DHA MCQs 2.3
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.
1. A mother in the postnatal Ward is being provided with the her family and she has been instructed to be on the bed members believe that the diet with the specific home increase the milk production and will promote her healing Which of the following intervention is the most desired?
A. Respect the cultural believes and encourage activities
B. Teach and monitor for correct breast-feeding practices
C. Discuss dietary plan and monitor weight gain
D. Explain post-partum care and follow ups
2. A child was admitted to the hospital three hours ago with a injury. The child responds appropriately, but sluggishly to drifts in and out of sleep Which of the following best describes this patient's level of?
A. Lethargic
B. Obtunded
C. Comatose
D. Semi comatose
3. A nurse is planning to discharge a known HIV, a the Isolation Unit after the recovery from upper, Which of the following nursing problem requires?
A. Risk of infection due to altered immune
B. Fluid volume deficit due to frequent diarrhoea
C. Anxiety due to disease, fear and social
D. Weight loss due to higher metabolism rate
4. An elderly patient who has an aortic aneurysm Intensive Care Unit to a Medical Surgical Unit on day. While assessing the client, a nurse notes extremities and is unable to palpate the pedal pulse Which intervention should the nurse implement?
A. Wrap the lower extremities with warm
B. Use a Doppler ultrasound to reassess the
C. Elevate the extremities above heart level
D. Place a bed cradle over the bed to levitate
5. A 60-year-old man client had a permanent complains of chest pain and dyspnea with rapid feels suffocated and appears restless
100/70 mmHg Blood pressure 96 /min Heart rate
32 /min Respiratory rate
37.2C Temperature
What is the immediate nursing intervention?
A. Monitor and report findings of chest
B. Chest X-ray to identify dislocation of
C. Manage pain with medication as ordered
D. Administer oxygen as ordered
6. A 28-year-old man and his wife involved in which his wife was killed. The client is being Care Unit for multiple rib fractures and a broken which room his wife is located. Which of the following is the most appropriate?
A. "Your wife is not in the hospital"
B. " I'm sorry, but your wife did not survive the
C. "I need to get your family so that you can wife”
D. " The doctor will be talking to you about located”
7. A nurse is preparing a sterile field prior the Which of the following procedures illustrates the nurse to the principles of aseptic technique?
A. Touch the outer 2-inch border of the sterile gloves
B. Place the sterile linen-wrapped package on waist level
C. Hold the bottle lip 1-2 inches above sterile pouring the solution
D. Open sterile item while holding outside hand then throw object onto sterile field
8. Which of the following is the appropriate nursing advice to mother complaining of epigastric burning sensation and do use of drugs?
A. Chewing gums
B. Increase fluids at bedtime
C. Drink orange juice on getting up
D. Eat small meals every 2 to 3 hours
9. A nurse is caring for a 72-year-old man patient , is unsteady. The patient requests the nurse to help nurse asked the patient to wait few minutes device to transfer him. Which of the following transfer devices is the nurse to use?
A. Belt
B. Board
C. Handle
D. Mechanical lift
10. 62 year-old female patient is admitted for her left eye cataract removal. She has cataract in both eyes with no visibility in her left sys. She is scheduled for the surgery .What essential safety precautions must be assessed preoperatively?
A. Assess and document visual acuity of both eyes
B. Knowledge to prevent eye injury after Surgery
C. Cleanliness of eye and removal of eyeglasses
11. A nurse is providing postpartum care for a GSP4 mother who had a rapid labor of an infant weighing 4000 gm. Assessment revealed a boggy uterus, heavy lochia and stable vital signs. After fundal massage and bladder evacuation. the fundus remains soft. which of the following is the most appropriate next nursing action?
A. Inform the physician.
B. Reassess the vital signs
C. Continue fundal massage
D. Take venous blood sample
12. A 46-year-old man is presented to Emergency Room with severe chest and unstable angina. The ECG of the patient shows ST segment pression on his 12-lead. e rhythm strip example of specific ECG changes (see image). Which of the following cases the nurse determines ST segment depression?
