1) After subtotal thyroidectomy for patient. He complains restlessness the nurse is assessing his vital signs. BP is 150/100 Heart rate is 120. Temperature 40. The nurse should expect that the cause for his condition is:
A. Hyper-metabolism due to increase in T3&T4
B. Hypo metabolism due to decrease T3&T4
C. Hypo metabolism due to increase in T3&T4
D. Hyper metabolism due to decrease in T3&T4
Answer: A

2) Calculate Total intake and output Patient in OR. 1500ml Ringer,50 ml antibiotic, Nasogastric tube feeding 50ml, Blood loss 500ml, Urine out 120
Answer: Total Intake = 1600 / Total Output = 620

3) Mother with hypothyroidism high risk for??
A. Preterm labor
B. Hemorrhage
C. Congenital anomalies
D. Eclampsia
Answer: A

4) Mother with hyperthyroidism high risk for??
A. Preterm labor
B. Pre-eclampsia
C. Hemorrhage
D. Congenital anomalies
Answer: B

5) Post right-side mastectomy where to take blood pressure?
A. Right brachial
B. Left brachial.
C. Right radial
D. Left radial.
Answer: B

6) one-week short-term goal for a total hip replacement patient
A sits up by himself three times a day
B. state pain control
Answer: B

7) Broken infusion machine – what to do
A. Put a sticker and report
B. Put in the broken machines area
Answer: A

8) ABG results – for an underweight girl 2 times?
A. one is ABG disorder – Metabolic Alkalosis.
B. uncompensated metabolic alkalosis
C. Compensated metabolic acidosis.
Answer: C

9) How to know it the left shoulder dislocated??
A. left arm longer than right arm
B. patient cannot move the left shoulder.
C. swelling in the left shoulder
Answer: A

10) A patient is admitted to the ER after sustaining abdominal injuries and a broken femur from a motor vehicle accident. He is pale, diaphoretic, and is not talking coherently. Vital signs upon admission are temperature 98.0 F (36.3 C), Pulse: 130 beats/minute, RR: 34 B/min, BI. pressure 50/40mmHg.The healthcare provider suspects which type of shock?
A. Distributive
B. Neurogenic
C. Cardiogenic
D. Hypovolemic
Answer: D

11) Which of the following the arranged assessment for postoperative patient???
A. Cardiovascular, Respiration, Surgery site, Neurological signs.
B. Respiration, Cardiovascular, Neurological signs, Surgery site.
C. Neurological signs, Cardiovascular, Respiration, Surgery site.
D. Surgery site, Respiration, Cardiovascular, Neurological signs.
Answer: B

12) A woman at 24 weeks’ gestational age has fever body ache and has coughing last 5 days she is sent to hospital with admission prescriptions for HINlinfluenza. which prescription has the highest priority?
A. Assign private room
B. Vital signs every 4 hours
C. Obtain specimens for culture
D. Ringer lactate IV
Answer: A

13) What is most appropriate blood test for patient who is going to surgery?
A.WBC
B. Albumin
C. Prothrombin time
D. Hemoglobin
Answer: C

14) Physician order three times the normal dose – when the nurse calls him, he insists on giving the ordered medication – what does the nurse do?
A. Call pharmacy
B. Call another doctor
C. Call nurse supervisor
Answer: C

15) Doctor’s order excessed the recommended dose what to do?
A. Call the doctor to clarify.
B. Administer the dose.
C. Hold the dose.
D. Talk with supervisor.
Answer: A

16) Major depression activities
A. Watch a movie with other patients.
B. Plan today’s activities with the patient
Answer: B

17) Gum and tooth pain — what is the cranial nerve?
A. Third nerve
B. Fifth nerve
C. Seventh nerve
D. Ninth nerve
Answer: B

18) Patient is 6 cm dilated what stage of labor?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
Answer: A

19) The nurse was caring for patient wound staples after operation. While she was preparing the patient sneezed and one staple fell down the floor. What should the nurse do?
A. Bring the staple from floor
B. Bring it and put back on wound
C. Apply dressing to the wound
Answer: C

20) Recurrent urinary tract infection what advice to give?
A. Drink 2-3 liters of water
B. Wipe from back to front
C. Urinate only when you have the urge.
Answer: A

21) What is the complication that needs observation after the birth of the child for diabetic mother?
A. Preterm labor
B. Term labor
C. Macrosomia
D. Hyperglycemia
Answer: C

22) After cardiac catheterization, the nurse should do first?
A. Assess blood pressure
B. Assess apical pulse/distal site
C. Elevated the head of the bed
Answer: B

23) post-operative patient to be discharged and his temperature is 37.6 at 8:00 – everything else is normal what to do?
A. informs the physician to delay discharge.
B. gives aspirin dose earlier than scheduled.
C. temperature is normal because of the time.
D. suspected infection
Answer: C

24) pregnant women Said to nurse I feel I depends on my husband and my family?
A-self concern
B-ambivalence
C-normal
D-esteem
Answer: A

25) What is the incidence rate Definition?
A. All new cases of specific disease during giving time.
B. All old cases of specific disease during giving time.
C. All new and old cases of specific disease during giving time.
Answer: A

26) What is the definition of prevalence rate?
A. All new cases of specific disease during giving time.
B. All old cases of specific disease during giving time.
C. All new and old cases of specific disease during giving time.
Answer: C

27) Woman went to gynecological clinic for routine examination then she diagnosed for positive Chlamydia. What is this considered?
A. Clinical
B. Sub clinical
C. Suspect
Answer: B

28) What is New-born examination after delivery?
A. Vital Signs. Inspection. Auscultation. Percussion. Palpation.
B. Inspection. Auscultation. Percussion. Palpation. Vital Signs
C. Palpation Inspection. Auscultation. Percussion. Vital Signs
D. Auscultation. Inspection. Palpation. Percussion. Vital Signs
Answer: A

29) The doctor order 0.2 g, the available 400 mg in quantity 10 ml, how many ml needed??
A- 2.5ml
B- 5ml
C- 2ml
D- 4ml
Answer: B

30) 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: C

31) Doctor writes new order restrain (PRN) for Psychiatric patient that he is overly aggressive. Which of the following indicate that the nurse should do?
A. Call doctor while patient aggressive to do that by himself.
B. Apply the order one time only or if needed.
C. Close patient room and do not apply restrain.
D. Express that is not acceptable and complains about your supervisor.
Answer: B

32) The Oral contraceptives increase risk for any cancer for long-term using?
A. Cervical cancer
B. Ovarian cancer
C. Skin cancer
D. Breast cancer
Answer: D

33) Yemeni soldier caught in the war and he got many injuries. The patient anxious and he is speaking about death for the nurse. What is the most appropriate action for the nurse?
A – You say no or yes.
B. Why do you say you are dying?
C. Why you say you will die.
D. Restating for patient wards
Answer: D

34) There is someone his father is dead. Then he turned his sadness and anger by learning martial arts. What is the defense mechanism that he used?
A. Displacement
B. Sublimation
C. Projection
D. Denial
Answer: B

35) In teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary when the client says:
A. The baby can get the virus from my placenta.”
B. “I’m planning on starting on birth control pills.”
C. “Not everyone who has the virus gives birth to a baby who has the virus.”
D. “I’ll need to have a C-section if I become pregnant and have a baby.”
Answer: D

36) The neonate is delivered by cesarean section the baby should be transported to baby incubator should be used?
A – Closed box incubators
B – Portable incubators
C – Double – walled incubators
D- Servo – control incubators
Answer: B

37) Therapeutic communication is used by the nurse to create a beneficial outcome in the delivery of quality nursing care. Which of the following statement best describe the term “therapeutic communication”?
A. interactive process of socialization.
B. Assessment component of nursing process
C. Communication with patient through words and language
D. Process to encourage the expression of feelings and needs.
Answer: D

38) Click image to enlarge A 56 – year – old patient presents with psoriasis. Secondary lesions are present on the upper and lower extremities (see image). Which of the following best describes the appearance of psoriasis?
A. Scales
B. Crusts
C. Scars
D. Fissures
Answer: A

39) While taking the history from a new patient, the nurse densified that he had hypomanic episode which was alternating with a mirror depressive/episode for the last two years. what is the most likely diagnosis?
A. Bipolar I disorder
B. Bipolar II disorder
C. Dysthymic disorder
D. Cyclothymic disorder
Answer: D

40) Talking with the parents of a child with Down syndrome, which of the Police would the appropriate foal for the care of the child?
A. Encourage self-care skills in the child.
B. Teaching the child something new each day
C. Encourage more lenient behavior limits for the Cho.
D. Achieving age-appropriate social skills
Answer: D

41) 28-year-old married woman is admitted in the Gynecology Ward for the observation after her miscarriage. She has not been able to sustain any pregnancy since she got married for the past three years and she had three miscarriages during this time. What intervention is the most appropriate?
A. Family history
B. Past medical history
C. Physical examination
D. Laboratory investigations
Answer: B

42) It is a managerial function that indicates leading the staff in the most effective method.
A: Planning
B: Directing
C: Organizing
D: Controlling
Answer: B

43) Which of the following best describes the role of a case management?
A. promotes healthy lifestyle.
B. provides coordination of care to ensure continuity.
C. possesses highly skilled communication methods.
D. promotes the comfort of the patient.
Answer: B

44) A 30-year-old female patient went to the clinic for a consultation after her work due to Pain no both legs during prolongs standing and sitting Doppler ultrasound was cone and confirmed the initial diagnosis of varicose veins. The patient asked what is the possible surgical procedure in relation to her case.
A. Amputation
B.Sclerotherapy
C. Thermal ablation
D.Ligation and stripping
Answer: D

45) Leaving the tourniquet for a long-time cause?
A- Low blood flow
B- Limb embolism
C- Hemoconcentration
Answer: C

46) Which drug would be used to treat a patient who has increased intracranial pressure (ICP) resulting from head trauma after an accident:
a-Mannitol
b-Atropine sulphate
c- epinephrine hydrochloride
d-Sodium bicarbonate
Answer: A

47) Leaving the tourniquet for a long-time cause:
A. Embolism
B. Low blood flow
C. Ischemia
Answer: B

48) When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?
A. Startle reflex
B. Babinski reflex
C. Grasping reflex
D. Tonic neck reflex
Answer: A

49) Women come to ER with her husband and the husband demonstrate she not talk or voluntary eat since the son died in accident, what the women need according to Maslow?
A. loving and belonging
B. psychological needs
C. spiritual support
D. family support
Answer: A

50) Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance?
A. Social surveillance
B. Financial surveillance and previous health diseases.
C. Incidence and prevalence of the health diseases.
Answer: C

51) Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance?
A. Social surveillance
B. Public surveillance and prevent infection.
C. Financial surveillance and previous health diseases.
Answer: B

52) Jizan province is poised to achieve malaria elimination. There is a need to change from a policy of passive case detection to reactively and proactively detecting infectious reservoirs that require new approaches to surveillance. For discovering health problems and diseases inside the community. What is the priority of surveillance?
A. Social surveillance
B. Surveillance for previous and new health problems
C. Financial surveillance and previous health diseases.
Answer: B

53) Why do we use “log rolling” Technique?
A) Facility good circulation
B) Avoid movement
C) To protect the spinal cord from moving
Answer: C

54) A 38-year- old patient is about to have lumber disk surgery, during preoperative care, the nurse instructs the patient including the family, members how to do “log rolling” to change patient position. One of the family members ask why they must do such action in turning the patient, postoperative. Which of the following is the nurse best response?
A. Facility good circulation
B. Avoid movement
C. Prevent post-operative bed sore
D. Makes changing of patient position easier.
Answer: C

55) The nurse is caring for 6 patients. Providing for them all care and activities. What is the type of nurse according to nursing care delivery system?
A- primary
B- Case management
C- Functional
Answer: A

56) The patient is receiving hemodialysis. The patient is experiencing disequilibrium syndrome. What is the cause of the syndrome?
A. Increase urea and Na
B. Decrease urea and Na
Answer: B

57) The pregnant woman is experiencing muscle cramps in her leg. She has less calcium intake. What should the nurse instruct her during spasm?
A. knee flexion
B. knee extension
Answer: B

58) Classical sign of adrenal insufficiency?
A. Hypernatremia
B. Hypotension
C. Hyperpigmentation
Answer: C

59) position after appendectomy?
A-high fowlers
B-semi fowler
C-sitting
D-Dorsal recumbent
Answer: B

60) How the nurse ensure that the mother is breast feeding well?
A. It is normal that suppose you know
B. Referral to breast feeding educator for one day
C. Check mother while she is breast feeding and progression ❌
Answer: C

61) What is type of transport that carries oxygen and carbon dioxide from and to placenta during pregnancy?
A. Simple diffusion
B. Active transport
C. Simple transport
Answer: A

62) Patient has difficulty in walking and lethargic, there decrease in capillary refill and urine incontinence, has risk for?
A-aspiration
B-infection
C-skin breakdown
D-body disturbance
Answer: C

63) Child with thalassemia pale and activity intolerance what the priority?
A-RBC transfusion
B-oxygen administration
Answer: B

64) The nurse is giving instruction for a pregnant woman. Which of the following should be avoided during pregnancy?
A-raw uncooked met.
B-clean well fruit and vegetables
C-cooked fish and chicken
Answer: A

65) child has urine incontinence two day ago with WBC in urine?
A-psychological abuse
B-urinary tract infection
C-genitalia defect
Answer: B

66) pt. has difficulty taking liquid medications from a cup. How should the nurse administer the medications?
A. Request that the physician change the order to the IV route.
B. Administer the medication by the IM route.
C. Use a needleless syringe to place the medication in the side of the mouth.
D. Add the dose to a small amount of food or beverage to facilitate swallowing.
Answer: C

67) Patient diagnosed with appendicitis which statement by patient indicates absolute ruptured of appendicitis?
A-I feel like I want to vomit.
B-Pain in the epigastric
C – Painless in right quadrant / No hurts suddenly ✓□
Answer: C

68) Nursing supervisor newly elected Wants to use” disciplinary evaluation to nurses’ behavior ” What type of power she is using?
A. Reward
B. Coercive
C. legitimate
D. Formal
Answer: B

69) The patient weight 67 kg. He is receiving drug 30mg/kg/24hr. How many grams should the nurse give for 24 hr.?
A.5 g
B. 1.5g
C. 1 g
D. 2g
Answer: D

70) Based upon the legal guidelines for documentation, which of following corrective action is correct?
A. Never erase entries do line under ward and write correct
B. erases the incorrect notes then writes the correct
Answer: A

71) The nurse is caring for child regarding his activity. Which of the following is considering fine? Motor activity?
A. Ride bicycle
B. Walking
C. Holding cup
Answer: C

72) When the Zygote enter to the uterus after fertilization?
A. 2 day
B. 4 day
C. 6 day
D. 8 day
Answer: B

73) A nurse is assisting during a normal vaginal delivery on a 22-year diabetic patient. The head was delivered without any complication head suddenly retracts against the perineum Prompting the physician to immediately ask for the nurse assistance with this dystocia. Which of the following will be the nurse appropriate action to impacted shoulders of the infant?
A. Fracture the infant’s clavicle.
B. Prepare patient for immediate caesarean section.
C. Apply fundal pressure to displace anterior shoulder.
D. Perform supra public pressure to release anterior shoulder.
(Answer not provided in text)

74) The community nurse was providing home visit for a family to give health instruction. The nurse observed while she entered the garage, she was finding the car’s oil had expired. What would you do?
A. get rid of oil and throw it away junk.
B. Call to the company and change it.
C. Use the oil
D. Give it to the neighbors.
Answer: B

75) What are the symptoms of the BCG vaccination side effect?
A. Diarrhea
B. Skin ulcer or scar
C. no symptoms
D. Seizure
Answer: B

76) How many times shower the baby?
A- twice a week with warm water
B- Every day with warm water
C- Every day with warm water and acidic soap
D- Every day with warm water and alkaline soap
Answer: A

77) A nurse is caring for a 72-year-old man patient, is unsteady. The patient requests the nurse to help nurse asked the patient to wait few minutes’ device to transfer him. Which of the following transfer devices is the nurse to use?
A. Belt
B. Board
C. Handle
D. Mechanical lift
Answer: A

78) Neonate is near to cold window what is the type of heat loss?
A. Radiation
B. Convection
C. Conduction
D. Evaporation
Answer: A

79) The nurse has been teaching a new mother how to feed was born with a cleft lip and palate before surgical repair of Which of the following action from the mother indicate teaching has been successful?
A. burying the baby frequently ✔✔✔
B. Prevent the infant from crying
C. Placing the baby flat during feeding
D. Keep the infant prone following feedings
Answer: A

80) The age of Cleft lip surgery is 2 – 6 months.
(Informational statement, not a question)

81) Definition of Word Salad: Words or phrases are connected meaninglessly being forced.
(Informational statement, not a question)

82) A 49-year-old patient was admitted in the Medical Ward to rule out his pale appearance, loss of appetite, abdominal pain in the right upper quadrant, dark urine and grey colored stools for the last few days. He was diagnosed with Hepatitis C and was discharge from the hospital when his condition gets stable. He was given the advice to take his medication regularly. What should be the nurse’s prime focus in the discharge teachings for the patient?
A. Family support
B. Dietary counselling
C. Activity and exercise
D. Understanding of the disease
Answer: D

