SCFHS MCQs 3.2
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A. High gastric pH
B. Thin epidermis
C. Low muscle tone
D. Short intestines
2. 65-year-old man is undergoing pre-operative preparation fond scope procedure in which the physician will visualize the large and distal part of the small bowel with a camera attached to the flexible tube. Which of the following positions is the most appropriate?
A. Left lateral Sim's
B. Right lateral recumbent
C. Trendelenbreg
D. Prone
A. Scheduled urination every 2-3 hours
B. Limit fluid intake before sleeping time
C. Perform pelvic floor exercises daily
D. Increase fluid intake during the daytime
4. The unit nurse conducts initial assessment and observes the dressing is wet and requires change. The patient looks drowsy with warm skin
(see lab results)
Blood pressure 110/70 mmHg, Heart rate 99 /min Respiratory rate 24 /min
Temperature 38.8 C Test Result Normal Values, RBC 5.5 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female)
Hb 133 130-170 g/L (male) 120-160 g/L (female), WBC 25.5 4.5-10.5 × 109 /L
What is the most likely underlying diagnosis?
A. Sepsis
B. Gangrenous tissue
C. Acid base imbalance
D. Hyperthermia secondary to infection
5. nurse is completing the preoperative checklist for one of the patients who ring is wearing a ring. What is the most appropriate action?
A. Give ring to security office
B. Lock ring with patient's valuables
C. Call patient's family to give them the ring
D. Respect patient's choice and leave ring on patient's finger
6. NA 17-year-old women went to the Emergency Department complaining of fever, sore throat, and hoarseness of voice. Laboratory tests were done (see lab results).
Test | Result | Normal values |
Hb | 120.5 | 120-158 g/L |
HCT | 0.39 | 0.36-0.47 g/L |
RBC | 4.0 | 3.8-5.1 × 1022/L |
WBC | 14.2 | 4-10.5 ×
109/L |
Which of the following would be the possible complication for the patient condition?
A. Cellulitis
B. Bacterial cholangitis
C. Infective endocarditis
D. Rheumatic heart disease
7. A postoperative patient has on order to discontinues the foley 11:30 AM, the nurse removes the Foley intact. At 1:00 PM, the patient complains of feeling the need to urinate and voids 30 ce. The nurse should assess the patient for signs of which of the following?
A. Urinary retention
B. Urinary tract infection
C. Cystitis
D. Haematuria
8. A 3-year-old child is admitted to the Medical Ward for vomiting, and dehydration. The nurse sat with the parents to comply admission interview and wanted to get as much information as Which of the
following communication techniques should the nurse
A. Use of question containing the word "how"
B. Use of question with direct comments to clarify
C. Use of statements that indicate patient will be fine
D. Use of leading question and those involving yes or no
9. An ICU nurse reviews the chart of a 47-year-old man patient mechanical ventilator for a long time. Artorial blood gas resul 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
10. To decrease the anxiety of a 10-year-old girl who is undergoing surgery.Which of the following should the nurse do?
A. Use a heart model to show her how the surgery will go
B. Provide her with verbal explanation of the upcoming surgery
C. Give her a book to read about the surgery 2 weeks prior
D. Let her parents talk to her about the importance of having surgery
11. patient who is admitted denies any medication allergies medical records state, "No known drug allergies." A medibeen sent to the pharmacy for gentamicin. The pharmacistrecord in the pharmacy of an allergy to the medication. Which of the following is the best way for the nurse to pro
A. Administer the medication with Benadryl (Diphen
B. Notify the doctor of the allergy and request new orders
C. Investigate further then call the doctor for clar
D. Give the medication as ordered by the physician
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
13. At the beginning of the afternoon shifts in the receiving handover from a morning shift nurse post coronary angioplasty. The nurse waveform on the monitor, upon assessment the carotid pulse (see image). What should be the most appropriate next action?
Give a DC shock
A. Refuse to receive patient
B. Check ventilators settings
C. Shout for help and start chest compression
14. After activating the emergency call system ,what should be the next immediate action ( seeimage ) ?
A. Initiate ventricular pacing
B. Administer a bolus of lidocaine as prescribed
C. Defibrillate the patient
D. Open the patient's airway
15. A nurse enters the room of a patient who is on the patient complains of not feeling well, the (see image). What is the most likely interpretation?
A. Sinus tachycardia
B. Ventricular fibrillation
C. Normal sinus rhythm
D. Ventricular tachycardia
16. 48-year-old man was admitted to the extensive anterior MI. During the night consciousness. The cardiac monitor showed VF2 checked carotid and found no pulse. Which is the best emergency management?
A. Cardiac thumb twice
B. Cardioversion, 50 joules
C. Electrical shock, 200 joules
D. Chest compression for five cycles
17. A nurse is caring for a 58-year-old patient (see lab result).
Test Result Normal Value
Magnesium 2.8 0.7-1.2mmoI/L Which ECG change is the nurse expected to note?
