Diet Flashcards
(158 cards)
1
Q
- While planning for discharge education for a mother or rickets, the nurse knows to include the need for an
adequate Which food should the mother choose for her child?
A. Potato and squash
B. Orange and tomatoes
C. Egg yolk and fish
D. Milk and yogurt
A
c
2
Q
- year-old woman with inflammatory bowel disease is scheduled to undergo a procedure in which a stoma will
be formed in the right lower quadrant, five centimeters below the waistline. The nurse advises the patient on
how to avoid potential post-operative intestinal obstruction. Which of the following types of food best
recommended post-operatively?
A. Broccoli and fish
B. Meats and cauliflower
C. Yogurt and parsley
D. Corn and seeds
A
C
3
Q
- A nurse is providing education to a patient who is being discharged after olecystectomy and has been placed
on a low fat diet. Which of the following foods should be avoided by the patient?
A. Canned beans
B. Whole milk
C. Rice
D. Fish
A
B
4
Q
- The nurse is caring for a patient who has abdominal pain constipation last three days. The nurse teaches the
patient about the most likely ative-producing foods. What are the foods that are mostly useful to relieve
constipation?
A. Cheese, pasta and eggs
B. Rice, eggs, and lean meat
C. Bran(Oats), figs, and prune
D. Cabbage, bananas and apple
A
C
5
Q
- Discharge teaching for a child with celiac disease would include instructions about avoiding which of the
following?
A. Rice
B. Milk
C. Wheat
D. Chicken
A
C
6
Q
- 5year-old child is postoperative after tonsillectomy. The nurse should ask the parents to give the child which
of food after discharge from the hospital?
A. Meat and rice
B. Hot dog and potato chips
C. Mashed potatoes and soup
D. Cucumbers and tomato salad
A
C
7
Q
- A 40-year-old women is a gravida 2, para 2 and is current conceive. Her previous pregnancy resulted in the
birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic
counselling and Which foods would most effectively prevent recurrence a palate?
A. Green vegetables and citrus fruit
B. Eggs, milk and dairy products
C. Wheat, corn, rice, oats and rye
D. Beef, chicken and yellow vegetables
A
A
8
Q
- A nurse is caring for a patient diagnosed with abdominal x-ray reveals evidence of pancreatic sign of biliary
disease. What would the nurse most likely instruct the patient
A. Consume a high-protein diet
B. Gradually increase dietary fibre
C. Avoid ingestion of alcoholic beverages
D. Limit activities when the patient is fatigued
A
C
9
Q
- A 6 year old male is diagnosed with Nephrotic syndrome. When nursing care for the patient the plan of diet
should be?
A. high salt, High fat
B. high salt, High cholesterol
C. low salt, low fat
D. low protein, high
A
C
10
Q
- 5-year-old child was admitted with Nephrotic Syndrome. A nurse noticed that the child has slight facial
puffiness with mild pitting edema on his hands and feet. there was no distended abdomen Which type of diet
the nurse should order for the child?
A. High protein, high salt diet
B. Low protein, low fibre diet
C. Low protein, normal salt diet
D. Normal protein, low salt diet
A
D
11
Q
- An Indian patient, who is vegetarian, is being discharged from after an elective surgical procedure. The unit
nurse is teaching using visual aids and pictures about food combinations complete protein. Which of the
following food items should the nurse recommended dietary list of the patient?
A. Lentils
B. Potatoes
C. Macaroni
D. Green salad
A
A
12
Q
- An adolescent with a juvenile diabetes mellitus develops chronic renal failure. Which of the following diets is
suitable?
A. Low fat
B. Low mineral
C. Low protein
D. Low carbohydrate
A
C
13
Q
- A 60 years old patient was admitted with hepatic coma in the intensive care unit. The physician has ordered
protein restriction diet for the patient. Which of the following substances is most likely causes harmful
effects when the patient increases protein intake?
A. urea
B. creatinine
C. ammonia
D. amino acid
A
C
14
Q
- A 40-year-old women patient with Parkinsonism Medical Ward. The patient stated that she has the past two
weeks. The nurse was planning to Which type of diet is most suitable for parkin?
A. Solid
B. Liquid
C. Semi solid
D. Clear liquid
A
C
15
Q
- A 68-year-old patient admitted to the Emergency Room with clinical manifestation of pulmonary embolism.
Arterial Blood Gas (ABC) and chest ay were ordered. Which of the following tests is used to diagnose this
condition?
A. Computed Tomography Scan (CT scan)
B. Magnetic Resonance Imaging (MRI)
C. Pulmonary angiography
D. Pulmonary function test
A
C
16
Q
- 39- A 23-year-old woman presents to the clinic with an intense headache that rates at a level 8 on the 1-10
scale. Additionally, she feels nauseous is sensitive when exposed to bright light. Cerebrospinal fluid samples
sent to the laboratory for analysis and complete blood count. Testing both kerning’s and Brzezinski’s sign are
positive. The patient is admitted the hospital and one hour later she has a seizure. In the period mediately
following the seizure, the nurse stays at the bedside to vide on-going care. Which of the following
assessments has priority at this time?
A. Blood pressure
B. Respiratory drive
C. Pupillary changes
D. Level of consciousness
A
B
17
Q
- During a night shift a medical doctor complains of back pain and asks the t nurse to give him morphine 5 mg
IM. Which of the following actions indicates professionalism in handing the action by the nurse?
A. Call another doctor to manage
B. Refer him to Emergency Room
C. Administer morphine to doctor
D. Ask him to write a prescription first
A
B
18
Q
- 3-year-old child with an elevated body temperature is administered oral aspirin . The nurse records the body
temperature of the child two hours and finds that it is still elevated. What is the most likely underlying
physiology for the delayed response in action of the aspirin?
