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نموذج لأسألة الهيئه بالأنجليزي

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  #1  
قديم 02-03-2009, 01:39 AM
صحي جديد
 


lamar will become famous soon enough


[align=center]السلام عليكم



هاذي بعض الأسأله اللي جمعتها من الأنترنت


لتخصص تمريض عام

بعضها مجاوب عليه وبعضها لأ










mursing process consist of :
assessment
planning
implementation
all of the above

the following techniques are using for general physical examination:
inspection
palpitation
percussion
auscultation
all of the above

the most accurate temperature is:
ractal
axilla
oral

the normal temperature is :
37c
37.5c
37.6c

normal adult pulse is:
60-80 b/m
70-80 b/m
50-70 b/m
the sistolic pressure in lower extremities is usually ___________ than upper extremities
10mm of hg higher
5mm of hg higher
15mm of hg higher
an informed consent is a ______ for any operative procedures:
medicolegal requirement
operative permit
document

the best position for post_op patient maintain a patient airway is:
lateral position with neck extended
supine position
semi fowlers position

when apatient admitted in dr with full term pregnancy & her membranes rupture spontaneously all of the following actions are appropriate ; first you will
check the FHR
check the color of fluid
assess the quantity of fluid
notify the physican

u r the nurse assigned to care a patient after gastric resection in the recovery room in stable codition . during yuor assessment for hypovolemic shock, the sign that yuo would expect to note if this comlication occurs is
hypertention
cyanosis
oliguria
tachypnea

paralytic ileus is a frequent - complication of post-op abdominal surgery . according to the physician,s orders & your own assessment data base , a planned intervetion wold be to
administer p.o fluids only
insert a N.G.T
insert a rectal tube
listen for bowel sounds

assessing a patient diagnosed as a schizophremic , the nurse keeps in minde that a diagnosis of schizophrenia involves
inability to concentrate
loss of contact with reality
guilt feelings
feelings of worthlessness

the doctor applies a leg cast of a patient with leg fracture . following casting , the nurse should fiest check patient,s toes for
increase in temperature
change in color
edema
movment

from your knowledge of the casting procedure , you undrestand that a wet cast should be
placed on a firm surface for the first few hours
handed only with the plams of the hands
left alon to set for at least 3 hours
petaled to lessen chance of irritation to the patient.
immadiate assessment of the premature infant in the nursery would not include
hunger status
cardiac status
respiratory status
cobgenital abnormalities
which of the following best explain why premature infant are more likely to develop hyperbilirubinemia ?
liver enzymes are immature
antibody formation is immature
premature infants receive few antibodies from the mother .
WBC live immature

nursing responsibilities for the pre operative period would include notifying the physician if the
erythrocyte count is 6 million 1 cc mm
temperature is 99 C F orally
hemoglobin is 14 gm/100ml
urine report-indicates ketonuria

a test used in the dianosis of cystic fibrosis called
sweat chloride
blood glucose
sputum culture
stool specimen for fat content

following a radical mastrctomy patient to be positioned
on her operativ side
on her un operrative side
in simi - fowler,s with her affected arm flat on bed
in semi-fowler,s with her affected arm elevated
الاجابه الاخيره ( في وضعية سيمي فاولر مع رفع الذراع بجوار العمليه )

the major operative complication following a cholecystectomy is
paralytic ileus
thrpmbophlebitis
pneumonia
hemorrhage
اكثر المضاعفات بعد استئصال المراره الالتهاب الرئوي


a30 years old male patient has burns on the front & back of both his legs & arms. the appropriate percentage of his body that has been involved is
27%
36%
45%
54%
الفقره الاخيره


during a retention catheter or bladder irrigation the nurse must usr
stirile equipment & wear sterile gloves
clean equipment & maintain surgical asepsis
stirile equipment &maintain medical asepsis
clean equipment & technique



the millimiters of drug that should be used to give 0.5 gm if tha label on the bottle reads 5 gm in 10 ml is
2.0
1.0
0.5
5.0

doctor order / stock * quantity
0.5/ 5 * 10 = 1ml


following total hip replacement , immadiately post operative you would expect orders to include
head of bed eleveted to 45 C angle
operative leg maintain in abduction
buck,s traction unit 1 hip can be put through range of motion
turn on operative side only immadiately post operatively
الفقره الثانيه ( الساق اللتي اجريت لها العمليه في وضع التباعد


when you are administering hepain the substance you will keep at the bedside as the antidote is
magnesium sulfate
vitamin K
protamin sulfate
calcium gloconate
الاجابه الفقره الثالثه ( سلفات البروتامين )

what you will observe for a patient is on anti coagulant therapy
bleeding from any site of the body
drowsiness
weight reduction
hypotention
الفقره الاولى ( النزف من اي منطقه في الجسم )

robert reinholdt , a construction worker , is seen in the ER with low blood pressure , normal pulse , cool skin teperature and weakness . these are clinical signs of
heat exhaustion
heat stroke
heat cramp
hypothermiaالاجابه الاخيره ( انخفاض درجة حرارة الجسم عن المعدل الطبيعي )

which of the following would be an appropriate site for taking a pulse on 2-year -old estelle
redial
apical
brachial
femoral
الفقره الاولى ( الكعبري )


if measuring BP were necessary in the leg . the nurse would expect the diastolic pressure to be
10-40 mm hg higher than in the branchial artery
20_30 mm hg lower than in the branchial artery
50mmhg higher than in the branchial artery
essentially the same as that in the branchial artery
الفقره الاولى ( اعلى من الضغط في الشريان الذراعي بـ10_40 )


the nurse cuold best auscultate the point of maximum impulse PMI in 8_year_old gina at the
fourth intercostal space , left of midclavicular line
fifth intercostal space , left of midclavicular line
second intercostal space , right of midclavicular line
third intercostal space , left of midclavicular line
الفقره الثانيه (المسافه الضلعيه الخامسه اليسرى )


a 21_year _old , female patient asking when sould she do the self examination for the breast during the month . the nurse should answer
any time you think of it
at the same time each month
on the first day of your menestrual period
on the last day of your menstrual period
الفقره الاخيره ( في اليوم الاخير من الدوره )


mrs. jarett has abdominal pain of unkown origin . durin the abdominal examination , which of the following is most accurate ?
the palpitation sould be performed first.
auscultation is best don with mrs.jarrett in the sitting position
bowel sounds shuold be heard by examining each quadrant for 3 _ 5 minutes
a paralytic ileus would result in low , growling sounds

wich of the following could contribute to caosing a nosocomial infiction
washing hands before applying a dressing .
taping a plastic bag to the bed rail for tissue disponsal
placing a foley bag on the bed when transferring a client
using betadine to cleans the skin before starting an IV line
الفقره الثانيه ( ربط كيس بلاستيكي على جوانب السرير لرمي المناديل )


the nurse employs surgical aseptic technique when
placing soilde linen in moisture_resistant bags
inserting an intravennous catheter
disposing of syringes in punture_proof containers
washing hands before changing a dressing
الفقره الثانيه ( عند ادخال الكانيولا او القسطره الوريديه )
بصراحه عمري ماشفت ممرضه تتبع هالطريقه


mr. wallshas alarg abdominal incision that requires a dressing . the incision is paked with half_inch iodoform packing (soaked in betadine( and covered with a dry steril 4 by 4 inch gauze. when changing the dressing , the nurse accidentally drops the packing onto the client,s abdomin. the nurse should
add more betadine to the packing and insert it to incision
throw the paking away and preoare a new one
pick up the packing with steril forceps & gently place it into the incision
rinse the packing with sterile water & put the packing into the incision with sterile gloves
الاجابه الفقره الثانيه ( تتخلص من الضماد وتجهز واحد جديد )


the overall rule for avoiding accidents with equipment in the hospital is for the nurse to
always lock wheels
never operate equipment without prior instruction
always unplug equipment when moving the client
never use equipment without a person to assist you
الفقره الثانيه ( عدم تشغيل الاجهزه بدون معلومات سابقه )

jessica , age 4 years , is scheduale ti recive an IV line the most appropriate type of restraint to use on jessica to prevent her from trying to remave the IV line would be a
wrist restraint
jacket restraint
elbow restraint
mummy restraintالفقره الاولى ( التقييد بالرسغ )


the workmen cause an electrical fire when installing a new piec of equipment in the intensive care unit . mr. ritchey is on a ventilator on the next room . the first action the nurse should take is to
attempt to eztinguish the fire
pull the alarm
call the pysician to optain orders to take mr.richey off the ventilator
use an ambu bag & remove mr.richey from the area
الفقره الاخيره هي الاجابه الصحيحه


