DHA MCQs 2.1
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1. A 55 year-old man takes cyclosporine mg by mouth twice per day. He had a heart transplant two months ago. He complains of stomach cramping, diarrhea and muscle twitches. Which electrolyte is most likely elevated?
A. Calcium
B. Sodium
C. Magnesium
D. Potassium
2. A conscious victim of a motor vehicle accident arrives at the emergency department. The patient is Gasping for air, is extremely anxious, and has a deviated trachea. What diagnosis should the nurse Anticipate?
A. pleural effusion.
B. tension pneumothorax
C. pneumothorax
3. Normal systolic Bp for new born:-
A. 40-60
B. 60-80
C. 80-100
D. 100-120
4. The doctor toush the bed by the sterile gloves the nurse should:
A. Ask him to change the gloves and to give him new one
B. Let him to complete the Central line procedure
5. MR ahmed admitted to ICU with congestive heart disease his vital signs BP 110/60 HR 120 . stroke volume 80 the nurse expected cardiac output to be
A. 180
B. 1700
C. 2400
D. 9600 cardiac output = stroke volume x Heart rate
6. A nurse is leading an educational session on the correct use of oral contraceptives. One of the attendees ask the nurse what to do if she missed taking an oral contraceptive for one day? Which of the following should be the nurse advice to her?
A. Continue as usual with no back up contraception
B. Take an active pill immediately and take the next pill at the usual time
C. Take two pills as soon as possible and then one pill daily at the usual time
D. Use back up contraception such as a condom for the next 7 day
7. Mother came with her baby with thalassemia the nurse will monitor Iron level and chelation therapy with deferasirox or deferoxamine to prevent organ damage
8. A woman is 5 weeks gestation diagnosed with hyperemesis gravidarum what is the most important nursing action?
A. sychological support
B. Folic acid supplementationr
C. strict intake and output record
D. providing the woman with a high protein diet
9. A nurse is preparing to administer 25 mg iron dextran inject patient with iron deficiency anemia .the nurse knows this d to subcutaneous tissue and wants to administer the drug safely which of the best administration techniques ?
A. Z-track
B. deep im
C. c. use large gauge
D. insert needle at 45 angle
10. A surgical nurse is assigned to care for a woman who had undergone vaginal hysterectomy. The nurse performed assessment. Which of the following potential problem that the nurse should observe?
A. Pain
B. Fever
C. Anxiety
D. Bladder dysfunction
11. A 45 year-old man who is hospitalized feels tge constant need to keep things in order , particularly whilst eating m the nurse observe him arranging the food on his plate into symmetrical and equal bite sized pieces , he constantly worries that the food served could be outdate and potentially causes illness
Which nursing diagnosis is most important
A. Ineffective verbal communication
B. Self-esteem disturbance
C. Impaired social interaction
D. Anxiety
12. What do the standards of pain management dictate nurse do?
A. Avoid the use of the word "pain"
B. Screen for pain at each encounter
C. Discourage around-the-clock dosage of analgesics
D. Administer analgesics via injection whenever possible
13. Baby born at 35-week was admitted in neonatal intensive 27hours ago, physical examination revealed yellow discoloration sclera and mucus membrane. The result of bilirubin level every 170mol. The infant was diagnosed with neonatal jaundice physician order to start single phototherapy. Which of following should the nurse consider as a priority during phototherapy of this newborn?
A. ensure proper fitting of eye covering (patches)
B. monitor bilirubin levels every 48 hours
C. feed the infant formula every 4 to 5 hours
D. avoid removing the infant from phototherapy
14. 50year-old male was diagnosed with subdural underwent burr hole craniotomy for subdural hernatoma days ago. In order to detect the sign of meningitis as one of which of the following indicates the patient has meningitis ?
A. Negative Kernig's signs
B. Positive Brudzinski's sign
C. Absence of nuchal rigidity
D. Glasgow comma scale of 14 points
15. 10 years old boy diagnosis appendicitis has serve pain, the tool of pain scale to be use is:
A. Face pain rating
B. Flacc rating scale
16. A patient diagnosed with septic shock had an upward-trending glucose level (180-225 mg/dL) requiring control with insulin. the patient's spouse asks why is insulin needed as the patient does not have dia Which of the following is the most appropriate nursing response to educate the patient's spouse?
A. "It is common for critically clients to develop type diabetes. We give insulin to keep glucose level under control (less than140 mg/dL)"
B. " Patient had diabetes before, you just didn't know it. we give insulin to keep glucose level in the normal range (70-110 mg/dL)
C. " Increase in glucose is a normal response to stress by the body. We give insulin to keep the level 1t 140-180-mg/dL"
D. " Increase is common in critically ill clients and effects their ability to fight off infection. We give insulin to keep the glucose level in the normal range (70-110 mg/dL)"
17. 33-year old man presents to the emergency department with high grade fever, tachycardia, and tachypnea.
