DHA MCQs 5.3
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A. Sepsis
B. Alkalosis
C. Acidosis
D. Hypothermia
2. An ICU nurse reviews the chart of a 47-year-old man patient mechanical ventilator for a long time. Arterial blood gas result 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 % |
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
3. Gastric suction can cause :
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis.
A. Compensated respiratory acidosis
B. Uncompensated respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
5. The nurse assesses a client with an ileostomy for possible development of which of the following acid-base imbalances?
A. Respiratory acidosis
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
6. The nurse is assigned to care for the a patient with Cushing syndrome on adrenal corticoid hormones syndrome on adrenal corticoid hormones Ph 7.2 Which of the following condition should nurse expect to patient
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
7. A nurse reviewed a chart of a 42 year-old man whose ABG analysis report is shown
PH: 7.20 PCO2: 35 HCO3: 20.
Which of the following I the most likely interpretation of the findings
in the report?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Metabolic acidosis
A. Respiratory alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Metabolic acidosis
8. The nurse is assigned to care for the a patient with Cushing syndrome on adrenal corticoid hormones syndrome on adrenal corticoid hormones Ph 7.2 Which of the following condition should nurse expect to patient
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
9. A 20 year old woman, a case of panic attacks, comes to the emergency department. An arterial blood gas analysis is done PH 7.53 7.35-7.45 HCO3 22 22-26 PCO2 27 35-45 what is most likely?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
10. A client was admitted in the Emergency Room due to mild metabolic acidosis associated with dehydration and potassium the doctor administered Hartmann’s (lactated Ringer’s) intravenous fluid and electrolyte replacement. Which of the following elements of the lactated Ringer’s solution highest value?
A. Calcium
B. Sodium
C. Potassium
D. Magnesium
11. Ringer Lactate consider as which type of IV solution?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Hyper alimentation
12. physician orders an intravenous fluid of D5NS at 100cc/hr. This is an example of which of the solution?
A. hyper alimentation
B. hypertonic
C. hypotonic
D. isotonic
13. 13-year-old patient is admitted for diarrhoea and vomiting. He looks pale and lethargic. A nurse is preparing to give IV hypotonic solution.
Blood pressure 110/70 mmHg
Heart rate 76 /min
Respiratory rate 18 /min
Temperature 36.1°C Which IV solution is most appropriate?
A. 0.9% saline
B. Lactated ringers
C. 10% dextrose in water
D. 0.45% sodium chloride
14. CPR DEPTH ONE THIRD OF CHEST = 1.5 INCH =4CM IN INFANTS , IN ADULT 2 INCH = 5CM
15. CPR Technique IS :
A. 30:2 120
B. 15:2 100
16. You are performing CPR on an infant when a second rescuer appears. What is the next step in management?
A. Immediately transport the patient
B. Wait until exhausted, then switch
C. Have the second rescuer help with CPR, to minimize fatigue
D. Have the second rescuer begin ventilations; ratio 30:2
17. What should be your first concern at the scene where a person has been seriously burned?
A. Checking the scene for safety.
B. Checking the victims breathing and pulse.
C. Calling your local emergency phone number.
D. Cooling the burned area.
18. While performing cardiopulmonary resuscitation (CPR) on a 5-year-old child, the nurse palpates for a pulse. Which of the following sites is best for checking the pulse during CPR in a 5-year-old child?
A. Femoral artery
B. Carotid artery.
C. Radial artery
D. Brachial artery
19. After activating the emergency call system, what should be the next immediate action?
A. Initiate ventricular pacing
B. Administer a bolus of lidocaine as prescribed
C. Defibrillate the patient
D. Open the patient's airway
20. A nursing instructor teaches a group of students about basic life support. The instructor asks a student to identify the most appropriate location to assess the pulse of an infant under 1 year of age. Which of the following if stated by the student, would indicate that the student understands the appropriate procedure:
A. Carotid
B. Popliteal
C. Radial
D. Brachial
21. Which of the following is an example of epidemic point source?
A. Tuberculosis
B. Public health agency
C. Contaminated water source
D. Communicable disease pavilion
Airborne | Droplet | Contact |
TB epidemic disease | Small pox | RSV |
Corona virus | Meningitis | MRSA |
measles | Diphtheria | Staphylococcus |
chicken pox | Rubella | Ebola virus |
influenza | ||
Streptococcus | ||
COVID 19 |
Tuberculosis
v TB epidemic disease
v TB. Wear N95 mask
v TB. Test Mantoux test / PPD TEST
v TB TEST WITHIN 48-72 Hours
v Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes
v Tb accurate test sputum culture and to be done early morning
Meningitis. ...
