مذكرة مراجعة
تحميل PDFتحميل مباشر بصيغة PDF
مايو 2026
313 سؤال مع الإجابات الصحيحة، مرتبة للقراءة والمراجعة استعدادا لاختبار التمريض SNLE.
-
1
A nurse is monitoring a patient receiving warfarin therapy for a deep vein thrombosis. Which laboratory value should the nurse evaluate to determine if the medication is within therapeutic range?
A Hemoglobin levelB White blood cell countC International normalized ratio (INR) الإجابة الصحيحةD Platelet count -
2
A postoperative infant who had a myelomeningocele repair has a clean, dry surgical incision. Which type of dressing should the nurse apply to protect the site while allowing healing?
A Dry sterile dressing الإجابة الصحيحةB Moist sterile dressingC Occlusive transparent dressingD No dressing needed -
3
A home health nurse visits an elderly patient who lives alone and has a history of falls. Which standardized assessment tool is most appropriate for evaluating the patient's fall risk?
A Barn ScaleB Hendrich II Fall Risk Model الإجابة الصحيحةC GCS ScaleD Norton Scale -
4
A multiparous woman in active labor has progressed from 3 cm to 7 cm dilation in 2 hours. She now reports a strong urge to have a bowel movement. What is the nurse's priority action?
A Provide a bedpan for bowel movementB Perform a vaginal examination to assess for full dilation الإجابة الصحيحةC Allow the patient to use the toiletD Administer prescribed pain medication -
5
A nurse reads several research studies that suggest increased patient mobility reduces postoperative pain. To determine whether these findings are generalizable to the nurse's own patient population, what should the nurse evaluate first?
A Research author credentialsB Sample size and diversity of study populations الإجابة الصحيحةC Journal impact factorD Publication date -
6
A charge nurse assigns a task involving sensitive patient information to an intern nurse. Later, the charge nurse assumes the intern is highly competent in all areas because of one positive performance. This cognitive bias is known as:
A Making decisions based on one positive trait (halo effect) الإجابة الصحيحةB Delegating inappropriate tasks to new staffC Failing to provide adequate supervisionD Creating unrealistic expectations -
7
A patient reports difficulty falling asleep and frequent nighttime awakenings for several months. The nurse reviews the patient's diet and lifestyle. Which vitamin deficiency is most commonly linked to sleep disturbances?
A Vitamin B12B Vitamin CC Vitamin D الإجابة الصحيحةD Vitamin A -
8
A patient in a persistent vegetative state receiving long-term enteral nutrition is at highest risk for deficiency of which vitamin?
A Vitamin DB Vitamin B12 الإجابة الصحيحةC Vitamin CD Folate -
9
A woman with gestational diabetes delivers a full-term infant. In the first few hours after birth, the nurse should monitor the newborn most closely for which complication?
A HyperglycemiaB Hypoglycemia الإجابة الصحيحةC HypernatremiaD Hyponatremia -
10
A public health nurse administers the meningococcal vaccine to pilgrims before they travel to Hajj. This intervention is classified as which level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Quaternary prevention -
11
A pregnant woman weighs 46 kg, is 164 cm tall (BMI ~17.1), and reports eating approximately 1800 calories per day. Which nursing diagnosis is most appropriate?
A Balanced nutritionB Imbalanced nutrition: less than body requirements الإجابة الصحيحةC Imbalanced nutrition: more than body requirementsD Risk for nutritional deficit -
12
A patient with active pulmonary tuberculosis is admitted to the medical unit. Which type of infection control precautions should the nurse implement?
A Contact precautionsB Droplet precautionsC Airborne precautions الإجابة الصحيحةD Standard precautions only -
13
A child is suspected of having bacterial meningitis. The child lives with several family members. What is the priority nursing intervention?
A Educate family about disease transmissionB Screen family members for symptomsC Initiate isolation precautions for the child الإجابة الصحيحةD Administer prophylactic antibiotics to family members -
14
A patient taking lorazepam for anxiety asks the nurse if it is safe to have a glass of wine. The nurse explains that benzodiazepines should not be taken with which substance due to the risk of severe respiratory depression?
A CaffeineB Alcohol الإجابة الصحيحةC TobaccoD Dairy products -
15
A mother gives birth to a baby with a cleft palate. Before the infant is discharged, the nurse prioritizes teaching the mother about which aspect of care?
A Positioning techniquesB Feeding techniques الإجابة الصحيحةC Breathing exercisesD Wound care -
16
A community health nurse is planning interventions to reduce tuberculosis transmission in a high-incidence area. Which strategy is most effective at the population level?
A Regular screening programsB BCG vaccination of susceptible populations الإجابة الصحيحةC Improved ventilation systemsD Contact tracing of active cases -
17
A patient has a blood pressure reading of 196/110 mmHg confirmed on three separate occasions. The nurse classifies this blood pressure as:
A Mild hypertensionB Moderate hypertensionC Severe hypertension الإجابة الصحيحةD Hypertensive crisis -
18
A nurse demonstrates positive self-concept by which of the following behaviors?
A Acknowledging their own strengths and weaknesses الإجابة الصحيحةB Always appearing confident in front of patientsC Avoiding asking for help from colleaguesD Focusing only on professional achievements -
19
A pregnant woman in her third trimester presents with sudden, severe abdominal pain and dark vaginal bleeding. The cervix is closed on examination. The nurse suspects which condition?
A Placenta previaB Abruptio placentae (placental abruption) الإجابة الصحيحةC ChorioamnionitisD Preterm labor -
20
A 28-year-old woman who previously had a healthy child has been trying to conceive for 14 months without success. This situation is best defined as:
A Inability to conceive after 6 months of unprotected intercourseB Absence of menstruation for 3 yearsC Inability to carry pregnancy to term after conceptionD Inability to conceive after having at least one previous pregnancy despite 12 months of unprotected intercourse الإجابة الصحيحة -
21
An elderly patient with an IV cannula becomes restless and complains of itching and difficulty breathing during an infusion. What is the priority nursing action?
A Discontinue the IV infusion immediately الإجابة الصحيحةB Slow down the infusion rate and monitorC Administer antihistamine and continue infusionD Document the findings and notify the physician later -
22
A nurse is assessing the weight of a child between 2.5 and 4 years old. What is the expected normal weight range for this age group?
A 10 to 16 kg الإجابة الصحيحةB 8 to 12 kgC 15 to 20 kgD 12 to 18 kg -
23
A nurse is assisting with chest tube insertion for a patient with a pleural effusion. The provider places the chest tube at which anatomical location?
A At the midlineB Between the 6th and 7th ribs at the midaxillary line الإجابة الصحيحةC At the sternal borderD Between the 3rd and 4th ribs -
24
A nurse is assessing a patient for appendicitis. The nurse notes that pain increases when pressure is suddenly released from the right lower quadrant. This finding is known as rebound tenderness, which is elicited by:
A Pain that occurs when pressure is appliedB Pain that occurs when pressure is suddenly released الإجابة الصحيحةC Constant abdominal painD Pain that radiates to the back -
25
A patient scheduled for a cardiac catheterization tells the nurse, "I don't understand the side effects of this procedure." What is the nurse's best action?
A Explain the side effects againB Notify the surgeon (or proceduralist) to re-consent the patient الإجابة الصحيحةC Proceed with the procedureD Document that the patient understands -
26
The head nurse determines that additional nursing staff will be needed for the next fiscal year and begins the recruitment process. This management function is called:
A PlanningB DirectingC ControllingD Organizing الإجابة الصحيحة -
27
A patient scheduled for a right total knee replacement reports a severe allergy to shellfish. Why is this allergy particularly important?
A Shellfish allergies could indicate a negative reaction to anesthesiaB The patient cannot receive donor packed red blood cells if neededC A seafood allergy can indicate allergy to povidone-iodine (Betadine) used for skin preparation الإجابة الصحيحةD A seafood allergy can be a precursor to malignant hyperthermia -
28
A patient with a permanent pacemaker asks about activity restrictions. Which activity should the nurse advise the patient to avoid?
A Using a cell phone (keep at least 6 inches away)B Doing light exerciseC Playing contact sports (risk of damage to device) الإجابة الصحيحةD Walking regularly -
29
A patient presents with unilateral calf pain, swelling, and warmth. The nurse suspects which condition?
A Muscle strainB Deep vein thrombosis (DVT) الإجابة الصحيحةC Arterial occlusionD Cellulitis -
30
A patient with Parkinson disease develops a stooped posture while taking medication. This finding is most characteristic of which condition?
A OsteoporosisB Parkinson disease الإجابة الصحيحةC ArthritisD Muscle weakness -
31
A patient has a blood pressure reading consistently above 140/90 mmHg. According to standard guidelines, this indicates which stage of hypertension?
A PrehypertensionB Stage 1 hypertension الإجابة الصحيحةC Stage 2 hypertensionD Hypertensive crisis -
32
A 20-year-old athletic patient has a mild S3 heart sound on auscultation. What is the most appropriate nursing action?
A Document as an abnormal findingB Recognize this as a normal variant in young adults and athletes الإجابة الصحيحةC Order an immediate echocardiogramD Prepare for cardiac catheterization -
33
A hospital manager wants to conduct a study that requires selecting experienced nurse managers as participants. Which sampling method is most appropriate to intentionally select individuals with specific expertise?
A Stratified samplingB Random samplingC Purposive sampling (judgmental sampling) الإجابة الصحيحةD Convenience sampling -
34
A newborn has a heart rate of 150 bpm. What is the most appropriate nursing action?
A Reassure the mother that the baby is fine (normal newborn heart rate is 120-160 bpm) الإجابة الصحيحةB Reassess heart rate after 10 minutesC Notify the physician immediatelyD Prepare for emergency intervention -
35
A nurse is managing an intracranial pressure (ICP) monitoring device in the ICU. What is the priority nursing action to ensure accurate readings?
A Zero the device at the level of the foramen of Monro at the beginning of each shift الإجابة الصحيحةB Calibrate the transducer weeklyC Check alarm settings dailyD Zero the device at the end of the shift -
36
An informatics nurse reviews patient records to check for completeness, accuracy, and compliance with documentation standards. This process is known as:
A Auditing الإجابة الصحيحةB Telehealth monitoringC Data miningD Quality assurance -
37
A patient with a peptic ulcer is being discharged after a prolonged hospitalization. To prevent recurrence, the nurse emphasizes which teaching point as most important?
A Optimal nutritionB Medication compliance (e.g., proton pump inhibitors, H. pylori eradication) الإجابة الصحيحةC Stress managementD Regular follow-up -
38
A nurse is teaching a class about male infertility. Which statement is correct?
A Organic infertility is primary infertilityB Measles and mumps (especially orchitis) can cause infertility الإجابة الصحيحةC Age does not affect male fertilityD Stress is the leading cause of infertility -
39
An elderly patient presents with hypoglycemia, hypotension, and hyperpigmentation. The patient is diagnosed with Addison disease. What is the most likely underlying cause?
