الله يعين اللي عندهم اختبار الهيئه تخصص تمريض لان من جد متعب
واللي يبي اي شي انا موجوده وانشاء الله اخدمكم
وهذي مجموعه من اسئلة الهيئه المتكرره
83-Mr. Baker is to receive penicillin IM. Nurse hill locates the site of the injection by planning the posterior superior iliac spine & the greater trochanter . An imaginary line is drawn the posterior superior iliac spine & the greater trochanter . The injection side is lateral & slightly superior to the midpoint of the line . Which of the following is correct name of the site?
1. dorsogluteal site.
2. rectus femoral site.
3. ventrogluteal site
4. vastus lateralis
84-Which of the following is the reason for using the Z tract technique for injections ?
1. for medication of over 5cc in quantity
2. for medication that is highly irritating to subcutaneous tissue
3. for medication that stains the tissue
4. for medication that cannot be given orally
85-Which of the following orders is complete :-
1. ampicillin 250mg IM q12hrs x 10 days
2. Maalox 30 cc po
3. humulin R insulin SQ in AM & noon
4. OPV (oral polio vaccine) 0.5 cc
86-Mrs. Kelly tells the nurse that her arm is sore from an injection she received early in the day. She states “the nurse gave me a shot, and I heard her say that the needle was a 25 gauge. Isn’t that too big for a local injection?” . Your best response would be:
1. “ a 25 gauge needle is a small needle , but it can cause som discomfort . let me see your arm .”
2. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . you are over –reacting to the shot “
3. a 25 gauge needle is very small . you are just nervous about the injection.”
4. a 25 gauge needle is very small. So you are wrong about the pain from the injection.”
87-Just prior to pouring a dosage of Mylanta Liquid , you will :
1. pour without shaking the bottle
2. rotate the bottle gently , side to side
3. turn the bottle end – over – end , top to bottom .
4. vigorously shake the bottle
88-Mrs. Davis has a written order from her physician for Demerol 100 mg stat . Which of the following best explain this order?
1. give it needed
2. give once when needed .
3. give once immediately
4. give once when specified
89-While checking Mr. Appendectomy’s vital signs , he requests his “ medication for the pain in my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the Morphine sulfate injection at this time due to witch vital signs reading ?
1. blood pressure
2. pulse
3. respiration
4. Temperature
90-Mr. Mulligan, LPN , IS Mrs. Rooney’s primary nurse & is working the 8:00 AM to 4:00 PM shift . the next four questions refer to this situation .
At 10:10 AM nurse Mulligan brings Mrs. Rooney her 10:00 AM medication.
Mrs. Rooney says, [ oh, I’ve already had those little red pills once this morning ; do I really need more ? ] . What would be most appropriate response by nurse Mulligan ?
1.“ I checked your medication very carefully , Mrs. Rooney , but to make sure these are right , I’ll check the chart one more time
2.” I checked & double checked your medication orders and I’m sure I’m right, pleas take them”
3. let me check with the doctor . I’ll be right back “
4. “ I think these are correct, but to make sure , I’ll discuss this with the head nurse “
91-20 minutes after receiving her noon dose of oral medication , Mrs. Rooney vomits . To assure accuracy in medication administration the first thing nurse Mulligan should do is to :-
1. report the situation to the head nurse
2. contact the physician
3. administer another dose of medication
4. examine the vomits for signs of medication
92-At 9:45 PM nurse sheener , Mrs. Rooney evening nurse arrives with sleeping medication . nurse sheener is a summer nursing student & doesn’t know any of the individuals on the unit . how should nurse sheener determine that she is giving the right medication to the right individual ?
1. examine the individual’s name posted outside the door .
2. say : “Mrs. Rooney , I’ve your medication .”
3. ask : are you Mrs. Rooney ?”
4. say : “ I’m nurse sheener . What is your name “
93-Nurse sheener explain to Mrs. Rooney that she has sleeping medication? Mrs. Rooney says “ I don’t want to take that now . I want to finish watching this TV show.” nurse sheener should:
1. ask Mrs. Rooney to put on her call light when she is ready fore the pill .
2. leave the pill at the bedside so Mrs. Rooney can take it when the TV program is over .
3. insist Mrs. Rooney take the sleeping pill at ,once
4. discard the medication
94-You arrives in Mr. Rich’s room with the ASA [ aspirin ] he requested for the headache . you find him in the bathroom . you are very busy & don’t have time to wait . You should:
1. tell him you will return and take the medication with you
2. ask him to com out of the bathroom immediately
3. ask his roommate to give him the ASA
4. leave the medication on the over-the-bed table since ASA is a nonprescription drug .
95-The medication order is for indomethacin . p.o 50mg , bid , this drug is irritating to the stomach mucosa . for this reason the nurse should :
1. give the medication one hour before meals .
2. give the medication 2 hour after meals .
3. ask the physician for an IV preparation
4. have food available when administering the medication
96-You are preparing to administer Mrs. Carter’s eye drops . the correct position for her to assume would be :
1. head titled forward , placing the drops in the conjunctival sac.
2. head titled backward , placing the drops in the lower conjunctival sac.
3. head titled forward , placing the drops directly on the eyeball .
4. head titled backward , placing the drops directly on the eyeball.
97-To instill drops in the adult patient , the ear canal is opened by pulling the ear :-
1. up and back
2. down and back
3. up and forward
4. back and forward
98-The physician orders heparin 7500 u subq . q12hr . for your post-operative patient . Heparin 5000 u per ml is available . give …………….