two nurses are standing on opposite side of the bed to move mr.chtrowx up in bed with a draw sheet . where should the nurses be standing in relation with mr. chatrowx,s body as thy prepare to move him ?
even with his thorax
even with his soulders
even with his hips
even with his knees
الفقره الثانيه ( سحبه من مستوى الكتف )


mr. harlan has right _ sided hemiparesis . the nurs helps him to walk by
standing at his left side and holding his arm
standing at his left side and holding one arm around his waist
standing at his right sid and holding his arm
standing at his right sid and holding one arm around his waistالفقره الرابعه ( تقف عند جانبه الايمن ( المصاب ) وتلف احدى يديها حول وسطه )


pressure ulcer form primarily as a result of
prolonged illness or diseases
restricted mobility
nitrogen buildup in the underlying tissues
poor nutrition
الفقره الثانيه ( نتيجة قلة الحركه )

the nurs notes a client,s skin is redden with a small abrasion and serous fluid present . the nurse would classify this stage of ulcer formation as
stage 1
stage 2
stage 3
stage 4
يمكن الأجابه الثانيه


mr. gibbs has rheumatoid arthritis
and is prone to skin breakdown . he is also somwhat immobile becaus of his arthritic pain . which of the following is the best intervention for his skin integrity
he should be allowed to sit up on chair 4 hour intervals
the care providers suold keep the head of his bed in a high fowler,s position to increase his circulation.
a written schedual of turning & positioning mr.gibbs sould be kept
he sould perform pelvic muscle training exercises several times a day
الفقره الثالثه ( الاحتفاظ بجدول مكتوب لتغيير وضعية المريض )

the nurse prepares to irrigate mrs.notz,s wound . the primarry reason for this procedure is to
remove debris from the wound
decreas scar formation
improve circulation to the wound
decreas irritation from wound drainge
الفقره الاولى ( لازالة النسيج الميت من الجرح)


when turning a client , the nurse notices a reddened area on the cooccyx. what skin care interventions should the nurs use on this area
clean & dry the area & add a protective moisturizer
hydrogen peroxide
normal saline solution
povidon_iodineالفقره الاولى ( تنظيف المنطقة وتجفيفها واضافة مرطب للحمايه )


mr. milani has alarg abdominal wound that requires a dressing chang every 4 hours . he will be discharged to his home setting where he will continue the dressing care which of the foliowing is true concerning his healing process
an antiseptic agent is best followed with a rinse of sterile saline solution .
a heat lamp should be used every 2 hours to rid the wound area of contaminants.
sterile technique should be emphasized to mr. milani & his family.
adressing covering should allow the wound area to remine moist.
الفقره الثالثه ( تقنيه معقمه جدا يجب ان يتبعها سيد ميلاني وعائلته )



with advancing age , which of the following normal physiological changes in sensory function occurs
decreased sensitivity to glare
increased number of taste buds
difficulty discriminating vowels sounds
decreased sensitivity to pain



























Preparations coated to dissolve in the intestines & not in the stomach are referred to as :-
Sustained – action
Enteric coated
Lozenges
A tablet within a tablet
Choice number 2

When the appearance , odor , or color of a medication changes , the nurse sould :-
Disregard this & give the medication as ordered
Have the registered nurse give the medication
Withhold the medication & consult the pharmacist .
Understand this is a normal occurrence when dealing with chemicals
Choice number 3

The route of drug administration that provides the most rapid & dependable absorption is :-
Oral
Intermuscular
Subcuntaneous
Intravenous
The last one

For accurate drug administration the nurse should read the drug label :-
2 times
3 times
4 times
5 times
the second one

when a medication is being administered , the most accurate way to verify a patient’s identification is to :-
call the patient by the name in the drug card or kardex
ask the patient to state his or her name
ask another nurse to identify the patient
check the patient’s identification bracelet
the last choice

when the nurse is administering medications , the patient informs the nurse that the tablet usually received is a different color . the nurse should :-
insist that the patient take the tablet she poured
have the patient take the tablet & then recheck the order
leave the medication at the bedside & recheck the order
recheck the order before giving the drug
verify the medication with the physician .
Choice number 4

the physician’s order to administer 3 L of IV fluid 5% D \ 0.45 % normal saline over 24 hours . the drop factor is 60 gtt / ml . the nurse regulates the IV at :
25 gtt / min
100 gtt / min
125 gtt / min
150 gtt / min
(3*100 ) / ( 24*60) * 60 = 125

all of the following are examples of mild allergy symptoms that may occur in response to antibiotic therapy exept
urticaria ( redness )
rash
wheezing
pruritus ( itching )
choice number 3

for which client is the oral rouy of administration appropriate ?
client D who has vomited twice in the last hour .
client E who is complaining of a sever headache
client F whose assessment reveals an absence of bowel sounds.
Client G who is only responsive to painful stimuli.
choice number 2

ORDERED : 500 cc D5RL to be infused in 6 hours . the drop factor is 15 . how many gtt per minute should you give ?
28 gtt / min
32 gtt / min
21 gtt / min
30 gtt / min
500 / 360 * 15 = 20.83
choice 3

of the following , which is the main reason the nurse should stay with the patient until the oral medication is swallowed ?
all liquid that is ingested is considered part of the fluid intake.
An unopened unit dose drug can be saved if the patient refuses it
the nurse is responsible for documenting that the drug was taken
the nurse is only one that can give the patient medications.
3

listed below are statements related to pharmacokinetics .
1 . drug taken to its site of action
2 . drug & their metabolites excreted in renal system
3 . drug undergoes metabolism or biotransformation
4 . drug pass into from site of entry to the body fluid
the correct order of occurrence of these processes is :-
1,2,3,4
4,1,3,2
4,3,2,1
1,2,4,3
الاجابه الثالثه يعني الترتيب الصحيح هو الفقره الرابعه ( بداية دخول الدواء في
سوائل الجسم )يعني الامتصاص وبعدين الفقره الاولى ( وصول الدواء للموقع المطلوب ) يعني التوزيع وبعدين الفقره الثالثه ( يمون الدواء تحت عمليات الايض والتحويل الحيوي ) واخيرا الفقره اثانيه ( الدواء ومنتجات ايضه تخرج عن طريق الجهاز البولي )

Which of the following organs is a primary site for the metabolism of drugs ?
Heart
Liver
Pancreas
Intestine
2

Mr .Jonnes has the following order : ASA ( Aspirin ) 5 gr p.o bid pc . which of the following is the best interpretation & correct scheduling of this order ?
Give him ASA 5 gr at 9 : 00 am ( after breakfast ) & 6 : 00 pm ( after supper ) .
Give him ASA 5 gr at 10 :00 , 2 :00 & 6 :00 round the clock .
Give him ASA 5 gr per interamuscular injection at 9 : 00 am & 3 :00 pm .
Question the order as it is too high a dose then schedule it for 7 : 30 am & 5 :00 pm .

1
note : bid == twice .

Mrs. Higgins has refused to take her ASA ordered by the physician . the first action of the nurse should be :-
Notify the physician of the refusal
Chart the refusal on the medication administration record.
Find out why she doesn’t want to take the ASA
Tell her she must take the ASA because the physician has ordered it .
3

a medication order should never be implemented if : -
the nurse doesn’t know the physician .
the nurse doesn’t know the patient’s history .
the nurse Questions any part of the order
the nurse did not know witness the writing of the order .
3

ORDERD : penicillin 400.000 u IM now
AVAILABLE : penicillin 800.000 u per 2 cc
How many ml should you give ?
2 ml
1 ml
0.2 ml
0.4 ml
doctor order / stock * quantity
400.000 / 800.000 * 2 = 1 ml

ORDERD : deltasone 7.5 mg now .
AVAILABLE : deltasone 2.5 mg scored tablets .
How many should you give ?
3 tablets
1 tablets
tablets ½ 2
tablets ½ 1
7.5 / 2.5 * 1 = 3

Mr. Johnson has liver failure . using your understanding of pharmacokinetics , decide which of the following is a most likely occurrence for this client ?
He will require larger doses than normal
He will not be able to tolerate p.o drugs
He may respond better to drugs excreted by the kidneys
He may build up toxic levels of drugs .










Mr. Mulligan , LPN , IS Mrs. Rooney’s primary nurse & is working the 8:00 AM to 4:00 PM shift . the next four questions refer to this situation .