A. Injury
B. Necrosis
C. Ischemia
D. Nothing significant
13. A 35 year-old man with pulmonary edema is admitted to the Intensive re unit. He is on a Mechanical Ventilator(MV) without sedation. After the client is placed on the MV, the nurse diagnosed the case as impaired communication related to intubation and MV. What is the best method for the nurse to communicate with the patient?
A. Use normal verbal communication
B. Communicate with the patient after MV removal
C. Use non-verbal communication, such as head-nodding and writing
14. The nurse observes the client csf ,Which of the following of csf color indication for patient with bacterial meningitis?
A. Cloudy
B. Clear
C. Red
D. Brown
15. Elsa Santos is a 18 year old student admitted to the ward with a diagnosis of epilepsy. She tells the nurse that she is experiencing a generalized tingling sensation and “smells roses”. The nurse understands that Esla is probably experiencing:
A. An olfactory hallucination
B. An acute CVA
C. An aura
D. An acute alcohol withdrawal
16. child has a third- degree burns of the hand, chest, face, which nursing diagnosing takes priority?
A. Ineffective airway clearance
B. disturbed body image
C. impaired urinary eliminations
D. risk for infection
17. A woman has polycystic ovary syndrome which is 3cm in size what should the nurse do?
A. A repeat the ultrasound after menstruation
B. Remove it by laparoscopy.
C. Give the medication
D. None
18. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?
A. Shake the patient’s hand
B. Place the nursing supply bagon a clean, dry surface.
C. Obtain the patient’s written consent for home health care
D. Perform hand hygiene per the agency protocol
19. Which of the following patient is the most appropriate to delegate to a new nurse?
A. Patient on a strict bed rest
B. Patient for discharge teaching
C. Patient scheduled for an operation
D. Patient who is hooked to mechanical ventilation
20. An 8-year-old girl is seen in the Emergency Department because of a fracture in the right fibula and she has a fiberglass cast on her leg instead of a plaster cast. Which of the following is an advantage to use a fiberglass cast?
A. Cheaper
B. Dries rapidly
C. Smooth external
D. Shape closely to body parts
21. 62 year-old female patient is admitted for her left eye cataract removal. She has cataract in both eyes with no visibility in her left sys. She is scheduled for the surgery .What essential safety precautions must be assessed preoperatively?
A. Assess and document visual acuity of both eyes
B. Knowledge to prevent eye injury after Surgery
C. Cleanliness of eye and removal of eyeglasses
22. A newly graduated nurse is inserting an intravenous cannula into the mid-cephalic vein of a patient who is being admitted to the unit. As she withdraws the needle, a nurse calls out for help from another patient’s room. The new nurse rushes to help. She secured the intravenous catheter and threw the needle into the waste basket instead of the sharp’s container. When asked who had thrown the needle into the bin, the new nurse admits
that she had made that mistake. Which professional act best describes the newly graduated nurse’s response?
A. Responsibility
B. Accountability
C. Assertiveness
D. Leadership
23. A 50-year-old man presents to the Emergency Department after having suffered a fall while practicing mountain biking. He appears confused and disoriented. His friend reports that he had been thrown over the handle bars and hit his head against a rock
Blood pressure 108/66 mmHg
Heart rate 102 /min
Respiratory rate 22 /min
Temperature 37.2 C
Oxygen saturation 99% room air Which initial intervention is the most important?
A. Intravenous infusion
B. Oxygen administration
C. cervical immobilization
D. Trendelenburg position
24. A 24-weeks-pregnant mother is in the Antenatal Clinic. She is upset and crying about having her third baby girl as her family wants a boy. She is requesting an abortion immediately before her family finds out about the sex of the baby. Which of the following is the most appropriate plan for the mother?
