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1,019 سؤال مع الإجابات الصحيحة، مرتبة للقراءة والمراجعة استعدادا لاختبار التمريض SNLE.
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1
A 12-year-old boy is rescued after a near-drowning incident. His core temperature is normal, and CPR was started immediately. Within a few hours, he develops severe hypoxemia, diffuse bilateral infiltrates on chest X-ray, and decreased lung compliance despite adequate resuscitation. Which pulmonary complication BEST explains these findings?
A Acute Respiratory Distress Syndrome (ARDS) الإجابة الصحيحةB Cardiogenic pulmonary edemaC Metabolic acidosisD Hypothermia -
2
A 13-year-old patient with vomiting and diarrhea is diagnosed with dehydration. The healthcare provider orders a hypotonic intravenous (IV) solution. Which of the following IV fluids is considered a hypotonic solution?
A 0.9% salineB Lactated Ringer'sC 10% dextrose in waterD 0.45% sodium chloride الإجابة الصحيحة -
3
You are performing CPR on a 6-month-old infant when a second rescuer arrives. <br>What compression-to-ventilation ratio should now be used?
A 30:2B 5:1C 15:2 الإجابة الصحيحةD 10:2 -
4
A 5‑year‑old child is found unresponsive and not breathing. CPR is initiated by a single rescuer.<br>Which pulse site should be assessed to confirm cardiac arrest in this child?
A Femoral arteryB Carotid artery الإجابة الصحيحةC Radial arteryD Dorsalis pedis artery -
5
An infant younger than 1 year is found unresponsive. The nurse prepares to assess for a pulse. <br>Which pulse site should be checked?
A CarotidB PoplitealC RadialD Brachial الإجابة الصحيحة -
6
A 33-year-old woman has come to the outpatient clinic for treatment of a vaginal infection. Physical assessment reveals yellowish excessive, thin offensive and frothy discharge. Which of the following is the most likely diagnosis ?
A CandidiasisB Trichomoniasis الإجابة الصحيحةC Bacterial vaginosisD Chlamydia -
7
The American Academy of Pediatrics recommends tonsillectomy/adenotonsillectomy for specific indications. <br>A child has recurrent tonsillitis with clinically significant adenoid inflammation causing persistent nasal obstruction and sleep-disordered breathing. <br>Which of the following situations best meets an indication for surgical intervention?
A Seven episodes of viral tonsillitis per yearB Infrequent snoring and nasal qualityC Three times bacterial tonsillitis per yearD Tonsillitis accompanied by adenoid inflammation الإجابة الصحيحة -
8
A 5-year-old child is being discharged after tonsillectomy. <br>Which food choice is most appropriate during the first 24–48 hours at home?
A Meat and riceB Hot dog and potato chipsC Mashed potatoes and soup الإجابة الصحيحةD Cucumbers and tomato salad -
9
A child is admitted to the recovery area after tonsillectomy. <br>Which postoperative assessment is the priority to detect the most serious complication early?
A Encourage the child to cough spontaneouslyB Observe for subtle signs of hemorrhage الإجابة الصحيحةC Place the child in the prone positionD Suction the mouth to clear the airway because of violent behavior -
10
A nurse is caring for a child in the immediate post-operative period after tonsillectomy. The child is drowsy but arousable.<br>Which nursing action has the HIGHEST priority to detect and prevent the most serious early complication?
A Observe for frequent swallowing, restlessness, or blood in the throat الإجابة الصحيحةB Encourage the child to cough to clear secretionsC Position the child prone to facilitate drainageD Suction the oropharynx aggressively to clear secretions -
11
A child is 6 hours post-tonsillectomy and suddenly vomits a large amount of bright-red blood. <br>Which action should the nurse take first?
A Notify the physicianB Turn the child to the side الإجابة الصحيحةC Maintain an NPO statusD Administer the prescribed antiemetic -
12
A child has just returned from surgery after tonsillectomy. <br>Which postoperative finding is most concerning and suggests possible hemorrhage?
A Lack of appetiteB Throat painC Frequent swallowing الإجابة الصحيحةD Nausea -
13
An 8-year-old child is admitted to the pediatric ward with suspected appendicitis. During assessment, the mother informs the nurse that the child has not had a bowel movement for two days and requests a laxative.<br>What is the PRIMARY risk of administering a laxative to a patient with suspected appendicitis?
A PainB FeverC Rupture الإجابة الصحيحةD Diarrhea -
14
A 10-year-old child has abdominal pain. The nurse palpates the right lower quadrant deeply and then quickly releases the pressure; the child reports a sharp increase in pain at the same site. Which physical assessment finding is described?
A Rebound tenderness الإجابة الصحيحةB McBurney point tendernessC Rovsing signD Obturator sign -
15
A 10-year-old girl presents to the Emergency Room with abdominal pain. During assessment, the nurse palpates the left lower quadrant of the abdomen and the child reports sharp pain in the RIGHT lower quadrant.<br>Which sign is being described?
A Rebound tendernessB McBurney's point tendernessC Rovsing's sign الإجابة الصحيحةD Obturator sign -
16
A 9-year-old boy presents with generalised oedema, proteinuria 3+, and serum albumin of 1.8 g/dL. The physician diagnoses nephrotic syndrome.<br>Which medication is the FIRST-LINE treatment?
A AntibioticsB Corticosteroids الإجابة الصحيحةC DiureticsD Immunosuppressive -
17
A woman is prescribed ovulation-induction therapy to improve fertility. The nurse provides medication teaching and discusses expected risks. <br>Which statement indicates correct understanding of a key risk of this therapy?
A Given for the first 15 days in each cycleB Maximum dose is 50 mg daily for a monthC It increases the risk of birth defectsD It increases the risk of multiple pregnancies الإجابة الصحيحة -
18
A 32-year-old woman with anovulatory infertility is prescribed clomiphene citrate (Clomid).<br>What is the PRIMARY mechanism by which clomiphene citrate achieves its therapeutic effect?
A Blocks oestrogen receptors in the hypothalamus, triggering increased FSH/LH release to stimulate ovulation الإجابة الصحيحةB Directly suppresses prolactin secretion from the pituitaryC Reduces endometriotic implants and improves endometrial receptivityD Replaces endogenous oestrogen to regulate the menstrual cycle -
19
A woman is requesting combined oral contraceptives. The nurse reviews her medical history to identify contraindications. <br>Which condition is a contraindication to initiating combined oral contraceptives?
A DysmenorrheaB MenorrhagiaC Thrombophlebitis الإجابة الصحيحةD Toxic shock syndrome -
20
Parents bring their child home with a fever of 38.5°C. They ask the nurse which type of medication is safest to give first to reduce the fever and prevent febrile complications.<br>Which medication category is the MOST appropriate initial choice?
A AntibioticB Antipyretic (such as paracetamol or ibuprofen) الإجابة الصحيحةC AntiemeticD Antiviral -
21
A woman plans pregnancy and asks how to reduce the risk of neural tube defects (e.g., spina bifida, anencephaly). <br>Which vitamin supplement is most effective when taken before conception and in early pregnancy?
A Vitamin AB RiboflavinC Folic Acid الإجابة الصحيحةD Vitamin K -
22
A 1-year-old child is discharged with acute otitis media and a prescription for oral antibiotics. <br>Which discharge instruction is the priority to ensure effective treatment and prevent complications?
A Administer antibiotics as prescribed الإجابة الصحيحةB Administer influenza vaccinationC Breastfeeding as long as possibleD Continue using a pacifier -
23
A 4-year-old child develops rapid swelling, generalized itching, and wheezing/shortness of breath after an insect sting. What is the most appropriate immediate intervention?
A Administer high-flow oxygenB Administer intramuscular epinephrine الإجابة الصحيحةC Prepare for endotracheal intubationD Administer IV diphenhydramine -
24
When ovulation occurs before the onset of the next menstrual cycle ?
A 3 daysB 7 daysC 10 daysD 14 days الإجابة الصحيحة -
25
A woman informed a nurse that she was never vaccinated against rubella. Which of the following is the best nursing advice ?
A No need for her to be distress, rubella is not harmful to the fetusB The vaccine can be administered any time during her pregnancyC She can get pregnancy any time after receiving the vaccineD She should be vaccinated after delivery of the baby she gets discharge الإجابة الصحيحة -
26
A 29-year-old woman had been diagnosed with a 3 cm ovarian cyst. Which of the following is the appropriate step in management ?
A Cyst aspirationB Hormonal therapyC Cyst removal by laparoscopyD Examination after next menstruation الإجابة الصحيحة -
27
A diabetic mother delivered a full-term neonate by Caesarean section. The infant is admitted to the neonatal intensive care unit for observation. This infant is at risk of which of the following complications ?
A Pneumothorax atelectasisB HyperglycemiaC AtelectasisD Hypoglycemia الإجابة الصحيحة -
28
A 36-year-old G4P2 mother was in labour for 10 hours and had an assisted extraction delivery. Two hours after admission to the postnatal ward, the nurse finds two perineal pads fully saturated with blood.<br>Which nursing diagnosis is MOST appropriate?
A Anxiety related to blood lossB Fatigue related to inadequate oral intakeC Activity intolerance related to postpartum discomfortD Deficient fluid volume related to postpartum haemorrhage الإجابة الصحيحة -
29
During pregnancy, which option is SAFEST to reduce the risk of Listeria infection from dairy products?
A Unpasteurized (raw) milkB Soft cheese made from unpasteurized milkC Refrigerated unpasteurized yogurtD Pasteurized milk الإجابة الصحيحة -
30
The midwife was caring for a 30-year-old gravida 3 para 3 postpartum normal delivery mother. After three hours, the patient was restless, her skin was cool, clammy, and feeling thirsty. What will be the midwife’s initial action ?
A Notify the doctorB Check the vital signs الإجابة الصحيحةC Give patient a drinkD Start fundal massage -
31
Which of the following nursing responsibilities should be done immediately following administration of lumbar epidural anesthesia to a woman in labor ?
A Reposition from side to sideB Administer oxygenC Assess for maternal hypotension الإجابة الصحيحةD Administer flouid -
32
A nurse is assessing the uterus of a G5P4 patient immediately after delivery. The nurse notes the fundus is not contracted. Which of the following is the most appropriate immediate action that should be taken ?
A Massage the fundus الإجابة الصحيحةB Assess the bladderC Elevated the mother's legsD Encourage the mother to void -
33
A nurse is assisting during a normal vaginal delivery on a 22-year-old diabetic patient. The head was delivered without any complications, but the head suddenly retracts against the perineum, prompting the physician to immediately ask for the nurse's assistance with this dystocia. Which of the following will be the nurse's appropriate action to the impacted shoulders of the infant ?
A Fracture the infant's clavicleB Prepare the patient for immediate cesarean sectionC Apply fundal pressure to displace anterior shoulderD Perform supra pubic pressure to release anterior shoulder الإجابة الصحيحة -
34
At the labor room, a nurse assessed the condition of the patient and gathered the following data. Cervical dilatation 2-5 minutes lasting 40-60 seconds increasing bloody show leg discomfort with heaviness. What is the significance of the data ?
A Patient is in the first stage of labor الإجابة الصحيحةB Patient is in the third stage of laborC Patient is in the second stage of laborD Patient is experiencing prolonged labor -
35
A primigravida has just delivered her baby vaginally. The baby is completely born, but the mother continues to experience uterine contractions.<br>What do these continuing contractions indicate?
A Beginning of the third stage of labour (placental delivery) الإجابة الصحيحةB Abnormal increase in vaginal bleeding requiring interventionC A normal physiological process — contractions will gradually diminish and stopD Uterine rupture requiring emergency intervention -
36
A mother is at the outpatient clinic for her first postnatal visit on the 15th day after her normal vaginal delivery. Her physical examination reveals a stable condition, soft breasts, and bright-colored rubra in her sanitary napkin. What needs further evaluation ?
A Amount and frequency of breastfeedingB Hydration level and bleeding during breastfeedingC Activity, exercise, and resting periodsD Uterine size and position الإجابة الصحيحة -
37
A midwife is discussing birth spacing measures with a mother whose first baby boy is 1 year old and was born with spina bifida. Which measure is necessary if the mother is planning for a next pregnancy ?
A Increase iron and calcium supplementsB Multivitamin and folic acid intake الإجابة الصحيحةC Genetic screeningD Immunization before and during pregnancy -
38
A 32-week pregnant patient presents for her follow-up appointment in the antenatal clinic. She complains of experiencing frequent heartburn. What is the most appropriate advice to the patient ?
A Drink plain water between mealsB Raise the head of the bed الإجابة الصحيحةC Eat favorite foodsD Lie down for one hour after taking food -
39
A midwife visits a mother four weeks after delivery. The mother is breastfeeding her baby but requests the midwife to suggest alternative formula milk as she has to return to her job and her baby will stay in a day care center. What teaching plan is suitable for the mother ?
A Supplementary medications with bottle feedingB Combined schedule of breastfeed and top feedC Hygiene practices with bottle feedingD How to express and save milk الإجابة الصحيحة -
40
A woman in labor is progressing well. She has been diagnosed with a large fibroid in the fundus. What should the nurse observe her for after delivery ?
A ThrombophlebitisB Postpartum depressionC Postpartum hemorrhage الإجابة الصحيحةD Loss of bladder tone during puerperium -
41
A nurse is providing intrapartum care to a patient diagnosed with HELLP syndrome (Haemolysis, Elevated Liver enzymes, Low Platelets).<br>Which assessment is CONTRAINDICATED in this patient due to the high risk of serious complication?
A Auscultation of heart soundsB Blood studies (CBC, liver enzymes, coagulation)C Leopold's manoeuvres (abdominal palpation) الإجابة الصحيحةD Assessment of deep tendon reflexes -
42
For which of the following issues should the nurse observe the mother closely during the 4th stage of labor ?
A Uterine irritabilityB Signs of infectionC Signs of bleeding الإجابة الصحيحةD Unwillingness to breastfeed -
43
A 32-year-old woman has just been told that she is pregnant. She states, """"As much as I love my children, I had hoped we would not have any more."""" This statement reflects which of the following related to pregnancy ?
A AngerB DenialC GuiltD Ambivalence الإجابة الصحيحة -
44
After the nurse assessed a newborn, she reported that the baby has syndactyly. The student nurse asks the nurse in charge, """"What is syndactyly """" Which of the following is the best nursing response ?
A FistulaB Abnormal big headC Extra finger or toesD Finger or toes wholly or partly united الإجابة الصحيحة -
45
A newborn is diagnosed with a small Ventricular Septal Defect (VSD). The mother asks the nurse what this means for her baby's future.<br>Which statement is MOST accurate regarding small VSDs?
A The baby will develop cyanosis most of the time, especially during feedingB Breastfeeding should be discontinued to reduce cardiac workloadC Many small VSDs close spontaneously within the first 1–2 years of life الإجابة الصحيحةD Blood pressure will be higher in the arms than in the legs -
46
A couple asked the nurse which of the first investigations they should do for infertility. Which of the following should be the proper nurse answer ?
A HysterosalpingogramB Serum progesteroneC Semen analysis الإجابة الصحيحةD Endometrial biopsy -
47
A nurse is assessing a 5-month-old infant who has been admitted to the pediatric ward with coarctation of the aorta. Which of the following is the most common assessment finding ?
A Cyanosis and clubbing handsB Bounding pulse and hypotonicityC Cyanosis occurs frequently during and after feedingD Blood pressure is different on the arm and the leg الإجابة الصحيحة -
48
A pregnant woman at 18 weeks' gestation has a history of three spontaneous abortions during the first trimester. She has never had a pregnancy reach 20 weeks' gestation (viability threshold). Based on obstetric terminology, which term BEST describes her parity status?
A ParityB Nullipara الإجابة الصحيحةC MultiparaD Primiparous -
49
During a vaginal examination, the nurse palpated the posterior fontanel to be at the right side and upper quadrant of the maternal pelvis. What is this position referred to as ?
A ROPB LOPC ROA الإجابة الصحيحةD LOA -
50
A 38 years old gravida 5 para 3 post natal mother delivered via caesarean section. On the fourth post operative day the mid wife noted human's sign was positive. human's sign is result by pain which of the following leg site ?
A Calf الإجابة الصحيحةB FootC HeelD Thigh -
51
Which of the following vaccines are safe to administer to pregnant women ?
A MeaslesB Tetanus الإجابة الصحيحةC RubellaD Varicella -
52
A nurse is educating a patient about clomiphene citrate (Clomid) therapy. The patient asks about the most important risk she should be aware of during treatment.<br>Which statement by the nurse is MOST accurate?
A Clomid is administered for the first 5 days of each menstrual cycle (days 3–7 or 5–9)B The maximum recommended dose is 150 mg daily and should not be exceededC Clomid significantly increases the risk of congenital malformations in the babyD Clomid increases the risk of multiple gestation (twins or more) الإجابة الصحيحة -
53
Mother of nine children, three of them with congenital anomalies and one with Down syndrome, has low financial status, and is not using any method of family planning. The primary health care nurse has referred her for counseling. Which model is concerned with disability as a form of social injustice due to stigma or discrimination ?
A Health beliefB BiomedicalC Sociopolitical الإجابة الصحيحةD Economic -
54
A 10-month-old infant is admitted to the surgical ward with hydrocephalus. Which of the following indicates increased intracranial pressure ?
A Bulging الإجابة الصحيحةB Decreased blood pressureC Rapid, shallow breathingD Increased body temperature -
55
A multigravida at 37 weeks pregnant presents at the antenatal clinic. Her condition is stable, and her baby's position and heart rate are normal. Which of the following discussions is more appropriate with the mother ?
A Observe until the 40 weeks complete الإجابة الصحيحةB Family planning and birth spacingC Arrange for a caesarean sectionD Possibility of induced labor -
56
A 28-year-old primigravida who is pregnant at 16 weeks attended the emergency department because of dark brown discharge. Investigations showed a decline in pregnancy tests. Which of the following is the most likely type of spontaneous abortion ?
A Missed الإجابة الصحيحةB ThreatenedC IncompleteD Inevitable -
57
A primigravida at 30 weeks' gestation receives teaching about safe breast milk storage to prevent bacterial contamination. Which statement by the client indicates a need for further teaching according to standard safety guidelines?
A Breast milk can be stored at room temperature (25–30°C) for 24 hours الإجابة الصحيحةB Breastfeeding should be based on infant demandC The baby can be held in different positions during feedingD Breastfeeding promotes uterine involution -
58
A nurse reviews the following immunization schedule used in the clinic: 9 months: Measles (monovalent) plus Meningococcal conjugate quadrivalent (MCV4); 12 months: OPV booster; 12 to 15 months: MMR plus Varicella. A mother brings her 9-month-old infant for vaccination. Based on this clinic schedule, which vaccines should the nurse administer today?
A MMR and VaricellaB Measles (monovalent) onlyC Measles (monovalent) and Meningococcal conjugate quadrivalent (MCV4) الإجابة الصحيحةD Hib booster and Pneumococcal conjugate (PCV) -
59
A nurse is explaining pudendal block anesthesia to a primigravida woman in active labor. Which relief area identified by the woman would indicate that teaching was effective ?
A BackB Perineum الإجابة الصحيحةC FundusD Abdomen -
60
Placenta previa is classified according to how the placenta relates to the internal cervical os. Which classification applies when the placental edge reaches the margin of the internal os, touching the os but not covering it?
A TotalB PartialC Marginal الإجابة الصحيحةD Complete -
61
A post-term pregnant woman is admitted for labor induction. She is to receive low doses of labor-inducing medication intravenously. What medication is she likely to receive intravenously ?
A Oxytocin الإجابة الصحيحةB CervidilC CytotecD Cytoxan -
62
Which of the following patients are at risk for cord prolapse ?
A Fetus that remains at a high station الإجابة الصحيحةB Mother with oligohydramniosC Presenting part at station +D Intact membranes -
63
A 6-month-old infant's mother decides to wean her child. What is the best principle of the weaning process ?
A Start the weaning process by 8 months of lifeB Gradually replace one breast session at a time الإجابة الصحيحةC Discontinue the nighttime feeding firstD Allow the child to take a bottle of milk or juice to bed -
64
A 41-week pregnant woman is admitted for induction with oxytocin. Three hours later, her contractions are 5 to 6 in 10 minutes and strong. What is the best nursing action ?
A Give an analgesicB Stop the oxytocin & inform the doctor الإجابة الصحيحةC Give psychological supportD Change position to left lateral -
65
A 26-year-old postpartum patient on her second day complains of pain and swelling in the episiotomy area. The gynaecologist is about to examine the patient.<br>Which nursing action has the HIGHEST priority before the examination begins?
A Prepare a sterile dressing trayB Ensure patient privacy and dignity الإجابة الصحيحةC Prepare a suture removal kitD Collect a detailed history of the episiotomy pain -
66
A woman delivered a baby boy 3 hours ago, and the newborn has caput succedaneum. What finding should the nurse expect when examining the newborn's caput?
A Soft, fluctuant mass filled with fluid الإجابة الصحيحةB Bilateral mass on both biparietal bonesC A mass with clear edges at suture linesD A hard mass filled with blood -
67
According to standard antenatal care guidelines, what is the recommended total number of antenatal visits and their frequency throughout a low-risk pregnancy?
A 10–12 visits: every 4 weeks up to 28 weeks, every 2 weeks from 28–36 weeks, then weekly from 36–40 weeks الإجابة الصحيحةB 14–16 visits: every 2 weeks up to 28 weeks, every 2 weeks from 28–36 weeks, then weekly from 36–40 weeksC 14–16 visits: every 4 weeks up to 28 weeks, every week from 28–36 weeks, then weekly from 36–40 weeksD 8–10 visits: every 4 weeks up to 28 weeks, every 2 weeks from 28–36 weeks, then every 2 weeks from 36–40 weeks -
68
What is the antenatal assessment schedule for women between conception and 28 weeks of gestation ?
A Once a weekB Every 2 weeksC Every 3 weeksD Every 4 weeks الإجابة الصحيحة -
69
A nurse is educating a 20-year-old nulligravida woman about oral contraceptive side effects. What would indicate a need for further education ?
A Ovarian cancer الإجابة الصحيحةB HeadacheC NauseaD Weight gain -
70
A 33 week pregnant mother is on her routine medications that include iron supplement, folic acid, multivitamins and calcium supplement, despite all medication her hemoglobin has not been increase since lasttwo month, she is experiencing more fatigue and lethargy since past few weeks [ HB 80 ….. HCT 0.22 ] Which of the following intervention is the most desired ?
A Add vitamin c to increase drug absorption الإجابة الصحيحةB Start injectable multivitamins as per regimenC Advise increase intake of organ meat and fortified foodD Advise increased food intake by frequent small meals and snacks -
71
A primigravida attend the antenatal clinic for her routine visit the nurse performed an abdominal palpitation and found the fundus to be midway between the symphysis pubis and the umbilicus what are the weeks of gestation according to this findings ?
A 16 weeks الإجابة الصحيحةB 24 weeksC 28 weeksD 8 weeks -
72
In the REEDA acronym for assessing the perineum post-birth, what does 'A' stand for ?
A The status of edges of the perineal wound it should be closed الإجابة الصحيحةB Presence of discharge from the perineal woundC The presence of bruising of the perineal areaD Excessive swelling -
73
A pregnant woman had her last menstrual cycle on August 10th. With a regular 28-day cycle, what is the expected delivery date ?
A 17th May next year الإجابة الصحيحةB 20th May next yearC 23rd May next yearD 25th May next year -
74
A 30-year-old woman at 20 weeks' gestation presents to the antenatal clinic with increased white vaginal discharge (leucorrhea) that has no odor, itching, or color change. What is the MOST likely physiological cause of this normal finding in pregnancy?
A Vaginal infectionB Uterine expansion pressing on the vaginaC Hormonal stimulation of the cervical glands by oestrogen الإجابة الصحيحةD Rupture of membranes -
75
Lochia rubra, a bright red postpartum discharge, is expected during the first few days after delivery. Which change should the nurse expect as normal uterine involution progresses around postpartum days 3 to 10?
A Lochia serosa (pinkish-brown discharge) الإجابة الصحيحةB Lochia alba (white/yellow discharge)C Return to heavy bright-red bleeding with clotsD Foul-smelling green discharge with fever -
76
What assessment finding indicates laceration of the canal in the fourth stage of labor ?
A Red-brown lochiaB Firm contracted uterusC Fundus at umbilicus levelD More than 1 saturated perineal pad per hour الإجابة الصحيحة -
77
On postpartum day 3, which nursing assessment is MOST important to verify normal recovery and detect early postpartum complications?
A Assessment of milk flowB Assessment for uterine prolapseC Assessment of exclusive breastfeeding practiceD Assessment of uterine involution الإجابة الصحيحة -
78
A newborn who is 33-weeks gestation and 48 hours old has been diagnosed with respiratory distress syndrome (RDS). A health-care provider orders the administration of surfactant via endotracheal tube. The father asks a nurse to explain how this treatment will help his baby. The nurse explains that the preterm infant is unable to produce adequate amounts of surfactant and giving it to his baby will:
A increase PaCO2 levels in the bloodstreamB prevent alveoli collapse الإجابة الصحيحةC decrease PaO2 levels in the bloodstreamD prevent pleural effusion -
79
A 28-week pregnant woman has vaginal candidiasis and used prescribed cream, but symptoms persist. What advice should she be given ?
A Change clothes daily, use sanitary napkinsB Avoid self-treatment and seek doctor advice الإجابة الصحيحةC Use medicated bubble baths, reduce activitiesD Wash with warm water every two hours -
80
A woman in active labor receives lumbar epidural analgesia. Within the first 5 to 10 minutes after administration, which nursing assessment has the HIGHEST priority?
A Reposition the patient from side to side every 30 minutesB Administer supplemental oxygen immediatelyC Increase the IV fluid infusion rateD Assess maternal blood pressure for hypotension الإجابة الصحيحة -
81
A woman at 38 weeks of pregnancy is concerned that she has gained 15 kg during her pregnancy. Her pre-pregnancy BMI was in the normal range (18.5–24.9).<br>What is the BEST nursing response?
A This weight gain is within the recommended range for a normal BMI pregnancy — it is expected الإجابة الصحيحةB You should reduce carbohydrates and start a calorie-restricted diet immediatelyC Wait until after delivery to begin a weight management programmeD This weight is below what you should have gained during a normal pregnancy -
82
Intrauterine growth curves classify a 32-week-old preterm newborn below the 10th percentile. What is the priority nursing diagnosis ?
A Risk for injury related to impaired gluconeogenesisB Risk for impaired gas exchangeC Risk for ineffective thermoregulation related to lack of subcutaneous fat الإجابة الصحيحةD Risk for altered nutrition less than body requirement -
83
If a person misses taking an oral contraceptive for one day, what advice should they follow ?
A Continue as usual with no back up contraceptionB Take an active pill immediately and take the next pill at the usual time الإجابة الصحيحةC Take two pills as soon as possible and then one pill dailyD Use back up contraception such as a condom for the next 7 days -
84
Which situation best represents secondary infertility?
A Male infertilityB A couple that does not conceiveC Infertility after previous pregnancy الإجابة الصحيحةD Infertility lasting for more than 3 years -
85
A pregnant client diagnosed with gestational diabetes mellitus (GDM) receives discharge teaching. Which statement by the client indicates that further teaching is needed?
A I should avoid exercise during my pregnancy. الإجابة الصحيحةB I will follow the diet plan recommended by my healthcare provider.C I will monitor my blood glucose levels as instructed.D I will report any signs of infection to my healthcare provider. -
86
In gestational diabetes, when is the best time for glucose screening tests during pregnancy ?
A 7 – 12 weeksB 17 – 18 weeksC 24 – 28 weeks الإجابة الصحيحةD 20 – 35 weeks -
87
A laboring woman wishes to participate in her cesarean and have pain control. Which method would meet her needs ?
A Epidural block الإجابة الصحيحةB Pudendal blockC Meperidine injectionD General anesthesia -
88
During patient education about the stages of labour, a nurse explains the latent phase of the first stage of labour.<br>Which description MOST accurately defines the latent phase of labour according to current clinical guidelines?
A Cervical dilatation from 0 to 6 cm with irregular to regular contractions الإجابة الصحيحةB From onset of labour to full (10 cm) cervical dilatationC The period when the cervix is 100% effaced onlyD Active progress from 6 cm to 10 cm dilatation -
89
During an assessment of a delivering woman, which finding indicates a need to inform the physician ?
A Hemoglobin of 11.0 g/dlB White blood cell count of 12,000C Fetal heart rate of 180 bpm الإجابة الصحيحةD Maternal pulse rate of 85 bpm -
90
A nurse is educating a group of pregnant women about the functions of amniotic fluid. Which of the following is the MOST important function of amniotic fluid for the fetus?
A Allows the fetus to move freely and supports musculoskeletal development الإجابة الصحيحةB Provides the primary source of nutrition and oxygen for the fetusC Regulates the mother's body temperature during pregnancyD Prevents the transfer of infections from mother to fetus -
91
A woman at 34 weeks' gestation presents with a sudden gush of fluid from the vagina and mild uterine contractions. Premature rupture of membranes (PROM) is suspected. Which nursing action has the HIGHEST priority immediately upon arrival?
A Prepare to administer IV fluids and tocolytic medicationsB Place the patient on continuous fetal heart rate monitoring الإجابة الصحيحةC Administer analgesics to control pain and fluid leakageD Perform a vaginal examination to assess cervical dilatation -
92
During labor, the nurse must monitor fetal status continuously. Which fetal-related parameter is the PRIMARY indicator of fetal oxygenation and well-being during contractions?
A Fetal heart rate pattern and variability الإجابة الصحيحةB Maternal serum potassium levelC Estimated fetal brain growth on ultrasoundD Amount of maternal diaphoresis -
93
A pregnant woman at 34 weeks has hypertension. What is this problem identified as ?
A HypertensionB Pregnancy-induced DMC PIH (Pregnancy-induced hypertension) الإجابة الصحيحةD Placenta previa -
94
A pregnant woman at 38 weeks has been craving to eat non-food substances. What term describes this condition ?
A Pica الإجابة الصحيحةB BulimiaC AnorexiaD Binge eating -
95
A pregnant woman presents for her first antenatal visit. Her obstetric history includes a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, 7-year-old twin daughters born at 35 weeks, and one spontaneous abortion at 10 weeks 3 years ago. She is currently pregnant. Using the GTPAL system, how should the nurse classify this client?
A G5 T2 P1 A1 L4 الإجابة الصحيحةB G4 T3 P2 A1 L4C G5 T2 P2 A1 L4D G4 T3 P1 A1 L4 -
96
A multiparous woman is admitted to the postpartum ward after a vaginal delivery. Assessment reveals a steady trickle of bright red lochia with a firm fundus. Vital signs are BP 110/70 mmHg, HR 80/min, RR 20/min, and temperature 37.5°C. Which is the most likely diagnosis?
A EndometritisB Uterine atonyC Vulvar hematomaD Laceration of the genital tract الإجابة الصحيحة -
97
A 7-year-old insulin dependent diabetic mother has delivered normally in 38 gestational weeks. The nurse was assessing the insulin requirement this mother after delivery. What is the insulin requirement for this patient ?
A Higher than before pregnancyB No changes in insulin requirementC Lower than when she was pregnant الإجابة الصحيحةD Slightly increased than before deliver -
98
A primary health care nurse refers a mother of nine children — three with congenital anomalies and one with Down syndrome — for family counselling. When planning health services for families with members who have disabilities, which factor represents the MOST significant barrier the health team faces?
A Sensory limitations of the care providersB Inflexible institutional rules and bureaucratic processesC The presence of developmental disabilities in family members الإجابة الصحيحةD Communication barriers related to hearing impairment -
99
Mother of nine children, three of them with congenital anomalies and one down syndrome; she is primary school graduate, with low financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following is the best health education method that can be used ?
A Community organizationB Individual counseling الإجابة الصحيحةC Group discussionD Health class -
100
A multiparous patient on day 1 postpartum asks the nurse to send her newborn to the nursery so she can sleep and recover. She is passive, dependent, and focused on her own needs rather than the baby's care.<br>Which phase of postpartum psychological adaptation does this behaviour MOST likely represent?
A Taking-in phase الإجابة الصحيحةB Letting-go phaseC Taking-hold phaseD Postpartum blues -
101
A 25-year-old mother gravid 2 para q came for a routine check Antenatal Clinic. The nurse assessed fetal heart rate for the 38 pregnant mother. What is the expected normal fetal heart rate per minute ?
A 90B 100C 140 الإجابة الصحيحةD 170 -
102
A woman has polycystic ovary syndrome with a 3cm cyst. What should the nurse do ?
A A repeat the ultrasound after menstruation الإجابة الصحيحةB Remove it by laparoscopyC Give the medicationD None -
103
Nancy, a primipara who is due to deliver next week, calls and tells the nurse she has been having contractions every four minutes for an hour. Before asking any further questions, the nurse confirms that Nancy knows how to correctly time contractions, which is ?
A from the beginning of one contraction to the end of the next.B from the end of one contraction to the beginning of the next.C from the end of one contraction to the end of the next.D from the beginning of one contraction to the beginning of the next الإجابة الصحيحة -
104
A 22-year-old gravida 2 para 1 with gestational age 38 weeks is admitted to the hospital. The fetal non-stress test reveals decreased variability and fetal movement. The next morning, the nurse checks the fetal heart rate by Doppler Sonicaid and finds it decreased to less than 100 /min. What should the nurse do first ?
A Reassure the mother that the FHR is OkB Notify immediately the physician or midwife الإجابة الصحيحةC Reposition the patient to left lateral positionD Ask the mother about the pattern of fetal movement -
105
A pregnant patient in the triage unit is assessed and the fetal heart rate (FHR) is found to be 70 beats per minute (severe bradycardia — normal: 110–160 bpm).<br>What is the nurse's FIRST immediate action?
A Notify the physician immediatelyB Document the finding and continue monitoringC Reposition the patient to the left lateral position to relieve cord compression الإجابة الصحيحةD Prepare for emergency caesarean section -
106
A 25-week-pregnant, primary gravid woman is on her first antenatal visit and history reveals her husband has sickle cell anemia minor. What should be the most appropriate plan of care ?
A Genetic counseling الإجابة الصحيحةB Identify severity of diseaseC Discuss the chances of transferringD Amniocentesis to identify genetic abnormality -
107
Which of the following statements describes puerperal infection ?
A Presence of fever of 38 or higher from 2 days to 10 days الإجابة الصحيحةB Presence of fever of 38 or higher from 7 days to 16 daysC Presence of fever of 40 or higher from 2 days to 10 daysD Presence of fever of 40 or higher from 7 days to 16 days -
108
A pregnant woman at her second antenatal visit asks the nurse when she should be screened for gestational diabetes.<br>At which gestational age is the glucose challenge test (GCT) or oral glucose tolerance test (OGTT) routinely recommended for low-risk pregnancies?
A 6th–10th week of pregnancyB 12th–16th week of pregnancyC 24th–28th week of pregnancy الإجابة الصحيحةD 32nd–36th week of pregnancy -
109
A newborn has a diagnosed Developmental Dysplasia of the Hip (DDH) and is using a Pavlik Harness as treatment. Which of the following mechanical factors is associated with DDH ?
A Intrauterine breech position الإجابة الصحيحةB Caesarean sectionC Small infant sizeD Single fetus -
110
The question describes a scenario where a 25-year-old post-partum patient is being prevented from bathing by a relative until the 40th day after delivery. The relative also provides a diet rich in saturated fat and reduced full-fat milk, claiming it is good for breast milk.<br>Which of the following should be the priority patient's understanding about?
A The importance of a healthy and balanced diet for recovery and lactationB Breastfeeding technique and infant demand feedingC The importance of maintaining personal hygiene and regular bathing الإجابة الصحيحةD The importance of rest and adequate sleep for postpartum recovery -
111
A woman in active labor is requesting pain relief. The nurse considers the optimal timing for administering systemic analgesia to balance maternal comfort with fetal safety. When is the IDEAL time to administer systemic analgesia during labor?
A As soon as the woman first requests any analgesiaB When labour is well established with regular, progressive contractions and adequate cervical dilatation الإجابة الصحيحةC Only when the woman enters the transition phase (8–10 cm)D Exclusively at the transition from latent to active phase -
112
A postpartum nurse is providing discharge education to a new mother. Which symptom should the nurse instruct the patient to report to the healthcare provider IMMEDIATELY, as it indicates a potential complication?
A Lochia rubra (bright-red discharge) persisting or returning after it had changed to a lighter colour الإجابة الصحيحةB Nipples becoming slightly red after initiating breastfeedingC Gradual decrease in the amount of lochia over the first weekD After pains that intensify briefly during breastfeeding -
113
How often should the nurse check the fetal pulse during the second stage of labor ?
A Every 5 minutes الإجابة الصحيحةB Every 10 minutesC Every 15 minutesD Every 20 minutes -
114
When the nurse assessed the fundus of a multiparous mother who delivered 2 hours ago, she found the following Level: 2 cm above the umbilicus. Position: deviated to the right. Consistency: Not well contracted what is the next nursing action after massaging the fundus until it becomes firm ?
A Assess vital signsB Increase IV fluidsC Evacuate the bladder الإجابة الصحيحةD Ask the mother to rest -
115
Lactational mastitis is most commonly caused by which organism?
A Escherichia coliB ShigellaC Streptococcus pyogenesD Staphylococcus aureus الإجابة الصحيحة -
116
A nurse is providing instructions to a mother diagnosed with mastitis. Which statement indicates a need for further teaching ?
A I need to take antibiotics and should begin to feel better in 24-48 hours.B I can use analgesics to assist in alleviating discomfort.C I need to wear a supportive bra to relieve discomfort.D I need to stop breastfeeding until this condition resolves. الإجابة الصحيحة -
117
A primiparous mother who has mastitis is asking the nurse about feeding. What would be the proper nursing response regarding the organism of mastitis ?
A It will not affect the newborn الإجابة الصحيحةB It will be deactivated by salivationC It will not be expressed in breast milkD It will be killed by immunoglobulins in breast milk -
118
A nurse is providing health education to a mother diagnosed with lactational mastitis. Which statement made by the mother indicates a NEED FOR FURTHER TEACHING?
A I will complete the full course of prescribed antibioticsB I will use paracetamol to help manage the pain and feverC I will wear a firm, supportive bra for comfortD I will stop breastfeeding until the infection clears completely الإجابة الصحيحة -
119
A 23-year-old vaginal delivery primigravida mother is discomforted due to breast engorgement on the second postpartum day. What will relieve her discomfort ?
A Breast binderB Well-fitting brassiereC Encourage breastfeeding الإجابة الصحيحةD Lactation suppressing medication -
120
A 25-year-old primigravida is experiencing breast engorgement caused by an ineffective breastfeeding technique. Which nursing instruction is MOST appropriate to relieve engorgement and improve feeding?
A Avoid wearing any brassiereB Correct the latch technique and ensure the infant feeds effectively from both breasts الإجابة الصحيحةC Stop pumping milk from one breastD Take antibiotics until the soreness resolves -
121
After 3 days of breastfeeding, a postpartum patient reports nipple soreness. What should the nurse suggest to relieve her discomfort ?
