SCFHS MCQs 5.3
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A. Assess sucking response
B. Increase mother child bonding
C. Assess and record APGAR score
D. Keep dry and maintain thermoregulation
2. 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
3. Nurse is providing postpartum care for a GSP4 mother who had a rapid labor of an infant weighing 4000 gm. Assessment revealed a boggy uterus, heavy lochia and stable vital signs. After fundal massage and bladder evacuation. The fundus remains soft.
Which of the following is the most appropriate next nursing action?
A. Inform the physician ..
B. Reassess the vital signs
C. Continue fundal massage
D. Take venous blood sample
4. Nurse is assessing a 6-month-old infant that has retar reduced responsiveness and interaction with the environment to smile or make eye contact. The nurse notices that the attempt to hold or comfort the crying infant. What diagnosis should the nurse anticipate?
A. Celiac disease
B. Failure to thrive
C. Cystic fibrosis
D. Growth hormone deficiency
5. A 46-year-old man is presented to Emergency Room with severe chest and unstable angina. The ECG of the patient shows ST segment depression on his 12-lead. E rhythm strip example of specific ECG changes (see image). Which of the following cases the nurse determines ST segment depression?
a. Injury
b. Necrosis
c. Ischemia
d. Nothing significant
6. A 35 year-old man with pulmonary edema is admitted to the Intensive re unit. He is on a Mechanical Ventilator(MV) without sedation. After the cient is placed on the MV, the nurse diagnosed the case as impaired communication related to intubation and MV. What is the best method for the nurse to communicate with the patient?
a. Use normal verbal communication
b. Communicate with the patient after MV removal
c. Use non-verbal communication, such as head-nodding and writing
7. A nurse check the medication chart of a patient, which has the following order; Paracetamol 500mg P.O. QID. How many times a day should the nurse administer the medication?
a. Once
b. Twice
c. Three times
d. Four times
8. . A 68-year-old patient admitted to the Emergency Room with clinical nifestations of pulmonary embolism. Arterial Blood Gas (ABC) and chest ay were ordered. Which of the following tests is used to diagnose this condition?
a. Computed Tomography Scan (CT scan)
b. Magnetic Resonance Imaging (MRI)
c. Pulmonary angiography
d. Pulmonary function test
9. A 23-year-old woman presents to the clinic with an intense headache that rates at a level 8 on the 1-10 scale. Additionally, she feels nauseous is sensitive when exposed to bright light. Cerebrospinal fluid samples sent to the laboratory for analysis and complete blood count. Testing both kerning’s and Brzezinski’s sign are positive. The patient is admitted the hospital and one hour later she has a seizure. In the period immedediately following the seizure, the nurse stays at the bedside to vide on-going care.
Which of the
following assessments has priority at this time?
a. Blood pressure
b. Respiratory drive
c. Pupillary changes
d. Level of consciousness
10. The nurse observes the client csf ,Which of the following of csf color indication for patient with bacterial meningitis?
A. Cloudy
B. Clear
C. Red
D. Brown
11. Elsa Santos is a 18 year old student admitted to the ward with a diagnosis of epilepsy. She tells the nurse that she is experiencing a generalized tingling sensation and “smells roses”. The nurse understands that Esla is probably experiencing:
A. An olfactory hallucination
B. An acute CVA
C. An aura
D. An acute alcohol withdrawal
12. Child has a third- degree burns of the hand, chest, face, which nursing diagnosing takes priority?
A. Ineffective airway clearance
B. Disturbed body image
C. Impaired urinary eliminations
D. Risk for infection
13. Awoman has polycystic ovary syndrome which is 3cm in size what should the nurse do?
A. A repeat the ultrasound after menstruation
B. Remove it by laparoscopy.
C. Give the medication
D. None
14. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter
(PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?
A. Shake the patient’s hand
B. Place the nursing supply bagon a clean, dry surface.
C. Obtain the patient’s written consent for home health care
D. Perform hand hygiene per the agency protocol
15. 49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG showed that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. What is the primary indication of aspirin in this case?
A. Breaks down the thrombus
B. Decreases the formation of platelet plugs
C. Inhibits the conversion of prothrombine to
D. Interferes with vitamin k to maintain
16. Multiparous woman is admitted to postpartum ward after vaginal delivery. Assessment showed, lochia: steady trickle of bright red blood and ndus: firm.
Blood pressure 110/70 mmhg Heart rate 80
/min Respiratory rate 20 /min Temperature 37.5
Which of the following is the most likely diagnosis/.
A. Endometritis
B. Uterine atony
C. Vulvar hematoma
D. Laceration of the genital tract
17. Which of the following patient is the most appropriate to delegate to a new nurse?
A. Patient on a strict bed rest
B. Patient for discharge teaching
C. Patient scheduled for an operation
D. Patient who is hooked to mechanical ventilation
18. An 8-year-old girl is seen in the Emergency Department because of a fracture in the right fibula and she has a fiberglass cast on her leg instead of a plaster cast. Which of the following is an advantage to use a fiberglass cast?
