DHA MCQs 2.2
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51. 30 years old women absent her menstruation for 5 months and her menstrual cycle come every 28 days, she controlled her diet and do heavy exercise this women condition?
A. Pregnancy
B. Primary amenorrhea
C. Secondary amenorrhea
52. A nurse was newly appointed to work in the Surgical Ward. She was assigned to take care of an obese patient who just had an open laparotomy. Her mentor told her to pay attention to the surgical risks associated with obesity. Which of the following postoperative complications the nurse should consider as a high risk complication?
A. Hunger
B. Gas pain
C. Hemorrhage
D. Impaired wound healing
53. A nurse noticed that the digit probe of the pulse oximeter that is attacked to the right forefinger of a patient is not reading. Which of the following is the most appropriate action that the nurse must take at this time?
A. Change the location of the pulse oximeter
B. Get a new pulse oximeter sensor probe other than a digit probe
C. Maintain position and check it after two hours
D. Assume oxygen saturation is at normal level
54. A nurse has taught a patient with iron deficiency anemia about eating als that are high in iron. Which of the following meal is low in iron?
A. Dried beans and brown rice
B. Eggs and whole wheat toast
C. Steak and a salad made with fresh spinach
D. Cheese pizza and pasta with tomato sauce
55. A 45-year-old woman patient was diagnosed with bronchial asthma and was admitted in the Medical Ward.
The nurse taught the patient to metered dose nebulizer. Which of the following action indicates that she understands the instruction?
A. Inhale slowly and deeply puff
B. Does not shake the pre-packaged nebulizer
C. Administer the puffs rapidly between breath
D. Remove the aero chamber immediately after administering the puff
56. Which of the Following Is the First Step for Inhaler Technique ducation in Patients with Asthma
A. Breathe out gently.
B. Place mouthpiece between lips.
C. Shake the inhaler.
D. Wait a few seconds then repeat the above process
57. nurse is caring for a child with a diagnosis of pneumonia. The plan of nre includes nebulizer treatments and chest physiotherapy. When should the nurse perform chest physiotherapy?
A. Prior to the nebulizer treatment
B. After the nebulizer treatment
C. Intermittently during the nebulizer treatment
D. Continuously during the nebulizer treatment
58. When assessing the funds level At 36 week it is at the Xiphoid process
59. Pregnant women with genital herpes …. Caesarean section
60. Caput succedaneum” refers to swelling, or edema,
61. Nephrotic syndrome urine color Dark urine
62. Stages of grief after death The five stages, Denial, Anger, Bargaining, Depression and Acceptance ( DABDA)
63. Complication of MI is Dysrhythmias
64. Nursing supervisor have shortage of staff call for help
65. Gestational diabetic mother can be treated with Diet management
66. Which of the following is the best describe of hospital Vision.
A. provide a quality of care we would want for ourselves,
B. Treat every individual in a non-judgmental manner, ensuring privacy, fairness and confidentiality
C. Improve the responsiveness of our services for the benefit of our patients and their families
D. Helping local people live longer, healthier lives.
67. Basal skull fracture signs Racoon eyes
68. Signs Intracranial pressure in infant with hydrocephalus is bulging anterior fontanel
69. Less than 24 hours after postpartum calls a nurse in the Mother/Infant Unit. She reports that she has very heavy bright-red bleeding. being discharged, a mother who is newly What would be the best advice to give her?
A. "Don't worry about it; it is normal."
B. "Call your doctor and ask what to do."
C. "Lie down, massage lower abdomen. If it does not work then come to the hospital immediately."
D. "Lie down for about an hour. Then check your bleeding, if it is still as heavy, call me back."
70. For physical assessment steps for the foot is
A. Inspection , palpation
B. Palpation , auscultation
C. Percussion, palpation
71. A nurse is teaching cord care to a group of new mothers during a baby bath demonstration. One of the mothers ask the nurse on how to prevent infection of the cord. Which of the following is the best nursing response?
