Saudi Prometric

Question 1

Researcher nurse give all participants ID band and matching them with
personal information?

A-Justice
B-Beneficence
C-Autonomy
D.Confidentially

Answer 1

In this scenario, the principle that is most relevant is Confidentiality (D). ID bands are often used in healthcare settings to help verify patient identities and reduce medical errors, but matching these ID bands with personal information is done while ensuring that patient information remains confidential and protected from unauthorized access or disclosure.

Question 2

Every patient complain from chest pain came to ER the doctors order
Troponin level , This considering as ?
A. Overuse
B. Misuse
C. Negligence

Answer 2

B. Misuse

Question 3

Patient with measles (rubella) is in airborne precaution nurse should be were ?
A. Gown
B. Gloves
C. Face mask
D. Face Shilled

Answer 3

C. Face mask

Question 4

What is the first principle that empowers nurses’ decision-making?
A. Justice
B. Autonomy
C. Beneficence
D. Fidelity

Answer 4

B. Autonomy

Question 5

What is the first ethical principle should the nurse attention when make NCP?
A. Justice
B. Non-maleficence
C. Beneficence
D. Autonomy

Answer 5

D. Autonomy

Question 6

A nurse forced a patient who wished to take a one-day postoperative
rest to take a walk. Which ethical principle did the nurse violate?
A. Justice
B. Beneficence
C. Autonomy
D. Nonmaleficence

Answer 6

D. Autonomy

Question 7

A nurse insists to obtain urine sample despite patient refuse. Which
ethical principle for patient?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence

Answer 7

B. Autonomy

Question 8

Health education to patient after prostatic surgery?
A. Restrict fluid intake to 1000 ml
B. Avoid carry heavy things for 6
weeks

Answer 8

B. Avoid carry heavy things for 6
weeks

Question 9

Scenario.. patient with signs of urinary tract infection (urgency ,
frequency,….)Treatment will be?
A. Anti fungal
B. Antibiotic
C. Antimicrobial

Answer 9

B. Antibiotic

Question 10

Mother is depressed and tell the nurse that her son is dead in
swimming pool and she is responsible about that. What should the nurse
do?
A. You are right
B. Show Sympathy
C. Repeat mother words to clarify
D. Empathy

Answer 10

D. Empathy

Question 11

Where to place an enema bag for patient?
A. Below patient level
B. Same patient level
C. Above 20 cm

Answer 11

C. Above 20 cm

Question 12

The nurse is caring for a patient who has abdominal pain last three
days. The nurse teaches the patient about the most likely active-
producing foods. What are the foods that are mostly useful to produce
laxative?
A. Cheese, pasta and eggs
B. Rice, eggs, and lean meat
C. Bran(Oats), figs, and chocolate
D. Cabbage, bananas, and soda

Answer 12

C. Bran(Oats), figs, and chocolate

Question 13

The nurse is caring for a patient who has abdominal pain last three days. The nurse teaches the patient about the most likely active - producing foods. What are the foods that are mostly useful to produce laxative?
A. Cheese, pasta and eggs
B. Rice, eggs, and lean meat
C. Bran(Oats), figs, and chocolate
D. Cabbage, bananas, and soda

Answer 13

C. Bran(Oats), figs, and chocolate

Question 14

Spoon nails due to?
A. Zinc deficiency
B. Vitamin D deficiency
C. Vitamin E deficiency
D. Vitamin B deficiency

Answer 14

A. Zinc deficiency

Question 15

A nurse forced a patient who wished to take a one-day postoperative
rest to take a walk. Which ethical principle did the nurse violate?
A. Justice
B. Beneficence
C. Autonomy
D. Nonmaleficence

Answer 15

C. Autonomy

Question 16

A patient has an operation surgery on his left knee. And the scrub
nurse did all Preoperative Preparation Steps. But She sterilized and
cleaned right knee. Which of the following describes the nurse’s actions?
A. Negligence
B. Malpractice
C. Assault
B. Battery

Answer 16

B. Malpractice

Question 17

What causes cyanosis in adult extremities?
A . High altitude
B. Room with cold temperature

Answer 17

A . High altitude

Question 18

When can breastfeeding jaundice develop with a latent onset?
A. 2 - 4 weeks
B. 4 - 7 weeks
C. After month
D. After 3 months

Answer 18

A. 2 - 4 weeks

Question 19

A patient woman whose husband died of an untreated illness (cancer).
The nurse provides care and support patient. What is the type of
support?
A.Counseling
B. Participate

Answer 19

A.Counseling

Question 20

When occurs late jaundice related to breast feeding?
A. 1 to 2 days
B. 7 days
C. 10 days
D. More than 3 month

Answer 20

C. 10 days

Question 21

What is the important nutrition during pregnancy?
A. High mercury fish (tuna, marlin, king mackerel)
B. Undercooked or raw fish
C. Vitamin B9
D. Raw eggs

Answer 21

C. Vitamin B9

Question 22

What is complication of rheumatic fever?
A. Aortic Valve Stenosis
B. Cyanosis
C. Convulsion
D. Heart damage

Answer 22

A. Aortic Valve Stenosis

Question 23

The nurse begins a morning shift and has patients in the waiting
room. ( see the table)
1. Patient with hypothyroidism and heart rate 54
2. Patient with hyperthyroidism heart rate 95
3. Patient with Cushing’s syndrome
4. Patient with COPD and saturation 95% in room air
Which patient has priority to see the doctor first?
A. One
B. Two
C. Three
D. Four

Answer 23

A. One

Question 24

Patient have depression, physician advice to procedure ECT. What is
this procedure?
A. Involves a brief electrical stimulation of the brain while the patient is
under anesthesia
B. A Medical procedure that involves passing a mild electric current through your
heart.

Answer 24

A. Involves a brief electrical stimulation of the brain while the patient is
under anesthesia

Question 25

What is the most common indication of ECT?
A. Generalized Anxiety Disorder
B. Manic episodes
C. Schizophrenia - Given
D. Major depression

Answer 25

D. Major depression

Question 26

The nurse assess low of consciousness for patient after surgery,
she asked patient about name and he give her correct answer then
she asked about place, time but patient cannot answer, what
should nurse do?
A. Ask patient again later
B. Notify the surgeon

Answer 26

B. Notify the surgeon

Question 27

A nurse is caring for a patient with diabetes who has a blood glucose level of 30mg/dl after a meal. What is the nurse’s priority action?
A. Measure the blood glucose level again after 30 minutes
B. Notify the physician immediately
C. Ask another nurse (or head nurse) to measure the blood glucose level

Answer 27

B. Notify the physician immediately

Question 28

Doctor inserts for patient subclavian catheter (CVL) in right
subclavian vein sudden patient developed tachycardia destitution no back
flow blood from CVL. What is the expected complication?
A. Pneumothorax
B. Pulmonary embolism
C. Hemothorax

Answer 28

A. Pneumothorax

Question 29

Doctor, after inserting a subclavian catheter for the patient, blood
flow is observed from the catheter, and the patient is experiencing
respiratory restlessness. What is the expected problem with the patient?
A. Right side failure
B. Pneumonia
C. Pulmonary embolism

Answer 29

C. Pulmonary embolism

Question 30

Doctor after inserting a subclavian catheter for the patient, blood flow
is observed from the catheter, and the patient is experiencing respiratory
restlessness. What is the expected problem with the patient?
A. Right side failure
B. Pneumonia
C. Pulmonary embolism
D. Pneumothorax

Answer 30

NOTE:
If option D is not available,
we choose C

Question 31

What recommendations should parents follow for a child with
hyperthyroidism?
A. Providing a calm and quite environment
B. Limiting activities

Answer 31

A. Providing a calm and quite environment

Question 32

Patient came to ER after accident the vital signs all stable and
conscious but expected has increased the pressure (ICP). Which of the
following first indicate ICP?
A. Change in consciousness (loss of consciousness)
B. Unreactive pupil
C. Bradycardia
D. Depress respiratory

Answer 32

A. Change in consciousness (loss of consciousness)

Question 33

Patient for cardiac catheterization. What is the purpose of this procedure?
A. Check cardiac pressure
B. Check the O2 in heart
C. Pulmonary embolism by cardiologist.
D. Pneumothorax

Answer 33

A. Check cardiac pressure

Question 34

The nurse is caring for a client newly diagnosed with hyperthyroidism.
Which nursing intervention is priority to decrease the client’s anxiety?
A. Keeping the client warm
B. Encouraging the client to increase activity
C. Providing a calm, restful environment
D. Placing the client in semi-fowler’s position

Answer 34

C. Providing a calm, restful environment

Question 35

Patient, who has experienced a stroke, presents with weakness in the
right side of the body affecting the shoulder, pelvic, and knee. Which of
the following options would be appropriate for the patient?
A. Dependent ambulation with assistance.
B. Independent wheelchair use.
C. Independent ambulation for short distances with the use of an assistive device.

Answer 35

C. Independent ambulation for short distances with the use of an
assistive device

Question 36

Which of the following is the appropriate feeding method for a baby
with a cleft lip?
A. Exclusive breastfeeding
B. Exclusive formula feeding
C. Combination of breastfeeding and formula feeding

Answer 36

C. Combination of breastfeeding and formula feeding

Question 37

A 36-weeks pregnant woman is experiencing irregular contractions
and has a closed cervix. What would be the appropriate advice during
contractions?
A. Drinking warm milk
B. Encourage in regular walking
C. Monitoring fetal heart movement

Answer 37

B. Encourage in regular walking

Question 38

The child has undergone hypospadias repair, where would be the
appropriate location of the drainage urine bag?
A. Above bladder level
B. Below bladder level
C. At the level of the bladder

Answer 38

B. Below bladder level

Question 39

In the year 1930, children had developed immunity against measles
without being vaccinated, and as a result, the infection rate among
children decreased. What is type of immunity?
A. Artificial
B. Passive
C. Herd
D. Innate

Answer 39

D. Innate

Question 40

Which deficiency could be the cause ?
B. Potassium
C. Magnesium
D. Calcium

Answer 40

D. Calcium

Question 41

What should the nurse do?
A. Remove the restrain every 2 hours
B. Remove the restrain when the parents are with the child
C. Put mittens.

Answer 41

A. Remove the restrain every 2 hours

Question 42

The doctor ordered a blood sample from the patient. A nurse wants to
insert an IV line for the patient after selecting a vein for IV-line
placement. What is the next step they should take?
A. Wipe the vein with alcohol swap
B Apply tourniquet above vein
C. Flatten the palpation/ palpate the vein
D. Needle insertion

Answer 42

B Apply tourniquet above vein

Question 43

While inserting an NGT (Nasogastric Tube) for a patient before
abdominal surgery, which of the following should prompt the
insertion to be stopped?
A. Saliva
B. Inability to speak
C. Discomfort
D. Tearing eye

Answer 43

B. Inability to speak
NOTE:
If not talking means it is going in
the trachea

Question 44

10 years old boy diagnosis appendicitis has serve pain, the tool of pain
scale to be use is?
A. Face pain rating
B. Flacc rating scale

Answer 44

A. Face pain rating

Question 45

What is the best type of evidence-based practice for teaching
diabetic patients?
A. Randomize control study
B. Comparison of diabetic teaching types
C. Systematic review of randomize control
D. Study about diabetic teaching type.

Answer 45

C. Systematic review of randomize control

Question 46

A teenager girl cannot administer insulin to herself. What should a
nurse do for the patient?
A. I make her come back to the hospital every few weeks
B. I teach the patient
C. I teach her parents

Answer 46

B. I teach the patient

Question 47

The child has tracheoesophageal fistula. The physician has planned
surgical repair. Which of the following preoperative interventions are
appropriate for this?
A. Put the patient in supine position
B. Give Sedatives
C. Oral feeding
D. Antibiotic therapy

Answer 47

D. Antibiotic therapy

Question 48

The patient arrived at the emergency department, and vital signs
were taken. The physician examined and assessed the patient and made a
diagnosis of neurogenic shock. What are the signs of neurogenic shock?
A. Bradycardia and hypertension
C. Tachycardia and hypertension
D. Bradycardia and Hypotension

Answer 48

D. Bradycardia and Hypotension

Question 49

A woman came to the clinic with her husband for long-term
family planning and contraception. What advice should the
physician give them?
A. Copper IUD
B. Hormonal IUD
C. Combined

Answer 49

A. Copper IUD

Question 50

The patient has hepatitis B and has had the injury for a prolonged
time. The patient tells the nurse that he has taken all precautions to
prevent an increase in the injury but there has been no improvement.
What appropriate intervention should the nurse perform?
A. Ignore complaining
B. Inform the physician
C. Revise intervention

Answer 50

B. Inform the physician

Question 51

What is the most common site of myocardial infarction?
A. left atrium
B. Left ventricle
C. Right atrium

Answer 51

B. Left ventricle

Question 52

How much fluid intake per day does a pregnant woman need?

A. 100 ml
B. 400 ml
C. 600 ml
D. 800ml

Answer 52

D. 800ml

Question 53

The girl patient presented with diarrhea, vomiting, decreased tear
production in the eyes, clammy skin, and a sodium level (NA) below 130.
What level of dehydration is she experiencing?
A. Mild isotonic
B. Moderate isotonic
C. Moderate hypotonic
D. Moderate hypertonic

Answer 53

C. Moderate hypotonic

Question 54

Current research has shown no benefit for certain routine
interventions that were previously used during labor. Based on current
evidence-based practice, which of the following interventions for women
in labor are considered harmful?
A. Enema during delivery
B. Amniotomy
D. Vaginal examination
D. Filling the portogram

Answer 54

A. Enema during delivery

Question 55

The patient has kidney stones. What foods should the patient eat to
prevent kidney stone?
A. Cranberry and prunes
B. Cola
C. Salt food
D. Liver

Answer 55

A. Cranberry and prunes

Question 56

Why is the patient with kidney stones advised to drink cranberry
juice?
A. Lower acidity

Answer 56

A. Lower acidity

Question 57

A client has a history of urolithiasis related to hyperuricemia. To prevent the formation of future stones, the nurse instructs the client to avoid certain foods, including?
A. Liver
B. Carrots
C. Skim milk
D. White rice

Answer 57

A. Liver

Question 58

Which of the following diet instructions should be given to the client
with recurring urinary tract infections?
A. Increase intake of meats.
B. Avoid citrus fruits.
C. Perform peri care with hydrogen peroxide.
D. Drink a glass of cranberry juice every day

Answer 58

D. Drink a glass of cranberry juice every day

Question 59

The patient has a UTI. What advice is given regarding drinking to
prevent UTI?
A. Cranberry
B. Yogurt
C. Orange juice
D. Vegetable juice

Answer 59

A. Cranberry

Question 60

Why is the patient educated to drink cranberry juice after having a
stone removed?
A. Help Inhibit infection
B. Increase urine output
C. Inhibit urinary retention
C. Decrease stone formation

Answer 60

A. Help Inhibit infection

Question 61

Patients with hip or femoral fractures. What should be monitored
during the early post-traumatic period?
A. Fever
B. Hypertension
C. Acute pain
D. Hematuria

Answer 61

C. Acute pain

Question 62

The physician order for a client cap Amoxycillin 500mg BID for 3
days. The available stock is 250 -mg per capsule . How many capsules will
you give for 3 days ?
A. 2 Capsules / 3 days
B. 12 Capsules / 3 days
C. 4 Capsules / 3 days
D. 6 Capsules / 3 days

Answer 62

B. 12 Capsules / 3 days

Question 63

Hazard factory workers exposed to accidents and lesions and
complain from backache and other problems it is called ?
A. Physical
B. Psychological
C. Mechanical

Answer 63

A. Physical

Question 64

A nurse started a blood transfusion for the patient. Then the patient
experienced complications due to receiving the wrong blood type. What is
this behavior by the nurse called?
A. Lack of attention.
B. Defect (impaired) documentation.
C. Failure to follow policy.
D. Weak communication.