83) The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid?
A. Putting the child in lateral position.
B. Palpating the child’s abdomen.
C. Putting the child in a private room.
D. Provide mouth hygiene 30 minutes after meal.
Answer: B

84) Mother came to the Outpatient Department with an infant having cleft and palate. The infant was underweight, so the nurse has to consider Teaching the proper way of feeding the child in the treatment plan. Which of the following is the proper way of feeding?
A. Use a non-squeezable bottle during feeding
B. Feed infant in an upright, sitting position ✔✔✔
C. Enlarge nipple holes of bottle to allow more milk to pass through
D. Feed infant longer than 45 minutes to allow more food to be small
Answer: B

85) What is the type of umbilical cord care for neonate?
A. Curing and treatment
B. Infection prevention
Answer: B

86) After lumbar puncture position?
A. Supine
B. Prone
Answer: A

87) Elderly Immunization — Pneumonia, Influenza
(Informational statement, not a question)

88) What Is The Action To Prevent Cleft Lip & Palate?
A. Give immunizations
B. Advice pregnant folic acid
Answer: B

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

90) As identified by DR Elizabeth Kubler which stage of dying is characterized by the transition from ‘NO’ not me to “yes, me but….”
A. Anger
B. Depression
C. Acceptance
D. Bargaining
Answer: D

91) The head nurse gives low evaluation to the nurse because of her late. What is the type of her evaluation effect?
A. Halo effect
B. Horn effect
C. Central tendency
Answer: B

92) The head nurse is too busy to give evaluation to her staff. She gave to everyone average evaluation. What is the evaluation type that the head nurse used?
A. Halo effect
B. Horn effect
C. Central tendency
Answer: C

93) nurse educator said to a new nurse” our hospital provides the highest level of specialized healthcare in an integrated educational and research setting” which of the following aspects of the hospital’s strategic plan is indicated by this statement?
A. Vision
B. Policy
C. Values
D. Mission
Answer: D

94) New-born has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:
A. Milia
B. Lanugo
C. Whiteheads
D. Mongolian spots
Answer: A

95) The community health care Facility observed low response for immunizations activities. Then it decided to teach people about immunizations and the importance for applying it. What would improve the effect of response?
A. Modify immunizations program schedule.
B. Provide more health teaching programs.
(Answer not fully provided in text)

96) Normal Fetal Hr 120-160
(Informational statement, not a question)

97) Which patient to see first:
A. Patient with Potassium level 7.5
B. Anemia client with pain level 6/10
Answer: A

98) The speed of transmission of the disease from person to person?
A. Infective
B. Infection
C. Infectivity
D. Precaution
Answer: A

99) Why should the community nurse know about the disease in other countries?
A-To give patient needs accordingly ✓ □ ✓ □.
B-To know the perveance of the disease in certain country.
C- To help countries for solutions
D- To make research and studies
Answer: A

100) HIV patient will be risk for which life threading disease?
A. Pneumonia
B. Tuberculosis
Answer: B

101) couple has a son and a daughter, and both moved out and got family on their own. Which type of family structure?
A. Extended
B. Blended
Answer: A

102) Patient with cardiac tamponed muffled heart sound which of the following the nurse monitor?
A. Pulse and respiratory rate.
B. Paradoxical pulse 40 in inspiration.
Answer: B

103) Treatment of pyloric stenosis? * Rehydration and pyloromyotomy
(Informational statement, not a question)

104) Which medicine prescription the nurse should question?
A. Lasix 40mg oral BID
B. Codeine oral PRN
Answer: B

105) Float nurse from medicine floor. Came to telemetry unite which patient she receives?
A. MI patient in heparin infusion
B. Hypertensive patient on Lasix.
C. Atrial Fibrational with anticoagulant drug.
Answer: C

*106) Cause of death in Saudi Arabia? ischemic heart disease and road accident.
(Informational statement, not a question)

107) Diphtheria which type of isolation?
A. Droplet
B. Airborne
Answer: A

108) Patient with schizophrenia seen with which of the following signs?
A -Word salad
B -Associates lessness
Answer: B

109) Why hemorrhage occurs postpartum?
A-prolonged labor last 12 hours
B-excusive analgesics given during labor.
Answer: B

110) How measure Orthostatic hypotension? * The Systolic is <20, and the Diastolic is <10.
(Informational statement, not a question)

111) A male client has received a prescription for orlistat for weight and nutrition management. In addition to the medication, client states plan to take a multivitamin. what teaching should a nurse provide?
A. Following a well-balanced diet is a much healthier approach to good nutrition than depending on a multivitamin. Be sure to take the multivitamin and the medication at least two hours apart.
B. As a nutritional supplement, orlistat contains all the recommended daily vitamins and minerals.
C. Multivitamins are contraindicated during treatment with weight control medications such.
D. as orlistat
Answer: A

112) How to prevent cleft lip and palate from occurring?
A-eat green vegetables and citrus fruit
B-Drink too much juice
Answer: A

113) IQ 45 what level of mental retardation?
A-moderate mental retardation
B-severe mental retardation.
C-mild mental retardation.
Answer: A

114) IQ is mild retardation characteristic?
A-needs assistance all time.
B-can learn some of daily life activities but still needs helps.
Answer: B

115) Nurse plan community program to those who experienced a disease And assess the recovery or rehabilitation or dis ability Which level of prevention?
A-primary
B-secondary
C-tertiary
Answer: C

116) What is an example of primary level of prevention?
A-how to be smoking cessation.
B-Given education on HIV to high school students.
Answer: B

117) During hajj nurse is caring for non-Arabic speaker What is most appropriate action?
A-Use google translation.
B-ask family members to interpret.
C-call hospital Interpreter services
Answer: C

118) A5 – year – old child was brought to the Emergency Room with a fractured of forearm. He had several bruises on his body but showed no signs of pain while palpating them. He seemed scared and did not answer any questions asked. How should the nurse initiate therapeutic communication with the child?
A. Start interviewing
B. Encourage him to speak.
C. Explain about the fracture
D. Greet and show gentleness – nurse gives health.
Answer: D

119) The nurse administered a prescribed intramuscular medication to a patient during a home health visit. How should the nurse dispose of the used needle and syringe?
A) Recap the needle, then place the needle and syringe into a waterproof. container until safe disposal can be made.
B) Bend the needle back towards the barrel of the syringe before putting. the needle and syringe in a metal trash container.
C) Wrap the needle and syringe in disposable paper before putting the needle and syringe into the dirty section of the nurse’s equipment bag.
D) Put the needle and syringe directly into a puncture-resistant plastic container that has a lid.
Answer: D

120) Patients eat contaminated food and the diagnosed with hepatitis A as result of that food which of the following s related to hepatitis A disease: –
A-The disease is transmitted through the blood.
B- The disease is transmitted through sexual contact.
C- Incubation period 3-5weeks.
D- Incubation period 4-5 month
Answer: C

121) A 16-year-old girl developed an infection over the surface of the heart after having her nose pierced to place jewelry on admission, she had developed pyrexia of 38C, a heart murmur and petechiae over the whole body. She was admitted to the hospital and treated with intravenous antibiotics. The nurse explains to the patient that she is at high-risk for re-infection and provides discharge teaching on preventive measures. Which of the following would most likely require prophylactic treatment?
A. pelvic examination
B. dental Care
C. bronchoscopy
D. urinary catheterization
Answer: B

122) 5-year-old child was admitted with Nephrotic Syndrome. A nurse noticed that the child has slight facial puffiness with mild pitting edema on his hands and feet. There was no distended abdomen diet the nurse should order for the child.
A. High protein, high salt diet
B. Low protein, low fiber diet
C. Low protein, normal salt diet
D. Normal protein, low salt diet
Answer: D

123) Managers create a new position patient educator work with head nurse, what organizational relationship?
A. Square
B. Solid line
C. Matrix
D. Dotted line
Answer: D

124) There is a new community nurse assigned to work in a Makkah, one of the most multicultural cities in Saudi Arab has to interact with multicultural population every day. What is the most important step the nurse should do before with the clients?
A. Asking the client about his/her cultural background
B. Conducting an appropriate culture/logical assessment.
C. Ensuring that the client has his/her a privacy.
D. Looking at the client’s file to take history.
Answer: B

125) Doctor writes DNR on a patient with end stage cancer, the patient tells the nurse and express his feelings he wants to be resuscitation, what is your nursing action?
A. explain to the patient to except DNR.
B. ignore the patient feeling.
C. Follow the hospital policy.
D. Report the doctor to Saudi Commission for Health Specialties
Answer: C

126) A nurse is taking care of a woman who is in active labor. She is multipara at 38 weeks gestation. Her cervix is 5 cm dilated at -2 station with ruptured membranes. On the fetal heart rate tracing, the nurse observes a fetal heart rate baseline of 150 beats per minute with Deceleration in fetal heart rate to as low as 100 beats per minute. Deceleration in heart rate occurs both during and between contractions. With each deceleration heart rate quickly returns to baseline after a few seconds. The nurse has anticipated which of the following.?
A. Client will probably deliver quickly.
B. Client may need rapid intervention for a prolapsed cord.
C. Client has a normal fetal heart rate tracing for a multipara in active labor.
D. Client has a fetal heart rate tracing consistent with poor uteroplacental blood flow.
Answer: B

127) Mother of nine children, three of them with congenital anomalies and one down syndrome: she is a primary school graduate, with low. financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following indicates that the summarizes the important points during counseling?
A. Provision broad ideas to the client
B. Restatement for better understanding
C. Keeping silent while the client asking questions.
D. Interpreting feelings and resistance of the client
(Answer not fully provided in text)

128) What percentage of patients with ectopic pregnancy will have normally rising HCG levels?
A. 10%
B. 25%
C. 50%
D. 95%
Answer: B

129) An old patient admitted to ICU with signs and symptoms of Dyspnoea, cough, expectoration, weakness, and edema. Which of the following conditions are correct related these symptoms?
A. Pericarditis
B. Hypertension
C. Obliterative
D. Restrictive
(Answer not provided in text)

130) The nurse prepares cardiac patient for the insertion of a pulmonary artery catheter (Swan-Ganz catheter). The nurse teaches the patient that the catheter will be inserted to provide information about.
A. Stroke volume
B. Venous pressure
C. Cardiac output
D. Left ventricular functioning.
Answer: Add (Note: Text says “Answer: Add”, likely indicating an addition or correction is needed. Common correct answer is C or D)

131) Which of the following conditions would a nurse not administer erythromycin?
A. Campylobacteriosis infection
B. Multiple Sclerosis
C. Legionnaires disease
D. Pneumonia
(Answer not provided in text)

132) A nurse is assessing a patient who just arrived in the emergency department after a motor vehicle collision the patient has a strong smell of alcohol on breath is restless and has a bluish discoloration on the abdomen by the umbilical. The patient vital signs or temperature of 37.2 heart rate 120 beats per minute and blood pressure of 100/62 mmHg while other members of the team are evaluating the patient the nurse should obtain.
A. A pair of elastic support stockings
B. a chest tube insertion tray
C. Supplies for peritoneal lavage
D. a Vial of Hydralazine
Answer: C

133) A patient is attending a primary health clinic for regular checkup. He complains of constipation. After assessment, the nurse instructed him to consume bulk-forming foods. Which of the following is the best bulk-forming foods?
A. Fruit juice
B. Raw meat
C. Whole grains
D. Milk products
Answer: C

134) A nurse in the postnatal ward is assigned for a multiparous patient has just delivered a healthy newborn. When should the nurse plan to take the patient vital signs?
A. Every hour for the first 2 hours
B. Every 30 minutes during the first hour
C. Every 15 minutes during the first hour
D. Every 5 minutes for the first 30 minutes
Answer: C

135) post-operative patient who underwent an abdominal procedure request pain medication from the nurse and rates the pain at a level nine. There is a standing order for narcotic administration. When the nurse opera the narcotic box and performs a count, the number of pills remaining in the box is different than the number of pills. recorded on the sheet. What is the most appropriate initial nursing action?
A. Notify the nursing supervisor.
B. Write the finding on the narcotic sheet.
C. Administer the patient’s requested medication.
D. Identify the last nurse who used the narcotic.
Answer: A

136) Women should get their pap smear test each.
A-6-month
B-1-year
C-3years
D-5 years
Answer: C

137) A woman was diagnosed gestational trophoblastic disease what is the lab investigation was done to diagnose condition?
A. Cervical pap smear
B. Serum HCG levels
C. Serum estrogen level
D. Plasma thyroxin level
Answer: B

138) The community midwife has just finished an educational session with a group of women regarding maternal health and annual gynecological examination along with mammogram and Pap smear testing. What outcome is the most desired?
A. Disease prevention.
B. Increased healthy living.
C. Early detection of related issues.
D. Strengthened marital relationship.
Answer: C

139) Female patient has been advised that laboratory tests confirm herpes simplex virus (HSV), type 2. The nurse should teach the patient that a Papanicolaou test (Pap smear) is recommended:
A. Every 6 months if symptoms persist despite treatment.
B. Every year even if asymptomatic whenever symptoms recur.
C. Every 3 years if other Pap smears have been negative.
Answer: A

140) A female patient complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of which of the following?
A. fecal impaction
B. constipation
C. bowel incontinence
D. diarrhea
Answer: A

141) Which of the following religion is prohibited the blood transfusion?
A. Christian
B. Muslims
C. Jewish
D. Jehovah
Answer: D

142) A patient, who had abdominal surgery six days ago, has been ambulating in the halls without much difficulty, however, on seventh postoperative day, the patient complains of increased pain at incisional site and is walking bent over. What is the most likely cause?
A. Intestinal inflammation
B. Pulmonary edema
C. Wound infection
D. Deep vein thrombosis
Answer: C

143) A 29-year-old woman had been diagnosed with a 3 cm ovarian cyst. Which of the following is the appropriate step in management?
A. Cyst aspiration
B. Hormonal therapy
C. Cyst removal by laparoscopy
D. Examination after next menstruation
Answer: D

144) 25-year-old woman has a family history of breast cancer. The nurse reviews the procedure for breast self- examination (BSE) and tells her that the best time for a woman to perform a breast self-examination is:
A. a few days before her period.
B. during her menstrual period.
C. on the last day of menstrual flow.
D. 3- 7days after the beginning of her period
Answer: D

145) The nurse is instructing a female client how to do breast self-exam. Which of the following is the best time to perform this exam?
A. After ovulation
B. After period
C. Two weeks after period
D. Three days before period
Answer: B

146) At labor room a nurse assessed the condition of the patient and gathered the following data. Cervical dilatation 2-Sminutes lasting 40-60seconds increasing bloody show leg discomfort with heaviness what is the significance of the data?
A. Patient on the first stage of labor
B. Patient on the third stage of labor
C. Patient on the second stage of labor
D. Patient is experiencing a prolonged labor.
Answer: A

147) Establishes baby’s hydration A 11-month-old boy with cleft lip & palate was discharged from the hospital after surgery. The nurse provided the parents with teaching. Which of the following statement by the parents indicate appropriate understanding of the teaching instruction?
A. I should avoid that my infant’s cry as much as possible.
B. I will use a spoon to feed my child after the surgery.
C. I will put my child in his abdomen after feeding.
D. I will use lotion to ease my child’s lip irritation.
Answer: A

148) Epidural anesthesia site?
A. L3 – L4
B. L1 – L2
C. T3 – T4
D. C1 – C2
Answer: A

149) The scale used by a nurse to assess the gestational age of a newborn is:
A. Bishop score
B. Ballard score
C. Bel ward score
D. Apgar score
Answer: B

150) On assessing the client pressure ulcer (see photo), the nurse would document this as which stage?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
Answer: A

151) Adult -15- years old hospitalized to relieve anxiety. What should the nurse do?
A. Increase numbers of staff during nursing care
B. Limited numbers of staff during nursing care ✔
C. Allow parents visit him along daytime
Answer: B

152) Nurse is caring for a client with a nasogastric tube that is attached to low suction.The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
Answer: B

153) Nurse is preparing to insert a nasogastric tube into a client. The nurse places the client in which position for insertion:
A. Right side
B. Low Fowler’s
C. High Fowler’s
D. Supine with the head flat
Answer: C

154) Mother of nine children, three of them with congenital anomalies Down syndrome. she is a primary school graduate, with low status. She is not using any method of family planning. So, the health care nurse has referred her. for counseling. Which of the following application the counsellor can help? Mrs. regarding family planning
A. Prevention level
B. Gather model.
C. Group teaching
D. Rejection of Mrs.M expression
Answer: B

155) Mother of nine children, three of them with congenital anomalies and down syndrome she is a primary school graduate, with low financial status. She is not using any. method of family planning Accordingly, the primary health care nurse has referred her for counselling the following. terms describe any restriction or lack of ability to perform an activity?
A. Impairment
B. Abnormality
C. Handicapped
D. Disability
Answer: D

156) Mother of nine children, three of them with congenital anomalies and one down syndrome; she is a primary school graduate, with low financial status. She is not using any method of family planning. Accordingly, the primary health care nurse has referred her for counseling. Which of the following is a barrier facing the team responsible for providing health services to handicapped individuals?
A. Sensory limitations
B. Rigid rules
C. Developmental disabilities
D. Deafness & hearing limitations
Answer: C

157) Mother of nine children, three of them with congenital anomalies Down syndrome; she is a primary school graduate, with low status. She is not using any method of family planning. According to primary health care nurse referred her for counseling Which of the following types of home visits that the community her nurse should conduct for this client?
A. Systematic routine
B. Selective
C. Follow up
D. Field trip
Answer: C

