‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

‫﷽‬
‫ﺍﺻﻧﻊ ﻣﻌﺭﻭﻓﺎ ﻭﺍﻏﺭﺱ ﻓﻛﺭ‬

‫ﺍﻟﻣﻣﺭﺿﺔ ﺍﻟﺷﻬﻳﺩﺓ ﻳﺎﺫﻥ ﷲ ﺭﺯﺍﻥ ﺍﻟﻧﺟﺎﺭ ﺍﺳﺗﺷﻬﺩﺕ ﻳﻭﻡ ‪ 2018/6/ 1‬ﺑﻧﻳﺭﺍﻥ‬

‫ﺍﻟﻐﺩﺭ ﻭﺍﻟﺧﻳﺎﻧﺔ ﻣﻥ ﺍﻟﺻﻬﺎﻳﻧﺔ ﻛﺎﻧﺕ ﻗﺩ ﺗﻁﻭﻋﺕ ﻟﻠﻌﻣﻝ ﻛﻣﺳﻌﻔﻪ ﻋﻠﻲ ﺧﻁ ﺍﻟﻧﺎﺭ ﻭﻫﻲ‬
‫ﻟﻡ ﺗﻛﻣﻝ ‪ 21‬ﻋﺎﻣﺎ ﻓﻲ ﻛﻠﻳﺔ ﺍﻟﺗﻣﺭﻳﺽ ﻭﻗﺩ ﺗﻌﻬﺩﺕ ﺑﺎﻥ ﺗﺑﻘﻲ ﺗﻣﺎﺭﺱ ﻋﻣﻠﻬﺎ ﺣﺗﻲ ﺩﺣﺭ‬
‫ﷲ ﻳﺭﺣﻣﻬﺎ‬ ‫ﺍﻻﺣﺗﻼﻝ ﺍﻭ ﺍﻻﺳﺗﺷﻬﺎﺩ ﺻﺩﻗﺕ ﺭﺑﻬﺎ ﻓﺻﺩﻗﻬﺎ ﻭﻧﺎﻟﺕ ﺍﻟﺷﻬﺎﺩﺓ‬
‫ﻭﻳﻐﻔﺭ ﻟﻬﺎ‬
‫ﺍﻟﺩﻋﺎء ﻟﻬﺎ ﻭﺍﺟﺑﻧﺎ ﻭﺍﻟﺳﻳﺭ ﻋﻠﻲ ﻧﻬﺟﻬﺎ ﺍﻣﻠﻧﺎ‬
‫ﺗﺫﻛﺭﻭﻫﺎ ﺩﺍﺋﻣﺎ ﻓﻬﻲ ﻓﺧﺭ ﺍﻟﻌﺭﻭﺑﺔ‬

‫أﺟﻌﻞ ﻣﻦ ﻳﺮاك ﻳﺪﻋﻮا ﻟﻤﻦ رﺑﺎك ﺗﺤﺪﻳﺚ ﻧﻮﻓﻤﺒﺮ ‪2018‬‬

‫‪...‬‬ ‫‪..........................‬‬

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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

‫ﺗﻧﻭﺑﻪ ﻫﺫﺍ ﺍﻟﻣﻠﻑ ﻟﻠﻣﺳﺎﻋﺩﺓ ﻓﻲ ﺍﻟﻔﻬﻡ ﻭﺍﻟﺗﺩﺭﻳﺏ ﻋﻠﻲ ﺍﻻﻣﺗﺣﺎﻧﺎﺕ ﻭﺍﻟﺭﻗﻲ ﺑﻣﺳﺗﻭﻱ ﺍﻟﺗﻣﺭﻳﺽ ﻭﻫﻲ ﻣﺟﻣﻌﻪ ﻣﻥ ﻣﻠﻔﺎﺕ ﺍﺧﺭﻱ ﻭﻣﻥ ﺍﻻﻧﺗﺭﻧﺕ‬
‫ﻭﻣﻥ ﻛﺗﺎﺏ ﻧﻛﻠﻛﺱ ﻭﻫﻲ ﻏﻳﺭ ﻣﺧﺻﺻﺔ ﻟﻠﺑﻳﻊ‬

‫ﺍﺻﻧﻊ ﻣﻌﺭﻭﻓﺎ ﻭﺍﻏﺭﺱ ﻓﻛﺭ‬

1. Alzheimer patient with dementia the doctor said to his son that they will be responsible to take
medical decisions because of his case the patient loose tow ethical aspects??
A- Autonomy & fidelity
B- Varsity & justice
2. Which statement by the patient with hyperlipidemia shows a basic understanding of the disease and
its treatment?
Hyperlipidemia is usually asymptomatic until significant target organ damage is done

3. A public health Nurse is developing a care plan for a low-income community in which there is a
general low level of education and high level of crime the nurse is using the nursing process to
identify the community needs.
Which step should be utilized?
A- Diagnosis
B- Evaluation
C- Assessment
D- Intervention

4. A patient is attending a primary health clinic for regular checkup. He complains of constipation. After
assessment, the nurse instructed him to consume bulk-forming foods.
Which of the following is the best bulk-forming food?
A- Fruit juice
B- Raw meats
C- Whole grains
D- Milk products

5. 55-year-old man takes cyclosporine 100 mg by mouth per day, he had a heart transplant two months
ago, he complains of stomach cramping diarrhea and muscle twitches. Which electrolyte is most
likely elevated?
A. Calcium
B. Sodium
C. Magnesium
D. Potassium

6. Which of the following experience the terms pulse pressure?

A- is the capacity of pulse
B- A relaztion of the ventricle
C- is the maximum ventricular contraction
D- The difference between systolic and diastolic blood pressure

7. A patient has a transverse colon tumor; the patient is referred to a general surgery clinic to have the
tumor removed.

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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

Which of the following medications would the patient be instructed to stop two weeks prior the
surgery?
A. Antidysrhythmic
B. Antifungals
C. Anti-diabetics
D. Anti-platelets

8. Residents of three villages with three different types of water supply were asked to participate in a
survey to identify cholera carriers. Because several cholera deaths had occurred recently, virtually
everyone present at the time underwent examination. The proportion of residents in each village
who were carriers was computed and compared. What is the proper classification for this study?
A- Cross-Sectional Study
B- Case-Control Study
C- Concurrent Cohort Study
D- No concurrent Cohort Study

9. Patient coming to gynecological and want to marriage the staff that's called Ethical responsibility
10. Myocardial infraction (MI) ST- elevation

11. A pa3ent has a blood glucose level of 60mg/dl. The pa3ent is to receive 15 g of carbohydrate if the
blood glucose is less than 70mg/dl.

How many mls of orange juice should the patient receive?

A. 120ml
B. 90ml
C. 60ml
D. 30ml

12. A nurse is planning to teach a class about fulminant liver

failure what should the nurse include in the list of symptoms that need to be reported to the
healthcare provider immediately ?
A. Hallucination
B. Pruritus
C. Malaise and fatigue
D. Easy bruising and petechiae

13. During surgery, the patient has the following intake and output: intravenous fluid 650 cc,
intravenous an3bio3c 50 cc, i unit of packed red blood cells (prbc) 350 cc , nasogastric output 120
cc, es3mated blood loss 80 cc, and urine in the folly catheter 240 cc. What is the patient’s total
output?
A. 120 cc
B. 200 cc

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C. 240 cc
D. 440 cc

14. A patient is transferred to the Intensive Care following a craniotomy. The Patient is difficult to
arouse and the pupils are pinpoint and nonreactive.
Blood pressure 118/70 mmHg
Heart rate 58/min
Respiratory rate 11/min
Temperature 37.2°C
Which medication should the nurse prepare administer?
A. Adrenaline
B. Thiamine
C. Naloxone
D. Dextrose 50%

15. A patient recently underwent coronary artery graft (CABG) surgery.

Which of the following nursing diagnose PRIORITY?
A- Anxiety
B- Impaired gas exchange
C- Acute pain
D- Sleep deprivation

16. When is the best time to collect urine specimen for routine urinalysis and culture and sensitivity?
A. Early morning
B. Later afternoon
C. Midnight
D. Before breakfast

17. Patient withe myocardial infraction what you will observe ??

A. dis arrhythmia
B. chest pain

18. What you will educate the patient about sergical procedure of nephrestomt tube has renal stone ??
A. maintain health live style to prevent recurrent
B. permanent procedure
C. this procedure prevent recreantof the stone longer life

19. PaTent report difficulty sleeping through the night since the death of spouse 6months ago which of
the following is an appropriate longterm goal Feeling well rested each morning the nurse calls
together an inter disciplinary team with members from medicine, social services, the clergy, and
nutritional services to care for a patient with a terminal illness. Which of the following types of care
would the team MOST LIKELY? Is providing
A. Palliative
B. Curative
C. Respite

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20. Study for 100internal students' weights that recorded 75+-10 how much proporTon between 65 kg
and and 85 kg?
A. 34%
B. 50%
C. 95%
D. 68%

