SCFHS MCQs 4.3
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A. Touch the outer 2-inch border of the sterile gloves
B. Place the sterile linen-wrapped package on waist level
C. Hold the bottle lip 1-2 inches above sterile pouring the solution
D. Open sterile item while holding outside hand then throw object onto sterile field
2. 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
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
3. A 27-year-old women is admitted in the Medical she appears exhausted, dull and apathetic. She order. Which of the following are additional findings the on the client?
A. Low blood pressure, rapid pulse and respiration
B. Pale skin with bruises, petechia and Eco
C. Lower urinary output and increased thirst.
D. History of frequent flu and sore throat
4. A 56-year-old patient was diagnosed with instructions about administration of insulin. Regular Insulin and Neutral Protamine Hagedo subcutaneously every morning.
Which of the following is right period for (in minutes) after administration?
A. 10-15
B. 30-60
C. 60-90
D. 240-360
5. An 18-year-old girl was under weight and malnou 163 cm, her body weight was 45 Kg and her admitted in the Female Medical Ward for severe observed that on the second day she inducing Dinner. On asking, she replied that inducing helps clear the stomach bacteria.
Which aspect of the nursing care area is altered?
A. Self-concept
B. Health perception
C. Value-belief system
D. Nutrition management
6. A nurse is assigned to care for a patient who Nutrition (TPN). The patient was cyanosed and Which of the following conditions is a TPN COMPLICATION?
A. Hyperglycemia
B. Pneumothorax
C. Hypervolemia
D. Infection
7. Many injured victims of road traffic accident Emergency Room for treatment. Due to the high
Doctor asked a nurse to perform preliminary assess prioritise them. Which of the following is the best way to assess?
A. Pain
B. Weight
C. Restlessness
D. Facial expression
8. A home care patient with chronic Obstructive reports an upset stomach. The patient is taking and triamcinolone acetonide (azmacort). Which of the following counselling should be given
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. A 46-year-old patient is admitted in the Female back pain, which is graded 6 on the scale of10. With the slight elevation in her blood pressure .The eats lunch which is a low sodium diet. Documented that patient is uncooperative and lunch.
What can be assessed by the nursing document patient?
A. Subjective judgement of patient's statement
B. Misunderstanding of patient's attitude
C. Understatement of communication
D. Unethical evaluation of reality
10. In a post-operative patient in the Surgical Unit, most indicative of a developing complication?
A. Increasing alertness
B. Weak and rapid pulse
C. Negative Homans' sign
D. Minimal bowel sounds in four quadrants
11. 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
12. A nurse is caring for a 72-year-old man patient , is unsteady. The patient requests the nurse to help nurse asked the patient to wait few minutes device to transfer him. Which of the following transfer devices is the nurse to use?
A. Belt
B. Board
C. Handle
D. Mechanical lift
13. A 40-year-old women patient with Parkinsonism Medical Ward. The patient stated that she has the past two weeks. The nurse was planning to
Which type of diet is most suitable for parkin?
A. Solid
B. Liquid
C. Semi solid
D. Clear liquid
14. An outpatient nurse is drawing blood from a laboratory analysis. Which of the following steps is an appropriate this procedure?
A. Use a highly visible vein on ventral side of
B. Immediately draw blood while it is still wet alcohol prep o
C. Vigorously shake specimen tube to mix anticoagulant solution
D. Do not leave a tourniquet on more than more 1 vein
15. A client with type 1 diabetes mellitus is admitted in which medication if found by the nurse in the should be clarified with the physician?
A. Humalog (lispro) sliding scale before meals
B. Glargine (Lantus) 10 units subcutaneously
C. Metformin (Glucophage) 500 mg per orel
D. Dextrose 50% ampule intravenous push for 50 mg/dL
16. A 28-year-old man and his wife involved in which his wife was killed. The client is being Care Unit for multiple rib fractures and a broken which room his wife is located.
Which of the following is the most appropriate?
A. "Your wife is not in the hospital"
B. " I'm sorry, but your wife did not survive the
C. "I need to get your family so that you can wife"
D. " The doctor will be talking to you about located
17. 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
18. A nurse is planning to discharge a known HIV, a the Isolation Unit after the recovery from upper Which of the following nursing problem requires?