A Longstanding hypothyroidismB Iodine therapyC HyperglycemiaD Autoimmune destruction of the adrenal cortex الإجابة الصحيحة -
40
A patient with a chest tube has continuous bubbling in the water seal chamber. The nurse suspects an air leak. What should the nurse assess first?
A Air leak in the system (check connections, then chest tube site) الإجابة الصحيحةB Lung re-expansion (absence of bubbling can indicate re-expansion, but continuous bubbling indicates leak)C Tube obstructionD Patient positioning -
41
An asthma patient on high-flow oxygen shows improvement. Which finding indicates this improvement?
A Lower forced expirationB Increased forced inspirationC Increased forced expiratory volume (improved forced expiration) الإجابة الصحيحةD Lower forced inspiration -
42
A nurse applies a tourniquet to control severe bleeding from a limb. Prolonged application can lead to which complication?
A Limb ischemia الإجابة الصحيحةB Reduced blood flow (temporary, but ischemia is the serious risk)C Nerve compressionD Muscle fatigue -
43
A patient who underwent heart valve surgery one week ago now has a new systolic murmur on auscultation. What is the most likely cause?
A Valve malfunction (e.g., paravalvular leak, prosthetic valve dysfunction) الإجابة الصحيحةB Normal post-surgical findingC Fluid overloadD Anesthetic effects -
44
A patient is restless and agitated, with severe pain, swelling, and cyanosis around the umbilicus (Cullen sign). What is the priority concern?
A Restlessness and anxietyB Severe painC Poor perfusion (possible intra-abdominal hemorrhage or pancreatitis) الإجابة الصحيحةD Infection -
45
An elderly patient with a previous stroke and right-sided hemiplegia needs mobility assistance. What is the most appropriate approach?
A Independent ambulation with an assistive device (e.g., cane or walker) and supervision الإجابة الصحيحةB Dependent ambulation with wheelchairC Independent ambulation with no assistanceD Bed rest with passive range of motion -
46
A child is diagnosed with chicken pox (varicella). Which skin manifestation is characteristic of this infection?
A Flat, red macules that do not contain fluidB Raised, fluid-filled vesicles on an erythematous base (dew drop on a rose petal) الإجابة الصحيحةC Thick, scaly plaques with silver scalesD Purpuric lesions that do not blanch -
47
A patient is admitted with acute appendicitis and scheduled for surgery. Which preoperative nursing intervention is most important?
A Administer a Fleet enema to clear the bowelB Keep the patient NPO (nothing by mouth) الإجابة الصحيحةC Apply heat to the right lower quadrantD Encourage ambulation to reduce inflammation -
48
A nurse is teaching a patient with stable angina about sublingual nitroglycerin. Which instruction is most important?
A Take up to 3 doses, 5 minutes apart, and call 911 if pain persists الإجابة الصحيحةB Swallow the tablet whole with waterC Take one dose and wait 30 minutes before taking anotherD Store the medication in a warm, bright location -
49
A charge nurse has 3 RNs and 1 nursing assistant on shift. Which task is most appropriate to delegate to the nursing assistant?
A Assessing a post-operative patient for complicationsB Administering insulin to a diabetic patientC Providing frequent linen changes for an incontinent patient الإجابة الصحيحةD Teaching a patient about discharge medications -
50
A nurse observes a colleague in the cafeteria who appears to be choking and cannot speak. What is the most appropriate immediate intervention?
A Leopold maneuversB Trendelenburg positionC Heimlich maneuver (abdominal thrusts) الإجابة الصحيحةD Valsalva maneuver -
51
A pregnant woman is at highest risk for developing gestational diabetes during which trimester?
A First trimesterB Second trimesterC Third trimester (insulin resistance increases) الإجابة الصحيحةD Risk is equal throughout pregnancy -
52
A patient presents with abnormal tissue growth described as grape-like clusters on ultrasound. This finding is most consistent with which condition?
A Ectopic pregnancyB Molar pregnancy (hydatidiform mole) الإجابة الصحيحةC Placenta previaD Abruptio placentae -
53
An infant is born with tracheoesophageal fistula (TEF). What is the priority nursing intervention before surgical repair?
A Feed the infant small, frequent mealsB Keep NPO and elevate the head of the bed الإجابة الصحيحةC Encourage oral fluids to prevent dehydrationD Place in prone position for drainage -
54
A patient with diabetes insipidus presents with excessive thirst and large volumes of dilute urine. Which clinical manifestation is most characteristic of this disorder?
A Polyuria (excessive urine output) الإجابة الصحيحةB Polydipsia (excessive thirst)C Weight gainD Hypertension -
55
A nurse is providing perineal care for a postpartum patient. What is the correct technique?
A Use circular motions around the vulvaB Apply warm water over the vulva from front to back (anterior to posterior) الإجابة الصحيحةC Cleanse from back to front to avoid contaminationD Use soap and scrub vigorously -
56
A child with Tetralogy of Fallot suddenly becomes cyanotic and short of breath during a crying spell. Which position is most beneficial to relieve this hypercyanotic episode?
A Supine with legs elevatedB Knee-chest position الإجابة الصحيحةC Left lateral positionD Trendelenburg position -
57
A patient with hypothyroidism is prescribed levothyroxine. When should the nurse advise the patient to take this medication?
A At bedtime with a snackB In the morning on an empty stomach, at least 30-60 minutes before breakfast الإجابة الصحيحةC With lunch for better absorptionD In the evening after dinner -
58
A patient undergoes a craniotomy for tumor resection. Which post-operative nursing intervention is most appropriate to manage intracranial pressure?
A Elevate head of bed to 30 degrees الإجابة الصحيحةB Keep patient in supine positionC Encourage neck flexion exercisesD Apply ice packs to the surgical site -
59
A patient who had a total hip replacement (posterior approach) is being discharged. Which instruction should the nurse include to prevent dislocation?
A Avoid hip flexion greater than 90 degrees الإجابة الصحيحةB Cross legs when sitting for comfortC Sleep on the operative sideD Perform high-impact exercises immediately -
60
A patient receiving morphine for postoperative pain has an oxygen saturation of 80% and a respiratory rate of 8 breaths/min. What is the priority nursing action?
A Increase the morphine doseB Stop the medication, administer naloxone, and notify the physician الإجابة الصحيحةC Continue monitoring without interventionD Give supplemental oxygen only -
61
When assessing the pulse of a healthy infant, which site is most appropriate and reliable?
A Radial arteryB Brachial artery الإجابة الصحيحةC Carotid arteryD Femoral artery -
62
A patient with diabetes insipidus is receiving desmopressin (DDAVP). What is the priority nursing intervention for this patient?
A Monitor blood glucose levelsB Monitor fluid intake and output (strict I&O) الإجابة الصحيحةC Restrict protein intakeD Increase sodium intake -
63
A pregnant woman with gestational diabetes is at increased risk for which fetal complication?
A Delivering a large baby (macrosomia) الإجابة الصحيحةB Delivering a small babyC Preterm labor onlyD Decreased fetal movement -
64
A pregnant woman arrives at the emergency department in active labor. The nurse assesses the cervix and finds it dilated to 8 cm. What is the priority nursing action?
A Send her to the parking lot to waitB Call for immediate obstetric assistance and prepare for delivery الإجابة الصحيحةC Give her deep breathing exercises and transport upstairsD Discharge her home to wait -
65
A nurse enters the room of a frightened child with burns and fractures. What is the most appropriate initial approach?
A Enter quickly and begin procedures immediatelyB Greet the child gently and speak in a calm manner الإجابة الصحيحةC Avoid eye contact to reduce anxietyD Bring multiple staff members for restraint -
66
A postpartum client is diagnosed with mastitis in the right breast. What is the most appropriate nursing advice regarding breastfeeding?
A Continue breastfeeding from both breasts as tolerated (emptying the affected breast helps resolve infection) الإجابة الصحيحةB Breastfeed only from the left breast and pump the right breastC Stop breastfeeding completely until infection resolvesD Switch to formula feeding temporarily for 48 hours -
67
A nurse explains to a parent that the MMR vaccine protects against which diseases?
A Measles, Mumps, Rubella الإجابة الصحيحةB Meningitis, Malaria, RickettsiaC Hepatitis A, B, CD Influenza, Pneumonia, Pertussis -
68
A patient with active pulmonary tuberculosis is admitted. Which type of isolation precautions is required?
A Droplet precautionsB Contact precautionsC Airborne precautions (with N95 respirator and negative pressure room) الإجابة الصحيحةD Standard precautions only -
69
A nurse assesses an infant and finds a bulging anterior fontanelle. This finding most likely indicates:
A DehydrationB Increased intracranial pressure الإجابة الصحيحةC HypoglycemiaD Normal development -
70
A pregnant patient with severe preeclampsia is receiving magnesium sulfate. What is the primary purpose of this medication?
A To prevent seizures (eclampsia) الإجابة الصحيحةB To induce laborC To reduce blood glucose levelsD To increase uterine contractions -
71
A premature newborn with respiratory distress syndrome receives surfactant replacement. Through which route is surfactant administered?
A Intramuscular injectionB Oral administrationC Endotracheal tube (directly into the lungs) الإجابة الصحيحةD Subcutaneous injection -
72
A public health nurse provides meningococcal vaccination to pilgrims before Hajj. This intervention represents which level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Rehabilitation prevention -
73
A nurse is donning personal protective equipment (PPE) before entering a patient's room. What is the correct sequence?
A Gloves -> gown -> mask -> gogglesB Gown -> mask -> goggles -> gloves الإجابة الصحيحةC Mask -> gloves -> gown -> gogglesD Gloves -> goggles -> gown -> mask -
74
A patient tells the nurse, "An AI chatbot advised me to change my medication dosage." What is the best nursing response?
A Agree with the AI recommendationB Ignore the patient's concernC Educate the patient to follow only healthcare provider instructions and never rely on AI for medication changes الإجابة الصحيحةD Immediately increase the medication dose -
75
A patient taking morphine develops respiratory depression with an oxygen saturation of 80%. Which medication should the nurse prepare to administer as an antidote?
A IbuprofenB AcetaminophenC Naloxone (Narcan) الإجابة الصحيحةD Aspirin -
76
A child with chickenpox (varicella) should remain in isolation until:
A Fever completely subsidesB All vesicles become dry and crusted (usually about 5-7 days after rash onset) الإجابة الصحيحةC Rash disappears completelyD Appetite returns to normal -
77
A 7-year-old child weighing 25 kg requires maintenance intravenous fluids over 24 hours. Using the Holliday-Segar method (4-2-1 rule), what is the appropriate daily fluid volume?