21. During surgery requiring general anesthesia, the patient heart’s stops and a carotid pulse is not
palpated. How many compressions per minute should be administered?
A. 50
B. 60
C. 80
D. 100

22. Mother has a labor pain and conTnues every 5 to 10 contracTon during 60 second What is the
frequency during 70 second?
A. 70
B. 90
C. 170
D. 190

23. A nurse is documenting in patient records several events that occurred during home health
visits.Which of the following is an example of the correct way to document patient information?
A- Patient fell walking to bathroom. Busy preparing for sterile dressing change when patient
left the room.
B- Patient got out of bed without assistance. Denies any symptoms when ambulating
alone.
C- Patient sitting in chair. Strict bedrest orders ignored.
D- Patient showering. Electronic epidural infusion pump or floor by shower stall

24. A 30 year-old married man presents to the clinic with complaint of feeling sad for the past three
months. He is unable to maintain a regular sleep routine, has lost his appetite and has difficulty
concentrating. He is prescribed a medication which prevents the reuptake of specific
neurotransmitters that could contribute to his mental health problems.
Which side effects would be most important for the nurse to advise the patient of?
A. Polyuria
B. Photophobia
C. Fluid retention
D. Sexual dysfunction

25. The patient has hepatitis C Discharge instruction that will improve therapeutic relationship with
family? –
1.Understant the disease process –
2.Teach the family to be supportive
26. 28 weeks pregnant mother suffered from in her hand and around her mouth After checking her blood
, found that she has syphallis. What is short goal of intervention ?
A- protect fetus from deformities
B- effectiveness of medication
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C- prevent spreading the infection

D- family support
27. patient is who is prepared for hip surgery has an order for external pneumatic compression devices.
The nurse teaches the patient that pneumatic compression can help prevent:
A- Upper respiratory infection
B- Decreased breath sounds
C- Deep vein thrombosis
D- Bleeding at the surgical site

28. 45-year-old patient is in a lower body cast following a motor vehicle accident. In order to minimize
muscle strength loss while in the cast, the nurse will instruct the patient in the performance of:
A- Isometric exercises
B- Passive range of motion exercises
C- Active-assistive range of motion exercises
D- d. Resistive range of motion exercises

29. A 56-year-old man was brought to the emergency room by his relatives, on examination he appears
sick and has severe weakness. One of his relatives told the nurse that the man eats nearly nothing and
have been crying most of the Tme for 3 months now since he lost his son in an accident. The nurse
knows that this patient is suffering from:
A- Mania
B- Insomnia
C- Depression
D- Schizophrenia

30. A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the
following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol
withdrawal?
A- Naloxone (Narcan)
B- Haloperidol (Haldol)
C- Magnesium sulfate
D- Chlordiazepoxide (Librium)

31. The antidote for morphine overdose is: Naloxone (Narcan)

32. Patient with pulmonary emboli complains of pain, dyspnea, and a fear of dying. Which of the
following interventions would most likely help to reduce the patient’s anxiety level?
A- Administer oxygen as ordered
B- Administer pain medication as ordered
C- Observe closely for signs of pain and discomfort
D- Listen to the patient’s concerns

33. A community health nurse is teaching a health class about infectious diseases process. The nurse
instructs the class that rabies would be considered which of the following type of infection?
A. Viral

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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

B. Protozoan
C. Fungal
D. Bacterial

34. A patient recently underwent coronary artery graft (CABG) surgery.

Which of the following nursing diagnose PRIORITY?
A- Anxiety
B- Impaired gas exchange
C- Acute pain
D- Sleep deprivation

35. A 40-year-old woman is undergoing an elective rhinoplasty under general Anaesthesia. The patient is
in the pre-operative room and the nurse is prepared to administer pre-operative intravenous
medications. The patient states that she does not have any drug allergies.
Which additional nursing action is most important priority to administering the medicine?
A. Request the patient urinate
B. Perform blood typing and cross matching
C. Ensure the consent form has been signed
D. Clarify contact numbers of her family members

36. A patient in a long-term care facility is in persistent vegetative state with a right contracture of the
right arm and hand. What is the BEST goal over the next 90days for this paTent related to the nursing
diagnosis of impaired mobility?
A- Develop no further contractures
B- Wear an arm and hand splint
C- Have no pain related to the contractures

37. A three-year-old boy present to the paediatric clinic with his mother who complains that the child has
developed a skin rash. There is a clear drainage from the nose and he appear tired. The rash first
appeared on the face and then spread over the trunk and is now beginning to appear over the hands.
Some lesions show open ulcerations and other have crusted over. There are scratch marks over the
skin.
Which finding would indicate the child is ready to return to school?
A- Normal body temperature
B- Dry and scabbed lesions
C- Nares of free of drainage
D- Absence of rash over trunk

38. What is the name of the equipment this picture shows?

A. Oropharyngeal airway (OPA)
B. Nasopharyngeal airway (NPA)
C. Laryngeal mask airway (LMA)
D. Urinary catheter

39. Which of the following anatomical terms best describes the motion
in the picture above?
A. Adduction
B. Abduction
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C. Supination
D. Pronation

40. Diagnostic test for pulmonary embolism?

A- CT Scan
B- B- MRI
C- C- Pulmonary angiography
D- Pulmonary function test

41. After immediate post-operative hysterectomy nurse should observe which of the following??
A. Observe vaginal bleeding
B. Urine output
C. Vital signs
D. Position

42. Home care nurse reviews the laboratory results for a postpartum patient who had a caesarean
section. Which of the following indicates possible wound infection?
A- Increased WBC
B- Decreased hematocrit level
C- Increased haemoglobin
D- Decreased platelet.

43. A 58-year-old man has been diagnosed with stage Iv prostate cancer with metastasis to the bones.
The patient refuses a medical management plan that includes chemotherapy and radiation. Although
the nurse believes that every possible intervention should be done to preserve life, the nurse
supports the patient’s decision.
Which ethical principle underlies the nurse’s response?
A- Fidelity
B- Beneficence
C- Non-maleficence
D- Autonomy

44. A large group of people is followed over 10 years every 2 years its determined who develops heart
disease and who does not what type of study is this
A- Case study
B- Cohort study
C- Case- control study 3
D- Randomized control trial

45. A nurse is implementing nursing interventions to monitor a patient following kidney surgery. Which of
the following complications would be the MOST likely post-operative risk after renal surgery?
A. Deep vein thrombosis .
B. Haemorrhage
C. Nausea

46. A 30-year-oldprimi-para is admitted to the postpartum unit with a healthy full-time infant boy. She
had undergone an emergency concern section after an umbilical prolapse. All of the patient beds are
occupied and the nurse considers some steps of the patient’s nursing process that could be delegated
to the nursing.
Which step would be most likely?
A. planning
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B. Evaluation
C. Assessment
D. Implementation

47. A nurse administers albuterol nebulizer to a child with asthma exacerbation. The nurse measures
pulse Oximetry and auscultates the lungs to determine whether the goal of clear respiratory status
has been met. The step of nursing is called:
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation

48. Patient pregnant with a girl cry quietly saying that "how will I ever love this baby" the nurse replied
(what do you mean, "How will I ever love this baby") Type of question: Clarification
49. Antibiotic for Gonorrhea
A. Penicillin
B. Tetracycline.
C. Cipro
D. Cephalosporin

50. In the summer months, a five-year-old girl present with a sore throat and a dairy cough that has
ْ
slowly become worse over the past three weeks. Her body temperature is 38.0 ◌ C. on auscultation,
there is wheezing and shortness of breath. She lives in an overcrowded house with where she attends
school.
Which is the greatest risk factor?
A. Residing in a low-income neighborhood
B. Exposure to a pathogen in summer season
C. Attending school
D. Living in crowded conditions

51. A patient in a long-term care facility is in persistent vegetative state with a right contracture of the
right arm and hand. What is the BEST goal over the next 90days for this paTent related to the nursing
diagnosis of impaired mobility?
A- Develop no further contractures
B- Wear an arm and hand splint
C- Have no pain related to the contractures

52. o A Vaginal discharge green with foul odor, painful during urination its Trichomonas

53. When we care for Patient has BM is higher we should use Nutrition management

54. 45-year-old patient is in a lower body cast following a motor vehicle accident. In order to minimize
muscle strength loss while in the cast, the nurse will instruct the patient in the performance of:
A. Isometric exercises
B. Passive range of motion exercises
C. Active-assistive range of motion exercises
D. Resistive range of motion exercises

55. ‫ ذ‬A 70 year-old quadriplegic man has ulceration on the left

buttocks with full thickness skin loss. several Although
ulcer the healing. promote to used been have interventions
is insufficiency dietary image).Which see) improve not does
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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

likely most?
1. Vitamin D
2. Calcium
3. Protein correct answer
4. Vitamin c

56. Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury
A. Vitamin A
B. Vitamin C
C. Vitamin B
D. Vitamin D

57. Three days ago a patient underwent an invasive surgery with an open wound. The patient is febrile
with drop in blood pressure. Laboratory test results shows elevated WBC count. This could be
possible presentation of :
A. Sepsis
B. Atelectasis
C. Internal haemorrhaging
D. Excess fluid volume.