A Lubricate her nipples with expressed milk before feeding الإجابة الصحيحةB Dry her nipples with a soft towel after feedingC Apply warm compresses to her nipples just before feedingD Apply soap directly to her nipples, and then rinse -
122
The nurse is teaching a newly delivered mother about breastfeeding. Which statement indicates the need for further teaching?
A I will empty my breast and use an alternate breast at each feeding.B I will take a daily shower and clean the nipples with soap. الإجابة الصحيحةC I will let my nipples dry after feeding to prevent nipple tenderness.D I will always wear a supportive wireless bra. -
123
A 28-year-old primipara presents to the clinic 3 weeks after delivery with a 2-day history of right breast pain, redness, and warmth. She reports a fever of 38.8°C and fatigue. She is currently breastfeeding exclusively. Which intervention represents the first-line management for this condition?
A Immediate surgical drainage of the breastB Antibiotic therapy and cessation of breastfeedingC Antibiotic therapy and continuation of breastfeeding الإجابة الصحيحةD Discontinue breastfeeding and apply cold compresses only -
124
A 30-year-old primigravida, 3 weeks postpartum, presents with shivering, breast redness, localized swelling, and severe right breast pain. Lactational mastitis is diagnosed. Which organism is MOST commonly responsible for lactational mastitis?
A Pseudomonas aeruginosaB Escherichia coliC Group B Streptococcus (GBS)D Staphylococcus aureus الإجابة الصحيحة -
125
Immediately after the delivery of the placenta, the mother starts bleeding profusely from the birth canal. What is the nurse's immediate action ?
A Administers oxygen by face maskB Monitors vital signs continuouslyC Increase the rate of intravenous infusionD Rubs the fundus to stimulate contraction الإجابة الصحيحة -
126
A nurse is teaching a group of student nurses about Rubin's postpartum psychological adaptation phases.<br>Which sequence CORRECTLY lists these phases in order from earliest to latest?
A Taking-in → Taking-hold → Letting-go الإجابة الصحيحةB Taking-hold → Taking-in → Letting-goC Letting-go → Taking-hold → Taking-inD Taking-in → Letting-go → Taking-hold -
127
Which of the following statements indicates a nursing action during the first hour after delivery of the placenta ?
A Monitor the mother's hemoglobinB Assess maternal vital signs every 15 minutes الإجابة الصحيحةC Ensure that the mother mobilizes and empties her bladderD Administer 10 units of oxytocin via IV line to ensure the uterus is well-contracted -
128
The nurse is teaching a 32-week pregnant woman how to distinguish between false labor and true labor contractions. Which statement about false labor contractions is accurate?
A They are regular and increase graduallyB They are felt in the abdomen الإجابة الصحيحةC They start at the back and radiate to the abdomenD They become more intense during walking -
129
A 5-year-old child is experiencing pain after an appendectomy. Which data collection tool should the nurse use to assess the pain?
A Visual analog scaleB FLACC scale الإجابة الصحيحةC Numerical pain scaleD FACES pain rating scale -
130
A mother planned for labor induction is started on intravenous medication. She is in the first stage of labor, having regular and increasingly stronger uterine contractions. Her cervix is 1 cm dilated for the past few hours; both the mother and the baby are being monitored. Which of the following signs should alert the midwife ?
A Baby's head not engagedB Decreasing heart rate of the baby الإجابة الصحيحةC Mother's blood pressure 110/60 mmHgD Mother's perspiration and increased thirst -
131
A nurse is teaching a 26-year-old primigravida who is 33 weeks pregnant on how to use a kick chart. Which of the following statements will indicate that she understands the nurse's teaching ?
A Fetal movements must be counted three times per dayB Fetal movements are felt best when the woman is on her right sideC Fetal movements are a reassuring sign that indicates the fetus is healthy الإجابة الصحيحةD The kick chart is used to record fetal movement for the first time during pregnancy -
132
Which test should be performed to screen for cervical neoplasia during antenatal assessment ?
A Papanicolaou (PAP) الإجابة الصحيحةB Vaginal rectal cultureC Rapid plasma regain test (RPR)D Venereal disease research laboratory test (VDRL) -
133
On postpartum day 2, the uterine fundus is palpated 2 cm below the umbilicus (U-2). What is the correct interpretation of this finding?
A Normal uterine involution الإجابة الصحيحةB Uterine atonyC Retained placental tissueD Subinvolution -
134
On the second day post-delivery, what color will the lochia be ?
A Lochia rubra الإجابة الصحيحةB Lochia serosaC Lochia albaD Mixed -
135
A 30-year-old married woman had dilatation and curettage as a therapeutic abortion. A nurse was preparing for discharge instruction. Which of the following should the nurse include in discharge instruction ?
A Taking a high protein dietB Using tampons during swimmingC Avoiding sexual intercourse for two weeks الإجابة الصحيحةD Continuing on bed rest for two weeks at home -
136
While performing a postpartum assessment on a primiparous mother 2 hours after delivery, the nurse finds the fundus firm, midline, and midway between the symphysis pubis and umbilicus, with continuous trickling of bright red blood despite a well-contracted uterus. Which is the MOST likely diagnosis?
A Full bladder causing uterine displacementB Perineal haematomaC Birth canal laceration الإجابة الصحيحةD Retained placental fragment -
137
What is the purpose of a late vaginal-rectal culture during antenatal screening ?
A To screen for group B streptococci الإجابة الصحيحةB To detect a Chlamydia infectionC To screen for gonorrheaD To screen for syphilis -
138
Which of the following hormones is responsible for the implantation of the ovum inside the uterine wall ?
A Progesterone and estrogen الإجابة الصحيحةB LH and FSH hormonesC OxytocinD Testosterone -
139
Which hormone is responsible for uterine wall and breast enlargement during pregnancy ?
A ProgesteroneB Estrogen الإجابة الصحيحةC HCGD Testosterone -
140
A woman was diagnosed with gestational trophoblastic disease. What lab investigation was done to diagnose the condition ?
A Cervical pap smearB Serum HCG levels الإجابة الصحيحةC Serum estrogen levelD Plasma thyroxin level -
141
A client is receiving human chorionic gonadotropin (hCG) as part of fertility treatment. Which finding should the nurse teach the client to report IMMEDIATELY because it may indicate ovarian hyperstimulation syndrome (OHSS)?
A Mild breast tendernessB Rapid weight gain with abdominal distension and shortness of breath الإجابة الصحيحةC Light spotting for one dayD Increased appetite -
142
A pregnant woman asks the nurse about the functions of the placenta. The nurse explains that the placenta provides the baby with nutrients and oxygen. Which additional placental function should the nurse include?
A Cushion and protect babyB Produce HCG الإجابة الصحيحةC Produce contractionD Produce Testosterone -
143
A nurse explains the functions of the placenta to a pregnant client during a prenatal visit. The client repeats back what she learned. Which client statement CORRECTLY describes a function of the placenta?
A The placenta cushions and protects the baby from physical traumaB The placenta maintains the baby's body temperature in the wombC The placenta is the pathway through which the baby receives food and oxygen الإجابة الصحيحةD The placenta prevents all harmful substances from passing to the baby -
144
A 24-week pregnant woman with 5-day history of fever, body aches, and cough is admitted with a diagnosis of H1N1 influenza. The nurse reviews the admission orders.<br>Which order has the HIGHEST priority to implement FIRST?
A Assign the patient to a private room (isolation) الإجابة الصحيحةB Monitor vital signs every 4 hoursC Obtain nasopharyngeal specimens for cultureD Initiate Ringer's lactate IV infusion -
145
A community Nursing nurse is planning to conduct prenatal teaching and a community assembly for pregnant adolescents. Which teaching strategy would be most effective ?
A Offering open sessions for pregnant adolescents and anyone else who wants to attendB Designing posters that girls can view individually in the community Nursing centerC Preparing group class sessions for teaching pregnant adolescents together الإجابة الصحيحةD Conducting one-to-one teaching sessions for both mothers and daughters -
146
Immediately after delivery of the placenta, the uterus begins to involute. What is the approximate weight of the uterus at this time?
A 900 gramsB 1000 grams الإجابة الصحيحةC 1400 gramsD 1600 grams -
147
A G1P1 mother on postpartum day 2 after vaginal delivery reports that her perineal pad is completely saturated with bright-red lochia rubra.<br>What is the nurse's PRIORITY initial action?
A Immediately perform fundal massageB Obtain maternal vital signsC Notify the physician immediatelyD Ask how long ago the last pad was changed الإجابة الصحيحة -
148
A 32-week pregnant patient presents at the antenatal clinic with a complaint of frequent, bothersome heartburn (pyrosis), especially at night. She asks the nurse for advice.<br>Which recommendation is MOST effective for relieving pregnancy-related heartburn?
A Drink a large glass of plain water between mealsB Elevate the head of the bed by 15–20 cm when sleeping الإجابة الصحيحةC Eat favourite foods freely to maintain adequate nutritionD Lie down for one hour after eating to aid digestion -
149
A midwife visits a breastfeeding mother 4 weeks postpartum. The mother must return to work and her infant will be in daycare. She asks about maintaining breastfeeding while working.<br>Which teaching plan is MOST appropriate for this mother?
A Start supplementary formula alongside bottle feedingB Adopt a combined schedule of direct breastfeeding and formula top-feedsC Focus on hygiene practices for preparing formula bottlesD Teach the mother how to express, store, and label breast milk for use at daycare الإجابة الصحيحة -
150
A multipara mother complained of a small vulva with swelling following vaginal delivery of a baby weighing 3.8 Kg. What is the initial nursing action should the nurse advise the mother to perform ?
A Apply ice pack الإجابة الصحيحةB Maintain bed restC Administer analgesicsD Encourage fluid intake -
151
A primigravida mother is assisted out of bed a few hours after a normal vaginal delivery and taken to the bathroom to void. She has difficulty urinating while on the commode and reports no urge to void. Which intervention is most appropriate?
A Teach Kegel's exercisesB Give warm sitz bath firstC Pour warm water over vulva الإجابة الصحيحةD Identify possible perineal tears -
152
The nurse is assessing a young-adult pregnant client with no allergies who has tested positive for gonorrhea. Which of the following medications should the nurse expect to be part of the treatment plan ?
A TetracyclineB CiprofloxacinC AzithromycinD Ceftriaxone الإجابة الصحيحة -
153
A pregnant mother at early pregnancy was admitted in the Emergency Room with leakage of amniotic fluid, vaginal bleeding, and lower abdominal cramping pain. What is the possible diagnosis should the nurse suspect ?
A MissedB Inevitable الإجابة الصحيحةC IncompleteD Threatened -
154
A nurse in the postnatal ward is caring for a multiparous patient who has just delivered a healthy newborn. When should the nurse plan to take the patient's vital signs during the immediate postpartum period?
A Every hour for the first 2 hoursB Every 30 minutes during the first hourC Every 15 minutes during the first hour الإجابة الصحيحةD Every 5 minutes for the first 30 minutes -
155
Which valuable information can be obtained from performing abdominal palpation (Leopold's maneuvers) during later pregnancy ?
A Weight of the fetusB Gestational age of the fetusC Number of fetuses in the current pregnancyD Location and presentation of the fetus الإجابة الصحيحة -
156
A nurse who is caring for a woman in labor prepares to auscultate fetal heart rate using a Doppler ultrasound device. How does the nurse determine that the fetal heart sounds are correct ?
A Notify if the heart rate is greater than 140 BPMB Placing the diaphragm of the Doppler on the woman's abdomenC Palpating the maternal radial pulse while listening to the rate الإجابة الصحيحةD Performing Leopold's maneuvers first to determine the fetal heart -
157
A client who is gravida 1, para 0, is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus' head is ?
A Not yet engagedB Entering the pelvic inletC Below the ischial spines الإجابة الصحيحةD Visible at the vaginal opening -
158
Less than 24 hours after discharge from the postnatal ward, a new mother phones the unit reporting very heavy bright-red vaginal bleeding. She has just had a vaginal delivery.<br>What is the BEST telephone advice the nurse should give?
A Do not worry, bright-red bleeding in the first day is completely normal.B Call your doctor or midwife and describe the bleeding to them.C Lie down and firmly massage the lower abdomen; if the bleeding does not reduce, go to the hospital immediately. الإجابة الصحيحةD Rest for one hour, then reassess the bleeding; if it is still heavy, call back. -
159
A nurse was educating a group of women on the prevention of infection. The nurse asked each woman to state one preventive measure of vaginal infection. Which woman needs more education ?
A First woman: """"Keep the vaginal area clean & dry""""B Second woman: """"Wear cotton underwear""""C Third woman: """"Wipe from front to back after urination""""D Fourth woman: """"Do vaginal douche twice a day"""" الإجابة الصحيحة -
160
A nurse is educating a student nurse about abnormal pregnancy conditions. The nurse describes a condition in which a non-viable fertilised egg implants in the uterus, there is abnormal proliferation of trophoblastic tissue, no normal fetus develops, and the uterus fills with grape-like vesicles.<br>Which condition is being described?
A Ectopic pregnancyB Molar pregnancy (Hydatidiform mole) الإجابة الصحيحةC Tubal pregnancyD Intra-abdominal pregnancy -
161
A nurse is conducting an antenatal assessment. Fundal height is significantly larger than expected for the gestational age, indicating rapid and abnormal uterine growth.<br>Which condition is MOST commonly associated with unusually rapid uterine enlargement?
A Ectopic pregnancyB Molar pregnancy (Hydatidiform mole) الإجابة الصحيحةC Tubal pregnancyD Intra-abdominal pregnancy -
162
A 28-year-old pregnant woman at 9 weeks presents to the o with vaginal bleeding. During assessment, the nurse found height is 12cm. Which of the following is the most likely diagnosis ?
A Placenta previaB Abruptio placentaC Ectopic pregnancyD Hydatidiform mole الإجابة الصحيحة -
163
During a prenatal examination. The nurse draws blood from a young Rh negative client and explain that an indirect Coombs test will be performed to predict whether the fetus is at risk for ?
A Acute hemolytic disease الإجابة الصحيحةB Respiratory distress syndromeC Protein metabolic deficiencyD Pathologic hyperbilirubinemia -
164
A nurse is teaching a 33-week primigravida how to use a fetal kick chart at home. After the teaching session, the nurse evaluates understanding by asking the patient a question.<br>Which statement by the patient BEST indicates correct understanding of fetal kick counting?
A I must count fetal movements exactly three times per dayB I will feel movements most strongly when lying on my right sideC Regular fetal movements are a reassuring sign that my baby is doing well الإجابة الصحيحةD The kick chart is used to record the very first time I feel the baby move during pregnancy -
165
The antenatal clinic nurse was assessing a 32yaers old gravida 2, para1 pregnant mother on the fundal height at 36 weeks. What is the expected fundus position ?
A UmbilicusB Xiphoid process الإجابة الصحيحةC Symphysis pubisD Under umbilicus -
166
A woman is at 30 weeks gestational age admitted to antenatal with premature rupture of membrane. the nurse administered Dexamethasone to her according doctor prescription. She ask what is the Drug for. Which of the following the best answer ?
A To promote fetal lung maturation الإجابة الصحيحةB Prevention of chorioamnionitisC To increase uteroplacental exchangeD Treatment of fetal respiratory distress -
167
A 25 years old patient with history of amenorrhea for two month was admitted for hydatiform mole investigation. Which signs and symptoms would the nurse observe ?
A HypotensionB HyperglycemiaC Rapid uterine growth الإجابة الصحيحةD Painful uterine contraction -
168
A women was discharged from gynecological ward after gestational trophoblastic disease (molar pregnancy). Which of the following is the best advice to give her ?
A Never to fall pregnant againB To request the doctor to sterilize herC To consider having her uterus removedD To avoid falling pregnant for at least one year الإجابة الصحيحة -
169
A pregnant woman with type 1 diabetes reports confusion and blurred vision. Capillary glucose is 48 mg/dL. Which symptom represents neuroglycopenia?
A Blurred vision الإجابة الصحيحةB Dry mouthC PolyuriaD Flushing -
170
A postpartum woman is being discharged on day 2 after a forceps-assisted vaginal birth with sutured vaginal and perineal tears. Which discharge teaching topic needs the GREATEST emphasis to help prevent complications?
A Diet management and exercise planB Newborn care and vaccination recordsC Hygiene practices and alert signs to report الإجابة الصحيحةD Family planning and child growth monitoring -
171
A 15-week pregnant woman with Rh-negative blood type is admitted after a spontaneous abortion. The nurse prepares the appropriate post-abortion care.<br>Which action is MOST appropriate regarding Rh immunoglobulin (RhoGAM)?
A Administer Rh immunoglobulin (RhoGAM) within 72 hours الإجابة الصحيحةB Do not administer RhoGAM — it is not indicated for abortionC Do not administer RhoGAM — the pregnancy was beyond 12 weeksD Confirm that RhoGAM was already given at the first antenatal visit -
172
A postpartum client has lochia that is red in color with a fleshy (non-foul) odor. What does this finding indicate?
A Normal الإجابة الصحيحةB InfectionC BleedingD Bacteria -
173
The nurse was educating a postpartum woman during discharge about the importance of breastfeeding. Which of the following if said by the women, indicates the need for further education ?
A Breast milk is nutritionally balancedB Breast milk reduces the risk of infectionC Breastfeeding promotes mother-child bondingD Breastfeeding prevents pregnancy الإجابة الصحيحة -
174
Multiparous mother is attending at the outpatient clinic 2 weeks after her delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action ?
A Document normal finding الإجابة الصحيحةB Massage the fundus to be firmC Assess lochia amount and colorD Admit the mother to the hospital -
175
A breastfeeding mother reports that she feeds her infant every 1–2 hours, yet the infant cries frequently between feeds and she experiences breast pain. The nurse suspects the infant is not feeding effectively.<br>Which instruction is MOST appropriate?
A Feed on infant demand and check the feeding technique and latch for effectiveness الإجابة الصحيحةB Schedule feedings strictly every 3 hours to regulate supplyC Discontinue breastfeeding and transition to formulaD Begin weaning the infant at this stage -
176
A 17-year-old mother presents to the primary health centre 10 days after delivery with fatigue, pallor, fever, and foul-smelling vaginal discharge. Vital signs: BP 80/50 mmHg, HR 98/min, RR 26/min, Temperature 39.6°C. Lab results show: Hb 88 g/L (low), HCT 0.29 (low), WBC 12.8 × 10⁹/L (elevated), RBC 4.0 × 10¹²/L (low).<br>Which is the MOST serious potential outcome if this condition — postpartum haemorrhage complicated by puerperal sepsis — is left untreated?
A Maternal death from haemorrhagic or septic shock الإجابة الصحيحةB Recurrent vaginal candidiasisC Cervical cancerD Uterine prolapse -
177
A pregnant woman presents to the gynaecological ward with vaginal bleeding. Examination reveals no fetal heart sounds and a closed, non-dilated cervix. Ultrasound confirms fetal demise with no cardiac activity. The patient is diagnosed with a missed abortion.<br>What is the most appropriate management?
A Dilatation and curettage (D&C)B Induction of labour with syntocinonC Expectant management or medical evacuation الإجابة الصحيحةD Emergency laparotomy -
178
A gravid 8 para 8 woman has just delivered a 4.5kg infant. Which of the following is a possible complication ?
A Postpartum depressionB Maternal hypoglycemiaC Postpartum hemorrhage الإجابة الصحيحةD Pregnancy-induced hypertension -
179
A primigravida woman who is pregnant at 30 weeks gestation told the nurse that she is worried that anything happens to her baby. Which of the following should be the proper nurse's response ?
A Ask the woman not to worryB Ask the woman to express her concerns الإجابة الصحيحةC Attract the woman's attention to other issuesD Reassure the woman about the baby's condition -
180
Which of the following should be included in the nursing care to a woman during the 2nd stage of labor ?
A Shave the perineumB Administer enema to the womanC Careful evaluation of prenatal historyD Watch breathing, bear down with each contraction الإجابة الصحيحة -
181
A nurse is educating midwifery students about postpartum fever. According to the standard clinical definition, which description accurately defines puerperal sepsis (puerperal infection)?
A Temperature ≥38°C occurring on any 2 of the first 10 days postpartum (excluding the first 24 hours) الإجابة الصحيحةB Temperature ≥38°C from postpartum day 7 to day 16C Temperature ≥40°C occurring from postpartum day 2 to day 10D Temperature ≥40°C from postpartum day 7 to day 16 -
182
A 17-year-old mother presented to the primary health center ten after delivery. She is suffering from fatigue, anemia, fever and vaginal discharge (see lab results) Blood pressure 80/50 mmHg Heart rate 112 /min Respiratory rate 35 /min Temperature 39.6 C Test Result Normal Values RBC 4 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female) Hb 90 130-170 g/L 120-160 g/L (female) HCT 0.29 0.42-0.52 (male) 0.37-0.48 (female) WBC 12.8 4.5-10.5 × 109/L Which of the following is the best diagnosis of health problem in this case ?
A Severe urinary track infictionB Vesico-vaginal fistulaC Puerperal sepsis الإجابة الصحيحةD Post-partum haemorrhage -
183
In obstetrics, what term describes the relationship of the presenting fetal part to the specific location on the maternal pelvis?
A Fetal lieB Fetal position الإجابة الصحيحةC Fetal presentationD Fetal attitude -
184
A woman who is 32 weeks gestation. Her weight was 66 kg last month and today it is 78 kg. Which of the following is the best nursing action ?
A Assess the size of her fetusB Give health education on good nutritionC Advise her to exercise and lose some weightD Check her blood pressure and test her urine for protein الإجابة الصحيحة -
185
On postpartum day 2, a patient has red lochia with a fleshy odour, temperature 38°C, blood pressure 110/70 mmHg, respirations 20/min, and pulse 90/min. Which nursing interpretation is MOST appropriate?
A Normal postpartum assessmentB Puerperal infection الإجابة الصحيحةC DehydrationD Postpartum haemorrhage -
186
A 10-week pregnant primigravida has severe nausea and vomiting more than 10 times daily, 5% weight loss, and ketonuria. She is diagnosed with hyperemesis gravidarum. Elevated levels of which hormone are MOST strongly associated with this condition?
A Human chorionic gonadotropin (hCG) الإجابة الصحيحةB ProgesteroneC AldosteroneD Prolactin -
187
A pregnant patient has elevated mercury levels. Which dietary choice BEST reduces mercury exposure while still providing a safer source of omega-3 or healthy fats during pregnancy?
A Consuming king mackerel three times per weekB Consuming swordfish as the main source of omega-3C Having five soaked walnuts or cooked soybeans daily الإجابة الصحيحةD Eating tuna steaks daily for protein -
188
A nurse was assessing a newborn delivery by a mother infected with Neisseria gonorrhea. What is the complication that can occur to the newborn ?
A DeafnessB Blindness الإجابة الصحيحةC Mental retardationD Hyperbilirubinemia -
189
A full-term mother presents in the antenatal clinic with mild lower abdominal contractions and shows watery discharge from her vagina. She is admitted to the labor and delivery unit, supported well, and is lying down on the bed. What knowledge guide is necessary as the first intervention ?
A Assessment of cervix الإجابة الصحيحةB Medication and inductionC Reassurance and supportD Mode of delivery -
190
A pregnant woman visits the Outpatient clinic complaining of excessive vaginal secretion. Which of the following is the appropriate nursing assessment ?
A Fetal heart rateB Fundal heightC Signs of infection or labor الإجابة الصحيحةD Fetal presentation and position -
191
A pregnant woman with sickle cell anemia is in active labor. Which nursing action is MOST important to ensure fetal well-being during labor?
A Provide effective pain managementB Continuously monitor the fetal heart rate الإجابة الصحيحةC Administer supplemental oxygen to the motherD Assess maternal vital signs regularly -
192
A nurse is preparing to administer RhoGam to Rh-negative women who has delivered a Rh-positive newborn. Which of the following is prevented by this intervention ?
A Maternal illnessB Neonatal illnessC Production of antibodies الإجابة الصحيحةD Re-occurrence of Rh-positive baby in next mother -
193
A genetic counsellor is advising a couple who both have sickle cell anaemia disease (HbSS/HbSS).<br>What is the probability that each of their children will inherit sickle cell anaemia disease?
A 100% — all children will have sickle cell disease الإجابة الصحيحةB 50% — half of children will have sickle cell diseaseC 75% — three quarters will be affectedD 25% — only one quarter will be affected -
194
If both parents are carriers of sickle cell trait, what is the probability that their child will have sickle cell disease?
A 100%.B 50%.C 75%.D 25%. الإجابة الصحيحة -
195
A 7-year-old child is assessed with a urinary tract infection BP 95/55 Temp 36.4. Which is the most appropriate nursing action ?
A Notify the physician immediatelyB Notify the nurse manager immediatelyC Document the findings in the nursing note الإجابة الصحيحةD Put the physician -
196
A nurse is caring for a child post tonsillectomy and adenoidectomy. Which complication should the nurse plan to assess ?
A Pulmonary hypertensionB Hemorrhage الإجابة الصحيحةC Hearing lossD Orthopnea -
197
In the pediatric ward, most patients have respiratory problems. Which condition needs priority of care ?
A PneumoniaB Epiglottitis الإجابة الصحيحةC BronchiolitisD Bronchitis -
198
An infant was admitted with patent Ductus arteriosus and prescribed Indomethacin 0.2mg/kg intravenously. What is the function of indomethacin ?
A Assist closure of ductus arteriosus الإجابة الصحيحةB Prevent infectionC Improve tissue perfusionD Preserve hormone level -
199
A 10-year-old child admitted with rheumatic fever. Which assessment data should the nurse consider most significant in the child's history ?
A Family history of congenital heart diseaseB Recent episode of streptococcal tonsillitis الإجابة الصحيحةC Lack of interest in certain types of foodD Projectile vomiting and diarrhea for 2 days -
200
A nurse is planning to give a 5-year-old child an intramuscular injection. What is the best nursing intervention to minimize fear ?
A Show a cartoon video of injection attentionB Allow child to give injection to a doll الإجابة الصحيحةC Observe another child receiving an injectionD Get parents to reassure the child -
201
A full-term newborn admitted with tracheoesophageal fistula. Which nursing measure is necessary to prevent pulmonary complications and improve prognosis ?
A Encourage exclusive breastfeedingB Insert nasogastric tube for gastric decompressionC Intermittent suction by double-lumen catheter الإجابة الصحيحةD Prepare for the insertion of tracheostomy -
202
A four-year-old boy is admitted with diabetes insipidus. What finding should the nurse anticipate ?
A BradycardiaB Low urine outputC Excessive thirst الإجابة الصحيحةD High systolic blood pressure -
203
A midwife counsels a mother whose first child was born with spina bifida about planning for a future pregnancy. The mother wants to reduce the risk of recurrence.<br>Which measure is MOST important to begin BEFORE the next conception?
A Increase iron and calcium supplementationB Take high-dose folic acid (4–5 mg/day) starting at least one month before conception الإجابة الصحيحةC Undergo full genetic screening before conceivingD Complete all required immunisations before and during pregnancy -
204
A newborn admitted to the NICU with tracheoesophageal fistula. What nursing intervention should be included ?
A Elevate the head for feedingsB Elevate the head but keep the child NPO الإجابة الصحيحةC Insert a nasogastric tube for feedingD Encourage the mother to breastfeed -
205
A 3-month-old infant with developmental dysplasia of the hip (DDH) is fitted with a Pavlik harness. Which parent instruction is MOST important?
A Remove the harness for at least 2 hours daily to allow skin careB Keep the harness on continuously as prescribed, and check skin under the straps every shift الإجابة الصحيحةC Place the infant in a prone position during harness use to promote hip alignmentD Tighten the harness straps if the infant appears uncomfortable -
206
A nurse is educating parents of a child newly diagnosed with cerebral palsy. The parents ask about the likelihood of their child having cognitive impairment alongside the motor disability.<br>According to published clinical data, approximately what percentage of children with cerebral palsy have some degree of cognitive impairment?
A 30–50% الإجابة الصحيحةB 20–50%C 30–60%D 20–60% -
207
A 6-year-old child diagnosed with Sickle cell anemia is admitted with severe pain in upper and lower extremities. What should the nurse prioritize ?
A Hydration and pain management الإجابة الصحيحةB Nutrition and restricted hydrationC Nutrition and manage infectionD Manage pain and infection -
208
A 2-year-old girl hospitalized with bronchiolitis is receiving oxygen therapy. What indicates the effectiveness of oxygen therapy ?
A Oxygen saturation 84%B Oxygen saturation 90% الإجابة الصحيحةC Respiration rate 12 bpmD Respiration rate 25 bpm -
209
A nurse is caring for a 1-year-old infant diagnosed with congestive heart failure (CHF). The infant is on digoxin and diuretics.<br>Which nursing goal is MOST appropriate and directly addresses the primary pathophysiology of CHF?
A Relieve acute pain episodesB Improve myocardial efficiency and reduce cardiac workload الإجابة الصحيحةC Maintain stable body temperature (thermoregulation)D Promote unrestricted oral feeding to ensure adequate caloric intake -
210
When assessing a newborn after circumcision, what is the immediate risk the nurse should observe for ?
A Bleeding الإجابة الصحيحةB FeverC InfectionD Pain -
211
A 30-year-old woman at 33 weeks of pregnancy has been identified by the community health team as requiring nursing follow-up care and health teaching at home.<br>Which type of home visit is MOST appropriate for this situation?
A Selective home visitB Follow-up home visit الإجابة الصحيحةC Field trip visitD Systematic routine visit -
212
What is most likely to cause uterine atony and lead to postpartum hemorrhage ?
A EndometriosisB Urine retention الإجابة الصحيحةC Cervical and vaginal tearsD Hypertension -
213
A primary health care nurse refers a mother of nine children, with low financial resources and no use of family planning methods, to a health counsellor. In the context of individual counselling for family planning, which approach should the counsellor primarily use?
A Group teaching sessions in the communityB Individual counselling tailored to her specific situation and needs الإجابة الصحيحةC Community organisation campaignsD Distributing printed educational pamphlets -
214
During active labor, an exhausted patient requests non-pharmacologic support. Which nursing action BEST promotes coping without increasing fatigue?
A Apply firm abdominal pressureB Increase IV medication rateC Wipe face with wet towel and hold hands الإجابة الصحيحةD Instruct to push harder -
215
A 15-month-old child undergoes surgical repair of hypospadias. The nurse prepares discharge teaching for the parents.<br>Which post-operative instruction is MOST important for the parents to follow at home?
A Restrict the child's physical activity for at least 2 weeks to protect the surgical repair الإجابة الصحيحةB Avoid applying any ointment or powder near the surgical siteC Provide a high-protein diet to promote faster wound healingD Keep the child away from other children with infections -
216
A two-hour-old newborn is given to the mother for breastfeeding. The mother was initially hesitant but agreed after understanding the advantages of early breastfeeding. What statement indicates her correct understanding ?
A Improve natural immunity الإجابة الصحيحةB Strengthens sucking reflexC Stimulates gut movementD Stimulates teeth growth -
217
A school nurse plans a safety education session for elementary school children aged 6–12 years. Which safety topic is MOST developmentally appropriate and addresses the most common injury risk for this age group?
A Organised team sports safetyB Bicycle safety (helmet use, road rules, traffic awareness) الإجابة الصحيحةC Supervised swimming and water safetyD Road traffic safety as a pedestrian -
218
An 11-month-old infant is being discharged after cleft lip and palate surgery. Which parent statement BEST shows correct understanding of home care to protect the suture line?
A Avoid my infant crying الإجابة الصحيحةB Use a spoon for feedingC Place child on abdomen after feedingD Use lotion for lip irritation -
219
A baby is born at 38 weeks of gestation with a birth weight of 1800 grams. Based on birth-weight classification only, how should this infant be classified?
A Low birth weight الإجابة الصحيحةB Very low birth weightC Extremely low birth weightD Normal birth weight -
220
A baby is born at 38 weeks of gestation with a birth weight of 1250 grams. Based on birth-weight classification only, how should this infant be classified?
A Low birth weightB Very low birth weight الإجابة الصحيحةC Extremely low birth weightD Normal birth weight -
221
A baby is born at 38 weeks of gestation with a birth weight of 850 grams. Based on birth-weight classification only, how should this infant be classified?
A Low birth weightB Very low birth weightC Extremely low birth weight الإجابة الصحيحةD Normal birth weight -
222
Which antenatal assessment tool BEST evaluates fetal well-being by assessing fetal heart rate reactivity in relation to fetal movements?
A Doppler auscultation of fetal heart rateB Fundal height measurementC Non-stress test (NST) الإجابة الصحيحةD Fetal kick counting chart -
223
Immediately following the birth of a full-term newborn, what is the priority nursing diagnosis for this newborn ?
A Airway clearance الإجابة الصحيحةB Ineffective thermoregulationC Risk for imbalance fluid volumeD Risk for injury -
224
A full-term newborn is admitted to NICU with a diagnosis of meningocele. What admission assessment is needed ?
A Specific gravity of urineB Head circumference الإجابة الصحيحةC Weight and lengthD Palpation of the abdomen -
225
A nurse is caring for a full-term newborn delivered five minutes ago with Apgar scores of 8 at one and five minutes. What is the highest priority ?
A Assessing the infant's red reflexB Preventing heat loss الإجابة الصحيحةC Maintaining the infant's positionD Administering humidified oxygen -
226
A30week gestational preterm admitted to NICU 2hours ago the neonate starts to have grunting, nasal flaring. Which of the following the nurse recognizes regarding signs and symptoms ?
A Neonate has RDS الإجابة الصحيحةB It is normally in the first 24 hours of birthC This is not significant unless become cyanosisD Neonate has hypoglycaemia -
227
A 30 weeks of gestational age preterm is admitted to the neonatal intensive care unit 2 hours. The neonate starts to have grunting tachypnea, and nasal flaring. Which of the following is responsible factors for diagnosis of the premature ?
A Bronchial spasmB Immature bronchiolesC Lack of surfactant الإجابة الصحيحةD Pulmonary overload -
228
A premature infant is diagnosed with patent ductus arteriosus (PDA). The physician prescribes indomethacin 0.2 mg/kg IV — a prostaglandin synthesis inhibitor.<br>What is the PRIMARY therapeutic action of indomethacin in this clinical context?
A Promotes pharmacological closure of the ductus arteriosus الإجابة الصحيحةB Prevents systemic infection in the premature infantC Improves peripheral tissue perfusionD Maintains prostaglandin hormone levels -
229
The parents of a newborn diagnosed with a small Ventricular Septal Defect (VSD) ask the nurse about the prognosis. Which statement BEST reflects the accurate natural history of small VSDs?
A The baby will develop noticeable cyanosis, especially during sleepB Breastfeeding should be stopped to reduce the burden on the heartC Many small VSDs close spontaneously within the first 1–2 years of life without surgery الإجابة الصحيحةD Blood pressure will be lower in the arms than in the legs -
230
A 10-year-old child returns to the surgical unit following an emergency appendectomy for a ruptured appendix. The nurse prepares to assess the child's postoperative pain level.<br>Which pain assessment tool is MOST appropriate for this child?
A Numeric Rating Scale (NRS 0–10)B Wong-Baker FACES Pain Scale الإجابة الصحيحةC FLACC Scale (Face, Legs, Activity, Cry, Consolability)D CHEOPS (Children's Hospital of Eastern Ontario Pain Scale) -
231
A child with acute rheumatic fever has severe pain, tenderness, and swelling in one knee due to migratory polyarthritis. Which nursing intervention is MOST appropriate for pain relief?
A Apply warm compresses to the affected joint الإجابة الصحيحةB Position the joint in flexion to reduce tensionC Apply ice packs to reduce inflammationD Encourage gentle ambulation for 15 minutes -
232
A 9-year-old child starts an IV cyclosporine infusion. Within 15 minutes, the child develops sudden dyspnea, cold clammy skin, and restlessness. What is the MOST appropriate INITIAL nursing action?
A Ensure airway patencyB Administer oxygenC Discontinue the IV infusion الإجابة الصحيحةD Administer IM epinephrine -
233
A nurse in the Neonatal Intensive Care Unit is caring for premature newborn, is diagnosed with Respiratory Distress (RDS) and the doctor ordered administrating surfactant. Surfactant should be given by which of the following routes ?
A IntravenousB SubcutaneousC IntramuscularD Endotracheal الإجابة الصحيحة -
234
A 7-year-old child is assessed in the paediatric ward with a diagnosed urinary tract infection. Vital signs: BP 99/55 mmHg (normal for age), Temperature 36.4°C (normal). The child is alert, playful, and comfortable.<br>Which nursing action is MOST appropriate?
A Notify the physician immediately as this is an urgent situationB Notify the nurse manager immediatelyC Document the assessment findings in the nursing notes and continue routine care الإجابة الصحيحةD Place the patient in Trendelenburg position -
235
During a prenatal education session, the midwife asks mothers about the function of the amniotic fluid sac (the "water bag"). Which statement by a mother BEST reflects an accurate function of the amniotic fluid sac?
A It provides the baby with immunity against infectionsB It provides the baby with essential nutrients and oxygenC It protects the baby from physical injury and helps maintain a stable temperature الإجابة الصحيحةD It filters harmful chemicals from the mother's blood before they reach the baby -
236
A 23-year-old gravid 1, para 0 mother is presented to the Antenatal clinic. The health educator educates group of mothers in the waiting area. Which information regarding fetal circulation the educator should stress on ?
A One umbilical artery and one umbilical veinB One umbilical artery and two umbilical veinsC Two umbilical arteries and one umbilical vein الإجابة الصحيحةD Two umbilical arteries and two umbilical veins -
237
A 37-week neonate is admitted to the NICU because the mother had fever for 2 days before delivery. Which finding is MOST likely to be an early sign of neonatal sepsis?
A Decreased urinary outputB Poor feeding الإجابة الصحيحةC Stable body weightD Sudden hyperthermia -
238
Which organism can cause a neonate to develop septicemia including respiratory distress, apnea, and hypotension within 12 hours of birth ?
A Escherichia coliB CytomegalovirusC Varicella zoster virusD Group B streptococcus الإجابة الصحيحة -
239
While a nurse is assessing an infant born 11 hours ago via caesarean section, she auscultated moist lung sounds. Which of the following is the most likely interpretation ?
A Abnormal findingB Normal finding الإجابة الصحيحةC PneumothoraxD Surfactant aspiration -
240
Lanugo is most commonly seen in preterm infants born before approximately how many weeks of gestation?
A 20 weeksB 30 weeksC 25 weeksD 35 weeks الإجابة الصحيحة -
241
A nursing student asks about the white, waxy, cheese-like substance that coats the skin of newborn babies. It is produced by sebaceous glands in the fetus and is thought to protect the skin during fetal development and in the first hours after birth.<br>What is this substance called?
A Vernix caseosa الإجابة الصحيحةB LanugoC SmegmaD Milia -
242
An 11 years old child has been diagnosed with type 1 diabetes mellitus. Which of the following education should the nurse explain about the exercise ?
A Extra insulin is required during exerciseB Extra snacks are needed before exercise الإجابة الصحيحةC Exercise will increase blood glucoseD Exercise should be restricted -
243
A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as ?
