DHA MCQs 3.1
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A. Plan for the fetal genetic screening
B. Educate mother that her disease is inactive
C. Discuss the chances of genetic disease in the fetus
D. Gather data about the other family members having the disease
2. A pregnant woman of 15 week gestation age and Rh –ve has an abortion admitted in the ward what should the nurse do for this woman ?
A. Administer Rheum within 72hour
B. Do not give Rheum since it is not used with abortion
C. Do not give Rheum since the pregnancy is more than 12
D. Make certain she received Rheum on her first clinic visit
3. A4 days old baby diagnosed with physiological jaundice . his father is distressed and wants to know why he have this condition . what the nurse should the nurse tell the about the most prominent physiological jaundice
A. Immature hepatic function
B. Decrease milk intake
C. Rh incompatibility
D. Red blood cell enzyme defects
4. In determining the one minute APGAR score of a male infant the nurse assesses a heart rate of 120 beats per minute and respiratory rate of 44 per minute. He has flaccid muscle tone with slight flexion and resistance to straightening. He has a loud cry with colour is acrocyanotic What is the APGAR score for the infant.
A. 7
B. 8
C. 9
D. 10
5. Five minutes post-birth, a neonate has a heart rate of 98, irregular eathing, actively moves all extremities, but has bluish hands and feet, as ll as a weak and timid cry. Which is the correct APGAR assessment score?
A. 9
B. 8
C. 7
D. 6
6. A nurse documented assessment on a newborn as listed (see
table) Points Indicator less than 98 /min Heart rate 28 /min irregular Respiratory rate Muscle tone Minimal flexion of the
extremities Reflex irritability Grimace Body pink, extremities blue Colour What is the total Apgar Sore?
A. 0
B. 3
C. 5
7. Toddler is admitted to the pediatric room with several episodes of diarrhea 3 days . the child is diagnosed with gastroenteritis. Which organism is responsible about the most diarrhea episodes in children?
A. Rota
B. Bacillus magissterium
C. Shigella
D. Staphylococcus
8. A child with a diagnosis of Tetralogy of Fallot is scheduled to be discharge from the hospital. the nurse who is planning discharge education should instruct the caregivers that during a hyper cyanotic spell, which position is most likely to benefit the child?
A. Supine
B. Prone.
C. side-lying
D. Knee-chest
9. A 12- year- old boy was brought to the Emergency respiratory arrest due to drowning. Cardiac resuscitation what is the major complication that might happen if treated after drowning quickly?
A. Sepsis
B. Alkalosis
C. Acidosis
D. Hypothermia
10. which of the following is the leading cause of injury for children who are more than five years old ?
A. accidental suffocation
B. motor vehicle
C. congenital anomalies
D. drowning
11. A 1-year-old girl admitted to podiatric medical unit significant weight loss, diminished mid-arm circumference diarrhea, and red hair. Which of the following type of malnutrition do the nurse suspect
A. Marasmus
B. Spitting up
C. Kwashiorkor
D. Rickets
12. 33 month-old infant is admitted to the Emergency Department (ED) with fractured arm. The mother indicated that while the child was crawling fell down the stairs and broke his arm. Which of the following observation would lead the nurse to suspect that this is a victim of abuse?
A. Age inappropriate injury
B. Pattern and shape of the injury
C. Child is appearing malnourished
D. Improper explanation of the cause of injury
13. 5-year-old child was brought to the Emergency Room with a fractured right forearm. He had several bruises on his body but showed no signs of an while palpating them. He seemed scared and did not answer any questions asked. Why should the nurse discuss this case with the nurse manager?
A. Continuity of care
B. Rule out child abuse
C. Psychological support
D. Fracture management
14. A four-year old child is seen in the Emergency Department with a spiral fracture of the left arm . The x-ray examination showed previously broken healed bones. What is your immediate action?