58. patient admitted with a cerebrovascular accident (CVA), is unable to chew or swallowed. The
patient is a risk for aspiration. The nurse would anticipate receiving which of the following orders for
this patient?
A. Give no food by mouth and start intravenous hydration
B. Start a pureed diet with thickened liquids
C. Refer the patient to a psychiatrist for depression related to the CVA
D. Refer the patient to physical therapy for muscle strengthening

59. .A Patient has a dissection aortic aneurysm. The patient’s surgery would be categorized as:
A. Elective
B. Urgent
C. Emergency
D. Diagnostic

60. A patient is scheduled for a pneumonectomy in the morning. Which of the following diagnosis is the
MOST likely indication for this type of surgery?
A. Lung carcinoma
B. Pulmonary tuberculosis
C. Benign pulmonary nodule
D. Mediastinal shifT

61. Community a data year 2013 July populaTon 254,316 Death from maternal disease 15 Deaths from
cardiovascular diseases 3029 Death ≤ year of age 23 Death ≤ 28 day 8 RegistraTon cases of measles
79 Total pneumonia exposed people 2593 Total number of deaths in any case 10998 Referring to
the giving data, what is the specific death rate caused from cardiovascular disease?
A. 28 / 100
B. 28 / 100,000
C. 1191 / 100,000
D. 1198 / 100,000

62. A 6-month-old boy is admitted with a diagnosis of failure to thrive. According to the growth chart at 3
months of age the infant’s weight is in which percentile?
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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

A. 25th
B. 5th
C. 10th3
D. Below the 5th

63. The nurse is teaching the parent of a child withceliac

disease . Which of following diets should be reviewed
with the parent?
A. Gluten-free
B. Dairy free
C. Vegetarian
D. Sodium-restricted

64. On the auscultation, the physician heard the patient's heart with crackle sound and wheezing, where
could the problem is exist?
A. left ventricular
B. left atrium
C. right ventricular

65. A 20 year- old woman takes cyclosporine 100 mg by mouth twice per day. She had a heart transplant
two months ago and complains of dizziness, shortness of breath, light headedness and fatigue.
Capillary refill >3.
Blood pressure 90/50 mmHg
Heart rate, irregular 100/min
Respiratory rate 28/mm
Temperature 38.0°C
What is the most likely underlying cause of the patient's problem?
A. Cyclosporine toxicity
B. Hyperkalemia
C. Organ rejection
D. Infection

66. which of the following site nurse should avoid to take temperature if the patient has
heart attack?
A. oral
B. rectal
C. tympanic
D. axillary

67. Prior to initiating therapy with un fractionated heparin for apatient hospitalized with a deep vein
thrombosis, the nurse should plan to:
A. Weigh the patient
B. Administer aspirin
C. Limit fluid intake
D. Undress the patient

68. A nurse is instructing parents to perform chest Physiotherapy (CPT) on their sun with pneumonia the
nurse has the parents place their son in a prone position with the body tilted downward before
performing CPT.Based on this information, the nurse is instructing the parents to
remove drainage from which of the following Jung lobe segment?
A. Upper posterior
B. Lower anterior
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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

C. Lower posterior
D. Upper anterior

69. A patient has pacemaker implanted. Which of the followinginterventions is appropriate for the
nursing diagnosis of risk for injury?
A. Have patient avoid exposure to magnetic resonance imaging(MRI)
B. Observe incision site for redness, purulent drainage,
C. Offer back rubs to promote relaxation
D. Instruct patient in dorsiflexion exercises of ankles

70. A 50 year-old male presents to the medical office 3 weeks aier cardiac surgery with complaints of a
feeling of weakness, difficulty breathing, and joint pains. Upon examination the nurse finds a fever
and a friction rub on auscultation of the chest. The nurse recognizes that the MOST likely surgical
complication is:
A. Neuropsychological dysfunction
B. Post pericardiotomy syndrome
C. Cardiac tamponade
D. Phrenic nerve damage

71. Alzheimer patient with dementia the doctor said to his son that they will be responsible to take
medical decisions because of his case the patient loose tow ethical aspects??
A. Autonomy & fidelity
B. Varsity & justice

72. A patient exhibits clinical manifestation of a pulmonaryembolism. Arterial blood gas (ABG) levels and
a chest x-ray are . Which of the following test is used to diagnose this condition?
A. Computer tomography scan(CT scan)
B. Magnetic resonance imaging (MRI)
C. Pulmonary angiography
D. Pulmonary function test

73. A conscious victim of motor vehicle accident arrives at the emergency department. The patient
gasping of air , is extremely anxious , and has a deviated trachea . What diagnosis should the nurse
anticipate?
A. Pleural effusion
B. Tension pneumothorax
C. Pneumothorax
D. Hemothorax

74. female patient newly diagnosed with lung cancer asked the nurse to don't share this data about her
diagnosis to anyone except her husband the nurse follows the patient is instruction according to the
previous situation the nurse applied which one of the following ethical consideration
A. Autonomy
B. Confidentiality
C. Fairness
D. Beneficence

75. A 30-year-old married man presents to the clinic with complaints of feeling sad for the past three
months. He is unable to maintain a regular sleep routine, has lost his appetite and has difficulty
concentrating. He is prescribed a medication which prevents the reuptake of specific
neurotransmitters that could contribute to his mental health problem. Which side effects would be
most important for the nurse to advise the patient of?
12
 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

A. Polyuria
B. Fluid retention
C. Sexual dysfunction

76. The mother complains to the nurse about her son having many absences from school and having
difficulty concentrating in class with the teacher, where is the best place to meet the client?
A. Home
B. School
C. Cafeteria
D. Nursing office

77. A 69-year-old female patient in the Medical Ward is in a semiconscious state. Her pancreatic cancer is
metastasized to her liver and lungs and she is admitted for supportive treatment. Her physicians
discussed with the family that she will not be given the CPR1 to save the life are she goes into the
cardiac arrest. Her two sons agreed but the daughter is indecisive.
What is the critical thinking behind not providing Cardiopulmonary Resuscitation?
A. Unilateral judgment of health professionals
B. Refusal of patient’s right to treatment
C. Ethical dilemma and indecisiveness
D. Mercy killing to ease suffering

78. A 28-year-old male is recovering from a moderate concussion following a motor vehicle accident 2
weeks ago, when he suddenly develops an increased thirst, craving Coldwater. The patient urinates
very large amount of dilute, water like urine with specific gravity of 1.001 to 1.005 the paTent is
MOST likely developing
A. Diabetic mellitus
B. Diabetic insipidus
C. Hypothyroidism
D. Thyroid storm

79. Mother has a labour pain and conTnues every 5 to 10 contracTon during 60 second What is the
frequency during 70 second?
A. 70
B. 90
C. 170
D. 190

80. A 10-year-old patient is admitted after sustaining a broken arm in a snowmobile accident. Which of
the following should be consulted?
A. Social worker
B. Home health nurse
C. Respiratory therapist

81. A 41-year-old patient in the male psychiatric ward aggressively complained of the negligence of the
hospital staff, low quality of the food and discomforts during hospitalization. The charged nurse
patiently listened to him and discussed with him how each of his complaints could be handled. What
is the best description of the nurse’s action?
A. Promoting patient’s autonomy
B. Demonstrating sympathy

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C. Ensuring patient support

D. Showing concerns

82. A nurse visits a paTent who is 37-weeks pregnant and asking for information about breast feeding
versus feeding prepared infant formula. A beneficial reason to breast feed includes:
1. Readily available and economical
2. Keeps a baby full longer
3. Larger curds than cow’s milk and therefore is easier to digest
4. Encourage greater deposits of subcutaneous fat in an infant

83. A nurse is caring for an eight-year-old male with cystic fibrosis.

Based on the nurse’s understanding of the decease what nursing intervention should the nurse expect
to perform?
A. Restrict sodium and fluid intake
B. Give antidiarrheal medications
C. Administer pancreatic enzymes with each meal

84. When teaching the parents of neonate with spne bifida techniques to promote bladder emptying, the
nurse reviews a technique in which firm; gentle pressure is applied to the abdomen press towards the
symphysis pubis. This method is known as:
1. Crede’s
2. Intermittent
3. Foley
4. Prophylactic

85. A co-worker informs that the nurse about experiencing increased level of stress associated with daily
responsibilities to help cope with professional stress, the nurse should encourage the co-worker to;
A. Make a list of unfinished tasks
B. Complete complex mental task before physical tasks
C. Acknowledge daily accomplishments
D. Spend time with colleague away from work

86. A nurse administers albuterol nebulizer to a child with asthma exacerbation. The nurse measures
pulse Oximetry and auscultates the lungs to determine whether the goal of clear respiratory status
has been met. The step of nursing is called:
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation

87. A nursing home client is admitted to the hospital with a pressure ulcer involving full- thickness loss
extending to the bone. The nurse documents the pressure ulcer as being at which of the following
stages?
A. Stage I
B. Stage II

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C. Stage III
D. Stage IV

88. 13 years old female admitted in general ward, she’s afraid to talk to anyone and she refuse to eat
anything in the hospital. Her mother yelled at her in front of everyone and forced her to eat her food,
according to Maslow's. Hierarchy which level of essential needs is disturbed??
A- Self-esteem
B- Self actualization
C- Safety and security
D- Love and belonging

89. . To encourage adequate nutritional intake for a client with Alzheimer's disease, the nurse should:
A. Stay with the client and encourage him to eat.
B. Help the client fill out his menu.
C. Give the client privacy during meals.

