SCFHS MCQs 5.1
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A. 2
B. 50
C. 75
D. 100
2. A 19 year-old patient is admitted to the Male Surgical Word after the road traffic accident in the car racing with his friends. He had fractured bones in his left sided extremities including fibula in his leg. His wrist. The cast is applied on his arm as well as on his leg. His physiotherapy sessions will be started according to the evaluation of his treating surgeon. What short term goal should be planned while considering the age of the patient ?
A. Personal counselling for safe driving practice
B. Importance of body image for the patient
C. Respect patient privacy needs
D. Encourage acavity and exercise
3. What is the primary mechanism for toddler to learn socialize?
A. Eating
B. Talking
C. Playing
D. Crying
4. For an infant with hydrocephalus, a nurse should plan to monitor for what sign or symptom of increased intracranial pressure?
A. High-pitched, shrill cry
B. Decrease in systolic blood pressure
C. Depressed fontanelle
D. Increase in respirations
5. Prior to administering an enema, the nurse will assist the patient to assume what position
A. Prone with pillow under knees
B. Left-side with right knee flexed
C. Right-side with left knee flexed
D. On back with head of bed flat
6. A 3-years old child is seen at the pediatrician’s office. The parents the child has had vomiting and
diarrhea for the past 15 hours. The child’s is lethargic with the following vital signs: temperature 37.20 C (99.0 F), heart rate 145,respiration rate 25, and blood pressure level 95/55 mmHg. Which of the vital sign is abnormal?
A. 37.20 C (99.00 F)
B. Heart rate 145
C. Respiration rate 25
D. Blood pressure level 95/55
7. During the postoperative period, a nurse is assigned to care for a morbidly obese patient with an
abdominal incision. The nurse knows that this patient’s weight increases the risk of:
A. Left-sided heart failure
B. Pressure sores of the coccyx c
C. Constipation and ileus
D. Wound dehiscence
8. Before birth which is of the following structures connects the right and left auricles of the heart
A. Umbilical vein
B. Foramen ovale
C. Ductus ovale
D. Ductus venosus
9. Patient has phosphorus level 5mg/dl the nurse closely monitors the clients for
A. Signs of tetany ( numbness and tingling around the mouth )
B. Elevated blood glucose
C. Cardiac dysrhythmias
D. Hypoglycaemia
10. A 69-year-old female patient in the Medical Ward is in a semiconscious state. Her pancreatic cancer is metastasized to her liver and lungs and she is admitted for supportive treatment. Her physicians discussed with the family that she will not be given the CPR1 to save the life are she goes into the cardiac arrest. Her two sons agreed but the daughter is indecisive. What is the critical thinking behind not providing Cardiopulmonary 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
11. Patient receiving vincristine chemotherapy medication the nurse should know all correct except
A. Frequent check of uric acid
B. Give the medication as IV
C. BUN and createnine rise up
D. Use soft tooth brush+
12. Which common uterus position cause of abortion
A. Longitudinal
B. Oblique
C. A retroverted uterus
D. Linear
A. Naegele rule
B. Quickening
C. Mc Dolands rule
D. Batholomew rule of 4
14. In the Bartholomew rule of 4 when the level of the fundus is midway between the umbilicus and xyphoid process the estimated age of gestation is
A. 5th moth
B. 6th moth
C. 7th month
D. 8th month
15. Post cardiac surgery patient developed ST elevation on ECG which medication the nurse should give to prevent clot formation :
A. Heparin
B. Warfarin
C. Aspirin
16. Which developmental age group is most likely to regress when ill?
A. Adolescent
B. Infant
C. Toddler
D. Child
17. A 75 old patient has Parkinson disease which best food for him
A. Clear liquid
B. Liquid
C. Solid
D. Semi solid
18. A client calls the clinic after a home pregnancy test is positive. Which hormone will be cause this result?
A. Progesterone
B. Estrogen
C. Alpha-fetoprotein
D. Human chorionic gonadotropin
19. During a home assessment of a 2-year old, which behavior indicates normal development?
A. Tries to cut food with a knife
B. Knows how to eat with a fork
C. Uses a cup to drink
D. Pours milk into cereal bow
20. When caring for an elderly client who has visual and hearing impairments, which of the following should the nurse assess?