158) Mother of nine children, three of them with congenital anomalies and one down syndrome; she is primary school graduate, with low financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following is the best health education method that can be used?
A. community organization
B. individual counselling
C. group discussion
D. health class
Answer: B

159) Mother of nine children, three of them with congenital anomalies down syndrome; she is a primary school graduate, with low first status. She is not using any method of family planning. According to primary health care nurse has referred her counselling. Which of the following phases of home visit accomplishes intervention?
A. Initial
B. Closing
C. Action
D. Terminal
Answer: A

160) Mother of nine children, three of them with congenital an down syndrome; she is a primary school graduate, with status. She is not using any method of family planning. So Health care nurse has referred her for counselling which of the following must be focused on by the community nurse to provide an effective health education?
A. Educate regardless realistic objectives.
B. Use clear and concise language.
C. Use scientific terms during explanation.
D. Explain the negative consequences in the family.
(Answer not fully provided in text)

161. A pregnant woman is 36 weeks pregnant was admitted to antenatal ward for observation after being involved in a car accident the refuses when the nurse tried to touch her abdomen to perform examination saying it is painful. She also present mild vaginal bleeding. Which of the following is the most appropriate diagnosis
A. Placenta previa
B. Tubal pregnancy
C. Abruptio placenta ✔
D. Inevitable abortion
Answer: C

162) The nurse is assessing patient after craniotomy. The patient’s blood pressure is 180/65 ICP is 25. What is the patient’s cerebral perfusion pressure?
A. 72mmHg
B. 81mmHg
C. 78mmHg
D. 83mmHg
Answer: C

163) year-old woman patient in the Medical Ward is in a semiconscious. Her pancreatic cancer is metastasized to her liver and lungs and she admitted for supportive treatment. Her physicians discussed with the family that she will not be given the Cardiopulmonary Resuscitation to save life if she goes into the cardiac arrest. Her two sons agreed but the daughter is indecisive. Which of the following is the critical thinking behind not providing discounted pulmonary resuscitation?
A. Unilateral judgment of health professionals
B. Refusal of patient’s right to treatment
C. Ethical dilemma and indecisiveness
D. Mercy killing to ease suffering.
Answer: D

164) Which of the following medication should the nurse clarify if given to post-delivery client who had preeclampsia?
A-magnesium sulphate
B-methergine
C-Panadol
Answer: B

165) Which of the following is necessities for caesarean section?
A-preterm labor
B-severe preeclampsia
C-total placenta previa
D-partial placenta previa
Answer: C

166) Female patient will do the breast implant surgery and she tell the nurse not to tell her family about the surgery. What is the nature of this action?
A-confidentiality
B-ethical dilemma
C-illegal nursing practice
D-medico-legal practice
Answer: A

167) Which of the following statement indicate nursing action during the first hour after delivery of the placenta?
A. Monitor of mothers hemoglobin
B. Assess maternal vital signs every 15 minutes
C. Ensure that the mother mobilize and empty her bladder
D. Administer 10 units of oxytocin via IV line to ensure uterus is well contracted.
Answer: B

168) A nurse is giving health education for a mother who has mastitis. Which of the following if stated by the mother about what she needs to do, indicate the additional education is needed?
A. Take antibiotics
B. Use analgesics
C. Wear a supportive bra
D. Stop breast-feeding
Answer: D

169) A mother is in the midwife’s clinic with the complaint of, redness and swelling in her right breast. She is breast feeding her nine months-old baby. What should be immediate intervention?
A. Start on antibiotics
B. Detailed investigations
C. Stop the breast feeding
D. Wound cleaning and dressing
Answer: A

170) The nurse was planning care for a 25-year-old primigravida post-partum mother who had engorgement due to poor feeding technique. the left breast appeared red and swollen and was diagnosed as. Which of the following is the best education for the mother?
A. Avoid wearing brassiere.
B. Begin suckling on the right breast.
C. Stop pumping milk from the left breast.
D. Take antibiotics till the soreness subsides.
Answer: D

171) 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 Room 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: D

172) A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements if made by the mother indicates a need for further teaching?
A. I need to take antibiotics. And I should begin to feel better in 24-48 hours.
B. I can use analgesics to assist in alleviating some of the discomfort.
C. I need to wear a supportive bra to relieve the discomfort.
D. “I need to stop breastfeeding until this condition resolves.”
Answer: D

173) 33 old women presented to the ER with general weakness. The laboratory investigation indicated VIT D deficiency. Which of the following nutrient should be recommended as a good source of vitamin?
A. Rice
B. Green tea
C. Orange juice
D. Fish liver oils
Answer: D

174) Radon can cause any cancer.
A. skin
B. cervical
C. colon
D. prostatic
Answer: A

175) What is the action of combined oral contraceptives?
A. induce thinning of endometrium and prevent ovulation.
B. Decrease the production of luteinizing hormone and follicle and prevent ovulation.
Answer: A

176) A patient who underwent a left foot amputation post-operative Care Unit and the following assess (see lab results). Blood pressure 110/80 mmHg, Heart rate 65 /min, Respiratory rate 13 /min Temperature 37.2C, Oxygen Saturation 98 % on room air… Which long-term complication is most likely?
A. Pain
B. Infection
C. Immobility
D. Bleeding
Answer: B

177) What is the management/treatment for woman who has gestational diabetes?
A. Diet management
B. Insulin
C. Oral diabetic drugs
Answer: A

178) 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 apropos.
D. Resume gradual activities and avoid weight.
Answer: A

179) A postpartum woman who was admitted for 24 hours, community nurse visited her after 2 days of discharge. Which of these are abnormal findings?
A. Frequent urination
B. Lochia serosa
C. Uterus below umbilical level
D. Both breast full of milk
Answer: D

180) A postpartum woman who was admitted for 24 hours, community nurse visited her after 2 days of discharge. Which of these are abnormal findings?
A. frequent urination
B. lochia serosa
C. uterus below symphysis pupils
D. breast full of milk
Answer: C

181) Gmonth-old boy with hydrocephalus is admitted to the pediatric surgical Ward for ventriculoperitoneal Shunt (VPS) insertion. Which of the following findings should be of the most concern when assessing the child postoperative?
A. Sunken fontanelle and irritability
B. decreased head circumference
C. poor feeding and pupillary change
D. headache and excessive sleepiness
Answer: C

182) Gmonth-old boy with hydrocephalus is admitted to the pediatric surgical Ward for ventriculoperitoneal Shunt (VPS) insertion. Which of the following findings should be of the most concern when assessing the child postoperative?
A. Plugging fontanelle
B. decreased head circumference
C. poor feeding and pupillary change.
D. headache and excessive sleepiness
Answer: A

183) Gmonth-old boys with hydrocephalus is admitted to surgical Ward post ventriculoperitoneal Shunt (VPS) What is the priority postoperative assessment???
A-Neurological Assessment
B. decreased head circumference
C. poor feeding and pupillary change.
D. headache and excessive sleepiness
Answer: A

184) A 65-year-old women visited the gynecological outpatient history reveals that she had 3 pregnancies, one abortion gestational age, had 2 normal deliveries. She smokes 20 Her complaint is that she wets herself when she coughs embarrassing for her? Which of the following can be considered as risk factors pelvic floor muscles?
A. Chronic coughing
B. Diabetes mellitus
C. Excessive spot
D. Sedentary lifestyle
Answer: D

185) After accessing patients’ medical records, which behavior nurse shows that patient’s confidentiality has been breached?
A. Reviews patients medical record
B. Read patients care plan.
C. Disclosing patient’s information.
D. Documents medication administered.
Answer: C

186) A 5-month-old boy has been vomiting green coloured vomit He has intermittent abdominal pain during which he draws his chest, turns pale and cries forcefully. On observation, the in the stool which has a jelly-like consistency. Abdominal pal along, tube-like mass. There is no fever, rash nor diarrhoea are hyperactive in all quadrants. Which is the most likely form of initial treatment?
A. Manual manipulation
B. Surgical resection
C. Normal saline enema
D. Laparoscopy
Answer: C

187) A 22-year-old gravida 2 para 1 with gestational age 38 week admitted to the hospital. The chief complaint is decreased the fetal non-stress test revealed decreased variability and fetal movement. The next morning as part of the antenatal the nurse checks the fetal heart rate by Doppler Sonic aid decreased the fetal heart rate to less than 100 /min. which of the following action the nurse should do first?
A. Reassure the mother that the FHR is Ok.
B. immediately notifies the physician or midwife.
C. Reposition the patient to left lateral position.
D. Ask the mother about the pattern of fetal movement.
Answer: B

188) A child was admitted to the hospital three hours ago with an injury. The child responds appropriately, but sluggishly to drifts in and out of sleep Which of the following best describes this patient’s level of?
A. Lethargic
B. Obtruded
C. Comatose
D. Semi-comatose
Answer: A

189) 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 toxic
Answer: C

190) A nurse is planning to discharge a known HIV; the Isolation Unit after the recovery from upper, which of the following nursing problem requires?
A. Risk of infection due to altered immune.
B. Fluid volume deficit due to frequent diarrhea.
C. Anxiety due to disease, fear and social.
D. Weight loss due to higher metabolism rate.
Answer: A

191) An elderly patient who has an aortic aneurysm Intensive Care Unit to a Medical Surgical Unit on day. While assessing the client, a nurse notes extremity and is unable to palpate the pedal pulse. Which intervention should the nurse implement?
A. Wrap the lower extremities with warm.
B. Use a Doppler ultrasound to reassess the.
C. Elevate the extremities above heart level.
D. Place a bed cradle over the bed to levitate.
Answer: B

192) The head nurse of a Coronary Care Unit delegated the staff a senior nurse in that unit What initial step must the head nurse implement before?
A. Check the hospital policies for delegating tasks.
B. Explain the task to the senior nurse.
C. Negotiate with the senior nurse.
D. Take the signature of the senior nurse.
Answer: A

193) 34-weeks-pregnant mother experiences a sudden gush o from her vagina and mild uterine contractions. She informs about her condition and requests if she could wait until the delivery. Which of the following is the best desired response for report to the hospital?
A. Intravenous fluids and medicines need to be administered.
B. Observation is necessary to identify premature labour.
C. Pain and fluid flow both need to be controlled.
D. Fetal heart sound monitoring is necessary.
Answer: B

194) The nurse is assisting a patient to ambulate in hall. The patient has a history of coronary artery disease (CAD) and had coronary artery bypass graft surgery (CABG) 3 days ago. The patient reports chest pain rated 3 on a scale of 0 (no pain) to 10 (severe pain). The nurse should first:
A. Determine how long it has been since the patient’s last dose of aspirin
B. Obtain a chair for the patient to sit down
C. Assess the patient’s radial pulse
D. Ask the patient to take several slow, deep breaths
Answer: B

195) What is the benefit of Kegel exercise?
A- Increase strength of pelvic muscle
B- Induce cervix contraction.
Answer: A

196) Bioeffects report claims that obstetrical scanning may be harmful to a particular group of patients. What should be the response of the medical community?
A. Perform the exams on all patients when the risks outweigh the benefits.
B. Stop all diagnostic exams.
C. Ignore the report
D. Perform exams on all patients when the benefits outweigh the risks.
Answer: D

197) 45 years old Woman with uterine fibroid. The doctor prescribed for her Gonadotropin-releasing hormone (GnRH) agonists. What is the side effect for her hormone?
A. Depression ✓
B. Anorexia
C. Osteoarthritis
D. Menopause
Answer: A

198) The first step in the qualitative research process?
A. Data analysis
B. Review of literature
C. Sample
D. Study design
Answer: B

199) In an article’s abstract, which research process steps may be noted?
A-Literature review
B-Data-collection procedure
C-Research question & study purpose
D-Legal-ethical issues
Answer: C

200) During the research process, when should a hypothesis be developed by the researcher?
A-Before any statistical analysis
B-After a research design is determined.
C-Before development of the research question
D-After development of the research question
Answer: D

201) All the following are considered steps in the qualitative research process, except?
A-Literature review
B-Data collection
C-Sample
D-Hypothesis
Answer: D

202) The doctor decided DNR for patient. The patient refused that. What should the nurse do?
A-discuss patient about DNR
B-comfort and palliative care ✔
C_ prepare spiritual equipment
D- stop all medication
Answer: B

203) For old man patient with poor prognoses the health care provider decides to put him DNR, Patient have 3 children 2 of them agree with DNR the 3rd one refused and ask to continue treatment. What the nurse should do:
A. provide care and comfort
B. provide palliative care
C. Discuss with family regarding DNR and patient needs ✔
Answer: C

204) The discussion section addressing the…
A-Problem
B-Question
C-Objectives
D-All the above
Answer: D

205) The nurse is caring woman that has cancer, and she is under Chemotherapy. She is complaining anorexia and the patient has low weight. What should the nurse instruct her???
A. Eat small meals every day.
B. Eat large meals every day.
C. Eat if you are hungry.
D. Eat your favourite food.
Answer: A

206) 56-year-old present to the emergency department experiencing left sides eye discomfort for the past 3 hours, left eye was blurred while vision in the right eye remained examination showed increased intra-ocular pressure in the left eye pupil of the left also reacted slowly to light. Which is the most likely health problem?
A. Detached retina
B. Macular hole
C. Glaucoma
Answer: C

207)10 years’ boy with polyuria and dysuria after assessment diagnosed with urinary tract infections what should do to take urine sample?
A. Increase fluid intake
B. Decrease urine intake
C. Regular intake of fluid
D. Zero intake of fluid
Answer: A

208) After assessment of new-born nurse instruct parent to use kangaroo roll which of the following should be useful
A. Heart rate 150
B. Respiration 55
C. Temperature 34.5
Answer: C

209) Nurse notes some students with anorexia nervosa what does she do??
A. Push them to eat.
B. One to one superior during eating
C. Let students eat with them the same meals.
Answer: C

210) A nurse is teaching a group of women about the side effects of different types of contraceptives. What common side effect associated with the use of an intrauterine device (IUD) should the nurse discuss during the teaching session?
A: Tubal pregnancy
B: Rupture of the uterus
C: Expulsion of the device
D: Excessive menstrual flow
Answer: D

211) What does the mechanism of action result in for Inhaled corticosteroids for asthmatic patient??
A. Reduced inflammatory response and fewer exacerbations, reduced oedema and mucus. production, Increase responsiveness to β-agonist.
B. Increase broncho dilatation inside lung.
Answer: A

212) The nurse is caring for patient with asthma. What is the appropriate treatment for asthma?
A. Alpha antagonist, Corticosteroid
B. Beta antagonist, Corticosteroid
C. Alpha agonist, Corticosteroid
D. Beta agonist, Corticosteroid
Answer: D

213) The patient with sign of severe asthma. What is the treatment you will administer first?
A. Corticosteroids.
B. Bronchodilator.
C. Beta agonist.
Answer: A

214) The nurse is caring for patient with deep vein thrombosis (DVT). The patient’s heparin sodium infusion has been discontinued and the patient is receiving prescribed warfarin sodium (Coumadin). The nurse should advise the patient that which of the following needs to be continued?
A. Daily complete blood count (CBC)
B. Laboratory tests for partial thromboplastin time (PTT)
C. Strict bed rest
D. Wearing elasticized support stockings
Answer: C

215) Amenorrhea for 5 weeks and breast tenderness?
A-Positive sign
B-presumptive sign
Answer: B

216) The nurse is reviewing the health care provider’s prescriptions for a child with a streptococcal infection and notes that an antistreptolysin O titer is prescribed. Based on this prescription, which disorder would the nurse suspect in the child?
A- Rheumatic Fever RF
B-Aortic valve diseases
C-pulmonic valve diseases
D-congestive heart failure
Answer: A

217) Patient with Rheumatic fever. what the accurate test for Rheumatic Fever?
A. Ant streptolysin Test
B. Blood cultures
C. Urine culture
Answer: A

218) How to prevent Rheumatic fever?
A. Give vaccines the pregnant women during pregnancy.
B. Isolation the children with tonsillitis
C. Give 9 months vaccination.
D. Treat the children with rheumatic fever antibiotics full course.
Answer: D

219) In determining the one-minute APGAR score of a male infant the nurse assesses a heart rate of 120 beats per minute and respiratory rate of 44 per minute. He has flaccid muscle tone with slight flexion and resistance to straightening. He has a loud cry with colour is acrocyanotic What is the APGAR score for the infant?
A. 7
B. 8
C. 9
D. 10
Answer: B

220) 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. Diarrhoea
(Answer not provided in text)

221) What is The term that use to describe people communicate with same culture, goals, values and ethical?
A. Intrapersonal communication
B. Interpersonal communications
C. Intergroup communication
D. Interorganization communication
(Answer not provided in text)

222) A patient took his NPH insulin at 6 AM, when will he be hypoglycemia?
A-7am
B-8am
C-9am
D-10am
Answer: D

223) 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: B

224) Suspect patient with TB what is the highest priority nursing action?
A. Isolate the patient in private negative pressure room.
B. Take nasal swab
Answer: A

225) At 6:00 PM while admitting a woman for a scheduled repeat C section1, a patient tells a nurse that she drank a cup of coffee at 4:00PM because she wanted to avoid getting a headache. Which of the following actions should the take first?
A. Inform anesthesia care provider.
B. Ensure preoperative lab results are available.
C. Start prescribed IV with lactated ringers.
D. Contact patient’s obstetrician
Answer: A