90. o A 4 years old girl, was playing outside, she came to her mom crying and holding her right upper
arm, she went to the hospital with swelling over the upper arm, pain and itching, the appropriate
management is:
A. Maintain patent airway
B. Administer s/c Epinephrine
C. Prepare for intubation

91. 55 years old paTent suffers from heart failure, when the nurse examines his lungs she noTced the
presence of crackles which means that the patient has:
A- Right-Sided- Failure
B- Left-Sided- Failure
C- Biventricular Failure
D- Congestive Heart Failure

92. A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on anti-
embolism stockings prior to transferring the patient to the operating room.
What these stocking will do?
A. Promote venous return
B. Minimize joint stiffness

93. 51 years-old bed ridden patient in the Geriatric ward was given antipoetic through his nasogastric
tube. After an hour the patient went into deep sleep, his breathing pattern changed and he did not
respond to calling his name. How should the nurse utilize her critical thinking related to the
medication?
A. Elderly patients are more sensitive to drugs
B. Patient’s drug response is individualized
C. Adverse drug response was higher

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94. A nurse administers albuterol nebulizer to a child with asthma exacerbation. The nurse measures
pulse Oximetry and auscultates the lungs to determine whether the goal of clear respiratory status
has been met. The step of nursing is called:
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation

95. What will happen to the patient if whole blood transfused exceeds
four hours in room temperature?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypernatremia

96. A female patient newly diagnosed with lung cancer asked the nurse to don't share this data about her
diagnosis to anyone except her husband the nurse follows the patient is instruction according to the
previous situation the nurse applied which one of the following ethical consideration
A. Autonomy
B. Confidentiality
C. Fairness
D. Beneficence

97. Patient has severe headache and nausea when moving from supine to sitting or to standing
A. Hypotension
B. Hypertension
C. Orthostatic Hypotension
D. Hypertension

98. In the summer months, a five-year-old girl present with a sore throat and a dairy cough that has
ْ
slowly become worse over the past three weeks. Her body temperature is 38.0 ◌ C. on auscultation,
there is wheezing and shortness of breath. She lives in an overcrowded house with where she attends
school.
Which is the greatest risk factor?
A. Residing in a low-income neighborhood
B. Exposure to a pathogen in summer season
C. Attending school
D. Living in crowded conditions

99. A 24-year-old gravid I, Para 1 is in the postpartum care unit 24 hours after the delivery of full-term
infant girl. The mother is breastfeeding the infant on demand, whenever the infant wants to feed.
During non-feeding times, the new mother has (little interest in the newborn, happily allows the staff
to provide the infant’s care and passes time watching television. What is most likely explanation for
the mother’s behavior?
A. Postpartum depression

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B. Impaired maternal-newborn attachment

C. Normal behavior at this time
D. self-doubting the role of a mother

100. A health care team established new strategies that help in prevention of death among cases of
certain disease, but these strategies do not prevent the occurrence of that disease. Which of the
following measure reflect the expected outcome?
1. Increase prevalence
2. Decrease prevalence
3. Increase incidence
4. Decrease incidence

101. A nurse has been visiting a bed-bound patient with decreased bowel mobility in the home for one
month. The family tells the nurse that the patient is becoming incontinent of feces. The nurse
evaluates the plan of care and notes which of the following intervention would MOST likely
beneficial?
A. An enema two times a week
B. Increased fiber in the diet
C. An enema three times a week

102. A study examined the relationship between exposure to chest irradiation and subsequent risk of
breast cancer that was conducted in 2005. In this study, women who received radiaTon therapy for
postpartum masTTs (an inflammaTon of the breast that occurs aier giving birth) in the 1940s were
compared to women who received a no radiaTon therapy for postpartum masTTs in the 1940s. The
women were followed for 50-60 years to determine the incidence rates of breast cancer in each
group. This is an example of

A. Prospective Cohort
B. Retrospective Cohort
C. Case Control

103. A 9-month-old child who has had four ear infecTons in the past 6
months is being discharged. Which statement by the parent indicates
the need for further discharge teaching?
A. I should never put my baby to bed with bottle
B. My child should not use a pacifier aier age 6 months
C. My child should drink his bottle while lying flat in my lap

104. A patient wound is draining thick yellow material. The nurse correctly describes the drainage as
which of the following
A. Serous
B. Purulent
C. Sanguineous

105. A three-year-old boy present to the paediatric clinic with his mother who complains that the child
has developed a skin rash. There is a clear drainage from the nose and he appear tired. The rash first
appeared on the face and then spread over the trunk and is now beginning to appear over the hands.
Some lesions show open ulcerations and other have crusted over. There are scratch marks over the
skin.
Which finding would indicate the child is ready to return to school?
A. Normal body temperature
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B. Dry and scabbed lesions

C. Nares of free of drainage
D. Absence of rash over trunk

106. A Five years-old child is brought into the emergency department complaining of pain in the right
hip Ares. The patient is not able to bear weight on the right leg.
A. Faces pain rating scale
B. Verbal rating scale
C. Numeric rating scale
D. Pain rating diary

107. A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on
anti-embolism stockings prior to transferring the patient to the operating room.
What these stocking will do?
A. Promote venous return
B. Minimize joint stiffness

108. The nurse cares for 60 years-old women whit has a history of hypertension, hypothyroidism and
elevated cholesterol levels, she takes tablets daily for each of the health problem. The doctor orders a
routine dual-energy X-ray absorptiometry test that shows decreased bone density. Which medication
most likely contributed to the test result?
A. Statins
B. Anti-hypertensive
C. Synthetic thyroid hormones
D. Cholesterol absorption inhibitors

109. Patient with gout is encouraged to increase fluid intake.

What is the benefit of the fluids?
A. Decrease inflammation
B. increase calcium absorption
C. Promote the excretion of uric acid
D. Provide a cushion for weakened bones

110. . 45-year-old patient is in a lower body cast following a motor vehicle accident. In order to
minimize muscle strength loss while in the cast, the nurse will instruct the patient in the performance
of:
A. Isometric exercises
B. Passive range of motion exercises
C. Active-assistive range of motion exercises .
D. Resistive range of motion exercises

111. A patient is having difficulty with cognitive abilities after a stroke. What part of the brain was
MOST likely affected?
A. Midbrain
B. Cerebrum
C. Medulla oblongata
D. Cerebellum

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112. A patient has hepatitis B (HBV) and is now a chronic carrier. In planning care, the nurse would
explain an HBV carrier would MOST likely be at risk for developing a super infection with which other

type of hepatitis?
A. A
B. C
C. E
D. D

113. A nurse is teaching a prenatal class to a group of the first time mothers, each at different points in
their gestation, which of the statement is TRUE regarding the management of fatigue?
A. Rest flat on back, especially during the third trimester
B. Exercise programs should focus on their training
C. Frequent 15 minute to 30 minute rest periods are important
D. Six hours of sleep a night is adequate

114. 123. The nurse is caring for a paTent two hours aier a pacemaker placement. The paTent
suddenly starts complaining of chest pain. The nurse observes dyspnoea, cyanosis and
absent breath sounds on the right side. The nurse should anticipate what complications?
A. Hemothorax
B. Perforation of the heart
C. Pneumothorax

115. 36 years old male paTent complaining of fever and headache for 3 days now, when examining this
patent which of the following signs would indicate that this patient may has meningitis:
A. Positive Kernig’s sign
B. Negative Brudzinski’s sign
C. Positive homan’s sign
D. Negative Kernig’s sign

116. A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on
anti-embolism stockings prior to transferring the patient to the operating room.
What these stocking will do?
A. Promote venous return
B. Minimize joint stiffness

117. A 69 years-old main is admitted to the medical Unit with complains of urinary retention. The
physician orders several investigations. Which of the following diagnostic studies is essential to
differentiate between renal failure and lower renal obstruction that cause urinary retention?
A. Cholesterol level
B. Abdominal X-ray
C. Complete blood tests
D. Blood urea nitrogen and serum creatinine.

