PRACTICE Flashcards
(110 cards)
1
Q
What should a nurse expect as a cause for restlessness in a patient after subtotal thyroidectomy with elevated vital signs?
A
A. Hyper-metabolism due to increase in T3&T4
2
Q
What is the Total Intake for a patient in OR with the following: 1500ml Ringer, 50ml antibiotic, 50ml nasogastric tube feeding, and 500ml blood loss?
A
Total Intake = 1600ml
3
Q
What high-risk condition should a mother with hypothyroidism be monitored for?
A
A. Preterm labor
4
Q
What high-risk condition should a mother with hyperthyroidism be monitored for?
A
B. Pre-eclampsia
5
Q
Where should blood pressure be taken for a patient post right-side mastectomy?
A
B. Left brachial
6
Q
What is a one-week short-term goal for a total hip replacement patient?
A
B. State pain control
7
Q
What should be done with a broken infusion machine?
A
A. Put a sticker and report
8
Q
What is the ABG disorder for an underweight girl with two times metabolic alkalosis?
A
C. Compensated metabolic acidosis
9
Q
How can one determine if the left shoulder is dislocated?
A
A. Left arm longer than right arm
10
Q
What type of shock is suspected for a patient with abdominal injuries and low blood pressure?
A
D. Hypovolemic
11
Q
What is the correct order for assessing a postoperative patient?
A
Respiration, Cardiovascular, Neurological signs, Surgery site.
12
Q
What is the highest priority prescription for a patient with H1N1 influenza?
A
A. Assign private room
13
Q
What is the most appropriate blood test for a patient going to surgery?
A
C. Prothrombin time
14
Q
What should a nurse do if a physician orders three times the normal dose?
A
C. Call nurse supervisor
15
Q
What should a nurse do if a doctor’s order exceeds the recommended dose?
A
A. Call the doctor to clarify.
16
Q
What activity is appropriate for a patient with major depression?
A
B. Plan today’s activities with the patient
17
Q
Which cranial nerve is associated with gum and tooth pain?
A
B. Fifth nerve
18
Q
At 6 cm dilation, what stage of labor is the patient in?
A
A. First stage
19
Q
What should a nurse do if a wound staple falls after a patient sneezes?
A
C. Apply dressing to the wound
20
Q
What advice should be given to a patient with recurrent urinary tract infections?
A
A. Drink 2-3 liters of water
21
Q
What complication needs observation after the birth of a child for a diabetic mother?
A
C. Macrosomia
22
Q
What should a nurse do first after cardiac catheterization?
A
B. Assess apical pulse /distal site
23
Q
What should a nurse do for a post-operative patient with a temperature of 37.6?
A
C. Temperature is normal because of the time.
24
Q
What indicates a pregnant woman feels dependent on her husband and family?
A
A. Self concern
25
What is the definition of incidence rate?
A. All new cases of specific disease during a given time.
26
What is the definition of prevalence rate?
C. All new and old cases of specific disease during a given time.
27
What is a positive Chlamydia diagnosis considered?
B. Sub clinical
28
What is included in the newborn examination after delivery?
A. Vital Signs. Inspection. Auscultation. Percussion. Palpation.
29
How many ml are needed for a doctor order of 0.2 g when 400 mg is available in 10 ml?
B. 5ml
30
What should be the first nursing intervention for a patient with throbbing pain in a casted leg?
C. Assess pedal pulse.
31
What indicates that a nurse should apply a PRN restraint for an aggressive psychiatric patient?
B. Apply the order one time only or if needed.
32
What cancer risk is increased with long-term use of oral contraceptives?
D. Breast cancer
33
What is the most appropriate action for a nurse with a patient speaking about death?
D. Restating for patient wards
34
What defense mechanism is used when a person channels sadness into martial arts?
B. Sublimation
35
What indicates more teaching is necessary for an HIV-positive client about pregnancy?
D. I’ll need to have a C-section if I become pregnant and have a baby.
36
What type of incubator should be used for a neonate delivered by cesarean section?
B. Portable incubators
37
What best describes therapeutic communication?
D. Process to encourage the expression of feelings and needs.
38
What best describes the appearance of psoriasis?
A. Scales
39
What is the most likely diagnosis for a patient with alternating hypomanic and depressive episodes?
D. Cyclothymic disorder
40
What is the appropriate goal for the care of a child with Down syndrome?
D. Achieving age-appropriate social skills
41
What intervention is most appropriate for a woman with a history of miscarriages?
B. Past medical history
42
What managerial function indicates leading staff effectively?
B. Directing
43
What best describes the role of case management?
B. Provides coordination of care to ensure continuity.
44
What surgical procedure is possible for a patient with varicose veins?
