DHA MCQs 3/4

 DHA MCQs 3/4

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1.       A mother who is postpartum calls nurse in the mother/Infant unit. She reposts has very heavy bright-red bleeding. 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 to the hospital immediately"
D.     "Lie down for about an hour. Then check your bleeding, if as heavy, call me back

2.       A 15-year-old girl is admitted after a Motor Vehicle Accident child has a fracture in her left leg and a wound in her face. When dealing with this child the nurse should be aware that important task to achieve during this age is which of the following?
A.     Initiative versus guilt
B.     Industry versus inferiority
C.     Trust versus mistrust
D.     Identity vs. Role confusion

3.       A 9-month-old child who has a repair cleft palate the nurse explaining mother on how she will give feeds to her child. Which of the following instruction can be expected to include feeling education?
A.     Open cup
B.     Tea spoon
C.     Bottle feed
D.     Special bottle feed

4.       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

5.       A nurse I,s preparing to assess the uterine fundus of a client in the immediate postpartum period. When the nurse locates the fundus she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially?
A.     Massage the fundus until it is firm
B.     Elevate the mother’s legs
C.     Push on the uterus to assisting expressing clots
D.     Encourage the mother to void

6.       A 43 year-old man in the post-surgical area complains of abdominal pain radiating to the naval which is increasing with examination his abdomen is guarded with marked tender lower quadrant. What is the immediate goal of care to do?
A.     Teach abdominal splinting during coughing
B.     Administer pain medication as ordered
C.     Assess pain and report immediately
D.     Position on the left lateral side
 
7.       27 years old female brought to the Emergency Room accompanied by her husband. He described that she had marked Weight loss with episodes of emesis in the past three months. She is diagnosed as having anorexia. She reported feeling Febrile, but had not measured her temperature. Her White Blood Count was 11,000/mm3. Which of the following most Likely describe her diagnostic criteria for her anorexia?
A.     Restricting food intake
B.     Fear of gaining weight
C.     Problems with body image
D.     Binge eating disorder
 
8.       66 old women presents to the emergency department triage unit with labored breathing. She appeared anxious and is sweating profusely across the forehead. The symptoms had begun Suddenly one hour before. The jugular veins appear distended and she has a productive cough. On Auscultation the respiration is wet and not clear with coughing..
Blood pressure 148/88 mmHg Heart rate 94/min Respiratory rate 26/min
Temperature 37.0◦C
Which triage acuity rating is most appropriate?
A.     Urgent
B.     Emergent
C.     Non-urgent
D.     Resuscitation

9.       A nurse is providing a health teaching to a client about the proper use of a cane during ambulation. The nurse could include which of the following instructions about the correct use of cane?
A.     Patient moves the stronger leg forward to the cane
B.     Patient holds the cane on the strong side of the body
C.     Patient leans on the cane to provide support to the weaker side
D.     Patient moves the cane forward about 4 inches to the strong side

10.          A child with Jaundice and treat with photography , how can you protect the child skin?
A.     Avoid oily substance
B.     Using Vaseline after skin cleaning
C.     applying cream

11.   A nurse is caring for a patient two hours after a pacemaker placement. The patient suddenly starts complaining of chest pain. The nurse observes dyspnea, cyanosis and absent breath sounds on the right side. The nurse should anticipate what complications?
A.     Hemothorax
B.     Perforation of the heart
C.     Pneumothorax
D.     Hemorrhage

12.          Which of the following could adversely affect the function of a pacemaker?
A.     Hair dryer
B.     Electric razor
C.     Television
D.     Electric mixer

13.   The nurse provides discharge instructions to a client after implantation of a permanent pacemaker. The nurse should tell the client to avoid exposure to which item?
A.     Hair dryers
B.     Electric blankets
C.     Electric toothbrushes
D.     Airport metal detectors
 
14.   The nurse provides discharge instructions to a client after implantation of a permanent pacemaker. The nurse should tell the client to avoid exposure to which item?
A.     Hair dryers
B.     Electric blankets
C.     Electric toothbrushes
D.     Electric Mixer

