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575 سؤال مع الإجابات الصحيحة، مرتبة للقراءة والمراجعة استعدادا لاختبار التمريض SNLE.
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1
A 55-year-old patient with diabetic ketoacidosis (DKA) is admitted with severe dehydration and metabolic acidosis. The physician orders lactated Ringer's (Hartmann's) solution for fluid resuscitation.<br>Which electrolyte in lactated Ringer's plays the PRIMARY role in expanding extracellular fluid volume during initial resuscitation?
A Sodium الإجابة الصحيحةB ChlorideC PotassiumD Calcium -
2
The nurse reviews intravenous fluid orders for a patient with severe dehydration. Lactated Ringer's solution is prescribed.<br>How should the nurse classify this fluid?
A HypotonicB HypertonicC Isotonic الإجابة الصحيحةD Hyperalimentation -
3
A postoperative patient is prescribed an intravenous infusion of D5NS (5% dextrose in 0.9% sodium chloride). The nurse reviews the solution before administration. Based on its osmolarity in the IV bag, how should this solution be classified?
A Hypertonic — increases serum osmolarity الإجابة الصحيحةB Hypotonic — shifts fluid into cellsC Isotonic — same osmolarity as plasmaD Hyperalimentation — used for total parenteral nutrition -
4
A patient collapses in the hospital ward. The nurse activates the emergency response system and finds the patient is not breathing.<br>What is the next immediate action?
A Initiate ventricular pacingB Open the patient’s airway الإجابة الصحيحةC Defibrillate the patientD Administer lidocaine -
5
A 69-year-old patient is in the first few hours after open-heart surgery in the ICU. The nurse notes that mediastinal chest tube drainage has suddenly increased to 180 mL in the past hour. The patient is hemodynamically stable. <br>What is the nurse’s priority action?
A Continue monitoringB Clamp the chest tubeC Report the finding to the physician immediately الإجابة الصحيحةD Document and reassess in 2 hours -
6
A 67-year-old man is in the post-anesthesia recovery unit following thoracic surgery. The nurse notes chest tube drainage totaling 300 mL within the first hour after arrival.<br>What is the nurse’s most appropriate initial intervention?
A Notify the doctor الإجابة الصحيحةB Reduce IV infusion rateC Strip tube with roller deviceD Re-position in left lateral decubitus -
7
An 8-year-old diagnosed with pulmonary tuberculosis is placed in a negative-pressure room under airborne precautions. <br>Who should wear an N95 respirator when entering the patient’s room?
A Patient's health care providersB All people who enter the patient's room الإجابة الصحيحةC Person with close contactD Family members at risk for infection -
8
A nurse prepares to enter the room of a patient on droplet precautions. <br>What is the correct sequence for donning personal protective equipment (PPE) before entering the room?
A Face Mask, Gown, Eyewear, GlovesB Gown, Face Mask, Eyewear, Gloves الإجابة الصحيحةC Eyewear, Gloves, Face Mask, GownD Gloves, Gown, Face Mask, Eyewear -
9
A nurse is leaving the room of a patient on droplet precautions and begins removing personal protective equipment. <br>What is the correct sequence for removing PPE?
A Face Mask, Gown, Eyewear, GlovesB Gown, Face Mask, Eyewear, GlovesC Eyewear, Gloves, Face Mask, GownD Gloves, Eyewear, Gown, Face Mask الإجابة الصحيحة -
10
A 16-month-old child in ICU has multi-resistant sepsis. Which transmission-based precaution is most appropriate ?
A Combination airborne and dropletB Contact الإجابة الصحيحةC DropletD Airborne -
11
Which infection control precaution is most effective in preventing nosocomial infection ?
A Hand washing before and after patient contact الإجابة الصحيحةB Wearing gloves and maskC Isolation precautionD Broad-spectrum antibiotic -
12
A patient with extensive burns is being discharged home. Due to loss of skin integrity and decreased immune defense, infection prevention is a priority. <br>Which discharge instruction is most important?
A Wash hands frequently الإجابة الصحيحةB Wear supplemental oxygenC Wear masks in publicD Take a multiple vitamin tablet -
13
A patient is transferred to an isolation room after confirming MRSA. What measure prevents infection in the ward ?
A Clean the wound thrice a dayB Discard soiled dressingC Instruct patient to wash handsD Wear gloves and gown on every entry into the room الإجابة الصحيحة -
14
Which handwashing technique is appropriate when performing routine hand hygiene using medical asepsis?
A Use hot water to ensure microorganisms are killedB Wash hands using friction and circular motion from clean to less contaminated areas الإجابة الصحيحةC Rinse while keeping hands and forearms below the elbows at all timesD Hold hands above the elbows and perform a surgical scrub -
15
To reduce the risk of transmitting methicillin-resistant Staphylococcus aureus (MRSA) from an infectious wound, which of the following precautions should be implemented?
A AirborneB Contact الإجابة الصحيحةC DropletD Reverse isolation -
16
An 8-month-old infant is admitted with bronchiolitis caused by respiratory syncytial virus (RSV). The virus is transmitted primarily through contact with respiratory secretions and contaminated surfaces. <br>Which isolation precaution should the nurse initiate?
A Contact الإجابة الصحيحةB AirborneC StandardD Droplet -
17
A 5-year-old child is seen in the primary care clinic with mild fever, headache, and malaise for about 2 days. Today, the child develops a fluid-filled vesicular rash.<br>Which of the following is the most likely diagnosis?
A Chickenpox الإجابة الصحيحةB German measlesC MeaslesD Scarlet fever -
18
An 8-year-old boy is diagnosed with varicella (chickenpox). He developed a vesicular rash that began on the face and spread to the trunk and extremities. Some lesions are open while others are crusted.<br>Which finding indicates the child is ready to return to school?
A Normal body temperatureB Dry, scabbed lesions الإجابة الصحيحةC Nares free of drainageD Absence of rash over trunk -
19
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 therapy via a peripherally inserted central catheter (PICC) for 3 weeks.<br>Which of the following actions should the nurse take FIRST?
A Shake the patient's handB Place the nursing supplies on a clean, wet surfaceC Place the nursing supplies on a clean, dry surfaceD Perform hand hygiene per the agency protocol الإجابة الصحيحة -
20
The nurse is assessing a 65-year-old patient who reports fatigue, significant weight loss, night sweats, and a productive cough with thick sputum for 6 weeks.<br>The nurse should immediately initiate airborne isolation precautions and notify the physician for which suspected condition?
A InfluenzaB Pertussis (whooping cough)C Bacterial pneumoniaD Pulmonary tuberculosis الإجابة الصحيحة -
21
Which diagnostic test can definitively confirm a case of active tuberculosis?
A Chest x-rayB Mantoux testC Sputum culture الإجابة الصحيحةD Tuberculin test -
22
A patient is admitted with suspected pulmonary tuberculosis. The nurse prepares to obtain a sputum specimen for diagnostic testing. <br>Which action by the nurse ensures the most accurate result?
A Collect the specimen after the patient eatsB Use a sterile cotton swab to collect salivaC Collect the specimen after starting antibioticsD Obtain an early-morning deep sputum sample الإجابة الصحيحة -
23
A patient with Hepatitis A requires standard precautions.<br>When providing direct care that may involve contact with feces or contaminated items, what is the minimum protective measure?
A Gowning before entering the roomB Wearing gloves for direct care الإجابة الصحيحةC Wearing a mask at all timesD Placing the patient in a private room -
24
A nurse caring for a patient diagnosed with active pulmonary tuberculosis wears an N95 respirator mask when entering the patient's room.<br>Based on the chain of infection model, which link does wearing the N95 mask PRIMARILY break?
A Break the transmission chain at the portal of entry الإجابة الصحيحةB Break the transmission chain at the portal of exitC Eliminate the infectious agent inside the roomD Eliminate the reservoir of the bacteria -
25
A hospitalized patient receiving broad-spectrum antibiotics develops profuse watery diarrhea, abdominal cramping, and low-grade fever. The nurse suspects Clostridioides difficile infection. <br>Which infection-control measure is most important to prevent transmission?
A Use alcohol-based hand sanitizer before leaving the roomB Place the patient in a negative-pressure roomC Implement contact precautions and wash hands with soap and water الإجابة الصحيحةD Wear an N95 respirator during patient care -
26
A patient is admitted to the emergency room with an unknown infection disorder. Which of the following is the most important measure a nurse implement to reduce the risks of transmitting these microorganisms other ?
A Hand hygiene الإجابة الصحيحةB Wearing glovesC Wearing a maskD Wearing a gown -
27
A hospitalized patient develops fever 72 hours after admission, and blood cultures grow MRSA. The infection-control team confirms a hospital-acquired infection. Which nursing intervention is MOST effective to prevent transmission of MRSA to other patients on the unit?
A Perform hand hygiene before and after every patient contact الإجابة الصحيحةB Administer prophylactic antibiotics to patients in adjacent roomsC Place the MRSA patient in a negative-pressure isolation roomD Limit patient visitors to immediate family only -
28
A nurse is reviewing levels of prevention in community health. <br>Which of the following interventions represents the primary level of prevention?
A Detect and treat existing diseaseB Prevent illness or injury occurring الإجابة الصحيحةC Reduce the extent and severity of health problemD Minimize disability and restore to prevent function -
29
A Nurse is surgical unit prepares for a wound dressing. While she is preparing. She sneeze over the dressing trolley without wearing a facemask. Which of the following is the most appropriate action should the nurse take ?
A Set up a new sterile field الإجابة الصحيحةB Put on a mask and continue workingC Continue working the most sterile fieldD Replace the equipment she thinks is contaminated -
30
A nurse is planning discharge education for a patient hospitalised with third-degree burns covering 30% of body surface area. Due to significant skin barrier loss and immune dysfunction, infection prevention is a priority concern.<br>Which discharge instruction addresses the HIGHEST infection-prevention priority?
A Perform thorough hand hygiene before touching wounds or dressings الإجابة الصحيحةB Use supplemental oxygen at nightC Wear a mask whenever in public spacesD Take a daily multivitamin supplement -
31
A nurse checks the medication chart of a patient, which has the following order, nitroglycerin Tab sublingual. Which of the following medication administration routes should the nurse use ?
A In the noseB In the eyelidC Under the skinD Under the tongue الإجابة الصحيحة -
32
A 62 year old woman presents to the clinic with a primary compliant of fatigue. An assess shows a smooth and reddened tongue with a loss of papillae and pallid mucous membranes. She complaints of a sense of constant fullness of the stomach, with a decreased appetite and two three loose bowel movement per day. A neurological assessment shows numbness in the feet and lower legs. The patient type of test would the most likely ?
A SchillingB ErythropoietinC Folic acid levelsD Vitamin B12 levels الإجابة الصحيحة -
33
A mother of a patient who is on antipsychotic drug asked a doctor about some more detail about the drug. The doctor told the mother that her son is taking an atypical antipsychotic drug. Which of the following is an examples of this type of drug ?
A ThioridazineB Clozapine الإجابة الصحيحةC ChlorpromazineD Haloperidol -
34
A nurse is preparing scheduled medications due at 6 pm. If a doctor orders paracetamol tab 1g QID, and it was supplied from the pharmacy in 250 mg tablets. Which of the following is the most appropriate nursing actions ?
A Ask the pharmacy to provide 1g tabletsB Call the doctor to recheck the dosageC Give the patient four 250 mg tablets الإجابة الصحيحةD Hold the medication and document in nursing notes -
35
A patient with atrial fibrillation has an order for 25 mg of a medication, but the available tablets are labeled 0.25 mg each. What is the MOST appropriate nursing action to ensure patient safety?
A Administer 100 tablets to equal the ordered doseB Hold the medication and clarify the prescription with the prescriber/pharmacy before administration الإجابة الصحيحةC Administer one tablet now and document the varianceD Split one tablet in half to reduce the dose -
36
A patient with a history of atrial fibrillation has an order for 0.25 mg of drug X. The available tablets contain 0.125 mg each. Which dose should the nurse administer?
A Dispense two tablets to the patient الإجابة الصحيحةB Administer one tablet twice dailyC Dispense one half tablet to the patientD Return tablets to the pharmacy and re-order -
37
Which intravenous (IV) solution contains a high concentration of glucose and is classified as a hypertonic solution?
A 0.9% salineB Lactated ringersC 10% dextrose in water الإجابة الصحيحةD 0.45% sodium chloride -
38
A provider prescribes IV D5NS at 100 mL/hr. <br>Based on its osmolarity in the IV bag (before dextrose is metabolized), this IV solution is best classified as which tonicity?
A hyper alimentationB hypertonic الإجابة الصحيحةC hypotonicD isotonic -
39
A nurse administered prescribed morphine sulfate to a patient in the post-anaesthesia care unit (PACU). Shortly after, the patient has a respiratory rate of 8/min and SpO₂ of 86% on 2L oxygen via nasal cannula, with decreased level of consciousness.<br>Which medication should the nurse administer IMMEDIATELY?
A Flumazenil (Romazicon)B Midazolam (Versed)C Naloxone (Narcan) الإجابة الصحيحةD Ondansetron (Zofran) -
40
A nurse is reviewing a patient's cardiac assessment before administering the scheduled dose of digoxin.<br>Which finding is a CONTRAINDICATION to administering digoxin?
A Heart rate of 110/min (tachycardia)B Blood pressure of 150/90 mmHg (hypertension)C Respiratory rate of 22/min (tachypnoea)D Heart rate of 52/min (bradycardia) الإجابة الصحيحة -
41
A nurse is monitoring a patient who received IV morphine sulfate for postoperative pain. Which respiratory finding is the MOST expected adverse effect of morphine on the respiratory system?
A Tachycardia (heart rate >100/min)B Hypertension (elevated blood pressure)C Tachypnoea (respiratory rate >20/min)D Bradypnoea (respiratory rate <12/min) الإجابة الصحيحة -
42
Soldier was brought to triage area after being exposed to chemical weapons. Signs and symptoms of nerve gas exposure were noticed. A nurse prepares for medical management. Which medication should the nurse prepare for the patient ?
A Atropine الإجابة الصحيحةB AdrenalineC Sodium nitrateD Sodium thiosulphate -
43
A patient with acute chest pain is prescribed nitroglycerin for rapid relief of anginal symptoms.<br>Which is the MOST common route of administration for immediate effect?
A Intramuscular injectionB Sublingual (under the tongue) الإجابة الصحيحةC Subcutaneous injectionD Oral tablet (swallowed) -
44
A nurse checks the medication chart of a patient, which has the following order; Nitroglycerin tab Buccal at stat. Which medication administration route should the nurse use ?
A In the earB IntravenousC Under the skinD Between cheek and gum الإجابة الصحيحة -
45
A nurse is caring for a patient with bipolar disorder receiving lithium carbonate. Before administering the next dose, the patient reports nausea and vomiting. The nurse checks the lithium level and finds it is 1.5 mEq/L (therapeutic range: 0.6 to 1.2 mEq/L). Which action should the nurse take FIRST?
A Withhold the next dose and notify the physician immediately الإجابة الصحيحةB Administer the next dose as prescribed and monitor closelyC Administer IV fluids before calling the physicianD Repeat the lithium blood level before taking any action -
46
A patient was on a regular dose of lithium carbonate. The nurse noticed he has hand tremor, polyuria, diarrhea, and vomiting. What immediate action should be taken by the nurse ?
A DiureticsB Withholding lithium الإجابة الصحيحةC Calling the psychiatristD Monitoring serum lithium level -
47
A patient was on a course of lithium carbonate drug. During the nurse found that he complained of nystagmus, visual hallucination, and oliguria. Which of the following drug-related complications best symptoms ?
A OverdoseB Mild toxicityC Severe toxicity الإجابة الصحيحةD Moderate toxicity -
48
A provider prescribes ofloxacin to treat an external ear infection. The medication is ordered via the otic route. <br>Where should the nurse administer this medication?
A NasalB EyeC Ear الإجابة الصحيحةD Sublingual -
49
A home-care patient reports an upset stomach while taking theophylline (Theo-Dur). <br>Which instruction should the nurse provide to reduce gastrointestinal irritation?
A Theo-dur on an empty stomachB Theo-dur and azmacort at the same timeC Theo-dur and azmacort 12 hours apartD Theo-dur with milk or crackers الإجابة الصحيحة -
50
Which of the following vitamins is necessary for the wound healing process ?
A Vitamin AB Vitamin C الإجابة الصحيحةC Vitamin DD Vitamin K -
51
A nurse received the serum digoxin level result for the patient the day and notes that the result is 2.6 ng/mL (see lab result) Test result normal value Digoxin (men) 2.6 0.8-2ng/mL Which of following nursing actions is the mostimportant ?
A Notify the physician الإجابة الصحيحةB Check previous vital signs of the patientC Record normal value on nursing noteD Administer scheduled dose of medication -
52
A patient is being admitted to the medical unit and has orders for fluid restriction of 1400ml / 24 hours. He is receiving IV medications in 50ml solutions QID. How much fluid should the caring nurse allocate for oral intake in 24 hours ?
A 400 mlB 800 mlC 1000 mlD 1200 ml الإجابة الصحيحة -
53
A nurse prepares to administer Amydramine 30 mg orally. The medication available is 15 mg per 5 mL. How many milliliters (mL) should the nurse administer for one dose?
A 5 mLB 10 mL الإجابة الصحيحةC 15 mLD 20 mL -
54
A nurse is preparing a medication order of 100 mg IV stat. The available hydrocortisone is 200mg per 5 ml distilled water for injection. Which of the following is the correct administered ?
A 4.5 mlB 3.5 mlC 2.5 ml الإجابة الصحيحةD 1.5 ml -
55
A nurse is preparing to administer an intravenous infusion of 2000 ml of Ringer's lactate over 12 hours. The administration set has a chamber that delivers 15 drops per ml. How many drops per minute should be administered ?
A 14B 24C 42 الإجابة الصحيحةD 56 -
56
A medication order reads: administer 300 mg. The available concentration is 900 mg in 6 mL. <br>How many milliliters should the nurse administer?
A 1.2 mlB 2 ml الإجابة الصحيحةC 4 mlD 6 ml -
57
A physician orders 1000 mL of normal saline 0.9% to be infused intravenously over 6 hours.<br>What is the correct infusion rate in mL/hour?
A 155 mL/hrB 167 mL/hr الإجابة الصحيحةC 190 mL/hrD 217 mL/hr -
58
Heparin is prescribed as 10,000 units subcutaneously. The available solution contains 40,000 units/mL. <br>How many milliliters should the nurse administer?
A 0.25 ml الإجابة الصحيحةB 0.5 mlC 1mlD 2 ml -
59
A nurse checks the medication chart of a patient, which has the following order; Paracetamol 500mg P.O. QID. How many times a day should the nurse administer the medication ?
A OnceB TwiceC Three timesD Four times الإجابة الصحيحة -
60
A syringe contains 2 grams of morphine sulfate in a total volume of 2 mL. <br>How many grams of morphine sulfate are contained in 1 mL?
A 0.5 gmB 1 gm الإجابة الصحيحةC 2 gmD 4 gm -
61
The following syringe contains morphine sulfate in a concentration of 2 mg/mL, and the syringe has a total volume of 5 mL. How much total morphine does this syringe contain?
A 2.5 mgB 10 mg الإجابة الصحيحةC 7 mgD 0.4 mg -
62
A nurse is assigned to care for a patient in the medical ward who has a physician order of 1500ml of normal saline 0.9% to be administered over a 12-hour period. What is the infusion rate ?
A 75 ml/hrB 100 ml/hrC 125 ml/hr الإجابة الصحيحةD 150 ml/hr -
63
Normal saline is prescribed at 75 mL/hr for 12 hours. <br>What is the total volume the patient will receive?
A 450 mlB 600 mlC 900 ml الإجابة الصحيحةD 1000 ml -
64
A 37-year-old female presented to the Emergency room with complaints of symptomatic bradycardia. Appropriate nursing intervention includes establishing intravenous access. What is the possible drug to be given in the IV solution ?