What is an appropriate nursing intervention for the patient’s fever?
A. provide dry clothing
B. keep limbs close to the body
C. cover the patient’s scalp with a cap
D. measure the patient’s fluid intake and output
18. A 78-year-old alert and oriented patient is returning from the radiology Department and the nurse is preparing to transfer the patient from the wheelchair back into the bed. The nurse places the belt on the
Patient and prepares to lift the patient from the chair Which body mechanics would be most appropriate?
A. Widen leg stance
B. Bend over to lift
C. Rotate from the waist
D. Maintain base of gravity in the feet
19. A 62 year-old male patient , admitted in the surgical Ward is scheduled for the surgical removal of polyps from his descending colon under general anaesthesia . he is experiencing fatigue , abdominal pain and blood streaked stools for a couple of months . he is worried whether the bleeding in his stools is going to stop after surgery .
What is most appropriate response by the nurse for the patient concern ?
A. Surgery often relieves the symptoms
B. Let us have a detail discussion with your physician
C. Your condition may or may not resolve , it depends
D. In fact surgery is the only treatment for the problem
20. A 70year-old male patient is brought to the emergency department on awheelchair he complain of drowsiness , fatigue ,lack od appetite for the last 3days . with history taking , the patient stated that he did not eliminate since 5 days and he is not ambulating a lot because he has arthritis in both knee . why constipation is one of the common problem for immobilized Patients ?
A. Decreased peristalsis
B. Increased colon motility
C. An increased defecation reflex
D. Decreased tightening of the anal sphincter
21. A patient is admitted to surgical unit after the removal of foreign body from the trachea through the bronchoscopy . he is exhausted and is monitored for stability .
What is the most desired outcome of nursing care?
A. Presence of cough reflex and expectorant
B. Relaxed pain free and easily inbreathing
C. Optimum oxygen saturation at room air
D. Increase energy and activity level
22. A patient has undergone pericardiocentesis as part of the management of cardiac tamponade Which of the following would be most indicative of cardiac tamponade recurring?
A. Facial flushing
B. Declining heart sounds
C. Muffled heart sounds
D. Increasing blood pressure .
23. A 19-year-old girl was scheduled for the extraction under general anaesthesia. Her pre-operative was done and the consent was signed by her, but her nail polish and trim her long nails, requirement.
What should be the nurse's action in response to?
A. Explain why nails need to be cleaned
B. Respect the patient's right to refuse
C. Record and inform physician
D. Remove as per protocol
24. A nurse is caring for a pregnant patient who is diagnosed with abruption placenta. Which of the following findings of assessment would indicate a concealed hemorrhage?
A. Maternal tachycardia
B. Decrease in fundal height
C. Rigid, board like abdomen
D. Acceleration in fetal heart rate
25. In placenta Previa marginalia, the placenta is found at the :
A. Internal cervical os partly covering the opening
B. External cervical os slightly covering the opening
C. Lower segment of the uterus with the edges near the internal cervical
D. Lower portion of the uterus completely covering the cervix
26. An infection control nurse notices purulent exudates , redness and tenderness on the surgical wound site for few post –operative patients in a surgical unit , She discussed with the ward nurse and emphasized that wound infection after the surgery can be prevented. Which of the following is the best possible action to minimize the incidence of wound infection ?
A. Perform assessment of pain on the wound site
B. Wash hand before and after each patient activity
C. Encourage adequate intake and early ambulation
27. 62.receiving multiple mosquito bites and experiencing flu-like symptoms, patient consults a nurse at a clinic and asks whether an appointment to a health-care provider is necessary. Which of the following statements should be the basis for the nurse’s bonse?
A. Antiviral medications can be prescribed to destroy virus
B. Clinical signs can be mild flu-like symptoms to fatal encephalitis
C. If patient has West Nile virus, symptoms will progressively worsen
D. If patient used insect repellent, virus would have been destroyed when mosquito made skin contact
28. 54- community health nurse visited a postnatal primigravida mother who ent back to work. The nurse instructed the woman the different positions breast-feeding in order to lessen the burden of the mother at night. Which of the following position will the nurse recommend for the mother night?
A. Cradle hold
B. Football hold
C. Reclining position
D. Side lying position
29. 45- multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action?
A. Document normal finding
B. Massage the fundus to be firm
C. Assess lochia amount and color
D. Admit the mother to the hospital
30. What is a characteristic of an outstanding hospital vision?
A. Specific in scope
B. Easily understood
C. Focused on the past
D. Kept in a private place
31. A 7-week-old infant boy is admitted with projectile vomiting decreased urine output decreased bowel movements and weight loss. He has poor turgor and appears hungry. The nurse observes left-to right peristaltic waves after he vomits. The nurse would expect to find which of the following during the physical assessment?