At 10:10 AM nurse Mulligan brings Mrs. Rooney her 10:00 AM medication .
Mrs. Rooney says , [ oh, I’ve already had those little red pills once this morning ; do I really need more ? ] . what would be most appropriate response by nurse Mulligan ?
1.“ I checked your medication very carefully , Mrs. Rooney , but to make sure these are right , I’ll check the chart one more time
2.” I checked & double checked your medication orders and I’m sure I’m right , pleas take them”
3. let me check with the doctor . I’ll be right back “
4. “ I think these are correct , but to make sure , I’ll discuss this with the head nurse “
first one

20 minutes after receiving her noon dose of oral medication , Mrs. Rooney vomits . to assure accuracy in medication administration the first thing nurse Mulligan should do is to :-
1. report the situation to the head nurse
2. contact the physician
3. administer another dose of medication
4. examine the vomits for signs of medication
2


at 9:45 PM nurse sheener , Mrs. Rooney evening nurse arrives with sleeping medication . nurse sheener is a summer nursing student & doesn’t know any of the individuals on the unit . how should nurse sheener determine that she is giving the right medication to the right individual ?
1. examine the individual’s name posted outside the door .
2. say : “Mrs. Rooney , I’ve your medication .”
3. ask : are you Mrs. Rooney ?”
4. say : “ I’m nurse sheener . what is your name “
4

nurse sheener explain to Mrs. Rooney that she has sleeping medication. Mrs. Rooney says “ I don’t want to take that now . I want to finish watching this TV show .” nurse sheener should :
1. ask Mrs. Rooney to put on her call light when she is ready fore the pill .
2. leave the pill at the bedside so Mrs. Rooney can take it when the TV program is over .
3. insist Mrs. Rooney take the sleeping pill at ,once
4. discard the medication
1

END OF SITUATION





which of the following routs for drug administration is the most common , least expensive , safest , and best tolerated by patient ?
1. intramuscular
2. topical
3. oral
4. intravenous
2


you arrives in Mr. Rich’s room with the ASA [ aspirin ] he requested for the headache . you find him in the bathroom . you are very busy & don’t have time to wait . you should :
1. tell him you will return and take the medication with you
2. ask him to com out of the bathroom immediately
3. ask his roommate to give him the ASA
4. leave the medication on the over-the-bed table since ASA is a nonpre******ion drug .
1

the medication order is for indomethacin . p.o 50mg , bid , this drug is irritating to the stomach mucosa . for this reason the nurse should :
1. give the medication one hour before meals .
2. give the medication 2 hour after meals .
3. ask the physician for an IV preparation
4. have food available when administering the medication
4

you are preparing to administer Mrs. Carter’s eye drops . the correct position for her to assume would be :
1. head titled forward , placing the drops in the conjunctival sac.
2. head titled backward , placing the drops in the lower conjunctival sac.
3. head titled forward , placing the drops directly on the eyeball .
4. head titled backward , placing the drops directly on the eyeball.
2

to instill drops in the adult patient , the ear canal is opened by pulling the ear :-
1. up and back
2. down and back
3. up and forward
4. back and forward
1

the physician orders heparin 7500 u subq . q12hr . for your post-operative patient . heparin 5000 u per ml is available . give …………….
Dose / dose on hand * quantity per ml
7500 / 500 * 1 = 1.5 ml


the nurse is giving heparin subcutaneously . which needle should the nurse use ?
1. 19 gauge , 1 ½ inch
2. 21 gauge , 1 inch
3. 22 gauge , 1 ½ inch
4. 25 guage , 5/8 inch
كل اللي اعرفه انه كل ما زاد الرقم قل اتساع سن الابره ويمكن مطلوب مننا استخدام ابره صغيره عشان يقل النزيف

The nurse correctly administer an IM injection a ……………… degree angle
1. 15
2. 30
3. 45
4. 90
3



which of the following is true concerning a SC injection :-
1. a bleb indicates that the medication has been properly injected
2. drug absorption is slower than with the IM route .
3. 0.2 cc of air should be drawn in the syringe before administration
4. up to 2 cc of water-soluble medication can be given by the SC route .
2

when giving medication , the label should be checked 3 times . which of the following is not one of these times ?
1. when the nurse reaches for the container
2. immediately prior to pouring medication
3. when the nurse located the drug on the shell
4. when replacing the container to the drawer or shelf .
3

what body function is essential for adequate drug absorption?
1. adequate blood supply
2. adequate receptor sites
3. adequate liver function .
4. adequate kidney function
1

Mr. Baker is to receive penicillin IM . nurse hill locates the site of the injection by planning the posterior superior iliac spine & the greater trochanter . an imaginary line is drawn the posterior superior iliac spine & the greater trochanter . the injection side is lateral & slightly superior to the midpoint of the line . which of the following is correct name of the site ?
1. dorsogluteal site.
2. rectus femoral site.
3. ventrogluteal site
4. vastus lateralis
3


which of the following is the reason for using the Z tract technique for injections ?
1. for medication of over 5cc in quantity
2. for medication that is highly irritating to subcutaneous tissue
3. for medication that stains the tissue
4. for medication that cannot be given orally
2

which of the following orders is complete :-
1. ampicillin 250mg IM q12hrs x 10 days
2. Maalox 30 cc po
3. humulin R insulin SQ in AM & noon
4. OPV ( oral polio vaccine ) 0.5 cc
1


Mrs. Kelly tells the nurse that her arm is sore from an injection she received early in the day . she states “ the nurse gave me a shot , and I heard her say that the needle was a 25 gauge . isn’t that too big for a local injection ?” . your best response would be :
1. “ a 25 gauge needle is a small needle , but it can cause som discomfort . let me see your arm .”
2. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . you are over –reacting to the shot “
3. a 25 gauge needle is very small . you are just nervous about the injection.”
4. a 25 gauge needle is very small. So you are wrong about the pain from the injection.”
1

just prior to pouring a dosage of Mylanta Liquid , you will :
1. pour without shaking the bottle
2. rotate the bottle gently , side to side
3. turn the bottle end – over – end , top to bottom .
4. vigorously shake the bottle
4


Mrs. Davis has a written order from her physician for Demerol 100 mg stat . which of the following best explain this order ?
1. give it needed
2. give once when needed .
3. give once immediately
4. give once when specified
3


while checking Mr. Appendectomy’s vital signs , he requests his “ medication for the pain in my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the Morphine sulfate injection at this time due to witch vital signs reading ?
1. blood pressure
2. pulse
3. respiration
4. temperature


















Prior to administering a Lanoxin preparation , you take an apical pulse rat on Mr. M . infarction and fined the rate to be 52 .the most appropriate nursing action would be to :-
1. administer one- half the dosage order
2. give the drug as ordered
3. give one- half of the tablet now and the other one- half tablet in two hours
4. withhold the drug and report the team leader .
4

while preparing a dosage of FIORINAL#3 , you accidentally drop a tablet on the floor . you would most appropriately :
1. blow it off and go ahead and administer it
2. have another medication nurse witness destruction and sign the control book .
3. return the tablet to the pharmacy for “ decontamination “
4. throw the tablet in the trash can and prepare another dose .
5. wash it off under running water , dry it with a paper towel and administer it
4

Mr. Construction worker has been given a pre******ion which contains “ Phenobarbital “ to be taken as an out patient . when doing patient teaching about this drug’s action . you will be sure to tell him that :
1. “ drowsiness is common while taken this drug , so don’t drive or operate machinery “
2. “ dryness of throat and mouth is frequent , so be sure to drink extra fluids during every waking hour .”
3. frequent voiding is an action of this drug , so be sure to take it in the morning so you won’t be up all night going to the bathroom .”
4. your stool may begin to appear black and tar-like a few days after you begin on the drug . “
1

after withdrawing the needle from the tissue when administering an ID injection you :-
1. apply firm pressure to the site with your thumb .
2. do not rewipe the site
3. gently wipe the site
4. massage the site vigorously
2

Mr. Harvey , age 54 , is admitted with a diagnosis of congestive heart failure secondary to chronic obstructive pulmonary disease [COPD] . the physician orders sublingual nitroglycerin , 0.4 mg p.r.n , for chest pain , whine administering the nitroglycerin , the nurse should :-
1. tell Mr. Harvey to hold the tablet under his tongue and let it dissolve .
2. tell Mr. Harvey to swallow the tablet with water .
3. apply nitroglycerin ointment to Mr. Harvey’s chest .
4. mix the nitroglycerin with applesauce for Mr. Harvey to eat
1

asking the patient if he is allergic to any medication is a part of the ……………
phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation
a


teaching the patient about the medication is a part of the ……………
phase of the nursing process ?