A. Call social services to immediately arrange foster care for the child
B. Ask the child about the previous accidents and management
C. Report the child abuse to the local authorities
D. Try to establish rapport and trust with the child’s family
15. A 62-year-old women admitted to the emergency department for the fourth time this year, each time the patient comes with severe 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
16. 5-year-old child admitted to the pediatric ward with fracture arm. While assessing the child, the se notices a bruises in the child's back. This is the third time in 1 month that the parent brings the child to hospital. ich time, the child family provides vague explanations for various uries. Which of the following e pediatric nurse's priority intervention?
A. Prevent the parents from visiting the child
B. Question the parents about the child's injury
C. Encourage the child to tell the truth about his injury
D. Report suspicion of abuse the proper hospital authorities
17. A child with a ventriculoperitoneal shunt discharge is anticipated after 2 days, the nurse is teaching the parents about signs of shunt malfunction. Which of the following sings indicate shunt malfunction?
A. Depressed fontanel
B. Vomiting , lethargy
C. Increase heart rate
D. Hematuria
18. A 3 year old child is seen to the emergency department experiencing a seizure at home. Three is no previous of seizure. The mother inform that she does not believe the child epilepsy. Which of the following is the best response?
A. No need to worry because epilepsy is easily treated
B. Very few child have actual epilepsy
C. The seizure may or may not epilepsy
D. Your child has had only one seizure
19. A 16-year-old girl was found unconscious in her home by her mother. She brought to the hospital by ambulance. The patient has no previously known medical history. On arrival, the nurse performs an assessment for Level of consciousness and notes a Glasgow Coma Score of five. The nursenotes the patient's breathe smells like acetone or fingernail paint remover. What is the priority therapeutic goal?
A. Increase blood glucose
B. Increase serum osmolarity
C. Increase circulatory volume
D. Decrease intracranial pressure
20. patient has a defect with the beta cells of the Islet of Langerhans. Which of the following should the nurse most likely expect this patient to exhibit?
A. Anemia
B. Appendicitis
C. Cholelithiasis
D. Hyperglycemia
21. The nurse is planning care for several children who were admitted during the shift. Daily weights should be the plan of care for the child who is receiving:
A. Total parenteral nutrition (TPN)
B. Supplement oxygen
C. Intravenous anti-ineffective
D. Chest physiotherapy
22. A nurse has just started total parenteral nutrition (TPN) as prescribed
for a patient with severe dysphagia low prealbumin levels. In one to two hours, the nurse should anticipate assessing the patient’s:
A. Blood glucose level
B. Weight
C. Liver
D. Spo2
23. client with type 1 diabetes mellitus is admitted in which medication if found by the nurse in the should be clarified with the physician?
A. Humalog (lispro) sliding scale before meals
B. Glargine (Lantus) 10 units subcutaneously
C. Metformin (Glucophage) 500 mg per orel
D. Dextrose 50% ampule intravenous push for 50 mg/dL
24. 28-year-old male is recovering from a moderate concussion following a motor vehicle accident 2 weeks ago, when he suddenly develops an increased thirst, craving Coldwater. The patient urinates very large amount of dilute, water like urine with specific gravity of 1.001 to 1.005 the patient is MOST likely developing.
A. Diabetic mellitus
B. Diabetic insipidus
C. Hypothyroidism
25. While planning for discharge education for a mother or rickets, the nurse knows to include the need for an adequateWhich food should the mother choose for her child?
A. Potato and squash
B. Orange and tomatoes
C. Egg yolk and fish
D. Milk and yogurt
26. year-old woman with inflammatory bowel disease is scheduled to undergo a procedure in which a stoma will be formed in the right lower quadrant, five centimeters below the waistline. The nurse advises the patient on how to avoid potential post-operative intestinal obstruction. Which of the following types of food best recommended post-operatively?
