252. cystitis patient should be encourage to pass urine :-
A. 2-3hourly
B. 2-3 hourly & 2 times in the night
C. 2-3 times round the clock
D. any one of the above according to the patient’s schedule


253.mode of transmission of hepatitis A :-
A. oral
B. parental
C. blood transfusion


254. reacting of penicillin :-
A. anaphylactic shock
B. vomiting
C. nausea.

255. Disease without vaccination :-
A. small pox
B. measles
C. polio
D. chicken pox

256. health teaching to a diabetic patient will be on :-
A. diet , oral hypoglycemic , weight loss , feeding
B. diet , insulin , exercise , feeding
C. diet , hypoglycemic , exercise , feedingD. about complications
c

257. surgical asepsis means :-
A. destroying bacteria from articles .
B. removing the bacteria which is in contact with the patient
C. destroying the bacteria before entering in to the body
D. hand washing

258. ECG done for a patient with chest to assess:-
A. stress of heart rate
B. change the rhythm
C. the decreased blood supply to the particular part of the heart


259. the nurse is expecting fracture of bone for patient , the sign would be:-
A. absence of normal activity B. tenderness
C. loss of sensation
D. all of the above

260. the medicine which will pass through placenta to the fetus:-
A. antibiotic
B. narcotics
C. sedatives
D. all of the above

The differentiate sign to diagnose Myocardial Infraction from Angina pectoris is :a.
a The patient’s pain will relieve with rest.
b. The patient’s Pain will relieve by taking Isordil Sublingual.
c. The Patient’s pain increased by breathing
d. The Patient’s pain will not relieve with rest or Isordil.
1. Post operative Patient complain of infected wound after 24 hours from the surgery day, you can found in the wound site:a. redness
b. swelling
c. bad odor
d. all of the answer are rights
[COLOR="red"]2. how you will intervene to relieve swelling lower extremity with cast for 4 days?
[/
COLOR]a. change the cast.
b. Call the doctor
c. Elevate the extremityd. Give message

3. patient with blood infusion, you found it with fever after the infusion begin with 19 minutes. The right action is:
a. stop infusion immediately.
b. Call the doctor who incharge.
c. Continue blood infusion with slow rate.
d. a+b
4. The inferior vena cava bring the deoxygenated blood to heart via:
a.right ventricle b. lift ventricle
c. right atrium
d. lift atrium

5. The artery which supply the myocardial muscle with oxygen and nutrient, called:
a. carotid
b. anterior vena cava
c. pulmonary artery
d. coronary arteries
6. One of The immediate action to a patient with Myocardial infraction is to give patient:
[U]
a. Paracetamol.
Morphine
c. Oxygen
d. B+C\


7. Patient with burn in his back and abdomen, then the percent of the burn is :
a. 18 %
b. 36 %
c. 27 %
d. 45 %

8. What is the first priority to do in a patient with burn?
a. check pulse
b. check breathing
c. give sedative
d. apply cold compresses

9. you can say the patient is Full oriented, if he is oriented to :
a. place
b. time
c. person
d. all of them
10. The best cannula used when you want to give blood intravenous to an adult patient is :
a. Yellow cannula
b. Blue cannula
c. Pink cannula
d. Green cannula
11. The patient told you that he still feels with a back pain after the administration of sedative drug I.M by an hour, you think that he is lying. What is the right action you must take it?
a. Ignore his complain.
b. Inform the Doctor
c. Give him extra dose from drug.
d. Tell him that he is not feel pain and he have delusion.

12. doctor order is to give a drug to the patient q.i.d., the best times to give this drug is at like schedule :
a. 6am-12pm-6am-12pm
b. 3am-9am-3pm-9pm
c. 6am-2pm-10pm
d. 6 am -6pm

13. The medication order is to give pethedine 100 stat. that mean you will give it :1.
now for one time
2. two times as needed
3. three times daily
4. once daily



14. if you find that the patients output is more than his intake from the fluids since three days, you will suspect that he is complain or will complain from:
a. edema
b. dehydration
c. its normal result
d. give him lasix

15. if you read in the medication chart beside the drug name this abbreviation ( N/A), you will know that this drug is :
a. stopped
b. increase the dose
c. decrease the dose
d. the drug is Not Available
16.
you will use the Oropharengeal tube when the patient is :
a. cannot talk
b. unconscious patient
c. patient with N.G. tube
d. Patient with sever throat pain

17. R.T.A. Patient in E.R. , he start complain from Increase Pulse rate, Low blood pressure, and decrease level of consciousness, you must think that he develop:a. Urinary Tract Infection

b. Shockc. Coma
d. Respiratory distress.