A Milia الإجابة الصحيحةB LanugoC WhiteheadsD Mongolian spots -
244
A 25 years old primipara is admitted for labor. The infant is delivered by forceps because of breech presentation and full body assessment shows a large blue macular marking over the left buttocks. Which of the following is the most likely cause ?
A EchymosisB Nervus flamesC Telangiectasia neviD Mongolian spots الإجابة الصحيحة -
245
A nurse observes the stool of a newborn on day 3 after birth. What color is expected during the transitional stool phase?
A BrownB Light greenC Light brownD Brownish green الإجابة الصحيحة -
246
An infant with developmental dysplasia of the hip is discharged with a Pavlik harness. Which of the following instructions should the nurse give to the infant's parents ?
A Put the baby's diaper over the harnessB Fasten the straps for at least 2 hours every dayC Press both legs together before applying the harnessD Soft, thin clothing should be worn under the harness الإجابة الصحيحة -
247
A neonate is admitted to the NICU with a meningomyelocele. HR 130, RR 28, TEMP 36.7. What action should the nurse perform to prevent infection of the meningomyelocele sac ?
A Wash the sac with betadine every shiftB Expose the defect to the room airC Apply antibiotic cream every 24 hoursD Cover the sac with moist sterile saline dressing الإجابة الصحيحة -
248
A baby is born at 38 weeks' gestation and weighs 1800 grams. Which birth-weight classification is CORRECT?
A Low birth weight (LBW) — weight <2500 grams الإجابة الصحيحةB Very low birth weight (VLBW) — weight <1500 gramsC Appropriate for gestational age (AGA)D Small for gestational age (SGA) -
249
A neonate born at 24 weeks’ gestation is admitted to the Neonatal Intensive Care Unit with respiratory distress syndrome. Which feeding method is most appropriate to promote growth while ensuring safety for this extremely premature infant?
A Enteral feeding of breast milk الإجابة الصحيحةB Enteral feeding of premature formulaC Oral breast feedingD Oral premature formula -
250
After the umbilical cord is safely cut using aseptic technique, which immediate nursing intervention is MOST important for the newborn?
A Assess sucking responseB Increase mother-child bondingC Assess and record APGAR scoreD Keep dry and maintain thermoregulation الإجابة الصحيحة -
251
A 2-year-old child is admitted to the pediatric ward. The mother cannot stay with the child and will only visit on weekends. What nursing action indicates an understanding of this child's emotional needs ?
A Give her a warm bath to calm downB Allow the child to suck on a pacifierC Ask the parents to bring the child's favorite toy الإجابة الصحيحةD Tell the parents that frequently visiting is unnecessary -
252
When assessing newborn weight on a scale, the nurse must avoid heat loss by ?
A RadiationB EvaporationC Conduction الإجابة الصحيحةD Convection -
253
A nurse wraps a newborn in a blanket and keeps the nursery room temperature appropriate. Which type of neonatal heat loss is this intervention MOST directly preventing?
A RadiationB ConductionC Convection الإجابة الصحيحةD Evaporation -
254
A mother is asking the nurse how sickle cell could be detected. Which test detects sickle cell disease or traits ?
A Hemoglobin electrophoresis الإجابة الصحيحةB Bone marrow aspirationC Complete blood countD Free erythrocyte protoporphyrin -
255
An 11-year-old child has been diagnosed with central diabetes insipidus, characterised by polyuria and polydipsia due to insufficient antidiuretic hormone (ADH) production.<br>Which gland is the PRIMARY source of ADH deficiency in central diabetes insipidus?
A Posterior pituitary gland الإجابة الصحيحةB Adrenal medullaC Anterior pituitary glandD Adrenal cortex -
256
A term baby boy is diagnosed with Down syndrome. Physical examination reveals flattened nose, low set ears, upward slanting eyes, single palmar crease. Which is the most common congenital anomaly associated with this disease ?
A Developmental dysplasia of hip (DDH)B Congenital heart disease الإجابة الصحيحةC HypospadiasD Pyloric stenosis -
257
A neonate is admitted to the NICU with a meningomyelocele (spina bifida aperta). Vital signs are stable: HR 130, RR 28, Temp 36.7°C. The exposed spinal defect sac needs immediate protection.<br>Which nursing action is MOST appropriate to prevent infection of the meningomyelocele sac?
A Cleanse the sac with povidone-iodine (betadine) solution every shiftB Leave the defect exposed to room air to keep it dryC Apply antibiotic cream to the surface every 24 hoursD Cover the sac with a sterile, moist saline dressing immediately الإجابة الصحيحة -
258
If a full-term infant weighs 3 kg at birth, approximately what weight should the infant be at 12 months old ?
A 7 kgB 9 kg الإجابة الصحيحةC 11 kgD 13 kg -
259
A newborn has a cephalohematoma on physical examination. This infant is at increased risk for which complication?
A Sudden deathB Pathological jaundice الإجابة الصحيحةC Infected umbilical cordD Increased intracranial pressure -
260
A 4-day-old baby diagnosed with physiological jaundice. The father wants to know why his baby has this condition. What should the nurse tell the father about the most prominent cause of physiological jaundice ?
A Immature hepatic function الإجابة الصحيحةB Decreased milk intakeC Rh incompatibilityD Red blood cell enzyme defects -
261
A newborn with hyperbilirubinemia was started on phototherapy. What will be the nurse's instruction regarding feeding ?
A Feed glucose drinksB Breastfeed two hourly الإجابة الصحيحةC Bottle feed until the bilirubin level reducesD Breastfeed alternatively with bottle feeds -
262
Which action should a nurse include when caring for a newborn receiving phototherapy ?
A Expose all surfacesB Prevent stimulationC Cover the eyes with a shield الإجابة الصحيحةD Change position every four hours -
263
A baby born at 35 weeks was admitted to the neonatal intensive care unit 27 hours ago. Physical examination revealed yellow discoloration of sclera and mucous membranes. The bilirubin level was 170 µmol/L. The infant was diagnosed with neonatal jaundice. The physician ordered single phototherapy. What should the nurse consider as a priority during phototherapy for this newborn ?
A Ensure proper fitting of eye covering (patches) الإجابة الصحيحةB Monitor bilirubin levels every 48 hoursC Feed the infant formula every 4 to 5 hoursD Avoid removing the infant from phototherapy -
264
A nurse prepares to administer a vitamin K injection to a full-term newborn. The mother wants to know the importance of the injection. Which of the following is the best response by the nurse to the mother ?
A Needed for blood clotting to prevent hemorrhage الإجابة الصحيحةB Accelerate the growth and development of infantsC Help in maintaining a healthy gut and passage of meconiumD Protect the infant from developing severe respiratory distress -
265
A nurse is caring for a child who has just returned from the operating room following tonsillectomy and adenoidectomy (T&A). The nurse plans the priority assessment for the most common and serious early complication.<br>Which complication should the nurse assess for FIRST?
A Pulmonary hypertensionB Post-operative haemorrhage الإجابة الصحيحةC Sensorineural hearing lossD Orthopnoea (difficulty breathing lying flat) -
266
A term baby boy is admitted to the Neonatal Intensive Care Unit. Physical examination revealed flattened nose, low set ears, upward slanting eyes, a single palmar crease. Which of the following is a possible diagnosis for the newborn ?
A Cushing syndromeB Down syndrome الإجابة الصحيحةC Intrauterine Growth RetardationD Congenital hypothyroidism -
267
A full-term vigorous neonate is crying and has good muscle tone immediately after birth, with no maternal risk factors. Which nursing intervention has the HIGHEST priority?
A Dry the neonate and prevent heat loss الإجابة الصحيحةB Administer the vitamin K injectionC Obtain a dextrostix blood glucoseD Apply identification bands -
268
During the physical assessment of a male infant's genitalia, the nurse found that one of the testes is enlarged. What could be the reason for the swollen testes ?
A ChordeeB CryptorchidismC Hydrocele الإجابة الصحيحةD Hypospadias -
269
A newborn is diagnosed with hypospadias. When teaching the parents of this child, the nurse should tell them to avoid which of the following before the hypospadias repair ?
A Circumcision الإجابة الصحيحةB Drinking acidic juicesC Urinary catheterizationD Riding a bicycle -
270
A 6-year-old child is diagnosed with sickle cell disease is admitted with severe pain in upper and lower extremities. What type of crisis that the child experiences ?
A SequestrationB Aplastic CrisisC Vasoocclusive الإجابة الصحيحةD Hyperhemolytic -
271
Mother of a sickle cell anemia child is asking why her child can't go hiking with his friends. Which of the following complications hiking can lead to ?
A Enhance iron absorptionB Decrease oxygen consumptionC Inhibit hemoglobin productionD Precipitate vaso-occlusive crisis الإجابة الصحيحة -
272
A nurse is performing a complete physical assessment on a newborn. To ensure accuracy and minimize distress, in which sequence should the nurse measure the newborn's vital signs?
A Pulse → Respirations → TemperatureB Temperature → Pulse → RespirationsC Respirations → Pulse → Temperature الإجابة الصحيحةD Respirations → Temperature → Pulse -
273
A nurse is assessing a 2-day-old full-term male neon circumcision. She observed that the circumcised area is oozing a large amount of fresh blood. Which of the following actions should the nurse take ?
A Apply antibiotic ointment on the affected areaB Give the infant another injection of vitamin KC Clean the area with betadineD Apply gentle pressure with sterile gauze الإجابة الصحيحة -
274
A maternity nurse assesses a newborn 30 minutes after birth. The infant has dry, cracked, and peeling skin with little or no vernix caseosa and absence of lanugo. These findings are most consistent with which gestational age category?
A <30 weeksB 30-35 weeksC 36-40 weeksD >40 weeks الإجابة الصحيحة -
275
A nurse is caring for a female newborn who was born with an imperforate anus. When assessing the newborn's urine, she should notify the doctor immediately if the newborn's urine contains which of the following ?
A Meconium الإجابة الصحيحةB SugarC AlbuminD Crystals -
276
Which statement BEST defines developmental dysplasia of the hip (DDH) as a spectrum of hip joint abnormalities?
A Fracture of the femoral head due to birth traumaB Abnormal development of the acetabulum (acetabular dysplasia) that may range from mild instability to complete dislocation الإجابة الصحيحةC Complete dislocation of the femoral head from the acetabulum onlyD Infection of the hip joint causing avascular necrosis -
277
Which of the following is the most commendable site to obtain a Capillary blood sugar sample from a neonate ?
A EarlobeB FingertipC Heel الإجابة الصحيحةD Abdomen -
278
A 6-year-old preschooler returned from the operating room after tonsillectomy. In which position should the nurse place the child post-tonsillectomy ?
A SupineB Side lying الإجابة الصحيحةC Low fowlerD High fowler -
279
A teenager with sickle cell disease is excited about an upcoming school hiking trip and proudly shows the nurse a new water bottle he plans to bring. Which initial nursing response is MOST therapeutic?
A What do your parents think about this activity?B You know this type of activity might trigger a pain crisis.C You need to obtain approval from your physician before participating.D It is great that you are planning to stay well hydrated for this activity. الإجابة الصحيحة -
280
A child with thalassemia was given desferoxamine (Desferal); which of the following should alert the nurse to notify the physician ?
A Decreased hearing الإجابة الصحيحةB HypertensionC Red urineD Vomiting -
281
A client who is breastfeeding her newborn requests assistance from the lactation nurse. Which reflex does the nurse explain in order to assist with latching on ?
A Extrusion reflexB Rooting reflex الإجابة الصحيحةC Swallowing reflexD Tonic neck reflex -
282
A healthy baby is born normally via vaginal delivery and when transferred to newborn until the nurse administered vitamin K intramuscularly. Which site is recommended for vitamin K injection ?
A BicepsB DeltoidC Vastus lateralis الإجابة الصحيحةD Gluteus maximus -
283
The nurse determines that a client understands the purpose of a vitamin K injection for her newborn if the client states that VK is administered for which purpose ?
A Newborn lack vitaminB Newborn have low blood levelsC Newborn lack intestinal bacteria الإجابة الصحيحةD Newborn cannot produce vitamin K in the liver -
284
While a nurse is assessing the head of a newborn at the first hour after delivery, she observed a soft edema over the vertex which crosses the suture line. Which of the following would be the proper nurse's interpretation ?
A CephalohematomaB HydrocephalyC Large headD Caput succedaneum الإجابة الصحيحة -
285
A mother asked the nurse that while she was changing the diaper for her female newborn, she noticed a brick-red stain on it. What is the best response by the nurse ?
A It is a sign of low iron excretionB It is expected in a female newborn الإجابة الصحيحةC It is due to medication given to the motherD It is due to medication given to the newborn -
286
A nurse is assessing a 4-month-old formula-fed infant. The parent reported that the infant was irritable, crying excessively, not sleeping well, and vomiting, gastroesophageal reflux is expected. What nursing intervention should the nurse expect to teach the parent ?
A Place in an infant seat after eating الإجابة الصحيحةB Give frequent feedingsC Position the child in a swingD Thin formula with water -
287
The normal systolic BP for newborn ?
A 40-60B 60-80 الإجابة الصحيحةC 80-100D 100-120 -
288
What is the approximate stomach capacity of a newborn immediately after birth?
A 6ml الإجابة الصحيحةB 12mlC 22mlD 28ml -
289
What consideration after Cleft lip 3-6 month surgery ?
A allow infant to cryB allow to breast feedC elbow restrain after surgery الإجابة الصحيحةD put the baby on prone position -
290
A 14-month-old infant has just returned from the operating room after cleft palate repair. In which position should the nurse place the infant?
A Prone positionB Supine positionC Side-lying position الإجابة الصحيحةD High Fowler's position -
291
To prevent cleft lip and cleft palate the pregnant woman u should advice Folic acide ?
A 200 IUB 400 mcg الإجابة الصحيحةC 600 IUD 800 IU -
292
A 32-year-old gravid 1 and para 1 is now planning to become pregnant within the next year. The nurse recommends that the patient begin taking tablets of folic acid. How many micrograms would be most appropriate for this patient ?
A 400 الإجابة الصحيحةB 600C 1800D 4000 -
293
A 2-month-old infant with cleft lip is seen in the primary health care to get the regular vaccine of 2 months. The mother asked proper time for the corrective cleft lip surgery of her infant. Which of the following is the best nurse response ?
A No specific age for repair of cleft lipB It is too late, repair should be done immediately after deliveryC 3-6 months الإجابة الصحيحةD The proper time for repair after the age of one year -
294
A nurse is assigned to care for a child after a cleft palate repair. Which of the following types of restraints is very effective for the child ?
A Mummy restraintB Elbow restraint الإجابة الصحيحةC Wrist restraintD Mitt restraint -
295
The nurse has been teaching a new mother how to feed a baby born with a cleft lip and palate before surgical repair. Which of the following actions from the mother indicates teaching has been successful ?
A Burping the baby frequently الإجابة الصحيحةB Prevent the infant from cryingC Placing the baby flat during feedingD Keep the infant prone following feedings -
296
A mother came to the Outpatient Department with an infant having a cleft and palate. The infant was underweight, so the nurse has to consider Teaching the proper way of feeding the child in the treatment plan. Which of the following is the proper way of feeding ?
A Use a non-squeezable bottle during feedingB Feed infant in an upright, sitting position الإجابة الصحيحةC Enlarge nipple holes of the bottle to allow more milk to pass throughD Feed infant longer than 45 minutes to allow more food to be small -
297
A 40-year-old woman is a gravida 2, para 2 and is currently conceiving. Her previous pregnancy resulted in the birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic counseling and Which foods would most effectively prevent the recurrence of a palate ?
A Green vegetables and citrus fruit الإجابة الصحيحةB Eggs, milk, and dairy productsC Wheat, corn, rice, oats, and ryeD Beef, chicken, and yellow vegetables -
298
A 2-day-old newborn is admitted to the nursery. While the nurse is administering oral feeding, the milk returns through the child's nose and mouth, and the infant becomes cyanotic. Which of the following conditions could the newborn have ?
A Anorectal malformationB Tracheoesophageal fistula الإجابة الصحيحةC Cleft lip and palateD Cardiac condition -
299
A 14-month-old child returns from the OR after cleft palate repair and has copious oral secretions with gurgling breath sounds. Oral suctioning is contraindicated. Which nursing action should be implemented FIRST to reduce aspiration risk?
A Place the child supineB Position the child side-lying الإجابة الصحيحةC Place in high Fowler's positionD Place in Trendelenburg position -
300
A 9-month-old infant has undergone cleft palate repair. Which feeding method should the nurse teach the mother to use during the postoperative period?
A Open cup الإجابة الصحيحةB TeaspoonC Bottle feedD Special bottle feed -
301
All of the following are types of spina bifida EXCEPT ?
A MyelomeningoceleB Hemophilia الإجابة الصحيحةC MeningoceleD Spina Bifida Occulta -
302
While caring for a neonate with meningococcal, the nurse should avoid positioning the child on the ?
A AbdomenB Left sideC Right sideD Back الإجابة الصحيحة -
303
An infant is born with spina bifida (myelomeningocele). Which complication is most commonly associated with this condition?
A Hydrocephalus الإجابة الصحيحةB CraniosynostosisC MeningitisD Cerebral palsy -
304
On the second day of hospitalization for ventriculoperitoneal shunt revision, a child with spina bifida developed hives, itching, and wheezing. The nurse should determine if the patient has been exposed to ?
A PeanutsB StrawberriesC EggsD Latex الإجابة الصحيحة -
305
A full-term infant is admitted to NICU with a diagnosis of Spina. Vital signs are stable. Which of the following positions is suitable for this infant ?
A Supine positionB Semi-fowler positionC Prone position الإجابة الصحيحةD Sitting position -
306
A 24 hours after delivery, the nurses noted that the newborn failed to pass meconium. This indicates which of the following condition A. GERD B. Pyloric stenosis C. Failure to thrive D. Hirsch sprung disease ?
A GERDB Pyloric stenosisC Failure to thriveD Hirsch sprung disease الإجابة الصحيحة -
307
A nurse is assessing a 6-month-old infant that has reduced responsiveness and interaction with the environment, fails to smile or make eye contact, and does not attempt to hold or comfort the crying infant. What diagnosis should the nurse anticipate ?
A Celiac diseaseB Failure to thrive الإجابة الصحيحةC Cystic fibrosisD Growth hormone deficiency -
308
A 3-day-old newborn is diagnosed with Hirschsprung disease. Which of the following findings will alert the nurse to suspect this disease in the newborn ?
A Palpable sausage-shaped massB Cyanosis of fingers and toesC Failure to pass meconium within 24-48 hours of life الإجابة الصحيحةD Weight less than expected for height and age -
309
A 9-month-old child is diagnosed with Hirschsprung disease and scheduled for surgical operation. Which of the following should the nurse understand as the purpose for surgical intervention ?
A To remove the aganglionic portion of the bowel to relieve obstruction الإجابة الصحيحةB To maintain optimum nutritional status and growthC To stimulate intestinal adaptation with enteral feedingD To minimize complications related to the disease -
310
A 9-month-old child with Hirschsprung disease is scheduled for surgery. Which complication is MOST commonly associated with this condition in infancy?
A Mechanical obstructionB Enterocolitis الإجابة الصحيحةC Pleural effusionD Esophageal atresia -
311
An 8-month-old infant is admitted with Hirschsprung disease. Which of the following would be a significant finding in this infant ?
A Depressed anterior fontanelB Polyuria, hematuriaC Weight gain, edemaD Failure to thrive, constipation الإجابة الصحيحة -
312
The nurse is assessing a 2-year-old child with Wilms surgery. Which of the following should the nurse avoid ?
A Putting the child in lateral positionB Palpating the child's abdomen الإجابة الصحيحةC Putting the child in a private roomD Providing mouth hygiene 30 minutes after a meal -
313
A nurse is taking a history from the infant parents who have a suspected diagnosis of intussusception. Which of the following assessment questions would be most helpful ?
A Do you breastfeed your childB What does your child's stool look like الإجابة الصحيحةC How often does your child urinateD What is the color of your child's urine -
314
A 5-month-old boy has been vomiting green-colored vomit. He has intermittent abdominal pain during which he draws his chest, turns pale, and cries forcefully. On observation, the nurse notes jelly-like consistency in the stool and a long, tube-like mass in the abdomen. There is no fever, rash, nor diarrhea. Bowel sounds are hyperactive in all quadrants. What is the most likely form of initial treatment ?
A Manual manipulationB Surgical resectionC Normal saline enema الإجابة الصحيحةD Laparoscopy -
315
A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant's stool became like red jelly. Abdominal examination revealed a palpable sausage-shaped mass in the right upper quadrant. What is the first line of therapeutic management for this infant ?
A Non-surgical hydrostatic reduction الإجابة الصحيحةB Surgical simple reductionC PyloromyotomyD Endorectal pull-through -
316
A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant’s stool became like red jelly. Abdominal examination revealed a palpable sausage-shaped mass in the right upper quadrant. What is the best diagnosis ?
A Hirschsprung diseaseB Hypertrophic pyloric stenosisC Infant colicD Intussusception الإجابة الصحيحة -
317
A nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented ?
A Watery diarrheaB Rib bone-like stoolsC Profuse projectile vomitingD Red jelly stool الإجابة الصحيحة -
318
A 5-year-old child was seen in the Emergency Department with abdominal pain, a palpable sausage-shaped mass, and suspected intussusception. Which of the following is the best diagnostic evaluation ?
A X-rayB EndoscopyC Rectal biopsyD Ultrasonography الإجابة الصحيحة -
319
A newborn underwent pyloromyotomy for pyloric stenosis. Which postoperative intervention is most appropriate?
A Maintain IV fluids until adequate oral intake is tolerated الإجابة الصحيحةB Start full feeds immediatelyC Expect no vomiting postoperativelyD Withhold fluids for 48 hours -
320
Surgery for pyloric stenosis involves which movement ?
A PylorotomyB PylorectomyC PylorostomyD Pyloromyotomy الإجابة الصحيحة -
321
A 1-month-old infant is admitted to the surgical unit with hypertrophic pyloric stenosis and scheduled for surgery. What findings would be evident on abdominal examination ?
A Palpable olive-like mass in the left sideB Palpable olive-like mass in the right side الإجابة الصحيحةC Palpable olive-like mass moved from left to rightD Palpable olive-like mass moved from right to left -
322
While assessing a child with pyloric stenosis, the nurse is likely to note which of the following ?
A RegurgitationB SteatorrheaC Projectile vomiting الإجابة الصحيحةD "Currant jelly" stools -
323
A 5-week-old newborn admitted to the pediatric ward with pyloric stenosis is experiencing weight loss and projectile vomiting after feeding. Which abdominal organs are directly affected by this condition ?
A Stomach and duodenum الإجابة الصحيحةB Stomach and esophagusC Liver and spleenD Liver and bile duct -
324
Which instruction should be given to the parents about colostomy care ?
A Use baby powder after stoma cleaningB Empty the pouch when it is completely fullC Avoid tight diapers around the infant abdomen. الإجابة الصحيحةD Use baby wipes to clean the skin around the stoma -
325
A community health nurse is visiting a family at home. The parents state that their 8-year-old son is "out of control" and does not listen to them. During the visit, the child repeatedly interrupts and acts out to gain the nurse’s attention. The parents become frustrated and send him out of the room. Which nursing response is MOST appropriate?
A That was the right decision. It is important for children to know who is in charge.B Do not worry. Many boys behave this way and usually grow out of it.C Let us discuss strategies that can help teach your child appropriate behavior and clarify your expectations. الإجابة الصحيحةD You are reinforcing his behavior when you do that. You should place him in time-out instead. -
326
An 11-year-old child admitted to the pediatrics ward has acute lymphocytic leukemia and has been experiencing joint pain for several weeks. What high risk is expected in this case ?
A Infection الإجابة الصحيحةB FracturesC DehydrationD Hepatitis -
327
A nurse is teaching a group of new mothers in the post-natal ward on how to manage breast engorgement after they are discharged to home. Which of the following statements by the mother will indicate to the nurse that they understood how to prevent engorgement of the breasts ?
A Breastfeed every 4 hoursB breast feeding during the day and bottle feeds at nightC breast feed every 2-3 hours during the day and stop at nightD Breastfeed the baby every 2-3 hours during the day and night الإجابة الصحيحة -
328
When measuring rectal temperature in an infant or young child, approximately how deep should the thermometer be inserted?
A 2cm الإجابة الصحيحةB 3.5cmC 4cmD 4.5cm -
329
A 15-year-old girl admitted to the hospital with diarrhea, vomiting, and lethargy. Using an electronic thermometer, which measurement would be most appropriate ?
A OralB RectalC AxillaryD Tympanic الإجابة الصحيحة -
330
A clinic uses the following immunization schedule excerpt:<br>- 9 months: Measles (monovalent) + Meningococcal conjugate quadrivalent (MCV4)<br>- 12 months: Oral polio vaccine (OPV) booster after completion of the primary series<br>- 12–15 months: MMR + Varicella<br>According to THIS clinic schedule, which polio vaccine is indicated at 12 months of age after completion of the primary series?
A Oral polio vaccine (OPV) booster dose الإجابة الصحيحةB Inactivated polio vaccine (IPV) first-ever primary doseC No polio vaccine is given until school ageD Polio vaccine is contraindicated at 12 months -
331
A mother brought her 6-month-old healthy infant to the well-baby clinic. Which immunization should the nurse anticipate to administer as per WHO's recommendation ?
A Varicella (Chicken pox)B Rotavirus and hepatitisC Measles, Mumps, RubellaD Diphtheria, Tetanus and pertussis الإجابة الصحيحة -
332
A 6-month-old infant with hydrocephalus has undergone ventriculoperitoneal shunt insertion. Which postoperative finding is MOST concerning?
A Sunken fontanelle and irritabilityB Decreased head circumferenceC Poor feeding and pupillary change الإجابة الصحيحةD Headache and excessive sleepiness -
333
According to the routine immunization schedule, an 11-month-old infant should already have received immunization against which group of diseases?
A Pertussis, Tetanus, polio, and varicellaB Polio, Pertussis, Tetanus, and Diphtheria الإجابة الصحيحةC Varicella, polio, Tuberculosis, and pertussisD Measles, Mumps, Rubella, and Tuberculosis -
334
In determining the one minute APGAR score of a male infant the nurse assesses a heart rate of 120 beats per minute and respiratory rate of 44 per minute. He has flaccid muscle tone with slight flexion and resistance to straightening. He has a loud cry with colour is acrocyanotic What is the APGAR score for the infant ?
A 7B 8 الإجابة الصحيحةC 9D 10 -
335
Five minutes post-birth, a neonate has a heart rate of 98, irregular breathing, actively moves all extremities, but has bluish hands and feet, as ll as a weak and timid cry. Which is the correct APGAR assessment score ?
A 9B 8C 7D 6 الإجابة الصحيحة -
336
A newborn has the following Apgar findings at 1 minute: heart rate less than 100/min, irregular respirations at 28/min, minimal flexion of extremities, grimace on stimulation, and a pink body with blue extremities. What is the total Apgar score?
A 0B 3C 5 الإجابة الصحيحةD 6 -
337
A 5-year-old child with a fractured forearm has multiple bruises, appears fearful, and avoids answering questions. Which nursing action is BEST to begin building trust with this child?
A Arrange mealB Comfort measuresC Show the playing areaD Therapeutic communication الإجابة الصحيحة -
338
During clinical assessment, the nurse suspected that a child has been psychological abuse. Which statement by the child is most likely support the suspicion ?
A My parents tell me that I am stupid الإجابة الصحيحةB My parents hurt me for doctors' attentionC My mother forces not to give meals on timeD My uncle shows me pictures of nude people -
339
While a nurse is assessing vital signs of newborn infant first hour of delivery. HR 170 RR 70 TEM 36 . the nurse would interpret these finding as in the discharge instruction ?
A AnemiaB Cold distress الإجابة الصحيحةC Heart defectsD Hyperglycemia -
340
Toddler is admitted to the pediatric room with several episodes of diarrhea 3 days. the child is diagnosed with gastroenteritis. Which organism is responsible about the most diarrhea episodes in children ?
A Rota الإجابة الصحيحةB Bacillus magissteriumC ShigellaD Staphylococcus -
341
A child with a diagnosis of Tetralogy of Fallot is scheduled to be discharge from the hospital. the nurse who is planning discharge education should instruct the caregivers that during a hyper cyanotic spell, which position is most likely to benefit the child ?
A SupineB ProneC Side-lyingD Knee-chest الإجابة الصحيحة -
342
A 12- year- old boy was brought to the Emergency respiratory arrest due to drowning. Cardiac resuscitation what is the major complication that might happen if treated after drowning quickly ?
A SepsisB AlkalosisC Acidosis الإجابة الصحيحةD Hypothermia -
343
which of the following is the leading cause of injury for children who are more than five years old ?
A Accidental suffocationB Motor vehicle الإجابة الصحيحةC Congenital anomaliesD Drowning -
344
A 1-year-old girl admitted to podiatric medical unit significant weight loss, diminished mid-arm circumference diarrhea, and red hair. Which of the following type of malnutrition do the nurse suspect ?
A MarasmusB Spitting upC Kwashiorkor الإجابة الصحيحةD Rickets -
345
33 month-old infant is admitted to the Emergency Department (ED) with fractured arm. The mother indicated that while the child was crawling fell down the stairs and broke his arm. Which of the following observation would lead the nurse to suspect that this is a victim of abuse ?
A Age-inappropriate injuryB Pattern and shape of injuryC Child appearing malnourishedD Improper explanation of injury cause الإجابة الصحيحة -
346
5-year-old child was brought to the Emergency Room with a fractured right forearm. He had several bruises on his body but showed no signs of an while palpating them. He seemed scared and did not answer any questions asked. Why should the nurse discuss this case with the nurse manager ?
A Continuity of careB Rule out child abuse الإجابة الصحيحةC Psychological supportD Fracture management -
347
A four-year old child is seen in the Emergency Department with a spiral fracture of the left arm. The x-ray examination showed previously broken healed bones. What is your immediate action ?
A Arrange foster careB Ask about previous accidentsC Report child abuse الإجابة الصحيحةD Establish rapport with the family -
348
5-year-old child admitted to the pediatric ward with fracture arm. While assessing the child, the se notices a bruises in the child's back. This is the third time in 1 month that the parent brings the child to hospital. ich time, the child family provides vague explanations for various buries. Which of the following e pediatric nurse's priority intervention ?
A Prevent parents' visitB Question parents about child's injuryC Encourage the child to tell the truthD Report suspicion of abuse الإجابة الصحيحة -
349
Parents of a child with a ventriculoperitoneal shunt are being taught discharge instructions. Which sign suggests shunt malfunction?
A Depressed fontanelB Vomiting, lethargy الإجابة الصحيحةC Increased heart rateD Hematuria -
350
A 3 year old child is seen to the emergency department experiencing a seizure at home. Three is no previous of seizure. The mother inform that she does not believe the child epilepsy. Which of the following is the best response ?
A No need to worry, epilepsy is easily treatedB Very few children have actual epilepsyC The seizure may or may not epilepsy الإجابة الصحيحةD Your child has only had one seizure -
351
A 16-year-old girl is brought to the emergency department with suspected diabetic ketoacidosis (DKA). She is lethargic but arousable (GCS 12), has dry mucous membranes, tachycardia, and deep rapid respirations; her breath smells like acetone. Which immediate therapeutic goal is the PRIORITY to stabilize the patient?
A Increase blood glucoseB Increase serum osmolarityC Increase circulatory volume الإجابة الصحيحةD Decrease intracranial pressure -
352
The nurse is planning care for several children who were admitted during the shift. Daily weights should be the plan of care for the child who is receiving ?
A Total parenteral nutrition (TPN) الإجابة الصحيحةB Supplement oxygenC Intravenous anti-infectiveD Chest physiotherapy -
353
While planning for discharge education for a mother or rickets, the nurse knows to include the need for an adequate Which food should the mother choose for her child ?
A Potato and squashB Orange and tomatoesC Egg yolk and fish الإجابة الصحيحةD Milk and yogurt -
354
Discharge teaching for a child with celiac disease would include instructions about avoiding which of the following ?
A RiceB MilkC Wheat الإجابة الصحيحةD Chicken -
355
A 6 year old male is diagnosed with Nephrotic syndrome. When nursing care for the patient the plan of diet should be ?
A High salt, high fatB High salt, high cholesterolC Low salt, low fat الإجابة الصحيحةD Low protein, high -
356
5-year-old child was admitted with Nephrotic Syndrome. A nurse noticed that the child has slight facial puffiness with mild pitting edema on his hands and feet. there was no distended abdomen Which type of diet the nurse should order for the child ?
A High protein, high salt dietB Low protein, low fiber dietC Low protein, normal salt dietD Normal protein, low salt diet الإجابة الصحيحة -
357
An adolescent with juvenile diabetes mellitus develops chronic renal failure. Which diet is MOST appropriate?
A Low fatB Low mineralC Low protein الإجابة الصحيحةD Low carbohydrate -
358
3-year-old child with an elevated body temperature is administered oral aspirin. The nurse records the body temperature of the child two hours and finds that it is still elevated. What is the most likely underlying physiology for the delayed response in action of the aspirin ?
A High gastric pH الإجابة الصحيحةB Thin epidermisC Low muscle toneD Short intestines -
359
A 17-year-old woman has fever, sore throat, hoarseness, leukocytosis, and a throat culture positive for beta-hemolytic streptococcus. Which complication is MOST associated with this condition if inadequately treated?
A CellulitisB Bacterial cholangitisC Infective endocarditisD Rheumatic heart disease الإجابة الصحيحة -
360
A 3-year-old child is admitted to the Medical Ward for vomiting, and dehydration. The nurse sat with the parents to comply admission interview and wanted to get as much information as Which of the following communication techniques should the nurse ?
A Use of question containing the word """"how""""B Use of question with direct comments to clarify الإجابة الصحيحةC Use of statements indicating patient will be fineD Use of leading questions and those involving yes or no -
361
To decrease the anxiety of a 10-year-old girl who is undergoing surgery. Which of the following should the nurse do ?
A Use a heart model to show her how the surgery will go الإجابة الصحيحةB Provide her with verbal explanation of the upcoming surgeryC Give her a book to read about the surgery 2 weeks priorD Let her parents talk to her about the importance of having surgery -
362
The nurse is assessing a child who has Tetralogy of Fallot observed that the child is having clubbing in his fingernails Which of the flowing might be the reason for this clubbing ?
A Prolonged tissue hypoxia الإجابة الصحيحةB Delayed physical growthC Inactive bone marrowD Pulmonary fibrosis -
363
An 12-year-old child has been diagnosed with Diabetes insipidus which of the following is disorder ?
A Posterior pituitary الإجابة الصحيحةB Adrenal medullaC Anterior pituitaryD Adrenal cortex -
364
the summer months, a five year-old girl presents with a sore throat and a dry cough that has slowly become worse over the past three weeks. Her body temperature is 38.0oC. On auscultation, there is wheezing and shortness of breath. She lives in an overcrowded house with three brothers, parents and grandparents in a lowincome neighbourhood where she attends school. Which is the greatest risk factor ?
A Residing in a low-income neighborhoodB Exposure to a pathogen in summer seasonC Attending schoolD Living in crowded conditions الإجابة الصحيحة -
365
Five years old patient was brought to emergency room with several bruises on his body but showed fractured right forearm. He had no signs of pain while palpating them. He seemed scared and didn't answer any questions asked. Why should the nurse discuss this manager with the nurse ?
A Care continuityB Abuse role out الإجابة الصحيحةC Support psychologicalD Management of fracture -
366
A 30-year-old women was admitted with ectopic pregnancy on the sixth gestational week. The patient was scheduled for resection of the involved fallopian tube with end to end anastomosis Which is the initial nursing diagnosis for this patient ?
A GrievingB Acute pain الإجابة الصحيحةC HyperthermiaD Knowledge deficit -
367
a nurse is caring for a child with traction of fractured bone. In the chart, a doctor has placed a reminder to maintain even and constant traction What would be the most likely understanding of the nurse for this order ?
A Add or remove weights every other dayB Allow weights to hang free continuously الإجابة الصحيحةC Elevate head and foot of the bed alternatively when in painD Allow weights to hang free every 12 hours for good circulation -
368
A child was admitted to the hospital three hours ago with a injury. The child responds appropriately, but sluggishly to drifts in and out of sleep Which of the following best describes this patient's level of ?
A Lethargic الإجابة الصحيحةB ObtundedC ComatoseD Semi comatose -
369
A nurse is providing postpartum care for a GSP4 mother who had a rapid labor of an infant weighing 4000 gm. Assessment revealed a boggy uterus, heavy lochia and stable vital signs. After fundal massage and bladder evacuation. the fundus remains soft. which of the following is the most appropriate next nursing action ?
A Inform the physician الإجابة الصحيحةB Reassess the vital signsC Continue fundal massageD Take venous blood sample -
370
child has a third- degree burns of the hand, chest, face, which nursing diagnosing takes priority ?
A Ineffective airway clearance الإجابة الصحيحةB Disturbed body imageC Impaired urinary eliminationD Risk for infection -
371
An 8-year-old girl with a fibular fracture has a fiberglass cast rather than a plaster cast. Which is an advantage of a fiberglass cast?
A CheaperB Dries rapidly الإجابة الصحيحةC Smooth externalD Shape closely to body parts -
372
A woman who is 24 weeks pregnant is crying because the fetus is female and her family wanted a boy. She asks for an immediate abortion. Which nursing action is most appropriate initially?
A Calm her down and reassure for an appropriate solution الإجابة الصحيحةB Provide moral support and book her for the procedureC Repeat ultrasound and wait for a few more weeksD Family counseling and follow religious guidance -
373
9-year-old child is admitted to paediatric word diagnosed with Glomerulonephritis (AGN). The mother ask the nurse why you the blood pressure frequently which of the following the nurse should be respond based on knowledge ?
A Acute hypertension must be anticipated and identified الإجابة الصحيحةB Hypotension leading to sudden shockC Blood pressure fluctuations are a common side effect of therapyD Blood pressure fluctuations are a sign that the condition has become chronic -
374
Which of the following terms applis to the tiny. blanched. slightly raised end arterioles found on the face. neck. arms. and chest during pregnancy ?
A EpulisB Linea nigraC Striae gravidarumD Telangiectasia الإجابة الصحيحة -
375
Neonate is admitted to the neonatal intensive care unit for observation with a diagnosis of probable meconium aspiration syndrome (MAS) the neonate weight 4.650 grams and is at 40 weeks gestation which of the following would be the priority problem ?
A Impaired skin integrityB HyperglycemiaC Risk for impaired parent-infant child attachmentD Impaired gas exchange الإجابة الصحيحة -
376
Treating a pregnant woman who has already been diagnosed with syphilis is considered which level of prevention?
A Primary level of preventionB Secondary level of prevention الإجابة الصحيحةC Tertiary level of preventionD Primary and secondary -
377
A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in her breast. Which of the following instructions are appropriate for the nurse to give the mother ?
A Regulate breastfeeding every 3 hours الإجابة الصحيحةB That’s a normal feeding problemC Shift to bottle feedingD Start weaning your baby -
378
A 7-year-old child is admitted to the Emergency Department, injury The child is oriented to the place, person and time spontaneously obeys commands. The nurse is doing aped Coma Scale (PGCS). Which of the following score the nurse should record ?