A. assessment
B. planning
C. implementation
D. evaluation
c


a nurse is unable to read the label on a bottle of liquid medication because the label is stained from spillage . the nurse knows that the correct procedure is to :-
A. ask the charge nurse to verify the medication in the bottle and apply a new label .
B. smell and test the medication and apply a new label if certain of the contents .
C. empty the contents down the drain and notify the charge and the pharmacist.
D. Send the bottle back to the pharmacy to be relabeled .
D

you are teaching Mrs. Keller to give own insulin . her orders read NPH insulin 30 u , and regular insulin 10 u daily . which of the following would be correct twchnique for mixing insulin :-
A. Inject 10 units of air into the regular insulin . remove the needle without touching the insulin . inject 30 units of air into the NPH insulin . withdraw 30 units of NPH . inject the needle into the regular insulin and remove 10 units . rotate the syringe to mix and give to client .
B. inject 30 units of air into the NPH insulin . remove the needle, not allowing the needle to touch the insulin . Inject 10 units of air into the regular insulin bottle and remove 10 units . insert the needle into the NPH bottle and remove 30 units rotate the syringe to mix and give.
C. Inject 10 units of air into the NPH bottle and remove 10 units of NPH . inject 30 units of air into regular insulin rotate the needle to mix and give.
D. Inject 30 units of air into the bottle of NPH insulin and remove 30 units of insulin. inject the needle into the regular insulin bottle and remove 10 units of regular insulin . rotate the syringe to mix and carefully give .
B

You are giving an injection of Morphine 3 mg & Tigan 199 mg IM to an elderly debilitated client . he has sacral edema with extensive bruising of the buttocks & the ventral gluteal areas which of the following sites is the best choice for injection ?
A. Deltoid site using the Z-tract method.
B. Dorsal gluteal , since the volume is over 2 ml .
C. Vastus lateralis using a 22 gauge 1 inch needle .
D. Abdomen using a 5/8 inch needle .
C

Medications which are labeled [ otic ] are specific for use in \ on the :-
A. Eyes
B. Ears
C. Nose
D. Throat
B

Mr. Walker will receive regular insulin . the nurse monitors for the onist of action in approximately ------------
A. 5 to 10 minutes .
B. 150to 20 minutes
C. 30 to 60 minutes
D. 1 to 2 hours .
c

is it necessary for the nurse to wear gloves during administration of an intermittent feeding through a G-tube ?
A. yes , because it is a sterile procedure .
B. yes , because universal precautions must be maintained .
C. no , because it is not a sterile procedure .
D. no , because there is no danger of contact with body fluid if the procedure is performed correctly .
b

to prepare the skin for injection the nurse would use :
A. friction with back and forth motions at the site with alcohol swab .
B. friction and alcohol swab moving from outer edge to center of site .
C. friction and alcohol swab with circular motions and palpate site gently with finger pad before injection .
D. friction and circular motions with alcohol swab from center of site outward.
D


IM injection into the deltoid muscle should be limited to :-
A. 2.5 ml of solution
B. 2 ml of solution
C. 1 ml of solution
D. 0.5 ml of solution
b

a primary concern when giving heparin SC is to prevent :
A. pain and bruising .
B. pain and bleeding
C. bleeding and bruising
D. injecting a vein .
c

the type of needle selected for the ( dorsogluteal ) intramscular ( IM ) injections would be based on :-
1) the size of the patient [ e.g., obese versus debilitated ]
2) the viscosity of the antibiotic .
3) the position of the patient .
4) the volume of medication .
A. 1,2,3,4
B. 1,2,3
C. 2,3,4
D. 1,2
d





the largest gauge needle of the following is :-
A. 19 gauge
B. 20 gauge
C. 21 gauge
D. 22 gauge
a

the nurse needs to give an injection to 5-year-old Shawn . which of the following approaches by the nurse is appropriate ?
A. “Shawn I need to give you a shot . wiche one of your arms should I give it in ? “
B. “Shawn , is it ok if I give you a shot now ?”
C. “Shawn , I have a hypodermic injection to administer to you now “
D. “Shawn, I have a shot to give you . be a big boy and don’t cry “
a

Mr. Bell is an 80 year old , man , admitted to the hospital with a urinary tract infection UTI . which of the following should the nurse understand when giving medications to this client ?
A. larger doses of most medications will be require by Mr. Bell because of absorption problems .
B. increased plasma binding decreases the possibility of drug toxicity in Mr. Bell .
C. drugs are excreted more slowly from the body as a result of changes in Mr. Bell kidney function .
D. urinary antiseptics are of little value to Mr. Bell because of his age .
c



Optimum normal urin out put hourly to an adult :
A. 10cc
B. 25cc
C. 50cc
D. 100cc
c

scurvy is a deficiency of :
A. Vit a
B. Vit b
C. Vit c
D. Vit d
C

Specific gravity of urine to have a normal fluid balance
A. 1.005
B. 1.015
C. 1.030
D. 1.020
all what I know that its between 1.010 & 1.035

normal intra-ocular pressure
A. 15-20mmhg
B. 20-25 mmhg
C. 30-35mmhg
D. 10-15mmhg
all what I know that its between18-24


12 hours after delivery the fundus is at the level of
A. one fingerbreadth below the umbilicus .
B. one fingerbreadth above the umbilicus .
C. at the level of umbilicus.
D. Below symphysis pubis
A


In dystocia the ,mother should be watched for :-
A. Post partum haemorrhage .
B. Hypertension .
C. Cord proplase .
D. fetal death .
a

in the first trimester of pregnancy the vaccination to avoid :-
A. polio
B. rubella .
C. measles .
D. small pox .
b

in fetal circulation , the oxygenated blood placenta travels via :-
A. umbilical artery
B. umbilical vein .
C. doctus arteriosus .
D. ductus venosus .
b

normal PH for blood :-
A. 7.0
B. 7.4
C. 8.0
D. 8.4
b

first stage of labor ends with :-
A. pain occurs .
B. dilation of cervix 10 cm
C. delivery of the baby
D. delivery of the placenta
b

an electrolyte deficiency that affect the heart muscular activity :-
A. k
B. cal
C. Na
D. mg
A

Patient with hemopneumothorax had a ICD ( inter costal drainage ) in the right side what position the patient should be to promote drainage ?
A. left side [ unaffected ]
B. right side [ affected ]
C. semi sitting
D. leg raised
c

coagulation of blood :-
A. Vit E
B. Vit K
C. Vit A
D. Vit C .
B

Patient receiving an anticoagulant must be watched for :-
A. Bleeding of the nose



To detect what organism causes tonsillitis in children :-
A. Throat culture
B. Nasopharynges culture
C. Blood culture .
D. Sensitivity test .
B


The most vital immediate observation to a new born baby is :-
A. Cardiac rate
B. Respiration rate .
C. Color
D. Tone
C

Signs of dehydration :-
A. Loss of skin turgor .
B. Low body temperature
C. High body temperature
D. Sweating
A

Most of the metabolic changes of drugs occur in :-
A. Liver
B. Lungs
C. Stomach
D. Circulation
A

Common cause of death in burns :-
A. Hemorrhage
B. Neurogenic shock
C. Sepsis
D. Hypovolemic shock
D

The difference in close & open fracture is that , in open fracture you have to watch for :-
A. Infection
B. Hemorrhage
C. Inflammation
D. Pain
B

A wound is inflamed if there is :-
A. Redness
B. Pain & swelling
C. Pus
D. Tenderness
A

Epinephrine is not given via :-
A. IV
B. Orally
C. Parentally
D. Intracardiac
B

Immuno-deficiency :-
A. Protective isolation
B. Enteric and body fluid isolation
C. Respiratory isolation .
C

To detect the effectiveness of a resuscitation [CPR] :-
A. Constricted pupils
B. Dilated pupils
C. Non-reacting pupils
D. A symmetrical pupils
A
Ultra sound :-
A. To detect fetal position
B. To detect diameter of fetal head
C. To detect placenta abnormalities
D. All of the above .
D

To prevent oral mucosa infection q4h , instruct patient to use :-
A. Warm saline gargle
B. Glycerin oil
C. Antibiotic
D. Warm gargle with mineral oil
A

Glomerula nephritis :-
A. Urea
B. Creatinine
C. Uric aid
D. Cholesterol
B

One of the vital care after cholecystectomy :-
A. Bed rest
B. Low fat diet
C. Low Cholesterol diet
D. Low protein diet
B

Pulmonary tuberculosis :-
A. To start anti TB drugs as prescribed
B. Detection of possible contacts
C. Scrupulous screening .
D. All of the above
D



X-ray of upper GI tract , the nurse should instruct the patient to take :-
A. Laxative previous day
B. NPO 8-12 hours
C. High fat diet
D. Normal diet
D








INORDER TO ADMINISTER 5 ML SYRUP TO PATIENT , WE USE A :-
A. ½ tsp
B. 1 tsp
C. ½ table spoon
D. 1 table spoon
B“ tsp == tea spoon”

In case of penetrating abdominal injury :-
A. hemorrhage
B. peritonitis
C. infection
D. hypovolemic shock
D