Answer 64

C. Failure to follow policy.

Question 65

Pancreatic cancer is life threatening disease, there is low chance of
survive if diagnosed in end stag , only 1% can survive for 2 year , what is
best describe of mortality rate?
A. Incidence rate higher than mortality rate
B. mortality rate higher than incidence rate
C. incidence rate not related to mortality rate
D. Mortality rate and incidence rate are approximately the same

Answer 65

B. mortality rate higher than incidence rate

Question 66

What is the side effect of oxytocin ?
A. Water intoxication
B. Kidney toxicity
C. Diuretics
D. Fluid excess

Answer 66

A. Water intoxication

Question 67

A nurse is caring for an immobile and ventilated patient in the
intensive care unit. The patient is at high risk for pressure ulcers. Which
intervention should the nurse prioritize to prevent pressure ulcers in this
patient?
A. Keep the patient’s skin dry
B. Keep the head of the bed at 40°
C. Massage the reddened prominent bones
D. Keep the head of the bed at 30° while in a side-lying position

Answer 67

A. Keep the patient’s skin dry

D. Keep the head of the bed at 30° while in a side-lying position

Question 68

Because cervical effacement and dilation aren’t progressing in a client
in labor, the physician orders I.V. administration of oxytocin (Pitocin).
Why must the nurse monitor the client’s fluid intake and output closely
during oxytocin administration?
A. Oxytocin causes water intoxication
B. Oxytocin causes excessive thirst
C. Oxytocin is toxic to the kidneys
D. Oxytocin has a diuretic effect

Answer 68

A. Oxytocin causes water intoxication

Question 69

What is the meaning of Black box alarming for severe medication
reactions ?
A. Alerting
B. Interpreting
C. Critique

Answer 69

A. Alerting

Question 70

What type of exercise is recommended for individuals with left side
weakness hemiparesis?
A. Passive
B. Active

Answer 70

A. Passive
B. Active

Question 71

The Elderly patient, 80 years old, underwent a nurse assessment of
activities to measure their ability to perform self-care tasks such as
bathing and eating. What type of assessment is the nurse conducting?
A. Psychosocial
B. Economic
C. Functional
D. Psychological

Answer 71

C. Functional

Question 72

Patient with chest pain, which radiates to the shoulder, signs of a
myocardial infarction (MI). What should be the nurse’s first intervention
for this patient?
A. Reduce Anxiety
B. Give oxygen
C. Give nitroglycerin
D. Give aspirin

Answer 72

B. Give oxygen

Question 73

A patient with a chest tube is at risk of developing infections. What is
the appropriate action for a nurse?
A. Monitor bleeding and discharge
B. Prevent infections and complications

Answer 73

B. Prevent infections and complications

Question 74

What is a common finding in most children with congenital heart
disease?
A. Mental retardation
B. Delayed physical growth
C. Clubbing of fingers
D. Cyanosis

Answer 74

B. Delayed physical growth

Question 75

A nurse is assessing a 4 years-old child with a suspected congenital
heart disease. Which clinical finding is commonly associated with
congenital heart disease in children?
A. Mental retardation
B. Delayed physical growth
C. Clubbing of fingers
D. Cyanosis

Answer 75

D. Cyanosis

Question 76

The patient with Parkinsonism is taking an antibiotic. The doctor
changed the dose of his medication. The next day, the patient doesn’t
move and feels freezing. What can be expected for the patient?
A. Acute akinesia
B. Neuroleptic malignance syndrome

Answer 76

A. Acute akinesia

Acute akinesia is a rare but serious complication of Parkinson’s disease A. It’s characterized by a sudden and severe inability to move, often accompanied by high fever, rigidity, and disturbances in consciousness B. This condition can be triggered by factors such as infections, changes in medication, or surgery A.

In essence, it’s like the body’s movement system suddenly “freezes up,” making it extremely difficult or impossible for the person to initiate voluntary movements C. While it can be life-threatening, with prompt medical intervention, some patients can recover, though there may be lasting motor deficits A.

Does this help clarify things, or is there something more specific you’d like to know about acute akinesia?

Question 77

The patient has a strangulation hernia causing severe pain and
requires hernia repair. What is an explanation of the procedure?
A. Short procedure to poll in the hernia organ
B. To restore the blood supply to affected organ

Answer 77

B. To restore the blood supply to affected organ

Hernia repair is a surgical procedure used to fix a hernia A. A hernia occurs when an organ or tissue pushes through a weak spot in the muscle or tissue that holds it in place A. The most common types of hernias are in the abdomen or groin B.

There are three main types of hernia repair surgeries:

1. Open Hernia Repair: The surgeon makes a single incision to push the herniated tissue back into place and then stitches the muscle wall B. Often, a synthetic mesh is used to reinforce the area B.
2. Laparoscopic Hernia Repair: This minimally invasive surgery involves several small incisions B. A laparoscope (a thin tube with a camera) and surgical instruments are inserted to repair the hernia using a synthetic mesh B.
3. Robotic Hernia Repair: Similar to laparoscopic surgery, but uses robotic instruments controlled by the surgeon B.

The choice of surgery depends on factors like the size and location of the hernia, the patient’s overall health, and whether the surgery is elective or an emergency A.

Would you like to know more about the recovery process or potential risks associated with hernia repair?

Question 78

What is the position of vulvar carcinoma after surgery?
A. Recumbent
B. Semi Recumbent
C. Prone
D. Lithotomy

Answer 78

B. Semi Recumbent

NOTE:
Lithotomy position during
surgery

Question 79

What are the disadvantage of the mini pill (progesterone-only pill)?
A. Spotting between menses
B. Premenstrual syndrome
C. Weight loss
D. Endometriosis

Answer 79

A. Spotting between menses

The minipill, also known as the progestin-only pill (POP), is a type of birth control that contains only one hormone, progestin A. Here are some advantages and disadvantages:

1. Suitable for Breastfeeding Mothers: The minipill is safe for breastfeeding mothers as it doesn’t contain estrogen, which can reduce milk supply A.
2. Fewer Side Effects: Since it doesn’t contain estrogen, it typically has fewer side effects compared to combination birth control pills A.
3. Safe for Certain Health Conditions: It’s often recommended for women who are over 35, smoke, have high blood pressure, or have a history of blood clots A.
4. Non-Medicinal Interactions: It doesn’t interact with other medications as much as combination pills do A.

1. Strict Timing: The minipill must be taken at the same time every day, within a three-hour window B. Missing a pill or taking it late can reduce its effectiveness B.
2. Lower Effectiveness: It’s slightly less effective than combination pills because it doesn’t always stop ovulation A.
3. Side Effects: Some women may experience side effects like irregular menstrual bleeding, headaches, or breast tenderness A.
4. Not for Everyone: Women with certain medical conditions, such as liver disease or uncontrolled high blood pressure, should not take the minipill C.

Would you like more information on how to use the minipill correctly or its effectiveness?

Question 80

The patient with pneumonia completed a course of levofloxacin. What
indicators can determine the effectiveness or Lt progress of the
treatment?
A.WBC
B. K
C. Platelet
D. Hematocrit (HCT)

Answer 80

A.WBC

Question 81

What is the role of k in wound healing?
A. Epithelial
B. Collagen
C. Coagulation
D. Coenzyme

Answer 81

C. Coagulation

Question 82

Which patient will the nurse prioritize seeing first?
A. BP is 190/110
B. The patient is unresponsive to verbal stimuli
C. The patient has frequent premature contractions

Answer 82

B. The patient is unresponsive to verbal stimuli

Question 83

The patient is on Atenolol 20 mg once daily for hypertension. What
instructions should be given to the patient?
A. Measure Bp daily
B. Take the medication with water after a meal
C. Report any occurrences of nausea or headache
D. Do not stop taking the medication abruptly

Answer 83

D. Do not stop taking the medication abruptly

Question 84

The patient with DM informs the nurse that their medication is not
the same. The nurse checks and confirms that the medication name has
been changed. What is the appropriate response from the nurse to the
patient?
A. Medication may have more than one trade name
B. Contact the doctor to double-check
C. Contact the pharmacist

Answer 84

A. Medication may have more than one trade name
B. Contact the doctor to double-check

Question 85

The patient received a blood transfusion. After 30 minutes, the
patient developed neck vein distension, pulmonary edema, increased
blood pressure, tachycardia, and dyspnea. Which of the following nursing
diagnoses is related to blood and occludes the patient’s problem?
A. Hemolytic reaction (Patient and donor incompatibility)
B. Allergic reaction
C. Fluid volume excess

Answer 85

C. Fluid volume excess

Question 86

How can we prevent infections in patients with diabetes mellitus?
A. Keep prominent bone moist
B. Keep skin clear and dry

Answer 86

B. Keep skin clear and dry

Question 87

In a patient with partial placenta previa, which of the following
measures can be taken to decrease the risk of infection or complications?
A. Bed rest
B. Not dealing with people who have respiratory infection

Answer 87

A. Bed rest

Question 88

Which clients has a high risk of obesity and diabetes mellitus?
A. A 45 years- old
B. A 23-year-old
C. A 20-year-old

Answer 88

A. A 45 years- old

Question 89

A nurse is describing the process of fetal circulation to a client during
a prenatal visit. The nurse accurately tells the client that fetal circulation
consists of:
A. Veins carrying deoxygenated blood to the fetus
B. Arteries carrying oxygenated blood to the fetus
C. Two umbilical arteries and one umbilical vein
D. Two umbilical veins and one umbilical artery

Answer 89

C. Two umbilical arteries and one umbilical vein

Question 90

The charge nurse found a problem in the scheduling and wants to
change it. What is the first step of the change?
A. Set goals
B. Implement
C. Strategies
D. Understand improvement or occurrence

Answer 90

D. Understand improvement or occurrence

Question 91

What is the first step of the change management process?
A. Set goals
B. Identify needs / Determine all stages of the change
C. Implement solution
D. Select change strategy

Answer 91

B. Identify needs / Determine all stages of the change

Question 92

Which is the preferred method of taking a newborn’s temperature?
A. Tympanic.
B. Axillary.
C. Oral.
D. Rectal.

Answer 92

B. Axillary.

Question 93

Which method should be used to check the temperature of a one-
month-old?
A. Tympanic.
B. Axillary.
C. Oral.
D. Rectal.

Answer 93

B. Axillary.

Question 94

From where is human chorionic gonadotropin (HCG) secreted in
early pregnancy?
A. Embryo
B. Corpus luteum
C. Ovary
D. Pituitary gland

Answer 94

A. Embryo

Question 95

What does the blastocyst secrete?
A. HCG
B. Estrogen
C. ADH
D. Progesterone

Answer 95

A. HCG

Question 96

The patient presents with symptoms of unilateral weakness and/or
numbness, facial droop, and speech deficits ranging from mild dysarthria
and mild aphasia to global aphasia. Which of the following best describes
this patient’s symptoms?
A. Brain stem
B. Middle cerebral artery damage
D. Posterior cerebral artery

Answer 96

B. Middle cerebral artery damage

Question 97

What is the diet for a patient with Pyelonephritis?
A. Increase fluid intake
B. Increase dietary fiber
C. Low protein in dinner

Answer 97

A. Increase fluid intake

Question 98

A patient is coming with a radiograph and complaining of chest pain.
Which of the following questions should the radiologist ask the patient
first before conducting the radiograph for chest X-ray?
A. Can you hold your breath well or not?
B. Do you have any accessories on or are you wearing any accessories?
C. Ask her if she is pregnant
D. Can you raise your hand to perform a certain action?

Answer 98

C. Ask her if she is pregnant

Question 99

What are the important concerns for laboratory results in a patient
with second-degree burns?
A. WBC
B. RBC
C. PLATELET

Answer 99

A. WBC

Question 100

A parent comments that her infant has had several ear infections in
the past few months. Why are infants more susceptible to otitis media?
A. Infants are in a supine or prone position most of the time.
B. Sucking on a nipple creates middle ear pressure.
C. They have increased susceptibility to upper respiratory tract infections.
D. The eustachian tube is short, straight, and wide

Answer 100

D. The eustachian tube is short, straight, and wide

Question 101

What is Risk factors of otitis media?
A. Breast feeding
B. Vertical position of feeding
C. Feeding formula
D. Short wide ear

Answer 101

C. Feeding formula

Question 102

What is the sign of Cushing Syndrome?
A. Hypertension
C. Hypercalcemia
D. Hypermagnesemia

Answer 102

A. Hypertension

Note:
Option B,C and D are signs of Addison’s disease

Question 103

A patient with Cushing’s syndrome has been using corticosteroids
for a long time. What are the effects of using corticosteroids for long
time?
A. Hypertension
B. Hypercalcemia
C. Hypermagnesemia
D. Hypotension

Answer 103

A. Hypertension

Question 104

The patient plans to undergo coronary heart surgery. The post-
anesthesia nurse noted a decrease in urine output from the urinary
catheter, from 50 ml to 30 ml per hour. What is the likely reason for this
decrease?
A. Stimulate Vagus nerve
B. Decreased cardiac output
C. The Effects of anesthesia

Answer 104

B. Decreased cardiac output

Question 105

A patient is schedule for operation from out patient clinic one day
ago came to surgical ward and admitted. Who is responsible to informed
patient about surgery?
A. Nurse
B. Head Nurse
C. Surgeon
D. Anesthesia

Answer 105

C. Surgeon

Question 106

The patient who came to the emergency room presents with a two-
day history of vomiting and abdominal pain that is referred to the right
shoulder after eating fried food. Where should the patient be feeling the
pain?
A. Upper right abdomen
B. Upper left abdomen
C. Lower right abdomen
D. Lower left abdomen