A 3B 8C 12D 15 الإجابة الصحيحة -
379
A 3 years old child is admitted to the hospital with seizures. He was alert, oriented and has a rash in his extremities and is diagnosed with meningitis. While doing physical examination of him, he starts to develop seizures. Blood pressure 100/57 mmHg Heart rate 110/min Respiratory rate 30/min Temperature 39.5 C Which of the following vaccine is used to prevent meningitis ?
A Hib vaccine الإجابة الصحيحةB Varicella vaccineC BCG vaccineD Rubella vaccine -
380
A nurse is caring for a pregnant patient who is diagnosed with abruption placenta. Which of the following findings of assessment would indicate a concealed hemorrhage ?
A Maternal tachycardiaB Decrease in fundal heightC Rigid, board-like abdomen الإجابة الصحيحةD Acceleration in fetal heart rate -
381
In placenta Previa marginalia, the placenta is found at the ?
A Internal cervical os partly covering the openingB External cervical os slightly covering the openingC Lower segment of the uterus with the edges near the internal cervical الإجابة الصحيحةD Lower portion of the uterus completely covering the cervix -
382
54- community health nurse visited a postnatal primigravida mother who ent back to work. The nurse instructed the woman the different positions breast-feeding in order to lessen the burden of the mother at night. Which of the following position will the nurse recommend for the mother night ?
A Cradle holdB Football holdC Reclining positionD Side lying position الإجابة الصحيحة -
383
A 7-week-old infant boy is admitted with projectile vomiting decreased urine output decreased bowel movements and weight loss. He has poor turgor and appears hungry. The nurse observes left-to right peristaltic waves after he vomits. The nurse would expect to find which of the following during the physical assessment ?
A SplenomegalyB A palpable pyloric mass الإجابة الصحيحةC LymphadenopathyD Bulging fontanelles -
384
A woman is 5 weeks gestation diagnosed with hyperemesis gar what is the most important nursing action ?
A Psychological supportB Folic acid supplementationC Strict intake and output record الإجابة الصحيحةD Providing the woman with a high protein diet -
385
Before administering a dose of furosemide (Lasix) to a 2-year old with a congenital heart defect, the nurse should confirm the child's identify by checking the hospital ID band and ?
A Verifying the child's room numberB Verifying the identity with a second nurseC Asking the parent the child's name الإجابة الصحيحةD Asking the child to tell you his name -
386
A 4-month old infant is admitted with diarrhea and vomiting. To prevent the recurrence of diarrhea the nurse should instruct the mother to do which of the following ?
A Frequent hand washing الإجابة الصحيحةB Increase milk intakeC Increase water intakeD Change diaper frequently -
387
In the 12th week of gestation, a client completely expels the products of conception. Because the client is Rh-negative, the nurse must ?
A Administer RhoGam within 72 hours الإجابة الصحيحةB Make certain she receives RhoGAM on her first clinic visitC Not give RhoGam since it is not the birth of a stillbornD Make certain the client does not receive RhoGAM since the gestation... -
388
nurse is caring for a child with a diagnosis of pneumonia. The plan of nre includes nebulizer treatments and chest physiotherapy. When should the nurse perform chest physiotherapy ?
A Prior to the nebulizer treatmentB After the nebulizer treatment الإجابة الصحيحةC Intermittently during the nebulizer treatmentD Continuously during the nebulizer treatment -
389
A nurse is teaching cord care to a group of new mothers during a baby bath demonstration. One of the mothers ask the nurse on how to prevent infection of the cord. Which of the following is the best nursing response ?
A Apply antibiotic cream to the cord after every diaperB change Clean the cord with water when necessary and keep dry الإجابة الصحيحةC Clean the cord with surgical spirits twice a dayD Cover the cord with a bandage and change daily -
390
A new nurse is caring for an adolescent in the pediatric unit who has injuries secondary to a motor vehicle accident. The nurse has started a blood transfusion. After 30 minutes, the client complains of nausea and a headache. An observing nurse should determine that the new nurse intervened appropriately when the new nurse took which action first ?
A Obtained a set of vital signsB Called the primary health-care providerC Flushed the infusion tubing with normal saline and restarted the bloodD Stopped the transfusion الإجابة الصحيحة -
391
A 3-year-old child is admitted to the hospital with seizures. He oriented and has a rash in his extremities and is diagnosed meningitis. While doing physical examination of him, he starts to seizures. Blood pressure 100/57 mmHg Heart rate 110 /min Respiratory rate 30 /min Temperature 39.5 Which of the following is the priority of care during the seizure ?
A Put the child on the right sideB Protect the child from injury الإجابة الصحيحةC Call the physician immediatelyD Administer oxygen 100% -
392
A 5 years old child admitted with bacterial meningitis and is having seizure. Which of the following intervention the nurse should initiate ?
A Restrain the child’s limbs to prevent injuryB Slowly put the child on his side on the floor الإجابة الصحيحةC Clear the area of objects and administer oxygenD Roll the child to the prone position to protect the airway -
393
A 25-year-old-primipare visited her primary health care clinic husband. He says that his wife delivered 5 days ago. For the past days she is very irritable and crying for nothing, she is tired and sleep and he is very concerned about her condition. Which of the following diagnosis by the attending physician will her symptoms ?
A Post-partum blues الإجابة الصحيحةB Postpartum psychosisC Postpartum depressionD Postpartum anxiety -
394
A client in the second stage of labor is unable to push and lacks to bear down. What is the most appropriate next step ?
A Assess fetal descent الإجابة الصحيحةB Infuse intravenous fluidsC Empty the client’s bladderD Administer oxygen to the mother -
395
A postpartum mother calls the mother–infant unit and reports very heavy bright-red vaginal bleeding at home. What is the MOST appropriate advice the nurse should give?
A Do not worry; heavy bleeding is normal after delivery.B Call your physician and ask what you should do.C Lie down and massage your lower abdomen. If the bleeding continues, seek emergency care immediately. الإجابة الصحيحةD Lie down for about an hour and check the bleeding again. If it is still heavy, call back. -
396
A 9-month-old child who has a repair cleft palate the nurse explaining mother on how she will give feeds to her child. Which of the following instruction can be expected to include feeling education ?
A Open cup الإجابة الصحيحةB TeaspoonC Bottle feedD Special bottle feed -
397
A nurse I,s preparing to assess the uterine fundus of a client in the immediate postpartum period. When the nurse locates the fundus she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially ?
A Massage the fundus until it is firm الإجابة الصحيحةB Elevate the mother’s legsC Push on the uterus to assist in expressing clotsD Encourage the mother to void -
398
A 9-year-old girl is seen in the emergency department because of a fracture in the right fibula. Which of the following is the expected response to parent question about bone healing period of the girl ?
A 4-6 weeksB 2-4 weeksC 6-8 weeks الإجابة الصحيحةD 8-10 weeks -
399
A 13-weeks-pregnant, multi gravida women is anxious and apprehensive she has five children and is not willing to continue with this pregnancy She is requesting the midwife to abort the fetus. She is under weight malnourished and is over worked. BMI 17 Kg/m2 What intervention is desired immediately ?
A Admission and intravenous line management for inductionB Family planning and birth control measuresC Dietary management and supplementsD Support, reassurance, and counseling الإجابة الصحيحة -
400
When is the ideal time to administer analgesia to a women in labour ?
A As soon as she requests analgesiaB When labor is well establishedC When the woman enters into the transition phaseD When the woman progresses from latent to active phase الإجابة الصحيحة -
401
An 11-month-old infant weighs 8 kg and has vomited several times. Approximately how much oral rehydration solution can be given over the rehydration period?
A 200B 600 الإجابة الصحيحةC 800D 1200 -
402
A child has had diarrhea seven times, is irritable, and has decreased skin turgor. What degree of dehydration is most likely present?
A MildB Moderate الإجابة الصحيحةC SevereD Extensive -
403
Baby boy's birth weight is 3 kg. What is the expected weight at the age of 1 year ?
A 7B 9 الإجابة الصحيحةC 11D 13 -
404
Oral iron supplements are prescribed for a child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which food ?
A Orange juice الإجابة الصحيحةB Apple juiceC MilkD Water -
405
A nurse is caring for an infant diagnosed with esophageal atresia (EA) and a tracheoesophageal fistula (TEF) prior to surgical correction. Which assessment finding indicates that a priority goal is being met?
A Gavage feedings tolerated wellB Airway patent with frequent suction الإجابة الصحيحةC Identification of support system by parentsD Temperature within normal range -
406
Three years old has returned to the clinic after 4 days of being diagnosed with gastroenteritis and dehydration. When evaluating for signs of dehydration, the nurse will assess the patient’s skin turgor by ?
A Grasping the skin over the abdomen with two fingers and raising the skin with two fingers الإجابة الصحيحةB Grasping the skin over the forehead with two fingers and raising the skin with two fingersC Holding the patient’s mouth open and assessing the tongue for deep creases or furrowsD Drawing two tubes of blood and running blood urea nitrogen (BUN) and creatinine (Cr) -
407
When examining the tympanic membrane of an infant by otoscope, the nurse should move the INFANT pinna in which direction ?
A Down and forwardB Up and backC Up and forwardD Down and back الإجابة الصحيحة -
408
A 6-year-old child is admitted with acute glomerulonephritis. Which finding in the history supports this diagnosis?
A Pain in urinationB Frequent urinationC Difficulty in urinationD Pharyngitis 15 days ago الإجابة الصحيحة -
409
A 9-year-old child has a fractured femur and full leg cast has been applied. Which of the following is a physiological effect of immobilization ?
A Venous stasis الإجابة الصحيحةB Increase metabolic rateC Positive nitrogen balanceD Increased need for oxygen -
410
A 3-week-old newborn is diagnosed with Hirschsprung disease. Which preoperative intervention should be included in the plan of care?
A Restricting oral intake to clear fluids الإجابة الصحيحةB Administering a tap water enemaC Inserting a gastrostomy tubeD Using povidone-iodine to prepare the perineum -
411
A 10-year-old child has a very limited vocabulary and interaction skills. She has an IQ of 45, and she is diagnosed to have mental disease retardation of this classification ?
A ProfoundB MildC Moderate الإجابة الصحيحةD Sever -
412
A child with beta-thalassemia is being discharged. Which teaching point is most important for the mother?
A Compliance to hydroxyureaB Compliance to hemosiderosisC Compliance to disferal الإجابة الصحيحةD Compliance to iron supplement -
413
Which of the following considers a contraindication of tonsillectomy ?
A Child with adenoid infection more than 4 times per yearB Child with tonsillitis more than 4 times per yearC Child age less than three years old الإجابة الصحيحةD Child with hypertrophied adenoids -
414
A child has been seizure-free for 2 years. A mother asks the nurse how much longer that the child will need to take the antiseizure medications. ?
A Medication can be discontinued at this timeB The medication dosage can be reduced gradually الإجابة الصحيحةC New medication can be ordered after one yearD Medications can be discontinued after 5 years -
415
Child with cerebral palsy was brought to the outpatient department for a monthly follow-up visit. One of the strategies to maximize the growth and development of the child during feeding is to maintain a pleasant and distraction-free environment. Which of the following instructions should be recommended to the mother ?
A Serve food that will not stick to the spoonB Place the child in a sitting position during eating الإجابة الصحيحةC Encourage the child to eat with other childrenD Encourage finger foods that child can handle alone -
416
What should the nurse teach women aged 20 to 25 years about oral contraceptives?
A Increase risk of pelvic inflammatory diseaseB Cause acne to worsenC Decrease risk of breast/cervical cancerD Decrease risk of endometriosis الإجابة الصحيحة -
417
A 3 year is brought by the mother to the emergency Department with fever diarrhea and vomiting. She passed four loose motions and three vomiting the last 24 hours, she is anorexic, irritable, has dry lips and moderate skin turgor. She is given ORS to drink, but she refused it after the first stip. [ O2: 96 - HR: 36 - TEMP: 38.8 ] What is the immediate nursing intervention is required to encourage the baby to drink the ORS ?
A Give In a cup once cold a dayB Help her to drink with a syringeC Give in a small amount frequently الإجابة الصحيحةD Engage in playing and help to her drink it -
418
A female teenager was diagnosed with sickle cell anemia informs a nurse that her school arranged a hiking activity in nearby mountains. She shows excitement while forming the nurse about her new water bottle for this trip What is the appropriate initial response by the nurse ?
A What do your parents thinkB You realize this activity might cause a pain crisis الإجابة الصحيحةC You need to get approval from your doctorD It's great you're hydrating for the activity -
419
Which of the following contraceptive method offers protection against sexually transmitted infection ?
A Coitus interruptB Intrauterine deviceC Latex condom الإجابة الصحيحةD Oral contraceptive -
420
Which of the following risk can be determined by Alpha fetoprotein analysis screening test ?
A Neural tube defects الإجابة الصحيحةB Placental insufficiencyC Hydrous fatalismD Intrauterine growth retardation -
421
Which of the following pain assessment scale is the most is the most appropriate for seven year-old boy who twisted his ankle while playing football at school ?
A NumericB BehavioralC Wong-Baker faces الإجابة الصحيحةD Simple descriptive -
422
The nurse who is planning to discharge education should instruct the caregivers that during hyper cyanotic spell, which position is the most likely to benefits the child ?
A SupineB ProneC Side lyingD Knee chest position الإجابة الصحيحة -
423
What is the priority nursing assessment before administering methergine for management of postpartum hemorrhage ?
A Blood pressure الإجابة الصحيحةB Uterine atonyC Amount of lochiaD Deep tendon reflex -
424
A 3-year-old child with nephrotic syndrome is hospitalized with oliguria and generalized edema. Which factor is likely to have the greatest effect on the child's adjustment to hospitalization?
A Lack of parental visits الإجابة الصحيحةB Inability to select a variety of foodsC Response of peers to the edematous appearanceD Willingness to participate in cooperative play activities -
425
A toddler is admitted to the hospital with acute laryngitis (croup). The child has a respiratory rate of 50 breaths/min and a temperature of 38.7°C. What is the priority nursing intervention while caring for this child?
A Decrease stimulation to promote restB Monitor the toddler's temperatureC Frequently assess respiratory status الإجابة الصحيحةD Clean the nares with a bulb syringe -
426
What are the important considerations for the nurse to check after the placenta is delivered ?
A Check if the cord is long enough for babyB Check if the umbilical cord has 3 blood vesselsC Check if the cord has a meaty portion and a shiny portionD Check if the placenta is complete including the membranes الإجابة الصحيحة -
427
A woman admits drinking coffee before a scheduled C-section. What action should the nurse take first ?
A Inform anesthesia care provider الإجابة الصحيحةB Ensure preoperative lab results are availableC Start prescribed IV with lactated ringersD Contact the patient's obstetrician -
428
Which of the following is NOT always considered an immediate obstetrical emergency requiring instant life-saving intervention in every case?
A Ectopic pregnancyB Placenta previa الإجابة الصحيحةC Molar pregnancyD Eclampsia -
429
When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following: ?
A Turn the neonate every 6 hoursB Encourage the mother to discontinue breast-feedingC Notify the physician if the skin becomes bronze in colourD Check the vital signs every 2 to 4 hours الإجابة الصحيحة -
430
A newborn APGAR score at 1 and 5 minutes is 5 and 10, half an hour later the baby became bluish in color with heart rate of 140/m, your first action would be: ?
A Estimate the score againB Shower the baby with warm waterC Give oxygen immediately الإجابة الصحيحةD Ignore the finding because it is normal -
431
Which intervention is most effective in helping prevent mastitis during breastfeeding?
A Provide feedings on demand الإجابة الصحيحةB Apply vitamin E creamC Use prophylactic antibioticsD Apply heat after feeding only -
432
A pregnant client presents with headache and visual changes. Which measure is most likely to improve these symptoms?
A Sleeping in a lateral position الإجابة الصحيحةB Consumption of 8 ounces of water per dayC Exposure to bright lightingD Ambulation every 30 minutes -
433
What is Risk factors of otitis media ?
A Breast feedingB Vertical position of feedingC Feeding formulaD Short wide ear الإجابة الصحيحة -
434
Erikson's stage of psychological development after a 15-year-old's accident ?
A identity vs role confusion الإجابة الصحيحةB Trust vs mistrustC Autonomy vs shame and doubtD Initiative vs guilt -
435
Surfactant secreted in lung at gestation age of ?
A 22B 24 الإجابة الصحيحةC 26D 28 -
436
A nurse in the newborn nursery is assessing a 2-hour old newborn. She observed that the newborn has a caput succedaneum. Which intervention has the highest nursing priority ?
A Activate code blue immediatelyB Turning on the radiant warmerC Do nothing, it will resolve in 3-4 days الإجابة الصحيحةD Administer oxygen by nasal cannula -
437
A newborn with a myelomeningocele was admitted to the neonatal intensive care unit 4 hours ago. Which of the following would the nurse do the when the presents see the child for the first time ?
A Ask the mother to hold, feed and cradle the infant الإجابة الصحيحةB Highlight the infant’s normal featuresC Reassure the parents about surgeryD Give verbal and written information about defect -
438
What is Newborn examination after delivery ?
A Vital Signs. Inspection .Auscultation. Percussion. Palpation. الإجابة الصحيحةB Inspection .Auscultation. Percussion. Palpation. Vital SignsC Palpation Inspection .Auscultation. Percussion. Vital SignsD Auscultation. Inspection. Palpation. Percussion. Vital Signs -
439
A nurse is caring for a child who sustained a head injury after falling from a tree. On assessment of the child, the nurse notes the presence of a watery discharge from the child's nose. The nurse will immediately test the discharge for the presence of which of the following substance ?
A Glucose الإجابة الصحيحةB ProteinC White blood cellsD Neutrophils -
440
A women should get their (pap smear test) each: ?
A 6 monthsB 1 yearC 3 years الإجابة الصحيحةD 5 years -
441
A nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item(s) need to be placed at the child's bedside ?
A Emergency cartB Tracheotomy setC Padded tongue bladeD Suctioning equipment and oxygen الإجابة الصحيحة -
442
A neonatal nurse performs Apgar assessment at 1 minute of birth to evaluate the physical condition of the newborn and immediate need for resuscitation. At 1 minute, Apgar score is 7. At 5 minutes Apgar score is to the progression of scores suggests ?
A A healthy newborn الإجابة الصحيحةB Need for supplemental oxygenC Genetic defectD Infant becoming stable -
443
Causes of hemodilution in pregnancy ?
A AnemiaB Increase plasma الإجابة الصحيحةC Increase WBCsD Decrease RBCs -
444
At what age is cleft lip repair most commonly performed?
A 1-2 monthsB 2-3 months الإجابة الصحيحةC 3-4 monthsD 4-6 months -
445
Preterm baby which findings is suspected ! ?
A Ear cartilage wellB Sole(foot)well deep creaseC have more subcutaneous fatD Prominent labia minor and smaller labia majora الإجابة الصحيحة -
446
Fertilization occurs in the fallopian tube,egg and sperm united to form zygote which moves towards the uterus in along journey to implant in the uterus. How long the zygote takes to implant in the uterus ?
A 5_8 dayB 3_7 dayC 7_10 day الإجابة الصحيحةD 10_14 day -
447
Diaphragmatic hernia diagnostic test ?
A RadiologyB Ultrasound الإجابة الصحيحةC MRID CT scan -
448
Cleft lip repair at which age ?
A 1-2 monthB 2-3 montC 3-4monthD 4-6 month الإجابة الصحيحة -
449
Side effect of HCG hormone ?
A AnorexiaB Depression الإجابة الصحيحةC OsteoarthritisD Menopause -
450
When a nurse places a febrile baby into cold water, the baby loses body heat through which mechanism?
A EvaporationB Conduction الإجابة الصحيحةC ConvectionD Radiation -
451
When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group are most likely to view illness as a punishment for misdeeds ?
A InfancyB Preschool age الإجابة الصحيحةC School ageD Adolescence -
452
What is the food should be limited during pregnancy ?
A Raw meat الإجابة الصحيحةB Cooked meatC Cooked fishD Well-washed vegetables -
453
During labor, what is the most common cause of transient fetal hypoxia?
A Fetal descentB Full dilation of cervicalC Contraction of uterine الإجابة الصحيحةD Cervical effacement -
454
A nurse is taking care of a woman who is in active labour. She is multipara at 38 weeks gestation. Her cervix is 5 cm dilated at -2 station with ruptured membranes. On the fetal heart rate tracing, the nurse observes a fetal heart rate baseline of 150 beats per minute with Deceleration in fetal heart rate to as low as 100 beats per minute. Deceleration in heart rate occurs both during and between contractions. With each deceleration heart rate quickly returns to baseline after a few seconds. The nurse has anticipated which of the following. ?
A Client will probably deliver quicklyB Client may need rapid intervention for a prolapsed cord الإجابة الصحيحةC Client has a normal fetal heart rate tracing for a multipara in active labourD Client has a fetal heart rate tracing consistent with poor uteroplacental blood flow -
455
Which of the following terms describes premature separation of a normally implanted placenta from the uterine wall ?
A Abruptio placentae الإجابة الصحيحةB Placenta previaC Placental infarctsD Low-lying placenta -
456
A5 - year - old child was brought to the Emergency Room with a fractured right forearm. He had several bruises on his body but showed no signs of ain while palpating them. He seemed scared and did not answer any questions asked. How should the nurse initiate therapeutic communication with the child ?
A Start interviewingB Encourage him to speakC Explain about the fractureD Greet and show gentleness - nurse gives health الإجابة الصحيحة -
457
Encouraging fantasy play and participation by children in their own care is a useful developmental approach for which pediatric age-group ?
A Preschool age (3 to 5 years) الإجابة الصحيحةB Adolescence (10 to 19 years)C School-age (5 to 10 years)D Toddler (1 to 3 years) -
458
Oral contraceptives increase risk for any cancer – ?
A CervicalB OvarianC SkinD Breast cancer الإجابة الصحيحة -
459
Woman has recurred vaginal infection after prescribing treatment by the doctor she asked the nurse about how she could prevent infection Which of the following is most appropriate answer to prevent infection and kill normal flora ?
A Stop vaginal douche and perfume sprays الإجابة الصحيحةB Wear cotton underwearC Wash from back to frontD Wear condom to prevent infection -
460
A 6-month-old infant receives a diphtheria, tetanus, and acellular pertussis (DTAP) immunization at a wellbaby clinic. The mother returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. A nurse tells the mother ?
A Monitor the infant for a feverB Bring the infant back to the clinicC Apply a hot pack to the injection siteD Apply an ice pack to the injection site الإجابة الصحيحة -
461
A woman with recurrent vaginal infections tells the nurse how she plans to prevent future infections. Which statement indicates that she needs further teaching?
A Wear cotton underwearB Wipes front to back after toiletC Wear condom to prevent infection الإجابة الصحيحةD Avoid douch and perfume spray -
462
The nurse has started intravenous fluid therapy on a child. Which of the following action is appropriate ?
A Using a padded arm board if the child is activeB Apply lotion twice daily to prevent readiness and irritationC Determine the total volume infused every four hoursD Use an infusion pump to control the rate of infusion الإجابة الصحيحة -
463
A 5-year-old child is evaluated for cognitive delay and has an IQ score of 45. How should the nurse document this finding?
A The range of normal intelligenceB Mild cognitive impairmentC Moderate cognitive impairment الإجابة الصحيحةD Severe cognitive impairment -
464
Why is the APGAR score measured immediately after birth?
A It helps to plan the treatment for congenital diseasesB It serves as a permanent record for newborn babiesC It provides the basis for comparison, a few minutes later الإجابة الصحيحةD It helps in identifying abnormalities related to muscular -
465
A 5 year old child was bought to the E room with a fractured right forearm. He had several bruises on showed no signs of pain while palpating them. He seemed scared and did not answer any questions asked. Which of the areas should the nurse focus on to utilize her critical thinking approach ?
A Physical abuse الإجابة الصحيحةB Child’s schoolingC Developmental milestonesD Mother-child relationship -
466
A 6-month-old infant comes for routine immunization. The mother says a previous child had meningitis and worries this infant may develop the same illness. What is the best nursing response?
A Meningitis rarely occurs during infancyB Genetic predisposition to meningitis is foundC Vaccination is now available to prevent all types of meningitisD HIB vaccination has decreased the incidence of meningitis الإجابة الصحيحة -
467
The nurse is aware that the age at which the anterior fontanelle closes is... months ?
A 20 to 24B 16 to 18 الإجابة الصحيحةC 6 to 10D 10 to 12 -
468
You have learned that in babies and children with developmental dysplasia of the hip (DDH), the hip joint has not formed normally. Which of the following is the most common form of DDH ?
A Acetabular dysplasiaB DislocationC PreluxionD Subluxion الإجابة الصحيحة -
469
Mother with hypothyroidism high risk for ?
A Preterm labor الإجابة الصحيحةB HemorrhageC Congenital anomaliesD Eclampsia -
470
Maternal hyperthyroidism during pregnancy increases the risk of which complication?
A Preterm laborB Pre-eclampsia الإجابة الصحيحةC HemorrhageD Congenital anomalies -
471
woman at 24 weeks' gestational age has fever body ache and has coughing last days she is sent to hospital with admission prescriptions for H1N1influenza. which prescription has the highest priority ?
A Assign private room الإجابة الصحيحةB Vital signs every hoursC Obtain specimens for cultureD Ringer lactate IV -
472
A newborn born to a mother with poorly controlled diabetes mellitus is being assessed immediately after birth. Which neonatal condition is most strongly associated with maternal diabetes in this situation?
A Preterm laborB Term laborC Macrosomia الإجابة الصحيحةD Hyperglycemia -
473
pregnant women Said to nurse feel depends on my husband and my family ?
A self concern الإجابة الصحيحةB ambivalenceC normalD esteem -
474
When teaching a woman who is HIV-positive about pregnancy, which statement indicates a need for further teaching?
A The baby can get the virus through the placenta during pregnancy.B I am planning to start birth control pills.C Not every mother with HIV gives birth to a baby who has HIV.D I will need to have a cesarean section if I become pregnant. الإجابة الصحيحة -
475
The neonate is delivered by cesarean section the baby should be transported to NICU. Which type of baby incubator should be used ?
A Closed box incubatorsB Portable incubators الإجابة الصحيحةC Double walled incubatorsD Servo control incubators -
476
Talking with the parents of child with Down syndrome, which of the Police would the appropriate foal for the care of the child ?
A Encourage self-care skills in the childB Teaching the child something new each dayC Encourage more lenient behavior limits for the ChoD Achieving age-appropriate social skills الإجابة الصحيحة -
477
28-year-old married woman is admitted in the Gynecology Ward for the observation after her miscarriage. She has not been able to sustain any pregnancy since she got married for the past three years and she had three miscarriages during this time What intervention is the most appropriate ?
A Family historyB Past medical history الإجابة الصحيحةC Physical examinationD Laboratory investigations -
478
When the Zygote enter to the uterus after fertilization ?
A 2 dayB 4 day الإجابة الصحيحةC 6 dayD 8 day -
479
Neonate is near to cold window what is the type of heat loss ?
A Radiation الإجابة الصحيحةB ConvectionC ConductionD Evaporation -
480
A multiparous woman at 38 weeks' gestation is in active labor with ruptured membranes and the fetus remains at a high station. The fetal heart tracing shows abrupt decelerations to 100 beats/min that occur during and between contractions, with rapid return to baseline. Which interpretation is most appropriate?
A Client will probably deliver quicklyB Client may need rapid intervention for prolapsed cord الإجابة الصحيحةC Client has normal fetal heart rate tracing for multipara in active laborD Client has fetal heart rate tracing consistent with poor uteroplacental blood flow -
481
Mother of nine children, three of them with congenital anomalies and one down syndrome: she is primary school graduate, with low. financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following indicates that the summarizes the important points during counseling ?
A Provision broad ideas to the clientB Restatement for better understanding الإجابة الصحيحةC Keeping silent while the client asking questionsD Interpreting feelings and resistance of the client -
482
What percentage of patients with ectopic pregnancy will have normally rising HCG levels ?
A 0.1B 0.25 الإجابة الصحيحةC 0.5D 0.95 -
483
A community midwife conducts an educational session for a group of women focusing on maternal health, annual gynecological examinations, mammography, and Pap smear screening.<br>Which outcome is MOST desired as a result of this health education initiative?
A Disease preventionB Increased healthy livingC Early detection of related issues الإجابة الصحيحةD Strengthened marital relationship -
484
A 25-year-old woman has a family history of breast cancer. The nurse reviews the breast self-examination (BSE) procedure and asks when is the best time for a woman to perform BSE.
A a few days before her periodB during her menstrual periodC on the last day of menstrual flowD 3- 7days after the beginning of her period الإجابة الصحيحة -
485
Establishes baby's hydration 11-month-old boy with cleft lip palate was discharged from the hospital after surgery. The nurse provided the parents with teaching. Which of the following statement by the parents indicate appropriate understanding of the teaching instruction ?
A I should avoid that my infant's cry as much as possible الإجابة الصحيحةB I will use spoon to feed my child after the surgeryC I will put my child in his abdomen after feedingD I will use lotion to ease my child's lip irritation -
486
Epidural anesthesia site ?
A L3 L4 الإجابة الصحيحةB L1 L2C T3 T4D C1 C2 -
487
The scale used by nurse to assess the gestational age of newborn is ?
A Bishop scoreB Ballard score الإجابة الصحيحةC Bel ward scoreD Apgar score -
488
Mother of nine children, three of them with congenital anomalies Down syndrome. she is primary school graduate, with low status. She is not using any method of family planning. So, the health care nurse has referred her. for counseling. Which of the following application the counsellor can help Mrs. regarding family planning ?
A Prevention levelB Gather model الإجابة الصحيحةC Group teachingD Rejection of Mrs.M expression -
489
Which condition is an absolute indication for cesarean section?
A preterm laborB severe preeclampsiaC total placenta previa الإجابة الصحيحةD partial placenta previa -
490
nurse is giving health education for mother who has mastitis. Which of the following if stated by the mother about what she needs to do, indicate the additional education is needed ?
A Take antibioticsB Use analgesicsC Wear supportive braD Stop breast-feeding الإجابة الصحيحة -
491
The nurse was planning care for 25-year-old primigravida post-partum mother who had engorgement due to poor feeding technique. the left breast appeared red and swollen and was diagnosed as. Which of the following is the best education for the mother ?
A Avoid wearing brassiereB Begin suckling on the right breastC Stop pumping milk from the left breastD Take antibiotics till the soreness subsides الإجابة الصحيحة -
492
A nurse is teaching a mother who has been diagnosed with mastitis. Which statement by the mother indicates a need for further teaching?
A I need to take antibiotics and should begin to feel better within 24 to 48 hours.B I can use analgesics to help relieve some of the discomfort.C I should wear a supportive bra to reduce breast discomfort.D I need to stop breastfeeding until the infection resolves. الإجابة الصحيحة -
493
A woman had an uncomplicated vaginal delivery and is seen at home on postpartum day 4. Which assessment finding requires further evaluation by the nurse?
A Frequent urinationB Lochia serosaC Bright red vaginal bleeding with clots الإجابة الصحيحةD Uterus below the umbilical level -
494
month-old boys with hydrocephalus is admitted to surgical Ward post ventriculoperitoneal Shunt (VPS) What is the priority postoperative assessment ?
A Neurological Assessment الإجابة الصحيحةB decreased head circumferenceC poor feeding and pupillary changeD headache and excessive sleepiness -
495
34-weeks-pregnant mother experiences sudden gush from her vagina and mild uterine contractions. She informs about her condition and requests if she could wait until the delivery. Which of the following is the best desired response for report to the hospital ?
A Intravenous fluids and medicines need to be administeredB Observation is necessary to identify premature labour الإجابة الصحيحةC Pain and fluid flow both need to be controlledD Fetal heart sound monitoring is necessary -
496
Bioeffects report claims that obstetrical scanning may be harmful to particular group of patients. What should be the response of the medical community ?
A Perform the exams on all patients when the risks outweigh the benefitsB Stop all diagnostic examsC Ignore the reportD Perform exams on all patients when the benefits outweigh the risks الإجابة الصحيحة -
497
10 years' boy with polyuria and dysuria after assessment diagnosed with urinary tract infections what should do to take urine sample ?
A Increase fluid intake الإجابة الصحيحةB Decrease urine intakeC Regular intake of fluidD Zero intake of fluid -
498
20 weeks pregnant, primary gravid woman visits the antenatal has sickle cell anemia trait and worried this disease transmitted to her baby which of the following should be initial intervention ?
A Plan for the fetal genetic screeningB Educate mother that her disease is inactiveC Discuss the chances of genetic disease in the fetusD Gather data about the other family members having the disease الإجابة الصحيحة -
499
child has an abdominal pain and Hepatomegaly, what should the nurse expect ?
A Hepatitis الإجابة الصحيحةB CancerC Liver damageD Low level of hemoglobin -
500
A community health nurse plans an initial follow-up visit to a family whose firstborn child died from sudden infant death syndrome (SIDS). Which action is most important during the first visit?
A Help the family in planning for future childrenB Make referral for genetic counselling and educationC Allow time for the parents to express their anger an الإجابة الصحيحةD Educate the family on the causes of SIDS -
501
17-year-old arrived at the emergency room complaining abdominal pain on right lower quadrant. Pain was rated as numeric scale with positive rebound tenderness over the pain.Blood pressure 120/70 *Heart rate 100* Respiratory rate 22 Which of the following interventions has the highest priority ?
A keep NPO الإجابة الصحيحةB secure an IV accessC prepares for ultrasoundD prepares for abdominal surgery -
502
Rayed is provided framework wheelchair program needs. Which of the following Priority should include in the program ?
A School ageB PsychiatricC Pre-eclampsia الإجابة الصحيحةD Measles -
503
The nurse is assigned to care for an 8-year-old child with diagnosis of basilar skull fracture. The nurse reviews the health care provider's (HCP's) prescriptions and should contact the HCP to question which prescription ?
A Obtain daily weightB Provide clear liquid intakeC Nasotracheal suction as needed الإجابة الصحيحةD Maintain patent intravenous line -
504
infant who weighs kg (19.8 lbs.) requires 900ml of fluids per day for maintenance fluids. The infant typically consumes 120ml during each feeding. The infant must have how many feedings per day to meet the fluid maintenance needs ?
A 4B 8 الإجابة الصحيحةC 10D 12 -
505
nurse is caring for 14 month old immediately after surgical repair of cleft palate. In which of the following positions should the nurse put the child ?
A Prone الإجابة الصحيحةB lateralC SupineD Lithotomy -
506
How can the nurse detect the poor oxygenation for fetus ?
A Absent DecelerationB Absent acceleration الإجابة الصحيحةC Non-reactive fetal heart ctg tracingD Breathing movement -
507
Pregnant 36 weeks gestational with irregular painless contraction this signs called ?
A Hegar's signB Chadwick signC Braxton Hicks (false labor) الإجابة الصحيحةD True labor -
508
nurse explains some of the purposes of the placenta to client during prenatal visit. The nurse determines that the client understands some of these purposes when the client states that the placenta ?
A Cushions and protects the babyB Maintains the temp of the babyC Is the way the baby gets food and oxygen الإجابة الصحيحةD Prevents all antibodies and viruses from passing to the baby -
509
Ibuprofen 3 mg/kg by mouth every 6 hours is prescribed for a child who weighs 73 lb. The available concentration is 50 mg/2 mL. How many mL should the nurse administer per dose?
A 1 ml/doseB 3.9 ml/dose الإجابة الصحيحةC 2.9 ml/doseD 6 ml/dose -
510
what complications after cleft palate repair ?
A Teeth painB Deviated septumC speech difficulty الإجابة الصحيحةD recurrent tonsillitis -
511
The nurse is caring for a postpartum mother diagnosed with DVT. What is the most appropriate nursing action?
A AmbulationB Elevate the affected legC Apply ice to the backD Administer prescribed anticoagulant الإجابة الصحيحة -
512
The nurse should avoid the dorsogluteal intramuscular injection site in children because of the risk of injury to which nerve?
A VigusB Sciatic الإجابة الصحيحةC IlioinguinalD Lumbar plexus -
513
A pregnant woman reports leg cramps. Which advice should the nurse give to help relieve the cramping episode?
A Elevate the leg above hip level الإجابة الصحيحةB Change her position continuouslyC Apply foot support during settingD Wearing slipper -
514
Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. To prevent this syndrome, the nurse should keep infant inside incubators in which position ?
A Left sideB Back الإجابة الصحيحةC ProneD Right side -
515
Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. Which of the following position should the nurse avoid for infant that cause SIDS ?
A Left sideB BackC Prone الإجابة الصحيحةD Right side -
516
Infant 11 month On ECG heart rate 240 b/m. Embedded in the QRS complexes and absent wave. What is the expected diagnosis for the infant ?
A Ventricular tachycardia (VT)B BradycardiaC Supraventricular tachycardia (SVT) الإجابة الصحيحةD Atrial fibrillation -
517
A child with iron deficiency anemia complains of constant tiredness. The nursing diagnosis of fatigue is primarily related to which factor?
A Decreased ability of the blood to transparent oxygen to the Tissues الإجابة الصحيحةB An increased paroxysmal abdominal pain and distension to the stomachC A decreased anxiety level during hospitalizationD A decreased nutritional intake with mal absorption of -
518
When should stop performing sponges bathing for febrile infant ?
A Shivering الإجابة الصحيحةB TachycardiaC Mettled skinD Increase respiratory rate -
519
Immediately after birth, what is a major benefit of placing the newborn skin to skin with the mother?
A Control mother and baby temperatureB Initiate and facilitate early breast-feeding during 3rd stage of labor الإجابة الصحيحةC Improve circulation of babyD Improve Uterine Contraction -
520
Pregnant women are very tired. She is feeling anxious and anxiety for her baby. What is describe woman situation according to Maslow hierarchy ?
A Self esteemB Safety الإجابة الصحيحةC Physiological needsD Love and belonging -
521
nurse is preparing teaching session for elementary school students about the safety measures of hazards. Which of the following is the most appropriate topics for safety measure for children at this age ?
A Sport activitiesB Riding bicycle الإجابة الصحيحةC SwimmingD Driving -
522
10-year-old child is brought to the hospital with high fever and chills. The nurse records the vital signs and finds that her temperature is 104° (40° C), blood pressure is 130/85 mm Hg, and pulse rate is 120/min. The fever remains mostly high but is interspersed with periods of normal body temperature. What pattern of fever does the child have ?
A SustainedB Intermittent الإجابة الصحيحةC RemittentD Relapsing -
523
nurse is monitoring 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP ?
A Excessive vomiting الإجابة الصحيحةB Bulging anterior fontanelC Increasing head circumferenceD Complaints of frontal headache -
524
pregnant mother has been in labor for three hours with her membranes spontaneously ruptured. The nurse observed that the liquor amnl is meconium stained. Which of the following is the nurse's best interpretation ?
A Fetal hypoxia الإجابة الصحيحةB Low-lying placentaC Intrauterine infectionD It is mixed with maternal urine -
525
Which contraceptive method is most appropriate for a mother who is breastfeeding?
A Combined oral contraceptivesB Contraceptive PatchesC Estrogen only pills contraceptiveD Progesterone only mini pills الإجابة الصحيحة -
526
2-year-old child is admitted to the pediatric unit with diagnosed pneumonia. Which of the following intervention would be nursing priority ?