A very serious complication of hysterectomy :-
A. vaginal pain
B. vaginal discharge
C. abdominal distention
D. no urine out put
C

Deep breathing and coughing exercise done :-
A. at angle of 90 degree
B. angel 45 degree
C. lie laterally
D. semi-fowler’s position
D

Patient with spinal cord injury must be :-
A. not to move at all
B. log rolled
C. turn the back with support in the head
B

After spinal anesthesia , watch fore :-
A. hypotention / headache
B. fowler’s position to the optimum
C. numbness of extremities
D. analgesic
A

The cure for chronic renal failure is :-
A. dialysis
B. kidney transplant
C. diuretics
D. force fluids
B


Hypoglycemia :-
A. dizzy
B. headache
C. filthy odor
D. vomiting
A

28 days menstrual cycle . ovulation takes place :-
A. 16-18 days
B. 12-16 days
C. 10-13 days
D. 15-20 days
B

Acetyl salycilate [ aspirin ] immediate side effect :-
A. tinnitis
B. nausea & vomiting
C. abdominal pain
D. vomiting & diarrhea
b

digoxin can be with held to a patient with an apical pulse rate of below :-
A. 45
B. 60
C. 70
D. 80
b


the best time to collect urine for culture :-
A. early morning awaking sample .
B. 30 minutes after voiding
C. 30 minutes after fluid
D. double voided
a

organism inter blood stream :-
A. CNS
B. Urinary tract
C. Peritoneal cavity
D. Respiratory tract
D

Prothrombin – fibrin activator :-
A. Vit k
B. Ca
C. Vit c
D. Vit d
A

Hepatitis infects via :-
A. Oral
B. Sharing needles
C. Contaminated food
B

The postpartal patient should be watched closely during the first hours after delivery for :-
A. Uterine contraction
B. Vaginal bleeding
C. Hypotention
D. All of the above
D

Evaluation of the skin of a neonate for adequate hydration is best don by observing the skin :-
a. Color
b. Elasticity
c. Ton
d. Moisture
B

The child with cerebral palsy usually diagnosed :-
A. In the early months
B. When the child begins to walk
C. When the child begins to play
D. When the child enter school
A

The child with rubella should stay at home until :-
A. The rash appears
B. The rash disappears
C. One week after The rash disappears
D. The temperature is normal .
B

When caring for the elderly,s skin, special care must be taken because the skin becomes :-
A. More dry
B. Less elastic
C. More vascular
D. All of the above
D

The major goals for the burn patient in the first 48 hours after burn , is that the patient
A. Has fluid and electrolyte balance maintained
B. Develops no contractures
C. Dose not develop hyperthermia
D. Develops minimal scarring
A

After a mastectomy , a patient returns from surgery with a portable suction unit in place & a dry sterile dressing covering the site of incision . when observing this patient for signs of bleeding , the nurse should :-
A. inspect the bed clothes under the axillary area for signs of drainage .
B. turn the client on the affected side to inspect for blood that may flow backward
C. empty the measure output in the portable suction unit hourly
D. reinforce the operative site with a pressure dressing and observe if any drainage appears on the dressing .







The normal fasting blood glucose rang mg per 100 ml . of venous blood is
1. 60-80
2. 80-120
3. 100-150
4. 100-200
2

before irrigating a client’s NGT the nurse must first :-
1. assess breath sounds
2. instill 15 ml. Of normal saline
3. ausculate for bowel sounds
4. check the tube for placement
3

the best method of preventing the spread of infection is :-
1. isolating all patients suspected of having an infection
2. wearing rubber gloves when performing all nursing procedures
3. washing the hands thoroughly before & after each contact with a patient
4. sterilizing the hands with strong germicide at least once a day
3

which of the following is not an abnormal finding in a routine urine analysis ?
1. ph 60
2. pus
3. RBCs
4. protein
1


when caring for a client who has an open reduction and internal fixation of hip , the nurse encourages active leg and foot exercise of the unaffected leg every 2 hours to help to :-
1. reduce leg discomfort .
2. maintain muscle strength .
3. prevent formation of clots .
4. limit venous inflammation .
3

when administering an antibiotic or a vaccine , the nurse must be ***** for the possibility of :-
1. overdoses and CNS depression
2. hypersensitivity and possible anaphylaxis
3. sings of increasing infection
4. orthostatic hypotension
2

immediately after a child is admitted with acute bacterial meningitis , the nurse should plan to :-
1. assess the child’s vital signs every 3 hours
2. administer oral antibiotic medication as ordered
3. check the child’s level of consciousness every hour
4. restrict parental visiting until isolation is discontinued
4

when assessing the unconscious victim for pulselessness , which of the following is the best artery to chick :-
1. radial
2. femoral
3. brachial
4. carotid
4

common signs and symptoms of jaundice include:-
1. ascites
2. dermatitis
3. icteric sclera
4. dark-colored stools
3

patient with head injuries are not given sedative because these drugs may :-
1. produce coma
2. depress the patient’s respiration
3. mask the patient’s symptoms
4. lead to cerebral hemorrhage
3

in treating puncture wounds , the first priority is to :-
1. stop the bleeding
2. cleans the wound
3. give prophylactic treatment aginst tetanus
4. remove the object from the wound
1

ones the bleeding site has been determined , the first emergency measure to institute during hemorrhage would be to :-
1. apply a firm – pressure dressing
2. apply direct , firm – pressure over the bleeding area or the artery involved
3. apply a tourniquet just proximal to the wound
4. elevate the extremity
2

nursing measures that can be used to lower core body temperature include :-
1. immersing the patient in cold water
2. placing the patient on a hypothermic blanket
3. administering chilled saline enemas
4. all of the above measures
1

the female hormone that induces changes in endometrium to prepare uterus for implantation of a fertilized ovum and maintenance of a pregnancy is called :-
1. aldosterone
2. testoterone
3. progesterone
4. estrogen
3

for a hearing – impaired client to hear a conversation , a nurse should :-
1. use a louder tone of voice than normal
2. use visual aids such as the hands and eyes when speaking
3. approach a client quietly from behind before speaking
4. select a public area to have a conversation
2


when dealing with a client with aphasia , the nurse should remember to :-
1. wait for him to communicate
2. speak loudly to ensure that the massage is received
3. speak from the client’s side to avoid overload
4. encourage writing of massages

4[/align]
شارك
مشاركة في فيسبوك مشاركة في تويترمشاركة في قوقل بلص


من مواضيعي : lamar
  رقم المشاركة : [ 2 ]
قديم 02-03-2009, 01:40 AM
صحي جديد
 

lamar will become famous soon enough
افتراضي

[align=center]
Immunization should be started when child is :-
A. 6 months
B. 2 months
C. 1 months
D. 1 week
d

the most reliable method used for sterilizing hospital equipment to be free of spores and bacteria is :-
A. soaking in strong chemical
B. washing and drying it thoroughly after use
C. applying steam under pressure in an autoclave
D. boiling the equipment
c

nursing care of a child admitted with acute glomerulonephritis , should be directed toward :-
A. forcing fluids
B. promoting diuresis
C. enforcing strict bed rest
D. eliminating sodium from diet
b

the nurse empties a portable wound suction device when it is only half full because :-
A. it is easier and faster to empty the unit when it is only half full
B. this facilitates a more accurate measurement of drainage output .
C. their negative pressure in the unit lessens as fluid accumulates in it , interfering with further drainage
D. as fluid collects in the unit it exerts positive pressure , forcing drainage back up the tubing and into the wound .
d

a patient develops a small decubitus ulcer on the sacral area . the nurse should plan to deal with this problem by :-
A. keeping the area dry
B. applying moist dressing
C. providing a low caloric diet
D. keep the patient on the right side
a

when administering heparin , the substance the nurse would keep available as the antidote is :-
A. magnesium sulphate
B. protamine sulphate
C. calcium gloconate
D. vitamin k
b

the main effect of excess calcium on the myocardium is :-
A. spastic contraction
B. cardiac flaccidity
C. tetany
D. bradycardia
a

which of the following vitamin increase the retention of calcium and phosphorous ions in the blood :-
A. Vit A
B. Vit B12
C. Vit. D
D. Vit C
C

If a SC injection is in to which level of tissue must the solution be released :-
A. Epidermis
B. Dermis
C. Subcutaneous
D. Any of the above
C


A critical nursing measure to employ with a patient on any sulphonamide drug is to :-
A. Monitor blood pressure every 30 minutes
B. Force fluids
C. Watch for tinnitus.
D. Monitor electrolytes
B

The primary cause of decubitus ulcer is :-
A. Excessive perspiration
B. Pressure on bony area
C. Poor nutrition and inadequate fluid intake
D. Inability to control voiding
C