A. High gastric pH
B. Thin epidermis
C. Low muscle tone
D. Short intestines
A
A
19
Q
- 65-year-old man is undergoing pre-operative preparation for endoscope procedure in which the physician
will visualize the large and distal part of the small bowel with a camera attached to the flexible tube. Which of
the following positions is the most appropriate?
A. Left lateral Sim’s
B. Right lateral recumbent
C. Trendelenbreg
D. Prone
A
A
20
Q
- 60-year-old man is being discharged from the post-operative Care Unit following a transurethral resection of
the prostate. The nurse provides discharge information regarding the care of the bladder catheter. Which
method would be most effective in bladder retraining for this patient?
A. Scheduled urination every 2-3 hours
B. Limit fluid intake before sleeping time
C. Perform pelvic floor exercises daily
D. Increase fluid intake during the daytime
A
A
21
Q
- The unit nurse conducts initial assessment and observes the dressing is wet and requires change. The
patient looks drowsy with warm skin
(see lab results)
Blood pressure 110/70 mmHg Heart rate 99 /min
Respiratory rate 24 /min Temperature 38.8 C
Test Result Normal Values
RBC 5.5 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female)
Hb 133 130-170 g/L (male) 120-160 g/L (female)
WBC 25.5 4.5-10.5 × 109 /L
What is the most likely underlying diagnosis?
A. Sepsis
B. Gangrenous tissue
C. Acid base imbalance
D. Hyperthermia secondary to infection
A
A
22
Q
- nurse is completing the preoperative checklist for one of the patients who ring is wearing a ring. What is the
most appropriate action?
A. Give ring to security office
B. Lock ring with patient’s valuables
C. Call patient’s family to give them the ring
D. Respect patient’s choice and leave ring on patient’s finger
A
B
23
Q
- NA 17-year-old women went to the Emergency Department complaining of fever, sore throat, and
hoarseness of voice. Laboratory tests were done (see lab results).
Test Result Normal values
Hb 120.5 120-158 g/L
HCT 0.39 0.36-0.47 g/L
RBC 4.0 3.8-5.1 × 1022/L
WBC 14.2 4-10.5 × 109/L
Throat culture positive Beta Haemolytic Non found
Streptococcus
Which of the following would be the possible complication for the patient condition?
A. Cellulitis
B. Bacterial cholangitis
C. Infective endocarditis
D. Rheumatic heart disease
A
D
24
Q
- A postoperative patient has on order to discontinues the foley 11:30 AM, the nurse removes the Foley
intact. At 1:00 PM, the patient complains of feeling the need to urinate and voids 30 ce. The nurse should assess
the patient for signs of which of the following?
A. Urinary retention
B. Urinary tract infection
C. Cystitis
D. Haematuria
A
A
25
651. A 3-year-old child is admitted to the Medical Ward for vomiting, and dehydration. The nurse sat with the
parents to comply admission interview and wanted to get as much information as Which of the
following communication techniques should the nurse
A. Use of question containing the word "how"
B. Use of question with direct comments to clarify
C. Use of statements that indicate patient will be fine
D. Use of leading question and those involving yes or no
B
26
652. An ICU nurse reviews the chart of a 47-year-old man patient mechanical ventilator for a long time. Artorial
blood gas resul see lab results).
Test Result Normal Values
ABG HCO3 24 22-28 mmd/L
ABG PCO3 10.66 4.7-6.0 KPa
PH 7.16 7.36-7.45
ABG PO2 6.13 10.6-14.2 KPa
SA O2 81 95-100 %
What condition the patient is experiencing presently?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
C
27
653. To decrease the anxiety of a 10-year-old girl who is undergoing surgery. Which of the following should the
nurse do?
A. Use a heart model to show her how the surgery will go
B. Provide her with verbal explanation of the upcoming surgery
C. Give her a book to read about the surgery 2 weeks prior
D. Let her parents talk to her about the importance of having surgery
A
28
654. patient who is admitted denies any medication allergies medical records state, "No known drug allergies." A
medibeen sent to the pharmacy for gentamicin. The pharmacist record in the pharmacy of an allergy to the
medication. Which of the following is the best way for the nurse to pro
A. Administer the medication with Benadryl (Diphen
B. Notify the doctor of the allergy and request new orders
C. Investigate further then call the doctor for clar
D. Give the medication as ordered by the physician
B
29
655. An 81-year-old bed ridden patient in the Geriatric Ward was pyretic through his nasogastric tube. After an
hour, the patie deep sleep, his breathing pattern changed and he did not rep calling his name. Which of the
following should be the immediate nursing intervention
A. Call the physician to examine the patient
B. Check for the correct dosage given
C. Check vitals and inform physician
D. Try to wake up the patient
C
30
656. At the beginning of the afternoon shifts in the receiving handover from a morning shift nurse post coronary
angioplasty. The nurse waveform on the monitor, upon assessment the carotid pulse (see image). What should
be the most appropriate next action?
A. Give a DC shock
B. Refuse to receive patient
C. Check ventilators settings
D. Shout for help and start chest compression
D
31
657. After activating the emergency call system ,what should be the next immediate action ( seeimage ) ?
A. Initiate ventricular pacing
B. Administer a bolus of lidocaine as prescribed
C. Defibrillate the patient
D. Open the patient's airway
C
32
658. A nurse enters the room of a patient who is on the patient complains of not feeling well, the (see image).
What is the most likely interpretation?
A. Sinus tachycardia
B. Ventricular fibrillation
C. Normal sinus rhythm
D. Ventricular tachycardia
D
33
659. 48-year-old man was admitted to the extensive anterior MI. During the night consciousness. The cardiac
monitor showed VF2 checked carotid and found no pulse. Which is the best emergency management?