A 1200 mLB 1400 mLC 1600 mL الإجابة الصحيحةD 1800 mL -
78
During a code blue, a nurse states she does not know how to operate the defibrillator. What is the most appropriate action?
A Continue without the equipmentB Ask the nurse to learn during the emergencyC Immediately assign another qualified nurse to operate the equipment الإجابة الصحيحةD Postpone resuscitation efforts -
79
A nurse discovers that she administered the wrong medication to a patient. What is the immediate priority action?
A Complete the incident report firstB Notify the physician immediately and monitor the patient الإجابة الصحيحةC Wait to see if adverse effects occurD Administer the correct medication -
80
During a home visit, a nurse finds elderly spouses living alone with expired medications and unsafe home conditions. What is the priority intervention?
A Assess their safety and contact social services الإجابة الصحيحةB Clean their home immediatelyC Replace expired medicationsD Contact their daughter who lives far away -
81
A patient falls while in the nurse's care. What is the appropriate nursing action?
A Ignore minor falls to avoid paperworkB Document the fall, assess for injuries, and notify the physician الإجابة الصحيحةC Only report if injuries are visibleD Help the patient up immediately without assessment -
82
A woman with irregular menstrual cycles and no significant past medical history wants a safe, non-invasive contraceptive method that does not require a prescription. Which option is best?
A Male condom الإجابة الصحيحةB Intrauterine device (IUD)C Combined oral contraceptive pillsD Diaphragm -
83
A child is diagnosed with autism spectrum disorder. Which of the following is a known predisposing factor?
A Dysfunctional family environmentB Having a twin diagnosed with ADHDC History of physical abuseD Congenital rubella (maternal rubella infection during pregnancy) الإجابة الصحيحة -
84
A patient is diagnosed with HIV. Before starting antiretroviral therapy, which laboratory test is most important for assessing immune system status?
A CD4 count (T-cell count) الإجابة الصحيحةB Viral loadC Complete blood countD HIV antibody titer -
85
In diabetes insipidus, which part of the endocrine system is primarily affected?
A Adrenal cortexB Adrenal medullaC Posterior pituitary (deficiency of ADH) الإجابة الصحيحةD Anterior pituitary -
86
A patient has a blood pressure of 125/82 mmHg with no other comorbidities. What is the most appropriate recommendation?
A Lifestyle and dietary modifications (e.g., DASH diet, exercise) الإجابة الصحيحةB Start furosemide (diuretic)C Start antihypertensive medicationD Schedule immediate cardiology consultation -
87
A conflict occurs between a head nurse and a staff member. The head nurse later addresses the issue directly with the staff member to resolve it. This management approach is called:
A Confrontation (direct problem-solving) الإجابة الصحيحةB AvoidanceC AccommodationD Compromise -
88
A strict vegetarian who does not eat meat, fish, or dairy is most likely to be deficient in which vitamin?
A Vitamin B12 (found almost exclusively in animal products) الإجابة الصحيحةB RiboflavinC Vitamin DD Vitamin C -
89
The purified protein derivative (PPD) tuberculin skin test is administered by which route?
A Intradermal (into the dermis, forming a wheal) الإجابة الصحيحةB SubcutaneousC IntramuscularD Intravenous -
90
A physician orders a dose of morphine that the nurse believes is unusually high for the patient's condition. What is the most appropriate nursing action?
A Administer the dose as orderedB Contact the prescribing physician to clarify the order الإجابة الصحيحةC Reduce the dose by halfD Document concerns in the chart only -
91
A patient with a pulmonary embolism (PE) would most likely present with which signs that the nurse should monitor?
A Tachypnea and tachycardia الإجابة الصحيحةB Leg swelling and warmth (DVT signs, but PE presents with respiratory symptoms)C Bradycardia and hypotensionD Chest pain and bradypnea -
92
A child undergoes cleft palate repair surgery. Before discharge, what is the most important advice to give the parents?
A Feeding instructions (use of special nipples, avoiding straws, etc.) الإجابة الصحيحةB Bathing techniquesC Activity restrictionsD Pain management -
93
A nurse reviews laboratory results and identifies a critical value that requires immediate intervention. Which value is most critical?
A Lactate 18 mg/dL (critical if >4 mmol/L) الإجابة الصحيحةB Prothrombin time 24 seconds (INR ~2.4, elevated but not immediately critical)C Hemoglobin 10 g/dL (mild anemia)D Platelet count 150,000 (normal) -
94
A patient presents with supraventricular tachycardia (SVT). Which ECG finding is most characteristic of this arrhythmia?
A Narrow QRS complex with regular rhythm (usually) الإجابة الصحيحةB Wide QRS complex with irregular rhythmC Prolonged QT interval with T-wave inversionD Delta waves with shortened PR interval (WPW pattern) -
95
A patient who received a corneal transplant one week ago develops eye redness, pain, and blurred vision. What is the most likely cause of this complication?
A Bacterial infectionB Viral conjunctivitisC Rejection reaction الإجابة الصحيحةD Dry eye syndrome -
96
Evidence-based practice in nursing is best defined as:
A Using only personal clinical experience to make decisionsB Integrating best research evidence with clinical expertise and patient values الإجابة الصحيحةC Following hospital policies without questionD Implementing the newest available treatments -
97
A female patient requests that male nurses not enter her room. What is the most appropriate nursing action?
A Place a sign on the door requesting staff to knock before enteringB Discuss the request with the head nurse to arrange appropriate staffing, respecting the patient's cultural/religious preference الإجابة الصحيحةC Ignore the request as it interferes with patient careD Tell the patient that male nurses are required for her care -
98
A nurse is calculating the tidal volume for a patient on mechanical ventilation. The patient weighs 70 kg. Using 6-8 mL/kg of ideal body weight, what is the appropriate tidal volume range?
A 420-560 mL الإجابة الصحيحةB 350-420 mLC 280-350 mLD 560-700 mL -
99
A 15-week pregnant woman presents with a blood pressure of 210/110 mmHg. She had no known hypertension before pregnancy. What is the most likely diagnosis?
A Chronic hypertension (pre-existing) الإجابة الصحيحةB Gestational hypertension (occurs after 20 weeks)C Preeclampsia (usually after 20 weeks)D HELLP syndrome -
100
A newborn at 38 weeks gestation weighs 1800 grams (approximately 4 lbs). How should this infant be classified?
A Small for gestational age (SGA, weight below 10th percentile) الإجابة الصحيحةB Very low birth weight (VLBW, <1500g, this is 1800g, so low birth weight but not VLBW)C Appropriate for gestational age (AGA)D Extremely low birth weight (ELBW, <1000g) -
101
During fetal monitoring, the nurse notes early decelerations that mirror contractions. What is the most appropriate nursing intervention?
A Change maternal position to lateral (early decelerations are usually benign, no intervention needed) الإجابة الصحيحةB Assess maternal heart rateC Administer oxygen to motherD Prepare for emergency delivery -
102
During the third stage of labor, which sign indicates that the placenta has separated from the uterine wall?
A Fundal rise in the abdomen (uterus becomes globular and rises) الإجابة الصحيحةB Decreased vaginal bleedingC Shortening of the umbilical cord (cord lengthens)D Maternal urge to push -
103
An infant with a ventriculoperitoneal (VP) shunt presents with a bulging fontanelle, vomiting, and a high-pitched cry. These symptoms most likely indicate:
A Shunt malfunction (increased intracranial pressure) الإجابة الصحيحةB Normal post-operative healingC DehydrationD Sleep deprivation -
104
For a child with a cleft lip, what positioning instruction should be given to parents after surgical repair?
A Avoid prone positioning (to protect the suture line) الإجابة الصحيحةB Encourage prone positioningC Position only on the left sideD Position only on the right side -
105
A child with chickenpox (varicella) is in the pediatric unit. The child should remain in isolation until:
A All lesions are dry and crusted الإجابة الصحيحةB Fever subsidesC First lesions appearD The child feels better -
106
A child with type 1 diabetes is planning to participate in a school sports activity. What dietary advice should the nurse provide to prevent hypoglycemia?
A Increase carbohydrate intake before exercise الإجابة الصحيحةB Decrease all food intake before exerciseC Avoid eating before exerciseD Only drink water before exercise -
107
A patient with chronic pain has developed tolerance to morphine. The physician may consider adding which medication to manage pain and reduce opioid tolerance? (Note: Naloxone is for overdose, not tolerance.) The intended answer may be "Higher dose morphine" but that's not ideal. I will correct to "Higher dose morphine" as that is what is done for tolerance. Or consider alternative. Given options, the best is higher dose morphine. But also consider opioid rotation. I'll stick with the original correct_choice as "Naloxone" is wrong. I will change correct_choice to "Higher dose morphine" but it's not listed. Actually options: Naloxone, Higher dose morphine, Acetaminophen, Ibuprofen. Naloxone is antidote, not for tolerance. The correct management is increasing dose or rotating opioid. So I will keep "Higher dose morphine" as the intended answer. I'll correct to that.
A NaloxoneB Higher dose morphine الإجابة الصحيحةC AcetaminophenD Ibuprofen -
108
A charge nurse is implementing a new evidence-based protocol for wound care. Which leadership approach would be most effective for ensuring staff compliance and successful implementation?
A Autocratic leadership with strict enforcement of new policiesB Transformational leadership with staff education and involvement in the change process الإجابة الصحيحةC Laissez-faire leadership allowing staff to implement changes at their own paceD Transactional leadership focusing only on rewards and punishments -
109
A nurse researcher is evaluating the effectiveness of a new pain management intervention. Which research design would provide the strongest evidence for clinical practice?
A Descriptive cross-sectional studyB Qualitative phenomenological studyC Randomized controlled trial (RCT) الإجابة الصحيحةD Case-control study -
110
A nurse is analyzing an ECG strip and observes: regular rhythm, rate 75 bpm, PR interval 0.18 seconds, QRS duration 0.08 seconds. What is the correct interpretation?
A Normal sinus rhythm الإجابة الصحيحةB Sinus bradycardiaC First-degree AV blockD Sinus tachycardia -
111
A patient weighing 70 kg is prescribed dopamine at 5 mcg/kg/min. The concentration is 400 mg in 250 mL (1600 mcg/mL). What is the correct infusion rate in mL/hr?
A 13.1 mL/hr الإجابة الصحيحةB 15.8 mL/hrC 18.2 mL/hrD 21.0 mL/hr -
112
A patient whose father recently died joins a grief support group to cope with his loss. The patient channels his emotions into helping others. Which defense mechanism is he primarily using?
A Sublimation (channeling unacceptable impulses into socially acceptable activities) الإجابة الصحيحةB DisplacementC ProjectionD Denial -
113
A postpartum woman presents on day 15 after delivery with bright red vaginal bleeding. What is the priority nursing intervention?
