DHA MCQs 4/4

DHA MCQs 4/4

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1.      Which of the following patients is most appropriate to care for first?
        A.      Patient with a central venous catheter inserted 4 hours ago
        B.      Paralyzed patient who has had continued tube feeding
        C.      Adolescent patient who had appendectomy 1 day ago
        D.      Gastrectomy patient who came from postoperative care unit 1 hour ago
 
2.      Which of the following nursing intervention assists in the prevention of pressure ulcers following abdominal surgeries?
        A.      Frequent surgery site every two hours
        B.      Frequent moisturizing of skin
        C.      Use side rails as restrains
        D.      Encourage ambulation

3.      The nurse is preparing the patient for hospital for discharge following above-the-knee amputation with rigid dressing over the residual limb. Fourteen days following surgery, the patient is successfully fitted with Prosthetic limb and begins physical therapy Which of the following resting position is most beneficial? o
        A.     Sitting with legs crossed
        B.     Abduction of residual limb
        C.     Knee flexion when sitting in chair
        D.     Knee extension when in bed
 
4.      A client has just returned to a nursing unit after an above-knee amputation of the right leg. The nurse should place the client i which position?
        A.      Prone
        B.      Reverse Trendelenburg's
        C.      Supine, with the amputated limb flat on the bed
        D.      Supine, with the amputated limp supported with pillows
 
5.      A patient was admitted to burns unit 12 hours ago with deep partial-thickness burns. Which of the following would be expected to be seen?
        A.      Increased body temperature
        B.      Increase hematocrit levels
        C.      Increase blood pressure
        D.      Increase urine output

6.      Patient with ABG PH 7.33 و HCO3 30 , PCO2 50
        A.     Compensate respiratory
        B.     Compensate metabolic
        C.     Uncompensated respiratory
        D.     Uncompensated metabolic

7.      Most common cause for acute renal failure ?
        A.     pyelonephritis
        B.     Tubular destruction
        C.     Urenary tract obstruction
        D.     Dehydration
 
8.      Health education about accident in school, role of who?
        A.     Nurse
        B.     Doctor
        C.     Social worker
        D.     Administrator
 
9.      Patient changed his mind after informed research onset. What principle is linked to this patient right?
        A.     Justice
        B.     Competence
        C.     Autonomy
        D.     Beneficence
10.  A patient treated an insect bite with traditional alternative therapy of row garlic juice caused strong skin reaction. The patient agreed not use it again after the nurse explained its harmful effects Which of the following is the best expression of the nurse's role?
        A.     patient's advocate
        B.     Resource person
        C.     Care planning
        D.     Caregiver

11.  A 40 year-old client is admitted to the hospital with a 'SCI with no function below the level of injury and with Foley's catheter in place. He is complaining of a severe throbbing headache that suddenly started one day ago. Assessment of the patient reveals she has diaphoresis, and flushing of the face and neck. Blood Pressure 168/94 mmHg Heart Rate 48 /min Respiratory Rate 30 /min Temperature 39° C
What action should the nurse take first?
        A.     Adjust the temperature in the patient's room
        B.     Check the foley tubing for kinks or obstruction
        C.     Notify the physician about the change in status
        D.     Administer the ordered acetaminophen (Tylenol) 1Spinal cord injury
 
12.  After the pericardiocentesis, the doctor inserted a polyethylene catheter left it in the pericardial sac. The patient asked the nurse about the response of the catheter. What should be the nurse's response?
        A.     Monitor consistency of drainage
        B.     Prevent movement of pericardial sac
        C.     Prevent recurrence of cardiac tamponed
        D.     Prevent increase in venous and blood pressure
 
13.  A 53-year-old was referred to the Emergency Department by the primary healthcare center for hyperglycemia. The nurse interviews him and finds out that he has been recently diagnosed with diabetes. He says that he does not understand why he needs insulin (see lab result) Test Glucose, fasting Result 12.2 Normal Values 3.5-6.5 mmol/L. Which of the following learning needs is indicated for this patient?
        A.     Insulin Alternatives
        B.     Complications of diabetes
        C.     Disease process of diabetes
        D.     Lifestyle and dietary changes
 
 
14.  A patient is scheduled for surgical placement of a fecal ostomy. The nurse instructs the patient what the usual consistency of the feces at this is a fluid. Based on the illustration. Which of the following areas is the most likely surgical placement of this fecal ostomy ?
        A.      Two ( right lower)
        B.      Three
        C.      Four
        D.      Five
 
15.  Which patient is a contraindicated for enema
        A.     Gluocoma
        B.     hypertensive
        C.     renal failure
        D.     liver disease
 
16.  A 40-year-old woman presents to the clinic with cramping abdominal pain that ) comes and goes every 5 to 10 minutes. She is unable to pass gas or stool. The abdomen appears greatly distended. On auscultation bowel sounds are quiet and hypoactive. On percussion, there is resonance. On palpation, the abdomen examination is performed and the rectum is found to be empty. is tender, without "guarding". A rectal Which of the following health problems would be most likely?
        A.     Diverticulitis
        B.     Obstruction
        C.     Appendicitis
        D.     Crohn's disease
 
