DHA MCQs 2/4

                                         DHA MCQs 2/4

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1.      3-week-old newborn is diagnosed with Hirschsprung disease Which of the following preoperative care should included in the plan of care?
A.  Restricting oral intake to clear fluids
B.  Administering a tap water enema
C.  Inserting a gastrostomy tube
D. Using povidone-iodine to prepare the perineum
 
2.      A 10 year old child has very limited vocabulary and interaction skills . she has an IQ of 45 , she is diagnosed to have mental disease retardation of this classification ?
A. Profound
B. Mild
C. Moderate
D. Sever
 
3.      8-year-old child was admitted to the pediatric ward diagnosed with B-thalassemia. The nurse is planning to give health education to the mother. Which of the following educational needs is recommended for the mother?
A. compliance to hydroxyurea
B.  compliance to hemosiderosis
C.  compliance to disferal
D. compliance to Iron supplement
 
4.      A patient who is admitted denies any medication allergies. medical records state, "No known drug allergies." A medic been sent to the pharmacy for gentamicin. The pharmacist record in the pharmacy of an allergy to the medication. Which of the following is the best way for the nurse to pro
A. Administer the medication with Benadryl (Diphen
B.  Notify the doctor of the allergy and request new orders
C.  Investigate further then call the doctor for clar
D. Give the medication as ordered by the physician
 
5.      Which of the following is the best nursing action to ensure safe medication administration the nurse feels the dosage is unsafe for the patient ?
A. Call pharmacy
B. Call the head nurse
C. Contact the prescribing doctor
D. Administer half of the dosage
 
6.             Which of the following consider contraindication of tonsillectomy ?
A. Child with adenoid infection more than 4 times per year
B. Child with tonsillitis more than 4 times per year
C. Child age less than three years old
D. Child with hypertrophied adenoids
 
7.      A 50 year-old woman post myocardial infraction was admitted in the medical ward . A nurse was assigned to care for the patient.
Blood pressure 140/80 Heart rate 120  Respiratory rate 22 Temperature 37.5    O2 sat 95%
A.     Arrhythmias
B.     Endocarditis
C.     Cardiac failure
D.     Cardiogenic shock
 
8.      A child has been seizure free for 2 years . A mother asks the nurse how much longer that the child will need to take the ant seizure medications
A.     Medication can be discontinued at this time
B.     The medication dosage can be reduced gradually
C.     New medication can be order after one year
D.     Medications can be discontinued after 5 years

9.      A teenage male patient with bipolar disorder is in the psychiatric ward for a week. he is speech is incoherent and is complaining vision and hearing problems
Which of the following essential assessment need monitoring and reporting?
A.     Visual and auditory hallucinations
B.     Frequency and span of mood swings
C.     Level of agitation and speech difficulty
D.     Medication regimen and expected side effects
 
10.  Child with cerebral palsy was brought to the out patient department for a monthly follow up visit. One of the strategies to maximize the growth and development of the child during feeding is to maintain a pleasant and distraction and distraction free environment , which of the following instruction should be recommended to th mother ?
A.     Serve food that will no stick to the spoon
B.     Place the child in a sitting position during eating
C.     Encourage child to eat with other children
D.     Encourage finger foods that child can handle alone
 
11.  A nurse is preparing to transfer a patient from the operating table to the postoperative bed. The patient had a right total hip arthroplasty . the nurse must maintain the patient hips of the following position ?
A.     Flexion
B.     Abduction
C.     Extension
D.     Adduction

12.  A 62 year old diabetes type II patient is admitted to hospital for amputation of the right foot due to gangrene and ischemia. Preoperative , the patient rates the pain as 9 using the 1 – 10 pain sacle ) how can this patient phantom pain best be controlled?
A.     Post operative elevation of limb
B.     Apply pressure bandage to stump
C.     Control pain pre operatively
D.     Apply ice to site for twenty minutes
 
13.  A diabetic patient on subcutaneous insulin needs to rotate the site of injection to prevent which of the following?
A.     Insulin intolerance
B.     Insensitivity to insulin
C.     Increased rate of absorption
D.     Hard painful lumps development

 
14.  A nurse is making an assessment for the manifestation of cyanosis in a dark-skinned client . which of the following sites is the best for the nurse to check for presence of cyanosis
A.     Lips
B.     Palms
C.     Nail bed
D.     Conjunctiva
 
15.  A nurse was assessing a newborn undergone circumcision . What is the immediate risk for newborn the nurse to observe ?
A.     Hypospedias
 
16.         What the rationale of the initial postpartum assessment of the mother?
A.     Determine of the uterus is well contracted
B.     Monitor amount and color of the lochia
C.     Obtain vital signs and determine pain level
D.     Determine whether she is physically stable
 
