147. When assessing neonates hydration , the nurse should check for the skin’s :-
A. Elasticity
B. Tone
C. Moisture
D. Color

148. Cerebral palsy can be detected in which of the following stage of child’s life ?
a. During the early months
b. When the child is walking
c. When the child is playing

Maternity and child health care

149. What is the normal weight of the new born according to statistics ?A. 3700 gms
B. 3200 gms.
C. 2500 gms
D. 4500 gms


150. when the head of the baby is already out in a cervix , the nurse should do which of the following first ?
A. ask the mother to push more
B. check if the baby is breathing
C. wait for the baby to come out

151. FHR is heard clearly on fetal :-
A. head
B. back
C. abdomen


152. soon after the delivery of head of the baby the nurse should :-
A. suction mouth and oral cavity
B. wait for the delivery of the baby
C. ask her to push

153. the fetus will get immunity from :-
A. lymph system
B. Placenta
C. Both of them
D. Non of them

154. diet and nutritional status of pregnancy should be encouraged :-
A. first trimester
B. second trimester
C. third trimester

155.when the bag of water ruptures , the nurse should watch for which of the following :-
A. cord prolapse
B. bleeding
C. fetal death
D. fetal distress
E. respiratory distress


156. during labor a mother experienced dystocia , which of the following should the nurse watch out for ?
A. fetal death
B. hemorrhage
C. cord prolapse
D. Hypertention


157. which are the signs of placenta separation ?
A. rising of the fundus
B. sudden gush of blood
C. globular shape of the uterus
D. all of the above

158. during hyperthermia which of the following should be done as measure to lower the temp. of the baby ?
A. immerse baby in normal heat water
B. give cold enema
C. external cooling measures
D. all of the above


159. premature labor occurs during :-
A. between 20-36 weeks
B. between 36-42 weeks
C. before 20 weeks
D. first 12 weeks


160. which of the following hormones prepares the uterus for the arrival of a fertilized ovum for implantation ?
A. progesterone
B. estrogen
C. FHS
D. NON OF THE ABOVE


161. What is the most common complication after hysterectomy ?A. Abdominal distention
B. Hemorrhage
C. Vaginal pain
D. Vaginal discharge


162. When does ovulation occur?
A. Between 10-12 days
B. Between 12-16 days
C. Between 18-21 days


163. Diphtheria vaccine is being given during infancy and repeated :-
A. Booster dose at age 6
B. Every after 5 years
C. Every after 10 years .
D. No booster is recommended


164. There is no vaccination for :-
A. Small pox
B. Measles
C. DPT
D. Polio

165. The end of the first stage of labor is :-
A. When the cervix starts to dilate
B. Full dilatation of cervix up to 10 cm
C. Birth of baby
D. Separation of placenta


166. One sign of vaginal infection is :-
A. Pain
B. Itchiness
C. Foul smelling discharges


167. One post-partum nursing responsibility for preventing vaginal bleeding is :-
A. Put patient on trendelenburg position .
B. Regulate IV fluid with oxytosis
C. do fundal massage frequently

168. Fetal heart tone is best heard at :-
A. anterior part of the fetus
B. posterior back of the fetus


169. During pregnancy iron supplement starts on :-
A. first trimester
B. second trimester
C. third trimester
b

170.72 hours post placental delivery , fundic height will be :-
A. 1-2 finger above the umbilical
B. 1-2 finger below the umbilical
C. on the level of umbilical
b

171. in the hospital , isolation is indicated if the patient :-
A. staphylococcal pneumonia
B. local staphylococcal infection
C. puerperal fever
D. all are indicatedd

172. at which age is administration of the measles vaccine the most effective :-
A. 2 months
B. 6 months
C. 12 months
D. 15 months



173. the postpartal patient should be watched closely during the first hours after delivery for:-
A. uterine contraction
B. vaginal bleeding
C. hypotension
D. all of the above
174. premature labor is the labor that occurs between :-
A. 20-36 week gestation
B. 28-37 week gestation
C. 30-38 week gestation
D. any of the above

175. which of the following complication is life threatening after a penetrating abdominal injury :-
A. Hemorrhage .
B. Peritonitis
C. Abdominal distention


