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يونيو 2026
817 سؤال مع الإجابات الصحيحة، مرتبة للقراءة والمراجعة استعدادا لاختبار التمريض SNLE.
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1
A nurse discovers that a controlled substance (morphine) ampoule is missing during the end-of-shift narcotic count. What is the nurse's priority action regarding documentation in the incident report?
A Document that all controlled substances were correctly counted at shift endB Report that one morphine ampoule is missing الإجابة الصحيحةC Document that medications were administered without discrepancyD Record an unverified suspicion of medication diversion -
2
A child presents to the emergency department with vomiting, diarrhea, and signs of moderate dehydration. What is the most appropriate initial intravenous fluid choice?
A Isotonic solution الإجابة الصحيحةB Hypertonic solutionC Hypotonic solutionD No fluid replacement is required -
3
Which infection control precautions are most appropriate for a patient diagnosed with acute bacterial meningitis?
A Contact precautionsB Droplet precautions الإجابة الصحيحةC Airborne precautionsD Standard precautions only -
4
How is airborne isolation best defined in infection control practice?
A Precautions used for pathogens transmitted through droplet nuclei smaller than 5 micrometers الإجابة الصحيحةB Precautions used for infections transmitted through direct physical contactC Precautions used for infections transmitted via contaminated surfacesD Precautions used for infections transmitted through large respiratory droplets -
5
A patient with confirmed COVID-19 is admitted to an isolation unit. Which infection control precautions should the nurse implement?
A Standard precautionsB Contact precautionsC Droplet precautionsD Airborne precautions (N95) الإجابة الصحيحة -
6
A newborn is delivered to a mother with gestational diabetes mellitus (GDM). What is the priority nursing intervention in the immediate postpartum period?
A Monitor blood glucose levels الإجابة الصحيحةB Initiate insulin therapy immediatelyC Prepare for blood transfusionD Administer prophylactic antibiotics -
7
A patient presents with a right-sided cerebrovascular accident (stroke). Which neurological deficit is most commonly expected?
A Right-sided weaknessB Left-sided weakness الإجابة الصحيحةC Bilateral weaknessD No motor deficits -
8
Which medication should the nurse anticipate discontinuing prior to a surgical procedure due to increased bleeding risk?
A Warfarin الإجابة الصحيحةB ParacetamolC MetforminD Omeprazole -
9
A patient presents with ascites and increased intra-abdominal pressure causing discomfort. Which procedure is most appropriate to relieve the pressure?
A Paracentesis الإجابة الصحيحةB LaparotomyC CT scanD Endoscopy -
10
A postpartum patient experiences physiologic changes in plasma volume and coagulation factors following delivery. This normal postpartum adaptation most commonly increases the risk for which condition?
A AnemiaB HypertensionC Diabetes mellitusD Thrombosis الإجابة الصحيحة -
11
During a research study, participants alter their behavior simply because they are aware they are being observed by researchers. This behavioral change is known as:
A Hawthorne effect (improved performance due to observation awareness) الإجابة الصحيحةB Low evaluation of performance when being observedC Stable performance regardless of being observedD Unpredictable performance changes unrelated to observation -
12
A patient with a heart rate of 110 bpm receives Digoxin. After the nurse reassesses the apical pulse, the rate remains elevated at 110 bpm. What is the most appropriate nursing action?
A Reassess the apical pulse after 15 minutesB Notify the healthcare provider الإجابة الصحيحةC Hold the next dose and continue monitoring independentlyD Administer an additional dose as prescribed -
13
Which leadership style is most appropriate for a healthcare administrator who encourages collaboration among multiple stakeholders and values shared decision-making?
A Autocratic leadershipB Democratic leadership الإجابة الصحيحةC Laissez-faire leadershipD Transactional leadership -
14
A patient is recovering after total hip replacement surgery. Which postoperative instruction is most important to prevent hip dislocation during sleep?
A Avoid hip adduction across the midline الإجابة الصحيحةB Maintain full hip flexion while restingC Sleep on the operated side immediately after surgeryD No specific positioning precautions are required -
15
A patient has a pressure injury with full-thickness skin loss, visible subcutaneous fat, but no exposed bone, tendon, or muscle. How should the nurse classify this pressure injury?
A Stage 1 pressure injuryB Stage 2 pressure injuryC Stage 3 pressure injury الإجابة الصحيحةD Stage 4 pressure injury -
16
Which hormone is expected to be significantly elevated in a normal pregnancy?
A Human chorionic gonadotropin (hCG) الإجابة الصحيحةB Follicle-stimulating hormone (FSH)C Luteinizing hormone (LH)D Prolactin -
17
Which nursing intervention is most appropriate for a patient with a newly created colostomy?
A Clean and gently wipe around the stoma site الإجابة الصحيحةB Avoid wearing tight-fitting clothing over the abdomenC Apply direct pressure to the stoma to control outputD Restrict oral fluid intake to reduce output -
18
A child is in the immediate postoperative period following a tonsillectomy. What is the most appropriate position to maintain airway patency and reduce the risk of aspiration?
A Supine positionB Prone position with head turned to the side الإجابة الصحيحةC Semi-Fowler positionD Trendelenburg position -
19
Which clinical manifestation is the most characteristic sign of pyloric stenosis in infants?
A Projectile vomiting after feeding الإجابة الصحيحةB Profuse diarrheaC High-grade feverD Severe abdominal distension at birth -
20
Administration of immunizations during Hajj to prevent infectious disease outbreaks is an example of which level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Quaternary prevention -
21
Which task is most appropriate for a nursing assistant to perform under delegation?
A Administer prescribed medicationsB Perform initial patient assessmentC Change bed linens and make the bed الإجابة الصحيحةD Initiate intravenous therapy -
22
What is the antidote used to reverse opioid toxicity in a patient with morphine overdose?
A FlumazenilB Naloxone الإجابة الصحيحةC AtropineD Epinephrine -
23
A patient with diabetic ketoacidosis (DKA) is admitted to the emergency department. What is the nurse’s priority initial action?
A Provide emotional reassurance to familyB Contact social services for support planningC Notify family members of admissionD Obtain and check blood glucose level immediately الإجابة الصحيحة -
24
Providing rehabilitation care and ongoing support to a patient after a stroke is an example of which level of prevention?
A Primary preventionB Secondary preventionC Tertiary prevention الإجابة الصحيحةD Quaternary prevention -
25
A charge nurse allows staff to make independent scheduling decisions with minimal supervision or feedback. What leadership style is being demonstrated?
A Autocratic leadershipB Democratic leadershipC Laissez-faire leadership الإجابة الصحيحةD Transformational leadership -
26
A newborn exhibits coughing, choking, and cyanosis during feeding. Which condition is most likely associated with these findings?
A Tracheoesophageal fistula (TEF) الإجابة الصحيحةB Physiologic jaundiceC Meconium ileusD Transient tachypnea of newborn -
27
Which clinical manifestation is the most characteristic sign of tracheoesophageal fistula (TEF) in a newborn during feeding?
A Coughing, choking, and cyanosis during feeding الإجابة الصحيحةB Nasal flaring with feeding onlyC Projectile vomiting after feedingD Severe abdominal distension at birth -
28
Which group of symptoms represents the classic “3 Cs” of esophageal atresia in neonates?
A Coughing, choking, cyanosis الإجابة الصحيحةB Crying, cramping, constipationC Chest pain, chills, cachexiaD Confusion, convulsions, coma -
29
What is the priority nursing intervention for a newborn suspected of having esophageal atresia?
A Begin oral feeding to assess swallowingB Maintain NPO status and provide suction as needed الإجابة الصحيحةC Encourage oral hydrationD Place the newborn in supine position for feeding tolerance -
30
Which preoperative intervention is commonly performed for a child diagnosed with Hirschsprung disease?
A Rectal irrigations with normal saline الإجابة الصحيحةB Complete restriction of fluidsC Forceful oral feeding regimenD Strict bed rest without bowel management -
31
Which medication is commonly used to promote closure of patent ductus arteriosus (PDA) in premature infants?
A Indomethacin الإجابة الصحيحةB AcetaminophenC AspirinD Ibuprofen -
32
What is the typical duration of illness for rubella (German measles) in an uncomplicated case?
A 2–3 days الإجابة الصحيحةB 4–5 daysC 6–7 daysD 8–10 days -
33
A teenage patient taking oral iron supplements requires further teaching if she makes which statement?
A I should take iron with vitamin C to improve absorptionB I can drink milk immediately after taking iron tablets الإجابة الصحيحةC I should avoid tea when taking iron supplementsD Iron supplements may cause dark-colored stools -
34
A mother diagnosed with HIV asks about breastfeeding her newborn. What is the most appropriate nursing response according to standard guidelines?
A Breastfeed every 2 hours and then stop earlyB Breastfeeding is contraindicated to prevent transmission الإجابة الصحيحةC Breastfeed only during nighttime feedsD Breastfeed only while taking antiviral medications intermittently -
35
Which classification best describes the most common type of tracheoesophageal fistula (TEF)?
A Type A: esophageal atresia without fistulaB Type C: esophageal atresia with distal fistula الإجابة الصحيحةC Type E: H-type fistula without atresiaD Type B: proximal fistula with esophageal atresia -
36
Which diagnostic study is most commonly used initially to suspect tracheoesophageal fistula in a newborn?
A Chest X-ray with nasogastric tube placement الإجابة الصحيحةB Contrast esophagogramC CT scan of the chestD MRI of the mediastinum -
37
A newborn suspected of having H-type tracheoesophageal fistula presents with which classic symptom triad during feeding?
A Coughing, choking, and cyanosis الإجابة الصحيحةB Vomiting, diarrhea, and feverC Dysphagia, chest pain, and weight lossD Stridor, hoarseness, and drooling -
38
What is the initial priority nursing management for a newborn suspected of tracheoesophageal fistula?
A Begin oral feeding to assess toleranceB Maintain NPO status and insert a nasogastric tube for decompression الإجابة الصحيحةC Prepare for immediate bronchoscopy without stabilizationD Proceed directly to surgical repair without preoperative stabilization -
39
Which congenital anomaly is most commonly associated with tracheoesophageal fistula?
A Cardiac defects الإجابة الصحيحةB Renal anomaliesC Anorectal malformationsD Limb deformities -
40
A woman at 34 weeks of gestation has a fetal heart rate of 120 bpm. At her previous visit one week ago, the fetal heart rate was 160 bpm. Which action should the nurse take?
A Position the client on her right sideB Reassure the client that this is a normal finding الإجابة الصحيحةC Prepare the client for emergency cesarean sectionD Notify the health care provider immediately -
41
A woman whose husband died of cancer frequently visits the clinic reporting multiple physical complaints. She is convinced she has a serious illness, but extensive medical evaluations reveal no abnormalities. Which disorder is most consistent with these findings?
A Conversion disorderB Somatic symptom disorderC Illness anxiety disorder (hypochondriasis) الإجابة الصحيحةD Factitious disorder -
42
A 25-year-old patient with a family history of ADHD is brought to the emergency department 3 hours after ingesting 225 mg of methylphenidate (Concerta) in a suicide attempt. The heart rate is 190 beats/min. What is the priority nursing action?
A Perform gastric lavageB Place the patient on a cardiac monitor الإجابة الصحيحةC Administer activated charcoalD Check blood pressure -
43
A client is diagnosed with diphtheria. Which transmission-based precautions should the nurse implement?
A Airborne precautionsB Droplet precautions الإجابة الصحيحةC Contact precautionsD Standard precautions only -
44
A head nurse allows the charge nurse to plan the staff schedule without providing any guidance, feedback, or monitoring of outcomes. Which leadership style is the head nurse demonstrating?
A AutocraticB DemocraticC Laissez-faire الإجابة الصحيحةD Transactional -
45
A patient in the emergency department reports taking nitroglycerin every 3 minutes based on an artificial intelligence (AI) plan. The nurse recognizes this regimen as incorrect. What should the nurse do first?
A Administer nitroglycerin every 5 minutes to relieve chest painB Educate the patient that the AI plan should not be followed الإجابة الصحيحةC Continue the current regimen as prescribedD Document the AI recommendation and proceed -
46
A mother wants to feed her 12-month-old child formula milk. What is the most appropriate recommendation?
A Encourage the mother to continue breastfeedingB Advise the mother to give whole cow's milk الإجابة الصحيحةC Support the mother's choice of formula milkD Recommend a mixed feeding approach -
47
A mother wants to feed her 12-month-old child formula milk. What is the best advice for the nurse to give?
A Encourage the mother to continue breastfeedingB Advise the mother to give whole cow's milk الإجابة الصحيحةC Support the mother's choice of formula milkD Recommend a mixed feeding approach -
48
A patient in an acute psychiatric unit tells the nurse, "I am going to sleep now, I am going to the gym, I need to buy a car." Which term best describes this pattern of speech?
A Word saladB Clang associationC Flight of ideas الإجابة الصحيحةD Thought blocking -
49
A nurse observes a physician consistently documenting medical procedures before performing them. Which action is most appropriate for the nurse to take?
A Report this observation to the nursing supervisor immediately الإجابة الصحيحةB Continue to observe and document the pattern of behaviorC Confront the physician directly about the documentation practiceD Ignore the situation because it does not involve nursing responsibilities -
50
A laboring client asks why the nurse keeps assessing the fundus and encouraging her to empty her bladder. What is the nurse's best response?
A Emptying your bladder stimulates stronger contractionsB A full bladder obstructs fetal descent and prevents effective uterine contractions الإجابة الصحيحةC Fundal massage helps the uterus dilate more quicklyD This protocol ensures the baby's heart rate stays stable -
51
A client in active labor is 7 cm dilated. Which uterine contraction pattern should the nurse expect to observe?
A Frequency of 5–7 minutes and duration of 30–40 secondsB Frequency of 2–3 minutes and duration of 60–90 seconds الإجابة الصحيحةC Frequency of 1 minute and duration of 20 secondsD Frequency of 10 minutes and duration of 45 seconds -
52
A 56-year-old man is admitted with dehydration. The nurse is preparing to infuse 1000 mL of normal saline over 6 hours. What hourly infusion rate should the nurse set (mL/hour)?
A 155 mL/hourB 167 mL/hour الإجابة الصحيحةC 190 mL/hourD 217 mL/hour -
53
A patient has burns on the dorsal surface of the left arm and the dorsal surfaces of both legs. The patient weighs 62 kg. Using the Parkland formula (4 mL/kg/% total body surface area burned), what is the total intravenous fluid required in the first 24 hours? (Assume the burned TBSA is 18%: left arm 4.5% + both legs dorsal surfaces 13.5%)
A 4464 mL الإجابة الصحيحةB 5580 mLC 6000 mLD 7000 mL -
54
A nurse is preparing scheduled medications due at 6 PM. The order is for paracetamol 1 g by mouth QID. The pharmacy supplies 250 mg tablets. Which action is most appropriate?
A Ask the pharmacy to provide 1 g tabletsB Call the health care provider to recheck the dosageC Administer four 250 mg tablets الإجابة الصحيحةD Hold the medication and document in the nursing notes -
55
A charge nurse on a medical-surgical unit notices that a newly licensed nurse consistently documents medication administration but forgets to reassess pain levels after giving IV opioids. What is the most appropriate initial response by the charge nurse?
A Report the nurse to the nurse manager immediatelyB Provide immediate corrective feedback and re-education on pain reassessment الإجابة الصحيحةC Remove the nurse from medication administration duties permanentlyD Document the behavior and take no further action -
56
A nurse is teaching a female client who is HIV-positive about pregnancy. Which statement by the client indicates that further teaching is needed?
A The baby can get the virus from my placenta.B I'm planning on starting birth control pills.C Not everyone who has the virus gives birth to a baby who has the virus.D I'll need to have a C-section if I become pregnant and have a baby. الإجابة الصحيحة -
57
A nurse is providing immunization education to the parents of a healthy newborn according to the Saudi National Immunization Schedule. Which hepatitis B vaccination schedule should the nurse recommend?
A Birth, 1 month, 6 monthsB Birth, 2 months, 4 months الإجابة الصحيحةC 1 month, 3 months, 6 monthsD Birth, 2 months, 6 months -
58
A diabetic patient asks the nurse about routes of insulin administration. Which route is appropriate for routine insulin administration?
A Intramuscular (IM) onlyB Subcutaneous (SC) only الإجابة الصحيحةC Intradermal (ID) onlyD IM, SC, and IV -
59
A nurse calls a physician at home to request a medication order for a patient. The physician verbally gives the order. Within how many hours must the physician write the order in the hospital documentation?
A 6 hoursB 24 hours الإجابة الصحيحةC 48 hoursD 12 hours -
60
A patient is starting total parenteral nutrition (TPN). The infusion is started gradually to avoid which complication?
A HyperinsulinemiaB HypoinsulinemiaC HypoglycemiaD Hyperglycemia الإجابة الصحيحة -
61
A conscious victim of a motor vehicle accident arrives at the emergency department. The patient is gasping for air, extremely anxious, and has a deviated trachea. Which diagnosis should the nurse anticipate?
A Pleural effusionB Tension pneumothorax الإجابة الصحيحةC Simple pneumothoraxD Cardiac tamponade -
62
A 24-year-old patient is brought to the emergency department after an accident. The nurse notes leaking of clear fluid from the nose. Which type of injury should the nurse anticipate?
A Basilar skull fracture الإجابة الصحيحةB Frontal lobe injuryC Neuropathic injuryD Maxillofacial fracture -
63
A patient in the emergency department says, "My heart will jump out of my chest. I feel like I'm going to die." The patient is diagnosed with a panic attack. If the panic attack is not controlled, which acid-base imbalance is most likely to develop?
A Respiratory acidosisB Respiratory alkalosis الإجابة الصحيحةC Metabolic acidosisD Metabolic alkalosis -
64
A nurse is admitting a child diagnosed with bacterial meningitis to the pediatric unit. Which type of isolation precautions should the nurse implement?
A Droplet precautions الإجابة الصحيحةB Contact precautionsC Airborne precautionsD Standard precautions -
65
A client is diagnosed with active pulmonary tuberculosis (TB). Which precautions must the nurse implement?
A Standard precautions onlyB Droplet precautionsC Airborne precautions, including a negative-pressure room and an N95 respirator الإجابة الصحيحةD Contact precautions -
66
The head nurse needs to increase the number of nursing staff for the next year. This process is known as:
A SelectionB Recruitment الإجابة الصحيحةC DownsizingD Retention -
67
A manager stresses that all employees must follow orders and instructions from him and not from anyone else. Which management principle does this refer to?
A Scalar chainB DisciplineC Unity of command الإجابة الصحيحةD Order -
68
The physician orders ofloxacin otic. The nurse understands that this medication will be given via which route?
A NasalB Ophthalmic (eye)C Otic (ear) الإجابة الصحيحةD Oral -
69
A physician orders a medication for a psychiatric patient. The drug is not intended for therapeutic effect but to reduce the patient's concern. The nurse should expect which effect?
A Placebo effect الإجابة الصحيحةB ToleranceC Pain controlD Addiction -
70
A nurse tells a psychiatric patient, "I will stay here with you." Which therapeutic communication technique is the nurse using?
A AcceptingB ExploringC Offering self الإجابة الصحيحةD Reflecting -
71
A neonate, one day after delivery, is diagnosed with tracheoesophageal fistula with esophageal atresia. Which assessment finding should the nurse expect to observe?
A Excessive oral secretions and choking with feeds الإجابة الصحيحةB Projectile vomiting after each feedingC Continuous high-pitched cryingD Normal feeding behavior -
72
A nurse is providing discharge teaching to a patient prescribed a monoamine oxidase inhibitor (MAOI). Which patient statement indicates a need for further teaching?
A I can eat cottage cheese without worrying.B I will have to avoid drinking nonalcoholic beer.C I can eat green beans on this diet.D I'm so glad I can have pizza with extra aged Parmesan cheese الإجابة الصحيحة -
73
A 15-year-old girl presents to the clinic with primary amenorrhea. She has normal secondary sexual characteristics. Which condition should the nurse rule out first?
A Turner syndromeB Pregnancy الإجابة الصحيحةC HypothyroidismD Polycystic ovary syndrome (PCOS) -
74
A child with rheumatic fever is admitted to the nursing unit. On admission assessment, which question is most specific to the development of rheumatic fever?
A Has the child complained of back pain?B Has the child complained of headaches?C Has the child had any nausea or vomiting?D Did the child have a sore throat or fever within the last 2 months? الإجابة الصحيحة -
75
A patient has difficulty maintaining balance and coordinating movements. Which part of the brain is most likely affected?
A HypothalamusB ThalamusC Cerebellum الإجابة الصحيحةD Cerebrum -
76
A neonate presents with projectile, dark green (bilious) vomiting. Which condition should the nurse suspect?
A Intestinal obstruction (e.g., malrotation or volvulus) الإجابة الصحيحةB Gastric obstructionC Gastroesophageal refluxD Pyloric stenosis -
77
Both parents have sickle cell trait (AS). What is the percentage chance that their child will have sickle cell trait (AS) (not the disease)?
A 100%B 50% الإجابة الصحيحةC 75%D 25% -
78
The mother of a child with sickle cell anemia asks why her child cannot go hiking with friends. Hiking could lead to which complication?
A Enhanced iron absorptionB Decreased oxygen consumptionC Inhibition of hemoglobin productionD Precipitation of a vaso-occlusive crisis الإجابة الصحيحة -
79
A child is brought to the emergency department after a nosebleed (epistaxis). The bleeding from the front of the nose appears to have stopped, but the nurse observes the child frequently swallowing. What is the most important interpretation of this finding?
A The child is anxious and needs reassuranceB The child has a dry throat and needs a drink of waterC Frequent swallowing indicates that nasal bleeding is continuing الإجابة الصحيحةD The child is developing post-nasal drip from a cold -
80
A child is brought to the emergency department after a nosebleed (epistaxis). The bleeding from the front of the nose appears to have stopped. Which assessment finding would suggest that nasal bleeding is continuing?
A The child complains of a mild headacheB The child is observed to be swallowing frequently الإجابة الصحيحةC The child has a dry coughD The child is sneezing repeatedly -
81
A patient's blood pressure is measured as 134/85 mmHg. According to current blood pressure classification guidelines (ACC/AHA 2017), how should this reading be classified?
A Normal blood pressureB Elevated blood pressureC Stage 1 hypertension الإجابة الصحيحةD Stage 2 hypertension -
82
A 3-year-old child presents with severe anemia, growth retardation, splenomegaly, frontal bossing, prominent cheekbones, maxillary hypertrophy (chipmunk facies), and a flat nasal bridge. Which condition should the nurse suspect?
A Iron deficiency anemiaB Sickle cell diseaseC Thalassemia major الإجابة الصحيحةD Hemophilia -
83
A client from a Mediterranean country is admitted with thalassemia, jaundice, splenomegaly, and hepatomegaly. What should be the primary focus of nursing care for this client?
A Provide activities of daily living on the client's homeland scheduleB Offer favorite foods to increase caloric intakeC Decrease cardiac demands by promoting rest الإجابة الصحيحةD Listen to concerns about hospitalization -
84
A nurse is assessing a child with suspected thalassemia. Which finding would the nurse expect to assess?
A Dactylitis (sausage-shaped digits)B Frontal bossing الإجابة الصحيحةC Clubbing of the fingersD Spooning of the nails (koilonychia) -
85
Fresh frozen plasma (FFP) is administered primarily to replace which blood component?
A Erythrocytes (red blood cells)B PlateletsC Clotting factors الإجابة الصحيحةD Leukocytes (white blood cells) -
86
The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy. Folic acid is thought to decrease the incidence of which fetal developmental defect?
A Structural heart defectsB Craniofacial deformitiesC Limb deformitiesD Neural tube defects الإجابة الصحيحة -
87
During the fourth stage of labor (the first 1 to 4 hours postpartum), the nurse should closely monitor the mother for which complication?
A Uterine irritabilityB Signs of infectionC Signs of bleeding (hemorrhage) الإجابة الصحيحةD Unwillingness to breastfeed -
88
A primigravida client at 25 weeks of gestation reports lower back pain that worsens when she arrives home from work. Which exercise should the nurse suggest?
A Tailor sitting الإجابة الصحيحةB Leg liftingC Shoulder circlingD Squatting exercises -
89
A nurse is caring for a client who is 2 hours postpartum and has been diagnosed with mastitis of the right breast. The client tells the nurse, "I have been feeding the baby only from my left breast because my right breast is too sore." Which response by the nurse is most appropriate?
A You should continue to feed only from the left breast until the infection clears.B Breastfeeding from both breasts is safe and encouraged to maintain milk supply and promote healing. الإجابة الصحيحةC You should stop breastfeeding completely until you finish your antibiotics.D The right breast should not be used because the infection could be passed to the baby. -
90
A nurse is providing care to a client at her first prenatal visit. Which screening test is most important for the nurse to ensure is performed to detect cervical neoplasia?
A Papanicolaou (Pap) test الإجابة الصحيحةB Vaginal-rectal culture for Group B StreptococcusC Rapid plasma reagin (RPR) testD Venereal Disease Research Laboratory (VDRL) test -
91
A nurse is assessing a client during the fourth stage of labor. Which finding would suggest a possible laceration of the genital tract?
A Lochia that is red-brown in colorB A fundus that is firm and midlineC A fundus palpated at the level of the umbilicusD Saturation of more than one perineal pad per hour الإجابة الصحيحة -
92
A nurse is caring for a client who is Rh-negative and has just given birth to an Rh-positive newborn. The nurse prepares to administer RhoGAM (Rho[D] immune globulin). Which statement accurately describes the purpose of this medication?
A To prevent postpartum hemorrhage and reduce bleeding complicationsB To prevent maternal sensitization to Rh-positive blood cells in future pregnancies الإجابة الصحيحةC To treat anemia caused by Rh incompatibility after deliveryD To improve the mother's oxygen-carrying capacity -
93
A nurse is preparing to enter the room of a client who requires droplet precautions. Which sequence for donning personal protective equipment (PPE) is correct?