A. Calm her down and reassure for an appropriate solution
B. Provide moral support and book her for procedure
C. Repeat ultrasound and wait for a few more weeks
D. Family counselling and follow religious guidance
25. A post-operative nurse assesses the newly formed stoma and skin of a patient who is one day post- operative following a proctocolectomy with the formation of a permanent ileostomy. Which of the following clinical findings would necessities immediate care
A. Bright red and moist stoma
B. Dark red and purple skin
C. Bloody liquid in pouch
D. Ulcerations with a rash
26. A 45-year-old man is admitted to the Surgical Ward for stoma care. The stoma appears a dark red to purple colour, is slightly swollen and leaks a scant amount blood. There is no presence of stool around or on the site. Which observation requires immediate attention?
A. Colour
B. Edema
C. Absence of stool
27. A nurse is taking care of a patient who underwent abdominal surgery three days ago. The patient has not been able to breathe deeply and uses to get out of bed since the surgery due to pain. Also, the patient nplains of shortness of breath, and the lung sounds are diminished on auscultation.
Blood pressure 120/70 mmHg
Heart rate 75 /min
Respiratory rate 22 /min
Temperature 36.4 ℃
Oxygen saturation 89%
Which of the following conditions should the nurse suspect?
A. Sepsis
B. Atelectasis
C. Congestive heart failure
D. Emphysema
28. 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
29. A nurse is planning post-operative teaching for a patient undergone left partial mastectomy. On the third post-operative day, the nurse teaches the patient to elevate the arm above the heart several times per day. What does this exercise reduce?
A. Pain
B. Infection
C. Hematoma
D. Lymphedema
30. 33-year-old patient in her 13th week of pregnancy has come for her routine gynaecological Appointment. According to the ultrasound, her fetus is a female. She already has three daughters but her family wants the male child, so she asked the nurse guidance to terminate her pregnancy. The Nurse explained that baby's gender is determined by the father. She later involved her husband in the Discharge planning and finally helped the father agree to continue the mother's pregnancy. What professional obligation is fulfilled through the nursing implementation?
A. Influenced decision making
B. Incident prevention beforehand
C. Empathetic leadership approach
D. Sympathetic knowledge sharing
31. 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
D. cardiac tamponed
32. A nurse calls together an interdisciplinary team with members from medicine, social service, the clergy, and nutritional services to care for a patient with a terminal illness. Which of the following types of care would the team most likely be providing?
A. Palliative
B. curative
C. respite
D. preventive
33. A 46-year-old patient is admitted in the Female back pain which is graded 6 on the scale of10 with the slight elevation in her blood pressure. The eat lunch which is a low sodium diet documented that patient is uncooperative and lunch. What can be assessed by the nursing document patient?
A. Subjective judgement of patient's statement
B. Misunderstanding of patient's attitude
C. Understatement of communication
D. Unethical evaluation of reality
34. The nurse is assigned to care for several patients, who should be assessed first by the nurse?
A. A diabetic patient who will be discharged
B. A patient with rheumatoid arthritis who has
C. An asthmatic patient who is due for
D. A patient with surgical incision who require
35. While administering medications, the nurse gives an anti-hypertension medication to the wrong patient (see table)
A Document the entire scenario
B Document vital signs
C Notify doctor
D Notify doctor if blood pressure is below 90/50 mmH
E Induce vomiting
F Administer antidote
G Monitor the patient
What sequence should the nurse follow?
A. A, D, F, G
B. B, C, G, A
C. B, D, E, F
D. B, E, F, G
36. 9-year-old child is admitted to paediatric word diagnosed with Glomerulonephritis (AGN). The mother ask the nurse why you the blood pressure frequently which of the following the nurse should be respond based on knowledge.
A. Acute hypertension must be anticipated and identified
B. Hypotension leading to sudden shock
C. Blood pressure fluctuations are a common side effect of therapy
D. Blood pressure fluctuation are a sign that the condition has become chronic
37. Which of the following terms applis to the tiny. blanched. slightly raised end arterioles found on the face. neck. arms. and chest during pregnancy?
A. Epulis
B. Linea nigra
C. Striae gravidarum
D. Telangiectasias
38. A patient teath brush &bathing shoud be write in:
A. daily care activity
B. medication chart
39. Doctor during new born assessment he toush the bed by the sterile gloves the nurse shoud:-
A. let him complet the cvl then take to him
B. stop him and tell him remove the gloves and give new gloves
40. During skin assessment of a patient the nurse observed a skin described as round solid mass beneath the skin (see image).