18. “Code Blue “, means :a. Patient with arrest
b. Patient with hemorrhage
c. Patient in O.R
d. Patient with blood infusion

19. you find a victim arrested in the street according to car accident, you found a clear fluid dropping from his ear, and you must give him rescues breathing, what you will do?
1. head tilt, chin lift
2. chest thrust
3. jaw thrust
4. put him in left side position

20. you heard the nurse talk to the doctor and he said “ the patient has macro Haematuria”. What he means by haematuria?
a. Difficult of breathing
b. Difficulty of urination
c. The urine seems bloody
d. The patient cannot urinate.

21. You found the cardiac monitor show straight line in a sleeping patient in CCU, what you will do?
a. call for CPR
b. give cardiac massage
c. check cardiac monitor leads
d. give cardiac shock

22. before you send the patient to the operation room, you must check :
a. is the patient fasting?
b. Did he sign the consent form?
c. Did he shaved the site of operation?
d. All of them

23. the yellow hard containers in the hospital used to waste which of the following?
a. used gauze, cotton.
b. Sharp waste
c. Used papers and fluids.
d. All of them.

24. if u know that the patient is complain from quadriplegia, you will know that he have weakness in :
a. his arms
b. his legs
c. his legs and arms.
d. One arm and one leg.

25. Carotid artery is located in :
a. the nick
b. the head
c. the legs
d. the abdomen

27. The route of drug administration that provides the dependable absorption is :-
a. Oral
b. Intermuscular
c. Subcuntaneous
d. Intravenous

28. medication is being administered , the most accurate way to verify a patient’s identification is to :-
a. call the patient by the name in the drug card or cardex
b. ask the patient to state his or her name
c. ask another nurse to identify the patient
d. check the patient’s identification bracelet.


29. when the nurse is administering medications , the patient informs the nurse that the tablet usually received is a different color . the nurse should :-
a. insist that the patient take the tablet she poured
b. have the patient take the tablet & then recheck the order
c. leave the medication at the bedside & recheck the order
d. recheck the order before giving the drug
e. verify the medication with the physician .

30. all of the following are examples of mild allergy symptoms that may occur in response to antibiotic therapy except
a. urticaria ( redness)
b. rash
c. wheezing
d. (pruritus ( itching

31. for which client is the oral rout of administration appropriate ?a. client D who has vomited twice in the last hour .
b. client E who is complaining of a sever headache
c. client F whose assessment reveals an absence of bowel sounds.
d. Client G who is only responsive to painful stimuli.

32. Which of the following organs is a primary site for the metabolism of drugs ?
a. Heart
b. Liver
c. Pancreas
d. Intestine

33. Mr .Jonnes has the following order : ASA ( Aspirin ) 5 gr p.o bid pc . which of the following is the best interpretation & correct scheduling of this order ?
a. Give him ASA 5 gr at 9 : 00 am after breakfast )& 6:00 pm).
b. Give him ASA 5 gr at 10 :00 , 2 :00 & , 6:00 round the clock .
c. Give him ASA 5 gr per intramuscular injection at 9 : 00 at 3:00 pm .
d. Question the order as it is too high a dose then schedule it for 7 : 30 am & 5:00 pm .

34. Mrs. Higgins has refused to take her ASA ordered by the physician . the first action of the nurse should be
a. Notify the physician of the refusal
b. Chart the refusal on the medication administration record.
c. Find out why she doesn’t want to take the ASA
d. Tell her she must take the ASA because the physician has ordered it .
35. a medication order should never be implemented if : -
a. the nurse doesn’t know the physician .
b. the nurse doesn’t know the patient’s history .
c. the nurse Questions any part of the order
d. the nurse did not know witness the writing of the order .

