DHA MCQs 5.2
Some multiple-choice questions may contain errors. If you notice any, please share your corrections in the comment box. Your feedback will help us improve, and your cooperation is greatly appreciated.
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
2. A 4 years old girl, was playing outside, she came to her mom crying and holding her right upper arm, she went to the hospital with swelling over the upper arm, pain and itching, the appropriate management is:
A. Maintain patent airway
B. Administer s/c Epinephrine
C. Prepare for intubation
3. An older adult client with renal failure comes to the emergency department with a report of nausea and vomiting. The client's heart rate is 45 beats/min. The nurse is most concerned about which medication that the client takes
A. Nitroglycerin
B. Digoxin
C. Doxorubicin
D. Furosemide
4. The nurse is caring for a 60-year-old in the Medical-Surgical Unit. On entering the room the nurse finds the patient alert, oriented and. The skin color appears healthy and pink. The nurse observes electrocardiogram and notices absent P-waves. Which initial action is the most important?
A. Defibrillate
B. Cardio version
C. Pacemaker preparation
D. Intravenous amiodarone
5. During health education for a patient on Monooamine oxidase inhibitor (MAOI) the nurse instruct him to avoid certain foods that can interact with the MAOI. Food containing with of the following contents should be avoided?
A. Alcohol
B. Caffeine
C. Tyra mine
D. Folic acid
6. After teaching a 54 year old patient with angina on how to take nitroglycerin sublingual PRN. Which of the following statements reflect the patient understanding?
A. I have to take this medication once i need it only
B. It is ok to take one tablet daily to prevent the heart attack
C. I can take two tablets together at once if the attack is
D. This medication will regulate my heart beats and I will be
7. A 45 year old client who diagnosed with brain was schedule for craniotomy. It is important to preventing the developing of cerebral edema after surgery. What medication would the nurse expect to prescribe the client?
A. Steroids
B. Diuretics
C. Ant convulsions
D. Antihypertensive
8. On orientation day, a 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
9. 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
10. A head nurse of a coronary care unit delegated staff scheduling to a senior nurse in that unit. Which of the following steps must the head nurse implement before delegating tasks?
A. Negotiate with the senior
B. Take signature of senior
C. Explain task to senior
D. Make sure hospital policies for delegating tasks
11. A 45 year old patient has a colostomy bag attached as a result of benign mass removal, while conducting the discharge teaching session, the nurse assessed the patient's wife understanding of the teaching. Which of the following steps of nursing process is exercised here?
A. Implementation
B. Planning
C. Assessment
D. Evaluation
12. Which of the following is correct nursing process order?
A. Diagnosis, assess, plan, evaluate, implement
B. Assess, diagnosis, plan, implement, evaluate
C. Evaluate, assess, plan, implement, diagnosis.
D. Plan, assess, diagnosis, evaluate, implement
13. A nurse calls a physician regarding a change in a patient's condition. A physician gives orders over the telephone for stat arterial blood gases. Which of the following is the best intervention to be implemented?
A. Give order stat to health unit coordinator to input in computer
B. Write down order and read it back to physician
C. Write down order for ABGs immediately
D. Call respiratory therapist stat to draw the ABGs
14. During Cardiopulmonary Resuscitation (CPR) for a 75-year-old man in the Emergency Department, the doctor introduced himself as a leader for the CPR. What is the most appropriate leadership style for this situation?
A. Autocratic
B. Democratic
C. Bureaucratic
D. Laissez-faire
15. A nurse manager is open minded, listens to the team, understands others, makes changes to improve unit operations and procedures. What type of leadership style is this?
A. Situational
B. Democratic
C. Compassionate
D. Transformational
16. A nurse manager includes staff in decision-making process what unit structure is used?
A. Divisional
B. Centralized
C. Functional
D. Decentralized
17. What is the main limitation of democratic style of leadership?
A. it ignores the incompetent personnel
B. cannot be used in emergency situations
C. decreases collaboration among the team
D. may end up in inappropriate decision making
18. A nurse manger is preparing and writing a plan for dealing disasters (code red). Which procedure is the top priority for the nurse manager the plan?
A. Infection control
B. Staff orientation
C. Patient education
D. Patient relocation
19. nurse manager was not happy about low results of patient’s survey. Which of the following is the first step for nurse manager?
A. Schedule meeting with staff
B. Review evaluation details
C. Report to director
20. A 14- nurse manager assigns tasks according to clinical competencies of the nurses. Which of the following is the management function?
A. Delegating
B. Evaluating
C. Planning
D. Controlling
21. post-operative patient who underwent an abdominal procedure requests a pain medication from the nurse and rates the pain at a level nine. There 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 box
22. An 81-year-old bed ridden patient in the Geriatric Ward was pyretic through his nasogastric tube. After an hour, the patient deep sleep, his breathing pattern changed and he did not rep calling his name. Which of the following should be the immediate nursing intervention?
A. Call the physician to examine the patient
B. Check for the correct dosage given
C. Check vitals and inform physician
D. Try to wake up the patient
23. The nurses in the Male Medical Unit took a signature on the from a patient who needs an abdominal CT with contrast. What is the best nursing practice?