A. Broccoli and fish
B. Meats and cauliflower
C. Yogurt and parsley
D. Corn and seeds
27. A nurse is providing education to a patient who is being discharged after olecystectomy and has been placed on a low fat diet. Which of the following foods should be avoided by the patient?
A. Canned beans
B. Whole milk
C. Rice
D. Fish
28. The nurse is caring for a patient who has abdominal pain constipation last three days. The nurse teaches the patient about the most likely ative-producing foods. What are the foods that are mostly useful to relieve constipation?
A. Cheese, pasta and eggs
B. Rice, eggs, and lean meat
C. Bran(Oats), figs, and prune
D. Cabbage, bananas and apple
29. Discharge teaching for a child with celiac disease would include instructions about avoiding which of the following?
A. Rice
B. Milk
C. Wheat
D. Chicken
30. 5year-old child is postoperative after tonsillectomy. The nurse should ask the parents to give the child which of food after discharge from the hospital?
A. Meat and rice
B. Hot dog and potato chips
C. Mashed potatoes and soup
D. Cucumbers and tomato salad
31. A 40-year-old women is a gravida 2, para 2 and is current conceive. Her previous pregnancy resulted in the birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic counseling and Which foods would most effectively prevent recurrence a palate?
A. Green vegetables and citrus fruit
B. Eggs, milk and dairy products
C. Wheat, corn, rice, oats and rye
D. Beef, chicken and yellow vegetables
32. A nurse is caring for a patient diagnosed with abdominal x-ray reveals evidence of pancreatic sign of biliary disease. What would the nurse most likely instruct the patient
A. Consume a high-protein diet
B. Gradually increase dietary fibre
C. Avoid ingestion of alcoholic beverages
D. Limit activities when the patient is fatigued
33. A 6 year old male is diagnosed with Nephrotic syndrome. When nursing care for the patient the plan of diet should be?
A. high salt, High fat
B. high salt, High cholesterol
C. low salt, low fat
D. low protein, high
34. 5-year-old child was admitted with Nephrotic Syndrome. A nurse noticed that the child has slight facial puffiness with mild pitting edema on his hands and feet. there was no distended abdomen Which type of diet the nurse should order for the child?
A. High protein, high salt diet
B. Low protein, low fibre diet
C. Low protein, normal salt diet
D. Normal protein, low salt diet
35. An Indian patient, who is vegetarian, is being discharged from after an elective surgical procedure. The unit nurse is teaching using visual aids and pictures about food combinations complete protein. Which of the following food items should the nurse recommended dietary list of the patient?
A. Lentils
B. Potatoes
C. Macaroni
D. Green salad
36. An adolescent with a juvenile diabetes mellitus develops chronic renal failure. Which of the following diets is suitable?
A. Low fat
B. Low mineral
C. Low protein
D. Low carbohydrate
37. A 60 years old patient was admitted with hepatic coma in the intensive care unit. The physician has ordered protein restriction diet for the patient. Which of the following substances is most likely causes harmful effects when the patient increases protein intake?
A. urea
B. creatinine
C. ammonia
D. amino acid
38. A 40-year-old women patient with Parkinsonism Medical Ward. The patient stated that she has the past two weeks. The nurse was planning to Which type of diet is most suitable for parkin?
A. Solid
B. Liquid
C. Semi solid
D. Clear liquid
39. A 68-year-old patient admitted to the Emergency Room with clinical nifestations of pulmonary embolism. Arterial Blood Gas (ABC) and chest ay were ordered. Which of the following tests is used to diagnose this condition?
A. Computed Tomography Scan (CT scan)
B. Magnetic Resonance Imaging (MRI)
C. Pulmonary angiography
D. Pulmonary function test
40. 39- A 23-year-old woman presents to the clinic with an intense headache that rates at a level 8 on the 1-10 scale. Additionally, she feels nauseous is sensitive when exposed to bright light. Cerebrospinal fluid samples
sent to the laboratory for analysis and complete blood count. Testing both kerning’s and Brzezinski’s sign are positive. The patient is admitted the hospital and one hour later she has a seizure. In the period mediately following the seizure, the nurse stays at the bedside to vide on-going care. Which of the following assessments has priority at this time?