A DigoxinB Atropine الإجابة الصحيحةC AnticoagulantD Calcium channel blocker -
65
A 25-year-old woman presents 45 minutes after ingesting a large amount of diazepam. She is drowsy but arousable with protected airway and adequate breathing. Which intervention is anticipated to reduce further GI drug absorption?
A Naloxone IVB Activated charcoal الإجابة الصحيحةC Tap water enemaD Magnesium sulfate infusion -
66
A nurse gives health education to a patient in the outpatient department regarding a medication. The advice includes avoiding working outdoors in hot weather, excessive sweating, and drinking plenty of water daily. Which medication is most likely ?
A DiazepamB HaloperidolC Lithium carbonate الإجابة الصحيحةD Monoamine oxidase inhibitor -
67
During ACLS management of ventricular fibrillation, a patient received two shocks and epinephrine 1 mg IV. After a third shock, amiodarone was given, and CPR continues. The last epinephrine dose was given 4 minutes ago. According to ACLS timing, which medication is due next?
A Adenosine IV pushB Lidocaine IV bolusC Epinephrine 1 mg IV الإجابة الصحيحةD Sodium bicarbonate IV -
68
During health education for a patient on Monoamine oxidase inhibitor (MAOI), the nurse instructs him to avoid certain foods that can interact with the MAOI. Foods containing which of the following contents should be avoided ?
A AlcoholB CaffeineC Tyramine الإجابة الصحيحةD Folic acid -
69
A nurse has completed teaching a 54-year-old patient with stable angina about sublingual nitroglycerin use. The patient should take one tablet at onset of chest pain, wait 5 minutes, and repeat up to 3 times if needed, then call emergency services if pain persists.<br>Which statement by the patient BEST indicates correct understanding of this regimen?
A I will take one tablet when the pain starts, wait 5 minutes, and take another if the pain does not go away — up to 3 tablets total الإجابة الصحيحةB I will take one tablet every day to prevent angina attacksC I will take two tablets at once if the pain is very severeD This tablet will fix my heart rhythm and keep me safe from a heart attack -
70
An 81-year-old bedridden patient in the Geriatric Ward was given medication through his nasogastric tube. After an hour, the patient falls into a deep sleep, breathing pattern changes, and does not respond when called. What should be the immediate nursing intervention ?
A Call the physician to examine the patientB Check for the correct dosage givenC Check vitals and inform physician الإجابة الصحيحةD Try to wake up the patient -
71
A nurse intervenes with a patient at a long-term care facility to obtain information on the patient's health perception. What type of question would be most effective ?
A AnalyticalB FocusedC ClosedD Open-ended الإجابة الصحيحة -
72
A nurse enters the room of a patient without an identification bracelet. What is the most appropriate nursing action ?
A Ask the patient, "Are you Ahmed Saeed ?"B Ask the patient, "What is your name ?" الإجابة الصحيحةC Ask the patient, "What medication do you take ?"D Ask the patient, "How old are you ?" -
73
Which of the following vaccines is highly recommended for pilgrims before Hajj season ?
A Meningococcal meningitis الإجابة الصحيحةB TuberculosisC Hepatitis AD Polio myelitis -
74
A community health nurse conducts health education sessions for a group of adolescents aged 14–18 years. From a nursing health promotion perspective, what is the PRIMARY concern that makes adolescents a high-risk population?
A Tendency to engage in risk-taking behaviours الإجابة الصحيحةB Belief that they are invincible and can manage health problems aloneC Higher incidence of chronic illness compared to childrenD Being in a transitional developmental stage between childhood and adulthood -
75
Which of the following is an independent function of a primary health care nurse ?
A Complete history and nursing assessment الإجابة الصحيحةB Referral for diagnostic evaluationC Medical examinationD Psychotherapy referral -
76
A 26-year-old postpartum client (postnatal day 2) is anxious about an upcoming perineal examination. Before the gynecologist begins the perineal exam, which nursing action is the priority?
A Arrange dressing instrumentsB Maintain patient privacy الإجابة الصحيحةC Arrange a stitch removal kitD Collect a detailed history -
77
A nurse is instructing a female client on how to do a breast self-exam. When is the best time to perform this exam ?
A After ovulationB After the period الإجابة الصحيحةC Two weeks after the periodD Three days before the period -
78
Collection and analysis of vital statistics and monitoring communicable disease trends are essential public health activities. Which core public health function do these activities represent?
A Public health surveillance الإجابة الصحيحةB Direct individual patient careC Elective specialty referral servicesD Long-term rehabilitative management -
79
Which effect is LEAST likely with systemic corticosteroid therapy?
A Anorexia (decreased appetite) الإجابة الصحيحةB Increased appetite and weight gainC Mood or behavioral changesD Hyperglycemia -
80
When assessing edema, what score indicates edema of the lower extremities, face, hands, and sacral area ?
A 1B 2C 3 الإجابة الصحيحةD 4 -
81
A patient's height is 183 cm, and weight is 63.5 kg, resulting in a BMI of 19. How would the patient's weight be classified ?
A UnderweightB Normal الإجابة الصحيحةC OverweightD Obese -
82
During a home visit, which phase is primarily focused on carrying out the planned nursing interventions?
A InitialB ClosingC Action الإجابة الصحيحةD Terminal -
83
A primary health care nurse identifies a specific high-risk family that needs counselling and family health education. Which type of home visit is MOST appropriate for this family?
A Systematic routine visitB Selective home visit الإجابة الصحيحةC Follow-up home visitD Field trip -
84
A mother referred for counseling due to restrictions in performing activities. Which term describes this condition ?
A ImpairmentB AbnormalityC HandicappedD Disability الإجابة الصحيحة -
85
A health services team is planning care for a family with multiple members who have developmental disabilities (including Down syndrome and congenital anomalies). Which factor represents the PRIMARY barrier the team will encounter when providing healthcare services?
A Sensory limitations of the healthcare providersB Inflexible institutional rulesC Presence of developmental disabilities requiring specialised, multidisciplinary care الإجابة الصحيحةD Communication barriers due to deafness or hearing impairment -
86
A mother of nine children, three with congenital anomalies and one with Down syndrome, is referred for counseling. What should be focused on to provide effective health education ?
A Educate regardless realistic objectivesB Use clear and concise language الإجابة الصحيحةC Use scientific terms during explanationD Explain the negative consequences -
87
A nurse manager discusses models of disability during a community health seminar. One model views disability not as a medical problem in the individual, but as a result of social barriers, stigma, and discrimination imposed by society.<br>Which model is being described?
A Health belief modelB Biomedical modelC Sociopolitical (social) model الإجابة الصحيحةD Economic model -
88
What is the proper interpretation of chromosomal analysis showing 46, XY ?
A Normal male الإجابة الصحيحةB Abnormal maleC Normal femaleD Abnormal female -
89
What is the correct interpretation of a chromosomal analysis result reported as 46, XX?
A Normal maleB Abnormal maleC Normal female الإجابة الصحيحةD Abnormal female -
90
Infant mortality is a critical indicator of children's health status. Which of the following statements probably describes the """"infant mortality"""" term ?
A Deaths of infants during the first year of life per 100 live birthsB Death of infants during the first year of life per 1000 live births الإجابة الصحيحةC Death of infants during the first year of life per 10000 live birthsD Death of infants during the first year of life per 100000 live births -
91
Which disturbance results in loss of half of the visual field ?
A AnisocoriaB Homonymous hemianopsia الإجابة الصحيحةC NystagmusD Diplopia -
92
In patients with cardiac disease, which of the following places for taking temperature should the nurse avoid ?
A Rectal الإجابة الصحيحةB OralC AxillaryD Tympanic -
93
Vaccine refrigerator temperature is ?
A 0-3B 1-5C 2-8 الإجابة الصحيحةD 0-10 -
94
What does the meningococcal conjugate quadrivalent vaccine (MCV4) prevent?
A Invasive meningococcal disease such as meningitis and septicemia الإجابة الصحيحةB Haemophilus influenzae type b (Hib) epiglottitisC Pneumococcal pneumonia caused by Streptococcus pneumoniaeD Rotavirus gastroenteritis -
95
First dose of hepatitis B should be given when ?
A At birth الإجابة الصحيحةB At 2 monthsC At 6 monthsD At 1 year -
96
What is the correct route of administration for the measles vaccine?
A IntramuscularB Subcutaneous الإجابة الصحيحةC IntradermalD Intravenous -
97
DTap vaccine administration route ?
A Intramuscular الإجابة الصحيحةB SubcutaneousC IntradermalD Intravenous -
98
A patient asks what the MMR vaccine protects against. Which set of diseases is prevented by MMR?
A Mumps-measles-Scarlet feverB Mumps-measles-rotavirusC Mumps-measles-rabiesD Mumps-measles-German measles الإجابة الصحيحة -
99
An Indian vegetarian client needs higher-protein food choices to support tissue repair. Which listed item is the BEST plant-based protein option?
A Lentils الإجابة الصحيحةB PotatoesC MacaroniD Green salad -
100
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 officeB Lock ring with patient's valuables الإجابة الصحيحةC Call patient's family to give them the ringD Respect patient's choice and leave ring on patient's finger -
101
A nurse documents the diagnosis "Readiness for enhanced self-care." This diagnosis belongs to which category of nursing diagnoses?
A Acute nursing diagnosesB Risk nursing diagnosesC Wellness nursing diagnoses الإجابة الصحيحةD Possible nursing diagnoses -
102
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 BoardB HandleC TrapezeD Mechanical lift الإجابة الصحيحة -
103
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 feels hungryB When the client wants to remove itC When the client is totally consciousD When the client exhibits flatulence or gases الإجابة الصحيحة -
104
Muslim female patient undergoing emergency caesarean section requests to wear a headscarf. Most appropriate action ?
A Ask the patient to remove the scarfB Tell the patient that it is okay to wear the scarfC Ask the patient to wear a surgical cap الإجابة الصحيحةD Tell the patient that a request will be during the surger -
105
A new community nurse in a rural area must set priorities based on an accurate picture of community health status. Which approach is MOST appropriate to assess overall community health needs using population-level data and local indicators?
A Home visitB Community assemblyC Mass information campaignD Community health assessments الإجابة الصحيحة -
106
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 45945B 30-60 الإجابة الصحيحةC 60-90D 240-360 -
107
A postpartum mother is receiving care in the postnatal ward. Her family believes that a specific home diet will increase milk production and promote healing. Which nursing intervention is most appropriate?
A Respect the cultural beliefs and encourage activities الإجابة الصحيحةB Teach and monitor for correct breastfeeding practicesC Discuss dietary plan and monitor weight gainD Explain post-partum care and follow-ups -
108
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 glovesB Place the sterile linen-wrapped package on waist levelC Hold the bottle lip 1-2 inches above sterile container before pouring the solution الإجابة الصحيحةD Open sterile item while holding outside hand, then throw object onto sterile field -
109
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 الإجابة الصحيحةB BoardC HandleD Mechanical lift -
110
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 الإجابة الصحيحةB PapuleC PustuleD Blister -
111
A patient who has pain localized in the chest, now down the left arm. What is this type of pain called ?
A PhantomB RegimentedC ShootingD Radiating الإجابة الصحيحة -
112
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 positionB Fowler's positionC Trendelenburg position الإجابة الصحيحةD Semi-Fowler's position -
113
Patient with ongoing potassium infusion he has burning sensation ant the site of infusion what should the nurse do first ?
A Stop infusion الإجابة الصحيحةB Document as normal findingC Slow rate and call the doctorD Inform the doctor -
114
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 least two hours apart الإجابة الصحيحةB As a nutritional supplement, orlistat contains all the...C Multivitamins are contraindicated during treatment with...D Following a well-balanced diet is a much healthier... -
115
Which of the following variables is considered as a major factor that affects community health ?
A Personal behavioral choices include socio-cultural factors الإجابة الصحيحةB Number of health care providers in hospitals within...C Quality of the public safety officers includes police officers...D The number of recreational services in the community -
116
A nurse is preparing to administer 25 mg of iron dextran to a patient with iron-deficiency anemia. The nurse knows this medication can stain subcutaneous tissue and wants to give it safely. Which is the best administration technique?
A Deep IMB Use large gaugeC Z-track الإجابة الصحيحةD Insert needle at 45 angle -
117
A 19-year-old girl was scheduled for the extraction under general anaesthesia. Her pre-operative was done and the consent was signed by her, but her nail polish and trim her long nails, requirement. What should be the nurse's action in response to ?
A Explain why nails need to be cleaned الإجابة الصحيحةB Respect the patient's right to refuseC Record and inform the physicianD Remove as per protocol -
118
Which of the following uses for abdominal examination ?
A Percussion Inspection. Auscultation. PalpationB Auscultation. Percussion .Palpation InspectionC Inspection. Auscultation. Percussion. Palpation الإجابة الصحيحةD Inspection. Palpation auscultation. Percussion -
119
Before sending a client for a CT with contrast dye, what the nurse's most important action ?
A Teach about the need for post-procedure hydrationB Verify that the informed consent is completeC Place the side rails of the bed up before transportD Check the client's health record for allergies الإجابة الصحيحة -
120
A nurse is about to perform venipuncture to initiate intravenous therapy with 0.9% normal saline solution. Before venipuncture, the nurse collects the require supplies and plans to Perform certain action. Which of the following actions is the most important ?
A Apply a tourniquet below the site of venipunctureB Place an arm board at the joint above the venipunctureC Apply cool compress over the vein to be used for venipunctureD Inspect 0.9% normal saline solution's date of expiry الإجابة الصحيحة -
121
A patient is transferred to the post-anesthesia care unit (PACU) after surgery with epidural anesthesia. After taking the patient's vital signs, what should the nurse assess next ?
A Spinal headacheB Postoperative painC Bladder distention الإجابة الصحيحةD Ability to move legs -
122
A nurse noticed that the digit probe of the pulse oximeter that is attacked to the right forefinger of a patient is not reading. Which of the following is the most appropriate action that the nurse must take at this time ?
A Change the location of the pulse oximeter الإجابة الصحيحةB Get a new pulse oximeter sensor probe other than a digit probeC Maintain position and check it after two hoursD Assume oxygen saturation is at a normal level -
123
Which of the Following Is the First Step for Inhaler Technique ducation in Patients with Asthma ?
A Breathe out gentlyB Place the mouthpiece between lipsC Shake the inhaler الإجابة الصحيحةD Wait a few seconds then repeat the above process -
124
A client was admitted in the Emergency Room due to mild metabolic acidosis associated with dehydration and potassium the doctor administered Hartmann’s (lactated Ringer’s) intravenous fluid and electrolyte replacement. Which of the following elements of the lactated Ringer’s solution highest value ?
A CalciumB Sodium الإجابة الصحيحةC PotassiumD Magnesium -
125
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 referral orderB Collect information and schedule a visit الإجابة الصحيحةC Establish mutually acceptable goals for careD Conduct a health history and physical assessment -
126
A nurse is providing a health teaching to a client about the proper use of a cane during ambulation. The nurse could include which of the following instructions about the correct use of cane ?
A Patient moves the stronger leg forward to the caneB Patient holds the cane on the strong side of the body الإجابة الصحيحةC Patient leans on the cane to provide support to the weaker sideD Patient moves the cane forward about 4 inches to the strong side -
127
A patient fears developing a febrile reaction during a blood transfusion. Which nurse response is most accurate and therapeutic?
A Febrile nonhemolytic transfusion reactions occur when recipient antibodies react to donor leukocytes/cytokines, causing fever and chills الإجابة الصحيحةB Febrile reactions always indicate acute hemolysisC Febrile reactions only occur within the first 5 minutesD Febrile reactions mean the blood is contaminated -
128
Before giving each nasogastric tube feeding, which action is most important to verify placement?
A Pull to check the tube is in placeB Check the tube for patencyC Aspirate the content الإجابة الصحيحةD Insert water -
129
Which statement best describes myopia?
A They must hold a paper at arm's length or greater to read itB They can see close-up objects clearly, but distant objects are out of focus الإجابة الصحيحةC They can see distant objects clearly, but close-up objects are out of focusD They are unable to focus horizontal and vertical rays of light on the retina simultaneously -
130
Which of the following tests measures the total quantity of prothrombin in the blood and monitors the effectiveness of warfarin sodium (Coumarin) therapy and prolonged deficiencies in the extrinsic factor ?
A Thrombin timeB Prothrombin time الإجابة الصحيحةC Partial prothrombin timeD Activated partial prothrombin time -
131
Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a three-minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide ?
A Inform the nurse that hand scrubs should be three minutes between casesB Direct the nurse to continue the surgical hand scrub for five-minute duration الإجابة الصحيحةC Validate that the nurse is implementing the OR policy for a surgical hand scrubD Ask the experienced nurse to perform this scrub since it is the first one of the day -
132
Which of the following statements describe the function of Immunoglobulin (IgG). ?
A It does not cross the placenta and is present in colostrum and breast milkB It protects against gastrointestinal and respiratory system infectionsC It provides temporary immunity to bacteria and toxins to which the mother has developed immunity الإجابة الصحيحةD It protects against gram-negative bacteria and can be found in cord blood -
133
An infection control nurse is responsible to conduct the surveillance on how the hospital staff take precautionary measures against flu, based on her findings, she is responsible to conduct the awareness raising for the doctors and nurses in the in-patient areas. Which of the following is the goal of the nursing practice here ?
A Infection control managementB Research and surveyC Primary prevention الإجابة الصحيحةD Health education -
134
Which of the following is the main disadvantages of home care visit ?
A Time-consuming for healthcare team الإجابة الصحيحةB Inexpensive than hospital careC Easy access to equipment or consultationD Nurses have more control on mother's distraction -
135
The physician has written an order for the nurse’s assignee to have a 24-hour urine collection sent to the laboratory for special. Which of the following should the nurse realize prior to urine ?
A Start the urine collection at either 12:01 a.m. or 12:01 pmB Provide enough sterile receptacles for the urine collectionC At the start of the collection period, have the patient discard this urine الإجابة الصحيحةD Inform the patient that they must save all urine for 24 beginning at 12:01 a.m. -
136
Gastric suction can cause: ?
A Metabolic acidosisB Respiratory acidosisC Metabolic alkalosis الإجابة الصحيحةD Respiratory alkalosis -
137
A patient feeling hand numbness should receive which medication ?
A Vitamin CB Vitamin KC B12 الإجابة الصحيحةD Folic acid -
138
A 45-year-old with severe upper GI bleeding is admitted to the medical ward. Which peripheral IV catheter gauge is best for a blood transfusion ?
A 14 gaugeB 16 gauge الإجابة الصحيحةC 20 gaugeD 24 gauge -
139
Which religion prohibits blood transfusion ?
A ChristianB MuslimsC JewishD Jehovah الإجابة الصحيحة -
140
A nurse caring for a client having an allergic reaction observes febrile, flushed symptoms. What should the nurse do first ?
A Stop blood transfusion immediately الإجابة الصحيحةB Replace the blood with salineC Administer an antihistamineD Place the client flat with the feet elevated -
141
During a patient's blood transfusion, which of the following are associated with an allergic reaction ?
A Diarrhea and rapid onset of chillsB Itching and asthmatic wheezing الإجابة الصحيحةC Low back pain and acute renal failureD Distended neck veins and a rise in venous pressure -
142
When is the best time to collect a urine specimen for routine urinalysis and culture and sensitivity ?
A Early morning الإجابة الصحيحةB Later afternoonC MidnightD Before breakfast -
143
An infection control nurse notices purulent exudate, redness and tenderness on the surgical wound site for a few postoperative patients in a surgical unit. Which of the following is the best possible action to minimize the incidence of wound infection ?
A Perform assessment of pain on the wound siteB Wash hands before and after each patient activity الإجابة الصحيحةC Encourage adequate intake and early ambulationD Support incision appropriately and avoidance of straining -
144
When examining the tympanic membrane of an adult by otoscope, the nurse should move the ADULT pinna in which direction ?
A Down and forwardB Up and back الإجابة الصحيحةC Up and forwardD Down and back -
145
Which of the following foods is considered low in potassium?