A. Cardiac thumb twice
B. Cardioversion, 50 joules
C. Electrical shock, 200 joules
D. Chest compression for five cycles
D
34
660. A nurse is caring for a 58-year-old patient
(see lab result).
Test Result Normal Value
Magnesium 2.8 0.7-1.2mmoI/L
Which ECG change is the nurse expected to note?
A. Prolonged QRS
B. Multiple P waves
C. Prominent U waves
D. Depressed ST segment
A
35
661. During surgery requiring general anaesthesia, and a carotid pulse is not palpated. How many compressions
per minute should be
A. 50
B. 60
C. 80
D. 100
D
36
662. which of the following indication for patient with MI:-
A. s t depression
B. St elevation
C. short ST
D. none of the above
B
37
663. 40-year-old man is admitted to a Coronary pain. The ECG has normal sinus rhythm with
leads V1-V4.
Blood pressure 123/69 mmHg
What is the most likely nursing diagnosis?
A. Acute chest pain
B. Myocardial in fraction
C. Decreased cardiac output
D. Ineffective tissue perfusion
A
38
664. The unit nurse conducts initial assessment and observes the dressing is wet and requires change. The patient
looks drowsy with warm skin
(see lab results)
Blood pressure 110/70 mmHg Heart rate 99 /min
Respiratory rate 24 /min Temperature 38.8 C
Test Result Normal Values
RBC 5.5 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female)
Hb 133 130-170 g/L (male) 120-160 g/L (female)
WBC 25.5 4.5-10.5 × 109 /L
What is the most likely underlying diagnosis?
A. Sepsis
B. Gangrenous tissue
C. Acid base imbalance
D. Hyperthermia secondary to infection
A
39
665. A nurse diagnosis a patient with readiness for the This diagnosis is classified within which of the Nursing
diagnoses?
A. Acute nursing diagnoses
B. Risk nursing diagnoses
C. Wellness nursing diagnoses
D. Possible nursing diagnoses
C
40
666. A man was restless and observed to have an increased physical activity after a heated argument with
another person. After the assessment, the following data was gathered: agitated, diaphoretic, distorted What is
the patient's level of anxiety?
A. Mild
B. Panic
C. Severe
D. Moderate
C
41
667. A 70-year-old man underwent a colectomy two days prior. In the past 24 hours, his blood pressure has
decreased and heart rate risen. He now weight two kilograms more than he did prior to admission. Urine output
from the indwelling catheter is 30 ml per hour and he has pitting + bilaterally in the lower extremities. The
abdomen appears distended and is firm to the touch.
Blood pressure 112/62 mmHg
Heart rate 110 /min
Respiratory rate 20 /min
Which of the following is the best nursing intervention?
A. High flow oxygen by mask
B. Position in Trendelenburg
C. Hemoglobin and hematocrit
C
42
668. 9-year-old woman patient in the Medical Ward is in a semiconscious .Her pancreatic cancer is metastasized
to her liver and lungs and she admitted for supportive treatment. Her physicians discussed with the ily that she
will not be given the Cardiopulmonary Resuscitation to save life if she goes into the cardiac arrest. Her two sons
agreed but the daughter is indecisive. Which of the following is the critical thinking behind not providing
discounted pulmonary resuscitation?
A. Unilateral judgment of health professionals
B. Refusal of patient’s right to treatment
C. Ethical dilemma and indecisiveness
D. Mercy killing to ease suffering
D
43
669. 30-year-old construction worker was stung by roof structure. He then began to complain of feel
An ambulance was called and on arrival, they four the ground and having breathing difficulties. His
The radial pulse is weak and thread.
Blood pressure 92/52 mmHg
Heart rate 118 /min
Respiratory rate 26 /min
Which white blood cell is most likely be elevated?
A. Eosinophils
B. Basophils
C. Monocytes
D. Neutrophils
D
44
670. The nurse is preparing to transfer a 55-year-old patient on a the CT-scan unit. The patient is too heavy for the
nurse to transport, nurse went to get an assistive device to transfer the patient. Which of the following transfer
device is the most appropriate for the nurse to use?
A. Board
B. Handle
C. Trapeze
D. Mechanical lift
D
45
71. A newly RN nurse is about to remove a nasogastric tube to a client with Guillan Barre Syndrome. To
determine the proper Time of removing the tube, the nurse should do it when
A. when the client feeling hungry
B. when the client want to remove it
C. when the client totally conscious
D. when the client exit flatulence or gases
D
46
672. which type of study design provides the strongest evidence?
A. Qualitative study
B. Randomized control trial
C. Systematic review of descriptive studies
D. Systematic review of correlational studies
B
47
673. 28-year-old women is accompanied by her mother to the ward. She is admitted for her affective disorders
with anger recent events and stammering spells. She has panic followed by apathy and listless Ness. How
should the nurse manage the patient?
A. Be supportive and use therapeutic communication
B. Improvise sign language to control forgetfulness
C. Maintain calm environment and avoid argument
D. Anger management and speech therapy
C
48
674. A nurse accidently dropped a medication ampoule, informed the charge nurse, and completed an incident
report form. The charge nurse arranges medication replacement. Which of the following is the immediate
nursing action required?
A. Revise protocol for medication related incidences
B. Allocate senior nurses to medication assignments
C. Provide missed medication dosage to patient first
D. Incident reporting must be given the priority
C
49
675. 42-year-old woman is brought to the Emergency severe chest pain radiating to the left neck physician
instructs nurses to start the Morphine Aspirin (MONA) protocol. What is the top priority of nursing care?