Which of the following terms is best to describe the lesion?
A. Cyst
B. Papule
C. Pastule
D. Blister
41. A patient who has pain localized in the chest, now down the left arm. What is this type of pain called?
A. Phantom
B. Regimented
C. Shooting
D. Radiating
42. The nurse is preparing a patient for an insertion of a central venous pressure line into a neck vein .The nurse should place the patient into which position?
A. Side-lying position
B. Fowler's position
C. Trendelenburg position
D. Semi-Fowler's position
43. Neonate is admitted to the neonatal intensive care unit for observation with a diagnosis of probable meconium aspiration syndrome (MAS) the neonate weight 4.650 grams and is at 40 weeks gestation which of the following would be the priority problem
A. Impaired skin integrity
B. Hyperglycaemia
C. Risk for impaired parent infant child attachment
D. Impaired gas exchange
44. Which action a nurse needs to include when caring for a newborn ceiving phototherapy?
A. Expose all surfaces
B. Prevent stimulation
C. Cover the eyes with shield
D. Change position every four hourly
45. Patient with ongoing potassium infusion he has burning sensation ant the site of infusion what should the nurse do first
A. Stop infusion
B. Document as normal finding
C. Slow rate and call the doctor
D. Inform the doctor
46. Treating pregnant women diagnosed with syphilis is considered
A. Primary level of prevention
B. Secondary level of prevention
C. Tertiary level of prevention
D. Primary and secondary
47. A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in her breast. Which of the following instructions are appropriate for the nurse to give the mother:
A. Regulate breast feeding every 3 hours
B. That’s normal feeding problem
C. Shift to bottle feeding
D. Start weaning your baby
48. A 7-year-old child is admitted to the Emergency Department, injury The child is oriented to the place, person and time spontaneously obeys commands. The nurse is doing aped Coma Scale (PGCS). Which of the following score the nurse should record?
A. 3
B. 8
C. 12
A. Respect the cultural believes and encourage activities
B. Teach and monitor for correct breast-feeding practices
C. Discuss dietary plan and monitor weight gain
D. Explain post-partum care and follow ups
2. A child was admitted to the hospital three hours ago with a injury. The child responds appropriately, but sluggishly to drifts in and out of sleep Which of the following best describes this patient's level of?
A. Lethargic
B. Obtunded
C. Comatose
D. Semi comatose
3. A nurse is planning to discharge a known HIV, a the Isolation Unit after the recovery from upper, Which of the following nursing problem requires?
A. Risk of infection due to altered immune
B. Fluid volume deficit due to frequent diarrhoea
C. Anxiety due to disease, fear and social
D. Weight loss due to higher metabolism rate
4. An elderly patient who has an aortic aneurysm Intensive Care Unit to a Medical Surgical Unit on day. While assessing the client, a nurse notes extremities and is unable to palpate the pedal pulse Which intervention should the nurse implement?
A. Wrap the lower extremities with warm
B. Use a Doppler ultrasound to reassess the
C. Elevate the extremities above heart level
D. Place a bed cradle over the bed to levitate
5. A 60-year-old man client had a permanent complains of chest pain and dyspnea with rapid feels suffocated and appears restless
100/70 mmHg Blood pressure 96 /min Heart rate
32 /min Respiratory rate
37.2C Temperature
What is the immediate nursing intervention?
A. Monitor and report findings of chest
B. Chest X-ray to identify dislocation of
C. Manage pain with medication as ordered
D. Administer oxygen as ordered
6. A 28-year-old man and his wife involved in which his wife was killed. The client is being Care Unit for multiple rib fractures and a broken which room his wife is located. Which of the following is the most appropriate?
A. "Your wife is not in the hospital"
B. " I'm sorry, but your wife did not survive the
C. "I need to get your family so that you can wife”
D. " The doctor will be talking to you about located”
7. A nurse is preparing a sterile field prior the Which of the following procedures illustrates the nurse to the principles of aseptic technique?