A BananasB AvocadoC BerriesD Strawberry الإجابة الصحيحة -
146
Packed red blood cells have been prescribed for a female client with anemia who has a hemoglobin level of 7.6 g/dL (76 mmol/L) and a hematocrit level of 30% (0.30). The nurse takes the client's temperature before hanging the blood transfusion and records 100.6° F (38.1° C) orally. Which action should the nurse take ?
A Begin the transfusion as prescribedB Administer an antihistamine and begin the transfusionC Administer 2 tablets of acetaminophen and begin the transfusionD Delay hanging the blood and notify the primary health care provider (PHCP) الإجابة الصحيحة -
147
For a tuberculin skin test given intradermally on the volar forearm, which needle gauge should the nurse use?
A 16 gauge needleB 20 gauge needleC 22 gauge needleD 26 gauge needle الإجابة الصحيحة -
148
The maximum time for suctioning in adults is: ?
A 5 secondsB 8 secondsC 10 seconds الإجابة الصحيحةD 15 seconds -
149
A nurse is preparing to transfer a patient from the operating table to the postoperative bed. The patient had a right total hip arthroplasty . the nurse must maintain the patient hips of the following position ?
A FlexionB Abduction الإجابة الصحيحةC ExtensionD Adduction -
150
Why should a patient using subcutaneous insulin rotate injection sites?
A Insulin intoleranceB Insensitivity to insulinC Increased rate of absorptionD Hard painful lumps development الإجابة الصحيحة -
151
When assessing a dark-skinned client for cyanosis, which site is most reliable?
A LipsB PalmsC Nail bedsD Conjunctiva الإجابة الصحيحة -
152
A client had a total hip replacement at 9:00 a.m. An autologous blood transfusion started at 11:00 a.m. At 3:00 p.m., 50 mL remains. What should the evening nurse do first?
A Keep the blood transfusing at the same rateB Increase the rate so it will infuse by 4 pmC Discontinue the blood transfusion at the beginning of the shift الإجابة الصحيحةD Maintain the current rate and discontinue the blood transfusion at 5 pm -
153
Which therapeutic communication technique is being used when a nurse affirms a patient's statement ?
A FocusingB ExploringC Accepting الإجابة الصحيحةD Reflecting -
154
What is the most appropriate technique to confirm a nasogastric tube's positioning ?
A X-ray of stomach الإجابة الصحيحةB Check pH of drainageC Aspirate and check color changeD Flush with saline and auscultate -
155
When is the best time for a woman to perform breast self-examination ?
A A few days before her periodB During her menstrual periodC Last day of menstrual flowD 3-7 days after period الإجابة الصحيحة -
156
Which medication should the nurse have available for a client with warfarin-related bleeding or warfarin overdose?
A Vitamin K الإجابة الصحيحةB Atropine sulfateC Dextrose 50%D Sodium bicarbonate -
157
What is the most important patient teaching during an eye infection?
A Cover eye for protectionB Apply warm pads الإجابة الصحيحةC Wash face twice a dayD Take more fluids and eat balanced diet -
158
A nurse provides care for a client who is 5 days post gastrectomy. The provider prescribes total parenteral nutrition (TPN). Which statement by the nurse to an orienting nurse explains the client's need for TPN ?
A TPN is used for clients who are at increased risk for aspiration due to swallowing inability.B TPN is for clients who are unable to receive nutrients by mouth for an extended period of time. الإجابة الصحيحةC TPN is the usual method of providing nutrition to clients after major abdominal surgery.D TPN is a temporary solution and can be used for the first 24 hours after surgery -
159
Which of the following obstacles up to the implementation of the primary health care strategy weds ?
A Increase the number of health care workersB Misinterpretation of PHC concept الإجابة الصحيحةC Decentralization managementD Few political supervision -
160
The nurse listens to patient complains and discussed how each of the complaints can be managed which of the following is the best description the nurse action ?
A Promoting patient autonomyB Demonstrating sympathyC Ensure patient supportD Showing concerns الإجابة الصحيحة -
161
A client is told that a below-knee amputation may cause a disability. Which statement best defines disability?
A Problems in body function and lossB Difficulties to experience life situationsC Difficulties in executing activities الإجابة الصحيحةD Loss of interaction with the community -
162
A patient prescribed prednisolone eye drops is educated by the nurse. What advice is most important for administration ?
A Irrigate the eye with saline before administrationB Continue taking medication until the bottle is emptyC Prior to administration, block tear ducts with fingersD Apply to the inner aspect of conjunctival sac الإجابة الصحيحة -
163
Identification and quantification of health problems in a community in terms of mortality and morbidity. What does this phrase represent ?
A Diagnosis الإجابة الصحيحةB AssessmentC ParticipationD Involvement -
164
Nurse witnesses a colleague grasping her neck and unable to speak. What maneuver should the nurse perform ?
A EpleyB Heimlich الإجابة الصحيحةC ValsalvaD Leopold's -
165
Which medication type is administered rectally ?
A TabletB CapsuleC InjectionD Suppository الإجابة الصحيحة -
166
The doctor ordered to give nitroglycerine sublingual to a patient with angina. What is the most likely effect that drug has on the patient body ?
A Increase heart rateB Increase blood pressureC Increase blood supply to the heart الإجابة الصحيحةD Increase myocardial oxygen consumption -
167
A nurse need to take the temperature of an adult comatose patient his rectum. How far into the rectum should the thermometer be inserted reliable temperature ?
A 1.5 cmB 2.5 cmC 3.5 cm الإجابة الصحيحةD 4.5 cm -
168
A patient with a documented penicillin allergy is prescribed vancomycin 500 mg IV in 200 mL of 0.9% normal saline to be administered through a central line. What is the most appropriate nursing action?
A Withhold the medication and notify the physicianB Suggest an additional order for antihistamineC Dilute in 500 ml prior to administrationD Administer the medication as ordered الإجابة الصحيحة -
169
During the initial assessment, a registered nurse decided to apical pulse of a patient with coronary artery disease. Which position is best of the patient to be placed in to measure pulse ?
A Prone positionB Supine position الإجابة الصحيحةC Position on his/her left sideD Position on his/her right side -
170
A woman patient with, fever, weight loos, and watery diarrhea is being admitted to health care facility. During assessment the nurse notices the patient abdomen is concave. additional assessment should proceed in which order ?
A Palpation, auscultation, and percussionB Percussion, palpation, and auscultationC Palpation, percussion, and auscultationD Auscultation, percussion, and palpation الإجابة الصحيحة -
171
During nursing assessment, the nurse document the presence of skin breaks, abrasion, blister, or sallow cater, edema, and infection. According to recognized staging system, what is the classification of this pressure ulcer ?
A Stage 1B Stage II الإجابة الصحيحةC Stage IIID Stage IV -
172
The nurse attempts to ventilate an unconscious client and meets resistance with no effective air entry. What action should the nurse take next?
A Feel for air movement from the noseB Perform a blind finger sweepC Reposition the head using head-tilt/chin-lift الإجابة الصحيحةD Administer abdominal thrusts -
173
Which one of the following is the reservoir for the pathogens causing Hepatitis C ?
A Blood الإجابة الصحيحةB BowelC BladderD Bronchioles -
174
Which of the following can be considered as a major development in nursing home visits in terms of information technology ?
A Medication dispensingB Telehealth الإجابة الصحيحةC Patient monitoringD Prevention of epidemiological disease -
175
A 28 years old patient in the medical ward was admitted to rule out her recurrent headache for the last year. On the second day of her admission she complain of sever generalized headache. after identify the intensity duration and severity the nurse informed physician and administered paracetamol and recorded the details in the nursing notes after half hour when the nurse asked the patient replied that the pain was relieved and she felt better what the nursing process step ?
A Nursing problemB ImplementationC AssessmentD Evaluation الإجابة الصحيحة -
176
Registered nurses must be able to measure blood pressure accurately. What could possibly result in incorrect high blood pressure reading ?
A Bladder cuff is too wideB Cuff is deflated too quicklyC Cuff is wrapped too loosely الإجابة الصحيحةD Arm is above the level of the heart -
177
During a meningitis outbreak, non-immune hospital staff receive immunoglobulin for protection. What type of immunity does this provide?
A ActiveB Long termC NaturalD Passive الإجابة الصحيحة -
178
Patient diagnosed with vitamin c deficiency. Which of the following pups of foods would the nurse most likely instruct the patient to add to ?
A Broccoli, tomatoes, strawberries, potatoes الإجابة الصحيحةB Legumes, egg, oats, meatC Yeast, fish, bananas, nutsD Milk, liver, rice, beans -
179
. Which of the following is the study of interactions are relationship between living organism and their environment ?
A Ecology الإجابة الصحيحةB PathologyC MicrobiologyD Parasitology -
180
A 29 modifiable risk factors are those aspects of persons health risk over which she or he ahs no control. which of the following is considers anon modifiable factors ?
A Genetic الإجابة الصحيحةB SmokingC EatingD Activity -
181
The nurse is care for a patient who has not had bowel movement in the past few days and is suspected of having a fecal impaction. Which of the following intervention confirm fecal impaction. ?
A Hemoccult blood testB Digital examination الإجابة الصحيحةC ValsalvaD Squat test -
182
A patient was complaining of depression, muscle weakness and continuous fatigue. which of the following deficiencies is suspected ?
A Deficiency of vitamin BB Deficiency of vitamin D الإجابة الصحيحةC Deficiency of vitamin ED Deficiency of vitamin K -
183
A nurse is providing educational workshop on infection control in the health center. Which of the following is the body first line of defense against microorganisms ?
A Cellular responseB Vascular responseC Antibody-mediated defensesD Intact skin and mucous membranes الإجابة الصحيحة -
184
A nurse inserted an intravenous cannula into a patient's right forearm and began to administer 500mg of erythromycin through a pump delivery system. Following hospital protocol the nurse remains at the bedside for the first 10minutes to assess the patient's response. After five minutes of the infusion, there is a small hematoma at the cannula insertion site. The intravenous injection flow a shower than expected when the arm is elevated. The skin proximal to the catheter site is warm, reddened and painful on palpation. Which of the following is the most appropriate nursing action ?
A Apply ice pack for twenty minutes at siteB Discontinue and re-establish a new site الإجابة الصحيحةC Increase infusion of the pumpD Position right below level of heart -
185
A urinalysis is best evaluated for accurate results if the specimen is analyzed within which of the following ?
A 1 hour of collection or refrigerated until analyzed الإجابة الصحيحةB 1 hour of collection or left at room temperatureC 2 hours of collectionD 4 hours of collection -
186
A nurse is writing priority nursing diagnoses for a patient with physical immobility due to a right knee injury. Which diagnosis should receive the highest priority?
A PainB HygieneC DehydrationD Skin integrity الإجابة الصحيحة -
187
A 19 year girl was scheduled for the extraction of her wisdorn teeth under general anesthesia. Her preoperative anesthesia consultation was done and the consent was signed by her, but she refused to remove her nail polish and trim her long nails, which was a necessary requirement. Why is it necessary to have unpolished and trimmed nails as one of the requirements before the general anesthesia ?
A Avoid puncturing the inner side oxygen probeB Prevent chipping or scratches from long nailsC Assess for nail color during anesthesia الإجابة الصحيحةD Follow the pre-anesthesia protocol -
188
The nurse is placing a nasogastric tube in a patient for enteral nutrition. Which of the following actions must the nurse consider prior to giving feeding to verify placement ?
A Palpating the abdomenB Aspirating and testing the contents الإجابة الصحيحةC Placing a tube in saline to see if bubbles appearD Injecting air into the tube and waiting for the patient to burp -
189
In a patient record, the data '25-year-old female' is classified as which type of information?
A Patient's family statusB Personal informationC Economic backgroundD Demographic information الإجابة الصحيحة -
190
A 63-year-old man patient is admitted to the emergency department with complaints of severe chest pain. The apical pulse is the most appropriate site to obtain accurate heartbeats. Where should the nurse place the stethoscope to obtain the apical pulse ?
A In the middle of the chest between the nipplesB Over the apex of the heart between 4th and 5th ribC Between 5th and 6th rib slightly above the nipplesD Between 5th and 6th rib, the mid clavicle line below the nipple الإجابة الصحيحة -
191
What is the most appropriate physical assessment order for a patient with blunt abdominal trauma ?
A Inspect, palpate, auscultate, percussB Inspect, palpate, percuss, auscultateC Inspect, percuss, palpate, auscultateD Inspect, auscultate, palpate, percuss الإجابة الصحيحة -
192
Site of ileostomy ?
A Left lowerB Right lower الإجابة الصحيحةC Left upperD Right upper -
193
In health education about accidents in schools, what role is fulfilled by whom ?
A Nurse الإجابة الصحيحةB DoctorC Social workerD Administrator -
194
A patient treated an insect bite with traditional alternative therapy of raw garlic juice, causing a strong skin reaction. After the nurse explained its harmful effects, what is the best expression of the nurse's role ?
A Patient's advocateB Resource personC Care planningD Caregiver الإجابة الصحيحة -
195
A patient scheduled for surgical placement of a fecal ostomy is informed about the usual consistency of feces and asked about the most likely surgical placement of the fecal ostomy based on an illustration. ?
A Two (right lower) الإجابة الصحيحةB ThreeC FourD Five -
196
A primary nurse in the Cardiac Care Unit provided care for a patient with myocardial infarction. Which activity is related to nursing planning ?
A Administer morphine as prescribedB Assess the level of pain managementC Clearly state the nursing diagnosis as painD Determine a set of nursing intervention outcomes for pain الإجابة الصحيحة -
197
While undergoing a soapsuds enema, the client complains of abdominal cramping. What should the nurse do ?
A Immediately stop the infusionB Lower the height of the enema container الإجابة الصحيحةC Advance the enema tubing 2 to 3 inchesD Clamp the tubing -
198
While talking with a patient, a nurse begins to feel tense because the patient moves very close into the nurse’s personal space. What is the most appropriate nursing response?
A Yell and send him to his roomB Change the topic of conversationC Keep silent and step backD Appear uncomfortable and limit behavior الإجابة الصحيحة -
199
Before starting a blood transfusion using a subclavian catheter, what is the most appropriate step 30 minutes after insertion ?
A Check patency of catheter by flushing with normal saline solutionB Position patient with the head of the bed elevated 30 degreesC Review the result of a chest radiograph completed 15 minutes ago الإجابة الصحيحةD Obtain the patient's most recent complete blood count result -
200
The nurse observes granulation tissue in a wound. What phase of wound healing does this represent ?
A MaturationB InflammationC Proliferation الإجابة الصحيحةD Finalization -
201
A client is asymptomatic with a positive Mantoux test (induration at 72 hours) and a normal chest X-ray. The client reports previous BCG vaccination. What is the most likely explanation?
A Active tuberculosisB BCG vaccination الإجابة الصحيحةC HIV infectionD Reactivation tuberculosis -
202
A community health nurse evaluates a directly observed therapy (DOT) program for a patient with pulmonary tuberculosis. What is the main aim of the DOT program?
A Assess family supportB Evaluate nutritional statusC Monitor home environmentD Prevent antibiotic resistance الإجابة الصحيحة -
203
The nurse performs a physical examination on a client with hearing difficulties by placing a tuning fork on the client's head. What test did the nurse perform ?
A Whisper testB Rinne testC Audiometer testD Weber test الإجابة الصحيحة -
204
The site of the Weber test is ?
A Occipital boneB Bilateral boneC Mastoid boneD Middle of the forehead الإجابة الصحيحة -
205
A client scheduled for surgery is demanding detailed explanations and appears insistent. What is the nurse's best initial intervention?
A Assess anxiety level الإجابة الصحيحةB Assure the client everything will be fineC Explain the procedure within nursing scopeD Administer a sedative -
206
Before starting a blood transfusion through a newly inserted subclavian catheter, which step is most important after catheter insertion?
A Check patency of catheter by flushing with salineB Position patient with head of the bed elevatedC Review chest radiograph results الإجابة الصحيحةD Obtain patient's most recent CBC result -
207
Doctor order to give 1000ml over four hour. What is the rate ?
A 25drop/minB 50 drop/minC 250ml/hour الإجابة الصحيحةD 500ml/hour -
208
Most appropriate method to rewarm a patient with decreased consciousness and cool, pale skin ?
A Warmed intravenous isotonic fluidsB Place the patient in a warm bathC Apply heat packs to head and neckD Cover the patient with hospital blankets الإجابة الصحيحة -
209
Intervention for a victim escaping a house fire with burns and smoke inhalation before emergency personnel arrive ?
A Place in a comfortable position and monitor for airway patency الإجابة الصحيحةB Place in supine position and provide rescue breathingC Keep patient standing and support leaning on a wallD Place a wet towel over the face and position in supine -
210
When assessing for signs of a blood transfusion reaction in a client with dark skin, which finding is especially important to assess?
A HypertensionB Diaphoresis الإجابة الصحيحةC PolyuriaD Warm skin -
211
Type of insulin that cannot be mixed with other types ?
A Long acting الإجابة الصحيحةB Rapid actingC IntermediateD Regular -
212
Which term refers to the entry of food, fluid, or secretions into the airway and lungs?
A Skin breakdownB Aspiration الإجابة الصحيحةC InfectionD Body disturbance -
213
Insulin Route ?
A IntramuscularB IntradermalC Subcutaneous الإجابة الصحيحةD Oral -
214
A patient received regular insulin at 6:00 AM. Based on its onset of action, at what time should the nurse expect the insulin to begin lowering the blood glucose level?
A 7 AMB 8 AM الإجابة الصحيحةC 9 AMD 10 AM -
215
Patient will start TPN and should started gradually to avoid which: ?
A HyperinsulinemiaB HypoinsulinemiaC HypoglycemiaD Hyperglycemia الإجابة الصحيحة -
216
A nurse has an order to transfuse a unit of packed red blood cells to a client who does not currently have an intravenous (IV) line inserted. When obtaining supplies to start the IV infusion, the nurse selects an Angio catheter with a size of: ?
A 18 gauge الإجابة الصحيحةB 21 gaugeC 22 gaugeD 24 gauge -
217
Therapeutic communication is used by the nurse to create a beneficial outcome in the delivery of quality nursing care. Which of the following statement best describe the term ’‘therapeutic communication’’ ?
A interactive process of socialization.B Assessment component of nursing processC Communication with patient through words and languageD Process to encourage the expression of feelings and needs الإجابة الصحيحة -
218
Cortisone administration time. ?
A Early morning الإجابة الصحيحةB AfternoonC EveningD Before bedtime -
219
hydrocortisone route of administration ?
A EarB EyeC Nose الإجابة الصحيحةD Under the tongue -
220
The nurse administered a prescribed intramuscular medication to a patient during a home health visit. How should the nurse dispose of the used needle and syringe ?
A Recap the needle, then place the needle and syringe into a waterproof container until safe disposal can be madeB Bend the needle back towards the barrel of the syringe before putting the needle and syringe in a metal trash containerC Wrap the needle and syringe in disposable paper before putting the needle and syringe into the dirty section of the nurse’s equipment bagD Put the needle and syringe directly into a puncture-resistant plastic container الإجابة الصحيحة -
221
Doctor order to give 0.2gram of medication and the available stock is 400mg diluted in 10 ml how many ml should be given ?
A 2B 3C 4D 5 الإجابة الصحيحة -
222
The nurse is planning to initiate a blood transfusion. Which of the following solutions should the nurse select to prime the tubing when preparing to administer the blood ?
A Lactated Ringer's solutionB Normal saline الإجابة الصحيحةC 5% dextrose in half-normal salineD 5% dextrose in water -
223
A woman patient admitted with indwelling foley catheter with a closed drainage system was order collection for sterile urine specimen. Which of the following steps is considered the best way to collect the sterile urine specimen ?
A Obtain the specimen from the drainage bagB Obtain the specimen from the aspiration port الإجابة الصحيحةC Obtain the specimen from the first voiding in the morningD Obtain a clean mid stream catch cleaning the perineum -
224
Which of the following related to High pitched breath sound ?
A CracklesB RhonchiC Wheezing الإجابة الصحيحةD Bronchial -
225
A nurse is assessing a patient 30 minutes after starting and IV infusion and notes that the insertion site is cold and the complains of numbness and pain on the insertion site. Which of the following is the most appropriate action by the nurse ?