118. nurse is caring for an eight-year-old male with cystic fibrosis.

Based on the nurse’s understanding of the decease what nursing intervention should the nurse expect
to perform?
A. Restrict sodium and fluid intake
B. Give antidiarrheal medications
C. Administer pancreatic enzymes with each meal.

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119. patient after delivery Blood group A+ and her baby o- at which time must be taken antagin ?
A. 24h
B. 72h
C. 48h

120. A study evaluated the relationship between breast cancer and a woman's history of
breastfeeding. The investigator selects women with breast cancer and an age-matched sample of
women who live in the same neighborhoods as the women with breast cancer. Study subjects are
interviewed to determine if they breastfed any of their children. This is an example of
A. Prospective cohort
B. Retrospective cohort
C. Case control
D. Cross sectional

121. A patient with severe diverticulitis had surgery for placement of a colostomy. The patient is upset,
crying, and will not look at the colostomy.
Which of the following would be the highest priority nursing diagnosis at this time?
A. Knowledge deficit, colostomy care
B. Distorted body image
C. Self-care deficit, toileting
D. Alteration in comfort

122. A 58 year-old man has been diagnosed with Stage IV prostate cancer with metastasis to the bones.
The patient refuses a medical management plan that includes chemotherapy and radiation. Although
the nurse believes that every possible intervention should be done to preserve life, the nurse supports
the patient’s decision. Which ethical principle underlies the nurse’s response?
A. Fidelity
B. Beneficence
C. Non-maleficence
D. Autonomy correct answer

123. A nurse on the oncology unit is planning care for several children who care terminally ill.
Which of the following should be included in the plan of care of a child who practices Catholicism?
A. Notifying the crematory
B. Discussing reincarnation
C. Closing the eyes as death approaches
D. Offering sacrament of the sick

124. Patient with gout is encouraged to increase fluid intake.

What is the benefit of the fluids?
A. Decrease inflammation
B. Increase calcium absorption
C. Promote the excretion of uric acid
D. Provide a cushion for weakened bones

125. A. 45 year-old man who is hospitalized feels the constant need to keep things in order, particularly
whilst eating. The nurse observes him arranging the food on his plate into symmetrical and equal bite-
sized pieces. He constantly worries that the food served could be outdated and potentially cause illness.
Which nursing diagnosis is most important?
A. Ineffective verbal communication
B. Self-esteem disturbance
C. Impaired social interaction
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D. Anxiety

126. A two month-old infant is brought to the clinic by her parents who report that the baby is having
breast feeding difficulties. The infant feeds every one-two hours for twenty minutes and seems to be in
pain afterwards. She regurgitates milk after each feed. At birth, she weighed 3.5 Kilograms and her
current weight is 4.2 Kilograms.
Which initial home intervention would be most appropriate?
A. offer milk-based formula before breastfeeding
B. feed with rice cereal mixed with breast milk
C. Schedule feeds regular every three hours.
D. position the baby upright after feeding
127. The nurse is assisting a patient to ambulate in the hall. The patient has a history of coronary artery
disease (CAD) and had coronary artery bypass graft surgery (CABG) 3 days ago. The patient reports chest
rated 3 on a scale of 0 (no pain) to 10 (sever pain). The nurse should FIRST:
A. Determine how long it has been since the patient’s last dose of aspirin
B. Obtain a chair for the patient to sit down correct answer
C. Assess the patient’s radial pulse
D. Ask the patient to take several slow, deep breaths

128. A nurse is caring for an eight years old male cystic fibrosis.
Based on the nurse’s understanding of the disease what nursing intervention should the nurse expect to
perform?
A. Restrict sodium and fluid intake
B. Give anti-diarrheal medications
C. Discourage coughing after postural drainage
D. Administer pancreatic enzymes with each other

129. A three year-old has returned to the clinic 4 days after being diagnosed with gastroenteritis and
dehydration. A parent reports that the vomiting has stopped, and the child is tolerating liquids, rice,
applesauce, and bananas. The diarrhea persists, but seems to be decreasing in volume. When evaluating
for signs of dehydration, the nurse will assess the patient’s skin turger by:

A. Grasping the skin over the abdomen with two fingers and raising the skin with two fingers
B. Grasping the skin over the forehead with two fingers and raising the skin with two fingers
C. Holding the patient’s mouth open and assessing the tongue for deep creases of furrows
D. Drawing two tubes of blood and running a blood urea nitrogen (BUB) and creatinine (Cr)

130. A 67 year-old man was admitted to the hospital following a closed bone fracture. An intramedullary
nail is inserted and the patient is placed in balanced skeletal traction. The following day, the patient
becomes restless, drowsy and confused. He has difficulty breathing and appears very tired (see X-ray)
Which additional sign or symptom would require immediate intervention?
A. Anxiety
B. Cold skin
C. Constipation
D. Petechiae on chest

131. An 82 year-old patient has Parkinson’s disease. During the assessment, the nurse would expect
which of the following actions to produce the MOST tremor activity of the hands?

A. Eating with a fork

B. Resting hands in lap
C. Standing with hands loose at sides

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D. Rolling a small pill between the fingers

132. 132.A nurse is documenting in patient records several events that occurred during home health
visits.
Which of the following is an example of the correct way to document patient information?
A. Patient fell walking to bathroom. Busy preparing for sterile dressing change when patient
left the room.
B. Patient got out of bed without assistance. Denies any symptoms when ambulating alone.
C. Patient sitting in chair. Strict bedrest orders ignored.
D. Patient showering. Electronic epidural infusion pump or floor by shower stall

133. A 54 year-old woman presents to the Emergency Department with sharp upper-right abdominal
pain that radiates to the right scapula. While performing the admission assessment, the patient
becomes nauseous and begins vomiting. She states that she has had pain in the upper right quadrant
previously but that this time it was far worse. There is a positive Murphy’s sign and an ultrasound
confirms gallbladder wall thickening and pericholecystic fluid collections. Which of the following
would most likely be associated with her clinical findings?

A. Relief by drinking milk

B. Alleviation with exercise
C. Triggered by fatty meal
D. Worsening on an empty stomach

134. A 30 year-old married man presents to the clinic with complaint of feeling sad for the past three
months. He is unable to maintain a regular sleep routine, has lost his appetite and has difficulty
concentrating. He is prescribed a medication which prevents the reuptake of specific neurotransmitters
that could contribute to his mental health problems.
Which side effects would be most important for the nurse to advise the patient of?
A. Polyuria
B. Photophobia
C. Fluid retention
D. Sexual dysfunction

135. A 6 month-old premature infant is being discharged from the neonatal intensive care unit after
having no apneic periods for the past week. Although the child has had no apneic periods for the past
week, an apnea monitor will be sent home with the parents. The BEST short term goal relating to the
nursing diagnosis is ineffective breathing pattern related to apnea is that the:
A. Apnea monitor will sound loudly and stimulate the child to breathe with the episodes of apnea.
B. Apnea monitor will sound loudly and alert the parents to stimulate the child to breathe with episodes
of apnea
C. Child will have no episodes of apnea or cyanosis while on the apnea monitor
D. Child will sleep in their parent’s bed each night until there is no apnea for two weeks.

136. A 10 Cleary-old infant is having difficulty itching on and breast feeding. The infant is assessed for the
rooting reflex in the doctor’s
office (see images).
Which picture depicts the rooting reflex?
1. A
2. B
3. C
4. D

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137. A 60 years-old women present to the Emergency Department Triages Unit with labored
Breathing. She appears anxious and sweating profusely across the forehead. The symptoms had
begun suddenly one hour before, the jugular veins appear distended and she has a productive cough,
auscultation the respirations are wet and do not clear with coughing.
Which nursing diagnosis is most appropriate?
A. Infective breathing pattern m
B. Ineffective airway clearance
C. impaired gas exchange
D. Pain in chest
138. A home care nurse changes the dressing of a patient who has a chronic lower leg ulcer and a history
of left swelling. The wound bed is 3 cm
diameter red in color and is covered with
fibrous yellow tissue (see image). What
type of ulcer is most likely?
A. . Arterial m
B. . Venous
C. . Decubitus
D. . Neuropathic

139. A nurse on the oncology unit is

planning care for several children who are
terminally ill. Which of the following should be
included in the plan of care of a child who
practices Catholicism?
A. Notifying the crematory
B. Discussing reincarnation
C. Closing the eyes as death approach
D. Offering sacrament of the sick

140. The responsibility for teaching patients how to take medications safely when they are discharged
from the hospital belongs to whom? m
A. Nurse
B. Physician
C. Dietitian
D. Therapist

141. The mother of on 11 month child reports that her does not seem to be in any pain but his testes
appear to be lager in the evening hours then in the morning. The nurse a light through the sac and finds
a bilateral fluid scrotum.
A. Observation until two years of age
B. referral for surgical repair
C. Twice daily massage for reabsorption
D. Position baby prone while sleeping

