Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
9 10 Prepared
11 12 13 By
14 15 16
17 18 19 20 21 22 23 24
Nader AL-smadi
25 26 27 28 29 30 31 32
nadersmadi@hotmail.com
33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48
Page 1 nadersmadi@hotmail.com
When explaining to a client about the iron supplement,
you should instruct the client to take the iron with
which of the following to promote maximum absorption
X Tea
Orange لن وجود فيتامينc يساعد على امتصاص كمية
√ والبرتقال يعتبر عنصر غني,اكبر من الحديد
Milk بهذا الفيتامين.
X
Chocolate
X
EXAM
Page 2
QUESTION -1-
Which of the following drugs would the nurse expect to
administer to the client receiving intravenous magnesium
sulfate if the client develops magnesium toxicity?
X Diazepam (valium)
Calcium gluconate
√
Vitamin K
X
Protamine sulfate
X
EXAM
Page 3
QUESTION -2-
Which of the following instructions would the nurse
include when teaching the who is to receive digoxin?
EXAM
Page 4
QUESTION -3-
The physician orders digoxin (Lanoxin) 0.15 mg PO daily for a
child. The pharmacy supplies the digoxin in liquid form at a
concentration of 0.05 mg/ml. How much of the medication
should the nurse administer at each dose
X 0.2 ml
X 0.5 ml
3 ml
√
5 ml
X
EXAM
Page 5
QUESTION -4-
A client has been hospitalized after an automobile
accident. A full leg cast was applied in the emergency
room. The most important reason for the nurse to elevate
the casted leg is to :
√ Improve venous return
Reduce the drying time
X
Decrease irritation to the skin
X
Promote the client's comfort
X
EXAM
Page 6
QUESTION -5-
When caring for a client receiving warfarin
(Coumadin), which lab test would the nurse monitor
to determine therapeutic response to the drug?
X Bleeding time
Prothrombin time (PT)
√
Partial thromboplastin time (PTT)
X
Coagulation time
X
EXAM
Page 7
QUESTION -6-
The nurse is teaching a client how to collect a clean
catch urine specimen. What is the appropriate
sequence to teach the client?
EXAM
Page 8
QUESTION -7-
A client is admitted to the emergency room following
an acute asthma attack. Which of the following
assessments would be expected by the nurse?
X Productive cough
EXAM
Page 9
QUESTION -8-
A child is brought to the emergency room because
he was injured on the school playground and
appears to have a fractured leg. The first action of
the nurse:
√ Assess the child and the extent of the injury
Apply cold compresses to the injured area
X
Immobilize the limb and joints above and below the injury
X
Apply cast to the leg
X
EXAM
Page 10
QUESTION -9-
A 14 month-old child ingested half a bottle of aspirin
tablets. Which of the following would the nurse
expect to see in the child?
X Edema
Epistaxis
√
Dyspnea
X
Hypothermia
X
EXAM
Page 11 ترجمة QUESTION -10-
A client has been admitted to the coronary care unit
with a myocardial infarction. Which nursing diagnosis
should have priority?
EXAM
Page 12 ترجمة QUESTION -11-
A nurse is stuck in the hand by an exposed used
needle. What immediate action should the nurse
take?
EXAM
Page 13 ترجمة QUESTION -12-
The nurse is having difficulty reading the physician’s
written order that was left just before the shift
change. What action should be taken?
EXAM
Page 14 ترجمة QUESTION -13-
An adult client is found to be unresponsive . After
checking for responsiveness and calling for help, the
next action that should be taken by the nurse is to:
EXAM
Page 15 ترجمة QUESTION -14-
A client has an order for 1000 ml of D5W over an 8 hour
period. The nurse discovers that 800 ml has been
infused after 4 hours. What is the priority nursing action?
EXAM
Page 16 ترجمة QUESTION -15-
A client is admitted with a diagnosis of hepatitis B. In
reviewing the initial laboratory results, the nurse would
expect to find elevation in which of the following values?
X Acid phosphatase
EXAM
Page 17 ترجمة QUESTION -16-
A 14 month-old had cleft palate surgical repair several
days ago. After discharge, Which lunch is the best
example of an appropriate meal?
√ Soup, ice cream, milk الطفل الذي تجرى له عملية اصلح الشق في
Hot dog and milk الحنك يحتاج الى غذاء لين وسهل البلع ول يحتوي
X على قطع صلبة لنها تؤدي الى اصابة الجلد في
Sandwich, chips, and milk لذلك يجب تجنب هذه المواد مثل, مكان العملية
X الدجاج والمكسرات والبقوليات والخبز واللحوم
Chicken and milk وغيرها,والشيبس
X
EXAM
Page 18 ترجمة QUESTION -17-
The nurse is assessing a 12 year-old who has
hemophilia A. Which finding would the nurse
anticipate?