17.  A 69 year-old obese woman with past medical history of peptic ulcer disease underwent an urgent Laparoscopic loop ileostomy with intra-operative colonic lavage without complications. On discharge plan, the nurse explained several instructions. Which of the following symptom the nurse should instruct the client to report immediately?
        A.     Temperature of 37.6° C
        B.     Passage of liquid stool in the stoma
        C.     Occasional presence of undigested food
        D.     Absence of drainage from the ileostomy for 6 or more hours
 
18.  A 70 year-old woman is admitted to the Cardiac Care Unit with new onset atrial fibrillation and is receiving intravenous diltiazem and heparin. What is the most likely nursing diagnosis?
        A.     High risk for infection
        B.     High risk for impaired gas exchange
        C.     High risk for decreased cardiac output
        D.     High risk for disturbed sensory perception
 
19.  The primary nurse in the Cardiac Care Unit provided care for a patient with myocardial infraction with chest pain. Which activity is related to nursing planning?
        A.     Administer morphine as prescribed
        B.     Assess the level of pain management
        C.     Clearly state the nursing diagnosis as pain
        D.     Determine a set of nursing intervention outcomes for pain.
 
20.  A 21-year-old woman patient was admitted in the Psychiatric Ward for her panic anxiety attacks. She was mostly quiet and unsocial, but her assigned nurse gradually developed a trusted relationship with her. In one of the interactions with the nurse, she asked about how she could improve her behaviour with her mother as regardless of anyone's fault, she yells and even hits her mother. What should be the main emphasis for health education of this patient?
        A.     Social interaction
        B.     Family's counselling
        C.     Role and relationship
        D.     Coping-stress tolerance
 
21.  A nurse is discharging a patient after hospitalization due to myocarditis. Which of the following statements should be included in discharge teaching?
        A.     There is usually some residual heart enlargement
        B.     May resume previous activities as before hospitalization
        C.     Avoid immunizations against infectious disease
        D.     Rapidly beating heart is a common side effect of the illness and is not dangerous
 
22.  While undergoing a soapsuds enema, the client complains of abdominal cramping. The nurse should:
        A.     Immediately stop the infusion
        B.     Lower the height of the enema container
        C.     Advance the enema tubing 2 to 3 inches
        D.     Clamp the tubing
 
23.  A 40 year-old woman present with painful leg cramps and muscle twitching, which wakens her at night. Her menstrual cycles are irregular and cause painful abdominal cramping. The hair, skin and nails appear dry and brittle (see lab results) Test Result Normal Values Calcium 2.09 2. 15-2.62mmollL Phosphate, inorganic 1.69 0.82-
1.51mmollL Magnesium 0.55 0.7-1.0mmollL What type of lifelong diet would be most beneficial for this patient?
        A.     Increased magnesium and vitamin C
        B.       Increased calcium and vitamin D
        C.       Increased dairy and iron
        D.     High protein and high calorie
 
24.  A patient comes to the Emergency Department after falling out The nurse notices that the patient's left leg is externally rotate shorter than the right leg. The patient cannot move the left complains of severe pain. What is the most likely cause of these symptoms?
        A.     A Dislocated patella
        B.     Fractured left hip
        C.     Fractured left tibia
        D.     Dislocated left fibula
25.  The nurse is assessing a young-adult pregnant client with no allergies who has tested positive for gonorrhea.
Which of the following medications should the nurse expect to be part of the treatment plan?
        A.     Tetracycline
        B.     Ciprofloxacin
        C.     Azithromycin
        D.     Ceftriaxone
 
26.  Mother of nine children, three of them with congenitalanomales down syndrome; she is a primary school graduate, with low first status. She is not using any method of family planning. According primary health care nurse has refered her counselling. Which of the following phases of home visit accomplishes intervention?
        A.     Initial
        B.     Closing
        C.     Action
        D.     Terminal
 
27.  Pregnant mother at early pregnancy was admitted in Emergency Room with leakage of amniotic fluid, vaginal bleeding and lower abdominal cramping pain. What is the possible? Diagnosis should the nurse suspect
        A.     Missed
        B.     Inevitable
        C.     Incomplete
        D.     Threatened

28.  CAUSES of spontaneous abortion……… congenital anomalies
 
29.  While a nurse was having a conversation with a patient about his daily Iife routine, she noticed that he moved closer to her body and made her feel tense. Which of the following is the most appropriate response?
        A.     Yell and send him to his room
        B.     Change the topic of conversation
        C.     Keep silent and step back
        D.     Appear uncomfortable and limit behaviour
 
30.  ECG showed S-T elevation to confirm diagnosis of MI the nurse expect to do?
        A.      Troponin level
        B.      Cardiac catheterization
        C.      ECO

 31.  Ovulation occurs 14 days before the onset of the next menstrual cycle