99-The nurse is giving heparin subcutaneously. Which needle should the nurse use?
1. 19 gauge , 1 ½ inch
2. 21 gauge , 1 inch
3. 22 gauge , 1 ½ inch
4. 25 guage , 5/8 inch
100-The nurse correctly administer an IM injection a ……………… degree angle
1. 15
2. 30
3. 45
4. 90
101-Which of the following is true concerning a SC injection:-
1. a bleb indicates that the medication has been properly injected
2. drug absorption is slower than with the IM route .
3. 0.2 cc of air should be drawn in the syringe before administration
4. up to 2 cc of water-soluble medication can be given by the SC route .
102-When giving medication , the label should be checked 3 times . Which of the following is not one of these times?
1. when the nurse reaches for the container
2. immediately prior to pouring medication
3. when the nurse located the drug on the shell
4. when replacing the container to the drawer or shelf .
103-What body function is essential for adequate drug absorption?
1. adequate blood supply
2. adequate receptor sites
3. adequate liver function .
4. adequate kidney function
104-Mr. Baker is to receive penicillin IM . nurse hill locates the site of the injection by planning the posterior superior iliac spine & the greater trochanter . an imaginary line is drawn the posterior superior iliac spine & the greater trochanter . the injection side is lateral & slightly superior to the midpoint of the line . which of the following is correct name of the site ?
1. dorsogluteal site.
2. rectus femoral site.
3. ventrogluteal site
4. vastus lateralis
105-Which of the following is the reason for using the Z tract technique for injections ?
1. for medication of over 5cc in quantity
2. for medication that is highly irritating to subcutaneous tissue
3. for medication that stains the tissue
4. for medication that cannot be given orally
2
106-Which of the following orders is complete :-
1. ampicillin 250mg IM q12hrs x 10 days
2. Maalox 30 cc po
3. humulin R insulin SQ in AM & noon
4. OPV ( oral polio vaccine ) 0.5 cc
107-Mrs. Kelly tells the nurse that her arm is sore from an injection she received early in the day . she states “ the nurse gave me a shot , and I heard her say that the needle was a 25 gauge . isn’t that too big for a local injection ?” . your best response would be :
1. “ a 25 gauge needle is a small needle , but it can cause som discomfort . let me see your arm .”
2. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . You are over –reacting to the shot
3. a 25 gauge needle is very small . you are just nervous about the injection.”
4. a 25 gauge needle is very small. So you are wrong about the pain from the injection.”
108-Just prior to pouring a dosage of Mylanta Liquid , you will :
1. pour without shaking the bottle
2. rotate the bottle gently , side to side
3. turn the bottle end – over – end , top to bottom .
4. vigorously shake the bottle
109-Mrs. Davis has a written order from her physician for Demerol 100 mg stat . which of the following best explain this order ?
1. give it needed
2. give once when needed .
3. give once immediately
4. give once when specifie
110-While checking Mr. Appendectomy’s vital signs , he requests his “ medication for the pain in my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the Morphine sulfate injection at this time due to witch vital signs reading ?
1. blood pressure
2. pulse
3. respiration
4. temperature
111-Prior to administering a Lanoxin preparation , you take an apical pulse rat on Mr. M . Infarction and fined the rate to be 52 .the most appropriate nursing action would be to:-
1. administer one- half the dosage order
2. give the drug as ordered
3. give one- half of the tablet now and the other one- half tablet in two hours
4. Withhold the drug and report the team leader .
112-While preparing a dosage of FIORINAL#3 , you accidentally drop a tablet on the floor . You would most appropriately :
1. blow it off and go ahead and administer it
2. have another medication nurse witness destruction and sign the control book .
3. return the tablet to the pharmacy for “ decontamination “
4. throw the tablet in the trash can and prepare another dose .
5. wash it off under running water , dry it with a paper towel and administer it
113-Mr. Construction worker has been given a prescription which contains “ Phenobarbital “ to be taken as an out patient . when doing patient teaching about this drug’s action . you will be sure to tell him that :
1. “ drowsiness is common while taken this drug , so don’t drive or operate machinery “
2. “ dryness of throat and mouth is frequent , so be sure to drink extra fluids during every waking hour .”
3. frequent voiding is an action of this drug , so be sure to take it in the morning so you won’t be up all night going to the bathroom .”
4. your stool may begin to appear black and tar-like a few days after you begin on the drug . “
114-After withdrawing the needle from the tissue when administering an ID injection you :-
1. apply firm pressure to the site with your thumb .
2. do not rewipe the site
3. gently wipe the site
4. massage the site vigorously
115-Mr. Harvey , age 54 , is admitted with a diagnosis of congestive heart failure secondary to chronic obstructive pulmonary disease [COPD] . the physician orders sublingual nitroglycerin , 0.4 mg p.r.n , for chest pain , whine administering the nitroglycerin , the nurse should :-
1. tell Mr. Harvey to hold the tablet under his tongue and let it dissolve .
2. tell Mr. Harvey to swallow the tablet with water .
3. apply nitroglycerin ointment to Mr. Harvey’s chest .