A Massage the fundus and empty the bladder (to rule out uterine atony or retained products) الإجابة الصحيحةB Administer oxytocin medicationC Position the client in Trendelenburg positionD Encourage increased fluid intake -
114
A patient diagnosed with diabetes mellitus would most likely exhibit which classic symptom?
A Excessive thirst (polydipsia) الإجابة الصحيحةB Decreased appetiteC Weight gainD Bradycardia -
115
A patient is diagnosed with MRSA (Methicillin-resistant Staphylococcus aureus) in a surgical wound. What type of isolation precautions should be implemented?
A Contact precautions with private room (or cohorting) الإجابة الصحيحةB Negative pressure roomC Airborne precautions onlyD Standard precautions only -
116
A patient presents with fatigue, easy tiredness, and brittle spoon-shaped nails (koilonychia). These symptoms are most likely due to:
A Iron deficiency anemia الإجابة الصحيحةB MalnutritionC Vitamin B12 deficiencyD Hyperthyroidism -
117
A patient with a valid Do Not Resuscitate (DNR) order is currently on mechanical ventilation and stable. What is the appropriate nursing action?
A Transfer the patient to the medical ward (if ICU level of care is no longer needed) الإجابة الصحيحةB Remove mechanical ventilation immediatelyC Continue aggressive treatment in ICUD Ignore the DNR order due to current ventilation -
118
A nurse is consistently late for shifts, causing the night shift nurse to stay overtime. Another nurse reports this issue to the charge nurse. What is the most appropriate initial action?
A Thank the reporting nurse and privately discuss the tardiness issue with the late nurse الإجابة الصحيحةB Immediately suspend the tardy nurseC Ignore the complaint as it is not a direct concernD Publicly reprimand the late nurse in front of other staff -
119
A patient on lithium therapy presents with hallucinations, confusion, and severe neurological symptoms. What level of toxicity does this indicate?
A Mild toxicity (nausea, tremor)B Moderate toxicity (ataxia, confusion)C Severe toxicity (seizures, coma, neurological symptoms) الإجابة الصحيحةD Therapeutic level -
120
A nurse is triaging patients in the emergency department. Which patient should be seen first?
A Patient with chest pain (possible cardiac emergency) الإجابة الصحيحةB Patient with a minor lacerationC Patient with stable vital signsD Patient with chronic back pain -
121
A patient with active pulmonary tuberculosis is admitted. What type of isolation precautions should be implemented?
A Contact precautionsB Droplet precautionsC Airborne precautions (N95 respirator, negative pressure) الإجابة الصحيحةD Standard precautions -
122
A nurse manager involves staff in decision-making and allows group input before making final decisions. What leadership style does this represent?
A AutocraticB Democratic الإجابة الصحيحةC Laissez-faireD Transformational -
123
A child wears glasses for vision correction. What dietary recommendation should the nurse provide to the parents to support eye health?
A Foods rich in vitamin A الإجابة الصحيحةB Foods rich in vitamin CC Foods rich in vitamin DD Foods rich in vitamin K -
124
A child presents with a vesicular rash, fever, and malaise. The nurse suspects chickenpox. These symptoms are most likely due to:
A MeaslesB Chickenpox (varicella) الإجابة الصحيحةC Scarlet feverD Fifth disease -
125
Which task is most appropriate for a registered nurse to delegate to unlicensed assistive personnel (UAP)?
A Medication administrationB Patient assessmentC Daily hygiene activities (bathing, oral care, toileting) الإجابة الصحيحةD Care plan development -
126
A nurse observes an ECG rhythm showing chaotic, irregular waveforms with no identifiable P waves, QRS complexes, or T waves. What rhythm does this represent?
A Atrial fibrillationB Ventricular tachycardiaC Ventricular fibrillation الإجابة الصحيحةD Asystole -
127
A nurse is administering the BCG (Bacillus Calmette-Guérin) vaccine to an infant. What is the correct route of administration?
A Intradermal الإجابة الصحيحةB SubcutaneousC IntramuscularD Intravenous -
128
A pregnant woman in the third trimester presents with painless vaginal bleeding. Ultrasound shows the placenta completely covers the internal cervical os. This type of placenta previa is classified as:
A Marginal placenta previaB Partial placenta previaC Complete (total) placenta previa الإجابة الصحيحةD Low-lying placenta -
129
A child undergoes a tonsillectomy. In the immediate postoperative period, what is the optimal positioning to protect the airway and allow drainage?
A Supine with head extendedB Prone positionC Semi-Fowler position with head turned to the side الإجابة الصحيحةD Trendelenburg position -
130
A newborn is scheduled for tracheoesophageal fistula (TEF) repair. What is the priority preoperative nursing intervention?
A Keep the infant NPO (nothing by mouth) الإجابة الصحيحةB Administer prophylactic antibioticsC Position in TrendelenburgD Start IV fluids immediately -
131
A mother presents with vaginal bleeding two weeks after delivery. This type of bleeding is classified as:
A Primary postpartum hemorrhage (within 24 hours)B Early postpartum hemorrhage (within 24 hours)C Late postpartum hemorrhage (24 hours to 6 weeks) الإجابة الصحيحةD Secondary lochia -
132
A patient with placental abruption (abruptio placentae) presents with a rigid, board-like abdomen. Which sign is most characteristic of this condition?
A Painless vaginal bleedingB Rigid, board-like abdomen (due to concealed hemorrhage and uterine irritability) الإجابة الصحيحةC Soft, boggy uterusD Intermittent cramping -
133
A nurse assesses a newborn's umbilical cord stump and notes redness, warmth, and purulent drainage at the base. This finding indicates:
A Dry, dark cord stump (normal)B Reddened base around umbilicus (possible infection, omphalitis) الإجابة الصحيحةC Clear serous drainage (normal during healing)D Normal cord separation -
134
During pregnancy, hemodilution occurs primarily due to:
A Decreased red blood cell productionB Increased plasma volume (greater increase than RBC mass) الإجابة الصحيحةC Iron deficiencyD Decreased cardiac output -
135
Laboratory results for a patient with hyperthyroidism will typically show:
A Increased TSH levelsB Decreased TSH levels (negative feedback) الإجابة الصحيحةC Normal TSH levelsD Fluctuating TSH levels -
136
Even small amounts of hypoxia in a patient following brain surgery can cause:
A Decreased blood pressureB Increased intracranial pressure (cerebral vasodilation) الإجابة الصحيحةC Improved neurological functionD Reduced cerebral edema -
137
A patient is taking warfarin for atrial fibrillation. Which laboratory test should the nurse monitor to evaluate the effectiveness of the medication?
A International Normalized Ratio (INR) الإجابة الصحيحةB Hemoglobin levelC White blood cell countD Platelet count -
138
Which hormone is primarily responsible for endometrial proliferation and breast development during puberty?
A Estrogen الإجابة الصحيحةB ProgesteroneC Follicle-stimulating hormone (FSH)D Luteinizing hormone (LH) -
139
A mother with type 1 diabetes has just delivered a healthy newborn. How should her insulin dosage be adjusted in the immediate postpartum period?
A Decrease the insulin dosage (insulin requirements drop dramatically after delivery) الإجابة الصحيحةB Increase the insulin dosageC Keep the dosage the sameD Discontinue insulin temporarily -
140
An infant is covered with a blanket. Heat loss from the infant to the blanket and surrounding air occurs primarily through which two mechanisms?
A Conduction (direct contact with blanket) and radiation (to cooler surfaces) الإجابة الصحيحةB Elaboration and radiationC Conduction and evaporationD Convection and evaporation -
141
A patient after rectal surgery (e.g., hemorrhoidectomy) complains of perineal pain. What comfort measure is most appropriate?
A Sitz bath (warm water soaks) الإجابة الصحيحةB Ice packsC Heating padD Prone positioning -
142
A patient presents with shock symptoms following a spinal cord injury, but exhibits bradycardia instead of tachycardia. Which type of shock is most likely?
A Neurogenic shock (loss of sympathetic tone, bradycardia and hypotension) الإجابة الصحيحةB Hypovolemic shock (tachycardia)C Cardiogenic shock (tachycardia or bradycardia)D Septic shock (tachycardia, fever) -
143
A postpartum mother continues to have heavy bleeding despite uterine massage and ensuring an empty bladder. The nurse's priority action is to:
A Notify the physician immediately الإجابة الصحيحةB Continue uterine massageC Administer pain medicationD Encourage ambulation -
144
A nurse assesses a postpartum patient on day 2. Which finding should be reported to the physician immediately?
A Lochia rubra with large blood clots (greater than a quarter) or saturating one pad per hour الإجابة الصحيحةB Lochia rubra (normal for days 1-3)C Soft uterus (should be firm; boggy uterus indicates atony)D Breast engorgement (common on day 2-3) -
145
A patient with lung cancer has started chemotherapy and is unable to finish meals. The nurse suspects the most likely cause of decreased appetite is:
A Altered taste sensation (dysgeusia from chemotherapy) الإجابة الصحيحةB Difficulty swallowingC Nausea and vomitingD Dental problems -
146
A patient presents with back pain and a pulsatile abdominal mass. These are characteristic symptoms of:
A Aortic aneurysm (abdominal aortic aneurysm) الإجابة الصحيحةB Chest pain and shortness of breathC Leg pain and swellingD Headache and dizziness -
147
A nurse reviews an ECG strip showing a heart rate of 55 beats per minute with regular P waves followed by QRS complexes. How should this rhythm be documented?
A Sinus bradycardia الإجابة الصحيحةB Sinus tachycardiaC Normal sinus rhythmD Sinus arrhythmia -
148
A child with suspected appendicitis has abdominal pain when the nurse flexes the right hip and internally rotates the thigh. This finding is known as:
A McBurney sign (tenderness at McBurney point)B Rovsing sign (pain in RLQ with palpation of LLQ)C Obturator sign الإجابة الصحيحةD Psoas sign -
149
Combined oral contraceptives primarily prevent pregnancy by:
A Thickening cervical mucusB Preventing ovulation (suppression of FSH/LH) الإجابة الصحيحةC Altering endometrial liningD Reducing sperm motility -
150
A patient presents with fatigue, diarrhea, fever, and dry cough. These symptoms are most consistent with which viral illness?
A InfluenzaB GastroenteritisC COVID-19 الإجابة الصحيحةD Pneumonia -
151
An infant with cleft lip and palate is being fed before surgical repair. Which position is optimal to reduce nasal regurgitation and aspiration?
A Supine positionB Side-lying positionC Upright position (semi-upright or sitting) الإجابة الصحيحةD Prone position -
152
A newborn is diagnosed with esophageal atresia. What is the priority preoperative intervention?
A Administer antibioticsB Continuous suction with a double-lumen catheter (Replogle tube) to prevent aspiration الإجابة الصحيحةC Position in TrendelenburgD Begin enteral feeding -
153
A newborn with esophageal atresia presents with which classic symptoms?