A Encourage coughingB Encourage exerciseC Perform postural drainage الإجابة الصحيحةD Avoid food high in carbohydrates -
527
Mastitis is an infection of the breast that occurs most often 2-4 after childbirth. Which of the following is considered first line treatment of mastitis ?
A Drainage of breast abscessB Antibiotic therapy and cessation of breast feedingC Antibiotic therapy and continuation of breastfeeding الإجابة الصحيحةD Advise mother to stop breastfeeding until infection is clean -
528
After repairing for child with cleft lip left side. Which of the following position should the nurse put the baby to prevent Aspiration ?
A ProneB On stomachC Right lateral الإجابة الصحيحةD Left lateral -
529
The child diagnosed with anemia and what should the nurse instruct about the food should be Limited and avoided for child ?
A Apple juiceB Orange juiceC Lemon juiceD Chocolate الإجابة الصحيحة -
530
patient with pre-eclampsia is admitted to the unit with an order for magnesium sulfate. The nurse will understand that the therapy is effective if ?
A Scotomas are presentB Ankle clonus is increasedC No seizures occur الإجابة الصحيحةD Blood pressure drops -
531
Pregnant woman came to ER with rupture of membrane. Why should the nurse Limit vaginal examination for her ?
A Prevent risk of infection الإجابة الصحيحةB Avoid bleedingC Prevent further loss of membrane fluidD Prevent fetal hypoxia -
532
Getting birth for mother who has gestational diabetes. How will this affect delivery process ?
A It will be EasyB It will be Difficult الإجابة الصحيحةC It will be fastD It will be slow -
533
How to prevent heat loss via evaporation for neonate after delivery ?
A Avoid exposure to air draftB Avoid contact to wallC Dry neonate and cover him, avoid any cold objects الإجابة الصحيحةD Warm any equipment's before touching neonate -
534
The nurse is caring for a child receiving a blood transfusion. The child becomes flushed and is wheezing. What should the nurse do first ?
A Notify the physicianB Administer oxygenC Switch the transfusion to normal saline solution الإجابة الصحيحةD Take the child's vital signs -
535
After hypospadias repair in a 15-month-old child, which postoperative instruction should the nurse give to the parents?
A Limit activity for weeksB Avoid apply ointment or powder الإجابة الصحيحةC Give child diet that is high in proteinD Isolate the child from other children with the infection -
536
An 11-month-old infant generally requires approximately how many milliliters of oral fluid in 24 hours?
A 200B 400C 800 الإجابة الصحيحةD 1200 -
537
The nurse is performing prenatal examination on client in the third. trimester. The nurse begins an abdominal examination that includes Leopold. maneuvers. What information should the nurse be able to determine after performing the assessment’s first maneuver ?
A Fetal descentB Placenta previaC Fetal lie and presentation الإجابة الصحيحةD Strength of uterine contractions -
538
A nurse is caring for a hospitalized toddler who has just been admitted to the NICU. After the mother leaves the unit, the child begins crying loudly, calling for the mother, and refusing comfort from staff members. Which stage of separation anxiety is the child experiencing?
A Protest الإجابة الصحيحةB DespairC DenialD Detachment -
539
Which of the following of maternal age and other factors that affect negatively on labor and cause severe complications ?
A Female 50and above الإجابة الصحيحةB Female 16 or lessC HypertensionD Anemia -
540
nurse is collecting urine of 4-year-old child with nephrotic syndrome. Which of following observation about the color of the child's urine the nurse expected to will chart ?
A Bright redB AmberC Dark, frothy الإجابة الصحيحةD Orang -
541
Which of the following mothers is High risk for laceration during labor ?
A 1 para mother for 12-hour deliveryB 3 para mother for 9 hours delivery الإجابة الصحيحةC 2 para mother for 9 hours deliveryD 2 para mother for 6 hours delivery -
542
In a postpartum client with heavy bleeding, which finding would suggest progression to hypovolemic shock?
A HemoglobinB HematocritC Cold clammy skin الإجابة الصحيحةD Increase Pulse -
543
After surgery for pyloric stenosis, which postoperative finding may still be expected initially?
A Abdominal painB Watery stoolC Vomiting الإجابة الصحيحةD Urinary -
544
Which week lung (surfactant) will be mature ?
A 20 weekB 24 weekC 16 weekD 28 week الإجابة الصحيحة -
545
Which organism is the most common cause of bacterial meningitis in children?
A MeningococcalB StaphylococcusC H. InfluenzaD Streptococcal Pneumonia الإجابة الصحيحة -
546
5-week-old newborn was admitted to pediatric Ward with pyloric stenosis, the newborn has weight loss, and projectile vomiting during feeding. They scheduled surgical repair of pyloric stenosis Which of the following. postoperative intervention for this ?
A IV fluid infant is retaining adequate amount by mouth الإجابة الصحيحةB Administration of proper analgesia until infant discomfort resolveC Start feeding immediately after postoperativeD Vomiting is uncommon in the first24-48 hrs -
547
Which hormone is primarily responsible for maintaining pregnancy during the early weeks?
A EstrogenB Progesterone الإجابة الصحيحةC OxytocinD Prolactin -
548
For a woman with a normal pre-pregnancy body mass index (BMI 18.5–24.9), what is the recommended total weight gain during pregnancy?
A 12.5 -18 KgB 11.5 -16 Kg الإجابة الصحيحةC 7 -11.5 KgD 5 Kg -
549
child with asthma has an order for albuterol, before administration of the medication the nurse MUST ?
A Pre-oxygenate the patientB Assess the patient's heart rate الإجابة الصحيحةC Obtain venous AccessD Feed the patient snack -
550
postpartum priority assessment episiotomy for ?
A Colour الإجابة الصحيحةB EdemaC DischargeD Appearance -
551
postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert ?
A Endometritis الإجابة الصحيحةB EndometriosisC SalpingitisD Pelvic thrombophlebitis -
552
After rupture of membranes in a laboring client, the fetal monitor shows variable decelerations. What should the nurse do first?
A Stop the oxytocin infusionB Change the client’s position الإجابة الصحيحةC Prepare for immediate deliveryD Take the client’s blood pressure -
553
Offer ... medical equipment to encourage the child to expression of his feelings about new hospitalization experience and illness ?
A ImitationB Toys الإجابة الصحيحةC MaterialD Rules -
554
A child with marasmus is admitted for treatment. If the condition is not managed properly, which complication is the child most at risk for developing?
A Severe dehydration الإجابة الصحيحةB RicketsC KwashiorkorD Hyperactivity of the central nervous system -
555
the child fears of being alone and some machine sound during hospitalization at age ?
A 5 monthsB 8 monthsC 9 monthsD 7years الإجابة الصحيحة -
556
At approximately what age does the child immune system reach a mature level comparable to that of adults?
A 10 years الإجابة الصحيحةB 9 yearsC 12 monthsD 15 years -
557
Which of the following we consider Congenital diaphragmatic hernia is related to any conditions or under cases ?
A SepsisB Pulmonary الإجابة الصحيحةC HeartD Alkalosis -
558
A student nurse measures the pulse of a 3-month-old infant at 165 beats per minute during a routine checkup. What should the supervising staff nurse do first?
A Inform the doctorB Ask parents about history of heart diseaseC The staff nurse should check all the vital signs and repeat assessment الإجابة الصحيحةD Ask the student nurse to check child's file -
559
An 8-month-old patient has gastroenteritis, and He is treated, now what do you instruct the mother about ?
A weaningB Nutritional requirements الإجابة الصحيحةC Toilet trainingD Accidents -
560
NICU child, when his mother came out, he sat shouting, and crying at Which stage of separation ?
A DespairB DenialC Protest الإجابة الصحيحةD Anxiety -
561
pregnant women G1 P0 vaginal delivery observed in the second postpartum day that the perineal pad. saturated with bright red lochia rubra what is the priority nursing intervention ?
A Massage fundusB Obtain vital signsC Inform physicianD Inquire about time of pervious saturated perineal pads الإجابة الصحيحة -
562
The mother of a 1-month-old infant reports vomiting and diarrhea for 2 days. Which is the priority nursing action?
A Instruct the mother to provide the infant with 50 mL of glucose waterB Instruct the mother to measure the infant's urine output for 24 hoursC Instruct the mother to give the infant at least 2 ounces of juice every 2 hoursD Instruct the mother to bring the infant to the clinic for evaluation الإجابة الصحيحة -
563
During a third-trimester teaching session, which maternal statement indicates the need to contact the hospital immediately?
A Gush of urinary outflow without any urge الإجابة الصحيحةB Low back pain at night and difficulty in sleepC Activity intolerance and breathlessness on exertionD Absence of contraction after 42 week of pregnancy -
564
The Postpartum mother was asking the nurse about timing for restating sexual intercourse activity. What should the nurse response ?
A 3 weeks after deliveryB As long as taking contraceptivesC After stop of lochia discharges الإجابة الصحيحةD Any time she wants -
565
Infant months with patent ductus arteriosus. What is the expected signs and symptoms for infant ?
A AcrocyanosisB Central cyanosisC Tachycardia and tachypnea الإجابة الصحيحةD Tachypnea -
566
Late deceleration patterns are noted when assessing the monitor tracing of woman whose labor is being induced with an infusion of Pitocin. FHT go down from 140 b/m to 130 b/m. The woman is in sidelying position. and her vital signs are stable and fall within normal range. Contractions are intense. last 90 seconds. and occur every 1/2 to minutes. The nurse's immediate action would be to ?
A Change the woman’s positionB Stop the Pitocin الإجابة الصحيحةC Elevate the woman’s legsD Administer oxygen via tight mask at to 10 liters/minute -
567
A mother of a child with spastic cerebral palsy asks the nurse whether her child will definitely develop intellectual disability as an adult. Which is the most appropriate response?
A “Most children with cerebral palsy have normal intelligence.”B “All children with cerebral palsy develop severe intellectual disability.”C “Cerebral palsy always results in cognitive impairment.”D “Intellectual ability in cerebral palsy varies widely depending on brain involvement.” الإجابة الصحيحة -
568
The neonate after delivery with normal heart rate and normal respiration rate. The neonate with Pink skin, active reflexes and Lusty cry. What is the most appropriate Apgar score ?
A 9B 10 الإجابة الصحيحةC 8D 7 -
569
A primiparous mother asks about an important benefit of breastfeeding for her infant. Which response by the nurse is most appropriate?
A Lowers risk of asthma and allergies الإجابة الصحيحةB Lower risk of haemolytic diseaeC Decreass rate of infant linear growthD Increase child abstract cognition -
570
42 multpara arrive to ER on active labour with rupture of membranes and she want to have mormal delivery without medication ...her husband come with her and appear anxtious What is appropriate response from nurse ?
A Offer her non pharmacological method ...as she can doB Support her decision and offer non pharmacological method when needed الإجابة الصحيحةC Speak with her husband to convince her about other methodD Use pharmacological method -
571
A child has iron overload from receiving multiple blood transfusions for treating thalassemia major. A nurse should anticipate the physician will likely:
A order intravenous (IV) fluids to dilute the excess iron and increase urinary excretionB change the type of blood product being transfusedC reduce the frequency of blood transfusionsD begin chelation therapy الإجابة الصحيحة -
572
Pregnant woman with cervical dilatation 7 cm and fetus head on zero station. What is the stage of labor ?
A Second stageB Active phase الإجابة الصحيحةC Transition phaseD Latent phase -
573
The community nurse visited Postpartum mother and she complained her. She feels abdominal pain during breastfeeding and she never feel that on previous delivery before. What is the most appropriate action ?
A It is not important. No actionB It is important. Stop breastfeedingC It is important. Continuous breastfeeding الإجابة الصحيحةD It is not important. Continuous breastfeeding -
574
nurse is assigned to the antenatal clinic to give health education to group of pregnant women on the danger signs in pregnancy Which of the following would the nurse instruct women to immediately come to hospital ?
A If they experience some headachesB If they start bleeding from the vagina الإجابة الصحيحةC If their estimated data of delivery has passedD If they experience more than 10 fetal movements per day -
575
Amnion. inner membrane surrounding the fetus. The amniotic fluid, fetus, and umbilical cord are all found within the amnion. Chorion. Outermost embryonic membrane and forms part of the placenta. To prevent and releive fetal distress related to maternal hypotension. Which of the position should apply ?
A Left side الإجابة الصحيحةB Right sideC Semi fowlerD Knee chest position -
576
5-year-old boy has dietary modification due to his diabetes, In his parents' encourage him to value good nutritional habits, they decided to deny him playing favorite toys when he eats food that is not on his diet plan. What this mode of value transmission is called ?
A ModellingB MoralisingC Responsible choiceD Rewarding and punishing الإجابة الصحيحة -
577
10-month-old infant was admitted with recurrent otitis made with in months. On assessment, the nurse noticed that the parents lock knowledge about the condition. Health teaching is planned. Which risk factor should the nurse include in health teaching ?
A High feverB Painful earC Foreign bodyD Respiratory infection الإجابة الصحيحة -
578
Which structure secret HCG hormones to sign pregnancy ?
A deciduaB ZygoteC MorulaD Blastocyst الإجابة الصحيحة -
579
During pregnancy, labor, and the postpartum period, why is regular bladder emptying important?
A PainB False readingC Bleeding الإجابة الصحيحةD Infection -
580
A child has a newly applied cast. Which nursing action is appropriate for cast care?
A Put in hot waterB Put infront of fan or cooller to dry fast الإجابة الصحيحةC Put in cold water to dry fastD Put powder on the edges of the cast to prevent itching -
581
pregnant lady she come to gynocolical word she have vaginal bleeding and cervex not dialted the problem ocuured before she followed bed rest and when she did effort it returned back to her They diagnosed her with threatened abortion. What is the treatment should the nutse expect for this lady ?
A surgical treatmentB induction of labor(syntocinon)C dialitation and curtageD Repeate Bed rest الإجابة الصحيحة -
582
Contraindication for oral contraceptives ?
A HypotensionB Hypertension الإجابة الصحيحةC AnemiaD Infection -
583
For a child with measles, how long should airborne isolation be maintained after the onset of rash in a routine case?
A 5 days الإجابة الصحيحةB 1 weekC 2 weeksD 3 weeks -
584
what is the dose of vitamin K according to WHO 2017 ?
A 0.2B 0.5C 1 الإجابة الصحيحةD 2 -
585
The nurse Assess Neonat after delivery using Apgar score. Sponteanous respiration Prompt respond Limitted cry 98 pulse Pinkish body color execpt hands What is the expected score ?
A 8B 7 الإجابة الصحيحةC 6D 5 -
586
When giving analgesic for pregnant mother during labor. What is the most important consideration should the nurse taken ?
A MotherB FetusC ContractionD It will affect and cause prolonged labor الإجابة الصحيحة -
587
Which chest assessment finding is classically associated with vitamin D deficiency in a child?
A Dull soundB Rosary الإجابة الصحيحةC CrackleD Chest deformity -
588
child is treated for bacterial meningitis with an intravenous antimicrobial agent. Which of the following BEST indicates effectiveness of the treatment ?
A Increased appetiteB Low Temperature الإجابة الصحيحةC Decrease pulseD Nodul of skin disappear -
589
When administering medication to four year-old child, which of the following actions should nurse take ?
A Ask the child to take the medicationB Indicate to the child firm expectation to take the medicationC Mix the medication with large amount of the child's favourite food or drink الإجابة الصحيحةD Inform the child that an injection will be necessary, if the child refuses to take oral medication -
590
When administering an intramuscular injection to an infant, which of the following sites appropriate for the nurse to use ?
A Rectus femoris الإجابة الصحيحةB DeltoidC DorsoglutealD Ventrogluteal -
591
When the bag of water ruptures, the nurse should watch for which of the following risks ?
A Fetal distressB Cord prolapse الإجابة الصحيحةC Respiratory distressD Bleeding -
592
nurse in the labor room is performing vaginal assessment on pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the following would be the initial nursing action ?
A Place the client in Trendelenburg’s position الإجابة الصحيحةB Call the delivery room to notify the staff that the client will be transported immediatelyC Gently push the cord into the vaginaD Find the closest telephone and stat page the physician -
593
pregnant mother is in the active labour. Her cervix is fully effaced dilated with crowing of the fetal head. The mother is exhausted, perspiring, and is having increasingly painful and severe uterine contractions. Which of the following intervention is best desired by the assisting midwife ?
A exert pressure on abdomen to aid in child birthB increase the rate of intravenous medicationC wipe face with wet towel and hold handsD instruct mother to push harder الإجابة الصحيحة -
594
The mother and her husband are sickle cell anemia carrier. What is the child percentage to be carrier ?
A 0.25B 0.5 الإجابة الصحيحةC 0.75D 1 -
595
months baby diagnosed with hirschsprung disease what is the disease ?
A Symptoms occur after monthsB affect both small and large intestineC absences of prestalisis movement in the distal part of large intestine /colon الإجابة الصحيحةD telescoping of the intestine -
596
The Vitro fertlization is related to (indications) ?
A Blockage of fallobian tube الإجابة الصحيحةB Donner of spermC Absence of spearmD imnunolergic hormone -
597
For the baby immediately after head delivery to expect good crying What should the nurse provide ?
A Endotrachial tubeB Suction secretion from nose and mouth الإجابة الصحيحةC Warm bathD Slap baby on his buttocks -
598
A child has wheezing, nasal flaring, and respiratory distress. The physician prescribes nebulized Pulmicort and salbutamol. Which diagnosis is most consistent with these findings?
A Viral bronchitisB Asthma الإجابة الصحيحةC RhinitisD Because his parents are smoking -
599
Postpartum mother after days of Cesarean Section. She has BMI 29. The nurse wants to give health instructions for her. Which of the following teachings should the nurse provide about ?
A InfectionB Puerperal sepsisC Diet and exercises الإجابة الصحيحةD Bleeding -
600
A newborn with tracheoesophageal fistula (TEF) is scheduled for surgical repair. What is the most appropriate preoperative feeding management?
A Gastrostomy feedingB BreastfeedingC NPO + IV fluids + continuous suction الإجابة الصحيحةD Bottle feeding -
601
How often should a healthy baby usually be bathed?
A twice week with warm water الإجابة الصحيحةB Every day with warm waterC Every day with warm water and acidic soapD twice week with warm water and alkaline soap -
602
lot of theories took about early skin contact in 3rd stage of labour what is the purpose from early skin to skin contact between mother and child ?
A at warm babyB improve bonding الإجابة الصحيحةC improve uterine contractionD decrease maternal pulse rate -
603
2 years old girl came to ER with perant. She experienced frequent urination. She lost kg of her weight. Which of the following is the best diagnostic tests ?
A CTB CBCC FatD Blood glucose level الإجابة الصحيحة -
604
Postpartum Mother was complaining from hemorrhage. The bleeding controlled and stop hours ago. The mother is asking now the nurse to go bathroom for urination. What should the nurse response ?
A Don't let her go to bathroomB Let her to go bathroomC Instruct mother to set on the bed then put her leg down gradually الإجابة الصحيحةD Keep her in bed and Provide bed pan -
605
RSV vaccine route for premature baby is ?
A IM الإجابة الصحيحةB IVC SCD Oral -
606
During the active phase of the first stage of labor, the fetus had variable decelerations. When the placenta is inspected after delivery, which abnormality is most likely to be found?
A NormalB CircumvallateC SuccenturiateD Velamentous الإجابة الصحيحة -
607
A laboring woman develops late decelerations. Which nursing intervention should be performed first among the following options?
A Administration of oxygen الإجابة الصحيحةB increase rate of pitucinC Put pt in supine positionD Documents fetal heart rate and continuous monitoring -
608
33-year-old patient in her 13th week of pregnancy has come for her routine gynecological Appointment. According to the ultrasound, her fetus is female. She already has daughters but her family wants the male child, so she asked the nurse guidance to terminate her pregnancy. The Nurse explained that baby's gender is determined by the father. She later involved her husband in the Discharge planning and finally helped the father agree to continue the mother's pregnancy. What professional obligation is fulfilled through the nursing implementation ?
A Influenced decision making الإجابة الصحيحةB Incident prevention beforehandC Empathetic leadership approachD Sympathetic knowledge sharing -
609
The midwife teaches premenopausal and postmenopausal women about having regular Pap smear tests. Which nursing problem is primarily being addressed?
A Ineffective copingB Disease preventionC Health maintenance الإجابة الصحيحةD Therapeutic regimen -
610
A child with childhood disintegrative disorder is being evaluated for improvement. Which finding is the earliest sign of progress among the following options?
A Child no longer steal thingsB Child no longer blame othersC Persist aggressive behaviorD Child no longer loss of bladder control الإجابة الصحيحة -
611
A newborn born by elective caesarian section under general anesthesia term 30 weeks of pregnancy. His weight is 1340 gm, and he is in (20) the percentile in intrauterine growth chart. He is admitted to Neonatal intensive Care Unit. Which of the following is the classification of this newborn according to gestational age and birth weight using intrauterine growth chart ?
A He is appropriate for gestational age الإجابة الصحيحةB He is extremely low birth weightC He is small for gestational ageD He is very low birth weight -
612
Postpartum mother came to ER with colic pain and dysurea. She has high temperature 38°c and WBCs 12,000. What is the initial nursing intervention ?
A Administer antipyreticsB Administer antibiotics as ordered by doctor الإجابة الصحيحةC Collect midstream urine sampleD Encourage her to drink plenty of fluids -
613
The most common normal position of the fetus in utero in 36 week is ?
A Transverse positionB Vertical position الإجابة الصحيحةC Oblique positionD Diagonal position -
614
Child post appendectomy with severe pain. What is the most appropriate nursing intervention ?
A Give pain medication as ordered الإجابة الصحيحةB Rest read bookC Walk with parentsD Talk with same group age child -
615
Pregnant women with varicose vein. What is the Nursing intervention ?
A Elastic stock الإجابة الصحيحةB Elevation leg on pillowC Wear flat shoes not wearing heels )D appropriate position while sitting with support back -
616
A newborn delivered at 30 weeks gestation weighs 1000 g. According to the growth chart used in this item, which percentile is indicated?
A 0.2 الإجابة الصحيحةB 0.1C 0.9D 0.95 -
617
newborn born by elective caesarian section under general anesthesia 32 weeks of pregnancy. His weight is 1000 gm. He is admitted to Neonatal intensive Care Unit. Which of the following is the percentile gestation of this newborn on the chart ?
A 0.1 الإجابة الصحيحةB 0.2C 0.9D 0.95 -
618
Postpartum Mother complaining of breast engorgement and pain during feeding what to do ?
A Apply ice pack, before feedingB Apply warm pack, before feeding الإجابة الصحيحةC Massage breastD Apply analgesic cream -
619
When selecting activities to help develop child’s fine motor skills, which of the following would best meet this goal ?
A Sorting cardboard objects that are in different shapes الإجابة الصحيحةB Singing while turning the pages of book that plays musicC Jumping ropeD Riding three-wheeled bicycle -
620
A child with croup has respirations of 50 per minute and fever. Which nursing intervention is most appropriate among the following options?
A Monitor respirationB ICP positionC Rise the HOB الإجابة الصحيحةD Heparin antidote -
621
Which of the following is produced oxytocin hormone ?
A pituitary glandB Hypothalamus الإجابة الصحيحةC Postrior pituiyary glandD Anterior pituitary gland -
622
In this item, cleft palate repair is planned later than cleft lip repair. Which option is the best available timing for surgery?
A After one year الإجابة الصحيحةB After two yearsC After the child is able to hold cupD After improving his awareness -
623
Why is better for preventing use of powder for children after bathing ?
A Respiratory problems الإجابة الصحيحةB Itching skinC DiarrheaD Skin dryness -
624
An infant has depressed nasal bridge development with a flat facial profile caused by expansion of the bone marrow from chronic red blood cell destruction. Which diagnosis best explains this finding?
A Iron deficiency anemiaB Sickle cell anemiaC A plastic anemiaD Hemolytic anemia الإجابة الصحيحة -
625
A child with type 1 diabetes mellitus is being cared for at home. Which sign should the nurse tell the mother requires urgent attention?
A PolyuriaB Vomiting الإجابة الصحيحةC DizzinessD Thirsty -
626
A breastfeeding mother has mastitis with engorgement of the left breast. Which nursing instruction is most appropriate?
A Stop feeding and take antibioticsB Continue breast feeding on right breastC Use breast pump الإجابة الصحيحةD Stop feeding and wait until its gone -
627
A 5-year-old child with vomiting and diarrhea needs maintenance IV fluids for 24 hours. Approximately how much fluid should the child receive?
A 900 mlB 1200 mlC 1500 ml الإجابة الصحيحةD 1700 ml -
628
What is the first assessment for neonate after cutting umbilical cord ?
A Cover baby with towel and keep warming الإجابة الصحيحةB Encourage early contact with motherC Check baby from cyanosisD Check score assessment -
629
43 years female 12 weeks pregnant presents to her OB-GYN for HIV testing following recent knowledge of her husband's infidelity. She tests positive and becomes increasingly emotional stating """"There is no point in me continuing this pregnancy since my baby will be born HIV positive."""" Given the client's statement what is the best response by the nurse ?
A If that is how you feel we can discuss different options for abortionB While it is true your baby will be born HIV positive, this doesn't mean him or her can't live happy lifeC If we start you on series of medications called antiretrovirals and you stick to your prescribed treatment there is very small chance your baby will be born HIV positive الإجابة الصحيحةD There is no reason to worry; your baby can only become HIV positive if he or she is breastfed once born -
630
physician has ordered gavage feeding every hours for 12- week-old infant with failure to thrive. In order to know how far to insert the feeding tube. The nurse should measure the distance from ?
A The infant’s mouth to the xiphoid process of the sternumB The tip of the infant’s nose to the ear and then to the umbilicusC The infant’s mouth to the ear and then to the umbilicusD The tip of the infant’s nose to the ear and then to the xiphoid process of the sternum الإجابة الصحيحة -
631
Lochia alba usually disappears by approximately how many days postpartum?
A 5 daysB 7-10 daysC 18-21 daysD 28-30 days الإجابة الصحيحة -
632
Child with Marasmus. What is type of deficiency for him ?
A Low vitamis and low caloriesB Low protein and low calories الإجابة الصحيحةC Enough protein and low caloriesD Enough calories and low protein -
633
How many millitters of fluids should the breastfeeding women increase more than her needs ?
A 100 mlB 400 mlC 600 mlD 800 ml الإجابة الصحيحة -
634
A child has severe vomiting with dehydration. What urine color is most likely expected?
A CloudyB YellowC Yellow brownish الإجابة الصحيحةD Bright red -
635
How many cm should the baby increase length after months of delivery ?
A 0.5B 1.5 الإجابة الصحيحةC 2.5D 3.5 -
636
When can breastfeeding jaundice develop with a latent onset ?
A 2 - 4 weeks الإجابة الصحيحةB 4 - 7 weeksC After monthD After 3 months -
637
When occurs late jaundice related to breast feeding ?
A 1 to 2 daysB 7 daysC 10 days الإجابة الصحيحةD More than 3 month -
638
What is the important nutrition during pregnancy ?
A High mercury fish (tuna, marlin, king mackerel)B Undercooked or raw fishC Vitamin B9 الإجابة الصحيحةD Raw eggs -
639
A child has tracheoesophageal fistula and surgical repair is planned. Which preoperative intervention is appropriate?
A Put the patient in supine positionB Give SedativesC Oral feedingD Antibiotic therapy الإجابة الصحيحة -
640
The girl patient presented with diarrhea, vomiting, decreased tear production in the eyes, clammy skin, and a sodium level (NA) below 130. What level of dehydration is she experiencing ?
A Mild isotonicB Moderate isotonicC Moderate hypotonic الإجابة الصحيحةD Moderate hypertonic -
641
Based on current evidence-based practice, which routine labor intervention is considered harmful and should not be done routinely?
A Enema during delivery الإجابة الصحيحةB AmniotomyC Vaginal examinationD Filling the portogram -
642
What is the side effect of oxytocin ?
A Water intoxication الإجابة الصحيحةB Kidney toxicityC DiureticsD Fluid excess -
643
Why must the nurse monitor a laboring client’s intake and output closely while oxytocin is being infused?
A Oxytocin causes water intoxication الإجابة الصحيحةB Oxytocin causes excessive thirstC Oxytocin is toxic to the kidneysD Oxytocin has a diuretic effect -
644
What is a common finding in most children with congenital heart disease ?
A Mental retardationB Delayed physical growthC Clubbing of fingersD Cyanosis الإجابة الصحيحة -
645
What are the disadvantage of the mini pill (progesterone-only pill) ?
A Spotting between menses الإجابة الصحيحةB Premenstrual syndromeC Weight lossD Endometriosis -
646
What is the preferred method for measuring a newborn’s temperature?
A Tympanic.B Axillary. الإجابة الصحيحةC Oral.D Rectal. -
647
In early pregnancy, from where is human chorionic gonadotropin (hCG) secreted?
A Embryo الإجابة الصحيحةB Corpus luteumC OvaryD Pituitary gland -
648
What does the blastocyst secrete ?
A HCG الإجابة الصحيحةB EstrogenC ADHD Progesterone -
649
A patient is coming with a radiograph and complaining of chest pain. Which of the following questions should the radiologist ask the patient first before conducting the radiograph for chest X-ray ?
A Can you hold your breath well or notB Do you have any accessories on or are you wearing any accessoriesC Ask her if she is pregnant الإجابة الصحيحةD Can you raise your hand to perform a certain action -
650
A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media ?
A Infants are in a supine or prone position most of the time.B Sucking on a nipple creates middle ear pressure.C They have increased susceptibility to upper respiratory tract infections.D The eustachian tube is short, straight, and wide. الإجابة الصحيحة -
651
A patient 4 years old needs to receive a doctor-prescribed medication at a dosage of 10mg/kg/day for one week. The medication is available in a concentration of 125mg/5ml. The patient's body weight is 15 kg. How many ml per day should be given to the patient ?
A 2 ml QIDB 3 ml Bid الإجابة الصحيحةC 5 ml ODD 6 ml PRN -
652
A 4-year-old child weighs 15 kg and is prescribed 10 mg/kg/day of a medication divided into three equal doses. The drug concentration is 125 mg/5 mL. How many milliliters should the child receive per dose?
A 1 mL TIDB 1.5 mL TIDC 2 mL TID الإجابة الصحيحةD 3 mL TID -
653
What are the most common causes of fetal death or mortality ?
A AsthmaB AccidentC Malnutrition diseaseD Cardiac disease الإجابة الصحيحة -
654
A Community nurse make Antenatal education for group of pregnant women, what’s the goal of this program (NCLEX) ?
A Psychological adaptation to parenthoodB Reducing risks and problems الإجابة الصحيحةC Modes of delivery during childbirthD Birth control options -
655
Clients with gestational diabetes are usually managed by which of the following therapies (NCLEX) ?
A Oral hypoglycemic drugs and insulinB Oral hypoglycemic drugsC NPH insulin (long-acting)D Diet الإجابة الصحيحة -
656
A nurse teaches a 13-year-old patient how to self-administer insulin. This nursing action is best described as:
A InspiringB EmpowerC Enabling الإجابة الصحيحةD Encouraging -
657
Hyperemesis gravidarum is a common occurrence for pregnant women, and there are home remedies that have been proven to relieve nausea and vomiting. Which one of the following is one of them ?
A CucumberB Ginger الإجابة الصحيحةC CoffeeD Cinnamon -
658
A 21-year-old female experiences irregular menstrual cycles that are described as anovulatory cycles. What does the term "anovulatory" mean?
A One ovum is released from the ovaryB Two ova are released from the ovaryC No ovum is released from the ovary الإجابة الصحيحةD Ovulation occurs two days later than expected -
659
Which of the following is not considered as an obstetrical emergency ?
A Ectopic pregnancyB Placenta previaC Placenta anterior الإجابة الصحيحةD Eclampsia -
660
A 12-year-old boy came to the clinic with his mother. He has a warm body, weight loss, and trouble sleeping. What does the nurse suspect ?
A Hyperthyroidism الإجابة الصحيحةB HypothyroidismC HyperparathyroidismD Hypoparathyroidism -
661
Why should hypospadias be repaired before three years old ?
A The child's movement is limited.B Decrease risk infection.C This is because the child is cooperative.D Before the penis/urethra is fully developed الإجابة الصحيحة -
662
A 3 days old newborn who is diagnosed with Hirschsprung disease presents with failure to pass meconium within 24-48 hours of life. What is the diagnostic test for Hirschsprung disease ?
A Chest X-rayB UltrasoundC MRID Rectal Biopsy الإجابة الصحيحة -
663
A nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for PreeclampsiThe nurse checks the client for which specific signs of Preeclampsia ?
A Increased respirationsB Negative urinary proteinC Elevated blood pressure and positive urinary protein الإجابة الصحيحةD Facial edema -
664
A child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority ?
A Risk for infection related to epidermal disruptionB Ineffective airway clearance related to edema الإجابة الصحيحةC Disturbed body image related to physical appearanceD Impaired urinary elimination related to fluid loss -
665
A woman comes to the ER with brown vaginal bleeding. After reviewing the ultrasound, the doctor decided to perform an emergency Cesarean section (CS). What should be anticipated ?
A PreeclampsiaB Total placenta previa الإجابة الصحيحةC Partial placenta previaD Preterm labor -
666
A pregnant woman’s last menstrual period began on April 8, 2005, and ended on April 13. Using Naegele’s rule her estimated date of birth would be ?
A July 1, 2006B January 15, 2006 الإجابة الصحيحةC January 20, 2006D November 5, 2005 -
667
In a school-aged child with possible diabetes, which complaint is most likely to prompt parents to seek evaluation?
A PolyphagiaB DehydrationC Bedwetting الإجابة الصحيحةD Weight loss -
668
In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-aged child for evaluation ?
A PolyphagiaB VomitingC Bedwetting الإجابة الصحيحةD Thirsty -
669
Gracie, the mother of a 3-month-old infant calls the clinic and states that her child has a diaper rash. What should the nurse advise ?
A Use baby wipes with each diaper changeB Switch to cloth diapers until the rash is goneC Offer extra fluids to the infant until the rash improvesD Leave the diaper off while the infant sleeps الإجابة الصحيحة -
670
A mother infected with COVID-19 wants to breastfeed her baby. What instructions should the nurse provide ?
A Stop breastfeedingB Exposed to breastfeedingC Switch to bottleD Breastfeeding with precautions الإجابة الصحيحة -
671
A pregnant woman at 38 weeks gestation and in stage 1 active phase. She presented to the emergency department with signs of labor, and her cervix is dilated 8 cm. The nurse needs to transfer her to the operating room (OR), but when she called the OR, they said there are no available beds. What is the expected action for the nurse to take ?
A Tell her to go to another hospital.B Refer to gynecology departmentC Ask to take deep breath to prolong laborD They deliver her in the emergency room الإجابة الصحيحة -
672
A 33 week pregnant mother is on her routine medications that include iron supplement, folic acid, multivitamins and calcium supplement, despite all medication her hemoglobin has not been increase since last two month, she is experiencing more fatigue and lethargy since past few weeks HB 80 ….. HCT 0.22. Which of the following intervention is the most desired ?
A should separate the iron and calcium for two hours الإجابة الصحيحةB Start injectable multivitamins as per regimenC Advise increase intake of organ meat and fortified foodD Advise increased food intake by frequent small meals and snacks -
673
Pregnant women in active labor, how many times the midwife did vaginal examination ?
A With each contractionB As much as potC Every 4 hoursD Limited vaginal examination الإجابة الصحيحة -
674
The Wassermann test should be done before maternity for the early identification of which of the following ?
A Hepatitis CB HIVC Syphilis الإجابة الصحيحةD Toxicology -
675
A female patient came to the ER two weeks after postpartum and presented with hemorrhage. What type of postpartum hemorrhage is the nurse expecting ?
A Late postpartum hemorrhage الإجابة الصحيحةB Early postpartum hemorrhageC AtonicD Traumatic -
676
A nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. The health care provider (HCP) prescribes a contraction stress test. The test is performed, and the nurse notes that the HCP has documented the results as negative. How should the nurse interpret this finding ?
A A normal test result الإجابة الصحيحةB An abnormal test resultC A high risk for fetal demiseD The need for a cesarean delivery -
677
The child presented with a low-grade fever,is sneezing and appears restless, What instructions would you give to the parents ?
A Penicillin for 3 daysB Antivirus 10 daysC Antipyretic الإجابة الصحيحةD Cough depressant -
678
A newborn presented with mild fever cough, poor feeding, sneezing, crying and appears restless. What advice did the nurse give to the mother ?
A Amoxicillin for 3 daysB Antiviral for a weekC Give antipyretic for mild fever and discomfort الإجابة الصحيحةD Cough depressant -
679
A 2-month-old infant comes for immunization and is found to have a temperature of 38.1°C during assessment. What is the best action?
A Go on with the infant immunizationB Give paracetamol and wait for his fever to subsideC Refer the infant to the physician for further assessment الإجابة الصحيحةD Advise the infant mother to bring him back for immunization when he is well -
680
During neonatal resuscitation, if congenital diaphragmatic hernia is suspected, what should you do first?
A Avoid mask and bag ventilation الإجابة الصحيحةB Administer nitric oxideC Immediate surgery repair after resuscitationD Start iv fluid -
681
A Nurse is caring for 3rd day post partum woman, what should the nurse be alert about mother take ?
A I am interested to return home.B The baby hair look alike his grandmother hairC I am tired and I can't sleep all night the baby cry all the night.( wont stop crying) الإجابة الصحيحةD I finally become a mother -
682
Which procedure can increase the risk of cord prolapse and infection?
A CardiocentesisB AmniocentesisC Trendelenburg positionD Amniotomy الإجابة الصحيحة -
683
A nurse is caring for a toddler after surgical repair of a cleft palate, the nurse should position the child ?
A On his backB On his stomach الإجابة الصحيحةC On his back with his head slightly elevatedD For comfort -
684
A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measureHer skin is pale and moist. The nurse’s initial response would be to : ?
A Assess the woman’s blood pressure and pulseB Have the woman breathe into a paper bagC Turn the woman on her side الإجابة الصحيحةD Raise the woman’s legs -
685
Nurse Mariane is caring for an infant with spina bifidWhich technique is most important in recognizing possible hydrocephalus ?
A Magnetic resonance imaging (MRI)B Performing a lumbar punctureC Obtaining skull X-rayD Measuring head circumference الإجابة الصحيحة -
686
A 10-year-old girl is seen in the emergency department with a right fibular fracture. Her parent asks how long it will take for the fracture to heal. Which of the following is the most appropriate response by the nurse?
A 4-6 weeksB 2-4 weeksC 6-8 weeks الإجابة الصحيحةD 8-10 weeks -
687
A newborn delivered at 24 weeks' gestation weighs 1000 g. On a growth chart, this weight would most likely fall into which percentile category for gestational age?
A Between 10 to 90 الإجابة الصحيحةB Less than 10C Greater than 90D At 90 percentage -
688
What is the recommended maximum duration for a single suction pass in a child?
