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يوليو 2026
456 سؤال مع الإجابات الصحيحة، مرتبة للقراءة والمراجعة استعدادا لاختبار التمريض SNLE.
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1
What action is correct when administering ear drops to a 2-year-old child?
A Administer the ear drops straight from the refrigerator.B Pull the pinna of the ear back and down. الإجابة الصحيحةC Massage the pinna after administering medication.D Pull the pinna back and up. -
2
The client is admitted with a diagnosis of rule-out tuberculosis. Which type of isolation procedures should the nurse implement?
A Standard PrecautionsB Contact PrecautionsC Droplet PrecautionsD Airborne Precautions الإجابة الصحيحة -
3
A nurse is providing umbilical cord care to a newly delivered infant. What information should the nurse be aware of?
A The cord clamp is removed at cord separation.B The stump can easily become infected. الإجابة الصحيحةC The average cord separation time is 5 to 7 days.D Bleeding always requires immediate assistance. -
4
When administering an intramuscular gluteal injection in the superior-lateral quadrant, the healthcare provider would most likely avoid injury to which nerve?
A Femoral nerveB Genitofemoral nerveC Obturator nerveD Sciatic nerve الإجابة الصحيحة -
5
The nurse is preparing an IM injection for an infant. Which site does the nurse identify for the administration of IM medication?
A DeltoidB Gluteus maximusC Vastus lateralis الإجابة الصحيحةD Ventrogluteal -
6
A patient's MAP is 82, and ICP is 15. What is the patient's cerebral perfusion pressure?
A 67 mmHg الإجابة الصحيحةB 100 mmHgC 52 mmHgD 30 mmHg -
7
In which client does the nurse consider the presence of an S3 heart sound to be normal?
A A client with a pacemakerB An elementary-school-aged child الإجابة الصحيحةC An older adultD A client with heart failure -
8
A patient is diagnosed with meningitis. Which type of isolation precaution is most appropriate?
A Reverse isolationB Droplet precautions الإجابة الصحيحةC Standard precautionsD Contact precautions -
9
The nurse is admitting a client in the first stage of labor with active genital herpes. Which type of birth will the nurse anticipate?
A Low forcepsB VaginalC Cesarean section الإجابة الصحيحةD Mid-forceps -
10
Which qualitative approach is most appropriate when studying the daily experience of women undergoing radiation treatment for breast cancer?
A Case studyB Phenomenology الإجابة الصحيحةC Grounded theoryD Ethnographical method -
11
The nurse is assessing a patient diagnosed with Addison's disease. What would the nurse expect to find?
A Patchy areas of light skinB Warm, smooth, moist skinC Purplish red abdominal marksD Darkened skin on the knuckles, elbows, and palmar creases الإجابة الصحيحة -
12
A patient with a T4 spinal cord injury develops a pounding headache, blurred vision, sweating above the injury, BP 198/108, and a kinked Foley catheter. What is the priority action?
A Notify the providerB Lower the head of bedC Give an antihypertensiveD Raise the head of bed and assess bladder distension الإجابة الصحيحة -
13
The ultimate goal of therapy for a client with dissociative identity disorder is most likely achieved through which treatment?
A Crisis intervention and aversion therapyB Psychotherapy and hypnosis الإجابة الصحيحةC Psychoanalysis and electroconvulsive therapyD Insight psychotherapy and dextroamphetamines -
14
Which of the following is NOT a common mode of HIV transmission?
A Breast milkB Saliva الإجابة الصحيحةC BloodD Vaginal secretions -
15
A postpartum nurse is caring for a stable client 12 hours after delivery. What is the recommended frequency for assessing vital signs?
A Every hourB Every 4 hours الإجابة الصحيحةC Every 24 hoursD Every 30 minutes -
16
Which nursing action is contraindicated for a pregnant woman with vaginal bleeding until ultrasound rules out placenta previa?
A Leopold's maneuverB Obtaining a cultureC A digital vaginal exam الإجابة الصحيحةD Repositioning the mother -
17
A nurse is assessing a patient with suspected molar pregnancy. Which finding is most characteristic?
A Light spotting with mild crampingB Passage of grape-like vesicles الإجابة الصحيحةC Unilateral pelvic painD Loss of pregnancy symptoms -
18
What position is commonly used for robotic surgery?
A Reverse TrendelenburgB Left lateral decubitusC Steep Trendelenburg الإجابة الصحيحةD Lithotomy -
19
What is the correct chest-compression depth for an infant?
A At least one-third of the chest depth, about 2 inchesB At least one-third of the chest depth, about 1.5 inches الإجابة الصحيحةC At least half of the chest depthD At least one-fourth of the chest depth -
20
Infants of mothers with diabetes are at higher risk for developing:
A AnemiaB HyponatremiaC Respiratory distress syndrome الإجابة الصحيحةD Sepsis -
21
The ECG shows regular sawtooth-shaped flutter waves with an atrial rate of 250/min. How should the nurse document this pattern?
A Sinus bradycardiaB Sinus tachycardiaC Atrial flutter الإجابة الصحيحةD Atrial fibrillation -
22
A nurse is preparing to care for a child after a tonsillectomy. Which position is most appropriate?
A SupineB TrendelenburgC Side-lying الإجابة الصحيحةD High Fowler's -
23
In which position should the nurse place an infant to prevent sudden infant death syndrome?
A ProneB Supine الإجابة الصحيحةC Left lateralD Head tilt-up -
24
Which hormone secreted by the corpus luteum prepares the endometrium for implantation?
A Progesterone الإجابة الصحيحةB ProlactinC TestosteroneD Luteinizing hormone -
25
A nurse is caring for a newborn with hydrocephalus. Which manifestation should the nurse expect?
A Backward-sloping foreheadB Dilated scalp veins الإجابة الصحيحةC Over-riding suture linesD Hypertension -
26
A child is postoperative following insertion of a ventriculoperitoneal shunt. In which position should the nurse place the child?
A 45-degree head elevationB On the nonoperative sideC ProneD Supine الإجابة الصحيحة -
27
An over-the-counter pregnancy test recognizes which hormone to confirm a positive result?
A Luteinizing hormoneB Follicle-stimulating hormoneC Human chorionic gonadotropin الإجابة الصحيحةD Gonadotropin-releasing hormone -
28
A new father states, ‘I know nothing about babies,’ but he seems to be interested in learning. What action by the nurse is best?
A Continue to observe his interaction with the newborn.B Tell him when he does something wrong.C Show no concern, as he will learn on his own.D Include him in teaching sessions. الإجابة الصحيحة -
29
A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which intervention should the nurse include as a primary prevention?
A Going to the hospital for dehydration after getting influenzaB Staying home when sickC Getting tested for influenza when you have symptomsD Obtaining an immunization الإجابة الصحيحة -
30
A patient with ventricular tachycardia (VT) has no pulse. What is the nurse's immediate action?
A Administer amiodarone IVB Begin chest compressions الإجابة الصحيحةC Prepare for synchronized cardioversionD Give epinephrine IV push -
31
Which is the best response from the nurse when asked why a 4-month-old infant is having a cleft lip repair at such an early age?
A Has an emotional effect on the parents الإجابة الصحيحةB Tends to obstruct breathingC Can cause severe feeding problemsD May cause respiratory tract infections -
32
While auscultating a client's trachea, the nurse hears a high, harsh sound with short inspiration and long expiration. How would the nurse document this finding?
A Vesicular breath soundsB Bronchovesicular breath soundsC Bronchial breath sounds الإجابة الصحيحةD Adventitious breath sounds -
33
A nurse is reviewing diagnostic findings for a client with early severe hyperemesis gravidarum. Which associated condition must be ruled out due to its link with markedly elevated human chorionic gonadotropin levels?
A Ectopic pregnancyB Molar pregnancy الإجابة الصحيحةC Placenta previaD Gestational diabetes mellitus -
34
A client presents to the health care clinic for the first prenatal visit. The client's current weight is normal for height. In this situation, what recommendation for weight gain will the nurse provide?
A 40 to 45 lb (18 to 20 kg)B 35 to 40 lb (16 to 18 kg)C 25 to 35 lb (12 to 16 kg) الإجابة الصحيحةD 15 to 25 lb (7 to 12 kg) -
35
You are taking care of an elderly patient with osteoporosis. Which dietary supplements would be most appropriate as a treatment regimen?
A Iron and calciumB Calcium and vitamin D الإجابة الصحيحةC Vitamin K and B-complex vitaminsD Fluoride and iron -
36
Which contraceptive device is most likely to prevent the transmission of sexually transmitted diseases?
A Male condom الإجابة الصحيحةB Spermicidal agentC Intrauterine deviceD Cervical diaphragm -
37
Which cause of hemorrhage would be suspected in a client with a firm fundus?
A Uterine atonyB Laceration الإجابة الصحيحةC Retained placentaD Infection -
38
The nurse is preparing to insert a urinary catheter. To perform this procedure, the nurse will use:
A Surgical asepsis (sterile technique) الإجابة الصحيحةB Medical asepsis (clean technique)C Droplet precautionsD Standard precautions -
39
A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?
A Semi-Fowler's.B ProneC Trendelenburg.D on the unoperated side الإجابة الصحيحة -
40
A pediatric patient weighing 22 kg is prescribed amoxicillin 50 mg/kg/day in divided doses every 8 hours. The medication is available as a suspension containing 125 mg/5 mL. How many mL should the nurse administer for each dose?
A 11.67 mLB 14.67 mL الإجابة الصحيحةC 15.67 mLD 17.67 mL -
41
A charge nurse overhears a staff nurse talking to another nurse in the hallway about a client. Which response is appropriate?
A Inform the providerB Continue only in a private placeC This is an invasion of the client's privacy الإجابة الصحيحةD It is acceptable if the client's name is omitted -
42
Which action demonstrates proper medication documentation?
A Documenting before giving the medicationB Documenting immediately after administration الإجابة الصحيحةC Waiting until the end of the shiftD Asking another nurse to chart it -
43
The nurse obtains a health history from a patient who is scheduled for elective hip surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which action by the nurse is most appropriate?
A Ascertain that there will be no interactions with anesthetic agentsB Teach that these products may be continued preoperativelyC Advise the patient to stop all herbs and supplementsD Discuss the herb and supplement use with the health care provider الإجابة الصحيحة -
44
Ectopic pregnancies are commonly located in the:
A OvaryB CervixC Fallopian tube الإجابة الصحيحةD Uterine cornua -
45
A nurse leader is planning annual staff training for workplace violence prevention. Which topic is most appropriate to include?
A Disciplinary actions for noncompliance with dress codeB De-escalation and early recognition of escalating behavior الإجابة الصحيحةC Procedures for changing sterile dressingsD Computer documentation updates -
46
Which action is an example of primary prevention?
A Avoiding unnecessary imaging testsB Flu vaccination الإجابة الصحيحةC Cardiac rehabilitation after a heart attackD Screening for breast cancer -
47
The nurse finds the client to be in ventricular tachycardia and pulseless. What is the nurse's best first action?
A Initiate CPR. الإجابة الصحيحةB Administer oxygenC Administer an antidysrhythmic agentD Instruct the client to inhale deeply and cough -
48
A nurse is collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at McBurney's point?
A Right lower quadrant between the umbilicus and anterior iliac crest الإجابة الصحيحةB Left lower quadrant near the pelvic boneC Right upper quadrant below the rib cageD Left upper quadrant near the stomach -
49
When caring for a client in hemorrhagic shock, how should the nurse position the client?
A Flat in bed with legs elevated الإجابة الصحيحةB Flat in bedC Trendelenburg positionD Semi-sitting position -
50
What infection control precaution is a client diagnosed with bacterial meningitis instituted?
A Neutropenic precautionsB Contact isolationC Universal precautionsD Droplet isolation الإجابة الصحيحة -
51
A client with COPD is short of breath. Which position should the nurse encourage to ease the work of breathing?
A Supine with a single pillowB Side-lying (Sims) positionC Sitting upright and leaning forward over a bedside table الإجابة الصحيحةD Trendelenburg position -
52
Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
A HypoinsulinemiaB HyperbilirubinemiaC Hypoglycemia الإجابة الصحيحةD Hypercalcemia -
53
The nurse is caring for a pediatric client scheduled for surgical removal of a Wilms tumor. Which action is contraindicated?
A Foley catheter placementB Intravenous fluidsC Abdominal palpation الإجابة الصحيحةD Supine positioning -
54
A nurse overhears two staff members in a public hallway discussing a client's diagnosis. Which action should the nurse take?
A Ask them to speak more quietlyB Tell them to stop discussing confidential information الإجابة الصحيحةC Alert the facility attorneyD Ignore the situation -
55
Where should the nurse measure blood pressure after a unilateral mastectomy?
A Use the arm on the operative sideB Use the arm on the unaffected side الإجابة الصحيحةC Do not take blood pressureD Always use a lower extremity -
56
An infant who presents with a shrill or high-pitched cry should be evaluated for:
A HypocalcemiaB Increased intracranial pressure الإجابة الصحيحةC Upper airway obstructionD Vocal cord paralysis -
57
A hospitalized client who is paranoid believes all hospital food is poisoned. What is an appropriate nursing intervention?
A Leave the client alone to eatB Ask family to bring favorite foodsC Allow the client to observe others eating the same food الإجابة الصحيحةD Give an anti-poison placebo -
58
A nurse is caring for a patient with decreased T3 and T4 and elevated TSH levels. The patient is likely suffering from what?
A HyperthyroidismB Hypothyroidism الإجابة الصحيحةC Thyroid cancerD Pituitary adenoma -
59
A nurse is preparing to administer vitamin K by IM injection to a newborn. Which muscle should be used?
A VentroglutealB Vastus lateralis الإجابة الصحيحةC DorsoglutealD Deltoid -
60
A diabetic patient received morning NPH insulin and missed lunch. What is the best action to prevent hypoglycemia?
A Request lunch if testing is delayedB Send orange juice to the patient الإجابة الصحيحةC Save the lunch trayD Discontinue the evening insulin -
61
On the fourth postpartum day, a client experiences breast engorgement. Which nursing intervention is most effective?
