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Orca Share Media1496246332603
Orca Share Media1496246332603
02. Mrs Ahmed age 53, her pulse rate is found to be 52 per minute. Her heart rate could be
described as:
a) Tachypnea b) Tachycardia
c) Bradypnea d) Bradycardia
03. When you assess the respiratory rate for the patient, you should do all of the following
EXCEPT:
a) Instruct the patient to breath in and out from his mouth.
b) Count each inspiration followed by expiration as one breath.
c) Make sure that the patient is not aware that you are counting his respiratory rate.
d) Count the respiratory rate for 30 seconds.
04. To examine the ear canal of the child, this is done by:
a) Pull the ear down and back
b) Pull the ear up and back
c) Pull the ear only back
d) Do not pull the ear, direct examine the ear by otoscope
05. The advantage of use head to toe approach when you assess the patient:
a) It increase the number of position changes
b) It helps to prevent overlooking some aspect of data collection
c) It takes more time
d) It is difficult to detect the disease or problem
09. The physician has ordered an indwelling urinary catheter inserted in a hospitalized
patient, the nurse is aware that:
a) The procedure requires surgical asepsis
b) Lubricant not needed for catheter insertion
c) Smaller catheters are used for male catheter
d) Normally a clean technique is required for catheter insertion
10. Diarrhea is best described by its:
a) Amount b) Consistency
c) Frequency d) Odor
11. Medication is instilled between the skin & the muscle and used to administer Heparin.
a) Intravenous b) Intramuscular
c) Intradermal d) Subcutaneous
12. The angle of the syringe and needle for intramuscular injections is:
a) 90 degrees b) 45 degrees
c) 15 degrees d) 10 degrees
13. Is the term used to administered undiluted medication quickly into a vein:
a) Bolus b) Secondary infusion
c) Intermittent d) Continuous
14. A primary concern when giving heparin subcutaneously to prevent bleeding is:
a) Don’t make massage on the injection site
b) To make massage on the injection site
c) Use the smallest gauge needle that is appropriate
d) Use Z technique
15. To ensure that medications are prepared and administered correctly, the nurse should:
a) Give the medication without question
b) Use the patient's rights
c) Give the medication only when requested
d) Use the FIVE rights
16. The doctor order is 300 cc of normal saline solution, to be finished within 4 hours, how
many drop/min you will regulate this IV (drop factor is 20 drop/minute).
a) 10 drop/min b) 15 drop/min
c) 25 drop/min d) 35 drop/min
18. A pre-operative check list form that should be completed before surgery, it should be
including which of the following?
a) The surgical consent form b) All laboratory test
c) Vital Signs d) All of above
19. The process of removing poisonous substance through gastric intubation is called:
a) Gastric Lavage b) Gastric Gavage
c) Gastric Decompression d) Gastric Tamponade
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20. Of the following, which is the earliest signs of excessive pressure:
a) Pale appearance of the skin
b) Reddened appearance of the skin
c) Ulcer formation on the skin
d) Dark or cyanotic color to the skin
21. To prevent the formation of thrombi in the postoperative patient, the nurse should
a) Teach foot and leg exercises
b) Have the patient lie still
c) Place pillows under the knee
d) Lie in lateral position
22. Which of the following is used to determine the activity of the brain:
a) Electrocardiography b) Electromyography
c) Electroencephalography d) Echocardiography
24. The nursing activity most likely to prevent the clogging of a nasogastric feeding tube is:
a) Attaching the tubing to suction after each feeding
b) Clamping the tubing after formula feeding
c) Flushing the tubing with water and clamping it after each feeding
d) Aspirate as much as possible from the tubing using a 50 ml syringe
25. When an order reads that a drug be administered t.i.d, how often should this drug be
given?
a) Every three hours b) Three times a day
c) Four times a day d) Every other day
26. Dorsal recumbent position is used when performing the following procedures EXCEPT:
a) Suppository insertion b) Cystoscopic examination
c) Urinary catheter insertion d) Vaginal examination
27. Which action is believed to be the most useful in preventing wound infections?:
a) Using sterial dressing supplies b) Performing careful hand hygiene
c) Suggesting dietary supplements d) All of the above
28. The single most effective way to prevent nosocomial infections is to:
a) Isolate patients with infections b) Cover the mouth and nose when coughing
c) Wash all equipment detergents d) Practice continuous hand washing
29. Vitamin K. 10 mg given IM, is ordered. Vitamin K is available as 5 mg/ml. How much
would the nurse administer?