4. mix the nitroglycerin with applesauce for Mr. Harvey to eat
116-Asking the patient if he is allergic to any medication is a part of the ……………
phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation
117-Teaching the patient about the medication is a part of the ……………
phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation
118-A nurse is unable to read the label on a bottle of liquid medication because the label is stained from spillage . the nurse knows that the correct procedure is to :-
A. ask the charge nurse to verify the medication in the bottle and apply a new label .
B. smell and test the medication and apply a new label if certain of the contents.
C. empty the contents down the drain and notify the charge and the pharmacist.
D. Send the bottle back to the pharmacy to be relabeled
119-You are teaching Mrs. Keller to give own insulin. Her orders read NPH insulin 30 u , and regular insulin 10 u daily . Which of the following would be correct twchnique for mixing insulin: -
A. Inject 10 units of air into the regular insulin. Remove the needle without touching the insulin. Inject 30 units of air into the NPH insulin. Withdraw 30 units of NPH. Inject the needle into the regular insulin and remove 10 units. Rotate the syringe to mix and give to client.
B. injects 30 units of air into the NPH insulin. Remove the needle, not allowing the needle to touch the insulin. Inject 10 units of air into the regular insulin bottle and remove 10 units. Insert the needle into the NPH bottle and remove 30 units rotate the syringe to mix and give.
C. Inject 10 units of air into the NPH bottle and remove 10 units of NPH. Inject 30 units of air into regular insulin rotate the needle to mix and give.
D. Inject 30 units of air into the bottle of NPH insulin and remove 30 units of insulin. inject the needle into the regular insulin bottle and remove 10 units of regular insulin . rotate the syringe to mix and carefully give .
120-You are giving an injection of Morphine 3 mg & Tigan 199 mg IM to an elderly debilitated client. He has sacral edema with extensive bruising of the buttocks & the ventral gluteal areas which of the following sites is the best choice for injection ?
A. Deltoid site using the Z-tract method.
B. Dorsal gluteal , since the volume is over 2 ml .
C. Vastus lateralis using a 22 gauge 1 inch needle .
D. Abdomen using a 5/8 inch needle .
121-Medications which are labeled [ otic ] are specific for use in \\ on the :-
A. Eyes
B. Ears
C. Nose
D. Throat
122-Mr. Walker will receive regular insulin . The nurse monitors for the onsite of action in approximately ------------
A. 5 to 10 minutes .
B. 150to 20 minutes
C. 30 to 60 minutes
D. 1 to 2 hours.
123-Is it necessary for the nurse to wear gloves during administration of an intermittent feeding through a G-tube ?
A. yes , because it is a sterile procedure .
B. yes , because universal precautions must be maintained .
C. no , because it is not a sterile procedure .
D. no , because there is no danger of contact with body fluid if the procedure is performed correctly .
124-To prepare the skin for injection the nurse would use :
A. friction with back and forth motions at the site with alcohol swab .
B. friction and alcohol swab moving from outer edge to center of site .
C. friction and alcohol swab with circular motions and palpate site gently with finger pad before injection .
D. friction and circular motions with alcohol swab from center of site outward.
125-IM injection into the deltoid muscle should be limited to :-
A. 2.5 ml of solution
B. 2 ml of solution
C. 1 ml of solution
D. 0.5 ml of solution
126-A primary concern when giving heparin SC is to prevent :
A. pain and bruising .
B. pain and bleeding
C. bleeding and bruising
D. injecting a vein .
127-The type of needle selected for the ( dorsogluteal ) intramuscular ( IM ) injections would be based on :-
1) the size of the patient [ e.g., obese versus debilitated ]
2) the viscosity of the antibiotic .
3) the position of the patient .
4) the volume of medication .
A. 1,2,3,4
B. 1,2,3
C. 2,3,4
D. 1,2
128-The largest gauge needle of the following is :-
A. 19 gauge
B. 20 gauge
C. 21 gauge
D. 22 gauge
129-The nurse needs to give an injection to 5-year-old Shawn . Which of the following approaches by the nurse is appropriate?
A. “Shawn I need to give you a shot. Which one of your arms should I give it in ? “
B. “Shawn , is it ok if I give you a shot now ?”
C. “Shawn , I have a hypodermic injection to administer to you now “
D. “Shawn, I have a shot to give you . be a big boy and don’t cry “
130-Mr. Bell is an 80 year old , man , admitted to the hospital with a urinary tract infection UTI . Which of the following should the nurse understand when giving medications to this client ?
A. larger doses of most medications will be required by Mr. Bell because of absorption problems.
B. increased plasma binding decreases the possibility of drug toxicity in Mr. Bell.
C. drugs are excreted more slowly from the body as a result of changes in Mr. Bell kidney function.
D. urinary antiseptics are of little value to Mr. Bell because of his age.
131-Optimum normal urine out put hourly to an adult :
A. 10cc
B. 25cc
C. 50cc
D. 100cc
132-Scurvy is a deficiency of :
A. Vit a
B. Vit b
C. Vit c
D. Vit d
133-Specific gravity of urine to have a normal fluid balance
A. 1.005
B. 1.015
C. 1.030
D. 1.020
134-Normal intra-ocular pressure
A. 15-20mmhg
B. 20-25 mmhg
C. 30-35mmhg
D. 10-15mmhg
135-12 hours after delivery the fundus is at the level of
A. one fingerbreadth below the umbilicus .
B. one fingerbreadth above the umbilicus .
C. at the level of umbilicus.
D. Below syphilis pubis
136-In dystocia the ,mother should be watched for :-
A. Post partum haemorrhage .
B. Hypertension .
C. Cord proplase .
D. fetal death.
137-In the first trimester of pregnancy the vaccination to avoid :-
A. polio
B. rubella .
C. measles.
D. small pox.
138-In fetal circulation , the oxygenated blood placenta travels via :-
A. umbilical artery
B. umbilical vein .
C. doctus arteriosus .
D. ductus venosus .
139-Normal PH for blood :-
A. 7.0
B. 7.4
C. 8.0
D. 8.4
140-First stage of labor ends with :-
A. pain occurs .
B. dilation of cervix 10 cm
C. delivery of the baby
D. delivery of the placenta
141-An electrolyte deficiency that affect the heart muscular activity :-
A. k
B. cal
C. Na
D. mg
142-Patient with hemopneumothorax had a ICD ( inter costal drainage ) in the right side what position the patient should be to promote drainage ?
