DHA MCQs 5.4
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A. Influenza
B. Pertussis
C. Bacterial pneumonia
D. Pulmonary tuberculosis
2. Which of the following diagnostic tests is definitive for TB?
A. Chest x-ray
B. Mantoux test
C. Sputum culture
D. Tuberculin test
3. A patient presented with high fever, headache, vomiting and neck stiffness for the past 3 days, which of the following is the first diagnostic intervention for this patient:
A. Urine and stool analysis
B. lumber puncture with CSF aspiration
C. Complete blood count
D. Chest and abdomen x-ray
4. When a patient is admitted with acute influenza, what type of isolation is MOST appropriate?
A. Reverse isolation
B. Contact isolation
C. strict isolation
D. Respiratory isolation
5. What precautions are necessary when caring for a patient with Hepatitis A?
A. Gowning before entering the room
B. Wearing gloves for direct care
C. Wearing a mask at all times
D. Placing the patient in a private room
6. The nurse is assigned to care for the a patient with Ebola virus disease. Which of the following is the most common mode of transmission for Ebola virus?
A. Vector
B. Airborne
C. Direct contact
D. Common vehicle
7. A nurse is caring a patient diagnosed with pulmonary tuberculosis and she has to wear N95 mask when she enters to the parent room. Based on the cycle of infection, which of the following is the reason to use the mask?
A. Break the transmission chain at the portal of entry.
B. Break the transmission chain at the portal exit
C. Kill the agent exits in the patients room.
D. Eliminate the reservoir of the bacteria
8. After receiving the initial treatment of TB , a 27 years old woman in the chest disease ward was given discharge instruction on dietary management , medication, regimen, hygiene care and follow up visits. What is the instructions need to be emphasized the most?
A. Increase protein diet to promote healing
B. More rest and relaxation to restore therapy
C. Maintain daily exercise schedule to improve health
D. Dispose sputum as guided to avoid spread of disease
9. A patient is admitted to the emergency room with an unknown infection disorder. Which of the following is the most important measure a nurse implement to reduce the risks of transmitting these microorganisms other?
A. Hand hygiene
B. Wearing gloves
C. Wearing a mask
D. Wearing a gown
10. A nurse is assigned to care for a patient with small that needs to be placed on airborne precaution. Which of the following item should be used before entering the patient room?
A. Gloves and gown
B. Gloves and goggles
C. Gloves and mask
D. Gloves , gown N 95
11. Which of the following is the primary level of prevention?
A. Detect and treat existing disease
B. Prevent illness or injury occurring
C. Reduce the extent and severity of health problem
D. Minimize disability and restore to prevent function
12. A Nurse is surgical unit prepares for a wound dressing. While she is preparing. She sneeze over the dressing trolley without wearing a facemask. Which of the following is the most appropriate action should the nurse take?
A. set up a new sterile field
B. put on a mask and continue working
C. continue working the most sterile field
D. Replace the equipment she thinks is contaminated
13. 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
14. 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
15. 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
16. A 20 year old woman is hospitalized with a strong and uncontrollable cough and has difficulty breathing while coughing. A doctor writes an order for the patient to be transported from the medical surgical department to the radiology department for an xray examination. The nurse prepares to transfer the patient and considers standard precautions and additional transmission precautions. Who of the following would be required to wear a mask?
A. Radiology staff
B. Nurse and patient
C. Patient
D. Nurse
17. A patient returned to the Surgical Unit from the thyroidectomy. The nurse observed that the arousable. Blood pressure 90/60 mmHg Heart rate 108 /min What immediate action should the nurse take?
A. Recheck pulse and blood pressure
B. Administer intravenous fluids as ordered
C. Place client in modified Trendelenburg's
D. Assess the back of neck surgical dressing for bleeding
18. Complication of thyroidectomy
A. Distension
B. Bleeding
C. Vocal cord injury
19. progressive enlargement of a multi-nodular go tracheal compression including pain at the site of
the ear and jaw, difficulty swallowing, change of pf breath by compressing the oesophagus. There is in otherwise the patient is at risk. What is the preferred treatment?
