DHA MCQs 1/4

DHA MCQs 1/4

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1.             Mother came to ER with child diagnosed with rheumatic fever the nurse should ask the mother if there is family members has
A.  Congenital heart disease
B.   Recently have tonsillitis

2.       A 45 years old with severe upper GI bleeding is admitted to the medical ward. The doctor orders the nurse to give the patient blood transfusion. Which peripheral IV catheter gauge is best for this procedure?
A.      14 gauge
B.      16 gauge
C.      20 gauge
D.      24 gauge

3.             Which of the following religion is prohibited the blood transfusion?
A.  Christian
B.   Muslims
C.   Jewish
D.  Jehovah

4.             A nurse is caring for a client who is having an allergic reaction febrile , flushed what the first nursing action
A.    Stop blood transfusion immediately
B.   Replace the blood with saline.
C.   Administer an antihistamine.
D.  Place the client flat with the feet elevated.

5.       The nurse is monitoring a client receiving a blood transfusion after 30 minutes when the client develops a cough with shortness of breath. The client also complains of a headache and a racing heart. What should the nurse do first?
A.  Stop transfusion immediately
B.   Replace the blood with saline.
C.   Administer an antihistamine.
D.  Slow the infusion rate
Important Notes : if reaction happened within the first 15 minutes ……. Stop blood transfusion immediately .
if reaction happened after 15 minutes……… slow infusion rate first cause of overload then inform the physician

6.       During a patient's blood transfusion, which of the following are associated with an allergic reaction? the nurse should recognize that
A.     Diarrhea and rapid onset of chills
B.      Itching and asthmatic wheezing
C.      Low back pain and acute renal failure
D.     Distended neck veins and a rise in venous pressure
 
7.                   A nurse is assigned to care for a 32-year-old glomerulonephritis. The nurse is transcribing patient file.
Which of the following orders should the nurse clarify?
A.      Bed rest
B.      Daily weights
C.      Strict intake and output check
D.      Frequent blood pressure check

8.             When is the best time to collect urine specimen for routine urinalysis and culture and sensitivity?
A.  Early morning
B.   Later afternoon
C.   Midnight
D.  Before breakfast

9.       The nurse is assigned to care for a patient with Paget's disease complaining of bone pain. Which of the following conditions is this patient high risk for?
A.  Hypomagnesaemia
B.   Hypernatremia
C.   Hypercalcemia
D.  Hyperkalemia

10.          Mother came to ER with rheumatic fever baby the nurse should ask the mother about?
A.  if there is any member family has Congenital heart disease
B.   If he recently had tonsillitis 
11.   Young patient arrived to ER with burn in his left arm and his weight 48Kg how to calculate fluid requirement for the patient according to parkland formula?
A.     1572ml
B.      1220ml
C.      1728ml
D.     2000ml
4 x WT x burned are.......................... 4 x 48 x 9= 1728ml
 
12.   A75 year-old man is scheduled to undergo phacoemulsification surgery. The nurse meets with the family for a pre-operative. The patient has a diagnosis of Alzheimer’s disease with memory decline. The family says that he
has become increasingly for and that his emotions are unstable. Which of the following actions the patient is expected to do operation?
A.  Lay supine for 20 minutes
B.   Sit without moving under laser
C.   Consistently speak clearly
D.  Tolerate general anesthesia
 
13.   A nurse admits a client sent from the health care provider’s office. The nurse calls the provider to obtain prescriptions. Which action does the nurse take?
A.      Hold treatments until the provider signs the prescriptions received.
B.         Read each prescription back to the provider prior to ending the call.
C.      Have the provider provide the prescriptions to another nurse as well.
D.      Verify the prescriptions with the charge nurse before beginning treatment.

14.          ABG reading was low PH ,HIGH PCO2 , NORMAL Hco3 what the interpretation ?
A.      Compensated respiratory acidosis

B.      Uncompensated respiratory acidosis
C.      Metabolic acidosis
D.      Metabolic alkalosis

15.   A 47 years old newly been diagnosed as having gastroesophageal reflux disease (GERD) comes to the clinic for follow up appointment. The nurse prepares health education on the cause and care of GERD. Which of the following stomach area is associated with the diagnosis? (See image)
A-  1
B-  2
C-     3
D-    4

16.          three years old has returned to the clinic after 4 days of being
diagnosed with gastroenteritis and dehydration. A parent reports that the vomiting has stopped, and the child is tolerating liquids, rice, applesauce, and bananas. The diarrhea persists, but seem to be decreasing in volume.
When evaluating for signs of dehydration, the nurse will assess the patient’s skin turgor by:
A.  grasping the skin over the abdomen with two fingers and raising the skin with two fingers
B.   grasping the skin over the forehead with two fingers and raising the skin with two fingers
C.   holding the patient’s mouth open and assessing the tongue for deep creases or furrows
D.  drawing two tubes of blood and running blood urea nitrogen (BUN) and creatinine (Cr)