A Perform hand hygiene, then gown, then mask, then eye protection, then gloves الإجابة الصحيحةB Perform hand hygiene, then mask, then gloves, then gown, then eye protectionC Don mask, then perform hand hygiene, then gown, then eye protection, then glovesD Don mask, then perform hand hygiene, then gloves, then gown, then eye protection -
94
A nurse is caring for a child who is postoperative following a tonsillectomy. Which position should the nurse plan to place the child in to best facilitate drainage of secretions?
A SupineB Side-lying الإجابة الصحيحةC High-Fowler'sD Trendelenburg -
95
A nurse is admitting a 4-year-old child who has been diagnosed with measles (rubeola). Which type of transmission-based precautions should the nurse initiate?
A Droplet precautionsB Contact precautionsC Airborne precautions الإجابة الصحيحةD Standard precautions alone -
96
A nurse is caring for a client with a diagnosis of paranoid personality disorder. Which approach should the nurse use when communicating with this client?
A Maintain a businesslike manner, using clear, concrete, and specific statements. الإجابة الصحيحةB Begin interactions with social conversation to develop a trusting relationship.C Use humor and lighthearted jokes to reduce the client's suspicious behavior.D Directly challenge the client's paranoid ideas to help correct their perception of reality. -
97
The family member of a client with a personality disorder asks the nurse to explain the difference between schizoid personality disorder and avoidant personality disorder. Which response by the nurse is most accurate?
A Clients with avoidant personality disorder desire close relationships but fear rejection, while those with schizoid personality disorder prefer to be alone. الإجابة الصحيحةB Clients with schizoid personality disorder exhibit odd, eccentric behavior, whereas those with avoidant personality disorder do not.C Clients with avoidant personality disorder are eccentric, and those with schizoid personality disorder are dull and emotionally vacant.D Clients with schizoid personality disorder have a history of psychosis, but those with avoidant personality disorder remain in contact with reality. -
98
A client with paranoid personality disorder becomes violent and agitated on the unit. Which nursing intervention is most appropriate?
A Provide logical evidence to show the client that their reasons for violence are unwarranted.B Place the client in mechanical restraints immediately to ensure safety.C Use clear, calm, simple statements while maintaining a confident, nonthreatening physical stance. الإجابة الصحيحةD Validate the client's paranoid perceptions to build rapport and de-escalate the situation. -
99
A client with a history of angina reports taking three sublingual nitroglycerin tablets (0.4 mg each) within the past hour for chest pain. The client states, "I followed the advice from an AI health chatbot." Which response by the nurse is most appropriate?
A It is acceptable to follow AI recommendations as long as your chest pain was relieved.B You should not follow medical advice from AI tools; medication instructions must come from your healthcare provider. الإجابة الصحيحةC In the future, take only two doses at 5-minute intervals instead of three.D AI tools are generally reliable, but always verify the information with your primary care provider first. -
100
A nurse is providing education to a pregnant client who reports frequent heartburn. Which client statement would indicate a need for immediate intervention?
A I try to sit upright for at least 2 hours after eating meals.B I sleep with an extra pillow to elevate my upper body.C I have decided to stop smoking.D I eat three large meals a day, spacing them about 6 hours apart. الإجابة الصحيحة -
101
A client with gastroesophageal reflux disease (GERD) reports that heartburn symptoms have worsened at night. Which nursing intervention is the priority?
A Elevate the head of the bed by 6 to 8 inches (15 to 20 cm) using blocks. الإجابة الصحيحةB Encourage the client to drink 8 to 10 glasses of water before bedtime.C Instruct the client to lie flat in bed immediately after eating the evening meal.D Advise the client to take antacids with each meal regardless of symptoms. -
102
A client with diabetes mellitus tells the nurse, "I saw a video online that said taking more insulin makes it work faster, so I increased my dose on my own." Which response by the nurse is most appropriate?
A Medical information on the internet is usually reliable, but you should still be careful.B You should never change your medication dose without first consulting your healthcare provider. الإجابة الصحيحةC You should only use government-sponsored health websites for medical information.D Please tell me which website you used so I can evaluate its credibility. -
103
A medication error occurred on a medical unit. After an investigation, the nurse manager posts a memorandum outlining immediate changes to medication administration procedures that all staff must follow. The nurses on the unit recognize this leadership style as which of the following?
A Autocratic الإجابة الصحيحةB DemocraticC ParticipativeD Laissez-faire -
104
A nurse is assessing a client in labor and finds the cervix is dilated to 5 cm. The nurse interprets that the client is in which phase of labor?
A Latent phaseB Active phase الإجابة الصحيحةC Second stageD Third stage -
105
A client asks the nurse to explain the purpose of taking vitamin K. Which statement describes the primary function of vitamin K?
A Vitamin K enhances the absorption of calcium from the gastrointestinal tract.B Vitamin K is essential for the synthesis of clotting factors in the liver. الإجابة الصحيحةC Vitamin K stimulates the bone marrow to produce more red blood cells.D Vitamin K increases the density and strength of the bone matrix. -
106
A postoperative client is receiving both metformin for type 2 diabetes and warfarin for atrial fibrillation. Which laboratory values should the nurse monitor most closely?
A Blood pressure and heart rateB Blood glucose levels and INR/PT الإجابة الصحيحةC Respiratory rate and oxygen saturationD Temperature and white blood cell count -
107
A client has been experiencing projectile vomiting for the past 24 hours. Which acid-base imbalance does the nurse expect to find on arterial blood gas (ABG) analysis?
A Respiratory acidosisB Metabolic alkalosis الإجابة الصحيحةC Respiratory alkalosisD Metabolic acidosis -
108
A nurse is assessing a 3-month-old infant with suspected intussusception. Which finding is most characteristic of this condition?
A High-pitched continuous crying with the infant drawing the knees to the chest الإجابة الصحيحةB Fever accompanied by a generalized macular rashC Watery diarrhea with projectile vomitingD Constipation and marked abdominal distention -
109
A nurse is caring for an infant diagnosed with intussusception. Which nursing intervention is most appropriate?
A Position the infant supine with the legs extended.B Position the infant in the knee-chest position during episodes of pain. الإجابة الصحيحةC Position the infant prone to promote comfort.D Position the infant in a high Fowler's sitting position. -
110
A nurse suspects umbilical cord prolapse in a laboring client. Which immediate nursing action is most appropriate?
A Gently push the prolapsed cord back into the uterus.B Place the client in the Trendelenburg position and cover the exposed cord with sterile, moist gauze. الإجابة الصحيحةC Position the client in a supine position with a pillow under the knees.D Apply direct manual pressure to the cord to prevent further prolapse. -
111
A charge nurse overhears two nurses talking loudly in the hallway about a patient's diagnosis and treatment plan. What is the priority action by the charge nurse?
A Ignore the conversation to avoid confrontation.B Remind the nurses that patient confidentiality must be maintained at all times. الإجابة الصحيحةC Report the nurses to the hospital administration.D Join the conversation to help clarify the patient's condition. -
112
A nurse finds a patient on the floor next to the bed. After returning the patient to bed safely, which action should the nurse take?
A Document the event in the nursing notes only.B Complete an incident report immediately. الإجابة الصحيحةC Call the family to inform them of the fall before notifying the provider.D Wait for the healthcare provider to order a full evaluation. -
113
A nurse receives the following laboratory results for a patient: lactate 18 mg/dL, D-dimer 0.3 mcg/mL, and PT within normal limits. Which finding is most critical and requires immediate notification of the healthcare provider?
A D-dimer 0.3 mcg/mLB Prothrombin time (PT) within normal limitsC Lactate 18 mg/dL الإجابة الصحيحةD All findings are within normal limits -
114
A client reports moderate to severe pain associated with premenstrual syndrome (PMS). Which first-line treatment does the nurse anticipate?
A Hormonal contraceptivesB Nonsteroidal anti-inflammatory drugs (NSAIDs) or other analgesics الإجابة الصحيحةC Broad-spectrum antibioticsD Surgical intervention -
115
A nurse manager is concerned about the impact of workplace incivility on staff. Which negative outcome is associated with workplace incivility among nurses?
A Improved interprofessional collaborationB Increased stress, burnout, and staff turnover الإجابة الصحيحةC Better teamwork and communicationD Enhanced overall job satisfaction -
116
A nurse is providing family planning counseling to a woman whose husband travels for work and visits home for only 3 days each month. Which contraceptive method is most appropriate for this client?
A Combined oral contraceptive pillsB Intrauterine device (IUD)C Male condom الإجابة الصحيحةD Medroxyprogesterone (Depo-Provera) injection -
117
A nurse is reviewing a client's ECG and notes ST-segment elevation in leads II, III, and aVF. The nurse suspects an acute myocardial infarction in which area of the heart?
A Anterior wallB Inferior wall الإجابة الصحيحةC Lateral wallD Posterior wall -
118
A nurse is preparing to collect a blood sample for a type and crossmatch prior to a blood transfusion. Which tube should the nurse use?
A Red-top tube (no additive)B Blue-top tube (sodium citrate)C Lavender-top tube (EDTA) الإجابة الصحيحةD Green-top tube (heparin) -
119
A nurse is providing dietary teaching to a pregnant client. Which food selection indicates that the client understands the teaching?
A Unpasteurized soft cheeseB Pasteurized hard cheese الإجابة الصحيحةC Raw salmon sushiD Unpasteurized milk -
120
A nurse is caring for a client immediately following a liver transplant. Which dietary prescription should the nurse anticipate?
A Low-calorie diet for weight reductionB High-calorie, high-protein diet to support healing and tissue repair الإجابة الصحيحةC Clear liquid diet only for the first 24 hoursD Low-protein diet to reduce the risk of hepatic encephalopathy -
121
A nurse is planning nutritional support for a postoperative client who is ready to start oral intake. Which type of diet is most appropriate initially?
A Skim milkB Full-fat milkC Water onlyD Clear liquids الإجابة الصحيحة -
122
A nurse is providing education to a pregnant client who continues to smoke cigarettes. Which potential fetal complication should the nurse include in the teaching?
A Increased birth weight above the 90th percentileB Low birth weight (<2500 grams) and intrauterine growth restriction الإجابة الصحيحةC Normal fetal development with no increased risksD Enhanced lung maturation and reduced risk of respiratory distress -
123
During a newborn assessment, the nurse notes that one leg appears shorter than the other. Which condition should the nurse suspect?
A Normal anatomic variation in the newborn periodB Congenital femur fracture or developmental dysplasia of the hip (DDH) الإجابة الصحيحةC Benign hypotonia of the lower extremityD Temporary muscle weakness from intrauterine positioning -
124
A nurse is assessing a newborn with a blood glucose level of 40 mg/dL (2.2 mmol/L) and no signs of hypoglycemia. Which nursing intervention is most appropriate?
A Administer intravenous dextrose immediatelyB Encourage early and frequent breastfeeding or formula feeding الإجابة الصحيحةC Monitor blood glucose every 4 hours without interventionD Supplement with sterile water to maintain hydration -
125
A 12-month-old child is diagnosed with mild dehydration. Which treatment does the nurse anticipate?
A Immediate intravenous (IV) fluid resuscitationB Oral rehydration solution (ORS) administered in small, frequent amounts الإجابة الصحيحةC Nothing by mouth until rehydratedD Surgical placement of a nasogastric tube -
126
A nurse is helping parents develop a plan for a child with attention-deficit/hyperactivity disorder (ADHD). Which intervention is most beneficial?
A Restrict all physical activities to reduce distractions and improve focus.B Encourage regular participation in structured physical activities and sports. الإجابة الصحيحةC Prescribe complete bed rest during periods of hyperactivity.D Place the child in a quiet, isolated room for several hours each day. -
127
A nurse is planning care for a client with a moderate intellectual disability. Which level of independence does the nurse expect?
A Complete independence in all activities of daily livingB Requires assistance with some complex activities of daily living (ADLs) and IADLs الإجابة الصحيحةC Requires full-time institutional care for safetyD No special assistance is needed beyond routine health maintenance -
128
A nurse observes a physician speaking disrespectfully to several nursing staff members on the unit. Which action should the nurse take?
A Ignore the behavior to avoid escalating the situation.B Report the behavior through the proper chain of command (e.g., nurse manager). الإجابة الصحيحةC Confront the physician directly at the time of the incident.D Discuss the physician's behavior with other patients on the unit. -
129
A nurse is planning health promotion activities for pilgrims attending the Hajj. The administration of the meningitis vaccine to all pilgrims is an example of which level of prevention?
A Secondary preventionB Primary prevention الإجابة الصحيحةC Tertiary preventionD This is not considered prevention but rather treatment -
130
A client is prescribed warfarin. Which laboratory value is most important for the nurse to monitor to determine the therapeutic effect of the medication?
A Activated partial thromboplastin time (aPTT)B International normalized ratio (INR) الإجابة الصحيحةC Platelet countD Bleeding time -
131
A nurse is assessing a newborn whose mother had gestational diabetes mellitus during pregnancy. Which complication should the nurse anticipate?
A Low birth weight (SGA)B Respiratory distress syndrome (RDS) الإجابة الصحيحةC Cleft lip and cleft palateD Esophageal atresia -
132
A nurse in the NICU is caring for a newborn with hypoglycemia. Which assessment findings are consistent with neonatal hypoglycemia?
A Hyperactivity, increased appetite, and hyperthermiaB Jitteriness, poor feeding, lethargy, apnea, hypothermia, and seizures الإجابة الصحيحةC Normal feeding pattern, stable temperature, and regular respirationsD Excessive crying, increased muscle tone, and fever -
133
A nurse is providing wound care education to the parent of a 9-year-old child. Which statement regarding healing time is most accurate?
A Most uncomplicated wounds take approximately 1 to 2 weeks to heal, depending on the type of wound. الإجابة الصحيحةB Healing typically takes 3 to 4 weeks, which is the same as in adults.C Children generally heal more slowly than adults; healing usually takes 5 to 6 weeks.D Wounds in children almost always heal completely in less than 7 days. -
134
A nurse is reviewing the medical record of a client who sustained a fourth-degree perineal laceration during delivery. The nurse understands that this laceration includes which structures?
A All layers: vaginal mucosa, perineal muscles, the external anal sphincter, and the rectal mucosa الإجابة الصحيحةB Only the vaginal mucosa and the superficial perineal musclesC Only the perineal muscles and the external anal sphincterD Only the vaginal mucosa and the rectal mucosa -
135
A client with a history of major depressive disorder tells the nurse, "I just want to end my life." Which question is most important for the nurse to ask to assess the immediate risk of suicide?
A Do you have a specific plan or method for harming yourself? الإجابة الصحيحةB How long have you been having these thoughts?C Have you shared these feelings with any family members or friends?D Is there anyone in your life who can support you right now? -
136
A female client in the emergency department has multiple unexplained bruises in various stages of healing. The client's husband remains constantly at her side and answers most questions directed to her. Which action by the nurse is most appropriate?
A Ask the husband to leave the room to ensure privacy and client safety before completing the assessment. الإجابة الصحيحةB Continue the assessment with the husband present to avoid escalating the situation.C Ask the client directly about possible abuse while the husband is still in the room.D Ignore the signs of potential abuse and treat only the client's presenting medical complaint. -
137
A head nurse issues clear orders and instructions, ensuring that staff receive direction from only one supervisor. This management principle is known as:
A Unity of command الإجابة الصحيحةB Span of controlC Chain of commandD Delegation of authority -
138
A nurse is teaching a client about a vegan diet. Which foods should the nurse include as good sources of plant-based protein?
A Legumes (lentils, beans), nuts, seeds, and soy products (tofu, tempeh) الإجابة الصحيحةB Only nuts and seeds because legumes contain incomplete proteinsC Only soy products such as tofu and tempehD Dairy products such as milk, cheese, and eggs -
139
A child has diarrhea and vomiting. Which site should the nurse use to obtain the most accurate temperature reading?
A AxillaryB OralC RectalD Tympanic الإجابة الصحيحة -
140
A nurse is providing discharge instructions to a client who had a transurethral resection of the prostate (TURP). Which instruction is most important to include?
A Avoid heavy lifting for at least 6 weeks. الإجابة الصحيحةB Resume all normal activities immediately.C Lift heavy objects to strengthen pelvic muscles.D No activity restrictions are needed after surgery. -
141
A nurse is caring for a client who had a below-knee amputation (BKA). Which nursing intervention is most appropriate in the immediate postoperative period?
A Elevate the residual limb, monitor for bleeding, maintain proper positioning, and prevent contractures. الإجابة الصحيحةB Keep the residual limb in a dependent position and ignore minor bleeding.C Apply tight constrictive bandages and encourage immediate ambulation.D No specific positioning or monitoring is required. -
142
A client who had a lower limb amputation reports feeling pain in the amputated foot. The nurse documents this finding as which type of pain?
A Phantom pain الإجابة الصحيحةB Stump painC Surgical painD Chronic neuropathic pain -
143
A child with attention-deficit/hyperactivity disorder (ADHD) is screaming, disturbing others, and causing harm to himself. Which nursing intervention is most appropriate?
A Calm the child and provide a quiet, safe environment with low stimulation. الإجابة الصحيحةB Ignore the behavior completely to avoid reinforcing it.C Increase environmental stimulation to redirect attention.D Isolate the child in a room without any intervention. -
144
The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF). Which nursing intervention is most appropriate before surgical correction?
A Elevate the head of the bed and keep the infant NPO (nothing by mouth). الإجابة الصحيحةB Elevate the head of the bed and feed small amounts.C Feed glucose water only to maintain hydration.D Avoid suctioning unless the infant becomes cyanotic. -
145
A nurse is caring for an infant diagnosed with esophageal atresia and tracheoesophageal fistula (EA/TEF) prior to surgical repair. Which assessment finding indicates that a priority goal is being met?
A Airway remains patent with frequent suctioning. الإجابة الصحيحةB Gavage feedings are tolerated well.C Parents can identify support systems.D Temperature is within normal range. -
146
A nurse is assessing a newborn with suspected tracheoesophageal fistula (TEF) who becomes cyanotic and chokes immediately after an attempted feeding. What is the priority nursing action?
A Burp the infant and attempt feeding again.B Place the infant on the stomach.C Stop the feeding, keep the infant NPO, and notify the health care provider. الإجابة الصحيحةD Suction the infant's mouth and nose for 10 seconds. -
147
A child with acute rheumatic fever is admitted. During the admission assessment, which question is most specific to the development of rheumatic fever?
A Has your child complained of back pain?B Has your child complained of headaches?C Has your child had any nausea or vomiting?D Did your child have a sore throat or fever within the last 2 months? الإجابة الصحيحة -
148
A client has difficulty maintaining balance and coordinating movements. Which part of the brain is most likely affected?
A HypothalamusB ThalamusC Cerebellum الإجابة الصحيحةD Cerebrum -
149
Both parents have sickle cell trait (AS). What is the percentage chance that their child will have sickle cell trait (AS) but not the disease?
A 100%B 50% الإجابة الصحيحةC 75%D 25% -
150
A 3-year-old child presents with severe anemia, growth retardation, splenomegaly, frontal bossing, prominent cheekbones, maxillary hypertrophy (chipmunk facies), and a flat nasal bridge. Which condition does the nurse suspect?
A Iron deficiency anemiaB Sickle cell diseaseC Thalassemia major الإجابة الصحيحةD Hemophilia -
151
A postpartum client who is 2 days after delivery has mastitis of the right breast. She tells the nurse, "I am feeding my baby only from the left breast because the right one is too sore." Which response by the nurse is most appropriate?
A You should continue breastfeeding from both breasts; it is safe and helps maintain milk supply. الإجابة الصحيحةB You should feed only from the left breast until the infection clears.C You should feed only from the right breast to relieve engorgement.D You should stop breastfeeding completely and use formula until the infection resolves. -
152
A nurse is providing care to a client at her first prenatal visit. Which screening test is most important to detect cervical neoplasia?
A Papanicolaou (Pap) test الإجابة الصحيحةB Vaginal-rectal culture for Group B StreptococcusC Rapid plasma reagin (RPR) testD Venereal Disease Research Laboratory (VDRL) test -
153
A nurse is caring for an Rh-negative client who has just given birth to an Rh-positive newborn. The nurse prepares to administer RhoGAM (Rho[D] immune globulin). Which statement accurately describes the purpose of this medication?
A To prevent postpartum hemorrhage after deliveryB To prevent maternal sensitization to Rh-positive blood cells in future pregnancies الإجابة الصحيحةC To treat anemia in the mother after deliveryD To improve oxygen-carrying capacity in the mother -
154
A nurse manager makes all decisions independently without seeking input from team members. Which leadership style is the nurse manager demonstrating?
A Democratic leadershipB Autocratic leadership الإجابة الصحيحةC Laissez-faire leadershipD Transformational leadership -
155
A nurse is providing prenatal education to a client. Which vitamin is most important to help prevent cleft lip and palate in the developing fetus?
A Vitamin AB Vitamin DC Folic acid (vitamin B9) الإجابة الصحيحةD Vitamin C -
156
A nurse is teaching the parent of a child who is prescribed oral liquid iron supplements. Which instruction should the nurse include?
A Give the iron supplement with a full glass of milk.B Do not give the supplement with vitamin C-rich foods.C Stop the supplement if the child's stool becomes dark green.D Brush or wipe the child's teeth after each dose to prevent staining. الإجابة الصحيحة -
157
A nurse is calculating the 24-hour maintenance fluid requirement for a child weighing 15 kg using the Holliday-Segar method (100 mL/kg for the first 10 kg and 50 mL/kg for the next 10 kg). What is the total maintenance fluid volume required over 24 hours?
A 900 mLB 1250 mL الإجابة الصحيحةC 1500 mLD 1700 mL -
158
A 28-year-old client presents with delayed menstruation and episodes of dizziness. Which condition should the nurse suspect first?
A AnemiaB ThalassemiaC Iron deficiency anemiaD Pregnancy الإجابة الصحيحة -
159
A client is asked to sign a surgical consent form but tells the nurse, "The surgeon did not explain the procedure to me." Which action should the nurse take?
A Report the surgeon to the hospital administration.B Report the client's statement to the nurse supervisor.C Ask the surgeon to come and explain the procedure to the client. الإجابة الصحيحةD Explain the procedure to the client and have them sign the form. -
160
A nurse observes a colleague documenting administration of a medication but did not actually give the medication to the client. What is the most appropriate action for the nurse to take?
A Ignore the situation to avoid conflict.B Report the observation to the nurse supervisor immediately. الإجابة الصحيحةC Confront the colleague privately first before reporting.D Document the incident in the client's medical record. -
161
A nurse hears a colleague discussing confidential patient information in the hallway. Which action should the nurse take first?
A Join the conversation to help clarify the information.B Report the colleague to management immediately.C Remind the colleague about the importance of patient confidentiality. الإجابة الصحيحةD Ignore the situation because it is a common occurrence. -
162
A supervisor is talking with colleagues during a break about non-work-related topics. This type of communication is best described as:
A Formal communicationB Informal communication الإجابة الصحيحةC Staff communicationD Line communication -
163
A child scheduled for surgery is experiencing severe separation anxiety from parents. Which nursing intervention is most appropriate?
A Give the child a favorite toy to hold.B Allow the parents to stay with the child as much as possible before the procedure. الإجابة الصحيحةC Reduce the number of staff members entering the child's room.D Increase the number of staff members interacting with the child. -
164
A client with a do-not-resuscitate (DNR) order tells the nurse, "I don't want this; I want everything done." What is the nurse's priority action?
A Inform the health care provider of the client's statement. الإجابة الصحيحةB Ignore the client's statement because the order is valid.C Follow hospital policy and procedure to cancel the DNR.D Cancel the DNR immediately and document the change. -
165
A baby is crying and refusing to breastfeed. What is the nurse's priority intervention?
A Ask the mother to calm the baby before attempting to feed again.B Offer the baby formula milk as an alternative.C Assist the mother with proper positioning and latch technique. الإجابة الصحيحةD Allow the baby to cry until hungry enough to feed. -
166
A nurse is assessing a child with German measles (rubella). Which fever pattern is characteristic of rubella?
A High-grade fever (greater than 39°C)B Low-grade fever (less than 38.5°C) الإجابة الصحيحةC No fever is presentD Intermittent fever with spikes -
167
A nurse is comparing measles (rubeola) and German measles (rubella). Which statement accurately describes a difference in fever patterns?
A Measles typically causes a low-grade fever, while rubella causes a high-grade fever.B Measles typically causes a high-grade fever, while rubella causes a low-grade fever. الإجابة الصحيحةC Both measles and rubella produce the same fever pattern.D Neither measles nor rubella typically causes fever. -
168
A nurse is differentiating between measles (rubeola) and German measles (rubella). Which statement accurately describes a difference in the skin manifestations?
A Measles rash is larger and confluent; rubella rash is smaller and discrete. الإجابة الصحيحةB Rubella rash is larger and confluent; measles rash is smaller and discrete.C Both measles and rubella produce an identical rash pattern.D Neither measles nor rubella produces a skin rash. -
169
A nurse is assessing a client with dark skin for cyanosis. Which area is most reliable for detecting cyanosis caused by oxygen deficiency?
A Palms of the hands and soles of the feetB Lips and oral mucous membranes الإجابة الصحيحةC Fingernail bedsD Earlobes -
170
A client begins having a generalized seizure. What is the nurse's priority action?
A Maintain a patent airway.B Position the client on the side.C Ensure safety by moving objects away and protecting the head. الإجابة الصحيحةD Administer prescribed anticonvulsant medication. -
171
A nurse is teaching the parent of a child prescribed oral liquid iron supplements. Which instruction should the nurse include?
A Give the supplement with a full glass of milk.B Do not give the supplement with vitamin C-rich foods.C Stop the supplement if the stool becomes dark green.D Brush the child's teeth after each dose to prevent staining. الإجابة الصحيحة -
172
A nurse is calculating fluid replacement for a child with moderate dehydration. The child weighs 15 kg. According to standard guidelines (Holliday-Segar method for maintenance plus deficit replacement), which total 24-hour fluid volume is most appropriate? (Assume 1200 mL is the total for this scenario)
A 900 mLB 1250 mL الإجابة الصحيحةC 1500 mLD 1700 mL -
173
A nurse is considering the advantages of a centralized management structure. Which of the following is an advantage of centralized management?
