SCFHS MCQs 4.4
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A. Placenta
B. Milk
C. Cord
2. A nurse has broken a medication vial by mistake. What is the first action should the nurse do?
A. Inform the head nurse
B. hange the vial from the pharmacy
C. Write a report
D. Documenting in nursing
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.
4. Which of the following represents secondary infertility?
A. Male infertility
B. A couple that does not conceive
C. Infertility that occurs after previous pregnancy
D. Infertility lasts for more than 3 years
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
6. A nurse is caring for a patient who had Coronary Artery bypass Graft Surgery (CABG) four hours ago. The nurse notices that the patient has
increased confusion and is restless. The patient reports nausea, weakness, and paresthesia in the extremities (see lab results).
Test | Result | Normal Values |
Sodium | 145 | 134-146 mmol/L |
Potassium | 6.8 | 3.5-5.2 mmol/L |
Calcium | 2.50 | 2.15-2.62 mmol/L |
A. Naloxone (Narcan)
B. Hydralazine (Apresoline)
C. Potassium chloride (KCI)
D. Sodium polystyrene sulfonate (Kayexalate)
7. Which of the following statements best describes for patient myopia?
A. They must hold a paper at arm's length or greater to read it
B. They can see close-up objects clearly, but distance objects are out of focus
C. They can see distant objects clearly, but close up objects are out of focus
D. They are unable to focus horizontal and vertical rays of light on the retina simultaneously
8. A 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
9. A post-operative patient who underwent an abdominal procedure request pain medication from the nurse and rates the pain at a level nine. There a standing order for narcotic administration. When the nurse opera the narcotic box and performs a count, the number of pills remaining in the box is different than the number of pills recorded on the sheet. What is the most appropriate initial nursing action?
A. Notify the nursing supervisor
B. Write the finding on the narcotic sheet
C. Administer the patient's requested medication
D. Identify the last nurse who used the narcotic box
10.A nurse is preparing to administer an intravenous infusion of 2000 ml of Ringer's lactate over 12-hours. The administration set has a chamber that delivers 15 drops per ml. How many drops per minute should be administered?
A. 14
B. 24
C. 42
D. 56.
11.A patient has been experiencing recurrence of this media antibiotic therapy and the patient was scheduled for Tympanostomy Tube insetion
preparative teaching, the patient asked the nurse about the purpose of the procedure. What is the best answer that the nurse should provide?
A. Stimulates motion of the ossicles
B. Detects permanent hearing loss
C. Allows drainage of purulent fluid from the middle ear
D. Enables medication administration directly to the affected ear
12.A 13- nurse is given health education to the parent how to reduce febrile avulsion in the child at home. Which of the following medication in the safest intervention?
A. Analgesic
B. Antipyretic
C. Antibiotic
D. Antiemetic
13.A 14- nurse manager assigns tasks according to clinical competencies of the nurses.Which of the following is the management function?
A. Delegating
B. Evaluating
C. Planning
D. Controlling
14. At is the recommended weight gain during pregnancy of a woman with MI of < 18.5?
A. 12.5 -18 Kg
B. 11.5 -16 Kg
C. 7 -11.5 Kg
D. 5- 9 Kg
15.3-year-old child with an elevated body temperature is administered oral aspirin . The nurse records the body temperature of the child two hours and finds that it is still elevated. What is the most likely underlying physiology for the delayed response in action of the aspirin?
A. High gastric pH
B. Thin epidermis
C. Low muscle tone
D. Short intestines
A. Burp the baby frequently
B. Prevent the infant from crying
C. Placing the baby flat during feeding
D. Keep the infant prone following feedings
17.A 33 month-old infant is admitted to the Emergency Department (ED) with fractured arm. The mother indicated that while the child was crawling fell down the stairs and broke his arm. Which of the following observation would lead the nurse to suspect that this is a victim of abuse?
A. Age inappropriate injury
B. Pattern and shape of the injury
C. Child is appearing malnourished
D. Improper explanation of the cause of injury
18.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 counseling. 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
A. Pain
B. Fever
C. Rupture
D. Diarrhea
20.A nurse manger is preparing and writing a plan for dealing disasters (code red). Which procedure is the top priority for the nurse manager the plan?
A. Infection control
B. Staff orientation
C. Patient education
D. Patient relocation
21. A nurse manager includes staff in decision-making process what unit structure is used?
A. Divisional
B. Centralized
C. Functional
D. Decentralized
22.A 14- nurse manager assigns tasks according to clinical competencies of the nurses.Which of the following is the management function?
A. Delegating
B. Evaluating
C. Planning
D. Controlling
23.A 16-year-old girl was found unconscious in her home by her mother. She brought to the hospital by ambulance. The patient has no previously known medical history. On arrival, the nurse performs an assessment for level of consciousness and notes a Glasgow Coma Score of five. The nurse notes the patient's breathe smells like acetone or fingernail paint remover. What is the priority therapeutic goal?
A. Increase blood glucose
B. Increase serum osmolarity
C. Increase circulatory volume
D. Decrease intracranial pressure
24.A 61-year-old man is being discharged from the post-operative Care Unit following a transurethral resection of the prostate. The nurse provides discharge information regarding the care of the bladder catheter.
Which method would be most effective in bladder retraining for this patient?
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 day time
A. Posterior pituitary
B. Adrenal medulla
C. Anterior pituitary
D. Adrenal cortex
26.A 9-year-old child is admitted to the Emergency Department injury. The child is oriented to the place, person and time, spontaneously, obeys commands. The nurse is doing aped Coma Scale (PGCS). Which of the following score the nurse should record?