A Remove the client's braB Alternate warm compresses and ice packs الإجابة الصحيحةC Administer acetaminophenD Limit breastfeeding to twice a day -
62
What common health issue occurs in individuals with Down syndrome?
A No specific health issuesB Extra copy of chromosome 22C Congenital heart defects الإجابة الصحيحةD Lack of physical activity -
63
Which finding may lead a nurse to suspect spina bifida?
A High CSF levelsB Increased ICPC Indications of infectionD A small dimple and tuft of hair over the lower lumbar region الإجابة الصحيحة -
64
The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information related to positions used to breathe more easily. The nurse teaches the client to assume which position?
A Lie on the side with the head of the bed at 30 degreesB Sit on the edge of the bed with the arms supported الإجابة الصحيحةC Lay in a supine position in bed with arms crossedD Sleep in a prone position with legs elevated -
65
Democratic leadership style involves:
A Leader making all decisions independentlyB No structure or guidanceC Shared decision-making with team input الإجابة الصحيحةD Delegation without oversight -
66
A client with a history of myocardial infarction is prescribed aspirin. The nurse recognizes aspirin is given due to which action?
A Antiplatelet aggregate الإجابة الصحيحةB AnalgesicC AntipyreticD Anti-inflammatory -
67
A community health nurse is planning a health promotion program for a population with a high prevalence of hypertension and type 2 diabetes. Which of the following interventions best exemplifies primary prevention?
A Providing education on healthy eating habits and regular physical activity to reduce risk factors. الإجابة الصحيحةB Organizing support groups for individuals managing complications of diabetes and hypertension.C Screening community members for early signs of hypertension and diabetes to initiate prompt treatment.D Providing medications to control blood sugar and blood pressure in diagnosed patients. -
68
A nurse sees multiple bruises in different stages of healing. What action should the nurse take?
A Provide safety teachingB Contact the abuse hotline الإجابة الصحيحةC Apply cold packs and document onlyD Discuss with a trusted individual -
69
A nurse is collecting data from a child with spina bifida occulta. Which finding should the nurse expect?
A Flaccid paralysisB Hip dislocationC HydrocephalusD Dimple in sacral area الإجابة الصحيحة -
70
A nurse is teaching about neonatal complications of maternal diabetes. Which condition should be included?
A Hypoglycemia after birth الإجابة الصحيحةB HypercalcemiaC PolycythemiaD Hyperglycemia after birth -
71
A patient with diabetic ketoacidosis is brought to the emergency department. Which prescribed action should the nurse implement first?
A Bring the patient a mealB Administer Lantus insulin IVC Give sodium bicarbonate IV pushD Start an infusion of normal saline الإجابة الصحيحة -
72
A fully alert and oriented patient who opens eyes spontaneously and obeys commands has which Glasgow Coma Scale score?
A 3B 8C 13D 15 الإجابة الصحيحة -
73
When assessing a school-aged child, using an adult blood-pressure cuff will produce which value?
A Falsely low الإجابة الصحيحةB IndistinctC AccurateD Falsely high -
74
A patient with Addison disease presents with hyperpigmentation. What is the cause?
A Increased ACTH stimulating melanocytes. الإجابة الصحيحةB Increased thyroid hormone production.C Decreased aldosterone levels.D Increased melanin due to high cortisol. -
75
What is the antidote for Warfarin (Coumadin)?
A Vitamin K الإجابة الصحيحةB Protamine sulfateC NarcanD Flumazenil -
76
The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding. Which statement by the client indicates a need for MORE teaching?
A I will take antibiotics for 2-3 days until the soreness subsides. الإجابة الصحيحةB I can continue breastfeeding while the mastitis resolves.C I will take analgesics to relieve some of the discomfort.D I need to wear a supportive bra. -
77
A nurse is caring for a newborn whose mother has diabetes mellitus. The nurse should recognize which of the following potential newborn complications as the priority focus of care?
A Hyperbilirubinemia.B Hypomagnesemia.C Hypocalcemia.D Hypoglycemia. الإجابة الصحيحة -
78
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?
A Ask a psychiatrist to talk with the parents.B Separate the child from the parents.C Report the suspected abuse to the authorities.D Obtain a detailed history. الإجابة الصحيحة -
79
The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?
A Administering a bolus (250 ml) of Normal saline intravenous fluidB Administering oxygenC Administering pain medication الإجابة الصحيحةD Administering antipyretics -
80
A nurse is caring for a postpartum client who reports feeling anxious, irritable, and unable to sleep despite extreme fatigue. The client also expresses feelings of inadequacy as a mother. Which of the following nursing interventions is the most appropriate?
A Advise the client to seek help from family members to reduce stress and manage the baby's careB Assess the client for further signs of postpartum mood disorders الإجابة الصحيحةC Reassure the client that these feelings are normal and will subside in a few daysD Encourage the client to rest whenever the baby is sleeping to alleviate fatigue -
81
The nurse prepares to administer an IM injection to a 2-month-old infant. The proper injection site is the:
A gluteus maximus.B deltoid.C vastus lateralis. الإجابة الصحيحةD vastus medialis. -
82
What is the most common reason for late postpartum hemorrhage (PPH)?
A Subinvolution of the uterus الإجابة الصحيحةB Cervical lacerationsC Uterine inversionD Defective vascularity of the placenta -
83
When a client with cystic fibrosis is prescribed pancreatic enzymes, what is the best time for the nurse to administer them to the client?
A Between meals.B Before meals. الإجابة الصحيحةC During meals.D After meals. -
84
A nurse on a medical-surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
A Compare the medication label to the provider’s prescription on three occasions before administration.B Compare the client’s list of home medications to the admission prescriptions written for the client. الإجابة الصحيحةC Administer medications to treat a condition to the actual prescriptions.D Ensure the medication is administered within 3 hours of the scheduled time. -
85
A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 100 mg/dl. Which of the following interventions should the nurse initiate first?
A Potassium chloride 10 mEq/hrB Bicarbonate by IV infusionC Subcutaneous insulin injectionsD 0.99% sodium chloride 15 mL/kg/hr الإجابة الصحيحة -
86
A nurse understands that it is a priority to place a child in which position post-operative tonsillectomy.
A Sitting uprightB Prone positionC Prone or side-lying position الإجابة الصحيحةD Lying flat on their back -
87
The difference between systolic pressure and diastolic pressure is called
A Korotkoff sounds.B minute volume.C pulse pressure. الإجابة الصحيحةD pressure gradient. -
88
A nurse is caring for a client with pulmonary edema. Which finding is indicative of severe pulmonary edema and impaired gas exchange?
A Pink, frothy sputum الإجابة الصحيحةB Low-grade feverC Clear breath sounds throughout the lung fieldsD Absence of peripheral edema -
89
Which of the following best describes the initial step in the Evidence-Based Practice (EBP) process that is critical for guiding nursing interventions?
A Evaluating the effectiveness of previous interventions.B Implementing recommendations based on previous clinical guidelines.C Formulating a specific and clear research question using the PICOT format. الإجابة الصحيحةD Searching for current evidence in peer-reviewed journals. -
90
A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?
A Instructing the client to eat a high-fat diet to prepare for the surgery.B Demonstrating deep-breathing exercises to promote lung expansion postoperatively. الإجابة الصحيحةC Explaining the importance of ambulating immediately after surgery.D Discussing the possibility of experiencing diarrhea after the surgery. -
91
A nurse is caring for a patient in the first stage of labor and assesses that the patient is 6 cm dilated, 75% effaced, and the baby is at 0 station. Based on these findings, the nurse would document that the patient is in what phase of the first stage of labor?
A Transition.B Active. الإجابة الصحيحةC Latent.D Progressive. -
92
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
A Observe color and consistency of fluid.B Evaluate client for the presence of chills and increased uterine tenderness using palpation.C Assess the fetal heart rate pattern. الإجابة الصحيحةD Assess the client's temperature. -
93
A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which statement indicates understanding?
A I will wear a surgical mask within 3 feet of the client. الإجابة الصحيحةB I will wear an N95 respirator when providing care for the client.C I will assign the client to a room with positive airflow.D I will check that the room has a high-efficiency particulate air filtration system. -
94
A nurse leader who provides minimal direction and lets the team make decisions independently is using which leadership style?
A Laissez-faire الإجابة الصحيحةB AutocraticC TransactionalD Democratic -
95
The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?
A EstrogenB OxytocinC Human chorionic gonadotropin (hCG)D Progesterone الإجابة الصحيحة -
96
Benefits to the mother associated with breastfeeding include all except:
A It reduces the risk of osteoporosis.B They have a decreased risk of breast cancer.C It is an effective method of birth control for up to 12 months. الإجابة الصحيحةD It may enhance postpartum weight loss. -
97
A client comes to the emergency department with hypovolemic shock. Which findings would be expected based on this diagnosis?
A Hypertension and low heart rateB Tachycardia and cool extremities الإجابة الصحيحةC Increased urine output and feverD Metabolic alkalosis and slow respiratory rate -
98
The storming stage of team development involves:
A Unanimous agreementB Conflict and competition among members الإجابة الصحيحةC High productivityD Lack of communication -
99
A nurse wants to enhance their knowledge and skills to provide the best possible care for clients. Which is an example of continuing education?
A Attending the hospital’s orientation programB Completing a workshop on ethical aspects of nursing الإجابة الصحيحةC Obtaining information about the facility’s new computer charting systemD Talking with a company representative about a new piece of equipment -
100
The nurse is caring for a client with a history of gout. Which dietary recommendation should the nurse emphasize?
A Limit purine-rich foods الإجابة الصحيحةB Increase dairy consumptionC Restrict carbohydrate intakeD Encourage red meat consumption -
101
The nurse is performing care on a client. Which describes pulse pressure?
A The difference between the systolic and the diastolic pressure. الإجابة الصحيحةB A measure of vasoconstriction.C A reflection of the viscosity of the blood.D Another way to express the systolic pressure -
102
A home health care nurse is teaching about breast engorgement. Which statement indicates understanding?
A I won't wear a bra during the daytime.B I'll apply cold compresses 20 min before each feeding.C I'll feed my baby every 2 hours. الإجابة الصحيحةD I will stop breastfeeding until I am done with antibiotics. -
103
A newborn has meconium aspiration at birth and increasing respiratory distress. What action takes priority?
A Obtain an oxygen saturation.B Stimulate the baby to increase respirations.C Prepare to initiate ECMO.D Notify the provider at once. الإجابة الصحيحة -
104
A nurse is caring for a preterm infant with intraventricular hemorrhage. Which action prevents increased ICP?
A Elevate the head of the bed to 30 degrees.B Avoid suctioning unless absolutely necessary.C Administer analgesics as prescribed.D All of the above. الإجابة الصحيحة -
105
A client presents with severe right upper quadrant abdominal pain, fever, and jaundice. Which condition should the nurse suspect?
A GastroenteritisB Cholecystitis with cholangitis الإجابة الصحيحةC Urinary tract infectionD Gastroesophageal reflux disease (GERD) -
106
A 12-year-old girl has severe lower abdominal pain during menstruation. What is the recommended first-line treatment?
A Start oral contraceptive pills.B Increase dairy products.C Use NSAIDs such as ibuprofen. الإجابة الصحيحةD Use a heating pad only. -
107
The nurse manager oversees several nurses. With which nurse should the manager review HIPAA?
A A nurse who initiated contact on social media to discuss a client’s discharge planning. الإجابة الصحيحةB A nurse who discussed client status with the physician by phone.C A nurse who confirmed identity using two identifiers.D A nurse who documented in the electronic health record. -
108
The nurse calls the provider about a patient's condition. What is included in SBAR communication?
A Situation, background, assessment, and recommendation. الإجابة الصحيحةB Situation, background, all vitals, and review of orders.C Summary, better plan, accurate diagnosis, and rights.D Subjective information, background, assessment, and revisions needed. -
109
The nurse teaches a patient taking antiseizure drugs which method measures compliance and toxicity?
A A daily seizure logB Urine testing for drug levelsC Blood testing for drug levels الإجابة الصحيحةD Monthly electroencephalography (EEG) -
110
A nurse is assessing suspected hypovolemic shock after trauma. Which finding is most indicative?
A Blood pressure of 110/70 mm HgB Heart rate of 120 beats/min الإجابة الصحيحةC Warm, dry skinD Urine output of 40 mL/hr -
111
Which feeding technique is most appropriate for an infant with a cleft palate?
A Breastfeed without adjustments.B Use a standard bottle.C Position upright and use a specialized one-way-valve bottle. الإجابة الصحيحةD Feed while lying flat. -
112
What infection control precaution is instituted for bacterial meningitis?
A Neutropenic precautionsB Contact isolationC Universal precautionsD Droplet isolation الإجابة الصحيحة -
113
A nurse caring for MRSA in an abdominal wound enters to check pulse. What PPE should be worn?
A Gown الإجابة الصحيحةB Sterile glovesC PAPR maskD Surgical mask -
114
A nurse is educating a pregnant patient about nutritional deficiencies. Which nutrient deficiency is most associated with neural tube defects?
A IronB CalciumC Folic acid الإجابة الصحيحةD Vitamin D -
115
A client has been diagnosed with agoraphobia. Which behavior is most characteristic?
A Panic anxiety when encountering snakes.B Refuses to fly in an airplane.C Will not eat in a public place.D Stays home for fear of being where escape is difficult. الإجابة الصحيحة -
116
The nurse is preparing to administer ear drops to an adult client. Which action should the nurse take?
A Avoid applying pressure to the tragus.B Pull the pinna upward and backward. الإجابة الصحيحةC Don sterile gloves.D Chill the otic solution. -
117
When using an otoscope to assess an adult tympanic membrane, pull the pinna in which direction?
A Up and back الإجابة الصحيحةB Down and forwardC Away from the examinerD In any direction -
118
A nurse is assessing the therapeutic INR range for a patient receiving warfarin. Which range is therapeutic?
A 2.0-3.0 الإجابة الصحيحةB 4.0-5.0C 1.0-2.0D 3.0-4.9 -
119
A nurse is providing discharge teaching about lymphedema prevention after modified radical mastectomy. Which instruction should be included?