A. Cognitive decline
B. Sensory overloa
C. Confusion and anger
D. Social isolation
21. A prim gravida in active labor is about 9 days post term the client diseires a bilateral pudendal block anesthesia before delivery , after the nurse explains this type of anesthesia to the client which of the following location identified by the client as the area of relief would indicate to the nurse that teachin was effective?
A. Back
B. Perineum
C. Funds
D. Abdomen
22. What are the last items should be removal for nurse work in isolation room?
A. Gown
B. Mask
C. Gloves
D. Face protector
23. When examining the tympanic membrane of a toddler by otoscope, the nurse should move the child's pinna in which direction?
A. Down and forward
B. Up and back
C. Up and forward
D. Down and back
24. When a client with mid-stage Alzheimer's disease becomes agitated, which intervention should the nurse use?
A. Placing the client in a darkened room.
B. Leading the client to a group activity.
C. Turning on the television.
D. Putting an arm around the client's waist
25. After being robbed and beaten by an unknown assailant, a patient is diagnosed with post-traumatic stress disorder (PTSD). When developing a plan of care for the patient, which of these interventions will the healthcare provider plan to implement first?
A. Ensure the patient is taking medications as prescribed
B. Assist the patient in recalling the details of the event
C. Teach the patient coping skills to deal with anxiety
D. Promote the establishment of a trusting relationship
26. A patient is diagnosed with agoraphobia. Which of the following would the healthcare identify as a characteristic of this disorder?
A. Refuses to use a public restroom
B. Avoids being in the presence of clowns
C. Avoids interacting with strangers
D. Fears the use of public transportation
27. The children of a patient diagnosed with Alzheimer's disease (AD) tell the healthcare provider, "Our mother seems better during the day, but she gets very confused and agitated in the late afternoon and evenings." How should the healthcare provider document the patient's behavior?
A. Delirium
B. Sundowning
C. Psychosis
D. Depression
28. A newly-admitted patient's medication orders include donepezil hydrochloride (Aricept). The nurse knows this medication is prescribed for
A. Bipolar disorder
B. Schizophrenia
C. Alzheimer's disease
D. Major depression
29. At her six-week postpartum appointment, the client tells the nurse that she wants to resume oral contraception as soon as possible. Because the client is breast-feeding, the nurse knows that the best option is
A. Testosterone
B. Oxytocin
C. Estrogen
D. Progestin
30. patient diagnosed with delirium sees the intravenous (IV) tubing and believes it to be a snake. How should the healthcare provider document this behavior?
A. Hallucination
B. Illusion
C. Confusion
D. Delusion
31. When assessing a patient with severe depression, which of the following would the healthcare provider identify as a cognitive alteration?
A. Powerlessness
B. Anxiety
C. Low self-esteem
D. Somatic Delusions
32. The doctor order furosemide 40mg BID for patient with edema. What the nurse expected?
A. Hypocalcaemia
B. Hypokalemia
C. Hypercalcaemia
D. Hyperkalemia
33. A mother tells the nurse that her 8-year old doesn't eat as much as her toddler or teenager. The nurse should explain that school-age children have a lower
A. Growth rate
B. Metabolic rate
C. Hormone level
D. Activity level
34. A 32-year old client refuses to have any analgesia or anesthesia during her birth experience. As the nurse assists her during the second stage of her labor, which position should she use to begin pushing?
A. Lying on her left side in the Sims' position
B. Lithotomy position with high stirrups
C. Knee-chest position with head elevated
D. Squatting with her body curved into a "C" position
35. When planning to teach a patient with a new colostomy, which food should the nurse recommend to avoid odors in the stool?
A. Cucumbers
B. Yogurt
C. Peanut butter
D. Eggs
36. A primigravid client who is at 14 weeks gestation has been diagnosed with hyperemesis gravidarum. The nurse explains to the client that the condition is related to high levels of
A. Testosterone
B. Estrogen
C. Aldosterone
D. Progesterone
37. The healthcare provider is reviewing the International Normalized Ratio (INR) results of a patient with a history of embolic stroke. Which of the following indicates a therapeutic value for this patient?