A Consistent policies and decision-making across the organization الإجابة الصحيحةB Increased autonomy at the local unit levelC Faster responses to local issuesD Reduced need for coordination between departments -
174
A nurse manager is preparing a strategic plan for the unit. The manager is using a tool that analyzes strengths, weaknesses, opportunities, and threats. This tool is known as:
A A strategic analysis tool (SWOT analysis) الإجابة الصحيحةB A financial statementC A key performance indicator (KPI)D A quality improvement measure -
175
A nurse is planning a tuberculosis (TB) control program. Which intervention is most effective in reducing the transmission of TB in the community?
A Early detection and treatment of active cases الإجابة الصحيحةB Isolation of all infected individuals onlyC Vaccination of the entire population onlyD Environmental controls such as ventilation only -
176
A nurse is making a home visit to a client with Alzheimer's disease. The nurse notes multiple bruises on the client's body in various stages of healing. The client's son, who is the primary caregiver, denies any falls. Which nursing diagnosis is most appropriate at this time?
A Risk for injury الإجابة الصحيحةB Impaired skin integrityC Caregiver role strainD Deficient knowledge -
177
A nurse is overheard discussing a client's medical condition in the hospital corridor. Which ethical principle is being violated?
A Confidentiality الإجابة الصحيحةB AutonomyC JusticeD Beneficence -
178
A nurse is sharing patient information with colleagues in the break room where other patients and visitors can hear. Which ethical principle is the nurse violating?
A Confidentiality الإجابة الصحيحةB AutonomyC JusticeD Beneficence -
179
In the conflict resolution process, which stage represents the final resolution of the conflict?
A Resolution الإجابة الصحيحةB EscalationC AvoidanceD Negotiation -
180
The charge nurse in the intensive care unit (ICU) determines that the unit has insufficient nursing staff for the current patient acuity. Which action should the charge nurse take first?
A Contact the nursing supervisor to request additional staff. الإجابة الصحيحةB Work overtime to cover the shortage alone.C Reduce the number of patient admissions.D Ignore the situation and continue with current staffing. -
181
A nurse is monitoring a client who is receiving ondansetron (Zofran) for nausea. Which finding is a potential toxicity sign of this medication?
A Prolonged QT interval on ECG الإجابة الصحيحةB Hypotension and dizzinessC Bradycardia with heart rate below 60 bpmD Hyperkalemia on laboratory results -
182
A nurse is preparing staff for deployment to the Hajj pilgrimage. The required vaccinations for Hajj staff are considered part of which category?
A Occupational health requirement الإجابة الصحيحةB Personal health choiceC Family recommendationD Travel insurance stipulation -
183
A nurse is caring for a newborn immediately after birth. Which action is most effective in preventing heat loss through evaporation?
A Dry the newborn thoroughly and wrap in a warm blanket. الإجابة الصحيحةB Place the newborn under a radiant warmer only.C Give the newborn a warm bath immediately.D Increase the room temperature to 30°C (86°F). -
184
A client presents with episodes of hypomania and major depression. Which diagnosis is most consistent with these findings?
A Bipolar II disorder الإجابة الصحيحةB Major depressive disorderC Bipolar I disorderD Cyclothymic disorder -
185
A postpartum client who is COVID-19 positive asks the nurse about breastfeeding her newborn. Which instruction should the nurse provide?
A Continue breastfeeding while using infection prevention measures (hand hygiene, mask). الإجابة الصحيحةB Stop breastfeeding completely to avoid transmitting the virus.C Use only formula feeding until the mother tests negative.D Wait until the mother has fully recovered before breastfeeding. -
186
A child with type 1 diabetes wants to play football with friends. Which instruction should the nurse provide to the child and parents?
A Monitor blood glucose before, during, and after activity and adjust insulin/food as needed. الإجابة الصحيحةB Avoid all physical activity to prevent hypoglycemia.C Increase carbohydrate intake without adjusting insulin.D Skip the insulin dose on days of physical activity. -
187
A nurse is providing dietary advice to a pregnant client experiencing nausea and vomiting in the first trimester. Which instruction is most appropriate?
A Eat small, frequent meals throughout the day. الإجابة الصحيحةB Eat three large meals per day.C Fast for 12 hours overnight to settle the stomach.D Increase intake of high-fat foods. -
188
A pregnant client with pica reports eating large amounts of laundry starch. Which complication is most commonly associated with starch consumption during pregnancy?
A Iron deficiency anemia الإجابة الصحيحةB Amniotic fluid leakC Gestational diabetesD Preterm labor -
189
A nurse is caring for a child immediately after a tonsillectomy. Which position is most appropriate for the child?
A Side-lying or prone الإجابة الصحيحةB SupineC TrendelenburgD High Fowler's -
190
A nurse is caring for a client immediately after a thyroidectomy. Which position is most appropriate for this client?
A Semi-Fowler's with neck support and slight head elevation الإجابة الصحيحةB Flat supineC ProneD Trendelenburg -
191
A nurse explains to a client what to expect during an upcoming endoscopic procedure, including the insertion of a tube. This type of communication is best described as:
A Informative الإجابة الصحيحةB AssertiveC AggressiveD Passive -
192
A client has been diagnosed with a deep vein thrombosis (DVT) in the left leg. Which complication is the nurse most concerned about?
A Pulmonary embolism الإجابة الصحيحةB Myocardial infarctionC Ischemic strokeD Pneumonia -
193
A nurse is caring for a client who is 1 hour postpartum and has excessive vaginal bleeding. Which intervention should the nurse perform first?
A Massage the uterine fundus firmly until it becomes contracted. الإجابة الصحيحةB Administer prescribed pain medication.C Encourage the client to ambulate to the bathroom.D Increase oral fluid intake. -
194
A nurse is caring for a client who received epidural anesthesia during labor. Which assessment finding is most important to monitor during the immediate postpartum period?
A Blood pressure (monitor for hypotension) الإجابة الصحيحةB Deep tendon reflexesC Pain level at the epidural insertion siteD Fetal heart rate (newborn after delivery) -
195
A student nurse is taking vital signs during a blood transfusion. The student asks the nurse, "How often should I check the vital signs?" The nurse should base the answer on which source?
A Hospital policy and procedure الإجابة الصحيحةB Blood bank directive onlyC Physician's orderD Individual nursing judgment -
196
A nurse is assessing a client whose fingernails are blue and cold to the touch. Which vital sign is most important to assess?
A Blood pressureB TemperatureC Pulse rateD Respiratory rate الإجابة الصحيحة -
197
A client with severe preeclampsia is being monitored for progression to eclampsia. Which finding indicates that the condition has progressed?
A Seizure activity الإجابة الصحيحةB Decreased blood pressureC Improved deep tendon reflexesD Increased urine output -
198
A nurse is assessing a child with projectile vomiting. On abdominal palpation, which finding is characteristic of hypertrophic pyloric stenosis?
A A palpable olive-shaped mass in the right upper quadrant الإجابة الصحيحةB A soft, nontender abdomenC A distended bladderD An enlarged liver -
199
A child is brought to the emergency department with severe dehydration. What is the nurse's priority action?
A Start intravenous (IV) fluids as prescribed. الإجابة الصحيحةB Administer oral rehydration solution.C Check serum electrolyte levels.D Monitor daily weight. -
200
A nurse is assessing a child for signs of dehydration. The nurse notes sunken eyes. This finding is indicative of which level of dehydration?
A Moderate to severe dehydration الإجابة الصحيحةB Mild dehydrationC Normal hydration statusD Overhydration -
201
A nurse is caring for a newborn whose mother has gestational diabetes. Which complication should the nurse anticipate in the newborn after birth?
A Hypoglycemia الإجابة الصحيحةB HyperglycemiaC HyperthermiaD Dehydration -
202
A wife asks the nurse to explain her husband's diagnosis of bipolar disorder. Which statement by the nurse is most accurate?
A Bipolar disorder involves episodes of mania and episodes of depression. الإجابة الصحيحةB Bipolar disorder involves only depressive episodes.C Bipolar disorder involves only manic episodes.D Bipolar disorder involves anxiety and panic attacks instead of mood changes. -
203
A nurse is orienting a new staff member. What is the purpose of a sharps container?
A Disposal of needles, scalpels, and other sharp instruments الإجابة الصحيحةB Storage of medicationsC Disposal of general waste paperD Storage of clean gloves -
204
A 12-year-old child with newly diagnosed diabetes needs to learn how to self-administer insulin injections. Which teaching method is most effective for this child?
A Demonstrate the injection technique on a doll or mannequin and have the child practice. الإجابة الصحيحةB Show the child pictures of the injection steps.C Provide only verbal instructions about the technique.D Have the child practice injecting themselves without prior demonstration. -
205
A nurse is preparing staff for the Hajj pilgrimage. Which vaccine is considered the primary requirement for Hajj?
A Meningococcal vaccine الإجابة الصحيحةB Influenza vaccineC Hepatitis A vaccineD Yellow fever vaccine -
206
A nurse is teaching a client about taking oral iron supplements. Which instruction should the nurse include to enhance iron absorption?
A Take the iron supplement with a source of vitamin C (e.g., orange juice). الإجابة الصحيحةB Take the iron supplement with a calcium-rich food (e.g., milk).C Take the iron supplement with a full glass of milk.D Take the iron supplement with an antacid to reduce stomach upset. -
207
A nurse is changing a wound dressing for a client with a surgical incision. Which type of gloves should the nurse wear?
A Sterile gloves الإجابة الصحيحةB Clean nonsterile glovesC No gloves are neededD Cloth utility gloves -
208
A client reports taking medication based on recommendations from an artificial intelligence (AI) app. Which nursing action is most important?
A Provide patient education about safe medication practices and the dangers of AI advice. الإجابة الصحيحةB Monitor the client frequently for adverse reactions.C Increase the prescribed dosage to match AI recommendations.D Prescribe multiple medications to cover all AI suggestions. -
209
A nurse is assessing a client in labor and finds the cervix is dilated to 6 cm. The nurse interprets that the client is in which phase of labor?
A Active phase of the first stage الإجابة الصحيحةB Latent phase of the first stageC Second stage of laborD Third stage of labor -
210
A child is placed in an isolation room with negative pressure. This type of isolation is indicated for diseases transmitted by which route?
A Airborne transmission الإجابة الصحيحةB Droplet transmissionC Contact transmissionD Vector-borne transmission -
211
A nurse is caring for a child immediately after a thyroidectomy. Which position is most appropriate for this child?
A Semi-Fowler's with slight neck flexion and head support الإجابة الصحيحةB Side-lying with full neck flexionC Supine with neck extensionD Prone -
212
A newborn with hydrocephalus has a ventriculoperitoneal (VP) shunt placed. Which assessment finding indicates a possible shunt malfunction?
A Bulging anterior fontanel الإجابة الصحيحةB Poor feeding and pupillary changesC Increased appetite and weight gainD Normal newborn reflexes -
213
A nurse is monitoring a client who is taking furosemide (Lasix). Which finding should the nurse recognize as a complication of this medication?
A Decreased urine output (indicating acute kidney injury or dehydration) الإجابة الصحيحةB Hypotension and bradycardiaC Increased appetite and weight gainD Hyperkalemia -
214
A client with sickle cell crisis is admitted to the unit. Which intervention is most important for the nurse to implement?
A Increase circulatory volume with IV fluids to promote hemodilution. الإجابة الصحيحةB Increase serum osmolarity with hypertonic solutions.C Decrease oral fluid intake to reduce blood volume.D Restrict sodium intake to prevent edema. -
215
A client with type 2 diabetes is scheduled for surgery. Which oral antidiabetic medication is typically withheld on the day of surgery and for 48 hours after to prevent lactic acidosis?
A Metformin الإجابة الصحيحةB InsulinC GlipizideD Acarbose -
216
A newborn develops sepsis shortly after birth. The nurse suspects the infection was acquired during vaginal delivery. Which organism is the most common cause of early-onset neonatal sepsis?
A Group B Streptococcus (GBS) الإجابة الصحيحةB Neisseria gonorrhoeaeC Staphylococcus aureusD Escherichia coli -
217
A client with Beck's triad (hypotension, distended neck veins, muffled heart sounds) after chest trauma is being evaluated. The client is unable to move his toes. Which additional injury should the nurse suspect?
A Spinal cord injury (nerve damage) الإجابة الصحيحةB Muscle strainC Bone fractureD Vascular injury -
218
A 15-year-old client scheduled for a procedure states, "I don't understand what they are going to do to me." What should the nurse do?
A Explain the procedure to the client in age-appropriate terms. الإجابة الصحيحةB Obtain parental consent only and proceed.C Proceed with the procedure without further explanation.D Cancel the procedure because the client lacks understanding. -
219
A post-mastectomy client reports still feeling the presence of the breast and nipple. This phenomenon is known as:
A Phantom breast sensation (analogous to phantom limb) الإجابة الصحيحةB HallucinationC Nerve regenerationD Local infection -
220
A client is prescribed a monoamine oxidase inhibitor (MAOI). The nurse explains that tyramine-rich foods must be avoided. What is the most serious consequence of consuming tyramine while taking an MAOI?
A Severe occipital headache and hypertensive crisis الإجابة الصحيحةB Nausea and vomitingC Drowsiness and sedationD Muscle weakness and fatigue -
221
A newborn has inadequate breathing and does not respond to stimulation. What is the nurse's priority action?
A Administer oxygen via bag-valve-mask. الإجابة الصحيحةB Check the heart rate and pulse.C Start chest compressions (CPR).D Call for additional help. -
222
A client is prescribed levothyroxine (Synthroid) for hypothyroidism. When should the nurse instruct the client to take this medication?
A On an empty stomach, first thing in the morning الإجابة الصحيحةB With meals to reduce stomach upsetC Immediately before bedtimeD At any consistent time of day -
223
A nurse is caring for a client who is postoperative following a tonsillectomy. Which assessment finding is the highest priority?
A Signs of active bleeding (frequent swallowing, bright red blood) الإجابة الصحيحةB Pain rated 6 out of 10C Low-grade fever of 37.8°C (100.0°F)D Refusal to drink fluids -
224
A client is scheduled for vulvar surgery. In which position should the nurse place the client postoperatively?
A Recumbent (supine or lithotomy as appropriate) الإجابة الصحيحةB ProneC Sitting uprightD Side-lying -
225
A family member is assisting with wound care for a client with a draining wound. The family member is afraid of infection. What protective equipment should the family member wear?
A Sterile gloves الإجابة الصحيحةB Eye mask onlyC Gown and capD Nothing special because the wound is not infectious -
226
A nurse advises a mother to breastfeed her baby to provide immunity against infections. This type of immunity is known as:
A Passive immunity (antibodies passed from mother to infant) الإجابة الصحيحةB Active immunity (infant makes own antibodies)C Natural immunity (from infection)D Artificial immunity (from vaccination) -
227
A nurse is assessing a client with psoriasis. Which skin finding is characteristic of this condition?
A Scaling and silvery plaques الإجابة الصحيحةB Vesicles (fluid-filled blisters)C Ulceration and tissue necrosisD Subcutaneous nodules -
228
A client reports eating large amounts of food but continues to lose weight and has a good appetite. Which condition should the nurse suspect?
A Hypermetabolic state (e.g., hyperthyroidism) الإجابة الصحيحةB Uncontrolled diabetes mellitusC DepressionD Malabsorption syndrome -
229
The health care provider orders magnesium sulfate for a client. The nurse anticipates that the client most likely has which condition?
A Eclampsia or severe preeclampsia الإجابة الصحيحةB Chronic hypertensionC Gestational diabetesD Intrauterine infection -
230
A health care provider wants to prescribe an antidepressant with a low side-effect profile. Which class of antidepressants is most likely to be prescribed?
A Selective serotonin reuptake inhibitor (SSRI) الإجابة الصحيحةB Monoamine oxidase inhibitor (MAOI)C Tricyclic antidepressant (TCA)D Atypical antidepressant -
231
A nurse is teaching a client about combined oral contraceptives. Which potential adverse effect should the nurse include?
A Thrombophlebitis (venous thromboembolism) الإجابة الصحيحةB Weight lossC HypotensionD Hypoglycemia -
232
A client with a do-not-resuscitate (DNR) order tells the nurse, "I have changed my mind; I want resuscitation." What should the nurse do?
A Follow hospital policy and notify the provider to discuss the DNR status. الإجابة الصحيحةB Ignore the client's statement because the DNR is valid.C Call the family to ask their opinion.D Document the client's statement only and take no further action. -
233
A nurse is providing prenatal education to a client who smokes cigarettes. Which potential effect on the fetus should the nurse include?
A Low birth weight and intrauterine growth restriction الإجابة الصحيحةB High birth weight (macrosomia)C Post-term deliveryD Major congenital birth defects -
234
A nurse is assessing fetal growth during a routine prenatal visit. Which measurement is most commonly used to estimate fetal growth?
A Fundal height measurement (symphysis-fundal height) الإجابة الصحيحةB Maternal abdominal circumferenceC Maternal weight gainD Maternal blood pressure -
235
A client has signs of fluid overload. Which underlying condition is the most likely cause?
A Chronic renal failure (decreased urine output) الإجابة الصحيحةB Heart failureC Liver diseaseD Malnutrition -
236
A nurse is assessing a client for signs of fluid overload. Which finding is consistent with this condition?
A Jugular vein distention الإجابة الصحيحةB Dry mucous membranesC Decreased skin turgorD Unexplained weight loss -
237
A client is prescribed warfarin (Coumadin). Which laboratory value should the nurse monitor to determine the therapeutic effect of the medication?
A International normalized ratio (INR) الإجابة الصحيحةB Prothrombin time (PT) without INRC Partial thromboplastin time (PTT)D Complete blood count (CBC) -
238
A nurse is teaching about sexually transmitted infections. Which characteristic is true of gonorrhea?
A It can be asymptomatic in many infected individuals. الإجابة الصحيحةB It always produces symptoms.C It typically causes a high fever.D It always causes a skin rash. -
239
A 21-year-old client is having her first Papanicolaou (Pap) test. This test is considered which level of prevention?
A Health promotion (primary prevention)B Primary preventionC Secondary prevention (early detection of disease) الإجابة الصحيحةD Tertiary prevention (rehabilitation) -
240
A nurse is teaching a client about iron supplementation. Which nutrient enhances the absorption of iron?
A Vitamin C الإجابة الصحيحةB CalciumC Vitamin DD Dietary fiber -
241
A client with joint pain asks the nurse for a medication recommendation. Which over-the-counter medication is most appropriate for mild to moderate osteoarthritis pain?
A Ibuprofen (NSAID) الإجابة الصحيحةB Amoxicillin (antibiotic)C Prednisone (corticosteroid)D Cyclobenzaprine (muscle relaxant) -
242
A nurse is assessing a client with dark skin for signs of cyanosis. Which location is most reliable for detecting cyanosis?
A Lips and oral mucous membranes الإجابة الصحيحةB Nail bedsC Palms of the handsD Soles of the feet -
243
A newborn is suspected of having a congenital diaphragmatic hernia. Which diagnostic test is most commonly used to confirm this diagnosis?
A Chest X-ray الإجابة الصحيحةB CT scan of the chestC MRI of the abdomenD Prenatal ultrasound -
244
A nurse auscultates a high-pitched musical sound during expiration. The nurse documents this finding as:
A Wheezing الإجابة الصحيحةB RhonchiC Crackles (rales)D Stridor -
245
A nurse is assessing a client in labor and finds the cervix is dilated to 6 cm. The nurse interprets that the client is in which phase?
A Active phase of the first stage الإجابة الصحيحةB Latent phase of the first stageC Transition phase of the first stageD Second stage of labor -
246
A client was exposed to a contagious disease 10 to 14 days ago. The client currently has no symptoms. In which phase of the disease process is the client?
A Incubation period الإجابة الصحيحةB Prodromal phaseC Acute phase (illness)D Recovery phase (convalescence) -
247
A nurse is caring for a postpartum client with mastitis. Which microorganism is the most common cause of this condition?
A Staphylococcus aureus الإجابة الصحيحةB Streptococcus agalactiae (GBS)C Escherichia coliD Candida albicans -
248
A nurse is providing dietary teaching to a client who had a vagotomy. Which recommendation is most appropriate to prevent dumping syndrome?
A Increase dietary fiber to slow gastric emptying. الإجابة الصحيحةB Increase fluid intake with meals to prevent dehydration.C Reduce protein intake before bedtime.D Restrict carbohydrate intake to simple sugars only. -
249
A child is on mechanical ventilation. Which acid-base imbalance is most likely to occur if the ventilator settings are too high (excessive ventilation)?
A Respiratory alkalosis الإجابة الصحيحةB Respiratory acidosisC Metabolic acidosisD Metabolic alkalosis -
250
A pregnant client at 10 weeks gestation presents with mild vaginal bleeding. The cervical os is closed. This presentation is most consistent with which type of abortion?
A Threatened abortion الإجابة الصحيحةB Inevitable abortionC Incomplete abortionD Complete abortion -
251
A nurse is implementing infection control measures on a medical unit. Which action is the single most effective method to prevent the spread of infection?
A Performing hand hygiene (hand washing) الإجابة الصحيحةB Wearing masks in all patient roomsC Using gloves for all patient contactD Placing all patients in isolation rooms -
252
A client is taking quinidine for a cardiac arrhythmia. The nurse should monitor the client for which common adverse effect?
A Tinnitus (quinidine toxicity) الإجابة الصحيحةB Muscle weaknessC Severe headacheD Nausea and vomiting only -
253
A newborn has meconium aspiration syndrome. Which diagnostic imaging study is most helpful in confirming the diagnosis?
A Chest X-ray الإجابة الصحيحةB Magnetic resonance imaging (MRI)C Computed tomography (CT) scanD Ultrasound of the chest -
254
A nurse measures a pregnant client's fundal height at 20 cm. Approximately how many weeks gestation is the client?
A 20 weeks الإجابة الصحيحةB 16 weeksC 18 weeksD 22 weeks -
255
A nurse enters the narcotic medication room and observes another nurse putting a controlled substance into their pocket. The nurse states, "It was easier than signing it out." What should the nurse do first?
A Report the observation to the nursing supervisor or medical officer on duty immediately. الإجابة الصحيحةB Report the incident to the supervising nurse privately after the shift.C Ignore the incident to avoid conflict.D Confront the nurse publicly in the medication room. -
256
A client taking sublingual nitroglycerin for angina reports recurrent headaches after taking the medication. Which response by the nurse is most appropriate?
A Tell the client that headache is a common side effect and usually diminishes over time. الإجابة الصحيحةB Ignore the complaint because it is not serious.C Refer the client to the health care provider immediately.D Instruct the client to stop the medication immediately. -
257
A nurse is caring for a client in the first stage of labor. Which procedure most commonly predisposes to umbilical cord prolapse?
A Amniotomy (artificial rupture of membranes) الإجابة الصحيحةB AmniocentesisC External cephalic versionD Cesarean section -
258
A child presents with fever, shivering, and nasal congestion. The nurse suspects a viral upper respiratory infection. Which virus is the most common cause of these symptoms?
A Influenza virus الإجابة الصحيحةB Group A StreptococcusC Staphylococcus aureusD Streptococcus pneumoniae -
259
A newborn is diagnosed with early-onset sepsis. What is the most common route of transmission for this infection?
A Ascending infection from the mother's vagina during delivery الإجابة الصحيحةB Inhalation of airborne pathogens in the nurseryC Infection through the umbilical cord stumpD Transmission through breast milk -
260
A client with alcohol withdrawal is placed in physical restraints to prevent injury. Which nursing assessment is most important to perform while restraints are in place?
A Neurologic assessment every 15 minutes الإجابة الصحيحةB Check restraints for security every hourC Assess vital signs every 30 minutesD No specific monitoring is required -
261
A nurse is planning dietary instructions for a client with nephrotic syndrome. Which diet prescription is most appropriate?
A Normal protein intake with low sodium (<2 g/day) الإجابة الصحيحةB High protein intake with low sodiumC Low protein intake with high sodiumD High protein intake with high sodium -
262
A nurse manager uses an autocratic leadership style during a crisis. Which is an advantage of this leadership style?
A Quick decision-making and clear direction الإجابة الصحيحةB Improved team morale and satisfactionC Greater creativity and innovationD Better communication between staff and management -
263
A nurse is caring for a client who is NPO (nothing by mouth) after abdominal surgery. The client is allowed clear liquids. Which juice is most appropriate to offer?
A Apple juice (clear liquid) الإجابة الصحيحةB Orange juice (not clear, contains pulp)C Grape juice (may contain pulp, often not clear)D Cranberry juice (often not completely clear) -
264
A child is postoperative following a tonsillectomy. Which food is most appropriate to offer?
A Mashed potatoes (soft, non-irritating) الإجابة الصحيحةB Solid foods like toast or crackersC Spicy foodsD Hard candy -
265
A child presents with acute diarrhea. The nurse suspects the most common viral cause. Which virus is responsible for the majority of cases?
A Rotavirus الإجابة الصحيحةB Escherichia coliC SalmonellaD Shigella -
266
A nurse is assessing a client who is 2 hours postpartum. The client has a firm, well-contracted uterus but continues to have heavy bleeding. What is the most likely cause of the bleeding?
A Genital tract lacerations (vaginal or cervical tears) الإجابة الصحيحةB Uterine atonyC Retained placental fragmentsD Normal postpartum finding -
267
A nurse is teaching a young girl about preventing recurrent urinary tract infections (UTIs). Which instruction is most important?
A Wipe from front to back after toileting. الإجابة الصحيحةB Urinate frequently (every 2-3 hours).C Avoid perfumed hygiene products.D Drink adequate water daily. -
268
A nurse is caring for a child with Down syndrome. Which comorbidity is most commonly associated with this condition?
A Congenital heart disease الإجابة الصحيحةB Type 1 diabetes mellitusC Chronic kidney diseaseD Liver cirrhosis -
269
A newborn with tracheoesophageal fistula (TEF) develops choking, cyanosis, and excessive oral secretions after an attempted feeding. What is the nurse's priority action?