v Streptococcal pneumonia
v meningococcal vaccine. Hib
v Neck rigidity
v Droplet
v Cloudy CSF
v Lumber puncture
v Surgical mask. No N95 mask
22. A 32 years old man develops chronic productive cough. He has not been feeling hungry and has lost three kilograms body weight in the past three weeks. On examination of his lung
fields, there was diminished breath sound and widespread crackles. An early morning sputum culture was sent to the lab.
A. Droplet
B. Contact
C. Airborne
Rationale TB chest XRAY
23. 8 year-old man is diagnosed with tuberculosis (TB) and negative pressure room. Which of the following should wear a facemask?
A. Patient's health care providers
B. All people who enter the patient's room
C. Person has close contact with the patient
D. Family members who are at risk for infection
24. A nurse working in medical unit is preparing to with droplet precaution measures in place. The following personal protective equipment; eyewear. What is the correct sequence foe putting the equipment on?
A. Face Mask, Gown, Eyewear, and Gloves
B. Gown, Face Mask, Eyewear, and Gloves
C. Eyewear, Cloves, Face Mask, and Gown
D. Gloves, Gown, Face Mask, and Eyewear
25. A nurse working in medical unit is going out (removing) with droplet precaution measures in place. The following personal protective equipment; eyewear. What is the correct sequence foe putting the equipment off?
A. Face Mask, Gown, Eyewear, and Gloves
B. Gown, Face Mask, Eyewear, and Gloves
C. Eyewear, Cloves, Face Mask, and Gown
D. Gloves, Eyewear , Gown, , and Face Mask
26. Mr X attended in outpatient clinic with symptoms of shortness of breath, diarrhea and severe respiratory distress Which of the following is the best diagnosis of Mrs. A case?
A. Corona virus
B. Swine Flue
C. Zika virus
D. Hepatitis
27. A nurse receives a telephone call from the admission office of the hospital and is told that a patient with streptococcal meningitis will be admitted to the Medical Unit. The nurse is planning to apply infection control measures for the patient. Which type of isolation precaution the nurse must observe?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions
28. A nurse receives a telephone call from the admission office of the hospital and is told that a patient with streptococcal meningitis will be admitted to the Medical Unit. The nurse is planning to apply infection control measures for the patient. Which type of isolation precaution the nurse must observe?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions
29. A 35 year old patient was admitted to a medical ward with confirmed agnosies f meningococcal infection. Which of the following infection control preventions the nurse should implement?
A. Droplet precaution
B. Contact precaution
C. Airborne precaution
D. Standard precaution
30. A 16 month old child is hospital in the intensive care unit with multi resistant sepsis. On the 3rd day. She had explosive diarrhea. A stool sample was sent to the laboratory for C. difficle investigation. Which of the following transmission based precaution is most appropriate?
A. Combination airborne and droplet
B. Contact
C. Droplet
D. Airborne
31. Which of the following is the most effective infection control precaution to prevent nosocomial infection?
A. Hand washing before and after patient contact
B. Wearing gloves and mask for direct patient care
C. Isolation precaution
D. Broad spectrum antibiotic
32. Mantoux test done for a patient result was 6.5cm it consider?
A. Latent
B. Suspected
C. Active
33. When planning discharge teaching for a patient hospitalized for treatment of the 3rd burns over 30% of the body, a nurse knows it is most important to include instructions regarding the loss of large amounts of serum occurring with burns and the resulting loss of immune function. Which of the following instructions should be include?
A. Wash hands frequently each day
B. Wear supplemental oxygen at night
C. Wear masks while in public spaces
D. Take a multiple vitamin tablet night
34. An infection control nurse notices purulent exudates , redness and tenderness on the surgical wound site for few post –operative patients in a surgical unit , She discussed with the ward nurse and emphasized that wound infection after the surgery can be prevented. Which of the following is the best possible action to minimize the incidence of wound infection ?