Contra indications to the use of anticoagulant include :-
a. Blood dyscrasias
b. Liver or kidney disease
c. Peptic ulcer
d. All of the above conditions
D

Progesterone is primarily used for the treatment of :-
A. Hypertension of pregnancy
B. Abnormal uterine bleeding
C. Unovulation
D. Hypermenorrhagia
B

The average daily amount if water eliminated from the kidneys as urine is :-
A. 500 cc
B. 1500 cc
C. 2000 cc
D. 1200 cc
the normal average is between 1200 – 1500 cc




surgical patients should be taught to perform leg exercises for the main purpose of :-
A. preventing muscle atrophy
B. preventing joint degeneration
C. improving circulation
D. preventing boredom
C

When a patient is vomiting post-operatively , the most important nursing objective is to prevent :-
A. dehydration
B. aspiration
C. rupture of suture line
D. metabolic acidosis
b

which of the following is an appropriate diet for a patient with congestive heart failure :-
A. low-calorie , high-residue diet with no caffeine
B. low-calorie , low- residue diet with low Na
C. high-calorie , low-fat , low-protein diet
D. high –protein , no fat , no carbohydrate diet
اللي اعرفه انه يكون قليل الملح والدهون مع تجنب شرب الكحول والقهوة


To obtain a truly estimation of the patient’s average blood pressure , your nursing assessment should include :-
A. only one blood pressure reading
B. ****** reading , which should be taken at the same time each day for 7 days
C. ****** reading , which should be taken every 2 hours over an 8 hour period for 2 days
D. blood pressure reading on both arms should be taken sitting and standing once a day for 2 days
b

dietary control of patients with ulcers should include :-
A. taking antacids every hour
B. increase roughage in the diet
C. eliminate highly seasoned food
D. increasing amount of carbohydrate
C

During physical examination , the part of the kidney may be felt on deep palpation is :-
A. lower pole of the right kidney .
B. lower pole of the left kidney .
C. entire right kidney .
D. right and left kidney
I am not sure but I think a or b


The major nursing goals post-operative care of the cataract patient is to :-
A. prevent hemorrhage and stress on the sutures
B. prevent hemorrhage and eye stress .
C. prevent increased intro-ocular pressure and to promote better visual acuity
D. promote decreased intro-ocular pressure and to maintain a visible lens .
b


which of the following lab. test must be done on a patient with major burns , prior to administration of antibiotics :-
A. complete blood account
B. wound culture
C. type and cross match
D. sensitivity studies
b

for how many days after a facial wound are sutures usually left in place ?
A. 3 days
B. 10 days
C. 14 days
D. 7 days
a


To control bleeding from the radial artery , pressure to be applied directly above the :-
A. Thumb on the flexor surface of the arm .
B. Thumb on the extensor surface of the arm .
C. Little finger on the flexor surface of the arm .
D. Little finger on the extensor surface of the arm .
B

All patients taking tranquilizers must be warned that they may feel :-
A. Anxious
B. Nauseated
C. Clumsy
D. Drowsy
D

Witch of the following indicates placental separation after delivery :-
A. A globular – shaped uterus
B. A sudden rise of the funds
C. A sudden gush of blood
D. All of the above signs
D

If a patient whose membranes ruptures during labor and prior to descent of the head , the nurse must assess the patient fore :-
A. Hemorrhage
B. Pain
C. Cord prolapsed
D. Uterine inertia
C

A must important nursing measure in the prevention of thrombophebitis for the post-partum patient is :-
A. Elastic stocking
B. Early ambulation
C. Anticoagulant
D. Isometric exercise
B



As a child increases age , cardiac and respiratory rate should :-
A. Increase
B. Decrease
C. Remain unchanged
D. Stabilize at the adult level
B

An excellent diet suggest for an elderly patient is :-
A. High-calorie , low-fat , high carbohydrate diet
B. low-calorie , low-fat , lot of fruits and vegetables
C. High-calorie , high-fat , high protein diet
D. low-calorie , high-fat , high protein diet
b

in opened and close fracture , the nurse should be aware of which of the following when open fracture is presented ?
A. mal-alignment
B. infection
C. bleeding
D. pain
b

nursing consideration for a child with osteomyelitis should include :-
A. relieving of pain
B. maintaining antibiotic therapy
C. maintaining adequate nutrition
D. all of the above
d


how long should the affected extremity be kept elevated after the application of cast ?
A. until the cast is dry
B. when the leg is no longer painful
C. for 24 hours after casting
D. for 72 hours after casting
c


when the skin , whole epidermis , dermis and the underlying structures are affected in a burn , it is called :-
A. first degree burn
B. second degree burn
C. third degree burn
c

the most common and serious complication of burns that often lead to death is :-
A. hypovolemic shock
B. hypothermia
C. sepsis .
D. infection
a




before giving antibiotic to a burn patient which of the following should be done first:-
A. wound culture
B. blood tests
C. wound dressing
D. sensitivity testing .
d

when the patient is diaphoretic , there is tachycardia and decrease blood pressure , he is experiencing :-
A. neurogenic shock.
B. Hypovolemic shock
C. Hypothermia
D. Septicemia
B

What type of isolation precaution is indicated for a burn patient ?
A. Standard precaution
B. Reverse isolation
C. Proper isolation
D. Disposal of sharps
A

Which is the best aid to prevent breast cancer ?
A. Teaching women how to perform self breast exam
B. Public knowledge about chemotherapy
C. To eat fruits and vegetable only
D. Encourage women to perform self breast examination monthly
D

In cute stage of osteomyelities , the child should be :-
A. Confined to bed .
B. Up with crutches .
C. Up in a wheelchair
D. Up and about
A

Which one should the nurse monitor first in an infant ?
A. Respiratory rate
B. Cardiac rate
C. Pulse rate
D. Motor functioning
A

When assessing neonates hydration , the nurse should check for the skin’s :-
A. Elasticity
B. Tone
C. Moisture
D. Color
A

Cerebral palsy can be detected in which of the following stage of child’s life ?
a. During the early months
b. When the child is walking
c. When the child is playing
A
What is the normal weight of the new born according to statistics ?
A. 3700 gms
B. 3200 gms.
C. 2500 gms
D. 4500 gms
c

when the head of the baby is already out in a cervix , the nurse should do which of the following first ?
A. ask the mother to push more
B. check if the baby is breathing
C. wait for the baby to come out
c

FHR is heard clearly on fetal :-
A. head
B. back
C. abdomen
b

soon after the delivery of head of the baby the nurse should :-
A. suction mouth and oral cavity
B. wait for the delivery of the baby
C. ask her to push
a

normal birth weight of newborn according to statistics :
A. 2.500 gm
B. 3.200 gm
C. 3.500 gm
D. 3.700 gm
a

the fetus will get immunity from :-
A. lymph system
B. placenta
b
diet and nutritional status of pregnancy should be encouraged :-
A. first trimester
B. second trimester
C. third trimester
a

precaution of infection diseases in early childhood ?
A. immunization
B. isolation technique
C. parental education
a
when the bag of water ruptures , the nurse should watch for which of the following :-
A. cord prolapse
B. bleeding
C. fetal death
D. fetal distress
E. respiratory distress
a
during labor a mother experienced dystocia , which of the following should the nurse watch out for ?
A. fetal death
B. hemorrhage
C. cord prolapse
a

which are the signs of placenta separation ?
A. rising of the fundus
B. sudden gush of blood
C. globular shape of the uterus
D. all of the above
d

during hyperthermia which of the following should be done as measure to lower the temp. of the baby ?
A. immerse baby in cold water
B. give cold enema
C. external cooling measures
D. all of the above
a

when is health teaching concerning nutrition be given to a pregnant woman ?
A. first trimester
B. second trimester
C. third trimester
a

premature labor occurs during :-
A. between 20-36 weeks
B. between 36-42 weeks
a

which of the following hormones prepares the uterus for the arrival of a fertilized ovum for implantation ?
A. progesterone
B. estrogen
C. FHS
D. NON OF THE ABOVE
A

What is the most common complication after hysterectomy ?
A. Abdominal distention
B. Hemorrhage
C. Vaginal pain
D. Vaginal discharge
A


When dose ovulation occur?
A. Between 10-12 days
B. Between 12-16 days
C. Between 18-21 days
B

Diphtheria vaccine is being given during infancy and repeated :-
A. Booster dose at age 6
B. Every after 5 years
C. Every after 10 years .
D. No booster is recommended
A

There is no vaccination for :-
A. Small pox
B. Measles
C. DPT
D. Polio
A

The end of the first stage of labor is :-
A. When the cervix starts to dilate
B. Full dilatation of cervix up to 10 cm
C. Birth of baby
D. Separation of placenta
B

One sign of vaginal infection is :-
A. Pain
B. Itchiness
C. Foul smelling discharges
C