A Suction the oropharynx to clear secretions and maintain airway. الإجابة الصحيحةB Administer oxygen via mask.C Position the newborn upright.D Notify the health care provider. -
270
A nurse is assessing a newborn for signs of tracheoesophageal fistula (TEF). Which finding is most suggestive of this condition?
A Choking, coughing, and cyanosis during the first feeding الإجابة الصحيحةB Fever and vomitingC Watery diarrhea and dehydrationD Constipation and abdominal distention -
271
A nurse is observing a mother who has just given birth. The mother seems passive and focuses on her own needs, asking to rest and eat. According to Rubin's phases of maternal adaptation, which phase is this mother in?
A Taking-in phase الإجابة الصحيحةB Taking-hold phaseC Letting-go phaseD Attachment (bonding) phase -
272
The family of a dying client in the ICU requests that the Quran be played at the bedside. What is the most appropriate nursing response?
A Allow the family to play the Quran as long as it does not disturb other patients. الإجابة الصحيحةB Ignore the request because it is not medically necessary.C Discuss the request with the health care provider first.D Refuse the request because it may interfere with care. -
273
A child with parents who smoke presents with a chronic cough and wheezing. Which diagnosis is most likely?
A Bronchial asthma exacerbated by environmental tobacco smoke الإجابة الصحيحةB PneumoniaC Acute bronchitisD Chronic obstructive pulmonary disease (COPD) -
274
A pregnant client at 32 weeks gestation presents with sudden, severe abdominal pain and a board-like abdomen on palpation. There is no vaginal bleeding. Which condition should the nurse suspect?
A Placental abruption (concealed hemorrhage) الإجابة الصحيحةB Placenta previaC Ruptured uterusD Normal labor contractions -
275
A nurse is assessing a client with leg edema. What is the nurse's initial action?
A Inspect the legs for color, temperature, and skin changes, then palpate for pitting edema. الإجابة الصحيحةB Administer a diuretic immediately.C Elevate the legs without further assessment.D Apply compression stockings without assessment. -
276
A nurse is assessing a client for deep vein thrombosis (DVT). Which finding is a classic clinical sign?
A Positive Homans' sign (calf pain on dorsiflexion of the foot) الإجابة الصحيحةB Elevated troponin levelC Elevated D-dimer (though not specific)D Venous duplex ultrasound (diagnostic test) -
277
A child with Wilms tumor is being evaluated. Which laboratory finding would suggest renal involvement and dysfunction?
A Hyperkalemia (elevated potassium) الإجابة الصحيحةB HyponatremiaC HypercalcemiaD Hypomagnesemia -
278
A child is diagnosed with moderate intellectual disability. Which level of functioning does the nurse expect?
A The child can learn academic and self-care skills but requires some assistance. الإجابة الصحيحةB The child cannot learn any new skills.C The child learns at a normal pace without help.D The child is unable to communicate basic needs. -
279
A client tells the nurse, "People are following me and want to kill me." This statement is most consistent with which symptom?
A Paranoid delusion الإجابة الصحيحةB Major depressive episodeC Generalized anxietyD Manic episode -
280
A client is taking an antimalarial medication (e.g., quinine or chloroquine). The nurse should monitor for which adverse effect?
A Tinnitus and hearing disturbances الإجابة الصحيحةB HypertensionC BradycardiaD Constipation -
281
A client is prescribed isoniazid (INH) for tuberculosis. The nurse should monitor the client for which adverse effect?
A Peripheral neuritis (neuropathy) الإجابة الصحيحةB Blindness (optic neuritis)C DehydrationD Hypertension -
282
A charge nurse requests additional staff from the nursing supervisor due to high patient acuity. The supervisor refuses, citing a hospital-wide shortage. Which decision-making process should the charge nurse use to address the staffing issue?
A Problem-solving process الإجابة الصحيحةB Critical thinking onlyC Dolphin method (not a standard term)D Fishbone diagram (root cause analysis) -
283
A nurse is caring for a client with puerperal sepsis (postpartum infection). Which intervention is most important?
A Administer prescribed antibiotics and provide a high-protein, high-vitamin C diet to support immunity. الإجابة الصحيحةB Administer NSAIDs for fever only.C Prescribe strict bed rest without additional measures.D Apply cold compresses to the abdomen. -
284
A nurse is teaching a client with asthma about the use of inhaled corticosteroids. What is the primary purpose of this medication?
A Reducing airway inflammation and swelling الإجابة الصحيحةB Reducing mucus secretionC Increasing bronchodilation (immediate relief)D Improving oxygen saturation acutely -
285
A community health nurse is planning interventions to reduce the spread of malaria. Which method has been shown to be most effective?
A Use of insecticide-treated bed nets (ITNs) الإجابة الصحيحةB Spraying insecticides indoors at nightC Raising fish that eat mosquito larvaeD Avoiding outdoor activities during the daytime -
286
A nurse is providing education about COVID-19 prevention. Which statement by the patient indicates a need for further teaching?
A I will get COVID-19 if I eat contaminated food. الإجابة الصحيحةB I can get COVID-19 through respiratory droplets from an infected person.C I should wear a mask in crowded indoor places.D I should maintain social distancing (at least 1 meter/3 feet). -
287
A nurse is observing a newly formed team. The team members have begun to develop cohesion and establish norms. According to Tuckman's stages of group development, this stage is called:
A Norming الإجابة الصحيحةB PerformingC FormingD Storming -
288
A nurse is assessing a newborn and notes multiple small white bumps on the nose and forehead. The nurse documents this finding as:
A Milia (tiny keratin-filled cysts) الإجابة الصحيحةB Erythema toxicum (red rash)C Seborrheic dermatitis (scaling)D Congenital melanocytic nevus (birthmark) -
289
A client with benign prostatic hyperplasia (BPH) reports nocturia (frequent urination at night). Which intervention is most appropriate?
A Provide a bedside commode to reduce fall risk. الإجابة الصحيحةB Restrict all fluids after 6 PM.C Insert an indwelling urinary catheter.D Encourage frequent daytime voiding only. -
290
A nurse is assessing the fetal heart rate during labor and notes decelerations. The baseline heart rate is 100 bpm. In which position should the nurse place the client to improve placental perfusion?
A Left lateral position الإجابة الصحيحةB Supine positionC Right lateral positionD Semi-Fowler's position -
291
A client is diagnosed with diabetes insipidus. Which part of the pituitary gland is most likely dysfunctional?
A Posterior pituitary (antidiuretic hormone deficiency) الإجابة الصحيحةB Anterior pituitaryC Both anterior and posterior pituitaryD Neither anterior nor posterior pituitary -
292
A researcher is comparing the effect of hourly nursing rounds versus every-2-hour rounds on fall rates in high-risk patients. This type of study is best described as:
A Case management (quality improvement project)B Randomized controlled trial الإجابة الصحيحةC Cohort studyD Cross-sectional study -
293
A client is prescribed captopril, an angiotensin-converting enzyme (ACE) inhibitor. Which adverse effect should the nurse monitor for?
A Dry, persistent cough الإجابة الصحيحةB HyperkalemiaC AngioedemaD Bradycardia -
294
A client has a ventricular tachycardia with a pulse? Or pulseless? The question says: "Patient with PVT, you cannot feel pulse." Assuming pulseless ventricular tachycardia. The nurse cannot palpate a pulse. What is the priority action?
A Call for help and begin CPR/cardiac arrest protocol. الإجابة الصحيحةB Discontinue all medications.C Notify the health care provider.D Continue monitoring the client. -
295
A client's ECG shows a wide QRS complex (>0.12 seconds) and no identifiable P waves. The heart rate is 160 bpm. Which arrhythmia is most likely?
A Ventricular tachycardia الإجابة الصحيحةB Atrial fibrillationC Supraventricular tachycardia (SVT)D Atrioventricular heart block -
296
A 5-year-old child is brought to the emergency department in a critical condition requiring immediate life-saving surgery. No family members are present to provide informed consent. What should the nurse do?
A Attempt to contact a family member by phoneB Wait until a family member arrivesC Proceed with the surgery without consent الإجابة الصحيحةD Ask the child for consent -
297
The nurse is providing preoperative education to the parents of an infant with a cleft lip. At what age is surgical repair of a cleft lip typically performed?
A At birthB 4 to 6 months الإجابة الصحيحةC 12 to 18 monthsD 2 to 3 years -
298
A patient with pneumonia complains of a painful cough. Which nursing intervention is most appropriate to help the patient manage the cough?
A Administer cough suppressant as neededB Encourage warm fluids before coughingC Teach the patient to splint the chest with a pillow while coughing الإجابة الصحيحةD Perform chest physiotherapy -
299
A nurse is on a break and delegates the care of a patient to another nurse. During this time, the patient falls. Who is primarily responsible for completing the incident report?
A The nurse who was on breakB The nurse who was covering the patientC The nurse who witnessed the fall الإجابة الصحيحةD The charge nurse -
300
A mother refuses to have her child vaccinated. What is the best response by the nurse?
A Respect her decision and document itB Tell her that vaccination is a normal processC Explain that vaccination prevents serious diseases الإجابة الصحيحةD Report her to the authorities -
301
The nurse is caring for an infant with pyloric stenosis. Why is a nasogastric tube inserted?
A To provide enteral nutritionB To administer medicationsC To decompress the stomach and prevent vomiting الإجابة الصحيحةD To obtain gastric secretions for analysis -
302
A child is diagnosed with rheumatic fever. Which of the following is a major clinical manifestation of this condition?
A Sore throatB Carditis الإجابة الصحيحةC FeverD Joint stiffness -
303
Before a minor surgical procedure, which action is most important for the nurse to perform?
A Obtain vital signsB Verify the patient's allergy statusC Obtain the patient's informed consent الإجابة الصحيحةD Ensure the patient has an empty stomach -
304
A female patient is scheduled for an X-ray. What is the priority nursing action before the procedure?
A Remove all metal objectsB Confirm the patient's identityC Assess for pregnancy الإجابة الصحيحةD Explain the procedure -
305
A patient presents with episodes of binge eating followed by self-induced vomiting. Which eating disorder does this describe?
A Anorexia nervosaB Bulimia nervosa الإجابة الصحيحةC PicaD Rumination disorder -
306
A patient with increased intracranial pressure is at risk for seizures. Which medication should the nurse anticipate administering for seizure prophylaxis?
A MorphineB Phenytoin الإجابة الصحيحةC FurosemideD Acetaminophen -
307
The nurse is caring for a patient who had an above-knee amputation. What is the primary purpose of massaging the residual limb?
A To increase pain toleranceB To reduce edema and shape the stump for prosthesis fitting الإجابة الصحيحةC To prevent infectionD To promote wound healing -
308
A patient care conference includes a nurse, physician, pharmacist, and social worker, each contributing their expertise to develop a unified care plan. This is an example of which type of team?
A MultidisciplinaryB Interdisciplinary الإجابة الصحيحةC TransdisciplinaryD Intradisciplinary -
309
A child asks the nurse, "Am I going to die from this illness?" The parents have asked the nurse not to discuss the prognosis with the child. What is the best response by the nurse?
A Change the subjectB Tell the child the truthC Tell the child to ask the doctorD Acknowledge the child's feelings and provide therapeutic support الإجابة الصحيحة -
310
The nurse is teaching a patient about oral iron supplementation. Which beverage should the patient avoid taking with the iron supplement?
A MilkB Tea الإجابة الصحيحةC Orange juiceD Water -
311
A 40-year-old female patient is at the clinic for a routine health screening. Which screening test is most appropriate for this patient?
A Pap smearB Mammogram الإجابة الصحيحةC ColonoscopyD Bone density scan -
312
A child is brought to the emergency department with severe abdominal pain and passing stools that resemble red currant jelly. Which condition is most likely?
A Pyloric stenosisB Intussusception الإجابة الصحيحةC AppendicitisD Hirschsprung's disease -
313
A patient is preparing for travel to Saudi Arabia for Hajj. Which vaccination is primarily recommended?
A Meningococcal vaccine الإجابة الصحيحةB Influenza vaccineC Pneumococcal vaccineD Hepatitis B vaccine -
314
A woman is brought to the emergency department in need of an emergency life-saving surgery. No family members are available to provide consent. What should the healthcare team do?
A Wait until a family member arrivesB Proceed with the surgery without formal consent الإجابة الصحيحةC Obtain a court orderD Have the patient sign consent if conscious -
315
The nurse is providing postoperative care for a patient who had a tonsillectomy. Which position is most appropriate to maintain a patent airway and facilitate drainage of secretions?
A Semi-Fowler'sB High-Fowler'sC Prone with head turned to the side الإجابة الصحيحةD Supine -
316
A mother is starting to wean her infant. Which type of food should the nurse recommend as the first solid food?
A HoneyB Orange juiceC Pureed food (e.g., iron-fortified cereal) الإجابة الصحيحةD Cow's milk -
317
The nurse is providing dietary counseling to a pregnant woman. Which food should be avoided during pregnancy?
A Pasteurized cheeseB Cooked seafoodC Undercooked meat and raw fish الإجابة الصحيحةD Fresh fruits -
318
To reduce the spread of tuberculosis in the community, which intervention is most effective?
A Administering BCG vaccine to allB Screening and early treatment of active cases الإجابة الصحيحةC Wearing masks in publicD Isolating all household contacts -
319
A newborn is at risk for hypoglycemia. Which nursing intervention is most effective in preventing this?
A Administering oral glucose waterB Breastfeeding the infant frequently الإجابة الصحيحةC Giving formula supplementsD Placing the infant under a warmer -
320
A patient's heart rate drops to 40 beats per minute. Which medication should the nurse anticipate administering?
A Atropine الإجابة الصحيحةB EpinephrineC LidocaineD Amiodarone -
321
The nurse needs to confirm the placement of a nasogastric tube before administering a feeding. Which method is most reliable?
A Auscultating for air insufflationB Checking the pH of aspirated gastric contents الإجابة الصحيحةC Measuring the external length of the tubeD Observing for coughing -
322
A female patient with hypertension and depression requests a contraceptive method. Which method is most appropriate for this patient?
A Combined oral contraceptive pillsB Copper intrauterine device (IUD) الإجابة الصحيحةC Progestin-only pillD Diaphragm -
323
A child is brought in with an old, untreated fracture. What is the nurse's priority action?
A Splint the fractureB Administer pain medicationC Report suspected child abuse الإجابة الصحيحةD Obtain a detailed history -
324
During a routine assessment, the physician asks a patient in front of her spouse, "Are you safe at home?" The patient responds "No." What is the nurse's most appropriate immediate action?
A Report the incident to the policeB Ask the spouse to leave, then assess the patient privately الإجابة الصحيحةC Discharge the patient to a shelterD Document the response and do nothing -
325
A patient self-medicates with an old antibiotic prescription for new symptoms. Which nursing diagnosis is most appropriate?
A NoncomplianceB Deficient knowledge regarding medication use الإجابة الصحيحةC Risk for infectionD Acute pain -
326
A postpartum patient is exhibiting signs of depression. What is the best nursing intervention?
A Provide antidepressant medicationB Refer the patient to a community support group الإجابة الصحيحةC Encourage bed restD Ignore the symptoms as normal -
327
A woman who had a previous child with a cleft lip is planning another pregnancy. Which supplement should the nurse recommend to reduce the risk of recurrence?
A IronB CalciumC Folic acid الإجابة الصحيحةD Vitamin D -
328
A female patient has not had a menstrual period for 5 months. She reports following a restrictive diet and losing weight. What is this condition called?
A Primary amenorrheaB Secondary amenorrhea الإجابة الصحيحةC MenopauseD Dysmenorrhea -
329
A nurse observes a large swelling on the scalp of a newborn that crosses the suture lines. The swelling is soft and pitting. What is the expected outcome for this condition?
A Requires surgical drainageB Resolves spontaneously within a few days الإجابة الصحيحةC Indicates a skull fractureD Transforms into a cephalohematoma -
330
A nurse has just completed feeding an infant with an unrepaired cleft lip and palate. Which nursing intervention is most appropriate immediately after feeding to minimize the risk of aspiration and facilitate drainage of oral secretions?
A SupineB ProneC Side-lyingD Semi-Fowler's الإجابة الصحيحة -
331
A nurse is teaching a new mother about bathing her newborn. How often should the newborn be bathed to prevent skin dryness?
A Twice a week with warm water الإجابة الصحيحةB Every day with warm waterC Every day with warm water and acidic soapD Twice a week with warm water and alkaline soap -
332
A child with asthma has frequent emergency department visits. Which advice should the nurse prioritize giving to the parents to prevent exacerbations?
A Avoid playing with household animals الإجابة الصحيحةB Give NSAIDs when symptoms appearC Encourage cold drinks during attacksD Limit physical activity permanently -
333
A patient's electrocardiogram (ECG) shows a heart rate of 110 beats per minute with normal P waves, a normal PR interval, and a normal QRS complex. What is the most likely rhythm?
A Sinus tachycardia الإجابة الصحيحةB Atrial fibrillationC Ventricular tachycardiaD Sinus bradycardia -
334
A nurse is preparing to care for a patient with suspected tuberculosis. Which type of precaution requires the use of an N95 respirator mask?
A Contact precautionsB Droplet precautionsC Airborne precautions الإجابة الصحيحةD Standard precautions -
335
During CPR on a 3-year-old child, what is the recommended depth of chest compressions?
A 1 inch (2.5 cm)B 1.5 inches (4 cm)C 2 inches (5 cm) الإجابة الصحيحةD 3 inches (7.5 cm) -
336
A patient is scheduled to receive a live attenuated vaccine. Which of the following is a contraindication to receiving this vaccine?
A Mild upper respiratory infectionB Current high-dose corticosteroid therapy الإجابة الصحيحةC Recent antibiotic useD Minor local skin infection -
337
A 3-year-old child returns to the clinic with persistent diarrhea after gastroenteritis. The nurse needs to assess for dehydration. How should the nurse assess skin turgor?
A Grasp the skin over the abdomen with two fingers الإجابة الصحيحةB Pinch the skin on the dorsal handC Pinch the skin over the foreheadD Assess the skin on the lower legs -
338
An 18-month-old child needs to have their weight measured before surgery. Which method of obtaining the weight should the nurse avoid?
A Measuring weight with an adult standing scale aloneB Measuring weight with a newborn scale الإجابة الصحيحةC Weighing the mother while holding the child and subtracting the mother's weightD Using a pediatric digital scale -
339
A patient is preparing for travel to Saudi Arabia for Hajj. Which nursing intervention is considered primary prevention for health risks during this mass gathering?
A Administering the meningococcal vaccine الإجابة الصحيحةB Providing treatment for heat strokeC Referring patients to rehabilitation servicesD Screening for respiratory infections -
340
Which of the following is the best example of tertiary prevention in community health nursing?
A Administering vaccinations to childrenB Conducting health education on hand washingC Providing rehabilitation services to a patient after a stroke الإجابة الصحيحةD Screening for hypertension -
341
A patient with a T1 spinal cord injury is experiencing motor and sensory deficits in the lower extremities. Which medication should the nurse anticipate administering in the acute phase?
A Methylprednisolone الإجابة الصحيحةB Morphine sulfateC HeparinD Phenytoin -
342
A nurse supervisor uses disciplinary evaluations and the threat of job loss to ensure staff compliance. This is an example of which type of power?
A Coercive power الإجابة الصحيحةB Reward powerC Legitimate powerD Referent power -
343
A child is diagnosed with Hirschsprung's disease and is scheduled for surgery. What is the priority preoperative nursing intervention?
A Administering oral antibioticsB Performing bowel irrigations الإجابة الصحيحةC Providing high-fiber dietD Starting total parenteral nutrition -
344
A 19-year-old patient requires an elective surgical procedure. From whom should the nurse obtain informed consent?
A The patient's spouseB The patient's parentsC The patient الإجابة الصحيحةD The patient's physician -
345
The head circumference of an infant increases by approximately how much from birth to 3 months of age?
A 2 cmB 4 cmC 6 cm الإجابة الصحيحةD 8 cm -
346
The nurse is providing health education to a patient in the first trimester of pregnancy. Which topic is most important to emphasize?
A Preparing the nurseryB Nutrition and folic acid supplementation الإجابة الصحيحةC Signs of preterm laborD Postpartum depression screening -
347
A patient suddenly develops acute dyspnea, sharp chest pain, and hemoptysis. Which condition is most likely indicated by these signs?
A Myocardial infarctionB Pulmonary embolism الإجابة الصحيحةC Asthma exacerbationD Spontaneous pneumothorax -
348
During pregnancy, which of the following complications is most amenable to prediction and prevention through risk assessment and prophylactic measures?
A Postpartum hemorrhageB Deep vein thrombosis (DVT) الإجابة الصحيحةC ChorioamnionitisD Gestational diabetes -
349
A patient reports fatigue, weakness, and has brittle, spoon-shaped nails. This condition is most likely due to which underlying cause?
A Malnutrition (iron deficiency) الإجابة الصحيحةB OvernutritionC Vitamin B deficiencyD Vitamin E deficiency -
350
A scrub nurse completes all preoperative preparations but accidentally cleans and sterilizes the wrong knee (the right knee instead of the left). This action best describes which legal term?
A NegligenceB Malpractice الإجابة الصحيحةC AssaultD Battery -
351
A patient is diagnosed with partial placenta previa. Which measure should the nurse recommend to decrease the patient's risk of infection?
A Strict bed restB Avoiding contact with persons who have respiratory infections الإجابة الصحيحةC Increasing dietary proteinD Performing perineal exercises -
352
Maternal cardiac disease is recognized as a significant risk factor for which of the following poor pregnancy outcomes?
A Fetal death or mortality الإجابة الصحيحةB Preterm laborC Gestational diabetesD Polyhydramnios -
353
A patient with conjunctivitis reports significant photophobia. What should the nurse teach the patient to do for comfort?
A Avoid touching the eyeB Use sterile gauze to remove drainageC Darken the room الإجابة الصحيحةD Rest in the prone position -
354
The nurse begins an assessment by asking the patient, "What is bothering you?" This is an example of which therapeutic communication technique?
A Broad opening الإجابة الصحيحةB ExploringC Offering selfD Guided opening -
355
A patient is rescued from a near-drowning incident and treated immediately. What major complication is this patient at highest risk for?
A SepsisB AlkalosisC Acidosis الإجابة الصحيحةD Hypothermia -
356
The nurse is preparing to care for a patient on droplet precautions. What is the correct sequence for donning personal protective equipment (PPE)?
A Face mask, gown, eyewear, glovesB Gown, face mask, eyewear, gloves الإجابة الصحيحةC Eyewear, gloves, face mask, gownD Gloves, gown, face mask, eyewear -
357
The admission office notifies the nurse that a patient with confirmed streptococcal (meningococcal) meningitis will be admitted. Which type of isolation precautions should the nurse implement?
A Droplet precautions الإجابة الصحيحةB Contact precautionsC Airborne precautionsD Standard precautions -
358
A patient with a colostomy reports itching around the stoma. On assessment, the skin appears red with visible white patches. What is the most likely cause?
A Not changing the pouch regularlyB Candidiasis (fungal infection) الإجابة الصحيحةC Consuming acid-producing foodsD Dehydration -
359
A positive Chvostek's sign (twitching of the facial muscles when tapping the facial nerve) indicates which electrolyte imbalance?
A Hypocalcemia الإجابة الصحيحةB HyponatremiaC HypokalemiaD Hypermagnesemia -
360
The head nurse plans to delegate a complex task to a senior nurse. What should the head nurse do first?
A Check the hospital policies for delegating tasks الإجابة الصحيحةB Explain the task to the senior nurseC Negotiate with the senior nurseD Take the signature of the senior nurse -
361
A postpartum patient is restless, with cool, clammy skin and reports feeling thirsty. What is the midwife's priority initial action?
A Notify the doctorB Check the vital signsC Give the patient a drinkD Start fundal massage الإجابة الصحيحة -
362
A patient reports experiencing frequent heartburn. Which of the following is the most appropriate advice to give 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 -
363
A 25-year-old primigravida postpartum mother has breast engorgement due to poor feeding technique. The left breast is red and swollen. What is the best education for the mother?
A Avoid wearing a brassiereB Begin suckling on the right breast الإجابة الصحيحةC Stop pumping milk from the left breastD Take antibiotics till the soreness subsides -
364
What is the approximate weight of the uterus immediately after delivery?
A 900 gramsB 1000 grams الإجابة الصحيحةC 1400 gramsD 1600 grams -
365
A perineal pad is completely saturated with bright red lochia rubra. What is the nurse's priority nursing intervention?
A Massage the uterine fundus الإجابة الصحيحةB Obtain vital signsC Inform the physicianD Inquire about the time of the previous saturated pad -
366
A patient's arterial blood gas (ABG) results show: pH 7.25, PaCO2 55 mmHg, HCO3 24 mEq/L. Which acid-base imbalance is indicated?
A Metabolic acidosisB Metabolic alkalosisC Respiratory acidosis الإجابة الصحيحةD Respiratory alkalosis -
367
A patient is experiencing respiratory depression due to morphine sulfate administration. Which antidote should the nurse prepare to administer?
A Naloxone الإجابة الصحيحةB FlumazenilC N-acetylcysteineD Atropine -
368
A pregnant patient is receiving an intravenous infusion of magnesium sulfate. Which diagnosis is this treatment primarily indicated for?
A Preeclampsia الإجابة الصحيحةB Placenta previaC Gestational diabetesD Hyperemesis gravidarum -
369
A nurse sees a container in a patient's room that is labeled for the disposal of needles and sharp instruments. What is the proper name for this container?
A Sharps container الإجابة الصحيحةB Biohazard bagC Linen hamperD Clean utility bin -
370
A nurse leader encourages staff participation, motivates team members, and facilitates collaboration on patient care decisions. This leadership style is best described as:
A Democratic الإجابة الصحيحةB AutocraticC Laissez-faireD Bureaucratic -
371
During a medical emergency requiring rapid, decisive action, a nurse leader takes control and directs the team clearly. This leadership style is best described as:
A DemocraticB Autocratic الإجابة الصحيحةC Laissez-faireD Situational -
372
The physician orders 0.5 mg of a medication. The available vial contains 1 mg per 1 mL. How many milliliters will the nurse administer?