A Notify the nurse manager immediatelyB Keep the IV infusion and monitor itC Remove the IV site immediately الإجابة الصحيحةD Obtain new IV tubing -
226
Which of the following intravenous (IV) fluids is classified as a hypotonic solution?
A 0.33% NaCl solution الإجابة الصحيحةB 5% NaCl solutionC Ringer's lactate solutionD Ringer's solution -
227
A nurse is assigned to care for a patient on oxygen. The nurse checks the oxygen concentration using a pulse oximeter. Which of the following reading indicates that the patient has adequate oxygenation ?
A Less than 90%B 91%-92%C 93%-94%D 95% and above الإجابة الصحيحة -
228
Which of the following the arranged assessment for postoperative patient ?
A Cardiovascular, Respiration, Surgery site, Neurological signsB Respiration, Cardiovascular, Neurological signs, Surgery site الإجابة الصحيحةC Neurological signs, Cardiovascular, Respiration, Surgery siteD Surgery site, Respiration, Cardiovascular, Neurological signs -
229
Gum and tooth pain what is the cranial nerve ?
A Third nerveB Fifth nerve الإجابة الصحيحةC Seventh nerveD Ninth nerve -
230
post- operative patient to be discharged and his temperature is 37.6 at 8:00 everything else is normal what to do ?
A informs the physician to delay dischargeB gives aspirin dose earlier than scheduledC temperature is normal because of the time الإجابة الصحيحةD suspected infection -
231
The doctor order 0.2 g, the available 400 mg in quantity 10 ml, how many ml needed ?
A 2.5mlB 5ml الإجابة الصحيحةC 2mlD 4ml -
232
Yemeni soldier caught in the war and he got many injuries. The patient anxious and he is speaking about death for the nurse. What is the most appropriate action for the nurse ?
A You say no or yesB Why do you say you are dyingC Why you say you will dieD Restating for patient wards الإجابة الصحيحة -
233
Which one of the following assessments is most appropriate for determining the correct placement of an endotracheal tube in a mechanically ventilated client ?
A Assessing the client's skin color.B Monitoring the respiratory rate.C Verifying the amount of cuff inflation.D Auscultating breath sounds bilaterally الإجابة الصحيحة -
234
pt. has difficulty taking liquid medications from cup. How should the nurse administer the medications ?
A Request that the physician change the order to the IV routeB Administer the medication by the IM routeC Use needleless syringe to place the medication in the side of the mouth الإجابة الصحيحةD Add the dose to small amount of food or beverage to facilitate swallowing -
235
he patient weight 67 kg. He is receiving drug 30mg /kg/24hr. How many grams should the nurse give for 24 hr ?
A 5 gB 1.5 gC 1 gD 2 g الإجابة الصحيحة -
236
What are the symptoms of the BCG vaccination side effect ?
A DiarrheaB Skin ulcer or scar الإجابة الصحيحةC no symptomsD Seizure -
237
Which term refers to the ability of a disease to spread from one person to another?
A InfectiveB InfectionC Infectivity الإجابة الصحيحةD Precaution -
238
Why is it important for a community health nurse to know about diseases occurring in other countries?
A To give patient needs accordingly الإجابة الصحيحةB To know the perveance of the disease in certain countryC To help countries for solutionsD To make research and studies -
239
There is new community nurse assigned to work in Makkah, one of the most multicultural cities in Saudi Arab has to interact with multicultural population every day. What is the most important step the nurse should do before with the clients ?
A Asking the client about his/her cultural backgroundB Conducting an appropriate culturological assessment الإجابة الصحيحةC Ensuring that the client has his/her privacyD Looking at the client's file to take history -
240
Which of the following conditions would nurse not administer erythromycin ?
A Campylobacteriosis infectionB Multiple Sclerosis الإجابة الصحيحةC Legionnaires diseaseD Pneumonia -
241
Nurse is preparing to insert nasogastric tube into client. The nurse places the client in which position for insertion ?
A Right sideB Low Fowler'sC High Fowler's الإجابة الصحيحةD Supine with the head flat -
242
Mother of nine children, three of them with congenital anomalies and down syndrome she is primary school graduate, with low financial status. She is not using any. method of family planning Accordingly, the primary health care nurse has referred her for counselling the following. terms describe any restriction or lack of ability to perform an activity ?
A ImpairmentB AbnormalityC HandicappedD Disability الإجابة الصحيحة -
243
A mother has nine children, three of whom have congenital anomalies (Down syndrome). She is a primary school graduate, has low socioeconomic status, and is not using any family planning method. A primary health care nurse refers her for counseling. During which phase of the home visit is the intervention accomplished?
A InitialB ClosingC Action الإجابة الصحيحةD Terminal -
244
Radon can cause any cancer ?
A skin الإجابة الصحيحةB cervicalC colonD prostatic -
245
What is The term that use to describe people communicate with same culture, goals, values and ethical ?
A Intrapersonal communicationB Interpersonal communication الإجابة الصحيحةC Intergroup communicationD Interorganization communication -
246
A patient receives NPH insulin at 6:00 AM. At approximately what time should the nurse monitor the patient most closely for hypoglycemia due to the peak action of NPH insulin?
A 7 AMB 8 AMC 9 AMD 10 AM الإجابة الصحيحة -
247
56-year-old man was admitted with complaint working for three days. The nurse is preparing to administer infusion of saline 1000 ml over six hours. What is the hourly infusion rate that the nurse needs to infusion therapy in mL/hour ?
A 155B 167 الإجابة الصحيحةC 190D 217 -
248
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 الإجابة الصحيحةB PotatoesC MacaroniD Green salad -
249
What is the normal range for oxygen saturation in patient who is receiving oxygen therapy ?
A 60-69%B 70-79%C 80-89%D 94- 98% الإجابة الصحيحة -
250
Which of the following related to Low pitched breath sound ?
A CracklesB Rhonchi الإجابة الصحيحةC WheezingD Vascular -
251
Captopril 25 mg by mouth three times daily is prescribed for hypertension. Which adverse effect should the nurse teach the client to report?
A TinnitusB Persistent cough الإجابة الصحيحةC Muscle weaknessD Diarrhea -
252
A newly graduated nurse is suctioning a tracheostomy tube. Which observed action is incorrect and requires immediate intervention?
A Suction is applied when the catheter is withdrawnB Suction is applied when the catheter is inserted الإجابة الصحيحةC Suction is applied for 10 secondsD Suction is applied while rotating the catheter 360 degrees -
253
How much of blood volume for patient has 10% blood loss and his weight is 50kg ?
A 300mlB 400ml الإجابة الصحيحةC 3000mlD 4000ml -
254
Community health nurse in any country should know the statistical morbidity and mortality rates for the most common disease for 4th data about national and international levels. What is the main reason for this need ?
A Identify patient’s needs accordinglyB Offer few accessible services to the peopleC Compare the prevalence of disease in the communitiesD Publicize previous health problems and suggest appropriate action الإجابة الصحيحة -
255
What is Thyroxine side effect ?
A DepressionB FeverC Weight gainD Increase appetite الإجابة الصحيحة -
256
Which of the following action is correct when college urine specimen from client’s indwelling urinary catheter ?
A Collect urine from the drainage collecting bag using sterile. techniqueB Disconnect the catheter from the drainage tubing to collect urine. using clean techniqueC Remove the indwelling catheter and insert sterile straight catheter. to collect urineD Aspirate specimen from the tubing draining port using needle and syringe with sterile technique الإجابة الصحيحة -
257
patient is admitted to the hospital for right total knee replacement. during the preoperative assessment the patient reports no known during allergies, but the patient does. report severe allergic reaction to shellfish. Why is this allergic reaction to shellfish of special importance ?
A Shellfish allergies could indicate negative reaction to anesthesiaB This patient will not be able to receive donor packed red blood cells if neededC A seafood allergy can be an indication of allergy to provide one-iodine الإجابة الصحيحةD A seafood allergy can be precursor to malignant hyperthermia -
258
Patient came to scheduled appointment for follow up when the nurse checks the vital signs BP: 130/92 RR: 18 HR: 86T: 37Which of the vital signs is abnormal ?
A TemperatureB Heart rateC Respiratory rateD Blood pressure الإجابة الصحيحة -
259
A client is receiving packed red blood cells. Which safety measure should the nurse implement during the transfusion?
A Monitor vital signs every 15 minutes during the transfusion to detect complications earlyB Administer the unit of PRBCs slowly over 5 hours to prevent a transfusion reactionC Stop the transfusion if a reaction occurs and administer 0.9% NaCl at the IV catheter hub to keep the intravenous (IV) site patent الإجابة الصحيحةD Deliver the PRBCs through an infusion pump with standard tubing to ensure a consistent rate -
260
The nurse is preparing to insert peripheral Cannula for patient. Which of the following patients avoid insert cannula in lower extremity for them it is risky ?
A DM الإجابة الصحيحةB Renal failureC COPDD Heart failure -
261
To make cornea reflux you should use ?
A Straily glovesB Swap cotton الإجابة الصحيحةC Cotton tapD Sterile tongue depressor -
262
The disease divided According to three factors host ،Environment ،Agent. The patient complete antibiotics course. Then the disease returns again. What is the causative factor ?
A AgentB EnvironmentC HostD Reaction between host and environment الإجابة الصحيحة -
263
Nursing diagnosis done and the nurse set priorities for all NANDA. Which step in nursing process the nurse doing ?
A Planning الإجابة الصحيحةB DiagnosisC EvaluationD Implementation -
264
The nurse is teaching a patient about spironolactone (Aldactone). Which instruction should be included?
A Increasing the intake of foods that are high in potassiumB Taking the medication right before going to sleepC Avoid seasonings that are labeled as salt substitutes الإجابة الصحيحةD Scheduling the medication so that multivitamin is taken an hour later -
265
The nurse wittiness for another nurse while entering to the isolated pt room with airborne precautions and she wear only gown and gloves, what is the appropriate action from the wittiness nurse to do ?
A Talk with the nurse about wearing mask الإجابة الصحيحةB Talk with the education nurse to introduce lecture for staff about PPEC Inform the head department about the nurseD Ignored the nurse action -
266
patient’s wound is draining thick yellow material. The nurse correctly describes the drainage as which of the following ?
A SerousB Purulent الإجابة الصحيحةC SanguineousD Serous-sanguineous -
267
A patient receiving the first intravenous dose of amikacin develops severe respiratory distress. This reaction is most likely which of the following?
A A side effectB An indication of drug toleranceC A drug allergy الإجابة الصحيحةD A toxic effect -
268
A hearing-impaired patient who uses a hearing aid is being prepared for surgery. Which response by the nurse is most appropriate?
A Leave patient wear his hearing aid الإجابة الصحيحةB Ask Operation Nursing staffC Say it is forbidden. You have to remove itD He does not need it because he will be given general anesthesia -
269
The nurse is caring for an adult patient who is admitted to the hospital for fever and chills. The nurse repeatedly finds temperature of 40° (104° F) in the morning and 38.9° (102°F) at night. What does the nurse infer about the fever pattern ?
A Intermittent FeverB Remittent fever الإجابة الصحيحةC Relapsing feverD Continuous fever -
270
A patient has febrile episodes lasting more than 24 hours followed by periods of normal temperature that also last more than 24 hours. Which fever pattern does this describe?
A Intermittent FeverB Remittent feverC Relapsing fever الإجابة الصحيحةD Continuous fever -
271
The nurse is preparing preoperative client for transfer to the operating room. The nurse should take which of the following actions in the care of this client at this time ?
A Ensure that the client has voided الإجابة الصحيحةB Administer all the daily medicationsC Have the client practice postoperative breathing exercisesD Verify that the client has not eaten for the last 24 hours -
272
A nurse finds that a TPN infusion is running below the prescribed rate several hours after the shift began. Which action should the nurse take?
A Ask doctor to write again new rateB Return the rate to the prescribed rate الإجابة الصحيحةC Keep the rate then adjust the rate to prescribed from the next bottleD Increase the rate immediately -
273
patient with bowlegs due to abnormal bone formations and deformities has calcium level of 7.5 mg/100ml. Which of the following foods would the nurse most likely instruct the patient to add to diet ?
A Organ meatsB Whole grainsC Egg yolks الإجابة الصحيحةD Chicken meat -
274
Which of the following term the nurse used for explaining the normal respiratory rhythm and depth in patient ?
A ApneaB Eupnea الإجابة الصحيحةC BrydpneaD Tachypnea -
275
A client receiving a blood transfusion develops difficulty breathing, elevated blood pressure, and cough. Which complication should the nurse suspect?
A Anaphylactic reactionB Circulatory overload الإجابة الصحيحةC SepsisD Acute hemolytic reaction -
276
Patient with NGT and intermittent suction, suddenly the patient complaining of pain and the abdomen is distended, at 10:00am NGT output=120 cc, 14:00 NGT output= 60 cc, what is the first action should be taken by the nurse ?
A Increase the suctionB Administer pain medicationC Irrigate NGT to check patency الإجابة الصحيحةD Notify the physician -
277
Considered as the most accessible and convenient method for temperature taking is ?
A Oral الإجابة الصحيحةB RectalC TympanicD Axillary -
278
The nurse prepares the client for the removal of nasogastric tube. During the tube removal, the nurse instructs the client to take which action ?
A Inhale deeplyB Exhale slowlyC Hold in deep breath الإجابة الصحيحةD Pause between breaths -
279
When assessing the corneal reflex in an unconscious client, which is the safest stimulus to touch the cornea?
A Cotton budsB Sterile gloveC Sterile tongue depressorD Wisp of cotton Answers Rationale at الإجابة الصحيحة -
280
All the following are normally present in urine result EXCEPT ?
A UreaB CreatinineC Albumin. الإجابة الصحيحةD Sodium. -
281
500mg diluted in ml 250ml D5NS with infusion pump then she modified the dose to 20mg/hr. How many ml/hr. should the nurse give ?
A 5B 10 الإجابة الصحيحةC 15D 20 -
282
What is the updated technique for CPR According to AHA ?
A 30:2 100 at 5 cm الإجابة الصحيحةB 15:2 120 at 5 cmC 15:2 120 at 4 cmD 30:2 100 at 4 cm -
283
nurse makes clinical judgment that an African American male patient in stressful job is more vulnerable to developing hypertension than White male patients in the same or similar situation. The nurse has formulated what type of nursing diagnosis ?
A ActualB Risk الإجابة الصحيحةC PossibleD Wellness -
284
nurse is reviewing the plan of care for client with breathing problem. Which of the following would the nurse most likely expect to identify as relevant nursing diagnostic statement for this client ?
A Altered airwayB Impaired respirationC Impaired breathing rateD Ineffective airway clearance الإجابة الصحيحة -
285
planning the care for client who has pneumonia, the nurse collects data and develops nursing diagnoses. Which of the following is an example of properly developed nursing diagnosis ?
A Ineffective health maintenance as evidenced by unhealthy habitsB Ineffective airway clearance as evidenced by inability to clear secretions الإجابة الصحيحةC Ineffective therapeutic regimen management due to smokingD Ineffective breathing pattern related to pneumonia -
286
nurse is performing an initial assessment for client. Which of the following would be considered subjective information received during the assessment ?
A The client rates pain at level of on the numeric rating scale الإجابة الصحيحةB The client has pinpoint rash on the face and trunkC The client's blood pressure increases when the provider enters the roomD The client weighs 186 pounds -
287
Incubation period of infection is ?
A Person is most infectious and nonspecific sign and symptom الإجابة الصحيحةB Organism growing and multiplyingC Recovery from infectionD Presence of specific sign and symptom -
288
A nurse teaches a preoperative patient how to use an incentive spirometer before appendectomy. Which step of the nursing process is the nurse performing?
A assessmentB evaluationC implementation الإجابة الصحيحةD diagnoses -
289
What is the Ministry of health in saudi arabia precutions regarding H5N1 ?
A Hand washing before enter patient room الإجابة الصحيحةB Be cautious with patient thingsC Wear gloves and gownD Don't follow precautions -
290
nurse is obtaining vital signs for patient, which of the following she will document Bp; 138/78 -HR: 108 -RR: 18 -T: 36.5 ?
A tachycardia الإجابة الصحيحةB arrhythmiaC tachypneaD hypertension -
291
A provider prescribes a new antibiotic. What should the nurse do first before administering the medication, if infection is suspected?
A check the order in the systemB do CBCC Obtain blood cultures الإجابة الصحيحةD administration first dose when standard medication time -
292
The Diagnosis is the reduction in the amount of circulating. hemoglobin, red blood cells or both ?
A polycythemiaB Anemia الإجابة الصحيحةC HemophiliaD Leucopenia -
293
Which influenza virus strain currently presents the greatest concern for severe human disease and pandemic potential?
A H1N1B H2N2C H3N2D H5N1 الإجابة الصحيحة -
294
Which finding is NOT an early sign of fluid volume deficit?
A Decreased urine outputB Decreased pulse rate الإجابة الصحيحةC Concentrated urineD Decreased skin turgor -
295
Following lumbar surgery patient has 4 millimeter (mm) surgical incision. The incision is clean, and the edges are well appropriate. This type of tissue healing is classified as which of the following ?
A Primary intention الإجابة الصحيحةB Secondary intentionC Tertiary intentionD Superficial epidermal -
296
nurse is putting together presentation Meningitis. on Which of the following has not been linked to Meningitis in ?
A S. PneumoniaB H. InfluenzaC n. MeningitisD C. difficile الإجابة الصحيحة -
297
patient who is in isolation needs temperature taken several times day. Where is the appropriate place for the thermometer to be kept ?
A At the nurses’ stationB On the isolation cart outside the patient’s roomC In the dirty utility roomD In the patient’s room الإجابة الصحيحة -
298
Patient with blood type AB-ve for blood transfusion what are the compatible blood group for this patient ?
A AB BC OD AB الإجابة الصحيحة -
299
A patient has severe generalized itching. Which medication should the nurse anticipate administering for symptomatic relief?
A AntibioticB Diphenhydramine الإجابة الصحيحةC Zinc OxideD Rational Antihistamine -
300
Quinine sulphate drug side effects ?
A Ringing in ears الإجابة الصحيحةB BlindnessC HypotensionD Insomnia -
301
Measurements rates of epidemiology.. rate of birth in the year of 2016 is 19.5 per 1000 .. what is it considered ?
A Crude rate الإجابة الصحيحةB Observation rateC Specific rateD Standardized rate -
302
The nurse was discussing with group of women and providing educational session about breast selfexamination. Which of the following if said need furthur education ?
A Breast examination after age of 20 years' old الإجابة الصحيحةB Doing the examination after the showerC Doing the examination either standing or sleepingD Doing the examination 5/6 days after period -
303
Patient on oxygen with nasal cannula. How should the nurse ensure effectiveness ?
A Increase HR to 90 b/mB Increase RR to 24C Increase O2 saturation 95% الإجابة الصحيحةD Increase Bl. 120/80 mmhg -
304
Person works in a factory and is exposed every day to toxic gases and industrial solvents. What type of hazard is this?
A Chemical الإجابة الصحيحةB EnvironmentalC BiologicalD Psychological -
305
The nurse was taking history from the patient and she asked one question then repeated that question again to patient. The patient said (Are you hearing me answered before). What should the nurse do to clarify ?
A Ask new questionB Use eye contact during communication الإجابة الصحيحةC Ignore the patientD Repeat again the previous question -
306
Which of the following drug should the doctor give Instruction for patient when using ?
A Antiemetic'sB Steroids الإجابة الصحيحةC AntibioticD Paracetamol -
307
The doctor order 600 ml of drug during 10 hours. How many minutes for 15 ml of the drug ?
A 15 الإجابة الصحيحةB 20C 25D 30 -
308
During tonic clonic seizure patient moving and has difficulty of breathing and cyanosis what is the appropriate nursing intervention ?
A support arm and extremitiesB put soft material under patientC put tongue depressed between teethD protect patient head from injury الإجابة الصحيحة -
309
Smallpox isolation nurse wear ?