A. Touch the outer 2-inch border of the sterile gloves
B. Place the sterile linen-wrapped package on waist level
C. Hold the bottle lip 1-2 inches above sterile pouring the solution
D. Open sterile item while holding outside hand then throw object onto sterile field
8. Which of the following is the appropriate nursing advice to mother complaining of epigastric burning sensation and do use of drugs?
A. Chewing gums
B. Increase fluids at bedtime
C. Drink orange juice on getting up
D. Eat small meals every 2 to 3 hours
9. A nurse is caring for a 72-year-old man patient , is unsteady. The patient requests the nurse to help nurse asked the patient to wait few minutes device to transfer him. Which of the following transfer devices is the nurse to use?
A. Belt
B. Board
C. Handle
D. Mechanical lift
10. 62 year-old female patient is admitted for her left eye cataract removal. She has cataract in both eyes with no visibility in her left sys. She is scheduled for the surgery .What essential safety precautions must be assessed preoperatively?
A. Assess and document visual acuity of both eyes
B. Knowledge to prevent eye injury after Surgery
C. Cleanliness of eye and removal of eyeglasses
11. A nurse is providing postpartum care for a GSP4 mother who had a rapid labor of an infant weighing 4000 gm. Assessment revealed a boggy uterus, heavy lochia and stable vital signs. After fundal massage and bladder evacuation. the fundus remains soft. which of the following is the most appropriate next nursing action?
A. Inform the physician.
B. Reassess the vital signs
C. Continue fundal massage
D. Take venous blood sample
12. A 46-year-old man is presented to Emergency Room with severe chest and unstable angina. The ECG of the patient shows ST segment pression on his 12-lead. e rhythm strip example of specific ECG changes (see image). Which of the following cases the nurse determines ST segment depression?
A. Injury
B. Necrosis
C. Ischemia
D. Nothing significant
13. A 35 year-old man with pulmonary edema is admitted to the Intensive re unit. He is on a Mechanical Ventilator(MV) without sedation. After the client is placed on the MV, the nurse diagnosed the case as impaired communication related to intubation and MV. What is the best method for the nurse to communicate with the patient?
A. Use normal verbal communication
B. Communicate with the patient after MV removal
C. Use non-verbal communication, such as head-nodding and writing
14. The nurse observes the client csf ,Which of the following of csf color indication for patient with bacterial meningitis?
A. Cloudy
B. Clear
C. Red
D. Brown
15. Elsa Santos is a 18 year old student admitted to the ward with a diagnosis of epilepsy. She tells the nurse that she is experiencing a generalized tingling sensation and “smells roses”. The nurse understands that Esla is probably experiencing:
A. An olfactory hallucination
B. An acute CVA
C. An aura
D. An acute alcohol withdrawal
16. child has a third- degree burns of the hand, chest, face, which nursing diagnosing takes priority?
A. Ineffective airway clearance
B. disturbed body image
C. impaired urinary eliminations
D. risk for infection
17. A woman has polycystic ovary syndrome which is 3cm in size what should the nurse do?
A. A repeat the ultrasound after menstruation
B. Remove it by laparoscopy.
C. Give the medication
D. None
18. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?
A. Shake the patient’s hand
B. Place the nursing supply bagon a clean, dry surface.
C. Obtain the patient’s written consent for home health care
D. Perform hand hygiene per the agency protocol
19. Which of the following patient is the most appropriate to delegate to a new nurse?
A. Patient on a strict bed rest
B. Patient for discharge teaching
C. Patient scheduled for an operation
D. Patient who is hooked to mechanical ventilation
20. An 8-year-old girl is seen in the Emergency Department because of a fracture in the right fibula and she has a fiberglass cast on her leg instead of a plaster cast. Which of the following is an advantage to use a fiberglass cast?
A. Cheaper
B. Dries rapidly
C. Smooth external
D. Shape closely to body parts
21. 62 year-old female patient is admitted for her left eye cataract removal. She has cataract in both eyes with no visibility in her left sys. She is scheduled for the surgery .What essential safety precautions must be assessed preoperatively?