A. left side [ unaffected ]
B. right side [ affected ]
C. semi sitting
D. leg raised
143-Coagulation of blood :-
A. Vit E
B. Vit K
C. Vit A
D. Vit C .
144-Patient receiving an anticoagulant must be watched for :-
A. Bleeding of the nose
145-To detect what organism causes tonsillitis in children :-
A. Throat culture
B. Nasopharynges culture
C. Blood culture .
D. Sensitivity test .
146-The most vital immediate observation to a new born baby is :-
A. Cardiac rate
B. Respiration rate .
C. Color
D. Tone
147-Signs of dehydration :-
A. Loss of skin turgor .
B. Low body temperature
C. High body temperature
D. Sweating
148-Most of the metabolic changes of drugs occur in :-
A. Liver
B. Lungs
C. Stomach
D. Circulation
149-Common cause of death in burns :-
A. Hemorrhage
B. Neurogenic shock
C. Sepsis
D. Hypovolemic shock
150-The difference in close & open fracture is that , in open fracture you have to watch for :-
A. Infection
B. Hemorrhage
C. Inflammation
D. Pain
151-A wound is inflamed if there is :-
A. Redness
B. Pain & swelling
C. Pus
D. Tenderness
152-Epinephrine is not given via :-
A. IV
B. Orally
C. Parentally
D. Intracardiac
153-Immuno-deficiency :-
A. Protective isolation
B. Enteric and body fluid isolation
C. Respiratory isolation .
154-To detect the effectiveness of a resuscitation [CPR] :-
A. Constricted pupils
B. Dilated pupils
C. Non-reacting pupils
D. A symmetrical pupils
155-Ultra sound :-
A. To detect fetal position
B. To detect diameter of fetal head
C. To detect placenta abnormalities
D. All of the above .
156-To prevent oral mucosa infection q4h, instruct patient to use :-
A. Warm saline gargle
B. Glycerin oil
C. Antibiotic
D. Warm gargle with mineral oil
157-Glomerula nephritis :-
A. Urea
B. Creatinine
C. Uric aid
D. Cholesterol
158-One of the vital care after cholecystectomy :-
A. Bed rest
B. Low fat diet
C. Low Cholesterol diet
D. Low protein diet
159-Pulmonary tuberculosis :-
A. To start anti TB drugs as prescribed
B. Detection of possible contacts
C. Scrupulous screening .
D. All of the above
160-X-ray of upper GI tract , the nurse should instruct the patient to take :-
A. Laxative previous day
B. NPO 8-12 hours
C. High fat diet
D. Normal diet
161-IN ORDER TO ADMINISTER 5 ML SYRUP TO PATIENT , WE USE A :-
A. ½ tsp
B. 1 tsp
C. ½ table spoon
D. 1 table spoon
“ tsp == tea spoon”
162-In case of penetrating abdominal injury :-
A. hemorrhage
B. peritonitis
C. infection
D. hypovolemic shock
163-A very serious complication of hysterectomy :-
A. vaginal pain
B. vaginal discharge
C. abdominal distention
D. no urine out put
164-Deep breathing and coughing exercise done :-
A. at angle of 90 degree
B. angel 45 degree
C. lie laterally
D. semi-fowler’s position
165-Patient with spinal cord injury must be :-
A. not to move at all
B. log rolled
C. turn the back with support in the head
166-After spinal anesthesia , watch for :-
A. hypotension / headache
B. fowler’s position to the optimum
C. numbness of extremities
D. analgesic
167-The cure for chronic renal failure is :-
A. dialysis
B. kidney transplant
C. diuretics
D. force fluids
168-Hypoglycemia :-
A. dizzy
B. headache
C. filthy odor
D. vomiting
169-28 days menstrual cycle . ovulation takes place :-
A. 16-18 days
B. 12-16 days
C. 10-13 days
D. 15-20 days
170-Acetyl salycilate [ aspirin ] immediate side effect :-
A. tinnitus
B. nausea & vomiting
C. abdominal pain
D. vomiting & diarrhea
171-Digoxin can be with held to a patient with an apical pulse rate of below :-
A. 45
B. 60
C. 70
D. 80
172-The best time to collect urine for culture :-
A. early morning awaking sample .
B. 30 minutes after voiding
C. 30 minutes after fluid
D. double voided
173-Organism inter blood stream :-
A. CNS
B. Urinary tract
C. Peritoneal cavity
D. Respiratory tract
174-Prothrombin – fibrin activator :-
A. Vit k
B. Ca
C. Vit c
D. Vit d
175-Hepatitis infects via :-
A. Oral
B. Sharing needles
C. Contaminated food
176-The postpartum patient should be watched closely during the first hours after delivery for :-
A. Uterine contraction
B. Vaginal bleeding
C. Hypotention
D. All of the above
177-Evaluation of the skin of a neonate for adequate hydration is best don by observing the skin :-