A. Administer oxygen according to the physician
B. Administer aspirin according to the physician
C. Administer morphine according to the physician
D. Administer nitro-glycerine according to the physician
C
50
676. Home Health Care Department is newly established ar a hospital. At launch, nurses asked the charge nurse
about work at this department Which of the following is the first step of home health care?
A. Referral
B. Planning
C. Home visit
D. Assessment
A
51
677. The nurse is assessing a child who has Tetralogy of Fallot observed that the child is having clubbing in his
fingernails Which of the flowing might be the reason for this clubbing?
A. Prolonged tissue hypoxia
B. Delayed physical growth
C. Inactive bone marrow
D. Pulmonary fibrosis
A
52
678. A 59-year-old woman is admitted in the Medical ward for pyomyositis in her arms and legs. The muscular
strength Progressively decreased within one year. She has irregular breathing pattern and has difficulty in
swallowing. Which of the following nursing diagnosis requires?
A. Risk of choking due to disturbed swallowing
B. Weakness and fatigue due to lower muscle
C. Disturbed breathing due to chest muscle
D. Disturbed activities of daily living
A
53
679. A 9- her of nine children, three of them with congenital anomalies and one n syndrome; she is a primary
school graduate, with low financial us. She is not using any method of family planning. So the primary care nurse
has referred her for counselling. Which of the following must be focused on by the community health care se to
provide an effective health education?
A. Educate regardless realistic objectives
B. Use clear and concise language
C. Use scientific terms during explanation
D. Explain the negative consequences in the family
B
54
680. high school girl, who has fears of being obese thin, visited the primary healthcare centre with her The
mother reports that her daughter refuses to with the family, and often pretends being a sleep Which of the
following disorders best describe girl?
A. Bulimia
B. Obesity
C. Substance Abuse
D. Anorexia Nervosa
D
55
681. An 12-year-old child has been diagnosed with Diabetes insipidus which of the following is disorder?
A. Posterior pituitary
B. Adrenal medulla
C. Anterior pituitary
D. Adrenal cortex
A
56
682. the summer months, a five year-old girl presents with a sore throat and a dry cough that has slowly become
worse over the past three weeks. Her body temperature is 38.0oC. On auscultation, there is wheezing and
shortness of breath. She lives in an overcrowded house with three brothers, parents and grandparents in a low
income neighbourhood where she attends school. Which is the greatest risk factor?
A. Residing in a low-income neighbourhood
B. Exposure to a pathogen in summer season
C. Attending school
D. Living in crowded conditions
D
57
683. A patient returns to a clinic for a follow-up visit and is diagnosed as positive for Human Immunodeficiency
Virus (HIV). The patient expresses fear related to lack of finances, fear of social avoidance, and hopelessness.
Which of the following nursing action should
A. Referral to a physician infectious disease specialist
B. Referral to a community-based HIV clinic
C. Referral to the local public health department
D. Recommendation to disclose the diagnosis to family
B
58
684. While taking the history from a new patient, the nurse densified that he had hypomanic episode which was
alternating with a mirror depressive\episode for the last two years. what is the most likely diagnosis?
A. Bipolar I disorder
B. Bipolar II disorder
C. Dysthymic disorder
D. Cyclothymic disorder
D
59
685. A 62-year-old women admitted to the emergency department for the fourth time this year, each time the
patient comes with sever injuries and bruises in the body. What is your responsibility as a nurse to prevent such
incident to happen again?
A. Reports the assault to the local police and write a report
B. Provides information about safe shelter and support
C. Instructs the women to move away from her home
D. Discharge the patient to a safe shelter
A
60
686. Five years old patient was brought to emergency room with several bruises on his body but showed
fractured right forearm. He had no signs of pain while palpating them. He seemed scared and didn't answer any
questions asked. Why should the nurse discuss this manager with the nurse?
A. care continuity
B. abuse role out
C. support psychological
D. management fracture
B
61
687. A nurse calls together an interdisciplinary team with members from medicine, social service, the clergy, and
nutritional services to care for a patient with a terminal illness. Which of the following types of care would the
team most likely be providing?
A. Palliative
B. curative
C. respite
D. preventive
C
62
688. A nurse is assigned to care for a Muslim female emergency caesarean section. The patient asks the to wear
a head scarf during the surgery. Which of the following is the most appropriate?
A. Ask the patient to remove the scarf
B. Tell the patient that it is ok to wear the scarf
C. Ask the patient to wear a surgical cap
D. Tell the patient that a request will be during the surger
C
63
689. A nurse is trying to secure a peripheral V access in a traumatic patient who is deteriorating. The nurse has
two failed attempts What should the nurse do next?
A. Activate code
B. Use Interosseous needle
C. Consider arterial line
D. Call another nurse who is more experienced
D
64
690. A 70-year-old women with a history of hypertension companies of lack of appetite due to bloating and
constipation. The abdomen is distended and examination shows a positive fluid wave. palpation of the abdomen
confirms guarding and tenderness over the right upper quadrant lower eg edema 3+ and pitting bilaterally are
also present. She has kilograms since her last appointment three weeks before4.5 164/92 mmHg Blood pressure
90 /min Heart rate
26 /min Respiratory rate
37.1C Temperature
92% on room air
Oxygen saturation
What is the most likely underlying health problem?
A. Hepatic congestion
B. Pulmonary hypertension
C. Left-sided ventricle failure
D. Splenomegaly
A
65
691. A 70-year-old man presents to the clinic with difficulty sleeping at night. He has not had a good night's rest
for several months and feels exhausted. He needs to place three pillows behind his back in order to sleep.
Examination of the lungs reveals crackles and wheels Auscultation of the heart confirms an S gallop. Which of
the following is the most likely underlying health problem?