A Vomiting and diarrheaB Coughing, choking, and cyanosis during the first feeding الإجابة الصحيحةC Fever and lethargyD Abdominal distension and constipation -
154
A child with nephrotic syndrome presents with generalized edema and frothy urine. Which clinical manifestations are characteristic of this condition?
A Hematuria and oliguriaB Edema and proteinuria الإجابة الصحيحةC Fever and flank painD Hypertension and azotemia -
155
A patient is taking isoniazid (INH) for latent tuberculosis. The nurse should monitor for which common side effect?
A HepatotoxicityB Peripheral neuropathy (due to vitamin B6 depletion) الإجابة الصحيحةC OtotoxicityD Nephrotoxicity -
156
A patient is prescribed isoniazid (INH). To prevent peripheral neuropathy, the nurse should expect the physician to prescribe which vitamin?
A Vitamin B1 (thiamine)B Vitamin B6 (pyridoxine) الإجابة الصحيحةC Vitamin B12 (cobalamin)D Vitamin C -
157
A patient undergoes intravenous pyelography (IVP). After the procedure, what is the priority nursing intervention to prevent contrast-induced nephropathy?
A Maintain strict bed rest for 24 hoursB Encourage increased fluid intake الإجابة الصحيحةC Monitor vital signs every 15 minutesD Apply ice packs to the injection site -
158
A child with nephrotic syndrome is in remission. To prevent recurrence, the nurse teaches the parents to prioritize which action?
A Teach daily urine protein monitoring (dipstick)B Ensure strict adherence to prescribed medications (e.g., corticosteroids) الإجابة الصحيحةC Implement a low-sodium dietD Encourage increased physical activity -
159
A child presents with right lower quadrant pain, nausea, and low-grade fever, suspected of appendicitis. What is the first nursing action?
A Administer pain medication as orderedB Prepare the patient for an ultrasound or CT scan الإجابة الصحيحةC Apply heat to the abdomenD Encourage oral fluid intake -
160
A patient with hepatic encephalopathy received lactulose enemas, and ammonia levels are now normal, but the patient remains comatose. The nurse suspects the patient may have taken which substance?
A Acetaminophen overdoseB Glutamine supplements (can increase ammonia in brain) الإجابة الصحيحةC Alcohol withdrawal medicationD High-protein supplements -
161
A nurse is teaching nursing students about hormone pathways. Which statement correctly describes the synthesis and secretion of oxytocin?
A Oxytocin is both synthesized and secreted by the posterior pituitary glandB Oxytocin is synthesized in the hypothalamus and secreted by the posterior pituitary gland الإجابة الصحيحةC Oxytocin is synthesized and secreted by the anterior pituitary glandD Oxytocin is produced and secreted directly by the adrenal medulla -
162
A graph shows that as DTP and measles vaccination rates increased from 1986 to 1999, mortality rates from these diseases decreased. What relationship is demonstrated?
A As vaccination rates increase, the number of deaths increasesB As vaccination rates increase, the number of deaths decreases الإجابة الصحيحةC Vaccination rates have no effect on the number of deathsD Death rates fluctuate independently of vaccination rates -
163
A nurse is conducting a prenatal class for women at 39 weeks gestation. Which topic should be the primary focus?
A Pain management strategies during labor الإجابة الصحيحةB Proper nutrition during pregnancyC Exercise routines for the third trimesterD Signs of postpartum depression -
164
A pregnant woman with gestational diabetes demonstrates understanding of her condition when she states:
A I need to monitor my blood sugar levels regularlyB I'm at risk of having a large for gestational age baby (macrosomia) الإجابة الصحيحةC I should avoid all carbohydrates in my dietD I can stop checking my glucose after delivery -
165
A nurse is teaching pregnant women about red flags that may indicate potential fetal loss. Which sign should be reported immediately?
A HeadacheB Vaginal bleeding الإجابة الصحيحةC Mild nauseaD Leg cramps -
166
A patient is taking progestin-only oral contraceptives (mini-pills). Which common side effect should the nurse discuss?
A Spotting (irregular bleeding) الإجابة الصحيحةB Weight gainC Severe headachesD Breast tenderness -
167
A patient wants to take nitroglycerin every 3 minutes instead of every 5 minutes because an AI chatbot suggested it. What is the nurse's best response?
A Agree with the AI recommendationB Explain the correct dosing protocol (every 5 minutes for up to 3 doses) and emphasize not relying on AI for medication dosing الإجابة الصحيحةC Tell the patient to consult their physician onlyD Ignore the patient's concern -
168
A mother brings her child who is prescribed iron supplements for iron deficiency anemia. What advice should the nurse provide to enhance absorption?
A Give the iron supplement with citrus juice (vitamin C enhances absorption) الإجابة الصحيحةB Administer the iron supplement with milkC Take the iron supplement with antacidsD Give the iron supplement with tea or coffee -
169
A patient with iron deficiency anemia is non-compliant with her prescribed iron therapy. What potential consequence should the nurse discuss with the patient if non-compliance continues?
A Decreased cognitive function (fatigue, poor concentration) الإجابة الصحيحةB Increased bone densityC Improved energy levelsD Enhanced immune response -
170
Vaccination for Hajj pilgrims to prevent meningococcal meningitis is an example of which level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Quaternary prevention -
171
A child with nephrotic syndrome may present with which symptom?
A HypotensionB Abdominal pain (due to ascites or edema) الإجابة الصحيحةC Hypertension (can occur but not characteristic)D Bradycardia -
172
A female patient with no symptoms tests positive for Chlamydia. This type of infection is considered:
A Subclinical (asymptomatic infection) الإجابة الصحيحةB AcuteC ChronicD Latent -
173
According to WHO recommendations, how many antenatal visits are recommended during a normal pregnancy?
A 6-8 visitsB 8-10 visits الإجابة الصحيحةC 10-12 visitsD 12-14 visits -
174
A cancer patient has cachexia documented in the chart. During assessment, the nurse expects to observe:
A Muscle wasting (severe weight loss, muscle atrophy) الإجابة الصحيحةB Fluid retentionC Weight gainD Increased appetite -
175
A public health nurse is planning strategies to reduce the spread of tuberculosis. Which method is most effective at the community level?
A BCG vaccine (in high-burden countries) الإجابة الصحيحةB Isolation precautions for active casesC Antibiotic prophylaxis for latent casesD Contact tracing -
176
Agranulocytosis (severe neutropenia) is a rare but serious side effect most commonly associated with which type of medication?
A Atypical antipsychotics (e.g., clozapine) الإجابة الصحيحةB Beta blockersC ACE inhibitorsD Proton pump inhibitors -
177
A child presents with acute abdominal pain, vomiting, and red jelly-like stool. These findings are classic for:
A Red jelly-like stool (intussusception) الإجابة الصحيحةB Projectile vomiting (pyloric stenosis)C High feverD Decreased bowel sounds -
178
A child with Hirschsprung disease typically presents with which primary symptoms?
A Constipation and failure to thrive الإجابة الصحيحةB Diarrhea and weight lossC Vomiting and dehydrationD Abdominal pain and fever -
179
A nurse notices an increasing number of pressure injuries on a ward and reports the trend to the manager for corrective action. This action represents:
A AdvocacyB Case managementC Quality improvement الإجابة الصحيحةD Risk management -
180
A patient is scheduled for a hysterectomy. Who is primarily responsible for explaining the procedure, risks, and obtaining informed consent?
A Staff nurseB Physician (surgeon) الإجابة الصحيحةC Social workerD Nurse manager -
181
A patient with schizophrenia reports an inability to experience pleasure (anhedonia). This symptom is classified as:
A Positive symptom (hallucinations, delusions)B Negative symptom (affective flattening, anhedonia, avolition) الإجابة الصحيحةC Anxiety disorderD Manic episode -
182
A patient with Addison disease (adrenal insufficiency) typically presents with which characteristic skin finding?
A Hyperpigmentation (bronze skin due to increased ACTH) الإجابة الصحيحةB Pale skinC Moon face (Cushing syndrome)D Buffalo hump (Cushing syndrome) -
183
A patient with Cushing syndrome (hypercortisolism) typically presents with which characteristic physical finding?
A Moon face (rounded, red, full face) الإجابة الصحيحةB Weight lossC Hyperpigmentation (Addison disease)D Muscle hypertrophy -
184
A newborn is delivered to a mother with gestational diabetes mellitus (GDM). What is the most likely complication to expect in this newborn immediately after birth?
A Hypoglycemia الإجابة الصحيحةB HyperglycemiaC HyperthermiaD Bradycardia -
185
A large-for-gestational-age newborn is born to a mother with gestational diabetes. What should be the priority monitoring focus for this newborn?
A Blood glucose levels الإجابة الصحيحةB Blood pressureC Respiratory rateD Heart rate -
186
A premature newborn is suspected of having Respiratory Distress Syndrome (RDS). Which clinical signs would confirm this diagnosis?
A Nasal flaring and tachypnea الإجابة الصحيحةB Bradycardia and hypertensionC Fever and increased appetiteD Normal respiratory rate and pink color -
187
A nursing student asks a nurse for her password and ID to access the system to obtain patient information. How would this request be classified?
A Privacy violationB Security breach (improper access attempt)C Authorization violation الإجابة الصحيحةD Confidentiality breach -
188
A physician wants to use a nurse's logged-in computer to view lab results. What should the nurse do?
A Allow the physician to use her login credentialsB Log out and allow the physician to log in with his own credentials الإجابة الصحيحةC Share the screen while remaining logged inD Ask the physician to wait until she finishes her work -
189
Several nurses request assistance from the head nurse regarding a patient care issue. This represents which type of communication?
A Downward communication (manager to staff)B Upward communication (staff to manager) الإجابة الصحيحةC Lateral communication (peer to peer)D Diagonal communication (across different levels and departments) -
190
A patient has undergone cardiac catheterization via the femoral artery. What is the appropriate position for this patient immediately post-procedure?
A Lying flat with the affected leg straight (to prevent bleeding) الإجابة الصحيحةB High Fowler's positionC Trendelenburg positionD Semi-Fowler's position -
191
A patient has burns on both arms and the face. What is the best location to assess the pulse in this patient?
A Radial pulse (may be burned or inaccessible)B Carotid pulse (in the neck, usually not burned)C Femoral pulse (groin area, often spared) الإجابة الصحيحةD Pedal pulse -
192
A nurse is caring for patients with lower extremity amputations. What is the correct positioning approach?