a. Color
b. Elasticity
c. Ton
d. Moisture
178-The child with cerebral palsy usually diagnosed :-
A. In the early months
B. When the child begins to walk
C. When the child begins to play
D. When the child enter school
179-The child with rubella should stay at home until :-
A. The rash appears
B. The rash disappears
C. One week after The rash disappears
D. The temperature is normal .
180-When caring for the elderly skin, special care must be taken because the skin becomes:-
A. More dry
B. Less elastic
C. More vascular
D. All of the above
181-The major goals for the burn patient in the first 48 hours after burn, is that the patient
A. Has fluid and electrolyte balance maintained
B. Develops no contractures
C. Dose not develop hyperthermia
D. Develops minimal scarring
182-After a mastectomy , a patient returns from surgery with a portable suction unit in place & a dry sterile dressing covering the site of incision . when observing this patient for signs of bleeding , the nurse should :-
A. inspect the bed clothes under the axillary area for signs of drainage .
B. turn the client on the affected side to inspect for blood that may flow backward
C. empty the measure output in the portable suction unit hourly
D. reinforce the operative site with a pressure dressing and observe if any drainage appears on the dressing .
183-The normal fasting blood glucose rang mg per 100 ml . of venous blood is
1. 60-80
2. 80-120
3. 100-150
4. 100-200
184-Before irrigating a client’s NGT the nurse must first :-
1. assess breath sounds
2. instill 15 ml. Of normal saline
3. ausculate for bowel sounds
4. check the tube for placement
185-The best method of preventing the spread of infection is :-
1. isolating all patients suspected of having an infection
2. wearing rubber gloves when performing all nursing procedures
3. washing the hands thoroughly before & after each contact with a patient
4. sterilizing the hands with strong germicide at least once a day
186-Which of the following is not an abnormal finding in a routine urine analysis ?
1. ph 60
2. pus
3. RBCs
4. protein
187-when caring for a client who has an open reduction and internal fixation of hip , the nurse encourages active leg and foot exercise of the unaffected leg every 2 hours to help to :-
1. reduce leg discomfort .
2. maintain muscle strength .
3. prevent formation of clots .
4. limit venous inflammation .
188-when administering an antibiotic or a vaccine , the nurse must be alert for the possibility of :-
1. Overdoses and CNS depression
2. hypersensitivity and possible anaphylaxis
3. sings of increasing infection
4. orthostatic hypotension
189-Immediately after a child is admitted with acute bacterial meningitis,the nurse should plan to :-
1. assess the child’s vital signs every 3 hours
2. administer oral antibiotic medication as ordered
3. check the child’s level of consciousness every hour
4. restrict parental visiting until isolation is discontinued
190-when assessing the unconscious victim for pulselessness , which of the following is the best artery to chick :-
1. radial
2. femoral
3. brachial
4. carotid
191-Common signs and symptoms of jaundice include:-
1. ascites
2. dermatitis
3. icteric sclera
4. dark-colored stools
192-Patient with head injuries are not given sedative because these drugs may :-
1. Produce coma
2. depress the patient’s respiration
3. mask the patient’s symptoms
4. lead to cerebral hemorrhage
193-In treating puncture wounds , the first priority is to :-
1. stop the bleeding
2. cleans the wound
3. give prophylactic treatment aginst tetanus
4. remove the object from the wound
194-Ones the bleeding site has been determined , the first emergency measure to institute during hemorrhage would be to :-
1. apply a firm – pressure dressing
2. apply direct , firm – pressure over the bleeding area or the artery involved
3. apply a tourniquet just proximal to the wound
4. elevate the extremity
195-Nursing measures that can be used to lower core body temperature include :-
1. Immersing the patient in cold water
2. Placing the patient on a hypothermic blanket
3. administering chilled saline enemas
4. all of the above measures
196-The female hormone that induces changes in endometrium to prepare uterus for implantation of a fertilized ovum and maintenance of a pregnancy is called :-
1. aldosterone
2. testoterone
3. progesterone
4. estrogen
197-For a hearing – impaired client to hear a conversation , a nurse should :-
1. use a louder tone of voice than normal
2. use visual aids such as the hands and eyes when speaking
3. approach a client quietly from behind before speaking
4. select a public area to have a conversation
198-When dealing with a client with aphasia , the nurse should remember to :-
1. wait for him to communicate
2. speak loudly to ensure that the massage is received
3. speak from the client’s side to avoid overload
4. encourage writing of massages
199-Immunization should be started when child is :-
A. 6 months
B. 2 months
C. 1 months
D. 1 week
200-The most reliable method used for sterilizing hospital equipment to be free of spores and bacteria is :-
A. soaking in strong chemical
B. washing and drying it thoroughly after use
C. applying steam under pressure in an autoclave
D. boiling the equipment
201-Nursing care of a child admitted with acute glomerulonephritis , should be directed toward :-
A. forcing fluids
B. promoting diuresis
C. enforcing strict bed rest
D. eliminating sodium from diet
202-The nurse empties a portable wound suction device when it is only half full because :-