142. A postoperative patient complaints of a abdominal pain and nurses. The patient has not had any
flatulence or bowel movement surgery, and the abdominal is distended with no bowel sounds. What is
most likely cause ?
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A. Abdominal infection
B. Side effect of being NPO
C. Side effect of narcotic pain medications
D. Paralytic ileus
143. A patient is attending a primary health clinic for regular checkup. He complains of constipation. After
assessment, the nurse instructed him to consume bulk-forming foods. Which of the following is the best
bulk-forming food?
A. Fruit juice
B. Raw meats m
C. Whole grains
D. Milk products

144. A public health Nurse is developing a care plan for a low-income community In which there is a
general low level of education and high level of crime the nurse is using the nursing process to identify
the community needs.
Which step should be utilized?
A. Diagnosis
B. Evaluation
C. Assessment
D. Intervention

145. Prior to initiating therapy with unfractionated heparin for a patient hospitalized with a deep vein
thrombosis, the nurse should plan to:
A. Weigh the patient
B. Administer aspirin
C. Limit fluid intake
D. Undress the patient

146. Which of the following experience the terms pulse pressure?

A. is the capacity of pulse
B. rlaztion of the ventricle
C. is the maximum ventricular contraction
D. the difference between systolic and diastolic blood pressure

147. A patient on a medical floor is diagnosed with pneumonias. Which of the following nursing
diagnoses takes priority?
A. Anxiety related to pain, dyspnea, and concern regarding illness
B. Deficient fluid volume related to tachypnea, fever, or diaphoresis m
C. ineffective airway clearance related to presence of tracheobronchial secretions
D. Sleep deprivation related to change in environment

148. year-old man takes cyclosporine 100 mg by mouth per day, he had a heart transplant two months
ago, he complains of stomach cramping diarrhea and muscle twitches. Which electrolyte is most likely
evaluated?

A. Calcium
B. Sodium
C. Magnesium
D. Potassium

149. A nurse is assessing a four month-old formula fed infant, the parent reports the infant has been
irritable, crying excessively, not sleeping well, and vomiting. Gastro-esophageal reflux is expected.
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A. Place the infant in an infant seat after eating

B. Give large frequent feedings
C. Position the child a swing
D. Thin formula with water

150. In the scope of community nursing, epidemiology and vital statistics are very essential tools in
controlling disease spending, disease impact on the given population and effectiveness of the
preventive measure done. An outbreak of meals has been reported in the community. Which of the
following epidemiological actions should the nurse perform identify?
A. Identify the disease that was reported
B. classify the outbreak if sporadic or pandemic
C. determine the date when the disease first occurred

151. A patient with server diverticulitis had surgery for placement of a colostomy. The patient is upset,
crying, and will not look at the colostomy. Which of the following would be the highest priority nursing
diagnosis at this time?
A. Knowledge deficit, colostomy care
B. distorted body image .
C. self-care deficit, toileting

152. A Five years-old child is brought into the emergency department complaining of pain in the right hip
Ares. The patient is not able to bear weight on the right leg.
A. Faces pain rating scale
B. Verbal rating scale
C. Numeric rating scale
D. Pain rating diary

153. A patient is seen in the emergency department with complaints of engines Nitroglycerin (Nitro-
stat) is ordered by the physician.
This medication is to be administration via which of the following routs?
A. ntradermal
B. Buccal
C. Parental
D. Topical

154. A home health care nurse visits a patient diagnosed with rheumatoid. The nurse gathers information
about the pain level after the use of the prescribed pain medication to check on the effectiveness of the
intervention. What is this phase of the nursing process called?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation

155. 37-years old male patient has carries for ……………. In clinic, he had one episode of the angina 12
month ago but did not experience it again. His job involves notify … and he in experiencing fatigue,
lethargy and shortness of breath on exaction for the past few days, he is to be prepared for history
taking and physical.
What information should be gathered in detail during the history taking?
A- Diet and exercise pattern
B- Life style and occupational stress
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C- Past illnesses and health problem

D- current health issues and activity

156. A patient is scheduled for a bowel resection, the preoperative plan of care includes putting on anti-
embolism stockings prior to transferring the patient to the operating room. What these stocking will do?
A- Promote venous return
B- Minimize joint stiffness
C- Encourage sustained maximum inspiration
D- Support intestinal peristalsis.

157. A nurse is caring for an eight year-old male with cystic fibrosis. Based on the nurse’s understanding
of the decease what nursing intervention should the nurse expect to perform?
A. Restrict sodium and fluid intake
B. Give antidiarrheal medications
C. discourage coughing after postural drainage
D. Administer pancreatic enzymes with each meal

158. A 69 year-old man is admitted to the intensive care unit following cardiac surgery. Two hours after
admission, the nurse performs a routine assessment and notes the patient’s chest tube drainage is 200
milliliters and a dark red color. He has had 60 milliliters output from the indwelling urinary catheter
Blood pressure 138/68 mmhg Heart rate 76/min Respiratory rate 16/min Body temperature 37.0C oral
Oxygen saturation 94% 6L/min nasal cannula Which finding should be reported to the doctor?
A. Dark red chest tube drainage
B. Urinary output
C. Oxygen saturation
D. Chest tube output volume

159. a home health care nurse visits a patient diagnosed with rheumatoid arthritis. The nurse gathers
information about the pain level after the use of the prescribed pain medication to check on the
effectiveness of the intervention.
What is this phase of the nursing process called?
A. Assessment
B. Diagnosis
C. implementation
D. Evaluation

160. A four year-old boy presented with a firm and non-tender mass that his mother had discovered in
the right upper abdominal quadrant. He was admitted to the hospital and underwent complete surgical
excision of a renal tumor that had extended beyond the kidney. The child was then scheduled for
radiation and chemotherapy treatment.
Which stage was the tumor?
A. I
B. II
C. III
D. IV

161. A patient has returned to the Medical surgical unit after surgery for a benign ovarian tumor. The
nurse observes that in the first 30 minutes after admission to the unit, the patient’s abdomen is rapidly
distending and the patient complains of increasing pain.
What would the nurse anticipate?
A. aspiration pneumonia

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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

B. surgical site infection

C. Retention of surgical supplies
D. intra-abdominal hemorrhage

162. A 58 year-old man has been diagnosed with stage Iv prostate cancer with metastasis to the bones.
The patient refuses a medical management plan that includes chemotherapy and radiation. Although
the nurse believes that every possible intervention should be done to preserve life, the nurse supports
the patient’s decision.
Which ethical principle underlies the nurse’s response?
A. fidelity
B. beneficence
C. .non-maleficence
D. Autonomy

163. A 40 year-old women presents to the clinic with cramping abdominal pain that corner every five to
ten minutes. She is unable to pass gas or a tool. The abdomen appears greatly distended. On
auscultation bowel sounds are quiet and hypoactive. On percussion, there is resonance. On palpation,
the abdomen is tender, without “guarding”. A rectal examination is performed and the rectum is found
to be empty.
Which of the following health problem would be most likely?
A. Diverticulitis m
B. Obstruction
C. Appendicitis
D. Crohn’s disease

164. In the summer months, a five year-old girl present with a sore throat and a dairy cough that has
ْ
slowly become worse over the past three weeks. Her body temperature is 38.0 ◌ C. on auscultation,
there is wheezing and shortness of breath. She lives in an overcrowded house with thee where she
attends school.
Which is the greatest risk factor?
A. Residing in a low-income neighborhood
B. Exposure to a pathogen in summer season m
C. Attending school
D. Living in crowded condition

165. Marie with acute lymphocytic leukemia suffers from nausea and headache. These clinical
manifestations may indicate all of the following except
A. effects of radiation
B. chemotherapy side effects
C. meningeal irritation
D. gastric distension

166. Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes
an adequate amount of high-biologic-value protein when the food the client selected from the menu
was:
A. Raw carrots
B. Apple juice
C. Whole wheat bread
D. Cottage cheese

167. A premenopausal woman with a small body frame is at high risk for a condition in which bone
reabsorption exceeds the rate of bone formation. She drinks one-three cups of coffe per day since she
27
 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

was 25 years old and smokes five-ten cigarettes per day for the past 20 years. The nurse advises the
patient to increase her dietary intake of milk and green leafy vegetables. Which additional foods are
most appropriate to recommend?
A. Egg Yolk, cheese
B. Peanuts, poultry
C. Whole grains, cerals
D. lentils and black beans

168. Nurse is assessing a patient who is scheduled for a total hip arthroplasty in one week (see lab
resorts)
values Normal Result Test
Lo 109×10.5-4 12.0 WBC
Lo 109×400-130 132 Platelets
0.50-0.40 0.40 HCT
g/L 140-120 139 Hb
Glucose 5.3 3.5-6.5 mmol/L
What must nurse assess for the patient?
A. conjunctiva
B. muscle strength
C. pulses Femoral
D. Axilla

