SCFHS MCQs 4.2

 SCFHS MCQs 4.2

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1.       A 28years old patient in the medical ward was admitted to rule out her recurrent headache for the last year. On the second day of her admission she complain of sever generalized headache . after identify the intensity duration and severity the nurse informed physician and administered paracetamol and recorded the details in the nursing notes after half hour when the nurse asked the patient replied that the pain was relieved and she felt better what the nursing process step?
A.      Nursing problem
B.      Implementation
C.      Assessment
D.      Evaluation

2.       A physician has ordered gavage feeding every 4 hours for A 12-week-old infant with failure to thrive. in order to know how far toinsert the feeding tube.The nurse should measure the distance from which of the following? The tip of the infant's nose to the ear and then to the xiphoid process of the sternum
 
3.       A 7 years old child is admitted to pediatric medical. Ward his urine analysis result revealed massive proteinuria. T he child was diagnosed with Nephrotic Syndrome. Which of the following medication can prevent the relapses of the child condition?
A.      Antibiotics
B.      Corticosteroids
C.      Diuretics
D.      Immunosuppressive
 
4.       A 10 years old child had an appendectomy yesterday. Which pain scale should the nurse use to assess child pain?
A.      Numeric
B.      Faces
C.      FLACC
D.      Cries
 
5.       Infant mortality is a critical indicator of children health status. Which of the following statements probably describes the " infant mortality " term?
A.      Deaths of infant during the first year of the life per 100 live births
B.      Death of infants during the first year of life per 1000 live births
C.      Death of infants during the first year of life per 10000 live births
D.      Death of infants during the first year of life per 10000 live births
 
6.       Registered nurses must be able to measure blood pressure accurately. What could possibly result in incorrect high blood pressure reading ?
A.      Bladder cuff is to wide
B.      Cuff is deflated too quickly
C.      Cuff is wrapped too loosely
D.      Arm is above the level of the heart
 
7.       A nurse is caring for child who is post tonsillectomy and adenoidectomy. The nurse should the nurse plan to assess which of the following complication?
A.      Pulmonary hypertension
B.      Hemorrhage
C.      Hearing loss
D.      orthopnea

 
8.       During meningitis outbreak in one of the hospital the non-immune staff members were given immunoglobulin in order to prevent them from the infection. What is the type of immunity will be developed by those staff?
A.      Active
B.      Long term
C.      Natural
D.      Passive
 
9.                   a 6 years old child diagnosed with Sickle cell anemia is admitted with sever pain in upper and lower extremities.
Which of the following priority should the nurse concern?
A.      hydration and pain management
B.      nutrition and restricted hydration
C.      Nutrition and manage infection
D.      Manage pain and infection

10.   A patient was on regular dose haloperidol. The nurse noticed that he start developing side effects in the form stopped posture with shuffling gait and pill-rolling movement of his hands. Which of the following is most likely the side effect?
A.      Akathisia
B.      Acute dystonia
C.      Tardive dyskinesia
D.      Pseudo parkinsonism
 
11.               A nurse is caring a one year old child with congestive heart failure . which nursing goals appropriate?
A.      Relieving pain
B.      Improving myocardial efficiency
C.      Maintaining thermoregulation
D.      Promoting oral feeding
 
12.   A patient was brought to the emergency room because of a sudden onset of difficulty in breathing. The result to a stat X ray revealed fluid accumulation in the pleural space. The doctor order for an immediate thoracentesis.
Which of the following sites should be prepared ?
A.      Between 5^th and 6^th
B.      Between 6^th and 7^th
C.      Between 7^th and 8^th
D.      Between 8^th and 9^th
 
13.   A 60 year old with gout visited the Medical Clinic and advice to increase fluid intake. Which of following is the benefit of increase fluid?
A.      Decrease inflammation
B.      Increase calcium absorption
C.      Promote the execration of uric acid
D.      Provide a cushion for weakened bones
 
14.   Which of the following pain assessment scale is the most is the most appropriate for seven year-old boy who twisted his ankle while playing football at school?
A.      Numeric
B.      Behavioral
C.      Wrong- baker faces
D.      Simple decretive
 