A 0.25 mLB 0.5 mL الإجابة الصحيحةC 1 mLD 2 mL -
373
Which hormone is detected in the blood or urine to confirm a pregnancy?
A Human chorionic gonadotropin (hCG) الإجابة الصحيحةB Luteinizing hormone (LH)C Follicle-stimulating hormone (FSH)D Progesterone -
374
The parents of a child refuse to have their child vaccinated, stating it is not beneficial. What is the best initial nursing response?
A Respect their decision and document itB Explain the benefits of vaccination in preventing serious diseases الإجابة الصحيحةC Report the parents to child protective servicesD Tell them vaccination is a legal requirement -
375
The parents of a newborn refuse the vitamin K injection. What is the nurse's most appropriate action?
A Respect the parents' decisionB Explain the benefits of vitamin K in preventing newborn bleeding الإجابة الصحيحةC Administer the injection without consentD Ask the physician to take over -
376
A physician orders 500 mg of a medication orally every 6 hours. The available tablets are 250 mg each. How many tablets should the nurse administer per dose?
A 1 tabletB 2 tablets الإجابة الصحيحةC 3 tabletsD 4 tablets -
377
A child is scheduled to receive the BCG vaccine. This vaccine provides protection against which disease?
A Tuberculosis الإجابة الصحيحةB MeaslesC PoliomyelitisD Hepatitis B -
378
A child presents with dehydration due to vomiting and diarrhea (3 episodes each). Which type of intravenous fluid should the nurse anticipate administering initially?
A Isotonic solution الإجابة الصحيحةB Hypertonic solutionC Hypotonic solutionD Colloid solution -
379
A nurse discovers that an ampule of morphine is missing from the controlled substance storage. What is the appropriate documentation for the incident report?
A Document that the medication was used for a patientB Document that one ampule of morphine was lost/missing الإجابة الصحيحةC Notify the pharmacy without documentationD Wait until the next shift to report it -
380
A child is brought to the emergency department after a motor vehicle accident with significant blood loss. The physician orders a rapid blood transfusion. Which gauge IV catheter is most appropriate for rapid fluid and blood administration?
A 24-gaugeB 22-gaugeC 20-gaugeD 18-gauge الإجابة الصحيحة -
381
A patient is receiving a blood transfusion. Five minutes after initiation, the patient complains of pain at the IV site and lower back pain. What is the nurse's priority action?
A Assess vital signsB Stop the transfusion immediately الإجابة الصحيحةC Notify the physicianD Slow the transfusion rate -
382
A nursing student asks the nurse about the recommended hepatitis B vaccination schedule for an adult. Which schedule is correct?
A 0, 2, 4 monthsB 0, 1, 6 months الإجابة الصحيحةC 0, 2, 6 monthsD 0, 1, 4 months -
383
A patient is prescribed both iron and calcium supplements. How should the nurse advise the patient to take these medications for optimal absorption?
A Take them together with foodB Take them 2 hours apart الإجابة الصحيحةC Take them at the same time each dayD Take them with a full glass of milk -
384
The nurse is educating a new mother about infant feeding safety. Why must powdered infant formula be prepared exactly as instructed, especially during the first months of life?
A Powdered formula is not sterile and may contain harmful bacteria if improperly prepared الإجابة الصحيحةB Powdered formula commonly causes respiratory complicationsC Powdered formula always triggers food allergies in infantsD Powdered formula frequently causes constipation in newborns -
385
A postpartum patient who delivered 10 days ago is now experiencing heavy bleeding. This is considered which type of hemorrhage?
A Immediate postpartum hemorrhageB Late postpartum hemorrhageC Primary postpartum hemorrhageD Secondary postpartum hemorrhage الإجابة الصحيحة -
386
A pregnant patient with preeclampsia is crying and expressing fear that her baby will die. What is the nurse's priority intervention?
A Tell the patient everything will be fineB Administer a sedativeC Acknowledge her feelings and reduce anxiety الإجابة الصحيحةD Call the physician for immediate delivery -
387
A patient has a cast on the left arm. An IV attempt in the right hand failed. What is the best alternative site for IV insertion?
A Right hand againB Upper mid right arm الإجابة الصحيحةC Lower mid right armD Left arm -
388
A child with Down syndrome is at increased risk for which associated condition?
A Congenital heart disease الإجابة الصحيحةB Cystic fibrosisC Sickle cell anemiaD Spina bifida -
389
A patient is receiving oxazepam and is prescribed flumazenil as an antidote for an overdose. What is the most significant adverse effect the nurse should monitor for?
A Seizures الإجابة الصحيحةB HypertensionC BradycardiaD Nausea -
390
A newborn has just been delivered. Which assessment best indicates the infant's adaptation to the extrauterine environment?
A ReflexesB Respiratory status الإجابة الصحيحةC Heart rateD Stable body temperature -
391
A pregnant patient at 29 weeks gestation is estimated to have a fetal weight of 950 grams. How is this fetal weight classified?
A Low Birth Weight (LBW)B Very Low Birth Weight (VLBW) الإجابة الصحيحةC Extremely Low Birth Weight (ELBW)D Appropriate for Gestational Age (AGA) -
392
A patient with rubella develops a high fever. Which medication should the nurse administer to manage the fever?
A AntihistamineB Antipyretic الإجابة الصحيحةC Oral antibioticD IV antibiotic -
393
A child has had diarrhea and vomiting for several days. The nurse needs to assess for dehydration. Which sign is most indicative of dehydration in a child?
A Capillary refill time الإجابة الصحيحةB Skin elasticityC Tear productionD Moisture of mucous membranes -
394
A 4-month-old infant received routine vaccinations 3 days ago and is now crying inconsolably, refusing to feed, and appears irritable. What is the most appropriate nursing intervention?
A Apply a cool compress to the injection siteB Administer acetaminophen الإجابة الصحيحةC Administer an antihistamineD Apply a warm compress -
395
The nurse is administering tetracycline to a patient. Which instruction is most important regarding food interactions?
A Take with milk to prevent stomach upsetB Avoid taking with milk or dairy products الإجابة الصحيحةC Take with antacids for better absorptionD Take on an empty stomach only -
396
The nurse is caring for a patient with an above-knee amputation. Why is massage of the residual limb performed?
A To promote circulation and reduce edema الإجابة الصحيحةB To desensitize the stumpC To prevent muscle atrophyD To assess for infection -
397
The nurse is caring for an infant with a cleft lip. Which position is recommended after feeding?
A SupineB ProneC Side-lyingD Upright sitting الإجابة الصحيحة -
398
A patient with hyperthyroidism is experiencing weight loss despite increased appetite. Which lab finding supports this diagnosis?
A Decreased TSH, elevated T3 and T4 الإجابة الصحيحةB Elevated TSH, decreased T3 and T4C Normal TSH, elevated T3 and T4D Decreased TSH, decreased T3 and T4 -
399
A patient who eats excessively but does not gain weight is likely exhibiting signs of which condition?
A Diabetes mellitusB Hyperthyroidism الإجابة الصحيحةC HypothyroidismD Malabsorption syndrome -
400
A patient has a stage 4 pressure injury. Which finding is characteristic of this stage?
A Partial-thickness skin lossB Full-thickness skin loss with visible bone الإجابة الصحيحةC Non-blanchable erythemaD Full-thickness skin loss without exposed bone -
401
The nurse is assessing a newly formed stoma postoperatively. What is the priority sign to assess?
A Size of the stomaB Color of the stoma الإجابة الصحيحةC Amount of outputD Odor of the output -
402
A burn patient has difficulty with IV access due to massive edema. What is the primary reason for this difficulty?
A VasoconstrictionB Fluid shift causing edema and venous compression الإجابة الصحيحةC Increased blood viscosityD Decreased cardiac output -
403
A patient with a psychiatric condition reports hearing voices that are commanding him to harm himself. Which type of hallucination is this?
A Visual hallucinationB Auditory hallucination الإجابة الصحيحةC Tactile hallucinationD Olfactory hallucination -
404
A community health nurse visits a household with limited space and six occupants. There is a suspected case of tuberculosis in a child. What is the most appropriate initial intervention?
A Isolate the child immediatelyB Screen all household contacts for TB الإجابة الصحيحةC Administer BCG vaccine to all family membersD Notify the health department only -
405
The nurse is providing education to a mother about her child who refuses to eat and has a fear of gaining weight. This is characteristic of which eating disorder?
A Anorexia nervosa الإجابة الصحيحةB Bulimia nervosaC PicaD Avoidant/restrictive food intake disorder -
406
A patient with anorexia nervosa is at risk for which condition?
A ObesityB Secondary amenorrhea الإجابة الصحيحةC Type 2 diabetesD Hypertension -
407
A newborn has small white bumps on the face and nose that are not red or inflamed. These are most likely:
A Milia الإجابة الصحيحةB Acne neonatorumC Erythema toxicumD Candidiasis -
408
A patient is diagnosed with schizophrenia. Which symptom is a positive symptom of this disorder?
A Flat affectB Hallucinations الإجابة الصحيحةC Social withdrawalD Avolition -
409
Hyperemesis gravidarum occurs in approximately what percentage of pregnancies?
A 0.3% to 1%B 0.3% to 3% الإجابة الصحيحةC 5% to 10%D 1% to 5% -
410
A patient reports seeing blind spots. Which condition is most likely responsible for this visual disturbance?
A GlaucomaB Retinal detachment الإجابة الصحيحةC Macular degenerationD Cataracts -
411
During a routine health screening, an adult patient has two blood pressure readings averaging 145/95 mmHg. According to the ACC/AHA hypertension classification, how should the nurse classify this blood pressure?
A NormalB ElevatedC Stage 1 hypertensionD Stage 2 hypertension الإجابة الصحيحة -
412
The nurse is assessing a patient with a head injury. Which area of the brain, if damaged, is most likely to affect peripheral nerve function?
A Frontal lobeB Occipital lobeC Temporal lobeD Parietal lobe الإجابة الصحيحة -
413
A 7-year-old child with sickle cell disease is preparing to go outside to play. What should the mother give the child before physical activity?
A A high-calorie snackB Plenty of water to prevent dehydration الإجابة الصحيحةC An antipyreticD A blood transfusion -
414
A patient has latent tuberculosis. The recommended standard treatment duration for latent TB infection is:
A 1 monthB 6 months الإجابة الصحيحةC 3 monthsD 12 months -
415
The nurse is performing oral suctioning on a 4-year-old child. What is the maximum recommended suction duration?
A Less than 5 secondsB Less than 10 seconds الإجابة الصحيحةC Less than 15 secondsD Less than 20 seconds -
416
A research study follows a group of patients over 10 years to observe the development of a specific disease. This is an example of which type of study?
A Cohort Study الإجابة الصحيحةB Case-Control StudyC Randomized Controlled Trial (RCT)D Cross-sectional Study -
417
Which of the following is considered primary prevention for tuberculosis (TB) control?
A BCG vaccination الإجابة الصحيحةB Screening for active TBC Directly Observed Therapy (DOT)D Contact tracing -
418
A patient with a history of a previous C-section is at increased risk for which complication in a subsequent pregnancy?
A Placenta previa الإجابة الصحيحةB Placental abruptionC Postpartum hemorrhageD Uterine rupture -
419
A primigravida patient at 39 weeks gestation is admitted in active labor. The nurse notes late decelerations on the fetal monitor. What is the priority nursing action?
A Increase IV fluidsB Position the patient on her left side الإجابة الصحيحةC Administer oxygenD Notify the physician -
420
A patient is prescribed folic acid supplementation during pregnancy. What is the primary purpose of this supplement?
A Prevent anemiaB Prevent neural tube defects الإجابة الصحيحةC Support fetal growthD Prevent preeclampsia -
421
A nurse is providing discharge teaching to a postpartum patient after a cesarean delivery. Which instruction is most important to prevent postoperative complications?
A Take a shower dailyB Perform deep breathing and coughing exercises الإجابة الصحيحةC Start a high-fiber dietD Walk around the unit frequently -
422
A nurse manager observes a staff member consistently failing to administer medications on time. What is the most appropriate action?
A Document the behavior and report to the supervisorB Address the issue informally with the nurse الإجابة الصحيحةC Terminate the nurse immediatelyD Reassign the nurse to a different unit -
423
A patient with a tracheostomy is showing signs of respiratory distress. The nurse suspects a mucus plug. What is the priority intervention?
A Call the physician immediatelyB Suction the tracheostomy الإجابة الصحيحةC Increase oxygen flowD Change the tracheostomy tube -
424
A nurse is preparing to administer a blood transfusion. After spiking the blood bag, the patient begins to shiver and complain of back pain. What is the nurse's first action?
A Slow the infusion rateB Administer antihistamineC Stop the infusion and keep the IV line open with normal saline الإجابة الصحيحةD Notify the physician -
425
A child presents with a cough, fever, and a characteristic "barking" cough, worse at night. Which diagnosis is most likely?
A Croup (Laryngotracheobronchitis) الإجابة الصحيحةB BronchiolitisC PneumoniaD Asthma exacerbation -
426
A nurse is teaching a patient about daily aspirin therapy for cardiovascular prevention. Which symptom should the patient be instructed to report immediately?
A Mild stomach upsetB TinnitusC BruisingD Black, tarry stools الإجابة الصحيحة -
427
A patient has an intracranial pressure (ICP) reading of 15 mmHg. Which nursing intervention is most appropriate?
A Elevate the head of the bed to 30 degrees الإجابة الصحيحةB Administer a hypertonic solutionC Position the patient flatD Encourage coughing and deep breathing -
428
A child with Tetralogy of Fallot (TOF) experiences a hypercyanotic spell. Which position should the nurse implement to reduce cyanosis?
A Supine positionB Trendelenburg positionC Knee-chest position الإجابة الصحيحةD Side-lying position -
429
A patient is immediately postoperative following a tonsillectomy. Which position is most appropriate to maintain airway patency and facilitate drainage?
A Semi-Fowler'sB SupineC ProneD Side-lying الإجابة الصحيحة -
430
A patient is diagnosed with a respiratory infection requiring airborne precautions. Which personal protective equipment (PPE) is essential for the nurse to wear when entering the room?
A Surgical mask and glovesB N95 respirator, gown, gloves, and eye protection الإجابة الصحيحةC Face shield and gown onlyD Gloves and gown only -
431
A newborn has not passed meconium within the first 48 hours of life. Which condition should the nurse suspect?
A Pyloric stenosisB Hirschsprung's disease الإجابة الصحيحةC Imperforate anusD Meconium aspiration syndrome -
432
A patient is prescribed sublingual nitroglycerin for angina. Which statement by the patient indicates correct understanding of the administration?
A I will swallow the tablet with waterB I will place the tablet under my tongue and let it dissolve الإجابة الصحيحةC I will chew the tablet for faster effectD I will place the tablet on my cheek -
433
The nurse is assessing a 3-year-old child with vomiting and diarrhea. What is the most appropriate site to measure the child's temperature?
A Axillary الإجابة الصحيحةB RectalC OralD Tympanic -
434
A patient is prescribed heparin. The order is for 10,000 units, and the available vial contains 40,000 units/mL. How many mL should the nurse administer?
A 0.25 mL الإجابة الصحيحةB 0.5 mLC 1 mLD 2 mL -
435
A patient is experiencing postoperative dyspnea. Which complication is the most likely cause?
A AtelectasisB Opioid-induced respiratory depression الإجابة الصحيحةC Pulmonary embolismD Aspiration -
436
A patient with increased intracranial pressure (ICP) is exhibiting irregular, shallow breathing with periods of apnea. This is known as:
A Kussmaul respirationsB Cheyne-Stokes respirations الإجابة الصحيحةC Biot's respirationsD Apneustic breathing -
437
A nurse finds a patient on the floor. What is the priority nursing action?
A Call for help immediatelyB Assess the patient for injury الإجابة الصحيحةC Move the patient back to bedD Document the fall -
438
A nurse finds an unresponsive patient with no palpable pulse. The patient does not have a Do Not Resuscitate (DNR) order. What should the nurse do?
A Begin CPR immediately الإجابة الصحيحةB Call the physician for a DNR orderC Place the patient in the recovery positionD Wait for the code team to arrive -
439
A patient with a history of congenital anomalies has a second child with the same condition. Which response by the nurse is most appropriate?
A It's unlikely to happen againB You should avoid having more childrenC I recommend genetic counseling الإجابة الصحيحةD It's just a coincidence -
440
A soldier is exposed to a chemical nerve agent and presents with muscle twitching, miosis, and excessive salivation. Which medication should the nurse anticipate administering?
A Atropine الإجابة الصحيحةB NaloxoneC EpinephrineD Lorazepam -
441
A patient lacks functional islets of Langerhans. Which metabolic disturbance will this primarily cause?
A HypoglycemiaB Hyperglycemia الإجابة الصحيحةC HypocalcemiaD Hyperkalemia -
442
A patient is diagnosed with a ruptured ectopic pregnancy. What is the most life-threatening complication?
A Severe infectionB Intra-abdominal hemorrhage الإجابة الصحيحةC Adhesion formationD Hypovolemic shock -
443
Which assessment finding is most indicative of acute renal failure?
A Oliguria الإجابة الصحيحةB TachycardiaC HypertensionD Fever -
444
A patient is recovering from a tonsillectomy. Which food is most appropriate to offer first?
A Mashed potatoes الإجابة الصحيحةB Orange juiceC ToastD Yogurt -
445
On a fetal monitor tracing, variable decelerations are noted. What do these decelerations most likely indicate?
A Uterine hyperstimulationB Cord compression الإجابة الصحيحةC Fetal head compressionD Placental insufficiency -
446
A patient who is 14 weeks pregnant asks about her caloric needs. What is the recommended additional daily caloric intake during the second trimester?
A 50 kcalB 150 kcalC 340 kcal الإجابة الصحيحةD 450 kcal -
447
A patient is admitted with suspected appendicitis. When the physician presses on the left lower quadrant and the patient reports pain in the right lower quadrant, this is a positive:
A Rovsing's sign الإجابة الصحيحةB Rebound tendernessC Psoas signD Obturator sign -
448
A patient arrives in the emergency department without any identification or medical records. What is the nurse's priority action?
A Wait until identity is confirmedB Ask the patient for their name and begin care الإجابة الصحيحةC Call security to identify the patientD Treat the patient without asking for identity -
449
A child is accompanying his father who is scheduled for eye surgery. The child asks the nurse, "What will happen to my dad?" What is the most appropriate response by the nurse?
A Tell the child it's none of his businessB Explain the procedure in simple, age-appropriate terms الإجابة الصحيحةC Ask the father to answer the questionD Give the child a book about the procedure -
450
Which intervention is most important to reduce the risk of Sudden Infant Death Syndrome (SIDS)?
A Placing the infant on the stomach to sleepB Placing the infant on the back to sleep الإجابة الصحيحةC Letting the infant sleep in the parents' bedD Using soft bedding in the crib -
451
A infant presents with projectile, non-bilious vomiting. This is a classic sign of:
A Pyloric stenosis الإجابة الصحيحةB Hirschsprung's diseaseC Gastroesophageal refluxD Gastroenteritis -
452
A mother asks when she should start feeding her infant solid foods. The nurse should recommend starting at:
A 2 monthsB 4 monthsC 6 months الإجابة الصحيحةD 8 months -
453
A postpartum patient is on the second day after delivery. The nurse notes that the lochia is bright red and contains small clots. This is described as:
A Lochia rubra الإجابة الصحيحةB Lochia serosaC Lochia albaD Normal lochia -
454
A patient with chronic kidney disease is at risk for hyperkalemia. Which food should the nurse instruct the patient to avoid?
A ApplesB Bananas الإجابة الصحيحةC White breadD Rice -
455
During a code situation, the physician gives a verbal order for a medication. What is the nurse's priority action?
A Administer the medication immediatelyB Repeat the order back to the physician for clarification الإجابة الصحيحةC Record the order after administrationD Ask the physician to write the order first -
456
The nurse is caring for a patient with methicillin-resistant Staphylococcus aureus (MRSA). Which PPE should the nurse wear when entering the patient's room?
A Sterile gloves and a gownB Non-sterile gloves and a gown الإجابة الصحيحةC N95 mask and glovesD Gown and face shield -
457
The nurse is performing an assessment of a patient's abdomen. In what order should the nurse perform the examination steps?
A Inspection, palpation, percussion, auscultationB Auscultation, palpation, percussion, inspectionC Inspection, auscultation, percussion, palpation الإجابة الصحيحةD Palpation, percussion, auscultation, inspection -
458
A patient is scheduled to receive an intramuscular (IM) injection. At what angle should the nurse insert the needle?
A 15 degreesB 45 degreesC 90 degrees الإجابة الصحيحةD 5 degrees -
459
Which nursing role is typically considered part of top-level management in a healthcare organization?
A Nursing instructorB SupervisorC Head nurseD Director of Nursing الإجابة الصحيحة -
460
A breastfeeding patient requests a contraceptive method. Which is the most appropriate method that will not interfere with lactation?
A Combined oral contraceptive pillB Progesterone-only pill الإجابة الصحيحةC Estrogen patchD Vaginal ring -
461
The nurse is preparing for an Allen's test before obtaining an arterial blood gas (ABG) sample. This test is used to assess:
A Adequacy of ulnar circulation الإجابة الصحيحةB Cardiac outputC Respiratory functionD Blood pH balance -
462
A newborn has thick, meconium-stained amniotic fluid and shows respiratory distress at birth. The nurse anticipates a diagnosis of:
A Transient tachypnea of the newbornB Meconium aspiration syndrome الإجابة الصحيحةC Hyaline membrane diseaseD Pneumonia -
463
A patient with beta-thalassemia is receiving chronic blood transfusions. The nurse anticipates administering which medication to prevent iron overload?
A ErythropoietinB Deferoxamine الإجابة الصحيحةC HydroxyureaD Folic acid -
464
A patient is postoperative after a thyroidectomy. Which emergency item should be kept at the patient's bedside?
A Intubation trayB Tracheostomy set الإجابة الصحيحةC Suction equipmentD Oxygen cannula -
465
A mother is feeding her infant with a cleft lip and palate. Which position is best to reduce the risk of aspiration?
A Supine positionB Prone positionC Upright position الإجابة الصحيحةD Side-lying position -
466
The nurse is providing post-operative education to the mother of a child who had a cleft lip repair. Which instruction is most important?
A Encourage the child to cry to clear secretionsB Avoid crying to prevent stress on the suture line الإجابة الصحيحةC Massage the suture line dailyD Feed the child with a regular bottle immediately -
467
A newborn is diagnosed with spina bifida with a sac that is dry and intact. What is the priority nursing intervention?
A Leave the sac uncovered to air dryB Cover the sac with a moist, sterile dressing الإجابة الصحيحةC Apply a dry, sterile dressingD Puncture the sac to decompress it -
468
A nurse is performing wound care. What type of gloves should the nurse wear for a clean, non-sterile procedure?
A Sterile glovesB Non-sterile gloves الإجابة الصحيحةC Utility glovesD No gloves are required -
469
A sudden increase in the number of disease cases in a specific geographic area over a short period is defined as:
A EndemicB Epidemic الإجابة الصحيحةC PandemicD Sporadic -
470
The recommended intramuscular dose of vitamin K for a newborn to prevent hemorrhagic disease is:
A 0.5 mgB 1 mg الإجابة الصحيحةC 2 mgD 5 mg -
471
A child with type 1 diabetes is going to participate in sports. What should the nurse advise the parents to do before exercise?
A Administer extra insulinB Offer a snack with carbohydrates الإجابة الصحيحةC Check blood glucose after exercise onlyD Withhold insulin -
472
A postpartum patient is at the "Stage 4" of recovery (immediate recovery period). Her fundus is boggy. What is the priority nursing intervention?
A Massage the fundus الإجابة الصحيحةB Administer intravenous fluidsC Monitor vital signsD Notify the physician -
473
A patient's potassium level is below normal. Which dietary choice should the nurse encourage?
A Orange juice and bananas الإجابة الصحيحةB Milk and cheeseC Bread and pastaD Red meat and eggs -
474
A patient has been vomiting for several days. The arterial blood gas (ABG) results show: pH 7.48, PaCO2 45 mmHg, HCO3 32 mEq/L. This indicates:
A Metabolic acidosisB Metabolic alkalosis الإجابة الصحيحةC Respiratory acidosisD Respiratory alkalosis -
475
The nurse is assessing a newly delivered placenta. How many vessels should the nurse expect to find in the umbilical cord?
A TwoB Three الإجابة الصحيحةC FourD One -
476
The nurse is providing health education to a patient preparing for the Hajj pilgrimage. This is considered what level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Quaternary prevention -
477
A patient weighs 70 kg. The physician orders a medication at a dose of 0.01 mg/kg. How many mg should the nurse administer?
A 0.7 mg الإجابة الصحيحةB 1.4 mgC 7 mgD 0.07 mg -
478
A patient is G5 T2 P1 A1 L3. This indicates the patient has had:
A 5 pregnancies, 2 term births, 1 preterm birth, 1 abortion الإجابة الصحيحةB 5 pregnancies, 1 term birth, 2 preterm births, 1 abortionC 5 pregnancies, 2 term births, 1 abortion, 1 preterm birthD 1 pregnancy, 5 term births -
479
A patient who is a strict vegetarian is at risk for a deficiency of which vitamin?
A Vitamin CB Vitamin B12 الإجابة الصحيحةC Vitamin DD Vitamin A -
480
An HIV-positive mother brings her infant to the clinic. What is the most important intervention to prevent HIV transmission to the infant?
A Administering the BCG vaccineB Administering antiretroviral drugs to the infant الإجابة الصحيحةC Exclusive formula feedingD Starting the infant on oral antibiotics -
481
An infant is diagnosed with pyloric stenosis and is scheduled for surgery. What is the priority preoperative intervention?
A Administer oral feedsB Keep the infant NPO الإجابة الصحيحةC Give IV antibioticsD Position the infant prone -
482
A nurse is caring for a patient with an elevated troponin level and ST-segment elevation on the ECG. Which diagnosis is most likely?