A. Assess and document visual acuity of both eyes
B. Knowledge to prevent eye injury after Surgery
C. Cleanliness of eye and removal of eyeglasses
22. A newly graduated nurse is inserting an intravenous cannula into the mid-cephalic vein of a patient who is being admitted to the unit. As she withdraws the needle, a nurse calls out for help from another patient’s room. The new nurse rushes to help. She secured the intravenous catheter and threw the needle into the waste basket instead of the sharp’s container. When asked who had thrown the needle into the bin, the new nurse admits
that she had made that mistake. Which professional act best describes the newly graduated nurse’s response?
A. Responsibility
B. Accountability
C. Assertiveness
D. Leadership
23. A 50-year-old man presents to the Emergency Department after having suffered a fall while practicing mountain biking. He appears confused and disoriented. His friend reports that he had been thrown over the handle bars and hit his head against a rock
Blood pressure 108/66 mmHg
Heart rate 102 /min
Respiratory rate 22 /min
Temperature 37.2 C
Oxygen saturation 99% room air Which initial intervention is the most important?
A. Intravenous infusion
B. Oxygen administration
C. cervical immobilization
D. Trendelenburg position
24. A 24-weeks-pregnant mother is in the Antenatal Clinic. She is upset and crying about having her third baby girl as her family wants a boy. She is requesting an abortion immediately before her family finds out about the sex of the baby. Which of the following is the most appropriate plan for the mother?
A. Calm her down and reassure for an appropriate solution
B. Provide moral support and book her for procedure
C. Repeat ultrasound and wait for a few more weeks
D. Family counselling and follow religious guidance
25. A post-operative nurse assesses the newly formed stoma and skin of a patient who is one day post- operative following a proctocolectomy with the formation of a permanent ileostomy. Which of the following clinical findings would necessities immediate care
A. Bright red and moist stoma
B. Dark red and purple skin
C. Bloody liquid in pouch
D. Ulcerations with a rash
26. A 45-year-old man is admitted to the Surgical Ward for stoma care. The stoma appears a dark red to purple colour, is slightly swollen and leaks a scant amount blood. There is no presence of stool around or on the site. Which observation requires immediate attention?
A. Colour
B. Edema
C. Absence of stool
27. A nurse is taking care of a patient who underwent abdominal surgery three days ago. The patient has not been able to breathe deeply and uses to get out of bed since the surgery due to pain. Also, the patient nplains of shortness of breath, and the lung sounds are diminished on auscultation.
Blood pressure 120/70 mmHg
Heart rate 75 /min
Respiratory rate 22 /min
Temperature 36.4 ℃
Oxygen saturation 89%
Which of the following conditions should the nurse suspect?
A. Sepsis
B. Atelectasis
C. Congestive heart failure
D. Emphysema
28. 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
29. A nurse is planning post-operative teaching for a patient undergone left partial mastectomy. On the third post-operative day, the nurse teaches the patient to elevate the arm above the heart several times per day. What does this exercise reduce?
A. Pain
B. Infection
C. Hematoma
D. Lymphedema
30. 33-year-old patient in her 13th week of pregnancy has come for her routine gynaecological Appointment. According to the ultrasound, her fetus is a female. She already has three daughters but her family wants the male child, so she asked the nurse guidance to terminate her pregnancy. The Nurse explained that baby's gender is determined by the father. She later involved her husband in the Discharge planning and finally helped the father agree to continue the mother's pregnancy. What professional obligation is fulfilled through the nursing implementation?
A. Influenced decision making
B. Incident prevention beforehand
C. Empathetic leadership approach
D. Sympathetic knowledge sharing
31. 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
D. cardiac tamponed
32. A nurse calls together an interdisciplinary team with members from medicine, social service, the clergy, and nutritional services to care for a patient with a terminal illness. Which of the following types of care would the team most likely be providing?