A. Apply antibiotic cream to the cord after every diaper
B. change Clean the cord with water when necessary and keep dry
C. Clean the cord with surgical spirits twice a day
D. Cover the cord with a bandage and change daily
72. A37 years-old man present man present to emergency department with chest pain . An ECG shows significant elevation in the ST segm II , III and aVF ,indicating MI related to occlusion in the artery what is the location of MI?
A. Posterior MI
B. Anterior MI
C. Inferior MI
D. Lateral MI
73. which of the following indication for patient with MI:-
A. ST depression
B. ST elevation
C. short ST
D. none of the above
74. Complication of MI Dysrthymias , heart failure , pulmonary edema , angina , pericarditis , Dressler syndrome
75. Causes of MI atherosclerosis , coronary artery disease , elevated cholesterol level , hypertension,
smoking , obesity , stress
76. Watery rice diarrhoea cholera
77. 71-year-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 meninge?
A. Negative Kernig's signs
B. Positive Brudzinski's sign
C. Absence of nuchal rigidity
D. Glasgow comma scale of 14 points
78. A nurse evaluate dietary practices of a patient who had been as having acute glomerulonephritis . the patient verbalized following the appropriate diet for acute glomerulonephritis . which of the following diet verbalized by the patient is approved diagnosis ?
A. Restricted fluid intake
B. Restricted dietary protein
C. Increase intake of low fiber food
D. Increase intake of sodium-rich food
79. which of the following best describes the role of a case management?
A. promotes healthy lifestyle.
B. provides coordination of care to ensure continuity.
C. possesses highly skilled communication methods.
D. promotes the comfort of the patient
80. A 3-year-old child is admitted to the hospital with seizures. He oriented and has a rash in his extremities and is diagnosed meningitis. While doing physical examination of him, he starts to seizures. Blood pressure
100/57 mmHg Heart rate 110 /min Respiratory rate 30 /min Temperature 39.5 Which of the following is the priority of care during the seizure?
A. Put the child on right side
B. Protect the child from injury
C. Call the physician immediately
D. Administer oxygen 100%
81. A 5 years old child admitted with bacterial meningitis and is having seizure. Which of the following intervention the nurse should initiate ?
A. restrain the child’s limbs to prevent injury
B. slowly put the child on his side on the floor
C. clear the area of objects and administer oxygen
D. roll the child to prone position to protect the airway
82. In the summer months, a five year-old girl presents with a sore throat and a dry cough that has slowly become worse over the past three weeks. Her body temperature is 38.0oC. On auscultation, there is wheezing and shortness of breath. She lives in an overcrowded house with three brothers, parents and grandparents in a low- income neighborhood where she attends school. Which is the greatest risk factor?
A. Residing in a low-income neighborhood
B. Exposure to a pathogen in summer season
C. Attending school
D. Living in crowded conditions
83. A female patient diagnosed with cancer she intended to spend a part of her money for the poor people in case of her cure. this action by the patient is considered?
A. Denial
B. Acceptance
C. Bargaining
D. Anger
84. 70 years-old woman is admitted to the cardiac care unit wit atrial fibrillation and is receiving intravenous diltiazem and heparin What is the most likely nursing diagnosis?
A. High risk for infection
B. High risk for impaired gas exchange
C. High risk for decreased cardiac output
D. High risk for disturbed sensory perception
85. A patient hospitalized with chest pain is diagnosed with angina Which of the following discharge instruction takes priority?
A. recognize signs and symptoms that require immediate report
B. Maintain low cholesterol, low sodium, and low potassium
C. Carry heavy objects away from the chest area
D. Maintain physical exercise daily
86. The nurse is assigned to care for a patient with Paget’s dis complaining of bone pain. Which of the following conditions is this patient high risk for?
A. Hypomagnesaemia
B. Hypernatremia
C. Hypercalcemia
D. Hyperkalemia
87. A 25-year-old-primipare visited her primary health care clinic husband. He says that his wife delivered 5 days ago. For the past days she is very irritable and crying for nothing, she is tired and sleep and he is very concerned about her condition. Which of the following diagnosis by the attending physician will her symptoms?
A. Post-partum blues
B. Postpartum psychosis
C. Postpartum depression
D. Postpartum anxiety
88. A 44 year-old woman presented to the Emergency Department with eye pain and redness. She was diagnosed with uveitis related to a viral infection. The doctor prescribe dexamethasone eye drops.Where is the correct place to instill eye drops?