Answer 106

A. Upper right abdomen

Question 107

A 32-year old woman presents with 4-day history of sudden right
upper quadrant abdominal pain that is referred to the right shoulder tip.
Pain was initially colicky, and then became constant. Positive history of
fever, nausea and vomiting. On examination, she’s acutely ill looking,
anicteric, febrile, positive murphy’s sign, right upper quadrant
abdominal tenderness with muscle guarding and rebound tenderness
present. CBC done showed WBC: 13 x 109/L; Serum amylase: 170U/L.
What is the most likely diagnosis?
A. Acute pancreatitis
B. Acute appendicitis
C. Acute cholecystitis
D. Right basal pneumonia

Answer 107

C. Acute cholecystitis

Question 108

A patient 4 years old needs to receive a doctor-prescribed
medication at a dosage of 10mg/kg/day for one week. The medication is
available in a concentration of 125mg/5ml. The patient’s body weight is
15 kg. How many ml per day should be given to the patient?
A. 2 ml QID
B. 3 ml Bid
C. 5 ml OD
D. 6 ml PRN

Answer 108

B. 3 ml Bid

Question 109

A patient 4 years old needs to receive a doctor-prescribed
medication at a dosage of 10mg/kg/day. The medication is available in a
concentration of 125mg/5ml. The patient’s body weight is 12 kg. How
many ml per day should be given to the patient?
A. 2 ml Bid
B. 3 ml Bid
C. 6 ml PRN

Answer 109

A. 2 ml Bid

Question 110

A patient 4 years old needs to receive a doctor-prescribed
medication at a dosage of 10mg/kg/day. The medication is available in a
concentration of 125mg/5ml. The patient’s body weight is 15 kg. How
many ml per day should be given to the patient?
A. 2 ml QID
B. 2 ml BID
C. 1.5 ml TID
D. 6 ml PRN

Answer 110

D. 6 ml PRN

Question 111

A patient 4 years old needs to receive a doctor-prescribed
medication at a dosage of 12mg/kg/day. The medication is available in a
concentration of 125mg/5ml. The patient’s body weight is 25kg. How
many ml per day should be given to the patient?
A. 4 ml TID
B. 3 ml BID
C. 2 ml QID

Answer 111

A. 4 ml TID

Question 112

A patient 4 years old needs to receive a doctor-prescribed
medication at a dosage of 150 mg for one week. The medication is
available in a concentration of 125mg/5ml. How many ml per day should
be given to the patient?
A. 3 ml BID
B. 3 ml QID
C. 6 ml PRN

Answer 112

A. 3 ml BID

Question 113

Signs of pancytopenia ?
A. RBCs and platelet deficiency

Answer 113

A. RBCs and platelet deficiency

Question 114

In a disaster plan, what priority concerns should you have about the
patient?
A. Hemorrhage patients
B. Elderly and infants
C. Head injury patients

Answer 114

A. Hemorrhage patients

Question 115

Pregnant women are having hyperemesis. Which one of the
following actions should be taken immediately by the nurse?
A. Check daily weight
B. Check urine output and input
C. Support her psychologically

Answer 115

B. Check urine output and input

Question 116

Patient has intracranial pressure. What will you tell the patient to
avoid?
A. Coughing
B. Turning

Answer 116

A. Coughing

Question 117

What is signs indication of left side heart failure?
A. Breathing Sound (Crackles, Wheezes)
B. Swelling
C. Edema
D. Jugular vein distension

Answer 117

A. Breathing Sound
NOTE:
B,C and C signs of right heart
failure

Question 118

What are the most common causes of fetal death or mortality?
A. Asthma
B. Accident
C. Malnutrition disease
D. Cardiac disease

Answer 118

D. Cardiac disease

Question 119

The patient came in ER with prolonged vomiting related gastric
sleeve. What can be expected in his arterial blood gas (ABG) results?
A. Elevated oxygen levels
B. Decreased PH
C. Elevated HCO3

Answer 119

C. Elevated HCO3

Question 120

A patient with diabetes has a morning glucose of 50. The patient is
sweaty, cold, and clammy. Which of the following nursing interventions is
the MOST important?
A. Recheck the glucose level
B. Give the patient 1⁄2 cup (4 oz) of fruit juice
C. Call the doctor
D. Keep the patient nothing by mouth.

Answer 120

B. Give the patient 1⁄2 cup (4 oz) of fruit juice

Question 121

Right hemiparesis (stroke) affected which side of the body?
A. Left side weakness
B. Right side weakness

Answer 121

A. Left side weakness

Question 122

Death rate of disease in proportion to those who are at high risk to
this disease?
A. Specific Mortality
B. Case Fatality
C. Specific Morbidity

Answer 122

B. Case Fatality

Question 123

A Community nurse make Antenatal education for group of
pregnant women, what’s the goal of this program? (NCLEX)
A. Psychological adaptation to parenthood
B. Reducing risks and problems
C. Modes of delivery during childbirth
D. Birth control options

Answer 123

B. Reducing risks and problems ✓

Question 124

Term neonate meconium aspiration which of the following initial
action by the nurse?
A. Give oxygen
B. Suction mouth and nose

Answer 124

B. Suction mouth and nose

Question 125

The surgeon aspirated both tonsils. What is the diagnosis?
A. Bilateral tonsils abscess
B. Laryngitis
C. Tonsillectomy

Answer 125

A. Bilateral tonsils abscess

Question 126

What is Food rich in fiber?
A. Boiled egg with green salad
B. Caeser salade, beef, boiled shrimp
C. Meat, pasta

Answer 126

A. Boiled egg with green salad

Question 127

What is the most common side effects of metoclopramide?
A. Abdominal pain
B. Flatulence
C. Headache
D. Constipation

Answer 127

C. Headache

Question 128

What Anthropometric measurements are included?
A. Weight and Wrist
B. BMI, Wrist and Arm
C. BMI, Wrist and Skinfold thickness

Answer 128

C. BMI, Wrist and Skinfold thickness

Question 129

Clients with gestational diabetes are usually managed by which of
the following therapies?
A. Oral hypoglycemic drugs and insulin
B. Oral hypoglycemic drugs
C. NPH insulin (long-acting)
D. Diet

Answer 129

D. Diet

Question 130

A 26-year old multigravida is 14 weeks’ pregnant and is scheduled
for an alpha-fetoprotein test. She asks the nurse, “What does the alpha
fetoprotein test indicate? The nurse bases a response on the knowledge
that this test can detect?
A. Kidney defects
B. Urinary tract defects
C. Neural tube defects
D. Cardiac defects

Answer 130

C. Neural tube defects

Question 131

Gastric suction lead to PH change:
A. Decrease PH in the serum
B. Increase the H in the serum
C. Acidemia
D. Alkalemia

Answer 131

D. Alkalemia

Question 132

What is the Initial treatment for hyperthyroidism?
A. Radioactive iodine
B. Methimazole
C. Thyroidectom

Answer 132

B. Methimazole

Question 133

A patient had a blood pressure of 180/90. After the nurse
administered an antihypertensive drug, it increased to 195/100. What is
the reason?
A. Allergic reaction
B. Paradoxical hypertension

Answer 133

B. Paradoxical hypertension

Question 134

A patient postoperatively on the chest tube. What type of secretion
should be in the chest tube after three hours?
A. Blood
B. Serous drainage
C. Serious Song drainage
D. Mucous secretion

Answer 134

B. Serous drainage

Question 135

What is the normal lung sound over the sternum?
A. Bronchial
B. Vesicular
C. Bronchovesicular

Answer 135

A. Bronchial

Question 136

To decrease edema in a baby with craniotomy, what medication
would the nurse administer to the client?
A. Diuretic
B. Prednisolone
C. Ceftriaxone

Answer 136

A. Diuretic

Question 137

What is the drug to minimize intracranial pressure?
A. Warfarin
B. Morphine
C. Potassium
D. Bisacodyl

Answer 137

D. Bisacodyl

Question 138

A newborn was admitted to pediatric Ward with pyloric stenosis,
suspected with pyloric stenosis. What is the best diagnostic test?
A. X ray
B. Ct abdomen
C. Enema with barium

Answer 138

A. X ray

Question 139

Which of the following drugs will not be affected by grapefruit?
A. Aspirin
B. Atorvastatin
C. Verapamil
D. Plavix

Answer 139

A. Aspirin

Question 140

The community nurse visits a patient with epilepsy and arranges for
hospitalization to prevent harm to the patient. What type of ethical issue
is this?
A. Malfeasance
B. Negligence
C. Misfeasance
D. Beneficence

Answer 140

D. Beneficence

Question 141

A patient came to the ER after a motor accident. The patient has
severe bleeding with urine output of 30 ml/hr, blood pressure of 90/60,
and a heart rate of 112. The doctor asks the nurse to assess good tissue
perfusion. Which of the following signs detects that?
A. Heart rate
B. Respiration rate
C. Urine output
D. Blood pressure

Answer 141

C. Urine output

Question 142

A 5-year-old has been diagnosed with Wilms tumor. The doctor
discussed the condition and available treatment options with the parents
and provided them with an appointment to make a decision. What is the
description of this action?
A. Inspiring
B. Empower
C. Enabling
D. Encouraging

Answer 142

B. Empower

Question 143

A nurse is teaching a 13- years- old patient how to give an insulin
injection. What is the description of the nurse’s action?
A. Inspiring
B. Empower
C. Enabling
D. Encouraging

Answer 143

B. Empower

Question 144

What is the complication of thalassemia?
A. Hepatomegaly
B. Bleeding
C. Heart Failure

Answer 144

A. Hepatomegaly

Question 145

Hyperemesis gravidarum is a common occurrence for pregnant
women, and there are home remedies that have been proven to relieve
nausea and vomiting. Which one of the following is one of them?
A. Cucumber
B. Ginger
C. Coffee
D. Cinnamon

Answer 145

B. Ginger

Question 146

What is the diet for a patient after cholecystectomy?
A. Grapes and gelatin
B. Cola and macaroni
C. Cheese cake and yogurt

Answer 146

A. Grapes and gelatin

Question 147

A researcher want to conduct a research for measles vaccine at 1
year of age then will remeasure again at age of 6 years in the relation to
healthy child. What is the type of research?
A. Longitudinal/correlation.
B. Longitudinal/ Cross sectional
C. Cross sectional/correlation.

Answer 147

B. Longitudinal/ Cross sectional

Question 148

A 21-year-old female experiences irregular menstruation. Initially,
her periods are unpredictable and painless. The irregularity is
characterized by anovulatory cycles. What does ‘anovulatory’ mean?
A. 1Ovum from ovary
B. 2 Ovum produced from ovary
C. 0 Ovum from ovary
D. Period delay 2 days from expected /1 ovum produced two day later of
ovulation

Answer 148

C. 0 Ovum from ovary

Question 149

Which of the following is not considered as an obstetrical
emergency?
A. Ectopic pregnancy
B. Placenta previa
C. Placenta anterior
D. Eclampsia

Answer 149

C. Placenta anterior

Question 150

What are the two glands inside to the urethral responsible for
moisturizing?
A. Seminal
B. Bartholin
C. Cowper’s glands

Answer 150

C. Cowper’s glands

Question 151

A 12-year-old boy came to the clinic with his mother. He has a warm
body, weight loss, and trouble sleeping. What does the nurse suspect?
A. Hyperthyroidism
B. Hypothyroidism
C. Hyperparathyroidism
D. Hypoparathyroidism

Answer 151

A. Hyperthyroidism

Question 152

What prevents the recurrence of Rheumatic fever?
A. Antibiotic
B. Antibacterial
C. Anti-viral
D. Corticosteroids

Answer 152

A. Antibiotic

Question 153

The child with dehydration and projectile vomiting He diagnosed
with hypertrophic pyloric stenosis what’s the best for feeding?
A. NGT
B. Rehydrate, and continue breast-feeding
C. Rehydrate, and NGT feeding

Answer 153

C. Rehydrate, and NGT feeding

Question 154

154- Why should hypospadias be repaired before three years old?
A. The child’s movement is limited.
B. Decrease risk infection.
C. This is because the child is cooperative.
D. Before the penis/urethra is fully developed

Answer 154

D. Before the penis/urethra is fully developed

Question 155

The child came to the emergency room with a diagnostic of
appendicitis, requiring emergency operation. What nursing interventions
are needed?
A. Giving medication as order and control pain and fever
B. Positioning the patient on abdominal splint

Answer 155

A. Giving medication as order and control pain and fever

Question 156

156- What causes a decrease in respiratory rate in children post-
operatively, leading to alterations in vital signs?

A. Opioid
B. Hypothermia
C. Hyperthermia

Answer 156

A. Opioid

Question 157

157- What causes a decrease in body temperature in children post-
operatively, leading to alterations in vital signs?
A. Shock
B. Environmental causes
C. Infection

Answer 157

B. Environmental causes

Question 158

158- What is the recommended position for a patient with appendicitis
before surgery?
A. Sim’s
B. High fowler
C. Semi fowler
D. Dorsal recumbent

Answer 158

C. Semi fowler

Question 159

159- A newborn having meconium aspiration. What are the appropriate
diagnostic evaluation tests?
A. Chest-Xray
B. Blood gas
C. Ultrasound

Answer 159

A. Chest-Xray

Question 160

160- Which assessment indicates therapeutic effect of mannitol
(Osmitrol)?
A. Decreased intracranial pressure
B. Decreased potassium
C. Increased urine osmolality
D. Decreased serum osmolality

Answer 160

A. Decreased intracranial pressure

Question 161

161- The doctor ordered a blood transfusion for the patient. What will be
the appropriate action to prevent an allergic reaction?
A. Slow rate of blood lower than the ordered rate
B. Proper labeling and patient identification
C. Administer antihistamine before the blood transfusion
D. Administer antipyretic before the transfusion

Answer 161

B. Proper labeling and patient identification

Question 162

162- After a skin graft on the patient’s leg, there was red discharge
leaking from the dressing. What should be the nurse’s first action?
A. Remove the dressing to assess
B. Apply direct pressure for 10 minutes
C. Elevate the leg

Answer 162

B. Apply direct pressure for 10 minutes

Question 163

163- How to check jaundice in dark skin patients?
A. Nail beds
B. Palm of hand
C. Hard palate
D. Lip

Answer 163

C. Hard palate

Question 164

164- A 3 days old newborn who is diagnosed with Hirschsprung disease
presents with failure to pass meconium within 24-48 hours of life. What is
the diagnostic test for Hirschsprung disease?
A. Abdominal X-ray
B. Ultrasound
C. MRI
D. Rectal Biopsy

Answer 164

D. Rectal Biopsy

Question 165

165- What is the complication of diaphragmatic hernia?
A. Respiratory hypotension
B. Decrease cardiac output

Answer 165

B. Decrease cardiac output

Question 166

166- The nurse respects different cultures and beliefs. What is this
considered?
A. Nursing procedure
B. Autonomy
C. Beneficence

Answer 166

C. Beneficence

Question 167

A nurse reviewing the drug chart of her patient needs to determine
which of the following medications she must start first?
A. Cefazolin BID
B. Paracetamol Q6hr
C. Vancomycin TID
D. Amlodipine OD