A. Risk of infection due to altered immune
B. Fluid volume deficit due to frequent diarrha
C. Anxiety due to disease, fear and social
D. Weight loss due to higher metabolism rate
19. A nurse is working in a medical unit. She is 65-year-old women with cerebrovascular accident Home care visits. The nurse teaches the patients wheelchair safely.
Which of the following statements by the teaching was effective?
A. "The breaks should be used when storing
B. "I will push the wheelchair in from of the
C. "I will remove the feet rests from the
D. "When entering the elevator I will pull the that the big wheels enter first"
20. A 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
21. 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
22. A nurse is caring for patient who is being admitted with urinary tract infection. The patient feels cold and shivering
Blood pressure 110/70 mmHg Heart rate 110 /min Respiratory rate 22 /min Temperature 39.7 C
Which of the following is the best nursing action?
A. Provide a hot drink
B. Cover the patient with light blanket
C. Start the air conditioning system
D. Turn off lights and close curtains
23. A patient who has pain localized in the chest, now down the left arm. What is this type of pain called?
A. Phantom
B. Regimented
C. Shooting
D. Radiating
24. A 75 year-old bedridden patient is hospital Medical ward for the treatment of her in Area. Her wound is infected with multiple Longer than normal time to treat. She Crying spells and is talking about death Which of the following nursing diagnosis must be
A. Health and wellness
B. Coping mechanism
C. Self-perception
D. Belief system
25. 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
26. 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 surgical dressing for bleeding
27. A 42-year-old woman is brought to the Emergency severe chest pain radiating to the left neck physician instructs nurses to start the Morphine Aspirin (MONA) protocol.
What is the top priority of nursing care?
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
28. A 22-year-old patient is admitted in the male Medical diagnosis of tonsillar abscess. He has high fever and sever along with dysphagia, difficulty in talking and in opening patient is planned for needle aspiration of the abscess intravenous antibiotics including penicillin.
What expected outcome of nursing care should be prioritized?
A. Patient is comfortable and has minimum pain
B. Patient is able to communicate appropriately
C. Able to swallow fluids and soft diet more easily
D. Normal body temperature and stable vital signs
29. A 40-year-old man with Hepatitis A is admitted in Medical Ward. He is feeling exhausted, anorexie, and diarrhoea. He needs hygiene assistance.
Heart rate 80 /min
Blood pressure 125/96 mmHg
Respiratory rate 24 /min Temperature 39.4 C What nursing problem should be focused first?
A. High fever
B. Low energy level
C. Reduced food intake
D. Stomach discomfort
30. A nurse is caring for a patient diagnosed with abdominal x-ray reveals evidence of pancreatic sign of biliary disease. What would the nurse most likely instruct the patient
A. Consume a high-protein diet
B. Gradually increase dietary fibre
C. Avoid ingestion of alcoholic beverages
D. Limit activities when the patient is fatigued
31. A 35-year-old patient was admitted to the Emergency Department accompanied by her include severe epigastria pain, abdominal tende the last 24 hours. She was anorexic and had Since the last few hours. She was feeling elimination and body fluid loss.
Which of the following should the nurse do to exertion?
A. Explain that she will feel better soon
B. Show support and understanding
C. Encourage her to drink fluids
D. Help he rest undisturbed
32. 62 year-old female patient is admitted for her left eye cataract removal. She has cataract in both eyes with no visibility in her left sys. She is scheduled for the surgery .What essential safety precautions must be assessed preoperatively?
A. Assess and document visual acuity of both eyes
B. Knowledge to prevent eye injury after Surgery
C. Cleanliness of eye and removal of eyeglasses
D. Arrangement of attendant for 24 hours
33. A 57-year-old patient post laparotomy is complain increases with movement. A family member Something. The unit nurse is preparing to admini for pain control after checking the medication
Blood pressure 110/63 mmHg Heart rate 68 /min Respiratory rate 11
/min Temperature 36.8 C Oxygen saturation 93 %
Which of the following assessments should the administering Morphine to the patient?
