient who gave birth 40 days ago; the fundus cannot be palpated 43 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 197. On patient admission what should the nurse measured and reported after check four vital sign: A. Height and weight B. Conscious level C. Body mass index D. Oxygen saturation E. Urine output 198. Which of the following signs will require a pregnant woman to seek immediate medical attention A. When the first fetal movement is felt B. Mild uterine contraction C. Slight dyspnea on the last month of gestation D. Sever bleeding, absence of fetal movement E. Nausea and vomiting at 12 weeks gestation 199. An adolescent client with type one diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note? A. Sweating and tremors. B. Hunger and hypertension. C. Cold, clammy skin and irritability. D. Fruity breath odor E. Projectile vomiting. 200. A 20-year-old Mrs R. is pregnant for the first time. Mrs R. is a marathon runner and has been on a rigorous exercise and training program. She asks you if she could still exercise while pregnant. Which of the following statements is appropriate A. "You should stop exercising when pregnant as it can cause miscarriage or intrauterine growth retardation." B. You may proceed with your pre-pregnancy exercise program without limitations." C. "You may continue exercising, but make sure to decrease the intensity of exercises. You may return to your pre- pregnancy exercise program two weeks after delivery." D. "You should modify the intensity and type of your exercises. Non-weight-bearing exercises are recommended." E. Use walking and arm exercise only. 44 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 201. A patient with cancer undergoing surgery to relieve symptoms. Which type of surgery is the patient undergoing? A. Palliative B. Reconstructive C. Prophylactic D. Diagnostic E. Therapeutic 202. Mr.A is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions demonstrates that he has reached the third stage of change A. Wonders why things are not what it used to be B. Finds solutions to the problems C. Stabilize a change intervention D. Selects the best change strategy E. Change his plan 203. The nurse is assessing a mature female neonate born to a 21-year-old G3P2 (gravida 3 para 2) woman. Which of the following findings suggests that further evaluation and notification of the physician are necessary? A. Birth length = 53 cm B. Head circumference = 35 cm C. Birth weight = 4.5kg D. Chest circumference is 2 cm less than the head circumference. E. Bluish discoloration of extremities 204. Mr. M likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to? A. Scalar chain B. Discipline C. Unity of command D. Order E. Ignored 45 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 205. When administering an oral capsule to the patient. The patient said that could not swallow it. What is the nurse's action? A. Inform the physician B. Crush the capsule C. Hide the capsule in a piece of food D. Dissolve the capsule in juice E. Change capsule to injection 206. Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? A. Maintain the child in a private room. B. Reduce exposure to environmental noises. C. Use strict aseptic technique for all procedures D. Ensure that no one enters the child's room. E. Apply pressure to a needle stick area for at least 10 minutes. 207. A patient's arterial blood gas analysis values indicated hypoxemia. He does not have an endotracheal tube and his respiratory rate is 18 breaths/min. The appropriate nursing intervention to relieve hypoxemia is to: A. Obtain an order for Bi-PAP B. Provide supplemental oxygen C. Perform oropharyngeal suction D. Call for emergency intubation E. Observe any cyanoses 208. While Mrs R. is in active labor with twins and the cervix is 5 cm dilates, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Which of the following would be the nurse's appropriate action A. Note the fetal heart rate patterns B. Notify the physician immediately C. Administer oxygen at 6 liters by mask D. Have the woman pant-blow during the contractions E. Change position to left lateral position 46 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 209. Which clinical manifestation is the main sign of lung disease? A. Dyspnea B. Hemoptysis C. Cough D. Hoarseness E. Tachepnia 210. The contraction of myocardial muscle moves as a wave through the heart. These activity phase of electrical cardiac activity is called: A. Depolarization B. Repolarizations C. Systole presser D. Diastole presser E. Arterial presser 211. In which phase does the head nurse give instructions, motivate staff, and coordinate activities A. Assignment B. Leading C. Evaluating D. Monitoring E. Delegating 212. Which nursing action from the following would prevent hypothermia in neonates? A. Dry the neonate and place him under a radiant warmer for 2 hours. B. Administer oxygen for the first 30 minutes after birth. C. Decrease integumentary stimulation after birth. D. Maintain the environmental temperature at a constant level. E. Keep the neonatal unit windows open for proper ventilation. 