Answer 167

C. Vancomycin TID

Question 168

A nurse researcher interviews parents of children who have diabetes
and asks them to describe how they deal with their child’s illness. The
analysis of the interviews yields common themes and stories describing
the parents’ coping strategies. This is an example of which type of study?
A. Historical
B. Qualitative
C. Correlational
D. Experimental

Answer 168

B. Qualitative

Question 169

What is the health education for patient with appendectomy?
A. Resume activity gradually and avoid heavy lifting
B. Prevent complications
C. Signs to report

Answer 169

B. Prevent complications

Question 170

Which medication can take from local pharmacy?
A. NSAIDs
B. Contraceptives
C. Antibiotics
D. Antipsychoti

Answer 170

A. NSAIDs

Question 171

A patient called the Ministry of Health at 937 to report that she lost
her medication. She asked whether she can obtain it over the counter.
What type of medication is allowed to be taken in that manner?
A. Antipsychotic
B. NSAIDs
C. Contraceptive

Answer 171

B. NSAIDs

Question 172

The infant with congenital diaphragmatic hernia, who has been
admitted to the NICU, what intervention should be done first?
A. Mechanical ventilation and intubation
B. Feeding via NGT (nasogastric tube)

Answer 172

A. Mechanical ventilation and intubation

Question 173

When assessing the genitals of a newborn boy, the nurse notices that
one testicle is larger than the other, what is this condition called?
A. Cryptorchidism
B. Hydrocele

Answer 173

B. Hydrocele

Question 174

A nurse is monitoring a pregnant client with pregnancy induced
hypertension who is at risk for Preeclampsia. The nurse checks the client
for which specific signs of Preeclampsia?
A. Increased respirations
B. Negative urinary protein
C. Elevated blood pressure and positive urinary protein
D. Facial edema

Answer 174

C. Elevated blood pressure and positive urinary protein

Question 175

A child has third-degree burns of the hands, face, and chest. Which
nursing diagnosis takes priority?
A. Risk for infection related to epidermal disruption
B. Ineffective airway clearance related to edema
C. Disturbed body image related to physical appearance
D. Impaired urinary elimination related to fluid loss

Answer 175

B. Ineffective airway clearance related to edema

Question 176

Which month does the government provide vaccinations for
hepatitis B to children?
A. 0,2,4
B. 0,3,6
C. 0,2,3

Answer 176

A. 0,2,4

Question 177

A woman comes to the ER with brown vaginal bleeding. After
reviewing the ultrasound, the doctor decided to perform an emergency
Cesarean section (CS). What should be anticipated?
A. Preeclampsia
B. Total placenta previa
C. Partial placenta previa
D. Preterm labor

Answer 177

B. Total placenta previa

Question 178

The patient presented with hypertensive stage 1 blood pressure
130/80. What should be the nurse’s advice to the patient?
A. Change lifestyle /Modify lifestyle
B. Administration beta blockers and diuretic

Answer 178

A. Change lifestyle /Modify lifestyle

Question 179

Which of the following mothers is most common susceptible for
laceration during labor?
A. 1 para mother for 11hours delivery
B. 3 para mother for 6 hours delivery
C. 2 para mother for 9 hours delivery
D. 2 para mother for 6 hours delivery

Answer 179

B. 3 para mother for 6 hours delivery

Question 180

What is diet of Vagotomy?
A. Increase fluid intake and out put to prevent dehydration
B. Increase fiber diet
C. Reduce protein diet before bed time

Answer 180

A. Increase fluid intake and out put to prevent dehydration

Question 181

A patient presents with a blood pressure reading of 189/90. What
would patient at high risk for?
A. Stroke
B. Hypertension
C. DVT
F. DM

Answer 181

A. Stroke ✓

Question 182

182- A pregnant woman’s last menstrual period began on April 8, 2005,
and ended on April 13. Using Naegele’s rule her estimated date of birth
would be:
A. July 1, 2006
B. January 15, 2006
C. January 20, 2006
D. November 5, 2005

Answer 182

B. January 15, 2006

NOTE:
Naegele’s rule requires subtracting 3 months and adding 7
days and 1 year if appropriate to the first day of a pregnant
woman’s last menstrual period. When this rule, is used with April 8, 2005, the estimated date of birth is January 15, 2006.

Question 183

183- The old patient is suffering from hearing problems. What is the best
way to measure their degree of hearing?
A. Asking the family about their hearing level.
B. Standing behind them and speaking loudly.
C. Writing on a piece of paper and asking them to read it.
D. Use verbal communication first and evaluate

Answer 183

D. Use verbal communication first and evaluate

Question 184

184- The health education nurse provides instructions to a group of
clients regarding measures that will assist in preventing skin cancer.
Which instructions should the nurse provide?
A. Sunscreen should be applied every 8 hours
B. Use sunscreen when participating in outdoor activities
C. Avoid exposure to the sun in the late afternoon
D. Avoid exposure to the morning sun

Answer 184

B. Use sunscreen when participating in outdoor activities

Question 185

185- A 66-year-old patient came to the emergency department with
angina, and the doctor prescribed heparin. Which of the following is a
risk factor for bleeding?
A. Age
B. Hypertension
C. Angina

Answer 185

A. Age

Question 186

186- In children suspected to have a diagnosis of diabetes, which one of
the following complaints would be most likely to prompt parents to take
their school-aged child for evaluation? (Nclex)
A. Polyphagia
B. Dehydration
C. Bedwetting
D. Weight loss

Answer 186

C. Bedwetting

Question 187

187- Child with type 1 diabetes mellitus. The nurse is instructing mother.
Which of the following signs should be alert?
A. Polyphagia
B. Vomiting
C. Bedwetting
D. Thirsty

Answer 187

C. Bedwetting

Question 188

188- The older woman, who hasn’t been doing BSE (Breast Self-
Examination) for 7 years, came to the clinic. What advice should the
nurse give her regarding performing BSE? How frequently should she
perform it?
A. Monthly
B. Annually
C. Quarterly
D. Biannual

Answer 188

A. Monthly ✓

Question 189

189- The patient has TB, and the nurse wants to educate him about the
safe way to dispose of secretions. What can she do to ensure that he has
done it correctly?/ What are the instructions during discharge?
A. Washing hands before and after a meal
B. Dispose of the dirty tissue in a plastic bag
C. Instructing to move the head away when coughing

Answer 189

B. Dispose of the dirty tissue in a plastic bag

Question 190

190- A patient presented with an aortic aneurysm and requires an urgent
operation. What is the most important investigation to perform?
A. PT
B. PPT
C. Cross match and type blood group
D. Ultrasound

Answer 190

C. Cross match and type blood group

Question 191

191- Which one is subjective data?
A. Patient say pain 6/10
B. Oxygen 90%
C. Temperature 36.7
D. HR 90

Answer 191

A. Patient say pain 6/10

Question 192

192- While changing the tapes on a tracheostomy tube, the client coughs
and the tube is dislodged. Which is the initial nursing action?
A. Call a respiratory therapist to reinsert the tracheotomy.
B. Cover the tracheostomy site with a sterile dressing.
C. Call the physician to reinsert the tracheotomy.
D. Grasp the retention sutures to spread the opening

Answer 192

D. Grasp the retention sutures to spread the opening

Question 193

193- Gracie, the mother of a 3-month-old infant calls the clinic and states
that her child has a diaper rash. What should the nurse advise?
A. Use baby wipes with each diaper change
B. Switch to cloth diapers until the rash is gone
C. Offer extra fluids to the infant until the rash improves
D. Leave the diaper off while the infant sleeps

Answer 193

D. Leave the diaper off while the infant sleeps

Question 194

194- The patient visited the clinic to seek treatment for infertility. During
the nurse’s assessment of her medical history, the patient mentioned that
her husband works in the X-Ray department of this hospital. What could
be the cause of infertility?
A. Radiation cause
B. Chemical cause

Answer 194

A. Radiation cause

Question 195

195- A mother infected with COVID-19 wants to breastfeed her baby.
What instructions should the nurse provide?
A. Stop breastfeeding
B. Exposed to breastfeeding
C. Switch to bottle
D. Breastfeeding with precautions

Answer 195

D. Breastfeeding with precautions

Question 196

196- Contains information that is gathered routinely, such as vital signs,
the frequency of urination and bowel movements, and food and fluid
intake?
A. Medical History
B. Graphic Sheet
C. Recording
D. Nursing History

Answer 196

B. Graphic Sheet

Question 197

197- The nurse research study to women eat more salt high risk for
hypertension other group low risk. What is the type of study?
A. Cohort study
B. Randomized control trial
C. Case report

Answer 197

A. Cohort study

Question 198

198- Research Study about corona outbreak in period of march 2020
until October 2020. Which types of research?
A. Retrospective
B. Prospective
C. Continue
D. Concurrent

Answer 198

A. Retrospective

Question 199

199- A pregnant woman at 38 weeks gestation and in stage 1 active phase.
She presented to the emergency department with signs of labor, and her
cervix is dilated 8 cm. The nurse needs to transfer her to the operating
room (OR), but when she called the OR, they said there are no available
beds. What is the expected action for the nurse to take?
A. Tell her to go to another hospital.
B. Refer to gynecology department
C. Ask to take deep breath to prolong labor
D. They deliver her in the emergency room

Answer 199

D. They deliver her in the emergency room

Question 200

200- If un registered nurse apply cannula to the patient?
A. Avoidance
B. Assault
C. Malpractice

Answer 200

C. Malpractice

Question 201

201- A patient does not speak the same language as the nurse. How does
the nurse rate the pain scale?
A. Assess nonverbal
B. I ignore the Patience
C. Wait for the patient’s family

Answer 201

A. Assess nonverbal

Question 202

202- The patient is bedridden and not allowed to walk. How can the nurse
measure the weight of a bedridden patient?
A. Hoist scale
B. Sitting scale
C. Don’t do weight measure
D. Standing scale

Answer 202

A. Hoist scale

Question 203

203- The physician writes an order for Ibuprofen 3 mg/kg by mouth TID
for pain for a child. The child weighs 13 kg. Pharmacy dispenses you with
50 mg/2 ml. How many ml will you administer per dose ?
A. 1.12 ml
B. 1.56 ml

Answer 203

B. 1.56 ml

Question 204

204- A postpartum woman in her third week after delivery came to the
emergency room with heavy bleeding. What could be the cause of the
bleeding?
A. Infection or retained of product placenta

Answer 204

A. Infection or retained of product placenta

Question 205

206- After experiencing a needle stick injury from a patient in isolation,
what should a nurse do?
A. Squeezing her finger
B. Informing a supervisor
C. Withdrawing the needle
D. Completing the procedure

Answer 205

B. Informing a supervisor

Question 206

205- Which of the following is the accurate fluid intake for breastfeeding
mother in first 6 months?
A. 100 ml
B. 400 ml
C. 600 ml
D. 800 ml

Answer 206

D. 800 ml

Question 207

207- A patient with renal calculi is undergoing a percutaneous
nephrostomy and asks the nurse to explain the procedure. What should
the nurse’s answer be?
A. Administering a chemical agent to dissolve the stone.
B. Using laser waves
C. Incision in renal pelvic to remove stone
D. Using an incision in the skin with a scope and forceps to remove
stones

Answer 207

D. Using an incision in the skin with a scope and forceps to remove
stones

Question 208

208- A 33 week pregnant mother is on her routine medications that
include iron supplement , folic acid , multivitamins and calcium
supplement , despite all medication her hemoglobin has not been increase
since last two month, she is experiencing more fatigue and lethargy since
past few weeks HB 80 ….. HCT 0.22. Which of the following intervention
is the most desired?
A. should separate the iron and calcium for two hours
B. Start injectable multivitamins as per regimen
C. Advise increase intake of organ meat and fortified food
D. Advise increased food intake by frequent small meals and snacks

Answer 208

A. should separate the iron and calcium for two hours

Question 209

209- Pregnant women in active labor, how many times the midwife did
vaginal examination?
A. With each contraction
B. As much as pot
C. Every 4 hours
D. Limited vaginal examination

Answer 209

D. Limited vaginal examination

Question 210

210- The patient reported having pain and taking morphine, but the pain
increased, leading the patient to request an increase in the dose. What is
the patient experiencing?
A. Drug addiction
B. Drug tolerance

Answer 210

B. Drug tolerance

Question 211

211- A nurse in the emergency department receives a report that a man
has arrived, screaming and yelling that his wife is bleeding in the car.
What is the nurse’s first action?
A. Provide emotional support and reassurance to the husband / Calm the
patient
B. Triage the wife
C. Notify the attending physician
D. Gather a team to prepare instruments for examination

Answer 211

B. Triage the wife

Question 212

212- Where is the best place to locate systematic reviews? Systemic
reviews, which found located?
A. PubMed
B. Cochrane library
C. MEDLIN

Answer 212

B. Cochrane library

Question 213

213- The Wassermann test should be done before maternity for the early
identification of which of the following?
A. Hepatitis C
B. HIV
C. Syphilis
D. Toxicology

Answer 213

C. Syphilis

Question 214

214- There is a difference between invasive and non-invasive fetal
assessments. What non-invasive assessment does not harm the mother
and child?
A. Amniocentesis
B. Cordocentesis
C. Non stress test

Answer 214

C. Non stress test

Question 215

215- A psychiatric patient received an overdose of benzodiazepine. The
doctor prescribed an antidote. Which adverse effect of flumazenil should
you check before administration?
A. Anxiety
B. Seizure
C. Shivering
D. Chest pain

Answer 215

B. Seizure

Question 216

216- A patient came with neck stiffness. He can’t straighten his leg. What
is this called?
A. Kernig’s sign
B. Brudzinski sign
C. Seizure activity sign

Answer 216

A. Kernig’s sign

Question 217

217- A woman is diagnosed with gonorrhea, and she is worried about her
diagnosis. Which of the following is the appropriate description of the
disease?
A. Partner test should not be present in
B. Asymptomatic
C. Sexual inactivity

Answer 217

B. Asymptomatic

Question 218

218- A Patient with second degree AV block medication (atropine
,adenosine, diltiazem ) After confirmation safety in patient arrest what
second action?
A. Check responsiveness
B. Shout for help
C. Start chest compressions
D. Activate EMR

Answer 218

A. Check responsiveness

Question 219

19- 15-years old female needs urgent surgery. The informed consent
should taken from which person?
A. Patient
B. Physician
C. Nurse
D. Legal guardian

Answer 219

D. Legal guardian

Question 220

220- What is COPD position?
A. Semi fowler
B. Sitting position ✓
C. 40 degree level position
D. 45 degree level position

Answer 220

B. Sitting position

Question 221

221- Child irritable, cry , turning head side to side , which the diagnosis ؟
A. Acute otitis media
B. Otitis media with effusion