226) A patient is transferred to the Intensive Care following a craniotomy. The Patient is difficult to arouse, and the pupils are pinpoint and non-reactive. Blood pressure 118/70 mmHg, Heart rate 58/min, Respiratory rate 11/min, Temperature 37.2°C. Which medication should the nurse prepare administer?
A- Adrenaline
B- Thiamine
C- Naloxone
D- Dextrose 50%
Answer: C

227) Patient with schizophrenia. He complains with anxiety episodes which needs is highest priority in Maslow hierarchy?
A. Physiological needs
B. Self esteem
C. Safety
D. actualization
Answer: C

228) How can we prevent infection for preterm neonate?
A. Schedule for immunizations
B. Give influenza and pneumonia vaccine.
C. Wear gloves and gown during the care of neonate
Answer: C

229) A nurse who works in the surgical unit at one of the hospitals was asked by the home health care nurse to make a home visit to a patient with colostomy, who had been discharged the previous day in order to give him a follow-up care and education which of the following nurses should do the assigned task?
A. Critical care nurse
B. Psychiatric nurse
C. Surgical nurse
D. Community nurse
Answer: D

230) A nurse is caring for child who is not tonsillectomy and adenoidectomy the nurse should plan to assess which of the following complication?
A. Pulmonary hypertension
B. Hemorrhage
C. Hearing loss
D. Orthopnea
Answer: B

231) The infant after circumcision. What are the non-pharmacology techniques to relieve pain??
A. Breastfeeding decrease pain.
Answer: A

232) A conscious victim of a motor vehicle accident arrives at the emergency department. The patient is Gasping for air, is extremely anxious, and has a deviated trachea. What diagnosis should the nurse Anticipate?
A. pleural effusion.
B. tension pneumothorax
C. pneumothorax
D. cardiac tamponed
Answer: B

233) What is the position for adenoidectomy??
A. Semi Fowler
B. Sitting
C. prone
Answer: A

234) A 20 weeks pregnant, primary gravid woman visits the antenatal has sickle cell anemia trait and worried this disease transmitted to her baby which of the following should be initial intervention?
A. Plan for the fetal genetic screening
B. Educate mother that her disease is inactive.
C. Discuss the chances of genetic disease in the fetus.
D. Gather data about the other family members having the disease.
Answer: D

235) A 62-year-old women admitted to the emergency department for the fourth time this year, each time the patient comes with severe injuries and bruises in the body. What is your responsibility as a nurse to prevent such incident to happen again?
A. Reports the assault to the local police and write a report.
B. Provides information about safe shelter and support.
C. Instructs the women to move away from her home.
D. Discharge the patient to a safe shelter
Answer: A

236) An 82-year-old woman with Alzheimer’s disease had moved into a long-term care facility two weeks previously. Since then, the staff has found her wondering in the hallways in middle of the night. When approached, she is confused and frustrated, often forgetting where she is. Which intervention would most likely decrease the patient’s confusion?
A. Administer a sleeping sedative.
B. Provide full-time nursing care.
C. Place a nightlight in the room
D. Provide a large meal before bed
Answer: C

237) Nurse is completing the preoperative checklist for one of the patients who ring is wearing a ring. What is the most appropriate action?
A. Give ring to security office.
B. Lock ring with patient’s valuables
C. Call patient’s family to give them the ring.
D. Respect patient’s choice and leave ring on patient’s finger.
Answer: B

238) An Indian patient, who is vegetarian, is being discharged from after an elective surgical procedure. The unit nurse is teaching using visual aids and pictures about food combinations complete protein. Which of the following food items should the nurse recommended dietary list of the patient?
A. Lentils
B. Potatoes
C. Macaroni
D. Green salad
Answer: A

239) which of the following indication for patient with MI:
A. ST depression
B. ST elevation
C. short ST
D. none of the above
Answer: B

240) The nurse is preparing to transfer a 55-year-old patient on the CT-scan unit. The patient is too heavy for the nurse to transport, nurse went to get an assistive device to transfer the patient. Which of the following transfer device is the most appropriate for the nurse to use?
A. Board
B. Handle
C. Trapeze
D. Mechanical lift
Answer: D

241) During meningitis outbreak in one of the hospitals, the nun-immune staff were given an immunoglobulin in order to prevent them from the infection. What is the type of immunity that will be developed by these staff?
A. active
B. long-term
C. natural
D. passive
Answer: D

242) patient is being weaned off from the mechanical ventilator is about to hook the endotracheal tube to oxygen at FIO2 of 40 Which of the following oxygen administration device is the best the nurse in this situation?
A. Ambo bag
B. Ventura mask
C. Tracheostomy collar
D. T-piece/ Briggs
Answer: D

243) Basal skull fracture signs: Racoon eyes
(Informational statement, not a question)

244) For physical assessment steps for the foot I Start by:
A. Inspection, palpitation
B. Palpation, auscultation
C. Percussion, palpation
Answer: A

245) A 43-year-old man in the post-surgical area complains of abdominal pain radiating to the naval which is increasing with examination his abdomen is guarded with marked tender lower quadrant. What is the immediate goal of care to do?
A. Teach abdominal splinting during coughing.
B. Administer pain medication as ordered.
C. Assess pain and report immediately.
D. Position on the left lateral side
Answer: C

246) A 21-year-old in oversized clothing presents to the hospital with of felling dizzy and faint. The hair and nail appear thin and dry. The skin appears pale, and she has sunken eye sockets and tenting skin. Her body mass index is 16. She often induces vomiting after eating blood is collected for analysis (see lab results)… Which nursing problems stem is the most appropriate?
A. Impaired nutrition
B. Decreased cardiac output.
C. Infective airway clearance
D. Ineffective breathing pattern
Answer: B

247) Patient has heart failure and suddenly has edema. What is the lung sound will be hearing?
A. Rales
B. Rhonchi
C. Wheezing
Answer: A

248) Patient is receiving oxygen therapy by face mask. What is the oxygen saturation should be achieved?
A. 85% and above
B. 95% and above
Answer: B

249) What is the normal range for oxygen saturation in patient who is receiving oxygen therapy?
A- 60-69%
B- 70-79%
C- 80-89%
D- 94- 98%
Answer: D

250) 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: A

251) A patient comes to the emergency unit with cough and severe dyspnea. The patient’s medical history revealed a diagnosis of chronic heart failure and chronic obstructive pulmonary disease. Blood pressure 110/70 mmHg Heart rate 87/min Respiratory rate 23/min Temperature 37.3 C. Which of the following diagnostic tests will be most beneficial to a nurse to figure out if there is an exacerbation of heart failure?
A. B-type natriuretic peptide (BNP)
B. arterial blood gas (ABG)
C. cardiac enzymes (CK-MB)
D. chest x-ray
Answer: A

252) 20 years old came to ER department in motor accident with one of his relative, all medical team attempts failed and the PT died, what is the best action to his relative ?
A-Ask the relative sitting down
B-Assess the relative vital signs
C-Let the relative see the PT
D-Ask the relative to be patient
Answer: C

253) 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: D

254) new-born has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:
A. Milia
B. Lanugo
C. Whiteheads
D. Mongolian spots
Answer: A

255) A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIDH). Which of the following should be a priority intervention for the client?
A. Monitoring hourly intake and output
B. Pressure ulcer prevention strategies
C. Encourage client to eat foods rich in potassium.
D. Restricting fluid intake of the client to less than 1000ml per day
Answer: D

256) A postdate pregnant woman is admitted for the induction of labour. Her fetal heart rate and vital signs are within normal range her intravenous line is maintained and she is to be started on low doses of labour inducing medication. Which of the following medication the mother is likely to receive intravenously?
A. Oxytocin
B. Cervidil
C. Cytotec
D. Cytoxan
Answer: A

257) A 40-year-old man was admitted to a male medical department with pneumonia. A nurse in the department explained and obtained informed consent for a chest CT scan procedure with contrast. with of the following ethical principles underpinning informed consent?
A. Autonomy
B. Non maleficence
C. Beneficence
D. Respect
Answer: A

258) While a nurse is assessing vital signs of new-born infant first hour of delivery. HR 170 RR 70 TEM 36 the nurse would interpret these finding as in the discharge instruction.
A. Anaemia
B. Cold distress
C. Heart defects
D. Hyperglycemia
Answer: B

259) Which of the following statements describe the function of immunoglobulin (IgG)?
A. It does not cross the placenta and is present in colostrums and breast milk.
B. It protects against gastrointestinal and respiratory system infections.
C. It provides temporary immunity to bacteria and toxins to which the mother has developed immunity
D. It protects against gram negative bacteria and can be found cord blood.
Answer: C

260) Fertilization occurs in the fallopian tube, egg and sperm united to form which moves towards the uterus in a long journey to implant in uterus, how long the zygote takes to implant in the uterus?
A.)3-8 day
B.)3-7
C.)7-10
D.)10-14
Answer: C

261) A lot of theories took about early skin contact in 3rd stage of labour what is the purpose from early skin to skin contact between mother and child?
A-at warm baby
B- early breast feeding
C-improve uterine contraction.
D-decrease maternal pulse rate
Answer: B

262) 22 years old girl went her that voice is bad she in music institute which defends mechanism she used?
A) Denial
B) displacement
C) projection
D) repression
Answer: C

263) Patient immobile 3days science total hip replacement. She will ambulate for the first time after surgery the nurse told her to descent her leg and sit at the side of the bed before bearing her weight in foot. The nurse instructs her to do this to avoid which of the following?
A- hypotension
B- dislocation
C-hypertension
D-headache
Answer: A

264) Pt when entered ER he said, my heart will get out of my chest I fell that I will die he diagnosed with panic attack what is the medical problem that will be developed if panic not controlled?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic acidosis
D) Metabolic alkalosis
Answer: B

265) If You lose an ampule of morphine what you will do?
A) write an incident report
B) call the nurse manager and told her to deal with this situation
C) call the primary nurse who was in the previous shift
D) counselling the nurse who count and sign
Answer: B

266) Nurses meet another nurse college after failed in resuscitation of child, she was crying and depressed. What is the suitable response in this situation?
A) you need to take vacation some days until you feel better
B) just return to your home and hugging your children
C) there was nothing in your hand to do.
D) let her crying and talk about the matter
Answer: D

267) A gravida 3 para 2 presents to the Maternity Triage Unit after the amniotic membranes ruptured at home. The fluid is noted to be clear. The neonates head is engaged into the pelvis and the patient is having contractions every 5 to 7 minutes. Each contraction lasts for 60-90 seconds. An examination of the cervix finds 4 centimeters dilatation and 90% effacement. She is. uncomfortable during contractions and rates the pain at a level 7, on pain scale of 1-10. Which of the following is most indicative that she is in true labour?
A. Level of pain
B. Cervical dilatation and effacement
C. Engagement of presenting part
D. Frequency and length of contractions
Answer: B

268) The nurse is teaching 32-week pregnant women how to distinguish between pre labor (false) contraction and true labor contractions. Which statement about pre labor contractions accurate?
A. they are regular and increase gradually.
B. they are felt in the abdomen.
C. they start at the back and radiate to the abdomen.
D. they become more intense during walking.
Answer: B

269) A patient was complaining of depression, muscle weakness and continuous fatigue. which of the following deficiencies is suspected?
A. Deficiency of vitamin B.
B. Deficiency of vitamin D.
C. Deficiency of vitamin E
D. Deficiency of vitamin K
Answer: B

270) The nurse is assessing a child who has Tetralogy of Fallot observed that the child is having clubbing in his fingernails Which of the flowing might be the reason for this clubbing?
A. Prolonged tissue hypoxia
B. Delayed physical growth.
C. Inactive bone marrow
D. Pulmonary fibrosis
Answer: A

271) Which of the following related to Low pitched breath sound??
A. Crackles
B. Rhonchi
C. Wheezing
D. Vascular
Answer: B

272) Which of the following related to High pitched breath sound??
A. Crackle
B. Rhonchi
C. Wheezing
D. Bronchial
Answer: C

273) Which of the following related to harsh breath sound??
A. Crackles
B. Bronchial
C. Wheezing
D. Stridor
Answer: D

274) Which of the following related to harsh breath sound??
A. Crackles
B. Tracheal
C. Wheezing
D. Rhonchi
Answer: B

275) A newly graduated nurse is inserting an intravenous cannula into the mid-cephalic vein of a patient who is being admitted to the unit. As she withdraws the needle, a nurse calls out for help from another patient’s room. The new nurse rushes to help. She secured the intravenous catheter and threw the needle into the waste basket instead of the sharp’s container. When asked who had thrown the needle into the bin, the new nurse admits that she had made that mistake. Which professional act best describes the newly graduated nurse’s response?
A. Responsibility
B. Accountability
C. Assertiveness
D. Leadership
Answer: B

276) He wants to influence the customary way of thinking and behaving that is shared by the members of the department. Which of the following terms refer to this?
A. Organizational chart
B. Cultural network
C. Organizational structure
D. Organizational culture
Answer: D

277) After a code blue, a doctor announced the death of a patient. A signature other begins to show signs of decreased level of consciousness. What is the priority intervention of the nurse at this time?
A. Offer a meal
B. Ensure safety
C. Set up an IV line
D. Offer a glass of water
Answer: B

278) Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation among new staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication. Which of the following will provide this information?
A. Organizational structure
B. Policy
C. Job description
D. Manual of procedures
Answer: A

279) Stephanie is often seen interacting with the medical intern during coffee breaks and after duty hours. What type of organizational structure is this?
A. Formal
B. Informal
C. Staff
D. Line
Answer: B

280) She takes pride in saying that the hospital has a decentralized structure. Which of the following is NOT compatible with this type of model?
A. Flat organization
B. Participatory approach
C. Shared governance
D. Tall organization
Answer: D

281) you find a victim arrested in the street according to car accident you found a clear fluid dropping from his ear, and you must give him rescues breathing, what you will do?
A. chest thrust
B. jaw thrust
C. Head tilt chin lift
Answer: B

282) Patient has Colostomy we transfer the Pt:
A-Belt abdomen
B- Belt chest
C- Restrain
Answer: B

283) A 4-month-old infant returned immediately from OR room post cleft lip repair which of the following nursing intervention should be considered?
A. Apply elbow restrain
B. Apply suction when needed
C. Measure temperature
D. Put infant in prone position
Answer: A

284) Which of the following guidelines should be least considered in formulating objectives for nursing care?
A. Written nursing care plan
B. Holistic approach
C. Prescribed standards
D. Staff preferences
Answer: D

285) Stephanie considers shifting to transformational leadership. Which of the following statements best describes this type of leadership?
A. Uses visioning as the essence of leadership.
B. Serves the followers rather than being served.
C. Maintains full trust and confidence in the subordinates.
D. Possesses innate charisma that makes others feel good in his presence.
Answer: A

286) As a manager, she focuses her energy on both the quality of services rendered to the patients as well as the welfare of the staff of her unit. Which of the following management styles does she adopt?
A. Country club management
B. Organization man management
C. Team management
D. Authority-obedience management
Answer: C

287) The statement, “The Holy Spirit Medical Centre aims to provide patient-centered care in a total healing environment” refers to which of the following?
A. Vision
B. Goal
C. Philosophy
D. Mission
Answer: B

288) Joey plans to revisit the organizational chart of the department. He plans to create a new position of a Patient Educator who has a coordinating relationship with the head nurse in the unit. Which of the following will likely depict this organizational relationship?
A. Box
B. Solid line
C. Broken line (Dotted)
D. Matrix
Answer: C

289) He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to?
A. Scalar chain
B. Discipline
C. Unity of command
D. Order
Answer: C

290) Joey orients his staff on the patterns of reporting relationship throughout the organization. Which of the following principles refer to this?
A. Span of control
B. Hierarchy
C. Esprit d’ corps
D. Unity of direction
Answer: B

291) He emphasizes to the team that they need to put their efforts together towards the attainment of the goals of the program. Which of the following principles refers to this?
A. Span of control
B. Unity of direction
C. Unity of command
D. Command responsibility
Answer: B

292) What is drug that prevent recurrence of rheumatic fever?
A-Penicillin
B- Corticosteroids
C. Salicylates
Answer: A

293) He discusses the goal of the department. Which of the following statements is a goal?
A. Increase the patient satisfaction rate.
B. Eliminate the incidence of delayed administration of medications.
C. Establish rapport with patients.
D. Reduce response time to two minutes.
Answer: A

294) Ms. Caputo is newly promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this?
A. Organization Man
B. Empowerished Management
C. Country Club Management
D. Team Management
Answer: C

295) Her former manager demonstrated passion for serving her staff rather than being served. She takes time to listen, prefers to be a teacher first before being a leader, which is characteristic of
A. Transformational leader
B. Transactional leader
C. Servant leader
D. Charismatic leader
Answer: C

296) She reads about Path Goal theory. Which of the following behaviours is manifested by the leader who uses this theory?
A. Recognizes staff for going beyond expectations by giving them citations.
B. Challenges the staff to take individual accountability for their own practice.
C. Admonishes staff for being laggards.
D. Reminds staff about the sanctions for non-performance.
Answer: A

297) One leadership theory state that “leaders are born and not made,” which refers to which of the following theories?
A. Trait
B. Charismatic
C. Great Man
D. Situational
Answer: C

