SCFHS MCQs 1.3

 SCFHS MCQs 1.3

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1.     Which of the following is the most appropriate action for a head nurse starting at a new hospital?
A.    Make immediate change at the unit
B.     Plan and coordinate new strategies
C.     Assess unit activities for at least three months
D.    Ask about the previous head nurse managerial style
 
2.       After teaching the deep breathing and coughing who is undergoing a surgery, the nurse asked Demonstration and then helped him in correcting what part of therapeutic communication is used
A.     Evaluation
B.     Intervention
C.     Identification
D.    Demonstration
3.     The intensive care unit nurse manager plans to delegates a nurse. What is indicated for a successful delegation?
A.     Nurse Manager supervises nurse.
B.     Nurse has authority to change task.
C.     Nurse Manager checks task sometimes.
D.    Nurse Manager asks another nurse to check task.
 
4.       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 
5.       Nurse accidently dropped a medication ampoule, informed the charge nurse, and completed an incident report form. The charge nurse arranges medication replacement.
Which of the following is the immediate nursing action required?
A.    Revise protocol for medication related incidences
B.     Allocate senior nurses to medication assignments
C.     Provide missed medication dosage to patient first
D.    Incident reporting must be given the priority

6.       The nursing assistant with 20 years of experience approaches a recently graduated nurse who recently passed the licensing examination. The nursing assistant states “the only difference between you and me is the size of our pay checks”. Which of the following is the most appropriate
response for the newly graduated nurse?
A.    assert a hierarchical position
B.     emphasize the additional education received
C.     explain the legal difference in the scope of practice
D.    focus on the need to work together for quality client care
7.             Nurse manager first days in new hospital will..?
A.    introduce plan and strategy to top manager in hospital
B.     introduce himself to staff
C.     observation for 3 month before begin work
 
8.             patient fall down in hospital where is the nurse documentation?
A.     incident report
B.     care plan
C.     kardex
9.       A patient fell in the bathroom and his left leg was fractured, in order to communicate information about the patient to the next shift. Which of the following documentation should be used by the nurse at the nurse at the end of the shift?
A.     Kardex record
B.     Assignment record
C.     Shift report
D.    Incident report
 
10.   After accessing patients' medical records, which behavior nurse shows that patients confidentiality has been breached?
A.    Reviews patients medical record
B.     Read patients care plan
C.     Disclosing patients information
11.   During the assessment phase of a preoperative interview, the patient reports feeling nervous. The patient conveys to the nurse that a parent died in surgery due to malignant hyperthermia .to whom would this information be most important ?
A.    PACU NURSE
B.     SCRUB NURSE
C.     ANAESTHESIA TEAM
D.    CHARGE NURSE
 
12.   A charge nurse in the nurse was noted poor staffing schedule in one of the shift. The schedule caused problems among staff members in the unit. The women the charge nurse should bring the problem to?
A.     Supervisor
B.     Chief nurse
C.     Follow charge nurse
D.    Grievance committee
13.   Nurse responsible for narcotic medication loses on ampule morphine. She reports the problem to nurse manager. Which of the following is the first thing she should say according to the SBAR approach?
A. I have lost one ampule of morphine
A.We should ask the nurse about the morphine
B. I think I left the lid of narcotics box open
C. We should open an investigation into problem
 
14.   A nurse intervention a patient recently admitted to long term care facility to obtain information on the patient health perception. The nurse encourage the patient to elaborate this change. Which of the following type of question would be the most effective in this situation?
A.    Analytical
B.     Focused
C.     Closed
D.    Open ended
15.   A nurse enters the room of a patient named Ahmed Saeed to administered medication but the patient not wear his identification bracelet. Which of the following is the most appropriate nursing action?
A.    Ask the patient are you Ahmed Saeed?
B.     Ask the patient what is your name
C.     Ask the patient hat mediation do you take
 
16.               Research data to be collected from children on nursing unit. What type of consent is the most appropriate ?
A.    Informed written consent
B.     Consent signed by parents
C.     Consent from physician
D.    Hospital administration consent 
17.               What is a characteristic of democratic leadership style?
A.    More changes
B.     Structured work
C.     Staff participation
D.    No leader decisions
 
18.               Which of the following vaccines in highly recommended to be taken by pilgrims before Haji season?
A.     Meningococcal meningitis
B.     Tuberculosis
C.     Hepatitis A
D.    Polio myelitis 
19.               Which of the following is the main reason the makes nurses concerned about adolescents health status?
A.     Take risky behaviors
B.     Consider themselves as adult
C.     Have more health issues
D.    Transitional period to adulthood
 
20.   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 
21.               Complication of thyroidectomy
A.    Distension
B.     Bleeding
C.     Vocal cord injury
 
22.               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 
23.          A Post thyroidectomy patient transferred to ward and developed tetany the nurse suspected that patient has ?
A.    Hypokalemia
B.     Hypocalcemia
C.     Hyponatremia
 
24.          A nurse Wayne is aware that a positive Chvostek’s sign indicate
A.     Hypocalcemia
B.     Hyponatremia
C.     Hypokalemia
D.    Hypermagnesemia
25.   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.

26.   Chvostek’s sign A sign of hypocalcemia. A spasm of the facial muscles elicited by tapping the facial nerve just anterior to the ear
 
27.   Patient is being admitted to the Recovery Room following a thyroidectomy. The back of the neck wound is 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
28.   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

29.   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
30.   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
31.   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
 
32.   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
33.   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

34.   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
 
35.   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

36.   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 haemorrhage
C.     Place the child in the prone position
D.    Suction the mouth to clear the airway Because of violence
37.               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

38.   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 
39.   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
 
40.   - 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
41.   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

42.   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

43.               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
44.   A 32year old woman has just been told that she is pregnant she states ‘ As mush as I love my children , I had had hoped we would not have any more “ this statement reflect of which of the following related to pregnancy
A.Anger
B. Denial
C. Guilt
D.Ambivalence

45.   After nurse assessed a newborn she reported that the baby has syndactyly the student nurse ask the nurse in charge what is the syndactyly ?Which of the following is the best nursing response
A.Fistula.
B. Abnormal big head
C. Extra finger or toes
D.Finger or toes wholly of partly united
46.   A newborn is diagnosed with Ventricular Septal Defect (VSD) Which of the following information should the nurse give to the newborn's mother?
A.Cyanosis will occur most of the time during sleeping
B. Breast feeding is not recommended for your child
C. The defect might close spontaneously after 6 months
D.Blood pressure is different on the child's arm and the leg
 
47.   A couple asked the nurse which of the first investigation they should do for infertility?Which of the following should be the proper a nurse answer?
A.Hysterosalpingogram
B. Serum progesterone
C. Semen analysis
D.Endometrial biopsy
 
48.   A nurse is assessing a 5 month old infant who has admitted to the pediatric ward with coarcotation of aorta Which of the following is the most common assessment findings ?
A.Cyanosis and clubbing hands
B. Bounding pulse and hypotonicity
C. Cyanosis occur frequently during and after feeding
D.Blood pressure is different on the arm the leg
 
49.   A 36 years old woman is in her 18 weeks pregnancy came to antenatal clinic and assessed by the nurse. She has three previous abortion during the first trimesters prior to pregnancy. How the nurse will document the status of the mother?
A.    Parity
B.     Nullipara
C.     Multipara
D.    Primipara
50.   During vaginal examination the nurse palpated the posterior fontanel to be at the right side and upper quadrant of the maternal pelvis ?
A.     ROP
B.     LOP.
C.     ROA
D.     LOA