Answer 221

A. Acute otitis media

Question 222

222- Before giving any patient medication and to avoid medication errors,
what should the nurse check?
A. Code system
B. Drug display
C. Bar code

Answer 222

C. Bar code

Question 223

223- 80 years old geriatric patient fell and got injured, what should the
nurse do?
A. Ignore the patient
B. Inform the nurse in the same shift
C. Over hand with the next shift nurse
D. Document this in patient file

Answer 223

D. Document this in patient file

Question 224

224- What is used in past in normal delivery?
A. Active management of third stag
B. Use of enema

Answer 224

B. Use of enema

Question 225

225- Which of the following signs and symptoms would indicate
malnutrition?
A. Nail patella
B. Dry eyes
C. Pale

Answer 225

B. Dry eyes
C. Pale

Question 226

226- Research about medical errors?
A. Grounded
B. phenomenology
C. Ethnography
D. Case studies

Answer 226

D. Case studies

Question 227

227- German measles incubation period?
A. 1 week
B. 2 weeks
C. 5 days

Answer 227

B. 2 weeks

Question 228

228- A woman first time do mammogram Pap smear testing. Which of
the following is the goal of the nursing practice here?
A. Health promotion
B. Health protection
C. Disease prevention

Answer 228

C. Disease prevention

Question 229

229- A 36 weeks pregnant woman went into labor and said that she uses
cocaine. Who should the nurse report it to?
A. Obstetric doctor
B. Hospital police
C. Not tell anyone.
D. Husband or legal guardian

Answer 229

A. Obstetric doctor

Question 230

230- A female patient came to the ER two weeks after postpartum and
presented with hemorrhage. What type of postpartum hemorrhage is the
nurse expecting?
A. Late postpartum hemorrhage
B. Early postpartum hemorrhage
C. Atonic
D. Traumatic

Answer 230

A. Late postpartum hemorrhage

Question 231

231- A pregnant woman in labor has a cervix dilated to 7cm. What is the
frequency of
contractions?
A. 3-4 minutes
B. 2-3 minutes
C. 1-2 minutes

Answer 231

A. 3-4 minutes

Question 232

232- When is abortion allowed in Saudi Arabia?
A. There is a risk to the mother
B There is a risk to the baby

Answer 232

A. There is a risk to the mother

Question 233

233- The nurse has a patient whose condition has changed. The patient
had a stroke and an increase in WBC (white blood cell count). They also
developed a skin rash. Chest X-rays were taken, and they came back
normal. The nurse requested the doctor to assess the patient’s condition
and order further tests. what is missing from SBAR?
A. Situation
B. Background
C. Assessment
D. Recommendation

Answer 233

D. Recommendation

Question 234

234- What is the purpose of the Brodie-Trendelenburg Test ?
A. DVT
B. Varicose vein
C. Valvular disorder
D. Thrombophlebitis

Answer 234

B. Varicose vein

Question 235

235- What are the foods that patients with gout should avoid, and what is
the food that is considered high in protein?
A. Eggs
B. Nuts
C. Red meat
D. Legumes

Answer 235

C. Red meat

Question 236

236- In the elderly home, there is a common problem among the elderly,
which is difficulty swallowing and the occurrence of aspiration. What is
appropriate action by the nurse?
A. Time limited meals
B. Keep privacy during meals
C. Implement Chin-tuck method for those with dysphagia

Answer 236

C. Implement Chin-tuck method for those with dysphagia

Question 237

237- As parents with three children, which type of food should be
maximized for their kids?
A. Fat
B. Protein
C. Carbohydrate

Answer 237

B. Protein

Question 238

238- When a postpartum mother is not showing affection to her newborn,
such as smiling, kissing, and not making eye contact, what assessment
should be used?
A. Newborn initial assessment
B. Newborn transitional assessment
C. Newborn attachment assessment

Answer 238

C. Newborn attachment assessment

Question 239

239- A nonstress test is performed on a client who is pregnant, and the
results of the test indicate nonreactive findings. The health care provider
(HCP) prescribes a contraction stress test. The test is performed, and the
nurse notes that the HCP has documented the results as negative. How
should the nurse interpret this finding?
A. A normal test result ✓
B. An abnormal test result
C. A high risk for fetal demise
D. The need for a cesarean delivery

Answer 239

D. The need for a cesarean delivery

Question 240

240-Lanugo hair found on?
A. Back
B. holder
C. forehead

Answer 240

A. Back

Question 241

241- The child presented with a low-grade fever ,is sneezing and appears
restless, What instructions would you give to the parents?
A. Penicillin for 3 days
B. Antivirus 10 days
C. Antipyretic
D. Cough depressant

Answer 241

C. Antipyretic

Question 242

242- A patient has a low- grade fever and is shivering. What is
appropriate action?
A. Analgesic
B. Antipyretic
C. Antibiotic

Answer 242

B. Antipyretic

Question 243

243- A newborn presented with mild fever cough, poor feeding, sneezing,
crying and appears restless. What advice did the nurse give to the
mother?
A. Amoxicillin for 3 days
B. Antiviral for a week
C. Give antipyretic for mild fever and discomfort
D. Cough depressant

Answer 243

C. Give antipyretic for mild fever and discomfort

Question 244

244- Pediatric patient with low temperature what should the mother do?
A. Give an antipyretic
B. Administer an antibiotic course of 3 days
C. Administer an antibiotic course of 5 days

Answer 244

A. Give an antipyretic

Question 245

245- A 2-months old infant was brought to the health center for
immunization, during assessment the infant temperature registered at
38.1C. Which is the best course of action that you will take?
A. Go on with the infant immunization
B. Give paracetamol and wait for his fever to subside
C. Refer the infant to the physician for further assessment
D. Advise the infant mother to bring him back for immunization when he is
well

Answer 245

A. Go on with the infant immunization

Question 246

246- A patient with diabetes has high blood sugar. The nurse informed
the doctor over the phone that he was busy in an operation, and then the
doctor asked the nurse to administer orders for NPH insulin over the
phone. What is the reason for the nurse to administer the medication?
A. Emergency situation
B. Physician is busy
C. Trust between nurse and doctor
D. Phone order , the same witness

Answer 246

A. Emergency situation

Question 247

247- What are the most common causes of maternal mortality?
A. Puerperal sepsis
B. Hemorrhage
C. Pre-eclampsia
D. Diabetes mellitus

Answer 247

B. Hemorrhage

Question 248

248- A patients mania ,delusion and hallucinations what is the most likely
nursing diagnosis?
A. Impaired thought processes
B. Risk of direct violence
C. Disturbances of sensory perception

Answer 248

A. Impaired thought processes

Question 249

249- A patient will go to rectal surgery, doctor ask the nurse to bath him
for the surgery which kind of bath the nurse will do?
A. Bed bath
B. Sitz bath
C. Partial bath
D. With Cleansed

Answer 249

B. Sitz bath

Question 250

250- Which of the following is not alif threating cause of chest pain?
A. Pulmonary embolism
B. M l (myocardial infarction)
C. Acute coronary syndrome
D. Esophageal rupture

Answer 250

D. Esophageal rupture

Question 251

251- Patient came in ER when the nurse checked the temperature found
febrile 40 . Which of the following refill should be?
A. ICU
B. CCU
C. Medical
D. Communicable disease pavilion

Answer 251

D. Communicable disease pavilion

Question 253

252- What is 4th degree perineal tear?
A. Perineal and external anal sphincter
B. Perineal anal sphincter mucosa

Answer 253

A. Perineal and external anal sphincter

Question 254

253- The doctor is conducting an assessment while the patient is
uncomfortable and asks, What should the nurse do?
A. Cover the unassessed area
B. Stop the assessment and write a report
C. Ignore the patient
D. Complete the assessment

Answer 254

A. Cover the unassessed area

Question 255

254- What is the recommended diet for gout disease?
A. High fiber
B. Potassium modified
C. Low calcium
D. Low-purine diet

Answer 255

D. Low-purine diet

Question 256

255- The vegetarian people that not eat red meat. Which of deficiency is
high risk?
A. Vitamin D
B. Vitamin C
C. Folic Acid
D. Riboflavin

Answer 256

D. Riboflavin

Question 257

256- A child came into the ER presenting with diarrhea and vomiting.
Which of the following can be considered signs of improvement in an
infant?
A. Decreased fontanelle
B. Tears when the infant cries
257- Before administering NG

Answer 257

B. Tears when the infant cries

Question 258

257- Before administering NGT feeding, what should the nurse do?
A. Aspirate 30 cc to check for residual feeding from the last time
B. Check the consistency of the food
C. Ensure the NGT is correctly placed

Answer 258

C. Ensure the NGT is correctly placed

Question 259

1. A 12- year- old boy was brought to the Emergency respiratory arrest due to drowning. Cardiac resuscitation
   what is the major complication that might happen if treated after drowning quickly?
   A. Sepsis
   B. Alkalosis
   C. Acidosis
   D. Hypothermia

Answer 259

C. Acidosis

Question 260

2. An ICU nurse reviews the chart of a 47-year-old man patient mechanical ventilator for a long time. Arterial
   blood gas result see lab results).
   Test Result Normal Values
   ABG HCO3 24 22-28mmd/L
   ABG PCO3 10.66 4.7-6.0KPa
   PH 7.16 7.36-7.45
   ABG PO2 6.13 10.6-14.2 KPa
   SA O2 81 95-100 %
   What condition the patient is experiencing presently?
   A. Metabolic acidosis
   B. Metabolic alkalosis
   C. Respiratory acidosis
   D. Respiratory alkalosis

Answer 260

C. Respiratory acidosis

Question 261

3. Gastric suction can cause :
   A. Metabolic acidosis
   B. Respiratory acidosis
   C. Metabolic alkalosis
   D. Respiratory alkalosis.

Answer 261

C. Metabolic alkalosis

Question 262

4. ABG reading was low PH ,HIGH PCO2 , NORMAL Hco3 what the interpretation ?
   A. Compensated respiratory acidosis
   B. Uncompensated respiratory acidosis
   C. Metabolic acidosis
   D. Metabolic alkalosis

Answer 262

B. Uncompensated respiratory acidosis

Question 263

5. Patient with ABG PH 7.33 و HCO3 30 , PCO2 50
   A. Compensate respiratory
   B. Compensate metabolic
   C. Uncompensated respiratory
   D. Uncompensated metabolic

Answer 263

C. Uncompensated respiratory

Question 264

6. The nurse assesses a client with an ileostomy for possible development of which of the following acid-base
   imbalances?

A. Respiratory acidosis
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis

Answer 264

B. Metabolic acidosis

Question 265

7. The nurse is assigned to care for the a patient with Cushing syndrome on adrenal corticoid hormones syndrome
   on adrenal corticoid hormones Ph 7.2 Which of the following condition should nurse expect to patient
   A. Respiratory alkalosis
   B. Respiratory acidosis
   C. Metabolic alkalosis
   D. Metabolic acidosis

Answer 265

D. Metabolic acidosis

Question 266

8. A nurse reviewed a chart of a 42 year-old man whose ABG analysis report is shown PH 7.20 PCO2 35 HCO3
9. Which of the following I the most likely interpretation of the findings in the report?
   A. Respiratory alkalosis
   B. Metabolic acidosis
   C. Respiratory acidosis
   D. Metabolic acidosis

Answer 266

D. Metabolic acidosis

Question 267

9. A 20 year old woman, a case of panic attacks, comes to the emergency department. An arterial blood gas
   analysis is done PH 7.53 7.35-7.45 HCO3 22 22-26 PCO2 27 35-45 what is most likely?
   A. Metabolic acidosis
   B. Metabolic alkalosis
   C. Respiratory acidosis
   D. Respiratory alkalosis

Answer 267

D. Respiratory alkalosis

Question 268

10. A client was admitted in the Emergency Room due to mild metabolic acidosis associated with dehydration and
    potassium the doctor administered Hartmann’s (lactated Ringer’s) intravenous fluid and electrolyte
    replacement. Which of the following elements of the lactated Ringer’s solution highest value?
    A. Calcium
    B. Sodium
    C. Potassium
    D. Magnesium

Answer 268

B. Sodium

Question 269

11. Ringer Lactate consider as which type of IV solution?
    A. Hypotonic
    B. Hypertonic
    C. Isotonic
    D. Hyper alimentation

Answer 269

C. Isotonic

Question 270

12. physician orders an intravenous fluid of D5NS at 100cc/hr. This is an example of which of the solution?
    A. hyper alimentation
    B. hypertonic
    C. hypotonic
    D. isotonic

Question 271

13. 13-year-old patient is admitted for diarrhoea and vomiting. He looks pale and lethargic. A nurse is preparing to
    give IV hypotonic solution.
    Blood pressure 110/70 mmHg
    Heart rate 76 /min
    Respiratory rate 18 /min
    Temperature 36.1°C
    Which IV solution is most appropriate?
    A. 0.9% saline
    B. Lactated ringers
    C. 10% dextrose in water
    D. 0.45% sodium chloride

Answer 271

D. 0.45% sodium chloride

Question 272

16. CPR Technique IS :
    A. 30:2 120
    B. 15:2 100

Answer 272

A. 30:2 120

Question 273

17. You are performing CPR on an infant when a second rescuer appears. What is the next step in management?
    A. Immediately transport the patient
    B. Wait until exhausted, then switch
    C. Have the second rescuer help with CPR, to minimize fatigue
    D. Have the second rescuer begin ventilations; ratio 30:2

Answer 273

C. Have the second rescuer help with CPR, to minimize fatigue

Question 274

18. What should be your first concern at the scene where a person has been seriously burned?
    A. Checking the scene for safety.
    B. Checking the victims breathing and pulse.
    C. Calling your local emergency phone number.
    D. Cooling the burned area.

