SCFHS MCQs 1.1

 SCFHS MCQs 1.1

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1.        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
 
2.        30 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
3.       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
 
4.        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 on?
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
 
5.        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
 
6.        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
 
7.        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
 
8.        To reduce the risk of transmitting methicillin-resistant sta aurous (MRSA) from an infectious wound, which of the following precautions should be implemented?
A.      Airborne
B.      Contact
C.      Droplet
D.      Reverse isolation
9.        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
 
10.     Three 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
 
11.     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
 
12.     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 bagon a clean, dry surface.
C.      Obtain the patient’s written consent for home health care
D.      Perform hand hygiene per the agency protocol
 
13.     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
 
14.     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
 
15.     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
 
16.     A 5-year-old child is seen in the primary care clinic with chickenpox is infectious from ~1–2 days before the rash appears until all lesions have crusted over.
A.      2 days
B.      6 days
C.      10 days
D.      15 days
 
17.     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
 
 
18.     The nurse is assessing a 65-year-old patient, who reports the fatigue, weight loss, night sweats, and a productive cough with thrick sputum The nurse should immediately initiate isolation precautions for which of the following?
A.      Influenza
B.      Pertussis
C.      Bacterial pneumonia
D.      Pulmonary tuberculosis
 
19.     Which of the following diagnostic tests is definitive for TB?
A.      Chest x-ray
B.      Mantoux test
C.      Sputum culture
D.      Tuberculin test
 
20.     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
 
21.     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 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

22.     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
 
23.     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

24.     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
 
25.     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
 
26.     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
27.     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
 
28.     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
29.     Treatment of nephritic syndrome is corticosteroids
 
30.     Isoniazid for TB side effect numbness , hepatitis symptoms , stomach upset ,rashes
 
31.     A nurse is preparing scheduled medications due at 6 pm. If a doctor orders paracetamol tab 1g QID, and it was supplied from the pharmacy in 250 mg tablets. Which of the following is the most appropriate nursing actions?
A.      Ask the pharmacy to provide 1g tablets
B.      Call the doctor to recheck the dosage
C.      Give the patient four 250 mg tablets
D.      Hold the medication and document in nursing notes
 
32.     13-year-old patient is admitted for diarrhea 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
 
33.     A nurse is assigned to care for a group of patient in the medi expected to review the medical records of these patient. What patient is at risk for excess fluid volume?
A.      Patient with ileostomy
B.      Patient taking a loop diuretic
C.      Patient with chronic renal failure
D.      Patient hooked to gastrointestinal
 
34.     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

35.     When a patient was first diagnosed with schizophrenia, one of his family members asked the nurse about the possible causes. The nurse said that one reason is that he may have had an excess secretion of a neurotransmitter. Which of the following neurotransmitters?
A.      serotonin
B.      dopamine
C.      glutamate
 
36.     The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the post anesthesia care unit (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2saturation is 21 oxygen via cannula is 86%. The nurse should IMMEDIATELY administer:
A.      Flumazenil(Romazicon)
B.      Medazolum(versed)
C.      Naloxone (Narcan)
D.      Ondansetron (Zofran)
 
37.     Digoxin not given to pàtient who has ?
A.      tachycardià
B.      hypertension
C.      tachypnea
D.      bradycardia
 
38.     Atropine is indicated for increase
A.      Heart rate
B.      Respiratory rate
 
39.     Morphine side effect ?
A.      tachycardià
B.      hypertension
C.      tachypnea
D.      bradypnea
 
40.     patient with ongoing magnesium sulfate the nurse should be alert to ?
A.      temperature
B.      respiratory rate
C.      heart rate
 
41.     Soldier was brought to triage area after being exposed to chemical weapons. Signs and symptoms of nerve gas exposure were noticed. A nurse prepares for medical management. Which medication should the nurse prepare for
the patient?
A.      Atropine
B.      Adrenaline
C.      Sodium nitrate
D.      Sodium thiosulphate
 
42.     Nitroglycine administration route :
A.      Intramuscular
B.      Sublingual
C.      Subcutaneous
D.      Oral

43.     A nurse checks the medication chart of a part, which has the following order; Nitroglycerin tab Buccal at stat. Which of the following medication administration routes should the nurse use?
A.      In the ear
B.      Intravenous
C.      Under the skin
D.      Between cheek and gum
44.     Which of the following statement by the nurse about the clomid as an ovulation inducing drug?
A.      Given for the first 15 days in each cycle
B.      Maximum dose is 50 mg daily for a month
C.      It increases the risk of birth defects
D.      It increase the risk of multiple pregnancies
 
45.     Clomiphene citrate (Clomid) is prescribed for a 32-year-old infertility treatment. The nurse should understand that this medication is used fo following actions?
A.      induce ovulation
B.      Decrease prolactin level
C.      Reduce endometriosis
D.      Stimulate the release of Follicle-Stimulating Hormone 
46.     A nurse is caring for a client with bipolar disorder, who is receiving Lithium carbonate. Before Administration of the next dose, the client complains of nausea and vomiting and the nurse finds that the client’s lithium blood level
1.5mEq/lL. Which of the following actions is considered Apriority?
A.      call the client’s physician immediately
B.      withhold the next dose.
C.      Administer IV fluids
D.      Repeat the blood lithium level testing
 
47.     A patient was on a course of lithium carbonate drug. During the nurse found that he complained from nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms?
A.      Overdose
B.      Mild toxicity
C.      Severe toxicity
D.      Moderate toxicity
 
48.     A patient was on a regular does of lithium carbonate. The nurse that he has hand tremor, polyuria, diarrhea and vomiting. What immediate action should be taken by the nurse?
A.      Diuretics
B.      Withholding lithium
C.      Calling the psychiatrist
D.      Monitoring serum lithium level
49.     which of the following condition is a Contraindication for a woman oral Contraceptives?
A.      Dysmenorrhea
B.      Menorrhagia
C.      Thrombophlebitis
D.      Toxic shock syndrome
 
50.     A 55 year-old man takes cyclosporine mg by mouth twice per day. He had a heart transplant two months ago. He complains of stomach cramping, diarrhea and muscle twitches. Which electrolyte is most likely elevated?
A.      Calcium
B.      Sodium
C.      Magnesium  

D.      Potassium