298) She came across a theory which states that the leadership style is effective dependent on the situation. Which of the following styles best fits a situation when the followers are self-directed, experts and are matured individuals?
A. Democratic
B. Authoritarian
C. Laissez faire
D. Bureaucratic
Answer: C

299) The nurse was giving sufficient information for parent regarding health for their baby. What is this considering?
A. Positive denial
B. Detachment
C. Empowerment
Answer: C

300) A nurse manager in medical unit is not satisfied with the way things in her unit. Patient satisfaction rate seductive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Henry?
A. Call for a staff meeting and take this up in the agenda.
B. Seek help from her manager.
C. Develop a strategic action on how to deal with these concerns.
D. Ignore the issues since these will be resolved naturally.
Answer: A

301) He knows that there are external forces that influence changes in his unit. Which of the following is NOT an external force?
A. Memo from the CEO to cut down on electrical consumption.
B. Demands of the labour sector to increase wages.
C. Low morale of staff in his unit
D. Exacting regulatory and accreditation standards
Answer: C

302) After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this?
A. Collaboration
B. Majority rule
C. Dominance
D. Compromise
Answer: B

303) One staff suggests that they review the pattern of nursing care that they are using, which is described as a:
A. job description
B. system used to deliver care.
C. manual of procedure
D. rules to be followed.
Answer: B

304) Which of the following is TRUE about functional nursing?
A. Concentrates on tasks and activities
B. Emphasizes use of group collaboration.
C. One-to-one nurse-patient ratio
D. Provides continuous, coordinated, and comprehensive nursing services.
Answer: A

305) Elderly non-Saudi patient has COPD Stay in KSA. He admitted hospital for caring and treatment, but he needed to stay long time to receive health services. The doctor informed his family about that. They decided to discharge the patient because they cannot pay hospital cost period. It was awfully expensive. What is the most common cause that force the family to take this decision specially with elderly patient?
A. Because the patient is elderly he will die and no need to pay too much money
B. There is no private health care facility for geriatric patient with less expensive.
C. There are too many geriatric patients over 80 years old in hospitals
D. There is no hospital focus more on long term care for Non Saudi patients
Answer: B

306) He raised the issue on giving priority to patient needs. Which of the following offers the best way for setting priority?
A. Assessing nursing needs and problems.
B. Giving instructions on how nursing care needs are to be met.
C. Controlling and evaluating the delivery of nursing care.
D. Assigning safe nurse: patient ratio
Answer: A

307) Which of the following is the best guarantee that the patient’s priority needs are met?
A. Checking with the relative of the patient
B. Preparing a nursing care plan in collaboration with the patient.
C. Consulting with the physician
D. Coordinating with other members of the team
Answer: B

308) When Henry uses team nursing as a care delivery system, he and his team need to assess the priority of care for a group of patients, which of the following should be a priority?
A. Each patient as listed on the worksheet.
B. Patients who need least care
C. Medications and treatments required for all patients.
D. Patients who need the most care.
Answer: D

309) He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change?
A. Wonders why things are not what it used to be.
B. Finds solutions to the problems
C. Integrate the solutions to his day-to-day activities.
D. Selects the best change strategy.
Answer: C

310) Saudi Arabia has noticed the spread of a disease osteoporosis among people, low attitude towards the problem and lack of commitment of people, what do we do ?
A. Apply strict decisions
B. Provide educational program for population
C. Cure all affected
Answer: B

311) The nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the client’s appearance is unkempt, and he appears to be actively hallucinating. Which of the following should be the nurse’s priority assessment?
A. Perception of reality
B. Ability to follow directions.
C. Physical needs
D. Mental status
Answer: C

312) A child has an abdominal pain and Hepatomegaly, what should the nurse expect?
A- Hepatitis
B- Cancer
C- Liver damage
D- Low level of hemoglobin
Answer: A

313) Nurse A want to take a break and delegate her task to Nurse B, during that time the patient falling. As a nurse, who is responsible and be accountable for fall.
A) Head nurse
B) Nurse A
C) Nurse B
D) Nurse A and B
Answer: D

314) which of the following the role of informatic nurse?
A) software
B) design system
Answer: B

315) Community Nursing nurse is planning a follow-up visit to a family after their firstborn 18) child died from Sudden Infant Death-Syndrome (SIDS). Which action is the most important for the nurse to include in the initial visit?
A. Help the family in planning for future children.
B. Make a referral for genetic counselling and education.
C. Allow time for the parents to express their anger an
D. Educate the family on the causes of SIDS
Answer: C

316) After the pericardiocentesis, the doctor inserted a polyethylene catheter left it in the pericardial sac. The patient asked the nurse about the response of the catheter. What should be the nurse’s response?
A. Monitor consistency of drainage
B. Prevent movement of pericardial sac.
C. Prevent recurrence of cardiac tamponed.
D. Prevent increase in venous and blood pressure.
Answer: A

317) 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: B

318) A 17-year-old arrived at 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 120/70 Heart rate 100 Respiratory rate 22 Which of the following interventions has the highest priority?
A. keep NPO.
B. secure an IV access.
C. prepares for ultrasound.
D. prepares for abdominal surgery.
Answer: A

319) A 32-year-old prim pare attended the postnatal clinic 4days post – she says she is keen to breastfeed but the baby to the painful. The nurse examined the breasts and found that the red and cracked. Which will be nurse advice to her to help the women situation?
A. apply antibiotic noodle cream to prevent infection.
B. use correct positioning of the infant to latch on nipple.
C. use the same position when feeding not to confuse
D. use breast pads with plastic lining to prevent leaking
Answer: B

320) Patient diagnosed with nephrotic syndrome his lab results showed that he had protein in urinalysis Which of the following medication should give.
A. Immune spirits
B. Cortisone
C. Diuretic
Answer: B

321) How do I collect sputum? Collect your sputum in the early morning
(Informational statement, not a question)

322) Bacteria: The bacteria Streptococcus pneumoniae and Neisseria meningitides are responsible for 80% of cases of meningitis in adults
(Informational statement, not a question)

323) Vitamin k: Intramuscular injection 0.5-1mg IM at birth (preferred route)
(Informational statement, not a question)

324. A nurse prepares to administer a vitamin K injection to a full term the mother wants to know the importance of the injection Which of the following is the best nurse response to the mother
A. needed for blood clotting to prevent hemorrhage ✅
B. accelerate the growth and development of infants
C. help in maintain healthy gut and passage of meconium
D. protect the infant from developing sever respiratory distress
Answer: A

325) SIDH( Nursing management is: Fluid restriction
(Informational statement, not a question)

326) A 24-year-old woman diagnosed as having hemolytic anent physician ordered to transfuse one unit of packet red blood transfusion, the patient start flushing and complained of dyspnea, generalized body itching (see lab results)… Which of the following nursing diagnosis is related to blood an occludes the patient’s problem?
A. Bacteremia
B. Fluid overload
C. Hypovolemic shock
D. Transfusion reaction
Answer: D

327) A post-operative patient who underwent an abdominal procedure requests medication from the nurse and rates the pain at a level nine. They are standing order for narcotic administration. When the nurse opera the narcotic box and preforms a count, the number of pills recorded on the sheet. What is the most appropriate initial nursing action?
A. Notify the nursing supervisor.
B. write the finding on the narcotic sheet.
C. Administer the patient requested medication.
D. Identify the last nurse who used the narcotic box.
Answer: A

328) A mother of 8 months’ child wants to give him an egg to eat what is the kind of egg she should give?
A. Egg yolk
B. Egg whites (> 1yrs)
Answer: A

329) What are the 3 stages of Separation Anxiety in order?
A. Protest, despair, detachment.
B. Despair, protest detachment
Answer: A

330) Patient will start TPN and should started gradually to avoid which:
A-hyperinsulinemia
B-hyperinsulinemia
C-hypoglycemia
D-hypoglycemia
Answer: D

331) A nurse has an order to transfuse a unit of packed red blood cells to a client who does not currently have an intravenous (IV) line inserted. When obtaining supplies to start the IV infusion, the nurse selects an Anglo catheter with a size of:
A. 18-gauge
B. 21 gauge
C. 22-gauge
D. 24 gauge
Answer: A

332) A nurse develops a plan of care for a child at risk for tonic-colonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item(s) need to be placed at the child’s bedside?
A. Emergency cart
B. Tracheotomy set
C. Padded tongue blade
D. Suctioning equipment and oxygen
Answer: D.

333) A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which of the following would the nurse anticipate when auscultating the client’s breath sounds?
A. Stridor
B. Crackles
C. Scattered rhonchi
D. Diminished breath sounds
Answer: B

334) The physician prescribes captopril (Capo ten) 25mg po tid for hypertension. Which of the following adverse reactions can o Capo ten?
A. Tinnitus
B. Persistent cough
C. Muscle weakness
D. Diarrhea
Answer: B

335) The nurse wants to assess growth of baby 9 month what is the most appropriate measure?
A. Weight
B. Height
C. Development
Answer: A

336) The nurse wants to assess nutritional status of baby 9 month what is the most appropriate measure?
A. Head circumference
B. Arm circumference
C. Chest circumference
Answer: B

337) The supervisor observes a new graduate nurse suctioning a client. Which of the following techniques requires an intervention?
A. Suction is applied when the catheter is withdrawn.
B. Suction is applied when the catheter is inserted.
C. Suction is applied for 10 seconds.
D. Suction is applied while rotating the catheter 360 degrees.
Answer: A

338) Which of these following indicates signs of severe COPD?
A. High p02 and high pC02
B. Low p02 and low pC02
C. Low p02 and high pC02
D. High p02 and low pC02
Answer: C

339) Multiple myeloma is a neoplastic proliferation of:
A- lymphocytes
B- Granulocytes
C- Plasma cells
D- Monocytes
Answer: C

340) How much of blood volume for patient has a 10% blood loss and his weight is 50kg
A- 300ml
B- 400ml
C- 3000ml
D- 4000ml
Answer: B

341) Community health nurse in any country should know the statistical morbidity and mortality rates for the most common disease for 4th data about national and international levels. What is the main reason for this need?
A. Identify patient’s needs accordingly.
B. Offer a few accessible services to the people.
C. Compare the prevalence of disease in the communities.
D. Publicize previous health problems and suggest appropriate action.
Answer: D

342) Nursing staff If they take Saudi commission for health specialties. Which is the Ministry is responsible for that ?
A. Ministry of Health ▲
B. Saudi nursing Authority
Answer: A

343) Head nurse of an Intensive Care Unit oriented a new staff nurse about the hospital’s flat organizational structure. Which of the following expectations will the nurse have about this type of organization?
A- Hierarchy of authority
B- Limit authority for workers
C- Low level of formalization
D- Centralized decision making
Answer: C

344) When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group are most likely to view illness as a punishment for misdeeds?
A. Infancy
B. Preschool age
C. School age
D. Adolescence
Answer: B

345) Which hormone that detect the gender of the fetus??
A. Progesterone
B. testosterone
C. Genetics
D. Estrogenic
Answer: B

346) A nurse is starting the morning shift and has received the patient’s handover from night shift nurses and completed the morning rounds. The nurse is preparing to perform physical assessment for the patients Which of the following patients should be assessed first?
A. A postoperative patient with total hip replacement
B. A patient with a stroke who is on nasogastric tube.
C. A patient with congestive heart failure
D. A patient scheduled for appendectomy who was admitted.
Answer: A

347) Rayed is provided new wheelchair program needs. Which of the following Priority should include in the program??
A. Elderly
B. Psychiatric
C. Pre-eclampsia
D. Measles
Answer: A

348) Rayed is provided framework wheelchair program needs. Which of the following Priority should include in the program??
A. School age
B. Psychiatric
C. Pre-eclampsia
D. Measles
Answer: C

349) Which of the following is consider the type of leadership in X theory?
A. Authoritaria
B. Autocratic
C. Democratic
Answer: B

350) Which of the following is consider the type of leadership in Y theory?
A. Authoritarian
B. Autocratic
C. Democratic
Answer: C

351) Which of the following is consider the type of leadership of HR (Human Relationship)?
A. Authoritarian
B. Autocratic
C. Democratic
Answer: A

352) The emotions that is happened during pregnancy and allow pregnant to cry without any cause it is called which of the following??
A. Sadness
B. Mood swing
C. Ambivalence
Answer: B

353) When the employees assess the performance of their managers. They give positive feedback for them. What is the type of the evaluation?
A. Supervisor evaluation
B. Subordinate evaluation
C. Peer evaluation
D. Team evaluation
(Answer not provided in text)

354) What is the most common Complication of NGT??
A. Hemorrhage
B. Aspiration
C. Infection
Answer: B

355) What is rational of insertion therapeutic NGT of pt. in the hospital?
A. lavage
B. decompression
C. juice suction
Answer: A

356) What is the goal for NGT insertion after cholecystectomy?
A. Prevent aspiration
B. Compress stomach
C. Suction gastric content
Answer: B

357) PKU screen test for what?
A-blood disorders
B-glucose
C-metabolism disorders
Answer: C

358) What is the authority that issues licenses for workers in the health sector in Saudi Arabia?
A. Saudi commission for health specialties (SCFHS)
B. Saudi hospitals
Answer: A

359) Saudi Arabia neonatal screening for?
A. Hypothyroidism diseases
B. Congenital diseases
C. Immunodeficiency diseases
Answer: A

360) How take Urine sample from patient with catheter?
A-with syringe
B-clamp for 30 minutes then take it
C-Early morning
Answer: B

361) Subinvolution medication?
A-metherapine
B-oxytocin
C-tramadol iv
Answer: A

362) The pregnant 24 week came to antenatal clinic with spot of blood from vagina for 3 days. She was worried that Maybe she need curettage because she had 3 previous abortions before. What should the nurse do?
A. Call the doctor
B. Observation and make more investigation
C. Prepare for immediate curettage and dilatation
Answer: B

363) Meningocele in the ICU what we should Check?
A-infection
B-dehydration
Answer: A

364) What is the type of isolation to Pt with Meningitis?
A-Negative pressure
B-Positive pressure ✅✅✅
C-Reserve
Answer: B

365) Pregnant woman in Supine position what is the effect?
A. Decrease oxygen to placenta
Answer: A

366) Position post vulva procedure (vulvectomy)??
A. Recumbent
B. Semi Recumbent
C. Supine
Answer: A

367) Position of flatulent??
A. Flat
B. Side lying
C. Knee chest
Answer: C

368) Dexamethasone function? – promote lung Maturation
(Informational statement, not a question)

369) The nurse was giving health education for elderly patient. The patient asked her to repeat again many times. What is the cause?
A. Patient does not care.
B. Patient confused
C. Sensory defect
D. Mental problem
Answer: C

370) Neonate in well nursery. They suspect that he has diaphragmatic hernia. What does the Diagnosis confirm diaphragmatic hernia?
A. Ultrasound
B. MRI
C. Radiography
Answer: C (Text indicates Postnatal — Radiography)

371) Pregnant complain vaginal blood spots/happened 3 days back and repeat again today. What should the nurse instruct her?
A. Rest on her back and elevate the leg
B. Prepare her for vaginal examination
Answer: A

372) A head nurse of an intensive care unit wrote a report about the needs of her department and gave it to the nursing supervisor. Which of the following types of communication is this?
A. Upward
B. Horizontal
C. Diagonal
D. Downward
Answer: A

373) The nurse is assigned to care for an 8-year-old child with a diagnosis of a basilar skull fracture. The nurse reviews the health care provider’s (HCP’s) prescriptions and should contact the HCP to question which prescription?
A. Obtain daily weight.
B. Provide clear liquid intake.
C. Nasotracheal suction as needed.
D. Maintain a patent intravenous line.
Answer: C

374) What precautions are necessary when caring for a patient with Hepatitis A to protect family from infected?
A. wash dish and do not share.
B. not sharing the toilet.
D. Placing the patient in a private room.
Answer: A

375) child with rheumatic fever how can prevent for recurrent?
A- Isolate the infected child.
B- Give vaccine for mother.
C- Let them complete the antibiotic course.
D- Give vaccine in 9 months.
Answer: C

376) What is Thyroxine side effect?
A. Depression
B. Fever
C. Weight gain
D. Increase appetite
Answer: D

377) A neonatal is admitted to the NICU with a meningomyelocle. HR130 .. RR 28….. TEM 36.7 which of the following action the nurse should perform to prevent infection of the meningomyelocle sac ?
A. Wash the sac with betadine every shift
B. Expose the defect to the room air
C. Apply antibiotic cream every 24 hours
D. Cover he sac with moist sterile saline dressing ✔✔
Answer: D

378) The nurse has problem in her schedule then she contacts with manager she follows chain of command. She has meeting with her director. Which the appropriate approach of manager to deal with this situation??
A. Assertive
B. Calming
C. Reflective ✔✔
Answer: C

379) Child with Attention deficit hyperactivity disorder (ADHD). The parent complains that child hyperactive and too much moving. What is your action?
A. Instruct parent to provide private school for child.
B. Instruct parent to provide normal school for child.
C. Instruct parent to allow child to share in activities that need more movement. ✔✔
Answer: C

380) What is the fetus’s name from 3 weeks to 8 weeks? Embryonic
(Informational statement, not a question)

381) The patient diagnosed with syphilis and He complains a sore (chancre) that is usually painless. Which phase of syphilis for patient?
A. Primary phase
B. Secondary phase
C. Tertiary phase
Answer: A