Answer 274

A. Checking the scene for safety.

Question 275

19. While performing cardiopulmonary resuscitation (CPR) on a 5-year-old child, the nurse palpates for a pulse.
    Which of the following sites is best for checking the pulse during CPR in a 5-year-old child?
    A. Femoral artery
    B. Carotid artery.
    C. Radial artery
    D. Brachial artery

Answer 275

B. Carotid artery.

Question 276

20. After activating the emergency call system, what should be the next immediate action?
    A. Initiate ventricular pacing
    B. Administer a bolus of lidocaine as prescribed
    C. Defibrillate the patient
    D. Open the patient’s airway

Answer 276

C. Defibrillate the patient

Question 277

21. A nursing instructor teaches a group of students about basic life support. The instructor asks a student to
    identify the most appropriate location to assess the pulse of an infant under 1 year of age. Which of the
    following if stated by the student, would indicate that the student understands the appropriate procedure:
    A. Carotid
    B. Popliteal
    C. Radial
    D. Brachial

Answer 277

D. Brachial

Question 278

22. A nurse is transferring a patient with chest tube the X-ray department for chest X-ray. Which location should the
    nurse place chest tube
    A. Directly on the stretcher in an upright
    B. On the side of stretcher next to patient
    C. Hanged on IV pole that is attached to the
    D. Attached to the stretcher and hanged

Answer 278

D. Attached to the stretcher and hanged

Question 279

23. 69 year-old man is admitted to the intensive care unit following cardiac surgery. Two hours after admission, the
    nurse performs a routine assessment and notes the patient’s chest tube drainage is 200 milliliters and a dark red
    color. He has had 60 milliliters output from the indwelling urinary catheter
    Blood pressure 138/68 mmhg
    Heart rate 76/min
    Respiratory rate 16/min
    Body temperature 37.0C oral
    Oxygen saturation 94% 6L/min nasal cannula
    Which finding should be reported to the doctor?
    A. Dark red chest tube drainage
    B. Urinary output
    C. Oxygen saturation
    D. Chest tube output volume

Answer 279

C. Oxygen saturation

Question 280

24. 40 year-old male patient has a chest tube and properly fixed following cardiac surgery. The chest tube is patent
    and functioning. When the nurse removes the dressing the tube falls out of the chest. Which is the most
    appropriate initial intervention the nurse should take?
    A. Reinsert the chest tube and notify the surgeon
    B. Apply an occlusive dressing to the insertion site
    C. Place the open end of the tube in 20 cm of water
    D. Administer O2 at 10L/min via non-rebreather mask

Answer 280

B. Apply an occlusive dressing to the insertion site

Question 281

25. While attempting to get of the bed a patient accidentally disconnects the chest tube from the pleura evac
    drainage system which of the following actions should the nurse take first
    A. Insert the end of the chest tube in a container of sterile solution
    B. Raise the end chest tube above the level of insertion of the chest tube
    C. Clamp the chest tube near pleura evac drainage system
    D. Apply pressure dressing to chest tube insertion site

Answer 281

A. Insert the end of the chest tube in a container of sterile solution

Question 282

26. The nurse is caring for a client who has just had a chest tube attached to a water seal drainage system. To ensure
    that the system is functioning effectively the nurse should:
    A. Observe for intermittent bubbling in the water seal chamber
    B. Flush the chest tubes with 30-60 ml of NSS every 4-6 hours
    C. Maintain the client in an extreme lateral position
    D. Strip the chest tubes in the direction of the client

Answer 282

A. Observe for intermittent bubbling in the water seal chamber

Question 283

27. A client chest tube is connected to a chest tube drainage system with a water seal . The nurse noted that the
    water seal c is fluctuating with each breath that client takes . The fluctuation mwans that
    A. There is an obstruction in the chest tube
    B. The client is developing emphysema
    C. The chest tube system is functioning properly
    D. There is leak in the chest tube system

Answer 283

C. The chest tube system is functioning properly

Question 284

28. 20-Your patient has a chest tube. Your assessing the water seal chamber and you note ).11 that the water moves
    up as the patient inhales and then moves down when the patient ?exhales. What may be causing this to happen
    A. This is normal and expected
    B. The chest tube has a leak
    C. The left chest tube is occluded
    D. The water seal suction should be increased 2-5 mmHg

Answer 284

A. This is normal and expected

Question 285

29. 21-You are assisting a MD with the removal of a chest tube. What activity may the MD have ?the patient
    perform while the chest tube is being removed
    A. Valsalva maneuver.
    B. Leopold Maneuver
    C. Chest Physiotherapy
    D. Huff Cough Technique

Answer 285

A. Valsalva maneuver.

Question 286

30. A 67 year-old man is admitted to the Post-anesthesia Recovery unit following chest surgery. The patient has a
    right chest tube that is attached to low suction. Three hours after admission to the unit, the nurse observes the
    drainage output from the chest tube is 300 milliliters. What is the most appropriate initial intervention?
    A. Notify the doctor
    B. Reduce IV infusion rate
    C. Strip tube with roller device
    D. Re-position in left lateral decubitus

Answer 286

A. Notify the doctor

Question 287

31. The nurse is caring for a client who has had a chest tube inserted and connected to water seal drainage. The
    nurse determines the drainage system is functioning correctly when which of the following is observed:
    A. Continuous bubbling in the water seal chamber
    B. Fluctuation in the water seal chamber
    C. Suction tubing attached to a wall unit
    D. Vesicular breath sounds throughout the lung fields

Answer 287

B. Fluctuation in the water seal chamber

Question 288

32. Which of the following is an example of epidemic point source?
    A. Tuberculosis
    B. Public health agency
    C. Contaminated water source
    D. Communicable disease pavilion

Answer 288

C. Contaminated water source

Question 289

33. A 32 years old man develops chronic productive cough. He has not been feeling hungry and has lost three
    kilograms body weight in the past three weeks. On examination of his lung
    fields, there was diminished breath sound and widespread crackles. An early
    morning sputum culture was sent to the lab.
    A. Droplet
    B. Contact
    C. Airborne
    Rationale TB chest XRAY

Answer 289

C. Airborne

Question 290

34. 8 year-old man is diagnosed with tuberculosis (TB) and negative pressure room. Which of the following should
    wear a facemask?
    A. Patient’s health care providers
    B. All people who enter the patient’s room
    C. Person has close contact with the patient
    D. Family members who are at risk for infection

Answer 290

B. All people who enter the patient’s room

Question 291

35. A nurse working in medical unit is preparing to with droplet precaution measures in place. The following
    personal protective equipment; eyewear. What is the correct sequence foe putting the equipment on?
    A. Face Mask, Gown, Eyewear, and Gloves
    B. Gown, Face Mask, Eyewear, and Gloves
    C. Eyewear, Cloves, Face Mask, and Gown
    D. Gloves, Gown, Face Mask, and Eyewear

Answer 291

B. Gown, Face Mask, Eyewear, and Gloves

Question 292

36. A nurse working in medical unit is going out (removing) with droplet precaution measures in place. The following
    personal protective equipment; eyewear. What is the correct sequence foe putting the equipment off?
    A. Face Mask, Gown, Eyewear, and Gloves
    B. Gown, Face Mask, Eyewear, and Gloves
    C. Eyewear, Cloves, Face Mask, and Gown
    D. Gloves, Eyewear , Gown, , and Face Mask

Answer 292

D. Gloves, Eyewear , Gown, , and Face Mask

Question 293

37. Mr X attended in outpatient clinic with symptoms of shortness of breath, diarrhea and severe respiratory
    distress Which of the following is the best diagnosis of Mrs. A case?
    A. Corona virus
    B. Swine Flue
    C. Zika virus
    D. Hepatitis

Answer 293

A. Corona virus

Question 294

38. A nurse receives a telephone call from the admission office of the hospital and is told that a patient with
    streptococcal meningitis will be admitted to the Medical Unit. The nurse is planning to apply infection control
    measures for the patient. Which type of isolation precaution the nurse must observe?
    A. Droplet precautions
    B. Contact precautions
    C. Airborne precautions
    D. Standard precautions

Answer 294

A. Droplet precautions

Question 295

39. A 35 year old patient was admitted to a medical ward with confirmed agnosies f meningococcal infection.
    Which of the following infection control preventions the nurse should implement?
    A. Droplet precaution
    B. Contact precaution
    C. Airborne precaution
    D. Standard precaution

Answer 295

A. Droplet precaution

Question 296

40. A 16 month old child is hospital in the intensive care unit with multi resistant sepsis. On the 3rd day. She had
    explosive diarrhea. A stool sample was sent to the laboratory for C. difficle investigation. Which of the following
    transmission based precaution is most appropriate?
    A. Combination airborne and droplet
    B. Contact
    C. Droplet
    D. Airborne

Answer 296

B. Contact

Question 297

41. Which of the following is the most effective infection control precaution to prevent nosocomial infection?
    A. Hand washing before and after patient contact
    B. Wearing gloves and mask for direct patient care
    C. Isolation precaution
    D. Broad spectrum antibiotic

Answer 297

A. Hand washing before and after patient contact

Question 298

42. Mantoux test done for a patient result was 6.5cm it consider?
    A. Latent
    B. Suspected
    C. Active

Answer 298

B. Suspected

Question 299

43. When planning discharge teaching for a patient hospitalized for treatment of the 3rd burns over 30% of the
    body, a nurse knows it is most important to include instructions regarding the loss of large amounts of serum
    occurring with burns and the resulting loss of immune function. Which of the following instructions should be
    include?
    A. Wash hands frequently each day
    B. Wear supplemental oxygen at night
    C. Wear masks while in public spaces
    D. Take a multiple vitamin tablet night

Answer 299

A. Wash hands frequently each day

Question 300

44. An infection control nurse notices purulent exudates , redness and tenderness on the surgical wound site for
    few post –operative patients in a surgical unit , She discussed with the ward nurse and emphasized that wound
    infection after the surgery can be prevented. Which of the following is the best possible action to minimize the incidence of wound infection ?
    A. Perform assessment of pain on the wound site
    B. Wash hand before and after each patient activity
    C. Encourage adequate intake and early ambulation

Answer 300

B. Wash hand before and after each patient activity

Question 301

45. A patient in surgical was transferred to isolation room after the wound swab confirmed to have methicillin
    Resistant staphylococcus Atreus MRSA. Which of the following measures should the nurse take to prevent
    infection in the ward?
    A. Clean the would three times a day
    B. Discard all soiled dressing into waste bag
    C. Instruct the patient to wash hands regularly
    D. Wear gloves and gown on every entry into the room

Answer 301

D. Wear gloves and gown on every entry into the room

Question 302

46. Medical asepsis requires which of the following hand washing techniques?
    A. Use hot water to ensure that pathogens are killed
    B. Use circular motion washing from clean to dirty areas
    C. Rinse soap off keeping hands and forearms lower than downs
    D. Hands shall be held higher than elbows and scrub

Answer 302

D. Hands shall be held higher than elbows and scrub

Question 303

47. A 45-year-old patient admitted with pulmonary tuberculosis. The unit nurse placed the patient in an isolation
    room with negative air pressure and prepared all the personal protective equipment at the entrance of the
    room. What type of precaution measure has the nurse activated?
    A. Contact
    B. Droplet
    C. Airborne
    D. Standard

Answer 303

C. Airborne

Question 304

48. To reduce the risk of transmitting methicillin-resistant staphylococcus auras (MRSA) from an infectious wound,
    which of the following precautions should be implemented?
    A. Airborne
    B. Contact
    C. Droplet
    D. Reverse isolation

Answer 304

B. Contact

Question 305

49. A 45 year old patient is admitted with pulmonary tuberculosis. The unit nurse placed the patient in isolation
    room with negative air pressure and prepared all PPE at the entrance of the room. Which of the following PPE is
    the most important for the nurse when caring for this patient?
    A. Hair cover
    B. Sterile gloves
    C. N95 respirator
    D. Protective goggle

Answer 305

C. N95 respirator

Question 306

50. 8 month-old child diagnosed with bronchiolitis due to respiratory ncytial virus (RSV) is admitted to the pediatric
    hospital. The nurse should initiate which of the following isolation precaution?
    A. Contact
    B. Airborne
    C. Standard
    D. Droplet

Answer 306

A. Contact

Question 307

51. A 5-year-old child is seen in the primary care clinic with mild fever, headache, and malaise for about 2 days and
    today he has a rash filled with fluids. which of the following is the best suggested diagnosis?
    A. Chicken pox
    B. German measles
    C. Measles
    D. Scarlet fever

Answer 307

A. Chicken pox

Question 308

52. A eight year-old boy present to the pediatric clinic with his mother who complains that the child has developed a
    skin rash. There is a clear drainage from the nose and he appears tired. The rash first appeared on the face and
    then spread over the trunk and is now beginning to appear over the hands. Some lesions show open ulcerations
    and other have crusted over. There are scratch marks over the skin. Which finding would indicate the child is
    ready to return to school
    A. Normal body temperature
    B. Dry and scabbed lesions
    C. Nares of free of drainage
    D. Absence of rash over trunk

Answer 308

B. Dry and scabbed lesions

Question 309

53. A patient with measles (rubella) is on airborne precautions. Which of the following precaution techniques would
    be essential to implement for non-immune persons entering the room?
    A. Gloves
    B. Gowns
    C. Masks
    D. Face shields

Answer 309

C. Masks

Question 310

54. A home health nurse has entered a home to complete an admission assessment on a patient who has a
    methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous
    anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions
    should the nurse take FIRST?
    A. Shake the patient’s hand
    B. Place the nursing supply began a clean, dry surface.
    C. Obtain the patient’s written consent for home health care
    D. Perform hand hygiene per the agency protocol

Answer 310

D. Perform hand hygiene per the agency protocol

Question 311

55. You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of
    a severe headache with photophobia and has a temperature of 102.60 F orally. Which type of isolation should be
    suitable for the patient?