A. Iodine treatment
B. Thyroid hormone treatment
C. Radioactive iodine treatment
D. Surgical resection of abnormal thyroid
20. A Post thyroidectomy patient transferred to ward and developed tetany the nurse suspected that patient has ?
A. Hypokalemia
B. Hypocalcemia
C. Hyponatremia
21. A nurse Wayne is aware that a positive Chvostek’s sign indicate
A. Hypocalcemia
B. Hyponatremia
C. Hypokalemia
D. Hypermagnesemia
22. Trousseau’s sign A sign of hypocalcemia. Carpal spasm can be elicited by compressing the brachial artery with a blood pressure cuff for 3 minutes.
23. Chvostek’s sign A sign of hypocalcemia. A spasm of the facial muscles elicited by tapping the facial nerve just anterior to the ear
covered with dressing. During the first 15 minutes, the patient started working and having diarrhea . A general assessment is performed with special attention given for the high risk for haemorrhage . Where would bleeding most likely occur?
A. Stool
B. Vomitus
C. Dressing
D. Back of neck
25. A 29 year-old man is in the Surgical Ward on his first post-ope thyroidectomy. He appears drowsy but the he is able to respiration by nodding head. He is developing mild dy restlessness. What is the initial recommended goal of care?
A. Monitor vital signs of thyroid storm
B. Assess for bilateral vocal fold mobility
C. Monitor for swelling on the neck
D. Monitor for vocal cord paralysis
26. A nuclear plant experienced a leakage, and all involved workers were brought to the Emergency Department for treatment . the medical team prescribed potassium iodide for the workers to block radioactive iodine to be absorbed by an organ in the body. Which of the following organs is the most sensitive to radioactive iodine?
A. Brain
B. Lungs
C. Kidney
D. Thyroid
27. The nurse care for a 60 year old woman who history hypertension, hypothyroidism and elevated cholesterol levels. She takes tablets daily for each of the health problem. The doctor orders a routine dual- x-ray absorptiometry test that shows decrease bone density. Which medication most likely contributed the test result?
A. Statins
B. Anti-hypertensive
C. Synthetic thyroid hormones
D. Cholesterol absorption inhibitors
28. A 36 years old man ha undergone a subtotal thyroidectomy ago. he Is suspected to develop tetany after the surgery. Which of the following symptoms best indicates tetanus?
A. Tingling in the fingers
B. Pain in hands and feet
C. Tension on the suture lines
D. Bleeding on the back of the dressing
29. The nurse is assessing 50 year old woman whose thyroid enlarged. A blood sample was collected and an analysis confirm diagnosis.
TSH 0.12 normal 0.4-6.5
Free 210 normal 50-140. Thyroxin T4 normal 4.5-11.2
A. Thyroidectomy
B. Incision and drainage
C. polythyroidectomy
D. adrenalectomy
30. 3-year-old child with an elevated body temperature is administered oral aspirin. The nurse records the body temperature of the child two hours an The American Academy of pediatrics suggests that removal of the tonsils under certain conditions. Which of the following meets these conditions?
A. times viral tonsillitis per year
B. Infrequent snoring and nasal quality
C. Three times bacterial tonsillitis per year
D. Tonsillitis accompanied by adenoid inflammation
31. 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
32. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing assessment is suitable for the postop care?
A. Encourage the child to cough spontaneously
B. Observe for subtle signs of haemorrhage
C. Place the child in the prone position
D. Suction the mouth to clear the airway Because of violent behaviour
33. The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing action is suitable for the postoperative care?
A. Encourage the child to cough spontaneously
B. Observe for subtle signs of hemorrhage
C. Place the child in the prone position
D. Suction the mouth to clear the airway Because of violence
34. After tonsillectomy, a child begins to vomit bright red blood .the Initial nursing action is to?
A. Notify the physician
B. Turn the child to the side
C. Maintain an NPO status
D. Administer the prescribed antiemetic
35. A client presents with Hypocalcemia, hyperphosphatemia, muscle cramps, and positive Trousseau's sign. What diagnosis does this support?