A Apply lotion to the incision twice daily.B Avoid measuring blood pressure on the affected arm. الإجابة الصحيحةC Apply deodorant under the affected arm daily.D Avoid lifting objects greater than 5.4 kg. -
120
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant. Which action should be taken?
A Apply a cool pack to the heel.B Use a surgical blade.C Puncture the outer aspect of the heel. الإجابة الصحيحةD Wipe the site with alcohol after puncture. -
121
What is the most effective method of infection control?
A Isolation precautionsB Hand washing الإجابة الصحيحةC Neutropenic precautionsD Wearing sterile gloves -
122
In which position should a nurse place a child after tonsil and adenoidectomy?
A Semi-Fowler with head turned to sideB High Fowler, head forward and to sideC Side-lying الإجابة الصحيحةD Supine -
123
A client overdosed on morphine and has respiratory rate 6/min. Which medication should be administered?
A Naloxone الإجابة الصحيحةB FlumazenilC ProtamineD Epinephrine -
124
The antidote administered to reverse magnesium toxicity is?
A Calcium gluconate. الإجابة الصحيحةB Sodium bicarbonate.C Potassium chloride.D Naloxone. -
125
A 1-day postpartum patient has red lochia with foul odor. What does this finding indicate?
A Need for increased ambulation.B Need for increased oral fluids.C Presence of infection. الإجابة الصحيحةD Normal finding. -
126
A nurse caring for a newborn immediately after birth: which action reduces evaporative heat loss?
A Maintain room temperature at 24 C.B Dry the newborn's skin thoroughly. الإجابة الصحيحةC Prevent air drafts.D Place the newborn on a warm surface. -
127
A newborn is placed skin-to-skin after birth. Which intervention increases risk for hypothermia?
A Dry and stimulate with a towel.B Place a hat on the newborn.C Maintain room temperature at 20 C. الإجابة الصحيحةD Place a blanket over mother and newborn. -
128
A preschool child is fearful of a medical procedure. Which intervention is most appropriate?
A Provide lengthy written instructionsB Explain using simple words and play therapy الإجابة الصحيحةC Avoid answering questionsD Encourage complete independence -
129
A nursing manager is worried about hospital infections. What action is most effective?
A Remove urinary catheters promptly.B Educate staff about infection control methods. الإجابة الصحيحةC Place patients in appropriate isolation.D Monitor staff hand hygiene practices. -
130
A postpartum client has been diagnosed with mastitis in her right breast. Which self-care measure should the nurse recommend to help alleviate discomfort and improve drainage in the affected breast?
A Begin breastfeeding exclusively from the left breast until the infection resolves.B Incorporate massage and hand expression on the affected breast to relieve engorgement. الإجابة الصحيحةC Apply cold compresses to the right breast before feedings.D Discontinue breastfeeding completely until symptoms subside. -
131
A nurse is reinforcing education about nutrition for a patient who has HIV and has a newborn. Which statement should the nurse provide?
A You must breastfeed to give the baby the best nutrients.B Breastfeeding is not recommended because of the high risk of transmission. الإجابة الصحيحةC Pumped breastmilk may be given to your child.D You should sterilize your pumped breastmilk prior to feeding. -
132
A nurse assesses a patient's pressure injury and documents full-thickness skin and tissue loss with exposed muscle, tendon, and bone. At which stage is this pressure ulcer?
A Stage IB Stage IIC Stage IIID Stage IV الإجابة الصحيحة -
133
Pressure sores are categorized into four stages. Which stage is red with blistering or a shallow break in the skin?
A Stage II الإجابة الصحيحةB Stage IVC Stage IIID Stage I -
134
The mother of an infant with hypertrophic pyloric stenosis asks about treatment. What should the nurse convey?
A Chromosomal mutation is the cause.B Slow feeding will be necessary for a few months.C Dietary restrictions will be required throughout childhood.D Surgery will be necessary. الإجابة الصحيحة -
135
A nurse is reinforcing teaching with a female client about preventing urinary tract infections. Which instruction should the nurse include?
A Wear underwear made from nylon.B Wait to void until the bladder feels full.C Drink 16 oz of cranberry juice each day. الإجابة الصحيحةD Use an over-the-counter douche product after intercourse. -
136
A patient admitted with acute kidney injury has oliguria, anemia, and hyperkalemia. Which prescribed action should the nurse take first?
A Place the patient on a cardiac monitor. الإجابة الصحيحةB Insert a urinary retention catheter.C Give the prescribed spironolactone.D Administer epoetin alfa. -
137
An occupational health nurse is planning activities to prevent communicable disease. Which activity is a secondary level of prevention?
A Influenza immunizationsB Tuberculosis screenings الإجابة الصحيحةC Presentations about safer sex practicesD Evaluations of bloodborne pathogen policies -
138
A nurse is assessing a client with suspected meningitis. Which sign is most indicative of meningitis?
A Positive Brudzinski’s sign الإجابة الصحيحةB Positive Babinski’s signC Positive Romberg’s signD Positive Murphy’s sign -
139
Which of the following is a possible complication of deep vein thrombosis (DVT)?
A HypertensionB Pulmonary embolism الإجابة الصحيحةC Urinary tract infectionD Peptic ulcer disease -
140
A mother asks why her 20-hour-old newborn’s stool looks black and sticky. Which response is most appropriate?
A You probably took iron during pregnancy.B Black stool is a sign of dehydration.C This is meconium stool, normal for a newborn. الإجابة الصحيحةD This is associated with blood caused by a dairy allergy. -
141
A male client has active tuberculosis (TB). Which symptom cluster will be exhibited?
A Fever above 104°F and anorexiaB Headache and photophobiaC Fatigue, night sweats, and hemoptysis الإجابة الصحيحةD Chest and lower back pain -
142
A nurse is reinforcing teaching about home care with a client who has mild preeclampsia. Which information should the nurse include?
A Perform daily fetal movement counts. الإجابة الصحيحةB Limit fluid intake to 1,000 mL/day.C Limit sodium intake to 2,000 mg/day.D Rest in bed in the supine position. -
143
A nurse is assessing a client who is 2 days postpartum. Which finding should the nurse expect?
A Lochia rubra الإجابة الصحيحةB Lochia serosaC Lochia albaD No lochia -
144
A nurse is providing teaching about the Papanicolaou test. Which information should be included?
A A yearly Pap test is recommended until age 70.B Pap tests are discontinued after removal of ovaries.C Avoid sexual intercourse for 24 hours before the Pap test. الإجابة الصحيحةD Viral infections can be detected by a Pap test. -
145
The nurse is monitoring a patient receiving a blood transfusion. For which symptoms should the nurse stop the transfusion but not administer normal saline?
A Dyspnea, crackles, hypertension, and edema الإجابة الصحيحةB Low back pain, hypotension, and tachycardiaC Urticaria, itching, wheezing, and angioedemaD Chest tightness, fever, chills, and rigors -
146
A nurse is providing education to a client with diabetes on foot care. Which statement promotes foot health?
A Walk barefoot at home to improve circulation.B Inspect your feet daily, especially between the toes. الإجابة الصحيحةC Apply heating pads to your feet in cold weather.D Use adhesive tape to treat blisters or sores. -
147
Which medication side effect is irreversible if not detected early?
A AkinesiaB AkathisiaC DystoniaD Tardive dyskinesia الإجابة الصحيحة -
148
Which technique prepares a child for surgery using role playing or hands-on activities?
A Onlooker playB Therapeutic play الإجابة الصحيحةC Cooperative playD Play therapy -
149
A nurse is working with a client who has limited English proficiency and uses an interpreter. Which strategy facilitates effective communication?
A Speak directly to the interpreter and use short sentences.B Speak directly to the client and use simple words. الإجابة الصحيحةC Speak loudly and slowly to the client and use gestures.D Speak normally to the interpreter and use medical terms. -
150
A newborn is diagnosed with hypospadias and the parents request circumcision. Which response should the nurse provide?
A The foreskin will be needed for a later hypospadias repair. الإجابة الصحيحةB Circumcision is delayed until puberty.C Scar tissue could interfere with reconstruction.D Local anesthesia is not recommended. -
151
A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves disease). Which serum laboratory finding should be below the expected reference range?
A Thyroxine (T4) levelB Triiodothyronine (T3) levelC Thyroid-stimulating hormone (TSH) level الإجابة الصحيحةD Glucose level -
152
The nurse is caring for a cyanotic and pulseless client. Which leadership style is most effective when managing the code blue?
A DemocraticB Authoritarian الإجابة الصحيحةC Laissez-faireD Transformational -
153
A nurse is caring for a 10-month-old infant 8 hours after cleft palate repair. Which intervention should be included in the plan of care?
A Keep the infant supine.B Suction the mouth with an oral suction tube.C Apply elbow restraints and release them periodically. الإجابة الصحيحةD Feed the infant with a spoon for 48 hours. -
154
A patient taking aspirin for arthritis should report which adverse reaction to the healthcare provider?
A Tinnitus الإجابة الصحيحةB SeizuresC SinusitisD Palpitations -
155
A nurse at a health fair is assessing weight status. Which client is classified as overweight?
A A male with a waist circumference of 38 inB A female with a BMI of 24C A female with a waist circumference of 40 inD A male with a BMI of 29 الإجابة الصحيحة -
156
A community health nurse is planning a public service campaign to decrease influenza transmission. Which intervention is primary prevention?
A Going to the hospital for dehydration after influenzaB Staying home when sickC Getting tested when symptoms occurD Obtaining an immunization الإجابة الصحيحة -
157
During an admission interview, a client responds: ‘medications, abbreviations, deviations, mediations.’ Which speech pattern is demonstrated?
A NeologismsB EcholaliaC Pressured speechD Clang association الإجابة الصحيحة -
158
A nurse asks a client with schizophrenia, ‘How are you?’ Which response demonstrates echolalia?
A I am lovistrated.B Super, trooper, and duper.C How are you? الإجابة الصحيحةD Pink spots in Africa. -
159
Which PPE should be worn when entering the room of a patient with tuberculosis?
A Gloves and gownB Mask and gogglesC N95 respirator mask الإجابة الصحيحةD Face shield and gloves -
160
Which action is an example of primary prevention?
A Avoiding unnecessary imaging testsB Flu vaccination الإجابة الصحيحةC Cardiac rehabilitation after a heart attackD Screening for breast cancer -
161
An infant born 2 days ago has not passed meconium and begins vomiting bilious secretions. Which action should the nurse take first?
A Gather supplies for an IV infusion.B Measure abdominal circumference. الإجابة الصحيحةC Prepare for anorectal manometry.D Monitor strict urinary output. -
162
A client with congestive heart failure is prescribed daily furosemide. Which potential adverse effect should the nurse monitor?
A BradycardiaB HyperglycemiaC Hypotension الإجابة الصحيحةD Dry, nonproductive cough -
163
The nurse interviews a client who does not speak fluent English using an interpreter. Which action should the nurse implement?
A Ask the interpreter to tell the client to write questions.B Give the interpreter a form listing the questions.C Use an interpreter throughout the entire hospitalization.D Maintain eye contact with the client when asking questions. الإجابة الصحيحة -
164
A community health nurse plans a health-promotion program for a population with high hypertension and diabetes prevalence. Which intervention best exemplifies primary prevention?
A Education on healthy eating and regular activity الإجابة الصحيحةB Support groups for people managing complicationsC Screening for early signs to begin treatmentD Medications for already diagnosed patients -
165
A nurse assesses a client who said they do not want to live anymore and plan to end their life. Which action should the nurse take?
A Reassure the client that everything will work out.B Ask about the lethality of the plan. الإجابة الصحيحةC Allow time alone for self-reflection.D Encourage focus on positive aspects of life. -
166
A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which response should the nurse provide?
A Your partner's condition should not affect future children.B We can test you, but not your partner, for hereditary conditions.C We can offer you and your partner testing to identify the chance of passing genetic conditions to your children. الإجابة الصحيحةD Testing is not done until a pregnancy is confirmed. -
167
A nurse is caring for a school-age child with ADHD who is throwing wooden building blocks against a wall. Which action should the nurse take?
A Administer atomoxetine.B Request a PRN prescription for mechanical restraints.C Encourage the child to kick a ball into a net. الإجابة الصحيحةD Place the child in seclusion. -
168
A nurse is preparing an injection using a single-dose glass ampule. Which action should the nurse take?
A Shake the ampule to move the solution below the neck.B Snap the top of the ampule toward the hands.C Wear sterile gloves while preparing the injection.D Use a filter needle to draw up the medication. الإجابة الصحيحة -
169
A charge nurse on an obstetrical unit is preparing the shift assignment. Which client should be assigned to an RN who has floated from a medical-surgical unit?
A A primigravida 1 day postoperative following a cesarean birth who has a patient-controlled analgesia pump. الإجابة الصحيحةB A client at 32 weeks of gestation who has preterm premature rupture of membranes.C A client who has preeclampsia and is receiving misoprostol.D A client who has gestational diabetes and is scheduled for a biweekly nonstress test. -
170
Which practice is recommended to prevent human immunodeficiency virus transmission?
A Using standard precautions. الإجابة الصحيحةB Double gloving for all client contact.C Applying hand sanitizer to gloves between tasks.D Wearing a mask whenever within 3 feet of the client. -
171
A nurse is obtaining a health history from a client suspected of having early tuberculosis. Which manifestations should the nurse ask about?
A Chest pain, hemoptysis, and weight loss.B Fatigue, low-grade fever, and night sweats. الإجابة الصحيحةC Cough with purulent mucus, fever, and chills.D Pleuritic pain, nonproductive cough, and nighttime temperature elevation. -
172
A nurse is documenting and completing an incident report after a client falls out of bed. Which action should the nurse take when documenting the event?
A Document in the medical record that an incident report was completed.B Document that a photocopy of the incident report was sent to the provider.C Write in the incident report that the client was found lying on the floor after falling.D Write in the incident report that the nurse entered the room and discovered the client lying prone on the floor. الإجابة الصحيحة -
173
An adolescent diagnosed with ADHD has difficulty maintaining concentration. Which intervention should the nurse recommend to improve task performance?
