SCFHS MCQs 4.1
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Which of the following is the name of this sign?
A. Rebound tenderness
B. McBurney sign
C. Roving’s sign
D. Obdurate sign
2. 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?
E. Rebound tenderness
F. McBurney sign
G. Roving’s sign
H. Obdurate sign
3. A conscious victim of a motor vehicle accident arrives at the emergency department. The patient is Gasping for air, is extremely anxious, and has a deviated trachea. What diagnosis should the nurse Anticipate?
I. pleural effusion.
J. tension pneumothorax
K. pneumothorax
L. cardiac tamponed
A. Ask him to change the gloves and to give him new one
B. Let him to complete the Central line procedure
5. MR ahmed admitted to ICU with congestive heart disease his vital signs BP 110/60 HR 120 . stroke volume 80 the nurse expected cardiac output to be
A. 180
B. 1700
C. 2400
D. 9600 cardiac output = stroke volume x Heart rate
6. A nurse is leading an educational session on the correct use of oral contraceptives. One of the attendees ask the nurse what to do if she missed taking an oral contraceptive for one day? Which of the following should be the nurse advice to her?
A. Continue as usual with no back up contraception
B. Take an active pill immediately and take the next pill at the usual time
C. Take two pills as soon as possible and then one pill daily at the usual time
D. Use back up contraception such as a condom for the next 7 day
7. A woman is 5 weeks gestation diagnosed with hyperemesis gravidarum what is the most important nursing action?
A. sychological support
B. Folic acid supplementationr
C. strict intake and output record
D. providing the woman with a high protein diet
8. A nurse is preparing to administer 25 mg iron dextran inject patient with iron deficiency anemia .the nurse knows this d to subcutaneous tissue and wants to administer the drug safely which of the best administration techniques ?
A. Z-track
B. deep im
C. c. use large gauge
D. insert needle at 45 angle
9. A surgical nurse is assigned to care for a woman who had undergone vaginal hysterectomy. The nurse performed assessment. Which of the following potential problem that the nurse should observe?
A. Pain
B. Fever
C. Anxiety
D. Bladder dysfunction
10. A 45 year-old man who is hospitalized feels tge constant need to keep things in order , particularly whilst eating m the nurse observe him arranging the food on his plate into symmetrical and equal bite sized pieces , he constantly worries that the food served could be outdate and potentially causes illness
Which nursing diagnosis is most important
A. Ineffective verbal communication
B. Self-esteem disturbance
C. Impaired social interaction
D. Anxiety
11. What do the standards of pain management dictate nurse do?
A. Avoid the use of the word "pain"
B. Screen for pain at each encounter
C. Discourage around-the-clock dosage of analgesics
D. Administer analgesics via injection whenever possible
12. Baby born at 35-week was admitted in neonatal intensive 27hours ago, physical examination revealed yellow discoloration sclera and mucus membrane. The result of bilirubin level every 170mol. The infant was diagnosed with neonatal jaundice physician order to start single phototherapy. Which of following should the nurse consider as a priority during phototherapy of this newborn?
A. ensure proper fitting of eye covering (patches)
B. monitor bilirubin levels every 48 hours
C. feed the infant formula every 4 to 5 hours
D. avoid removing the infant from phototherapy
13. 50year-old male was diagnosed with subdural underwent burr hole craniotomy for subdural hernatoma days ago.
In order to detect the sign of meningitis as one of which of the following indicates the patient has meningitis ?
A. Negative Kernig's signs
B. Positive Brudzinski's sign
C. Absence of nuchal rigidity
D. Glasgow comma scale of 14 points
14. 10 years old boy diagnosis appendicitis has serve pain, the tool of pain scale to be use is:
A. Face pain rating
B. Flacc rating scale
15. A patient diagnosed with septic shock had an upward-trending glucose level (180-225 mg/dL) requiring control with insulin. the patient's spouse asks why is insulin needed as the patient does not have dia Which of the following is the most appropriate nursing response to educate the patient's spouse?
A. "It is common for critically clients to develop type diabetes. We give insulin to keep glucose level under control (less than140 mg/dL)"
B. " Patient had diabetes before, you just didn't know it. we give insulin to keep glucose level in the normal range (70-110 mg/dL)
C. " Increase in glucose is a normal response to stress by the body. We give insulin to keep the level 1t 140-180-mg/dL"
D. " Increase is common in critically ill clients and effects their ability to fight off infection. We give insulin to keep the glucose level in the normal range (70-110 mg/dL)"
16. 33-year old man presents to the emergency department with high grade fever, tachycardia, and tachypnea.
What is an appropriate nursing intervention for the patient’s fever?