A. it is easier and faster to empty the unit when it is only half full
B. this facilitates a more accurate measurement of drainage output .
C. their negative pressure in the unit lessens as fluid accumulates in it , interfering with further drainage
D. as fluid collects in the unit it exerts positive pressure , forcing drainage back up the tubing and into the wound .
203-A patient develops a small decubitus ulcer on the sacral area . the nurse should plan to deal with this problem by :-
A. keeping the area dry
B. applying moist dressing
C. providing a low caloric diet
D. keep the patient on the right side
204-When administering heparin , the substance the nurse would keep available as the antidote is :-
A. magnesium sulphate
B. protamine sulphate
C. calcium gloconate
D. vitamin k
205-The main effect of excess calcium on the myocardium is :-
A. spastic contraction
B. cardiac flaccidity
C. tetany
D. bradycardia
206-Which of the following vitamin increase the retention of calcium and phosphorous ions in the blood :-
A. Vit A
B. Vit B12
C. Vit. D
D. Vit C
207-If a SC injection is in to which level of tissue must the solution be released :-
A. Epidermis
B. Dermis
C. Subcutaneous
D. Any of the above
208-A critical nursing measure to employ with a patient on any sulphonamide drug is to :-
A. Monitor blood pressure every 30 minutes
B. Force fluids
C. Watch for tinnitus.
D. Monitor electrolytes
209-The primary cause of decubitus ulcer is :-
A. Excessive perspiration
B. Pressure on bony area
C. Poor nutrition and inadequate fluid intake
D. Inability to control voiding
210-Contra indications to the use of anticoagulant include :-
a. Blood dyscrasias
b. Liver or kidney disease
c. Peptic ulcer
d. All of the above conditions
211-Progesterone is primarily used for the treatment of :-
A. Hypertension of pregnancy
B. Abnormal uterine bleeding
C. Unovulation
D. Hypermenorrhagia
212-The average daily amount if water eliminated from the kidneys as urine is :-
A. 500 cc
B. 1500 cc
C. 2000 cc
D. 1200 cc
213-Surgical patients should be taught to perform leg exercises for the main purpose of :-
A. preventing muscle atrophy
B. preventing joint degeneration
C. improving circulation
D. preventing boredom
214-When a patient is vomiting post-operatively , the most important nursing objective is to prevent :-
A. dehydration
B. aspiration
C. rupture of suture line
D. metabolic acidosis
215-Which of the following is an appropriate diet for a patient with congestive heart failure :-
A. low-calorie , high-residue diet with no caffeine
B. low-calorie , low- residue diet with low Na
C. high-calorie , low-fat , low-protein diet
D. high –protein , no fat , no carbohydrate diet
216-To obtain a truly estimation of the patient’s average blood pressure , your nursing assessment should include :-
A. only one blood pressure reading
B. serial reading , which should be taken at the same time each day for 7 days
C. serial reading , which should be taken every 2 hours over an 8 hour period for 2 days
D. blood pressure reading on both arms should be taken sitting and standing once a day for 2 days
217-Dietary control of patients with ulcers should include :-
A. taking antacids every hour
B. increase roughage in the diet
C. eliminate highly seasoned food
D. increasing amount of carbohydrate
218-During physical examination , the part of the kidney may be felt on deep palpation is :-
A. lower pole of the right kidney .
B. lower pole of the left kidney .
C. entire right kidney .
D. right and left kidney
219-The major nursing goals post-operative care of the cataract patient is to :-
A. prevent hemorrhage and stress on the sutures
B. prevent hemorrhage and eye stress .
C. prevent increased intro-ocular pressure and to promote better visual acuity
D. promote decreased intro-ocular pressure and to maintain a visible lens .
220-Which of the following lab. test must be done on a patient with major burns , prior to administration of antibiotics :-
A. complete blood account
B. wound culture
C. type and cross match
D. sensitivity studies
221-For how many days after a facial wound are sutures usually left in place ?
A. 3 days
B. 10 days
C. 14 days
D. 7 days
222-To control bleeding from the radial artery , pressure to be applied directly above the :-
A. Thumb on the flexor surface of the arm .
B. Thumb on the extensor surface of the arm .
C. Little finger on the flexor surface of the arm .
D. Little finger on the extensor surface of the arm .
223-All patients taking tranquilizers must be warned that they may feel :-
A. Anxious
B. Nauseated
C. Clumsy
D. Drowsy
224-Which of the following indicates placental separation after delivery :-
A. A globular – shaped uterus
B. A sudden rise of the funds
C. A sudden gush of blood
D. All of the above signs
225-If a patient whose membranes ruptures during labor and prior to descent of the head , the nurse must assess the patient fore :-
A. Hemorrhage
B. Pain
C. Cord prolapsed
D. Uterine inertia
226-A must important nursing measure in the prevention of thrombophebitis for the post-partum patient is :-
A. Elastic stocking
B. Early ambulation
C. Anticoagulant
D. Isometric exercise
227-As a child increases age , cardiac and respiratory rate should :-
A. Increase
B. Decrease
C. Remain unchanged
D. Stabilize at the adult level
228-An excellent diet suggest for an elderly patient is :-
A. High-calorie , low-fat , high carbohydrate diet
B. low-calorie , low-fat , lot of fruits and vegetables
C. High-calorie , high-fat , high protein diet
D. low-calorie , high-fat , high protein diet
229-In opened and close fracture , the nurse should be aware of which of the following when open fracture is presented ?
A. mal-alignment
B. infection
C. bleeding
D. pain
230-Nursing consideration for a child with osteomyelitis should include :-
A. relieving of pain
B. maintaining antibiotic therapy
C. maintaining adequate nutrition
D. all of the above
231-How long should the affected extremity be kept elevated after the application of cast ?