A Divide tasks into small attainable steps and reward completion. الإجابة الصحيحةB Remove privileges whenever a task is not completed.C Discontinue methylphenidate until concentration improves.D Require the adolescent to remain in their room until all homework is completed. -
174
The nurse finds a client unresponsive and pulseless with a flat cardiac rhythm. Which action should the nurse take first?
A Administer atropine.B Defibrillate at 360 joules.C Begin cardiopulmonary resuscitation. الإجابة الصحيحةD Administer epinephrine. -
175
A nurse overhears two staff members in a public hallway discussing the diagnosis of a client. Which action should the nurse take to promote confidentiality?
A Ask the staff members to speak more quietly.B Tell the staff members to stop discussing confidential information in a public area. الإجابة الصحيحةC Alert the facility attorney about the disclosure.D Ignore the conversation because both individuals are staff members. -
176
A nurse is working with a client who has limited English proficiency and is using an interpreter. Which strategy should the nurse use to facilitate communication?
A Speak directly to the interpreter using short sentences.B Speak directly to the client using simple words. الإجابة الصحيحةC Speak loudly and slowly while using gestures.D Speak at a normal pace to the interpreter using medical terminology. -
177
A nurse enters an adult client's room and finds the client unresponsive, not breathing, and without a pulse. Which action should the nurse take first?
A Provide rescue breathing.B Open the client's airway.C Begin chest compressions. الإجابة الصحيحةD Activate the code blue response. -
178
A patient is recovering from coronary artery bypass graft surgery. Which nursing intervention is crucial during the early postoperative period?
A Minimize ambulation to reduce cardiac workload.B Encourage deep breathing and coughing regularly. الإجابة الصحيحةC Allow uninterrupted sleep for most of the day.D Maintain strict NPO status for 48 hours. -
179
A client weighs 250 pounds and needs to be transferred from the bed to a chair. Which instruction should the nurse give to assistive personnel?
A Use proper body mechanics because this prevents injury.B Choose a physically fit staff member because this lowers risk.C Use a mechanical lift and obtain assistance from another person. الإجابة الصحيحةD Wear a back belt while transferring the client. -
180
A nurse manager is scheduling a meeting to address a conflict between staff members and a client's family. Staff and family members will identify common goals and express their concerns. Which conflict resolution strategy is the manager implementing?
A CompetitionB Collaboration الإجابة الصحيحةC AccommodationD Smoothing -
181
A nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus about self-injecting insulin. Which approach is best to evaluate the effectiveness of the teaching?
A Observe him as he demonstrates the self-injection technique to another diabetic adolescent. الإجابة الصحيحةB Ask the adolescent to describe his comfort with injecting himself.C Review his glycosylated hemoglobin level 3 months later.D Have the adolescent list the procedural steps for safe insulin administration. -
182
An 8-year-old patient is having problems adjusting to daily radiation treatments. Which action is most appropriate for the nurse to take?
A Have a discussion with the child life specialist. الإجابة الصحيحةB Collaborate with the oncology radiologist.C Encourage the parents to comfort the child.D Educate the child on the importance of the treatments. -
183
A nurse is working with a client who has limited English proficiency and is using an interpreter. Which strategy should the nurse use to facilitate communication?
A Speak directly to the interpreter using short sentences.B Speak directly to the client using simple words. الإجابة الصحيحةC Speak loudly and slowly while using gestures.D Speak at a normal pace to the interpreter using medical terminology. -
184
The nurse plans discharge education for an older adult client. Which topic should the nurse prioritize?
A What foods are good protein sources.B The importance of social activities.C Benefits of aerobic and strength training.D How to manage medications at home. الإجابة الصحيحة -
185
A nurse determines that a client does not understand a surgical procedure before witnessing the informed consent. Which action should the nurse take?
A Provide teaching about the surgical procedure.B Instruct the client's spouse to sign the consent.C Read the consent form using words the client understands.D Contact the provider who will perform the procedure. الإجابة الصحيحة -
186
A practical nurse is caring for a client with gestational diabetes mellitus. Which complication is the greatest risk to the fetus if euglycemia is not maintained?
A Low birth weightB Preterm birthC Cleft palateD Macrosomic newborn الإجابة الصحيحة -
187
Which medication is typically prescribed for the treatment of hyperthyroidism?
A Liothyronine (Cytomel)B Liotrix (Thyrolar)C Levothyroxine (Synthroid)D Propylthiouracil (Propacil) الإجابة الصحيحة -
188
A nurse is caring for a patient with decreased T3 and T4 and elevated TSH levels. Which condition is most likely?
A HyperthyroidismB Hypothyroidism الإجابة الصحيحةC Thyroid cancerD Pituitary adenoma -
189
Select the proper order of the phases of the nursing process.
A Evaluation, planning, assessment, implementationB Assessment, planning, implementation, evaluation الإجابة الصحيحةC Implementation, assessment, planning, evaluationD Planning, evaluation, assessment, implementation -
190
Which action by a nurse indicates a breach of a patient's right to privacy?
A Discussing the patient's history with staff during care planningB Documenting the patient's daily behavior during hospitalizationC Releasing information to the patient's employer without consent الإجابة الصحيحةD Asking family about pre-hospitalization behavior -
191
What is the definition of patient autonomy?
A The right to refuse care onlyB The right to self-determination and decisions about one's own healthcare الإجابة الصحيحةC The right to receive care without involvement in decisionsD The right to make decisions for the healthcare provider -
192
During admission to a psychiatric unit, a client is extremely anxious. Which intervention is most important during admission?
A Remain calm and use a matter-of-fact approach. الإجابة الصحيحةB Assist the client to develop alternative coping skills.C Administer a PRN sedative.D Ask the client why they are anxious. -
193
A nurse is planning a presentation about lifelong learning. Which information should the nurse include?
A Lifelong learning is a factor in improving client outcomes. الإجابة الصحيحةB An advanced degree is required to maintain competency.C Professional organization membership is essential.D Lifelong learning is primarily acquiring technical skills. -
194
A home health nurse visits a client with a new diagnosis of diabetes mellitus. Which action should the nurse take first?
A Teach appropriate food choices.B Refer the client to a diabetes support group.C Identify the client's dietary preferences. الإجابة الصحيحةD Develop a nutritional program. -
195
A child with suspected rheumatic fever is prescribed an antistreptolysin O titer. Which explanation should the nurse give the parent?
A It will indicate whether your child has rheumatic fever.B It will confirm a recent streptococcal infection. الإجابة الصحيحةC It measures a therapeutic aminoglycoside level.D It confirms immunity to streptococcal bacteria. -
196
The nurse manager asks a staff nurse to work an extra shift. Which response is assertive?
A If you cannot find anyone else, I will do it.B Why do I always have to cover extra shifts?C I do not want you upset, so I will work extra.D I am not able to work an extra shift. الإجابة الصحيحة -
197
A nurse teaches Kegel exercises to clients in the third trimester. Which statement indicates understanding?
A These exercises help pelvic muscles strengthen and stretch during birth. الإجابة الصحيحةB These exercises prevent constipation during pregnancy.C They reduce backaches throughout pregnancy.D They prevent further abdominal stretch marks. -
198
A pregnant woman has gestational diabetes mellitus. The fetus is at greatest risk for which complication?
A Low birth weightB Preterm birthC Macrosomia الإجابة الصحيحةD Congenital central nervous system anomalies -
199
Four hours after birth, a neonate of a diabetic mother is jittery, irritable, and has a high-pitched cry. What is the priority nursing action?
A Notify the clinician immediately.B Test the blood glucose level. الإجابة الصحيحةC Start an intravenous line with D5W.D Document the event in the nurse's notes. -
200
The autocratic leadership style is most appropriate in which situation?
A Time is unlimited for decision-making.B Emergency situations require quick decisions. الإجابة الصحيحةC Creative input is needed.D Team members are highly skilled. -
201
A healthcare provider wants to share a patient's story publicly. What should the nurse do first?
A Share it without mentioning the patient's name.B Ask the patient's family for permission.C Verify whether the patient has a public relations officer.D Obtain written consent from the patient. الإجابة الصحيحة -
202
Magnesium sulfate is commonly administered to pregnant women with preeclampsia for which primary purpose?
A To lower blood pressureB To induce laborC To prevent seizures الإجابة الصحيحةD To enhance fetal lung maturity -
203
The nurse is assessing a client with suspected appendicitis. Which finding is most indicative of this condition?
A Rebound tenderness in the right lower quadrant الإجابة الصحيحةB Diffuse abdominal painC Decreased bowel soundsD Elevated blood pressure -
204
A patient experiences a panic attack with hyperventilation. What acid-base disorder are they most at risk for?
A Respiratory acidosisB Respiratory alkalosis الإجابة الصحيحةC Metabolic acidosisD Metabolic alkalosis -
205
The nurse overhears two nurses talking about a client's condition in the hospital cafeteria. This could lead to which complaint?
A LibelB Invasion of privacy الإجابة الصحيحةC SlanderD Defamation -
206
Which action by a nurse demonstrates correct use of electronic health records to protect client confidentiality?
A Print laboratory results to review later at the station.B Log off the computer after documentation. الإجابة الصحيحةC Allow a student to use the nurse's login.D Discuss laboratory values near visitors. -
207
A nurse assesses a client who states that they plan to end their life. Which action should the nurse take?
A Reassure the client that everything will work out.B Ask about the lethality of the plan. الإجابة الصحيحةC Allow the client time alone for reflection.D Encourage focus on positive aspects of life. -
208
A client prescribed haloperidol develops extrapyramidal side effects. Which medication should the nurse expect to administer?
A Olanzapine (Zyprexa)B Benztropine (Cogentin) الإجابة الصحيحةC Chlorpromazine (Thorazine)D Escitalopram (Lexapro) -
209
What is the definition of patient autonomy?
A The right to refuse care onlyB The right to self-determination and decisions about one's own healthcare الإجابة الصحيحةC The right to receive care without involvement in decisionsD The right to make decisions for the healthcare provider -
210
A nurse is conducting the Weber test on a client. Which action is appropriate?
A Hold an activated tuning fork against the mastoid process.B Place an activated tuning fork in the middle of the forehead. الإجابة الصحيحةC Whisper words softly into one ear.D Deliver high-pitched sounds at random intervals. -
211
Which action by the school nurse is important in preventing rheumatic fever?
A Recommend salicylates for minor discomforts.B Encourage routine cholesterol screening.C Conduct routine blood pressure screening.D Refer children with sore throats for throat cultures. الإجابة الصحيحة -
212
When caring for a patient on droplet precautions, which action is most important?
A Cover the patient with a clean sheet for transport.B Wear a gown and gloves for any contact.C Wear an airborne respiratory device for every room entry.D Wear a mask when working within 3 feet of the patient. الإجابة الصحيحة -
213
A client has a new diagnosis of methicillin-resistant Staphylococcus aureus. Which transmission-based precautions should the nurse initiate?
A Contact الإجابة الصحيحةB ProtectiveC AirborneD Droplet -
214
A new mother asks how to care for the umbilical cord until it falls off. Which advice should the nurse provide?
A Fold the diaper below the cord to expose it to air. الإجابة الصحيحةB Clean the cord with hydrogen peroxide twice daily.C Call the provider as soon as the cord falls off.D Give a daily tub bath to keep the cord moist. -
215
The nurse is assessing a first-day postpartum client. Which finding is most indicative of postpartum infection?
A Moderate foul-smelling lochia الإجابة الصحيحةB Blood pressure 122/74 mm HgC Oral temperature 100.2°F (37.9°C)D White blood cell count 19,000/mm³ -
216
The nurse assesses a fetal heart rate of 82 beats/min at 30 weeks of gestation. What is the first action?
A Record it as within normal limits.B Notify the physician.C Assess the woman's radial pulse. الإجابة الصحيحةD Allow the woman to hear the heartbeat. -
217
A nurse is assessing a patient who has sustained a burn injury. The affected area is dry, white, and charred, with no pain present. Based on burn classification, this burn is:
A Full-thickness (third-degree) الإجابة الصحيحةB Superficial (first-degree)C Deep full-thickness (fourth-degree)D Partial-thickness (second-degree) -
218
A nurse administers lactulose to a client with cirrhosis. Lactulose is used to decrease which bloodstream component?
A PotassiumB Ammonia الإجابة الصحيحةC GlucoseD Bicarbonate -
219
Eight minutes after a vaginal birth, the nurse observes lengthening of the umbilical cord and a gush of blood. These findings indicate what?
A Uterine atonyB Postpartum hemorrhageC Placenta previaD Placental separation in the third stage الإجابة الصحيحة -
220
The nurse is assessing a 4-year-old child with spina bifida occulta. Which finding would the nurse expect?
A HydrocephalusB Paralysis of the legsC A hairy patch in the lumbosacral area الإجابة الصحيحةD A large bump containing spinal cord on the back -
221
A preschool child is hospitalized and becomes fearful of a medical procedure. Which nursing intervention is most appropriate?
A Provide lengthy written instructionsB Explain the procedure using simple words and play therapy الإجابة الصحيحةC Avoid answering the child's questionsD Encourage complete independence during hospitalization -
222
When teaching a patient a skill such as self-injection of insulin, what is the best way to set up the teaching session?
A Provide written pamphlets.B After demonstrating, allow several return demonstrations. الإجابة الصحيحةC Show a video and allow independent practice.D Verbally explain and provide written handouts. -
223
Which research report title indicates a qualitative rather than quantitative study?
A Predicting treatment choice for women older than 50 with breast cancerB Transcending pain during bone marrow aspiration الإجابة الصحيحةC Evaluating nursing interventions for complex oncology phenomenaD Using virtual reality as distraction during chemotherapy assessment -
224
How does an experimental research design differ from a nonexperimental design?
A Nonexperimental designs manipulate the dependent variable.B Experimental designs observe phenomena naturally while nonexperimental designs manipulate them.C Only experimental designs have a scientific basis.D Experimental designs attempt to establish cause-and-effect relationships. الإجابة الصحيحة -
225
A nurse assesses a wound healing by primary intention. Which finding should the nurse expect?