A Gloves and maskB Gloves and gownC Gloves and eye protectorD Gloves, gown and N95 mask الإجابة الصحيحة -
310
CSF contains NOT all of the following except ?
A Insulin. الإجابة الصحيحةB RBC.C WBC.D Protein. -
311
Patient with smallpox. He became fine and no symptoms but still isolated for 12-14 days. What is the type of the period ?
A Incubation period الإجابة الصحيحةB Infective periodC Latency periodD Communicable period -
312
A community health nurse functioning in care management would most likely perform which activity?
A develop, conduct, and evaluate health teaching programs in primary careB manage the staff at a free clinicC monitor the health status, resources, and outcomes for an aggregate الإجابة الصحيحةD provide immunizations to migrant workers -
313
Maslow's hierarchy of needs is an idea in psychology... The priority nursing care of maslow hierarchy is ?
A Nursing diagnosisB Nursing careC Nursing planning الإجابة الصحيحةD Nursing care with scientification -
314
Most appropraite method to explain ambulatory surgery for patient. which the best method ?
A Lectury and videoB Audio visionC Discussion الإجابة الصحيحةD Written instructions -
315
Which goal is an aim of public surveillance ?
A To rapidly detect the introduction and early cases of pandemic disease الإجابة الصحيحةB To serve as an early warning system to detect increases in illness in the communityC To monitor pandemic's impact on healthD To track trends in community disease activity and identify populations that are severely affected -
316
During neurological assessment, which finding is associated with the highest Glasgow Coma Scale score among the following options?
A Eye opening to pain, no verbalizationB Confused, obey command الإجابة الصحيحةC Localized pain, abnormal extensionD Eye opening to speech, confused -
317
The nurse stated to Psychiatric patient I will stay here with you Which of the following therapeutic communication thechniques that the nurse used ?
A AcceptingB ExploringC Offering self الإجابة الصحيحةD Reflecting -
318
A medication dose of 5000 mg is diluted in 250 mL of IV solution. If the infusion pump is set to deliver 20 mg per hour, how many milliliters per hour should the nurse administer?
A 1 mL/hr الإجابة الصحيحةB 5 mL/hrC 10 mL/hrD 20 mL/hr -
319
Community health nurse is making preparation for crisis plan. What is the most accurate information to make disaster plan in community ?
A Check stored water every year and change it if expiredB Store bag with gallons of water for each person for days 1 gallon per day for each person). الإجابة الصحيحةC Inform that animals don't need plan. It can surviveD Prepare bag and Storing of food water and other stuff for days -
320
Which of the following food rich in potasium ?
A Orange الإجابة الصحيحةB TofuC ButterD Milk -
321
What is the action /function of Ringer Lactate ?
A Increase intracellular fluidsB Decrease intracellular fluidsC Expend extracellular fluids الإجابة الصحيحةD Decrease extracellular fluids -
322
The psychaitric patient is receiving Benzodiazepine drug. The nurse should instruct patient that drug affected by which of the following ?
A Alcohol الإجابة الصحيحةB TobaccoC NicotineD Caffiene -
323
The patient has refused to take the medication, what the nurse will be response ?
A Give me good reason for not taking the medicationB Tell me why you don't want to take the medication الإجابة الصحيحةC Convinced me why you shouldn't take the medictionD If you will not take the medication, you will sign waiver -
324
Patient preoperative take midazolam hydrochloride. The patient become restless and suffered from respiratory distress and confusion. What should the nurse and surgical team do ?
A Defibrillate patientB Administration antidote (activated characol) الإجابة الصحيحةC Administration epinephrineD Ventilation patient with oxygen therapy -
325
patient treated an insect bite with traditional alternative therapy of row garlic juice caused strong skin reaction. The patient agreed not use it again after the nurse explained its harmful effects. What should the nurse instruct him on discharge ?
A Refrain self treatment الإجابة الصحيحةB Medical treatment better than traditionalC Avoid communication injuryD Change dressing frequently -
326
Which of the following measures can reduce or prevent the incidence of atelectasis in post-operative client ?
A Chest physiotherapyB Mechanical ventilationC Reducing oxygen requirementsD Use of an incentive spirometer الإجابة الصحيحة -
327
What is the point of maximum pulse monitoring while auscultated apical pulse ?
A 5th intercostal space left midclavicular الإجابة الصحيحةB 5th rightC 4th leftD 4th right -
328
A diabetic patient who is NPO before surgery takes medication for hypertension, hyperthyroidism, and hyperlipidemia. Which medication is commonly held while the patient is NPO?
A LisproB AtorvastatinC Glucophage الإجابة الصحيحةD Thyroxine -
329
patient hospitalized then develop dysphagia and he has tablets, how to give him the drug ?
A Dissolve it in water الإجابة الصحيحةB Divide the pill in half and give him one halfC Open the capsule and place it under his tongueD Looking for liquid alternative to medication -
330
Which step in community organizing involves training of potential leaders in the community ?
A IntegrationB Community organizationC Community studyD Core group formation الإجابة الصحيحة -
331
In which step are plans formulated for solving community problems ?
A MobilizationB Community organization الإجابة الصحيحةC Follow-up/extensionD Core group formation -
332
The hospital observed MERS-COV infection spreed to many persons. The hospital not identified the affected from non-affected person. What should do to reduce the risk ?
A Isolate all patientsB Prevent visitingC Apply standard precautions to all patients الإجابة الصحيحةD Wear protective equipments -
333
Which of the following MARSA medication ?
A Vancomycin الإجابة الصحيحةB GentamycinC AmpicillinD Streptom -
334
Which procedure is key in occupational health nursing to protect the health and safety of workers?
A Health promotion and preventionB Health hazard identification الإجابة الصحيحةC Cost containment job productivityD Eliminate complaints -
335
Which of the following lower posterior lung sound ?
A BronchialB BronchovesicularC Vesicular الإجابة الصحيحةD Both bronchial and vesicular -
336
Which type of skin lesion is a pimple with a white head?
A MuscleB PapuleC CystD Pastules الإجابة الصحيحة -
337
CHN is community-based practice. Which best explains this statement ?
A The service is provided in the natural environment of peopleB The nurse has to conduct community diagnosis to determine nursing needs and problems الإجابة الصحيحةC The service are based on the available resources within the communityD Priority setting is based on the magnitude of the health problems identified -
338
Which of the following is the most prominent feature of public health nursing ?
A It involves providing home care to sick people who are not confined in the hospitalB Services are provided free of charge to people within the catchment areaC The public health nurse functions as part of team providing public health nursing serviceD Public health nursing focuses on preventive, not curative services الإجابة الصحيحة -
339
For prevention of hepatitis A, which health education topic is irrelevant?
A Use of sterile syringes and needles الإجابة الصحيحةB Safe food preparation and food handling by vendorsC Proper disposal of human excreta and personal hygieneD Immediate reporting of water pipe leaks and illegal water connections -
340
Which of the following the color of urine that indicates well hydration for the patient ?
A Light yellow الإجابة الصحيحةB Dark yellowC OrangeD Amber -
341
A patient with severe bleeding is prescribed plasma. What is the main purpose of plasma transfusion?
A Increase HGB and hematocritB Increase WBCsC Increase fluid volumeD Increase clotting factor الإجابة الصحيحة -
342
Doctor order sputum culture how to collect ?
A Cough deeply الإجابة الصحيحةB Collect 30mlC Cough the first sputum in the throatD Cough in the morning and send it in the night -
343
A nurse is planning assignments for a shift on a medical-surgical unit. Which client should the nurse assess first?
A A client who reports new shortness of breath and chest discomfort الإجابة الصحيحةB A client scheduled for discharge later todayC A client with stable vital signs requesting pain medicationD A client receiving routine IV antibiotics with no complaints -
344
When the nurse taking medical and personal history for the patient. The nurse should ask patient all of the following Except ?
A NameB ReligionC System review الإجابة الصحيحةD Race -
345
The doctor ordered morphine to patient. The nurse should assess which of the following with the medication ?
A O2 saturation 95%B Respiratory rate 11 b/m الإجابة الصحيحةC Hear rate 65 b/mD Blood pressure 118/75 -
346
The doctor ordered for patient TPN. How can we prevent infection from central line if the Nurse suspects that there are bacteria inside ?
A Give antibiotics times per dayB Apply dressing with alcohol on central line الإجابة الصحيحةC Apply one lumen for TPND Apply dressing with antibiotics TPN daily -
347
In the scope of community nursing, epidemiology and vital statistics are very essential in controlling disease spreading, disease impact on the given population and effectiveness of the preventive measures done. An outbreak of measles has been reported in the community. Which of the following epidemiological actions should the nurse perform initially ?
A Identify the disease that was reported الإجابة الصحيحةB Classify the outbreak if sporadic or pandemicC Determine the date when the disease first occurredD Report the incident to the nearest primary hospital -
348
A nurse is caring for a patient with a triple lumen central venous catheter. Which intervention is most likely to prevent infection?
A Re-cap access hub after drawing bloodB Maintain clean techniqueC Wash hands before performing catheter care الإجابة الصحيحةD Clean catheter tubing with isopropyl alcohol -
349
What is the main meaning of primary health care?
A Patient rather than populationB Individual rather than peopleC Disease rather than healthD People rather than disease الإجابة الصحيحة -
350
The NG tube (Gastric lavage) is used to which of the following ?
A Prevent nausea, vomiting (prevent aspiration)B Gastric distensionC Wash the stomach of toxinD All of the above الإجابة الصحيحة -
351
There is family that was exposed to fire in their house when they were sleep but nothing happens to them but there is elderly man can’t walk lives with them, and they ask the nurse how can the do to protect the older man from the fire if it occur ?
A Put someone sleep with himB Put fire sensors on all the house الإجابة الصحيحةC Keep his room near the exitD Keep the door and window opening -
352
Which vitamin deficiency is most commonly associated with sleep disturbances?
A Vitamin D الإجابة الصحيحةB Vitamin KC Vitamin CD Vitamin E -
353
A patient requires a hypertonic IV solution. Which of the following solutions is most appropriate?
A Dextrose 10%B Normal saline 9%C Normal saline 45%D Dextrose % NaCl 0.9% الإجابة الصحيحة -
354
A patient repeatedly receives IM injections in the same site. What complication is the patient at highest risk for?
A Deep Vein thrombosisB Muscle Fibrosis الإجابة الصحيحةC Tissue damageD Bleeding -
355
Which body mass index (BMI) range is classified as extreme (class III) obesity in adults?
A 30-39B 18-25C 20-29D >40 الإجابة الصحيحة -
356
Patient with measles (rubella) is in airborne precaution nurse should be were ?
A GownB GlovesC Face mask الإجابة الصحيحةD Face Shilled -
357
At what level should an enema bag be placed for a patient during administration?
A Below patient level الإجابة الصحيحةB Same patient levelC Above 20 cmD Above 150 cm -
358
A patient has fatigue, easily tired and has Brittle Spoon nails due to ?
A Malnutrition الإجابة الصحيحةB OvernutritionC Vitamin B deficiencyD Vitamin E deficiency -
359
Spoon nails due to ?
A Zinc deficiencyB Vitamin D deficiencyC MalnutritionD Iron deficiency anemia الإجابة الصحيحة -
360
A patient with symptoms including tingling in the fingers this question will be the result of any deficiency ?
A SodiumB PotassiumC MagnesiumD Calcium الإجابة الصحيحة -
361
The doctor ordered a blood sample from the patient. A nurse wants to insert an IV line for the patient after selecting a vein for IV-line placement. What is the next step they should take ?
A Wipe the vein with alcohol swapB Apply tourniquet above vein الإجابة الصحيحةC Flatten the palpation/ palpate the veinD Needle insertion -
362
The physician order for a client cap Amoxycillin 500mg BID for 3 days. The available stock is 250 -mg per capsule. How many capsules will you give for 3 days ?
A 2 Capsules / 3 daysB 12 Capsules / 3 days الإجابة الصحيحةC 4 Capsules / 3 daysD 6 Capsules / 3 days -
363
Pancreatic cancer has a very poor prognosis. Most patients are diagnosed at an advanced stage, and the overall survival rate is very low. Which of the following best describes the relationship between the incidence rate and the mortality rate of pancreatic cancer?
A Incidence rate higher than mortality rateB mortality rate higher than incidence rateC incidence rate not related to mortality rateD Mortality rate and incidence rate are approximately the same الإجابة الصحيحة -
364
What is the role of k in wound healing ?
A EpithelialB CollagenC Coagulation الإجابة الصحيحةD Coenzyme -
365
The patient is on Atenolol 20 mg once daily for hypertension. What instructions should be given to the patient ?
A Measure Bp dailyB Take the medication with water after a mealC Report any occurrences of nausea or headacheD Do not stop taking the medication abruptly الإجابة الصحيحة -
366
What is the most common side effect of metoclopramide among the following options?
A Abdominal painB FlatulenceC Headache الإجابة الصحيحةD Constipation -
367
Gastric suction lead to PH change: ?
A Decrease PH in the serumB Increase the H in the serumC AcidemiaD Alkalemia الإجابة الصحيحة -
368
Which of the following drugs will not be affected by grapefruit ?
A Aspirin الإجابة الصحيحةB AtorvastatinC VerapamilD Plavix -
369
A physician prescribes a blood transfusion. Which action is most appropriate to help prevent an allergic transfusion reaction?
A Slow rate of blood lower than the ordered rateB Proper labeling and patient identificationC Administer antihistamine before the blood transfusion الإجابة الصحيحةD Administer antipyretic before the transfusion -
370
In a dark-skinned patient, where is the best place to assess for jaundice?
A Nail bedsB Palm of handC Hard palate الإجابة الصحيحةD Lip -
371
A nurse reviews several newly prescribed medications. Which medication should be started first when timely antibiotic therapy is the priority?
A Cefazolin BIDB Paracetamol Q6hrC Vancomycin TID الإجابة الصحيحةD Amlodipine OD -
372
Which medication can take from local pharmacy ?
A NSAIDs الإجابة الصحيحةB ContraceptivesC AntibioticsD Antipsychotic -
373
The older woman, who hasn't been doing BSE (Breast Self-Examination) for 7 years, came to the cliniWhat advice should the nurse give her regarding performing BSE How frequently should she perform it ?
A Monthly الإجابة الصحيحةB AnnuallyC QuarterlyD Biannual -
374
Which one is subjective data ?
A Patient say pain 6/10 الإجابة الصحيحةB Oxygen 90%C Temperature 36.7D HR 90 -
375
The patient is bedridden and not allowed to walk. How can the nurse measure the weight of a bedridden patient ?
A Hoist scale الإجابة الصحيحةB Sitting scaleC Don’t do weight measureD Standing scale -
376
A psychiatric patient received an overdose of benzodiazepine. The doctor prescribed an antidote. Which adverse effect of flumazenil should you check before administration ?
A AnxietyB Seizure الإجابة الصحيحةC ShiveringD Chest pain -
377
The doctor is conducting an assessment while the patient is uncomfortable and asks, What should the nurse do ?
A Cover the unassessed area الإجابة الصحيحةB Stop the assessment and write a reportC Ignore the patientD Complete the assessment -
378
The vegetarian people that not eat red meat. Which of deficiency is high risk ?
A Vitamin DB Vitamin CC Folic AcidD Riboflavin الإجابة الصحيحة -
379
A nurse is reviewing a patient's medications. Which medication can generally be obtained without a refill or a new prescription?
A DiazepamB DigoxinC Ibuprofen الإجابة الصحيحةD Tetracycline -
380
On the day after surgery, the nurse notes bloody drainage on the dressing. How should this drainage be documented?
A SerosanguineousB Sanguineous الإجابة الصحيحةC SerousD Purulent -
381
Which assessment finding would lead the nurse to suspect that a patient’s IV has infiltrated ?
A In the past hour, only 50 mL of fluid has infusedB The insertion site is red, hot, and swollenC The temp has risen to 38.3C.D The site is pale, cool, swollen, and painful الإجابة الصحيحة -
382
What is the suitable position for the patient during a lumbar puncture ?
A Prone positionB Supine positionC Sitting with head leaning forward الإجابة الصحيحةD Knee-chest position -
383
A patient’s wound is draining white clear and watery discharge. The nurse correctly describes the drainage as which of the following ?
A Serous الإجابة الصحيحةB PurulentC SanguineousD Serous-sanguineous -
384
A disease starts in one town, spreads to multiple cities and other areas, and causes millions of deaths. What is this called?
A EndemicB EpidemicC SporadicD Pandemic الإجابة الصحيحة -
385
There is a flu that started in Hong Kong and spread to other areas ?
A Epidemic الإجابة الصحيحةB EndemicC PandemicD Sporadic -
386
How is the spread of obesity in Saudi Arabia best described?
A Epidemic الإجابة الصحيحةB PandemicC EndemicD Sporadic -
387
A patient used raw garlic juice on an insect bite and developed a severe skin reaction. After the nurse explained the harmful effects, the patient agreed not to use it again. Which nursing role is best demonstrated?
A patient's advocateB Resource person الإجابة الصحيحةC Care planningD Caregiver -
388
Which type of insulin is classified as an intermediate-acting insulin commonly used for basal blood glucose control?
A Rapid-acting insulinB Short-acting insulinC Intermediate-acting insulin (NPH) الإجابة الصحيحةD Long-acting insulin -
389
Which of the following types of iv fluid is considered hypertonic ?
A 0.33% Nacl solutionB 5% Nacl solution الإجابة الصحيحةC Ringer's lactate solutionD Ringer' solution -
390
Highly registered nurses work in Community health agencies was visiting people in certain area for observation and assessment. They found high risk for lead toxicity families in their home. They connected them with suitable agencies for testing. What is the type for that ?
A Screening الإجابة الصحيحةB SurvillanceC AssessmentD Case finding -
391
The community nurse was providing home visit for a family to give health instruction. The nurse observed while she entered the garage, she was finding the car's oil hadexpired. What would you do ?
A get rid of oil and throw it away junk.B Call to the company and change it. الإجابة الصحيحةC Use the oilD Give it to theneighbors -
392
Which term describes communication among people who share a common culture, beliefs, goals, values, and ethics?
A Interpersonal communicationB Intrapersonal communicationC Intergroup communication الإجابة الصحيحةD Interorganization communication -
393
Which intravenous (IV) fluid contains sodium, potassium, calcium, chloride, and lactate and is commonly used for fluid resuscitation in trauma and surgical patients?
A 0.45% sodium chlorideB Lactated Ringer's الإجابة الصحيحةC 10% dextrose in waterD 0.33% sodium chloride -
394
The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the post anesthesia care unit (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2 saturation is 21 oxygen via cannula is 86%. The nurse should IMMEDIATELY administer: ?
A Flumazenil """"Romazicon""""B Medazolum """"versed""""C Naloxone """"Narcan"""" الإجابة الصحيحةD Ondansetron """"Zofran"""" -
395
Digoxin not given to pàtient who has which of the following ?
A tachycardiàB hypertensionC tachypneaD Bradycardia الإجابة الصحيحة -
396
Morphine side effect ?
A tachycardiàB hypertensionC tachypneaD Bradypnea الإجابة الصحيحة -
397
Nitroglycine administration route : ?
A IntramuscularB Sublingual الإجابة الصحيحةC SubcutaneousD Oral -
398
A nurse received the serum digoxin level result for the patient the day and notes that the result is 2.6 ng/mL (see lab result) Test result normal value Digoxin (men) 2.6 0.8-2ng/mL . Which of following nursing actions is the most important ?
A Notify the physicianB Check previous vital signs of patientC Withhold next do الإجابة الصحيحةD Administer scheduled dose of medication -
399
The provider orders 300 mg of a medication. The available concentration is 900 mg/6 mL. How many milliliters should the nurse administer?
A 1.2B 2 الإجابة الصحيحةC 4D 6 -
400
A syringe contains 2 grams of morphine sulfate in 4 mL of solution. How many grams of morphine sulfate are present in 1 mL?
A 0.5 gm الإجابة الصحيحةB 1 gmC 2 gmD 4 gm -
401
The doctor ordered medication 5000 mg. The nurse diluted it in 250 mL of D5N5 and the prescribed dose is 400 mg/hr. How many mL should the nurse give per hour?