A. until the cast is dry
B. when the leg is no longer painful
C. for 24 hours after casting
D. for 72 hours after casting
232-When the skin , whole epidermis , dermis and the underlying structures are affected in a burn , it is called :-
A. first degree burn
B. second degree burn
C. third degree burn
233-The most common and serious complication of burns that often lead to death is :-
A. hypovolemic shock
B. hypothermia
C. sepsis .
D. infection
234-Before giving antibiotic to a burn patient which of the following should be done first:-
A. wound culture
B. blood tests
C. wound dressing
D. sensitivity testing .
235-When the patient is diaphoretic , there is tachycardia and decrease blood pressure , he is experiencing :-
A. neurogenic shock.
B. Hypovolemic shock
C. Hypothermia
D. Septicemia
236-What type of isolation precaution is indicated for a burn patient ?
A. Standard precaution
B. Reverse isolation
C. Proper isolation
D. Disposal of sharps
237-Which is the best aid to prevent breast cancer ?
A. Teaching women how to perform self breast exam
B. Public knowledge about chemotherapy
C. To eat fruits and vegetable only
D. Encourage women to perform self breast examination monthly
238-In cute stage of osteomyelities , the child should be :-
A. Confined to bed .
B. Up with crutches .
C. Up in a wheelchair
D. Up and about
239-Which one should the nurse monitor first in an infant ?
A. Respiratory rate
B. Cardiac rate
C. Pulse rate
D. Motor functioning
240-When assessing neonates hydration , the nurse should check for the skin’s :-
A. Elasticity
B. Tone
C. Moisture
D. Color
241-Cerebral palsy can be detected in which of the following stage of child’s life ?
a. During the early months
b. When the child is walking
c. When the child is playing
242-What is the normal weight of the new born according to statistics ?
A. 3700 gms
B. 3200 gms.
C. 2500 gms
D. 4500 gms
243-When the head of the baby is already out in a cervix , the nurse should do which of the following first ?
A. ask the mother to push more
B. check if the baby is breathing
C. wait for the baby to come out
244-FHR is heard clearly on fetal :-
A. head
B. back
C. abdomen
245-Soon after the delivery of head of the baby the nurse should :-
A. suction mouth and oral cavity
B. wait for the delivery of the baby
C. ask her to push
246-Normal birth weight of newborn according to statistics :
A. 2.500 gm
B. 3.200 gm
C. 3.500 gm
D. 3.700 gm
247-The fetus will get immunity from :-
A. lymph system
B. placenta
248-Diet and nutritional status of pregnancy should be encouraged :-
A. first trimester
B. second trimester
C. third trimester
249-Precaution of infection diseases in early childhood ?
A. immunization
B. isolation technique
C. parental education
250-When the bag of water ruptures , the nurse should watch for which of the following :-
A. cord prolapse
B. bleeding
C. fetal death
D. fetal distress
E. respiratory distress
251-During labor a mother experienced dystocia , which of the following should the nurse watch out for ?
A. fetal death
B. hemorrhage
C. cord prolapse
252-Which are the signs of placenta separation ?
A. rising of the fundus
B. sudden gush of blood
C. globular shape of the uterus
D. all of the above
253-During hyperthermia which of the following should be done as measure to lower the temp. of the baby ?
A. immerse baby in cold water
B. give cold enema
C. external cooling measures
D. all of the above
254-When is health teaching concerning nutrition be given to a pregnant woman ?
A. first trimester
B. second trimester
C. third trimester
255-Premature labor occurs during :-
A. between 20-36 weeks
B. between 36-42 weeks
256-Which of the following hormones prepares the uterus for the arrival of a fertilized ovum for implantation ?
A. progesterone
B. estrogen
C. FHS
D. NON OF THE ABOVE
257-What is the most common complication after hysterectomy ?
A. Abdominal distention
B. Hemorrhage
C. Vaginal pain
D. Vaginal discharge
258-When dose ovulation occur?
A. Between 10-12 days
B. Between 12-16 days
C. Between 18-21 days
259-Diphtheria vaccine is being given during infancy and repeated :-
A. Booster dose at age 6
B. Every after 5 years
C. Every after 10 years .
D. No booster is recommended
260-There is no vaccination for :-
A. Small pox
B. Measles
C. DPT
D. Polio
261-The end of the first stage of labor is :-
A. When the cervix starts to dilate
B. Full dilatation of cervix up to 10 cm
C. Birth of baby
D. Separation of placenta
262-One sign of vaginal infection is :-
A. Pain
B. Itchiness
C. Foul smelling discharges
263-One post-partum nursing responsibility for preventing vaginal bleeding is :-
A. Put patient on trendelenburg position .
B. Regulate IV fluid with oxytosis
C. do fundal massage frequently
264-Fetal heart tone is best heard at :-
A. anterior part of the fetus
B. posterior back of the fetus
265-During pregnancy iron supplement starts on :-
A. first trimester
B. second trimester
C. third trimester
266-72 hours post placental delivery , fundic height will be :-
A. 1-2 finger above the umbilical
B. 1-2 finger below the umbilical
C. on the level of umbilical
267-In the hospital , isolation is indicated if the patient :-
A. staphylococcal pneumonia
B. local staphylococcal infection
C. puerperal fever
D. all are indicated
268-At which age is administration of the measles vaccine the most effective :-
A. 2 months
B. 6 months
C. 12 months
D. 15 months
269-The postpartal patient should be watched closely during the first hours after delivery for:-
A. uterine contraction
B. vaginal bleeding
C. hypotension
D. all of the above
270-Premature labor is the labor that occurs between :-
A. 20-36 week gestation
B. 28-37 week gestation
C. 30-38 week gestation
D. any of the above
271-Which of the following complication is life threatening after a penetrating abdominal injury :-
A. Hemorrhage .
B. Peritonitis
C. Abdominal distention
272-WHICH OF THE FOLLOEING IS THE IMMEDIATE TREATMENT FOR PUNCTURED WOUND ?