A Granulation tissue forming at the bottomB Prolonged healingC Skin edges sutured closed الإجابة الصحيحةD Wound contaminated at injury -
226
A liquid medication is ordered at 15 mg PO. Available is 30 mg/3 mL. How many milliliters should be administered?
A 0.5 mLB 3 mLC 1.5 mL الإجابة الصحيحةD 6 mL -
227
A young child has severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management begins with which intervention?
A Clear liquids, 1 to 2 ounces at a timeB Antidiarrheal medicationC Oral rehydration solution الإجابة الصحيحةD Intravenous fluids -
228
A client exposed to COVID-19 has fever, cough, and shortness of breath. Which action is most important?
A Move the client to a private room and initiate droplet precautions. الإجابة الصحيحةB Begin an IV antiviral before test results.C Counsel family to monitor symptoms for 2 weeks.D List everyone exposed since symptoms began. -
229
Medication order: Augmentin 0.25 g PO every 8 hours. Available: 125 mg per 5 mL. How much should the nurse administer?
A 10 mL الإجابة الصحيحةB 7.5 mLC 30 mLD 5 mL -
230
Which action is an example of primary prevention?
A Avoiding unnecessary imaging testsB Flu vaccination الإجابة الصحيحةC Cardiac rehabilitation after a heart attackD Screening for breast cancer -
231
The electronic medication system alerts that the scanned dose is twice the prescribed dose. Which action should the nurse implement?
A Report the mismatch of prescribed and available doses. الإجابة الصحيحةB Calculate the dose on hand to match the prescription.C Ask the pharmacist for another dose.D Withhold the medication until the exact dose is available. -
232
Interpret these ABGs: pH 7.48, PaCO2 28 mmHg, PaO2 55 mmHg, HCO3 24 mEq/L, SaO2 87%.
A Metabolic alkalosis with hypoxemiaB Respiratory alkalosis with hypoxemia الإجابة الصحيحةC Metabolic acidosis with hypoxemiaD Respiratory acidosis with hypoxemia -
233
A nurse reviews true versus false labor. Which client statement indicates effective teaching?
A In false labor, I can feel the presenting part in my pelvis.B In true labor, contractions are painless.C In true labor, my cervix will not dilate.D In false labor, contractions can decrease with walking or position changes. الإجابة الصحيحة -
234
A client with diabetes uses cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?
A Drink sugar-free cranberry juice. الإجابة الصحيحةB Excess cranberry juice causes constipation.C Cranberry juice does not help prevent infection.D Cranberries increase the effect of insulin. -
235
A nurse is caring for a client who has tuberculosis. Which precautions should be implemented?
A ContactB ProtectiveC DropletD Airborne الإجابة الصحيحة -
236
Which leadership style encourages nursing staff to participate in decisions and activities?
A AutocraticB SituationalC Laissez-faireD Democratic الإجابة الصحيحة -
237
A nurse removes PPE after giving direct care to a client in isolation. Which item should be removed first?
A Gloves الإجابة الصحيحةB Face shieldC GownD Mask -
238
When planning care for an adolescent with anorexia nervosa, which nursing problem has the highest priority?
A Disturbed Body Image.B Interrupted Family Processes.C Imbalanced Nutrition: less than body requirements. الإجابة الصحيحةD Noncompliance with treatment regimen. -
239
The nurse is assessing a 1-day old neonate and notes white raised spots on the baby's nose. What is the priority response?
A Instruct parents to wash area with soap and water.B Notify the healthcare provider.C Explain to the parents that this is a sign of a skin infection.D Instruct parents not to pinch or poke pimple-like areas. الإجابة الصحيحة -
240
Democratic leadership style involves:
A Leader making all decisions independentlyB No structure or guidanceC Shared decision-making with team input الإجابة الصحيحةD Delegation without oversight -
241
The nurse is caring for a client diagnosed with bipolar disorder. During a manic episode, which takes priority?
A Physiologic needsB Social needsC SecurityD Safety الإجابة الصحيحة -
242
An adolescent with type 1 diabetes has soccer practice. Which action should the school nurse recommend to prevent hypoglycemia?
A Take prescribed insulin at noontime rather than in the morningB Eat a small box of raisins or drink a cup of orange juice before practice الإجابة الصحيحةC Eat twice the amount normally eaten at lunchD Take half the prescribed insulin on practice days -
243
A nurse is planning discharge instructions for a patient with hepatitis A and their family. Which infection transmission measure should be included?
A Avoid alcohol for the first 3 weeksB Avoid handling patient's leftover foods الإجابة الصحيحةC Have family members get an injection of immunoglobulinD Follow a low-protein, low-carbohydrate diet -
244
A nurse is teaching a client who is to start taking phenelzine. Which food should the client avoid?
A Cheddar cheese الإجابة الصحيحةB BananasC ChickenD Peanut butter -
245
While caring for a client one day following a thyroidectomy, the practical nurse notes that the client's voice is hoarse. What action should the nurse take?
A Notify the unit charge nurse of the finding. الإجابة الصحيحةB Administer humidified oxygen per nasal cannula.C Obtain a cup of ice chips for the client.D Ensure that the drainage device is compressed. -
246
A nurse is using the FLACC scale for a client with cognitive impairment. Which finding indicates pain?
A Rhythmic respirationsB Absent cryC Resisting care الإجابة الصحيحةD Relaxed posturing -
247
A client opens eyes to sound, makes incomprehensible sounds, and withdraws an arm from pain. What is the total Glasgow Coma Scale score?
A 9 الإجابة الصحيحةB 10C 8D 11 -
248
Which action is an example of primary prevention?
A Avoiding unnecessary imaging testsB Flu vaccination الإجابة الصحيحةC Cardiac rehabilitation after a heart attackD Screening for breast cancer -
249
The storming stage of team development involves:
A Unanimous agreementB Conflict and competition among members الإجابة الصحيحةC High productivityD Lack of communication -
250
A nurse enters an adult client's room and finds the client unresponsive, not breathing, and without a pulse. Which action should the nurse take first?
A Begin rescue breathingB Open the airwayC Begin chest compressions الإجابة الصحيحةD Activate the code team -
251
A nurse is caring for a client who has heart failure and respiratory arrest. Which action should the nurse take first?
A Establish an open airway. الإجابة الصحيحةB Auscultate for breath sounds.C Establish IV access.D Feel for a carotid pulse. -
252
A nurse finds a client's blood pressure to be 140/90 mmHg on multiple occasions. What action should the nurse take?
A Document the blood pressure as normal.B Recheck the blood pressure after 1 week.C Initiate lifestyle modifications and monitor blood pressure. الإجابة الصحيحةD Administer anticoagulant medication. -
253
Which statement demonstrates understanding of nutrition and weight gain in pregnancy?
A A weight gain of 5 pounds per month is healthy.B Normal pregnancy weight gain is 25-35 pounds (11.5-16 kg) for a woman with a normal BMI. الإجابة الصحيحةC One pound per month for a total of 40 pounds is the minimum healthy gain.D Obesity is not associated with pregnancy loss. -
254
A newborn is choking and turning cyanotic with the first sucks of sterile water and may have a tracheoesophageal fistula. Which intervention should be implemented until diagnosis is confirmed?
A Administer oxygen, suction as needed, and turn the newborn prone every 2 hours.B Offer sterile water per nipple and place the infant prone.C Insert an orogastric tube and give gavage feedings after x-ray confirmation.D Keep the infant NPO and elevate the head of the crib 30 degrees. الإجابة الصحيحة -
255
A newborn is suspected of having esophageal atresia with tracheoesophageal fistula. Which finding most strongly supports the diagnosis?
A Excessive oral secretions, coughing, and cyanosis during feeding الإجابة الصحيحةB Poor suck reflex and hypotoniaC Projectile vomiting with blood-tinged emesisD Bilious vomiting with abdominal distension -
256
A nurse is teaching a child with type 1 diabetes mellitus how to self-inject insulin. Which method should be recommended for regular doses?
A Intravenously in the chestB Subcutaneously in the outer thigh الإجابة الصحيحةC Intramuscularly in the abdomenD Intradermally in the outer arm -
257
A nurse is caring for a client with a T-4 spinal cord injury. Which intervention helps prevent autonomic dysreflexia?
A Monitor for elevated blood pressure.B Provide analgesia for headaches.C Prevent bladder distention. الإجابة الصحيحةD Elevate the client's head. -
258
A patient's ABG results include pH 7.32, PaCO2 56 mm Hg, and HCO3 24 mEq/L. Which acid-base imbalance is present?
A Metabolic acidosis.B Metabolic alkalosis.C Respiratory acidosis. الإجابة الصحيحةD Respiratory alkalosis. -
259
Which infant weight pattern is normal for age?
A Weight triples in the first 6 monthsB Weight doubles in the first yearC Weight doubles in the first 6 months and triples in the first year الإجابة الصحيحةD Weight doubles in the first 6 months and doubles again in the next 6 months -
260
A client is receiving oral calcium supplements. Which additional vitamin would enhance absorption of calcium from the GI tract?
A Vitamin AB Vitamin CC Vitamin D الإجابة الصحيحةD Vitamin E -
261
A patient 1 day postoperative after abdominal surgery has incisional pain, a temperature of 99.5°F, slight erythema, and 30 mL serosanguineous drainage. What conclusion should the nurse make?
A The incision shows infection.B The patient is having a normal inflammatory response. الإجابة الصحيحةC The incision shows impending dehiscence.D The physician must be notified. -
262
Which method of data collection is most appropriate for a nurse researcher to use in a survey study?
A Questionnaires الإجابة الصحيحةB Unstructured interviewC Video recording of interactionsD Direct participant observation -
263
Preventive measures such as immunizations and water fluoridation are examples of which type of prevention?
A QuaternaryB TertiaryC SecondaryD Primary الإجابة الصحيحة -
264
Which action is an example of primary prevention?
A Avoiding unnecessary imaging testsB Flu vaccination الإجابة الصحيحةC Cardiac rehabilitation after a heart attackD Screening for breast cancer -
265
A pediatric nurse is calculating a child's medication dosage. The child weighs 30 kg and the prescribed dosage is 0.2 mg/kg. How many milligrams should be administered?
A 12 mgB 6 mg الإجابة الصحيحةC 18 mgD 3 mg -
266
Which statement by a nursing student warrants re-education about transmission-based precautions?
A Patients with droplet diseases such as measles require an N95 mask. الإجابة الصحيحةB Use soap and water after caring for clients with C. difficile, norovirus, or rotavirus.C A client on droplet precautions should wear a surgical mask during transport.D Wear a gown and gloves when entering a contact-precautions room. -
267
The nurse made an error in a narrative documentation of an assessment finding. Which action should the nurse take to correct it?
A Document a late entry.B Erase the error.C Mark the entry 'mistaken entry' and add the correct information. الإجابة الصحيحةD Use correction fluid. -
268
While shopping for an over-the-counter cough suppressant, the nurse identifies that the medication will be classified as a:
A Nonscheduled medication الإجابة الصحيحةB Schedule III medicationC Schedule I medicationD Schedule V medication -
269
Which action is an example of primary prevention?
A Avoiding unnecessary imaging testsB Flu vaccination الإجابة الصحيحةC Cardiac rehabilitation after a heart attackD Screening for breast cancer -
270
A nurse is working with an interprofessional team in caring for a client. Which action will improve client outcomes?
A Collaboration and open communication الإجابة الصحيحةB Independent treatmentC Timely client dischargeD Frequent changes in team members -
271
A client has been taught to restrict dietary sodium. Which food selection indicates effective teaching?
A Chicken leg, bread with butter, and steamed carrots الإجابة الصحيحةB Grilled cheese sandwich with tomato soupC Ham and cheese on whole grain crackersD Chinese take-out including steamed rice -
272
A postoperative client is at risk for venous stasis. Which intervention is most effective?
A Strict bed rest for 48 hoursB Elevate legs continuouslyC Perform leg exercises and ambulate as soon as possible الإجابة الصحيحةD Apply warm compresses every 2 hours -
273
An adolescent with type 1 diabetes has soccer practice. Which action should prevent hypoglycemia during practice?
A Take insulin at noon instead of morningB Eat raisins or drink orange juice before practice الإجابة الصحيحةC Eat twice the normal lunchD Take half the insulin on practice days -
274
A child is admitted with suspected Hirschsprung disease. Which provider order should the nurse question?
A Insert an NG tube for decompressionB Keep NPO and initiate IV fluidsC Monitor abdominal girth every 4 hoursD Administer a large-volume liquid enema الإجابة الصحيحة -
275
Which statement describing physiologic jaundice is incorrect?
A Breastfed babies have a lower incidence of jaundice. الإجابة الصحيحةB Neonatal jaundice is common, but kernicterus is rare.C Parents need instruction on assessment and when to seek help.D Jaundice in the first 24 hours or beyond day 7 indicates pathology. -
276
Which nursing intervention is most important for a client with antisocial personality disorder?
A Teach and role-model assertiveness.B Use a gentle and reassuring approach.C Provide clear boundaries and consequences. الإجابة الصحيحةD Present an empathetic and democratic approach. -
277
A patient presents with a missed abortion at 10 weeks. What complication is she at risk for if the products of conception are retained for a prolonged period?
A Placenta previaB Ectopic pregnancyC Disseminated intravascular coagulation الإجابة الصحيحةD Preterm labor -
278
You are the nurse providing teaching to a pregnant woman on how to do kick counts. You will tell her all of the following except:
A Report fetal movement below the expected normal range.B If movement decreases, eat something, rest, and focus on movement for one hour.C You must lie prone while performing kick counts. الإجابة الصحيحةD Fetal movement counting helps assess fetal well-being. -
279
A nurse is providing teaching to parents about newborn genetic screening. Which information should the nurse include?
A Blood is drawn from the inner elbow.B The newborn should drink 2 oz of water first.C The screening is repeated at 2 months of age.D The screening is performed after the newborn is 24 hours old. الإجابة الصحيحة -
280
The nurse keeps in mind which of the following when collecting a urine specimen for routine urinalysis from a client?