A Above knee amputation: elevate stump on pillow; Below knee amputation: avoid pillow elevation and apply ice as ordered to reduce edema الإجابة الصحيحةB Above knee amputation: keep flat without pillow; Below knee amputation: elevate on multiple pillowsC Both above knee and below knee amputations should be elevated on pillows continuouslyD Both above knee and below knee amputations should avoid pillow elevation -
193
A nurse palpates an olive-like mass in the epigastric area of a 6-week-old infant who has been projectile vomiting. This finding is most characteristic of:
A Intussusception (sausage-shaped mass in RUQ)B Pyloric stenosis (olive-shaped mass in epigastrium) الإجابة الصحيحةC Hirschsprung disease (distended abdomen)D Gastroesophageal reflux -
194
A patient with eclampsia is receiving magnesium sulfate. What is the primary mechanism of action of this medication?
A Reduces blood pressure by vasodilationB Prevents seizures by CNS depression (anticonvulsant effect) الإجابة الصحيحةC Increases urine output by diuretic effectD Stabilizes cardiac rhythm by electrolyte balance -
195
A pregnant client is diagnosed with preeclampsia. Which clinical findings would the nurse expect to assess?
A High blood pressure with increased blood glucoseB High blood pressure with proteinuria الإجابة الصحيحةC Low blood pressure with peripheral edemaD Normal blood pressure with severe headaches -
196
A nurse is administering antibiotics to a patient when she receives a call about another patient experiencing severe pain. What is the most appropriate immediate action?
A Write a brief note and complete full documentation laterB Tell the patient to wait 10 minutes while finishing current taskC Leave current patient to immediately assess the patient in painD Complete the antibiotic administration before responding to the call (finish the task at hand, then respond) الإجابة الصحيحة -
197
A mother in the delivery room has a hemoglobin level of 6 g/dL. The nurse should monitor this client primarily for risk of:
A Excessive bleeding (severe anemia can contribute to postpartum hemorrhage)B Hypoxia (low oxygen carrying capacity) الإجابة الصحيحةC InfectionD Hypertension -
198
A primigravida in active labor is experiencing severe pain during the first stage of labor. What is the most appropriate pain management option at this stage?
A Epidural anesthesia (commonly used for pain relief in active labor) الإجابة الصحيحةB Opioid analgesics (can be used but may cause neonatal depression)C Spinal anesthesia (for cesarean section or late labor)D General anesthesia (rare for vaginal delivery) -
199
What hormonal changes occur near the onset of labor?
A Increased progesterone and decreased prostaglandinsB Decreased progesterone and increased prostaglandins الإجابة الصحيحةC Increased estrogen and decreased oxytocinD Decreased cortisol and increased aldosterone -
200
A 7-year-old child weighing 25 kg requires daily maintenance fluids. Using the Holliday-Segar method (4-2-1 rule), the appropriate daily fluid requirement is:
A 1200 mL/dayB 1400 mL/dayC 1600 mL/day الإجابة الصحيحةD 1800 mL/day -
201
During a physical examination of a male infant, the nurse notes that one testis is not palpable in the scrotum. What is the most likely diagnosis?
A Hydrocele (fluid-filled swelling)B Varicocele (varicose vein)C Cryptorchidism (undescended testis) الإجابة الصحيحةD Testicular torsion (acute pain, swelling) -
202
A patient is diagnosed with measles (rubeola). What type of isolation precautions should be implemented?
A Contact precautionsB Droplet precautionsC Airborne precautions (N95 respirator) الإجابة الصحيحةD Standard precautions only -
203
A patient presents with a widespread maculopapular rash on the palms and soles, characteristic of secondary syphilis. This rash indicates which stage of syphilis?
A Primary stage (chancre)B Secondary stage (rash, mucous patches) الإجابة الصحيحةC Latent stage (asymptomatic)D Tertiary stage (gummas, neurological symptoms) -
204
A patient exhibits excessive attention-seeking behavior, emotional instability, and theatrical mannerisms. These symptoms are most consistent with which personality disorder?
A Borderline personality disorder (instability, impulsivity, abandonment fear)B Narcissistic personality disorder (grandiosity, need for admiration)C Histrionic personality disorder (dramatic, attention-seeking, shallow emotions) الإجابة الصحيحةD Antisocial personality disorder (disregard for rights of others) -
205
A patient with schizophrenia is taking antipsychotic medication and develops muscle rigidity. What condition is the patient most likely experiencing?
A Tardive dyskinesia (late onset, involuntary movements)B Extrapyramidal side effects (EPS) such as dystonia, akathisia, pseudoparkinsonism الإجابة الصحيحةC Parkinson disease (unrelated to medication)D Neuroleptic malignant syndrome (fever, rigidity, autonomic instability) -
206
A patient with hebephrenic (disorganized) schizophrenia is most likely to exhibit which symptom?
A Flat affectB Inappropriate affect and disorganized behavior الإجابة الصحيحةC Paranoid delusionsD Catatonic behavior -
207
A patient reports hearing voices that tell him to harm himself. What is the priority nursing diagnosis?
A Risk for violence: self-directed related to command hallucinations الإجابة الصحيحةB Disturbed thought processes related to psychosisC Social isolation related to auditory hallucinationsD Risk for violence related to auditory hallucinations -
208
A patient experiencing a panic attack is hyperventilating. Which acid-base imbalance is most likely to occur?
A Respiratory acidosis (hypoventilation)B Metabolic acidosisC Respiratory alkalosis (hyperventilation causes low CO2) الإجابة الصحيحةD Metabolic alkalosis -
209
How should a nurse assess skin turgor in a neonate to evaluate for dehydration?
A Pinch the skin on the foreheadB Pinch the skin on the abdomen using two fingers الإجابة الصحيحةC Pinch the skin on the chestD Pinch the skin on the thigh -
210
A child presents with red jelly-like stools suggesting intussusception. What is the most appropriate initial diagnostic and therapeutic intervention?
A Plain abdominal X-rayB Ultrasonography with possible pneumatic or hydrostatic reduction الإجابة الصحيحةC CT scan of the abdomenD Barium enema -
211
During which stage of team development do members typically experience conflict, arguments, and resistance to group tasks?
A Forming (orientation)B Storming (conflict and competition) الإجابة الصحيحةC Norming (cohesion and cooperation)D Performing (productive work) -
212
A patient is shouting and standing very close to the nurse because he did not receive his dinner. What is the best therapeutic response?
A Please calm down; I will call the kitchen to bring your food in minutes الإجابة الصحيحةB We are sorry, but this is a morning shift problemC You need to step back and lower your voice immediatelyD Let me get the charge nurse to handle this situation -
213
Sudden cases of meningitis appearing during the Hajj season in a specific region would be classified as:
A Endemic (constant presence in a region)B Epidemic (sudden increase in a specific area) الإجابة الصحيحةC Pandemic (global spread)D Sporadic (isolated cases) -
214
A patient is experiencing a panic attack with hyperventilation and chest tightness. What is the priority nursing intervention?
A Provide a calm, quiet environment الإجابة الصحيحةB Administer oxygen with antidepressant medicationsC Encourage rapid deep breathing exercisesD Immediately sedate the patient -
215
A patient is crying and refuses to answer when the nurse asks why. What should the nurse do?
A Remain with the patient in silence (offering presence) الإجابة الصحيحةB Leave the patient to give privacyC Insist the patient explain their feelingsD Call the family to find out what is wrong -
216
A 28-year-old patient presents with sudden unilateral vision loss, eye pain with movement, and central scotoma. Ophthalmologic examination reveals optic disc swelling. What is the most likely underlying condition associated with optic neuritis?
A Multiple sclerosis (optic neuritis is a common first presentation) الإجابة الصحيحةB Diabetic retinopathyC Hypertensive retinopathyD Glaucoma -
217
A 65-year-old hypertensive patient presents with severe back pain and abdominal pain. On physical examination, a pulsatile abdominal mass is palpated. What is the most likely diagnosis?
A Aortic aneurysm (abdominal aortic aneurysm) الإجابة الصحيحةB Myocardial infarctionC Renal colicD Peptic ulcer disease -
218
A 68-year-old chronic smoker presents with progressive dyspnea and chronic productive cough. Physical examination reveals an increased anteroposterior chest diameter giving a barrel-shaped appearance. What is the most likely diagnosis?
A Emphysema (barrel chest is characteristic) الإجابة الصحيحةB PneumoniaC Pulmonary edemaD Pleural effusion -
219
A nurse is caring for a child who just underwent a tonsillectomy. What is the most appropriate initial positioning for this patient?
A Position the child supine with head elevatedB Position the child in prone position to facilitate drainage الإجابة الصحيحةC Position the child in Trendelenburg positionD Position the child in high Fowler's position -
220
After fertilization, the zygote typically enters the uterus for implantation at which stage?
A 2-4 days (as a morula or early blastocyst)B 6-10 days (implantation occurs around day 6-10 after ovulation) الإجابة الصحيحةC 1-2 days (still in fallopian tube)D 10-14 days -
221
A nurse involves parents in teaching and educating them about their child's condition. This nursing action represents which ethical principle?
A AutonomyB BeneficenceC Empowerment (enabling patients and families to take control of their health) الإجابة الصحيحةD Justice -
222
An elderly cancer patient decides to discontinue treatment despite the nurse's recommendations. The nurse respects the patient's decision. This demonstrates which ethical principle?
A Beneficence (doing good)B Non-maleficence (do no harm)C Autonomy (respect for patient's self-determination) الإجابة الصحيحةD Justice (fairness) -
223
A nurse is performing a painful procedure on a child. Which intervention would be most appropriate to reduce the child's pain and anxiety?
A Administer sedation before the procedureB Allow the child to choose items for distraction during the procedure الإجابة الصحيحةC Restrain the child to complete the procedure quicklyD Perform the procedure without preparation -
224
A nurse reviews a normal CTG (cardiotocography) tracing. What is the most appropriate nursing action?
A Notify the physician immediatelyB Continue routine monitoring and reassure the patient الإجابة الصحيحةC Reposition the patientD Administer oxygen -
225
What is the primary purpose of a sharps container in healthcare settings?
A Store medications safelyB Dispose of used needles and sharp instruments الإجابة الصحيحةC Store sterile instrumentsD Collect laboratory specimens -
226
After administering an intramuscular injection, what should the nurse avoid doing?
A Apply gentle pressure to the injection siteB Massage the injection site vigorously (can cause tissue damage and alter absorption) الإجابة الصحيحةC Monitor for adverse reactionsD Document the injection -
227
To prevent infection in a TPN triple-lumen catheter, what is the best practice?
A Dedicate one lumen exclusively for TPN الإجابة الصحيحةB Change dressing daily (should be sterile every 3-7 days depending on policy)C Use any of the three lumens interchangeably dailyD Rotate lumens every shift -
228
Hashimoto thyroiditis (chronic autoimmune thyroiditis) can cause which neurological symptom if untreated?
A Disorientation (severe hypothyroidism can cause myxedema, confusion) الإجابة الصحيحةB SeizuresC ParalysisD Memory loss -
229
By what percentage does blood volume increase during pregnancy?
A 30-35%B 40-50% (plasma volume increases by about 40-50%) الإجابة الصحيحةC 55-60%D 20-25% -
230
A patient with diphtheria requires which type of isolation precautions?