213. The nurse notes documentation that the child is exhibiting a high fever and stiff neck. Which condition does the nurse suspect? A. Meningitis B. Hydrocephalus. C. Intracranial bleeding. D. Decreased cerebral blood flow. E. Increased intracranial pressure 47 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 214. The nurse receives a patient who has experienced a burn on the right leg. She notes the burn contains small blisters and is extremely pinkish-red and shiny/ moist. The patient reports severe pain. She documents this burn as: A. 1st Degree (superficial) B. 2nd Degree (partial-thickness C. 4th Degree (deep full-thickness) D. 3rd Degree (full-thickness) E. Complete full-thickness 215. Mr. H has a 125 kg body weight, he had upper abdominal surgery. What is the priority nursing observation of post-operative for this patient’s? A. Signs of infection B. Bleeding C. Airway Monitoring D. Body position E. Urine output 216. Which nursing action is appropriate for relieving the child's respiratory distress? A. Distract the child with an age-appropriate toy. B. Offer steam inhalation for the child. C. Offer a balanced diet for the child. D. Give antibiotics as ordered. E. Place the child in a semi-Fowler's position 217. When the nurse gives the diabetic patient information about the fastest site of absorption of insulin injection is: A. Arm. B. Abdomen wall. C. Buttocks D. Thigh E. Forearm 48 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 218. The priority intervention for a patient with Cerebro-vascular stroke in the emergency department is: A. Control of hypothermia B. Intravenous fluid replacement C. Maintenance of a patent airway. D. Administration of diuretics E. Check fluid intake and output 219. A school-age child is diagnosed with acute glomerulonephritis. Which nursing action takes priority when caring for this child A. Checking urine specific gravity every 8 hours B. Monitoring blood pressure every 4 hours C. Offering the child fluids every hour. D. Providing the child with a regular diet and snacks. E. Providing divisional activities 220. Which is the first step when caring for patient with wound bleeding? A. Apply pressure with sterile dressing B. Apply pressure at the pressure point C. Apply water soaked bandagel D. Elevate the wound site E. Apply pressure 10 cm above the artery 221. The nurse is conducting staff training on standard Precautions. Which of the following statements is the first precaution? A. Hand hygiene B. Use of personal protective equipment C. Respiratory hygiene / cough etiquette. D. Sharps safety E. Safe injection practices 222. Which of the following conditions decreased heart rate? A. Fever B. Hypothyroicism C. Hурoхia D. Dehydration E. Infection 49 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 223. A nurse is assessing a five-year-old child's lymph nodes. Which areas should the nurse include in the examination? A. Axillary & inguinal nodes B. Inguinal nodes C. Cervical, axillary, and inguinal nodes D. Popliteal nodes E. Cervical nodes 224. A female adult patient is taking a progestin-only oral contraceptive or minipill. Progestin use may increase the patient's risk for: A. Endometriosis B. Female hypogonadism C. Premenstrual syndrome D. Tubal or ectopic pregnancy E. Excessive menstrual bleeding 225. In which method of organizing patient care does the nurse provide one or more tasks for all patients in the unit A. Case method B. Case management C. Function method D. Modular method E. Team method 226. Which of the following describes the cardiovascular complications that can develop as a result of immobility? A. Myocardial Infraction B. Deep vein thrombosis C. Valvalar disease D. Pericarditis E. Hypostatic pneumonia 227. What negative effects does immobilization have on the musculoskeletal system A. Demineralization of bone B. Increase in gerobic capacity C. Increased muscle oxidation D. Lengthening of muscle fibers E. Increased muscle volume 50 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 228. A nurse is receiving Mrs E. who gave birth an hour ago. Which of the following nursing interventions is the priority action of the nurse during the immediate postpartum period A. Obtain the woman's blood glucose level B. Palpate for the height of fundus and make uterine massage C. Order hemoglobin and hematocrit tests D. Administer oxygen. E. Provide relaxation technique 229. What laboratory finding is the primary diagnostic indicator for pancreatitis A. Elevated blood urea nitrogen (BUN) B. Elevated serum lipase C. Elevated aspartate aminotransferase (AST) D. Increased lactate dehydrogenase (LD) E. Decrease cholesterol level in the blood 230. Which of the following occurs as a result of secretion retention in the lungs due to weakness of the chest muscles? A. COPD (Chronic obstructive pulmonary disease) B. Hypostatic pneumonia C. Contractures D. Muscle weakness E. Hyperventilation. 