176. WHICH OF THE FOLLOEING IS THE IMMEDIATE TREATMENT FOR PUNCTURED WOUND ?
A. CLEANS the wound
B. Stop the bleeding
C. Remove the object from the wound
D. Give prophylactic anti-tetanus


177. When there is malfunction of the glomerular filter there is high secretion of:-
A. Urea
B. Creatinine
C. Potassium
D. Protein

178. In a nephritic syndrome , aside from clinical manifestation , what else can the patient complain upon consultation ?
A. Protienurea
B. Oliguria
C. albuminuria
D. polyuria

179. ECT is indicated to treat :
A. psychotic depression
B. obsessive compulsive disorder
C. neurosis



180. After taking tranquilizer ,a nurse must warn the patient that he may experience :-
A. nausea
B. hallucination
C. drowsiness

181. One of the signs and symptoms of paralytic ileus is:-
A. increased peristalsis
B. increased gas formation
C. absence of bowel sounds
182. The most important nursing responsibility following head injury is :-
A. monitor vital signs and record
B. monitor GCS –Glasgow coma scale
C. observe for restlessness


183. Post –operative prevention of thrombophebitis :-
A. leg exercise in bed
B. passive exercise by nurse to patient
C. early ambulation

184. nursing management which is contraindicated for thrombophelbitis :-
A. encourage early ambulation
B. deep breathing and coughing exercise
C. massage the operative site i.e. leg calf muscle

185. what will you observe following spinal anesthesia ?
a. nausea and vomiting
b. restlessness
c. hypotension and headache
186. second degree burns involve:-
A. skin , dermis
B. dermis , subcutaneous , muscle
C. epidermis , dermis , subcutaneous
187. within 48 hours of burns , management is focused on :-
A. prevention of infection
B. hydration

188. best diagnostic test for suspected leukemia is:-
A. CBC
B. Blood chemistry
C. Bone marrow aspiration

189. Nursing responsibility on leukemia :-
A. Ensure safety
B. Prevent infection
C. Obtain blood samples regular

190. Immediate management for reaction during blood transfusion :-
A. Slow down the rate
B. Stop blood transfusion
C. Change blood transfusion with a new pack

191. How many liters of oxygen can be given with nasal canula ?
A. 1-2 liters
B. 1-10 liters
C. 1-6 liters .

192. destruction of bacterial is called :-
A. medical asepsis
B. surgical asepsis
C. disinfections .

193. first management of unconscious victim is :-
A. administer shock
B. determine unresponsiveness
C. administer oxygen .
D. give cardiac massage.


194. Nursing responsibility before giving Digoxin:-
A. Check BP
B. Check apical rate
C. Instruct patient to do deep breathing


195. Treatment of scurvy :-
a. Vit.b supplement
b. Vit.c supplement
c. Iron supplement


196. Atropine so4 is given pre-operative to :-
a. relax the patient
b. decrease the secretion
c. prevent intra-operative bleeding


197. when the patient is diagnosed with wilm,s tumor , the nurse should :-
a. always keep bed rails up
b. avoid palpation of abdomen
c. observe foe nausea and vomiting


198. a patient with asthma is receiving intravenous aminophylline .the adverse reaction for which the nurse should observe is :-
a. oliguria
b. braducardia
c. hypotension
d. hypertension

199. The force with which the blood is pushing against the arterial walls when the ventricles are contracting is called:-
a. pulse pressure
b. pressure gradient
c. systolic pressure
d. diastolic pressure

200. acide-base balance refers to the regulation of the concentration of:-
a. hydrogen ions
b. sodium
c. bicarbonates ions
d. plasma protein

201. carbohydrates are stored in the body in the form of :-
a. glucose
b. glucagons
c. glycogen
d. glucose 6 phosphate

202. the period in which communicable is most contagious is the :-a. incubation period
b. period of illness
c. convalescent period
d. all are equally contagious


203. spinal fluid for culture :-
a. can be stored in the refrigerator for 48 hours
b. can survive refrigeration for only 4-6 hours
c. must be examined immediately
d. will survive in a holding medium for 72 hours


204. an enjection the gluteal site must be given in which quadrant of the buttocks :-
a. upper – inner quadrant
b. upper-outer quadrantc. lower – inner quadrant
d. lower – outer quadrant