17.         Position after head trauma ?
A.     Prone
B.     Elevate head of bed 30degree to decrease intracranial pressure
 
18.  When a patient tell his nurse “ I need to maintain medication compliance to avoid relapse “and nurse replies “this correct” which of the following therapeutic communication techeniques being used ?
A.     Focusing
B.     Exploring
C.     Accepting
D.     Reflecting
 
19.         Incentive spirometry is ?
A.     Use to prevent atelectasis after surgery
 
20.  A nurse is inserting a nasogastric tube for a 65-year-old patient with paralytic ileus Immediately after insertion 200 ml of milky appearing drainage was noted in the bag. The nurse is not sure if the distal end of the tube is in the stomach. What is the most appropriate technique confirm positioning?
A.     X-ray of stomach
B.     Check pH of drainage
C.     Aspirate more fluid and check if color change
D.     Flush with 100 ml saline and auscultate over stomach
 
21.  patient who had aortic valve replacement with a mechanical heart valve has just completed discharge teaching provided by a nurse on duty. Which statement by the patient indicates the effectiveness of the nurses teaching?
A.     "I am glad that I can continue taking my Gingko Biloba"
B.     "I will increase my intake of green and yellow vegetables"
C.     . "I will start applying vitamin E to my chest inaision after showing"
D.     "I will shave using an electric razor from now on"

22.         Height of enema is ?
A.     50 cm
B.     150 cm
C.     Blow red edge
 
23.  A 67-year-old patient was brought to the Emergency Room with history of diabetes mellitus, hypertension and heart failure complaining of acute shortness of breath and productive cough. The sputum was pink and frothy.
During the assessment, the nurse noticed crackles and wheezes. Blood pressure 80/45 mmHg Heart rate 124/min 36/min Respiratory rate 36.5°C Temperature Which of the following disorders should the nurse suspect?
A.     Pneumothorax
B.     Uns0table angina
C.     Pulmonary edema
D.     Pulmonary embolus
 
24.  A physically handicapped young woman uses a wheelchair to adapt with her problem. She had a neighbor who repeatedly tell her that she might did a fault and for that she has been punished from God. Which model of disability does this attitude belongs to?
A.     moral
B.     medical
C.     disability
D.     rehabilitation

25.  disability patient already on the wheel chair has visited by her nephew, her nephew response to the patient that she has done something wrong and that god punished her and become in this condition
Which of the following describing her nephew behavior?
A.     Moral
B.     Anger
C.     Abuse
 
26.         A 62 year-old diabetes type II patient is in the post-operative care unit following amputation of the right foot.
Post-operatively, the patient tells the nursE of tingling, coldness and cramping in the right foot. Which of the following describes best the type of pain?
A.     Visceral
B.     Somatic
C.     Ischemic
D.     Neuropathic

27.  A 16-year-old man is in the Emergency Department with S Ose bleeding as a result of falling down while climbing up the wall. On assessment, his nose appears slightly deviated and 2 swollen. He is breathing from his mouth What sign helps evaluate that his nose is still bleeding
A.     Complain of sharp pain in the nasal bone
B.     Experiencee more difficulty in breathing
C.     patientt is swallowing frequently
D.     Increased swelling of the nose
 
28.  25-year-old woman has a family history of breast cancer. The nurse reviews the procedure for breast self- examination (BSE) and tells her that the best time for a woman to perform a breast self-examination is:
A.     a few days before her period.
B.     during her menstrual period.
C.     on the last day of menstrual flow.
D.     3- 7days after the beginning of her period
 
29.  The nurse is instructing a female client how to do breast self exam. Which of the following is the best time to perform this exam?
A.     After ovulation
B.     After period
C.     Two weeks after period
D.     Three days before period
 

30.         Mass media disadvantage ?
A.     One way communication
B.     Two way communication
C.     Large number of people
 
31.         A nursing is given education to a patient with blood pressure 170/95 to avoid eating of which of the flowing ?
A.     Canned food
B.     Protein
C.     Vegetables and fruits
 
32.         A nurse is giving health education to 32 years old female to prevent uterine prolapsed ?
A.     Kegel exercise
 
33.  A patient has depression and on antidepressants medication .while the nurse caring him he asked ( how long the medication takes to reach the effectiveness )The proper nurse response is?
A.     3-4 days
B.     10-4 days
C.     14-18 days
D.     a month
 
34.         A 25 years client is admitted to the emergency department with sudden onset of right lower abdomen pain.
Which of the following physician orders should the nurse question at this time?
A.     Apply heating pads to Abdomen
B.     Obtain abdomen x ray
C.     Start intravenous dextrose 5%
D.     Nothing by mouth

