SCFHS MCQs 5.4
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Heart rate 102 /min
Respiratory rate 22 /min
Temperature 37.2 C
Oxygen saturation 99% room air Which initial intervention is the most important?
A. .Intravenous infusion
B. Oxygen administration
C. cervical immobilization
D. Trendelenburg position
2. A post-operative nurse assesses the newly formed stoma and skin of a patient who is one day post- operative following a proctocolectomy with the formation of a permanent ileostomy.
Which of the following clinical findings would necessities immediate care
A. Bright red and moist stoma
B. Dark red and purple skin
C. Bloody liquid in pouch
D. Ulcerations with a rash
3. 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
4. The nurse was planning care for a 25-year-old primigravida post-partum mother who had engorgement due to poor feeding technique. the left preast appeared red and swollen and was diagnosed as
Which of the following is the best education for the mother
A. Avoid wearing brassiere
B. Begin suckling on the right breast
C. Stop pumping milk from the left breast
D. Take antibiotics till the soreness subsides
5. 11- child is admitted to the pediatrics ward with acute lymphocytic anemia, and has had joint pain for several weeks. Physical findings ude widespread ecchymosis, generalized lymphadenopathy, hepatosplenomegaly, and pallor. Lab work shows a low hemoglobin level, RBC count, low WBC count low hematocrit , and low platelets. Which high risk is expected?
A. Infection
B. Fractures
C. Dehydration
D. Hepatitis
6. A 56-year-old man with a history of COPD was rushed to the ER Department with chest pain, shortness of breath, fewer and a cough. Upon assessment , crackles can be heard over the low obes. The patient looks pale and lethargic (see image).
Blood pressure 110/70 mmHg
Heart rate 130 /min
Respiratory rate 9 /min
Temperature 38.1 C
Oxygen saturation 85 % What is the most likely condition?
A. Bronchial asthma
B. Respiratory failure
C. Pulmonary embolism
D. Myocardial infraction
7. A term baby boy has diagnosed with Down syndrome. Physical examination revealed flattened nose, low set ears, upward slanting eyes, single palmer crease. Which of the following is the most common congenital anomaly associated with the this disease?
A. Developmental dysplasia of hip (DDH)
B. Congenital heart disease
C. Hypospadias
D. Pyloric stenosis
8. A newborn with hyperbilirubinemia was started on phototherapy What will be the nurse's instruction regarding feeding?
A. Feed glucose drinks
B. Breastfeed two hourly
C. Bottle feed till the bilirubin level reduce
D. Breastfeed alternatively with bottle feeds
9. Mother came to the Outpatient Department with an infant having cleft and palate. The infant was underweight, so the nurse has to consider ching the proper way of feeding the child in the treatment plan. Which of the following is the proper way of feeding
A. Use a non-squeezable bottle during feeding
B. Feed infant in an upright, sitting position
C. Enlarge nipple holes of bottle to allow more milk to pass through
D. Feed infant longer than 45 minutes to allow more food to be
10. 18- A four-year old child is seen in the Emergency Department with a spiral fracture of the left arm . The x- ray examination showed previously broken healed bones. What is your immediate action?
A. Call social services to immediately arrange foster care for the child
B. Ask the child about the previous accidents and management
C. Report the child abuse to the local authorities
D. Try to establish rapport and trust with the child’s family
11. A 5-year-old child is seen in the primary care clinic with mild fever, headache, and malaise for about 2 days and today he has a rash filled with fluids. which of the following is the best suggested diagnosis?
A. Chicken pox
B. German measles
C. Measles
D. Scarlet fever
12. 26- Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns ?
A. Vitamin A
B. Riboflavin
C. Folic Acid
D. Vitamin K
13. 32- 5-year-old child was brought to the Emergency Room with a fractured ght forearm. He had several bruises on his body but showed no signs of ain while palpating them. He seemed scared and did not answer any questions asked. Why should the nurse discuss this case with the nurse manager?
A. Continuity of care
B. Rule out child abuse
C. Psychological support
D. Fracture management
14. When the nurse assessed the fundus of a multiparous mother who delivered 2 hours ago, she found the following Level: 2 cm above the umbilicus. Position: deviated to the right. Consistency: Not well contracted what is the next nursing action after massaging the fundus until it becomes firm?
A. Assess vital signs
B. Increase V fluids
C. Evacuate the bladder
D. Ask the mother to rest
15. What is the most appropriate blood product for a patient wit hemorrhage due to upper GI bleeding?
A. Plasma
B. Whole blood
C. packed red cell
D. Serum albumin
16. 5-year-old child was admitted with Nephrotic Syndrome. A nurse noticed that the child has slight facial puffiness with mild pitting edema on his hands and feet. there was no distended abdomen Which type of diet the nurse should order for the child?