A Less than 5 second الإجابة الصحيحةB Less than 10 secondC Less then 30 secondD Less than 40 second -
689
A postpartum woman came to the clinic with her baby. The nurse assessed the umbilical corWhat are the signs of cord infection ?
A Reddened base الإجابة الصحيحةB Bluish whiteC Black and dryD Dry -
690
A primigravid client who is at 14 weeks gestation has been diagnosed with hyperemesis gravidarum. The nurse explains to the client that the condition is related to high levels of ?
A TestosteroneB Estrogen الإجابة الصحيحةC AldosteroneD Progesteron -
691
A pregnant woman with sickle cell anemia is admitted in active labor. Which nursing intervention is MOST important to reduce the risk of fetal hypoxia during labor?
A Provide effective pain managementB Administer supplemental oxygen to the mother الإجابة الصحيحةC Encourage frequent position changesD Monitor maternal intake and output -
692
Sickle cell disease follows which pattern of genetic inheritance?
A Autosomal dominant inheritanceB Autosomal recessive inheritance الإجابة الصحيحةC X-linked recessive inheritanceD Mitochondrial inheritance -
693
Vitamin k dose in newborn ?
A 0.25 mgB 0.5mgC 1 mg الإجابة الصحيحةD 2mg -
694
A nurse is caring for a child post-tonsillectomy. Which nursing action is most appropriate for postoperative care?
A Encourage the child to cough spontaneouslyB Observe for subtle signs of hemorrhage الإجابة الصحيحةC Place the child in the prone positionD Suction the mouth to clear the airway -
695
A postpartum woman was hospitalized for 24 hours after delivery. A community nurse visits her 2 days after discharge. Which of the following findings is abnormal at this time?
A Frequent urinationB Lochia serosa الإجابة الصحيحةC Uterus below umbilical levelD Both breast full of milk -
696
A 30-year-old pregnant lady in her 33 weeks pregnancy. When the nurse assesses the health condition of the lady, she provides nursing care and health teaching. Which of the following types of home visiting is the best to be conducted ?
A SelectiveB Follow up الإجابة الصحيحةC Fieled tripD Systemic -
697
Mother has 8 months child wants to give her baby an egg to eat what is the kind of egg she should give ?
A Give whole eggB Don’t give for child until 1 yearC Give white egg without yolkD Give yolk egg without white الإجابة الصحيحة -
698
Which symptom is most closely associated with the effect of hCG in early pregnancy among the following options?
A Aneroxia الإجابة الصحيحةB OsteoarthritisC MenopauseD Depression -
699
17-years-old mother presented to the primary health after delivery. She is suffering from fatigue, anemia, fever vaginal discharge (see lab results) 81/50 mmHg Blood pressure 98 /min Heart rate 26 /min Respiratory rate 39.6C Temperature Result Test 4.6 RBC 4.7-6.1 × 1012/L (Male) Normal Values 4.2-5.4 ×1012 /L (Female) 88 Hb 130-170 g/L (Male) 120-160 g/L (Female) 2.50 Calcium 2.15-2.62 mmol/L Which of the following is considered as the main maternal postpartum haemorrhage complication ?
A Death الإجابة الصحيحةB CandidaciesC Cervical cancerD Uterine prolapsed -
700
Mother 32 week is worry about her fetus and want to ensure her fetus health is well being and growth. What is the most appropraite and best test ?
A Measure fundal hight الإجابة الصحيحةB UltrasonographyC Non stress testD Abdominal girth -
701
A nurse is collecting a urine of a 4-year-old child with nephritic syndrome. Which of following observation about the color of the child's urine the nurse expected to will chart. ?
A Bright red الإجابة الصحيحةB AmberC Dark, frothyD Orange -
702
year-old girl admitted to paediatric medical unit significant weight loss,diminished mid -arm circumference dirrhea,muscle like stick .which of the following type of malnutration do the nurse suspect ?
A Marasmus الإجابة الصحيحةB Spitting upC KwashiorkorD Rickets -
703
Which of the following statement by the nurse about the clomid as an ovulation inducing drug ?
A Given for the first 15 days in each cycleB Maximum dose is 50 mg daily for a monthC It increases the risk of birth defectsD It increase the risk of multiple pregnancies الإجابة الصحيحة -
704
Clomiphene citrate (Clomid) is prescribed for a 32-year-old infertility treatment. The nurse should understand that this medication is used for following actions ?
A induce ovulation الإجابة الصحيحةB Decrease prolactin levelC Reduce endometriosisD Stimulate the release of Follicle-Stimulating Hormone -
705
A 4 years old girl, was playing outside, she came to her mom crying and holding her right upper arm, she went to the hospital with swelling over the upper arm, pain and itching, the appropriate management is: ?
A Maintain patent airwayB Administer s/c Epinephrine الإجابة الصحيحةC Prepare for intubationD Administer I.V Epinephrine -
706
During vaginal delivery in a 38-year-old woman, the nurse should pay close attention to which fetal assessment parameter?
A Acute bleeding and comaB Low potassiumC Brain InjuryD Fetal heart rate الإجابة الصحيحة -
707
Which food should be limited or avoided during pregnancy?
A Pasteurized MilkB Processed CheeseC Soft cheese الإجابة الصحيحةD Yogurt -
708
Mother has child with Spastic cerebral palsy. The mother was asking the nurse when her child be adult he will have mental retardation or impairement. What should the nurse reply ?
A Who has cerebral palsy get more than 70% in IQ .B Who has epilepsy and CP Limited for them to have mental problemC Who has CP the main cause genetic factors.D Who has CP most of them has cognitive impairement with some mental retardation الإجابة الصحيحة -
709
A nurse is caring for a pregnant woman with sickle cell anemia during labor. Which assessment finding would indicate that the fetus may be experiencing distress?
A Maternal blood pressure of 120/80 mmHgB Fetal heart rate of 90 beats per minute الإجابة الصحيحةC Maternal respiratory rate of 20 breaths per minuteD Maternal temperature of 37°C -
710
Upon reviewing the pregnant client’s blood test results, the nurse that traces of mercury are present even after the nurse had healthy dietary modifications. Which action of the client does the nurse discuss to reduce risk client ?
A Client has five soake d walnuts every dayB Client consumes king mackerel very often الإجابة الصحيحةC Client eats one medium bowl of flax seeds dailyD client has cooked soybean seeds as an evening snack -
711
A 24-week pregnant woman is crying because her family wants a boy and she is requesting abortion after learning the fetus is female. What is the most appropriate plan?
A Calm her down and reassure for an appropriate solutionB Provide moral support and book her for procedureC Repeat ultrasound and wait for a few more weeksD Family counselling and follow religious guidance الإجابة الصحيحة -
712
A couple who are both carriers of sickle cell trait attend a primary health care clinic for premarital counseling. They ask the nurse about the probability of having a child with sickle cell disease. Which response by the nurse is most accurate?
A All of your children will have sickle cell diseaseB Each pregnancy carries a 50% chance of having an affected childC There is a 75% chance that your child will inherit the diseaseD Each pregnancy carries a 25% chance of having a child with sickle cell disease الإجابة الصحيحة -
713
If both parents have sickle cell trait, what is the probability that their child will also have sickle cell trait?
A 100%.B 50%. الإجابة الصحيحةC 75%.D 0.25 -
714
Which of the following is the main reason the makes nurses concerned about adolescents health status ?
A Take risky behaviors الإجابة الصحيحةB Consider themselves as adultC Have more health issuesD Transitional period to adulthood -
715
Which of the following birth weights is classified as low birth weight (LBW)?
A 1800 grams الإجابة الصحيحةB 2600 gramsC 3200 gramsD 4100 grams -
716
A nurse performs a vaginal examination during labor and palpates the posterior fontanel, indicating the fetal occiput, in the left posterior quadrant of the maternal pelvis. Which fetal position is present?
A ROPB LOP الإجابة الصحيحةC ROAD LOA -
717
Which of the following birth weights is classified as very low birth weight (VLBW)?
A 800 gramsB 1200 grams الإجابة الصحيحةC 2600 gramsD 3200 grams -
718
Which of the following birth weights is classified as extremely low birth weight (ELBW)?
A 800 grams الإجابة الصحيحةB 1200 gramsC 2600 gramsD 3200 grams -
719
The clinic nurse prepares to assess a client who is in the second trimester of pregnancy. When measuring the fundal height, what should the nurse expect to note with this measurement regarding gestational age?
A It is less than gestational age.B It correlates with gestational age. الإجابة الصحيحةC It is greater than gestational age.D It has no correlation with gestational age. -
720
A pregnant client tells the nurse that she felt wetness on her peripad and found some clear fluid. The nurse inspects the perineum and notes the presence of the umbilical cord. What is the immediate nursing action?
A Monitor the fetal heart rate.B Notify the primary health care provider.C Transfer the client to the delivery room.D Place the client in the Trendelenburg position. الإجابة الصحيحة -
721
On assessment of a newborn being admitted to the nursery, the nurse palpates the anterior fontanel and notes that it feels soft. The nurse determines that this finding indicates which condition?
A DehydrationB A normal finding الإجابة الصحيحةC Increased intracranial pressureD Postterm by at least 2 weeks -
722
A prenatal client has been diagnosed with a vaginal infection from the organism Candida albicans. What would the nurse expect to note on assessment of the client?
A Costovertebral angle painB Absence of any observable signsC Pain, itching, and vaginal discharge الإجابة الصحيحةD Proteinuria, hematuria, and hypertension -
723
A prenatal client has a suspected diagnosis of iron deficiency anemia. On assessment, which finding would the nurse expect to note as a result of this condition?
A DehydrationB Fluid overloadC A high hematocrit levelD A low hemoglobin level الإجابة الصحيحة -
724
The nurse caring for a postpartum client should suspect that the client is experiencing endometritis if what is noted during an assessment?
A Breast engorgementB Elevated white blood cell countC Lochia rubra on the second day postpartumD Fever over 38° C (100.4° F), beginning 2 days postpartum الإجابة الصحيحة -
725
The nurse is performing an assessment on a postterm infant. Which physical characteristic would the nurse expect to observe in this infant?
A Peeling of the skin الإجابة الصحيحةB Smooth soles without creasesC Lanugo covering the entire bodyD Vernix that covers the body in a thick layer -
726
A postterm infant, delivered vaginally, is exhibiting tachypnea, grunting, retractions, and nasal flaring. The nurse interprets that these assessment findings are indicative of which condition?
A HypoglycemiaB Respiratory distress syndromeC Meconium aspiration syndrome الإجابة الصحيحةD Transient tachypnea of the newborn -
727
The nurse is assessing a 3-day-old preterm neonate being treated for a diagnosis of respiratory distress syndrome (RDS). Which assessment finding indicates that the neonate's respiratory condition is improving?
A Edema of the hands and feetB Urine output of 3 mL/kg/hr الإجابة الصحيحةC Presence of a systolic murmurD Respiratory rate between 60 and 70 breaths/min -
728
The nurse is caring for a term newborn. Which assessment finding would predispose the newborn to the occurrence of jaundice?
A Presence of a cephalhematoma الإجابة الصحيحةB Infant blood type of O negativeC Birth weight of 8 pounds 6 ouncesD A negative direct Coombs' test result -
729
The nurse, caring for a client in the active stage of labor, is monitoring the fetal status and notes that the monitor strip shows a late deceleration. Based on this observation, which action would the nurse take immediately?
A Document the findings.B Prepare for immediate birth.C Increase the rate of an oxytocin infusion.D Administer oxygen to the client via face mask. الإجابة الصحيحة -
730
A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent?
A "Does the child play with an imaginary friend?"B "Was the child recently treated for pneumonia?"C "Does the child respond when called by name?" الإجابة الصحيحةD "Has the child had any difficulty swallowing food?" -
731
A child sustains a greenstick fracture of the humerus after a fall. Which description best explains a greenstick fracture?
A An incomplete fracture in which one side of the bone bends and the other side breaks الإجابة الصحيحةB A complete fracture where the bone breaks into two equal piecesC A fracture where the bone is shattered into multiple fragmentsD A fracture in which the bone pierces through the skin -
732
A 2-year-old toddler has just returned from surgery where a hip spica cast was applied. Which nursing action will best maintain the child's skin integrity?
A Changing the toddler's diapers every 2 hours. الإجابة الصحيحةB Keeping the toddler's genital area open to the air.C Implementing a 3-hour turning schedule for the toddler.D Assessing the toddler's perineal area for redness regularly. -
733
A client diagnosed with gestational hypertension has just been admitted and is in early active labor. Which assessment finding would the nurse most likely expect to note?
A Increased urine outputB Increased blood pressure الإجابة الصحيحةC Decreased fetal heart rateD Decreased brachial reflexes Eclampsia -
734
An emergency department nurse prepares to plan care for a child diagnosed with acetaminophen overdose. The nurse reviews the primary health care provider's prescriptions and prepares to administer which medication?
A SuccimerB Vitamin KC N-acetylcysteine الإجابة الصحيحةD Protamine sulfate -
735
The nurse who has been closely monitoring a child who has been exhibiting decorticate (flexor) posturing after sustaining severe head trauma notes that the child suddenly exhibits decerebrate (extensor) posturing. The nurse interprets that this change in the child's posturing indicates what?
A An insignificant findingB An improvement in conditionC Decreasing intracranial pressureD Deteriorating neurological function الإجابة الصحيحة -
736
The nurse, while caring for a hospitalized infant being monitored for hydrocephalus, notes that the anterior fontanel bulges when the infant cries. Based on this assessment finding, which conclusion would the nurse draw?
A No action is required. الإجابة الصحيحةB The head of the bed needs to be lowered.C The infant needs to be placed on nothing by mouth (NPO) status.D The primary health care provider should be notified immediately. -
737
The nurse assessing the vital signs of a 3-year-old child hospitalized with a diagnosis of croup notes that the respiratory rate is 28 breaths/min. Based on this finding, which nursing action is appropriate?
A Begin administering supplemental oxygen.B Document the findings according to facility policies. الإجابة الصحيحةC Notify the child's primary health care provider immediately.D Reassess the respiratory rate, rhythm, and depth in 15 minutes. -
738
The nurse is performing an assessment on a female client who is suspected of having mittelschmerz. Which subjective finding supports the possibility of this condition?
A Experiences pain during intercourseB Has pain at the onset of menstruationC Experiences profuse vaginal bleedingD Has sharp pelvic pain during ovulation Problems/Fertility/Infertility الإجابة الصحيحة -
739
During a health assessment, the client tells the nurse that she was diagnosed with endometriosis. Which explanation presented by the client demonstrates an understanding of the description of the condition?
A "Endometriosis is known as primary dysmenorrhea."B "Endometriosis is what causes me the pain that occurs when I ovulate."C "Endometriosis is the condition that has caused me to stop menstruating."D "Endometriosis means that I have uterine tissue growing outside my uterus." Problems الإجابة الصحيحة -
740
A pregnant client reports that her last menstrual period (LMP) was February 9, 2022. Using Näegele's rule, what will the nurse determine as the estimated date of birth?
A October 7, 2022B October 16, 2022C November 7, 2022D November 16, 2022 الإجابة الصحيحة -
741
The nurse is preparing to measure the fundal height of a client whose fetus is 28 weeks of gestation. In what position would the nurse place the client to perform the procedure?
A In a standing positionB In the Trendelenburg positionC Supine with the head of the bed elevated to 45 degreesD Supine with her head on a pillow and knees slightly flexed الإجابة الصحيحة -
742
The nurse is measuring the fundal height on a client who is 36 weeks of gestation when the client reports feeling lightheaded. What finding would the nurse expect to note when assessing the client?
A FearB AnemiaC A full bladderD Pallor and hypotension الإجابة الصحيحة -
743
The nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The nurse monitors the client closely for which priority complication that is associated with a twin pregnancy?
A HemorrhoidsB Postterm laborC Maternal anemia الإجابة الصحيحةD Costovertebral angle tenderness -
744
A clinic nurse is assessing a prenatal client who has been diagnosed with heart disease. The nurse carefully assesses the client's vital signs, weight, and fluid and nutritional status to detect for complications caused by which pregnancy-related concern?
A Rh incompatibilityB Fetal cardiomegalyC The increase in circulating blood volume الإجابة الصحيحةD Hypertrophy and increased contractility of the heart -
745
A nursing childbirth educator tells a class of expectant parents that it is standard routine to instill the ophthalmic ointment form of which medication into the eyes of a newborn infant as a preventive measure against ophthalmia neonatorum?
A PenicillinB NeomycinC Vitamin KD Erythromycin الإجابة الصحيحة -
746
After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?
A Wrap the newborn in a blanket.B Close the doors to the delivery room.C Dry the newborn with a warm blanket.D Place the newborn on a warm crib pad. الإجابة الصحيحة -
747
The nurse is caring for a child recovering from a tonsillectomy. Which fluid or food item would be offered to the child?
A Green Jell-O الإجابة الصحيحةB Cold soda popC Butterscotch puddingD Cool cherry-flavored Kool-Aid -
748
The nurse provides a class to new mothers on newborn care. When teaching cord care, the nurse would instruct the mothers to take which action?
A If antibiotic ointment has been applied to the cord, it is not necessary to do anything else to it.B All that is necessary is to wash the cord with antibacterial soap and allow it to air-dry once a day.C Apply alcohol thoroughly to the cord, being careful not to move the cord because it will cause pain to the newborn infant.D Apply the prescribed cleansing agent to the cord, ensuring that all areas around the cord are cleaned two to three times a day. الإجابة الصحيحة -
749
The nurse assessing the apical heart rates of several different newborn infants notes that which heart rate is normal for this newborn population?
A 90 beats/minB 140 beats/min الإجابة الصحيحةC 180 beats/minD 190 beats/min -
750
The nurse managing a child's post-supratentorial craniotomy care would assure that the client is maintained in which position?
A ProneB SupineC Semi-Fowler's الإجابة الصحيحةD Dorsal recumbent -
751
An infant has been found to be human immunodeficiency virus (HIV) positive. When teaching condition-specific care, which action would the nurse instruct the mother to take to minimize the infant's risk for condition-related injury?
A Check the anterior fontanel for bulging and the sutures for widening each day.B Feed the infant in an upright position with the head and chest tilted slightly back to avoid aspiration.C Feed the infant with a special nipple and burp the infant frequently to decrease the tendency to swallow air.D Provide meticulous skin care to the infant and change the infant's diaper after each voiding or stool. الإجابة الصحيحة -
752
The nurse is checking postoperative prescriptions and planning care for a 110-pound child after spinal fusion. Morphine sulfate, 8 mg subcutaneously every 4 hours PRN for pain, is prescribed. The pediatric medication reference states that the safe dose is 0.1 to 0.2 mg/kg/dose every 3 to 4 hours. From this information, the nurse determines what about the prescription?
A The dose is too low.B There is no safe range for childrenC The dose is within the safe dosage range. الإجابة الصحيحةD There is not enough information to determine the safe dose. -
753
What action would the nurse take to assess the pharyngeal reflex on a child prescribed liquids post-appendectomy?
A Ask the client to swallow.B Pull down on the lower eyelid.C Shine a light toward the bridge of the nose.D Stimulate the back of the throat with a tongue depressor. الإجابة الصحيحة -
754
The nurse is monitoring a child with mumps for complications. Which manifestation is a sign of the most common complication of this disease?
A PainB Nuchal rigidity الإجابة الصحيحةC Impaired hearingD A red swollen testicle -
755
An adolescent is hospitalized with a diagnosis of Rocky Mountain spotted fever (RMSF). The nurse anticipates that which medication will be prescribed?
A GanciclovirB AmantadineC Doxycycline الإجابة الصحيحةD Amphotericin B -
756
A clinical nurse specialist is asked to present a clinical conference to the student group about brain tumors in children younger than 3 years. The nurse would include which information in the presentation?
A Radiation is the treatment of choice.B The most significant symptoms are headache and vomiting. الإجابة الصحيحةC Head shaving is not required before removal of the brain tumor.D Surgery is not normally performed because of the increased risk of functional deficits. -
757
The nurse caring for a child admitted to the hospital with a diagnosis of viral pneumonia describes the treatment plan to the parents. The nurse determines the need for further teaching when the parents make which statement regarding the treatment?
A "We need to be very careful since oxygen is extremely flammable."B "It's important that the child isn't allergic to the antibiotic that is prescribed." الإجابة الصحيحةC "It's difficult to watch the needle be inserted when intravenous fluids are needed."D "Chest physiotherapy will loosen the congestion, so coughing will clear the lungs." -
758
A child hospitalized with a diagnosis of lead poisoning is prescribed chelation therapy. The nurse caring for the child would prepare to administer which medication?
A Ipecac syrupB Activated charcoalC Sodium bicarbonateD Sodium calcium edetate (sodium calcium EDTA) الإجابة الصحيحة -
759
The nurse is teaching the parents of a child diagnosed with celiac disease about dietary measures. The nurse would instruct the parents to take which measure?
A Restrict corn and rice in the diet.B Restrict fresh vegetables in the diet.C Substitute grain cereals with pasta products.D Avoid foods that contain hidden sources of gluten. الإجابة الصحيحة -
760
A client in labor has a diagnosis of sickle cell anemia. Which action would the nurse take to assist in preventing the client from experiencing a sickling crisis during labor?
A Being reassuringB Administering oxygen الإجابة الصحيحةC Preventing bearing downD Maintaining strict asepsis -
761
The nurse is caring for a client in active labor. Which intervention would the nurse implement to prevent fetal heart rate decelerations?
A Discourage the client from walking.B Increase the rate of the oxytocin infusion.C Monitor the fetal heart rate every 30 minutes.D Encourage upright or side-lying maternal positions. الإجابة الصحيحة -
762
A client diagnosed with gestational diabetes is at 36 weeks of gestation. The client has had weekly reactive nonstress tests for the last 3 weeks. This week, the nonstress test was nonreactive after 40 minutes. Based on these results, the nurse would prepare the client for which intervention?
A A contraction stress test الإجابة الصحيحةB Immediate induction of laborC Hospitalization with continuous fetal monitoringD A return appointment in 2 days to repeat the nonstress test -
763
The nurse is administering magnesium sulfate to a client experiencing severe preeclampsia. What intervention would the nurse implement during the administration of magnesium sulfate for this client?
A Schedule a daily ultrasound to assess fetal movement.B Schedule a nonstress test every 4 hours to assess fetal well-being.C Assess the client's temperature every 2 hours because the client is at high risk for infection.D Assess for signs and symptoms of labor since the client's level of consciousness may be altered. Sulfate Eclampsia الإجابة الصحيحة -
764
The nurse is planning to give a tepid tub bath to a child experiencing hyperthermia. Which action would the nurse plan to perform?
A Obtain isopropyl alcohol to add to the bath water.B Allow 5 minutes for the child to soak in the bath water.C Have cool water available to add to the warm bath water. الإجابة الصحيحةD Warm the water to the same body temperature as the child's. -
765
The nurse is assigned to care for an infant on the first postoperative day after a surgical repair of a cleft lip. Which nursing intervention is appropriate when caring for this child's surgical incision?
A Rinsing the incision with sterile water after feeding الإجابة الصحيحةB Cleaning the incision only when serous exudate formsC Rubbing the incision gently with a sterile cotton-tipped swabD Replacing the Logan bar carefully after cleaning the incision -
766
An infant diagnosed with spina bifida cystica (meningomyelocele type) has had the sac surgically removed. The nurse plans which intervention in the postoperative period to maintain the infant's safety?
A Covering the back dressing with a binderB Placing the infant in a head-down positionC Strapping the infant in a baby seat sitting upD Elevating the head with the infant in the prone position الإجابة الصحيحة -
767
The nurse is preparing to assess the respirations of several newborns in the nursery. The nurse performs the procedure and determines that the respiratory rate is normal if which finding is noted?
A A respiratory rate of 28 breaths/min in a crying newbornB A respiratory rate of 46 breaths/min in an awake newborn الإجابة الصحيحةC A respiratory rate of 65 breaths/min in a sleeping newbornD A respiratory rate of 76 breaths/min in a newly delivered newborn -
768
During a routine prenatal visit, a client in her third trimester of pregnancy reports having frequent calf pain when she walks. The nurse suspects superficial thrombophlebitis and checks for which sign associated with this condition?
A Severe chillsB Kernig's signC Brudzinski's signD Palpable hard thrombus الإجابة الصحيحة -
769
The nurse is caring for a child diagnosed with Reye's syndrome. The nurse monitors for manifestations of which condition associated with this syndrome?
A Protein in the urineB Symptoms of hyperglycemiaC Increased intracranial pressure الإجابة الصحيحةD A history of a staphylococcus infection -
770
A child is admitted to the hospital with a diagnosis of rheumatic fever. The nurse reviews the blood laboratory findings, knowing that which finding will confirm the likelihood of this disorder?
A Increased leukocyte countB Decreased hemoglobin countC Increased antistreptolysin-O (ASO titer) الإجابة الصحيحةD Decreased erythrocyte sedimentation rate -
771
The nurse caring for a 5-year-old with a history of tetralogy of Fallot notes that the child has clubbed fingers. This finding is indicative of which associated condition?
A Tissue hypoxia الإجابة الصحيحةB Chronic hypertensionC Delayed physical growthD Destruction of bone marrow -
772
A pregnant client at 32 weeks of gestation is admitted to the obstetrical unit for observation after a motor vehicle crash. When the client begins experiencing slight vaginal bleeding and mild cramps, which action would the nurse take to determine the viability of the fetus?
A Insert an intravenous line and begin an infusion at 125 mL/hr.B Administer oxygen to the woman via a face mask at 7 to 10 L/min.C Position and connect the ultrasound transducer to the external fetal monitor. الإجابة الصحيحةD Position and connect a spiral electrode to the fetal monitor for internal fetal monitoring. -
773
The nurse is reviewing the results of a sweat test performed on a child diagnosed with cystic fibrosis (CF). Which finding would the nurse identify as supporting this diagnosis?
A An evening sweat potassium concentration greater than 60 mEq/LB An early morning sweat chloride concentration of less than 40 mEq/LC A sweat potassium concentration that is consistently less than 40 mEq/LD A sweat chloride concentration that is consistently greater 60 mEq/L الإجابة الصحيحة -
774
A child is admitted to the pediatric unit with a diagnosis of celiac disease. Based on this diagnosis, the nurse expects that the child's stools will have which characteristic?
A Malodorous الإجابة الصحيحةB Dark in colorC Unusually hardD Abnormally small in amount -
775
A clinic nurse is caring for a client with a suspected diagnosis of gestational hypertension. The nurse assesses the client, expecting to note which set of findings if gestational hypertension is present?
A Edema, ketonuria, and obesityB Edema, tachycardia, and ketonuriaC Glycosuria, hypertension, and obesityD Sudden weight gain and proteinuria Eclampsia الإجابة الصحيحة -
776
Which nursing assessment finding indicates the presence of an inguinal hernia on a child?
A Reports of difficulty defecatingB Reports of a dribbling urinary streamC Absence of the testes within the scrotumD Painless groin swelling noticed when the child cries الإجابة الصحيحة -
777
A newborn infant is diagnosed with esophageal atresia. Which assessment finding supports this diagnosis?
A Slowed reflexesB Continuous drooling الإجابة الصحيحةC Diaphragmatic breathingD Passage of large amounts of frothy stool -
778
The nurse is teaching a pregnant client about prenatal nutritional needs. The nurse would include which information in the client's teaching plan?
A All mothers are at high risk for nutritional deficiencies.B Calcium intake is not necessary until the third trimester.C Iron supplements are not necessary unless the mother has iron deficiency anemia.D The nutritional status of the mother significantly influences fetal growth and development. الإجابة الصحيحة -
779
The nurse is assigned to care for a client experiencing hypertonic labor contractions. The nurse plans to conserve the client's energy and promote rest by performing which intervention?
A Keeping the TV or radio on to provide distractionB Assisting the client with breathing and relaxation techniques الإجابة الصحيحةC Keeping the room brightly lit so the client can watch her monitorD Avoiding uncomfortable procedures such as intravenous infusions or epidural anesthesia -
780
The nurse is assessing a client diagnosed with cardiac disease at the 30 weeks of gestation antenatal visit. The nurse assesses lung sounds in the lower lobes after a routine blood pressure screening. The nurse performs this assessment to elicit what information?
A Identify mitral valve prolapse.B Identify cardiac dysrhythmias.C Rule out the possibility of pneumonia.D Assess for early signs of heart failure (HF). الإجابة الصحيحة -
781
The nurse has admitted a client diagnosed with gestational hypertension who is in labor. The nurse monitors the client closely for which complication of gestational hypertension?
A Seizures الإجابة الصحيحةB HallucinationsC Placenta previaD Altered respiratory status Eclampsia -
782
The nurse performing a prenatal assessment on a client in the first trimester of pregnancy discovers that the client frequently consumes beverages containing alcohol. Why would the nurse initiate interventions immediately to assist the client in avoiding alcohol consumption?
A To reduce the potential for fetal growth restriction in uteroB To promote the normal psychosocial adaptation of the mother to pregnancyC To minimize the potential for placental abruptions during the intrapartum periodD To reduce the risk of teratogenic effects to embryo's developing fetal organs and tissue الإجابة الصحيحة -
783
A postpartum nurse caring for a client who delivered vaginally 2 hours ago palpates the fundus and notes the character of the lochia. Which characteristic of the lochia would indicate to the nurse that the client's recovery is normal?
A Pink-colored lochiaB White-colored lochiaC Serosanguineous lochiaD Dark red-colored lochia الإجابة الصحيحة -
784
The nurse is performing a prenatal examination on a client in the third trimester. The nurse begins an abdominal examination that includes Leopold maneuvers. What information would the nurse be able to determine after performing the assessment's first maneuver?
A Fetal descentB Placenta previaC Fetal lie and presentation الإجابة الصحيحةD Strength of uterine contractions -
785
A prenatal client is being evaluated for possible gestational diabetes. Which data identified and documented after the nursing assessment would support that diagnosis?
A 22 years oldB A gravida 4, para 0, aborta 3 الإجابة الصحيحةC 5' 6" tall, weighs 130 poundsD Stated, "I get really tired after working all day" -
786
The nurse is caring for a client diagnosed with preeclampsia. When the client's condition progresses from preeclampsia to eclampsia, what would the nurse's first action be?
A Prepare to maintain an open airway. الإجابة الصحيحةB Prepare to administer oxygen by face mask.C Assess the maternal blood pressure and fetal heart tones.D Administer an intravenous infusion of magnesium sulfate. Eclampsia -
787
Which piece of equipment would the nurse routinely use to assess the fetal heart rate of a woman at 16 weeks of gestation?
A Fetal heart monitorB An adult stethoscopeC Bell of a stethoscopeD Ultrasound fetoscope الإجابة الصحيحة -
788
The nurse determines that a client understands the purpose of a phytonadione injection for her newborn when she is heard making which statement to the baby's father?
A "The baby's liver cannot produce that vitamin."B "Most newborns need a supplement of this vitamin."C "All newborns lack intestinal bacteria to produce this vitamin." الإجابة الصحيحةD "It's unusual but our baby lack's the vitamin that helps the blood to clot." -
789
The nurse is assigned to give a child a tepid tub bath to treat hyperthermia. After the bath, which action would the nurse take?
A Leave the child uncovered for 15 minutes.B Assist the child to put on a cotton sleep shirt. الإجابة الصحيحةC Take the child's axillary temperature in 2 hours.D Place the child in bed and cover the child with a blanket. -
790
The nurse caring for an infant demonstrating diarrhea would monitor the infant for which early sign of dehydration?
A Cool extremitiesB Gray, mottled skinC Capillary refill of 3 secondsD Apical pulse rate of 200 beats/min الإجابة الصحيحة -
791
The nurse is caring for a newly delivered breast-feeding infant. Which nursing intervention would best prevent jaundice in this infant?
A Placing the infant under phototherapyB Keeping the infant NPO until the second period of reactivityC Encouraging the mother to breast-feed the infant every 2 to 3 hours الإجابة الصحيحةD Encouraging the mother to supplement breast-feeding with formula -
792
The nurse in the newborn nursery is planning for the admission of a large for gestational age (LGA) infant whose mother is diabetic. In preparing to care for this infant, the nurse would obtain equipment to perform which diagnostic test?
A Serum insulin levelB Heel stick blood glucose الإجابة الصحيحةC Rh and ABO blood typingD Indirect and direct bilirubin levels -
793
Twelve hours after delivery, the nurse assesses the client for uterine involution. The nurse determines that the uterus is progressing normally toward its prepregnancy state when palpation of the client's fundus is at which level?
A At the umbilicus الإجابة الصحيحةB One finger breadth below the umbilicusC Two finger breadths below the umbilicusD Midway between the umbilicus and the symphysis pubis -
794
The nurse teaches a postpartum client about postdelivery lochia. The nurse determines that the education has been effective when the client says that on the second day postpartum, the lochia should be which color?
A Red الإجابة الصحيحةB PinkC WhiteD Yellow -
795
The newborn nursery nurse is performing an admission assessment on a newborn with the diagnosis of cephalohematoma. Which intervention would the nurse implement to assess for the primary symptom associated with subdural hematoma?
A Monitor the urine for blood.B Monitor the urinary output pattern.C Test for contractures of the extremities.D Test for equality of extremity reflexes. الإجابة الصحيحة -
796
The nurse is preparing to administer eardrops to an infant. The nurse would plan to proceed by taking which step to assure the appropriate instillation of the medication?
A Pull down and back on the auricle, and direct the solution onto the eardrum.B Pull up and back on the earlobe, and direct the solution toward the wall of the ear canal.C Pull up and back on the auricle, and direct the solution toward the wall of the ear canal.D Pull down and back on the auricle, and direct the solution toward the wall of the ear canal. الإجابة الصحيحة -
797
A client has arrived at the labor and delivery unit in active labor. The nursing assessment reveals a recurrent history of diagnosed genital herpes and the presence of lesions in the genital tract. Which intervention would the nurse initiate?
A Limiting visitorsB Maintaining reverse isolationC Preparing for a cesarean delivery الإجابة الصحيحةD Preparing for the artificial membrane rupturing -
798
A friend of the parents of a newborn with a diagnosis of congenital tracheoesophageal fistula contacts the home health nurse with an offer to help. Which is the best nursing action at this time to address the needs and rights of the family?
A Inform the friend to directly contact the family and offer assistance to them. الإجابة الصحيحةB Request that the friend come to the client's home during the next home health visit.C Report the friend's call to the nurse manager for referral to the client's social worker.D Assure the friend that there is no need for assistance since the nurse is visiting daily. -
799
The nurse is caring for a child with a diagnosis of intussusception. During care, the child passes a formed brown stool. Which action is most appropriate for the nurse to take at this time?
A Note the child's physical symptoms.B Prepare the child for hydrostatic reduction.C Prepare the child and parents for the possibility of surgery.D Report the passage of a normal brown stool to the primary health care provider. الإجابة الصحيحة -
800
A pregnant client tests positive for the hepatitis B virus. The client asks the nurse if she will be able to breast-feed the baby as planned after delivery. Which therapeutic response would the nurse communicate to the client?
A "You will not be able to breast-feed the baby until 6 months after delivery."B "Breast-feeding is not advised, and you should seriously consider bottle-feeding the baby."C "Breast-feeding is not a problem, and you will be able to breast- feed immediately after delivery."D "Breast-feeding is allowed if the baby receives prophylaxis treatment at birth and scheduled immunizations." الإجابة الصحيحة -
801
A delivery room nurse is preparing a client for a cesarean delivery to facilitate the birth of triplets. Which position will promote maximum uteroplacental perfusion during this surgery?
A Prone positionB Semi-Fowler's positionC Trendelenburg's positionD Supine position with a wedged right hip الإجابة الصحيحة -
802
The nurse in the day care center is told that a child with a diagnosis of autism will be attending the center. The nurse collaborates with the staff of the day care center and plans activities that will meet the child's needs. Which priority consideration would the nurse incorporate in planning activities for this child?
A Safety الإجابة الصحيحةB Verbal stimulationC Social interactionsD Familiarity and orientation -
803
The registered nurse (RN) is reviewing a plan of care developed by a new nurse for a child who is being admitted to the pediatric unit with a diagnosis of seizures. The RN determines that the new nurse needs further teaching and should revise the plan of care if which incorrect intervention is documented?
A Maintain the bed in a low position.B Immobilize the child if a seizure occurs. الإجابة الصحيحةC Place padding on the side rails of the bed.D Place the child in a side-lying lateral position postseizure. -
804
The nurse prepares for the admission of the child with a diagnosis of tonic-clonic seizures and plans to place which items at the bedside?
A A tracheotomy set and oxygenB Suction apparatus and oxygen الإجابة الصحيحةC An endotracheal tube and an airwayD An emergency cart and laryngoscope -
805
A home care nurse is providing instructions to the mother of a toddler regarding safety measures in the home to prevent an accidental burn injury. Which statement by the mother indicates a need for further instruction?
A "I need to use the back burners for cooking."B "I need to remain in the kitchen when I prepare meals."C "I need to be sure to place my cup of coffee on the counter." الإجابة الصحيحةD "I need to turn pot handles inward and to the middle of the stove." -
806
A primary health care provider has written a prescription to administer methylergonovine maleate to a postpartum client. The nurse would contact the primary health care provider to verify the prescription if which condition is present in the mother?
A Hypertension الإجابة الصحيحةB Excessive lochiaC Difficulty locating the uterine fundusD Excessive bleeding and saturation of more than one peripad per hour -
807
A child diagnosed with a malignant brain tumor is admitted for removal of the tumor. The nurse would include which action in the plan of care to ensure a safe environment for the child?
A Initiating seizure precautions الإجابة الصحيحةB Using a wheelchair for out-of-bed activitiesC Assisting the child with ambulation at all timesD Minimizing contact with other children on the nursing unit -
808
The nurse is reviewing the results of the rubella screening (titer) with a pregnant client. The test results are positive, and the client asks if it is safe for her toddler to receive the vaccine. Which response by the nurse is most appropriate?
A "Most children do not receive the vaccine until they are 5 years of age."B "You are still susceptible to rubella, so your toddler should receive the vaccine."C "It is not advised for children of pregnant women to be vaccinated during their mother's pregnancy."D "Your titer supports your immunity to rubella, and it is safe for your toddler to receive the vaccine." الإجابة الصحيحة -
809
After delivery, the postpartum nurse instructs the client with known cardiac disease to call for the nurse when she needs to get out of bed or when she plans to care for her newborn infant. Which rationale is the basis for these instructions?
A Help the mother assume the parenting role.B Minimize the potential of postpartum hemorrhage.C Provide an opportunity for the nurse to teach newborn infant care techniques.D Avoid maternal or infant injury caused by the potential for syncope or overexertion. الإجابة الصحيحة -
810
A 17-year-old client is discharged to home with her newborn baby after the nurse provides information about home safety for children. Which statement by the client should alert the nurse that further teaching is required regarding home safety?
A "I can keep my aluminum pots and pans in my lower cabinets."B "I will not use the microwave oven to heat my baby's formula."C "I have locks on all my cabinets that contain my cleaning supplies."D "I have a car seat that I will put in the front seat to keep my baby safe." الإجابة الصحيحة -
811
The nurse is assigned to care for a hospitalized toddler. Which measure would the nurse plan to implement as the highest priority of care?
