DHA MCQs 2.4
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1. Brachial artery to check pulse in infants2. Prolactin Hormone promote Milk production
3. TB test Mantoux / PPD test result within 48-72Hours accurate test is sputum culture
4. Umbilical Cord one big vein& Two small arteries
5. Pulse deficit is the different between apical beats and brachial pulse
6. Rligion that prohibits blood transfusion Jehovah
7. Spina pifida position Prone position
8. Sound lung in heart failure .cracks
9. Postion after hemorroidectomy ? antriolatral postion
The left anterolateral position is an excellent alternative for hemorrhoidectomy under local anesthesia. The pain over the pubis and the low backache, frequently encountered in the prone position, are totally eliminated. Exposure of the operative fields is excellent.
10. Post Vitrect-omy position …Prone
11. Ear Drops in infant down and back , in Adult up and back
12. Ear drops in adult up and back , in infant down and back
13. Hyperpyrexia above 40C
14. Alzheimer deficiency in serotonin
15. Abdominal assessment. 1. Inspection 2. Auscultation 3. Percussion 4.palpation very important
16. During new born assessment the nurse found extra finger in the new born hand
Polydactyl
17. During new born assessment the nurse found two digits are fused together
Syndactyly
18. when we should stop magnesium sulphate ( Respiratory Depression, Hypotension , Bradycardia deep tendon Reflex )
19. Antidote of magnesium sulphate is ( calcium gluconate )
20. Morphine antidote is naloxone / narcan
21. Hydrocephalus signs ( Bulging anterior fontanel & increase head circumference )
22. Naloxone - Digioxin should not be given if heart rate less than 60 or bradycardia
23. OPV oral polio vaccine mixed of live attenuated polovirus
24. Postpartum perineal assessment acronym is REEDA ( Redness-Edema-Ecchymosis-Discharge-Approximation
25. When taking a BP, select the appropriate cuff size; a cuff that is too small will yield a falsely high reading, and a cuff that is too large will yield a falsely low one.
26. Complication of diabetic mother hypoglycaemic and macrocosmic
27. OPV vaccine is live attenuated virus (poliovirus) vacine
28. Patient with BP230/180 is consider Hypertensive Crisis
29. 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 a referral order
B. Collect information and schedule visit
C. Establish mutually acceptable goals for care
D. Conduct a health history and physical assessment
30. A mother brought her 6-month-old healthy infant to the well-baby clinic which immunization should the nurse anticipate to administer as per WHO recommendation?
A. Varicella (chicken pox)
B. Rotavirus and hepatitis
C. Measles , Mumps , Rubella
D. Diphtheria , Tetanus , pertussis
31. The nurse is teaching a 32-week pregnant women how to distinguish between pre labor (false ) contraction and true labor contractions. Which statement about pre labor contractions accurate ?
A. they are regular and increase gradually
B. they are felt in the abdomen
C. they start at the back and radiate to the abdomen
D. they become more intense during walking
32. A 62-year-old women admitted to the emergency department for the fourth time this year, each time the patient comes with sever injuries and bruises in the body. What is your responsibility as a nurse to prevent such incident to happen again?
A. Reports the assault to the local police and write a report
B. Provides information about safe shelter and support
C. Instructs the women to move away from her home
D. Discharge the patient to a safe shelter
33. A 3 years old child is admitted to the hospital with seizures. He was alert, oriented and has a rash in his extremities and is diagnosed with meningitis. While doing physical examination of him, he starts to develop seizures.
Blood pressure 100/57 mmHg Heart rate 110/min
Respiratory rate 30/min Temperature 39.5 C
Which of the following vaccine is used to prevent meningitis?
A. Hi-B vaccine
B. varicella vaccine
C. BCG vaccine
D. Rubella vaccine
34. After receiving multiple mosquito bites and experiencing flu-like symptoms, a patient consults a nurse at a clinic and asks whether an appointment to see a health-care provider is necessary. which of the following statements should be the basis for the nurse'sresponse
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
35. A male client has received a prescription for orlistat for weight and nutrition management. In addition to the medication, client states plans to take a multivitamin. what teaching should a nurse provide?