A. Perform assessment of pain on the wound site
B. Wash hand before and after each patient activity
C. Encourage adequate intake and early ambulation
35. A patient in surgical was transferred to isolation room after the wound swab confirmed to have methicillin Resistant staphylococcus Atreus MRSA. Which of the following measures should the nurse take to prevent infection in the ward?
A. Clean the would three times a day
B. Discard all soiled dressing into waste bag
C. Instruct the patient to wash hands regularly
D. Wear gloves and gown on every entry into the room
36. Medical asepsis requires which of the following hand washing techniques?
A. Use hot water to ensure that pathogens are killed
B. Use circular motion washing from clean to dirty areas
C. Rinse soap off keeping hands and forearms lower than downs
D. Hands shall be held higher than elbows and scrub
37. A 45-year-old patient admitted with pulmonary tuberculosis. The unit nurse placed the patient in an isolation room with negative air pressure and prepared all the personal protective equipment at the entrance of the room. What type of precaution measure has the nurse activated?
A. Contact
B. Droplet
C. Airborne
D. Standard
38. To reduce the risk of transmitting methicillin-resistant staphylococcus auras (MRSA) from an infectious wound, which of the following precautions should be implemented?
A. Airborne
B. Contact
C. Droplet
D. Reverse isolation
39. A 45 year old patient is admitted with pulmonary tuberculosis. The unit nurse placed the patient in isolation room with negative air pressure and prepared all PPE at the entrance of the room. Which of the following PPE is the most important for the nurse when caring for this patient?
A. Hair cover
B. Sterile gloves
C. N95 respirator
D. Protective goggle
40. 8 month-old child diagnosed with bronchiolitis due to respiratory ncytial virus (RSV) is admitted to the pediatric hospital. The nurse should initiate which of the following isolation precaution?
A. Contact
B. Airborne
C. Standard
D. Droplet
41. A 5-year-old child is seen in the primary care clinic with mild fever, headache, and malaise for about 2 days and today he has a rash filled with fluids. which of the following is the best suggested diagnosis?
A. Chicken pox
B. German measles
C. Measles
D. Scarlet fever
42. A eight year-old boy present to the pediatric clinic with his mother who complains that the child has developed a skin rash. There is a clear drainage from the nose and he appears tired. The rash first appeared on the face and then spread over the trunk and is now beginning to appear over the hands. Some lesions show open ulcerations and other have crusted over. There are scratch marks over the skin. Which finding would indicate the child is ready to return to school
A. Normal body temperature
B. Dry and scabbed lesions
C. Nares of free of drainage
D. Absence of rash over trunk
43. A patient with measles (rubella) is on airborne precautions. Which of the following precaution techniques would be essential to implement for non-immune persons entering the room?
A. Gloves
B. Gowns
C. Masks
D. Face shields
44. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?A. Shake the patient’s hand
B. Place the nursing supply began a clean, dry surface.
C. Obtain the patient’s written consent for home health care
D. Perform hand hygiene per the agency protocol
45. You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which type of isolation should be suitable for the patient?
A. Air borne
B. Contact
C. Droplet
46. In order to reduce the risk of disease transmission from a patient with diphtheria, which of the following standard precautions would the nurse implement?
A. Airborne
B. Contact
C. Droplet
D. Ventilatory
47. Patient with a colostomy complains of itching of the peris tornal skin. On assessment, the skin is covered in a red rash with white patches visible. What is the most likely cause of this condition?
A. Not changing the pouch regularly
B. Candidiasis
C. Consuming acid-producing foods
D. Dehydration
48. A 33-year-old woman has come to the outpatient clinic for treatment of a vaginal infection. Physical assessment reveals yellowish excessive, thin offensive and frothy discharge. Which of the following is the most likely diagnosis?
A. Candidiasis
B. Trichomoniasis
C. Bacterial vaginosis
D. Chlamydia
49. A 5-year-old child is seen in the primary care clinic with headache, malaise for about 2 days and today he has a fluids for how long the child should be isolated after formation of?
A. 2 days
B. 6 days
C. 10 days
D. 15 days
Rationale chicken pox
50. A toddler is seen in the Emergency Room with a history of high temperature for 5 days. He had watery eyes and a cough for the last 3days, and then he developed a rash all over the body which started in his face and spread down to his body. The mother did not remember the vaccination schedule of her son. For how long the child should be isolated?
A. 5 days
B. 10 days
C. 15 days
D. 20 days
Rationale Measles
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