A. Above the eyelid
B. Directly into the cornea
C. Into the conjunctiva sac
D. Outside the conjunctiva sac
89. A 22-year-old man presents to the Emergency Department complaints of breathing difficulties. He appears restless and reports that he has had a cough with thick green sputum for days. The nurse performs auscultation over the lung fields.
Blood pressure 130/80 Heart rate 100
Respiratory rate 24
Temperature 39
Which clinical finding is most likely heard over the right lower?
A. Decreased vocal resonance
B. Decreased fremitus
C. Tympani
D. Bronchial
90. A hospitalized 72-years-old man who uses a walker is received medication and must use the bathroom several times each night To promote the safety of the patient, which of the following appropriate nursing action?
A. Keep the side rails up
B. Leave the bathroom light on
C. Provide a bedside commode
D. Withhold the patient’s diuretic medication
91. A man patient admitted to the Medical Unit was diagnosed with deep venous thrombosis complaining of pain on both legs. Which of the following nursing diagnosis most likely describes problem?
A. Risk for injury
B. Fluid volume excess
C. Electrolyte imbalance
D. Impaired tissue perfusion
92. A client was admitted in the Emergency Room due to mild metabolic acidosis associated with dehydration and potassium the doctor administered Hartmann’s (lactated Ringer’s) intravenous fluid and electrolyte replacement. Which of the following elements of the lactated Ringer’s solution highest value?
A. Calcium
B. Sodium
C. Potassium
D. Magnesium
93. A client with a blunt trauma underwent an exploratory lapartomy repair an intra-abdominal injury. A nasogastric tube attached suction and two closed-wound Hemovac abdominal drains He is receiving an
intravenous infusion of Ringer’s lactate epidural with continuous morphine. Twenty-four hour post- develops hypotension, tachycardia, oliguria and sever nausea Which of the following is the priority nursing diagnosis?
A. Nausea
B. Risk for infection
C. Deficient fluid volume
D. Impaired urinary elimination
94. The nurse is mentoring a newly graduated nurse who is right-handed 39 year-old woman who underwent a left-sided and is now in the medical-surgical unit. The intravenous fluid to infiltrate into the infusion site and the student nurses equipment to insert a new intravenous catheter. Which catheter insertion site would indicate that the new nurse needs to be corrected?
A. A site that has soft and elastic skin
B. A site next to a joint
C. The right arm
D. A distal site
95. A client in the second stage of labor is unable to push and lacks to bear down. What is the most appropriate next step?
A. Assess fetal descent
B. Infuse intravenous fluids
C. Empty the client’s bladder
D. Administer oxygen to the mother
96. patient with a spinal cord injury states, "I have no constitution; I can’t do anything for myself." Which of the following best describes this patient condition?
A. Powerlessness
B. Delusions
C. Suicidal
D. Resignation
97. A discharge planner is reviewing the file of a patient in prepare move him from the acute care to home care.
What activity should the discharge planner to do ensure the co care?
A. Make referral to the appropriate department
B. visit patient’s house to make sure it is safe
C. Call pharmacy to prepare medications for patient
D. Organize transportation for patient to be moved to
98. A newly assigned nurse to the home health care department was conducting pre-entry phase of home visit.
Which of the following activities should the nurse do?
A. call physician for referral order
B. collect information and schedule a visit
C. establish mutually acceptable goals for care
D. conduct a health history and physical assessment
99. A nurse was educating a group of woman on prevention of infection. The nurse asked each woman to state one preventive of vaginal infection. Which woman needs more education?
A. First woman "keep vaginal area clean & dry"
B. Second woman "wear cotton under wear"
C. Third woman "wipe from front to back after urination or
D. Fourth woman "Do vaginal douche twice a day "
100. A nine-month-old child who has had four ear infections in six months is being discharged.
Which statement by the parent indicates the need for teaching?
A. I should never put my baby to bed with a bottle
B. My child should not use a pacifier after age six o
C. My child should drink his bottle while lying flat
D. My child should not be feed unattended.
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