D. Ligation and stripping
45
What is the consequence of leaving a tourniquet for a long time?
C. Hemoconcentration
46
What drug is used to treat increased intracranial pressure?
A. Mannitol
47
What reflex is indicated by a neonate throwing arms and crying after being bumped?
A. Startle reflex
48
What need does a woman express after her son died, according to Maslow's hierarchy?
A. Loving and belonging
49
What is the priority of surveillance for discovering health problems in the community?
C. Incidence and prevalence of the health diseases.
50
Why do we use the 'log rolling' technique?
C. To protect the spinal cord from moving.
51
What is the priority of surveillance?
Surveillance for previous and new health problems
## Footnote
Focus on identifying health issues within the community.
52
Why do we use the 'log rolling' technique?
To protect the spinal cord from moving
## Footnote
This technique is essential during patient positioning.
53
What should the nurse instruct a pregnant woman experiencing muscle cramps in her leg?
Knee extension
## Footnote
This action helps alleviate muscle cramps.
54
What is a classical sign of adrenal insufficiency?
Hyperpigmentation
## Footnote
This can indicate a lack of adrenal hormones.
55
What is the appropriate position after an appendectomy?
Semi fowler
## Footnote
This position helps reduce tension on the surgical site.
56
How can the nurse ensure that the mother is breastfeeding well?
Check mother while she is breastfeeding and progression
## Footnote
Observing the breastfeeding process helps assess effectiveness.
57
What type of transport carries oxygen and carbon dioxide to and from the placenta during pregnancy?
Simple diffusion
## Footnote
This process allows for the exchange of gases across cell membranes.
58
What risk does a patient with difficulty walking, lethargy, decreased capillary refill, and urine incontinence have?
Skin breakdown
## Footnote
These symptoms increase the risk for pressure ulcers.
59
What should be prioritized for a child with thalassemia who is pale and has activity intolerance?
Oxygen administration
## Footnote
Providing oxygen can help improve activity tolerance.
60
Which food should a pregnant woman avoid during pregnancy?
Raw uncooked meat
## Footnote
This reduces the risk of foodborne illnesses.
61
What is the proper way to administer medications to a patient who has difficulty taking liquid medications from a cup?
Use a needleless syringe to place the medication in the side of the mouth
## Footnote
This method assists in easier swallowing.
62
Which statement indicates an absolute rupture of appendicitis?
Painless in right quadrant / No hurts suddenly
## Footnote
This symptom indicates a severe complication.
63
What type of power is used when a nursing supervisor employs disciplinary evaluation?
Coercive
## Footnote
This power is based on the ability to impose penalties or consequences.
64
How many grams should a nurse give to a patient weighing 67 kg who is receiving a drug at 30mg/kg/24hr?
2g
## Footnote
Calculation: 67 kg x 30 mg = 2010 mg or 2 g.
65
What is the correct action for documentation according to legal guidelines?
Never erase entries; do line under word and write correct
## Footnote
This maintains the integrity of the medical record.
66
Which activity is considered fine motor activity for a child?
Holding cup
## Footnote
This involves precise movements and coordination.
67
When does the zygote enter the uterus after fertilization?
4 days
## Footnote
It typically takes about 3 to 5 days for the zygote to reach the uterus.
68
What is the appropriate action for a nurse assisting with impacted shoulders during delivery?
Perform supra pubic pressure to release anterior shoulder
## Footnote
This technique helps in managing shoulder dystocia.
69
What should the nurse do if she finds expired oil during a home visit?
Call to the company and change it
## Footnote
Proper disposal is essential for safety.
70
What are the symptoms of the BCG vaccination side effect?
Skin ulcer or scar
## Footnote
This is a common localized reaction to the vaccine.
71
How many times should a baby shower?
Twice a week with warm water
## Footnote
This frequency helps maintain hygiene without drying skin.
72
Which transfer device should a nurse use for an unsteady elderly patient?
Belt
## Footnote
A transfer belt provides support and stability.
73
What type of heat loss occurs when a neonate is near a cold window?
Radiation
## Footnote
Heat is lost to cooler surfaces nearby.
74
What action indicates successful teaching for a mother feeding a baby with a cleft lip and palate?
Burping the baby frequently
## Footnote
This helps prevent aspiration and discomfort.
75
What should be the nurse’s prime focus in discharge teachings for a patient with Hepatitis C?
Understanding of the disease
## Footnote
Knowledge about the condition aids in self-management.
76
Which action should the nurse avoid when caring for a child after Wilms surgery?
Palpating the child's abdomen
## Footnote
This can cause harm to the surgical area.
77
What is the proper way of feeding an infant with cleft lip and palate?
Feed infant in an upright, sitting position
## Footnote
This position helps manage the feeding process safely.