A. Air borne
B. Contact
C. Droplet

Answer 311

C. Droplet

Question 312

56. In order to reduce the risk of disease transmission from a patient with diphtheria, which of the following
    standard precautions would the nurse implement?
    A. Airborne
    B. Contact
    C. Droplet
    D. Ventilatory

Answer 312

C. Droplet

Question 313

57. Patient with a colostomy complains of itching of the peris tornal skin. On assessment, the skin is covered in a red
    rash with white patches visible. What is the most likely cause of this condition?
    A. Not changing the pouch regularly
    B. Candidiasis
    C. Consuming acid-producing foods
    D. Dehydration

Answer 313

B. Candidiasis

Question 314

58. A 33-year-old woman has come to the outpatient clinic for treatment of a vaginal infection. Physical assessment
    reveals yellowish excessive, thin offensive and frothy discharge. Which of the following is the most likely
    diagnosis?
    A. Candidiasis
    B. Trichomoniasis
    C. Bacterial vaginosis
    D. Chlamydia

Answer 314

B. Trichomoniasis

Question 315

59. The nurse is assessing a 65-year-old patient, who reports the fatigue, weight loss, night sweats, and a productive
    cough with thick sputum The nurse should immediately initiate isolation precautions for which of the following?
    A. Influenza
    B. Pertussis
    C. Bacterial pneumonia
    D. Pulmonary tuberculosis

Answer 315

D. Pulmonary tuberculosis

Question 316

60. Which of the following diagnostic tests is definitive for TB?
    A. Chest x-ray
    B. Mantoux test
    C. Sputum culture
    D. Tuberculin test

Answer 316

C. Sputum culture

Question 317

61. A patient presented with high fever, headache, vomiting and neck stiffness for the past 3 days, which of the
    following is the first diagnostic intervention for this patient:
    A. Urine and stool analysis
    B. lumber puncture with CSF aspiration
    C. Complete blood count
    D. Chest and abdomen x-ray

Answer 317

B. lumber puncture with CSF aspiration

Question 318

62. When a patient is admitted with acute influenza, what type of isolation is MOST appropriate?
    A. Reverse isolation
    B. Contact isolation
    C. strict isolation
    D. Respiratory isolation

Answer 318

D. Respiratory isolation

Question 319

63. What precautions are necessary when caring for a patient with Hepatitis A?
    A. Gowning before entering the room
    B. Wearing gloves for direct care
    C. Wearing a mask at all times
    D. Placing the patient in a private room

Answer 319

B. Wearing gloves for direct care

Question 320

64. The nurse is assigned to care for the a patient with Ebola virus disease. Which of the following is the most
    common mode of transmission for Ebola virus?
    A. Vector
    B. Airborne
    C. Direct contact
    D. Common vehicle

Answer 320

C. Direct contact

Question 321

65. A nurse is caring a patient diagnosed with pulmonary tuberculosis and she has to wear N95 mask when she
    enters to the parent room. Based on the cycle of infection, which of the following is the reason to use the mask?
    A. Break the transmission chain at the portal of entry.
    B. Break the transmission chain at the portal exit
    C. Kill the agent exits in the patients room.
    D. Eliminate the reservoir of the bacteria

Answer 321

A. Break the transmission chain at the portal of entry.
B. Break the transmission

Question 322

66. After receiving the initial treatment of TB , a 27 years old woman in the chest disease ward was given discharge
    instruction on dietary management , medication, regimen, hygiene care and follow up visits. What is the
    instructions need to be emphasized the most?
    A. Increase protein diet to promote healing
    B. More rest and relaxation to restore therapy
    C. Maintain daily exercise schedule to improve health
    D. Dispose sputum as guided to avoid spread of disease

Answer 322

D. Dispose sputum as guided to avoid spread of disease

Question 323

67. A patient is admitted to the emergency room with an unknown infection disorder. Which of the following is the
    most important measure a nurse implement to reduce the risks of transmitting these microorganisms other?
    A. Hand hygiene
    B. Wearing gloves
    C. Wearing a mask
    D. Wearing a gown

Answer 323

A. Hand hygiene

Question 324

68. A nurse is assigned to care for a patient with small that needs to be placed on airborne precaution. Which of the
    following item should be used before entering the patient room?
    A. Gloves and gown
    B. Gloves and goggles
    C. Gloves and mask
    D. Gloves , gown N 95

Answer 324

D. Gloves , gown N 95

Question 325

69. Which of the following is the primary level of prevention?
    A. Detect and treat existing disease
    B. Prevent illness or injury occurring
    C. Reduce the extent and severity of health problem
    D. Minimize disability and restore to prevent function

Answer 325

B. Prevent illness or injury occurring

Question 326

70. A Nurse is surgical unit prepares for a wound dressing. While she is preparing. She sneeze over the dressing
    trolley without wearing a facemask. Which of the following is the most appropriate action should the nurse
    take?
    A. set up a new sterile field
    B. put on a mask and continue working
    C. continue working the most sterile field
    D. Replace the equipment she thinks is contaminated

Answer 326

A. set up a new sterile field

Question 327

71. Which of the following is the most effective infection control precaution to prevent nosocomial infection?
    A. Hand washing before and after patient contact
    B. Wearing gloves and mask for direct patient care
    C. Isolation precaution
    D. Broad spectrum antibiotic

Answer 327

A. Hand washing before and after patient contact

Question 328

72. A 16 month old child is hospital in the intensive care unit with multi resistant sepsis. On the 3rd day. She had
    explosive diarrhea. A stool sample was sent to the laboratory for C. difficle investigation. Which of the following
    transmission based precaution is most appropriate?
    A. Combination airborne and droplet
    B. Contact
    C. Droplet
    D. Airborne

Answer 328

B. Contact

Question 329

73. When planning discharge teaching for a patient hospitalized for treatment of the 3rd burns over 30% of the body,
    a nurse knows it is most important to include instructions regarding the loss of large amounts of serum occurring
    with burns and the resulting loss of immune function. Which of the following instructions should be include?
    A. Wash hands frequently each day
    B. Wear supplemental oxygen at night
    C. Wear masks while in public spaces
    D. Take a multiple vitamin tablet night

Answer 329

A. Wash hands frequently each day

Question 330

74. A 20 year old woman is hospitalized with a strong and uncontrollable cough and has difficulty breathing while
    coughing. A doctor writes an order for the patient to be transported from the medical surgical department to
    the radiology department for an xray examination. The nurse prepares to transfer the patient and considers
    standard precautions and additional transmission precautions. Who of the following would be required to wear
    a mask?
    A. Radiology staff
    B. Nurse and patient
    C. Patient
    D. Nurse

Answer 330

B. Nurse and patient

Question 331

75. A patient returned to the Surgical Unit from the thyroidectomy. The nurse observed that the arousable. Blood
    pressure 90/60 mmHg Heart rate 108 /min What immediate action should the nurse take?
    A. Recheck pulse and blood pressure
    B. Administer intravenous fluids as ordered
    C. Place client in modified Trendelenburg’s
    D. Assess the back of neck surgical dressing for bleeding

Answer 331

D. Assess the back of neck surgical dressing for bleeding

Question 332

76. Complication of thyroidectomy
    A. Distension
    B. Bleeding
    C. Vocal cord injury

Answer 332

B. Bleeding

Question 333

77. progressive enlargement of a multi-nodular go tracheal compression including pain at the site of the ear and jaw, difficulty swallowing, change of pf breath by compressing the oesophagus. There is in otherwise the
    patient is at risk. What is the preferred treatment?
    A. Iodine treatment
    B. Thyroid hormone treatment
    C. Radioactive iodine treatment
    D. Surgical resection of abnormal thyroid

Answer 333

D. Surgical resection of abnormal thyroid

Question 334

78. A Post thyroidectomy patient transferred to ward and developed tetany the nurse suspected that patient has ?
    A. Hypokalemia
    B. Hypocalcemia
    C. Hyponatremia

Answer 334

B. Hypocalcemia

Question 335

79. A nurse Wayne is aware that a positive Chvostek’s sign indicate
    A. Hypocalcemia
    B. Hyponatremia
    C. Hypokalemia
    D. Hypermagnesemia

Answer 335

A. Hypocalcemia

Question 336

82. Patient is being admitted to the Recovery Room following a thyroidectomy. The back of the neck wound is
    covered with dressing. During the first 15 minutes, the patient started working and having diarrhea . A general
    assessment is performed with special attention given for the high risk for haemorrhage . Where would bleeding
    most likely occur?
    A. Stool
    B. Vomitus
    C. Dressing
    D. Back of neck

Answer 336

D. Back of neck

Question 337

83. A 29 year-old man is in the Surgical Ward on his first post-operative thyroidectomy. He appears drowsy but the
    he is able to respiration by nodding head. He is developing mild restlessness. What is the initial recommended
    goal of care?
    A. Monitor vital signs of thyroid storm
    B. Assess for bilateral vocal fold mobility
    C. Monitor for swelling on the neck
    D. Monitor for vocal cord paralysis

Answer 337

A. Monitor vital signs of thyroid storm

Question 338

84. A nuclear plant experienced a leakage, and all involved workers were brought to the Emergency Department for
    treatment . the medical team prescribed potassium iodide for the workers to block radioactive iodine to be
    absorbed by an organ in the body. Which of the following organs is the most sensitive to radioactive iodine?
    A. Brain
    B. Lungs
    C. Kidney
    D. Thyroid

Answer 338

D. Thyroid

Question 339

85. The nurse care for a 60 year old woman who history hypertension, hypothyroidism and elevated cholesterol
    levels. She takes tablets daily for each of the health problem. The doctor orders a routine dual- x-ray
    absorptiometry test that shows decrease bone density. Which medication most likely contributed the test
    result?
    A. Statins
    B. Anti-hypertensive
    C. Synthetic thyroid hormones
    D. Cholesterol absorption inhibitors

Answer 339

C. Synthetic thyroid hormones

Question 340

86. A 36 years old man ha undergone a subtotal thyroidectomy ago. he Is suspected to develop tetany after the
    surgery. Which of the following symptoms best indicates tetanus?
    A. Tingling in the fingers
    B. Pain in hands and feet
    C. Tension on the suture lines
    D. Bleeding on the back of the dressing

Answer 340

A. Tingling in the fingers

Question 341

87. The nurse is assessing 50 year old woman whose thyroid enlarged. A blood sample was collected and an analysis
    confirm diagnosis.
    TSH 0.12 normal 0.4-6.5
    Free 210 normal 50-140.
    Thyroxin T4 normal 4.5-11.2
    A. Thyroidectomy
    B. Incision and drainage
    C. polythyroidectomy
    D. adrenalectomy

Answer 341

A. Thyroidectomy

Question 342

88. 3-year-old child with an elevated body temperature is administered oral aspirin. The nurse records the body
    temperature of the child two hours an The American Academy of pediatrics
    suggests that removal of the tonsils under certain conditions. Which of the
    following meets these conditions?
    A. times viral tonsillitis per year
    B. Infrequent snoring and nasal quality
    C. Three times bacterial tonsillitis per year
    D. Tonsillitis accompanied by adenoid inflammation

Answer 342

D. Tonsillitis accompanied by adenoid inflammation

Question 343

89. 5year-old child is postoperative after tonsillectomy. The nurse should ask the parents to give the child which of
    food after discharge from the hospital?
    A. Meat and rice
    B. Hot dog and potato chips
    C. Mashed potatoes and soup
    D. Cucumbers and tomato salad

Answer 343

C. Mashed potatoes and soup

Question 344

90. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing assessment is suitable
    for the postop care?
    A. Encourage the child to cough spontaneously
    B. Observe for subtle signs of haemorrhage
    C. Place the child in the prone position
    D. Suction the mouth to clear the airway Because of violent behaviour

Answer 344

B. Observe for subtle signs of haemorrhage

Question 345

91. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing action is suitable for
    the postoperative care?
    A. Encourage the child to cough spontaneously
    B. Observe for subtle signs of hemorrhage
    C. Place the child in the prone position
    D. Suction the mouth to clear the airway Because of violence

Answer 345

C. Place the child in the prone position

Question 346

92. After tonsillectomy, a child begins to vomit bright red blood .the Initial nursing action is to?
    A. Notify the physician
    B. Turn the child to the side
    C. Maintain an NPO status
    D. Administer the prescribed antiemetic

Answer 346

B. Turn the child to the side

Question 347

93. A client presents with Hypocalcemia, hyperphosphatemia, muscle cramps, and positive Trousseau’s sign. What
    diagnosis does this support?
    A. Diabetes insipidus
    B. Conn’s syndrome
    C. Hypoparathyroidism
    D. Acromegaly

Answer 347

C. Hypoparathyroidism

Question 348

94. The nurse cares for a client who has undergone a tonsillectomy. The nurse is most concerned about which post
    operative finding?
    A. Lack of appetite
    B. Throat pain
    C. Frequent swallowing
    D. Nausea

Answer 348

C. Frequent swallowing

Question 349

95. 18-year-old man college student was rushed fainted at the school. He complained of severe quadrant. Upon
    palpation, he jerks even with sample was obtained. What is the most likely diagnosis of this patient?
    A. Appendicitis
    B. Liver Cirrhosis
    C. Kidney stones
    D. Duodenal ulcer

Answer 349

A. Appendicitis

Question 350

96. • year-old child was admitted with suspected appendicitis. A nurse was evaluating the child’s condition and the
      mother stated that the child did have his bowel movement for the past two days and requested for natives.
      What is the risk of giving laxative to patient with appendicitis?
      A. Pain
      B. Fever
      C. Rupture
      D. Diarrhea

Answer 350

C. Rupture

Question 351

97. A woman patient is admitted for abdominal pain. She complain generalized plan nausea vomiting and
    constipation rebound tenderness and abdominal rigidity the past hour her localized on right side
    BP 130/68 HR 92 RR 18 TEM 38.6 What should the nurse suspect
    A. Intestinal obstruction
    B. Influenza
    C. Appendicitis
    D. Pyloric stenosis

Answer 351

C. Appendicitis

Question 352

98. A man is to be discharged from the General appendectomy. The precautionary measures, plans are discussed
    with him. What is the most important desired outcome after discharge
    A. Remain free of post-surgical complications
    B. Report fever, redness or drainage from the wound site
    C. Use pain management techniques appropriate
    D. Resume gradual activities and avoid weight

Answer 352

A. Remain free of post-surgical complications

Question 353

99. A 17 year-old arrived to the Emergency Room complaining abdominal pain on right lower quadrant. Pain was
    rated as 9 numeric scale with positive rebound tenderness over the pain
    Blood pressure Heart rate Respiratory rate Température
    120/70 mmHg 95 /min
    20 /min 39.2
    Which of the following interventions has the highest priority?
    A. Keep NPO
    B. Secure an IV access
    C. Prepare for ultrasound
    D. Prepare for abdominal surgery

Answer 353

A. Keep NPO

Question 354

100. The nurse would increase the comfort of the patient with appendicitis by:
     A. Having the patient lie prone
     B. Flexing the patient’s right knee
     C. Sitting the patient upright in a chair
     D. Turning the patient onto his or her left side

Answer 354

B. Flexing the patient’s right knee

Question 355

101. A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when
     you pa101. A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when
     you palpate the right lower quadrant of the child’s abdomen, the child feels pain in the rig quadrant.
     Which of the following is the name of this sign?
     A. Rebound tenderness
     B. McBurney sign
     C. Roving’s sign
     D. Obdurate signlpate the right lower quadrant of the child’s abdomen, the child feels pain in the rig quadrant.
     Which of the following is the name of this sign?
     A. Rebound tenderness
     B. McBurney sign
     C. Roving’s sign
     D. Obdurate sign

Answer 355

A. Rebound tenderness

Question 356

102. A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when
     you palpate the left lower quadrant of the child’s abdomen, the child feels pain in the rig quadrant.
     Which of the following is the name of this sign?
     A. Rebound tenderness
     B. McBurney sign
     C. Roving’s sign
     D. Obdurate sign

Answer 356

C. Roving’s sign

Question 357

103. Treatment of nephritic syndrome is corticosteroids

Question 358

104. Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes

Question 359

105. A 66 year old woman with a history of unstable angina and hypertension present to the emergency
     department with a dull chess pain that she describes as similar to heartburn. The pain radiates down the left
     arm. She had taken sublingual nitro-glycerine tablets with any relief any electrocardiograph is perform and
     shows elevated S T segments. Which medication is most likely to given to dissolve the thrombus?
     A. Heparin
     B. Warfarin
     C. Streptokinase
     D. Aspirin

Answer 359

C. Streptokinase

Question 360

106. A 62 year man with a history of intracerebral bleeding three months ago, was referred primary health care
     following acute starch symptoms. Brain CT scan is normal and the patient is receiving oxygen by nasal cannula at
     4LPM BP 185/105 HR 82 RR 18 TEM 36.6 SO2 93%
     Which of the following medication would be ordered first?
     A. RtPA
     B. Aspirin
     C. Dopamine
     D. Nicardipine