A. High protein, high salt diet
B. Low protein, low fibre diet
C. Low protein, normal salt diet
D. Normal protein, low salt diet
17. A 40-year-old women is a gravida 2, para 2 and is current conceive. Her previous pregnancy resulted in the birth of a cleft lip and palate. The patient is anxious and concerned pregnancies and the nurse provides genetic counseling and Which foods would most effectively prevent recurrence a palate?
A. Green vegetables and citrus fruit
B. Eggs, milk and dairy products
C. Wheat, corn, rice, oats and rye
D. Beef, chicken and yellow vegetables
18. A nurse in the Neonatal Intensive Care Unit is caring for premature newborn, is diagnosed with Respiratory Distress (RDS) and the doctor ordered administrating surfactant Surfactant should be given by which of the following routes?
A. Intravenous
B. Subcutaneous
C. Intramuscular
D. Endotracheal
19. A nurse is providing education to a patient who is being discharged after olecystectomy and has been placed on a low fat diet. Which of the following foods should be avoided by the patient?
A. Canned beans
B. Whole milk
C. Rice
D. Fish
20. 66- nurse is caring for a child with a diagnosis of pneumonia. The plan of nre includes nebulizer treatments and chest physiotherapy. When should the nurse perform chest physiotherapy?
A. Prior to the nebulizer treatment
B. After the nebulizer treatment
C. Intermittently during the nebulizer treatment
D. Continuously during the nebulizer treatment
21. The nurse is caring for a patient who has abdominal pain constipation last three days. The nurse teaches the patient about the most likely ative-producing foods.
What are the foods that are mostly useful to relieve constipation?
A. Cheese, pasta and eggs
B. Rice, eggs, and lean meat
C. Bran(Oats), figs, and prune
D. Cabbage, bananas and apple
22. 69- ve minutes post-birth, a neonate has a heart rate of 98, irregular eathing, actively moves all extremities, but has bluish hands and feet, as ll as a weak and timid cry. Which is the correct APGAR assessment score?
A. 9
B. 8
C. 7
D. 6
23. nurse is taking care of a patient who underwent abdominal surgery three days ago. The patient has not been able to breathe deeply and uses to get out of bed since the surgery due to pain. Also, the patient nplains of shortness of breath, and the lung sounds are diminished on auscultation.
Blood pressure 120/70 mmHg
Heart rate 75 /min
Respiratory rate 22 /min
Temperature 36.4 ℃
Oxygen saturation 89%
Which of the following conditions should the nurse suspect?
A. Sepsis
B. Atelectasis
C. Congestive heart failure
D. Emphysema
24. 43- A 45-year-old distressed and restless patient in the Psychiatric Ward was unable to sleep during the nights for the last two days. He was ordered sleep medication which was to be administered at 10 pm. At the time medicine administration, the patient was found asleep in bed Which of the following action should the nurse take regarding the dication?
A. Discard medicine and cancel the order
B. Leave it at the bed side for the patient
C. Wake him up and administer
D. Hold, record and report
25. What do the standards of pain management dictate nurse do?
A. Avoid the use of the word "pain"
B. Screen for pain at each encounter
C. Discourage around-the-clock dosage of analgesics
D. Administer analgesics via injection whenever possible
26. A nurse is planning post-operative teaching for a patient undergone left partial mastectomy. On the third post-operative day, the nurse teaches the patient to elevate the arm above the heart several times per day. What does this exercise reduce?
A. Pain
B. Infection
C. Hematoma
D. Lymphedema
27. - A 45-year-old patient admitted with pulmonary tuberculosis. The unit nurse placed the patient in an isolation room with negative air pressure and prepared all the personal protective equipment at the entrance of the room. What type of precaution measure has the nurse activated?
A. Contact
B. Droplet
C. Airborne
D. Standard
28. patient recently underwent Coronary Artery Bypass Graft. The nursing diagnosis includes sleep deprivation related to the intensive care environment What would the goal for this diagnosis be?
A. The patient takes naps during the day
B. The patient ambulates three hours post-surgery
C. The patient is free of pain in the first hour post-surgery
D. The patient gets four hours of uninterrupted sleep during the night
29. A 78-year-old woman who lives in a long-term care facility has been ving repeated episodes of urinary tract infections. She is prescribed then amine mandelate one gram to be taken by mouth four times per before meals and at bedtime. The nurse advises the patient that she need to remove milk from the diet while taking the medication. What is the primary purpose for this dietary advice?
A. To prevent mal absorption of medication
B. Decrease risk of gastrointestinal upset
C. Reduces effectiveness of medication
D. To make the urine acidic
30. nurse is preparing an order of Amydramine 30 mg PO BD. The available check is 15 mg /5 ml. What is the correct dosage of the medication to be administered?