A. Cheaper
B. Dries rapidly
C. Smooth external
D. Shape closely to body parts
19. Acommunity nurse assigned to work in a Makkah, one of the most multicultural cities in Saudi Arab has to interact with multicultural population every day What is the most important step the nurse should do before with the clients?
A. Asking the client about his/her cultural background
B. Conducting an appropriate culturological assessment
C. Ensuring that the client has his/her a privacy
D. Looking at the client's file to take history
20. Year-old child was seen to the Emergency Department abdominal pain, palpable sauge-shaped mass, and Intussusception is suspected Which of the following is the best diagnostic evaluation to?
A. X-ray
B. Endoscopy
C. Rectal biopsy
D. Ultrasonography
21. A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant's stool became like red jelly. Abdominal examination revealed palpable sausage- shaped mass in the right upper quadrant. Which of the following is the first line of therapeutic management for this infant?
A. Non-surgical hydrostatic reduction
B. Surgical simple reduction
C. Pyloromyotomy
D. Endorectal pull-Through
22. The nursing director wants to evaluate the quality of nursing care at the in-patient areas. The management team will evaluate on quarterly basis the documentation and the relationship between the patient's length of stay and the quality of care which of the following is the most important data source to identify the quality of care?
A. Patient's complaints and time taken to resolve them
B. Patient's satisfaction level at the time of discharge
C. Details of nursing notes for patient's progress
23. A 28-year-old women is accompanied by her mother to the ward. She is admitted for her affective disorders with anger recent events and stammering spells. She has panic followed by apathy and listless Ness. How should the nurse manage the patient?
A. Be supportive and use therapeutic communication
B. Improvise sign language to control forgetfulness
C. Maintain calm environment and avoid argument
D. Anger management and speech therapy
24. Which of the following is most appropriate to delegate assistance
A. Insertion of an oral airway
B. Changing postoperative dressing
C. Initial interview on a newly admitted patient
D. Repositioning a patient to side-lying position
25. A patient returns to a clinic for a follow-up visit and is diagnosed as positive for Human Immunodeficiency Virus ( HIV). The patient expresses fear related to lack of finances, fear of social avoidance, and hopelessness.
Which of the following nursing actions should provide the most patient support?
A. Referral to a physician infectious disease specialist
B. Referral to a community-based HIV clinic
C. Referral to the local public health department
D. Recommendation to disclose the diagnosis to family
26. 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 days
27. 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
28. 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
29. When performing a postpartum assessment on a women the presence of clots in the lochia. The nurse examines the that they are larger than 1 cm, Which of the following nursing actions is most appropriate?
A. Document the findings
B. Notify the physician
C. Reassess the client in 2 hours
D. Encourage increased intake of fluids
30. A nurse is caring for a child with traction of fractured bone. In the chart, a doctor has placed a reminder to maintain even and constant traction What would be the most likely understanding of the nurse for this order?
A. Add or remove weights every other day
B. Allow weights to hang free continuously
C. Elevate head and foot of the bed alternatively when in pain
D. Allow weights to hang free every 12 hours to achieve good circulation
31. Mother brought her 6-month-old healthy infant to the well-baby clinic Which immunization should the nurse anticipate to administer as per World Health Organization's recommendation?
A. Varicella (Chicken pox)
B. Rotavirus and hepatitis
C. Measles, Mumps, Rubella
D. Diphtheria, Tetanus and pertussis
32. What of the following disease are prevented by MMR vaccine?
A. Mumps-measles-Scarlet fever
B. Mumps-measles-rotavirus
C. Mumps-measles-rabies
D. Mumps-measles-germen- measles
33. During a night shift a medical doctor complains of back pain and asks the t nurse to give him morphine 5 mg IM. Which of the following actions indicates professionalism in handing the ation by the nurse?
A. Call another doctor to manage
B. Refer him to Emergency Room
C. Administer morphine to doctor
D. Ask him to write a prescription first
a. Blood pressure
b. Respiratory drive
c. Pupillary changes
d. Level of consciousness
10. The nurse observes the client csf ,Which of the following of csf color indication for patient with bacterial meningitis?
A. Cloudy
B. Clear
C. Red
D. Brown
11. Elsa Santos is a 18 year old student admitted to the ward with a diagnosis of epilepsy. She tells the nurse that she is experiencing a generalized tingling sensation and “smells roses”. The nurse understands that Esla is probably experiencing:
A. An olfactory hallucination
B. An acute CVA
C. An aura
D. An acute alcohol withdrawal
12. Child has a third- degree burns of the hand, chest, face, which nursing diagnosing takes priority?
A. Ineffective airway clearance
B. Disturbed body image
C. Impaired urinary eliminations
D. Risk for infection
13. Awoman has polycystic ovary syndrome which is 3cm in size what should the nurse do?
A. A repeat the ultrasound after menstruation
B. Remove it by laparoscopy.
C. Give the medication
D. None
14. A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter
(PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?