A. Asthma
B. Pulmonary stenosis
C. Right-sided heart failure
D. Left-sided heart failure
D
66
692. A 30-year-old women was admitted with ectopic pregnancy on the sixth gestational week. The patient was
scheduled for resection of the involved fallopian tube with end to end anastomosis Which is the initial nursing
diagnosis for this patient?
A. Grieving
B. Acute pain
C. Hyperthermia
D. Knowledge deficit
B
67
693. What is the most appropriate blood product for a patient with haemorrhage due to upper GI bleeding?
A. Plasma
B. Whole blood
C. packed red cell
D. Serum albumin
C
68
694. A new community nurse in the rural clinics has to have good background about the health status of the
community in order to assess their needs What is the appropriate way to assess the health status of the
community?
A. Home visit
B. Community assembly
C. Mass information campaign
D. Community health assessments
B
69
695. A 75 year-old bedridden patient is hospital Medical ward for the treatment of her in Area. Her wound is
infected with multiple Longer than normal time to treat. She Crying spells and is talking about death Which of
the following nursing diagnosis must be
A. Health and wellness
B. Coping mechanism
C. Self-perception
D. Belief system
B
70
96. a nurse is caring for a child with traction of fractured bone. In the chart, a doctor has placed a reminder to
maintain even and constant traction What would be the most likely understanding of the nurse for this order?
A. Add or remove weights every other day
B. Allow weights to hang free continuously
C. Elevate head and foot of the bed alternatively when in pain
D. Allow weights to hang free every 12 hours to achieve good circulation
B
71
697. A patient complains of pain when standing upright hump on the upper back. In the past year slightly shorter.
The doctor has suggested tests to What is the best appropriate intervention?
A. Instruct the patient in the use of prescribed magnesium supplements
B. Have the patient sleep propped on two pain
C. Prepare the patient for a CT scan of both hip
D. Instruct the patient in the use of vitamins
C
72
698. A 56-year-old patient was diagnosed with instructions about administration of insulin Regular Insulin and
Neutral Protamine Hagedo subcutaneously every morning? Which of the following is right period for(in minutes)
after administration?
A. 10-15
B. 30-60
C. 60-90
D. 240-360
B
73
699. In a post-operative patient in the Surgical Unit most indicative of a developing complication? ,
A. Increasing alertness
B. Weak and rapid pulse
C. Negative Homans' sign
D. Minimal bowel sounds in four quadrants
B
74
700. A mother in the postnatal Ward is being provided with the her family and she has been instructed to be on
the bed members believe that the diet with the specific home increase the milk production and will promote her
healing Which of the following intervention is the most desired?
A. Respect the cultural believes and encourage activities
B. Teach and monitor for correct breast-feeding practices
C. Discuss dietary plan and monitor weight gain
D. Explain post-partum care and follow ups
D
75
701. A child was admitted to the hospital three hours ago with a injury. The child responds appropriately, but
sluggishly to drifts in and out of sleep Which of the following best describes this patient's level of?
A. Lethargic
B. Obtunded
C. Comatose
D. Semi comatose
A
76
702. A nurse is planning to discharge a known HIV, a the Isolation Unit after the recovery from upper, Which of
the following nursing problem requires?
A. Risk of infection due to altered immune
B. Fluid volume deficit due to frequent diarrhoea
C. Anxiety due to disease, fear and social
D. Weight loss due to higher metabolism rate
A
77
703. An elderly patient who has an aortic aneurysm Intensive Care Unit to a Medical Surgical Unit on day. While
assessing the client, a nurse notes extremities and is unable to palpate the pedal pulse Which intervention
should the nurse implement?
A. Wrap the lower extremities with warm
B. Use a Doppler ultrasound to reassess the
C. Elevate the extremities above heart level
D. Place a bed cradle over the bed to levitate
B
78
704. A 60-year-old man client had a permanent complains of chest pain and dyspnea with rapid feels suffocated
and appears restless
100/70 mmHg Blood pressure
96 /min Heart rate
32 /min Respiratory rate
37.2C Temperature
What is the immediate nursing intervention?
A. Monitor and report findings of chest
B. Chest X-ray to identify dislocation of
C. Manage pain with medication as ordered
D. Administer oxygen as ordered
D
79
705. A nurse is preparing a sterile field prior the Which of the following procedures illustrates the nurse to the
principles of aseptic technique?
A. Touch the outer 2-inch border of the sterile gloves
B. Place the sterile linen-wrapped package on waist level
C. Hold the bottle lip 1-2 inches above sterile pouring the solution
D. Open sterile item while holding outside hand then throw object onto sterile field
C
80
706. Which of the following is the appropriate nursing advice to mother complaining of epigastric burning
sensation and do use of drugs?
A. Chewing gums
B. Increase fluids at bedtime
C. Drink orange juice on getting up
D. Eat small meals every 2 to 3 hours
D
81
707. A nurse is caring for a 72-year-old man patient , is unsteady. The patient requests the nurse to help nurse
asked the patient to wait few minutes device to transfer him. Which of the following transfer devices is the
nurse to use?
A. Belt
B. Board
C. Handle
D. Mechanical lift
A
82
708. 62 year-old female patient is admitted for her left eye cataract removal. She has cataract in both eyes with
no visibility in her left sys. She is scheduled for the surgery .What essential safety precautions must be assessed
preoperatively?
A. Assess and document visual acuity of both eyes
B. Knowledge to prevent eye injury after Surgery
C. Cleanliness of eye and removal of eyeglasses
A
83
709. A nurse is providing postpartum care for a GSP4 mother who had a rapid labor of an infant weighing 4000
gm. Assessment revealed a boggy uterus, heavy lochia and stable vital signs. After fundal massage and bladder
evacuation. the fundus remains soft. which of the following is the most appropriate next nursing action?