205. the most important rout of drug excretion for nonvolatile substances is:-
a. lungs
b. kidneys
c. feces
d. liver


206. atropine is capable of producing which of the following effects :-
a. dilated pupils
b. decreased bronchial secretion
c. blocked stimulation of the vagus nerve
d. all of the above

207. the sulfonamide drugs remin the treatmint of the control of :-a. respiratory infections
b. skin infections
c. urinary tract infections
d. gastrointestinal infections


208. The drug of choice for treatment of an angina pectoris :-
a. nitroglycerin
b. quinidine
c. epinephrine
d. dopamine

209. any one using antihistamine should be cautioned that antihistamine may cause:-
a. drowsiness
b. hypertinsion
c. tachycardia
d. anaphylaxis


210. the most frequent causes of death in pneumonia patients are shock and:-
a. pulmonary embolism
b. pulmonary edema
c. pulmonary consolidation
d. atelectasis


211. the most important factor in the promotion and maintenance of wound healing both during surgery and the postoperative period is :-
a. adequate fluid intake
b. proper administration of antibiotics
c. strict asepsis
d. frequent cleansing of the wound


212. the major complications of inhalation anesthesia which the nurse should be constantly aware of :-
a. circulatory depression only
b. circulatory and respiratory depression
c. respiratory and renal depression
d. renal and circulatory depression


213. if the skin must be shaven prior to surgery . ideally the preoperative shave be done:-
a. the night before
b. early in the morning of the surgery
c. no more than one hour before surgery
d. by the patient before entering


214. which of the following amounts of water per day should be ingested by the average person to maintain hydration :-
a. 500cc
b. 1000cc
c. 1200cc
d. 2500cc


215. in the internal environment , fluids make up what percent of body weight :-
a. 10 %
b. 20 %
c. 30 %
d. 70 %


216. in which of the following ways can ascorbic acid be administer ?
a. orally
b. IM
c. Diluted intravenous fluids
d. all of the above


217. the type of burn in which all the dermis and epidermis , is destroyed and there is involvement of underlying structures is called :-
a. superficial or first degree burn
b. partial thickness or second degree burn
c. full-thickness or third degree burn
d. fourth degree burn
[B]

218. while teaching diabetic patient to give himself insulin , you should stress that injections should not be given in any one spot more often than every:-
a. 36 hours

b. one week
c. two weeks
d. month


219. which of the following dietary restrictions are usually indicated to decrease edema in nephritic :-
a. high – protein , low – calorie , on sodium restrictive diet
b. high – protein , high – calorie , low on sodium diet
c. low– protein , low – calorie, high vitamin diet
d. low– protein, high – calorie , on sodium diet


220. following a sigmoidoscope , the patient should be observed for signs of hemorrhage and :-
a. fluid loss
b. performation
c. flatus
d. nausea


221. to avoid the possible development of heart diseases following rheumatic fever the patient must guard himself against infection :-
a. until the fever is gone
b. for one year
c. until sedimentation rat is normal
d. for the rest of his life



222. hypertension is a persistent elevation of systolic and diastolic pressure above:-
a. . 140/90 mmhg
b. 150/190 mmhg
c. 160/100 mmhg
d. 160/110 mmhg

223. After below knee amputation :-
a. keep the patient in semi fowler’s
b. stump to be evaluated
c. watch the site for bleeding

224. to collect urine c/s specimen , the most accurate method:-
a. catheterize the patient
b. mid stream urine
c. provide sterile bedpan and collect urine

225. the nurse should observe the patient receiving decradon:-
a. urinary stasis
b. hypotension
c. infection
d. weight loss

226. signs of septic shock :-
a. cool & clammy skin
b. bradicardia
c. warm & dry skin

227. oral contraceptive used for :-
a. once daily for 21 days
b. once daily for 18 days
c. once daily for 28 days

228. normal arterial O2 saturation :-
a. 85%
b. 92%
c. 97%
d. 100%

229. valve which control the blood flow from right atrium to right ventricle :-
a. bicuspid valve
b. tricuspid valve
c. mitral valve
d. pulmonary artery

230. the common complication after operation :-
a. fever
b. pulmonary edema
c. pulmonary embolism