One post-partum nursing responsibility for preventing vaginal bleeding is :-
A. Put patient on trendelenburg position .
B. Regulate IV fluid with oxytosis
C. do fundal massage frequently
C

Fetal heart tone is best heard at :-
A. anterior part of the fetus
B. posterior back of the fetus
B

During pregnancy iron supplement starts on :-
A. first trimester
B. second trimester
C. third trimester
b
72 hours post placental delivery , fundic height will be :-
A. 1-2 finger above the umbilical
B. 1-2 finger below the umbilical
C. on the level of umbilical
b

in the hospital , isolation is indicated if the patient :-
A. staphylococcal pneumonia
B. local staphylococcal infection
C. puerperal fever
D. all are indicated
d
at which age is administration of the measles vaccine the most effective :-
A. 2 months
B. 6 months
C. 12 months
D. 15 months
b

the postpartal patient should be watched closely during the first hours after delivery for:-
A. uterine contraction
B. vaginal bleeding
C. hypotension
D. all of the above
d

premature labor is the labor that occurs between :-
A. 20-36 week gestation
B. 28-37 week gestation
C. 30-38 week gestation
D. any of the above
b

which of the following complication is life threatening after a penetrating abdominal injury :-
A. Hemorrhage .
B. Peritonitis
C. Abdominal distention
A


WHICH OF THE FOLLOEING IS THE IMMEDIATE TREATMENT FOR PUNCTURED WOUND ?
A. CLEANS the wound
B. Stop the bleeding
C. Remove the object from the wound
D. Give prophylactic anti-tetanus
A

When there is malfunction of the glomerular filter there is high secretion of:-
A. Urea
B. Creatinine
C. Potassium
D. Protein
A

In a nephritic syndrome , aside from clinical manifestation , what else can the patient complain upon consultation ?
A. Protienurea
B. Oliguria
C. albuminuria
D. polyuria
B



ECT is indicated to treat :
A. psychotic depression
B. obsessive compulsive disorder
C. neurosis
A

After taking tranquilizer ,a nurse must warn the patient that he may experience :-
A. nausea
B. hallucination
C. drowsiness
C

One of the signs and symptoms of paralytic ileus is:-
A. increased peristalsis
B. increased gas formation
C. absence of bowel sounds
C

The most important nursing responsibility following head injury is :-
A. monitor vital signs and record
B. monitor GCS –Glasgow coma scale
C. observe for restlessness
B

Post –operative prevention of thrombophebitis :-
A. leg exercise in bed
B. passive exercise by nurse to patient
C. early ambulation
c

nursing management which is contraindicated for thrombophelbitis :-
A. encourage early ambulation
B. deep breathing and coughing exercise
C. massage the operative site i.e. leg calf muscle
c


what will you observe following spinal anesthesia ?
a. nausea and vomiting
b. restlessness
c. hypotension and headache
c

second degree burns involve:-
A. skin , dermis
B. dermis , subcutaneous , muscle
C. epidermis , dermis , subcutaneous
c

within 48 hours of burns , management is focused on :-
A. prevention of infection
B. hydration
b


best diagnostic test for suspected leukemia is:-
A. CBC
B. Blood chemistry
C. Bone marrow aspiration
C

Nursing responsibility on leukemia :-
A. Ensure safety
B. Prevent infection
C. Obtain blood samples regular
B

Immediate management for reaction during blood transfusion :-
A. Slow down the rate
B. Stop blood transfusion
C. Change blood transfusion with a new pack
B

How many liters of oxygen can be given with nasal canula ?
A. 1-2 liters
B. 1-10 liters
C. 1-6 liters .
c

destruction of bacterial is called :-
A. medical asepsis
B. surgical asepsis
C. disinfections .
c

first management of unconscious victim is :-
A. administer shock
B. determine unresponsiveness
C. administer oxygen .
B

Nursing responsibility before giving Digoxin:-
A. Check BP
B. Check apical rate
C. Instruct patient to do deep breathing
B

Explain briefly the following :-
A. Comminuted fracture
B. Simple fracture
اترك لكم حرية التعبير .




Treatment of scurvy :-
1. Vit.b supplement
2. Vit.c supplement
3. Iron supplement
2
Atropine so4 is given pre-operative to :-
1. relax the patient
2. decrease the secretion
3. prevent intra-operative bleeding
2

when the patient is diagnosed with wilm,s tumor , the nurse should :-
1. always keep bed rails up
2. avoid palpation of abdomen
3. observe foe nausea and vomiting
2

a patient with asthma is receiving intravenous aminophylline .the adverse reaction for which the nurse should observe is :-
1. oliguria
2. braducardia
3. hypotension
4. hypertension
اللي اعرفه انه ممكن يسبب تسارع النبض وصداع كأثر جانبي

The force with which the blood is pushing against the arterial walls when the ventricles are contracting is called:-
1. pulse pressure
2. pressure gradient
3. systolic pressure
4. diastolic pressure
3

acide-base balance refers to the regulation of the concentration of:-
1. hydrogen ions
2. sodium
3. bicarbonates ions
4. plasma protein
1

carbohydrates are stored in the body in the form of :-
1. glucose
2. glucagons
3. glycogen
4. glucose 6 phosphate
3

the period in which communicable is most contagious is the :-
1. incubation period
2. period of illness
3. convalescent period
4. all are equally contagious
1

spinal fluid for culture :-
1. can be stored in the refrigerator for 48 hours
2. can survive refrigeration for only 4-6 hours
3. must be examined immediately
4. will survive in a holding medium for 72 hours
3
an enjection the gluteal site must be given in which quadrant of the buttocks :-
1. upper – inner quadrant
2. upper-outer quadrant
3. lower – inner quadrant
4. lower – outer quadrant
2

the most important rout of drug excretion for nonvolatile substances is:-
1. lungs
2. kidneys
3. feces
4. liver
2

atropine is capable of producing which of the following effects :-
1. dilated pupils
2. decreased bronchial secretion
3. blocked stimulation of the vagus nerve
4. all of the above
4

the sulfonamide drugs remin the treatmint of the control of :-
1. respiratory infections
2. skin infections
3. urinary tract infections
4. gastrointestinal infections
3

The drug of choice for treatment of an angina pectoris :-
1. nitroglycerin
2. quinidine
3. epinephrine
4. dopamine
1

any one using antihistamine should be cautioned that antihistamine may cause:-
1. drowsiness
2. hypertinsion
3. tachycardia
4. anaphylaxis
1
the most frequent causes of death in pneumonia patients are shock and:-
1. pulmonary embolism
2. pulmonary edema
3. pulmonary consolidation
4. atelectasis
2.

the most important factor in the promotion and maintenance of wound healing both during surgery and the postoperative period is :-
1. adequate fluid intake
2. proper administration of antibiotics
3. strict asepsis
4. frequent cleansing of the wound
3
the major complications of inhalation anesthesia which the nurse should be constantly aware of :-
1. circulatory depression only
2. circulatory and respiratory depression
3. respiratory and renal depression
4. renal and circulatory depression
2

if the skin must be shaven prior to surgery . ideally the preoperative shave be done:-
1. the night before
2. early in the morning of the surgery
3. no more than one hour before surgery
4. by the patient before entering
3

which of the following amounts of water per day should be ingested by the average person to maintain hydration :-
1. 500cc
2. 1000cc
3. 1200cc
4. 2500cc
4

in the internal environment , fluids make up what percent of body weight :-
1. 10%
2. 20%
3. 40%
4. 70%
4

in which of the following ways can ascorbic acid be administer ?
1. orally
2. IM
3. Diluted intravenous fluids
4. all of the above
1

the type of burn in which all the dermis and epidermis , is destroyed and there is involvement of underlying structures is called :-
1. superficial or first degree burn
2. partial thickness or second degree burn
3. full-thickness or third degree burn
4. fourth degree burn
3

while teaching diabetic patient to give himself insulin , you should stress that injections should not be given in any one spot more often than every:-
1. 36 hours
2. one week
3. two weeks
4. month
1



which of the following dietary restrictions are usually indicated to decrease edema in nephritic :-
1. high – protein , low – calorie , on sodium restrictive diet
2. high – protein , high – calorie , low on sodium diet
3. low– protein , low – calorie, high vitamin diet
4. low– protein, high – calorie , on sodium diet
2

following a sigmoidoscope , the patient should be observed for signs of hemorrhage and :-
1. fluid loss
2. performation
3. flatus
4. nausea
2

to avoid the possible development of heart diseases following rheumatic fever the patient must guard himself against infection :-
1. until the fever is gone
2. for one year
3. until sedimentation rat is normal
4. for the rest of his life
4

hypertension is a persistent elevation of systolic and diastolic pressure above:-
1. 140/90 mmhg
2. 150/190 mmhg
3. 160/100 mmhg
4. 160/110 mmhg
1

