[ تمريض ] : اسئلة adult 1 لعيون مستوى رابع

[سووومه]

1. The nurse receives the preoperative blood work report for a client who is scheduled to undergo surgery. Which of the following laboratory findings should be reported to the surgeon?

1. Red blood cells, 4.5 million / mm³.
2. Creatinine, 2 mg/ dl.
3. Hemoglobin. 12.2g/dl.
4. Blood urea nitrogen, 15mg/ dl.

2. Asking the patient if he is allergic to any medication is a part of whatphase of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
1. These are the stages of General Adaptation Syndrome(GAS):
a. Alarm reaction
b. Resistance
c. Exhaustion
d. All of the above are correct
2. These are emotional response to illness and hospitalization:
a. Fear
b. Anxiety
c. Stress
d. All of above are correct
5.Mortality is:
a. Incidence of death
b. Incidence of a specific disease.
c. Both A & B
d. Neither A nor B

1. Narcotic drugs include:
a. Aspirin
b. Morphine
c. Acetaminophen
d. All of above are correct
2. Jaw Thrust maneuver is safe to be used for which of the following victim?
a. Pregnant woman
b. Neck injury patient
c. Obese person
d. None of the above
3. The correct compression-ventilation ratio for 2-rescurer in infant CPR is:
a. 15:1
b. 15:2
c. 30:1
d. 30:2
1. To determine the pulse during CPR for infant, a nurse should be aware on what pulse to be palpated?
a. Apical pulse.
b. Carotid pulse.
c. brachial pulse.
d. Femoral pulse.

2. Minor surgery is, except one:
a. Brief
b. High risk
c. Low risk
d. Result in few complications
3. Post-operative care would include which of the following?
a. Vital signs
b. Intravenous fluid
c. Drain and tube
d. All of above are correct
4. A 65-year-old man complains of hearing loss and a sensation of fullness in both ears, the nurse examines his ears with the understanding that a common cause of hearing loss in older adults is related to:
a. Accumulation of cerumen in the external canal
b. Accumulation of cerumen in the internal canal
c. External otitis
d. Exostosis

[سووومه]

1. A 65-year-old man complains of hearing loss and a sensation of fullness in both ears, the nurse examines his ears with the understanding that a common cause of hearing loss in older adults is related to:
a. Accumulation of cerumen in the external canal
b. Accumulation of cerumen in the internal canal
c. External otitis
d. Exostosis
a. Take NSAIDs with food.



2. The normal value of serum Sodium is:
a. 15 – 50 mgs/dl
b. 5 – 20 mgs/dl
c. 134 – 146 mEq/L
d. 3.4 – 4.8 mEq/L
3. The normal value of RBC for men is:
a. 1- 3 million/ cu.mm.
b. 4.5 – 6.5 million/ cu.mm.
c. 15 - 20 million/ cu.mm.
d. None of the above
4. This is an example of Iodine Base Contrast media:
a. IVU
b. Angiography
c. Venography
d. All of above are correct
5. Older adults with known cardiovascular disease must have a balance daily living. Which of the following measures is indicative for optimum health?
a. Diet, exercise, and medication
b. Stress, hypertension, and pain
c. Mental health, diet, and stress
d. Social events, diet, and smoking
6. Redness of the skin is called:
a. Hypopigmentation
b. Hyperpigmentation
c. Erythema
d. Cyanosis


1. Localized collection of pus is called:
a. Abscess
b. Ulcer
c. Scar
d. Folliculitis
2. Small hemorrhage under the skin is called:
a. Abscess
b. Ecchymosis
c. Petechiae
d. Nodule
3. The client with a Nasogastric Tube ( NGT) begins to complain of abdominal distention. Which of the following measures should the nurse implement first?
a. Call the physician
b. Irrigate the NGT
c. Check the function of the suction equipment
d. Reposition the NGT
4. One of the following is an example of Bacterial skin disease:
a. Herpes Simplex.
b. Impetigo
c. Herpes Zoster
d. All of above are not correct
5. Which of the following is a device used for immobilization?
a. Cast
b. Traction
c. Both A and B
d. All of above are not correct

6. Which of the following are the reasons of amputation?
a. Trauma
b. Congenital deformity
c. Peripheral vascular disease
d. All of above are correct
7. It is a chronic, progressive disease that affects the cartilage surface of the joint and other collagen tissues:
a. Rheumatoid arthritis
b. Osteoarthritis
c. Gout
d. All of above are not correct

8. Common cause of death in burns:
a. Hemorrhage
b. Neurogenic shock
c. Sepsis
d. Hypovolemic shock

9. Which of the following patients would require the use of an Oropharengeal tubes?
a. Cannot talk
b. Unconscious patient
c. Patient with N.G. tube
d. Patient with sever throat pain
10. It Is an abnormal electrical disturbance in one or more areas of the brain:
a. Meningitis
b. Bell's palsy
c. Encephalitis
d. Epilepsy

11. Homeostasis:
a. Equipment
b. Equilibrium
c. Ability
d. Environment.
12. External environment would include:
a. Sunlight
b. Body temperature
c. Humidity
d. Both A and C

[سووومه]

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

a- Shock position

b-Lithotomy position

c-Recovery position

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

b- jaw – thrust maneuver

c- Heimlich maneuver

d- chest thrust

40.The contrast medium is given by mouth in order to visualize the upper GI tract these procedure are referred to

a- Barium meal

b- Barium enema

c- Gadolinium

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

a-Improperly chewed food

b-Dizziness

c-Inflammation

d-Nothing

53. Signs and symptoms of Otitis media include

a-Pain (earache , headache)

b-Chills

c-Photophobia

d-Nothing

54.Grand mal seizure characterized by three phases

a-Preictal phase

b-Tonic – clonic phase

c-Postictal phase

d-All of the above

55total health include which of the following aspects

a- physical health

b- social health

c- mental health

d- all of the above

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