15.   A 58 year-old man had a permanent pacemaker inserted. The device is in place and functioning well. The skin at the incision site is intact and free of infection. The nurse gives him the discharge instruction. What is the most important nursing care outcome?
A.     Understand functioning and operating of pacemaker
B.     Monitor pulse rate and identify need for reporting
C.     Able to identify the signs of detached pacemaker
D.     Modify life style and wear pacemaker alert sign
 
16.   A 9-year-old girl is seen in the emergency department because of a fracture in the right fibula. Which of the following is the expected response to parent question about bone healing period of the girl?
a.       4-6 weeks
b.      2-4 weeks
c.       6-8 weeks
d.      8-10 weeks

17.   A school nurse is monitoring the behaviour of different children. Which child should the nurse expect to show an aversive type of reinforcing stimulus (see image)?
A.     Child 1
B.     Child 2
C.     Child 3
D.     Child 4
 
18.   A 13-weeks-pregnant, multi gravida women is anxious and apprehensive she has five children and is not willing to continue with this pregnancy She is requesting the midwife to abort the fetus. She is under weight malnourished and is over worked.
BMI                          17 Kg/m2
What intervention is desired immediately?
A.     Admission and intravenous line management for induction
B.     Family planning and birth control measures
C.     Dietary management and supplements
D.     Support, reassurance and counselling
 
19.               which of the following is the most appropriate action for a nurse Manager starting at a new hospital?
A.     Observe staff while keeping presence and role unknown
B.     Plan and coordinate new strategies with top level management
C.     Introduce self and observe unit activities for at least three months
D.     Meet with each staff member separately about needed unit charges
 
20.   A nurse explains to a patient that an endoscopy tube will be inserted down the throat during a gastroscopy which will cause gagging, but it must be swallowed. What type of communication the endoscopy nurse has used here?
A.     Assertive
B.     Interactive
C.     Formative
D.     Informative

21.   A nurse who works in the surgical unit at one of the hospitals was asked by the home health care nurse to make a home visit to a patient with colostomy, who had been discharged the previous day in order to give him a follow-up care and education which of the following nurses should do the assigned task?
A.     Critical care nurse
B.     Psychiatric nurse
C.     Surgical nurse
D.     Community nurse

22.               When is the ideal time to administer analgesia to a women in labour?
A.     A soon as she requests analgesia
B.     When labour is well established
C.     When the women enters into transition phase
D.     when the women progress from latent to active phase
 
23.   A 46-year-old patient is admitted in the female Medical Ward for seven back pain, which is graded 6 on the scale of 10. Her vital signs are take with the slight elevation in her blood pressive. The patient has refused
eat lunch which is a low sodium diet. The attending nurse has documented that patient is uncooperative and has refused to eat the lunch. What nursing intervention needs attention first?
A.     Arrange for alternative diet
B.     Teach importance of the low sait diet
C.     Take appropriate measures to relieve pain
D.     Inform the physician for elevated blood pressure
 
24.   a 30-year-old man was brought to the hospital by ambulance sitter felling from a height of 10 meters. He was mechanically ventilated on after a Glasgow Coma Score showed a level of six. The nurse is
observe for any changes in perceptual, sensory or cognitive
Which of the following is an expected patient's response at this time?
A.     Slowly obeys commands
B.     Exhibits no motor response
C.     Reacts towards painful stimuli
D.     Uses incomprehensible words

25.   A 46-year-old women is admitted in the Medical Ward for systemic lupus erythematous, complaining of joint pain with dull aching pain in the number region. She has butterfly rashes on her face. Which of the following should be the first nursing intervention for this patient?
A.     Skin care and cortisone ointment as ordered
B.     Pain relieving measures and physiotherapy
C.     Assess back pain and monitor urine output
D.     Analgesics as ordered warm environment