A 5B 10C 15D 20 الإجابة الصحيحة -
402
Which of the following related to harsh breath sound ?
A CracklesB BronchialC WheezingD Stridor الإجابة الصحيحة -
403
Which action would the nurse take to ensure safety before performing a venipuncture to initiate continuous intravenous (IV) therapy?
A Apply a cool compress to the affected area.B Inspect the IV solution and expiration date. الإجابة الصحيحةC Secure a padded arm board above the IV site.D Apply a tourniquet below the venipuncture site. -
404
Which nursing assessment question would be asked to help determine the client's risk for developing malignant hyperthermia in the perioperative period?
A "Have you ever had heat exhaustion or heat stroke?"B "What is the normal range for your body temperature?"C "Do you or any of your family members have frequent infections?"D "Do you or any of your family members have problems with general anesthesia?" الإجابة الصحيحة -
405
A client with a known history of panic disorder comes to the emergency department and states to the nurse, "Please help me. I think I'm having a heart attack." What is the priority nursing action?
A Assess the client's vital signs. الإجابة الصحيحةB Encourage the client to use relaxation techniques.C Identify the manifestations related to the panic disorder.D Determine what the client's activity involved when the pain started. -
406
The nurse has just finished assisting the primary health care provider in placing a central intravenous (IV) line in a client with gastric cancer. Which is a priority intervention to assure the client's safety?
A Assessing the client's pain levelB Assessing the client's temperatureC Preparing the client for a chest x-ray الإجابة الصحيحةD Monitoring the client's blood pressure (BP) -
407
A client with a bowel obstruction has had a nasointestinal (NI) tube in place for 24 hours. Which assessment finding indicates that the tube is properly located in the intestine?
A Bowel sounds are absent.B The client denies being nauseous.C Aspirate from the tube has a pH of 7. الإجابة الصحيحةD The abdominal x-ray indicates that the end of the tube is above the pylorus. -
408
The nurse has just administered a purified protein derivative (PPD) tuberculin skin test (Mantoux test) to a client who is at low risk for developing tuberculosis. The nurse determines that the test is positive if which occurs?
A An induration of 15 mm الإجابة الصحيحةB The presence of a whealC A large area of erythemaD Itching at the injection site -
409
The nurse has a prescription to administer hydroxyzine in conjunction with an opioid analgesic for severe pain to a client by the intramuscular route. Before administering the medication, what information would the nurse share with the client?
A Excessive salivation is a side effect.B There will be some pain at the injection site. الإجابة الصحيحةC There should be relief from nausea within 5 minutes.D The client may experience increased agitation for about 2 hours. -
410
The primary health care provider prescribes a dose of intravenous (IV) potassium chloride for a client diagnosed with a cardiac dysrhythmia. When administering the IV potassium chloride, which action would the nurse take?
A Inject it as a bolus.B Use a filter in the IV line.C Dilute it per medication instructions. الإجابة الصحيحةD Apply cool compresses to the IV site. Intravenous Fluids -
411
The nurse suspects that an air embolism has occurred when the client's central venous catheter disconnects from the intravenous (IV) tubing. The nurse immediately places the client on her or his left side in which position?
A FetalB High-Fowler'sC Trendelenburg's الإجابة الصحيحةD Lateral recumbent -
412
A client is scheduled for computed tomography (CT) of the kidneys to rule out renal cancer. Which would the nurse assess the client for before the procedure to best assure the client's safety?
A Allergies الإجابة الصحيحةB Familial renal diseaseC Frequent antibiotic useD Long-term diuretic therapy -
413
The nurse assists a client diagnosed with pyelonephritis in collecting a 24-hour urine specimen. Which instruction does the nurse provide to the client to ensure proper collection of the 24-hour urine specimen?
A Void at the start time and discard the specimen. الإجابة الصحيحةB Strain the specimen before pouring the urine into the container.C Save all urine, beginning with the urine voided at the start time.D Once completed, refrigerate the urine collection until you can bring it to the laboratory. Inflammation/Infection/Trauma -
414
A client being treated for a bowel obstruction is receiving total parenteral nutrition (TPN) via a central venous catheter (CVC) and is scheduled to receive an intravenous (IV) antibiotic. Which intervention would the nurse implement before administering the antibiotic?
A Turn off the TPN for 30 minutes.B Ensure a separate IV access route. الإجابة الصحيحةC Flush the CVC with normal saline.D Check for compatibility with TPN. -
415
The nurse is preparing to initiate a bolus enteral feedings via nasogastric (NG) tube to a client. Which action represents safe practice by the nurse?
A Checking the volume of the residual after administering the bolus feedingB Aspirating gastric contents before initiating the feeding to ensure that pH is greater than 9C Elevating the head of the bed to 15 degrees and maintaining that position for 30 minutes after feedingD Verifying correct nasogastric tube position with aspiration and administration of air bolus with auscultation Nutrition/Malabsorption Problems الإجابة الصحيحة -
416
The nurse is learning the procedure for inserting a nasogastric (NG) tube and is being supervised while inserting the tube into a client with a bowel obstruction. The nurse inserts the tube to the level of the oropharynx and has repositioned the client's head in a flexed- forward position. The client has been asked to begin swallowing, but as the nurse starts to slowly advance the NG tube with each swallow, the client begins to gag. Which action if taken by the nurse at this point would indicate a need for further instruction regarding the insertion of an NG tube?
A Pulling the tube back slightlyB Instructing the client to breathe slowlyC Continuing to advance the tube to the desired distance الإجابة الصحيحةD Checking the back of the pharynx using a tongue blade and flashlight -
417
The nurse evaluates the patency of a peripheral intravenous (IV) site and suspects an infiltration. Which action would the nurse take to determine if the IV has infiltrated?
A Strip the tubing and assess for a blood return.B Check the regional tissue for redness and warmth.C Increase the infusion rate and observe for swelling.D Gently palpate regional tissue for edema and coolness. الإجابة الصحيحة -
418
A client who has sustained a neck injury is unresponsive and pulseless. What would the emergency department nurse do to open the client's airway?
A Insert oropharyngeal airway.B Tilt the head and lift the chin.C Place in the recovery position.D Stabilize the skull and push up the jaw. الإجابة الصحيحة -
419
The nurse assesses a peripheral intravenous (IV) dressing and notes that it is damp and the tape is loose. What action would the nurse take initially?
A Stop the infusion immediately.B Apply a sterile, occlusive dressing.C Ensure all IV tubing connections are tight. الإجابة الصحيحةD Gather the supplies needed to insert a new IV. -
420
As part of cardiac assessment, to palpate the apical pulse, the nurse places the fingertips at which location?
A At the left midclavicular line at the fifth intercostal space الإجابة الصحيحةB At the left midclavicular line at the third intercostal spaceC To the right of the left midclavicular line at the fifth intercostal spaceD To the right of the left midclavicular line at the third intercostal space Peripheral Vascular -
421
The nurse is caring for a client receiving bolus feedings via a nasogastric (NG) tube after surgery for stomach cancer. The nurse would place the client in which position to administer the feeding?
A SupineB Semi-Fowler's الإجابة الصحيحةC Trendelenburg'sD Lateral recumbent -
422
The nurse instructs a preoperative client about the proper use of an incentive spirometer to minimize the risk of postoperative complications. What result would the nurse use to determine that the client is using the incentive spirometer effectively?
A Cloudy sputumB Shallow breathingC Unilateral wheezingD Productive coughing الإجابة الصحيحة -
423
A client prescribed prazosin hydrochloride asks the nurse why the first dose must be taken at bedtime. Which response by the nurse is based on the understanding of the first dose use of prazosin hydrochloride?
A Treatment with prazosin hydrochloride results in drowsiness.B Prazosin hydrochloride should be taken when the stomach is empty.C Treatment with prazosin hydrochloride can cause dependent edema.D Treatment with prazosin hydrochloride can cause dizziness or possible syncope. الإجابة الصحيحة -
424
The nurse is preparing to administer a tuberculin skin test to a client. The nurse determines that which area is to be used for injection of the medication?
A Dorsal aspect of the upper arm near a moleB Inner aspect of the forearm that is close to a burn scarC Inner aspect of the forearm that is not heavily pigmented الإجابة الصحيحةD Dorsal aspect of the upper arm that has a small amount of hair -
425
The nurse caring for a client being treated for severe back pain is preparing to administer an opioid via an epidural catheter. Before administering the medication, the nurse aspirates and obtains 5 mL of clear fluid. Based on this finding, which action would the nurse take?
A Inject the opioid with force that is steady but slow.B Hold the medication and notify the anesthesiologist. الإجابة الصحيحةC Inject the aspirate back into the catheter and administer the opioid.D Flush the catheter with 6 mL of sterile water before injecting the opioid. -
426
The nurse has administered approximately half of a high- cleansing enema when the client reports pain and cramping. Which nursing action is appropriate?
A Reassuring the client that those sensations will subsideB Raising the enema bag so that the solution can be introduced quicklyC Discontinuing the enema and notifying the primary health care providerD Clamping the tubing for 30 seconds and restarting the flow at a slower rate الإجابة الصحيحة -
427
The nurse, caring for a patient being treated for a bowel obstruction is preparing to administer an intermittent tube feeding through a nasogastric (NG) tube assesses for residual volume. How do the resulting data assist in assuring the client's safety?
A Confirm proper NG tube placement.B Determine the client's nutritional status.C Evaluate the adequacy of gastric emptying. الإجابة الصحيحةD Assess the client's fluid and electrolyte status. -
428
A client has been prescribed procainamide. The nurse implements which intervention before administering the medication to minimize the client's risk for injury?
A Obtaining a chest x-rayB Assessing blood pressure and pulse الإجابة الصحيحةC Obtaining a complete blood cell count and liver function studiesD Scheduling a drug level to be drawn 1 hour after the dose is administered -
429
In preparation to administer an intermittent tube feeding, the nurse aspirates 40 mL of undigested formula from the client's nasogastric tube. Which intervention would the nurse implement as a result of this finding?
A Discard the aspirate and record as client output.B Mix with new formula to administer the feeding.C Dilute with water and inject into the nasogastric tube.D Reinstill the aspirate through the nasogastric tube via gravity and syringe. الإجابة الصحيحة -
430
To assure the desired results, how would the nurse instruct the client prescribed oral bisacodyl to take the medication?
A At bedtimeB With a large mealC With a glass of milkD On an empty stomach الإجابة الصحيحة -
431
The nurse is applying electrocardiogram (ECG) electrodes to a diaphoretic client experiencing tachycardia. Which intervention would the nurse take to facilitate adherence of the electrodes to the skin?
A Secure the electrodes with adhesive tape.B Place clear, transparent dressings over the electrodes.C Apply lanolin to the skin before applying the electrodes.D Cleanse the skin with alcohol before applying the electrodes. الإجابة الصحيحة -
432
The nurse checks a unit of blood received from the blood bank and notes the presence of gas bubbles in the bag. What action would the nurse take?
A Return the bag to the blood bank. الإجابة الصحيحةB Infuse the blood using filter tubing.C Add 10 mL normal saline to the bag.D Agitate the bag to mix contents gently. -
433
What is the smallest gauge catheter that the nurse can use to administer blood to an adult client experiencing hypovolemic shock?
A 12 gaugeB 20 gauge الإجابة الصحيحةC 22 gaugeD 24 gauge -
434
A client began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. What is the initial nursing action when the client reports itching and a tight sensation in the chest?
A Stop the transfusion. الإجابة الصحيحةB Check the client's temperature.C Call the primary health care provider.D Recheck the unit of blood for compatibility. Allergy -
435
A client has not ingested any food or liquids for 4 hours after two episodes of nausea and vomiting and is dehydrated. What would the nurse offer the client initially now that she or he is no longer nauseated?
A ToastB GelatinC Dry cerealD Ginger ale الإجابة الصحيحة -
436
The nurse prepares the client for the removal of a nasogastric tube that was inserted to treat bowel obstruction. During the tube removal, the nurse instructs the client to take which action?
A Inhale deeply.B Exhale slowly.C Hold in a deep breath. الإجابة الصحيحةD Pause between breaths. -
437
The nurse is caring for a client being treated for essential fatty- acid deficiency (EFAD) who has a prescription for an intravenous intralipid infusion. What intervention would the nurse implement before hanging the intralipid infusion?
A Refrigerate the bottle of solution.B Add 100 mL normal saline to the infusion bottle.C Place an in-line filter on the administration tubing.D Check the solution for separation or an oily residue. Nutrition/Malabsorption Problems الإجابة الصحيحة -
438
The nurse in an ambulatory care clinic takes a client's blood pressure (BP) in the left arm; it is 200/118 mm Hg. Which action would the nurse take next?
A Notify the primary health care provider.B Inquire about the presence of kidney disorders.C Check the client's blood pressure in the right arm. الإجابة الصحيحةD Recheck the pressure in the same arm within 30 seconds. -
439
The nurse admits a client who is bleeding freely from a scalp laceration that resulted from a fall. The nurse would take which action first in the care of this wound?
A Prepare for suturing the area.B Determine when the client last had a tetanus vaccine.C Cleanse the wound by flushing with sterile normal saline.D Apply direct pressure to the laceration to stop the bleeding. الإجابة الصحيحة -
440
A client is brought into the emergency department after sustaining a possible closed head injury. Which assessment would the nurse perform first?
A Level of consciousnessB Pulse and blood pressureC Respiratory rate and depth الإجابة الصحيحةD Ability to move extremities -
441
As the nurse begins to administer scheduled doses of furosemide and nifedipine, the client asks for an as needed (PRN) dose of aluminum hydroxide. Which action by the nurse would best ensure the effectiveness of all the medications?
A Assess the client's immediate need for the antacid. الإجابة الصحيحةB Administer all three medications at the same time.C Administer the nifedipine and aluminum hydroxide, then the furosemide 1 hour later.D Administer the furosemide and aluminum hydroxide, then the nifedipine 1 hour later. -
442
Which nursing question would elicit the most thorough assessment data regarding the client's recent sleeping patterns?
A "Are you sleeping well at home?"B "Did you get much sleep last night?"C "May we talk about how you've been sleeping?" الإجابة الصحيحةD "Do you think you get enough sleep on a nightly basis?" -
443
Acetylsalicylic acid (aspirin) is prescribed for a client diagnosed with coronary artery disease before a percutaneous transluminal coronary angioplasty (PTCA). The nurse administers the medication understanding that it is prescribed for what purpose?
A Relieve postprocedure pain.B Prevent thrombus formation. الإجابة الصحيحةC Prevent postprocedure hyperthermia.D Prevent inflammation of the puncture site. -
444
The nurse reviews a primary health care provider's prescriptions and notes that a topical nitrate is prescribed. The nurse notes that acetaminophen is prescribed to be administered before the nitrate. The nurse implements the prescription with which understanding about why acetaminophen is prescribed?
A Headache is a common side effect of nitrates. الإجابة الصحيحةB Fever usually accompanies myocardial infarction.C Acetaminophen potentiates the therapeutic effect of nitrates.D Acetaminophen does not interfere with platelet action as acetylsalicylic acid (aspirin) does. -
445
A client receiving total parenteral nutrition (TPN) through a subclavian catheter suddenly develops dyspnea, tachycardia, cyanosis, and decreased level of consciousness. Based on these findings, which is the best intervention for the nurse to take for the client?
A Obtain a stat oxygen saturation level.B Examine the insertion site for redness.C Perform a stat finger-stick glucose level.D Turn the client to the left side in Trendelenburg's position. الإجابة الصحيحة -
446
A client has received atropine sulfate preoperatively. The nurse monitors the client for which effect of the medication in the immediate postoperative period?
A DiarrheaB BradycardiaC Urinary retention الإجابة الصحيحةD Excessive salivation -
447
While preparing to administer an intravenous (IV) medication, the nurse notes that the medication is incompatible with the IV solution. Which intervention would the nurse take to assure the client's safety?
A Ask the provider to prescribe a compatible IV solution.B Start a new IV catheter for the incompatible medication.C Collaborate with the provider for a new administration route.D Flush tubing before and after administering the medication with normal saline. الإجابة الصحيحة -
448
A client diagnosed with epilepsy has a prescription for valproic acid 250 mg once daily. To maximize the client's safety, which time is best for the nurse to schedule administration of the medication?
A With lunchB With breakfastC Before breakfastD At bedtime with a snack الإجابة الصحيحة -
449
The nurse employed in a preschool agency is planning a staff education program to prevent the spread of an intestinal parasitical disease. Which prevention measure would the nurse include in the educational session?
A All food will be cooked before eating.B Only bottled water will be used for drinking.C All toileting areas will be cleansed daily with soap and water.D Standard precautions will be used when assisting children with toileting. الإجابة الصحيحة -
450
The nurse is preparing to administer prescribed heparin sodium 5000 units subcutaneously for deep vein thrombosis prophylaxis. Which action would the nurse take to safely administer the medication?
A Inject via an infusion device.B Inject within 1 inch of the umbilicus.C Massage the injection site after administration for a full minute.D Change the needle on the syringe after withdrawing the medication from the vial. الإجابة الصحيحة -
451
The nurse provides home care instructions to the mother of a child with a diagnosis of chickenpox about preventing the transmission of the virus. Which is the best statement for the nurse to include in the instructions?
A Isolate the child until the skin vesicles have dried and crusted. الإجابة الصحيحةB Ensure that the child uses a separate bathroom for elimination.C Bring all household members to the clinic for a varicella vaccine.D Request a prescription for antibiotics for all household members. -
452
The nurse is about to administer a prescribed intravenous dose of tobramycin when the client reports vertigo and ringing in the ears. Which action would the nurse take next?
A Check the client's pupillary responses.B Hang the dose of medication immediately.C Give a dose of droperidol with the tobramycin.D Hold the dose and call the primary health care provider (PHCP). الإجابة الصحيحة -
453
The nurse is preparing to administer prescribed amiodarone intravenously. To provide a safe environment, the nurse would ensure that which specific safety consideration is in place for the client before administering the medication?
A Oxygen therapyB Oxygen saturation monitorC Continuous cardiac monitoring الإجابة الصحيحةD Noninvasive blood pressure cuff -
454
The nurse reviews wound culture results and learns that an assigned client has methicillin-resistant Staphylococcus aureus (MRSA) in a wound bed. Which type of transmission-based precautions would the nurse implement for this client?
A Enteric precautionsB Droplet precautionsC Contact precautions الإجابة الصحيحةD Airborne precautions -
455
The nurse is preparing to administer a first dose of prescribed pentamidine isethionate intravenously to a client diagnosed with pneumonia. Before administering the dose, which safety measure would the nurse consider for this client?
A Assign to a private room.B Establish a supine position. الإجابة الصحيحةC Place on respiratory precautions.D Assist to a semi-Fowler's position. -
456
The nurse is administering a dose of prescribed intravenous hydralazine to a client. To provide a safe environment, the nurse would ensure that which safety measure is in place before injecting the medication?
A Central lineB ThermometerC Foley catheterD Blood pressure cuff الإجابة الصحيحة -
457
The nurse is caring for a hospitalized client who is having a prescribed dosage of clonazepam adjusted. Because of the adjustment in the medication administration, which priority safety activity would the nurse plan to implement?
A Weigh the client daily.B Assess for ecchymoses.C Institute seizure precautions. الإجابة الصحيحةD Monitor blood glucose levels. Sedative-Hypnotics -
458
The nurse is planning to obtain an arterial blood gas (ABG) from the radial artery of a client with a diagnosis of chronic obstructive pulmonary disease (COPD). To prevent bleeding after the procedure, which priority activity would the nurse plan time for after the arterial blood is drawn?
A Holding a warm compress over the puncture site for 5 minutesB Encouraging the client to open and close the hand rapidly for 2 minutesC Applying pressure to the puncture site by applying a 2 x 2 gauze for 5 minutes الإجابة الصحيحةD Having the client keep the radial pulse puncture site in a dependent position for 5 minutes Pulmonary Disease -
459
Regular insulin by continuous intravenous (IV) infusion is prescribed for a client diagnosed with diabetes mellitus who has a blood glucose level of 700 mg/dL (40 mmol/L). How would the nurse administer this medication safely?