A. Blood pressure
B. Respiratory drive
C. Pupillary changes
D. Level of consciousness
41. During a night shift a medical doctor complains of back pain and asks the t nurse to give him morphine 5 mg IM. Which of the following actions indicates professionalism in handing the ation by the nurse?
A. Call another doctor to manage
B. Refer him to Emergency Room
C. Administer morphine to doctor
D. Ask him to write a prescription first
42. 3-year-old child with an elevated body temperature is administered oral aspirin . The nurse records the body temperature of the child two hours and finds that it is still elevated. What is the most likely underlying physiology for the delayed response in action of the aspirin?
A. High gastric pH
B. Thin epidermis
C. Low muscle tone
D. Short intestines
43. 65-year-old man is undergoing pre-operative preparation for endoscope procedure in which the physician will visualize the large and distal part of the small bowel with a camera attached to the flexible tube. Which of the following positions is the most appropriate?
A. Left lateral Sim's
B. Right lateral recumbent
C. Trendelenbreg
D. Prone
44. 60-year-old man is being discharged from the post-operative Care Unit following a transurethral resection of the prostate. The nurse provides discharge information regarding the care of the bladder catheter. Which method would be most effective in bladder retraining for this patient?
A. Scheduled urination every 2-3 hours
B. Limit fluid intake before sleeping time
C. Perform pelvic floor exercises daily
D. Increase fluid intake during the daytime
45. The unit nurse conducts initial assessment and observes the dressing is wet and requires change. The patient looks drowsy with warm skin
(see lab results)
Blood pressure 110/70 mmHg Heart rate 99 /min Respiratory rate 24 /min Temperature 38.8 C Test Result Normal Values
RBC 5.5 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female)
Hb 133 130-170 g/L (male) 120-160 g/L (female)
WBC 25.5 4.5-10.5 × 109 /L
What is the most likely underlying diagnosis?
A. Sepsis
B. Gangrenous tissue
C. Acid base imbalance
D. Hyperthermia secondary to infection
46. nurse is completing the preoperative checklist for one of the patients who ring is wearing a ring. What is the most appropriate action?
A. Give ring to security office
B. Lock ring with patient's valuables
C. Call patient's family to give them the ring
D. Respect patient's choice and leave ring on patient's finger
47. NA 17-year-old women went to the Emergency Department complaining of fever, sore throat, and hoarseness of voice. Laboratory tests were done (see lab results).
Test Result Normal values
Hb 120.5 120-158 g/L
HCT 0.39 0.36-0.47 g/L
RBC 4.0 3.8-5.1 × 1022/L
WBC 14.2 4-10.5 × 109/L
Throat culture positive Beta Haemolytic Non found Streptococcus
Which of the following would be the possible complication for the patient condition?
A. Cellulitis
B. Bacterial cholangitis
C. Infective endocarditis
D. Rheumatic heart disease
48. A postoperative patient has on order to discontinues the foley 11:30 AM, the nurse removes the Foley intact. At 1:00 PM, the patient complains of feeling the need to urinate and voids 30 ce. The nurse should assess the patient for signs of which of the following?
A. Urinary retention
B. Urinary tract infection
C. Cystitis
D. Haematuria
49. 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
D. Use of leading question and those involving yes or no
50. An ICU nurse reviews the chart of a 47-year-old man patient mechanical ventilator for a long time. Artorial blood gas resul see lab results).
Test Result Normal Values
ABG HCO3 24 22-28 mmd/L
ABG PCO3 10.66 4.7-6.0 KPa
PH 7.16 7.36-7.45
ABG PO2 6.13 10.6-14.2 KPa
SA O2 81 95-100 %
What condition the patient is experiencing presently?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
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