2011- 6- 4
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#3
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أكـاديـمـي
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رد: اسئلة adult 1 لعيون مستوى رابع
1. An unconscious client with multiple injuries arrives in the emergency room. Which nursing intervention receives the highest priority?
a. Establishing an air way
b. Replacing blood loss
c. Stopping bleeding from open wounds
d. Checking for a neck fracture.
2. Physical needs include:
a. Food
b. Water
c. Oxygen
d. All of the above are correct
3. Hereditary condition is defined as:
a. Present at birth but which are the result of faulty embryonic development
b. An illness whose cause is unexplained
c. Acquired from the genetic codes of one or both parents.
d. All of above are correct.
4. Which of the following activity should be avoided to achieve the goal of decreasing intraocular pressure after eye surgery?
a. Lying supine
b. Coughing
c. Deep breathing
d. Ambulation
5. Hypovolemic shock is caused by:
a. The heart failing to pump blood adequately to all vital parts of the body
b. Severe decrease in systemic vascular tone
c. The loss of blood & other body fluid
d. All of above are correct
6. The correct compression-ventilation ratio for 2-rescurer in adult CPR is:
a. 15:1
b. 15:2
c. 30:1
d. 30:2
7. Cardiac arrest includes:
a. Absence of carotid pulse
b. Dilated pupils
c. Lake of heart beat
d. All of above are correct.
38 .If the patient is unresponsive, has no evidence of trauma, and is obviously breathing adequately, place the patient in the d- all of the above is not correct
39 .The safest approach to open the airway of patients with suspected neck injuries is a- head tilt – chin lift maneuver 40.The contrast medium is given by mouth in order to visualize the upper GI tract these procedure are referred to d-Angiography
41. The nurse is inserting an intravenous line into a client ’s vein. After the initial stick, the nurse continues to advance the catheter if the nurse notes that
1 . The catheter advances easily.
2 . The vein is distended under the needle.
3 . The client does not complain of discomfort.
4 . Blood return shows in the backflash chamber of the catheter.
42. A client is hypovolemic and plasma expanders are not available. The nurse anticipates that which of the following solutions available on the nursing unit will be prescribed by the physician?
1 . 5% dextrose in water
2 . 0.9% sodium chloride
3 . 0.45% sodium chloride
4 . 5% dextrose in 0.45% sodium chloride
43. The nurse is caring for a client diagnosed with meningitis and implements which transmission-based precautions for this client?
1 . Private room or cohort client
2 . Personal respiratory protection device
3 . Private room with negative airflow pressure
4 . Mask worn by staff when the client needs to leave the room 44. A nurse is monitoring the status of a postoperative client. The nurse would become most concerned with which of the following signs that could indicate an evolving complication?
1 . Increasing restlessness
2 . A negative Homans ’sign
3 . Hypoactive bowel sounds in all four quadrants
4 . Blood pressure of 110/70 mm Hg and a pulse of 86 beats/min
45. A nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The nurse should include which piece of information in discussions with the client?
1 . Inhale as rapidly as possible.
2 . Keep a loose seal between the lips and the mouthpiece.
3 . After maximum inspiration , hold the breath for 15 seconds and exhale
4 . The best results are achieved when sitting up or with the head of the bed is elevated 45 to 90 degrees.
46. The nurse has administered approximately half of an enema solution when the client complains of pain and cramping. Which nursing action is the most appropriate?
1 . Raise the enema bag so that the solution can be instilled quickly.
2 . Clamp the tubing for 30 seconds and restart the flow at a slower rate .
3 . Reassure the client and continue the flow.
4 . Discontinue the enema and notify the physician.
47. A nurse is assisting a female client to collect a midstream urine specimen. The nurse uses the principles of aseptic technique by:
1 . Cleansing the meatus with antiseptic pads using upward strokes
2 . Letting go of the labia once this tissue is cleansed, to allow the client to urinate
3 . Making sure that the fingers avoid touching the inside of the collection container
4 . Instructing the client to urinate in the container after the labia have been cleansed
48. When examining the skin of a client with psoriasis , the nurse is most likely to observe .
1. Weeping skin lesions on the trunk of the body
2. Red skin *****es covered with silvery scales
3. Fluid-filled blisters surrounded by crusts
4. A red rash containing pus –filled lesions
49. The most accurate explanation the nurse can give a client with an amputated arm that says .I know my arm is not there but I feel it throbbing is that the client is experiencing
1. Referred pain
2. Phantom pain
3. Visceral pain
4. Cutaneous pain
50. A client is diagnosed with deep vein thrombophlebitis. A nurse develops a plan of care for the client and includes which client position or activity in the plan?
1 . Out-of-bed activities as desired
2 . Bed rest with the affected extremity kept flat
3 . Bed rest with elevation of the affected extremity
4 . Bed rest with the affected extremity in a dependent position
51.The alveoli may collapse , and retained secretions increase the potential for respiratory infection and atelectasis after surgery. Which is the nursing intervention that the patient should be received post operative phase?. a. Turn the patient as ordered b. Ambulate the patient as ordered c. If permitted place the patient in a semi-fowlers position d.all of the above are correct 52. Common cause of airway obstruction with both adults and children is 53. Signs and symptoms of Otitis media include a-Pain (earache , headache) 54.Grand mal seizure characterized by three phases 55total health include which of the following aspects
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