A A sterile specimen is required.B Results may be altered if the sample stands at room temperature too long. الإجابة الصحيحةC The external meatus must be cleaned with antiseptic soap.D A clean-catch midstream specimen is necessary. -
281
A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which intervention should the nurse include?
A Feed the infant with a spoon for 48 hours.B Apply and release elbow restraints every hour. الإجابة الصحيحةC Keep the infant supine.D Suction the mouth with an oral suction tube. -
282
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which statement should the nurse include?
A Notify the provider if the child has dark brown blood between the teeth.B Encourage the child to drink liquids through a straw.C Notify the provider if the child is swallowing frequently. الإجابة الصحيحةD Encourage the child to clear the throat as needed. -
283
A nurse is preparing to administer a vaccine to a 4-year-old child. Which vaccine should the nurse administer?
A Haemophilus influenzae type b (Hib)B Varicella (VAR) الإجابة الصحيحةC Hepatitis B (HepB)D Meningococcal (MCV4) -
284
The prenatal clinic nurse is monitoring women for preeclampsia. Which client should the nurse see first?
A A dipstick value of 3+ protein in urine. الإجابة الصحيحةB Pitting pedal edema at the end of the day.C Blood pressure increased to 138/86 mm Hg.D Weight gain of 0.5 kg during the past 2 weeks. -
285
A nurse is giving discharge instructions to a new mother. What is the most important instruction to prevent postpartum infection?
A Wash hands before and after using the bathroom and changing the sanitary pad. الإجابة الصحيحةB Do not take tub baths for eight weeks.C Use tampons instead of pads.D Douche with a mild antiseptic twice daily for two weeks. -
286
A nurse implements annual influenza vaccination clinics for community members across the lifespan. This intervention represents:
A Secondary preventionB Tertiary preventionC Primary prevention الإجابة الصحيحةD Primordial prevention -
287
A school is providing education about the spread of COVID-19 across national boundaries and throughout the world in 2020, which prompted disease control measures in most countries. Which of the following terms should the nurse use to describe this level of disease?
A EpidemicB EndemicC Pandemic الإجابة الصحيحةD Cluster -
288
A nurse is preparing to pass medications to a group of clients. The nurse notices a possible misspelling of a medication on the medication administration record (MAR). What should the nurse do first?
A Change the spelling on the MARB Check the provider's order الإجابة الصحيحةC Call the pharmacyD Look up the medication on the Internet -
289
The prescriber has written admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take?
A Ask a colleague what the order saysB Contact the prescriber to clarify the order الإجابة الصحيحةC Wait until the prescriber makes roundsD Ask the patient about home medications -
290
A nurse can assist a father in his transition to parenthood by:
A Pointing out that the infant turned at the sound of his voice الإجابة الصحيحةB Encouraging him to go home to get some sleepC Telling him to tape the infant's diaper a different wayD Suggesting that he let the infant sleep in the bassinet -
291
While performing a sterile dressing change, the nurse contaminates the right sterile glove. What is the most appropriate action?
A Cover the contaminated glove with a nonsterile gloveB Remove the gloves and apply a new sterile pair الإجابة الصحيحةC Continue using only the left sterile handD Apply a new sterile glove over the contaminated glove -
292
What blood pressure measurement is indicative of preeclampsia with severe features?
A ≥ 140/90 mm HgB ≥ 180/120 mm HgC ≥ 120/80 mm HgD ≥ 160/110 mm Hg الإجابة الصحيحة -
293
A pregnant patient reports experiencing severe, persistent headaches and blurred vision at 34 weeks gestation. Which of the following conditions should the nurse immediately suspect?
A Gestational diabetes mellitusB Iron deficiency anemiaC Preeclampsia الإجابة الصحيحةD Urinary tract infection -
294
A newborn's arm is limp, adducted, internally rotated, with the elbow extended and wrist flexed. Which condition does this suggest?
A Klumpke palsyB Erb-Duchenne palsy الإجابة الصحيحةC Fractured clavicleD Facial nerve paralysis -
295
When performing a postpartum assessment, the nurse notes clots in the lochia that are larger than 1 cm. Which nursing action is most appropriate?
A Document the findingsB Notify the obstetrician الإجابة الصحيحةC Reassess the client in 2 hoursD Encourage increased oral fluid intake -
296
Which situation is an example of shared governance?
A A supervisor independently cuts staffingB Assistant directors write a policy without staff inputC Staff nurses recommend equipment for the unit الإجابة الصحيحةD Nurses follow the charge nurse's instructions -
297
The unlicensed nursing assistant is viewing the electronic medical record of an assigned client. When the assistant tries to access notes made by the social worker, an error message appears that reads, 'You are not authorized to view this information.' What response should the nurse make?
A Why are you trying to access that information on the client?B You should contact the information technology department to let them know.C You are not authorized to view all of the details on the client. الإجابة الصحيحةD I can pull up the data for you under my log-in information. -
298
A child with rubeola is admitted to the hospital. Which type of precautions should the nurse initiate?
A Enteric precautionsB Airborne precautions الإجابة الصحيحةC Protective isolationD Neutropenic precautions -
299
A nurse is preparing a client for electroconvulsive therapy (ECT). Which client statement indicates an understanding of the procedure?
A This procedure will cause me to have brief seizures الإجابة الصحيحةB One ECT treatment will be effective for my depressionC I will not need a pre-ECT workupD I will be able to eat breakfast before the procedure -
300
A nurse is caring for a patient receiving hemodialysis who becomes confused and complains of a headache. Which condition should the nurse suspect?
A PeritonitisB HypoglycemiaC Dialysis disequilibrium syndrome الإجابة الصحيحةD Hyperkalemia -
301
Which client should the nurse suspect of having pyloric stenosis?
A A 7-month-old infant who chokes during feedingsB An 11-year-old child with an olive-shaped abdominal massC A 5-week-old infant with projectile vomiting الإجابة الصحيحةD A 2-year-old child with a harsh cough -
302
A child has returned from surgery after placement of a shunt for hydrocephalus. Which position should the nurse use?
A Elevated 45 degrees in the supine positionB Flat on the unoperated side الإجابة الصحيحةC Flat on the operated sideD Elevated 30 degrees in the prone position -
303
A nurse is assisting a child to bed after a tonsillectomy. How should the nurse position the child until fully awake?
A SupineB Right lateral recumbent الإجابة الصحيحةC Fowler'sD Semi-Fowler's -
304
The practical nurse notes that a UAP is ambulating a client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the nurse take?
A Tell the UAP to take the client back to the roomB Instruct the UAP to walk on the affected side الإجابة الصحيحةC Take over the ambulation and counsel the UAP laterD Provide an assistive device such as a cane or walker -
305
A 1-year-old child is scheduled for repair of hypospadias and chordee. The preferred timing is based on which rationale?
A The child experiences less painB The child is too young to experience castration anxiety الإجابة الصحيحةC The child will not remember the procedureD Repair is easier after toilet training -
306
A client with an acute myocardial infarction develops cardiogenic shock. Which finding should the nurse expect?
A Bounding peripheral pulsesB Warm flushed skinC Hypotension with weak thready pulses الإجابة الصحيحةD Decreased jugular venous pressure -
307
The nurse is reviewing menu selections for a patient on a low-cholesterol diet. Which meal item should the nurse question?
A Fruit salad with yogurtB Cheese-steak sandwich الإجابة الصحيحةC Grilled fish sandwichD Vegetarian wrap -
308
In quantitative studies, researchers make a formal statement about the expected relationship between two or more variables in a specified population. This formal statement is called a research:
A Hypothesis الإجابة الصحيحةB PurposeC QuestionD Objective -
309
A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer?
A 1 tabletB 2 tablets الإجابة الصحيحةC 3 tabletsD 4 tablets -
310
A 15-month-old toddler with pneumonia weighs 11 kg. The safe amoxicillin dose is 20 to 40 mg/kg/day. Which dose is safe?
A 100 mg PO every 8 hours الإجابة الصحيحةB 350 mg PO every 8 hoursC 220 mg PO every 8 hoursD 500 mg PO every 8 hours -
311
What is required for the diagnosis of preeclampsia?
A Hypertension before 20 weeksB Hypertension after 20 weeks with proteinuria or end-organ dysfunction الإجابة الصحيحةC Proteinuria onlyD Seizures only -
312
Before administering a scheduled opioid, the nurse notes a respiratory rate of 8/min, pulse 80/min, and blood pressure 108/60 mmHg. Which action should the nurse take first?
A Administer an opioid antagonistB Withhold the scheduled opioid الإجابة الصحيحةC Administer the scheduled opioidD Inform the provider -
313
A 6-month-old infant with meningitis flexes the knees and hips when the neck is flexed. This is referred to as:
A Brudzinski sign الإجابة الصحيحةB Cushing triadC Kernig signD Nuchal rigidity -
314
What are the four components of PICO?
A Population, implication, comparison, outcomeB Population, intervention, clinical, outcomeC Population, intervention, comparison, outcome الإجابة الصحيحةD Population, implication, clinical, outcome -
315
What do the initials MMR represent?
A Measles, mumps, rubeolaB Measles, meningitis, rabiesC Measles, mumps, rubella الإجابة الصحيحةD Mumps, meningitis, rotavirus -
316
A child has ingested an unknown poison. What should the parents do first?
A Induce vomitingB Call the poison control center الإجابة الصحيحةC Administer an emeticD Drive to the emergency facility -
317
The nurse would prepare to screen clients for gestational diabetes at which time during pregnancy?
A Between 20 and 24 weeksB Between 15 and 19 weeksC Between 24 and 28 weeks الإجابة الصحيحةD Between 29 and 32 weeks -
318
What is the best way to prevent an incorrect dose caused by a calculation error?
A Ask the pharmacy to calculate every doseB Use a drug reference book onlyC Ask the provider to calculate the doseD Have another registered nurse verify the calculation الإجابة الصحيحة -
319
Which action should the nurse take when receiving a telephone order?
A Print the order and sign itB Read the order back to the provider الإجابة الصحيحةC Ask another nurse to listen silentlyD Wait for the provider to write it within 24 hours -
320
A nurse is assessing a client who has Graves' disease. Which laboratory result should the nurse expect?
A Decreased thyroxine (T4) levelB Decreased triiodothyronine (T3) levelC Decreased thyroid-stimulating immunoglobulins (TSI) percentageD Decreased thyroid-stimulating hormone (TSH) level الإجابة الصحيحة -
321
A client with pulmonary edema is dyspneic and anxious. Which intervention is the priority?
A Reassure the clientB Administer sublingual nitroglycerinC Place in high-Fowler's with legs dependentD Administer high-flow oxygen by face mask الإجابة الصحيحة -
322
The patient tells the nurse, 'You helped me learn how to recognize my own health needs without telling me how I should think.' Which nursing caring behavior or process is the patient describing?
A CompetenceB CompassionC Empowerment الإجابة الصحيحةD Presencing -
323
A nurse is preparing a client for electroconvulsive therapy (ECT). Which client statement indicates an understanding of the procedure?
A This procedure will cause me to have brief seizures. الإجابة الصحيحةB One ECT treatment will be effective for my symptoms.C I will not need any medical workup before ECT.D I can eat breakfast before the procedure. -
324
Which virus is the leading cause of gastroenteritis in infants and young children?
A VaricellaB InfluenzaC Rotavirus الإجابة الصحيحةD Measles -
325
During a cleansing enema, the client reports abdominal cramping. Which action should the nurse take?
A Obtain vital signsB Notify the providerC Lower the enema container الإجابة الصحيحةD Stop the instillation permanently -
326
Which action should the nurse take for a newborn receiving phototherapy?
A Reduce fluid intakeB Cover and clothe the newbornC Keep the newborn supineD Cover the newborn's eyes الإجابة الصحيحة -
327
Which task is appropriate for the nurse to delegate to assistive personnel?
A Assess pain after medicationB Obtain vital signs for a stable postoperative client الإجابة الصحيحةC Teach medication side effectsD Develop the plan of care -
328
Which task can the nurse delegate to a nursing assistant?
A Administer IV medicationsB Perform the initial assessmentC Assist a client with ambulation الإجابة الصحيحةD Develop the care plan -
329
In caring for an infant diagnosed with pyloric stenosis, which intervention should the nurse anticipate?
A Prepare the infant for surgery الإجابة الصحيحةB Assist in insertion of a nasogastric tubeC Change the infant to a lactose-free dietD Assist with a barium enema -
330
A client is using a primary prevention strategy to prevent infectious disease. Which action is the client most likely taking?
A Receiving tetanus immunoglobulin after stepping on a nailB Receiving a tetanus booster after stepping on a nailC Receiving antibiotics and seizure precautions for active tetanusD Receiving a tetanus booster every 10 years الإجابة الصحيحة -
331
An experienced nurse is asked to float to a pediatric ICU but feels uncomfortable. Which negotiation approach is most appropriate?
A Refuse the assignment outrightB Accept without discussionC Propose a supportive role without client assignments while orienting الإجابة الصحيحةD Demand reassignment to another unit -
332
A charge nurse hears a provider speaking angrily to a staff nurse about incorrect supplies. Which statement by the charge nurse is appropriate?
A If you told us earlier, we could have preparedB It must be frustrating not to have what you need الإجابة الصحيحةC I will replace the staff nurse for the procedureD Think about how others feel when you lose your temper -
333
A nurse is caring for a client with terminal cancer who wants to go home to be with family. Which action should the nurse take?
A Make a referral for social services الإجابة الصحيحةB Explain leaving against medical adviceC Contact the chaplain onlyD Encourage continued inpatient care -
334
A nurse is preparing to care for a child after a tonsillectomy. Which position is most appropriate?
A SupineB Trendelenburg'sC Side-lying الإجابة الصحيحةD High Fowler's -
335
A client arrives with facial burns, singed nasal hairs, a hoarse voice, and drooling. What is the nurse's priority?
A Prepare for airway support الإجابة الصحيحةB Apply cool compressesC Calculate the Rule of NinesD Administer oral pain medication -
336
A client taking lithium reports tremors and nausea. What is the nurse's best action?