231. A patient with stage four chronic kidney disease asks the nurse; what type of diet should follow. The nurse tells him: A. Low protein, low sodium, low potassium, low phosphate diet B. High protein, High sodium, High potassium, High phosphate diet C. High protein, low sodium, low potassium, high phosphate diet D. Low protein, high sodium, high potassium high phosphate diet E. Low protein, low sodium, low potassium, high phosphate diet 232. A condition in which the breathing may stop during sleep is called A. Insomnia B. Hypersomnia C. Sleep apnea D. Orthopneia E. Hурoрnеa 51 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 233. Which of the following is the primary purpose of maintaining nothing per mouth (NPO) for 6 to 8 hours before surgery? A. To prevent malnutrition B. To prevent electrolyte imbalance C. To prevent aspiration pneumonia D. To prevent intestinal obstruction E. To prevent fecal impaction 234. The nursing action to relieve fetal distress due to maternal supine hypotension is A. Place the mother in fowler position B. Put the mother on left side lying position C. Place mother on a knee chest position D. Place the mother on semi-fowler's position E. Place mother in lithotomy position 235. The nurse is developing a teaching plan for a woman who is 8 weeks pregnant. The nurse should tell the woman that she can expect to feel the fetus move at which time A. Between 10 and 12 weeks' gestation B. Between 16 and 20 weeks' gestation C. Between 21 and 23 weeks' gestation D. Between 24 and 26 weeks gestation E. Between 30 and 34weeks gestation 236. Which respiratory disease causes the airway to become narrow, inflamed, and constricted A. Emphysema B. Chronic bronchitis C. Asthma D. Lung abscess E. Chronic obstructed lung disease 237. In caring for child with pneumonia the priority of care given for which nursing diagnosis A. Imbalanced nutrition less than body requirements related to the lack of oral intake. B. Hyperthermia related to inflammatory processes C. Impaired gas exchange related to alveolar capillary membrane changes D. Fluid volume deficit related to the lack of oral intake E. Feeding intolerance related to anorexia 52 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 238. Which of the following are characteristics of true labor? A. Contraction are irregular & the intensity remains the same B. Contractions occurs at irregular intervals and intensified by walking C. Contractions are regular & intensity remains the same D. Contractions occurs at regular intervals and are not intensified by walking E. Contraction are regular and cervical dilatation is increase productively 239. Which phrase is used to describe the volume of air inspired and expired with a normal breath? A. Total lung capacity B. Forced vital capacity C. Tidal volume D. Residual volume E. Amount of air entering the lung 240. Which of the following would the nurse expect to find when assessing Mrs. E with abruption placenta A. Excessive vaginal bleeding B. Rigid, board like abdomen C. Titanic uterine contractions D. Premature rupture of membranes E. Well Heard Fetal heart rate 241. There are many reasons why nurse midwives should be concerned with professional ethics. Which of the following is the main and critical purpose of applied professional ethics A. To foster professional identity B. To protect consumers and care providers. C. To maintain internal regulation and avoid external regulation D. To signal professional maturity. E. To advocate professional behavior 53 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 242. You would expect the Glasgow Coma Scale scores of a patient who opens his eyes in response to pain, speaks with incomprehensible words, and withdraws his upper extremities from pain by flexion to be A. 6 B. 7 C. 8 D. 9 E. 10 243. The failure of the caregiver with professional education and skills to deliver care to the patient on the standard of care that result in expected injury, harm or risk to the patient "what does this statement refers to A. Compassion B. Conscience C. Commitment D. Malpractice E. Advocacy 244. Which instructions should the nurse make to the mother of a breastfeeding newborn as the intervention for physiological jaundice? A. Switching permanently to artificial formula. B. Giving supplemental water feecings. C. Increasing the frequency of breastfeeding D. Withhold oral feeding for the newborn. E. Providing the expressed breast milk via nasogastric tube 245. Nurse instruct Patient with deep venous thrombosis, before discharge to: A. Sitting for short time B. Massage affected leg C. Standing for long time D. Don't cross legs E. Apply cold compresses 54 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 246. Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss? A. Low room humidity B. Cold weight scale C. Cools incubator walls D. Cool room temperature E. Open Windows and doors of the room 247. Nursing management puts into action the policies and plans laid down by the administration. Which of the following is a primary concern of nursing administration? A. Operational aspects B. Scheduling and budgeting C. Strategic planning and decision-making D. Performance management of nursing staff E. Motivating the nursing staff 248. A nursing supervisor notices that certain nurses are consistently taking longer to complete their assigned tasks. The best course of action would be to: A. Warning the nurses for their slow performance B. Reassign the tasks to more experienced nurses C. Provide additional training and support to the nurses D. Hange the workload to ensure equal distribution E. Implement a performance improvement plan 249. Routine decisions governing day-to-day events that have been delegated to first-level managers and are made according to pre-established rules and regulations are called: A. Strategic decisions B. Administrative decisions C. Operational decisions D. Programmed decisions E. Non-programmed decisions 55 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 250. Ensuring that employees are performing their duties effectively and efficiently is the primary focus of which of the following? A. Motivation B. Scheduling C. Staffing D. Directing E. Controlling 251. It is a statement that describes a precise action to do or not to take in a circumstance where there is only one option for action. What does this sentence indicate? A. Procedures B. Rules C. Routines D. Standards E. Philosophy 252. When a nursing team is faced with a complex problem, the most effective approach is to: A. Have the nurse manager make the final decision B. Encourage the team to brainstorm possible solutions C. Consult with other departments for their input D. Implement the solution that is the quickest and easiest E. Maintain the status quo and avoid making changes 253. It is a descriptive professional expression of an intended or agreed-upon level of performance that must be visible, achievable, and quantifiable. What does this sentence indicate? A. Procedures B. Rules C. Routines D. Standards E. Budgets 254. In a nursing team, the most important role of the nursing leader is to A. Delegate tasks effectively B. Maintain strict discipline C. Ensure efficient workflow D. Make all the decisions E. Provide mentorship and guidance 56 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 255. The female internal reproductive organs include A. Ovaries, fallopian tubes, clitoris B. Ovaries, vestibule, Bartholin's glands. C. Fallopian tubes, ovaries, urethera. D. Fallopian tubes, uterus, vagina and ovaries E. Labia minora, vestibule, Bartholins glands. 256. Fetal heart sound should be checked every half hour; the normal rate should be; A. 70-100 b/m B. 120— 160 b/m C. 70-150b/m D. 150-200 b/m E. 60-80 b/m 257. When a manager shares information with other people in their department or organization, they are playing which role? A. Monitor role B. Disseminator role C. Spokesperson D. Figurehead role E. Leader role 258. A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert? A. Endometritis B. Endometriosis C. Salpingitis D. Pelvic thrombophlebitis E. Vulvovaginitis 259. Nurse assessed pregnant woman's lower extremities, she found small varicose veins may develop and contributes this as a result of: A. Systemic circulating of microorganisms B. Compression of the abdominal veins by the progressively enlarged uterus C. Increases cardiac load imposed by the oxygen needs of the growing fetus. D. Increased venous blood volume due to return of blood from the fetus. E. Increased plasma Blood volume due to return of blood from lower limbs 57 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 260. A nurse is monitoring a client in labor who is receiving intravenous oxytocin. The fetal heart rate monitor tracing reveals decelerations occurring 35 seconds after the onset of each contraction and continuously past the end of the each contraction. Which of the following is the first action of the nurse? A. Change the client’s position to side-lying position. B. Position the client to Trendelenburg position. C. Stop the administration of oxytocin. D. Administer oxygen. E. Encourage ambulation from the bed. 261. A client is in the second stage of labor and has been pushing for almost an hour. Which of the following interventions is the appropriate for the client at this stage? A. Offer clear fluids in between contractions. B. Encourage ambulation. C. Instruct the client to push with each contraction. D. Encourage frequent changes in position. E. Give sedation according to physician order 262. A client at 38 weeks’ gestation comes to the facility after experiencing leakage of clear fluid from the vagina without contractions. Premature rupture of membranes is suspected. Which of the following actions by the midwife would be INAPPROPIATE for a client with this condition? A. Perform digital vaginal examination. B. Administer ampicillin IV. C. Assess the client’s cervix and vaginal cavity through sterile speculum vaginal examination. D. Order L/S ratio. E. Encourage early ambulation from the bed 263. A client is given oxytocin for the induction of labor. The nurse should monitor the client for which of the following side effects of oxytocin? A. Vomiting B. Increased urine outflow C. Hypertension D. Bradycardia E. Respiratory rate of 30\minute. 