A Contact precautionsB Droplet precautions الإجابة الصحيحةC Airborne precautionsD Standard precautions only -
231
A child presents with growth retardation, splenomegaly, hepatomegaly, and skeletal abnormalities. Which condition is most likely?
A Sickle cell diseaseB Thalassemia (major or intermedia) الإجابة الصحيحةC Iron deficiency anemiaD Hemophilia -
232
When administering magnesium sulfate to a pregnant patient, which assessments are essential to monitor for toxicity? (Select all that apply) – The question format expects a single answer, but I will provide the correct combination as per the options.
A Deep tendon reflexes, respiratory rate, urinary output الإجابة الصحيحةB Blood pressure onlyC Fetal heart rate onlyD Temperature and pulse only -
233
When a nurse provides information to a family so they can make healthcare decisions, this represents:
A EnablingB Empowering الإجابة الصحيحةC AdvocatingD Counseling -
234
A patient who is overly focused on past events during therapy and avoids discussing present issues is demonstrating:
A Resistance (unconscious defense against exploring certain topics) الإجابة الصحيحةB Counter-resistanceC Transference (projecting feelings onto therapist)D Counter-transference (therapist's feelings toward patient) -
235
A pregnant woman at 39 weeks gestation presents with ruptured membranes but no contractions. What is the priority nursing action?
A Notify the physician immediatelyB Prepare for immediate cesarean sectionC Attach CTG to monitor fetal heart rate (assess fetal well-being after rupture of membranes) الإجابة الصحيحةD Position patient in Trendelenburg -
236
A patient develops bone and joint pain, fever, and malaise weeks after cardiac surgery. This most likely represents:
A Cardiac tamponadeB Postcardiotomy syndrome (an inflammatory reaction) الإجابة الصحيحةC Infective endocarditisD Pulmonary embolism -
237
Documentation in nursing practice is:
A An optional activity when time permitsB A hindrance to patient safety and self-careC An integral part of every nurse's job (legal and professional requirement) الإجابة الصحيحةD Only required for high-risk patients -
238
A child with a respiratory infection produces yellow sputum and has abnormal breath sounds. Which adventitious sound would most likely be heard?
A Wheezing (high-pitched, musical)B Rhonchi (low-pitched, snoring, often clears with cough) الإجابة الصحيحةC Stridor (harsh, inspiratory, upper airway)D Fine crackles (high-pitched, interstitial fluid) -
239
A patient taking haloperidol (an antipsychotic) develops pseudoparkinsonism (tremor, rigidity, bradykinesia). This is a common side effect of which type of medication?
A Pseudoparkinsonism (extrapyramidal symptom) الإجابة الصحيحةB HypertensionC BradycardiaD Hyperglycemia -
240
A patient with active pulmonary tuberculosis is admitted. What type of isolation is required?
A Contact precautionsB Droplet precautionsC Airborne precautions الإجابة الصحيحةD Standard precautions -
241
The primary method to prevent tuberculosis transmission at the community level in high-burden countries is:
A BCG vaccine الإجابة الصحيحةB N95 respirator masksC Hand hygieneD Surface disinfection -
242
A nurse is discussing a patient's private information in the hallway. What should you remind her about?
A Patient autonomyB Confidentiality الإجابة الصحيحةC Informed consentD Documentation standards -
243
Two nurses are having a disagreement about patient care in front of others. What is the most appropriate action?
A Report them to the supervisor immediatelyB Talk with them privately about concerns (address conflict discreetly) الإجابة الصحيحةC Document the incident in writingD Ignore the situation -
244
A patient's gown becomes soiled during a procedure. What should the nurse do?
A Continue with the procedureB Document the incidentC Go and change the gown (maintain patient dignity and hygiene) الإجابة الصحيحةD Ask the patient to change it -
245
What is the antidote for magnesium sulfate toxicity?
A Calcium gluconate الإجابة الصحيحةB NaloxoneC FlumazenilD Atropine -
246
An infant with pyloric stenosis presents with projectile vomiting. What is the primary symptom of this condition?
A DiarrheaB Vomiting (non-bilious, projectile) الإجابة الصحيحةC FeverD Constipation -
247
Which patient should not receive live vaccines (e.g., MMR, varicella, yellow fever)?
A Patient with diabetesB Patient taking high-dose steroids (immunosuppressed) الإجابة الصحيحةC Patient with hypertensionD Elderly patient -
248
A postpartum woman has a contracted (firm) uterus but continues to bleed heavily. What is the most likely cause?
A Uterine atony (uterus would be boggy)B Retained placentaC Perineal or vaginal lacerations الإجابة الصحيحةD Coagulation disorder -
249
A patient with spina bifida (myelomeningocele) has a surgical wound. What type of dressing is most appropriate to keep the wound moist and promote healing?
A Dry sterile dressingB Moist (non-adherent) dressing الإجابة الصحيحةC Pressure dressingD No dressing needed -
250
A patient has eye pain with yellow-green discharge. What should you advise?
A Apply warm compressesB Avoid touching the eyes (prevent spread of infection) الإجابة الصحيحةC Use antibiotic drops (prescribed)D Flush with normal saline -
251
What is the primary purpose of a Pap smear (Papanicolaou test)?
A Detect ovarian cancerB Detect cervical cancer (precancerous and cancerous cells) الإجابة الصحيحةC Diagnose pregnancyD Screen for STDs -
252
During pregnancy, which hormone is primarily secreted by the placenta to maintain the uterine lining?
A EstrogenB Progesterone الإجابة الصحيحةC OxytocinD Prolactin -
253
Which strategy is most effective in reducing the spread of tuberculosis in the community?
A Implementing a national BCG vaccination campaignB Contact tracing, screening, and treatment of active and latent cases الإجابة الصحيحةC Improving ventilation systemsD Regular chest X-rays -
254
A patient with pregnancy-induced hypertension (PIH) is at highest risk. Which condition predisposes to PIH?
A Multiple pregnancy (e.g., twins, triplets) الإجابة الصحيحةB Maternal age under 20C Single pregnancyD Low maternal weight -
255
A patient with sepsis typically presents with which clinical manifestation?
A BradycardiaB Hypothermia or hyperthermiaC Tachycardia (early sign) الإجابة الصحيحةD Decreased respiratory rate -
256
To reduce separation anxiety in hospitalized children, the nurse should:
A Increase the number of nursing staffB Decrease the number of nursing staff (consistent caregivers) الإجابة الصحيحةC Limit parental visitsD Restrict visiting hours -
257
A postpartum client with a history of hemorrhage has been having uterine contractions for 4 hours and needs to use the bathroom. What should the nurse do?
A Give her a bedpanB Help her sit up first, then assist to stand (prevent falls and orthostatic hypotension) الإجابة الصحيحةC Allow her to walk independentlyD Catheterize the patient -
258
To evaluate if a mother understands umbilical cord care instructions, the nurse should ask her to:
A Explain the procedure in her own wordsB Demonstrate the cleaning technique (return demonstration) الإجابة الصحيحةC Repeat the written instructionsD Sign a consent form -
259
When involving families in patient care, the nurse is practicing:
A EnablingB Empowering الإجابة الصحيحةC EncouragingD Educating -
260
A patient is found unconscious without a pulse. The medical record indicates no DNR order. What should the nurse do?
A Do not resuscitate due to patient conditionB Begin CPR immediately الإجابة الصحيحةC Wait for physician ordersD Call the family first -
261
A woman is having irregular contractions that decrease with walking. Which symptom indicates false labor rather than true labor?
A Cervical dilation and effacement (true labor)B Irregular contractions that decrease with activity (false labor, Braxton-Hicks) الإجابة الصحيحةC Progressive cervical changes (true labor)D Regular, increasing contractions (true labor) -
262
Which laboratory test is the gold standard for confirming the diagnosis of sickle cell anemia?
A Sickling test (Sickledex) - screeningB Hemoglobin electrophoresis (definitive) الإجابة الصحيحةC Complete blood countD Reticulocyte count -
263
After tonsillectomy, what is the appropriate position for the patient to promote drainage and prevent aspiration?
A Supine with head elevatedB Side-lying to promote drainage الإجابة الصحيحةC Prone positionD High Fowler position -
264
A 28-year-old primigravida at 16 weeks gestation presents with dark brown vaginal discharge. Investigation reveals a decline in pregnancy test levels and ultrasound shows a nonviable pregnancy with no fetal heartbeat. The cervical os is closed. What is the most likely type of spontaneous abortion?
A Missed abortion (nonviable pregnancy retained, closed os) الإجابة الصحيحةB Threatened abortion (viable, closed os, bleeding)C Incomplete abortion (open os, some tissue passed)D Inevitable abortion (open os, no tissue passed) -
265
An infant has undergone cleft lip repair surgery. What is the optimal position to protect the suture line and prevent stress on the repair?
A Supine positionB Prone positionC Side-lying positionD Upright or semi-upright position الإجابة الصحيحة -
266
A mother with 9 children is experiencing difficulty coping with family management. What is the primary factor influencing her situation?
A Physical health problemsB Socioeconomic factors (financial strain, lack of resources) الإجابة الصحيحةC Educational level onlyD Age of the children -
267
What is the most effective method for preventing tuberculosis transmission in healthcare settings?
A Universal precautions onlyB Airborne precautions with negative pressure rooms (and N95 respirators) الإجابة الصحيحةC Contact precautionsD Droplet precautions -
268
What is the primary nursing consideration for a patient preparing for Hajj pilgrimage?
A Medication management onlyB Pre-travel health assessment and vaccinations الإجابة الصحيحةC Travel insurance verificationD Spiritual counseling -
269
Which vaccine is considered primary (mandatory) for Hajj pilgrims to prevent meningococcal disease?
A Meningococcal vaccine الإجابة الصحيحةB Hepatitis A vaccineC Yellow fever vaccineD Typhoid vaccine -
270
A patient is taking oral iron supplements for iron deficiency anemia. Which beverage enhances iron absorption?
A Orange juice (vitamin C) الإجابة الصحيحةB Apple juiceC Milk (calcium inhibits absorption)D Coffee (inhibits absorption) -
271
A child after tonsillectomy and adenoidectomy is ready for clear liquids. Which juice is most appropriate to avoid irritation and bleeding risk?
A Orange juice (acidic, irritating)B Apple juice (non-acidic, clear) الإجابة الصحيحةC Cranberry juice (acidic)D Grape juice (may be acidic) -
272
A patient collapses in the cafeteria and appears to be choking, unable to speak. What is the first action the nurse should take?
A Call for helpB Begin chest compressionsC Perform abdominal thrusts (Heimlich maneuver) الإجابة الصحيحةD Check for pulse -
273
A 9-year-old child has a simple fracture of the tibia. What is the typical bone healing time for a child this age?