A Reassure that these are expected effectsB Check the lithium level and hold the next dose الإجابة الصحيحةC Administer an antiemetic and antiparkinsonian agentsD Instruct the client to take the medication at bedtime -
337
A fetus is experiencing shoulder dystocia during delivery. Which action should the nurse assist with?
A Place the client in a left side-lying positionB Assist the client into the McRoberts maneuver الإجابة الصحيحةC Prepare for an immediate cesarean birthD Administer two units of packed red blood cells -
338
A pregnant client after 20 weeks has new severe hypertension, headache, and proteinuria with no previous history of elevated blood pressure. Which hypertensive disorder should the nurse suspect?
A Gestational hypertensionB Chronic hypertensionC Preeclampsia الإجابة الصحيحةD Eclampsia -
339
A pregnant client at 16 weeks of gestation has a history of hypertension and a blood pressure of 169/94 mm Hg. Which diagnosis is most likely?
A Chronic hypertension الإجابة الصحيحةB Normal blood pressure in pregnancyC PreeclampsiaD Pregnancy-induced hypertension -
340
Which assessment on the third postpartum day indicates uterine subinvolution?
A The fundus is three fingerbreadths below the umbilicusB The client reports mild uterine crampingC The fundus is two fingerbreadths above the symphysis pubisD The fundus remains at the umbilicus after the client voids الإجابة الصحيحة -
341
A laboring client has 7-cm cervical dilation, 100% effacement, a +1 station, intact membranes, and an urge to push. In which stage and phase of labor is the client?
A Second stage, active phaseB First stage, active phase الإجابة الصحيحةC First stage, latent phaseD Second stage, latent phase -
342
Which list correctly identifies the four categories of postpartum hemorrhage causes known as the four Ts?
A Tone, Trauma, Thrombin, TensionB Tension, Trauma, Tissue, ThrombinC Tone, Trauma, Tissue, Thrombin الإجابة الصحيحةD Tone, Trauma, Thrombosis, Tissue -
343
What is a primary goal of shared governance in nursing?
A Transition decision-making from a traditional hierarchy to staff nurses الإجابة الصحيحةB Increase the authority of nurse managersC Reduce the number of staff meetingsD Limit decisions to nurses with the same degree -
344
An assistive personnel member receives a message stating, 'You are not authorized to view this information.' Which response by the nurse is appropriate?
A Why were you trying to view the information?B Contact information technology to obtain accessC You are not authorized to view all parts of the client's record الإجابة الصحيحةD Use my login because I can access the information -
345
A client decides not to have surgery after signing the consent form. Which action should the nurse take?
A Suggest that the client reconsiderB Remind the client that the signed consent is bindingC Tear up the consent formD Notify the provider and document the client's decision الإجابة الصحيحة -
346
After signing a surgical consent form, a client asks the nurse about the procedure's risks and benefits. Which action should the nurse take?
A Answer the client's questions in detailB Request that the surgeon speak with the client الإجابة الصحيحةC Place the signed form in the medical recordD Notify the nurse manager -
347
A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which intervention should the nurse include as a primary prevention?
A Provide treatment in the hospital for clients who have dehydration due to influenza.B Encourage clients who have influenza to stay at home until they are no longer infectious.C Provide testing at a community health center for clients who have influenza manifestations.D Encourage community members to obtain an influenza immunization. الإجابة الصحيحة -
348
Which life stage pertains to a 65-year-old patient?
A AgedB ElderlyC AdultD Older adult الإجابة الصحيحة -
349
A nurse is monitoring a patient after surgery. Which finding indicates a potential postoperative complication?
A Pain at the incisionB BradycardiaC High fever الإجابة الصحيحةD Constipation -
350
A breastfeeding client with mastitis is worried about nursing her infant. Which instruction should the nurse provide?
A Continue breastfeeding while receiving treatment الإجابة الصحيحةB Avoid taking analgesicsC Stop breastfeeding until antibiotics are completedD Supplement all feedings with formula -
351
An occupational health nurse holds an influenza vaccine clinic. This is an example of which level of prevention?
A Primary prevention الإجابة الصحيحةB Health policyC Tertiary preventionD Secondary prevention -
352
A client receiving morphine by patient-controlled analgesia has a respiratory rate of 10/min and is somnolent. Which medication should the nurse administer immediately?
A Intravenous naloxone الإجابة الصحيحةB Intravenous flumazenilC Oral modafinilD Nebulized albuterol -
353
ST-segment elevation in leads II, III, and aVF indicates which type of myocardial infarction?
A Inferior wall myocardial infarction الإجابة الصحيحةB Posterior wall myocardial infarctionC Lateral wall myocardial infarctionD Anterior wall myocardial infarction -
354
Which action by a student nurse violates HIPAA?
A Discussing a client's diagnosis in a public reception area الإجابة الصحيحةB Receiving client information during shift reportC Giving a privacy notice to a legal representativeD Discussing client care privately with the assigned nurse -
355
In acute respiratory distress syndrome, damage to surfactant-producing cells most directly leads to which complication?
A Pulmonary edemaB Atelectasis الإجابة الصحيحةC BronchoconstrictionD Upper airway obstruction -
356
Which assessment finding is indicative of fluid in the lungs in a client with pulmonary edema?
A Decreased respiratory rateB Inspiratory crackles at the lung bases الإجابة الصحيحةC Increased breath sounds throughoutD Diminished heart sounds -
357
Surgical repair of a cleft palate should ideally be completed before which age?
A 6 monthsB 12 months الإجابة الصحيحةC 2 yearsD 5 years -
358
Which finding in an infant 6 hours after cleft lip repair requires immediate nursing intervention?
A The infant sleeps on the backB The incision appears swollenC The infant cries frequently and is difficult to console الإجابة الصحيحةD Elbow restraints remain in place -
359
Which laboratory result best indicates that antiretroviral therapy is effective?
A Increased viral loadB Decreased neutrophil countC Decreased white blood cell countD Increased CD4 count الإجابة الصحيحة -
360
After two unsuccessful attempts to insert a short peripheral IV catheter in an older adult, what should the nurse do?
A Notify the healthcare providerB Make a third attempt in the opposite armC Request insertion of a PICCD Ask another qualified nurse to attempt insertion الإجابة الصحيحة -
361
An older adult with lung cancer has a daughter who is a nurse and asks to view the client's chart. Which response is appropriate?
A Come with me and I will show you the chartB The information is confidential without the client's permission الإجابة الصحيحةC Ask the nursing supervisor for the chartD You are a nurse, so you should already know the information -
362
Which nursing action is a breach of client privacy?
A Documenting care in the medical recordB Releasing health information to an employer without consent الإجابة الصحيحةC Discussing the care plan with the healthcare teamD Asking the client which family members may receive information -
363
A nurse discovers that narcotics are missing and reports the discrepancy. Which ethical principle obligates the nurse to report it?
A AdvocacyB Responsibility الإجابة الصحيحةC ConfidentialityD Accountability -
364
Which technique is used to perform the Weber test?
A Strike the patellar tendon with a reflex hammerB Inspect the optic disc with an ophthalmoscopeC Inspect the auditory canal with an otoscopeD Place a vibrating tuning fork on the midline of the skull الإجابة الصحيحة -
365
Which finding supports a diagnosis of esophageal atresia with tracheoesophageal fistula in a neonate?
A Failure to pass meconiumB Currant-jelly stoolsC Frothy secretions with coughing, choking, and cyanosis during feeding الإجابة الصحيحةD Projectile vomiting with an olive-shaped mass -
366
A nurse is caring for a 3-month-old infant with suspected Hirschsprung disease. Which action should the nurse anticipate?
A Administer a glycerin suppositoryB Prepare the infant for a rectal biopsy الإجابة الصحيحةC Begin oral rehydration therapyD Administer prescribed antibiotics -
367
Clients with hyperemesis gravidarum are at risk for which complication?
A Electrolyte imbalance الإجابة الصحيحةB HypoglycemiaC Increased blood pressureD Weight gain -
368
Which beverage should a client take with an oral iron supplement to improve absorption?
A Orange juice الإجابة الصحيحةB Water onlyC MilkD Apple juice -
369
A 10-year-old child is dehydrated and has received an IV fluid bolus. Before adding potassium to the IV fluids, which assessment is most important?
A Recent oral intakeB Urinary output الإجابة الصحيحةC Capillary refillD Time of the last bowel movement -
370
A laboring client who received spinal anesthesia develops a severe headache that worsens when sitting upright. Which action should the nurse take?
A Administer oxygenB Increase the IV fluid rateC Position the client flat الإجابة الصحيحةD Apply ice packs to the neck -
371
Which staffing strategy best addresses shortages while maintaining patient safety and cost effectiveness?
A Use community volunteersB Establish a centralized float pool الإجابة الصحيحةC Assign nurses without considering unit acuityD Require mandatory overtime -
372
A researcher examines pertussis rates in the same children before age 1 and again at age 6 in relation to immunization status. Which research design is this?
A Correlational longitudinal الإجابة الصحيحةB Correlational cross-sectionalC Descriptive longitudinalD Descriptive cross-sectional -
373
A postpartum client has a firm, midline uterus and an empty bladder but continues to have bright-red vaginal bleeding. Which cause should the nurse suspect?
A Uterine atonyB Retained placental fragmentsC Genital tract laceration الإجابة الصحيحةD Uterine inversion -
374
A near miss involving duplicate anticoagulant orders was not reported. Which quality-improvement conclusion is most appropriate?
A Only events causing harm should be reportedB Reporting near misses helps identify system problems before harm occurs الإجابة الصحيحةC Near-miss reports should assign individual responsibilityD Near misses should remain within the unit -
375
Which postpartum finding should the client report immediately?
A Scant lochia alba on day 15B Fundus at the umbilicus on day 1C Reappearance of bright-red lochia on day 10 الإجابة الصحيحةD Mild uterine tenderness on day 3 -
376
Which statement best defines pathophysiology?
A The study of social determinants of healthB The psychological impact of illnessC The study of how disease processes alter normal body function الإجابة الصحيحةD The study of genetic risk factors alone -
377
Which client should not receive a live vaccine?
A An immunocompromised clientB A pregnant clientC A client receiving high-dose corticosteroidsD All of the above الإجابة الصحيحة -
378
Which statement by the nurse best uses the teach-back method to verify understanding?
A Please show me how you will use this information at home الإجابة الصحيحةB Was this teaching useful?C Do you have any questions?D Do you understand the instructions? -
379
Which staff activity should a nurse manager report for peer review?
A Administering medications later than scheduledB Documenting an assessment before performing it الإجابة الصحيحةC Delivering a meal tray to a client who is NPOD Changing client assignments during the shift -
380
A postpartum client says that in her culture the family provides most infant care. Which response is culturally competent?
A Tell the client she must provide all infant careB Explain that all good mothers care for their newborns independentlyC State that hospital policy does not allow family participationD Allow family participation and assess their knowledge of safe newborn care الإجابة الصحيحة -
381
When should a client perform breast self-examination?
A At the onset of menstruationB Every month during ovulationC Once every weekD About one week after menstruation begins الإجابة الصحيحة -
382
A couple has been diagnosed with infertility after trying to conceive for one year. Which diagnostic test is usually performed first?
A Semen analysis الإجابة الصحيحةB Transvaginal ultrasoundC HysterosalpingographyD Hysteroscopy -
383
Which condition is a common cause of a newborn being small for gestational age?
A Preterm birthB Fetal hyperinsulinemiaC Perinatal asphyxiaD Placental insufficiency الإجابة الصحيحة -
384
A client appears hesitant to answer personal health questions while a family member is present. Which action best facilitates an accurate history?
A Use only structured yes-or-no questionsB Request that the family member leave during the private assessment الإجابة الصحيحةC Wait for the client to introduce sensitive topicsD Include the family member in every question -
385
What is the most common cause of secondary amenorrhea?
A Congenital obstructionB Pregnancy الإجابة الصحيحةC Imperforate hymenD Endocrine disorder -
386
A nurse is caring for a client who asks about the purpose of a Papanicolaou test. Which response should the nurse make?
A This test determines your ovulation status.B This test detects the presence of endometriosis.C This test allows for the removal of uterine fibroids.D This test detects the presence of cervical cancer. الإجابة الصحيحة -
387
Which action should the nurse take when providing preoperative teaching to a 9-year-old child?
A Use a stuffed animal onlyB Use simple age-appropriate diagrams الإجابة الصحيحةC Discuss only long-term benefitsD Provide all teaching immediately before surgery -
388
Which nursing statement best demonstrates use of distraction for a child experiencing pain?
A Let's play your favorite music الإجابة الصحيحةB I will place a warm compress hereC Take a slow deep breathD Try to ignore the pain -
389
Which intervention is the priority for a newborn with a meningocele?
A Cover the sac with moist sterile gauze الإجابة الصحيحةB Remove mucus and apply oxygenC Apply identification braceletsD Transfer the newborn to the NICU without covering the lesion -
390
Which nursing action is appropriate when initiating phototherapy for a newborn?
A Apply an eye shield الإجابة الصحيحةB Apply moisturizing lotionC Place a hat on the newbornD Move the lights closer than prescribed -
391
Which instruction should a nurse provide about bottle feeding a newborn with a cleft lip using a special valve feeding device?
A Squeeze the nipple base to introduce milk into the mouthB Position the newborn on the left side after feedingC Alternate milk with water during the feedingD Hold the newborn in an upright position الإجابة الصحيحة -
392
A patient has a bowel perforation and develops peritonitis. Which serious complication should the nurse anticipate?
A Abdominal tendernessB Sepsis الإجابة الصحيحةC DiarrheaD Nausea -
393
A nurse is caring for a child who is postoperative following ventriculoperitoneal shunt placement. In which position should the nurse place the child?
A Semi-Fowler's positionB Prone positionC Trendelenburg positionD On the unoperated side الإجابة الصحيحة -
394
A nurse is caring for a child who is postoperative following a tonsillectomy. Which finding indicates hemorrhage?
A PainB DrowsinessC Frequent swallowing الإجابة الصحيحةD Diminished breath sounds -
395
The parent of an infant asks when the baby's first immunization for measles, mumps, and rubella should be given. Which age should the nurse provide?
