SCFHS MCQs 1.2
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A. Administer oxygen according to the physician
B. Administer aspirin according to the physician
C. Administer morphine according to the physician
D. Administer nitro-glycerine according to the physician
2. 49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG showed that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. What is the primary indication of aspirin in this case?
A. Breaks down the thrombus
B. Decreases the formation of platelet plugs
C. Inhibits the conversion of prothrombine to
D. Interferes with vitamin k to maintain
3. which of the following condition is a Contraindication for a woman oral Contraceptives?
A. Dysmenorrhea
B. Menorrhagia
C. Thrombophlebitis
D. Toxic shock syndrom
4. 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
5. A 45-year-old distressed and restless patient in the Psychiatric Ward was unable to sleep during the nights for the last two days. He was ordered sleep medication which was to be administered at 10 pm. At the time medicine administration, the patient was found asleep in bed Which of the following action should the nurse take regarding the dication?
A. Discard medicine and cancel the order
B. Leave it at the bed side for the patient
C. Wake him up and administer
D. Hold, record and report
6. 13- nurse is given health education to the parent how to reduce febrile avulsion in the child at home. Which of the following medication in the safest intervention?
A. Analgesic
B. Antipyretic
C. Antibiotic
D. Antiemetic
7. DR order to give Ofloxacin Otic route the nurse understand that medication will be given :
A. Nasal
B. Eye
C. Ear
D. Sublingual.
A. Theo-dur on an empty stomach
B. Theo-dur and azmacort at the same time
C. Theo-dur and azmacort 12 hours apart
D. Theo-dur with milk or crackers
9. Which of the following vitamins is necessary for wound healing process?
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
10. Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns ?
A. Vitamin A
B. Riboflavin
C. Folic Acid
D. Vitamin K
11. A 78-year-old woman who lives in a long-term care facility has been ving repeated episodes of urinary tract infections. She is prescribed then amine mandelate one gram to be taken by mouth four times per before meals and at bedtime. The nurse advises the patient that she need to remove milk from the diet while taking the medication. What is the primary purpose for this dietary advice?
A. To prevent mal absorption of medication
B. Decrease risk of gastrointestinal upset
C. Reduces effectiveness of medication
D. To make the urine acidic
12. A nurse received the serum digoxin level result for the patient the day and notes that the result is 2.6 ng/mL (see lab result)
Test result normal value
Digoxin (men) 2.6 0.8-2ng/mL
Which of following nursing actions is the most important?
A. Notify the physician
B. Check previous vital signs of patient
C. Record normal value on nursing note
D. Administer scheduled dose of medication
13. A patient is being admitted in medical unit and has orders for fluid restriction of 1400ml / 24 hours. He is receiving IV medications in 50ml solutions QID. How much fluid should the caring nurse allocate for cra intake in 24 hours?
A. 400 ml
B. 800 ml
C. 1000 ml
D. 1200 ml
14. nurse is preparing an order of Amydramine 30 mg PO BD. The available check is 15 mg /5 ml. What is the correct dosage of the medication to be administered?
A. 5 ML
B. 10 ML
C. 15 ML
D. 20 ML
15. A nurse is preparing a medication order of 100 mg IV stat. The available hydrocortisone is 200mg per 5 ml distilled water for injection. Which of the following is the correct administered?
A. 4.5 ML
B. 3.5 ML
C. 2.5 ML
D. 1.5 ML
A. 14
B. 24
C. 42
D. 56
17. Doctor order to give medication x 300mg and available is 900mg/6ml how many ml the nurse will give
A. 1.2
B. 2
C. 4
D. 6
18. A 56-year-old man was admitted with complaint working for three days. The nurse is preparing to administer infusion of saline 1000 ml over six hours. What is the hourly infusion rate that the nurse needs to infusion therapy in mL/hour?