A. Prolonged QRS
B. Multiple P waves
C. Prominent U waves
D. Depressed ST segment
18. During surgery requiring general anaesthesia, and a carotid pulse is not palpated. How many compressions per minute should be
A. 50
B. 60
C. 80
D. 100
19. which of the following indication for patient with MI:-
A. ST depression
B. st elevation
C. short st
D. none of the above
20. 40-year-old man is admitted to a Coronary pain. The ECG has normal sinus rhythm with leads V1-V4.
Blood pressure 123/69 mmHg What is the most likely nursing diagnosis?
A. Acute chest pain
B. Myocardial in fraction
C. Decreased cardiac output
D. Ineffective tissue perfusion
21. Which of the following is most appropriate to delegate assistance
A. Insertion of an oral airway
B. Changing postoperative dressing
C. Initial interview on a newly admitted patient
D. Repositioning a patient to side-lying position
22. Which of the following patients the nurse should see first?
A. Patient complaining of muscle aches and fever
B. Patient scheduled for electrocardiography
C. Patient newly diagnosed with hypertension
D. Patient with complaint of chest pain
23. The unit nurse conducts initial assessment and observes the dressing is wet and requires change. The patient looks drowsy with warm skin
(see lab results)
Blood pressure 110/70 mmHg, Heart rate 99 /min Respiratory rate 24 /min Temperature 38.8 C Test Result Normal Values
RBC 5.5 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female)
Hb 133 130-170 g/L (male) 120-160 g/L (female)
WBC 25.5 4.5-10.5 × 109 /L
What is the most likely underlying diagnosis?
A. Sepsis
B. Gangrenous tissue
C. Acid base imbalance
D. Hyperthermia secondary to infection
A. Acute nursing diagnoses
B. Risk nursing diagnoses
C. Wellness nursing diagnoses
D. Possible nursing diagnoses
25. A man was restless and observed to have an increased physical activity after a heated argument with another person. After the assessment, the following data was gathered: agitated, diaphoretic, distorted What is the patient's level of anxiety?
A. Mild
B. Panic
C. Severe
D. Moderate
26. A 70-year-old man underwent a colectomy two days prior. In the past 24 hours, his blood pressure has decreased and heart rate risen. He now weight two kilograms more than he did prior to admission. Urine output from the indwelling catheter is 30 ml per hour and he has pitting + bilaterally in the lower extremities. The abdomen appears distended and is firm to the touch.
Blood pressure 112/62 mmHg
Heart rate 110 /min
Respiratory rate 20 /min
Which of the following is the best nursing intervention?
A. High flow oxygen by mask
B. Position in Trendelenburg
C. Hemoglobin and hematocrit
27. 9-year-old woman patient in the Medical Ward is in a semiconscious .Her pancreatic cancer is metastasized to her liver and lungs and she admitted for supportive treatment. Her physicians discussed with the ily that she will not be given the Cardiopulmonary Resuscitation to save life if she goes into the cardiac arrest. Her two sons agreed but the daughter is indecisive. Which of the following is the critical thinking behind not providing discounted pulmonary resuscitation?
A. Unilateral judgment of health professionals
B. Refusal of patient’s right to treatment
C. Ethical dilemma and indecisiveness
D. Mercy killing to ease suffering
28. 30-year-old construction worker was stung by roof structure. He then began to complain of feel An ambulance was called and on arrival, they four the ground and having breathing difficulties. His
The radial pulse is weak and thread. Blood pressure 92/52 mmHg
Heart rate 118 /min Respiratory rate 26 /min
Which white blood cell is most likely be elevated?
A. Eosinophils
B. Basophils
C. Monocytes
D. Neutrophils
29. The nurse is preparing to transfer a 55-year-old patient on a the CT-scan unit. The patient is too heavy for the nurse to transport, nurse went to get an assistive device to transfer the patient. Which of the following transfer device is the most appropriate for the nurse to use?
A. Board
B. Handle
C. Trapeze
D. Mechanical lift
30. A newly RN nurse is about to remove a nasogastric tube to a client with Guillan Barre Syndrome. To determine the proper Time of removing the tube, the nurse should do it when
A. when the client feeling hungry
B. when the client want to remove it
C. when the client totally conscious
D. when the client exit flatulence or gases
31. which type of study design provides the strongest evidence?
A. Qualitative study
B. Randomized control trial
C. Systematic review of descriptive studies
D. Systematic review of correlational studies
32. 28-year-old women is accompanied by her mother to the ward. She is admitted for her affective disorders with anger recent events and stammering spells. She has panic followed by apathy and listless Ness. How should the nurse manage the patient?
A. Be supportive and use therapeutic communication
B. Improvise sign language to control forgetfulness
C. Maintain calm environment and avoid argument
D. Anger management and speech therapy
33. A 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
34. Home Health Care Department is newly established ar a hospital. At launch, nurses asked the charge nurse about work at this department Which of the following is the first step of home health care?
A. Referral
B. Planning
C. Home visit
D. Assessment
35. The nurse is assessing a child who has Tetralogy of Fallot observed that the child is having clubbing in his fingernails Which of the flowing might be the reason for this clubbing?
A. Prolonged tissue hypoxia
B. Delayed physical growth
C. Inactive bone marrow
D. Pulmonary fibrosis
36. A 59-year-old woman is admitted in the Medical ward for pyomyositis in her arms and legs. The muscular strength Progressively decreased within one year. She has irregular breathing pattern and has difficulty in swallowing. Which of the following nursing diagnosis requires?