a) 2 ml b) 6 ml
c) 4 ml d) 8 ml
43. During the inflammation process, which of the following characteristics occur first:
a) Swelling b) Pain
c) Redness d) Decreased functioning
45. Which of the following is used to determine the activity of the brain:
e) Electrocardiography f) Electromyography
g) Electroencephalography h) Echocardiography
46. When planning Mr. Asem care (50 years) who demonstrates difficulty in breathing.
Which of the following positions is most appropriate?
a) On either side b) Flat on his back
c) On his abdomen d) Mid-Flower's position
47. The following manifestations are commonly associated with a fever, EXCEPT:
a) Headache b) Pinkish and red skin color
c) Bradycardia d) Convulsions in infants and child
48. Dorsal recumbent position is used when performing the following procedures EXCEPT:
e) Suppository insertion f) Cystoscopic examination
g) Urinary catheter insertion h) Vaginal examination
49. If a vial of Gentamycin contains 80 mg in 2 ml, the physician order is 16 mg every 8 hr.,
the nurse should give every time:
a) 0.1 ml b) 0.2 ml
c) 0.3 ml d) 0.4 ml
50. If a nasogastric tube has been misplaced in the trachea during preparation to obtain a
gastric specimen, the nurse should anticipate that the patient will:
a) Have difficulty in breathing b) Swallow every few seconds
c) Gage without relief d) Complain of feeling nauseated
51. Blood and urine analysis confirm a diagnosis of salicylate overdose. The client is treated
with gastric lavage. Which of the following positions would be most appropriate for the
client during this procedure?
a) Lateral b) Trednelenburg’s
c) Supine d) Lithotomy
52. All of the followings are signs of HYPOXIA Except:
a) Rapid pulse
b) Cyanosis
c) Rapid shallow respiration
d) Diarrhea.
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53. Hypercabnia is:
a) Bluish discoloration of the skin nails beds and mucosal membrane.
b) Inadequate alveolar ventilation can lead to hypoxia.
c) Accumulation of carbon dioxide in the blood.
d) Slow respiration rate.
55. Which one of the following its major function to supply energy:
a) Protein
b) Carbohydrates
c) Fats
d) Minerals
56. What number 18 indicate, regarding body mass index scale (BMI):
a)Underweight
b) Morbidly obese
c) Malnourished
d) Normal
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61. Medical asepsis includes:
a) Hand washing.
b) Personal protective equipment (uniform, gown, gloves, face mask).
c) Cleaning, Disinfecting, Sterilizing.
d) All of the above.
67. The patient should be fasts (NPO) before the surgery for:
a) 24 hours.
b) 16 hours.
c) 6 to 8 hours.
d) 12 hours.
68. Complications of wound healing include:
a) Hematoma.
b) Nausea.
c) Hypertension.
d) All of the above
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69. Which of the following vital signs are normal:
a) Temp: 37, RR: 22, HR: 90, BP: 135/85.
b) Temp: 36.7, RR: 18, HR: 75, BP: 125/80.
c) Temp: 38, RR: 12, HR: 110, BP: 155/90.
d) Temp: 37.2, RR: 16, HR: 50, BP: 115/65
72. All of the following factors are increase respiratory rate except:
a) Decrease temp.
b) Stress.
c) Exercise.
d) Increase altitude.
73. The most safe and non invasive site to measure the temperature is:
a) Oral site.
b) Auxiliary site.
c) Rectal site.
d) Tympanic site.
75. In which phase of nursing process the nurse collect data about the client:
a) Diagnosis.
b) Assessment.
c) Implementation.
d) Evaluation.
81. All of the following are clinical manifestations of fluid volume excess except:
a) Edema
b) Oliguria
c) Distended neck veins
d) Increased CVP
82. Signs and symptoms of Hypovolemic shock are all of the following except:
a) Tachycardia
b) Hypertension
c) Pallor and cyanosis
d) Tachypnea
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85. When blood sugar level is above normal range, this means that patient has:
a) Hypotension
b) Hypoglycemia
c) Hyperglycemia
d) Bradycardia
86. The most important thing should be done after any nursing action is:
a) Documentation
b) Nursing diagnosis
c) Planning
d) All of the above
87. All of the following are assessment sites for body temperature except:
a) Oral Site.
b) Rectal Site.
c) Axillary Site.
d) Apical
88. Mr. Ashraf aged 35 years old, his pulse rate is found to be 120 bpm. His heart rate
could be described as:
a) Tachypnea.
b) Tachycardia.
c) Bradypnea
d) Bradycardia.