382) MR Ahmed admitted to ICU with congestive heart disease his vital signs BP 110/60 HR 120. Stroke volume 80 the nurse expected cardiac output to be.
A. 180
B. 1700
C. 2400
D. 9600
Answer: D

383) Nurse was providing research study for 200 people, the research is answered by 120 people only, calculate how many people that shared in study in percentage?
A-20 %
B-40 %
C-80 %
D-60 % ✔✔
Answer: D

384) The director is planning to develop hospital system. They will improve weakness point in the system. What is the type of system?
A. Swot analysis system
B. Delphi analysis system
Answer: A

385) infant who weighs 9 kg (19.8 lbs.) requires 900ml of fluids per day for maintenance fluids. The infant typically consumes 120ml during each feeding. The infant must have how many feedings per day to meet the fluid maintenance needs?
A. 4
B. 8
C. 10
D. 12
Answer: B

386) After tonsillectomy / thyroidectomy which of the following should be provided for the patient??
A. Orange juice
B. Apple juice
C. Tomato juice
D. Strawberry juice
Answer: B

387) Most common cause for acute renal failure?
A. pyelonephritis
B. Tubular destruction
C. Urinary tract obstruction
D. Dehydration
Answer: D

388) Qualitative research with evidence
A. Survey with ranking
B. Interview one to one
C. Collects data from system.
Answer: B

389) In the middle of bathing a client, the unit secretary notifies the nurse that there is an emergency telephone call. Which action should the nurse implement to best assure client safety?
A. Quickly finish the bath before answering the call.
B. Immediately leave the client’s room and answer the call.
C. Cover the client, place the call light within reach, and then leave to answer the call.
D. Leave the door open and ask staff to monitor the client, and then leave to answer the call.
Answer: C

390) A nurse is caring for 14 – month – old immediately after a surgical repair of cleft palate. In which of the following positions should the nurse put the child?
A. Prone
B. lateral
C. Supine
D. Lithotomy
Answer: A

391) What is the function of breathing exercise before anesthesia and preoperative?
A. To prevent respiratory complication after operation.
B. To prevent Aspiration.
C. To prevent atelectasis.
Answer: A

392) When put baby with high temp. In cold water to lower his temp.
A) convention
B) evaporation
C) conduction
Answer: B

393) What is COPD complication?
A. Cardiac tamponade
B. Pneumothora
C. Cor pulmonale
Answer: C

394) The nurse forgot to raise side rails for patient.?
A. Breach in duty
B. Nature in duty
C. Assault
Answer: A

395) patient is to receive a prescribed blood transfusion using a subclavian catheter. Catheter was inserted about 30 minutes ago. Which of the following is the most appropriate step before starting blood transfusion?
A. Check patency of catheter by flushing with normal saline solution.
B. Position patient with the head of the bed elevated 30 degrees.
C. Review result of chest radiograph completed 15 minutes ago.
D. Obtain patient’s most recent complete blood count result.
Answer: C

396) What is the best measure to ensure privacy and protect patient information during uploading password??
A. Write the password in a paper and keep it.
B. Use alphabetic and numbers for password.
C. Expose patient information record and don’t share password
D. Refrain use of the name and Date of birth for the patient
Answer: B

397) Patient habitually worries about any symptoms, which is defense mechanism?
A. Conversion defense mechanism.
Answer: A

398) Which of the following can lead to infertility in adult males?
A. Orchitis
B. German measles
C. Rubella
D. Chicken pox
Answer: A

399) What is the most common cause of fetal hypoxia??
A. fetal descent
B. Full Dilation of cervical
C. Contraction of uterine
D. cervical effacement
Answer: C

400) Which of the following the most common cause of dissociative disorder?
A. Family history
B. Drug abuse
C. Traumatic Event
D. Behavioral changes
Answer: C

401) Cause of hemodilution in pregnancy?
A. Anemia
B. Decrease RBC
C. Increase WBC
D. Increase plasma
Answer: D

402) During suction of child, ensure that each pass of the suction catheter take no more than?
A-5 Sec ✔
B-10 Sec
C-15 Sec
Answer: A

403) What is the food should be limited during pregnancy??
A. Pasteurized Milk
B. Processed Cheese
C. Soft cheese
D. Yogurt
Answer: C

404) Patient after cardiac surgery Recovery return back to hospital with complication. He stated After I have discharged from hospital to my house, I had thrown all medication because I felt that I improved no need for drug. Which of the following action should the nurse take?
A. Assess patient reasons for his action
B. Add new nursing diagnosis of None compliances?
C. Give Instruction to the patient
Answer: B

405) who is pt. high risk for electrolytes imbalance?
A. 2 years pt. with gastrostomy feeding.
B. Pt with ileostomy
C. Pt with colostomy
Answer: B

406) when caring for a patient with an ostomy, the nurse knows that extra skin protection for the personal skin is MOST important for those patients with a (an):
a- Ileostomy
b- Ascending colostomy
c- Transverse colostomy
d- Sigmoid colostomy
Answer: A

407) a patient with long-standing diabetes mellitus (type I) is scheduled for surgical amputation of 4 gangrenous toes on the right foot. Which surgical intervention would this be classified as?
A. Palliative
B. Curative
C. Reconstructive
D. Diagnostic
Answer: A

408) the nurse is teaching a group of nursing students how provide care to clients with anger management and aggression problem. Which statement made by the nurse is most indicative of effective teaching?
A. Avoid taking the client’s anger personally.
B. Defend yourself from the client’s anger.
C. Take responsibility for the client’s anger.
D. Respond firmly to the client to relieve your own stress.
Answer: A

409) mother asked the nurse that while she was changing the diaper for her female newborn, she noticed a brick red stain on it. What is the best response by the nurse?
A. It is a sign of low iron excretion.
B. It is expected in female newborn.
C. It is due to medication given to the mother.
D. it due to medication given to the newborn.
Answer: B

410) A 18-year-old girl was under weight and malnourished her height was 163 cm, her body weight was 45 kg and her BMI was 16.9. She was admitted in the Female Medical Word for severe epigastric pain. The nurse observed that on the second day she induced vomiting after having her dinner. On asking, she replied that inducing vomiting from time to time helps clear the stomach bacteria. Which aspect of the nursing care area is altered?
o A. Self-concept
o B. Health perception
o C. Value-belief system
o D. Nutrition management
Answer: B

411) Which of the following action is correct when college a urine specimen from a client’s indwelling urinary catheter?
A. Collect urine from the drainage collecting bag using sterile technique.
B. Disconnect the catheter from the drainage tubing to collect urine. using clean technique.
C. Remove the indwelling catheter and insert a sterile straight catheter. to collect urine.
D. Aspirate specimen from the tubing draining port using needle and syringe with sterile technique
Answer: D

412) A patient with chronic obstructive pulmonary disease (COPD) Experiencing frequent dyspnea which of the following exercise would teach the patient how to BETTER control breathing?
a. Lower side rib
b. Segmental
c. Pursed lip
d. Diaphragmatic
Answer: C

413) Pregnant mothers in 9 weeks she came for ER with vaginal bleeding and lower abdominal cramp …on U/S …the concept products in lower uterus
A. Missed abortion
B. Threaten abortion
C. Inevitable abortion
D. Complete abortion
Answer: C

414) How can the nurse detect the poor oxygenation for fetus?
A. Absent Deceleration
B. Absent acceleration
C. Non-reactive fetal heart cig tracing
D. Breathing movement
Answer: B

415) A 29-year-old woman patient was brought to the Outpatient for the removal of stitches on her left cheek which was treated nine days back after being involved in road traffic accident. She covers her face completely and requests to be seen by a female doctor. The site of the wound was red, swollen and some pussy points were visible. She states that she did not wash her face since her accident and kept her face covered all the time as she did not want anyone to see it. Which of the following should the nurse do to elevate the patient’s self-esteem?
A. Involve her husband in her care.
B. Explain that stitches marks will heal soon.
C. Ask her to wash face and wear light make up.
D. Discuss that it is normal to feel low temporarily.
Answer: D

416)-year-old woman patient was brought to the Outpatient for the removal of stitches on her left cheek which was treated nine days back after being involved in road traffic accident. She covers her face completely and requests to be seen by a female doctor. The site of the wound was red, swollen and some pussy points were visible. She states that she did not wash her face since her accident and kept her face covered all the time as she did not want anyone to see it. What is the most appropriate nursing diagnosis?
A. Hopelessness
B. Social isolation
C. Anxiety
D. Powerlessness
Answer: B

417) Pregnant complain from heart burn. What should the nurse advise her?
A. Drink water after ever meal
B. Elevate head of the bed
Answer: B

418) The head nurse notice conflict between the stuff nurses and try to solve this conflict. She told them that one side give in the pt. satisfaction what type of this solution?
a- avoidance
B- accommodation
C. Compromise
D. Collaboration
Answer: B

419) Which model is most useful in examining the cause of disease in an individual, based upon external factors?
A. The preventive health problem model
B. The Agent-Host-Environment Model
Answer: B

420) Recurrent Urinary Tract infection by Escherichia coli bacteria. Which of the following external factor is the cause?
A. Host
B. Agent
C. Environment
Answer: B

421) A patient is admitted to the hospital for a right total knee replacement. during the preoperative assessment the patient reports no known during allergies, but the patient does. report a severe allergic reaction to shellfish. Why is this allergic reaction to shellfish of special? importance?
a. Shellfish allergies could indicate a negative reaction to anesthesia.
b.This patient will not be able to receive donor packed red blood cells if needed.
c.A seafood allergy can be an indication of allergy to provide one-iodine.
d.A seafood allergy can be precursor to malignant hyperthermia.
Answer: C

422) An 84-year-old bedridden patient with Alzheimer’s disease lives in a long-term care facility. A nurse enters the patient’s room at 7:30 and finds the patient lying towards the foot of the bed on wet she draw sheet beneath t. Another nurse is called to the room to assist. They place a patient and prepare to first move him upwards in the bed which of the following is the best explanation for using the sheet?
A- provide material for grasping.
B- Keep the patient dry.
C- prevent skin rubbing.
D- Minimize patient confuse.
Answer: C

423) Patient came to a scheduled appointment for follow up when the nurse checks the vital signs BP: 130/92 RR: 18 HR: 86T: 37Which of the vital signs is abnormal?
A- Temperature
B- Heart rate
C- Respiratory rate
D- Blood pressure
Answer: D

424(Which hormones is responsible for uterine wall change and breast enlargement during pregnancy, leucorrhea and hyperemesis. Which of the following placental hormone is responsible)?
A. Progesterone
B. Estrogen ✔✔
C. HCG
Answer: B

425) Which of the following hormones are responsible for implantation of ovum inside Uterine wall?
A. Progesterone and estrogen ✓✓
B. LH and. FSH Hormones
C. Oxytocin
Answer: A

426) There is crisis in hospital. Which of the following category of patients should be evacuated first during fire???
A. Infant
B. Ambulatory ✓
C. elderly
D. Critically ill
Answer: B

427) – Patient came to ER complain from blood in stool. What is the most common diagnosis??
A. GERD
B. Gastroenteritis
C. BID bowel inflammatory disease ✓✓
Answer: C

428) Pregnant complain nausea too much early morning. The nurse should advise her?
A. Instruct her to increase activity
B. Advise her to get biscuits and cracker before getting out bed ✓
Answer: B

429) Patient has cystic fibrosis and the nurse wants to perform postural drainage when is the best time for posture drainage?
A-Before meals
B-After meals after half an hour of meals ✓
C-Before sleeping
D. Afternoon
Answer: B

430) nurses are caring for a client who has just returned from having a right-sided renal biopsy. The nurse should intervene if a nursing assistant is observed doing which of the following?
A. Obtaining the client’s vital signs
B. Positioning the client on the left side
C. Positioning the client on the right side
D. Providing the client with reading materials
Answer: B

431) A nurse is a member of the Nursing Research Council of the hospital. His first assignment is to determine the level of patient satisfaction on the care they received from the hospital. He plans to include all adult patients admitted from April to May, with average length of stay of 3-4 days, first admission, and with no complications. Which of the following is an extraneous variable of the study?
A. Date of admission
B. Length of stay
C. Age of patients ✔️
D. Absence of complications
Answer: C

432) A nurse is caring for a child who sustained a head injury after falling from a tree. On assessment of the child, the nurse notes the presence of a watery discharge from the child’s nose. The nurse will immediately test the discharge for the presence of which of the following substance?
A. Glucose ✔️
B. b. Protein
C. c. White blood cells
D. d. Neutrophils
Answer: A

433) Pregnant 36 weeks gestational with irregular painless contraction this signs called ?
A-Hegar’s sign
B- Chadwick sign
C-Braxton Hicks (false labor) ✔️
D-True labor
Answer: C

434) The nurse is preparing to insert peripheral Cannula for patient. Which of the following patients avoid insert cannula in lower extremity for them it is risky?
A. DM ✔️
B. Renal failure
C. COPD
D. Heart failure
Answer: A

435) To make cornea reflux you should use?
A. Straily gloves
B. Swap cotton ✔️
C. Cotton tap
D. Sterile tongue depressor
Answer: B

436) Alkhurma hemorrhagic fever?? Flaviviridae virus ✔️
(Informational statement, not a question)

437) Patient with TB going on Isoniazid medication. To prevent peripheral Neuropathy What should be included in care plan advice?
A. Instruct low protein diet
B. Avoid sun exposure too much
C. Provide vitamin B6 intake ✔️
D. Increase fluid intake
Answer: C

438) Which of the following circumstances is most likely to cause uterine atony and lead to postpartum hemorrhage?
A- endometriosis
B- urine retention
C- cervical and vaginal tears
D- hypertension
Answer: B

439) COMPLICATION OF Aortic Aneurysm ——- Bleeding and hypotension
(Informational statement, not a question)

440) Aortic aneurysm ——- Emergency Care
(Informational statement, not a question)

441) Patient diagnosed MI then suffered from cardiogenic shock. What should the nurse observe in symptoms?
A. Hypertension and hyperventilation
B. Hypotension and shortness of breath
Answer: B

442) Risks of MI – – – – – hyperlipidemia
(Informational statement, not a question)

443) The nurse receives ECG for patient via Internet. What is consider?
A. Telehealth
B. Telecommunication
C. Telemedicine
Answer: B

444) Group of health care givers provide care for group of patients have same diagnosis at same setting. What is this considering?
A. Team
B. Case management
C. Primary
D. Functional
Answer: B

445) The nurse received patient from Recovery room PACU. What is the first assessment should the nurse observe?
A. Oxygen
B. Level of consciousness
Answer: A

446) The disease divided According to three factors host textit{Environment} textit{Agent}. The patient complete antibiotics course. Then the disease returns again. What is the causative factor ??
A. Agent
B. Environment
C. Host
D. Reaction between host and environment
Answer: D

447) The patient with central venous line. CVP measure 1 mmhg. The patient hemoglobin 9.8 g/dl. What should give first ?
A. Give blood transfusion
B. Give 2 L N/S
Answer: B

448) Why should the nurse not keep drainage bag at the body level of the patient during transporting him?
A. Prevent entry of air
B. Prevent entry of fluid to patient
C. Prevent tension pneumothorax
Answer: B

449) The patient admitted hospital for surgical procedure. The preoperative preparing phase started. What is the first action in this phase?
A. Obtain informed consent
B. Surgical procedure explanation
Answer: B

450) Patient with COPD uses pursed lip. What is the function for using this maneuver?
A. Relax respiratory muscle
B. Facilitate inhalation to medication.
Answer: A

451) Nursing diagnosis done and the nurse set priorities for all NANDA. Which step in nursing process the nurse doing?
A. Planning
B. Diagnosis
C. Evaluation
D. Implementation
Answer: A

452) The nurse is teaching a patient about spironolactone (Aldactone). Which of the following instructions should review with the patient?
A. Increasing the intake of foods that are high in potassium.
B. Taking the medication right before going to sleep.
C. Avoid seasonings that are labeled as salt substitutes.
D. Scheduling the medication so that a multivitamin is taken an hour later.
Answer: C

453) Which purposes of placental functioning should the nurse include in a prenatal class? Select all that apply.
A.it cushions and protects the baby.
B.it maintains the temperature of the baby.
C.it is the way the baby gets food and oxygen ✔ ✔
D.it prevents all antibodies and viruses from passing to the baby.
E.it provides an exchange of nutrients and waste products between the mother and developing fetus ✔ ✔
Answer: C+E

454) 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: A

455) 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: A

456) The nurse wittiness for another nurse while entering to the isolated pt room with airborne precautions and she wear only gown and gloves, what is the appropriate action from the wittiness nurse to do?