A. Monitor heart rate and rhythm
B. Inspect surgical site for bleeding
C. Perform a respiratory assessment
D. end a blood sample to assess renal
34. A nurse is transferring a patient with chest tube the X-ray department for chest X-ray. Which location should the nurse place chest tube
A. Directly on the stretcher in an upright
B. On the side of stretcher next to patient
C. Hanged on IV pole that is attached to the
D. Attached to the stretcher and hanged
35. The relative of a 25-year-old post-partum patient stopped her from taking bath until the 40 days provided with the food by the family that was of saturated fat and a liter of reduced full
asking, she said the diet was good for the milk Which of the following should be the prioritized patient's understanding about?
A. A healthy and balanced diet is beneficial
B. Breast feed is not affected by mother's diet
C. Maintaining personal hygiene is most
D. Rest and relaxation is necessary to regain
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)"
37. 53-year-old patient who was referred to the primary healthcare center for hyperglycemia him and finds out that he has been recently says that he does not understand why he needs
Test Result Glucose, fasting 12.2 Normal Values 3.5-6.5 mm Which of the following learning needs is indicated?
A. Insulin Alternatives
B. Complications of diabetes
C. Disease process of diabetes
D. Lifestyle and dietary changes
38. A 33-year-old man with meningitis presents Department. Healthcare providers plan to precautions. What is the best nursing practice for this case?
A. Use N95 mask all the time
B. Monitor the negative air pressure
C. Use respiratory protective equipment all the
D. Keep the patients with the same diagnosis
39. A 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
40. A 12- year- old boy was brought to the Emergency respiratory arrest due to drowning. Cardiac resuscitation what is the major complication that might happen if treated after drowning quickly?
A. Sepsis
B. Alkalosis
C. Acidosis
D. Hypothermia
A. Face Mask, Gown, Eyewear, and Gloves
B. Gown, Face Mask, Eyewear, and Gloves
C. Eyewear, Cloves, Face Mask, and Gown
D. Gloves, Gown, Face Mask, and Eyewear
42. The nurse is preparing a patient for an insertion of a central venous pressure line into a neck vein .The nurse should place the patient into which position?
A. Side-lying position
B. Fowler's position
C. Trendelenburg position
D. Semi-Fowler'sposition
What nursing problem needs attention first?
A. Imbalance nutrition due to inadequate
B. Acute pain related to throat inflammation
C. Impaired swallowing related to dysphagia
D. Hyperthermia related to acute infection
44. 35 year-old man with a history of psychiatric illness has been taking long-term antipsychotic medication for the past eight years. He has a fine tremor of the hands, delayed motor responses and a flat mood . He says the he feels restless and anxious all of the time. He has prolonged muscle contractions of the head and his eyes sometimes roll upwards. He makes his lips and smacks his lips and makes chewing motions with the mouth Without being aware . The health care provider changes his medication to improve his symptoms Which of the symptoms is most likely to remain?
A. Prolonged muscle contractions
B. Chewing motions of the mouth
C. Delayed motor response
D. Feelings of restlessness
45. In 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 neighborhood 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
46. 28 year-old married woman is admitted in the Gynecology Ward for the observation after her
miscarriage. She has not been able to sustain any pregnancy since she got married for the past three years and she had three miscarriages during this time. What intervention is the most appropriate?
A. Family history
B. Past medical history
C. Physical examination
D. Laboratory investigations
47. The weight of 100 interns in a hospital was measured and the result was reported as 75 ±10 kg .What is the approximate proportion of interns who have weight between 65 and 85 kg ?
A. 34%
B. 50%
C. 68%
D. 95%
48. A co-worker informs the nurse about experiencing increased level of stress associated daily job responsibilities .To help cope with professional stress , what should the nurse encourage
A. Make a list daily of unfinished tasks
B. Complete complex mental tasks before physical tasks
C. Acknowledge daily accomplishments
D. Spend time with colleagues away from work
49. 60 YEARS AGE PATIENT WEIGHTED 73 KILOGRAMS .DURING THE CURRENT CLINIC VISIT THE NURSE noted
that the patient has an unintended eight loss. This weight loss over 6 months would be considered clinically significant as soon as reaches the point of being more than a
A. 5% loss
B. 8 % loss
C. 10 % loss
D. 20% loss
50. PYLORIC stenosis peristalsis movement ?
A. From right to left
B. From left to right
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