A. Hepato-spleenomegaly
B. A palpable pyloric mass
C. Lymphadenopathy
D. Bulging fontanelles
32. A woman is 5 weeks gestation diagnosed with hyperemesis gar what is the most important nursing action?
A. sychological support
B. Folic acid supplementationr
C. strict intake and output record
D. providing the woman with a high protein diet
33. A 4-month old infant is admitted with diarrhea and vomiting.To prevent the recurrence of diarrhea the nurse should instruct the mother to do which of the following?
A. Frequent hand washing
B. Increase milk intake
C. Increase water intake
D. Change diaper frequently
34. Before administering a dose of furosemide (Lasix) to a 2-year old with a congenital heart defect, the nurse should confirm the child's identify by checking the hospital ID band and
A. Verifying the child's room number.
B. Verifying the identity with a second nurse.
C. Asking the parent the child's name.
D. Asking the child to tell you his name.
35. A patient diagnosed with obsessive-compulsive disorder (OCD) continually carries a toothbrush, and will brush and floss up to fifty times each day. The healthcare provider understands that the patient's behavior is an attempt to accomplish which of the following?
A. Experience pleasure
B. Relieve anxiety
C. Avoid social interaction
D. Promote oral health
36. Which of the following uses for abdominal examination
A. Percussion Inspection. Auscultation. Palpation
B. Auscultation .Percussion .Palpation Inspection
C. Inspection. Auscultation. Percussion. Palpation
D. Inspection. Palpation auscultation .percussion.
37. Before sending a client for a CT with contrast dye, what the nurse's most important action?
A. Teach about the need for post-procedure hydration.
B. Verify that the informed consent is complete.
C. Place the side rails of the bed up before transport.
D. Check the client's health record for allergies
38. A 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
39. Patient with cataract was admitted in the ward for cataract surgery. On admission, the patient perceived that surroundings are mer as if her glasses need cleaning .What is the most important nursing problem at the early stage?
A. Eye pain
B. Diplopia
C. Blurred vision
D. Light scattering
40. nurse is about to perform venipuncture to initiate intravenous therapy with 0.9% normal saline solution.
Before venipuncture, the nurse collects the require supplies and plans to Perform certain action. Which of the following actions is the most important?
A. Apply a tourniquet below the site of venipuncture
B. Place an arm board at the joint above the venipuncture
C. Apply cool compress over the vein to be used for venipuncture
D. Inspect 0.9% normal saline solution date of expiry
41. 133-patient is being weaned off from the mechanical ventilator is about to hook the endotracheal tube to oxygen at FiO2 of 40 Which of the following oxygen administration device is the best the nurse in
this situation?
A. Ambo bag
B. Ventura mask
C. Tracheostomy collar
D. T-piece/ Briggs
42. A 4-month old infant is admitted with diarrhea and vomiting. To prevent the recurrence of diarrhea the nurse should instruct the mother to do which of the following?
A. Frequent hand washing
B. Increase milk intake
C. Increase water intake
D. Change diaper frequently
43. A patient is transferred to the post-anesthesia care unit (PACU) after surgery with epidural anesthesia. After taking the patient's vital signs, what should the nurse assess next?
A. Spinal headache
B. Postoperative pain
C. Bladder distention
D. Ability to move legs
44. A post- portative patient in surgical unit most indicative of a developing complication?
A. increasing alertness
B. weak and rapid pulse
C. negative homans' sign
D. minimal bowel sounds in four quadrants
45. A 22-year-old patient is admitted in the male diagnosis of tonsillar abscess. He has high fever along with dysphagia, difficulty in talking and patient is planned for needle aspiration of the intravenous antibiotic including penciling.What is nursing problem need attention first?
A. An imbalance nutrion due to inadequate
B. acut pain related to throat inflammation
C. impaired swallowing related to dysphagia
D. hyper thermia related to acute infection
46. A nurse received the serum digoxin level result for the patient the day and notes that the result is
2.6 ng/mL (see lab result)
Test result normal value
Digoxin (men) 2.6 0.8-2ng/mL Which of following nursing actions is the most important?
A. Notify the physician
B. Check previous vital signs of patient
C. Record normal value on nursing note
D. Administer scheduled dose of medication
47. All of the following are types of spina bifida EXCEPT:
A. Myelomeningocele
B. Hemophilia
C. Meningocele
D. Spina Bifida Occulta
48. In the 12th week of gestation, a client completely expels the products of conception. Because the client is Rh-negative, the nurse must:
A. Administer RhoGam within 72 hours
B. Make certain she receives RhoGAM on her first clinic visit
C. Not give RhoGam since it is not the birth of a stillborn
D. Make certain the client does not receive RhoGAM since thegestation only lasted 12 weeks
49. Which of the following patient can be transferee from emergency unit to inpatient ward?
A. Patient with DKA has nausea and vomiting
B. Patient with respiratory distress
C. Patient has operation next day
D. Patient with hematoma on manitol
50. A client who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus’ head is:
A. Not yet engaged
B. Entering the pelvic inlet
C. Below the ischial spines
D. Visible at the vaginal opening
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