A. provide dry clothing
B. keep limbs close to the body
C. cover the patient’s scalp with a cap
D. measure the patient’s fluid intake and output
17. A 78-year-old alert and oriented patient is returning from the radiology Department and the nurse is preparing to transfer the patient from the wheelchair back into the bed. The nurse places the belt on the
Patient and prepares to lift the patient from the chair Which body mechanics would be most appropriate?
A. Widen leg stance
B. Bend over to lift
C. Rotate from the waist
D. Maintain base of gravity in the feet
18. A 62 year-old male patient , admitted in the surgical Ward is scheduled for the surgical removal of polyps from his descending colon under general anaesthesia . he is experiencing fatigue , abdominal pain and blood streaked stools for a couple of months . he is worried whether the bleeding in his stools is going to stop after surgery .
What is most appropriate response by the nurse for the patient concern ?
A. Surgery often relieves the symptoms
B. Let us have a detail discussion with your physician
C. Your condition may or may not resolve , it depends
D. In fact surgery is the only treatment for the problem
19. A 70year-old male patient is brought to the emergency department on awheelchair he complain of drowsiness
, fatigue ,lack od appetite for the last 3days . with history taking , the patient stated that he did not eliminate since 5 days and he is not ambulating a lot because he has arthritis in both knee . why constipation is one of the common problem for immobilized Patients ?
A. Decreased peristalsis
B. Increased colon motility
C. An increased defecation reflex
D. Decreased tightening of the anal sphincter
20. A patient is admitted to surgical unit after the removal of foreign body from the trachea through the bronchoscopy . he is exhausted and is monitored for stability .
What is the most desired outcome of nursing care?
A. Presence of cough reflex and expectorant
B. Relaxed pain free and easily inbreathing
C. Optimum oxygen saturation at room air
D. Increase energy and activity level
A. Facial flushing
B. Declining heart sounds
C. Muffled heart sounds
D. Increasing blood pressure
22. A 19-year-old girl was scheduled for the extraction under general anaesthesia. Her pre-operative was done and the consent was signed by her, but her nail polish and trim her long nails, requirement.
What should be the nurse's action in response to?
A. Explain why nails need to be cleaned
B. Respect the patient's right to refuse
C. Record and inform physician
D. Remove as per protocol
23. A nurse is caring for a pregnant patient who is diagnosed with abruption placenta. Which of the following findings of assessment would indicate a concealed hemorrhage?
A. Maternal tachycardia
B. Decrease in fundal height
C. Rigid, board like abdomen
D. Acceleration in fetal heart rate
24. In placenta Previa marginalia, the placenta is found at the :
A. Internal cervical os partly covering the opening
B. External cervical os slightly covering the opening
C. Lower segment of the uterus with the edges near the internal cervical
D. Lower portion of the uterus completely covering the cervix
25. An infection control nurse notices purulent exudates , redness and tenderness on the surgical wound site for few post –operative patients in a surgical unit , She discussed with the ward nurse and emphasized that wound infection after the surgery can be prevented. Which of the following is the best possible action to minimize the incidence of wound infection ?
A. Perform assessment of pain on the wound site
B. Wash hand before and after each patient activity
C. Encourage adequate intake and early ambulation
26. 62.receiving multiple mosquito bites and experiencing flu-like symptoms, patient consults a nurse at a clinic and asks whether an appointment to a health-care provider is necessary. Which of the following statements should be
the basis for thenurse’s bonse?
A. Antiviral medications can be prescribed to destroy virus
B. Clinical signs can be mild flu-like symptoms to fatal encephalitis
C. If patient has West Nile virus, symptoms will progressively worsen
D. If patient used insect repellent, virus would have been destroyed when mosquito made skin contact
27. 54- community health nurse visited a postnatal primigravida mother who ent back to work. The nurse instructed the woman the different positions breast-feeding in order to lessen the burden of the mother at night. Which of the following position will the nurse recommend for the mother night?
A. Cradle hold
B. Football hold
C. Reclining position
D. Side lying position
28. 45- multiparous mother is attending at the outpatient clinic 2 weeks after er delivery for follow up. While the nurse is assessing the mother, she would not palpate the fundus. Which of the following is the most appropriate nursing action?
A. Document normal finding
B. Massage the fundus to be firm
C. Assess lochia amount and color
D. Admit the mother to the hospital
A. Specific in scope
B. Easily understood
C. Focused on the past
D. Kept in a private place
30. A 7-week-old infant boy is admitted with projectile vomiting decreased urine output decreased bowel movements and weight loss. He has poor turgor and appears hungry. The nurse observes left-to right peristaltic waves after he vomits. The nurse would expect to find which of the following during the physical assessment?