15.   During the working phase of the helping relationship, the patient was crying while disclosing his problems to the nurse. Then in the middle of their conversion, the patient becomes silent. Which of the following should the nurse do?
A.      Ask question
B.      Introduce another topic
C.      Stay with client and be silent
D.      Terminate session immediately
 
16.   Which of the following patient care plan is the most appropriate for a 37 years old post appendectomy woman who is at risk of pneumonia ?
A.      Restrict fluid intake
B.      Teach how to use spirometer
C.      Encourage ambulation as tolerated
D.      Avoid coughing and deep breathing
 
17.   During the night shift routine rounds, a nurse found that a patient complain of sleep disturbance due to frequent voiding several times at night. Which of the following is the best condition that describes the patient complain?
A.      Dysuria
B.      Polyuria
C.      Nocturia
D.      Hematuria

18.  The nurse is assessing a child (an infant ) with pyloric stenosis. which of the following is likely to note?
A.      Diarrhea
B.      Projectile vomiting
C.      Swallowing difficulties
D.      Currant jelly like stool
 
19. A patient is being admitted in medical unit and has orders for fluid restriction of 1400ml / 24 hours. He is receiving V 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

20. 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
 
21. A pregnant client with organ dysfunction presents with visual changes. 3+ deep tendon reflexes and a severe headache. At a subsequent follow-up visit the client reports that the symptoms have resolved.
What is the most likely reason for the improvement?
A.      Sleeping in a lateral position
B.      Consumption of 8 ounces of water per day
C.      Exposure to bright lighting
D.      Ambulation every 30 minutes
 
22. 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
 
23. When is the ideal time to administer analgesia to a women in labour?
A.      A soon as she requests analgesia
B.      When labour is well established
C.      When the women enters into transition phase
D.      when the women progress from latent to active phase
 
24. After a code blue, a doctor announced the death of a patient. A signature other begins to show signs of decreased level of consciousness.
What is the priority intervention of the nurse at this time?
A.      Offer a meal
B.      Ensure safety
C.      Set up an  V line
D.      Offer a glass of water
 
25. The nurse was educating a postpartum woman during discharge about importance of breast feeding. Which of the following if said by the women, indicates the need for further education?
A.      Breast milk is nutritionally balanced
B.      Breast milk reduces the risk of infection
C.      Breast feeding promotes mother-child bonding
D.      Breast feeding prevents pregnancy
 
26. A multiparous patient on day 1 postpartum is asking the nurse to send her baby to the nursery so she can sleep.
What is the most likely phase of psychological adaptation?
A.      Taking-in
B.      Letting-go
C.      Taking-go
D.      Letting-in

27. 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
 
28. The nurse is assessing a child (an infant ) with pyloric stenosis. which of the following is likely to note?
A.      Diarrhea
B.      Projectile vomiting
C.      Swallowing difficulties
D.      Currant jelly like stool
 
29. A pregnant client with organ dysfunction presents with visual changes. 3+ deep tendon reflexes and a severe headache. At a subsequent follow-up visit the client reports that the symptoms have resolved.
What is the most likely reason for the improvement?
A.      Sleeping in a lateral position
B.      Consumption of 8 ounces of water per day
C.      Exposure to bright lighting
D.      Ambulation every 30 minutes
 
30. In determining the one minute APGAR score of a male infant the nurse assesses a heart rate of 120 beats per minute and respiratory rate of 44 per minute. He has flaccid muscle tone with slight flexion and resistance to straightening. He has a loud cry with colour is acrocyanotic
What is the APGAR score for the infant
A.      7
B.      8
C.      9
D.      10
31. a laboring women desires to participate in her cesarean and have pain control. Which of the following methods would satisfy the women's needs
A.      Epidural block
B.      Pudendal block
C.      Meperidine injection
D.      General anesthesia
 
32. A clinical picture of an antisocial personality disorder is a "pervasive pattern of disregard for and violation of rights of others, deceit, and manipulation".
What will be the priority of care?
A.      Safety.
B.      Set limitations
C.      Behaviours therapy
D.      Reduction of environmental stimuli
 