58 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 264. A nurse is monitoring a client who is in labor. Assessment findings reveal that the fetus is in LOA position. The nurse notes that the presenting part of the fetus is at 0 station. This finding indicates that: A. The presenting part is at the perineum, and the fetal head is crowning. B. The presenting part is at the level of the ischial spines, and the fetal head is engaged. C. The presenting part is above the level of the ischial spines, and the fetal head is floating. D. The presenting part has descended to within the pelvic inlet. E. the presenting part is transverse 265. A nurse is monitoring a client who was admitted to the labor and delivery unit about 5 hours ago. The midwife notes a cervical dilatation of 5 cm. The contractions occurring every 5 minutes usually last between 50 and 55 seconds. The client is in which phase of labor? A. Latent phase B. Active phase C. Transition phase D. Second stage of labor E. Third stage of labor 266. A nurse is monitoring a client with a cervical dilatation of 3 cm. The nurse determines that the client has contractions occurring every 3 minutes. Each contraction lasts for 50 seconds. The fetal heart rate is determined at 100 beats per minute. Which of the following is of priority action of the nurse? A. Encourage the client to push with every contraction and to rest in between contractions. B. Administer oxygen via face mask. C. Document the findings as normal. D. Encourage frequent change of position. E. Do nothing this is normal finding. 59 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 267. A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client’s abdomen. After the attachment of the monitor, the initial nursing assessment is which of the following? A. Identifying the types of accelerations B. Assessing the baseline fetal heart rate C. Determining the frequency of the contractions D. Determining the intensity of the contractions E. Identify degree of flexion of the fetus. 268. A nurse is reviewing the fetal heart rate monitor tracing obtained from a G2P1 client who is in labor. The nurse notes decelerations at unpredictable times in relation to contractions. The nurse suspects which of the following conditions? A. Cephalopelvic disproportion B. Good fetal-well being C. Uteroplacental insufficiency D. Cord compression E. Improper position of the woman. 269. A nurse is assessing four clients who recently gave birth through vaginal delivery. A part of the examination is measuring the fundal height. Which of the following clients needs further evaluation? A. A client who gave birth 24 hours ago; the fundus is 1 fingerbreadth below the umbilicus. B. A client who gave birth one hour ago; the fundus is at the level of the umbilicus. C. A client who gave birth 72 hours ago; the fundus is 2 cm below the umbilicus. D. A client who gave birth 10 days ago; the fundus is non-palpable. E. Client who give birth 2hours ago; fundal level is 3fingers above umbilicus. 270. A nurse is receiving a client who gave birth an hour ago. Which of the following nursing interventions is the first priority action of the nurse during the immediate postpartum period? A. Obtain the client’s blood glucose level. B. Palpate for the height of fundus. C. Order hemoglobin and hematrocrit tests. D. Administer oxygen. E. Check urine analysis 60 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 271. A client had a cesarean delivery. The client informs the midwife that she intends to breastfeed her baby. Which of the following instructions is the most effective for a client who wants to breastfeed after a cesarean delivery? A. ―Use the football hold when breastfeeding.‖ B. “Choose the position that is most comfortable during breastfeeding.” C. “Breast feeding is withheld for the first 12 hours of life.” D. “Breastfeed the newborn every 4 to 8 hours.” E. “Breast feeding is not beneficial for the first 24hrs”. 272. A client at 11 weeks’ gestation complains of severe and extreme nausea and vomiting. During history taking, the midwife learns that the client vomits at least three times a day. An ultrasound is performed and reveals that the client is negative for hydatidiform mole and multiple pregnancy. The midwife suspects a case of hyperemesis gravidarum. The client is admitted for monitoring. Which of the following interventions is considered to be the last appropriate for the client? A. Increase oral intake of fluids B. Administer 3,000 mL of Ringer’s lactate. C. Administer metoclopramide. D. Monitor fluid intake and urinary output. E. Nothing to be taken by mouth. 273. A client at 20 weeks’ gestation asks the midwife if she will be able to breastfeed her baby after birth. The client has a history of type 2 diabetes, which has been well-controlled before and during the pregnancy. The client has a BMI of 34. Which of the following statements by the nurse is the first priority? A. “Whether or not you can breastfeed your baby will depend on your blood glucose levels after birth.” B. ―Mothers with type 2 diabetes are encouraged to breastfeed their babies after birth. Breastfeeding may also lower your need for insulin.