EXAM
Page 19 ترجمة QUESTION -18-
The nurse is assessing a client with a deep vein
thrombosis (DVT). Which of the following signs
and/or symptoms would the nurse anticipate finding?
X Rapid respiration
Diaphoresis
X
Swelling of lower extremity
√
EXAM
Page 20 ترجمة QUESTION -19-
The nurse is performing a physical assessment on a
client with insulin dependent diabetes mellitus. Which
client finding calls for immediate nursing action?
EXAM
Page 21 ترجمة QUESTION -20-
The nurse is planning care for a client with increased
intracranial pressure. The best position for this client
is :
√ Semi-fowlers position
Trendelenburg position
X
Prone position
X
Side-lying position
X
EXAM
Page 22 ترجمة QUESTION -21-
A young child is admitted for treatment of lead
poisoning. The nurse recognizes that the most
serious effect of chronic lead poisoning is :
X Renal damage
Central nervous system damage
√
Anemia
X
Growth impairment
X
EXAM
Page 23 ترجمة QUESTION -22-
A 74 year-old male is admitted due to inability to void. He
has not voided in 14 hours. When assessing for bladder
distention, the best method for the nurse to use is to
assess for :
X Urinary discharge
EXAM
Page 24 ترجمة QUESTION -23-
What is the most common sign of digoxin toxicity in
children :
X Lethargy
X Vomiting
Bradycardia
√
Bradypnea
X
EXAM
Page 25 ترجمة QUESTION -24-
Which of the followings is the correct pathway of
blood flow through the heart?
EXAM
Page 26 ترجمة QUESTION -25-
The nurse is caring for a client with status
epilepticus. The most important nursing
assessment(s) of this client is/are :
EXAM
Page 27 ترجمة QUESTION -26-
A client is admitted for COPD. Which findings would
?require the nurse's immediate attention
X Nausea and vomiting التوتر وعدم الرتياح والزرقاق تعتبر من
علمات القصور التنفسي ,لذا يجب فحص
X Low-grade fever .في هذه الحالة ) (ABGغازات الدم الشرياني
Cough and sputum
X
Restlessness and confusion
√
أدخل مريض الى المستشفى في حالة المراض التنفسية النسدادية المزمنة ,أي من العلمات التالية تتطلب
:انتباه فوري من الممرض
غثيان وقيء •
سعال مع بلغم •
EXAM
Page 28 ترجمة QUESTION -27-
You are to give 30 mg. of Inderal. The available
dosage strength is a scored 60mg. tablet. What
amount will you give?
X 1 tablet
X 2 tablet
0.5 tablet
√
1.5 tablet
X
EXAM
Page 29 ترجمة QUESTION -28-
The physician orders an IV infusion of D5W 1000 ml to
infuse over the next eight hours. The IV tubing that you
are using delivers 15gtt/min. What is the correct rate of
flow?
√ 31 gtt/m = معدل التنقيط
21 gtt/m ( الكميةX عامل التنقيط(\)عدد الساعاتX 60)
X (1000 X 15 ) \ ( 8 X 60 )
41 gtt/m = ( 15000 ) \ ( 480 )
X = 31,25 = 31 نقطة في الدقيقة
33 gtt/m ( ال اذا ذكر غير ذلك15 ) عامل التنقيط دائما يعتبر
X
EXAM
Page 30 ترجمة QUESTION -29-
Dr. order: Lasix 20 mg IV stat; available solution
contains 10mg/cc. How many ml will you give?
X 1 ml
2 ml ملغم10 يحتوي على مل1 كل
√ ملغم20 يحتوي على كل ؟ مل
3 ml 1 ) = ؟X 20 ) \ 10
X = 2 مل.
0.5 ml
X
EXAM
Page 31 ترجمة QUESTION -30-
A nurse is teaching a client who has just undergone eye
surgery. The nurse instructs the client that which of the
following activities is permitted.