A Mix the solution in 5% dextrose.B Change the solution every 6 hours.C Infuse the medication via an electronic infusion pump. الإجابة الصحيحةD Titrate the infusion according to the client's urine glucose levels. -
460
The medication nurse is supervising a newly hired licensed practical nurse (LPN) during the administration of prescribed oral pyridostigmine bromide to a client with a diagnosis of myasthenia gravis. Which observation by the medication nurse indicates safe practice by the LPN?
A Asking the client to take sips of water الإجابة الصحيحةB Asking the client to lie down on his right sideC Asking the client to look up at the ceiling for 30 secondsD Instructing the client to void before taking the medication -
461
A registered nurse (RN) is providing postmortem care for a deceased client whose eyes will be donated. Which measure would the nurse anticipate will most likely be prescribed that will provide appropriate care of the client's body?
A Closing the eyes with paper tapeB Maintaining the client in a supine positionC Placing gauze pads wet with saline covered by a small ice pack on the eyes الإجابة الصحيحةD Placing the client in a lateral recumbent position rotating right and left sides -
462
The nurse is caring for a client receiving total parenteral nutrition (TPN). Which action is most appropriate for the nurse to implement in order to decrease the risk of infection?
A Assess vital signs at 4-hour intervals.B Administer prophylactic antimicrobial agents.C Check the solution's label against the prescription.D Use aseptic technique in handling the TPN solution. الإجابة الصحيحة -
463
The nurse prepares a client for discharge who is prescribed intermittent antibiotic infusions through a peripherally inserted central catheter (PICC) line for a foot infection. Which instruction would the nurse include in client teaching about necessary daily infusion care in the home?
A Keep the affected arm immobilized.B Aspirate 3 mL of blood from the line daily.C Maintain a continuous intravenous infusion.D Check the insertion site for redness and swelling. الإجابة الصحيحة -
464
The nurse, after administering an injection to a client, accidentally drops the syringe on the floor. Which nursing action is most appropriate in this situation?
A Obtain a dust pan and mop to sweep up the syringe.B Call the housekeeping department to pick up the syringe.C Carefully pick up the syringe from the floor and gently recap the needle.D Carefully pick up the syringe from the floor and dispose of it in a sharps container. الإجابة الصحيحة -
465
The nurse is assigned to care for a client who is in traction. Which intervention by the nurse would ensure a safe environment for the client?
A Making sure that the knots are at the pulleys sitesB Checking the weights to be sure that they are off the floor الإجابة الصحيحةC Making sure that the head of the bed is kept at a 90-degree angleD Monitoring the weights to be sure that they are resting on a firm surface -
466
The nurse is observing a client using a walker after experiencing a stroke. Which observation by the nurse would determine that the client is using the walker correctly?
A Puts weight on the hand pieces, slides the walker forward, and then walks into itB Puts weight on the hand pieces, moves the walker forward, and then walks into itC Puts all four points of the walker flat on the floor, puts weight on the hand pieces, and then walks into it الإجابة الصحيحةD Walks into the walker, puts weight on the hand pieces, and then puts all four points of the walker flat on the floor -
467
The nurse assists a postoperative appendectomy client from a lying to a sitting position to prepare for ambulation. Which nursing action is most appropriate initially to maintain the safety of the client?
A Assess the client for signs of dizziness and hypotension. الإجابة الصحيحةB Be sure that the client is wearing slippers with nonslip soles.C Secure the assistance of at least one additional staff to help with the ambulation.D Encourage the client to support the abdomen with a small pillow while walking. -
468
Upon transfer from the post-anesthesia care unit (PACU) after spinal fusion, which technique would the nurse use to transfer the client from the stretcher to the bed?
A A bath blanket and the assistance of four peopleB A bath blanket and the assistance of three peopleC A transfer board and the assistance of two peopleD A transfer board and the assistance of four people الإجابة الصحيحة -
469
The nurse inserts an indwelling urinary catheter into a client being prepared for surgery to remove a kidney stone. As the catheter moves into the bladder, urine begins to flow into the tubing. Which action would the nurse implement next?
A Inflate the balloon with water.B Secure the catheter to the client.C Measure the initial urine output.D Advance the catheter 2.5 to 5 cm. الإجابة الصحيحة -
470
The nurse places a hospitalized client with a diagnosis of active tuberculosis in a private, well-ventilated isolation room. In addition, which action would the nurse take before entering the client's room?
A Wash the hands.B Wash the hands and wear a gown and gloves.C Wash the hands and place a high-efficiency particulate air (HEPA) respirator over the nose and mouth. الإجابة الصحيحةD The nurse needs no special precautions, but the client is instructed to cover his or her mouth and nose when coughing or sneezing. -
471
The nurse is going to suction an adult client with a tracheostomy who has respiratory secretions. Which intervention would the nurse implement to perform this procedure safely?
A Occluding the Y-port of the suction catheter while advancing itB Applying continuous suction in the airway for up to 20 secondsC Setting the suction pressure range between 160 and 180 mm HgD Hyperoxygenating the client by asking the client to take four to five deep breaths الإجابة الصحيحة -
472
The nurse is collecting a sputum specimen for culture and sensitivity testing from a client who has a productive cough suspected of having pneumonia. Which intervention would the nurse implement to obtain the specimen?
A Ask the client to obtain the specimen after breakfast.B Use a sterile plastic container for obtaining the specimen. الإجابة الصحيحةC Provide tissues for expectoration and obtaining the specimen.D Ask the client to expectorate a small amount of sputum into the emesis basin. -
473
A client who is admitted to the hospital for an unrelated medical problem is diagnosed with urethritis caused by chlamydial infection. The assistive personnel (AP) assigned to the client asks the nurse what measures are necessary to prevent contraction of the infection during care. The nurse tells the AP that which intervention is needed for infection control?
A Enteric precautions should be instituted for the client.B Gloves and mask should be used when in the client's room.C Contact isolation should be initiated because the disease is highly contagious.D Standard precautions are sufficient because the disease is transmitted sexually. Inflammation/Infections الإجابة الصحيحة -
474
The nurse is preparing the client's morning prescribed NPH insulin dose and notices a clumpy precipitate inside the insulin vial. Which action would the nurse take?
A Draw the dose from a new vial. الإجابة الصحيحةB Draw up and administer the dose.C Shake the vial in an attempt to disperse the clumps.D Warm the bottle under running water to dissolve the clump. -
475
Which action would the nurse implement to obtain a urine specimen for a urinalysis from a client with an indwelling urinary catheter recovering from prostate surgery?
A Cleanse the perineum.B Detach the tubing of the drainage bag.C Use a sterile container for the specimen.D Aspirate the urine from the drainage bag port. الإجابة الصحيحة -
476
An assistive personnel (AP) is caring for a client who has an indwelling urinary catheter as part of treatment for renal calculi. Which direction would the registered nurse provide to the AP regarding urinary catheter care?
A Loop the tubing under the client's leg.B Place the tubing below the client's knee.C Use soap and water to cleanse the perineal area. الإجابة الصحيحةD Keep the drainage bag above the level of the bladder. -
477
During an emergency code situation, a primary health care provider about to defibrillate a client diagnosed in ventricular fibrillation says in a loud voice, "CLEAR!" Which action would the nurse immediately implement?
A Shut off the mechanical ventilator.B Shut off the intravenous infusion going into the client's arm.C Place the conductive gel pads for defibrillation on the client's chest.D Step away from the bed and make sure that all others have done the same. الإجابة الصحيحة -
478
Which measure would the nurse implement to ensure electrical safety for a home care client who needs to receive intravenous (IV) pain medication therapy via an IV pump?
A Keep the pump on at all times.B Use an extension cord during ambulation.C Obtain a three-pronged grounded plug adapter. الإجابة الصحيحةD Keep the pump plugged in the wall at all times. -
479
A registered nurse (RN) is orienting an assistive personnel (AP) to the clinical nursing unit. The RN determines that the AP needs further teaching if which action is performed by the AP during a routine hand-washing procedure?
A Keeps hands lower than elbowsB Dries from forearm down to fingers الإجابة الصحيحةC Washes continuously for 10 to 15 secondsD Uses 3 to 5 mL of soap from the dispenser -
480
A client diagnosed with anxiety disorder is prescribed buspirone orally. When the client reports that it is difficult to swallow the tablets, the nurse provides which instruction to promote compliance?
A Crush the tablets before taking them. الإجابة الصحيحةB Mix the tablet uncrushed in applesauce.C Purchase the liquid preparation with the next refill.D Call the primary health care provider for a change in medication. Antianxiety/Anxiolytics -
481
A client recovering from an appendectomy tells the nurse that he gets dizzy and lightheaded with each use of the incentive spirometer. The nurse asks the client to demonstrate the use of the device. Which action would the nurse determine to be a contributing factor in this client's symptoms?
A Inhaling too slowlyB Exhaling too slowlyC Not resting adequately between breaths الإجابة الصحيحةD Not forming a tight seal around the mouthpiece -
482
The nurse provides instructions to the client taking clorazepate for the management of an anxiety disorder. What information related to this medication would the nurse provide to the client?
A Dizziness is a side effect. الإجابة الصحيحةB Smoking increases the effectiveness of the medication.C If drowsiness occurs, call the primary health care provider.D If gastrointestinal disturbances occur, discontinue the medication. -
483
A client weighs 165 pounds (75 kg) at admission. During hospitalization, the nurse determines that the client is maintaining adequate nutritional status if the client's weight is how many pounds?
A 153 pounds (69.5 kg)B 155 pounds (70.4 kg)C 157 pounds (71.3 kg)D 160 pounds (72.7 kg) Nutrition/Malabsorption Problems الإجابة الصحيحة -
484
A child exposed to the human immunodeficiency virus (HIV) is seen in the health care clinic and tested for the virus. Which home care instruction would the nurse provide to the parents of the child?
A Avoid sharing toothbrushes. الإجابة الصحيحةB Avoid all immunizations until the diagnosis is established.C Wipe up any blood spills with a rag, and allow them to air-dry.D Wash your hands with half-strength bleach if they come in contact with the child's blood. -
485
The nurse prepares a postoperative client who is ready for discharge for care at home. The client must receive continued intravenous (IV) therapy, so the nurse provides the client with instructions on caring for the IV site to prevent infection. Which is the best method of evaluating the client's ability to care for the IV site?
A Have the client role-play an IV dressing change.B Invite the client to change the IV dressing unaided. الإجابة الصحيحةC Direct the client to explain IV site care completely.D Ask the client to provide self-care before being discharged. -
486
The nurse prepares a client receiving treatment for a relapse of their multiple melanoma with a peripheral intravenous (IV) site for home IV therapy for discharge. Which would the nurse teach the client to help prevent phlebitis and infiltration?
A Massage the IV site daily.B Immobilize the extremity.C Stabilize the cannula with tape. الإجابة الصحيحةD Cleanse the site daily with alcohol. -
487
The nurse is teaching a client how to stand on crutches. What information would the nurse give the client related to placement of the crutches?
A Place the crutches 3 inches to the front and side of the toes.B Place the crutches 6 inches to the front and side of the toes. الإجابة الصحيحةC Place the crutches 15 inches to the front and side of the toes.D Place the crutches 20 inches to the front and side of the toes. -
488
The nurse would tell the client to avoid which item while taking phenelzine sulfate?
A BlueberriesB VasodilatorsC Aged cheeses الإجابة الصحيحةD Digitalis preparations Oxidase Inhibitors (MAOIs) -
489
Which action by the client would lead the nurse to determine the need for further teaching regarding the use of the incentive spirometer?
A Inhales slowlyB Breathes through the nose الإجابة الصحيحةC Removes the mouthpiece to exhaleD Forms a tight seal around the mouthpiece with the lips Airway -
490
A client is receiving lipids (fat emulsion) intravenously at home, and the client's spouse manages the infusion. The home care nurse makes a visit and discusses potential side and adverse effects of the therapy with the client and the spouse. After the discussion, the nurse expects the spouse to verbalize that, in case of a suspected adverse effect, which action is the priority?
A Stop the infusion. الإجابة الصحيحةB Contact the nurse.C Take the client's blood pressure.D Contact the local area emergency response team. Nutrition/Malabsorption Problems -
491
A client diagnosed with gastritis asks the nurse at a screening clinic about analgesics that will not cause epigastric distress. The nurse would tell the client to take which medication?
A AspirinB NaproxenC IbuprofenD Acetaminophen الإجابة الصحيحة -
492
The school nurse teaches an athletic coach how to prevent dehydration among athletes practicing in the hot weather. What is the best advice for the nurse to give to the coach?
A Drink plenty of fluids before and after practice.B Have the athletes take a salt tablet before practice.C Reschedule practice for before school and after sunset.D Provide a fluid break every 30 minutes during practice. الإجابة الصحيحة -
493
The camp nurse provides instructions regarding skin protection from the sun to the parents who are preparing their children for a camping adventure. Which statement by a parent indicates a need for further teaching?
A "A protective sunscreen is best to prevent sunburn."B "My child won't need the sunscreen on cloudy, hazy days." الإجابة الصحيحةC "I need to pack a hat, long-sleeved shirts, and long pants for my child to wear."D "My child should wear clothes that have a tightly woven material for greater protection from the sun's rays." -
494
The nurse in an ambulatory clinic administers a tuberculin skin test to a client on a Monday. When would the nurse tell the client to return to the clinic to have the results read?
A Thursday or FridayB The following MondayC Tuesday or WednesdayD Wednesday or Thursday الإجابة الصحيحة -
495
A client has a prescription for ketoconazole. Which instruction would the nurse teach the client to follow while taking this medication?
A Avoid exposure to sunlight. الإجابة الصحيحةB Limit alcohol to 2 ounces per day.C Take the medication with an antacid.D Take the medication on an empty stomach. -
496
The nurse is instructing a client diagnosed with type 1 diabetes mellitus about the management of hypoglycemic reactions. The nurse instructs the client that hypoglycemia most likely occurs during what time interval after insulin administration?
A Peak الإجابة الصحيحةB OnsetC DurationD Anytime -
497
A client who is taking tranylcypromine sulfate requests information about foods that are acceptable to eat while taking the medication. Which foods are safe to consume while taking this medication?
A YogurtB RaisinsC Oranges الإجابة الصحيحةD Smoked fish Oxidase Inhibitors (MAOIs) -
498
Which instruction would the nurse include in the teaching plan for a client taking iron supplements to correct iron deficiency anemia?
A Eat a low-fiber diet.B Limit the intake of fluids.C Limit the intake of meat, fish, and poultry.D Avoid taking the iron supplements with milk or antacids. الإجابة الصحيحة -
499
A client has been started on a monoamine oxidase inhibitor (MAOI). Which information would the nurse include when teaching the client about the medication?
A This medication can cause severe drowsiness.B The client must avoid foods that contain tyramine. الإجابة الصحيحةC The medication is associated with a high rate of abuse.D The medication will begin to alleviate symptoms of depression almost immediately. Oxidase Inhibitors (MAOIs) -
500
A client is to have arterial blood gases drawn. While the nurse is performing Allen's test, the client states to the nurse, "What are you doing? No one else has done that!" Which response to the client is most therapeutic?
A "I assure you that I am doing the correct procedure. I cannot account for what others do."B "This step is crucial to safe blood withdrawal. I would not let anyone take my blood until they did this."C "Oh? You have questions about this? You should insist that they all do this procedure before drawing up your blood."D "This is a routine precautionary step that simply makes certain your circulation is intact before a blood sample is obtained." الإجابة الصحيحة -
501
A client states to the nurse, "I can't get any help with my care! I call and call, but the nurses never answer my light. Last night one of them told me they had other clients besides me! I'm very sick, but the nurses don't care!" Which statement by the nurse addresses the client's primary concern?
A "I think you are being very impatient. The nurses come as quickly as they can."B "I can hear your anger. That nurse had no right to speak to you that way. I will report her."C "You poor thing! I'm so sorry this happened to you. That nurse should be reprimanded immediately."D "It's hard to be in bed and to have to ask for help. You feel that the nurses do not seem to care?" الإجابة الصحيحة -
502
The nurse is caring for a client who says, "I don't want to talk with you because you're only the nurse. I'll wait for my doctor." Which statement would the nurse say in response to the client?
A "I'm saddened by the way you dismissed me."B "I understand. So should I call your primary health care provider?" الإجابة الصحيحةC "Your primary health care provider directs me in your nursing care."D "So then, you would prefer to speak with your primary health care provider?" -
503
A client states to the nurse, "I don't do anything right. I'm such a loser." Which therapeutic statement would the nurse make to the client?
A "You don't do anything right?" الإجابة الصحيحةB "You do things right all the time."C "Can we identify things you do right?"D "You are not a loser, you are depressed." -
504
The nurse is preparing to care for a child with anemia from a culture that is different from the nurse's. Which is the best way to address the cultural needs of the child and family when the child is admitted to the health care facility?
A Address only those issues that directly affect the nurse's care of the child.B Ask questions, and explain to the family why the questions are being asked. الإجابة الصحيحةC Explain that cultural practices need to be discontinued during hospitalization.D Ignore cultural needs because they are not important to health care professionals. Ethnicity -
505
Before inserting a peripheral intravenous (IV) catheter into a preoperative client, the nurse notes that the client's muscles are tense and the client is fidgeting with the bed sheet, stating that she does not understand why she has to have the IV. Which statement would the nurse first verbalize to the client?
A "This will be finished before you know it."B "Inserting the IV does not hurt very much."C "The IV adds needed fluid into your bloodstream." الإجابة الصحيحةD "The IV catheter is an 18-gauge angiocatheter, which is small." -
506
A postoperative client displays signs of anxiety when the nurse explains that the intravenous (IV) line will need to be discontinued as a result of an infiltration. Which appropriate statement would the nurse make to the client?
A "This is usually a painless experience. It is nothing to worry about."B "I'm sure it will be a real relief for you just as soon as I discontinue this IV for good."C "Just relax and take a deep breath. This procedure will not take long, and it will be over soon."D "I can see that you're anxious. Removal of the IV shouldn't be painful, but the IV will need to be restarted in another location." الإجابة الصحيحة -
507
A community health nurse is caring for a population of homeless people. What is the most immediate concern when planning for the potential needs of this group?
A Finding affordable housing for the groupB Setting up a 24-hour crisis center and hotlineC Providing peer support through structured support groupsD Ensuring that adequate food, shelter, and clothing are available الإجابة الصحيحة -
508
The nurse is bathing a client when the client begins to cry. Which action by the nurse is therapeutic at this time?
A Continue bathing the client and say nothing.B Stop the bath, cover the client, and sit with the client. الإجابة الصحيحةC Stop the bath, cover the client, and allow the client private time.D Call the primary health care provider to report the signs of depression. -
509
An older couple was emotionally despondent when their home was severely damaged by flooding. When planning for the couple's initial needs, what intervention would the community health nurse implement?
A Contacting their familiesB Attending to their emotional needsC Arranging for the repair of their homeD Attending to their basic physiological needs الإجابة الصحيحة -
510
The nurse working on the mental health unit is in the orientation (introductory) phase of the therapeutic nurse–client relationship. Which intervention is representative of this phase of the relationship?
A The nurse and client determine the plan for meetings. الإجابة الصحيحةB The client is encouraged to make use of all services depending on need.C The client begins to identify with the nurse, and trust and rapport are maintained.D The nurse focuses on facilitating the therapeutic expression of the client's feelings. -
511
The nurse assesses the client's peripheral intravenous (IV) site and notes that it is cool, pale, and swollen, and the fluid is not infusing. Which condition would the nurse document?
A PhlebitisB InfectionC Infiltration الإجابة الصحيحةD Thrombosis -
512
The nurse creates a plan of care to facilitate effective communication for a client who requests assistance in order to live independently. Which intervention has highest priority?