1. Talk with the nurse about wearing mask

2. Talk with the education nurse to introduce lecture for staff about PPE

3. Inform the head department about the nurse

4. Ignored the nurse action
   Answer: A

457) Which of the following should be included in the nursing care to a woman during 2nd stage of labor?
A. Shave the perineum
B. Administer enema to the woman.
C. Careful evaluation of prenatal history
D. Watch breathing, bear down with each contortion.
Answer: D

**458) MD writes an order for Ibuprofen 3 mg/kg by mouth every 6 hours for pain for a child. The child weighs 73 lb. Pharmacy dispenses you with 50 mg/2 ml. How many ml will you administer per dose? ***
A. 1 ml/dose
B. 3.9 ml/dose
C. 2.9 ml/dose
D. 6 ml/dose
Answer: B

459) A patient’s wound is draining thick yellow material. The nurse correctly describes the drainage as which of the following?
A. Serous
B. Purulent
C. Sanguineous
D. Serous-sanguineous
Answer: B

460) patient came to ER with complain abdominal patient history appendicitis patient now with change pass stool distention abdominal and diharria which most diagnosis?
A. colitis
B. peritonitis
C. gastritis
D. none
Answer: A

461) Schizophrenic patient with auditory hallucination. What should the nurse do?
A. Accept the patient
B. Put patient in isolated room
C. Let him share in activity
D. Say Don’t hallucinate
Answer: C

462) Patient has cast on his arm. The patient complaining sewer pain. The nurse not palpating the pulse. What is the first action?
A. It is normal
B. Continue observation
C. Report the physician
D. It is not normal
Answer: C

463) The doctor decided DNR for patient. The patient refused that. What should the nurse do?
A. Follow hospital policy and respect his desire
B. Give the care, continue treatment
C. Ignore the patient need
D. Stop all medication
Answer: A

464) An older-adult patient has developed acute confusion. The patient has been on tranquilizers for the past week. The patient’s vital signs are normal. What should the nurse do?
A. Take into account age-related changes in body systems that affect pharmacokinetic activity.
B. Increase the dose of tranquilizer if the cause of the confusion is an infection.
C. Note when the confusion occurs and medicate before that time.
D. Restrict phone calls to prevent further confusion.
Answer: A

465) The doctor decided DNR for patient. The patient refused that. He insisted to do CPR. What should the nurse do?
A. Continue to produce care and reduce pain
B. Discontinue the treatment
Answer: A

466) what complications after cleft palate repair?
A) Teeth pain
B) Deviated septum.
C) speech difficulty
D)recurrent tonsillitis
Answer: C

467) what predisposing factor of child with autism
A) family history
B) child abuse
C) history of AHDH and mental illness
Answer: A

468) The nurse is caring for Postpartum mother has DVT. What is the most appropriate action for her?
A. Ambulation
B. Elevate left leg.
C. Apply ice back.
D. Give prescribed anticoagulant
Answer: B

469) The nurse should avoid the use of the dorsolateral site for an intramuscular injection in children because of the risk of injury to which of the following nerves?
A. Vigus
B. Sciatic
C. Ilioinguinal
D. Lumbar plexus
Answer: B

470) Persons try to stop smoking after that smoking cessation done successfully and continue in cessation which stage of change the patient achieved?
A. He stop applying change process in action stage.
B. He stop applying change process in preparation stage.
C. He stop applying change process before maintenance stage complete.
D. He stop applying change process after Maintenance complete
Answer: D

471) Nurse manger float RN nurse from surgical ward to CCU which patient should be assigned to this nurse
A. Patient just transferred after coronary angiography.
B. Patient postoperative after open heart surgery.
C. Patient on I. V Lask have congestive heart failure. ✓ ✓
D. Patient had ventricular tachycardia and connected to cardiac monitor
Answer: C

472) Nurse mangers pull out (float) nurse from medical ward to CCU which of the following Patients should be assigned to the nurse:
A. Patient just transferred from cardiac catheterization ✓ ✓
B. Patient just received with unstable angina on heparin infusion.
C. Patient need discharge education about coronary stenting.
D. Patient on Lask I. V have acute left ventricular failure.
Answer: A

473) A newly nursing director assigned to a hospital. That is the first should he do?
A. Evaluates the staff
B. Change the head nurses.
C. Change the roles
D. Nothing to do
Answer: A

474) A patient is admitted to the hospital with klebsiella pneumoniae. During the initial intravenous dose of Amikacin (amikacin sulfate), the patient develops severe respiratory distress. This is most likely:
A) A side effect
B) A: B. An indication of drug tolerance
C) A: C. A drug allergy
D) A toxic effect
Answer: D

475) A 47-year patient received spinal anesthesia five hours ago in the operation theatre and was transferred to the surgical unit. Few hours later the patient complains of incisional pain. The surgical site is dry and intact but the patient looks pale irritated. BP 175/90 HR 112 RR 27 TEM 37.6 What is the most appropriate nursing intervention?
A. Take a 12 lead ECG
B. Administer pain medication
C. Notify treating physician
D. Strat IV infusion and place patient in supine
Answer: C

476) A patient with impaired hearing, He is wearing a hearing aid. The nurse is preparing him to operation, He asked the nurse to keep his hearing aid while he is going to operation.
A. Leave patient wear his hearing aid.
B. Ask Operation Nursing staff
C. Say it is forbidden. You have to remove it.
D. He does not need it because he will be given general anesthesia.
Answer: A

477) Patient is taking streptokinase. Suddenly he is complaining fever, shortness of breathing. What should the nurse expect that effect?
A. Side effect
B. Allergic reaction
C. Normal response
Answer: B

478) Cause of decrease the natural immunity of reproductive system after menopause??
A. Decrease cervical and vaginal mucus
B. Decrease genital tissue and subcutaneous fats
C. Thinning of pubic hair
Answer: B

479) According to Erickson, the psychosocial task of adolescence is the development of a sense of identity. The nurse can best promote the development of a hospitalized adolescent by:
A. Emphasizing to follow the facility regime.
B. Allowing the parents and siblings to visit frequently.
C. Arranging for tutoring in schoolwork.
D. Encouraging peer visitation
Answer: C

480) One day a male client with the diagnosis of borderline personality disorder describes a situation that happened at work when his immediate supervisor reprimanded him for not completing an assignment. He explains that it was not his fault and states, “people get angry and take it out on me.” Which defense mechanism identified by the nurse was the client using in this situation?

1. Denial

2. Projection

3. Displacement

4. Intellectualization
   Answer: B

481) Some of Narcotic group arranged to C1-C5. That is According to:
A. Dose
B. Abuse
C. Severity
Answer: B

482) Pregnant complain leg cramp. What should the nurse advise her?
A. Elevate the leg above hip level
B. Change her position continuously
C. Apply foot support during setting
D. Wearing slipper
Answer: B

483) Postpartum mother was complaining of mastitis on the Right breast, and she told the nurse that it’s safe feeding by my left side. What should the nurse response?
A. Breastfeed from both sides it is safe
B. The left side is only safe
C. the Right side is the Safe
Answer: A

484) Extrapyramidal adverse effects and symptoms are most often associated with which of the following drug classes?
A. Antidepressants
B. Antipsychotics
C. Antihypertensives
D. Antidysrhythmic
Answer: B

485) Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. To prevent this syndrome, the nurse should keep infant inside incubators in which position?
A. Left side
B. Back
C. Prone
D. Right side
Answer: B

486) Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. Which of the following position should the nurse avoid for infant that cause SIDS?
A. Left side
B. Back
C. Prone
D. Right side
Answer: C

487) After 3 days of breast feeding a post partial patient reports nipple soreness. To relieve her discomfort the nurse should suggest that she:
A. lubricate her nipples with expressed milk before feeding.
B. dry her nipples with soft towel after feeding.
C. Apply warm compresses to her nipples just before feeding.
D. Apply soap directly to her nipples, and then rinse.
Answer: A

488) What is the primary sign for ARF acute renal failure?
A. Hypertension
B. Oliguria
C. Face edema
Answer: B

489) Infant 11 month On ECG heart rate 240 b/m. Embedded in the QRS complexes and absent p wave. What is the expected diagnosis for the infant???
A. Ventricular tachycardia (VT)
B. Bradycardia
C. Supraventricular tachycardia (SVT)
D. Atrial fibrillation
Answer: C

490) The nurse is caring for a client who has had a right modified radical mastectomy this morning. Which exercise should the nurse encourage the? client to perform this evening.
a- Hair combing exercises with the right arm.
b- Wall climbing exercises with the right arm.
c- Movement of the fingers and wrists of the right arm
d- Exercises of the left arm only
Answer: C

491) There is lecture about health model and illness model, and in the lecture included the agent / host / environment model.What is considered that model to be classified as:
A. Stage of illness
B. Risk factor
Answer: B

492) Patient is complaining from hypostatic hypotension Before that, his blood pressure was 110/70, the pulse was 76 b/m. What is the expected vital signs?
A. BP 90/60 HR 69
B. BP 88/60 HR 100%
Answer: B

493) A 9 – year-old child is admitted to the Emergency Department injury. The child is oriented to the place, person and time, spontaneously, obeys commands. The nurse is doing a ped Coma Scale (PGCS). Which of the following score the nurse should record?
A. 3
B. 8
C. 12
D. 15
Answer: D

494) Pregnant women in 16 week sever hyperemesis garvidurim what is the complication for pregnant?
A. Precalampsia
B. Electrolyte imbalance
C. Miscarriage
Answer: B

495) 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: B

496) 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: A

497) 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 means 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: C

498) What the purpose of a late vaginal_rectal culture during ante natal screening?
A. To screen for group B streptococci
B. To detect a Chlamydia infection.
C. To screen for gonorrhea
D. To screen for syphilis
Answer: A

499) What is the Noninvasive test for Hirschsprung disease?
A. Ultrasound
B. Anorectal manometry
C. X- ray
Answer: B

500) Nurse is watching the cardiac monitor, and a client’s rhythm suddenly changes. There are no P waves; instead, there are wavy lines. The QRS complexes measure 0.08 second, but they are irregular, with a rate of 120 beats a minute. The nurse interprets this rhythm as:
A-Sinus tachycardia
B-Atrial fibrillation
C-Ventricular tachycardia
D-Ventricular fibrillation
Answer: B

501) The patient is postoperative cardiac surgery. The pulse rate is changed to bradycardia. What is the most common cause of decrease Heart rate after operation?
A. Pain
B. Stimulate Vegas nerve
C. Anxiety
Answer: B

502) child with iron deficiency complains of feeling tired all the Times. The nursing diagnosis of fatigue is related to:
A- Decreased ability of the blood to transparent oxygen to the Tissues
B-An increased paroxysmal abdominal pain and distension to the stomach
C-A decreased anxiety level during hospitalization.
D-A decreased nutritional intake with mal absorption of
Answer: A

503) 35 years old female patient after taking breast biopsy she diagnosed with 3rd stage breast cancer She asked what is the purpose of chemotherapy?
A-it make no need for surgery.
B- destroy cancer cells and prevent it from spreading.
C- prevent recurrence of cancer.
Answer: B

504) An old Man 72 years old with insomnia which most likely if patient said will need further instructions?
A-Avoid nap
B-Read book before sleep
C- Put the temperature room cold.
D-avoid drink caffeine after the dinner.
Answer: c

505) When should stop performing sponges bathing for febrile infant?
A. Shivering
B. Tachycardia
C. Mettled skin
D. Increase respiratory rate
Answer: A

506) The doctor is allow woman to go in with her husband during CPR resuscitation. What should the nurse tell her?
A. Try to stand away in seperate place to prevent stoping work because the work at this time very fast
B. Don’t cry or move during CPR and don’t try to share
Answer: A

507) A nurse is reviewing blood chemistry result of a client magnesium 1.7 0.7-1.2 With of the following symptoms the nurse be monitored.
A. Trousseau sign
B. Depressed respirations
C. Elevated blood pressure
D. Increased tendon reflex
Answer: B

508) What is the priority nursing assessment before administering methergine for management of postpartum hemorrhage?
A. Blood pressure
B. Uterine atony
C. Amount of lochia
D. Deep tendon reflex
Answer: A

509) A pregnant woman informed a nurse that she was never vaccinated against rubella. Which of the following is the best? nursing advice?
A. No need for her to be distress, rubella is not harmful to the fetus.
B. The vaccine can be administered any time during her pregnancy.
C. She can get pregnancy any time after receiving the vaccine.
D. She should be vaccinated after delivery of the baby she get discharge.
Answer: D

510) The antenatal clinic nurse was assessing a 32years old gravida 2, paral pregnant mother on the fundal height at 36 weeks. What is the expected fundus position?
A. Umbilicus
B. Xiphoid process
C. Symphysis pubis
Answer: B

511) A mother is asking the nurse how sickle cell is could be deducted. Which of the following is at test detected? sickle cell disease of traits?
A. Hemoglobin electrophoresis
B. Bone marrow aspiration
C. Complete blood count
D. Free erythrocyte protoporphyrin
Answer: A

512) A child with thalassemia was given deferoxamine (Deferral); which of the following should alert the nurse to notify the physician?
A. Decreased hearing
B. Hypertension
C. Red urine
D. Vomiting
Answer: A

513) The nursing assistant with 20 years of experience approaches a recently graduated nurse who recently passed the licensing examination. The nursing assistant states “the only difference between you and me is the size of our pay. checks”. Which of the following is the most appropriate? response for the newly graduated nurse?
A. assert a hierarchical position.
B. emphasize the additional education received.
C. explain the legal difference in the scope of practice.
D. focus on the need to work together for quality client care.
Answer: D

514) During clinical assessment, the nurse suspected that a child has been psychological abuse. Which statement by the child is most likely support the suspicion.
A. My parents tell me that I am stupid.
B. My parents hurt me to get attention from the doctors.
C. My mother forces do not give meals on times.
D. My uncle shows me picture of nude people.
Answer: A

515) A nurse accidentally dropped a medication ampule, informed the charge nurse and complicated an incident. report form. Which of the following best describes the nurse role?
A. Responsiveness
B. Timely decision making
C. Profession accountability
D. Abiding by moral obligation
Answer: C

516) What is the Priority of patient with schizophrenia?
A. Self esteem
B. Medication compliance
C. Family support
D. Impaired thought process
Answer: B

517) Which of the following is the leading cause of injury for primary school?
A. accidental suffocation
B. motor vehicle ✓
C. riding bicycle
D. drowning
Answer: B

518) Which of the following is the leading cause of injury for children who are more than five years old?
A. accidental suffocation
B. motor vehicle ✓
C. congenital anomalies
D. drowning
Answer: B

519) What is the importance of vitamin K to stop bleeding. How it act ?
A. Converting prothrombin to thrombin✓
Answer: A

520) Postpartum mother used the IUD as a contraceptive method. The nurse should instruct her ?
A. Check for strips every month follow up ✓
B. Avoid intercourse for 1 week
Answer: A

521) Child has urine incontinence two day ago with increase WBC in urine. What is the cause?
A. Psychological abuse
B. Urinary tract infection
C. Genitalia defect
Answer: B

522) Which of the following methods need to use calendar in Natural method of family planning?
A. 14 day from beginning of the period
B. Body TEMP measure daily at morning
Answer: A

523) What is the benefit of skin to skin after delivery?
A- Control mother and baby temperature
B- Initiate and facilitate early breast-feeding during 3rd stage of labor
C- Improve circulation of baby.
D. Improve Uterine Contraction
Answer: B

524) A 2-year-old child is admitted to pediatric ward. The mother cannot stay the child and she will visit him in the weakened only. Which of the following nursing action indicates an understanding of the emotional needs this? child?
A. Give her a warm bath to calm down.
B. Allow the child to suck on a pacifier.
C. Ask the parents to bring the child favorite toy.
D. Tell he parents that frequently visiting is unnecessary.
Answer: C

525) Full term Newborn was delivered 2 hour ago. The nurse checks him observed. mild peripheral cyanosis. What is the first action?
A. Call for help
B. Notify the doctor
C. Check temperature
Answer: C

526) A community Nursing nurse is planning to conduct prenatal teaching and community assembly for pregnant adolescents. Which teaching strategy would be most effective?
A. Offering open sessions for pregnant adolescents and anyone else who wants to attend.
B. Designing posters that girls can view individually in community Nursing centre.
C. Preparing group class sessions for teaching pregnant adolescents together.
D. Conducting one to one teaching sessions for both mothers and daughters.
Answer: C

527) Child 2 years old has acute otitis media. What is the sign while the nurse observing child, confirm the diagnosis??
A. Otorrhea
B. Roll head side to side
Answer: B

528) Pregnant women are very tired. She is feeling anxious and anxiety for her baby. What is describe woman situation according to Maslow hierarchy??
A. Self esteem
B. Safety
C. Physiological needs
D. Love and belonging
Answer: B

529) An 11-year-old child has been diagnosed with type 1 diabetes mellitus. Which of the following education? should the nurse explain about the exercise?
A. Extra insulin is requiring during exercise.
B. Extra snacks are needed before exercise.
C. Exercise will increase blood glucose.
D. Exercise should be restricted.
(Answer not provided in text)

530) A nurse is preparing a teaching session for elementary school students about the safety measures of hazards. Which of the following is the most appropriate topics for safety measure for children at this age?
A. Sport activities
B. Riding bicycle
C. Swimming
D. Driving
Answer: B

531) A 28-week pregnant mother is in the antenatal clinic with the complaint of vaginal irritation itching and thick white secretion. she is diagnosed as having vaginal candidiasis she had been having the same infection before the pregnancy for which she was prescribed the vaginal cream she is using the same cream for the past few days. but her symptoms are not relieved what need to be emphasized to mother.
A. change clothes daily use sanitary napkins
B. Avoid self-treatment and seek doctor advise.
C. Use medicated bubble baths and reduce activates.
D. Was with warm water every two hours.
Answer: B

532) A prim gravida woman who is pregnant at 30 weeks’ gestation told the nurse that she is worried that anything happens to her baby. Which of the following should be the proper nurse’s response?
A. Ask the woman not to worry.
B. Ask the woman to express her concerns.
C. Attract the woman’s attention to other issue.
D. Reassure the woman about the baby condition.
Answer: B

