2011- 3- 3
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#8
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أكـاديـمـي
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رد: طلب مواد تمريض مستوى خامس
Advanced adult care
1. Most of cancers are diagnosed by
a. CT scan
b. X-ray
c. complete blood count ( CBC)
d. biopsy
2. The diet for patient with cirrhosis should be
a. high in calories
b. low protein
c. low fat
d. all of the above
3. Nursing implication for patient with bleeding esophageal varices include the following except one
a. monitor vital signs closely
b. observe for signs of hypovolemic shock
c. administer IV fluids and blood, as ordered
d. administer hot saline lavage, as ordered
4. Clinical manifestation of hemophilia include
a. epistaxis
b. bleeding from gums
c. frequent bruising (ecchymosis)
e. all of the above
5. Signs and symptoms associated with hypothyroidism are: / except
a. fatigue
b. sensitivity to cold
c. constipation
d. weight loss
6. In hypoparathyroidism
a. the level of calcium will be low
b. the level of calcium will be high
c. both A & B are correct
d. non of the above
7. Oral hypoglycemic agent acts by
a. stimulating the pancreatic cell to produce more insulin
b. decrease the absorption of glucose from the stomach
c. A& B are correct
d. non of the above
8. Insulin could be classified as
a. rapid acting
b. intermediate acting
c. long acting
d. all of the above
9. Hypoglycemia could be caused by
a. missed or delayed meals
b. over exertion
c. insulin overdose
d. all of the above
10. "Fruity" odor to breath (acetone) is a sign of
a. diabetic ketoacidosis
b. hyperglycemia
c. hypoglycemia
d. non of the above
11. Clinical manifestation of anemia include the following except
a. pallor skin
b. fatigue
c. Tachypnea
d. Bradycardia
12. The most frequently treatment used for cancer is
a. surgery
b. radiation therapy
c. chemotherapy
d. biotherapy
13. Interventions for immunodeficiency include
a. avoid infection
b. administration of antibiotic
c. isolation
d. all of the above
14. Causes of cancer could be
a. radiation
b. sunlight
c. tobacco
d. all of the above
15. Prognosis of cancer depend on
a. the type of cancer
b. the stage of disease
c. the effectiveness of therapy
d. all of the above
16. Diet for patient with diabetes mellitus should consist a controlled amount of
a. carbohydrate
b. protein
c. fat
d. all of the above
17. when observing the patient respiration, you should note
a. the rate
b. the rhythm
c. the depth of respiration
d. all of the above
18. Abnormal respiration include……..
a. dyspnea
b. tachypnea
c. fairly regular rate, rhythm and depth
d. A & B only are correct
19. Endotracheal suctioning is done as …..
a. clean procedure
b. sterile procedure
c. A & B are correct
d. non of the above
20. Treatment of COPD patients is based on
a. give oxygen therapy in high rate
b. use of controlled oxygen therapy
c. both A & B are correct
d. non of the above
21. The time of endotracheal suctioning is……
a. 10-15 seconds
b. 5-10 seconds
c. 10-20 seconds
d. Non of the above
22. Pressure overload inside the heart is associated with
a. valvular stenosis
b. valvular insufficiency
c. both A & B are correct
d. non of the above
23. A transmural MI means
a. is one involved the full thickness of the heart muscle
b. is one involved only a partial thickness of the heart
c. both A & B are correct
d. non of the above
24. Reasons for urinary catheterization include
a. relive distention of the bladder due to inability to void.
b. to obtain a sterile specimen of urine.
c. to provide continuous drainage of the bladder
d. all of the above are correct
25. The most frequent cause of a postoperative pulmonary embolism is a thrombosed vein in ……….
a. upper extremities
b. pelvis
c. lower extremities
d. B & C are correct
26. Chronic renal failure could be caused by
a. chronic glomeulonephriis
b. uncontrolled BP
c. nephrotoxic agent ( drugs/ toxins)
d. all of the above
27. Pylonephritis means
a. inflammation of the bladder
b. inflammation of the ureter
c. inflammation of the urethra
d. inflammation of kidney's renal pelvis
28. Sengstaken tube used to treat ………..
a. ruptured esophageal varices
b. gastric ulcer
c. appendicitis
d. non of the above
29. Dietary modification for patient with CRF( chronic renal failure) include
a. sodium restriction
b. low protein diet
c. high carbohydrate diet
d. all of the above
30. When you do physical examination to the abdomen, the patient complains from rebound tenderness this means that …….
a. the pain felt upon release of pressure
b. the pain felt during pressure
c. the pain felt at the opposite area of palpation
d. non of the above
(II) COMLETE THE FOLLOWING SENTENCES BELLOW (10 MARKES)
1-Bleeding in the pericardial sac is called cardiac tamponade
2- Acute renal failure is the sudden and severe loss of kidney function.
3- Diverticulaare bulging dilatations or out-pouching of the gastrointestinal walls.
4- Hepatitis A is also called infectious hepatitis.
5- Hyperglycemiaresults from too much sugar in the blood.
6- Dyspnea means difficult or labored breathing
7-To auscultate the chest, have the patient sit erect
8-The collection of fluid in the pleural space is called pleural effusion
9- Arteriosclerosis is the primary cause of (coronary artery disease) CAD.
10-The presence of stones in the urinary system called urolithiasis
(III) Write true (√) in front of true sentence and false (×) in front of wrong one (10 MARKS
1. Bleeding into the pleural space is called hemothorax (√ )
2. Urgency means involuntary loss of urine (× )
3. Gavage, is used to washing out the stomach(×)
4. Valvulus is considered as a non –mechanical cause of intestinal obstruction ( × )
5. Portal hypertension is almost always the result of cirrhosis (√ )
6. Tachypnea means quick, shallow breathing(√)
7. Oxygen is colorless, tasteless, odorless gas that is slightly heavier than air (√ )
8. pharyngitis is most commonly caused by voice abuse, excessive use of tobacco(√ )
9. pneumothorax could be spontaneous only ( ×) 10. cardiac tamponade is bleeding into the pericardial sac (√ )
(IV) write 5 risk factors for coronary heart diseases (5 marks)
1- Age
2- Sex
3- Race
4- Family history
5- Hypertension
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