A. 1.5
B. 0.5
C. 4.1.
D. 2.5
38. If a drug is 50% protein-bound, it means that
A. 50% of the drug destroys protein
B. 50% less protein should be eaten
C. 50% will pass through the intestines
D. 50% of the drug is available
39. nurse is monitoring a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms should be reported immediately?
A. Inability to identify short words
B. Repeated vomiting
C. Falling asleep at 10 pm
D. Bulging anterior fontanel
40. A patient who has a history of chronic back pain requires a higher dose of an opioid medication in order to achieve adequate pain relief. The healthcare provider suspects that these findings are a result of which of the following?
A. Pseudoaddiction
B. Dependence
C. Addiction
D. Tolerance
41. A 26-year old client comes to the birthing center in early active labor. She is full-term and membranes are intact. The nurse locates fetal heart sounds above the client's umbilicus at midline. The nurse should continue to assess that the fetus is in which position?
A. Breech
B. Face
C. Transverse
D. Cephalic
42. During her first prenatal appointment, a 24-year old primigravada asks the nurse how the doctor could tell she was pregnant "just by looking inside." The nurse explains that the client had a positive Chadwick’s sign, which is a
A. Bluish color of the cervix and vaginal walls
B. Slight displacement of the uterus to the right
C. Pronounced softening of the cervix
D. Presence of a mucous plug at the cervix
43. When a mother enters the playroom of the pediatrics unit to visit her 3-year old son, he does not immediately go to her. A reason for his behavior is
A. The child has become self-centered.
B. The child is angry and withdrawn.
C. The child has adapted to the hospital setting.
D. The child is displaying normal behavior.
44. A patient with pre-eclampsia is admitted to the unit with an order for magnesium sulfate. The nurse will understand that the therapy is effective if
A. Scotomas are present
B. Ankle clonus is increased
C. No seizures occur
D. Blood pressure drops
45. An hour after the vaginal birth of a term neonate weighing 10 lb 8 oz (4763 gm), which of the following should the nurse monitor closely?
A. Hyponatremia
B. Hypercalcemia
C. Hyperbilirubinemia
D. Hypoglycemia
A neonate weighing more than 4,000 g is considered large for gestational age (LGA) and at risk for hypoglycemia, due to glycogen stores being rapidly depleted. Hyperbilirubinemia may develop if bruising occurred during delivery, but will not be apparent at one hour post-birth
46. A patient has just been admitted to the hospital for observation. Based on the laboratory results, what is the patient's primary problem? Hematocrit 45\% Hemoglobin 15g/dl (150g/L) Platelets 50 x 10\^9/L
A. Right upper quadrant pain
B. Productive cough
C. Recurrent nosebleeds
D. Deep vein thrombosis
47. The healthcare provider is assessing the glucose level of a patient with a diagnosis of diabetes. Which of these is most helpful in evaluating this patient's long-term glucose management?
A. Hemoglobin A1c
B. Fasting blood glucose level
C. Urine specific gravity
D. The patient's food diary
48. While caring for a patient following a laryngectomy, the patient suddenly becomes pale and nonresponsive, with a BP of 90/40. The initial action should be to
A. Move the emergency cart to the bedside
B. Place the client in Trendelenburg position
C. Administer atropine intravenously
D. Increase the infusion of Dextrose in normal saline (D5NS)
49. Which of the following conditions most commonly causes acute glomerulonephritis?
A. A congenital condition leading to renal shutdown
B. End-stage kidney failure
C. Chronic viral destruction of the glomeruli
D. Prior infection with Group A Streptococcus within the past 10-14 days
50. A patient is admitted to the emergency department after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not talking coherently. Vital signs upon admission are temperature 98.0 F (36.3 C), heart rate 130 beats/minute, respiratory rate 34 breaths/minute, blood pressure 50/40mmHg. The healthcare provider suspects which type of shock?
A. Distributive
B. Neurogenic
C. Cardiogenic
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