36. ORDERD : penicillin 400.000 u IM nowAVAILABLE : penicillin 800.000 u per 2 cc
How many ml should you give ?
a. 2 .ml
b.1 ml
c. 0.2 ml
d. 0.4 ml

37. ORDERD : deltasone 7.5 mg now .
AVAILABLE : deltasone 2.5 mg scored tablets .
How many should you give ?
a. 3 tablets
b. 1 tablets
c. tablets ½ 2
d. tablets ½ 1

38. 20 minutes after receiving her noon dose of oral medication , Mrs. Rooney vomits . to assure accuracy in medication administration the first thing nurse Mulligan should do is to :-
a. report the situation to the head nurse
b. contact the physician
c. administer another dose of medication
d. examine the vomits for signs of medication

39. which of the following routs for drug administration is the most common , least expensive , safest , and best tolerated by patient ?
a. intramuscular
b. topical
c. oral
d. intravenous

40. you arrives in Mr. Rich’s room with the ASA [ aspirin ] he requested for the headache . you find him in the bathroom . you are very busy & don’t have time to wait . you should :
a. tell him you will return and take the medication with you
b. ask him to com out of the bathroom immediately
c. ask his roommate to give him the ASA
d. leave the medication on the over-the-bed table since ASA is a nonprescription drug

41. you are preparing to administer Mrs. Carter’s eye drops . the correct position for her to assume would be :
a. head titled forward , placing the drops in the conjunctival sac.
b. head titled backward , placing the drops in the lower conjunctival sac.
c. head titled forward , placing the drops directly on the eyeball .
d. head titled backward , placing the drops directly on the eyeball.




42. to instill drops in the adult patient , the ear canal is opened by pulling the ear :-
a. up and back
b. down and back
c. up and forward
d. back and forward

43. The nurse correctly administer an IM injection a ……………… degree angle
a. 15
b. 30
c. 45
d. 90

44. when giving medication , the label should be checked 3 times . which of the following is not one of these times ?
a. when the nurse reaches for the container
b. immediately prior to pouring medication
c. when the nurse located the drug on the shell
d. when replacing the container to the drawer or shelf .

45. which of the following is the reason for using the Z tract technique for injections ?
a. for medication of over 5cc in quantity
b. for medication that is highly irritating to subcutaneous tissue
c. for medication that stains the tissue
d. for medication that cannot be given orally

46. which of the following orders is complete :-
a. ampicillin 250mg IM q12hrs x 10 days
b. Maalox 30 cc po
c. humulin R insulin SQ in AM & noon
d. (OPV ( oral polio vaccine ) 0.5 cc

47. Mrs. Kelly tells the nurse that her arm is sore from an injection she received early in the day . she states “ the nurse gave me a shot , and I heard her say that the needle was a 25 gauge . isn’t that too big for a local injection ?” . your best response would be : “a. a 25 gauge needle is a small needle , but it can cause som discomfort . let me see your arm .”
b. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . you are over –reacting to the shot “
c. a 25 gauge needle is very small . you are just nervous about the injection.”
d. a 25 gauge needle is very small. So you are wrong about the pain from the injection.”

48. Mrs. Davis has a written order from her physician for Demerol 100 mg stat . which of the following best explain this order ?
a. give it needed
b. give once when needed .
c. give once immediately
d. give once when specified

49. while checking Mr. Appendectomy’s vital signs , he requests his “ medication for the pain in my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the Morphine sulfate injection at this time due to witch vital signs reading ?
a. blood pressure
b. pulse
c. respiration
d. temperature

50. after withdrawing the needle from the tissue when administering an ID injection you :-
a. apply firm pressure to the site with your thumb .
b. do not rewipe the site
c. gently wipe the site
d. massage the site vigorously

51. Mr. Harvey , age 54 , is admitted with a diagnosis of congestive heart failure secondary to chronic obstructive pulmonary disease [COPD] . the physician orders sublingual nitroglycerin , 0.4 mg p.r.n , for chest pain , whin administering the nitroglycerin , the nurse should :-
a. tell Mr. Harvey to hold the tablet under his tongue and let it dissolve .
b. tell Mr. Harvey to swallow the tablet with water .
c. apply nitroglycerin ointment to Mr. Harvey’s chest .
d. mix the nitroglycerin with applesauce for Mr. Harvey to eat

52. asking the patient if he is allergic to any medication is a part of the ……………
phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation

53. teaching the patient about the medication is a part of the …………… phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation

54. a nurse is unable to read the label on a bottle of liquid medication because the label is stained from spillage . the nurse knows that the correct procedure is to :-
A. ask the charge nurse to verify the medication in the bottle and apply a new label .
B. smell and test the medication and apply a new label if certain of the contents .
C. empty the contents down the drain and notify the charge and the pharmacist.
D. Send the bottle back to the pharmacy to be relabeled .