A. Inform the physician ..
B. Reassess the vital signs
C. Continue fundal massage
D. Take venous blood sample
A
84
710. A 46-year-old man is presented to Emergency Room with severe chest and unstable angina. The ECG of the
patient shows ST segment pression on his 12-lead. e rhythm strip example of specific ECG changes (see image).
Which of the following cases the nurse determines ST segment depression?
A. Injury
B. Necrosis
C. Ischemia
D. Nothing significant
C
85
711. A 35 year-old man with pulmonary edema is admitted to the Intensive re unit. He is on a Mechanical
Ventilator(MV) without sedation. After the client is placed on the MV, the nurse diagnosed the case as impaired
communication related to intubation and MV. What is the best method for the nurse to communicate with the
patient?
A. Use normal verbal communication
B. Communicate with the patient after MV removal
C. Use non-verbal communication, such as head-nodding and writing
C
86
712. The nurse observes the client csf ,Which of the following of csf color indication for patient with bacterial
meningitis?
A. Cloudy
B. Clear
C. Red
D. Brown
A
87
713. child has a third- degree burns of the hand, chest, face, which nursing diagnosing takes priority?
A. Ineffective airway clearance
B. disturbed body image
C. impaired urinary eliminations
D. risk for infection
A
88
714. A woman has polycystic ovary syndrome which is 3cm in size what should the nurse do?
A. A repeat the ultrasound after menstruation
B. Remove it by laparoscopy.
C. Give the medication
D. None
A
89
715. A home health nurse has entered a home to complete an admission assessment on a patient who has a
methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous
anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions
should the nurse take FIRST?
A. Shake the patient’s hand
B. Place the nursing supply bagon a clean, dry surface.
C. Obtain the patient’s written consent for home health care
D. Perform hand hygiene per the agency protocol
D
90
716. An 8-year-old girl is seen in the Emergency Department because of a fracture in the right fibula and she has a
fiberglass cast on her leg instead of a plaster cast. Which of the following is an advantage to use a fiberglass
cast?
A. Cheaper
B. Dries rapidly
C. Smooth external
D. Shape closely to body parts
B
91
717. 62 year-old female patient is admitted for her left eye cataract removal. She has cataract in both eyes with
no visibility in her left sys. She is scheduled for the surgery .What essential safety precautions must be assessed
preoperatively?
A. Assess and document visual acuity of both eyes
B. Knowledge to prevent eye injury after Surgery
C. Cleanliness of eye and removal of eyeglasses
A
92
718. A newly graduated nurse is inserting an intravenous cannula into the mid-cephalic vein of a patient who is
being admitted to the unit. As she withdraws the needle, a nurse calls out for help from another patient’s room.
The new nurse rushes to help. She secured the intravenous catheter and threw the needle into the waste basket
instead of the sharp’s container. When asked who had thrown the needle into the bin, the new nurse admits
that she had made that mistake. Which professional act best describes the newly graduated nurse’s response?
A. Responsibility
B. Accountability
C. Assertivenes
D. Leadership
B
93
719. A 50-year-old man presents to the Emergency Department after having suffered a fall while practicing
mountain biking. He appears confused and disoriented. His friend reports that he had been thrown over the
handle bars and hit his head against a rock
Blood pressure 108/66 mmHg
Heart rate 102 /min
Respiratory rate 22 /min
Temperature 37.2C
Oxygen saturation 99% room air
Which initial intervention is the most important?
A. Intravenous infusion
B. Oxygen administration
C. cervical immobilization
D. Trendelenburg position
C
94
720. A 24-weeks-pregnant mother is in the Antenatal Clinic. She is upset and crying about having her third baby
girl as her family wants a boy. She is requesting an abortion immediately before her family finds out about the
sex of the baby. Which of the following is the most appropriate plan for the mother?
A. Calm her down and reassure for an appropriate solution
B. Provide moral support and book her for procedure
C. Repeat ultrasound and wait for a few more weeks
B
95
721. A post-operative nurse assesses the newly formed stoma and skin of a patient who is one day post
operative following a proctocolectomy with the formation of a permanent ileostomy. Which of the following
clinical findings would necessities immediate care
A. Bright red and moist stoma
B. Dark red and purple skin
C. Bloody liquid in pouch
D. Ulcerations with a rash
B
96
722. A 45-year-old man is admitted to the Surgical Ward for stoma care. The stoma appears a dark red to purple
colour, is slightly swollen and leaks a scant amount blood. There is no presence of stool around or on the site.
Which observation requires immediate attention?
A. Colour
B. Edema
C. Absence of stool
A
97
723. A nurse is taking care of a patient who underwent abdominal surgery three days ago. The patient has not
been able to breathe deeply and uses to get out of bed since the surgery due to pain. Also, the patient nplains of
shortness of breath, and the lung sounds are diminished on auscultation.
Blood pressure 120/70 mmHg
Heart rate 75 /min
Respiratory rate 22 /min
Temperature 36.4 ℃
Oxygen saturation 89%
Which of the following conditions should the nurse suspect?
A. Sepsis
B. Atelectasis
C. Congestive heart failure
D. Emphysema
B
98
724. What do the standards of pain management dictate nurse do?
A. Avoid the use of the word "pain"
B. Screen for pain at each encounter
C. Discourage around-the-clock dosage of analgesics
D. Administer analgesics via injection whenever possible
B
99
725. A nurse is planning post-operative teaching for a patient undergone left partial mastectomy. On the third
post-operative day, the nurse teaches the patient to elevate the arm above the heart several times per day.