169. The nurse calls together an interdisciplinary team with members from medicine, social service, the
clergy, and nutritional services to care for a patient with a terminal illness. Which of the following types
of care would the team MOST likely be providing?
A. Palliative
B. Curative
C. Respite
D. preventive

170. Prior to administering an enema, the nurse will assist the patient to assume what position
A. Prone with pillow under knees
B. Left-side with right knee flexed
C. Right-side with left knee flexed
D. On back with head of bed flat

171. Child is admitted with temperature of 38.5 C (101.3 F), loss of appetite and vomiting The nurse
observes several joints are red, swollen, warm and tender to touch. A non pruritic rash is on the child’s
trunk. Laboratory test results include an elevate erythrocyte sedimentation rate (ESR), a positive c-
reactive protein, and an elevated white blood cell count (WBC). The nurse should initiate the plan of
care for:
A. Congestive heart failure
B. Meningitis
C. Rotovirus .
D. Acute rheumatic fever

172. 45-year-old patient is in a lower body cast following a motor vehicle accident. In order to minimize
muscle strength loss while in the cast, the nurse will instruct the patient in the performance of:
A. Isometric exercises
B. Passive range of motion exercises
C. Active-assistive range of motion exercises
D. Resistive range of motion exercises
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173. A patient who has a diagnosis of multiple sclerosis speaks slowly with long pauses between
syllables.The patient is MOST likely in what stage of multiple sclerosis?
A. Prodromal
B. Early
C. Middle
D. Late

174. A patient who sustained extensive abdominal injuries in a motor vehicle accident has developed a
large stage II pressure ulcer on the coccyx. A new diagnosis of alteration in skin integrity is added to the
care plan.What is the BEST short-term goal for the patient?
A. .Show evidence of healing within one week
B. .Have no discomfort from the pressure ulcer
C. .Eat at least 50% of each meal
D. .Verbalize strategies to prevent further skin breakdown

175. A nurse is caring for a postoperative patient who is on subcutaneous, low dose heparin. This
medication is used to prevent:
A. Deep vein thrombosis
B. Congestive heart failure
C. Paralytic Ileus
D. Pneumonia

176. when administering an antibiotic or a vaccine , the nurse must be alert for the possibility of :-
A. overdoses and CNS depression
B. sings of increasing infection
C. hypersensitivity and possible anaphylaxis
D. orthostatic hypotension

177. Following an open-cholecystectomy, the nurse would instruct the patient to expect to resume
normal activities in:

A. 1 to 2 weeks
B. 2 to 3 weeks
C. 4 to 6 weeks
D. 6 to 8 weeks

178. Position maintained post vitrectomy Correct answer– PRONE

179. Pulse pressure is defined as which of the following:

A. Difference between systolic and diastolic pressure.
B. Difference between arterial and venous pressure.
C. Expansion of the artery as blood moves through it.
D. Difference between venous and systolic pressure3

180. Prior to initiating therapy with unfractionated heparin for a patient hospitalized with a deep vein
thrombosis, this treatment requires:

A. Bed rest

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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

B. Aspirin therapy
C. Fluid restrictions
D. A high protein diet

181. A patient who is prepared for hip surgery has an order for external pneumatic compression
devices. The nurse teaches the patient that pneumatic compression can help prevent
A. Bleeding at the surgical site
B. Deep vein thrombosis
C. Upper respiratory infection
D. Decreased breath sound

182. 68. A patient has pacemaker implanted. Which of the following interventions is appropriate for
the nursing diagnosis of risk for injury?
A- Have patient avoid exposure to magnetic resonance imaging(MRI)(
B- Observe incision site for redness, purulent drainage
C- Offer back rubs to promote relaxation
D- Instruct patient in dorsiflexion exercises of ankles

183. As a member of the hospital's bioterrorism team, the nurse understands the importance of
knowing how an organism is transmitted. Smallpox has the potential to spread quickly because it
is transmitted via which route‫؟‬
A. Air-borne
B. Droplets
C. Contact
D. Absorption

184. A client with COPD has developed secondary polycythemia Which nursing diagnosis would be
included in the plan of care because of the polycythemia?
A. Impaired tissue perfusion related to thrombosis
B. Activity intolerance related to dyspnea
C. Impaired tissue perfusion related to decrease cardiac output
D. Impaired tissue perfusion related to blood loss

185. Which of the following best describes the rule of case

A. Promotes a healthy lifestyle
B. Provides coordination of care to ensure continuity
C. Possesses highly skilled communication methods
D. Promotes the comfort of the patient

186. patient with sickle-cell anemia has ineffective tissue perfusion related to generalized infarcts.
Which of the following interventions should the nurse prioritize in the plan of care ?
A. Encourage bed rest
B. Administer pain medications
C. Position the patient on the left side

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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

D. administer oxygen by nasal cannula as prescribed

187. A nurse cares for a client receiving total parenteral nutrition? Which assessment parameters does
the nurse monitor closely‫؟‬
A. Alertness
B. Skin turgor
C. Temperature
D. Ability to swallow

188. A client is admitted with a diagnosis of HYPERPARATHYROIDISM. Which symptoms should the
nurse anticipate?
A. Exopthalmus
B. Renal calculi
C. Weight gain
D. Weight loss

190. Method to diagnosis & locate seizures?

A. EEG
B. PET
C. MRI
D. CT scan

191. During the assessment the client tells the nurse he has pain in the left knee. This information is
considered:
A. objective data.
B. subjective data.
C. Non relevant data.
D. historical data

192 The nurse is caring for a client who has been experiencing nausea and vomiting for several days. The
client is at risk for developing which of these imbalances
A. respiratory alkalosis
B. respiratory acidosis
C. metabolic alkalosis
D. metabolic acidosis

193. A nurse completes a history intake on a client. The client informs the nurse the prescribed blood
pressure medication is too expensive and has not been filled. Which health care team member does
the nurse consult?
A. Social worker
B. Respiratory therapist
C. Charge nurse
D. Chaplain

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194. A nurse is gathering health history information on a patient admitted to the hospital. The patient
takes tamoxifen, but she does not know the purpose of this medication. The nurse should question
the patient about the presence of which disease?
A. Hypertension
B. Breast cancer
C. Endometrial cancer
D. Testicular cancer

195. A nurse cares for a client who undergoes a bronchoscopy with biopsy. Which immediate post-
procedure finding does the nurse report to the health care provider

A. Bronchospasm
B. Dark red sputum
C. Drowsiness
D. Cough

196. The nurse prepares to administer cyanocobalamin to a client with pernicious anemia. When the
client asks why the medication has to be given in an injection, which response does the nurse give
A. “Most people prefer the injecTon because vitamin B12 tablets can stain your teeth”.
B. “Giving your vitamin B12 in an injecTon will work faster than a pill, so you will feel berer
sooner”.
C. “Your body does not have enough intrinsic factor to absorb vitamin B12 when taken by
mouth”.
D. “I will contact your health care provider about changing your prescription to the oral form of
vitamin B12

197. A 75 years –old man is scheduled to undergo phacoemulsification cataract surgery . the Nurse
meets with the family for a pre-operative consultation the patient has diagnosis of Alzheimers disease
with mild cognitive decline . the family says that he has become increasingly forgetful lately and that his
emotion are unstable
Which of the following must this patient be capable of doing before undergoing surgery
A. lay supine for 20minutes
B. Sit without moving under laser
C. Consistently speak clearly
D. Tolerate general anaesthesia

198. A 45 year-old man who is hospitalized feels tge constant need to keep things in order , particularly
whilst eating m the nurse observe him arranging the food on his plate into symmetrical A nurse is
preparing the room for a patient who will be admitted the post-anesthesia care unit after abdominal
surgery . the patient received general anaesthesia care .
Which of the following should the nurse place a the bedside in the room ?
A. Sterile suction catheters
B. Oral way
C. Incentive spirometer
D. Face mask

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199. The nursing team leader in award A is well liked his team as he always demonstrate a concern and
caring approach towards their personal which the decision making about both major amd minor
issues of the department is done is collaboration with the team members
Which is the main limitation of the democratic style of leadership ?
A. It ignores the incompetent personal
B. Cannot be used in emergency situation
C. Decreases collaboration among team
D. May end up in inappropriate decision making

200. A patient is one day post-operative from a repair of large umbilical hernia . the patient complains
of abdominal pain and describe feeling the suture give way . upon assessment of the abdomen , the
nurse observe an evisceration
What should the nurse immediate response be ?
A. A medicate the patient for pain
B. Instruct the patient to caugh hard
C. Have the patient perform the valsalva maneuver
D. Cover the abdomen with a sterile saline dressing

201. A 45 year-old man who is hospitalized feels tge constant need to keep things in order , particularly
whilst eating m the nurse observe him arranging the food on his plate into symmetrical and equal
bite sized pieces , he constantly worries that the food served could be outdate and potentially causes
illness
Which nursing diagnosis is most important
A. Ineffective verbal communication
B. Self-esteem disturbance
C. Impaired social interaction
D. Anxiety