A Providing a consistent caregiverB Protecting the toddler from injury الإجابة الصحيحةC Adapting the toddler to the hospital routineD Allowing the toddler to participate in play and diversional activities -
812
The nurse is assigned to care for a client with a diagnosis of preeclampsia. The nurse would plan to implement which action to provide a safe environment?
A Maintain fluid and sodium restrictions.B Take the client's vital signs every 4 hours.C Turn off the room lights and draw the window shades. الإجابة الصحيحةD Encourage visits from family and friends for psychosocial support. Eclampsia -
813
When a hospitalized child develops a rash that covers the trunk and extremities, the nurse notes in the history that the child was exposed to varicella 2 weeks ago. Which nursing intervention has priority?
A Immediately reassign the child's roommate.B Place the child in a private room on strict isolation. الإجابة الصحيحةC Confirm the exposure occurred with the child's parent.D Assess the progression of the rash and report it to the primary health care provider. -
814
The nurse is caring for a pregnant client with preeclampsia who is receiving a prescribed intravenous (IV) infusion of magnesium sulfate. To provide a safe environment, the nurse would ensure that which priority item is available?
A Tongue bladeB Percussion hammerC Calcium gluconate injection الإجابة الصحيحةD Potassium chloride injection Sulfate Eclampsia -
815
The nurse provides dietary instruction to the parents of a child with a diagnosis of cystic fibrosis. The nurse would tell the parents that which diet plan should be followed?
A Fat freeB Low in proteinC Low in sodiumD High in calories الإجابة الصحيحة -
816
A clinic nurse providing home care instructions to an adolescent diagnosed with iron deficiency anemia concentrates on the administration of oral iron preparations. The nurse would tell the adolescent that it is best to take the iron with which liquid?
A ColaB SodaC WaterD Tomato juice الإجابة الصحيحة -
817
The nurse reviews the pattern of a nonstress test performed on a pregnant client and interprets the finding as which result? (Refer to the figure.)
A Reactive الإجابة الصحيحةB AbnormalC NonreactiveD Nonreassuring -
818
The community health nurse provides an educational session regarding the risk factors for cervical cancer to women in the local community. The nurse determines that further teaching is needed if a woman attending the session identifies which as a risk factor for this type of cancer?
A Smoking tobaccoB Single sex partner الإجابة الصحيحةC Early age of first intercourseD Human papillomavirus (HPV) infection -
819
The community health nurse teaches a group of females how to prevent pelvic inflammatory disease (PID). What instruction would the nurse include?
A To douche monthlyB To avoid unprotected intercourse الإجابة الصحيحةC To use only ultra-low dose oral contraceptive pillsD To consult with a gynecologist regarding the placement of an intrauterine device (IUD) Problems -
820
The nurse provides instructions to a new mother who is about to breast-feed her newborn infant. The nurse observes the new mother as she breast-feeds for the first time and determines the mother needs further teaching if the new mother applies which technique?
A Turns the newborn infant on his side, facing the motherB Tilts up the nipple or squeezes the areola, pushing it into the newborn's mouth الإجابة الصحيحةC Draws the newborn the rest of the way onto the breast when the newborn opens his mouthD Places a clean finger in the side of the newborn's mouth to break the suction before removing the newborn from the breast -
821
The clinic nurse provides home care instructions to a mother regarding the care of her child who is diagnosed with croup. Which statement by the mother indicates the need for further instructions?
A "I will give Tylenol for the fever."B "I will give cough syrup every night at bedtime." الإجابة الصحيحةC "Sips of warm fluids during a croup attack will help."D "I will place a cool-mist humidifier next to my child's bed." -
822
The nurse caring for a child with congestive heart failure who will be discharged to home provides instructions to the parents regarding the administration of digoxin. Which statement by the mother indicates a need for further teaching?
A "I will mix the medication with food." الإجابة الصحيحةB "I will check my child's pulse before giving the medication."C "If my child vomits after I give the medication, I will not repeat the dose."D "I will check the dose of medication with my husband before I give the medication." -
823
The nurse provides discharge instructions to the mother of a child who was hospitalized for heart surgery. Which instruction would the nurse provide to the mother?
A The child can play outside for short periods of time.B After bathing, rub lotion and sprinkle powder on the incision.C The child may return to school 1 week after hospital discharge.D Notify the primary health care provider if the child develops a fever greater than 100.5° F (38° C). الإجابة الصحيحة -
824
The clinic nurse provides instructions to a client who will begin taking oral contraceptives. Which statement by the client indicates the need for further teaching?
A "I will take one pill daily at the same time every day."B "If I miss a pill, I must take it as soon as I remember."C "I will not need to use an additional birth control method after I start these pills." الإجابة الصحيحةD "If I miss two pills, I will take them both as soon as I remember, and then two pills the next day." Problems/Fertility/Infertility -
825
A client with a family history of heart disease presents to the primary health care provider's office asking to begin oral contraceptive therapy for birth control. What important topic would the nurse ask the client about next?
A Smoking الإجابة الصحيحةB Regular exerciseC A low-cholesterol dietD Alternative birth control methods Problems/Fertility/Infertility -
826
The clinic nurse is providing instructions to a client in the third trimester of pregnancy regarding relief measures for heartburn. Which instruction would the nurse provide to the client?
A Sip on milk or hot tea. الإجابة الصحيحةB Use antacids that contain sodium.C Eat fatty foods once a day in the morning only.D Eat three large meals a day rather than small, frequent meals. -
827
The nurse provides instructions regarding home care to a parent of a 3-year-old child who has been hospitalized with hemophilia. Which statement by the parent indicates the need for further teaching?
A "I should not leave my child unattended."B "I need to pad table corners in my home."C "My child should not have any immunizations." الإجابة الصحيحةD "I need to remove household items that can tip over." -
828
A toddler with suspected conjunctivitis is crying and refuses to sit still during the eye examination. Which is the most appropriate statement for the nurse to make to the child?
A "Would you like to see my flashlight?" الإجابة الصحيحةB "Don't be scared, the light won't hurt you."C "If you will sit still, the exam will be over soon."D "I know you are upset. We can do this exam later." -
829
The nurse instructs a perinatal client about measures to prevent urinary tract infections. Which statement by the client indicates an understanding of these measures?
A "I can wear my tight-fitting jeans."B "I should always use scented toilet paper."C "I should choose underwear with a cotton panel liner." الإجابة الصحيحةD "I can take a bubble bath as long as the soap doesn't contain any oils." -
830
The nurse instructs a client with mild preeclampsia about home care measures. Which statement by the client indicates to the nurse that the teaching has been effective concerning the assessment of complications for preeclampsia?
A "I need to check my weight every day at different times during the day."B "I need to take my blood pressure each morning and alternate arms each time."C "I need to check my urine with a dipstick every day for protein and call the doctor if it is 2+ or more." الإجابة الصحيحةD "As long as the home care nurse is visiting me daily, I do not have to keep my next primary health care provider's appointment." Eclampsia -
831
The nurse has provided instructions to a new mother with a urinary tract infection regarding foods and fluids to consume that will acidify the urine. The nurse determines that further teaching is needed if the mother indicates that which fluid will acidify the urine?
A Prune juiceB Apricot juiceC Cranberry juiceD Carbonated drinks الإجابة الصحيحة -
832
A postpartum nurse has instructed a new mother regarding how to bathe her newborn. The nurse demonstrates the procedure to the mother and, on the following day, asks the mother to perform the procedure. Which observation by the nurse indicates that the mother is performing the procedure correctly?
A The mother cleans the ears and then moves to the eyes and the face.B The mother begins to wash the newborn infant by starting with the eyes and face. الإجابة الصحيحةC The mother washes the arms, chest, and back followed by the neck, arms, and face.D The mother washes the entire newborn infant's body and then washes the eyes, face, and scalp. -
833
The nurse is teaching umbilical cord care to a new mother. What information would the nurse provide to the mother related to cord care?
A Alcohol is the only agent to use to clean the cord.B Cord care is done only at birth to control bleeding.C It takes at least 21 days for the cord to dry up and fall off.D The process of keeping the cord clean and dry will decrease bacterial growth. الإجابة الصحيحة -
834
The nurse creates a teaching plan regarding the administration of eardrops for the parents of a 6-year-old child. The nurse tells the parents that, when administering the drops, which action is appropriate?
A Wear gloves.B Pull the ear up and back. الإجابة الصحيحةC Hold the child in a sitting position.D Position the child so that the affected ear is facing downward. -
835
The nurse is providing discharge instructions to the mother of an 8-year-old child who had a tonsillectomy. The mother tells the nurse that the child loves tacos and asks when the child can safely eat one. To prevent complications of the surgical procedure, what would be the appropriate response to the mother?
A "In 1 week"B "In 3 weeks" الإجابة الصحيحةC "Six days after surgery"D "When the primary health care provider says it is okay" -
836
After a cleft lip repair, the nurse instructs the parents about cleaning of the lip repair site. The nurse would plan to use which solution when demonstrating this procedure to the parents?
A Tap waterB Sterile water الإجابة الصحيحةC Full-strength hydrogen peroxideD Half-strength hydrogen peroxide -
837
A child with a diagnosis of umbilical hernia has been scheduled for surgical repair in 2 weeks. The clinic nurse instructs the parents about the signs of possible hernia strangulation. The nurse tells the parents that which sign requires primary health care provider notification?
A FeverB DiarrheaC Vomiting الإجابة الصحيحةD Constipation -
838
The mother of a child with celiac disease asks the nurse how long a special diet is necessary. The nurse provides which instruction to the mother to promote dietary compliance?
A A gluten-free diet will need to be followed for life. الإجابة الصحيحةB A lactose-free diet will need to be followed temporarily.C Added dietary sodium will help prevent episodes of celiac crisis.D Supplemental vitamins, iron, and folate will prevent complications. -
839
The nurse teaches the mother of a newly circumcised infant about postcircumcision care. Which statement by the mother indicates an understanding of the care required?
A "I need to clean the penis every hour with baby wipes."B "I need to check for bleeding every hour for the first 12 hours." الإجابة الصحيحةC "My baby will not urinate for the next 24 hours because of swelling."D "I need to wrap the penis completely in dry sterile gauze, making sure that it is dry when I change his diaper." -
840
The nurse is preparing to care for the mother of a preterm infant. When should the nurse plan to begin discharge planning?
A When the mother is in laborB When the discharge date is setC After stabilization of the infant during the early stages of hospitalization الإجابة الصحيحةD When the parents feel comfortable with and can demonstrate adequate care of the infant -
841
The nurse is developing goals for the postpartum client who is at risk for uterine infection. Which goal is most appropriate for this client?
A The client will verbalize a reduction of pain.B The client will report how to treat an infection.C The client will be able to identify measures to prevent infection. الإجابة الصحيحةD The client will identify the presence of Braxton Hicks contractions. -
842
A nurse working in the neonatal intensive care unit (NICU) teaches hand-washing techniques to the parents of an infant who is receiving antibiotic treatment for a neonatal infection. The nurse determines that the parents understand the primary purpose of hand washing if which statement is made?
A "It is primarily done to reduce their fears."B "It is primarily done to minimize the spread of infection to other siblings."C "It is primarily done to allow them an opportunity to communicate with each other and staff."D "It is primarily done to reduce the possibility of transmitting an environmental infection to the infant." الإجابة الصحيحة -
843
The nurse has conducted a class for pregnant clients diagnosed with diabetes mellitus about the signs/symptoms of potential complications. The nurse determines that the teaching was effective if a client makes which statement?
A "I should not have ultrasounds done because I am diabetic."B "I'm glad I don't have to worry about developing hypoglycemia while I am pregnant."C "I need to watch my weight for any sudden gains because I could develop what they call gestational hypertension." الإجابة الصحيحةD "My insulin needs should decrease during the last 2 months because I will be using some of the baby's insulin supply." -
844
A postpartum client recovering from disseminated intravascular coagulopathy is to be discharged on low dosages of an anticoagulant medication. What action would the nurse encourage the client to avoid?
A Brushing her teethB Taking acetylsalicylic acid (aspirin) الإجابة الصحيحةC Walking long distances and climbing stairsD All activities because bruising injuries can occur -
845
The nurse is teaching a mother diagnosed with diabetes mellitus who delivered a large-for-gestational-age (LGA) infant about the care of the infant. The nurse tells the mother that LGA infants appear to be more mature because of their large size, but that, in reality, these infants frequently need to be aroused to facilitate nutritional intake and attachment. Which statement by the mother indicates the need for further teaching about the care of the infant?
A "It's best to talk to babies when they are in a quiet, alert state."B "I will allow my baby to sleep through the night because rest is most important" الإجابة الصحيحةC "I will breast-feed my baby every 2½ to 3 hours and will use arousal techniques."D "I will watch my baby closely because I know that LGA babies may not be as mature concerning motor development." -
846
The nurse is planning to teach a teenage client about sexuality. What would the nurse do first?
A Inform the teenager about the dangers of pregnancy.B Establish a relationship and determine prior knowledge. الإجابة الصحيحةC Advise the teenager to maintain sexual abstinence until marriage.D Provide written information about sexually transmitted infections. -
847
The nurse is teaching health education classes to a group of expectant parents, and the topic is preventing cognitive impairment caused by congenital hypothyroidism. What would the nurse tell the parents is the most effective means of promoting early intervention?
A Vitamin intakeB Neonatal screening الإجابة الصحيحةC Adequate protein intakeD Limiting alcohol consumption -
848
The nurse is caring for a client with a precipitous labor. What information would the nurse provide to the client regarding this type of labor?
A Induction may be necessary.B The onset of contractions is gradual.C The labor may last less than 3 hours. الإجابة الصحيحةD A lengthy period of pushing may be necessary. -
849
The nurse is instructing a pregnant client regarding measures to prevent a recurrent episode of preterm labor. Which statement by the client indicates the need for further teaching?
A "I will report any feeling of pelvic pressure."B "I will not engage in sexual intercourse at this time."C "I will adhere to the limitations in activity and stay off my feet."D "I will limit my fluid intake to three 8-ounce glasses of fluid per day." الإجابة الصحيحة -
850
The nurse has completed discharge teaching with the parents of a child diagnosed with glomerulonephritis. Which statement by the parents indicates a need for further teaching?
A "We'll check our child's blood pressure every day."B "We'll test our child's urine for albumin every week."C "It'll be so good to have our child back in tap-dancing classes next week." الإجابة الصحيحةD "We'll be sure that our child eats a lot of vegetables and does not add extra salt to food." -
851
The nurse is planning discharge teaching for the parents of a child who sustained a head injury and who is now receiving tapering doses of dexamethasone. The nurse plans to make which statement to the parents?
A "This medication decreases the chance of infection."B "This medication will be discontinued after two doses."C "If your child's face becomes puffy, the medication dose needs to be increased."D "This medication is tapered to decrease the chance of recurring swelling in the brain." الإجابة الصحيحة -
852
The home care nurse visits a child diagnosed with scarlet fever who is being treated with penicillin G potassium. The mother tells the nurse that the child has only voided a small amount of tea-colored urine since the previous day. The mother also reports that the child's appetite has decreased and that the child's face was swollen this morning. How would the nurse interpret these new signs/symptoms?
A Nothing to be concerned aboutB Signs/symptoms of acute glomerulonephritis الإجابة الصحيحةC Signs/symptoms of the normal progression of scarlet feverD Symptoms of an allergic reaction to penicillin G potassium -
853
The nurse is performing an assessment on a 3-year-old child with chickenpox. The child's mother tells the nurse that the child keeps scratching at night, and the nurse teaches the mother about measures that will prevent an alteration in skin integrity. Which statement by the mother indicates that teaching was effective?
A "I need to place white gloves on my child's hands at night." الإجابة الصحيحةB "I will apply generous amounts of a cortisone cream to prevent itching."C "I will give my child a glass of warm milk at bedtime to help my child sleep."D "I need to keep my child in a warm room at night so that the covers will not cause my child to scratch." -
854
The nurse is caring for an 11-year-old child who has been physically abused. Which therapeutic action would the nurse include in the plan of care?
A Encouraging the child to confront the abuserB Providing a care environment that fosters trust الإجابة الصحيحةC Teaching the child to make wise choices when faced with possible abuseD Reinforcing for the child that not all adults are capable of abusing children -
855
While assessing a 14-year-old child, the nurse notes bruises and cigarette burns on the child's chest and rope burns on the buttocks. The child states, "I'm afraid to go home because my stepfather will be angry with me for telling on him!" The nurse would make which therapeutic response to the child?
A "You can't go back there with that man. How do you think your mother will react?"B "You must know that your presence in the house will only irritate your stepfather more."C "I am sorry that this has happened to you, but you will be safe here until plans can be made." الإجابة الصحيحةD "Let's keep this between you, me, and the primary health care provider until we formulate further plans to assist you." -
856
While providing care to a 12-year-old client, the nurse notes small round burn scars on the client's arms and legs, bruising on the buttocks, and tenderness of the right jaw. The client is anxious, has poor eye contact, and denies being injured at home when the nurse asks questions. Based on these observations, the nurse suspects victimization. Which is the next priority question the nurse would therapeutically ask the client in providing a safe environment for the client?
A "Are you sure your parents didn't do this?"B "You need to tell me now, or I'll call security, who did this to you?"C "Is someone bullying you at school, or at home, or in your neighborhood?"D "I can see this is difficult for you to talk about, you are safe here, but I need to ask you, who hurt you like this?" الإجابة الصحيحة -
857
A prenatal client has been told during a primary health care provider office visit that she is positive for human immunodeficiency virus (HIV). The client cried and was significantly distressed regarding this news. Which client concern would this assessment data best support?
A PainB NonadherenceC Anticipatory grieving الإجابة الصحيحةD High risk for infection -
858
A mother brings her previously continent 6-year-old son to the pediatric clinic because he has resumed bedwetting. The nurse assesses the home environment and discovers that there is a new baby at home. Which best describes for the mother the defense mechanism the son is using?
A Regression الإجابة الصحيحةB RepressionC IdentificationD Rationalization -
859
The nurse is caring for a child who is a victim of abuse and has determined that the child uses repression to cope with past life experiences. Which activity would the nurse implement as part of the nursing care plan?
A Encourage the child to use therapeutic play to act out past experiences. الإجابة الصحيحةB Tell the child to let the past go and concentrate on the present and future.C Place the child on medications that will help the child forget the incidents.D Have the child talk about the abuse in detail during the first therapy session. -
860
An 11-year-old child scheduled for a diagnostic procedure will have an intravenous line inserted and will receive an intramuscular injection. Which form of communication would the nurse use in preparing the child for the procedure?
A Reassuring the child by introducing the equipment usedB Teaching the parents so that they can explain everything to the childC Telling the child not to worry because the doctors take care of everythingD Using pictures, concrete words, and demonstrations to describe what will happen الإجابة الصحيحة -
861
A 16-year-old client diagnosed with Crohn's disease is hospitalized. Which statement by the client would alert the nurse to a potential developmental problem?
A "I'd like my hair washed before my friends get here."B "Is it okay if I have a couple of friends in to visit me this evening?"C "Please tell my friends not to visit, since I'll see them back at school next week." الإجابة الصحيحةD "When my friends get here, I would like to play some computer games with them." -
862
A preschool child is placed in traction for a femur fracture. The child has started bedwetting, even though the child has been toilet trained for a year. The mother is very upset about the situation. The nurse explains to the mother that this behavior should be recognized as which psychosocial adaptation?
A A body image disturbanceB Attention-seeking behaviorC Opposition to authority figuresD Regressing to earlier developmental behavior الإجابة الصحيحة -
863
During an office visit, a prenatal client diagnosed with mitral stenosis states being under a lot of stress lately. During the examination, the client questions the nurse about the assessment and behaves anxiously. Which is the appropriate nursing action at this time?
A Tell the client not to worry.B Refer the client to a counselor.C Assume that the client's anxiety will lessen when the assessment is finished.D Explain the purpose of the nurse's actions and answer the client's questions. الإجابة الصحيحة -
864
A postpartum client with a diagnosis of gestational diabetes is scheduled for discharge. During the discharge teaching, the client asks the nurse, "Do I have to worry about this diabetes anymore?" Which is the most appropriate response by the nurse?
A "Your blood glucose level is within normal limits now, so you will be all right."B "You will have to worry about the diabetes only if you become pregnant again."C "You will be at risk for developing gestational diabetes with your next pregnancy and also for developing diabetes mellitus." الإجابة الصحيحةD "When you have gestational diabetes, you have diabetes forever, and you must be treated with medication for the rest of your life." -
865
An 8-year-old is admitted to the hospital after being sexually abused by an adult family member. The child is withdrawn and appears frightened. Which describes the best plan for the initial nursing encounter to convey concern and support?
A Introduce self and explain to the child that she or he is safe now here in the hospital.B Introduce self and tell the child that you would like to sit with the child for a little while. الإجابة الصحيحةC Introduce self and then ask the child to express how she or he feels about the events leading up to this hospital admission.D Introduce self, explain your role, and ask the child to act out the sexual encounter with the abuser with the use of art therapy. -
866
A teenager diagnosed with celiac disease arrives at the emergency department reporting profuse, watery diarrhea after a pizza party the night before. The client states, "I don't want to be different from my friends." Which client concern would the nurse focus on when responding to the client?
A DiarrheaB Low self-esteem الإجابة الصحيحةC Deficient fluid volumeD Increased inflammation -
867
The nurse develops a plan of care for a 1-month-old infant diagnosed with intussusception. Which nursing measure would be most effective to provide psychosocial support for the parent–child relationship?
A Provide educational materials.B Encourage the parents to room-in with their infant. الإجابة الصحيحةC Initiate home nutritional support as early as possible.D Encourage the parents to go home and get some sleep. -
868
Which comment made by the parents of a male infant who will have a surgical repair of a hernia indicates a need for further teaching by the nurse?
A "I understand that surgery will repair the hernia."B "I don't know if he will be able to father a child when he grows up." الإجابة الصحيحةC "The day nurse told me to give him sponge baths for a few days after surgery."D "I'll need to buy extra diapers because we need to change them frequently now." -
869
The nurse determines that a client is beginning to experience shock and hemorrhage as a result of a partial inversion of the uterus. The client asks in an apprehensive voice, "What is happening to me? I feel so funny, and I know I'm bleeding. Am I dying?" Which typical response is the client experiencing during this medical emergency?
A Panic as a result of shockB Anticipatory grieving related to the fear of dyingC Depression related to postpartum hormonal changesD Fear and anxiety related to unexpected and unknown changes الإجابة الصحيحة -
870
A perinatal home care nurse has just assessed the fetal status of a client with a diagnosis of partial placental abruption of 20 weeks' gestation. The client is experiencing new bleeding and reports less fetal movement. The nurse informs the client that the obstetrician will be contacted for possible hospital admission. The client begins to cry quietly while holding her abdomen with her hands. She murmurs, "No, no, you can't go, my little man." The nurse would recognize the client's behavior as an indication of which psychosocial reaction?
A Fear of hospitalizationB Fear of loss and the death of the fetusC Grief due to potential loss of the fetus الإجابة الصحيحةD Cognitive confusion as a result of shock -
871
The nurse is caring for a pregnant client who has been hospitalized for the stabilization of diabetes mellitus. The client tells the nurse that her husband is caring for their 2-year-old daughter. Which short-term psychosocial outcome should the nurse develop for the client?
A Be alert to the risks of early labor and birth.B Protect the client from injuries that can result from seizures.C Teach the client and family about diabetes and its implications.D Provide emotional support and education about interrupted family processes. الإجابة الصحيحة -
872
A new mother is trying to decide whether to have her baby boy circumcised. The nurse would make which statement to assist the mother with making the decision?
A "Discuss the procedure with the male members of your family."B "You know they say it prevents cancer and sexually transmitted infections, so I would definitely have my son circumcised."C "Circumcision is a difficult decision, but your primary health care provider is the best, and it's better to get it done now than later."D "Circumcision is a difficult decision. Here, read this pamphlet that discusses the pros and cons, and we will talk about any questions that you have after you read it." الإجابة الصحيحة -
873
A primigravida client who came to the clinic has been diagnosed with a urinary tract infection. She repeatedly verbalizes concern regarding the safety of the fetus. Which would the nurse address first?
A Maternal and infant safety الإجابة الصحيحةB Obtaining a sedative prescriptionC Instructions regarding improved hygieneD Instructions regarding medication compliance -
874
The nurse is planning interventions for counseling a maternal client diagnosed with sickle cell anemia. Which would be the most important psychosocial intervention at this time?
A Help the client identify her concerns. الإجابة الصحيحةB Avoid discussing the details of the disease.C Allow the client to be alone if she is crying.D Encourage family and friends to visit the client frequently. -
875
A neonatal intensive care nurse is caring for a newborn with a suspected diagnosis of erythroblastosis fetalis. Which therapeutic statement would the nurse make to the parents at this time?
A "Your infant is very sick. The next 24 hours are the most crucial."B "This is a common neonatal problem, so the prognosis is very good."C "You have reason to worry but we have everything needed to care for your baby right here in this hospital."D "You must have many concerns. Please ask me any questions that you have so that I can explain your infant's care." الإجابة الصحيحة -
876
A client diagnosed with severe preeclampsia is admitted to the hospital. The client is a student at a local college and insists on continuing her studies while in the hospital, despite being instructed to rest. The client studies approximately 10 hours a day and has numerous visits from fellow students, family, and friends. Which intervention would the nurse use to best assist the client with promoting rest?
A Ask her why she is not complying with the prescription for bed rest.B Develop a routine with the client to balance her studies and her rest needs. الإجابة الصحيحةC Include a significant other in helping the client understand the need for bed rest.D Instruct the client that the health of the baby is more important than her studies at this time. Eclampsia -
877
A pregnant client is newly diagnosed with gestational diabetes. The client cries when receiving this information and keeps repeating, "What have I done to cause this? If only I could live my life over." Considering this statement, which concern would the nurse identify for the client?
A Injury to the fetus because of maternal distressB Low self-esteem because of pregnancy complications الإجابة الصحيحةC Lack of understanding about diabetic self-care during pregnancyD Poorly perceived body image caused by complications of pregnancy -
878
A mother states to the nurse, "I am afraid that my child might have another febrile seizure." Which therapeutic statement is best for the nurse to make to the mother?
A "Tell me what frightens you the most about seizures." الإجابة الصحيحةB "Tylenol can prevent another seizure from occurring."C "Most children will never experience a second seizure."D "Why worry about something that you cannot control?" -
879
A client has just given birth to a newborn who has a cleft lip and palate. When planning to talk with the client, the nurse recognizes that the client needs to first work through which emotion before maternal bonding can occur?
A GuiltB Grief الإجابة الصحيحةC AngerD Depression -
880
An infant has been diagnosed with acute chalasia. During the nursing history, the mother tells the nurse, "I am concerned that I am somehow causing my infant to vomit after feeding her." Considering this statement, which concern would the nurse identify for the mother?
A An unrealistic expectation of herself الإجابة الصحيحةB Denial that chalasia is a physiological defectC Lack of understanding about feeding an infant with chalasiaD Anxiety about the need for hospitalization of the infant for chalasia -
881
The nurse is observing the parents at the bedside of their small- for-gestational-age (SGA) infant, who was born at 27 weeks' gestation. The infant's mother states, "She is so tiny and fragile. I'll never be able to hold her with all those tubes." Considering this statement, which concern should the nurse identify for the mother?
A Impaired adjustmentB Trouble with family copingC Potential for compromised parenting الإجابة الصحيحةD Difficulty understanding health concerns -
882
A client has just delivered a large-for-gestational-age (LGA) infant by the vaginal route. The client verbalizes concern regarding the infant's facial bruising and causing pain to the site if touched. Which therapeutic statement would the nurse make to alleviate the client's concerns?
A "I can show you how to gently stroke the face and not cause pain." الإجابة الصحيحةB "It is a normal finding in large babies and nothing to be concerned about."C "The bruising is caused by polycythemia, which usually leads to jaundice."D "Because the bruising is painful, it is advisable that you not touch the baby's face." -
883
A 9-year-old child is hospitalized in traction for 2 months after a car accident. Which intervention would the nurse plan to use to best promote psychosocial development?
A Providing a music playerB Tutoring to keep the child up with schoolwork الإجابة الصحيحةC Providing a phone for calling family and friendsD Placing computer games, a television, and videos at the bedside -
884
The nurse in the newborn nursery is caring for a preterm infant. Which is the best method the nurse can implement to assist the parents with developing attachment behaviors?
A Support visits by family and friends.B Encourage the parents to touch and speak to their infant. الإجابة الصحيحةC Report only positive qualities and progress to the parents.D Provide information regarding infant development and stimulation. -
885
A 16-year-old client diagnosed with diabetes is admitted for hyperglycemia. The client states, "I'm fed up with having my life ruled by diets, doctors' prescriptions, and machines!" Based on this assessment data, which is the priority client concern?
A A chronic illnessB A personal crisisC Feelings of loss of control الإجابة الصحيحةD Lack of understanding about nutrition -
886
The parents of a newborn infant diagnosed with congenital hypothyroidism and Down syndrome tell the nurse how despondent they are that their child was born with these problems. They had many plans for a normal child, and now these will need to be adjusted. On the basis of these statements, the nurse identifies which concern for the parents?
A Inability to cope with changeB Anger about lost opportunitiesC Trouble adjusting to a child born with medical issuesD Depression associated with the birth of a child with defects الإجابة الصحيحة -
887
The nurse is planning the hospital discharge of a young client who has been newly diagnosed with type 1 diabetes mellitus. The client expresses concern about self-administering insulin while in school with other students around. Which statement by the nurse best addresses the client's need for support at this time?
A "Oh, don't worry about that! You'll do fine!"B "You could leave school early and take your insulin at home."C "You shouldn't be embarrassed by your diabetes. Lots of people have this disease."D "Ask the school nurse about identifying a private area for you to use for injections." الإجابة الصحيحة -
888
A 12-year-old client is seen in the health care clinic. During the assessment, which finding would suggest to the nurse that the client is experiencing a disruption in the development of self-concept?
A The child has many friends.B The child has a part-time babysitting job.C The child has an intimate relationship with a significant other. الإجابة الصحيحةD The child enjoys playing chess and mastering new skills with this game. -
889
A client who is in labor has human immunodeficiency virus (HIV) and states to the nurse, "I know I will have a sick-looking baby." Which appropriate therapeutic response would the nurse make?
A "You are very sick, but your baby may not be."B "All babies are beautiful. I am sure your baby will be too."C "You have concerns about how HIV will affect your baby?" الإجابة الصحيحةD "There is no reason to worry. Our neonatal unit offers the latest treatments available." -
890
The nurse is caring for a client during a precipitous labor. The nurse would anticipate that the client will require care for which emotional need?
A Support in maintaining a sense of control الإجابة الصحيحةB Less pain and anxiety than with a normal laborC A sense of satisfaction regarding her quick laborD Fewer fears regarding the effect of labor on the newborn infant -
891
The nurse is planning care for a client who presents in active labor with a history of a previous cesarean delivery. The client complains of a "tearing" sensation in the lower abdomen. She is upset, and she expresses concern for the safety of her baby. Which therapeutic response to the client would the nurse make?
A "Try not to worry, you and your baby are in good hands."B "I can understand that you are fearful. We are doing everything possible for your baby." الإجابة الصحيحةC "I don't have time to answer questions now but I'll plan for us to have time to talk later."D "I understand your concerns. I'll let your primary health care provider know you need to talk." -
892
A newborn male infant is diagnosed with an undescended testicle (cryptorchidism), and these findings are shared with the parents. The parents ask questions about the condition. The nurse would respond to the parents that which condition can occur and have a psychosocial impact if the undescended testicle is not corrected?
A AtrophyB Infertility الإجابة الصحيحةC MalignancyD Feminization -
893
The mother of a newborn diagnosed with hydrocephalus is concerned about the complication of mental retardation. The mother states to the nurse, "I'm not sure if I can care for my baby at home." Which therapeutic response would the nurse make to the mother?
A "All babies have individual needs."B "Mothers instinctively know what is best for their babies."C "You have concerns about your baby's condition and care?" الإجابة الصحيحةD "There is no reason to worry. You have a good pediatrician." -
894
A preschooler has just been diagnosed with impetigo. The child's mother tells the nurse, "But my children take baths every day." Which therapeutic response would the nurse make to the mother?
A "You are concerned about how your child got impetigo?" الإجابة الصحيحةB "There is no need to worry. We will not tell your day care provider why your child is absent."C "Not only do you have to do a better job of keeping your children clean, you must also wash your hands more frequently."D "You should have seen the doctor before the wound became infected, and then you would not have had to worry about the child having impetigo." -
895
A client and her infant have been diagnosed as being positive for human immunodeficiency virus (HIV). When the mother is observed crying, the nurse determines that which intervention will meet the client's initial needs?
A Discussing how the mother was exposed to HIVB Sitting quietly with the mother as she talks and cries الإجابة الصحيحةC Describing the progressive stages and treatments of HIVD Calling an HIV counselor to make an appointment for the mother and infant -
896
The nurse is caring for a client in labor who is from the Philippines. The client is 4 cm dilated and 30% effaced. This is her first child. The mother is grimacing; her pulse, respiratory rate, and blood pressure are elevated. The nurse offers to call the primary health care provider (PHCP) for an epidural prescription. The mother declines. The nurse would hypothesize that the client declined the epidural for which reason?
A Filipino mothers decrease their pain through a verbal release.B Filipino mothers will only accept treatments for pain from their partners and family.C Filipino mothers are often stoic and view childbirth pain as a normal part of life.D Filipino mothers believe that pain is a form of spiritual atonement for one's past deeds. Ethnicity الإجابة الصحيحة -
897
The nurse performs an initial assessment on a pregnant client and determines that the client is at risk for toxoplasmosis. The nurse provides education to the client on how to prevent the disease. Which statement by the client indicates that teaching has been effective?
A "It's alright to eat raw meats."B "I should wash hands only before meals."C "I should avoid exposure to litter boxes used by my cat." الإجابة الصحيحةD "I should use topical corticosteroid treatments prophylactically." -
898
A home care nurse is instructing a mother of a child diagnosed with cystic fibrosis (CF) about the appropriate dietary measures. Which diet would the nurse tell the mother that the child needs to consume?
A Low-calorie, low-fat dietB High-calorie, restricted fatC Low-calorie, low-protein dietD High-calorie, high-protein diet الإجابة الصحيحة -
899
A 10-year-old child has been diagnosed with type 1 diabetes mellitus. What instruction would the nurse provide concerning the monitoring of the child's insulin needs?
A The child should be taught to self-monitor insulin needs. الإجابة الصحيحةB The parents will need to be available to monitor the child's insulin needs.C The child's school teacher will assume responsibility of insulin need monitoring.D Friends and family will need to be involved with monitoring the child's insulin needs. -
900
Which data would the nurse expect to obtain during the admission assessment of a child to support the diagnosis of irritable bowel syndrome?
A Frequent incidents of frothy diarrheaB Frequent foul-smelling ribbon stoolsC Profuse, watery diarrhea and nausea and vomitingD Diffuse abdominal pain unrelated to meals or activity الإجابة الصحيحة -
901
The nurse caring for a child diagnosed with rubeola (measles) notes that the primary health care provider (PHCP) has documented the presence of Koplik's spots. On the basis of this documentation, which observation is expected?
A Pinpoint petechiae noted on both legsB Whitish vesicles located across the chestC Petechiae spots that are reddish and pinpoint on the soft palateD Small, blue-white spots with a red base found on the buccal mucosa الإجابة الصحيحة -
902
A child is admitted to the hospital with a suspected diagnosis of von Willebrand's disease. On assessment of the child, which symptom would most likely be noted?
A HematuriaB Presence of hematomasC Presence of hemarthrosisD Bleeding from the mucous membranes الإجابة الصحيحة -
903
The nurse assessing the level of consciousness of a child with a head injury documents that the child is obtunded. On the basis of this documentation, which observation did the nurse note?
A The child is unable to think clearly and rapidly.B The child is unable to recognize place or person.C The child always requires considerable stimulation for arousal.D The child has limited interaction with the environment unless aroused. الإجابة الصحيحة -
904
The nurse is preparing a woman in early labor who is experiencing a significant increase in blood pressure for an amniotomy. Which priority data would the nurse assess before the procedure?
A Fetal heart rate الإجابة الصحيحةB Maternal heart rateC Fetal scalp samplingD Maternal blood pressure Eclampsia -
905
The nurse is monitoring a client whose membranes ruptured and is now receiving an oxytocin infusion for the induction of labor. The nurse would suspect water intoxication if which sign or symptom is noted?
A FatigueB LethargyC SleepinessD Tachycardia الإجابة الصحيحة -
906
The nurse is performing an assessment on a pregnant client with a history of cardiac disease. Which body area will venous congestion most commonly be noted in?
A Vulva الإجابة الصحيحةB Around the eyesC Fingers of the handsD Around the abdomen Peripheral Vascular -
907
A client at 35 weeks' gestation reports a sudden discharge of fluid from the vagina. Based on the data provided, which condition would the nurse suspect?
A MiscarriageB Preterm laborC Intrauterine fetal demiseD Premature rupture of the membranes الإجابة الصحيحة -
908
A child experienced a basilar skull fracture that resulted in the presence of Battle's sign. Which would the nurse expect to observe in the child?
A Bruising behind the ear الإجابة الصحيحةB The presence of epistaxisC A bruised periorbital areaD An edematous periorbital area -
909
When assessing a child with meningitis, which finding would indicate the presence of Kernig's sign?
A Calf pain when the foot is dorsiflexedB Pain when the chin is pulled down to the chestC The inability of the child to extend the legs fully when lying supine الإجابة الصحيحةD The flexion of the hips when the neck is flexed from a lying position -
910
A pregnant client diagnosed with diabetes mellitus arrives at the primary health care clinic for a follow-up visit. What best assessment would the nurse perform to assess insulin function?
A Urine for specific gravityB For the presence of edemaC Urine for glucose and ketones الإجابة الصحيحةD Blood pressure, pulse, and respirations -
911
The nurse caring for a child diagnosed with nephrotic syndrome is analyzing the child's laboratory results and notes a sodium level of 148 mEq/L (148 mmol/L). On the basis of this finding, which clinical manifestation would the nurse expect to note in the child?
A LethargyB DiaphoresisC Cold, wet skinD Dry, sticky mucous membranes الإجابة الصحيحة -
912
The nurse is caring for an infant admitted to the hospital with a diagnosis of hemolytic disease. Which finding would the nurse expect to note in this infant when reviewing the laboratory results?
A Decreased bilirubin countB Elevated blood glucose levelC Decreased red blood cell count الإجابة الصحيحةD Decreased white blood cell count -
913
Intravenous immune globulin (IVIG) therapy is prescribed for a child diagnosed with idiopathic thrombocytopenic purpura (ITP). What are the expected results of this medication?
A Urine positive for glucoseB Urine specific gravity of 1.020C Platelets of 355,000 mm3 (355 x 109/L) الإجابة الصحيحةD Blood urea nitrogen (BUN) 22 mg/dL (7.92 mmol/L) -
914
A child was diagnosed with acute poststreptococcal glomerulonephritis and renal insufficiency. Which laboratory result would the nurse expect to note in the child?