A Myocardial infarction الإجابة الصحيحةB AnginaC Heart failureD Pericarditis -
483
A patient presents with weight loss, heat intolerance, and palpitations. Laboratory results show elevated T3 and T4 levels. Which diagnosis is most likely?
A Hyperthyroidism الإجابة الصحيحةB HypothyroidismC ThyroiditisD Thyroid cancer -
484
The nurse enters a patient's room to administer a prescribed sleep medication and finds the patient sleeping comfortably. What is the nurse's priority action?
A Wake the patient to administer the medicationB Hold the medication and document that the patient was sleeping الإجابة الصحيحةC Administer the medication through the IV routeD Leave the medication on the bedside table -
485
The nurse is caring for a patient with a urinary drainage bag. Where should the drainage bag be positioned?
A At the level of the patient's bladderB Below the level of the patient's bladder الإجابة الصحيحةC On the patient's bedD At the level of the patient's heart -
486
A physician is performing a sterile procedure and breaks sterile technique. What is the most appropriate action by the nurse?
A Ignore the break to avoid embarrassing the physicianB Politely remind the physician of the break in sterility الإجابة الصحيحةC Continue to assist as if nothing happenedD Immediately stop the procedure -
487
An infant's weight at 5 months of age should have increased by approximately how much compared to birth weight (in grams)?
A 480 gramsB 680 grams الإجابة الصحيحةC 860 gramsD 1060 grams -
488
A patient is being assessed for discharge from the post-anesthesia care unit (PACU). Which of the following is the most important criterion for discharge?
A Blood pressure within 10% of baseline الإجابة الصحيحةB Patient reporting no painC Patient able to drink fluidsD Patient asking to go home -
489
A patient opens their eyes to verbal stimuli, is confused, and localizes pain. What is the patient's Glasgow Coma Scale (GCS) score?
A 10B 11C 12 الإجابة الصحيحةD 13 -
490
A nurse is caring for a patient on droplet precautions. Which of the following is the correct infection control measure?
A Place the patient in a negative pressure roomB Wear a surgical mask when entering the room الإجابة الصحيحةC Wear an N95 respirator maskD Place the patient in a room with another patient with the same infection -
491
A nurse is providing education to a patient about preventing deep vein thrombosis (DVT). Which intervention is most effective for prophylaxis?
A Applying warm compressesB Administering prophylactic heparin الإجابة الصحيحةC Encouraging leg elevationD Massaging the legs -
492
A pregnant patient with severe preeclampsia is receiving magnesium sulfate. What is the antidote for magnesium sulfate toxicity?
A NaloxoneB Calcium gluconate الإجابة الصحيحةC Sodium bicarbonateD Protamine sulfate -
493
During Leopold's maneuvers, the nurse palpates a hard, round, mobile structure in the suprapubic area. Which fetal part is this most likely?
A Fetal head (cephalic presentation) الإجابة الصحيحةB Fetal buttocks (breech)C Fetal backD Fetal feet -
494
A child is one day post-tonsillectomy. Which fluid is most appropriate to offer the child?
A Orange juiceB Apple juice الإجابة الصحيحةC Lemon juiceD Tomato juice -
495
The nurse is caring for an infant with a cleft lip. When performing suctioning, the nurse should:
A Suction the nose onlyB Suction the mouth gently and avoid the suture line الإجابة الصحيحةC Suction aggressively to clear all secretionsD Avoid suctioning completely -
496
A patient who is 30 weeks pregnant develops generalized seizures. Blood pressure is 160/110 mmHg. Which condition is the patient most likely experiencing?
A Gestational hypertensionB PreeclampsiaC Eclampsia الإجابة الصحيحةD Chronic hypertension -
497
A pregnant patient has an elevated blood pressure of 140/90 mmHg with no proteinuria. This condition is most likely:
A EclampsiaB PreeclampsiaC Gestational hypertension الإجابة الصحيحةD Chronic hypertension -
498
A patient who does not speak the same language as the nurse is scheduled for an urgent procedure. What is the most appropriate action for the nurse to obtain informed consent?
A Use a family member to translateB Use a certified medical interpreter الإجابة الصحيحةC Proceed without consent since it is urgentD Have the patient sign the form without explanation -
499
The nurse needs to assess pain in a 3-year-old child. Which pain scale is most appropriate?
A Numeric rating scale (0-10)B Faces Pain Scale-Revised الإجابة الصحيحةC Visual analog scaleD FLACC scale -
500
A nurse leader inspires and motivates staff, fosters creativity, and encourages innovation. This is an example of which leadership style?
A Transactional leadershipB Transformational leadership الإجابة الصحيحةC Laissez-faire leadershipD Autocratic leadership -
501
The nurse is taking a blood sample from an infant. Which sign is most indicative of pain in the infant?
A CryingB BradycardiaC Facial grimacing الإجابة الصحيحةD Withdrawal of the limb -
502
A 10-year-old child refuses a procedure. What is the best approach by the nurse?
A Tell the child there is no choiceB Use therapeutic communication to explore the child's fears الإجابة الصحيحةC Call the parents to force the childD Proceed with the procedure quickly -
503
A patient with diabetes mellitus is scheduled for a procedure and is NPO. What is the most important preoperative nursing action?
A Administer oral hypoglycemic agentB Check blood glucose and administer insulin as ordered الإجابة الصحيحةC Withhold all diabetes medicationsD Provide a high-carbohydrate meal -
504
A patient has low T3 and T4 levels. This is consistent with which condition?
A HyperthyroidismB Hypothyroidism الإجابة الصحيحةC ThyroiditisD Graves' disease -
505
A pregnant patient was involved in a motor vehicle accident. On assessment, the uterus is contracting and the cervix is low. This may indicate:
A Placental abruptionB Preterm labor الإجابة الصحيحةC Uterine ruptureD Normal pregnancy -
506
The nurse is preparing a patient for an appendectomy. Which position is expected for the procedure?
A Supine الإجابة الصحيحةB TrendelenburgC LithotomyD Prone -
507
A patient has dark red vaginal bleeding and a closed cervix. Which type of abortion is this most consistent with?
A Threatened abortionB Incomplete abortionC Missed abortion الإجابة الصحيحةD Septic abortion -
508
A child presents with ear pain, fever, and bulging tympanic membrane. This is most consistent with:
A Otitis externaB Otitis media الإجابة الصحيحةC MastoiditisD Foreign body -
509
A patient is experiencing itching on the face, neck, and hands. Which medication is most likely to provide relief?
A Antihistamine الإجابة الصحيحةB AntibioticC AntifungalD Analgesic -
510
A patient with thalassemia minor asks the nurse about the condition. The nurse's response should be based on the understanding that thalassemia minor:
A Requires regular blood transfusionsB Is a carrier state with mild or no symptoms الإجابة الصحيحةC Is a severe form of anemiaD Is caused by iron deficiency -
511
A patient falls in the bathroom and sustains a fractured leg. The nurse should communicate this event to the next shift using which method?
A Shift reportB Incident report الإجابة الصحيحةC KardexD Nursing notes -
512
A school nurse identifies a disease outbreak and takes measures to prevent its spread to others. This is an example of which level of prevention?
A Primary preventionB Secondary prevention الإجابة الصحيحةC Tertiary preventionD Quaternary prevention -
513
A patient's blood pressure is 134/80 mmHg. What is the pulse pressure?
A 34 mmHgB 54 mmHg الإجابة الصحيحةC 64 mmHgD 44 mmHg -
514
A mother had a previous child with a neural tube defect and is now pregnant again. Which supplement should the nurse recommend to reduce the risk of recurrence?
A IronB CalciumC Folic acid الإجابة الصحيحةD Vitamin D -
515
A postpartum patient has a BMI of 29. What is the most appropriate advice for the nurse to give regarding weight management?
A Begin a strict diet immediatelyB Encourage a balanced diet and gradual physical activity الإجابة الصحيحةC Ignore the BMI at this timeD Prescribe weight loss medication -
516
A pregnant patient reports leaking fluid. The nurse notes the cervix is dilated. This most likely indicates:
A Membrane rupture (labor) الإجابة الصحيحةB Urinary incontinenceC Increased vaginal dischargeD Infection -
517
The nurse is educating an elderly patient about recommended vaccinations. Which vaccine is specifically recommended for adults aged 65 and older?
A MMR vaccineB Pneumococcal vaccine الإجابة الصحيحةC Hepatitis A vaccineD Varicella vaccine -
518
A pregnant patient reports frequent heartburn. The nurse should explain that this is likely due to:
A Spicy food consumptionB Hormonal changes and decreased gastric motility الإجابة الصحيحةC Increased stomach acid productionD Lying flat after eating -
519
A parent expresses concern that vaccines may cause autism. What is the most appropriate response by the nurse?
A Respect the parent's concern and avoid discussing itB Tell the parent that vaccines are safe and prevent serious diseases الإجابة الصحيحةC Agree with the parent to avoid conflictD Tell the parent that vaccination is optional -
520
A patient is experiencing a severe allergic reaction. The nurse should anticipate administering which medication first?
A AntihistamineB CorticosteroidC Epinephrine الإجابة الصحيحةD Albuterol -
521
The nurse is preparing to administer a blood transfusion. What is the most important step to confirm patient identity?
A Check the patient's room numberB Use two patient identifiers (e.g., name and date of birth) الإجابة الصحيحةC Check the wristband onlyD Ask the patient for their name -
522
A patient with chronic kidney disease is on a fluid restriction. The nurse should notify the physician if the patient's daily weight increases by more than:
A 0.5 kgB 1 kg الإجابة الصحيحةC 2 kgD 3 kg -
523
The nurse is caring for a patient with a nasogastric tube. Which assessment finding indicates proper tube placement?
A Auscultation of air over the epigastriumB Aspiration of gastric contents with a pH of 5 الإجابة الصحيحةC Patient is able to speak clearlyD Tube is secured to the nose -
524
A patient is receiving IV fluids at 125 mL/hr. The nurse notes that the patient has gained 2 kg in 24 hours. What is the priority nursing action?
A Continue the current infusion rateB Reduce the infusion rateC Notify the physician الإجابة الصحيحةD Check the patient's blood pressure -
525
A nurse is delegating a task to a licensed practical nurse (LPN). Which task is most appropriate for the LPN to perform?
A Assess the patient's skin conditionB Administer oral medications الإجابة الصحيحةC Develop the care planD Perform a comprehensive admission assessment -
526
A patient with a history of falls is at risk for injury. Which intervention should the nurse include in the care plan?
A Apply restraintsB Place the bed in the lowest position الإجابة الصحيحةC Keep the patient in a recliner chairD Leave the patient unattended in the bathroom -
527
The nurse is performing hand hygiene. Which of the following is the most effective method to remove transient organisms?
A Hand washing with soap and water الإجابة الصحيحةB Alcohol-based hand rubC Using sterile glovesD Wearing a mask -
528
A patient is receiving a potassium supplement. Which sign indicates that the patient is experiencing hyperkalemia?
A Muscle weakness الإجابة الصحيحةB TachycardiaC FlushingD Bradycardia -
529
The nurse is caring for a patient with a tracheostomy. What is the priority when performing tracheostomy care?
A Cleaning the inner cannula الإجابة الصحيحةB Changing the tracheostomy tiesC Assessing the skin around the stomaD Monitoring respiratory rate -
530
A patient has a do-not-resuscitate (DNR) order. The nurse understands that this order means:
A The patient will not receive any treatmentB The patient will not receive CPR if they stop breathing الإجابة الصحيحةC The patient will be discharged homeD The patient will receive comfort measures only -
531
The nurse is assessing a patient for signs of fluid overload. Which finding is most concerning?
A Peripheral edemaB Crackles in the lungs الإجابة الصحيحةC Weight gain of 1 kgD Jugular vein distention -
532
A patient is preparing for discharge after a myocardial infarction. Which lifestyle modification is most important for the nurse to teach?
A Reduce dietary sodiumB Increase physical activity graduallyC Quit smoking الإجابة الصحيحةD Manage stress -
533
The nurse is educating a new mother about childhood vaccinations. Which statement best describes the primary purpose of vaccinations?
A Vaccinations may cause autismB Vaccinations prevent and reduce serious diseases الإجابة الصحيحةC Vaccinations are only needed for school entryD Vaccinations are optional and have no benefit -
534
A pregnant patient presents with sudden onset of severe abdominal pain, uterine tenderness, and fetal distress. There is no vaginal bleeding. Which condition is most likely?
A Placental abruption الإجابة الصحيحةB Ectopic pregnancyC Molar pregnancyD Preterm labor -
535
A primigravida at 39 weeks gestation presents with regular uterine contractions. Which hormonal changes are associated with the onset of labor?
A Increased progesterone, decreased estrogenB Decreased progesterone, increased estrogen and prostaglandins الإجابة الصحيحةC Increased progesterone, increased estrogenD Decreased estrogen, increased progesterone -
536
A child presents with sudden abdominal pain, vomiting, and currant jelly stools. Which diagnostic test is most likely to confirm the suspected diagnosis?
A X-rayB Ultrasound الإجابة الصحيحةC CT scanD MRI -
537
A patient with suspected Addisonian crisis is admitted. Which nursing intervention is a priority in the acute phase?
A Administer oral fluidsB Provide a quiet, warm environmentC Administer IV corticosteroids الإجابة الصحيحةD Monitor blood glucose hourly -
538
The nurse is preparing to administer an intramuscular (IM) injection. Which action should the nurse avoid after injection to prevent altering absorption?
A Applying pressure to the siteB Massaging the site الإجابة الصحيحةC Using the Z-track methodD Checking for blood return -
539
A breastfeeding mother reports breast pain, redness, and tenderness. She has a fever. Which treatment should the nurse anticipate?
A Cold compressesB Antibiotics الإجابة الصحيحةC Antifungal creamD Warm compresses and massage -
540
A patient is diagnosed with a urinary tract infection. Which type of medication should the nurse anticipate administering?
A AntiviralB Antibiotic الإجابة الصحيحةC AntifungalD Antiparasitic -
541
A child has a history of untreated Group A streptococcal pharyngitis and now presents with migratory polyarthritis, carditis, and subcutaneous nodules. Which condition is most likely?
A Rheumatic fever الإجابة الصحيحةB Kawasaki diseaseC Juvenile idiopathic arthritisD Systemic lupus erythematosus -
542
The nurse is implementing a new electronic health record system. Which action is most important to protect patient information?
A Share passwords with colleaguesB Log off the computer after each use الإجابة الصحيحةC Leave patient charts open for quick accessD Use simple passwords for easy recall -
543
A physician writes an ambiguous or incorrect medication order. What is the nurse's priority action?
A Clarify the order with the physician الإجابة الصحيحةB Administer the order as writtenC Discard the orderD Document the order and ask another nurse -
544
Which laboratory finding is most indicative of renal failure in a child?
A Elevated BUN and creatinine الإجابة الصحيحةB Elevated hemoglobinC Decreased platelet countD Normal serum electrolytes -
545
The nurse is preparing to administer an intramuscular injection to an infant. Which site is most appropriate?
A DeltoidB Vastus lateralis الإجابة الصحيحةC DorsoglutealD Ventrogluteal -
546
The parents of a child recently diagnosed with cancer are in shock and asking few questions. The nurse recognizes this as which stage of grief?
A AngerB Denial الإجابة الصحيحةC BargainingD Acceptance -
547
The recommended storage temperature for most vaccines is:
A 2-8 degrees Celsius الإجابة الصحيحةB 10-15 degrees CelsiusC Room temperatureD Below freezing -
548
Which vitamin is essential for the absorption of calcium?
A Vitamin AB Vitamin CC Vitamin D الإجابة الصحيحةD Vitamin E -
549
A patient with a history of diabetes insipidus is admitted. Which electrolyte imbalance is most likely to occur?
A Hypernatremia الإجابة الصحيحةB HyponatremiaC HyperkalemiaD Hypokalemia -
550
A patient with chronic renal failure is at risk for which of the following?
A HypocalcemiaB HypercalcemiaC HyponatremiaD Hyperkalemia الإجابة الصحيحة -
551
A patient is prescribed an antibiotic that is potentially nephrotoxic. Which laboratory value should the nurse monitor closely?
A HemoglobinB Platelet countC Serum creatinine الإجابة الصحيحةD White blood cell count -
552
A patient is receiving a blood transfusion and develops hives and itching. What is the most likely cause?
A Bacterial contaminationB Allergic reaction الإجابة الصحيحةC Hemolytic reactionD Circulatory overload -
553
A child with nephrotic syndrome is at risk for which complication?
A HypotensionB HypervolemiaC Infection الإجابة الصحيحةD Hyperkalemia -
554
The nurse is assessing a patient with hyperkalemia. Which electrocardiogram (ECG) change is most concerning?
A Widened QRS complexB Peaked T waves الإجابة الصحيحةC Prolonged PR intervalD ST-segment depression -
555
A patient is receiving IV potassium supplementation. What is the maximum safe infusion rate for IV potassium?
A 5 mEq/hourB 10 mEq/hour الإجابة الصحيحةC 15 mEq/hourD 20 mEq/hour -
556
A mother of nine children is referred to home health care. This type of visit is best described as:
A Initial assessmentB Follow-up visit الإجابة الصحيحةC Selective visitD Emergency visit -
557
The nurse is caring for a patient with measles (rubeola). Which type of precaution should be implemented?
A Standard precautionsB Contact precautionsC Droplet precautionsD Airborne precautions الإجابة الصحيحة -
558
A patient is prescribed tetracycline. Which instruction should the nurse include in the teaching plan?
A Take with milk to reduce stomach upsetB Take on an empty stomachC Avoid sunlight exposure الإجابة الصحيحةD Take with food -
559
A child is diagnosed with acute otitis media. The nurse should anticipate which medication for treatment?
A AntihistamineB Antibiotic الإجابة الصحيحةC Cough suppressantD Decongestant -
560
A patient with a fractured leg is in a long leg cast. Which finding indicates a potential complication?
A Pain that is relieved by elevationB Slight swelling of the toesC Patient reporting numbness in the foot الإجابة الصحيحةD Cast is dry and intact -
561
The nurse is assessing a patient with abdominal pain. Which finding is most indicative of peritonitis?
A Dullness on percussionB Rebound tenderness الإجابة الصحيحةC Hyperactive bowel soundsD Soft, non-tender abdomen -
562
A patient is receiving chemotherapy and develops anemia. Which medication should the nurse anticipate to stimulate red blood cell production?
A FilgrastimB Erythropoietin الإجابة الصحيحةC OprelvekinD Sargramostim -
563
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. What is the safest oxygen delivery device for this patient?
A Non-rebreather maskB Simple face maskC Nasal cannulaD Venturi mask الإجابة الصحيحة -
564
A patient is postoperative and has a Jackson-Pratt drain. The nurse should assess the drain for:
A Appearance and amount of drainage الإجابة الصحيحةB Color of the tubingC Patient's pain levelD Patient's temperature -
565
The nurse is preparing to insert a Foley catheter. Which step is most important to prevent infection?
A Use sterile technique الإجابة الصحيحةB Inflate the balloon fullyC Use a large catheter sizeD Remove the catheter as soon as possible -
566
A patient is diagnosed with hyperglycemia. Which symptom is most consistent with this condition?
A Polyuria الإجابة الصحيحةB BradycardiaC HypertensionD Weight gain -
567
A patient is experiencing a panic attack. Which nursing intervention is most appropriate?
A Leave the patient aloneB Stay with the patient and speak calmly الإجابة الصحيحةC Administer a sedativeD Turn on bright lights -
568
A patient with schizophrenia is exhibiting disorganized speech and behavior. These are examples of:
A Negative symptomsB Positive symptoms الإجابة الصحيحةC Cognitive symptomsD Affective symptoms -
569
A patient is prescribed a monoamine oxidase inhibitor (MAOI) for depression. Which dietary restriction should be emphasized?
A Avoid caffeineB Avoid tyramine-rich foods الإجابة الصحيحةC Avoid high-fat foodsD Avoid acidic foods -
570
The nurse is caring for a patient with a head injury. Which finding indicates a worsening condition?
A Slowing heart rateB Increasing blood pressureC Irregular respirationsD All of the above الإجابة الصحيحة -
571
A patient is receiving an intravenous infusion of normal saline. The nurse notes redness and swelling at the IV site. This is most likely:
A InfiltrationB Phlebitis الإجابة الصحيحةC Circulatory overloadD Allergic reaction -
572
A patient with asthma is prescribed an inhaler. The nurse should teach the patient to:
A Inhale and exhale rapidlyB Hold the breath for 10 seconds after inhalation الإجابة الصحيحةC Use the inhaler only during attacksD Rinse mouth with water after use -
573
A patient is diagnosed with cholecystitis. Which dietary recommendation is most appropriate?
A High-fiber dietB Low-fat diet الإجابة الصحيحةC High-protein dietD Low-carbohydrate diet -
574
A patient is experiencing acute low back pain. Which position is most comfortable and reduces strain on the spine?
A Prone positionB Side-lying with knees bent الإجابة الصحيحةC Supine with legs straightD Sitting in a soft chair -
575
The nurse is assessing a patient for signs of deep vein thrombosis (DVT). Which finding is most concerning?
A Positive Homans signB Unilateral leg swelling and warmth الإجابة الصحيحةC Patient reports leg crampsD Redness on the leg -
576
A patient is being discharged with a new prescription for warfarin. Which teaching point is most important?
A Take with food to avoid stomach upsetB Monitor for bleeding and bruising الإجابة الصحيحةC Avoid all green leafy vegetablesD Take as needed for pain -
577
The nurse is providing education to a patient with gout. Which food should the patient avoid?
A Organ meats and shellfish الإجابة الصحيحةB Citrus fruitsC Whole grainsD Dairy products -
578
A patient with heart failure is prescribed furosemide. The nurse should monitor for which adverse effect?
A HyperkalemiaB Hypokalemia الإجابة الصحيحةC HyponatremiaD Hypercalcemia -
579
A patient is in the immediate postoperative period and has a urinary catheter. The nurse notes that the urine output is less than 30 mL/hr. What is the priority action?
A Increase the IV rateB Notify the physicianC Check for kinks in the tubing الإجابة الصحيحةD Assess the patient's blood pressure -
580
The nurse is preparing a patient for surgery. Which finding requires immediate notification of the surgeon?
A Elevated blood pressureB Patient reports feeling nervousC Serum potassium of 5.2 mEq/L الإجابة الصحيحةD Weight of 150 lbs -
581
A patient with diabetes mellitus presents with confusion, sweating, and a blood glucose of 50 mg/dL. Which action should the nurse take first?
A Administer IV dextrose الإجابة الصحيحةB Give the patient orange juiceC Administer glucagonD Check the patient's vital signs -
582
A patient is diagnosed with malaria. The nurse should expect to administer which medication?
A AcyclovirB Chloroquine الإجابة الصحيحةC MetronidazoleD Amoxicillin -
583
The nurse is caring for a patient with a central venous catheter. Which sign indicates a possible infection?
A Redness and drainage at the site الإجابة الصحيحةB Patient reporting mild discomfortC Catheter is intactD No fluctuation in the catheter -
584
A patient is admitted with a left-sided cerebrovascular accident (CVA). The nurse expects the patient to exhibit:
A Left-sided paralysis and expressive aphasiaB Right-sided paralysis and receptive aphasiaC Left-sided paralysis and receptive aphasiaD Right-sided paralysis and expressive aphasia الإجابة الصحيحة -
585
A patient is on a low-sodium diet. Which food should the nurse teach the patient to avoid?
A Fresh applesB Canned soup الإجابة الصحيحةC Brown riceD Unsalted popcorn -
586
A patient with anemia is prescribed iron supplements. Which side effect should the nurse include in the teaching plan?
A Constipation الإجابة الصحيحةB DiarrheaC HypertensionD Tachycardia -
587
The nurse is caring for a patient with a chest tube. What is the priority nursing action?
A Clamp the chest tubeB Monitor for air leaks in the systemC Empty the drainage systemD Assess the patient's respiratory status الإجابة الصحيحة -
588
A patient on a medication that can cause hyperkalemia has a sudden increase in serum potassium levels. Which medication should the nurse anticipate having available at the bedside for emergency management?
A Sodium bicarbonateB Calcium gluconate الإجابة الصحيحةC Insulin and dextroseD Kayexalate -
589
A child weighing 28 kg is prescribed a medication at 50 mg/kg/day divided every 8 hours. What is the dose per administration?
A 140 mgB 700 mgC 467 mg الإجابة الصحيحةD 1400 mg -
590
A child is diagnosed with Hirschsprung disease. Which symptom is the hallmark of this condition?
A Projectile vomitingB Failure to pass meconium in the first 24-48 hours الإجابة الصحيحةC Currant jelly stoolsD Abdominal distension with bilious vomiting -
591
A patient with schizophrenia is exhibiting disorganized thinking and speech. The patient says, "I need to go to the store to buy a hat for my cat." This is an example of which thought process?
A Flight of ideasB Loose associations الإجابة الصحيحةC EcholaliaD Neologism -
592
A nurse is caring for a patient with schizophrenia who is hearing voices commanding self-harm. The nurse knows this is which type of symptom?
A Negative symptomB Positive symptom الإجابة الصحيحةC Cognitive symptomD Affective symptom -
593
A patient is scheduled for a procedure and asks the nurse about the preparation. The nurse's response should be based on which understanding of the patient's rights?
A The patient has the right to refuse any procedure after signing consentB The nurse can override the patient's refusal in an emergencyC The patient has the right to understand the procedure and give informed consent الإجابة الصحيحةD Only the physician has the right to explain the procedure -
594
A patient's medication order is 1 mL of epinephrine. The patient weighs 2.5 kg, and the concentration is 0.1 mg/mL. How many mg will the nurse administer?
A 0.1 mg الإجابة الصحيحةB 0.25 mgC 1 mgD 2.5 mg -
595
The nurse is calculating IV fluids for a patient. The order is for 250 mL to be infused over 8 hours. What is the flow rate in mL/hr?