35.  In anticipate of further emergency treatment for a client with salicylate overdose, which of the following medications should the nurse have available?
A.     Vitamin K
B.     Atropine sulfate
C.     Dextrose 50%
D.     Sodium thioslfate
 
36.         Contraindication immunization for a patient who is receiving which medication ?
A.     Steroids
B.     Insulin
C.     Midazolam
 
37.         Radon cancer mostly affected ?
A.     Lung
B.     Cervical
C.     Prostate
 
38.         Post MI medication ?
A.     Heparin
B.     Aspirin
C.     Warfarin
 
39.  A nurse researcher wrote in her explanatory statement: "The researcher will - 35 Use a questionnaire to measure nursing job satisfaction," which ethics principle is the researcher addressing here?
A.     Justice
B.     Beneficence
C.     Confidentiality
D.     Non - maleficencge
 
40.  A 3-year-old child is admitted to the Medical Ward for vomiting, and dehydration. The nurse sat with the parents to comply admission interview and wanted to get as much information as Which of the following communication techniques should the nurse
A.     Use of question containing the word "how"
B.     Use of question with direct comments to clarify
C.     Use of statements that indicate patient will be fine
 
41.  A 68-year-old diabetic women undergoes a below knee amputation to vascular insufficiency and infection. On admission to care unit, the nurse makes the priority diagnosis: Risk for ineffective peripheral tissue perfusion.
Which intervention is most appropriate?
A.     Ensure adequate pain relief
B.     Elevate residual limb on a pillow
C.     Administer oxygen by facemask
D.     Apply ice to the stump

42.  A nurse plans to teach a group of 20to25-year-old women about oral contraceptives. The nurse should instruct that oral contraceptives may:
A.     Increase the risk of pelvic inflammatory disease
B.     Cause acne to worsen
C.     Decrease the risk of breast and cervical cancer
D.     Decrease the risk of endometriosis
 
43.  A nurse is working in a medical unit and has been assigned to care for 65-year-old man with cerebrovascular accident, which caused right-sided hemiparesis. The contractures due to immobility. is worried about the patient developing muscle contracture nurse most important to be Which of the following nursing actions implemented? is
A.     Provide diet rich in protein
B.     Turning the patient every 2 hours
C.     Provide range of motion exercises
D.     Apply moisturizing cream on the affected side
 
44.  A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient?
A.     The patient is allergic to shellfish
B.     The patient has a pacemaker
C.     The patient suffers claustrophobia
 
45.  A 45 year-old patient is admitted in the Intensive Care Unit and has been on a mechanical ventilator for five days. Which weaning parameter indicates the patient has enough muscle strength to breathe?
A.     Normal electrolytes
B.     Positive fluid balance
C.     Negative inspiratory force
D.     Increased minute ventilation

46.  A nurse is inserting a nasogastric tube for a 65-year-old patient with paralytic ileus Immediately after insertion 200 ml of milky appearing drainage was noted in the bag. The nurse is not sure if the distal end of the tube is in the stomach. What is the most appropriate technique confirm positioning?
A.     X-ray of stomach
B.     Check pH of drainage
C.     Aspirate more fluid and check if color change
D.     Flush with 100 ml saline and auscultate over stomach

47.         Which of the following patient education is the most important in case of eye infection?
A.     Cover eye for protection
B.     Apply warm pads
C.     Wash face two times a day
D.     Take more fluids and eat balanced diet
 
48.  A client is receiving mechanical ventilation when the alarm sounds and displays an alert showing low tidal volumes. All connections and the ET tube are checked and secured but the alarm persists while O2 saturation continues to drop. Which of the following is the most appropriate initial action?
A.     Increase oxygen delivery to 100%
B.     Manually ventilate through the endotracheal tube
C.     Call the respiratory therapist to assess the patient
D.      Elevate the head of the bed and apply a non-rebreather mask
 
49.  A nurse provides care for a client who is 5 days post gastrectomy. The provider prescribes total parenteral nutrition (TPN). Which statement by the nurse to an orienting nurse explains the client's need for TPN?
A. TPN is used for clients who are at increased risk for aspiration due to swallowing inability.
B. TPN is for clients who are unable to receive nutrients by mouth for an extended period of time.
C. TPN is the usual method of providing nutrition to clients after major abdominal surgery.
D. TPN is a temporary solution and can be used for the first 24 hours after surgery
 
50.         Vitamin A deficiency cause ?
A. Night Blindness
 
51.         The mother with hypothyroidism high risk for ?
A.  Preterm labor
B.  Hemorrhage
C.  Congenital anomalies
 
52.         post-operative patient who underwent an abdominal procedure request 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
 