17.   To decrease the anxiety of a 10-year-old girl who is undergoing surgery. Which of the following should the nurse do?
A.  Use a heart model to show her how the surgery will go
B.  Provide her with verbal explanation of the upcoming surgery
C.  Give her a book to read about the surgery 2 weeks prior
D.  Let her parents talk to her about the importance of having surger

18.   An infection control nurse notices purulent exudate, redness and tenderness on the surgical wound site for a few postoperative patients in a surgical unit. She discussed with the ward nurses and emphasized that wound infection after surgery can be prevented. Which of the following is the best possible action to minimize the incidence of wound infection?
A.  perform assessment of pain on the wound site
B.  wash hands before and after each patient activity
C.  encourage adequate intake and early ambulation
D.  support incision appropriately and avoidance of straining

19.   A nurse is giving health education regarding the management of premenstrual syndrome symptoms to a group of first year nursing students. Which of the following information regarding diet will the nurse include in the presentation?
A.  take three healthy meals a day to prevent hypoglycemia and increase feeling of well-being
B.  include simple sugars in the diet to prevent low blood glucose levels which cause mood swings
C.  drink 2000ml of fluid (water, coffee, tea) per day to flush the kidneys and improve fluid retention
D.  decrease intake of caffeine such as coffee and chocolate to minimize irritability, insomnia and anxiety
 
20.          Hepatitis C complication include ; liver cirrhosis , Liver cancer, Liver failure

21.   A diabetic mellitus patient had left low-knee amputation. The nurse in the surgical unit has been doing wound care for three days. The nurse evaluated the wound's condition to review the care plan. Which sign shows poor glucose control in wound healing?
A.  Swelling of the stump
B.  Bleeding of the stump
C.  Mild redness of the wound site
D.  Separation of the wound edges

22.   When examining the tympanic membrane of adult by otoscope, the nurse should move the ADULT pinna in which direction?
A.  Down and forward
B.  Up and back
C.  Up and forward
D.  Down and back

23.   When examining the tympanic membrane of infant by otoscope, the nurse should move the Infant pinna in which direction?
A.  Down and forward
B.  Up and back
C.  Up and forward
D.  Down and back

24.   A client has just returned to a nursing unit after an above-knee amputation of the right leg. The nurse should place the client i which position?
A.      Prone
B.      Reverse Trendelenburg's
C.      Supine, with the amputated limb flat on the bed
D.      Supine, with the amputated limp supported with pillows

25.   patient with ongoing blood transfusion and the nurse observe that patient has difficulty to breathing and shivering what the nursing priority
A.  stop infusion
B.  call physician
C.  slow rate of infusion
D.  give Intravenous fluid

26.   A 70 years old man is brought to the emergency department on a wheelchair. He complains of drowsiness, fatigue and lack of appetite for the past three days. With history taking, the patient stated that he did not eliminate since five days and he is not ambulating a lot because he has arthritis in both knees. Why is constipation one of the common problems for immobilized patients?
A.      decreased peristalsis
B.      increased colon motility
C.      an increased defecation reflex
D.      decreased tightening of the anal sphincter

27.   Tympanocentesis is a minor surgical procedure that refers to puncture of the tympanic membrane with a small gauge needle in order to aspirate fluid from the middle ear.

28.          Otitis media surgery is myringotomy

29.          Suspect patient with H1N1 what is the highest priority nursing action ?
A.  Isolate the patient in private negative pressure room
B.  Take nasopharyngeal swab

30.          MAP (mean arterial pressure) definition : average pressure in a patient's arteries during one cardiac cycle

31.   A home health nurse visits a patient who is newly diagnosed with diabetes. The patient is compliant with taking the prescribed hypoglycemic medications and eats three meals a day followed by desserts sweetened with granulated sugar. The patient also exercises 30 minutes a day, three times a week. (See lab results) Test Glucose HgbA1c Result Range from 6.6-8.36.9%Normal 3.9-5.5mmol/L 4.7-5.6% Which of the following educational intervention takes priority?
A.  glucoses Monitoring
B.  dietary requirements
C.  exercise regimen
D.  medication