A Directing the discussions so that teaching needs are metB Focusing directly on the client's message regarding needs الإجابة الصحيحةC Reflecting only facts related to the client's expressed concernsD Reacting to the client's responses in a matter-of-fact, professional manner -
513
The nurse is caring for a client who does not speak English. An interpreter is currently unavailable. The nurse must perform a dressing change. What would the nurse do in order to enhance communication with this client prior to changing the dressing?
A Ask relatives to interpret because an interpreter is unavailable.B Speak slowly and allow the client time to interpret what is being said. الإجابة الصحيحةC Use many nonverbal cues and repetition to reinforce what is being said.D Use common words in the nurse's language, because the client is likely to be familiar with them. Ethnicity -
514
The nurse is caring for a client who reports that she is a practicing Roman Catholic. Which actions by the nurse demonstrates spiritual and cultural sensitivity?
A Observe fasting rules on Sunday's.B Inform dietary that meat cannot be served on Friday's.C Allow the client to observe communion daily if requested. الإجابة الصحيحةD Discourage anointing by the priest unless the condition becomes terminal. Ethnicity -
515
The hospice nurse is caring for a client of the Muslim faith. Which religious belief would the nurse expect to observe?
A The client's bed is positioned toward Mecca. الإجابة الصحيحةB The client is left alone except for bathing and feeding.C The religious leader is not allowed to visit until the client has died.D Fasting is implemented to promote healing. Ethnicity -
516
The nurse is caring for a client of a different culture and is assessing for client perceptions regarding nutrition. Which, in addition to the impact of food on disease and illness, would the nurse consider in order to provide culturally competent care?
A Educational background and employment historyB Familial support systems and financial well-beingC Client perception of body weight and size relative to culture الإجابة الصحيحةD Ability to purchase foods necessary for disease management Ethnicity Nutrition/Malabsorption Problems -
517
A client is receiving intravenous (IV) antibiotic therapy at home via an intermittent IV catheter. In order to facilitate the early detection of IV therapy complications, which intervention would be included in the client's education?
A Protect the IV site continually.B Keep the IV site clean and dry.C Report local pain, drainage, or edema. الإجابة الصحيحةD Apply pressure to the IV site if it dislodges. -
518
The nurse is educating the client on how to save lives and prevent burn injuries in the event of a fire in the home. Which statement by the client indicates that the teaching has been effective?
A "I should place escape ladders in the bedrooms."B "I should install a whole-house sprinkler system."C "I should keep fresh batteries in smoke detectors." الإجابة الصحيحةD "I should mount fire extinguishers in several areas." -
519
The nurse prepares to administer a continuous intravenous (IV) infusion through a peripheral IV to a dehydrated client. Which priority assessment would the nurse obtain before initiating the IV infusion?
A Daily body weight الإجابة الصحيحةB Serum electrolytesC Intake and output recordsD Identifying the client's dominant side -
520
The nurse performs an Allen's test before blood is drawn from the radial artery for an arterial blood gas (ABG) assessment. This intervention is done to determine the collateral circulatory adequacy of which arterial vessel?
A Ulnar الإجابة الصحيحةB CarotidC BrachialD Femoral -
521
The nurse is caring for a client who is receiving total parenteral nutrition through a central venous catheter. Which action would the nurse plan to implement to decrease the risk of infection in this client?
A Track the client's oral temperature.B Administer antibiotics intravenously.C Evaluate the differential of the leukocytes.D Use sterile technique for dressing changes. Nutrition/Malabsorption Problems الإجابة الصحيحة -
522
The primary health care provider prescribes an isotonic intravenous solution for a client. The nurse plans for the administration of which solution?
A 10% dextrose in waterB 3% sodium chlorideC 5% dextrose in water الإجابة الصحيحةD 0.45% sodium chloride -
523
Which items would the nurse plan to provide to optimally maintain the integrity of a set of arterial blood gas measurements?
A A syringe that contains a preservativeB A heparinized syringe and a bag of ice الإجابة الصحيحةC A heparinized syringe and a preservativeD A syringe that contains a preservative and a bag of ice -
524
The nurse prepares to administer an enteral feeding to a client through a nasogastric tube (NGT). Which is the priority intervention for the nurse to complete before administering the feeding?
A Determining tube placement الإجابة الصحيحةB Auscultating the bowel soundsC Measuring the intake and outputD Establishing the client's baseline weight Nutrition/Malabsorption Problems -
525
Which is the most important laboratory result for the nurse to present to the primary health care provider (PHCP) on a client who is receiving total parenteral nutrition (TPN)?
A White blood cell countB Serum electrolyte levels الإجابة الصحيحةC Arterial blood gas levelsD Hemoglobin and hematocrit levels Nutrition/Malabsorption Problems -
526
The nurse is monitoring the nutritional status of a client who is receiving enteral nutrition. Which would the nurse monitor as the best clinical indicator of the client's nutritional status?
A Daily weightB Calorie countC Skinfold measurementD Serum prealbumin level Nutrition/Malabsorption Problems الإجابة الصحيحة -
527
Which physical assessment technique is used by the nurse to directly listen to lung sounds during a respiratory assessment?
A PalpationB InspectionC PercussionD Auscultation Techniques الإجابة الصحيحة -
528
Which assessment would the nurse focus on before beginning the infusion of lipids (fat emulsion) intravenously for a client receiving total parenteral nutrition?
A Allergies الإجابة الصحيحةB Vital signsC History of seizuresD Serum glucose level Nutrition/Malabsorption Problems -
529
The nurse monitors the client for a hypoglycemic reaction, knowing that NPH insulin peaks in approximately how many hours following administration?
A 1 hourB 2 to 3 hoursC 4 to 12 hours الإجابة الصحيحةD 16 to 24 hours -
530
The nurse is teaching a community group about violence in the family. Which statement by a group member about abusers would indicate a need for further teaching?
A "They use fear and intimidation."B "They usually have poor self-esteem."C "They are often jealous or self-centered."D "They are more often from low-income families." الإجابة الصحيحة -
531
Which actions would the nurse implement to prevent ventilator- associated pneumonia (VAP) in the client who is intubated and on mechanical ventilation?
A Practice meticulous hand hygiene. الإجابة الصحيحةB Maintain the head of the bed elevation at 10 degrees.C Perform suctioning of oral cavity secretions every 4 hours.D Have the respiratory therapist change the ventilator circuit tubing every 4 hours. -
532
Which prescribed procedure would the nurse withhold until a comatose client is properly intubated?
A Gastric feeding الإجابة الصحيحةB Urethral catheterizationC Finger stick for blood glucose levelD Venipuncture for complete blood cell (CBC) count -
533
The nurse would give which medication instructions to the client prescribed quinapril hydrochloride?
A Take the medication with food only.B Expect a therapeutic effect immediately.C Discontinue the medication if nausea occurs.D Rise slowly from a lying to a sitting position. Converting Enzyme (ACE) Inhibitors الإجابة الصحيحة -
534
The registered nurse is observing a new nurse auscultate the breath sounds on a client with pneumonia. Which action by the new nurse would lead the registered nurse to determine that there is a need for further teaching?
A Asks the client to sit straight upB Uses the bell of the stethoscope الإجابة الصحيحةC Places the stethoscope directly on the client's skinD Encourages the client to breathe slowly and deeply through the mouth Techniques -
535
Which action by the new nurse when initiating continuous electrocardiogram (ECG) monitoring on a client would indicate to the registered nurse the need for further teaching?
A Clipping small areas of hair under the area planned for electrode placementB Stating the need to change the electrodes and inspect the skin every 24 hoursC Stating the need to use hypoallergenic electrodes for clients who are sensitiveD Cleansing the skin with povidone-iodine (Betadine) before applying the electrodes الإجابة الصحيحة -
536
The nurse inserting an oropharyngeal airway into an assigned client would use which insertion procedure?
A Flexing the client's neckB Leaving dentures in placeC Suctioning the client's mouth only if prescribedD Inserting the airway with the tip pointed upward الإجابة الصحيحة -
537
The nurse working in the mental health unit is collecting data on a newly admitted client. Which data is a primary type of subjective data collection?
A Client complains of a headache. الإجابة الصحيحةB Client's blood pressure is 145/88 mm Hg.C Family member states that the client got into a fight.D Police officer reports that a disturbance was created by the client. -
538
A primary health care provider prescribes lipids (fat emulsion) for a client who is receiving total parenteral nutrition (TPN). The nurse would explain to the client that the fat emulsion is administered for which reason?
A To provide essential fatty acids الإجابة الصحيحةB As a supplement to fluid intakeC To decrease the risk of phlebitisD Infused during the night in place of TPN Nutrition/Malabsorption Problems -
539
A client is scheduled to have surgery. The nurse would place priority on determining whether the surgeon wants which medications held in the preoperative period to assure client safety?
A Warfarin الإجابة الصحيحةB FurosemideC FamotidineD Multivitamin with minerals Disorders -
540
A client with no history of immunosuppressive disease has a Mantoux tuberculin skin test. The results indicate an area of induration that is 8 mm in size. How would the nurse interpret this result?
A Active tuberculosisB A negative response الإجابة الصحيحةC A history of tuberculosisD Past exposure to tuberculosis -
541
A client has a prescription to have a set of arterial blood gases (ABGs) drawn, and the intended site is the radial artery. The nurse ensures that which is positive before the ABGs are drawn?
A Allen test الإجابة الصحيحةB Turner's signC Babinski reflexD Brudzinski's sign -
542
The nurse notes that the primary health care provider has written a prescription for prednisone for a client. The nurse contacts the primary health care provider about revision of the client's medication plan if which medication is noted on the client's medication record?
A FurosemideB OxycodoneC AcetaminophenD Acetylsalicylic acid الإجابة الصحيحة -
543
A client has received a dose of odansetron. The nurse determines that the medication is effective when the client obtains relief of which problem?
A ChillsB HeadacheC Ringing in the earsD Nausea and vomiting الإجابة الصحيحة -
544
A client is prescribed amiloride 10 mg orally daily for the treatment of hypertension. Which instruction would the nurse give the client regarding its administration?
A Take the medication in the morning with breakfast. الإجابة الصحيحةB Withhold the medication if the blood pressure is high.C Eat foods with extra sodium while taking this medication.D Take the medication 2 hours after lunch on an empty stomach. -
545
What is the purpose of administering diphenhydramine before a blood transfusion?
A To prevent urticaria الإجابة الصحيحةB To avoid fever and chillsC To enhance clotting factorsD To expand the blood volume Allergy -
546
The nurse instructs a female client about collecting a midstream urine sample for culture and sensitivity. Which would the nurse include in client teaching?
A Bathe before collecting the specimen.B Cleanse the perineum from front to back. الإجابة الصحيحةC Label specimen with the provider's name.D Collect urine at the beginning of urination. -
547
The nurse is administering a dose of ondansetron hydrochloride to a client for nausea and vomiting. Which frequent side effect of this medication would the nurse instruct the client to report?
A Dizziness الإجابة الصحيحةB Blurred visionC A warm feelingD Urinary frequency -
548
Sertraline is prescribed for a client in the treatment of depression. Before administering the medication, the nurse reviews the client's record and consults with the primary health care provider when which finding is noted?
A Prescribed phenelzine sulfate الإجابة الصحيحةB A history of diabetes mellitusC A history of myocardial infarctionD A history of irritable bowel syndrome Reuptake Inhibitors (SSRIs) -
549
Ibuprofen 400 mg orally four times daily has been prescribed for an older client with a diagnosis of rheumatoid arthritis. The client asks the nurse about the amount of medication prescribed. The nurse plans to respond based on understanding what about this prescribed dosage?
A It is the normal adult dose. الإجابة الصحيحةB It is lower than the normal adult dose.C It is higher than the normal adult dose.D It is an unusual dose for this diagnosis. Medications and Osteoarthritis -
550
An intravenous dose of lorazepam is prescribed for a client. Which data from the client's history would indicate the need to consult with the primary health care provider before administering the medication?
A Glaucoma الإجابة الصحيحةB HypothyroidismC Diabetes mellitusD Coronary artery disease -
551
A client is reporting skin irritation from the edges of a cast that was applied the previous day. The nurse notes that the skin is pink and irritated. Which corrective action would the nurse take?
A Petal the edges of the cast with tape. الإجابة الصحيحةB Massage the skin at the rim of the cast.C Shake a small amount of powder under the cast rim.D Use a hair dryer set on a cool high setting to soothe the irritation. -
552
The nurse is preparing to do tracheostomy care on a client. Which tracheostomy care items would the nurse obtain to perform this procedure?
A Suction kit and tracheostomy dressingB Bottle of sterile saline and a tracheostomy care kitC Bottles of sterile saline and water and a tracheostomy dressingD Tracheostomy care kit, sterile saline and water, and a suction kit الإجابة الصحيحة -
553
A home care nurse is providing instructions to a client who is prescribed zolpidem for insomnia. To produce maximum effectiveness of the medication, what instruction would the nurse provide the client regarding how the medication needs to be taken?
A With milk or an antacidB At bedtime with a snackC Following the evening mealD With a full glass of water on an empty stomach Sedative-Hypnotics الإجابة الصحيحة -
554
The nurse is preparing to suction an adult client with a tracheostomy who has copious amounts of secretions. Which action would the nurse take to accomplish this procedure safely and effectively?
A Hyperoxygenate the client after the procedure only.B Apply continuous suction in the airway for up to 20 seconds.C Set the wall suction pressure range between 80 and 120 mm Hg. الإجابة الصحيحةD Occlude the Y-port of the catheter while advancing it into the tracheostomy. -
555
Which anatomical site and method would the nurse use to administer an injection of iron to a client?
A Deltoid muscle using an air lockB Gluteal muscle using Z-track technique الإجابة الصحيحةC Anterolateral thigh with ⅝-inch needleD Subcutaneous tissue of the abdomen with ⅝-inch needle -
556
Which test result would the nurse review to determine the compatibility of blood from two different donors?
A Rh factorB ABO typingC Direct Coombs'D Indirect Coombs' الإجابة الصحيحة -
557
The nurse is teaching a client how to mix regular and NPH insulins in the same syringe. Which action would the nurse instruct the client to take?
A Draw up the NPH insulin into the syringe first.B Keep both bottles in the refrigerator at all times.C Rotate the NPH insulin bottle in the hands before mixing. الإجابة الصحيحةD Take all of the air out of the insulin bottles before mixing. -
558
The nurse administering a dose of scopolamine to a preoperative client would monitor the client for which common side effect of the medication?
A Dry mouth الإجابة الصحيحةB DiaphoresisC Excessive urinationD Pupillary constriction -
559
The nurse performing tracheostomy care has replaced the tracheostomy tube holder (tracheostomy ties). Which is an effective measure for the nurse to use when determining if the holder is not too tight?
A The client nods that he or she feels comfortable.B Two fingers can be slid comfortably under the holder. الإجابة الصحيحةC Four fingers can be slid comfortably under the holder.D The tracheostomy does not move more than 0.5 inch when the client coughs. -
560
The nurse has assisted the primary health care provider in placing a central (subclavian) catheter. Which priority action would the nurse take after the procedure?
A Ensure that a chest radiograph is done. الإجابة الصحيحةB Obtain a temperature reading to monitor for infection.C Label the dressing with the date and time of catheter insertion.D Monitor the blood pressure (BP) to check for fluid volume overload. -
561
Which action is included in the accurate procedure for administering heparin sodium subcutaneously to a client with deep vein thrombosis?
A Injecting the medication via an infusion deviceB Massaging the injection site after administrationC Injecting the medication 1 inch from the umbilicusD Avoiding aspiration before administration of the medication الإجابة الصحيحة -
562
Which instruction would the nurse provide to the client prescribed the medication benztropine mesylate?
A Sit in the sun for 30 minutes daily.B Avoid driving if drowsiness or dizziness occurs. الإجابة الصحيحةC Expect difficulty swallowing while taking this medication.D Expect episodes of vomiting and constipation while taking this medication. -
563
The nurse receives a client from the postanesthesia care unit who has had skeletal traction applied in the operating room. The nurse would take immediate action to correct which problem with the traction setup if it is noted?
A Knots are secured tightly.B There are weights at both ends of the bed.C Weights are resting against the foot of the bed. الإجابة الصحيحةD Pin site is exposed to air without any dressing. -
564
To ensure safety for a hospitalized blind client, the nurse should:
A Require that the client has a sitter for each shift.B Request that the client stays in bed until the nurse can assist.C Orient the client to the room environment. الإجابة الصحيحةD Keep the side rails up when the client is alone. -
565
The nurse is planning a staff development program on how to care for clients with hepatitis A. Which of the following precautions should the nurse indicate as essential when caring for clients with hepatitis A?
A Gowning when entering a client's room.B Wearing a mask when providing care.C Assigning the client to a private room.D Wearing gloves when giving direct care. الإجابة الصحيحة -
566
The nurse should institute which of the following measures to prevent transmission of the hepatitis C virus to health care personnel?
A Administering hepatitis C vaccine to all health care personnel. الإجابة الصحيحةB Decreasing contact with blood and blood-contaminated fluids.C Wearing gloves when emptying the bedpan.D Wearing a gown and mask when providing direct care. -
567
The nurse finds a container with the client's urine specimen sitting on a counter in the bathroom. The client states that the specimen has been sitting in the bathroom for at least 2 hours. The nurse should:
A Discard the urine and obtain a new specimen. الإجابة الصحيحةB Send the urine to the laboratory as quickly as possible.C Add fresh urine to the collected specimen and send the specimen to the laboratory.D Refrigerate the specimen until it can be transported to the laboratory. -
568
The nurse is instructing the unlicensed nursing personnel (UAP) about the correct technique for obtaining a clean-catch urine culture from a female client. Which of the following statements indicates that the assistant has understood the instructions?
A “I will have the client completely empty her bladder into the specimen cup.”B “I will need to catheterize the client to get the urine specimen.”C “I will ask the client to clean her labia, void into the toilet, and then into the specimen cup.” الإجابة الصحيحةD “I will obtain the specimen in the afternoon after the client has had plenty of fluids.” -
569
The nurse should place a client being admitted to the hospital with suspected tuberculosis on what type of isolation?
A Standard precautions.B Contact precautions.C Droplet precautions.D Airborne precautions. الإجابة الصحيحة -
570
Which of the following individuals has the highest priority for receiving seasonal influenza vaccination?
A A 60-year-old man with a hiatal hernia.B A 36-year-old woman with three children.C A 50-year-old woman caring for a spouse with cancer. الإجابة الصحيحةD A 60-year-old woman with osteoarthritis. -
571
Which blood test result would the nurse be sure to monitor for the patient taking hydrochlorothiazide (HCTZ)?
A Sodium levelB Potassium level الإجابة الصحيحةC Chloride levelD Calcium level -
572
The nurse is preparing to insert a peripherally inserted central catheter (PICC) in a patient’s left forearm. Which solution will be best for cleaning the skin be- fore the PICC insertion?
A 70% isopropyl alcoholB Povidone- iodine solutionC 0.5% chlorhexidine in alcohol الإجابة الصحيحةD Betadine followed by 70% isopropyl alcohol -
573
A patient who has had recent exposure to Ebola while traveling in Africa arrives in the emergency depart- ment with fever, headache, vomiting, and multiple ec- chymoses. Which action should the nurse take first?
A Place the patient in a private room. الإجابة الصحيحةB Obtain heart rate and blood pressure.C Notify the hospital infection control nurse.D Start a large bore IV with normal saline. -
574
The nurse is planning care with a Mexican- American client who is diagnosed with depression. The client believes in “mal ojo” (the evil eye), and uses treatment by a root healer. The nurse should do which of the following?
A Avoid talking to the client about the root healer.B Explain to the client that Western medicine has a scientifi c, not mystical, basis.C Explain that such beliefs are superstitious and should be forgotten.D Involve the root healer in a consultation with the client, physician and nurse. الإجابة الصحيحة -
575
A severe acute respiratory syndrome (SARS) epidemic is suspected in a community of 10,000 people. As clients with SARS are admitted to the hospital, what type of precautions should the nurse institute?
A Enteric precautions.B Hand-washing precautions. الإجابة الصحيحةC Reverse isolation.D Standard precautions.
جرب كلمة أقصر أو امسح البحث لعرض المذكرة كاملة.