26.   In the Emergency Unit a nurse made an error that lead to an admission order for the client to be on a venous thromboembolic protocol is not processed. Two days after, a nurse notices the omitted order for heparin
5000 units subcutaneous every eight hours. which of the following statement best describes the appropriate follow-up?
A.     " I will contact the supervisor immediately about this error"
B.     " I need to contact a physician and complete a variance report"
C.     " I am too busy to complete a variance report. I'll do it next week"
D.     " I am so glad I didn't make that mistake, that other nurse is going to be in trouble"
 
27.   A 75-year-old patient was bed ridden for the last one year, She was incontinent, restless, delirious and was trying to pull her nasogastric tube out , but her arms were restrained; her forearms had bruises and her lips were dry and cracked.
Blood pressure 100/64 mmHg Heart rate 102 /min Respiratory rate 28 /min Temperature 39.2 C
Which of the following nursing intervention each Nasogastric feed?
A.     Pull to check the tube is in place
B.     Check the tube for patency
C.     Aspirate the content
D.     Insert water

28.   A 45-year-old of man was admitted to the Surgical Ward after removed of pancreatic cyst. The registered nurse checked the post-operative orders Ondansetron PRN was prescribed for the patient.
Which of the following complaints from the patient will require the registered nurse to serve the Ondansetron after 12 hours of pos-operativeperiod?
A.     Wound pain
B.     Nausea and vomiting
C.     Congestion of flame
D.     difficulty in passing urine

29.   A man nurse is caring for a women diagnosed with major depression. The client states " I never had a male nurse before". which of the following is the most appropriate nursing response?
A.     " Do you feel threatened"
B.     "Most of the nurses here are males"
C.     " How do you feel having a male nurse"
D.     " Do you want me to find a female nurse"
 
30.               Which of the following statements best describes for patients with myopia?
A.     They must hold a paper at arm's length or greater to read it
B.     They can see close-up objects clearly, but distant objects are out of focus
C.     They can see distant objects clearly, but close-up objects are out of focus
D.     They are unable to focus horizontal and vertical rays of light on the retina simultaneously
 
31.   Which of the following tests measures the total quantity of prothrombin in the blood and monitors the effectiveness of warfarin sodium (Coumarin) herapy and prolonged deficiencies in the extrinsic factor?
A.     Thrombin time
B.     Prothrombin time
C.     Partial prothrombin time
D.     Activated partial prothrombin time
 
32.   A 72-year-old patient presents to the medical clinic drooling with a blank, masklike facial expression and a high pitched, monotone, weak wike When walking, the patient does not swing the arms normally, but holds hem stiffly rigid. What is the most likely diagnosis?
A.     Parkinson's disease
B.     Substance abuse
C.     Traumatic brain injury
D.     Transient ischemic attack
 
33.   A 69-year-old obese women with a pelvic fracture has been immobile for four days. The patient is now anxious, dyspneic, and domaining of substernal pain. The patient's capillary refill is greater than seconds.
Heart rate                       122 /min
Respiratory rate              26 /min
Temperature                  38.2 C

Which of the following the nurse suspects for this patient?
A.     Panic attack
B.     Pulmonary embolism
C.     Aspiration pneumonia
D.     Pneumothorax
 
34.   The nurse is planning for a discharge teaching plan for a family of a30-year-old man with AIDS in relation to sanitation practices. Which of the following statements should the nurse include in her instructions?
A.     Wash used dishes in hot soapy water
B.     Boil the dishes the patient used for 30 minutes and them wash with soap
C.     Have the patient use disposable eating tools so it can be discarded after
D.     Soak the kitchen tools in hot water for 24 hours before washing with soap
 
35.   A 21-year-old in oversized clothing presents to the hospital with of felling dizzy and faint. The hair and nail appear thin and dry. The skin appears pale and she has sunken eye sockets and tenting skin. Her body mass index is 16. She often induces vomiting after eating blood is collected for analysis (see lab results).

Blood pressure		90/52 mmHg
Heart rate		118 /min
Respiratory rate		26/min
Temperature		37.2 ͦ C
Oxygen saturation		97%
Test	Result		Normal value
ABG¹ HCO₃ ̵	31		22 – 88mmol/L
ABG PCO₂	10.3		4.7-6.0 kPa
PH	7.50		7.36-7.45

Which nursing problems stem is the most appropriate?