A. Consent should be taken after the procedure
B. Verbal consent is acceptable for this procedure
C. Consent should be taken from the patient's relatives
D. Consent should be taken according to the organization's
24. In the hospital digital dashboard, what types of data displayed?
A. Staffing
B. Financial
C. Performance
D. Knowledge-based
25. 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
26. surgeon instructs a nurse to serve as a witness to an elderly patient’s informed consent for surgery. During the explanations to the patient, it becomes clear that the patient is confused and does not understand the procedure, but reluctantly sign the consent form. The nurse should:
A. Sign the form as a witness, making a nation that the patient did not appear to understand
B. Not sign the form as a witness and notify the nurse supervisor
C. Not sign the form and answer the patient’s questions after the surgeon leaves he room
27. A 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 culturological assessment
C. Ensuring that the client has his/her a privacy
D. Looking at the client's file to take history
28. The head nurse meets with staff nurses to discuss ways to improve communication among shifts Which of the following statement best exemplifies the final stage of conflict management?
A. "We need to clearly define the nature of the conflict”
B. " I will evaluate the outcomes of the strategies used monthly
C. " Let us create a time line for the implementation of our strategies”
D. " I have to force you to follow the rules to resolve the issue”
29. 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
30. What must be known on legal points of delegation when process to a new nurse?
A. Evaluation of performance of delegate by clients
B. Actual time it takes to complete the task by delegat
C. Institution definition of the job description of
D. Number of times that the delegate has previously task
31. The nursing director wants to evaluate the quality of nursing care at the in-patient areas. The management team will evaluate on quarterly basis the documentation and the relationship between the patient's length of stay and the quality of care which of the following is the most important data source to identify the quality of care?
A. Patient's complaints and time taken to resolve them
B. Patient's satisfaction level at the time of discharge
C. Details of nursing notes for patient's progress
32. The nurse manager received complaints from some nursing to improper work distribution and discrimination How should the nurse manager handle the situation?
A. Investigate the complaints
B. Identify list of problems
C. Continue to observe
33. which of the following is the most appropriate action for a head nurse starting at a new hospital?
A. Make immediate change at the unit
B. Plan and coordinate new strategies
C. Assess unit activities for at least three months
D. Ask about the previous head nurse managerial style
34. After teaching the deep breathing and coughing who is undergoing a surgery, the nurse asked Demonstration and then helped him in correcting what part of therapeutic communication is used
A. Evaluation
B. Intervention
C. Identification
D. Demonstration
35. the intensive care unit nurse manager plans to delegates a nurse. What is indicated for a successful delegation?
A. Nurse Manager supervises nurse.
B. Nurse has authority to change task.
C. Nurse Manager checks task sometimes.
D. Nurse Manager asks another nurse to check task.
36. 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
37. nurse accidently dropped a medication ampoule, informed the charge nurse, and completed an incident report form. The charge nurse arranges medication replacement.
Which of the following is the immediate nursing action required?
A. Revise protocol for medication related incidences
B. Allocate senior nurses to medication assignments
C. Provide missed medication dosage to patient first
D. Incident reporting must be given the priority
38. 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
39. Nurse manager first days in new hospital will..?
A. introduce himself to staff
B. observation for 3 month before begin work
40. patient fall down in hospital where is the nurse documentation?
A. incident report
B. care plan
C. kadex
41. After accessing patients' medical records, which behavior nurse shows that patients confidentiality has been breached?
A. Reviews patients medical record
B. Read patients care plan
C. Disclosing patients information
A. PACU NURSE
B. SCRUB NURSE
C. ANAESTHESIA TEAM
D. CHARGE NURSE
43. a charge nurse in the nurse was noted poor staffing schedule in one of the shift. The schedule caused problems among staff members in the unit. The women the charge nurse should bring the problem to?
A. Supervisor
B. Chief nurse
C. Follow charge nurse
D. Grievance committee
44. nurse responsible for narcotic medication loses on ampule morphine. She reports the problem to nurse manager. Which of the following is the first thing she should say according to the SBAR approach?
A. I have lost one ampule of morphine
B. We should ask the nurse about the morphine
C. I think I left the lid of narcotics box open
D. We should open an investigation into problem
45. A nurse intervention a patient recently admitted to long term care facility to obtain information on the patient health perception. The nurse encourage the patient to elaborate this change. Which of the following type of question would be the most effective in this situation?
A. Analytical
B. Focused
C. Closed
D. Open ended
46. A nurse enters the room of a patient named Ahmed Saeed to administered medication but the patient not wear his identification bracelet. Which of the following is the most appropriate nursing action?
A. Ask the patient are you Ahmed Saeed?
B. Ask the patient what is your name
C. Ask the patient hat mediation do you take
47. Nurse manager prepares unit clinical operational plan What is top priority in the plan?
A. Infection control
B. Staff orientation
C. Quality projects
D. Safe patient care
48. .What is a characteristic of democratic leadership style?
A. More changes
B. Structured work
C. Staff participation
D. No leader decisions
49. Which of the following vaccines in highly recommended to be taken by pilgrims before Haji season?
A. Meningococcal meningitis
B. Tuberculosis
C. Hepatitis A
D. Polio myelitis
50. Which of the following is the main reason the makes nurses concerned about adolescents health status?
A. Take risky behaviors
B. Consider themselves as adult
C. Have more health issues
D. Transitional period to adulthood
51. A patient fell in the bathroom and his left leg was fractured, in order to communicate information about the patient to the next shift. Which of the following documentation should be used by the nurse at the nurse at the end of the shift?
A. Kardex record
B. Assignment record
C. Shift report
D. Incident report
0 Comments