A. Shake the patient’s hand
B. Place the nursing supply bagon a clean, dry surface.
C. Obtain the patient’s written consent for home health care
D. Perform hand hygiene per the agency protocol
15. 49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG showed that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. What is the primary indication of aspirin in this case?
A. Breaks down the thrombus
B. Decreases the formation of platelet plugs
C. Inhibits the conversion of prothrombine to
D. Interferes with vitamin k to maintain
16. Multiparous woman is admitted to postpartum ward after vaginal delivery. Assessment showed, lochia: steady trickle of bright red blood and ndus: firm.
Blood pressure 110/70 mmhg Heart rate 80
/min Respiratory rate 20 /min Temperature 37.5
Which of the following is the most likely diagnosis/.
A. Endometritis
B. Uterine atony
C. Vulvar hematoma
D. Laceration of the genital tract
17. Which of the following patient is the most appropriate to delegate to a new nurse?
A. Patient on a strict bed rest
B. Patient for discharge teaching
C. Patient scheduled for an operation
D. Patient who is hooked to mechanical ventilation
18. An 8-year-old girl is seen in the Emergency Department because of a fracture in the right fibula and she has a fiberglass cast on her leg instead of a plaster cast. Which of the following is an advantage to use a fiberglass cast?
A. Cheaper
B. Dries rapidly
C. Smooth external
D. Shape closely to body parts
19. Acommunity nurse assigned to work in a Makkah, one of the most multicultural cities in Saudi Arab has to interact with multicultural population every day What is the most important step the nurse should do before with the clients?
A. Asking the client about his/her cultural background
B. Conducting an appropriate culturological assessment
C. Ensuring that the client has his/her a privacy
D. Looking at the client's file to take history
20. Year-old child was seen to the Emergency Department abdominal pain, palpable sauge-shaped mass, and Intussusception is suspected Which of the following is the best diagnostic evaluation to?
A. X-ray
B. Endoscopy
C. Rectal biopsy
D. Ultrasonography
21. A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant's stool became like red jelly. Abdominal examination revealed palpable sausage- shaped mass in the right upper quadrant. Which of the following is the first line of therapeutic management for this infant?
A. Non-surgical hydrostatic reduction
B. Surgical simple reduction
C. Pyloromyotomy
D. Endorectal pull-Through
22. The nursing director wants to evaluate the quality of nursing care at the in-patient areas. The management team will evaluate on quarterly basis the documentation and the relationship between the patient's length of stay and the quality of care which of the following is the most important data source to identify the quality of care?
A. Patient's complaints and time taken to resolve them
B. Patient's satisfaction level at the time of discharge
C. Details of nursing notes for patient's progress
23. A 28-year-old women is accompanied by her mother to the ward. She is admitted for her affective disorders with anger recent events and stammering spells. She has panic followed by apathy and listless Ness. How should the nurse manage the patient?
A. Be supportive and use therapeutic communication
B. Improvise sign language to control forgetfulness
C. Maintain calm environment and avoid argument
D. Anger management and speech therapy
24. Which of the following is most appropriate to delegate assistance
A. Insertion of an oral airway
B. Changing postoperative dressing
C. Initial interview on a newly admitted patient
D. Repositioning a patient to side-lying position
25. A patient returns to a clinic for a follow-up visit and is diagnosed as positive for Human Immunodeficiency Virus ( HIV). The patient expresses fear related to lack of finances, fear of social avoidance, and hopelessness.
Which of the following nursing actions should provide the most patient support?
A. Referral to a physician infectious disease specialist
B. Referral to a community-based HIV clinic
C. Referral to the local public health department
D. Recommendation to disclose the diagnosis to family
26. 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 days
27. 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
28. 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
29. When performing a postpartum assessment on a women the presence of clots in the lochia. The nurse examines the that they are larger than 1 cm, Which of the following nursing actions is most appropriate?
A. Document the findings
B. Notify the physician
C. Reassess the client in 2 hours
D. Encourage increased intake of fluids
30. A nurse is caring for a child with traction of fractured bone. In the chart, a doctor has placed a reminder to maintain even and constant traction What would be the most likely understanding of the nurse for this order?
A. Add or remove weights every other day
B. Allow weights to hang free continuously
C. Elevate head and foot of the bed alternatively when in pain
D. Allow weights to hang free every 12 hours to achieve good circulation
31. Mother brought her 6-month-old healthy infant to the well-baby clinic Which immunization should the nurse anticipate to administer as per World Health Organization's recommendation?