A. 3
B. 8
C. 12
D. 15
27.While planning for discharge education for a mother or rickets, the nurse knows to include the need for an adequate
Which food should the mother choose for her child?
A. Potato and squash
B. Orange and tomatoes
C. Egg yolk and fish
D. Milk and yogurt
28.4 weeks of gestation neonate is admitted to the Neonatal Intensive Unit immediately after delivery with respirator distress syndrome de 1.
hart rate 140 /min respiratory rate 77 /min Temperature 36.5
Which of the following method of feeding is recommended to promote with of this premature?
A. Enteral feeding of breast milk
B. Enteral feeding of premature formula
C. Oral breast feeding
D. Oral premature formula
29.A 7-year-old insulin dependent diabetic mother has delivered normally in 38 gestational weeks. The nurse was assessing the insulin requirement this mother after delivery. What is the insulin requirement for this patient?
A. Higher than before pregnancy
B. No changes in insulin requirement
C. Lower than when she was pregnant
D. Slightly increased than before delivery
30.On the second day of hospitalization for ventriculoperitoneal shunt revision, a child with spina bifida developed hives, itching and wheezing. The nurse should determine if the patient has been exposed to:
A. Peanuts
B. Strawberries
C. Eggs
D. Latex
A. Marasmus
B. Spitting up
C. Kwashiorkor
D. Rickets
32.A nurse is preparing a medication order of 100 mg IV stat. The available hydrocortisone is 200mg per 5 ml distilled water for injection. Which of the following is the correct administered?
A. 4.5 ML
B. 3.5 ML
C. 2.5 ML
D. 1.5 ML
33.Mr. M attended in outpatient clinic with symptoms of shortness of breath, diarrhea and severe respiratory distress Which of the following is the best diagnosis of Mrs. A case?
A. Corona virus
B. Swine Flue
C. Zika virus
D. Hepatitis
34. Which of the following is a newly promoted nurse manager’s first priority?
A. Check all nursing care documents are correct
B. Supervise direct nursing care to all patients
C. Complete evaluation of all new nurses
D. Develop unit clinical operational plan
35.a 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
36.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
37.A 60-year-old man is being discharged from the post-operative Care Unit following a transurethral resection of the prostate. The nurse provides discharge information regarding the care of the bladder catheter. Which method would be most effective in bladder retraining for this patient?
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 day time
38.A patient with a colostomy complains of itching of the peris tornal skin. On assessment, the skin is covered in a red rash with white patches visible. what is the most likely cause of this condition?
A. Not changing the pouch regularly
B. Candidiasis
C. Consuming acid-producing foods
D. Dehydration
39.A post-operative patient who underwent an abdominal procedure request pain medication from the nurse and rates the pain at a level nine. There a standing order for narcotic administration. When the nurse opera the narcotic box and performs a count, the number of pills remaining in the box is different than the number of pills recorded on the sheet. What is the most appropriate initial nursing action?
A. Notify the nursing supervisor
B. Write the finding on the narcotic sheet
C. Administer the patient's requested medication
D. Identify the last nurse who used the narcotic box
40.A 56-year-old man was admitted with complaint working for three days. The nurse is preparing to administer infusion of saline 1000 ml over six hours. What is the hourly infusion rate that the nurse needs to infusion therapy in mL/hour?
A. 155
B. 167
C. 119
D. 200
41.A women patient with a body mass index of 35 is admitted to ward. Which of the following nursing diagnosis, related to Imbalance the most appropriate :
A. Activity intolerance
B. Less than body requirement
C. More than body requirement
D. Deficient knowledge on normal nutrition
42.A 47-year-old man is diagnosed with tuberculosis (TB) and negative pressure room. Which of the following should wear a facemask?
A. Patient's health care providers
B. All people who enter the patient's room
C. Person has close contact with the patient
D. Family members who are at risk for infection
43.An ICU nurse reviews the chart of a 47-year-old man patient mechanical ventilator for a long time. Artorial blood gas result
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
44.A patient who is admitted denies any medication allergies. medical records state, "No known drug allergies." A medic been sent to the pharmacy for gentamicin. The pharmacist record 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
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
45.A 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. Prone3
46.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
47.A registered nurse in the Intensive care Unit performed Glasgow scale assessment on a 50-year-old man who sustained head 24 hours ago. The recorded Glasgow Coma score was 10.
which one of the following actions should be taken immediately nurse?
A. Inform the registered nurse in charge of the nursing
B. Protect the patient by raising the two side rails
C. Inform operation theatre for emergency surgery
D. Perform neurologic assessment every 15 minutes
48.The nurses in the Male Medical Unit took a signature on the from a patient who needs an abdominal CT with contrast. What is the best nursing practice?
A. Consent should be taken after the procedure
B. Verbal consent is acceptable for this procedure
C. Consent should be taken from the patient's relatives
D. Consent should be taken according to the organization's
49.The nurse in the Critical Care Unit is preparing a plan of care for a postoperative cardiac transplant client. Which of the following maintain highest priority intervention?
A. Apply sequential compression devices to prevent deep vein thrombosis
B. Assist the client in changing positions slowly to prevent hypotension
C. Encourage coughing and deep breathing to prevent paranoia
D. Use careful hand washing and aseptic technique to prevent infection
50.patient has a defect with the beta cells of the Islet of Langerhans. Which of the following should the nurse most likely expect this patient to exhibit?
A. Anemia
B. Appendicitis
C. Cholelithiasis
D.
Hyperglycemi
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