53.  A 32 years old multigravida woman presents to the outpatient clinic complaining of dysmenorrhea and menorrhagia. She had been diagnosed with uterine fibroids and blood studies has been ordered for her. Which of the following results should the nurse report?
A. hematocrit, 37%
B.  hemoglobin, 9 g/dl
C.  white blood cell count, 10,000 cells/mm3
D. platelets count, 300,000 platelets/ microliter

54.  A child is diagnosed with sickle cell diseases is admitted with severe pain in upper and lower extremities. What type of crisis is that the child experiences?
A. Sequestration
B.  Aplastic
C.  Vasoocclusive
D. Hyper haemolytic
 
 
55.  A 58 years old man had a permanent night pacemaker inserted. The device is in place and functioning well. The skin at the incision site is intact and free of infection. What is the most important nursing care outcome?
A. understand functioning and operating of a pacemaker
B. monitor pulse rate and identify need for reporting
C. able to identify the signs of detached pacemaker
D. modify lifestyle and wear pacemaker alert sign

56.  A primigravida woman who is pregnant at 30 weeks gestation told the nurse that she is worried that anything happens to her baby. Which of the following should be the proper nurse's response?
A. Ask the woman not to worry
B. Ask the woman to express her concerns
C. Attract the woman's attention to other issue
D. Reassure the woman about the baby condition
 
57.  10 years old child had and appendectomy yesterday which pain scale should the nurse use to assess the child pain ?
A. Numeric
B. Faces
C. Flacc
D. Cries
 
58.  A nurse was assessing a newborn undergone circumcision what is the immediate risk for this newborn the nurse need to observe ?
A. Bleeding
B. Fever
C. Infection
D. Pain

59.  An infection control nurse is responsible to conduct the surveillance on how the hospital staff take precautionary measure against flu, based on her findings, she is responsible to conduct the awareness rating sessions for doctors and nurses in the patient areas.
which of the following is the goal of nursing practice here?
A. infection control management
B. research and survey
C. primary prevention
D. health education

60.  A 28 weeks pregnant mother is in the antenatal clinic with the complaint of vaginal irritation itching and thick white secretion . she is diagnosed as having vaginal candidiasis she had been having the same infection before the pregnancy for which she was prescribed the vaginal cream she is using the same cream for the past few days but her symptoms are not relieved what need to be emphasized to mother
A. change clothes daily use sanitary napkins
B. Avoid self treatment and seek doctor advise
C. Use medicated bubble baths and reduce activates
D. Was with warm water every two hours

61.  Which of the following obstacles up to the implementation of the primary health care strategy weds
A. Increase the number of health care workers
B. Misinterpretation of PHC concept
C. Decentralization management
D. Few political supervision
 
62.  The nurse listens to patient complains and discussed how each of the complaints can be managed which of the following is the best description the nurse action ?
A. Promoting patient autonomy
B. Demonstrating sympathy
C. Ensure patient support
D. showing concerns
 
63.  A nurse on unite to conduct a research project what is the most important step to be identified ?
A. research problem
B. research setting
C. analysis plan
D. sample size
 
64.  An 11 years old child has been diagnosed with type 1 diabetes mellitus . which of the following education should the nurse explain about the exercise?
A. Extra insulin is require during exercise
B. Extra snacks are needed before exercise
C. Exercise will increase blood glucose
D. Exercise should be restricted
65.  A 16 years old girl admitted to inpatient unit accompanied by her mother who supports her to walk . she looked very weak and held her head up with her hands . she diagnosed with anorexia nervosa . what is the primary nursing diagnosis?
A. Risk for injury related to low potassium
B. Body image disturbance related to obesity
C. Imbalance nutrition relate to compulsive overeating
D. Imbalance nutrition related to restricting caloric intake
66.  A nurse is caring for child who is pot tonsillectomy and adenoidectomy the nurse should plan to assess which of the following complication?
A. Pulmonary hypertension
B. Hemorrhage
C. Hearing loss
D. Orthopnea
 
67.  A nurse is conducting a fire safety class and she was explaining that elderly are twice was likely to die at home from fire accidents compared to younger people therefore the nurse has suggested some safety measures What should the nurse suggest to prevent fire accidents at home?
A. Have a smoke detectors installed in the houses
B. Invite a family member to sleep with the elderly at nigh
C. Encourage practicing evacuation I case of emergency
 
68.  What the purpose of a late vaginal_rectal culture during ante natal screening ?
A. To screen for group B streptococci
B. To detect a Chlamydia infection
C. To screen for gonorrhea
D. To screen for syphilis