A Urine negative for proteinB Urine negative for red blood cellsC White blood cell count 18,000 mm3 (18 x 109/L)D Creatinine level of 2.1 mg/dL (185 mcmol/L) الإجابة الصحيحة -
915
A child is admitted to the hospital with a suspected diagnosis of bacterial endocarditis. The child has been experiencing fever, malaise, anorexia, and a headache. Which diagnostic study will confirm the diagnosis?
A A blood culture الإجابة الصحيحةB A sedimentation rateC A white blood cell countD An electrocardiogram (ECG) -
916
A pregnant client diagnosed with mitral valve prolapse is prescribed anticoagulant therapy during pregnancy. The nurse reviews the client's medical record, expecting to note that which medication therapy is prescribed daily?
A Oral warfarinB Intravenous infusion of heparin sodiumC Subcutaneous administration of terbutalineD Subcutaneous administration of heparin sodium الإجابة الصحيحة -
917
At the last vaginal exam, the client who is in the late first stage of labor was fully effaced, 8 cm dilated, vertex presentation, and station –
A The fetal heart rate slowly drops to 110 beats/min during strong contractions, recovering to 138 beats/min immediately afterward.B Fresh meconium is found on the examiner's gloved fingers after a vaginal exam, and the fetal monitor pattern remains essentially unchanged.C Fresh, thick meconium is passed with a small gush of liquid, and the fetal monitor shows late decelerations with a variable descending baseline. الإجابة الصحيحةD The vaginal exam continues to reveal some old meconium staining, and the fetal monitor demonstrates a U-shaped pattern of deceleration during contractions, recovering to a baseline of 140 beats/min. -
918
A child diagnosed with seizures is being treated with carbamazepine. The nurse reviews the laboratory report for the results of the drug plasma level and determines that the plasma level is in a therapeutic range if which is noted?
A 1 mcg/mL (4.2 mcmol/L)B 10 mcg/mL (42.3 mcmol/L) الإجابة الصحيحةC 18 mcg/mL (76.1 mcmol/L)D 20 mcg/mL (84.6 mcmol/L) -
919
The nurse is assigned to care for a child diagnosed with juvenile idiopathic arthritis (JIA). What is the child's priority problem?
A Acute pain الإجابة الصحيحةB Potential difficulty with everyday tasksC Impaired mobility causing potential injuryD Negative view of body because of activity intolerance -
920
A child is admitted to the hospital with a suspected diagnosis of idiopathic thrombocytopenic purpura (ITP), and diagnostic studies are performed. Which diagnostic result is indicative of this disorder?
A An elevated platelet countB Elevated hemoglobin and hematocrit levelsC Bone marrow exam showing increased megakaryocytes الإجابة الصحيحةD Bone marrow exam indicating increased immature white blood cells -
921
The mother explains that after meals her infant has been vomiting, and now it is becoming more frequent and forceful. During the assessment, the nurse notes visible peristaltic waves moving from left to right across the infant's abdomen. On the basis of these findings, which condition would the nurse suspect?
A ColicB IntussusceptionC Congenital megacolonD Hypertrophic pyloric stenosis الإجابة الصحيحة -
922
The nurse is reviewing the laboratory analysis of cerebrospinal fluid (CSF) obtained during a lumbar puncture from a child who is suspected of having bacterial meningitis. Which result would most likely confirm this diagnosis?
A Clear CSF with low protein and low glucoseB Cloudy CSF with low protein and low glucoseC Cloudy CSF with high protein and low glucose الإجابة الصحيحةD Decreased pressure and cloudy CSF with high protein -
923
A child with profuse diarrhea is admitted to the pediatric unit with a diagnosis of acute gastroenteritis. The nurse monitors the child for signs of hypovolemic shock as a result of fluid and electrolyte losses that have occurred in the child. Which finding would indicate the presence of compensated shock?
A BradycardiaB HypotensionC Profuse diarrheaD Capillary refill time greater than 3 seconds الإجابة الصحيحة -
924
The mother whose child is generally alert and participates well in classroom activities is concerned that the teacher now reported that the child has frequent periods during the day when he appears to be staring off into space. The nurse would suspect that the child has which problem?
A School phobiaB Absence seizures الإجابة الصحيحةC Behavioral problemD Attention-deficit/hyperactivity syndrome -
925
A 3-week-old infant is brought to the well-baby clinic for a phenylketonuria (PKU) screening test. The nurse reviews the results of the serum phenylalanine levels and notes that the level is 1.0 mg/dL (60 mmol/L). What interpretation would the nurse make?
A Report the test as inconclusive. الإجابة الصحيحةB Tell the mother that the test is normal.C Prepare to perform another test on the client.D Notify the pediatrician that the test is moderately elevated. -
926
The nurse is caring for a postpartum client with thromboembolytic disease. Which intervention is most important to include when planning care to prevent the complication of pulmonary embolism?
A Enforce bed rest.B Monitor the vital signs frequently.C Assess the breath sounds frequently.D Administer prescribed anticoagulant therapy. Disorders الإجابة الصحيحة -
927
A perinatal client is admitted to the obstetric unit during an exacerbation of a heart condition. When planning for the nutritional requirements, which dietary intervention would the nurse consult the dietitian about?
A A low-calorie diet to prevent weight gainB A diet low in fluids and fiber to decrease blood volumeC A diet adequate in fluids and fiber to decrease constipation الإجابة الصحيحةD Unlimited sodium intake to increase circulating blood volume -
928
The nurse is creating a plan of care for a newborn diagnosed with bilateral club feet. Which information would the nurse plan to include in the parents education?
A The regimen of manipulation and casting is effective in all cases of bilateral club feet.B Genetic testing is wise for future pregnancies because other children born to this couple may also be affected.C If casting is needed, it will begin at birth and continue for 12 weeks, at which time the condition will be reevaluated. الإجابة الصحيحةD Surgery performed immediately after birth has been found to be the most effective for achieving a complete recovery. -
929
The nurse is preparing to care for an infant diagnosed with pertussis. Which priority problem would the nurse address when planning care?
A InfectionB Fluid overloadC Impaired sleep patternsD Inability to expectorate secretions الإجابة الصحيحة -
930
The nurse is planning care for an infant who has a diagnosis of hypertrophic pyloric stenosis and is scheduled for surgery. Which intervention would the nurse include to meet the infant's preoperative needs?
A Administer enemas until returns are clear.B Provide the mother privacy to breast-feed every 2 hours.C Monitor the intravenous (IV) infusion, intake, output, and weight. الإجابة الصحيحةD Provide small, frequent feedings of glucose, water, and electrolytes. -
931
The nurse is caring for a hospitalized child with a diagnosis of rheumatic fever who has developed carditis. The mother asks the nurse to explain the meaning of carditis. On which description of this complication of rheumatic fever would the nurse plan to base a response?
A Involuntary movements affecting the legs, arms, and faceB Inflammation of all parts of the heart, primarily the mitral valve الإجابة الصحيحةC Tender, painful joints, especially in the elbows, knees, ankles, and wristsD Red skin lesions that start as flat or slightly raised macules, usually over the trunk, and that spread peripherally -
932
The nurse preparing to admit a 7-month-old infant with febrile seizures would anticipate the need for which equipment when planning care for this infant?
A Restraints at the bedsideB A code cart at the bedsideC Suction equipment and an airway at the bedside الإجابة الصحيحةD A padded tongue blade taped to the head of the bed -
933
A 10-month-old infant is hospitalized for respiratory syncytial virus (RSV). On the basis of the developmental stage of the infant, what intervention would the nurse include in the plan of care?
A Restrain the infant with a total body restraint to prevent any tubes from being dislodged.B Follow the home feeding schedule, and allow the infant to be held only when the parents visit.C Wash hands, wear a mask when caring for the infant, and keep the infant as quiet as possible.D Provide a consistent routine, and touch, rock, and cuddle the infant throughout the hospitalization. Syncytial Virus الإجابة الصحيحة -
934
A child with a diagnosis of Reye's syndrome is being admitted to the hospital. The nurse creates a plan of care for the child that includes which priority nursing action?
A Monitoring for hearing lossB Monitoring intake and output (I&O)C Repositioning the child every 2 hoursD Providing a quiet environment with dimmed lighting الإجابة الصحيحة -
935
A nursing student is preparing to conduct a clinical conference regarding cerebral palsy. Which characteristic related to this disorder would the student plan to include in the discussion?
A Cerebral palsy is an infectious disease of the central nervous system.B Cerebral palsy is an inflammation of the brain as a result of a viral illness.C Cerebral palsy is a chronic disability characterized by difficulty with muscle control. الإجابة الصحيحةD Cerebral palsy is a congenital condition that results in moderate to severe retardation. -
936
A nursing student is asked to conduct a clinical conference about autism. Which characteristic associated with autism would the student plan to include?
A Normal social play that ceases by age 5B Lack of social interaction and awareness الإجابة الصحيحةC The consistent imitation of others' actionsD Normal verbal but abnormal nonverbal communication -
937
The school nurse is preparing to perform health screening for scoliosis on children aged 9 through 14. Which instruction would the nurse plan to provide to each child?
A Lie flat and lift the legs straight up.B Lie on the right side and then roll to the left side while the arms are held overhead.C Walk 10 feet forward and then 10 feet backward with the arms held overhead at both sides.D Stand with weight equally on both feet with the legs straight, and the arms hanging loosely at both sides. الإجابة الصحيحة -
938
The nurse is creating a plan of care for a child diagnosed with leukemia who is beginning chemotherapy. Which intervention would the nurse include?
A Monitor rectal temperatures every 4 hours.B Monitor the mouth and anus each shift for signs of breakdown. الإجابة الصحيحةC Encourage the child to consume fresh fruits and vegetables to maintain nutritional status.D Provide meticulous mouth care several times daily using an alcohol-based mouthwash and a toothbrush. -
939
The nurse is informed that a newborn infant whose mother is Rh negative will be admitted to the nursery. When planning care for the infant's arrival, which action would the nurse take?
A Obtain the newborn infant's blood type and direct Coombs' results from the laboratory. الإجابة الصحيحةB Obtain the necessary equipment from the blood bank needed for an exchange transfusion.C Call the maintenance department and ask for a phototherapy unit to be brought to the nursery.D Obtain a vial of vitamin K from the pharmacy and prepare to administer an injection to prevent isoimmunization. -
940
The nurse is checking the fundus of a postpartum woman and notes that the uterus is soft and spongy. Which nursing action is appropriate initially?
A Encourage the mother to ambulate.B Notify the primary health care provider.C Massage the fundus gently until it is firm. الإجابة الصحيحةD Document fundal position, consistency, and height. -
941
A primipara is being evaluated in the clinic during her second trimester of pregnancy. The nurse checks the fetal heart rate (FHR) and notes that it is 190 beats/min. What is the appropriate initial nursing action?
A Document the finding.B Tell the client that the FHR is fast.C Consult with the primary health care provider (PHCP). الإجابة الصحيحةD Recheck the FHR with the client in the standing position. -
942
A client in the late, active, first stage of labor has just reported a gush of vaginal fluid. The nurse observes a fetal monitor pattern of variable decelerations during contractions followed by a brief acceleration. After that, there is a return to baseline until the next contraction, when the pattern is repeated. On the basis of these data, what is the nurse's initial intervention?
A Take the client's vital signs.B Perform a Leopold's maneuver.C Perform a manual sterile vaginal exam. الإجابة الصحيحةD Test the vaginal fluid with a Nitrazine strip. -
943
The nurse is caring for an infant after a pyloromyotomy is performed to treat hypertrophic pyloric stenosis. In which position would the nurse place the infant after surgery?
A Flat on the operative sideB Flat on the unoperative sideC Prone with the head of the bed elevated الإجابة الصحيحةD Supine with the head of the bed elevated -
944
A mother of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the mother?
A To continue to monitor the childB That lethargy and vomiting are normal manifestations of mumpsC That, as long as there is no fever, there is nothing to be concerned aboutD To bring the child to the clinic to be seen by the primary health care provider الإجابة الصحيحة -
945
The nurse is reviewing the primary health care provider's (PHCP) prescriptions for a child who was admitted to the hospital with vaso-occlusive pain crisis resulting from sickle cell anemia. Which PHCP prescription would the nurse question?
A Bed restB Intravenous fluidsC Supplemental oxygenD Meperidine hydrochloride الإجابة الصحيحة -
946
The nurse is caring for an infant diagnosed with laryngomalacia (congenital laryngeal stridor). In which position would the nurse place the infant to decrease the incidence of stridor?
A ProneB SupineC Supine with the neck flexedD Prone with the neck hyperextended الإجابة الصحيحة -
947
The nurse prepares to admit a newborn with spina bifida, myelomeningocele. Which nursing action is most important for the care for this infant?
A Monitoring the temperatureB Monitoring the blood pressureC Inspecting the anterior fontanel for bulging الإجابة الصحيحةD Monitoring the specific gravity of the urine -
948
During the assessment, the nurse notes that the child's genitals are swollen. The nurse suspects that the child is being sexually abused. Which priority action would the nurse take?
A Document the child's physical findings.B Report the case because abuse is suspected. الإجابة الصحيحةC Refer the family to appropriate support groups.D Assist the family with identifying resources and support systems. -
949
The nurse is planning care for an infant with a diagnosis of an encephalocele located in the occipital area. Which item would the nurse use to assist with positioning the child to avoid pressure on the encephalocele?
A SandbagsB SheepskinC Feather pillowsD Foam half donut الإجابة الصحيحة -
950
The nurse caring for a child who has sustained a head injury notes that the primary health care provider (PHCP) has documented decorticate posturing. During the assessment, the nurse notes the extension of the upper extremities and the internal rotation of the upper arms and wrists and that the lower extremities are extended, with some internal rotation noted at the knees and feet. On the basis of these findings, what is the initial nursing action?
A Notify the PHCP of the change in posturing. الإجابة الصحيحةB Document that the original positioning is unchanged.C Attempt to assess the flexibility of the child's lower extremities.D Plan to continue to monitor the child for posturing every 2 hours. -
951
The mother of the child with a diagnosis of hepatitis B calls the health care clinic to report that the jaundice seems to be worsening. Which response would the nurse make to the mother?
A "It sounds as if the hepatitis may be worsening."B "It is necessary to isolate the child from others in the home."C "The jaundice may appear to get worse before it begins to resolve." الإجابة الصحيحةD "You need to bring the child to the health care clinic to see the primary health care provider." -
952
The nurse is preparing to suction a tracheotomy on an infant. The nurse prepares the equipment for the procedure and would turn the suction to which setting?
A 60 mm HgB 90 mm Hg الإجابة الصحيحةC 110 mm HgD 120 mm Hg -
953
The nurse is caring for a hospitalized 14-year-old child who is placed in Crutchfield traction. The child is having difficulty adjusting to the length of the hospital confinement. Which nursing action would be appropriate to meet the child's needs?
A Allow the child to play loud music in the hospital room.B Let the child wear his or her own clothing when friends visit. الإجابة الصحيحةC Allow the child to have his or her hair dyed if the parent agrees.D Allow the child to keep the shades closed and the room darkened. -
954
A client in the second trimester of pregnancy is being assessed at the primary health care clinic. The nurse notes that the fetal heart rate (FHR) is 100 beats/min. Which nursing action would be appropriate initially?
A Document the findings as normal.B Notify the primary health care provider (PHCP) of the finding. الإجابة الصحيحةC Inform the mother that the assessment is normal and everything is fine.D Instruct the mother to return to the clinic in 8 hours for reevaluation of the FHR. -
955
A perinatal client has been instructed about the prevention of genital tract infections. Which statement by the client indicates an understanding of these preventive measures?
A "I can douche anytime I want."B "I can wear my tight-fitting jeans."C "I should avoid the use of condoms."D "I should wear underwear with a cotton panel liner." الإجابة الصحيحة -
956
A 24-hour-old term infant had a confirmed episode of hypoglycemia when 1 hour old. Which observation by the nurse would indicate the need for follow-up?
A Weight loss of 4 ounces and dry, peeling skinB Blood glucose level of 40 mg/dL (2.28 mmol/L) before the last feedingC Breast-feeding for 20 minutes or more, with strong suckingD High-pitched cry, drinking 10 to 15 mL of formula per feeding الإجابة الصحيحة -
957
A home care nurse visits a child with a diagnosis of celiac disease. Which finding best indicates that a gluten-free diet is being maintained and has been effective?
A The child is free of diarrhea. الإجابة الصحيحةB The child is free of bloody stools.C The child tolerates dietary wheat and rye.D A balanced fluid and electrolyte status is noted on the laboratory results. -
958
A woman in labor is receiving oxytocin by intravenous infusion. The nurse monitors the client, knowing that which finding indicates an adequate contraction pattern?
A One contraction per minute, with resultant cervical dilationB Four contractions every 5 minutes, with resultant cervical dilationC One contraction every 10 minutes, without resultant cervical dilationD Three to five contractions in a 10-minute period, with resultant cervical dilation الإجابة الصحيحة -
959
A home care nurse is assigned to visit a preschooler who has a diagnosis of scarlet fever and is on bed rest. What data obtained by the nurse would indicate that the child is coping with the illness and bed rest?
A The child insists that his mother stay in the room.B The child is coloring and drawing pictures in a notebook. الإجابة الصحيحةC The mother keeps providing new activities for the child to do.D The child sucks his thumb whenever he does not get what he asked for. -
960
The nurse is providing instructions to the mother of a child with a diagnosis of strabismus of the left eye. Which statement by the mother indicates that the mother understands the procedure for patching?
A "I will place the patch on both eyes."B "I will place the patch on the left eye."C "I will place the patch on the right eye." الإجابة الصحيحةD "I will alternate the patch from the right eye to the left eye every hour." -
961
The nurse is assessing a client with gestational hypertension who was admitted to the hospital 48 hours ago. Which current assessment data would indicate that the condition has not yet resolved?
A Increased urinary outputB Presence of trace urinary proteinC Client complaints of blurred vision الإجابة الصحيحةD Blood pressure reading at prenatal baseline Eclampsia -
962
The nurse has provided discharge instructions to the parent of a child who has undergone heart surgery. Which statement by the parent would indicate the need for further teaching?
A "My child can return to school for full days one week after discharge." الإجابة الصحيحةB "I should allow my child to play inside but omit outside play at this time."C "I should have my child avoid crowds and people for 2 week after discharge."D "I should call the primary health care provider if my child develops faster or harder breathing than normal." -
963
The nurse reviews the nursing care plan of a hospitalized preschool child who is immobilized as a result of skeletal traction. The nurse notes concerns related to the child's development because of immobilization and hospitalization. Which evaluative statement indicates a positive outcome for the child?
A The fracture heals without complications.B The caregivers verbalize safe and effective home care.C The child maintains normal joint and muscle integrity.D The child displays age-appropriate developmental behaviors. الإجابة الصحيحة -
964
The nurse has been encouraging the intake of oral fluids for a client in labor to improve hydration. Which indicates a successful outcome of this action?
A Ketones in the urineB A urine specific gravity of 1.020 الإجابة الصحيحةC A blood pressure of 150/90 mm HgD The continued leaking of amniotic fluid during labor -
965
A goal for a postpartum client states, "The client will remain free of infection during her hospital stay." Which assessment data would support that the goal has been met?
A Normal appetiteB Absence of fever الإجابة الصحيحةC Minimal vaginal bleedingD Moderate breast tenderness -
966
The nurse instructs a parent regarding the appropriate actions to take when the toddler has a temper tantrum. Which statement by the parent indicates a successful outcome of the teaching?
A "I will ignore the tantrums as long as there is no physical danger." الإجابة الصحيحةB "I will give frequent reminders that only bad children have tantrums."C "I will send my child to a room alone for 10 minutes after every tantrum."D "I will reward my child with candy at the end of each day without a tantrum." -
967
The nurse is reviewing a plan of care prepared by a nursing student for an infant being admitted to the hospital with a diagnosis of congestive heart failure. Which intervention would the nurse recognize as needing revision?
A Elevate the head of the bed.B Provide oxygen during stressful periods.C Limit the time that the infant is allowed to bottle-feed.D Wake the infant for feedings to ensure adequate nutrition. الإجابة الصحيحة -
968
The nurse teaches a pregnant client to perform Kegel exercises. Which statement by the client indicates an understanding of the purpose of these types of exercises?
A "The exercises will help reduce backache."B "The exercises will help prevent ankle edema."C "The exercises will help strengthen the pelvic floor." الإجابة الصحيحةD "The exercises will help prevent urinary tract infections." -
969
A newborn infant receives the first dose of hepatitis B vaccine within 12 hours of birth. The nurse instructs the parent regarding the immunization schedule for this vaccine and tells the parent that the second vaccine is administered at which time periods?
A 3 years of age and then during the adolescent yearsB 8 months of age and then 1 year after the initial doseC 6 months of age and then 8 months after the initial doseD 1 to 2 months of age and then 6 months after the initial dose الإجابة الصحيحة -
970
Which procedure would be avoided in order to help prevent the transmission of the human immunodeficiency virus (HIV) from a positive pregnant mother to her fetus during the intrapartum period?
A Cesarean birthB Epidural anesthesiaC External fetal heart rate monitoringD Direct (internal) fetal heart rate monitoring الإجابة الصحيحة -
971
Which action by the nursing student, caring for a child who sustained a head injury from a fall, indicates a need for further teaching?
A Forcing fluids الإجابة الصحيحةB Performing neurological assessmentsC Keeping the child in a sitting-up positionD Keeping the child awake as much as possible -
972
A newborn diagnosed with respiratory distress syndrome (RDS) is prescribed surfactant replacement therapy. The nurse evaluates the infant 1 hour after the therapy and determines that the infant's condition has improved somewhat. Which finding indicates improvement?
A An audible respiratory gruntB Gradual increase in the respiratory rateC Arterial blood pH increases to ≥7.35 الإجابة الصحيحةD Fine inspiratory crackles heard over both lungs -
973
The nurse is performing an assessment on a 6-month-old infant suspected of having hydrocephalus. Which finding is associated with this diagnosis?
A A bulging anterior fontanel الإجابة الصحيحةB An elevated apical heart rateC The presence of protein in the urineD A drop in blood pressure from baseline -
974
A 10-day postpartum breast-feeding client telephones the postpartum unit reporting a reddened, painful breast and elevated temperature. Based on assessment of the client's complaints, which action would the nurse tell the client to do?
A "Breast-feed only with the unaffected breast."B "Stop breast-feeding because you probably have an infection."C "Notify your primary health care provider because you may need medication." الإجابة الصحيحةD "Continue breast-feeding since this is a normal response in breast- feeding mothers." -
975
The mother of the child diagnosed with Kawasaki disease asks the nurse about the disorder. On which description of this disorder would the nurse base the response to the mother?
A It is an acquired cell-mediated immunodeficiency disorder.B It is a chronic multisystem autoimmune disease characterized by the inflammation of connective tissue.C It is also called mucocutaneous lymph node syndrome and is a febrile generalized vasculitis of unknown etiology. الإجابة الصحيحةD It is an inflammatory autoimmune disease that affects the connective tissue of the heart, joints, and subcutaneous tissues. -
976
The nurse caring for a child diagnosed with a patent ductus arteriosus would base planning on which fact concerning this disorder?
A It involves an opening between the two atria.B It produces abnormalities in the atrial septum.C It involves an opening between the two ventricles.D It involves an artery that connects the aorta and the pulmonary artery. الإجابة الصحيحة -
977
When desmopressin acetate is prescribed via intranasal route for a child diagnosed with von Willebrand's disease, the nurse instructs the parents regarding the administration of this medication. Which statement by the parents indicates a need for further teaching?
A "We need to refrigerate the medicine."B "We need to increase our child's fluid intake." الإجابة الصحيحةC "Nausea and abdominal cramps can occur as a side effect of the medication."D "Drowsiness may be a sign of water intoxication that can occur with the medication." -
978
A child is brought to the emergency department after being bitten on the arm by a neighborhood dog. Which is the priority question for the nurse to ask the parent of the child?
A "How old is the dog?"B "Does the dog have a history of biting?"C "Are the child's immunizations up-to-date?" الإجابة الصحيحةD "Did the dog have all of its recommended shots?" -
979
The nurse is providing instructions to the parent of a child who had a myringotomy with insertion of tympanostomy tubes. Which instructions would the nurse provide the parent in case the tubes fall out?
A "Bring the child to the emergency department immediately."B "It is not an emergency, but it is best to call the health care clinic." الإجابة الصحيحةC "It is important to replace them immediately so that the surgical opening does not close."D "Clean the tubes with half-strength hydrogen peroxide for 30 minutes and then replace them into the child's ears." -
980
A parent reports that her child has developed a bloody nose. Which action would the nurse instruct the parent to take to control the bleeding?
A Pinch the nostrils for 5 minutes and then recheck for bleeding.B Maintain the child in a sitting position with the head tilted backward.C Lay the child down with a pillow tucked under the neck and stay with the child to keep the child calm.D Have the child sit with the head tilted forward and hold pressure on the soft part of the nose for a period of 10 minutes. الإجابة الصحيحة -
981
The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question would the nurse ask the child's parent during the assessment?
A "Has your child had difficulty urinating?"B "Has your child been exposed to anyone with chickenpox?"C "Has any family member had a sore throat within the past few weeks?" الإجابة الصحيحةD "Has any family member had a gastrointestinal disorder in the past few weeks?" -
982
The parents of a child with mumps express concern that their child will develop orchitis as a result of having mumps. What characteristic of this complication would the nurse discuss with the parents?
A Fever الإجابة الصحيحةB Facial swellingC Swollen glandsD Difficulty urinating -
983
The maternity nurse is teaching a pregnant client about the physiological effects and hormone changes that occur in pregnancy. Which information would the nurse provide to the client about the purpose of estrogen?
A It maintains the uterine lining for implantation.B It stimulates metabolism of glucose and converts the glucose to fat.C It prevents the involution of the corpus luteum and maintains the production of progesterone until the placenta is formed.D It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation. الإجابة الصحيحة -
984
A newborn infant is diagnosed with imperforate anus. Which description of this disorder would the nurse provide to the parents?
A The presence of fecal incontinenceB Incomplete development of the anus الإجابة الصحيحةC The infrequent and difficult passage of dry stoolsD Invagination of a section of the intestine into the distal bowel -
985
The nurse provides bottle-feeding instructions to the mother of a newborn infant about the amount of formula to be given, knowing that what is the approximate stomach capacity for a newborn?
A 5 to 10 mLB 10 to 20 mL الإجابة الصحيحةC 30 to 90 mLD 75 to 100 mL -
986
When a breast-feeding mother reports experiencing nipple soreness, the nurse provides teaching regarding measures to relieve the soreness. Which statement by the mother indicates an understanding of the teaching?
A "I need to avoid rotating breast-feeding positions so that the nipple will toughen."B "I need to stop nursing during the period of nipple soreness to allow the nipples to heal."C "I need to nurse less frequently and substitute a bottle feeding until the nipples become less sore."D "I need to position my infant with her ear, shoulder, and hip in straight alignment and place her stomach against me." الإجابة الصحيحة -
987
When performing an assessment on a mother who just delivered a healthy newborn, the nurse would expect to note that the fundus is positioned at which location?
A To the right of the abdomenB At the level of the umbilicus الإجابة الصحيحةC Above the level of the umbilicusD One fingerbreadth above the symphysis pubis -
988
While obtaining the vital signs on a mother who delivered a healthy newborn 2 hours ago the nurse notes that the mother's temperature is 102° F (38.8° C). Which is the appropriate nursing action at this time?
A Notify the primary health care provider. الإجابة الصحيحةB Remove the blanket from the client's bed.C Document the finding and recheck the temperature in 4 hours.D Administer acetaminophen and recheck the temperature in 4 hours. -
989
The nurse caring for a client who recently received an epidural anesthesia for a vaginal delivery suspects the presence of a vaginal hematoma. Which finding would be the best indicator of the presence of this type of hematoma?
A Changes in vital signs الإجابة الصحيحةB Signs of vaginal bruisingC Client reporting a tearing sensationD Client reporting intense vaginal pressure -
990
The nurse developing a plan of care for a postterm small-for- gestational-age (SGA) newborn would identify which assessment as the priority to monitor?
A Urinary outputB Blood glucose levels الإجابة الصحيحةC Total bilirubin levelsD Hemoglobin and hematocrit -
991
A new mother was administered methylergonovine maleate intramuscularly after delivery. The nurse understands that this medication was administered for which action?
A Decrease uterine contractions.B Prevent postpartum hemorrhage. الإجابة الصحيحةC Maintain a normal blood pressure.D Reduce the amount of lochia drainage. -
992
The nurse is informed that a newborn infant with Apgar scores of 1 and 4 will be brought to the nursery. The nurse determines that which intervention is the priority?
A Connecting the resuscitation bag to oxygen الإجابة الصحيحةB Turning on the apnea and cardiorespiratory monitorC Preparing for the insertion of an intravenous (IV) line with D5WD Setting up the radiant warmer control temperature at 36.4° C (97.6° F) -
993
The nurse is caring for a client in labor who has butorphanol tartrate prescribed for the relief of labor pain. During the administration of the medication, the nurse would ensure that which priority item is readily available?
A Naloxone الإجابة الصحيحةB Meperidine hydrochlorideC An intravenous form of an antiemeticD An intravenous solution of normal saline -
994
Methylergonovine maleate is prescribed for a woman who has just delivered a healthy newborn. Which is the priority assessment to complete before administering the medication?
A LochiaB Uterine toneC Blood pressure الإجابة الصحيحةD Deep tendon reflexes -
995
When a rubella vaccine is administered to a client who delivered a healthy newborn 2 days ago, the nurse provides instructions to the client regarding the potential risks associated with this vaccination. Which statement by the client indicates an understanding of the medication?
A "I need to stay out of the sunlight for 3 days."B "The injection site may itch, but I can scratch it if I need to."C "I need to avoid sexual intercourse for 2 to 3 days after the vaccination."D "I need to prevent becoming pregnant for 2 to 3 months after the vaccination." الإجابة الصحيحة -
996
The nurse is preparing a poster for a booth at a health fair to promote primary prevention of cervical cancer. Which recommendation would the nurse include on the poster?
A Use a commercial douche on a daily basis.B Perform monthly breast self-examination (BSE).C Seek treatment promptly if cervical infection is suspected. الإجابة الصحيحةD Use oral contraceptives as a preferred method of birth control. -
997
Methylphenidate is prescribed for a child with a diagnosis of attention deficit hyperactivity disorder (ADHD). At which time of day would the nurse instruct the mother to administer the medication?
A Before dinner and at bedtimeB At the noontime and evening mealsC In the morning after breakfast and at bedtimeD Before breakfast and before the noontime meal Attention Deficit Hyperactivity Disorder Disorder الإجابة الصحيحة -
998
A child with the diagnosis of Hirschsprung's disease has a temporary colostomy. The nurse provides instructions to the parents about colostomy care at home. Which statement by the parents indicates their understanding of the instructions?
A "We will give antidiarrheal medications."B "We will report signs of skin breakdown." الإجابة الصحيحةC "We will give saline water enemas if my child doesn't pass stool."D "We will apply a heat lamp to any moist red tissue around the stoma." -
999
A new breast-feeding mother experiencing breast engorgement is provided with instructions regarding care for the condition. Which statement by the mother indicates to the nurse that she understands the measures that will provide comfort for the engorgement?
A "I will breast-feed using only one breast."B "I will apply cold compresses to my breasts."C "I will avoid the use of a bra while my breasts are engorged."D "I will massage my breasts before feeding to stimulate letdown." الإجابة الصحيحة -
1000
Which nursing assessment findings indicate normal vital signs in a newborn infant?
A Pulse, 112 beats/min; respiratory rate, 24 breaths/minB Pulse, 124 beats/min; respiratory rate, 28 breaths/minC Pulse, 144 beats/min; respiratory rate, 48 breaths/min الإجابة الصحيحةD Pulse, 164 beats/min; respiratory rate, 55 breaths/min -
1001
The nurse is monitoring for the presence of pitting edema in the prenatal client. The nurse presses the fingertips of the middle and index fingers against the shin in four different locations and holds pressure for 2 to 3 seconds. The nurse notes that the indentation is approximately 1-inch deep. The nurse would document that the client has which level of pitting edema?
A +1B +2C +3D +4 الإجابة الصحيحة -
1002
A 30-week-gestation client admitted in preterm labor is prescribed betamethasone. What would the nurse tell the client is the purpose for this medication?
A Promote fetal lung maturity. الإجابة الصحيحةB Delay delivery for at least 48 hours.C Stop the premature uterine contractions.D Prevent premature closure of the ductus arteriosus. -
1003
When providing intermittent nasogastric feedings to an infant with failure to thrive, which method is preferred to confirm tube placement before each feeding?
A Obtain a chest x-ray.B Verify that the gastric PH is less than 5.5.C Auscultate the stomach while instilling an air bolus. الإجابة الصحيحةD Compare the tube insertion length to a standardized chart. -
1004
When teaching a mother about measures to prevent lead poisoning in her children, which of the following preventive measures should the nurse include as the most effective?
A Condemning old housing developments.B Educating the public on common sources of lead. الإجابة الصحيحةC Educating the public on the importance of good nutrition.D Keeping pregnant women out of old homes that are being remodeled. -
1005
A child with a nut allergy is admitted with a severe reaction for the third time in 3 months. The parent says, “I am having trouble with the food labels.” The nurse should first:
A Discontinue the prednisolone 40 mg and give the 30-mg dose today.B Check the medication record first to see when the last dose of prednisolone was given.C Start the 30-mg dose tomorrow.D Contact the prescriber for clarification. الإجابة الصحيحة -
1006
A transfusion of packed red blood cells has been prescribed for a 1-year-old with a sickle cell anemia. The infant has a 25-gauge IV infusing dextrose with sodium and potassium. Using the situation, background, assessment, recommendation (SBAR) method of communication, the nurse contacts the primary health care provider and recommends:
A Starting a second IV with a 22-gauge catheter to infuse normal saline with the blood.B Using the existing IV, but changing the fluids to normal saline for the transfusion.C Replacing the IV with a 22-gauge catheter to infuse the prescribed fluids. الإجابة الصحيحةD Starting a second IV with a 25-gauge catheter to infuse normal saline with the transfusion. -
1007
The nurse is assisting with conscious sedation for a 6-year-old undergoing a bone marrow biopsy. The nurse's most important responsibility during the procedure is to:
A Administer the topical anesthetic. الإجابة الصحيحةB Keep the parents informed.C Monitor the client.D Record the procedure. -
1008
The nurse is preparing to administer furosemide (Lasix) to a 3-year-old with a heart defect. The nurse verifies the child's identity by checking the arm band and:
A Asking the child to state her name.B Checking the room number.C Asking the child to tell her birth date.D Asking the parent the child's name. الإجابة الصحيحة -
1009
An 8-year-old child with juvenile idiopathic arthritis (JIA) is being admitted to the hospital for evaluation of progressively increasing symptoms. The child weighs 60 lb (27 kg) and is 50 inches (127 cm) tall. The nurse is reconciling the medications the parent brought from home with the medications the physician has prescribed. (See chart.)
A Have the family give the child cetirizine daily using the medication they have from home.B Explain the need to limit over-the-counter medications while in the hospital.C Request a cetirizine prescription from the primary care provider. الإجابة الصحيحةD Contact the primary care provider to question the methotrexate. -
1010
A parent brings a 5-year-old child to a weekend vaccination clinic to prepare for school entry. The nurse notes that the child has not had any vaccinations since 4 months of age. To determine the current evidence for best practices for scheduling missed vaccinations, the nurse should:
A Ask the child's primary care provider.B Check nationally published immunization guidelines. الإجابة الصحيحةC Read the vaccine manufacturer's insert.D Contact the pharmacist. -
1011
A 13-month-old has a febrile seizure 1 month after the administration of the chickenpox vaccine. The nurse should:
A Recognize that the events are unrelated.B Report the event through a national immunization surveillance system. الإجابة الصحيحةC Explain to the parents that this is a rare but acceptable risk.D Report the incident through the vaccine manufacturer's hotline. -
1012
Which of the following children should the nurse assess as demonstrating behaviors that need further evaluation?
A Joey, age 2, who refuses to be toilet-trained and talks to himself.B Adrienne, age 6, who sucks her thumb when tired and has never spent the night with a friend.C Curt, age 10, who frequently tells his mother that he is going to run away whenever they argue.D Stephen, age 2, who is indifferent to other children and adults and is mute. الإجابة الصحيحة -
1013
The nurse is admitting a child who has been diagnosed with bacterial meningitis to the pediatric unit. The nurse should implement which type of isolation?
A Standard or routine precautions.B Contact precautions.C Airborne precautions.D Droplet precautions. الإجابة الصحيحة -
1014
The emergency room nurse has admitted an infant with bulging fontanels, setting sun eyes, and lethargy. Which of the following diagnostic procedures would be contraindicated in this infant?
A Lumbar puncture. الإجابة الصحيحةB Magnetic resonance imaging.C Arterial blood draw.D Computerized tomography scan. -
1015
The nurse is caring for a term neonate who is diagnosed with patent ductus arteriosus. While performing a physical assessment of the neonate, the nurse anticipates that the neonate will exhibit which of the following?
A Decreased cardiac output with faint periph- eral pulses.B Profound cyanosis over most of the body.C Loud cardiac murmurs through systole and diastole. الإجابة الصحيحةD Harsh systolic murmurs with a palpable thrill. -
1016
Assessment of a term neonate at 8 hours after birth reveals tachypnea, dyspnea, sternal retrac- tions, diminished femoral pulses, poor lower body perfusion, and cyanosis of the lower body and extremities, with a pink upper body. The nurse notifi es the pediatrician based on the interpretation that these symptoms are associated with which of the following?
A Coarctation of the aorta. الإجابة الصحيحةB Atrioventricular septal defect.C Pulmonary atresia.D Transposition of the great arteries. -
1017
The nurse is caring for a 2-day-old neonate in the recovery room 30 minutes after surgical cor- rection for the cardiac defect, transposition of the great vessels. Which of the following would alert the nurse to notify the physician?
A Oxygen saturation of 90%.B Pale pink extremities.C Warm, dry skin.D Femoral pulse of 90 bpm. الإجابة الصحيحة -
1018
A 9-year-old client with attention defi cit hyperactivity disorder tells the nurse, “No one in my class likes me because they think I’m stupid. They’re right, I am stupid!” The nurse identifi es which of the following nursing diagnoses as relevant for this client?
A Situational low self-esteem related to client’s perception of how other’s view him. الإجابة الصحيحةB Ineffective coping related to an inability to be objective about peers.C Interrupted family processes (disabling) related to the family’s diffi culty in coping with the child.D Anxiety related to dislike of the client by his peers. -
1019
A 6-year-old female is brought to the school nurse for refusal to sit in class. She denies feeling sick but insists that her mother be called so she can go home. She is pacing and chewing on a fingernail. This has occurred daily since school began 4 weeks ago. She tells the nurse that she is afraid something bad is going to happen to her mother. The nurse should continue to gather data that indicates which of the following?
A Obsessive-compulsive disorder.B Major depression. الإجابة الصحيحةC Attention defi cit hyperactivity disorder.D Separation anxiety disorder.
جرب كلمة أقصر أو امسح البحث لعرض المذكرة كاملة.