55. Mr. Walker will receive regular insulin . the nurse monitors for the onist of action in approximately ------------
A. 5 to 10 minutes .
B. 150to 20 minutes
C. 30to 60 minutes
D. 1 to 2 hours .

56. is it necessary for the nurse to wear gloves during administration of an intermittent feeding through a G-tube ?
A. yes , because it is a sterile procedure .
B. yes , because universal precautions must be maintained .
C. no , because it is not a sterile procedure .
D. no , because there is no danger of contact with body fluid if the procedure is performed correctly .

57. to prepare the skin for injection the nurse would use :
A. friction with back and forth motions at the site with alcohol swab .
B. friction and alcohol swab moving from outer edge to center of site .
C. friction and alcohol swab with circular motions and palpate site gently with finger pad before injection .
D. friction and circular motions with alcohol swab from center of site outward.

58. IM injection into the deltoid muscle should be limited to :-
A. 2.5 ml of solution
B. 2 ml of solution
C. 1 ml of solution
D. 0.5 ml of solution

59. a primary concern when giving heparin SC is to prevent :
A. pain and bruising .
B. pain and bleeding
C. bleeding and bruising
D. injecting a vein .

60. the type of needle selected for the ( dorsogluteal ) intramscular ( IM ) injections would be based on :-
1) the size of the patient [ e.g., obese versus debilitated ]
2) the viscosity of the antibiotic .
3) the position of the patient .
4) the volume of medication .
A. 1,2,3,4
B. 1,2,3
C. 2,3,4
D. 1,2
61. the largest gauge needle of the following is :-
A. 19 gauge
B. 20 gauge
C.. 21 gauge
D. 22 gauge
62. Optimum normal urine out put hourly to an adult :
A. 10cc
B. 25cc
C. 50cc
D. 100cc
63. scurvy is a deficiency of :
A. Vit a
B. Vit b
C. Vit c
D. Vit d
64. Specific gravity of urine to have a normal fluid balance
A. 1.005
B. 1.015
C. 1.030
D. 1.020

65. 12 hours after delivery the fundus is at the level of
A. one fingerbreadth below the umbilicus .
B. one fingerbreadth above the umbilicus .
C. at the level of umbilicus.
D. Below symphysis pubis

66. In dystocia the ,mother should be watched for :-
A. Post partum haemorrhage .
B. Hypertension .
C. Cord proplase .
D. fetal death .

67. in the first trimester of pregnancy the vaccination to avoid :-
A. polio
B. rubella .
C. measles .
D. small pox .

68. in fetal circulation , the oxygenated blood placenta travels via :-A. umbilical artery
B. umbilical vein .
C. doctus arteriosus .
D. ductus venosus .

69. first stage of labor ends with :-
A. pain occurs .
B. dilation of cervix 10 cm
C. delivery of the baby
D. delivery of the placenta

70. an electrolyte deficiency that affect the heart muscular activity :-A. k
B. cal
C. Na
D. mg

71. The most vital immediate observation to a new born baby is :-A. Cardiac rate
B. Respiration rate .
C. Color
D. Tone

72. Signs of dehydration :-
A. Loss of skin turgor .
B. Low body temperature
C. High body temperature
D. Sweating

73. Common cause of death in burns :-
A. Hemorrhage
B. Neurogenic shock
C. Sepsis
D. Hypovolemic shock
74. The difference in close & open fracture is that , in open fracture you have to watch for :-
A. Infection
B. Hemorrhage
C. Inflammation
D. Pain

75. Epinephrine is not given via :-
A. IV
B. Orally
C. Parentally
D. Intracardiac
76. Ultra sound used :-
A. To detect fetal position
B. To detect diameter of fetal head
C. To detect placenta abnormalities
D. All of the above .
77. To prevent oral mucosa infection q4h , instruct patient to use :-
A. Warm saline gargle
B. Glycerin oil
C. Antibiotic
D. Warm gargle with mineral oil

78. One of the vital care after cholecystectomy :-
A. Bed rest
B. Low fat diet
C. Low Cholesterol diet
D. Low protein diet

79. X-ray of upper GI tract , the nurse should instruct the patient to take :-
A. Laxative previous day
B. NPO 8-12 hours
C. High fat diet
D. Normal diet

80. INORDER TO ADMINISTER 5 ML SYRUP TO PATIENT , WE USE A :-A. ½ tsp
B. 1 tsp
C. ½ table spoon
D. 1 table spoon