A. Be sure to take the multivitamin and the medication at leasr two hours apart
B. As a nutritional supplement, orlistat contains all the recommended daily vitamins and minerals
C. Multivitamins are contraindicated during treatment with weightcontrol medications such as orlistat
D. Following a well-balanced diet is a much healthier approach to good nutrition than depending on a multivitamin
36. Which of the following variables is considered as a major factor that affects community health?
A. Personal behavioral choices include socio-cultural factors
B. Number of health care providers in hospitals within the community
C. Quality of the public safety officers includes police officers, firefighters
D. The number of recreational services in the community
37. During meningitis outbreak in one of the hospitals, the nun-immune staff were given an immunoglobulin in order to prevent them from the infection. What is the type of immunity that will be developed by these staff?
A. active
B. long-term
C. natural
D. passive
38. The Surgical unit nursing staff were instructed to follow the hospital protocol by reporting cases of any patient's illnesses that are developed during their hospitalization especially the post-surgical wound infectors Why must the nurses implement this protocol?
A. Control unnecessary hospitalization
B. Assess hospital infection rate
C. Report nosocomial infection
D. Improve reporting system
39. Which of the following statements indicate that a nursing staff need an education session related to confidentiality and information security?
A. giving the password to patient’s family member.
B. leaving the computer in the nursing station secured.
C. leaving the personal electronic password safe.
D. allowing nursing students to read medical record to their patients
40. Which of the following is the best action to effectively increase surgery capacity?
A. Adapt outpatient departments for inpatients
B. Bring the injured people into the green zone
C. Provide care for the injured people with the available staff
D. Use the available supplies as it is difficult to arrange for additional
41. A patient has been experiencing recurrence of this media antibiotic therapy and the patient was scheduled for preparative teaching, the patient asked the nurse about the purpose of the procedure.
What is the best answer that the nurse should provide?
A. Stimulates motion of the ossicles
B. Detects permanent hearing loss
C. Allows drainage of purulent fluid from the middle ear
D. Enables medication administration directly to the affected ear
42. After accessing patients' medical records, which behaviour nurse shows that patients confidentiality has been breached?
A. Reviews patients medical record
B. Read patients care plan
C. Disclosing patients information
D. Documents medication administered
43. A nurse is assessing a 2 days old full-term male neon circumcision. She observed that the circumcised area is re a large amount of fresh blood.
Heart rate 110 /min Respiratory rate 40 /min Temperature 36.6 C
Which of the following action should the nurse take?
A. Apply antibiotic ointment on the affected area
B. Give the infant another injection of vitamin K
C. Clean the area with betadine to prevent infection
D. Apply gentle pressure with a sterile gauze
44. 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
45. 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
46. While taking the history from a new patient, the nurse densified that he had hypomanic episode which was alternating with a mirror depressive\episode for the last two years. what is the most likely diagnosis?
A. Bipolar I disorder
B. Bipolar II disorder
C. Dysthymic disorder
D. Cyclothymic disorder
47. A 65-year-old women visited the gynecological outpatient history reveals that she had 3 pregnancies, one abortion gestational age, had 2 normal deliveries. She smokes 20 Her complaint is that she wets herself when she cough embarrassing for her. Which of the following can be considered as risk factors pelvic floor muscles?
A. Chronic coughing
B. Diabetes mellitus
C. Excessive spot
D. Sedentary life style
48. A nurse is assigned to care for a Muslim female emergency caesarean section. The patient asks the to wear a head scarf during the surgery. Which of the following is the most appropriate?
A. Ask the patient to remove the scarf
B. Tell the patient that it is ok to wear the scarf
C. Ask the patient to wear a surgical cap
D. Tell the patient that a request will be during the surgery
49. A gravid 8 para 8 women has just delivered a 4.5Kg infant a pregnancy. Which of the following is a possible complication?
A. Postpartum depression
B. Maternal hypoglycemia
C. Postpartum hemorrhage
D. Pregnancy-induced hypertension
50. 62 year-old male patient in the Cardiac Surgery Ward is admitted for the coronary artery bypass surgery. he has unstable angina for thepast one year and is apprehensive about the open-heart surgery .What essential assessment needs immediate attention ?
A. Fear and anxiety regarding procedure
B. Need for spirometer and breathing exercise
51. A patient was on a regular does of lithium carbonate. The nurse that he has hand tremor, polyuria, diarrhea and vomiting. What immediate action should be taken by the nurse?
A. Diuretics
B. Withholding lithium
C. Calling the psychiatrist
D. Monitoring serum lithium level
52. which of the following condition is a Contraindication for a woman oral Contraceptives?
A. Dysmenorrhea
B. Menorrhagia
C. Thrombophlebitis
D. Toxic shock syndrome
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