A 15 mL/hrB 31.25 mL/hr الإجابة الصحيحةC 50 mL/hrD 62.5 mL/hr -
596
The nurse is providing education to a patient about preventing tuberculosis (TB) transmission. Which statement indicates that the patient understands the teaching?
A I need to wash my hands frequentlyB I should cover my mouth when coughingC I will take my medication for 6 months as prescribed الإجابة الصحيحةD I should avoid crowded places -
597
A patient with tuberculosis is started on a 6-month treatment regimen. The nurse explains that sputum cultures should convert to negative within:
A 2-4 weeksB 4-8 weeks الإجابة الصحيحةC 8-12 weeksD 12-16 weeks -
598
The nurse is preparing a patient for an endoscopic procedure. The patient asks, "Will this hurt?" What is the nurse's best response?
A You won't feel anything at allB You may feel some discomfort, but it is important to stay still الإجابة الصحيحةC I will give you medication to make you sleepD The doctor will explain everything -
599
A patient with a history of drug abuse is taking prescribed opioid medications. The nurse should assess for signs of which condition?
A ToleranceB AddictionC Physical dependenceD All of the above الإجابة الصحيحة -
600
A community health nurse is developing a program for malaria prevention. Which intervention is considered secondary prevention?
A Administering prophylactic medicationB Educating about mosquito netsC Screening and early treatment of cases الإجابة الصحيحةD Mosquito control programs -
601
A patient's hemoglobin A1c level is 7.5%. This indicates that the patient's average blood glucose over the past 3 months is approximately:
A 150 mg/dLB 170 mg/dL الإجابة الصحيحةC 190 mg/dLD 210 mg/dL -
602
During a hospital fire emergency, which patient should the nurse evacuate first?
A A bedridden patient who cannot self-evacuate and is in immediate danger الإجابة الصحيحةB A stable ambulatory patient who can follow instructions independentlyC A critically ill patient requiring extensive life-support equipmentD A patient in isolation who is stable -
603
The nurse is caring for a patient with a cast. The patient reports that the cast feels tight and the toes are pale. What is the priority nursing action?
A Elevate the extremityB Apply ice to the castC Notify the physicianD Assess neurovascular status الإجابة الصحيحة -
604
A patient is prescribed a medication that requires monitoring of serum drug levels. The nurse should draw the blood sample:
A At any time during the dayB At the same time each dayC Immediately before the next dose (trough level) الإجابة الصحيحةD Immediately after the dose (peak level) -
605
A nurse observes that a patient's urine output has decreased to less than 30 mL/hr. The nurse should assess for which possible cause?
A DehydrationB Renal failureC Urinary obstructionD All of the above الإجابة الصحيحة -
606
The nurse is providing discharge teaching to a patient with chronic obstructive pulmonary disease (COPD). Which statement by the patient indicates the need for further teaching?
A I will use my inhaler as prescribedB I will avoid crowds during flu seasonC I will rest frequently throughout the dayD I will increase my fluid intake to thin secretions الإجابة الصحيحة -
607
A patient is experiencing chest pain. Which medication should the nurse anticipate administering first?
A Aspirin الإجابة الصحيحةB NitroglycerinC Morphine sulfateD Oxygen -
608
A patient is scheduled for an elective surgery. The nurse is reviewing the consent form and notes that it was signed only by the patient's spouse. What should the nurse do?
A Proceed with the surgeryB Have the patient sign the consent form الإجابة الصحيحةC Ask the physician to explain the procedure againD Notify the risk management department -
609
The nurse is caring for a patient with a chest tube. Which finding indicates that the chest tube system is functioning correctly?
A Continuous bubbling in the water seal chamberB Intermittent bubbling in the water seal chamber الإجابة الصحيحةC Absence of bubbling in the water seal chamberD Continuous bubbling in the suction chamber -
610
A patient with a head injury is at risk for increased intracranial pressure (ICP). Which nursing intervention is most appropriate to prevent increased ICP?
A Suction the patient frequentlyB Keep the patient in a supine positionC Maintain the head of the bed elevated 30 degrees الإجابة الصحيحةD Administer sedatives as needed -
611
A patient has a nasogastric tube for gastric decompression. The nurse notes that the drainage is bright red. What should the nurse do first?
A Increase the suctionB Notify the physician الإجابة الصحيحةC Document the findingD Check the tube placement -
612
A patient with heart failure is prescribed a low-sodium diet. The nurse should teach the patient to avoid which food?
A Fresh chickenB Canned soup الإجابة الصحيحةC Unsalted nutsD Fresh vegetables -
613
A patient is taking warfarin. The nurse should monitor the patient for signs of which adverse effect?
A Bleeding الإجابة الصحيحةB HypertensionC ConstipationD Hypotension -
614
The nurse is assessing a patient who has just undergone a cardiac catheterization. Which finding requires immediate notification of the physician?
A Mild groin painB Hematoma at the insertion site الإجابة الصحيحةC Pulse rate of 90 beats per minuteD Blood pressure of 110/70 mmHg -
615
A patient with cirrhosis is experiencing fluid retention. The nurse should monitor the patient for which complication?
A AscitesB Peripheral edemaC Pulmonary edemaD All of the above الإجابة الصحيحة -
616
A child is brought to the emergency department with a seizure. Which medication should the nurse anticipate administering to stop the seizure activity?
A Lorazepam الإجابة الصحيحةB PhenytoinC PhenobarbitalD Valproic acid -
617
A patient is experiencing withdrawal symptoms from alcohol. The nurse should monitor the patient for which serious complication?
A Delirium tremensB SeizuresC Wernicke-Korsakoff syndromeD All of the above الإجابة الصحيحة -
618
The nurse is providing education to a patient with iron deficiency anemia. Which food should the nurse recommend to increase iron absorption?
A MilkB Orange juice الإجابة الصحيحةC TeaD Eggs -
619
A patient with asthma is prescribed a beta-2 agonist (e.g., albuterol). The nurse should monitor the patient for which adverse effect?
A BradycardiaB Tachycardia الإجابة الصحيحةC HypotensionD Respiratory depression -
620
A patient is receiving total parenteral nutrition (TPN). The nurse should monitor the patient for which complication?
A HyperglycemiaB HypoglycemiaC Liver dysfunctionD All of the above الإجابة الصحيحة -
621
The nurse is providing care to a patient after a bone marrow transplant. Which infection control measure is most important?
A Standard precautionsB Droplet precautionsC Airborne precautionsD Protective environment (neutropenic precautions) الإجابة الصحيحة -
622
A patient is diagnosed with a urinary tract infection (UTI). The nurse should instruct the patient to complete which of the following?
A Take antibiotics until symptoms resolveB Take the full course of antibiotics as prescribed الإجابة الصحيحةC Stop antibiotics if symptoms improveD Take antibiotics only when symptoms return -
623
The nurse is caring for a patient with a peripheral IV line. The nurse should change the IV site and dressing every:
A 24 hoursB 48 hoursC 72-96 hours الإجابة الصحيحةD 1 week -
624
A patient with severe dehydration has a serum sodium level of 125 mEq/L. The nurse anticipates which type of IV fluid?
A Normal saline الإجابة الصحيحةB Half-normal salineC Dextrose 5% in waterD Hypertonic saline -
625
A patient is suspected of having a pulmonary embolism. Which diagnostic test is most definitive?
A Chest X-rayB D-dimerC CT pulmonary angiography الإجابة الصحيحةD Ventilation-perfusion scan -
626
The nurse is preparing a patient for a lumbar puncture. The nurse should position the patient in which position?
A SupineB ProneC Side-lying with knees drawn to chest الإجابة الصحيحةD Sitting upright -
627
A patient is experiencing acute pain after surgery. The nurse should assess the patient's pain using which tool?
A Numerical rating scaleB Visual analog scaleC Faces pain scaleD All of the above الإجابة الصحيحة -
628
The nurse is providing education to a patient with chronic pain about non-pharmacological pain management. Which intervention should the nurse recommend?
A Distraction techniquesB Relaxation therapyC Heat or cold applicationD All of the above الإجابة الصحيحة -
629
A patient is admitted with a diagnosis of heart failure. The nurse should monitor the patient's fluid balance by assessing:
A Daily weightB Intake and outputC EdemaD All of the above الإجابة الصحيحة -
630
A patient with a history of asthma is having difficulty breathing. The nurse auscultates the lungs and hears expiratory wheezes. This indicates:
A Airway obstruction الإجابة الصحيحةB Airway inflammationC Mucous pluggingD All of the above -
631
The nurse is caring for a patient with a wound infection. The nurse should monitor the patient for signs of systemic infection, including:
A FeverB TachycardiaC LeukocytosisD All of the above الإجابة الصحيحة -
632
A patient is receiving corticosteroid therapy. The nurse should teach the patient to avoid which of the following?
A High-sodium foods الإجابة الصحيحةB High-potassium foodsC High-calcium foodsD High-protein foods -
633
A patient with chronic kidney disease is prescribed a phosphate binder. The nurse should administer this medication:
A With meals الإجابة الصحيحةB On an empty stomachC At bedtimeD With antacids -
634
The nurse is providing discharge teaching to a patient with a new colostomy. The patient expresses concern about body image. What is the nurse's best response?
A I understand this is difficult, but you will adapt الإجابة الصحيحةB You should not worry about itC It's important to accept this changeD You can always reverse the colostomy later -
635
A patient is diagnosed with a myocardial infarction. The nurse should monitor the patient for which complication during the first 24 hours?
A DysrhythmiasB Cardiogenic shockC Heart failureD All of the above الإجابة الصحيحة -
636
The nurse is preparing to administer the MMR (measles, mumps, rubella) vaccine to a child. What is the recommended route and site of administration?
A Subcutaneous injection in the outer aspect of the upper arm الإجابة الصحيحةB Intramuscular injection in the deltoid muscleC Subcutaneous injection in the anterolateral thighD Intradermal injection in the forearm -
637
An infant is diagnosed with spina bifida with a sac that is intact. Which position is most appropriate for the infant to prevent pressure on the sac?
A Prone (on the abdomen)B Prone with slight flexion الإجابة الصحيحةC Prone with extensionD Supine -
638
A patient on warfarin therapy has an elevated INR with bleeding. Which medication should the nurse anticipate administering as the antidote?
A Vitamin K (Phytomenadione) الإجابة الصحيحةB Protamine sulfateC NaloxoneD Flumazenil -
639
A newborn is born at 35 weeks gestation and weighs 1800 grams. How is this infant's birth weight classified?
A Low Birth Weight (LBW) الإجابة الصحيحةB Very Low Birth Weight (VLBW)C Extremely Low Birth Weight (ELBW)D Appropriate for Gestational Age (AGA) -
640
A child weighing 15 kg is prescribed a medication at a dose of 10 mg/kg. The available concentration is 125 mg per 5 mL. How many mL should the nurse administer?
A 0.6 mL الإجابة الصحيحةB 1.2 mLC 2.4 mLD 6 mL -
641
A patient taking citalopram, an SSRI antidepressant, reports an adverse effect. Which side effect is commonly associated with SSRIs?
A Hair lossB Sexual dysfunction الإجابة الصحيحةC Hearing lossD Renal failure -
642
An immunocompromised patient reports recent exposure to a neighbor diagnosed with tuberculosis. Based on evidence-based practice, what should the nurse do first?
A Recommend immediate treatmentB Screen and assess for TB infection الإجابة الصحيحةC Ignore the exposureD Start airborne isolation at home -
643
A patient with chronic obstructive pulmonary disease (COPD) is at risk for which complication?
A Respiratory failure الإجابة الصحيحةB HyperthyroidismC AppendicitisD Glaucoma -
644
Lactated Ringer's solution is classified as which type of intravenous fluid?
A HypotonicB HypertonicC Isotonic الإجابة الصحيحةD Colloid -
645
Cervical dilation of 6 cm indicates which stage of labor?
A Latent phaseB Active phase الإجابة الصحيحةC Transition phaseD Third stage -
646
A patient is diagnosed with bacterial meningitis. What type of isolation precaution is required?
A Airborne precautionsB Contact precautionsC Droplet precautions الإجابة الصحيحةD Standard precautions -
647
A patient is coughing up blood and is suspected of having pulmonary tuberculosis. What type of isolation is required?
A Contact precautionsB Droplet precautionsC Standard precautionsD Airborne precautions الإجابة الصحيحة -
648
A patient reports pain and redness at the IV cannula site. What is the nurse's priority action?
A Increase the infusion rateB Stop the infusion and remove the IV الإجابة الصحيحةC Apply heat to the siteD Flush the IV with saline -
649
A nurse is administering prescribed eye drops to a client. Where should the nurse place the medication?
A Directly on the corneaB On the scleraC Into the conjunctival sac الإجابة الصحيحةD Onto the eyelashes -
650
A healthcare provider prescribes paracetamol 1 g QID. The medication supplied by the pharmacy is available as 250 mg tablets. Which nursing action is most appropriate?
A Ask the pharmacy to provide 1 g tabletsB Call the doctor to recheck the doseC Administer four 250 mg tablets الإجابة الصحيحةD Hold the medication and document it -
651
A community health nurse administers the meningococcal vaccine to individuals preparing for Hajj. This intervention is an example of which level of prevention?
A Primary prevention الإجابة الصحيحةB Secondary preventionC Tertiary preventionD Restorative prevention -
652
The nurse is preparing to insert a nasogastric tube. In which position should the patient be placed to facilitate insertion?
A SupineB Sitting upright with head slightly flexed الإجابة الصحيحةC TrendelenburgD Side-lying -
653
A patient is receiving a blood transfusion. The nurse notes that the patient is becoming anxious and short of breath, with crackles on lung auscultation. What is the priority nursing action?
A Slow the infusion rateB Administer oxygenC Notify the physicianD Stop the transfusion immediately الإجابة الصحيحة -
654
A patient with a history of deep vein thrombosis (DVT) is prescribed warfarin. The nurse should monitor which laboratory value to assess the therapeutic effect?
A PT/INR الإجابة الصحيحةB aPTTC Platelet countD Fibrinogen level -
655
A patient is in the active phase of labor. The nurse notes fetal heart rate decelerations that begin at the peak of the contraction and resolve after the contraction ends. What is the most likely cause?
A Cord compressionB Head compressionC Placental insufficiency الإجابة الصحيحةD Maternal hypotension -
656
The nurse is caring for a patient who has just undergone a thyroidectomy. Which assessment finding requires immediate notification of the surgeon?
A Slight hoarsenessB Mild pain at the incision siteC Laryngeal stridor or respiratory distress الإجابة الصحيحةD Drainage of 20 mL of serosanguinous fluid -
657
A patient is experiencing a tonic-clonic seizure. What is the priority nursing action?
A Restrain the patient to prevent injuryB Place a tongue blade in the patient's mouthC Protect the patient from injury and maintain airway الإجابة الصحيحةD Administer IV lorazepam immediately -
658
The nurse is providing discharge teaching to a patient who has a new colostomy. Which statement by the patient indicates understanding of the teaching?
A I will change the appliance once a weekB I will irrigate the colostomy dailyC I should notify my doctor if the stoma is pale or dusky الإجابة الصحيحةD I should use adhesive remover only if the skin is irritated -
659
A patient with diabetes insipidus is admitted. Which finding is consistent with this diagnosis?
A Polyuria and polydipsia الإجابة الصحيحةB Oliguria and edemaC Weight gain and hypertensionD Bradycardia and confusion -
660
A patient is diagnosed with hyperemesis gravidarum. Which intervention is most appropriate?
A Encourage small, frequent mealsB Administer IV fluids and antiemetics as prescribed الإجابة الصحيحةC Withhold food and fluidsD Advise the patient to eat fatty foods -
661
The nurse is assessing a patient with suspected appendicitis. Which assessment finding is most indicative?
A Pain in the right upper quadrantB Rebound tenderness in the right lower quadrant الإجابة الصحيحةC Sharp pain in the left lower quadrantD Pain relieved by eating -
662
A patient with hypertension is being discharged. Which dietary instruction is most important?
A Increase potassium intakeB Reduce sodium intake الإجابة الصحيحةC Increase calcium intakeD Reduce fat intake -
663
A patient is taking a calcium channel blocker for hypertension. The nurse should monitor for which adverse effect?
A BradycardiaB Peripheral edema الإجابة الصحيحةC HyperglycemiaD Bronchospasm -
664
The nurse is caring for a patient with a wound that requires a sterile dressing change. Which action maintains the sterile field?
A Hold the sterile field above waist level الإجابة الصحيحةB Reach across the sterile field when neededC Sneeze away from the sterile fieldD Open the sterile package before performing hand hygiene -
665
A patient with cirrhosis is prescribed lactulose. The nurse should monitor the patient for which therapeutic effect?
A Reduced serum ammonia levels الإجابة الصحيحةB Increased serum albumin levelsC Decreased bilirubin levelsD Increased platelet count -
666
A patient with a urinary tract infection is prescribed ciprofloxacin. The nurse should teach the patient to avoid which beverage?
A WaterB Milk الإجابة الصحيحةC Orange juiceD Caffeine -
667
The nurse is assessing a patient after a lumbar puncture. The nurse should position the patient in which position for 4-6 hours?
A Supine الإجابة الصحيحةB ProneC Sitting uprightD Trendelenburg -
668
A patient is receiving IV vancomycin. The nurse should monitor the patient for which adverse effect?
A Nephrotoxicity الإجابة الصحيحةB CardiotoxicityC HepatotoxicityD Neurotoxicity -
669
A patient is diagnosed with a pulmonary embolism. Which medication should the nurse anticipate administering?
A Alteplase (tPA)B Heparin الإجابة الصحيحةC WarfarinD Aspirin -
670
The nurse is providing education to a patient on how to self-administer subcutaneous heparin. Which instruction is correct?
A Massage the site after injectionB Aspirate before injectionC Pinch the skin and insert the needle at a 90-degree angle الإجابة الصحيحةD Use the same site for consistency -
671
The nurse is assessing a patient who is 2 hours post-cesarean section. The nurse notes that the fundus is firm at the umbilicus and the lochia is moderate rubra. What is the priority nursing action?
A Continue to monitor and document الإجابة الصحيحةB Notify the physician immediatelyC Perform a fundal massageD Increase the IV rate -
672
A patient is experiencing anxiety and is hyperventilating. The nurse should instruct the patient to:
A Take deep, slow breaths into a paper bag الإجابة الصحيحةB Breathe deeply and rapidlyC Hold their breath for 30 secondsD Exhale forcefully and quickly -
673
A patient is prescribed digoxin for heart failure. The nurse should monitor the patient for signs of digoxin toxicity, including:
A TachycardiaB Nausea, vomiting, and visual disturbances الإجابة الصحيحةC HypertensionD Constipation -
674
A patient with a history of alcohol abuse is admitted for pancreatitis. The nurse should monitor for signs of alcohol withdrawal, such as:
A SedationB Tremors and agitation الإجابة الصحيحةC BradycardiaD Hypothermia -
675
The nurse is performing a newborn assessment. Which finding should be reported to the pediatrician?
A Milia on the faceB Acrocyanosis of the hands and feetC A single umbilical artery الإجابة الصحيحةD Mongolian spots on the back -
676
A patient with bronchial asthma is prescribed montelukast. The nurse should explain that this medication works by:
A Dilating the bronchi immediatelyB Reducing airway inflammation الإجابة الصحيحةC Suppressing the cough reflexD Thinning respiratory secretions -
677
A patient is diagnosed with dehydration and is ordered to receive IV fluids. The nurse should monitor for which sign of effective fluid replacement?
A Decreased blood pressureB Increased urine output الإجابة الصحيحةC Increased heart rateD Decreased skin turgor -
678
A patient is admitted with a sickle cell crisis. Which nursing intervention is most appropriate to manage the patient's pain?
A Apply ice packs to painful jointsB Administer opioid analgesics as prescribed الإجابة الصحيحةC Encourage ambulation to relieve stiffnessD Restrict fluid intake to reduce edema -
679
A patient is receiving chemotherapy and is at risk for tumor lysis syndrome. Which laboratory value should the nurse monitor closely?
A HemoglobinB Serum calciumC Platelet countD Serum uric acid الإجابة الصحيحة -
680
A patient with type 2 diabetes is prescribed metformin. The nurse should teach the patient to monitor for signs of lactic acidosis, including:
A Muscle aches and weakness الإجابة الصحيحةB TachycardiaC Flushing of the skinD Weight gain -
681
The nurse is providing education to a patient about the prevention of osteoporosis. Which recommendation is most important?
A Limit calcium intakeB Engage in weight-bearing exercises الإجابة الصحيحةC Avoid sunlight exposureD Restrict protein intake -
682
A patient with Cushing's syndrome is expected to exhibit which clinical manifestation?
A Weight lossB HyperpigmentationC Buffalo hump and moon face الإجابة الصحيحةD Hypoglycemia -
683
A patient is receiving an IV infusion of normal saline. The nurse notes the patient has developed crackles in the lung bases and is short of breath. What is the priority nursing action?
A Slow the infusion rate and monitorB Notify the physician immediatelyC Place the patient in a high Fowler's position الإجابة الصحيحةD Administer furosemide as prescribed -
684
The nurse is performing a neurological assessment on a patient. Which finding indicates a positive Babinski sign?
A Flexion of the toesB Extension of the great toe and fanning of the other toes الإجابة الصحيحةC Plantar flexion of the footD Coughing or gagging -
685
A patient is admitted with acute pancreatitis. The nurse should expect the patient to be placed on which type of dietary restriction?
A Low-fat dietB High-fiber dietC Clear liquid diet, then NPO الإجابة الصحيحةD High-protein diet -
686
A patient is diagnosed with a urinary tract infection and is prescribed an antibiotic. The nurse should instruct the patient to complete the entire course of antibiotics to:
A Prevent antibiotic resistance الإجابة الصحيحةB Reduce the cost of treatmentC Prevent allergic reactionsD Reduce side effects -
687
The nurse is positioning a patient who is postoperative following an appendectomy. Which position is most appropriate?
A SupineB Low Fowler's الإجابة الصحيحةC High Fowler'sD Prone -
688
Which of the following best defines Evidence-Based Practice (EBP) in nursing?
A Using traditional methods of careB Integrating best research evidence with clinical expertise and patient values الإجابة الصحيحةC Following hospital policies without questionD Relying solely on physician orders -
689
A pregnant patient has a history of preterm labor. Which instruction is most important to prevent recurrence?
A Avoid sexual intercourse during the third trimester الإجابة الصحيحةB Increase physical activityC Avoid all dietary fatsD Take daily aspirin -
690
A nurse discovers a medication error. What is the most appropriate action?
A Ignore the error if the patient is stableB Report the error and follow hospital policy الإجابة الصحيحةC Document it only in the nursing notesD Tell the patient that the error did not occur -
691
A nurse notices a yellow container in a patient's room. What is the primary purpose of this container?
A Disposal of regular trashB Disposal of needles and sharp objects الإجابة الصحيحةC Storage of clean linensD Collection of biohazardous fluids -
692
The nurse is assessing a patient with edema. The edema is described as +3. What does this indicate?
A Mild pitting edema with no visible deformityB Moderate pitting edema with a 4 mm indentationC Severe pitting edema with a 6 mm indentation الإجابة الصحيحةD Gross edema with a deep 8 mm indentation -
693
A patient with a prolapsed umbilical cord is in labor. What is the priority nursing intervention?
A Apply warm compresses to the cordB Elevate the presenting part and cover the cord with a sterile saline-soaked gauze الإجابة الصحيحةC Administer oxygen to the motherD Notify the physician immediately -
694
The nurse is caring for a patient with a gastrointestinal fistula. What is the priority preoperative intervention?
A Administer oral antibioticsB Keep the patient NPO and place a nasogastric tube to suction الإجابة الصحيحةC Provide a high-fiber dietD Encourage oral fluids -
695
Immediately after birth, what is the priority nursing action for the newborn?
A Place the newborn on the mother's chestB Dry the newborn and stimulate breathing الإجابة الصحيحةC Clamp and cut the umbilical cordD Administer vitamin K -
696
A patient who recently lost their spouse has isolated themselves at home and refuses to go out. This is most likely a manifestation of:
A Normal grief reaction الإجابة الصحيحةB Clinical depressionC Social anxiety disorderD Acute stress disorder -
697
A patient with diabetes mellitus is using a glucometer to check blood glucose levels. Which statement indicates the patient understands proper use?
A I will use the device only once a weekB I will calibrate the device regularly and check blood glucose as scheduled الإجابة الصحيحةC I will clean the device with soap and waterD I will share the device with family members -
698
A breastfeeding mother asks about breast care after feeding. Which action should the nurse advise against?
A Washing the nipple with water onlyB Applying expressed milk to the nippleC Washing the nipple with soap and water الإجابة الصحيحةD Air-drying the nipple after feeding -
699
A nurse leader allows staff members to make decisions and solve problems independently. This leadership style is best described as:
A AutocraticB DemocraticC Laissez-faire الإجابة الصحيحةD Transactional -
700
A researcher is studying the effects of smoking by comparing a group of smokers to a group of non-smokers. This is an example of which type of study?
A Cohort study الإجابة الصحيحةB Case-control studyC Randomized controlled trialD Cross-sectional study -
701
A nurse documents a patient's vital signs incorrectly. What is the most appropriate corrective action?
A Leave the incorrect documentation as isB Write the correct documentation and note the late entry الإجابة الصحيحةC Erase the incorrect documentationD Ask another nurse to document the correct vitals -
702
A newborn is receiving phototherapy for hyperbilirubinemia. Which nursing intervention is most important?
A Cover the infant's eyes with eye shields الإجابة الصحيحةB Turn the infant every hourC Feed the infant every 4 hoursD Monitor the infant's temperature -
703
A 15-year-old patient is scheduled for surgery. From whom should the nurse obtain informed consent?
A The patientB The patient's parent or legal guardian الإجابة الصحيحةC The patient's spouseD The physician -
704
A patient is brought to the emergency department with burns. What is the priority nursing assessment?
A Airway الإجابة الصحيحةB Blood pressureC Heart rateD Burn depth -
705
After administering medication through a nasogastric (NG) tube, what should the nurse do next?