90. The condition in which the body temperature is above the average normal is called:
a) Bradypnea
b) Fever.
c) Hypertension.
d) Hypothermia.
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93. Normal body temperature is ranging from:
a) 35.8 – 37.4 C
b) 34.5 – 36.5 C
c) 35.0 – 38.0 C
d) 36.5 – 38.5 C
94. Pulse pressure is defined as which of the following:
a) Difference between systolic and diastolic pressure.
b) Expansion of the artery as blood moves through it.
c) Difference between arterial and venous pressure.
d) Difference between venous and systolic pressure.
95. Unoccupied bed making means:
a) Changing linen when the patient remains in the bed.
b) Changing linen when the bed empty.
c) State in which a person is relieved of distress.
d) None of the above.
96. The most accurate time for measuring pulse rate is:
a) 30 seconds.
b) 15 seconds.
c) 60 seconds.
d) 45 seconds.
97. Practices that promote health through personal cleanliness is called:
a) General appearance.
b) Self-image.
c) Insomnia.
d) Hygiene.
98. All of the following are therapeutic bathes except:
a) Shampooing bath.
b) Whirlpool bath,
c) Medicated bath.
d) Sitz bath.
99. Orthopnea is defined as:
a) Breathing facilitated by sitting or standing up.
b) Absence of breathing.
c) Rapid breathing.
d) Difficult breathing.
100. Which of the following is a form of radiograhpy:
a) Fluoroscopy.
b) Contrast medium.
c) C.T. Scan
d) All of the above
101. The examination that indicates physical inspection of the vagina and cervix with
palpation of uterus and ovaries is called:
a) A Pap test.
b) Electrocardiography.
c) Pelvic examination.
d) Paracentesis.
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102. Procedure that involves the insertion of a needle between lumber vertebra in the spine
but below the spinal cord itself is called:
a) Lumber puncture.
b) Paracentesis.
c) Pelvic Examination.
d) Electromyography.
105. All of the following are common factors that invalidated examination or test results
except:
a) Inadequate specimen volume.
b) Failure to send the specimen in a timely manner.
c) Correct diet preparation.
d) Insufficient bowel cleansing.
107. All of the following are post procedural nursing responsibilities except:
a) The nurse has to attend the patient for comfort and rest.
b) Care of specimens.
c) Assist the examiner.
d) Record and report of information.
108. A patient is prepared for hemodialysis. He receives heparin before therapy before
primarily to help:
a) Relieve discomfort
b) Prevent blood clotting
c) Maintain blood pressure
d) Stimulate the production of urine
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110. Urine that remains in pt's bladder after he voids is called:
a) Reflux urine
b) Over flow urine
c) Retention urine
d) Residual urine
111. For a normal person the urine specific gravity is ranged between:
a) 1.000 and 1.010
b) 1.015 and 1.025
c) 1.025 and 1.050
d) 1.050 and 1.070
113. Among the following statements, which should be given the HIGHEST priority?
a. Client is in extreme pain
b. Client’s blood pressure is 60/40
c. Client’s temperature is 40 degree Centigrade
d. Client is cyanotic.
114. Considered as the most accessible and convenient method for temperature taking is:
a. Oral
b. Rectal
c. Tympanic
d. Axillary
115. In cleaning the thermometer after use, The direction of the cleaning to follow Medical
Asepsis is :
a. From bulb to stem
b. From stem to bulb
c. From stem to stem
d. From bulb to bulb.
117. In palpating the client’s breast, Which of the following position is necessary for the patient to assume
before the start of the procedure?
a. Supine
b. Dorsal recumbent
c. Sitting
d. Lithotomy.
118. When is the best time to collect urine specimen for routine urinalysis and culture and sensitivity?
a. Early morning
b. Later afternoon
c. Midnight
d. Before breakfast.
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119. This is a process of removing pathogens but not their spores:
a. Sterilization c. Disinfection
b. Autoclaving d. Medical asepsis
120. This is the single most important procedure that prevents cross contamination and infection
a. Cleaning
b. Disinfecting
c. Sterilizing
d. Hand washing.
123. When the nurse changes the client's dressing which nursing action is correct:
a. The nurse removes the solid dressing with sterile gloves.
b. The nurse frees the tape by pulling it away from the incision.
c. The nurse encloses the solid dressing within a latex gloves.
d. The nurse clean the wound in circles toward the incision.