32.   A30 years old married man presents to the clinic with complaints of feeling sad for the past three months. He is unable to maintain regular sleep routine; he lost his appetite and has difficulty concentrating. He is prescribed a medication which prevent the reuptake of specific neurotransmitters that could contribute to his mental health problem. Which side effects would be most important for the nurse to advise the patient of?
A.  polyuria
B.  photophobia
C.  fluid retention
D.  sexual dysfunction

33.   A surgical unit nurse assessed a 35 years old post appendectomy observe abdominal distention with absent bowel sounds. Which of the following interventions is most appropriate?
A.  Encourage ambulation
B.  Provide liquid diet as tolerated
C.  Ensure patency of nasogastric tube
D.  Check surgical site for signs of infection

34.   The nurse assesses a client with an ileostomy for possible development of which of the following acid-base imbalances?
A.  Respiratory acidosis
B.   Metabolic acidosis
C.   Metabolic alkalosis
D.  Respiratory alkalosis

35.          Postpartum perineal assessment acronym is REEDA in which letter A mean ?
A.  Approximation ( how well edges come together )

36.          Which food consider low potassium diet ?
A.  Bananas
B.  Avocado
C.  Berriers
D.  Strawberry

37.          Which one of the following signs and symptoms is associated with increased intracranial pressure?
A.  restlessness and confusion
B.  bradycardia and hypertension
C.  tachycardia and hypotension
D.  respiratory depression and headache

38.          The nurse anticipates which of the following responses in a client who develops metabolic acidosis.
A.  Heart rate of 105 bpm
B.   Urinary output of 15 ml
C.   Respiratory rate of 30 cpm
D.  Temperature of 39 degree Celsius

39.          The Code of Professional Conduct is produced and published by:
A.  The Nursing and Midwifery Council
B.  The Royal College of Physicians
C.  The Royal College of Nursing
D.  The Department of Health

40.   During a prenatal examination. The nurse draws blood from a young Rh negative client and explain that an indirect Coombs test will be performed to predict whether the fetus is at risk
for:

A.  acute hemolytic disease
B.   respiratory distress syndrome
C.   Protein metabolic deficiency.
D.  pathologic hyperbilirubinemia

41.          Excess iodine affects with organ first?
A.  Brain
B.  Heart
C.  Liver
D.  thyroid

42.   46-year-old patient is in the male Urology Ward after the surgical removal of the stone from his left kidney through percutaneous nephrolithotomy under general anesthesia. He has nurse and dull acting pain in left lumbar region. His nephrostomy bag ia attached through atube in his left kidney for a few days ( see image)
What findings should alert the nurse to report to the physician immediately?
A.      Abdominal discomfort and conniption
B.      Severe pain and discomfort at surgical site
C.      Presence of blood and stone gravels in urine
D.      Urine output less than the identified amount

43.   A 6-year-old child was admitted to pediatric medical ward with acute glomerulonephritis. Which of the following is an indication of acute glomerulonephritis?
A.      Pain in urination
B.      Frequent urination
C.      Difficulty in urination
D.      Pharyngitis 15 days ago

44.   while school nurse was teaching a group of 14 years old children one of them remark 'you are too young yo be our teacher! you are not much older than we are how should the nurse respond?
A.      How do you think I am
B.      We need to stay focused on the topic
C.      Do you think you can teach it any better
D.      I think I am qualified to teach this group

45.   A 9 A cardiac monitor for a patient in a Coronary Care unit shows abnormal ECG rhythm with heart rate of 159 beats, QRS complex (0.18 second), and absent P wave. What could be the type of possible dysrhythmia?
A.  Sinus tachycardia
B.   Ventricular tachycardia
C.   Ventricular fibrillation
D.  Supraventricular tachycardia

46.   9year-old child has a fractured femur and full leg cast has been Which of the following is a physiologic effect of immobilization?
A.  A Venous stasis
B.   B Increase metabolic rate
C.   Positive nitrogen balance
D.  D Increased need for oxygen

47.   A community health nurse screens a group of high-risk adults for tuberculosis Which gauge needle should the nurse use for an intradermal injection on the volar surface of the forearm?
A.  16 gauge needle
B.  20 gauge needle
C.  22 gauge needle
D.  26 gauge needle

48.          The maximum time for suctioning in adults is:
A.  5 second
B.  8 seconds
C.  10 second
D.  15 second

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

50.   A registered nurse in the Intensive care Unit performed Glasgow scale assessment on a 50-year-old man who sustained head 24 hours ago. The recorded Glasgow Coma score was 10.
which one of the following actions should be taken immediately nurse?
A.      Inform the registered nurse in charge of the nursing
B.      Protect the patient by raising the two side rails
C.      Inform operation theatre for emergency surgery

D.      Perform neurologic assessment every 15 minutes