Answer 360

B. Aspirin
Rational :Probable acute ischemic stroke; consider fibrinolytic therapy. If the CT scan shows no sign of hemorrhage, it
is probable that the patient experienced an ischemic stroke and is a candidate for fibrinolytic therapy. Check for
fibrinolytic exclusions such as significant head trauma or stroke in the previous 3 months, history of intracranial
hemorrhage, elevated blood pressure, active internal bleeding, or a blood glucose concentration less than 50
milligrams per deciliter. Then repeat the neurologic exam.Consult neurologist or neurosurgeon. If the CT scan
indicates hemorrhage, consult neurologists and neurosurgeons, and begin the stroke or hemorrhage
pathway. Administer aspirin. If the patient is not a candidate for fibrinolytic therapy, administer aspirin and begin the
stroke or hemorrhage pathway

Question 361

107. A nurse checks the medication chart of a patient, which has the following order, nitroglycerin Tab sublingual.
     Which of the following medication administration routes should the nurse use?
     A. In the nose
     B. In the eyelid
     C. Under the skin
     D. Under the tongue

Answer 361

D. Under the tongue

Question 362

108. A 28 year man admitted to orthopedic ward complaining of throbbing pain in casted leg. Which of the
     following nursing intervention should be taken first?
     A. Remove the cast
     B. Notify a doctor
     C. Assess pedal pulse
     D. Administer PRN medication

Answer 362

C. Assess pedal pulse

Question 363

109. A 62 year old woman presents to the clinic with a primary compliant of fatigue. An assess shows a smooth
     and reddened tongue with a loss of papillae and pallid mucous membranes. She complaints of a sense of
     constant fullness of the stomach, with a decreased appetite and two three loose bowel movement per day. A
     neurological assessment shows numbness in the feet and lower legs. The patient type of test would the most
     likely?
     A. Schilling
     B. Erythropoietin
     C. Folic acid levels
     D. Vitamin B12 levels

Answer 363

D. Vitamin B12 levels

Question 364

110. A mother of a patient who is on antipsychotic drug asked a doctor about some more detail about the drug.
     The doctor told the mother that her son is taking an atypical antipsychotic drug. Which of the following is an
     examples of this type of drug?
     A. Thioridazine
     B. Clozapine
     C. Chlorpromazine
     D. Haloperidol

Answer 364

B. Clozapine

Question 365

111. A nurse is preparing scheduled medications due at 6 pm. If a doctor orders paracetamol tab 1g QID, and it
     was supplied from the pharmacy in 250 mg tablets. Which of the following is the most appropriate nursing
     actions?
     A. Ask the pharmacy to provide 1g tablets
     B. Call the doctor to recheck the dosage
     C. Give the patient four 250 mg tablets
     D. Hold the medication and document in nursing notes

Answer 365

C. Give the patient four 250 mg tablets

Question 366

112. A patient with a history of atrial fibrillation has an order for 25 milligrams of drug (X), the available
     supply/dose is 0.25 milligrams. Which of the following doses in correct?
     A. Dispense two tablets to the patient
     B. Administer one tablet twice daily
     C. Dispense one half tablet to the patient
     D. Return tablets to the pharmacy and re-order

Answer 366

D. Return tablets to the pharmacy and re-order

Question 367

113. A patient with a history of atrial fibrillation has an order for 0.25 milligrams of drug (X), the available
     supply/dose is 0.125 milligrams. Which of the following doses in correct?
     A. Dispense two tablets to the patient
     B. Administer one tablet twice daily
     C. Dispense one half tablet to the patient
     D. Return tablets to the pharmacy and re-order

Answer 367

A. Dispense two tablets to the patient

Question 368

114. 13-year-old patient is admitted for diarrhea and vomiting. He looks pale and lethargic. A nurse is preparing
     to give IV hypotonic solution.
     Blood pressure 110/70 mmHg
     Heart rate 76 /min
     Respiratory rate 18 /min
     Temperature 36.1°C
     Which IV solution is most appropriate?
     A. 0.9% saline
     B. Lactated ringers
     C. 10% dextrose in water
     D. 0.45% sodium chloride

Answer 368

D. 0.45% sodium chloride

Question 369

115. A nurse is assigned to care for a group of patient in the medion expected to review the medical records of
     these patient. What patient is at risk for excess fluid volume?
     A. Patient with ileostomy
     B. Patient taking a loop diuretic
     C. Patient with chronic renal failure
     D. Patient hooked to gastrointestinal

Answer 369

C. Patient with chronic renal failure

Question 370

116. physician orders an intravenous fluid of D5NS at 100cc/hr. This is an example of which of the solution?
     A. hyper alimentation
     B. hypertonic
     C. hypotonic
     D. isotonic

Answer 370

B. hypertonic

Question 371

117. When a patient was first diagnosed with schizophrenia, one of his family members asked the nurse about the
     possible causes. The nurse said that one reason is that he may have had an excess secretion of a
     neurotransmitter. Which of the following neurotransmitters?
     A. serotonin
     B. dopamine
     C. glutamate

Answer 371

B. dopamine

Question 372

118. The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the post anesthesia
     care unit (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2saturation is
     21 oxygen via cannula is 86%. The nurse should IMMEDIATELY administer:
     A. Flumazenil(Romazicon)
     B. Medazolum(versed)
     C. Naloxone (Narcan)
     D. Ondansetron (Zofran)

Answer 372

C. Naloxone (Narcan)

Question 373

119. Digoxin not given to pàtient who has which of the following ?
     A. tachycardià
     B. hypertension
     C. tachypnea
     D. bradycardia

Answer 373

D. bradycardia

Question 374

120. Atropine is indicated for increase
     A. Heart rate
     B. Respiratory rate

Answer 374

A. Heart rate

Question 375

121. Morphine side effect ?
     A. tachycardià
     B. hypertension
     C. tachypnea
     D. bradypnea

Answer 375

D. bradypnea

Question 376

122. patient with ongoing magnesium sulfate the nurse should be alert to ?
     A. temperature
     B. respiratory rate
     C. heart rate

Answer 376

B. respiratory rate

Question 377

123. Soldier was brought to triage area after being exposed to chemical weapons. Signs and symptoms of nerve
     gas exposure were noticed. A nurse prepares for medical management. Which medication should the nurse
     prepare for the patient?
     A. Atropine
     B. Adrenaline
     C. Sodium nitrate
     D. Sodium thiosulphate

Answer 377

A. Atropine

Question 378

124. Nitroglycine administration route :
     A. Intramuscular
     B. Sublingual
     C. Subcutaneous
     D. Oral

Answer 378

B. Sublingual

Question 379

125. A nurse checks the medication chart of a part, which has the following order; Nitroglycerin tab Buccal at stat.
     Which of the following medication administration routes should the nurse use?
     A. In the ear
     B. Intravenous
     C. Under the skin
     D. Between cheek and gum

Answer 379

D. Between cheek and gum

Question 380

126. A nurse is caring for a patient who had Coronary Artery bypass Graft Surgery (CABG) four hours ago. The
     nurse notices that the patient has increased confusion and is restless. The patient reports nausea, weakness and
     paresthesia in the extremities (see lab results)
     Normal Values
     Result Test
     134-146 mmol/L
     145 Sodium
     3.5-5.2 mmol/L 6.8 Potassium
     2.15-2.62 mmol/L 2.50 Calcium
     Which of the following is the best medication?
     A. Naloxone (Narcan)
     B. Hydralazine (Apresoline)
     C. Potassium chloride (KCI)
     D. Sodium polystyrene sulfonate (Kayexalate

Answer 380

D. Sodium polystyrene sulfonate (Kayexalate

Question 381

127. Which of the following statement by the nurse about the clomid as an ovulation inducing drug?
     A. Given for the first 15 days in each cycle
     B. Maximum dose is 50 mg daily for a month
     C. It increases the risk of birth defects
     D. It increase the risk of multiple pregnancies

Answer 381

D. It increase the risk of multiple pregnancies

Question 382

128. Clomiphene citrate (Clomid) is prescribed for a 32-year-old infertility treatment. The nurse should
     understand that this medication is used for following actions?
     A. induce ovulation
     B. Decrease prolactin level
     C. Reduce endometriosis
     D. Stimulate the release of Follicle-Stimulating Hormone

Answer 382

A. induce ovulation

Question 383

129. A nurse is caring for a client with bipolar disorder, who is receiving Lithium carbonate. Before Administration
     of the next dose, the client complains of nausea and vomiting and the nurse finds that the client’s lithium blood
     level 1.5mEq/lL. Which of the following actions is considered Apriority?
     A. call the client’s physician immediately
     B. withhold the next dose.
     C. Administer IV fluids
     D. Repeat the blood lithium level testing

Answer 383

B. withhold the next dose.

Question 384

130. A patient was on a regular dose of lithium carbonate. The nurse noticed he has hand tremor, polyuria,
     diarrhea and vomiting. What immediate action should be taken by the nurse?
     A. Diuretics
     B. Withholding lithium
     C. Calling the psychiatrist
     D. Monitoring serum lithium level

Answer 384

B. Withholding lithium

Question 385

131. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from
     nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms?
     A. Overdose
     B. Mild toxicity
     C. Severe toxicity
     D. Moderate toxicity

Answer 385

C. Severe toxicity

Question 386

132. 49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG
     showed that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. What
     is the primary indication of aspirin in this case?
     A. Breaks down the thrombus
     B. Decreases the formation of platelet plugs
     C. Inhibits the conversion of prothrombine to
     D. Interferes with vitamin k to maintain

Answer 386

B. Decreases the formation of platelet plugs

Question 387

133. which of the following condition is a Contraindication for a woman oral Contraceptives?
     A. Dysmenorrhea
     B. Menorrhagia
     C. Thrombophlebitis
     D. Toxic shock syndrome

Answer 387

C. Thrombophlebitis

Question 388

134. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from
     nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms?
     A. Overdose
     B. Mild toxicity
     C. Severe toxicity
     D. Moderate toxicity

Answer 388

C. Severe toxicity

Question 389

135. A 45-year-old distressed and restless patient in the Psychiatric Ward was unable to sleep during the nights
     for the last two days. He was ordered sleep medication which was to be administered at 10 pm. At the time
     medicine administration, the patient was found asleep in bed Which of the following action should the nurse
     take regarding the dictation?
     A. Discard medicine and cancel the order
     B. Leave it at the bed side for the patient
     C. Wake him up and administer
     D. Hold, record and report

Answer 389

D. Hold, record and report

Question 390

136. 13- nurse is given health education to the parent how to reduce febrile avulsion in the child at home. Which
     of the following medication in the safest intervention?
     A. Analgesic
     B. Antipyretic
     C. Antibiotic
     D. Antiemetic

Answer 390

B. Antipyretic

Question 391

137. Doctor order to give Ofloxacin Otic route the nurse understand that medication will be given :
     A. Nasal
     B. Eye
     C. Ear
     D. Sublingual.

Answer 391

C. Ear

Question 392

138. A home care patient with chronic Obstructive reports an upset stomach. The patient is taking and
     triamcinolone acetonide (azmacort). Which of the following counselling should be given
     A. Theo-dur on an empty stomach
     B. Theo-dur and azmacort at the same time
     C. Theo-dur and azmacort 12 hours apart
     D. Theo-dur with milk or crackers

Answer 392

D. Theo-dur with milk or crackers

Question 393

139. Which of the following vitamins is necessary for wound healing process?
     A. Vitamin A
     B. Vitamin C
     C. Vitamin D
     D. Vitamin K

Answer 393

B. Vitamin C

Question 394

140. Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as
     anencephaly and spina bifida new-borns ?
     A. Vitamin A
     B. Riboflavin
     C. Folic Acid
     D. Vitamin K

Answer 394

C. Folic Acid

Question 395

141. A 78-year-old woman who lives in a long-term care facility has been ving repeated episodes of urinary tract
     infections. She is prescribed then amine mandelate one gram to be taken by mouth four times per before meals
     and at bedtime. The nurse advises the patient that she need to remove milk from the diet while taking the
     medication. What is the primary purpose for this dietary advice?
     A. To prevent mal absorption of medication
     B. Decrease risk of gastrointestinal upset
     C. Reduces effectiveness of medication
     D. To make the urine acidic

Answer 395

D. To make the urine acidic

Question 396

142. A nurse received the serum digoxin level result for the patient the day and notes that the result is
     2.6 ng/mL (see lab result)
     Test result normal value
     Digoxin (men) 2.6 0.8-2ng/mL Which of following
     nursing actions is the most important?
     A. Notify the physician
     B. Check previous vital signs of patient
     C. Record normal value on nursing note
     D. Administer scheduled dose of medication

Answer 396

A. Notify the physician

Question 397

143. A patient is being admitted in medical unit and has orders for fluid restriction of 1400ml / 24 hours. He is
     receiving IV medications in 50ml solutions QID. How much fluid should the caring nurse allocate for cra intake in
     24 hours?
     A. 400 ml
     B. 800 ml
     C. 1000 ml
     D. 1200 ml

Answer 397

D. 1200 ml

Question 398

145. A nurse is preparing a medication order of 100 mg IV stat. The available hydrocortisone is 200mg per 5 ml
     distilled water for injection. Which of the following is the correct administered?
     A. 4.5 ML
     B. 3.5 ML
     C. 2.5 ML
     D. 1.5 ML

Answer 398

C. 2.5 ML

Question 399

146. A nurse is preparing to administer an intravenous infusion of 2000 ml of Ringer’s lactate over 12
     hours. The administration set has a chamber that delivers 15 drops per ml. How many drops per
     minute should be administered?
     A. 14
     B. 24
     C. 42
     D. 56

Answer 399

C. 42

Question 400

147. Doctor order to give medication x 300mg and available is 900mg/6ml how many ml the nurse will give
     A. 1.2
     B. 2
     C. 4
     D. 6

Answer 400

B. 2

Question 401

148. A 56-year-old man was admitted with complaint working for three days. The nurse is preparing to administer
     infusion of saline 1000 ml over six hours. What is the hourly infusion rate that the nurse needs to infusion
     therapy in mL/hour?
     A. 155
     B. 167
     C. 190
     D. 217

Answer 401

B. 167

Question 402

149. Doctor Order: Heparin 10000 units OD S/C Standard Solution 40000 units/ml How many ml would you
     administer?
     A. 0,25.ml

Question 403

150. A Physician has ordered clindamycin phosphate 300 mg to be administered intravenously the available stock
     was labelled . clindamycin phosphate 900mg mg in 6 ml what is the correct dose to be administered by the nurse
     ?
     A. 2 ml
     B. 4 ml
     C. 6 ml
     D. 8 ml

Answer 403

A. 2 ml

Question 404

151. A nurse check the medication chart of a patient, which has the following order; Paracetamol 500mg P.O.
     QID. How many times a day should the nurse administer the medication?
     A. Once
     B. Twice
     C. Three times
     D. Four times

Answer 404

D. Four times