‖ C. “You may not breastfeed your baby after birth. Insulin can cross into the breast milk and may cause your baby to develop hypoglycemia. Your baby may be nourished with formula milk.” D. “Breastfeeding is encouraged for women with type 2 diabetes. However, you may need to increase your insulin when nursing.” E. “Breast feeding is not recommended with type 2 diabetes. 61 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 274. A 21-year-old female client comes to the prenatal clinic after a home pregnancy test indicated a positive result. The client informs the midwife that her last menstrual period was on October 28, 2010. Using Nagele’s rule, the client’s expected date of birth is on: A. August 4, 2011 B. July 21, 2011 C. July 4, 2011 D. August 21, 2011 E. September first 2011. 275. A client has just given vaginal birth to an eight-pound baby boy. A few minutes after the delivery, the midwife observes lengthening of the umbilical cord and a gush of vaginal blood. The nurse interprets these observations as: A. Signs of hemorrhage. B. Signs of placenta previa. C. Signs of placental separation. D. Signs of retained placental fragment. E. Signs of abruption placenta 276. A client with a multiple pregnancy is scheduled for cesarean delivery and is transported to the delivery operating room. The nurse reminds the staff nurse to position the client in which of the following positions in the operating room? A. Left side-lying position B. Semi-Fowler position C. Supine position, with a wedge placed under the right hip. D. Supine position, with thighs raised. E. Trendlburge position. 277. A nurse is reviewing the laboratory tests of a client who is in labor. The laboratory findings include a hemoglobin level of 10 g/dL and a hematocrit concentration of 34%. The midwife is correct if she determines that the client is at risk for which of the following during the postpartum period? A. Anemia B. Increased cardiac output C. Postpartum infection D. Hemorrhage E. Increased urinary output. 62 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 278. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the health care provider (HCP)? A. Urinary output has increased. B. Dependent edema has resolved. C. Blood pressure reading is at the prenatal baseline. D. The client complains of a headache and blurred vision. E. Weight gain of 300 grams\week 279. A client in labor is administered with an anesthetic through the spinal subarachnoid space. Which of the following actions by the nurse is considered the last appropriate when managing the client? A. The midwife maintains the client flat on bed for 8 to 12 hours. B. Inform the client that headaches may occur. C. Monitor the client for hypertension. D. Administer IV fluids. E. Ambulate the client immediately. 280. A 37-year-old female patient who is 36 weeks pregnant is diagnosed with mild preeclampsia. The nurse will include what information in the patient’s education should be included? A. Report weight gain of > 1kg in one week to physician B. Do not incorporate foods like eggs, nuts, fish, meat in your diet C. Follow a salt diet D. Headache and vision changes are expected side effects of this condition and cause no reason for concern to report. E. Monitoring urine protein at home is not necessary 281. Mrs. Soad is pregnant For the Second time, her First pregnancy ended in a Spontaneous abortion at 12 wks , the correct terms used to describe Mrs. Soad obstetric history would be: A. Primigravida – Nullipara. B. Primigravida – Primipara. C. Multigravida – Primipara. D. Multigravida – Nullipara. E. Multigravida- 2nd Para. 63 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 282. Who should take the responsibility to resolve the customer's complaint? A. The Manager B. The cashier C. The Operations Manager D. The General Manager E. The Head of Department 283. The system that implemented for nurses in in-service training programs is: A. Straight shift B. The 10 hours shift C. The 12 hours shift D. Irregular hours scheduling pattern E. The 24 hours shift 284. The system of time planning at unit level A. Block scheduling B. Centralized scheduling C. Cyclical scheduling D. Decentralized scheduling E. Personnel scheduling 285. The instructions given to acquaint the member with organizations overall purpose and function. Which one of the following refers to it? A. Orientation program B. Induction program C. Skill training program D. Continuing education program E. Leadership training 286. Administrative tools used to classify information and prevent duplication of information, and using in administrative education. What did this statement refer to? A. Documentation B. Record C. Report D. Charting E. Plan 64 | P a g e  ( Mysteries Team ) ‫ تمريض المنصورة‬62 ‫دفعة‬ " ‫"خير الناس انفعهم للناس‬ 287. What is the systematic method of appraising the worth of each job in relation to all other jobs in the same organization? A. Job rotation B. Job evaluation C. Job enlargement D. Job enrichment E. Job analysis 288. Establishment of objectives with minimum resources in extraordinary circumstances. Which one of the following? A. Efficacy B. Efficiency C. Effectiveness D. Productivity E. Affectiv