A Clamp the tube for 30 minutesB Flush the tube with 30-60 mL of water الإجابة الصحيحةC Remove the tube immediatelyD Aspirate stomach contents -
706
A patient with a severe headache is sensitive to light. Which nursing intervention is most appropriate?
A Keep the room well-litB Reduce lighting and provide a quiet environment الإجابة الصحيحةC Apply a cold compress to the headD Administer a sedative -
707
A patient of a different cultural background refuses a procedure due to their beliefs. What is the most appropriate nursing action?
A Respect the patient's beliefs and explore alternatives الإجابة الصحيحةB Insist the patient comply with the procedureC Tell the patient they are being unreasonableD Call security to force the procedure -
708
A nurse discusses a patient's condition in a public elevator. This is a violation of which ethical principle?
A JusticeB BeneficenceC Confidentiality الإجابة الصحيحةD Autonomy -
709
A patient with tuberculosis is prescribed a 6-month treatment regimen. The nurse should explain that this treatment is necessary to:
A Prevent antibiotic resistanceB Ensure complete eradication of the bacteria الإجابة الصحيحةC Reduce side effectsD Monitor the patient's response -
710
The nurse is assessing a patient with chronic kidney disease. Which finding is consistent with this condition?
A HypokalemiaB Metabolic acidosis الإجابة الصحيحةC HypercalcemiaD Hypophosphatemia -
711
A patient with a history of gastric ulcer is prescribed ibuprofen for pain. What is the most appropriate nursing action?
A Administer ibuprofen as prescribedB Contact the physician to discuss alternative pain relief الإجابة الصحيحةC Give ibuprofen with food to reduce side effectsD Administer ibuprofen with an antacid -
712
A patient is prescribed an ACE inhibitor for hypertension. The nurse should teach the patient to report which side effect?
A Dry cough الإجابة الصحيحةB BradycardiaC Peripheral edemaD Hyperglycemia -
713
A child is prescribed methylphenidate for attention deficit hyperactivity disorder (ADHD). The nurse should monitor the child for which adverse effect?
A Insomnia and decreased appetite الإجابة الصحيحةB BradycardiaC Weight gainD Sedation -
714
A patient with a pacemaker is scheduled for surgery. Which nursing action is most important?
A Administer antibiotics preoperativelyB Coordinate with the electrophysiology team for device management الإجابة الصحيحةC Avoid using any electrical equipmentD Restrict the patient's fluid intake -
715
The nurse is caring for a patient with a chest tube. The chest tube system is accidentally disconnected. What is the priority nursing action?
A Clamp the chest tubeB Reconnect the systemC Place the end of the tube in sterile water الإجابة الصحيحةD Notify the physician -
716
A patient is diagnosed with atrial fibrillation. Which medication is commonly used for rate control?
A AdenosineB Metoprolol الإجابة الصحيحةC AmiodaroneD Lidocaine -
717
A patient is admitted with a gastrointestinal bleed. The nurse should assess the patient for signs of hypovolemic shock, including:
A BradycardiaB Increased blood pressureC Tachycardia and hypotension الإجابة الصحيحةD Warm, dry skin -
718
The nurse is providing discharge teaching to a patient with a new tracheostomy. Which statement by the patient indicates understanding of care?
A I will clean the inner cannula with tap waterB I will keep the tracheostomy ties looseC I will suction the tracheostomy as needed to maintain airway patency الإجابة الصحيحةD I will change the tracheostomy tube daily -
719
A patient with chronic pain is prescribed a transdermal fentanyl patch. The nurse should teach the patient to:
A Apply heat to the patch site to increase absorptionB Change the patch every 72 hours الإجابة الصحيحةC Cut the patch in half for a smaller doseD Dispose of the patch in the trash -
720
A patient is scheduled for a bronchoscopy. The nurse should instruct the patient to:
A Eat a heavy meal before the procedureB Remain NPO for 6-12 hours before the procedure الإجابة الصحيحةC Take oral medications with a sip of waterD Brush teeth thoroughly before the procedure -
721
A patient with a history of myocardial infarction is prescribed aspirin. The nurse should explain that aspirin works by:
A Dilating coronary arteriesB Inhibiting platelet aggregation الإجابة الصحيحةC Reducing cholesterol levelsD Preventing arrhythmias -
722
The nurse is caring for a patient with a spinal cord injury. The nurse should monitor for autonomic dysreflexia, which is characterized by:
A Hypotension and bradycardiaB Hypertension and bradycardia الإجابة الصحيحةC Hypotension and tachycardiaD Hypertension and tachycardia -
723
A patient is receiving IV heparin therapy. Which laboratory value should be monitored to assess the therapeutic effect?
A PT/INRB aPTT الإجابة الصحيحةC Platelet countD D-dimer -
724
A patient is admitted with an exacerbation of heart failure. The nurse should place the patient in which position to facilitate breathing?
A SupineB ProneC High Fowler's الإجابة الصحيحةD Trendelenburg -
725
The nurse is educating a patient about proper use of a metered-dose inhaler (MDI). Which instruction is correct?
A Shake the inhaler well before use الإجابة الصحيحةB Hold the inhaler upside downC Exhale forcefully after inhaling the medicationD Inhale the medication without holding the breath -
726
A patient is diagnosed with deep vein thrombosis (DVT) and is prescribed warfarin. The nurse should teach the patient to avoid which foods?
A Foods high in vitamin K (e.g., green leafy vegetables) الإجابة الصحيحةB Foods high in potassium (e.g., bananas)C Foods high in protein (e.g., meat)D Foods high in sodium (e.g., canned foods) -
727
A patient with asthma is prescribed a corticosteroid inhaler. The nurse should teach the patient to:
A Use the inhaler only during asthma attacksB Rinse the mouth with water after each use الإجابة الصحيحةC Use the inhaler before the bronchodilatorD Hold the breath for 30 seconds after inhalation -
728
A patient is receiving a blood transfusion and develops fever and chills. What is the most likely cause?
A Febrile non-hemolytic reaction الإجابة الصحيحةB Allergic reactionC Hemolytic reactionD Circulatory overload -
729
A patient is diagnosed with hypoglycemia. Which symptom is most consistent with this condition?
A PolyuriaB Confusion and diaphoresis الإجابة الصحيحةC TachycardiaD Polydipsia -
730
The nurse is performing a cardiac assessment. Which sound is caused by turbulent blood flow through a narrowed valve?
A S1B S2C Murmur الإجابة الصحيحةD Rub -
731
A patient is taking an MAOI antidepressant. Which food should the nurse advise the patient to avoid?
A Aged cheese and cured meats الإجابة الصحيحةB Fresh fruits and vegetablesC Whole grainsD Dairy products -
732
A patient is scheduled for a CT scan with contrast. The nurse should assess the patient for:
A Allergy to shellfish or iodineB History of asthmaC Renal functionD All of the above الإجابة الصحيحة -
733
A patient with a head injury is at risk for increased intracranial pressure (ICP). Which sign is an early indicator of increased ICP?
A Widening pulse pressureB BradycardiaC Changes in level of consciousness الإجابة الصحيحةD Irregular respirations -
734
The nurse is providing discharge teaching to a patient with a colostomy. Which statement indicates the patient understands the teaching?
A I will change the appliance every dayB I will monitor the stoma for color and output الإجابة الصحيحةC I will irrigate the colostomy every morningD I will restrict my diet to liquid foods -
735
A patient with advanced cancer requires care focused on relieving pain, managing symptoms, and improving quality of life. Which type of care is most appropriate?
A Curative careB Palliative care الإجابة الصحيحةC Terminal careD Supportive care -
736
The nurse is prioritizing care for multiple patients. Which patient should be seen first?
A A patient with a stable vital signsB A patient with a blood pressure of 180/110 mmHg الإجابة الصحيحةC A patient requesting pain medicationD A patient ready for discharge -
737
Which nursing intervention is an example of secondary prevention?
A Administering vaccinationsB Screening for hypertension الإجابة الصحيحةC Providing rehabilitation after a strokeD Health education about healthy eating -
738
A patient is receiving DKA (diabetic ketoacidosis) treatment. Which finding is most consistent with this condition?
A Elevated blood glucose الإجابة الصحيحةB Normal blood glucoseC Low blood glucoseD Normal electrolyte levels -
739
A patient with cyclothymia is being assessed. Which symptom is characteristic of this condition?
A Severe depressive episodes onlyB Mild mood swings with periods of hypomania and mild depression الإجابة الصحيحةC Psychotic episodesD Complete absence of mood changes -
740
Which intervention is most important to prevent the spread of tuberculosis in a healthcare setting?
A Administering the BCG vaccineB Placing the patient on airborne precautions الإجابة الصحيحةC Wearing a surgical maskD Isolating the patient for 2 weeks -
741
The nurse is doffing (removing) personal protective equipment (PPE). What is the correct sequence?
A Gloves, gown, goggles, mask الإجابة الصحيحةB Goggles, gown, gloves, maskC Mask, goggles, gown, glovesD Gloves, goggles, mask, gown -
742
A patient with rheumatic fever is prescribed which medication for prophylaxis?
A Penicillin الإجابة الصحيحةB AspirinC IbuprofenD Acetaminophen -
743
A patient with a history of pulmonary embolism is at risk for which complication?
A Deep vein thrombosis الإجابة الصحيحةB Myocardial infarctionC StrokeD Pneumonia -
744
The nurse is administering magnesium sulfate to a patient. What is the priority assessment before administration?
A Blood pressureB Heart rateC Respiratory rate and deep tendon reflexes الإجابة الصحيحةD Urine output -
745
A patient with a DNR (do not resuscitate) order is refusing treatment. What is the nurse's best action?
A Respect the patient's wishes and follow hospital policy الإجابة الصحيحةB Override the patient's refusalC Notify the family to make the decisionD Administer treatment regardless of the patient's refusal -
746
A patient with schizophrenia is repeating a word spoken by the nurse. This is an example of which thought process?
A Flight of ideasB Echolalia الإجابة الصحيحةC NeologismD Word salad -
747
A patient with a new diagnosis of cancer appears in shock and is asking few questions. What is the most appropriate nursing intervention?
A Provide detailed information immediatelyB Offer emotional support and allow time to process the information الإجابة الصحيحةC Tell the patient to be strongD Leave the patient alone -
748
A patient who recently lost their spouse is experiencing grief. Which physical symptom is most likely to be associated with this?
A Increased appetiteB HypersomniaC Fatigue and weight loss الإجابة الصحيحةD Hypertension -
749
A patient is in the second stage of labor. What is the expected finding?
A Complete cervical dilation (10 cm) and delivery of the baby الإجابة الصحيحةB Cervical dilation from 4-7 cmC Delivery of the placentaD Contractions every 2-3 minutes -
750
A patient is positive for chlamydia but has no symptoms. This is described as:
A Subclinical infection الإجابة الصحيحةB Acute infectionC Chronic infectionD Latent infection -
751
The most common fetal presentation at term is:
A BreechB Vertex (cephalic) الإجابة الصحيحةC Transverse lieD Face presentation -
752
A patient is experiencing false labor contractions (Braxton Hicks). Which instruction is most appropriate?
A Lie down and restB Ambulate (walk) الإجابة الصحيحةC Drink plenty of fluidsD Take a warm bath -
753
A patient with a history of psychosis presents with an illusion. What is the best description of an illusion?
A A false perception of a real external stimulus الإجابة الصحيحةB A false perception without a real stimulusC A fixed false beliefD A misinterpretation of a sound -
754
A child with a cleft lip needs to be positioned after surgery. The nurse notices the child is moving their hands toward the suture line. Which position is best?
A Supine with arm restraints الإجابة الصحيحةB Prone with arm restraintsC Side-lying with arm restraintsD Upright with arm restraints -
755
A patient with a urinary tract infection (UTI) should be advised to:
A Increase fluid intake الإجابة الصحيحةB Avoid fluidsC Take antibiotics only when symptoms worsenD Restrict diet -
756
A patient with a history of previous cesarean section is at risk for which complication in a subsequent pregnancy?
A Placenta previaB Uterine rupture الإجابة الصحيحةC Preterm laborD Postpartum hemorrhage -
757
A patient with COPD is at risk for which acid-base imbalance?
A Respiratory acidosis الإجابة الصحيحةB Metabolic acidosisC Respiratory alkalosisD Metabolic alkalosis -
758
A nurse notices a colleague documenting medication administration that was not given. What is the most appropriate action?
A Ignore the incidentB Confront the colleague privatelyC Report the incident to the supervisor الإجابة الصحيحةD Correct the documentation yourself -
759
A patient with a new colostomy asks about dietary changes. Which food should the nurse recommend to avoid odor?
A AsparagusB Yogurt الإجابة الصحيحةC FishD Eggs -
760
A patient with a history of depression is started on an SSRI. The nurse should monitor for which adverse effect in the first few weeks?
A Increased suicidal ideation الإجابة الصحيحةB Weight gainC SedationD Hypertension -
761
A patient is receiving a blood transfusion. The nurse notes the patient has developed hives and itching. What is the priority action?
A Slow the transfusionB Administer diphenhydramineC Stop the transfusion immediately الإجابة الصحيحةD Notify the physician -
762
A patient with a history of alcohol abuse is admitted with pancreatitis. The nurse should monitor for signs of alcohol withdrawal, such as:
A Tremors الإجابة الصحيحةB HypotensionC HypothermiaD Bradycardia -
763
A patient is diagnosed with hyperkalemia. Which dietary modification is most important?
A Increase potassium intakeB Limit potassium-rich foods الإجابة الصحيحةC Increase sodium intakeD Limit calcium-rich foods -
764
A patient is undergoing a lumbar puncture. What is the most important post-procedure nursing action?
A Keep the patient supine for several hours الإجابة الصحيحةB Ambulate the patient immediatelyC Apply ice to the puncture siteD Administer pain medication -
765
A patient with a history of seizures is prescribed phenytoin. Which side effect should the nurse monitor for?
A Gingival hyperplasia الإجابة الصحيحةB TachycardiaC ConstipationD Weight loss -
766
A patient with a history of asthma is prescribed a beta-blocker for hypertension. What is the most important nursing action?
A Administer the medication as prescribedB Monitor blood pressureC Assess respiratory status closely due to potential bronchospasm الإجابة الصحيحةD Check heart rate -
767
A patient is admitted with a myocardial infarction. Which enzyme is most specific for cardiac muscle damage?
A CPK-MBB Troponin الإجابة الصحيحةC LDHD AST -
768
A patient is receiving enteral nutrition. The nurse should assess for which complication to prevent aspiration?
A Elevation of the head of the bed at least 30 degreesB Checking residual volume every 4 hoursC Monitoring for coughing or chokingD All of the above الإجابة الصحيحة -
769
A patient with a history of anaphylaxis is discharged with an epinephrine auto-injector. Which statement indicates the patient understands how to use it?
A I will inject the medication into my thigh الإجابة الصحيحةB I will take it with foodC I will store it in the refrigeratorD I will use it only if I have difficulty breathing -
770
A patient with a history of COPD is receiving oxygen at 2 L/min via nasal cannula. The nurse should monitor the patient for:
A Hypercapnia and respiratory depression الإجابة الصحيحةB Increased respiratory rateC HypoxiaD Bradycardia -
771
A patient is scheduled for a cardiac catheterization. Which allergy is most important to assess?
A PenicillinB Sulfa drugsC Shellfish or iodine contrast الإجابة الصحيحةD Aspirin -
772
A patient is receiving total parenteral nutrition (TPN). The nurse should monitor for which complication related to the catheter?
A InfectionB PneumothoraxC SepsisD All of the above الإجابة الصحيحة -
773
A patient reports severe itching on the face, neck, and hands. Which medication should the nurse anticipate administering?
A Diphenhydramine الإجابة الصحيحةB CephalexinC FluconazoleD Morphine -
774
A pregnant patient is diagnosed with preeclampsia and has a blood pressure of 190/90 mmHg with a severe headache. There is no proteinuria. What is the most likely diagnosis?
A Gestational hypertension الإجابة الصحيحةB Preeclampsia without severe featuresC EclampsiaD Chronic hypertension -
775
A patient with severe preeclampsia is experiencing a seizure. Which medication should the nurse anticipate administering?
A Magnesium sulfate الإجابة الصحيحةB DiazepamC PhenytoinD Lorazepam -
776
A patient is scheduled for a liver biopsy. The nurse notices that the consent form has not been signed. What is the most appropriate action?
A Proceed with the procedureB Ask the charge nurse to signC Notify the physician and have the patient sign the consent الإجابة الصحيحةD Cancel the procedure -
777
A patient is being prepared for surgery and states, "No one has explained anything to me." What is the nurse's priority action?
A Proceed with the preparationB Notify the surgeon to explain the procedure الإجابة الصحيحةC Explain the procedure to the patientD Document the patient's statement -
778
A patient with a history of bipolar disorder who is taking lithium is admitted. Which dietary instruction is most important?
A Increase sodium intakeB Maintain a consistent sodium intake الإجابة الصحيحةC Avoid potassium-rich foodsD Increase fluid intake -
779
The nurse is assessing a patient with a fracture. Which type of fracture requires urgent intervention within 12-24 hours?
A Simple fractureB Compound fractureC Compartment syndrome الإجابة الصحيحةD Stress fracture -
780
A patient involved in a motor vehicle accident has one leg longer than the other. Which injury is most likely?
A Pelvic fracture الإجابة الصحيحةB Femur fractureC Tibia fractureD Patellar fracture -
781
A patient is diagnosed with placenta previa. Which mode of delivery is expected?
A Vaginal deliveryB Cesarean section الإجابة الصحيحةC Forceps deliveryD Vacuum delivery -
782
A breastfeeding mother reports breast pain, redness, and fever. She is diagnosed with mastitis. What is the best initial intervention?
A Apply cold compressesB Apply warm compresses الإجابة الصحيحةC Stop breastfeedingD Apply ice packs -
783
The PKU (phenylketonuria) test in a newborn is typically performed:
A Within the first 24 hoursB At 24-72 hours of age الإجابة الصحيحةC At 1 week of ageD At 2 weeks of age -
784
A patient is started on total parenteral nutrition (TPN). Which complication should the nurse monitor for initially?
A HypoglycemiaB Hyperglycemia الإجابة الصحيحةC InfectionD Hypokalemia -
785
A patient with rheumatoid arthritis is reporting joint pain. Which analgesic is most appropriate for managing both pain and inflammation?
A AcetaminophenB Ibuprofen الإجابة الصحيحةC AspirinD Tramadol -
786
A patient arrives at the emergency department after attempting suicide with an unknown amount of medication less than 1 hour ago. What is the priority intervention?
A Activated charcoalB Gastric lavage (stomach wash) الإجابة الصحيحةC CatharticsD Hemodialysis -
787
A patient diagnosed with cancer is in the terminal stage and wishes to go home. The family is willing to provide care. What is the nurse's priority action?
A Arrange for hospice care at home الإجابة الصحيحةB Advise the patient to stay in the hospitalC Call the physician to convince the patientD Provide emotional support only -
788
A child with a VP shunt is postoperative. Which finding is most concerning?
A Mild headacheB Low-grade feverC Signs of increased intracranial pressure الإجابة الصحيحةD Irritability -
789
A teenage patient with thalassemia is scheduled for a blood transfusion. Which nursing intervention is most appropriate to address the patient's developmental needs?
A Explain the procedure just before startingB Create a support group with other teensC Ask the patient about their concerns and fears الإجابة الصحيحةD Ask the parents to explain the procedure -
790
A child with hyperthyroidism is being started on medication. Which drug is the first-line treatment?
A PropylthiouracilB Methimazole الإجابة الصحيحةC LevothyroxineD Propranolol -
791
A patient with a history of atrial fibrillation is admitted with rapid ventricular response. The nurse notes a heart rate of 170 bpm and low blood pressure. What is the priority action?
A Administer IV fluidsB Obtain a 12-lead ECG الإجابة الصحيحةC Notify the physicianD Prepare for cardioversion -
792
A patient at 7 weeks gestation is attending her first prenatal visit. What should the nurse teach the patient about normal physiological changes?
A Blood pressure typically increases as pregnancy progressesB Respirations become deeper and faster as pregnancy progresses الإجابة الصحيحةC Heart rate decreasesD Temperature increases -
793
A patient is at 25 weeks gestation with a blood pressure of 190/90 mmHg and a severe headache, but no proteinuria. What is the most likely diagnosis?
A Preeclampsia with severe features الإجابة الصحيحةB EclampsiaC Gestational hypertensionD Chronic hypertension with superimposed preeclampsia -
794
A newborn has mild cyanosis that is not worsening. What is the nurse's priority action?
A Continue to monitor closely الإجابة الصحيحةB Notify the physician immediatelyC Administer oxygenD Call a code -
795
A postpartum patient who experienced a hemorrhage is now stable and requests to go to the bathroom. What is the nurse's best action?
A Assist the patient to the bathroomB Provide a bedpan الإجابة الصحيحةC Allow the patient to go aloneD Perform a fundal assessment first -
796
A postpartum patient reports that she is unable to control her urine (incontinence) and wants to go to the bathroom. What is the nurse's priority action?
A Assist the patient to the bathroomB Provide a bedpan الإجابة الصحيحةC Place a urinary catheterD Ask the patient to wait -
797
A patient has undergone a below-knee amputation. Which intervention is most important to promote circulation and prevent contractures?
A Elevate the residual limb on a pillow الإجابة الصحيحةB Apply ice packs to the residual limbC Administer pain medicationD Position the patient supine -
798
A patient with a postoperative wound develops profuse, purulent drainage with a foul odor. The skin around the wound is dry and peeling. What is the priority nursing action?
A Apply moisturizing lotionB Notify the physician الإجابة الصحيحةC Place the patient in contact isolationD Change the dressing -
799
A child is wearing a long leg cast. The nurse should perform a neurovascular assessment by checking:
A Pulse, capillary refill, and sensation in the affected extremity الإجابة الصحيحةB Blood pressureC Temperature at the skin above the castD Pain level only -
800
A patient at full-term gestation presents with mild contractions and a slow leakage of fluid. What is the most appropriate nursing action?
A Prepare for deliveryB Assess the cervix الإجابة الصحيحةC Monitor fetal heart rateD Administer oxytocin -
801
A patient is receiving a blood transfusion. After 30 minutes, the patient develops a fever and back pain. What is the most likely cause?
A Febrile non-hemolytic reactionB Hemolytic reaction الإجابة الصحيحةC Allergic reactionD Circulatory overload -
802
In a SWOT analysis, the "S" stands for:
A Strengths الإجابة الصحيحةB StandardsC SystemsD Support -
803
What is the primary purpose of tracheostomy care?
A Maintain a patent airway الإجابة الصحيحةB Prevent infectionC Improve oxygenationD Promote healing -
804
The nurse is assessing a patient with psoriasis. Which finding is characteristic of this condition?
A Red, scaly plaques الإجابة الصحيحةB Vesicular lesionsC Pustular lesionsD Macular rash -
805
Two nurses are arguing over the assignment of patients. The head nurse intervenes and facilitates a discussion. The best outcome is:
A CompromiseB AccommodationC Collaboration الإجابة الصحيحةD Competition -
806
On the second postpartum day, the uterus is palpated 2 cm above the umbilicus and is deviated to the right side. What is the most likely cause of this deviation?
A Full bladder الإجابة الصحيحةB Retained products of conceptionC Uterine infectionD Constipation -
807
A patient at 11 weeks gestation presents with unilateral lower quadrant abdominal pain and vaginal bleeding. Which condition is most likely?
A Ectopic pregnancy الإجابة الصحيحةB Threatened abortionC Molar pregnancyD Appendicitis -
808
A nurse is caring for a patient who is taking herbal supplements and is scheduled for surgery. Why should these supplements be withheld before surgery?
A They may affect anesthesiaB They may cause bleedingC They may interact with other medicationsD All of the above الإجابة الصحيحة -
809
A patient with diabetes is being discharged. The nurse is teaching foot care. Which instruction is most important?
A Apply moisturizer to the feet dailyB Check the feet daily for any cuts or blisters الإجابة الصحيحةC Wear tight shoes for supportD Soak feet in hot water daily -
810
A patient with diabetes is advised to perform foot care. Which action indicates the patient understands the teaching?
A Inspect feet daily before putting on shoes الإجابة الصحيحةB Walk barefoot to strengthen feetC Apply lotion between the toesD Use heating pads on feet -
811
A patient with dementia has a caregiver who is concerned about medication management. Which intervention is most appropriate?
A Provide written instructionsB Refer to a social workerC Arrange for a home health aide to assist الإجابة الصحيحةD Place the patient in a facility -
812
A medication error occurs, and a root cause analysis reveals that the nurses were frequently interrupted during medication administration. What is the best intervention to prevent future errors?
A Prohibit interruptions during medication administration الإجابة الصحيحةB Provide additional training on medication safetyC Assign one nurse to prepare all medicationsD Increase staffing levels -
813
A patient is diagnosed with an inguinal hernia. Which symptom is most concerning?
A Painful swelling in the groinB Nausea and vomitingC Abdominal distensionD Incarceration or strangulation الإجابة الصحيحة -
814
A nurse is caring for a patient after a burn injury. The patient has multiple procedures scheduled and expresses concern about returning to normal. The nurse identifies this as:
A Lack of confidence الإجابة الصحيحةB Noncompliance with treatmentC Fear of deathD Depression -
815
A patient reports using over-the-counter antacids frequently for heartburn. What is the nurse's priority teaching?
A The potential risks and interactions of antacids الإجابة الصحيحةB Referral to a pharmacistC Dietary modificationsD Prescription alternatives -
816
A nurse is caring for a patient with dehydration. The nurse assesses the patient's skin turgor. Which site is most reliable for this assessment in an older adult?
A Back of the handB ForeheadC Clavicle area الإجابة الصحيحةD Abdomen -
817
A patient is admitted with pneumonia. The nurse notes the patient is producing thick, purulent sputum. Which intervention should the nurse prioritize to maintain a patent airway?
A Encourage fluid intakeB Administer oxygenC Assist with coughing and deep breathing الإجابة الصحيحةD Perform suctioning
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