A 4-6 weeks (children heal faster than adults) الإجابة الصحيحةB 6-8 weeksC 8-10 weeksD 10-12 weeks -
274
A nurse is teaching a new mother about newborn bathing. How often should a newborn be bathed?
A Daily with soap and waterB Twice a week with warm water and mild soap الإجابة الصحيحةC Every other day with plain waterD Three times a week with antiseptic soap -
275
A patient after an open appendectomy should be placed in which position to promote comfort and facilitate drainage?
A SupineB Fowler's position (semi-upright) الإجابة الصحيحةC ProneD Left lateral -
276
The rising prevalence of obesity in Saudi Arabia over the past two decades is best described as:
A Endemic (constant presence)B Epidemic (rapid increase in a specific population) الإجابة الصحيحةC Pandemic (worldwide)D Sporadic (isolated cases) -
277
MERS-CoV (Middle East Respiratory Syndrome Coronavirus) is primarily transmitted through:
A Airborne droplets (respiratory transmission) الإجابة الصحيحةB Direct contactC Fecal-oral routeD Vector-borne -
278
Tuberculosis is transmitted through which route?
A Contact transmissionB Airborne transmission (droplet nuclei) الإجابة الصحيحةC Droplet transmission (large droplets)D Vector-borne transmission -
279
Rotavirus gastroenteritis is primarily transmitted through:
A Airborne dropletsB Fecal-oral route الإجابة الصحيحةC Direct contactD Blood contact -
280
A nurse finds a dose of acetaminophen left on a table by another nurse. What should be the first action?
A Dispose of the medicationB Verify the patient room number and check the medication chart before administering (or discarding if not verified) الإجابة الصحيحةC Return it to the pharmacyD Give it to the patient -
281
What is the recommended Hepatitis B vaccination schedule for infants?
A 0, 1, 6 months (birth, 1-2 months, 6-18 months) الإجابة الصحيحةB 0, 2, 4 monthsC 0, 1, 2 monthsD 0, 3, 6 months -
282
A patient with preeclampsia requires close monitoring. What are the two primary parameters the nurse should closely monitor?
A Blood pressure and proteinuria الإجابة الصحيحةB Heart rate and blood glucoseC Temperature and respiratory rateD Oxygen saturation and urine output -
283
A pregnant woman presents with vaginal bleeding and abdominal pain. Ultrasound reveals tissue at the cervical os, and the internal os is open. What type of abortion is this?
A Inevitable abortion (open os, bleeding, no tissue passed yet) الإجابة الصحيحةB Threatened abortion (closed os, bleeding)C Incomplete abortion (open os, some tissue passed)D Missed abortion (closed os, nonviable) -
284
A woman delivers in the emergency department due to no available beds. What is the most common cause of postpartum hemorrhage the nurse should anticipate?
A Uterine atony (most common cause overall) الإجابة الصحيحةB Cervical lacerationsC Retained placental fragmentsD Coagulation disorders -
285
A postpartum patient has a firm, contracted uterus but continues to have a steady trickle of bright red bleeding. What is the most likely cause?
A Perineal or vaginal laceration الإجابة الصحيحةB Uterine atony (boggy uterus)C Retained placental tissueD Coagulation disorder -
286
An infant refuses both breastfeeding and bottle feeding. What is the most appropriate immediate nursing intervention?
A Start IV 5% dextrose (if ordered, after assessing for hypoglycemia) الإجابة الصحيحةB Force feed with a syringeC Wait until the baby gets hungryD Offer different formula types -
287
A child presents with a fracture. How should the nurse assess for compromised circulation (neurovascular status)?
A Check capillary refill time after blanching الإجابة الصحيحةB Assess skin temperature onlyC Check pulse rateD Observe skin color changes -
288
A mother refuses to vaccinate her child. What is the best nursing response?
A Educate that vaccination prevents serious diseases (provide evidence-based information) الإجابة الصحيحةB Respect her decision completely without discussionC Threaten to call child servicesD Schedule a follow-up appointment only -
289
A nurse is about to administer digoxin to a patient with a potassium level of 5.8 mEq/L (high) and low magnesium. What should the nurse do?
A Notify the physician (high potassium increases risk of digoxin toxicity, especially with hypomagnesemia) الإجابة الصحيحةB Give the medication as orderedC Withhold the medication onlyD Check normal values first -
290
A nurse finds a patient who has fallen on the floor during the night shift. What is the first priority action?
A Assess for injury and take vital signs الإجابة الصحيحةB Help the patient up immediatelyC File an incident report firstD Ask another nurse to handle it -
291
A nurse wants to establish the effectiveness of a prevention intervention based on multiple previous studies. What type of research method is most appropriate?
A Systematic review (and meta-analysis) الإجابة الصحيحةB Case studyC Experimental design (RCT)D Survey research -
292
A nurse overhears colleagues discussing confidential patient information in the hallway. What is the most appropriate action?
A Advise them privately about confidentiality الإجابة الصحيحةB Report to supervisor immediatelyC Ignore the situationD Join the conversation -
293
Vitamin D absorption is enhanced when taken with which vitamin?
A Vitamin AB Vitamin CC Vitamin ED Vitamin K الإجابة الصحيحة -
294
A newborn is delivered to a mother with gestational diabetes mellitus (GDM). What is the priority nursing intervention for this infant?
A Initiate oral feeding immediatelyB Monitor blood glucose levels closely الإجابة الصحيحةC Administer IV fluidsD Start phototherapy -
295
As a charge nurse, you witness a conflict between a physician and a staff nurse regarding patient care. What is your most appropriate initial action?
A Ignore the situation and let them resolve itB Document the incident immediatelyC Intervene calmly and facilitate communication between both parties الإجابة الصحيحةD Report the physician to administration -
296
A patient states he read online that nitroglycerin should be taken every 3 minutes, but the hospital policy states every 5 minutes. He refuses to follow the policy. What is the nurse's best response?
A Tell the patient he must follow hospital policyB Explain the rationale for the 5-minute interval (to prevent hypotension) and address his concerns الإجابة الصحيحةC Give the medication according to his preferenceD Contact the physician to change the order -
297
A breastfeeding mother asks about the best position for nighttime feeding to allow both mother and baby to rest. Which position is most beneficial?
A Cradle holdB Cross-cradle holdC Side-lying position الإجابة الصحيحةD Football hold -
298
A nurse is assessing a pregnant woman at 36 weeks of gestation. The fundal height is expected to correspond closely with the gestational age in weeks. What is the approximate fundal height in centimeters at this stage of pregnancy?
A 30 cmB 36 cm الإجابة الصحيحةC 32 cmD 40 cm -
299
A patient has overdosed on morphine and is unresponsive with pinpoint pupils and respiratory depression. What is the antidote?
A Flumazenil (benzodiazepine antidote)B Naloxone (opioid antagonist) الإجابة الصحيحةC Atropine (for bradycardia)D Epinephrine (for anaphylaxis) -
300
A patient has an arterial blood gas: pH 7.25, PaCO2 55 mmHg, HCO3- 24 mEq/L. This represents which acid-base imbalance?
A Compensated respiratory acidosis (HCO3 would be elevated if chronic)B Uncompensated respiratory acidosis (low pH, high CO2, normal HCO3) الإجابة الصحيحةC Compensated metabolic acidosisD Uncompensated metabolic acidosis -
301
A patient with prolonged vomiting from gastric outlet obstruction would most likely develop which acid-base imbalance?
A Respiratory acidosisB Respiratory alkalosisC Metabolic acidosisD Metabolic alkalosis (loss of gastric acid, H+ and Cl-) الإجابة الصحيحة -
302
A patient with active pulmonary tuberculosis is admitted to the hospital. What type of isolation precautions should be implemented?
A Contact precautionsB Droplet precautionsC Airborne precautions الإجابة الصحيحةD Standard precautions only -
303
Which medication is considered first-line treatment for active tuberculosis?
A AmoxicillinB Isoniazid (part of the 4-drug regimen: INH, rifampin, ethambutol, pyrazinamide) الإجابة الصحيحةC CiprofloxacinD Azithromycin -
304
An 18-month-old child is due for routine immunizations. Which vaccination is typically administered at this age?
A Hepatitis B vaccine (birth, 1-2 months, 6-18 months)B MMR booster (first dose at 12-15 months, booster at 4-6 years, but some schedules give second dose at 18 months) الإجابة الصحيحةC DTaP booster (given at 15-18 months)D Rotavirus vaccine (given at 2,4,6 months) -
305
A newborn with a cleft lip is being prepared for feeding. What is the most appropriate nursing intervention?
A Use a standard bottle with regular nippleB Position the infant supine during feedingC Use a specialized feeder with a soft squeezable bottle (e.g., Haberman feeder) الإجابة الصحيحةD Feed only through nasogastric tube -
306
What is the safest sleep position for a healthy infant to reduce the risk of Sudden Infant Death Syndrome (SIDS)?
A Side-lying positionB Prone position (on stomach)C Supine position (on back) الإجابة الصحيحةD Any position is acceptable -
307
A mother with gestational diabetes delivers a baby. What is the most common immediate complication in the newborn?
A HyperglycemiaB Hypoglycemia الإجابة الصحيحةC HypernatremiaD Hypercalcemia -
308
A patient returns from appendectomy surgery. What is the most appropriate initial position for this patient?
A Trendelenburg positionB Left lateral positionC Semi-Fowler's position (to reduce tension on incision and promote drainage) الإجابة الصحيحةD Prone position -
309
An epidemic refers to the occurrence of disease that is:
A Always present in a community at expected levels (endemic)B Occurs in multiple countries simultaneously (pandemic)C Occurs in excess of normal expectancy in a community الإجابة الصحيحةD Affects only immunocompromised individuals -
310
A 3-week-old infant presents with projectile vomiting and a palpable olive-shaped mass in the epigastrium. Which condition is most likely?
A Intussusception (sausage-shaped mass)B Pyloric stenosis الإجابة الصحيحةC Gastroesophageal refluxD Necrotizing enterocolitis -
311
A psychiatric patient is prescribed a benzodiazepine (e.g., alprazolam) for anxiety. Which substance should be avoided while taking this medication?
A CaffeineB Alcohol (can cause severe CNS depression, respiratory depression) الإجابة الصحيحةC Vitamin supplementsD Over-the-counter pain relievers -
312
Which type of leadership style involves shared decision-making between the leader and team members?
A AutocraticB Democratic الإجابة الصحيحةC Laissez-faireD Cooperative -
313
What is the correct sequence for putting on personal protective equipment (PPE)?
A Gloves, gown, mask, eye protectionB Gown, mask, eye protection, gloves الإجابة الصحيحةC Mask, gown, gloves, eye protectionD Eye protection, mask, gown, gloves
جرب كلمة أقصر أو امسح البحث لعرض المذكرة كاملة.