A 6 monthsB 12 months الإجابة الصحيحةC 24 monthsD 2 months -
396
Which method is used by the nurse to prevent heat loss in a newborn through evaporation?
A Place the newborn in a warm cribB Dry the infant and wrap the infant in a warm blanket الإجابة الصحيحةC Close the nursery doorD Place the newborn under a radiant warmer -
397
A nurse enters a patient's room and finds that the patient has fallen. What should the nurse do first?
A Assess the patient for injury الإجابة الصحيحةB Complete an incident reportC Implement additional fall precautionsD Assist the patient back to bed -
398
A grievance brought by a staff nurse against the unit manager requires mediation. Which action is most appropriate?
A Send the staff nurse to another unitB Listen only to the unit managerC Ask another nurse to decide who is rightD Ask each party to examine motives and issues الإجابة الصحيحة -
399
A charge nurse is making client assignments in the intensive care department. Which client is most appropriate to assign to a newly graduated nurse?
A A client with multisystem failureB A client with active bleeding from liver failureC A ventilated client with acute respiratory distress syndromeD A stable client with chest tubes following a stab wound الإجابة الصحيحة -
400
A nurse realizes that the wrong medication was administered to a client. Which action should the nurse take first?
A Notify the providerB Check the client's condition الإجابة الصحيحةC Notify the nurse managerD Complete an incident report -
401
A primigravida in active labor requests bilateral pudendal block anesthesia. Which location identified by the client as the area of pain relief indicates that the teaching was effective?
A BackB AbdomenC FundusD Perineum الإجابة الصحيحة -
402
On her second postpartum day, a mother notices that her newborn is jaundiced. Which explanation best describes physiologic jaundice?
A Increased newborn metabolismB Destruction of fetal red blood cells الإجابة الصحيحةC An antigen-antibody reactionD Immaturity of the reticuloendothelial system -
403
A nurse is conducting Weber's test. Which action will the nurse take?
A Place a vibrating tuning fork in the middle of the patient's forehead الإجابة الصحيحةB Place a vibrating tuning fork on the patient's mastoid processC Compare the seconds heard by bone versus air conductionD Compare the patient's joint movement with the normal range -
404
A child weighs 75 lb. A medication has a therapeutic dosage range of 33 to 48 mg/kg/day and is given four times daily. Which single dose is appropriate?
A 280 mgB 375 mg الإجابة الصحيحةC 408 mgD 250 mg -
405
A nurse is caring for an adolescent who is scheduled for surgery. Which action should the nurse take to prepare the adolescent based on the developmental stage?
A Discuss how the procedure might affect the client's appearance الإجابة الصحيحةB Avoid involving the client in treatment decisionsC Emphasize that the procedure is not a punishmentD Keep equipment out of the client's sight -
406
A provider gives a telephone order but refuses to remain on the line for read-back. What should the nurse do?
A Delete the orderB Inform the provider that the order must be read back الإجابة الصحيحةC Proceed without read-backD Ask the provider's secretary to verify it -
407
A breastfeeding client reports sore, cracked nipples. Which action should the nurse take?
A Assess and ensure the newborn has a successful latch الإجابة الصحيحةB Increase the time between feedingsC Apply mineral oil between feedingsD Keep the nipples covered between sessions -
408
A nurse is educating a client about bariatric surgery. Which statement indicates a need for further teaching?
A I will follow a liquid or pureed diet after surgeryB I can schedule surgery without evaluation by the surgeon الإجابة الصحيحةC The procedure reduces stomach size and may reduce absorptionD I will need lifelong dietary and lifestyle changes -
409
The nurse states, 'I will stay with you until you go for your electroconvulsive therapy treatment.' Which therapeutic communication technique is used?
A AcceptingB Giving recognitionC Offering self الإجابة الصحيحةD Formulating a plan -
410
A nurse is assessing pain in a 10-year-old child who can communicate. Which pain scale is most appropriate?
A FLACC scaleB FACES scaleC Numeric rating scale الإجابة الصحيحةD Visual analog scale -
411
A child with thalassemia major receives frequent blood transfusions. Which complication should the nurse monitor for?
A Hemosiderosis الإجابة الصحيحةB HematuriaC HemarthrosisD Hemoptysis -
412
How is rotavirus primarily transmitted?
A Airborne dropletsB Direct blood contactC Fecal-oral route الإجابة الصحيحةD Mosquito bite -
413
A nurse is collecting data from a child who has spina bifida occulta. Which finding should the nurse expect?
A Flaccid paralysisB Hip dislocationC HydrocephalusD A dimple in the sacral area الإجابة الصحيحة -
414
Both parents are heterozygous for sickle cell disease. What is the probability that their child will have sickle cell anemia?
A 50%B 25% الإجابة الصحيحةC 75%D 100% -
415
At what age should an infant receive the first hepatitis B vaccine?
A At 2 monthsB At birth الإجابة الصحيحةC At 1 yearD At 6 months -
416
What is the term for a laboratory-verified infection that causes no apparent symptoms?
A ColonizedB Subclinical الإجابة الصحيحةC LatentD Dormant -
417
A client has a serum potassium level of 7.5 mEq/L. Which assessment is the priority?
A Apical pulse and cardiac rhythm الإجابة الصحيحةB Urinary outputC Muscle strengthD Deep tendon reflexes -
418
Which mechanism explains how combined oral contraceptives prevent pregnancy?
A Creating sterile uterine inflammationB Physically blocking sperm migrationC Thickening cervical mucus and suppressing ovulation الإجابة الصحيحةD Releasing copper ions -
419
A newborn has small raised pearly white spots on the nose and chin. Which condition is this?
A Erythema toxicumB Milia spots الإجابة الصحيحةC Mongolian spotsD Epstein's pearls -
420
A nurse plans to administer haloperidol to a client with acute psychosis. Which adverse effect should the nurse monitor for?
A Dystonia الإجابة الصحيحةB DiarrheaC Excessive salivationD Increased agitation -
421
A staff nurse works on a unit where decisions and activities are shared between the leader and staff. Which leadership style is practiced?
A AutocraticB Democratic الإجابة الصحيحةC Laissez-faireD Transformational -
422
Which statement indicates correct understanding of sublingual nitroglycerin use?
A I will take one tablet every 10 minutesB I will swallow the tablet with waterC I will take one tablet when chest pain begins الإجابة الصحيحةD I can take up to five tablets -
423
The clinical instructor interprets the development of mutual goals and guidelines as which stage of group development?
A Norming الإجابة الصحيحةB PerformingC StormingD Informing -
424
In which stage of group formation is it possible that members will experience conflict?
A FormingB Storming الإجابة الصحيحةC NormingD Performing -
425
Which description defines a nullipara?
A A woman who had a pregnancy loss at 25 weeks and has no living childrenB A woman who has never given birth الإجابة الصحيحةC A woman who has had three prior birthsD A woman who has never been pregnant -
426
Against which condition is a 6-month-old infant with up-to-date immunizations not protected?
A PolioB TetanusC Measles الإجابة الصحيحةD Hepatitis B -
427
Which statement by a pregnant client indicates understanding of the importance of folic acid?
A It reduces the risk of spinal cord defects الإجابة الصحيحةB It strengthens fetal bonesC It prevents bleeding during pregnancyD It improves the newborn's immune system -
428
When caring for patients, what is the single most important technique to prevent and control transmission of infection?
A Hand hygiene الإجابة الصحيحةB Use of disposable glovesC Use of isolation precautionsD Sterilization of equipment -
429
Why should a nurse perform hand hygiene before entering a patient's room?
A It is the most effective way to prevent transmission الإجابة الصحيحةB It is required only by facility policyC It is a professional courtesyD It is a personal habit -
430
Which staff action when implementing infection-control measures should the nurse report?
A Entering a contact-isolation room without a maskB Wearing a gown at the doorway of a protective-environment roomC Entering an airborne-isolation room wearing only a surgical mask الإجابة الصحيحةD Entering a droplet-isolation room without a gown -
431
Which transmission-based precaution should the nurse implement for a client with a wound infected by MRSA?
A Airborne precautionsB Contact precautions الإجابة الصحيحةC Droplet precautionsD Protective environment -
432
Some managers tend to rate all employees as average. What is this appraisal error called?
A Halo effectB Central tendency الإجابة الصحيحةC StereotypingD Leniency error -
433
Which should be the primary focus of nursing care in the active phase of labor for a client who anticipates an unmedicated delivery?
A Re-evaluate the need for medicationB Assist her to maintain control الإجابة الصحيحةC Assess the strength of uterine contractionsD Remind her to push three times with each contraction -
434
Which sequence reflects the normal progression of postpartum vaginal discharge?
A Lochia alba, lochia rubra, lochia serosaB Lochia serosa, lochia alba, lochia rubraC Lochia rubra, lochia alba, lochia serosaD Lochia rubra, lochia serosa, lochia alba الإجابة الصحيحة -
435
A primigravida at 39 weeks has dark red vaginal bleeding, pain between contractions, and a rigid uterus. Which condition is most likely?
A Preterm laborB Placenta previaC Abruptio placentae الإجابة الصحيحةD Placenta accreta -
436
Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
A HypoinsulinemiaB HyperbilirubinemiaC Hypoglycemia الإجابة الصحيحةD Hypercalcemia -
437
When is the most appropriate time to screen a pregnant client for gestational diabetes?
A 20 to 24 weeksB 24 to 28 weeks الإجابة الصحيحةC 28 to 32 weeksD 16 to 20 weeks -
438
What is the primary purpose of measuring fundal height after 20 weeks of gestation?
A Assess maternal weight gainB Determine fetal lieC Estimate gestational age and monitor fetal growth الإجابة الصحيحةD Evaluate fetal heart-rate variability -
439
Which information should a nurse include when teaching about chlamydia?
A It is treated with antiviral medicationB Sexual activity can resume immediatelyC It is often asymptomatic الإجابة الصحيحةD Screening is needed every two years -
440
A client has unilateral mastitis and discomfort in the affected breast. Which instruction should the nurse include?
A Apply hydrocortisone ointmentB Avoid wearing a nursing braC Apply warm compresses to the affected breast الإجابة الصحيحةD Limit oral fluid intake -
441
Magnesium sulfate is given to women with preeclampsia and eclampsia to accomplish which goal?
A Improve deep tendon reflexesB Shorten laborC Prevent convulsions الإجابة الصحيحةD Prevent a boggy uterus -
442
Which clinical manifestation supports pyloric stenosis in an infant?
A Abdominal rigidity and painB Rounded abdomen with hypoactive bowel soundsC Visible peristalsis and weight loss الإجابة الصحيحةD Lower abdominal distention and constipation -
443
An infant with tetralogy of Fallot is experiencing a tet spell. Which position should the nurse use?
A ProneB Knee-chest الإجابة الصحيحةC TrendelenburgD Fowler's -
444
A newborn has bluish-green marks on the buttocks. What should the nurse identify these marks as?
A Congenital dermal melanocytosis الإجابة الصحيحةB Nevus flammeusC Vascular neviD Lanugo -
445
For an 8-year-old child with hyperthyroidism, which medication is the recommended initial treatment?
A Radioactive iodineB PropylthiouracilC Methimazole الإجابة الصحيحةD Levothyroxine -
446
Which statement correctly distinguishes an endemic disease from an epidemic disease?
A An endemic disease is always fatal, while an epidemic is notB An endemic disease is consistently present in a geographic area, while an epidemic is a sudden increase above normal الإجابة الصحيحةC An endemic disease affects only animals, while an epidemic affects humansD An endemic disease is caused by one pathogen, while an epidemic has many causes -
447
A one-month-old infant has suspected Hirschsprung disease. Which procedure confirms the diagnosis?
A ColonoscopyB Rectal biopsy الإجابة الصحيحةC Multiple saline enemasD Fiberoptic nasoenteric tube placement -
448
A nurse is caring for a client who is having an asthma attack. Which intervention should the nurse implement?
A Use an incentive spirometerB Administer an oral antihistamineC Administer an inhaled corticosteroid firstD Administer an inhaled beta-agonist الإجابة الصحيحة -
449
During an otoscopic examination of an infant, in which direction should the nurse pull the pinna?
A Up and forwardB Down and back الإجابة الصحيحةC Down and forwardD Up and back -
450
A client develops a fruity breath odor. Which additional assessment should the nurse perform first?
A Check blood glucose with a glucometer الإجابة الصحيحةB Assess pupil responseC Evaluate deep tendon reflexesD Palpate the liver -
451
When preparing to perform an abdominal examination, which step should the nurse perform first?
A AuscultationB Inspection الإجابة الصحيحةC PercussionD Palpation -
452
Which finding describes a positive Kernig sign in a child with meningitis?
A Petechiae on the trunkB Neck flexion causes hip and knee flexionC Inability to extend the leg when the hip is flexed الإجابة الصحيحةD Generalized muscle and joint pain -
453
When planning care for a client with early-stage Alzheimer's disease who is at risk for injury, which intervention is most important?
A Schedule all activities at the same timeB Provide repeated reassuranceC Arrange a safe, uncluttered environment that permits movement الإجابة الصحيحةD Assign assistive personnel to provide total care -
454
Which description is consistent with a stage 3 pressure ulcer?
A Full tissue loss with exposed support structuresB A deep crater without exposed bone, tendon, or muscle الإجابة الصحيحةC An intact or ruptured serum-filled blisterD Intact skin with nonblanchable redness -
455
The patient is unstable, so the nurse is using an electronic blood pressure device every 15 minutes. What should the nurse do to verify the accuracy of the electronic measurements?
A Check when the device was last calibrated.B Verify that the device adheres to current standards.C Take a manual blood pressure within several minutes of the electronic reading. الإجابة الصحيحةD Verify that the systolic pressure is within 20% of baseline. -
456
A pregnant client reports eating clay. Which condition should the nurse identify?
A Hyperemesis gravidarumB Gastroesophageal refluxC Pica الإجابة الصحيحةD Round ligament pain
جرب كلمة أقصر أو امسح البحث لعرض المذكرة كاملة.