A. Hepato-spleenomegaly
B. A palpable pyloric mass
C. Lymphadenopathy
D. Bulging fontanelles
31. A woman is 5 weeks gestation diagnosed with hyperemesis gar what is the most important nursing action?
A. sychological support
B. Folic acid supplementationr
C. strict intake and output record
D. providing the woman with a high protein diet
32. A 4-month old infant is admitted with diarrhea and vomiting.To prevent the recurrence of diarrhea the nurse should instruct the mother to do which of the following?
A. Frequent hand washing
B. Increase milk intake
C. Increase water intake
D. Change diaper frequently
33. Before administering a dose of furosemide (Lasix) to a 2-year old with a congenital heart defect, the nurse should confirm the child's identify by checking the hospital ID band and
A. Verifying the child's room number.
B. Verifying the identity with a second nurse.
C. Asking the parent the child's name.
D. Asking the child to tell you his name.
34. A patient diagnosed with obsessive-compulsive disorder (OCD) continually carries a toothbrush, and will brush and floss up to fifty times each day. The healthcare provider understands that the patient's behavior is an attempt to accomplish which of the following?
A. Experience pleasure
B. Relieve anxiety
C. Avoid social interaction
D. Promote oral health
35. Which of the following uses for abdominal examination
A. Percussion Inspection. Auscultation. Palpation
B. Auscultation .Percussion .Palpation Inspection
C. Inspection. Auscultation. Percussion. Palpation
D. Inspection. Palpation auscultation .percussion.
36. Before sending a client for a CT with contrast dye, what the nurse's most important action?
A. Teach about the need for post-procedure hydration.
B. Verify that the informed consent is complete.
C. Place the side rails of the bed up before transport.
D. Check the client's health record for allergies
37. A 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
38. Patient with cataract was admitted in the ward for cataract surgery. On admission, the patient perceived that surroundings are mer as if her glasses need cleaning .What is the most important nursing problem at the early stage?
A. Eye pain
B. Diplopia
C. Blurred vision
D. Light scattering
39. nurse is about to perform venipuncture to initiate intravenous therapy with 0.9% normal saline solution. Before venipuncture, the nurse collects the require supplies and plans to Perform certain action.
Which of the following actions is the most important?
A. Apply a tourniquet below the site of venipuncture
B. Place an arm board at the joint above the venipuncture
C. Apply cool compress over the vein to be used for venipuncture
D. Inspect 0.9% normal saline solution date of expiry
40. 133-patient is being weaned off from the mechanical ventilator is about to hook the endotracheal tube to oxygen at FiO2 of 40 Which of the following oxygen administration device is the best the nurse in
this situation?
A. Ambo bag
B. Ventura mask
C. Tracheostomy collar
D. T-piece/ Briggs
A. Frequent hand washing
B. Increase milk intake
C. Increase water intake
D. Change diaper frequently
A. Detached retina
B. Macular hole
C. Glaucoma
D. Cataract
A. Urgent
B. Elective
C. Emergency
D. Immediate
44. During nursing assessment, the nurse document the presence of skin breaks, abrasion, blister, or sallow cater, edema , and infection. According to recognized staging system , what is the classification of this pressure ulcer?
A. Stage 1
B. Stage II
C. Stage III
D. Stave IV
45. The nurse has attempted to administer a breath to a patient who was found unconscious on the floor. There was resistance to air entering the patient air way. Which of the following action should the nurse take next?
A. Feel for air movement from the patient nose
B. Perform finger sweep in then patient mouth
C. Hyperextended the patient neck
D. Administer abdominal thrusts
46. Which one of the following is the reservoir for the pathogens causing Hepatitis C?
A. Blood
B. Bowel
C. Bladder
D. Bronchioles
47. Which of the following can be considered as a major development in nursing home visits in terms of information technology ?
A. Medication dispensing
B. Telehealth
C. Patient monitoring
D. Prevention of epidemiological disease
48. Which of the following contraceptive method offers protection against sexually transmitted infection?
A. Coitus interrupt
B. Intra uterine device
C. Latex condom
D. Oral contraceptive
49. Which of the following risk can be determined by Alpha fetoprotein analysis screening test ?
A. Neural tube defects
B. Placental insufficiency
C. Hydrous fatalism
D. Intra uterine growth retardation
50. A child with rheumatic fever is having sever pain , tenderness and swelling in his left joint what should the nurse do to alleviate his pain?
A. Apply heat on the affected joint
B. Put the joint in flexion position
C. Apply clod compresses to the joints
D.
Ask the child to walk
for 15 minutes
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