78
What is the type of umbilical cord care for a neonate?
Infection prevention
## Footnote
Proper care is essential to avoid complications.
79
What position should a patient be in after a lumbar puncture?
Supine
## Footnote
This position helps reduce the risk of headache.
80
What action can prevent cleft lip and palate?
Advice pregnant folic acid
## Footnote
Folic acid intake is crucial during pregnancy.
81
Which vitamin supplement can decrease the incidence of neural tube defects?
Folic Acid
## Footnote
It is recommended for women of childbearing age.
82
What stage of dying is characterized by the transition from 'NO' not me to 'yes, me but'?
Bargaining
## Footnote
This is one of Kubler-Ross's stages of grief.
83
What type of evaluation effect occurs when a nurse receives a low evaluation for being late?
Horn effect
## Footnote
This bias negatively affects the overall perception of performance.
84
What evaluation type is used when a head nurse gives average evaluations to all staff?
Central tendency
## Footnote
This occurs when raters avoid extremes in scoring.
85
What aspect of the hospital's strategic plan is indicated by the statement regarding specialized healthcare?
Mission
## Footnote
This reflects the hospital's purpose and goals.
86
What is the term for small, whitish spots on a newborn's nose caused by retained sebaceous secretions?
Milia
## Footnote
These are common and usually resolve on their own.
87
What action would improve the response to immunization activities in the community?
Provide more health teaching programs
## Footnote
Education increases awareness and participation.
88
What is the normal fetal heart rate range?
120-160
## Footnote
This range indicates a healthy fetal heart rate.
89
Which patient should be seen first?
Patient with Potassium level 7.5
## Footnote
This indicates a potentially life-threatening condition.
90
What is the term for the speed of transmission of disease from person to person?
Infectivity
## Footnote
This measures how easily a disease spreads.
91
Why should community nurses know about diseases in other countries?
To give patient needs accordingly
## Footnote
Understanding global health issues aids in appropriate care.
92
What life-threatening disease is an HIV patient at risk for?
Tuberculosis
## Footnote
This infection is common in immunocompromised individuals.
93
What type of family structure is a couple with children who have moved out?
Extended
## Footnote
This structure includes multiple generations living separately.
94
What should the nurse monitor in a patient with muffled heart sounds and cardiac tamponade?
Paradoxical pulse 40 in inspiration
## Footnote
This is a key sign of cardiac tamponade.
95
What is the treatment for pyloric stenosis?
Rehydration and pyloromyotomy
## Footnote
Surgical intervention is necessary for this condition.
96
Which medication prescription should the nurse question?
Codeine oral PRN
## Footnote
This may not be appropriate for certain patient populations.
97
Which patient should a float nurse from the medicine floor receive?
Atrial Fibrillation with anticoagulant drug
## Footnote
This requires careful monitoring of heart rhythm.
98
What is the leading cause of death in Saudi Arabia?
Ischemic heart disease and road accident
## Footnote
These are significant public health concerns.
99
What type of isolation is required for diphtheria?
Droplet
## Footnote
This helps prevent the spread of respiratory pathogens.
100
What sign is associated with schizophrenia?
Word salad
## Footnote
This refers to disorganized speech patterns.
101
Why does hemorrhage occur postpartum?
Exclusive analgesics given during labor
## Footnote
This can complicate recovery and lead to bleeding.
102
How is orthostatic hypotension measured?
The Systolic is <20, and the Diastolic is <10
## Footnote
This indicates a significant drop in blood pressure.
103
What teaching should a nurse provide to a client taking orlistat for weight management?
Be sure to take the multivitamin and the medication at least two hours apart
## Footnote
This prevents interference with nutrient absorption.
104
How can cleft lip and palate be prevented?
Eat green vegetables and citrus fruit
## Footnote
Nutritional intake during pregnancy is crucial.
105
What level of mental retardation is indicated by an IQ of 45?
Moderate mental retardation
## Footnote
This classification reflects significant cognitive impairment.
106
What is a characteristic of mild mental retardation?
Can learn some daily life activities but still needs help
## Footnote
Individuals may achieve some independence.
107
What level of prevention is a nurse planning a community program for those with disabilities?
Tertiary
## Footnote
This level focuses on rehabilitation and reducing impact.
108
What is an example of primary level of prevention?
Given education on HIV to high school students
## Footnote
This aims to prevent disease before it occurs.
109
What is the most appropriate action when caring for a non-Arabic speaker during Hajj?
Call hospital Interpreter services
## Footnote
This ensures effective communication.
110
How should a nurse initiate therapeutic communication with a scared child in the ER?
Greet and show gentleness - nurse gives health
## Footnote
Building rapport is essential for effective communication.