33. 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
 
34. A 13-year-old patient is admitted for diarrhea and vomiting. He looks paleand lethargic. A nurse is preparing to give V hypotonic solution.
Blood pressure                        110/70 mmHg
Heart rate                                   76 /min
Respiratory rate                       18 /min
Temperature                            36.1 C Which V solution is most appropriate?
A.      0.9% saline
B.      Lactated ringers
C.      10% dextrose in water
D.      0.45% sodium chloride
 
35. 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
 
36. A 2-day-old newborn is admitted to the nursery. While the nurse is administrating oral feeding, the milk returns through the child's nose and mouth and the infant become cyanotic.
Which of the following condition the newborn should have?
A.      Anorectal malformation
B.      Tracheoesophageal fistula
C.      Cleft lip and palate
 
37. A newborn has a diagnosed Developmental Dysplasia of the Hip (DDH) and is using a Pavlik Harness as treatment.
Which of the following mechanical factors is associated with DDH?
A.      Intrauterine breech position
B.      Caesarean section
C.      Small infant size
D.      Single fetus

38. 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
D.      Intravenous hypotonic solution
 
39. A 48-year-old patient in the male Surgical Ward had his gall bladder removed through laparoscopic cholecystectomy 24 hours ago. While evaluating his general condition, the patient appears lethargic and complains of severe nauseated feeling along with discomfort in the abdomen.
What nursing problem needs to be prioritized?
A.      Disturbed metabolism due to higher energy demand
B.      Weak and lethargic due to low food and fluid intake
C.      Nausea and vomiting due to slower gut movement
D.      Impaired comfort related to post-surgical effects
 
40. Patient comes to ER with cough, weight loss, fever and night sweats, after chest x – ray the doctor diagnosed the case tuberculosis and order to give hypertonic solution, what the suitable should be given?
A.      Dextrose 10%
B.      Normal saline 9%
C.      Normal saline 45%
D.      Dextrose 5 % % NaCl 0.9%
 
41. Which of the following tests measures the total quantity of prothrombin in the blood and monitors the effectiveness of warfarin sodium (Coumarin) herapy and prolonged deficiencies in the extrinsic factor?
A.      Thrombin time
B.      Prothrombin time
C.      Partial prothrombin time
D.      Activated partial prothrombin time
 
42. A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements if made by the mother indicates a need for further teaching?
A.      ―I need to take antibiotics. And I should begin to feel better in 24-48 hours.
B.      ―I can use analgesics to assist in alleviating some of the discomfort.
C.      ―I need to wear a supportive bra to relieve the discomfort.
D.      “I need to stop breastfeeding until this condition resolves.”
 
43. A 6 year old male is diagnosed with Nephrotic syndrome. When nursing care for the patient the plan of diet should be?
A.      high salt, High fat
B.      high salt, High cholesterol
C.      low salt, low fat
D.      low protein, high
 
44. The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot. Which of the following positions is
used for congenital heart condition?
A.      Semi fowler's position
B.      knee chest position
C.      prone position
 
45. 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
 
46. 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
 
47. A 69-year-old patient was discharged from instructions to have follow-up physiotherapy sessi paralysis as a result of the brain stroke. A few physiotherapy sessions, he showed fast recovery. sadly that despite his progress he will remain
Which of the following should be the prioritize patient?
A.      Support for health maintenance
B.      Increase activity and exercise
C.      Identify coping mechanism
D.      Enhance self esteem
 
48. A patient complains of pain when standing upright hump on the upper back. In the past year, slightly shorter. The doctor has suggested tests to What is the best appropriate intervention?
A.      Instruct the patient in the use of prescribed magnesium supplements .
B.      Have the patient sleep propped on two pain
C.      Prepare the patient for a CT scan of both
D.      instruct the patient in the use of vitamins
 
49. An 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
 
50. A 59-year-old woman is admitted in the Medical her arms and legs. The muscular strength Progressively decreased within one year. She 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