A. Varicella (Chicken pox)
B. Rotavirus and hepatitis
C. Measles, Mumps, Rubella
D. Diphtheria, Tetanus and pertussis
32. What of the following disease are prevented by MMR vaccine?
A. Mumps-measles-Scarlet fever
B. Mumps-measles-rotavirus
C. Mumps-measles-rabies
D. Mumps-measles-germen- measles
33. During a night shift a medical doctor complains of back pain and asks the t nurse to give him morphine 5 mg IM. Which of the following actions indicates professionalism in handing the ation by the nurse?
A. Call another doctor to manage
B. Refer him to Emergency Room
C. Administer morphine to doctor
D. Ask him to write a prescription first
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
35. 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
36. In the hospital digital dashboard, what types of data displayed?
A. Staffing
B. Financial
C. Performance
D. Knowledge-based
37. The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid?
A. Putting the child in lateral position
B. Palpating the child's abdomen
C. Putting the child in a private room
D. Provide mouth hygiene 30 minutes after meal
38. A newly graduated nurse is inserting an intravenous cannula into the mid-cephalic vein of a patient who is being admitted to the unit. As she withdraws the needle, a nurse calls out for help from another patient’s room. The new nurse rushes to help. She secured the intravenous catheter and threw the needle into the waste basket instead of the sharp’s container. When asked who had thrown the needle into the bin, the new nurse admits that she had made that mistake. Which professional act best describes the newly graduated nurse’s response?
A. Responsibility
B. Accountability
C. Assertiveness
D. Leadership
39. A nurse has just started total parenteral nutrition (TPN) as prescribed
For a patient with severe dysphagia low prealbumin levels. In one to two hours, the nurse should anticipate
Assessing the patient’s:
A. Blood glucose level
B. Weight
C. Liver
D. Spo2
40. The nurse is assessing a child who has Tetralogy of Fallot observed that the child is having clubbing in his fingernails Which of the flowing might be the reason for this clubbing?
A. Prolonged tissue hypoxia
B. Delayed physical growth
C. Inactive bone marrow
D. Pulmonary fibrosis
41. The 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
42. An elderly patient who has an aortic aneurysm Intensive Care Unit to a Medical Surgical Unit on day. While assessing the client, a nurse notes extremities and is unable to palpate the pedal pulse Which intervention should the nurse implement?
A. Wrap the lower extremities with warm
B. Use a Doppler ultrasound to reassess the
C. Elevate the extremities above heart level
D. Place a bed cradle over the bed to levitate
43. Digoxin not given to pà tient who has ?
A. TachycardiÃ
B. Hypertension
C. Tachypnea
D. Bradycardia
44. Atropine is indicated for increase
A. Heart rate
B. Respiratory rate
45. Morphine can cause ?
A. TachycardiÃ
B. Hypertension
C. Tachypnea
D. Bradypnea
Should the nurse do next?
A. Activate code
B. Use Interosseous needle
C. Consider arterial line
D. Call another nurse who is more experienced
47. The nurse is assessing a 65-year-old patient, who reports the fatigue, weight loss, night sweats, and a productive cough with thick sputum. The nurse should immediately initiate isolation precautions for which of the following?
A. Influenza
B. Pertussis
C. Bacterial pneumonia
D. Pulmonary tuberculosis
48. A 70-year-old man presents to the clinic with difficulty sleeping at night. He has not had a good night's rest for several months and feels exhausted. He needs to place three pillows behind his back in order to sleep. Examination of the lungs reveals crackles and wheezing Auscultation of the heart confirms an S1 gallop. Which of the following is the most likely underlying health problem?
A. Asthma
B. Pulmonary stenosis
C. Right-sided heart failure
D. Left-sided heart failure
49. A 70-year-old women with a history of hypertension companies of lack of appetite due to bloating and constipation. The abdomen is distended and examination shows a positive fluid wave. Palpation of the abdomen confirms guarding and tenderness over the right upper quadrant lower limb edema 3+ and pitting bilaterally are also present. She has
4.5 kilograms since her last appointment three weeks before. Blood pressure 164/92 mmhg
Heart rate 90 /min
Respiratory rate 26 /min
Temperature 37.1 C
Oxygen saturation 92% on room air What is the most likely underlying health problem?
A. Hepatic congestion
B. Pulmonary hypertension
C. Left-sided ventricle failure
D. Splenomegaly
50. A nurse was newly appointed to work in the Surgical Ward. She was assigned to take care of an obese patient who just had an open laparotomy. Her mentor told her to pay attention to the surgica associated with obesity. Which of the following postoperative complications the nurse should consider as a high risk complication?
A. Lunger
B. Gastric pain
C. Hemorrhage
B. Gastric pain
C. Hemorrhage
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