A. 155
B. 167
C. 190
D. 217
19. Doctor Order: Heparin 10000 units OD S/C Standard Solution 40000 units/ml How many ml would you administer?
A. 0,25.ml
20. A Physician has ordered clindamycin phosphate 300 mg to be administered intravenously the available stock was labelled . clindamycin phosphate 900mg mg in 6 ml what is the correct dose to be administered by the nurse ?
A. 2 ml
B. 4 ml
C. 6 ml
D. 8 ml
21. A nurse is assigned to care for a patient in medical ward who has a physician order of 1500ml of normal saline 0.9% to be administered over 12 hour period. Which of the following is the infusion rate?
A. 75 ml/hr
B. 100ml/hr
C. 125ml/hr
D. 150ml/hr
22. A nurse check the medication chart of a patient, which has the following order; Paracetamol 500mg P.O. QID. How many times a day should the nurse administer the medication?
A. Once
B. Twice
C. Three times
D. Four times
23. Doctor order to give 75ml per hour over 12hours of normal saline how many ml total should be given?
A. 450ml
B. 600ml
C. 900 ml
D. 1000 ml
A. Digoxin
B. Atropine
C. Anticoagulant
D. A calcium channel blocker
25. A 37year old female prevented to the Emergency room with complain of symptomatic bradycardia appropriate nursing intervention include establish intervention access what is the possible drug to be given in the IV solution ?
A. Digoxin
B. Atropine
C. Anticoagulant
D. Calcium channel blocker
26. A 25 year old woman present to the emergency room with decrease reflexes, hypoventilation, hypotension, and fuced pupils, a family member who is accompanying the patient has bottle of diazepam which the label states was recently the family member also indicates that the patient has a depression. What intervention should the nurse expect to administer?
A. Naloxone
B. Active charcoal
C. Tap water enema
D. Magnesium sulfate to reduce the risk seizure
27. Nurse gives health education to patient In outpatient department regarding a medication . she told him "avoid working outdoors in a hot weather, excessive sweating ad during l water daily
Which of the following is most likely medication?
A. Diazepam
B. Haloperidol
C. Lithium carbonate
D. Monoamine oxidase inhibitor
28. During CPR of an admitted patient following the cardiac arrest. Two Dc shocks and one dose of epinephrine was given. A third dose was delivered followed by anti arrhythmic medication . what medication is the most likely to be given next?
A. Adenosine
B. Lidocaine 2 mg
C. Epinephrine 1 mg
D. Sodium bicarbonate
29. The following syringe contains 2 gm of morphine sulphate, how many grams are there in 1 ml:
A. 0.5 gm
B. 1 gm
C. 2 gm
D. 4 gm
30. The following syringe contains morphine sulphate in a concentration of 2 mg/cc, how much total morphine this syringe contains:
A. 0.5 mg
B. 1 mg
C. 2mg
D. 4 mg
31. During Cardiopulmonary Resuscitation (CPR) for a 75-year-old man in the Emergency Department, the doctor introduced himself as a leader for the CPR. What is the most appropriate leadership style for this situation?
A. Autocratic
B. Democratic
C. Bureaucratic
D. Laissez-faire
32. A nurse manager is open minded, listens to the team, understands others, makes changes to improve unit operations and procedures. What type of leadership style is this?
A. Situational
B. Democratic
C. Compassionate
D. Transformational
33. A nurse manager includes staff in decision-making process what unit structure is used?
A. Divisional
B. Centralized
C. Functional
D. Decentralized
34. What is the main limitation of democratic style of leadership?
A. it ignores the incompetent personnel
B. cannot be used in emergency situations
C. decreases collaboration among the team
D. may end up in inappropriate decision making
35. A nurse manger is preparing and writing a plan for dealing disasters (code red). Which procedure is the top priority for the nurse manager the plan?
A. Infection control
B. Staff orientation
C. Patient education
D. Patient relocation
36. Nurse manager prepares unit clinical operational plan What is top priority in the plan?
A. Infection control
B. Staff orientation
C. Quality projects
D. Safe patient care
37. nurse manager was not happy about low results of patient’s survey. Which of the following is the first step for nurse manager?