A.     Impaired nutrition

B.     Decreased cardiac output

C.     Infective airway clearance

D.     Ineffective breathing pattern

 

36.       Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a three minute surgical hand scrub is adequate preparation for this client.
Which response should the circulating nurse provide?
A.     Inform the nurse that hand scrubs should be three minutes between cases
B.     Direct the nurse to continue the surgical hand scrub for five minute duration
C.     Validate that the nurse is implementing the OR policy for a surgical hand scrub
D.     Ask the experienced nurse to perform this scrub since it is the first one of the day
 
37.         Which f the following statements describe the function of Immunoglobulin (IgG).
A.     It does not cross the placenta and is present in colostrum and breast milk
B.     It protects against gastrointestinal and respiratory system infections
C.     It provides temporary immunity to bacteria and toxins to which the mother has developed immunity
D.     It protects against gram negative bacteria and can be found cord blood

38.       An infection control nurse is responsible to conduct the surveillance on how the hospital staff take precautionary measures against flu, based on her findings, she is responsible to conduct the awareness razing for the doctors and nurses in the in-patient areas. Which of the following is the goal of the nursing practice here?
A.     Infection control management
B.     Research and survey
C.     Primary prevention
D.     Health education
 

39.        A 57-year-old man is admitted to the Cardiac Unit with palpitation headache, and chest tightness. On auscultation S3 gallop and murmur can be heard.

Blood pressure                     97/60 mmHg

Heart rate                            170 /min

Respiratory rate                   25 /mi

Temperature                         37.3 C what is the ECG rhythm of the patient?

A.  Atrial fibrillation

B.     Ventricular tachycardia

C.     Ventricular fibrillation

D.    Supra-ventricular tachycardia

    40.        Which of the following is the main disadvantages of home care visit

A.     Time consuming for healthcare team

B.     Inexpensive than hospital care

C.     Easy access to equipment or consultation

D.     Nurses have more control on mother's distraction

 41.       Patient has nausea, vomiting and muscle weakness comes to ER, after assessment the doctor consider that sign and symptom due to:

A.     Hypokalaemia

B.     Hypernatremia

C.     Hyperkalaemia

D.     Hypoglycaemia

42.      Patient has heart failure and suddenly has edema. What is the lung sound will be hearing 

A.     Rales

B.     Rhonchi

C.     Wheezing

 43.       The physician has written an order for the nurse’s assignee have a 24-hour urine collection sent to the laboratory for special. Which of the following should the nurse realize prior to urine?

A.    Start the urine collection at either 12:01 a.m. or 12:01pm

B.     Provide enough sterile receptacles for the urine collection

C.     At the start of the collection period, have the patient discard this urine

D.     Inform the patient that they must save all urine for 24 beginning at 12:01 a.m.

 

   44.        After Bee sting which of the white blood cell is the most likely elevated  

  A.     Eosinophils

B.     Basophils

C.     Monocytes

D.     Neutrophils

 45.   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 "

46.   Disadvantage of democratic leader.............. cannot be in Emergency situation

 

47.    Post operative breathing exercise importance

A.     Prevent atelectasis

B.     Move secretion

 48.   The quality nurse manager teaches a new nurse graduate about the comparison between total quality assurance (QA) and quality improvement (QI). What is the most appropriate statement regarding the common aspect between QA and QI?

A.     Aim to improve quality

B.     focus on preventing errors

C.       focus on staff development

D.      view nursing activities as major tasks

    49.   Client has atrial fibrillation the nurse should monitor the client for 

  A.     cardiac arrests

B.     cerebrovascular accident

C.     heart block

D.     ventricular fibrillation

50.   Azithromycin is prescribed for an adolescent female who has pneumonia and recurrent chlamydia What information is most important for the nurse to provide the

A.     Use two forms of contraception while taking this drug

B.     Have partners screened for human immunodeficiency

C.     Decrease intake of high-fat foods, caffeine, and alcohol

D.     Report a sudden onset arthralgia to the healthcare pro