A. 5 ML
B. 10 ML
C. 15 ML
D. 20 ML
31. 33-year-old patient in her 13th week of pregnancy has come for her routine gynecological
Appointment. According to the ultrasound, her fetus is a female. She already has three daughters but her family wants the male child, so she asked the nurse guidance to terminate her pregnancy. The Nurse explained that baby's gender is determined by the father. She later involved her husband in the Discharge planning and finally helped the father agree to continue the mother's pregnancy.What professional obligation is fulfilled through the nursing implementation?
A. Influenced decision making
B. Incident prevention beforehand
C. Empathetic leadership approach
D. Sympathetic knowledge sharing
32. Newborn stomach capacity
A. 6ml
B. 12ml
C. 28ml
33. A patient is being weaned off from the mechanical ventilator is about to hook the endotracheal tube to oxygen at FiO2 of 40 Which of the following oxygen administration device is the best the nurse in this situation?
A. Ambo bag
B. Ventura mask
C. Tracheostomy collar
D. T-piece/ Briggs
34. A 23-year-old vaginal delivery primigravida mother was discomfort due to breast engorgement on the second post The mother complained of pain on the breast site and the able to suck the milk.
Which of the following will relief the mother's discomfort?
A. Breast binder
B. Well-fitting brassiere
C. Encourage breast feeding
D. Lactation suppressing medication
35. A primiparous mother who has mastitis is asking the nurse Feeding Which of the following would be the proper nursing responthe organism of mastitis?
A. It will not affect the newborn
B. It will be deactivated by salivation
C. It will not be expressed in breast milk
D. It will be killed by immunoglobulins in breast milk
36. A nurse is preparing scheduled medications due at 6 pm. If a doctor orders paracetamol tab 1g QID, and it was supplied from the pharmacy in 250 mg tablets. Which of the following is the most appropriate nursing actions?
A. Ask the pharmacy to provide 1g tablets
B. Call the doctor to recheck the dosage
C. Give the patient four 250 mg tablets
D. Hold the medication and document in nursing notes
37. the intensive care unit nurse manager plans to delegates a nurse. What is indicated for a successful delegation?
A. Nurse Manager supervises nurse.
B. Nurse has authority to change task.
C. Nurse Manager checks task sometimes.
D. Nurse Manager asks another nurse to check task.
38. 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
D. Relation between incidents and cost of ca
39. A 24-weeks-pregnant mother is in the Antenatal Clinic. She is upset and crying about having her third baby girl as her family wants a boy. She is requesting an abortion immediately before her family finds out about the sex of the baby.
Which of the following is the most appropriate plan for the mother?
A. Calm her down and reassure for an appropriate solution
B. Provide moral support and book her for procedure
C. Repeat ultrasound and wait for a few more weeks
D. Family counselling and follow religious guidance
40. A 20-year-old primigravida, who is pregnant at 40 weeks admitted to labor and delivery unit in active labor. Vaginal revealed that, the fetal occiput is close to the maternal Which of the following ould the nurse expect to be increase this fetal position?
A. Leg cramps
B. Back discomfort
C. Vaginal bleeding
D. Nausea and vomiting
41. A women was discharged from gynecological ward after gestational trophoblastic disease (molar pregnancy) Which of the following is the best advice to give her?
A. Never to fall pregnant again
B. To request the doctor to sterilize her
C. To consider having her uterus removed
D. to avoid falling pregnant for at least one year
42. After accessing patients' medical records, which behavior nurse shows that patients confidentiality has been breached?
A. Reviews patients medical record
B. Read patients care plan
C. Disclosing patients information
D. Documents medication administered
43. Complication of thyroidectomy
A. Distension
B. Bleeding
C. Vocal cord injury
44. A 50 year-old man present to the Emergency Department after having suffered a fall while practicing mountain biking. he appears confused and disoriented . his friend reports that he had been thrown over the handle bars and hit his head against a rock .
BP 108/86
HR 102/min
RR 22/min
Tem 37.2
O2 SAT 99%
Which initial intervention is the most important?
A. Trendelenburg position
B. Intravenous infusion
C. Oxygen administration
D. Cervical immobilisation
Which of the following potential problem that the nurse should observe?
A. Pain
B. Fever
C. Anxiety
D. Bladder dysfunction
46. A nurse is preparing to assessing to client in the 4th stage if labor and notes that the fundus is firm but that bleeding is excessive. the initial nursing action would be which of the following ?
A. Massage the fundus
B. Place the mother in the trendelenburg position
C. Notify the physician
D. Record the findings
47. The mother of two week-old baby in the Neonatal Intensive Care Unit is anxious due to frequent crying spells of her baby. The baby has graded one necrotizing enterocolitis and his oral feeding is withheld till further orders. The attending nurse explained her that baby’s crying is a good sign and helped her ventilate her feelings. She also arranged the physician to discuss the baby’s condition with her. The mother seems satisfied and requested the nurse to discuss the baby’s situation on daily basis.
A. Develop therapeutic alliance
B. Enhanced support and empathy
C. Mutual goat setting and decision making
D. Increased collaboration through
information sharing.
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