A. Diabetes insipidus
B. Conn's syndrome
C. Hypoparathyroidism
D. Acromegaly
36. The nurse cares for a client who has undergone a tonsillectomy. The nurse is most concerned about which post- operative finding?
A. Lack of appetite
B. Throat pain
C. Frequent swallowing
D. Nausea
37. 18-year-old man college student was rushed fainted at the school. He complained of severe quadrant. Upon palpation, he jerks even with sample was obtained. What is the most likely diagnosis of this patient?
A. Appendicitis
B. Liver Cirrhosis
C. Kidney stones
D. Duodenal ulcer
38. - year-old child was admitted with suspected appendicitis. A nurse was evaluating the child’s condition and the mother stated that the child did have his bowel movement for the past two days and requested for natives. What is the risk of giving laxative to patient with appendicitis?
A. Pain
B. Fever
C. Rupture
D. Diarrhea
39. A man is to be discharged from the General appendectomy. The precautionary measures, plans are discussed with him. What is the most important desired outcome after discharge
A. Remain free of post-surgical complications
B. Report fever, redness or drainage from the wound site
C. Use pain management techniques approp
D. Resume gradual activities and avoid weight
40. A 17 year-old arrived to the Emergency Room complaining abdominal pain on right lower quadrant. Pain was rated as 9 numeric scale with positive rebound tenderness over the pain
Blood pressure Heart rate Respiratory rate Temperature 120/70 mmHg 95 /min
20 /min 39.2
Which of the following interventions has the highest priority?
A. Keep NPO
B. Secure an IV access
C. Prepare for ultrasound
D. Prepare for abdominal surgery
41. The nurse would increase the comfort of the patient with appendicitis by:
A. Having the patient lie prone
B. Flexing the patient's right knee
C. Sitting the patient upright in a chair
D. Turning the patient onto his or her left side
42. A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when you palpate the right lower quadrant of the child’s abdomen, the child feels pain in the rig quadrant.
Which of the following is the name of this sign?
A. Rebound tenderness
B. McBurney sign
C. Roving’s sign
D. Obdurate sign
43. A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when you palpate the left lower quadrant of the child’s abdomen, the child feels pain in the rig quadrant.
Which of the following is the name of this sign?
A. Rebound tenderness
B. McBurney sign
C. Roving’s sign
D. Obdurate sign
44. Treatment of nephritic syndrome is corticosteroids
45. Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes
46. A 66 year old woman with a history of unstable angina and hypertension present to the emergency department with a dull chess pain that she describes as similar to heartburn. The pain radiates down the left arm. She had taken sublingual nitro-glycerine tablets with any relief any electrocardiograph is perform and shows elevated S T segments. Which medication is most likely to given to dissolve the thrombus?
A. Heparin
B. Warfarin
C. Streptokinase
D. Aspirin
47. A 62 year man with a history of intracerebral bleeding three months ago, was referred primary health care following acute starch symptoms. Brain CT scan is normal and the patient is receiving oxygen by nasal cannula at 4LPM
BP 185/105 HR 82 RR 18 TEM 36.6 SO2 93%
Which of the following medication would be ordered first?
A. RtPA
B. Aspirin
C. Dopamine
D. Nicardipine
48. A nurse checks the medication chart of a patient, which has the following order, nitroglycerin Tab sublingual. Which of the following medication administration routes should the nurse use?
A. In the nose
B. In the eyelid
C. Under the skin
D. Under the tongue
49. A 28 year man admitted to orthopedic ward complaining of throbbing pain in casted leg. Which of the following nursing intervention should be taken first?
A. Remove the cast
B. Notify a doctor
C. Assess pedal pulse
D. Administer PRN medication
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