127. The physician orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers
15 drops/ml. The nurse should run the I.V. infusion at a rate of:
a) 15 drops/minute
b) 21 drops/minute.
c) 32 drops/minute.
d) 125 drops/minute
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128 .Hypertension is defined as persistent blood pressure levels in which the systolic and
diastolic above
a) 110/60 mmHg b) 130/80 mmHg
c) 120/70 mmHg d) 140/90 mmHg
129. Of the following, which is the earliest signs of excessive pressure:
a) Pale appearance of the skin
b) Reddened appearance of the skin
c) Ulcer formation on the skin
d) Dark or cyanotic color to the skin
130. When an order reads that a drug be administered q.i.d, how often should this drug
be given?
a) Every three hours b) Three times a day
c) Four times a day d) Every other day
131. Which action is believed to be the most useful in preventing wound infections?:
a) Using sterial dressing supplies b) Performing careful hand hygiene
c) Suggesting dietary supplements d) All of the above
132. The single most effective way to prevent nosocomial infections is to:
a) Isolate patients with infections b) Cover the mouth and nose when coughing
c) Wash all equipment detergents d) Practice continuous hand washing
133. Vitamin K. 10 mg given IM, is ordered. Vitamin K is available as 5 mg/ml. How much
would the nurse administer?
a) 2 ml b) 6 ml
c) 4 ml d) 8 ml
134. Which one of the following diets include only water, tea, coffee, clear juice:
a) Clear liquid diet
b) Soft diet
c) Full liquid diet
d) Diabetic diet
137. All of the followings are risk factors for nosocomial infections EXCEPT:
a) Poor hand washing.
b) Using sterile techniques.
c) Contamination of closed drainage system.
d) Improper procedure technique (dressing, suctioning, catherization).
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138. Acute infection is:
a) Infection may occur slowly and takes long time.
b) is limited to the specific part of the body where microorganisms remain.
c) Infection appears suddenly or in short time.
d) When microorganisms spread and damage different part of body.
142. All of the followings are etiologies of self care deficit EXCEPT:
a) scar and abrasions.
b) Activity intolerance or weakness.
c) Mental impairment.
d) Visual impairment.
143. Skin turgor is:
a) Decrease sensation in extremities due to nerves system disease.
b) Collection of fluids inside the tissue.
c) Elasticity by lifting and pulling the skin on an extremity.
d) Non of the above.
144. Pressure ulcer risk factors include:
a) Immobility and inactivity.
b) Fecal and urinary incontinence.
c) Decreased mental status.
d) All of the above.
145. Scrub nurse role includes:
a) Assist the surgeons.
b) Draping the client with sterile drapes.
c) Handling sterile equipments and supplies.
d) All of the above.
146. Example of health promotion:
a) Immunization.
b) Direct care (give medication).
c) Stop cigarette smoking.
d) All of the above is correct.
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147. Immunization is an example of:
a) Health promotion.
b) Prevent illness.
c) Restoring health.
d) Care of the dying.
148. The primary methods used to examine the skin, mucus membrane and hair are:
a) Inspection and palpation
b) Percussion and inspection
c) Palpation and auscultation
d) Auscultation and percussion
149. Hemoptysis is:
a) Cough with secretions.
b) Cough without secretions.
c) Difficult breathing.
d) Blood in the sputum.
150. Which of the following best define pulse deficit?
a) The difference between the apical and radial pulse rates.
b) The difference between the systole and diastole values.
c) The difference between the brachial and radial pulse rates.
d) The difference between the temporal and femoral pulse rates.
151. When the blood pressure is 140 / 100 mmHg, the pulse pressure is:
a) 40 mmHg c) 100 mmHg
b) 142 mmHg d) 242 mmHg
152. The relationship between the pulse and respiratory rate is represented by
Which of the following ratios:
a) One respiration to 2 or 3 heartbeat.
b) One respiration to 3 or 4 heartbeat.
c) One respiration to 4 or 5 heartbeat.
d) One respiration to 5 or 6 heartbeat.
153. All the following can cause hypertension except:
a) Excessive exercise and activity
b) Pain and emotions
c) Diseases such as atherosclerosis
d) Hemorrhage
154. The type of pulse that is strong and doesn’t disappear with moderate pressure
is known as:
a) Absent pulse
b) Thready pulse
c) Weak pulse
d) Bounding pulse
155. A process of heat loss which involves the transfer of heat from one surface to
Another without contact is:
a) Radiation
b) Conduction
c) Convection
d) Evaporation
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Some Common Poisons and the First Aid for them