X Bending
X Lifting objects
Reading
X
Watching TV
√
اي من النشاطات التالية تكون مسموح, يقوم الممرض بتعليم المريض الذي اجريت له عملية جراحية في العين
بها في هذه الفترة:
• النحناء
• رفع الشياء
• القراءة
• مشاهدة التلفاز
EXAM
Page 32 ترجمة QUESTION -31-
Which factor most probably contributed to the
development of the client’s hemorrhoids :
X History of colitis
Frequently constipated
√
Working as computer programmer
X
EXAM
Page 33 ترجمة QUESTION -32-
When the client asks the nurse how he acquired
hepatitis A, the best answer is that a common route
of hepatitis A transmission is from:
√ Fecal contamination
Insects
X
Infected blood
X
Sex
X
EXAM
Page 34 ترجمة QUESTION -33-
Which of the following results would the nurse expect
to find in the patient with acute pancreatitis :
X Elevated creatinine
Elevated amylase
√
Low glucose
X
Low alkaline phosphatase
X
EXAM
Page 35 ترجمة QUESTION -34-
The patient’s temperature is 36 DC, the most
appropriate initial nursing measure would be to :
EXAM
Page 36 ترجمة QUESTION -35-
The patient has an order to infuse 100 ml of D51/2NS
with 10 MEq of KCl over the next thirty minutes. The set
calibration is 10gtt/ml. What is the correct rate of flow for
this patient?
X 41 drop/m
100 ) = معدل التنقيطX 10 ) \ 30
X 36 drop/m = 1000 \30
= 33,33 = 33 نقطة في الدقيقة.
33 drop/m
√ ( ) لحظ أنه في هذا السؤال ل يوجد ساعات لذلك نقسم على عدد الدقائق مباشرة
32 drop/m ( ( لحظ أيضا أن كمية الدواءKCL) ) مهملة في هذه الحالة
X
EXAM
Page 37 ترجمة QUESTION -36-
Which physical examination technique would be
used first when assessing the abdomen?
√ Inspection
Palpation
X
Percussion
X
Auscultation
X
EXAM
Page 38 ترجمة QUESTION -37-
Dr. order: to give 3 mg of Haldol IM. On your unit,
Haldol is available in 2 ml ampules that contain 5
mg/ml. What amount will you give?
EXAM
Page 39 ترجمة QUESTION -38-
The patient admitted with hypothyroid crisis
(myxedema coma) would most likely have which of
the following electrolyte abnormalities?
X Hyperglycemia
X Hypocalcemia
Hypernatremia
X
Hyponatremia
√
EXAM
Page 40 ترجمة QUESTION -39-
The most common fluid used to manage the 2nd
degree burn patient is :
X Normal saline
X Dextrose saline
Ringer lactate
√
Glucose 10 %
X
EXAM
Page 41 ترجمة QUESTION -40-
Dr. order: give ringer lactate 2000 cc I.V Q 12 hrs,
what will be the rate of infusion :
√ 42 drop/m
33 drop/m
X
36 drop/m
X
40 drop/m
X
EXAM
Page 42 ترجمة QUESTION -41-
The doctor ordered to give a volume of solution over
8 hours, the rate of the solution was 31 drop/minute,
how many cc of the solution will be given :
X 1000 cc
992 cc ( الكميةX 15 ) \ ( 8 X 60 ) = 31
√ ( الكميةX 15 ) = ( 8 X 60 X 31 )
760 cc
X مل992 = الكمية
672 cc
X
EXAM
Page 43 ترجمة QUESTION -42-
A patient has recently experienced MI (myocardial
infarction ) within the last 4 hours. Which of the following
medications would most like be administered?
X Atropine
X Adrenaline
Coumadin
X
Streptokinase
√
EXAM
Page 44 ترجمة QUESTION -43-
The life span of RBC in the body is :
X 45 days
X 60 days
120 days
√
90 days
X
EXAM
Page 45 ترجمة QUESTION -44-
In adult CPR, after confirming that the patient is
unconscious, what is the next step :
√ Call EMS
Check carotid pulse
X
Apply chest compressions
X
Put the patient in supine position
X
EXAM
Page 46 ترجمة QUESTION -45-
Which of the following nursing measures would be
appropriate when caring for a patient in skeletal
traction for a fractured femur?
EXAM
Page 47 ترجمة QUESTION -46-
Which of the following would be the priority for a
client admitted to the emergency room with burns
covering an estimated 27% of body surface area?
EXAM
Page 48 ترجمة QUESTION -47-
When preparing a client for a scheduled
colonoscopy, which of the following would the nurse
include?
X procedure
Administering an antibiotic to decrease the risk of
√
infection
X
Cleansing the bowel with laxatives or enemas
No need for the client to be NPO before the procedure
EXAM
Page 49 ترجمة QUESTION -48-