A. Palliative
B. curative
C. respite
D. preventive
33. A 46-year-old patient is admitted in the Female back pain which is graded 6 on the scale of10 with the slight elevation in her blood pressure. The eat lunch which is a low sodium diet documented that patient is uncooperative and lunch. What can be assessed by the nursing document patient?
A. Subjective judgement of patient's statement
B. Misunderstanding of patient's attitude
C. Understatement of communication
D. Unethical evaluation of reality
34. The nurse is assigned to care for several patients, who should be assessed first by the nurse?
A. A diabetic patient who will be discharged
B. A patient with rheumatoid arthritis who has
C. An asthmatic patient who is due for
D. A patient with surgical incision who require
35. While administering medications, the nurse gives an anti-hypertension medication to the wrong patient (see table)
A Document the entire scenario
B Document vital signs
C Notify doctor
D Notify doctor if blood pressure is below 90/50 mmH
E Induce vomiting
F Administer antidote
G Monitor the patient
What sequence should the nurse follow?
A. A, D, F, G
B. B, C, G, A
C. B, D, E, F
D. B, E, F, G
36. 9-year-old child is admitted to paediatric word diagnosed with Glomerulonephritis (AGN). The mother ask the nurse why you the blood pressure frequently which of the following the nurse should be respond based on knowledge.
A. Acute hypertension must be anticipated and identified
B. Hypotension leading to sudden shock
C. Blood pressure fluctuations are a common side effect of therapy
D. Blood pressure fluctuation are a sign that the condition has become chronic
37. Which of the following terms applis to the tiny. blanched. slightly raised end arterioles found on the face. neck. arms. and chest during pregnancy?
A. Epulis
B. Linea nigra
C. Striae gravidarum
D. Telangiectasias
38. A patient teath brush &bathing shoud be write in:
A. daily care activity
B. medication chart
39. Doctor during new born assessment he toush the bed by the sterile gloves the nurse shoud:-
A. let him complet the cvl then take to him
B. stop him and tell him remove the gloves and give new gloves
40. During skin assessment of a patient the nurse observed a skin described as round solid mass beneath the skin (see image).
Which of the following terms is best to describe the lesion?
A. Cyst
B. Papule
C. Pastule
D. Blister
41. A patient who has pain localized in the chest, now down the left arm. What is this type of pain called?
A. Phantom
B. Regimented
C. Shooting
D. Radiating
42. The nurse is preparing a patient for an insertion of a central venous pressure line into a neck vein .The nurse should place the patient into which position?
A. Side-lying position
B. Fowler's position
C. Trendelenburg position
D. Semi-Fowler's position
43. Neonate is admitted to the neonatal intensive care unit for observation with a diagnosis of probable meconium aspiration syndrome (MAS) the neonate weight 4.650 grams and is at 40 weeks gestation which of the following would be the priority problem
A. Impaired skin integrity
B. Hyperglycaemia
C. Risk for impaired parent infant child attachment
D. Impaired gas exchange
44. Which action a nurse needs to include when caring for a newborn ceiving phototherapy?
A. Expose all surfaces
B. Prevent stimulation
C. Cover the eyes with shield
D. Change position every four hourly
45. Patient with ongoing potassium infusion he has burning sensation ant the site of infusion what should the nurse do first
A. Stop infusion
B. Document as normal finding
C. Slow rate and call the doctor
D. Inform the doctor
46. Treating pregnant women diagnosed with syphilis is considered
A. Primary level of prevention
B. Secondary level of prevention
C. Tertiary level of prevention
D. Primary and secondary
47. A women breastfeed her infant one or two hours and her infant cries most of the time and she feels pain in her breast. Which of the following instructions are appropriate for the nurse to give the mother:
A. Regulate breast feeding every 3 hours
B. That’s normal feeding problem
C. Shift to bottle feeding
D. Start weaning your baby
48. A 7-year-old child is admitted to the Emergency Department, injury The child is oriented to the place, person and time spontaneously obeys commands. The nurse is doing aped Coma Scale (PGCS). Which of the following score the nurse should record?
A. 3
B. 8
C. 12
D. 15
0 Comments