A. Risk of choking due to disturbed swallowing
B. Weakness and fatigue due to lower muscle
C. Disturbed breathing due to chest muscle
D. Disturbed activities of daily living
37. A 9- her of nine children, three of them with congenital anomalies and one n syndrome; she is a primary school graduate, with low financial us. She is not using any method of family planning. So the primary care nurse has referred her for counselling. Which of the following must be focused on by the community health care se to provide an effective health education?
A. Educate regardless realistic objectives
B. Use clear and concise language
C. Use scientific terms during explanation
D. Explain the negative consequences in the family
38. High school girl, who has fears of being obese thin, visited the primary healthcare center with her The mother reports that her daughter refuses to with the family, and often pretends being a sleep Which of the following disorders best describe girl?
A. Bulimia
B. Obesity
C. Substance Abuse
D. Anorexia Nervosa
39. An 12-year-old child has been diagnosed with Diabetes insipidus which of the following is disorder?
A. Posterior pituitary
B. Adrenal medulla
C. Anterior pituitary
D. Adrenal cortex
40. The summer months, a five year-old girl presents with a sore throat and a dry cough that has slowly become worse over the past three weeks. Her body temperature is 38.0oC. On auscultation, there is wheezing and shortness of breath. She lives in an overcrowded house with three brothers, parents and grandparents in a low-income neighbourhood where she attends school. Which is the greatest risk factor?
A. Residing in a low-income neighborhood
B. Exposure to a pathogen in summer season
C. Attending school
D. Living in crowded conditions
41. A patient returns to a clinic for a follow-up visit and is diagnosed as positive for Human Immunodeficiency Virus (HIV). The patient expresses fear related to lack of finances, fear of social avoidance, and hopelessness. Which of the following nursing action should
A. Referral to a physician infectious disease specialist
B. Referral to a community-based HIV clinic
C. Referral to the local public health department
D. Recommendation to disclose the diagnosis to family
42. While taking the history from a new patient, the nurse densified that he had hypomanic episode which was alternating with a mirror depressive\episode for the last two years. what is the most likely diagnosis?
A. Bipolar I disorder
B. Bipolar II disorder
C. Dysthymic disorder
D. Cyclothymic disorder
43. A 62-year-old women admitted to the emergency department for the fourth time this year, each time the patient comes with sever injuries and bruises in the body. What is your responsibility as a nurse to prevent such incident to happen again?
A. Reports the assault to the local police and write a report
B. Provides information about safe shelter and support
C. Instructs the women to move away from her home
D. Discharge the patient to a safe shelter
A. care continuity
B. abuse role out
C. support psychological
D. management fracture
45. A nurse calls together an interdisciplinary team with members from medicine, social service, the clergy, and nutritional services to care for a patient with a terminal illness. Which of the following types of care would the team most likely be providing?
A. Palliative
B. curative
C. respite
D. preventive
46. A nurse is assigned to care for a Muslim female emergency caesarean section. The patient asks the to wear a head scarf during the surgery. Which of the following is the most appropriate?
A. Ask the patient to remove the scarf
B. Tell the patient that it is ok to wear the scarf
C. Ask the patient to wear a surgical cap
D. Tell the patient that a request will be during the surger
47. A nurse is trying to secure a peripheral V access in a traumatic patient who is deteriorating. The nurse has two failed attempts What should the nurse do next?
A. Activate code
B. Use Interosseous needle
C. Consider arterial line
D. Call another nurse who is more exprienced
48. A 70-year-old women with a history of hypertension companies of lack of appetite due to bloating and constipation. The abdomen is distended and examination shows a positive fluid wave. palpation of the abdomen confirms guarding and tenderness over the right upper quadrant lower eg edema 3+ and pitting bilaterally are also present. She has kilograms since her last appointment three weeks before4.5 164/92 mmHg Blood pressure 90 /min Heart rate
26 /min Respiratory rate, 37.1C Temperature 92% on room air Oxygen saturation
What is the most likely underlying health problem?
A. Hepatic congestion
B. Pulmonary hypertension
C. Left-sided ventricle failure
D. Splenomegaly
49. A 70-year-old man presents to the clinic with difficulty sleeping at night. He has not had a good night's rest for several months and feels exhausted. He needs to place three pillows behind his back in order to sleep. Examination of the lungs reveals crackles and whee Auscultation of the heart confirms an S gallop. Which of the following is the most likely underlying health problem?
A. Asthma
B. Pulmonary stenosis
C. Right-sided heart failure
D. Left-sided heart failure
50. During a CPR of an admitted patient in cardiac arrest, a family member tasks the unit nurse to be at the bedside and say final words to their loved one. The nurse explains to the family member that the scene is very disturbing and the medical team is doing its job. the family member still insists in witnessing the resuscitation efforts What would be the most appropriate action by the unit nurse?
A. Allow family member to be at bedside
B. Wait and ask permission from team leader
C. Call security to escort family member out
D. Refuse because there is not enough space in the room
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