A. CLEANS the wound
B. Stop the bleeding
C. Remove the object from the wound
D. Give prophylactic anti-tetanus
273-When there is malfunction of the glomerular filter there is high secretion of:-
A. Urea
B. Creatinine
C. Potassium
D. Protein
274-In a nephritic syndrome , aside from clinical manifestation , what else can the patient complain upon consultation ?
A. Protienurea
B. Oliguria
C. albuminuria
D. polyuria
275-ECT is indicated to treat :
A. psychotic depression
B. obsessive compulsive disorder
C. neurosis
276-After taking tranquilizer ,a nurse must warn the patient that he may experience :-
A. nausea
B. hallucination
C. drowsiness
277-One of the signs and symptoms of paralytic ileus is:-
A. increased peristalsis
B. increased gas formation
C. absence of bowel sounds
278-The most important nursing responsibility following head injury is :-
A. monitor vital signs and record
B. monitor GCS –Glasgow coma scale
C. observe for restlessness
279-Post –operative prevention of thrombophebitis :-
A. leg exercise in bed
B. passive exercise by nurse to patient
C. early ambulation
280-Nursing management which is contraindicated for thrombophelbitis :-
A. encourage early ambulation
B. deep breathing and coughing exercise
C. massage the operative site i.e. leg calf muscle
281-What will you observe following spinal anesthesia ?
a. nausea and vomiting
b. restlessness
c. hypotension and headache
282-Second degree burns involve:-
A. skin , dermis
B. dermis , subcutaneous , muscle
C. epidermis , dermis , subcutaneous
283-within 48 hours of burns , management is focused on :-
A. prevention of infection
B. hydration
284-Best diagnostic test for suspected leukemia is:-
A. CBC
B. Blood chemistry
C. Bone marrow aspiration
285-Nursing responsibility on leukemia :-
A. Ensure safety
B. Prevent infection
C. Obtain blood samples regular
286-Immediate management for reaction during blood transfusion :-
A. Slow down the rate
B. Stop blood transfusion
C. Change blood transfusion with a new pack
287-How many liters of oxygen can be given with nasal canula ?
A. 1-2 liters
B. 1-10 liters
C. 1-6 liters.
288-Destruction of bacterial is called :-
A. medical asepsis
B. surgical asepsis
C. disinfections .
289-First management of unconscious victim is :-
A. administer shock
B. determine unresponsiveness
C. administer oxygen .
290-Nursing responsibility before giving Digoxin:-
A. Check BP
B. Check apical rate
C. Instruct patient to do deep breathing
291-Explain briefly the following :-
A. Comminuted fracture
B. Simple fracture
292-Treatment of scurvy :-
1. Vit.b supplement
2. Vit.c supplement
3. Iron supplement
293-Atropine so4 is given pre-operative to :-
1. relax the patient
2. decrease the secretion
3. prevent intra-operative bleeding
294-When the patient is diagnosed with wilm,s tumor , the nurse should :-
1. always keep bed rails up
2. avoid palpation of abdomen
3. observe foe nausea and vomiting
295-A patient with asthma is receiving intravenous aminophylline .the adverse reaction for which the nurse should observe is :-
1. oliguria
2. braducardia
3. hypotension
4. hypertension
296-The force with which the blood is pushing against the arterial walls when the ventricles are contracting is called:-
1. pulse pressure
2. pressure gradient
3. systolic pressure
4. diastolic pressure
297-Acide-base balance refers to the regulation of the concentration of:-
1. hydrogen ions
2. sodium
3. bicarbonates ions
4. plasma protein
298-Carbohydrates are stored in the body in the form of :-
1. glucose
2. glucagons
3. glycogen
4. glucose 6 phosphate
[size=12]299-The period in which communicable is most contagious is the :-
1. incubation period
2. period of illness
3. convalescent period
4. all are equally contagious
300-Spinal fluid for culture :-
1. can be stored in the refrigerator for 48 hours
2. can survive refrigeration for only 4-6 hours
3. must be examined immediately
4. will survive in a holding medium for 72 hours
301-An injection the gluteal site must be given in which quadrant of the buttocks :-
1. upper – inner quadrant
2. upper-outer quadrant
3. lower – inner quadrant
4. lower – outer quadrant
302-The most important rout of drug excretion for nonvolatile substances is:-
1. lungs
2. kidneys
3. feces
4. liver
303-Atropine is capable of producing which of the following effects :-
1. dilated pupils
2. decreased bronchial secretion
3. blocked stimulation of the vagus nerve
4. all of the above
304-The sulfonamide drugs remin the treatment of the control of :-
1. respiratory infections
2. skin infections
3. urinary tract infections
4. gastrointestinal infections
305-The drug of choice for treatment of an angina pectoris :-
1. nitroglycerin
2. quinidine
3. epinephrine
4. dopamine
306-Any one using antihistamine should be cautioned that antihistamine may cause:-
1. drowsiness
2. hypertinsion
3. tachycardia
4. anaphylaxis
307-The most frequent causes of death in pneumonia patients are shock and:-
1. pulmonary embolism
2. pulmonary edema
3. pulmonary consolidation
4. atelectasis
308-The most important factor in the promotion and maintenance of wound healing both during surgery and the postoperative period is :-
1. adequate fluid intake
2. proper administration of antibiotics
3. strict asepsis
4. frequent cleansing of the wound
الخميس نوفمبر 26, 2009 2:48 pm