A. Schedule meeting with staff
B. Start changes to improve
C. Review evaluation details
D. Report to director
38. A 14- nurse manager assigns tasks according to clinical competencies of the nurses.Which of the following is the management function?
A. Delegating
B. Evaluating
C. Planning
D. Controlling
39. post-operative patient who underwent an abdominal procedure requests a pain medication from the nurse and rates the pain at a level nine. There a standing order for narcotic administration. When the nurse opera the narcotic box and performs a count, the number of pills remaining in the box is different than the number of pills recorded on thesheet. What is the most appropriate initial nursing action?
A. Notify the nursing supervisor
B. Write the finding on the narcotic sheet
C. Administer the patient's requested medication
D. Identify the last nurse who used the narcotic box
40. An 81-year-old bed ridden patient in the Geriatric Ward was pyretic through his nasogastric tube. After an hour, the patient deep sleep, his breathing pattern changed and he did not rep calling his name. Which of the following should be the immediate nursing inte
A. Call the physician to examine the patient
B. Check for the correct dosage given
C. Check vitals and inform physician
D. Try to wake up the patient
41. The nurses in the Male Medical Unit took a signature on the from a patient who needs an abdominal CT with contrast. What is the best nursing practice?
A. Consent should be taken after the procedure
B. Verbal consent is acceptable for this procedure
C. Consent should be taken from the patient's relatives
D. Consent should be taken according to the organization's
42. In the hospital digital dashboard, what types of data displayed?
A. Staffing
B. Financial
C. Performance
D. Knowledge-based
43. A newly nursing director assigned to a hospital. That is the first should he do?
A. Evaluates the staff
B. Change the head nurses
C. Change the roles
D. Nothing to do
44. surgeon instructs a nurse to serve as a witness to an elderly patient’s informed consent for surgery. During the explanations to the patient, it becomes clear that the patient is confused and does not understand the procedure, but reluctantly sign the consent form. The nurse should:
A. Sign the form as a witness, making a nation that the patient did not appear to understand
B. Not sign the form as a witness and notify the nurse supervisor
C. Not sign the form and answer the patient’s questions after the surgeon leaves he room
45. A community nurse assigned to work in a Makkah, one of the most multicultural cities in Saudi Arab has to interact with multicultural population every day What is the most important step the nurse should do before with the clients?
A. Asking the client about his/her cultural background
B. Conducting an appropriate culturological assessment
C. Ensuring that the client has his/her a privacy
D. Looking at the client's file to take history
46. The head nurse meets with staff nurses to discuss ways to improve communication among shifts Which of the following statement best exemplifies the final stage of conflict management?
A. "We need to clearly define the nature of the conflict”
B. " I will evaluate the outcomes of the strategies used monthly
C. " Let us create a time line for the implementation of our strategies”
D. " I have to force you to follow the rules to resolve the issue”
47. The head nurse of a Coronary Care Unit delegated the staff a senior nurse in that unit What initial step must the head nurse implement before?
A. Check the hospital policies for delegating tasks
B. Explain the task to the senior nurse
C. Negotiate with the senior nurse
D. Take the signature of the senior nurse
48. What must be known on legal points of delegation when process to a new nurse?
A. Evaluation of performance of delegate by clients
B. Actual time it takes to complete the task by delegat
C. Institution definition of the job description of
D. Number of times that the delegate has previously task
49. The nursing director wants to evaluate the quality of nursing care at the in-patient areas. The management team will evaluate on quarterly basis the documentation and the relationship between the patient's length of stay and the quality of care which of the following is the most important data source to identify the quality of care?
A. Patient's complaints and time taken to resolve them
B. Patient's satisfaction level at the time of discharge
C. Details of nursing notes for patient's progress
50. The nurse manager received complaints from some nursing to improper work distribution and discrimination How should the nurse manager handle the situation?
A. Investigate the complaints
B. Individual counselling
C. Identify list of problems
D. Continue to observe
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