533) The nurse is caring for an adult patient who is admitted to the hospital for fever and chills. The nurse repeatedly finds a temperature of 40° C (104° F) in the morning and 38.9° C (102°F) at night. What does the nurse infer about the fever pattern?
A. Intermittent Fever
B. Remittent fever
C. Relapsing fever
D. Continuous fever
Answer: B

534) The nurse notes that the patient has been experiencing febrile episodes lasting more than 24 hours interrupted by periods of normal body temperature that also last than 24 hours. What does the nurse infer about the patient’s fever pattern?
A. Intermittent Fever
B. Remittent fever
C. Relapsing fever
D. Continuous fever
Answer: C

535) A 10-year-old child is brought to the hospital with high fever and chills. The nurse records the vital signs and finds that her temperature is 104° F (40° C), blood pressure is 130/85 mm Hg, and pulse rate is 120/min. The fever remains mostly high but is interspersed with periods of normal body temperature. What pattern of fever does the child have?
A. Sustained
B. Intermittents
C. Remittent
D. Relapsing
Answer: B

536) Medical definition of Otic route for drug?
A. In the nose
B. In the ears
C. In the eye
Answer: B

537) The patient with CRF should perform peritoneal dialysis at home. The nurse is learning patient and instructing the client to warm the dialyzing solution to 37 degrees Celsius. Why should the patient warm the solution before using?
A. Dilate the peritoneal blood vessels
B. Maintain a constant body temperature.
C. Remove toxins from the body’s cells.
D. Relax the abdominal muscles.
Answer: A

538) Patient with chronic renal failure before performing peritoneal dialysis the nurse should warm the solution before administering to:
A. Promote abdominal muscle relaxation.
B. Maintain extra body warmth temperature.
C. Encourage the removal of serum urea $\varnothing \%$?
D. Stimulate potassium back into body cells.
Answer: C

539) The nurse is preparing a preoperative client for transfer to the operating room. The nurse should take which of the following actions in the care of this client at this time?
a) Ensure that the client has voided
b) Administer all the daily medications
c) Have the client practice postoperative breathing exercises.
d) Verify that the client has not eaten for the last 24 hours.
Answer: A

540) A 6-month-old infant receives a diphtheria, tetanus, and acellular pertussis (DTAP) immunization at a well-baby clinic. The mother returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. A nurse tells the mother.
a) Monitor the infant for a fever
b) Bring the infant back to the clinic
c) Apply a hot pack to the injection site
d) Apply an ice pack to the injection site
Answer: D

541) A nurse hears a client calling out for help, hurries down the hallway to the client’s room, and finds the client lying on the floor. The nurse performs a thorough assessment, assists the client back to bed, notifies the physician of the incident, and completes an incident report. Which of the following should the nurse document on the incident report?
A) The client fell out of bed
B) The client climbed over the side rails
C) The client was found lying on the floor
D) The client became restless and tried to get out of bed
Answer: C

542) A nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP?
a) Excessive vomiting
b) Bulging anterior fontanel
c) Increasing head circumference
d) Complaints of a frontal headache
Answer: A

543) The nurse is monitoring a client in the Medical- Surgical Unit who is recovering overnight following a femoral angioplasty and observes that his leg has become pale and cool to the touch. After paging the health care provider for an emergency evaluation, the nurse receives an angry telephone call asking why this department always calls at 2 AM with ridiculous questions. Which of the following is the most appropriate response?
A. “how would you feel if it was your father not getting the medical care, he needed.”
B. “I am worried that this man may lose his leg unless something is done immediately.”
C. “your behavior at this time is extremely unprofessional, and I will be making a formal report to my supervisor.”
D. I am sorry, but it is hospital policy to report any post-operative complications to the health care provider on call. May I ask what’s has been bothering you about this department’s pages”?
Answer: B

544) A newborn admitted to the NICU with tracheoesophageal fistula (TOF). Which of the following nursing intervention should be included?
A. Elevate the head for feeding.
B. Elevating the head but keep the child NPO.
C. Insert a nasogastric tube for feeding.
D. Encourage the mother to breast feed.
Answer: B

545) A pregnant mother has been in labor for three hours with her membranes spontaneously ruptured. The nurse observed that the liquor annul is meconium stained. Which of the following is the nurse’s best interpretation?
A. Fetal hypoxia
B. Low-lying placenta
C. Intrauterine infection
D. It is mixed with maternal urine.
Answer: A

546) Which of the following psychiatric term best describes this symptom “While talking, the psychiatric patient repeated the same words stated by the nurse”?
A. Verbigeration.
B. Echolalia. ✅✅
C. Echopraxia.
D. Preservation.
Answer: B

547) When the psychiatric patient repeats his words boat, boat, boat. What is the best term describing the patient action?
A. Echolalia
B. Palilalia ✅
C. Neologism
D. Ward Salad
Answer: B

548) A nurse is interviewing a client with schizophrenia when the client begins to say, “Kite, night, right, height, fright.” The nurse documents this as:
A. Verbigeration.
B. Stilted language.
C. Clang association
D. Neologisms.
Answer: C

549) Which of the following is the best contraceptive for mother who is breastfeeding her baby?
A. Combined oral contraceptives.
B. Contraceptive Patches
C. Estrogen only pills contraceptive
D. Progesterone only “mini” pills
Answer: D

550) A 2-year-old child is admitted to the pediatric unit with a diagnosed pneumonia. Which of the following intervention would be a nursing priority?
A. Encourage coughing
B. Encourage exercise
C. Perform postural drainage ✅✅
D. Avoid food high in carbohydrates.
Answer: C

551) A Client who underwent surgical procedure the preceding day normal assessment with an oral body temperature of 37.5 0800 hours. If the condition remains stable the client is to be in the afternoon. which of the following is the highest priority intervention?
A. Observation
B. Inform the surgeon
C. Administer a dose of aspirin.
D. Ensure proper use of the incentive spirometer.
Answer: A

552) For a patient with a colostomy, which of the following-intervention is appropriate for preventing the risk of the impaired skin related to exposure excretions?
A. Empty pouch when it is completely full
B. Remove the skin barrier inspect the skin monthly
C. Recaps Skin barrier opening to size of stoma with each change
D. Cut an opening in the skin barrier then the circumference of the stoma ✅✅
Answer: D

553) Mastitis is an infection of the breast that occurs most often 2-4 after childbirth. Which of the following is considered first line treatment of mastitis?
A. Drainage of breast abscess
B. Antibiotic therapy and cessation of breast feeding
C. Antibiotic therapy and continuation of breastfeeding
D. Advise mother to stop breastfeeding until infection is clean.
Answer: C

554) A new community nurse was caring for a long – term disabled patient. The patient said, “I prefer to have my care given this way “, the nurse explained more alternative approaches were clinically more effective. However, the patient was Insisting on his opinion and said, “I am more comfortable if my care is given this way ” What should the nurse do in this case to manage the situation?
A. accept that the patient knows best what works for him.
B. review the recent research with the patient to convince him.
C. give evidence-based care according to current findings.
D. Compromise between patients preference and research approach of care
Answer: D

555) There is psychiatric patient, every time says to a nurse, “You are my sister, always calling her my sister,” and the nurse replied, “Your sister is not here”. What should the nurse use from therapeutic communication?
A. Placing event in time or sequence
B. Presenting reality
C. Refer to reality or Realization
Answer: C

556) After repairing for child with cleft lip left side. Which of the following position should the nurse put the baby to prevent Aspiration?
1- Prone
2- On stomach
3- Right lateral
4- Left lateral
Answer: C

557) When assessing neonate after delivery, the nurse notes the infant have caput succedaneum. What is the nurse should do?
A. Code blue
B. Order to physician
C. Observation only nothing to do.
Answer: C

558) What is the function of serotonin neurotransmitter receptors?
A. Motor
B. Memory
C. Inhibit pain
Answer: B

559) The child diagnosed with anemia and what should the nurse instruct about the food should be Limited and avoided for child???
A. Apple juice
B. Orange juice
C. Lemon juice
D. Chocolate
Answer: D

560) Pregnant mother check the baby’s movements every day for an hour, she always feels among this hour baby’s movement 10 times or more. Once time while she was checking movement, she wasn’t feel any movement of the baby for an hour, what should the nurse do?
A. Instruct her to measure again the kick movement in another hour
B. Measure again movement on the next day
C. Ask her to come in clinic quickly to do a non-stress test
Answer: A

561) A patient with pre-eclampsia is admitted to the unit with an order for magnesium sulfate. The nurse will understand that the therapy is effective if?
A. Scotomas are present
B. Ankle clonus is increased
C. No seizures occur
D. Blood pressure drops
Answer: C

562) The nurse was endorsing patient on TPN. The doctor prescribed to a certain rate, after 2 hours from endorsement the nurse checked the TPN rate it was in low rate than the prescribed the solution was slowly. What should the nurse do?
A. Ask doctor to write again new rate
B. Return the rate to the prescribed rate
C. Keep the rate then adjust the rate to prescribed from the next bottle
D. Increase the rate immediately
Answer: C

563) What is the food that a pregnant woman should not eat because it can lead to infection for her??
A. Pasteurized milk
B. Unprocessed cheeses
C. Processed cheese
D. Yogurt
Answer: B

564) The patient with a kidney transplantation, then he came after few days from discharge complaining from fever, tenderness and edema. What should the nurse expect??
A. UTI
B. Organ rejection
Answer: B

565) What position should the nurse place the head of the bed for heart failure patient with jugular vein distention?
A. High fowler’s
B. Raised 10 degrees
C. Raised 30 degrees Semi fowler ✔
D. Supine position
Answer: C

566) What is the priority patient for triage nurse to assess?
A. Patient with Sever chest pain
B. Patient with Sever bleeding✔
Answer: B

567) Pregnant woman came to ER with rupture of membrane. Why should the nurse Limit vaginal examination for her?
A. Prevent risk of infections✔
B. Avoid bleeding
C. Prevent further loss of membrane fluid
D. Prevent fetal hypoxia
Answer: A

568) The patient has joint arthroplasty surgery. The patient with urinary catheter and IV line is attached. He was on oxygen, what needs immediate intervention?
A. Pain, redness, and swelling
B. Shortness of breath and coughing✔
Answer: B

569) The nurse was doing research with two groups of smokers, the first group took Nicotine Patch and the second group not acheived the target goal, what is the research type?
A. Case Study
B. Cohort study✔
Answer: B

570) The psychiatric patient, She was speaking and laughing in a loud voice, She was wearing a brightly-colored dress and an inconsistent make up, and She had a history of depression before, what is her diagnosis?
A. Major depression
B. Bipolar disorder I✔
C. Bipolar disorder II
D. Cyclothymic disorder
Answer: B

571) Woman came to ER with buffy eye (swelling)her eye disappeared she was pale and yellow, hair loss. She was very exhausted. What should the nurse ask her?
A. Family history for same symptoms
B. Check nails and ask if she expose to any chemical substances✔
Answer: B

572) The pregnant woman is asking the nurse about the function of placenta. The nurse explains to her that placenta provide your baby with food and Oxygen. Which another additional function for placenta?
A. Cushion and protect baby
B. Produce HCG
C. Produce contraction
Answer: B

573) The size of uterus at the end of pregnancy
A. 900 g
B. 1000 g
C. 1500 g
Answer: A

574) The uterus size after delivery:
A. 900 g
B. 1000 g
C. 1500 g
Answer: B

575) What is the side effect of baclofen if given for diabetic patient?
A. Blurred vision.
B. Increase of insulin demand
C. Fever
Answer: B

576) The patient with SLE (systemic lupus erythematous). The patient is complaining skin rash. What are the factors affecting and cause the rash?
A. Skin rash after exposure of sun
B. Skin rash increase in winter season
Answer: A

577) A 45-year-old woman presents with a generalized rash that is not itchy. She reports that she has had the problem for the past 15 years. Examination reveals a well-outlined, reddish plaque over the right gluteal fold. The plaque has scales over it and is cracked in some areas Which of the following interventions is the most appropriate?
A. Apply topical cream to the affected area
B. Expose area to sunlight for twenty minutes’ daily
C. Maintain immunosuppressant therapy regimen
D. Increase dietary intake of vitamin A
Answer: C

578) A patient with SLE (systemic lupus erythematous) report decreased urinary output during the past 2-4 days and chest pain.that is aggravated by breathing and coughing. The patient vital signs remain within the baseline normal range s1 and s2 are present with audible friction rub. Which of the following statement would be? appropriate for the nurse to make?
a. It sounds like SLE is being well controlled.
b. I need to get some nitroglycerine for your chest pain.
c. There may be some inflammation surrounding your heart.
d. Your symptoms may be due to a urinary tract infection.
Answer: C

579) Which hormone is release from placenta?
A. HC6^x
B. Progesteron
C. Estrogen
Answer: A

580) A patient with bowlegs due to abnormal bone formations and deformities has calcium level of 7.5 mg/100ml. Which of the following foods would the nurse most likely instruct the patient to add to a diet?
a- Organ meats
b- Whole grains
c- Egg yolks
d – Chicken meat
Answer: C

581) According to Maslow hierarchy patient with schizophrenia has lack of motivation to see herself. What are the needs for patient that lost?
A. Physiological need
B. Self esteem
C. Love and belonging
D. Safety
Answer: B

582) Patient with leukemia which blood component most affected?
A. RBCs
B. WBC^x
C. Plasma
D. Platelet
Answer: B

583) Which of the following term the nurse used for explaining the normal respiratory rhythm and depth in a patient?
A- Apnea
B- Eupnea ^x
C- Brydpnea
D-Tachypnea
Answer: B

584) 22 years old girl people advise her that she has voice is very bad, she joined in Academic music institution, which defense mechanism she used?
A) Denial
B) displacement
C) projection
D) Repression
Answer: C

585) Patient with chest tube drainage. What is the most appropriate nursing diagnosis?
A. High risk for infections^x
B. Disturbed body image
Answer: A

586) When pressure Blood pressure for adult patient with using child cuff. What is the expected result?
A. False high readings^x
B. False low reading
C. Normal reading
Answer: A

587) When pressure Blood pressure for child patient with using adult cuff. What is the expected result?
A. False high reading
B. False low reading^x
C. Normal reading
Answer: B

588) The nurse was providing Education about oral Contraceptives pill for mothers What should the nurse tell ?
A. If you take antibiotic drug change oral contraceptives ^x
B. if you forget one or more pills, take for a week two pills daily
Answer: A

589) The nurse was thinking that doctor forgot to write one of drug prescriptions. Then later she discovered that doctor wrote it and she didn’t give medication to the patient. To reduce malpractice What should the nurse do?
A. Ask the doctor write again the medication
B. Write Incident report ^x
Answer: B

590) Bedridden PT nurse is doing pathing for him and she used lotion after bathing to prevent pressure ulcer for patient. What is appropriate action?
A. Dry patient after bathing
B. Use Air mattress ^x
C. Keep the sheet loosely.
Answer: B

591) The mother was coming to give her baby vaccination. Then she asked the nurse about her baby that he has chronic constipation and defecate ribbon like stool. The stool after bass is bad smell. Which of the following questions should the nurse ask the mother??
A. What are the fluids is provide to your baby this week?
B. What is the fiber diet do you give to your baby?
C. Have your baby delayed passing meconium after delivery?
Answer: C

592) What is the. Advantage of Nursing documentation system??
A. Cost for hospitals
B. Spent time with patient.
C. Decrease of nurse’s satisfaction
D. Decrease of documentation quality
Answer: B

593) the patient with cancer. He is on I. V infusion the nurse observed there is the nurse do?
A. Stop the Infusion immediately ✔
B. Slow the rate
C. Report the doctor
Answer: A

594) The patient is post-operative. After the nurse taking the vital signs what should the nurse assess next?
A. pain assessment
B. incision assessment
C. Glasgow assessment
Answer: B

595) Patient after laryngectomy and mastoidectomy. What is the priority nursing diagnosis?
A. Impaired verbal communication
B. Airway clearance ✔
Answer: B

596) Physician order three times the normal dose (triple dose) – when the nurse calls him, he insists on giving the ordered medication – what does the nurse do?
a. Call pharmacy
b. Call another doctor.
C. Withhold medication and inform charge nurse.
D. Withhold medication and inform medical office.
Answer: C

597) Patient was complaining sever pain. The nurse gave to him I. V morphine but there is no effect with him. What should the nurse do?
A. Ask the patient for drug abuse ✔
B. Give another dose
C. Ignore the patient
Answer: A

598) A patient is one-day post-operative repair of a large umbilical hernia. The patient complains of abdominal pain and described feeling the sutures give way. Upon assessment of the abdomen the nurse observes an evisceration. The nurse’s IMMEDIATE response should be to:
A. Medicare the patient for pain
B. Instruct the patient to cough hard
C. Have the patient perform the Valsalva maneuver
D. Cover the abdomen with a sterile soaked dressings?
Answer: D

599) The surgery and insisting on the nurse to explain to explain the procedure. Which of the following nursing? intervention is the most appropriate?
A. Assess anxiety level.
B. Assure he will be better after surgery.
C. Call doctor to Explain surgery.
D. Give patient some sedative medication
Answer: C

600) New nurse during orientation period she feel that her preceptor isolated from her. What should she do?
A-Ask questions as much as she can ✔
B-Ask to increase orientation days.
C- came to the work late.
D. Ask preceptor for important summary lectures in Nursing.
Answer: A