What does this exercise reduce?
A. Pain
B. Infection
C. Hematoma
D. Lymphedema
D
100
726. conscious victim of a motor vehicle accident arrives at the emergency department. The patient is Gasping for
air, is extremely anxious, and has a deviated trachea. What diagnosis should the nurse Anticipate?
A. pleural effusion.
B. tension pneumothorax
C. pneumothorax
D. cardiac tamponed
B
101
727. A nurse calls together an interdisciplinary team with members from medicine, social service, the clergy, and
nutritional services to care for a patient with a terminal illness. Which of the following types of care would the
team most likely be providing?
A. Palliative
B. curative
C. respite
D. preventive
A
102
728. The nurse is assigned to care for several patients, who should be assessed first by the nurse?
A. A diabetic patient who will be discharged
B. A patient with rheumatoid arthritis who has
C. An asthmatic patient who is due for
D. A patient with surgical incision who require
C
103
729. While administering medications, the nurse gives an anti-hypertension medication to the wrong patient (see
table)
A Document the entire scenario
B Document vital signs
C Notify doctor
D Notify doctor if blood pressure is below 90/50 mmH
E Induce vomiting
F Administer antidote
G Monitor the patient
What sequence should the nurse follow?
A. A, D, F, G
B. B, C, G, A
C. B, D, E, F
D. B, E, F, G
B
104
730. 9-year-old child is admitted to paediatric word diagnosed with Glomerulonephritis (AGN). The mother ask
the nurse why you the blood pressure frequently which of the following the nurse should be respond based on
knowledge.
A. Acute hypertension must be anticipated and identified
B. Hypotension leading to sudden shock
C. Blood pressure fluctuations are a common side effect of therapy
D. Blood pressure fluctuation are a sign that the condition has become chronic
A
105
731. Which of the following terms applis to the tiny. blanched. slightly raised end arterioles found on the face.
neck. arms. and chest during pregnancy?
A. Epulis
B. Linea nigra
C. Striae gravidarum
D. Telangiectasia
D
106
732. A patient teath brush &bathing shoud be write in:
A. daily care activity
B. medication chart
A
107
733. Doctor during new born assessment he toush the bed by the sterile gloves the nurse shoud:-
A. let him complet the cvl then take to him
B. stop him and tell him remove the gloves and give new gloves
B
108
734. During skin assessment of a patient the nurse observed a skin described as
round solid mass beneath the skin (see image).
Which of the following terms is best to describe the lesion?
A. Cyst
B. Papule
C. Pastule
D. Blister
A
109
735. A patient who has pain localized in the chest, now down the left arm. What is this type of pain called?
A. Phantom
B. Regimented
C. Shooting
D. Radiating
D
110
736. The nurse is preparing a patient for an insertion of a central venous pressure line into a neck vein .The nurse
should place the patient into which position?
A. Side-lying position
B. Fowler's position
C. Trendelenburg position
D. Semi-Fowler's position
C
111
737. Neonate is admitted to the neonatal intensive care unit for observation with a diagnosis of probable
meconium aspiration syndrome (MAS) the neonate weight 4.650 grams and is at 40 weeks gestation which of
the following would be the priority problem
A. Impaired skin integrity
B. Hyperglycaemia
C. Risk for impaired parent infant child attachment
D. Impaired gas exchange
D
112
738. Patient with ongoing potassium infusion he has burning sensation ant the site of infusion what should the
nurse do first
A. Stop infusion
B. Document as normal finding
C. Slow rate and call the doctor
D. Inform the doctor
A
113
39. Treating pregnant women diagnosed with syphilis is considered
A. Primary level of prevention
B. Secondary level of prevention
C. Tertiary level of prevention
D. Primary and secondary
B
114
740. A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in
her breast. Which of the following instructions are appropriate for the nurse to give the mother:
A. Regulate breast feeding every 3 hours
B. That’s normal feeding problem
C. Shift to bottle feeding
D. Start weaning your baby
A
115
741. A 7-year-old child is admitted to the Emergency Department, injury The child is oriented to the place, person
and time spontaneously obeys commands. The nurse is doing aped Coma Scale (PGCS). Which of the following
score the nurse should record?
A. 3
B. 8
C. 12
D. 15
D
116
742. Brachial artery t check pulse in infants
117
743. Prolactin Hormone promote Milk production
118
744. TB test Mantoux / PPD test result within 48-72Hours accurate test is sputum culture
119
745. Umbilical Cord one big vein& Two small arteries
120
746. Pulse deficit is the different between apical beats and brachial pulse
121
747. Rligion that prohibits blood transfusion Jehovah
122
748. Spina pifida position Prone position
123
749. Sound lung in heart failure .cracks
124
750. Postion after hemorroidectomy ?...........................antriolatral postion
The left anterolateral position is an excellent alternative for hemorrhoidectomy under local anesthesia. The pain
over the pubis and the low backache, frequently encountered in the prone position, are totally eliminated. Exposure
of the operative fields is excellent.
125
751. Post Vitrect-omy position …Prone
126
752. Ear Drops in infant down and back , in Adult up and back
127
753. Ear drops in adult up and back , in infant down and bak
128
754. Hyperpyrexia above 40C
129
755. Alzheimer deficiency in serotonin
130
756. Abdominal assessment. 1. Inspection 2. Auscultation 3. Percussion 4.palpation........ very important
131
757. During new born assessment the nurse found extra finger in the new born hand Polydactyl
132
758. During new born assessment the nurse found two digits are fused together
Syndactyly
133
759. when we should stop magnesium sulphate ( Respiratory Depression, Hypotension
, Bradycardia deep tendon Reflex )
134
760. Antidote of magnesium sulphate is ( calcium gluconate )
135
761. Morphine antidote is naloxone / narcan
136
762. Hydrocephalus signs ( Bulging anterior fontanel & increase head circumference )
137
763. Naloxone - Digioxin should not be given if heart rate less than 60 or bradycardia
138
64. OPV oral polio vaccine ..... mixed of live attenuated polovirus
139
765. Postpartum perineal assessment acronym is REEDA ( Redness-Edema-Ecchymosis-Discharge-Approximation
140
766. When taking a BP, select the appropriate cuff size; a cuff that is too small will yield a falsely high reading, and a
cuff that is too large will yield a falsely low one.