After below knee amputation :-
1. keep the patient in semi fowler’s
2. stump to be evaluated
3. watch the site for bleeding
2

before giving Digoxin :-
1. check; apical pulse .
2. check BP
3. check respiration
1

to collect urine c/s specimen , the most accurate method:-
1. catheterize the patient
2. mid stream urine
3. provide sterile bedpan and collect urine
2

the nurse should observe the patient receiving decradon:-
1. urinary stasis
2. hypotension
3. infection
4. weight loss
3
active immunity is acquired by :-
1. having had the disease
2. exposure to
3. taking the vaccine
1
signs of septic shock :-
1. cool & clammy skin
2. bradicardia
3. warm & dry skin
1

oral contraceptive used for :-
1. once daily for 21 days
2. once daily for 18 days
3. once daily for 28 days
1

normal arterial O2 saturation :-
1. 85%
2. 92%
3. 97%
4. 100%
4

atropine is given prior to surgery :-
1. to relax the muscle
2. to control the secretion
2

valve which control the blood flow from right atrium to right ventricle :-
1. bicuspid valve
2. tricuspid valve
3. mitral valve
4. pulmonary artery
2

the common complication after operation :-
1. fever
2. pulmonary edema
3. pulmonary embolism
3

digitalis is given :-
1. with meals
2. before meals
3. 2 hours after meals
4. bedtime
1

diet in cirrhosis of liver without ascitis and swelling :-
1. low protein with multivitamins
2. high protein with vitamins B supplement
3. high protein with sodium restriction
4. high protein with diet .
1

persistent sweating , hypotension , tachycardia with loss of fluid on blood . nurse would suspect :-
1. hypovolemic shock
2. cardiogenic shock
3. septic shock
4. neurogenic shock
1

before the collection of blood culture , the site should be cleansed:-
1. 70% isopropyl alcohol
2. 100% isopropyl alcohol
3. povidone iodine
1

blood transfusion reaction occurs , the nurse should :-
1. slow down the rate
2. notify the physician
3. shut off the transfusion
3

signs of hyperglacemia :-
1. polyuria , polydepsia , loss of appetite
2. acetone breath , flushed face , polyuria
2

if O2 is ordered as midication , which method the nurse would choose ?
1. nasal canula
2. nasal catheter
3. O2 mask
4. O2 tent
1


pre-op medication is given :-
1. 2 hours before operation
2. 45 min. before operation
3. previous night of operation
4. as physician ordered
4

temp. 98.6 f , is equal to :-
1. 37C
2. 37.5C
3. 36.8C
4. 37.3 C
1

A+ve tuberculin test means the person has :-
1. active TB
2. inactive TB
1



complication of chemotherapy :-
1. bon marrow depression
2. liver damage
1

ECT is given for :-
1. psychotic depression
2. obsessive compulsive neurosis
3. hysteria
1

Age group more prone to get rheumatic fever :-
A. 5-15 years
B. 5 years
C. above 65 years
a

iron is mostly absorbed in :-
A. large intestine
B. small intestine
C. liver
b

early signs of respiratory arrest:-
A. thready pulse
B. cyanosis
C. orthopnea .
b

one fluid ounce equal to :-
A. 30cc
B. 15cc
C. 60cc
D. 5cc
a

most effective , easy and un-expensive method of sterlization is :-
A. heat
B. pressure
C. drying
D. antiseptic
b

in nephritic syndrome , apart from clinical manifestation the patient would complain of:-
A. proteinuria
B. oliguria
C. hematuria
b

in active stage of osteomelitis the child should be:-
A. continue in bed
B. allowed to sit in a wheel chair
C. walk up and down
a
an enlarged movable lymphnode is a sign of:-
A. inflammation
B. malignant
C. normal lymph node
D. any of the above
a

to prevent irreversible brain hypoxia CPR should be commenced within:-
A. 2-3min
B. 4-6 min
C. 6-8 min
D. 8-10 min
a

post-operative patient to do deep breathing & change of position every:-
A. 2 hourly
B. 4 hourly
C. in each shift
D. hourly
a

cystitis patient should be encourage to pass urine :-
A. 2-3hourly
B. 2-3 hourly & 2 times in the night
C. 2-3 times round the clock
D. any one of the above according to the patient’s schedule
a

mode of transmission of hepatitis A :-
A. oral
B. parental
C. blood transfusion
a

reacting of penicillin :-
A. anaphylactic shock
B. vomiting
C. nausea.
A

Disease without vaccination :-
A. small pox
B. measles
C. polio
D. chicken pox
d

health teaching to a diabetic patient will be on :-
A. diet , oral hypoglycemic , weight loss , feeding
B. diet , insulin , exercise , feeding
C. diet , hypoglycemic , exercise , feeding
D. about complications
c


surgical asepsis means :-
A. destroying bacteria from articles .
B. removing the bacteria which is in contact with the patient
C. destroying the bacteria before entering in to the body
D. hand washing
a

ECG done for a patient with chest to assess:-
A. stress of heart rate
B. change the rhythm
C. the decreased blood supply to the particular part of the heart
a

the nurse is expecting fracture of bone for patient , the sign would be:-
A. absence of normal activity
B. tenderness
C. loss of sensation
D. all of the above
a

the medicine which will pass through placenta to the fetus:-
A. antibiotic
B. narcotics
C. sedatives
D. all of the above
d[/align]
من مواضيع : lamar
lamar غير متواجد حالياً  
  رقم المشاركة : [ 4 ]
قديم 02-03-2009, 01:58 AM
صحي جديد
 

DA.R will become famous soon enough
افتراضي

جزاك الله خير

واسمحيلي لطشت رابط الصفحة

تحياتي
من مواضيع : DA.R
DA.R غير متواجد حالياً  
  رقم المشاركة : [ 5 ]
قديم 02-04-2009, 06:39 PM
صحي جديد
 

lamar will become famous soon enough
افتراضي

شاكره لكم مروركم

بالتوفيق للجميع
من مواضيع : lamar
lamar غير متواجد حالياً  
  رقم المشاركة : [ 6 ]
قديم 02-04-2009, 07:12 PM
RNS
صحي جديد
 

RNS will become famous soon enough
افتراضي

جزاك الله خير لو الاختبار كذا محد يرسب بس حاب اقلك

انا اختبرت قبل يومين والاسئله من شركة برومترك الامريكيه والاسئله كلها case ومختلفه تماما عن الاسئله هذي
والاسئله صعبه جدا جدا جدا جدا والله على ماقول شهيد .............

انا طالب كليه ومعدلي 3.8
RNS غير متواجد حالياً  
  رقم المشاركة : [ 7 ]
قديم 02-04-2009, 08:06 PM
صحي جديد
 

ωeвsites ∂esiиger will become famous soon enough
افتراضي

جزاك الله خير اخوي وما قصرت

نسأل الله التوفيق للجميع

-------

اخوي Rns

اذا عندك نموذج للي اختبربته ياليتك تفيدنا به

وهل نجحت في اختبار برومتوك ؟

بالتوفيق يا عزيزي
ωeвsites ∂esiиger غير متواجد حالياً  
  رقم المشاركة : [ 8 ]
قديم 02-05-2009, 01:37 AM
صحي جديد
 

الحسيني1 will become famous soon enough
افتراضي

اخوي Rns
اتمنى اذ عندك نموذج لاختبار برومترك تنشره
ولك منا الدعاء بالتوفيق
من مواضيع : الحسيني1
الحسيني1 غير متواجد حالياً  
  رقم المشاركة : [ 9 ]
قديم 02-05-2009, 02:03 AM
RNS
صحي جديد
 

RNS will become famous soon enough
افتراضي

يا اخوان 70 سؤال والله ما اذكر شي بعدين انا رسبت وضيعت كل شي لكن وعد مني اذا تذكرت اي شي انزله على الفور وعموما ركزوا على
1- العملي في المستشفى وعلى الحالات لان الاختبار كله حالات
2- النساءوالولاده جا منها اسئله والاطفال

معظم الاختبار يعطيك nursing intervention ويقلك وش الاولويه وهكذا والادويه وlab result وabger scoreو glasw coma scale

والله يوفق الجميع
RNS غير متواجد حالياً  
  رقم المشاركة : [ 10 ]
قديم 02-05-2009, 02:26 AM
صحي جديد
 

ممرض عتيبي will become famous soon enough
افتراضي

ياشباب لو فيه نموذج ياليت تطرحوونه هنااا
من مواضيع : ممرض عتيبي
ممرض عتيبي غير متواجد حالياً  
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