141
767. Complication of diabetic mother hypoglycaemic and macrocosmic
142
768. OPV vaccine is live attenuated virus (poliovirus) vacine
143
769. Patient with BP230/180 is consider Hypertensive Crisis
144
770. A newly assigned nurse to the home health care department was conducting pre-entry phase of home visit.
Which of the following activities should the nurse do
A. Call physician for a referral order
B. Collect information and schedule visit
C. Establish mutually acceptable goals for care
D. Conduct a health history and physical assessment
B
145
771. A mother brought her 6-month-old healthy infant to the well-baby clinic which immunization should the
nurse anticipate to administer as per WHO recommendation?
A. Varicella (chicken pox)
B. Rotavirus and hepatitis
C. Measles , Mumps , Rubella
D. Diphtheria , Tetanus , pertussis
D
146
772. A 62-year-old women admitted to the emergency department for the fourth time this year, each time the
patient comes with sever injuries and bruises in the body. What is your responsibility as a nurse to prevent such
incident to happen again?
A. Reports the assault to the local police and write a report
B. Provides information about safe shelter and support
C. Instructs the women to move away from her home
D. Discharge the patient to a safe shelter
A
147
773. A 3 years old child is admitted to the hospital with seizures. He was alert, oriented and has a rash in his
extremities and is diagnosed with meningitis. While doing physical examination of him, he starts to develop
seizures.
Blood pressure 100/57 mmHg
Heart rate 110/min
Respiratory rate 30/min Temperature 39.5 C
Which of the following vaccine is used to prevent meningitis?
A. hib vaccine
B. varicella vaccine
C. BCG vaccine
D. Rubella vaccine
A
148
774. After receiving multiple mosquito bites and experiencing flu-like symptoms, a patient consults a nurse at a
clinic and asks whether an appointment to see a health-care provider is necessary. which of the following
statements should be the basis for the nurse'sresponse
A. antiviral medications can be prescribed to destroy virus
B. Clinical signs can be mild flu-like symptoms to fatal encephalitis
C. If patient has West Nile virus, symptoms will progressively worsen
D. If patient used insect repellent, virus would have been destroyed when mosquito made skin
contact
B
149
775. A male client has received a prescription for orlistat for weight and nutrition management. In addition to the
medication, client states plans to take a multivitamin. what teaching should a nurse provide?
A. Be sure to take the multivitamin and the medication at leasr two hours apart
B. As a nutritional supplement, orlistat contains all the recommended daily vitamins and
minerals
C. Multivitamins are contraindicated during treatment with weightcontrol medications such as
orlistat
D. Following a well-balanced diet is a much healthier approach to good nutrition than
depending on a multivitamin
A
150
776. Which of the following variables is considered as a major factor that affects community health?
A. Personal behavioral choices include socio-cultural factors
B. Number of health care providers in hospitals within the community
C. Quality of the public safety officers includes police officers, firefighters
D. The number of recreational services in the community
A
151
777. The Surgical unit nursing staff were instructed to follow the hospital protocol by reporting cases of any
patient's illnesses that are developed during their hospitalization especially the post-surgical wound infectors
Why must the nurses implement this protocol?
A. Control unnecessary hospitalization
B. Assess hospital infection rate
C. Report nosocomial infection
D. Improve reporting system
C
152
778. Which of the following statements indicate that a nursing staff need an education session related to
confidentiality and information security?
A. giving the password to patient’s family member.
B. leaving the computer in the nursing station secured.
C. leaving the personal electronic password safe.
D. allowing nursing students to read medical record to their patients
A
153
779. Which of the following is the best action to effectively increase surgery capacity?
A. Adapt outpatient departments for inpatients
B. Bring the injured people into the green zone
C. Provide care for the injured people with the available staff
D. Use the available supplies as it is difficult to arrange for additional
A
154
780. A patient has been experiencing recurrence of this media antibiotic therapy and the patient was scheduled
for preparative teaching, the patient asked the nurse about the purpose of the procedure.
What is the best answer that the nurse should provide?
A. Stimulates motion of the ossicles
B. Detects permanent hearing loss
C. Allows drainage of purulent fluid from the middle ear
D. Enables medication administration directly to the affected ear
C
155
781. After accessing patients' medical records, which behaviour nurse shows that patients confidentiality has
been breached?
A. Reviews patients medical record
B. Read patients care plan
C. Disclosing patients information
D. Documents medication administered
C
156
782. A nurse is assessing a 2 days old full-term male neon circumcision. She observed that the circumcised area is
re a large amount of fresh blood.
Heart rate 110 /min
Respiratory rate 40 /min
Temperature 36.6C
Which of the following action should the nurse take?
A. Apply antibiotic ointment on the affected area
B. Give the infant another injection of vitamin K
C. Clean the area with betadine to prevent infection
D. Apply gentle pressure with a sterile gauze
D
157
783. Nurse manager prepares unit clinical operational plan What is top priority in the plan?
A. Infection control
B. Staff orientation
C. Quality projects
D. Safe patient care
D
158