202. When planning discharge teaching for the parent of infant with bronchiolitis , what should the
nurse emphasize ?
A. Frequent hand washing
B. Sleeping in the supine position
C. Use of supplemental oxygen at night
D. Rice-thickened formula during night-time feedings

203. . AB- INFUSED BLOOD FOR WHICH PATIENT BLOOD GROUP RECEIVED
1. A- , B- , AB- , O-
2. .A , B- ,O , B
3. AB- , AB
204. which task the nurse can delegate to assistant nurse
A. Ambulation every six hours
B. Vital signs every two hours
C. change iv fluid bag
D. ICP measurement

205. patient for gastric bypass surgery which statement the patient show understanding the
procedure:
1. The stomach will small size
2. Easily to decrease weight with no exercise
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3. There is an opening on the stomach after procedure

206. central veins insertion in which position

1. Trendelenburg position
2. Supine
3. Lying side
207. in which position the nurse can measure the jugular vein pressure ?
1. 30
2. 45
3. 90
208. . which patient should be checked by physician first ?
1. Female para 1 has difficulty for breast feeding
2. Patient has appointment for electro cardio gram
3. Patient newly diagnosed hypertension for stress test
4. Patient complain from chest pain after went toiler – bowel movement
209. paTent for surgery and he is on Aspirin 81mg and unknown herbal which investigation need to be
checked ?
A. Blood sugar
B. CPK
C. Prothrombin time
210. patient after major abdominal surgery which equipment should be ready beside patient
A. Air way
B. Incentive spirometer
211. Eight hundred islanders who were exposed to an atomic bomb in the Pacific were studied for 20
years for the occurrence of thyroid cancer in the general population.

What type of study design is this?

A. Cohort
B. Case series
C. Case control
D. Cross sectional

212. A woman at her 39 weeks of gestaTons is admired for caesarean section. The day prior to
surgery, the assigned nurse is preparing her for surgery.
What is the best nursing action for the woman?
A. Description of operating room
B. Provision therapeutic touch
C. Participation in the selection of aesthetic

213. A nurse cares for a client receiving total nutrient admixture (TNA). Which actions does the nurse
perform while the client receives the infusion?
A. Contact the provider when bottle or bag is complete.
B. Monitor the client's glucose levels as prescribed.
C. Weigh the client once per week and record
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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

D. Replace the intravenous tubing each shift

214. A male client has active tuberculosis (TB). Which of the following symptoms will be exhibited?
A. Chest and lower back pain
B. Chills, fever, night sweats, and hemoptysis
C. Fever of more than 104°F (40°C) and nausea
D. Headache and photophobia

215. 71 years old male patient in ccu department,with left heart failure,he complain severe
dyspnea at night ,which of the following cause of dyspnea:-
A. pulmonary edema .
B. Accumulation of fluid in the lung.
C. Pulmonary embolism.
D. A+B.

216. Which of the following is performed by the nurse with an agitated psychiatric patient:-
A. Calm down and play music.
B. patient restrain.
C. leave the patient half an hour.
D. Give the patient a cigarette.

217. Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to
suspect organ rejection?
A. Sudden weight loss
B. Polyuria
C. Hypertension
D. Shock

218. Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma.

Nurse Ruby should monitor the client for the systemic side effect of:
A. Ascites
B. Nystagmus
C. Leukopenia
D. Polycythemia.

219. On a home visit, you notice some dust on a vent in your client's room and on the
windowsill. Which of the following methods would you teach the family to use for removing
dust?
A. Use a wet towel to remove the dust.
B. Use a feather duster to remove dust.
C. Vacuum machine.
D. Use dry towel

220. The nurse is aware that the most relevant knowledge about oxygen administration to a
male client with COPD is
A. Oxygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing.

35
 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

B. Hypoxia stimulates the central chemoreceptors in the medulla that makes the
client breath.
C. Oxygen is administered best using a non-rebreathing mask
D. Blood gases are monitored using a pulse oximeter.

221. Main cause of pulmonary hypertension?

A. left side heart failure.
B. Right side heart failure.
C. Both.

222. Mario has burn injury. After 48 hours, the physician orders for Mario 2 liters of IV fluid to
be administered q12 h. The drop factor of the tubing is 10 gtt/ml. The nurse should set the
flow to provide:
A. 18 gtt/min
B. 28 gtt/min
C. 32 gtt/min
D. 36 gtt/min

223. The nurse is caring for a client receiving chemotherapy for lung cancer. Laboratory
results show a platelet count of 18,000/mm³ and WBC of 5,000/mm³. Which of the following
measures should the nurse implement based on these results?
A. Respiratory isolation
B. Bleeding precautions
C. Reverse isolation
D. Contact isolation

224. During the administration of chemotherapy agents, Nurse Oliver observed that the IV site
is red and swollen when the IV is touched Stacy shouts in pain. The first nursing action to take
is
A. Notify the physician
B. Flush the IV line with saline solution
C. Immediately discontinue the infusion
D. Apply an ice pack to the site, followed by warm compress.

225. Stacy has beginning stomatitis. To promote oral hygiene and comfort, the nurse-in-charge
should:
A. Provide frequent mouthwash with normal saline.
B. Apply viscous Lidocaine to oral ulcers as needed.
C. Use lemon glycerine swabs every 2 hours.
D. Rinse mouth with Hydrogen Peróxido.

226. As part of a neurological assessment, which of the following is associated with the highest score
on the Glasgow Coma Scale?
A. Eye opening to pain, no verbalization
B. Confused, obey commands
C. Localizes pain, abnormal extension
D. Eye opening to speech, confused

36
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227. The nurse is caring for a client receiving chemotherapy for lung cancer. Laboratory results show a
platelet count of 18,000/mm³ and WBC of 5,000/mm³. Which of the following measures should the
nurse implement based on these results?
A. Respiratory isolation
B. Bleeding precautions
C. Reverse isolation
D. Contact isolation

228. The physician has ordered an injection of RhoGam for the postpartum client whose blood type is
A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be
administered:
A. Within 72 hours of delivery
B. Within 1 week of delivery
C. Within 2 weeks of delivery
D. Within 1 month of delivery

229. A 78 year-old man with a diagnosis of Alzhemer's disease had been wandering outside the home
and made an attempt to escape the compound of the long-term care facility where he lived . When
the male nurses approached him during such an escape , he become aggressive and combative . Once
back inside , he would not calm down and after several attempts reason with him , he is placed in
restraints on his bed . A nurse is assigned to provide one-to-one care in the immediate period
afterwards . What is the next most important step ?
A. Administer a PRN1 sedaTve
B. Monitor fluid and hydration status
C. Check policies restraint duration
D. Ensure correct placement of restraint

230. A 70year-old male patient is brought to the emergency department on awheelchair he complain
of drowsiness , faTgue ,lack od appeTte for the last 3days . with history taking , the paTent stated
that he did not eliminate since 5 days and he is not ambulaTng a lot because he has arthriTs in both
knee . why constipation is one of the common problem for immobilized Patients ?
A. Decreased peristalsis
B. Increased colon motility
C. An increased defecation reflex
D. Decreased tightening of the anal sphincter

231. A 30year-old gravida 2 , para 1 , at 38weeks GA present with a rigid and hypertonic , abdomen m
she she rates the pain at level 8 , on a scale of 1 -10 , and says that is constant ,she has vaginal
bleeding of dark red blood clots , she reports that pain came on suddenly her pervious significant
medical history includes an emergency caesarean section with the first child .
Bp 106/60 mmHge
HR 90/min
RR 22/min
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 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

Tem 37.0 C
What the most likely health problem
A. Vasa previa
B. Placenta previa
C. Placental abruption
D. Rupture of membranes

38
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232. chest compression location

233.

manubrium

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VERY IMPORTANT NOTES

Autonomy is the right to make your own decisions. The client is able to make decisions regarding care after
being informed of all available options. It includes the client's ability to make decisions in advance regarding
end of life decisions and completing appropriate forms in consultation with the health care provider
.
Justice refers to the appropriate and fair distribution of resources. When clients observe policies in place that
they feel conflict with information that has been provided to them, they feel they are being treated unjustly.

Beneficence refers to actions that promote the well-being of others. The nurse who is exemplifying
beneficence takes positive actions to help clients.

Fidelity refers to the agreement to keep promises. The nurse is obligated to be an advocate for her client and
makes promises to do so.

Patient came to ER. Confused, agitated. Neck vein distension Emergency (Life Treating)

Comparison between Wight's baby for mother has high education 'and mother with low education.
(Correlation)

People who live in high ‘areaothers live in low area

(Correlation)

Expulsion plastic factory the study will be 'bout 'effected with the employers.
(Case Control)

Cardiac disses between 1992 'and 1996

(Cohort Study)

Comparison between smoker 'and non-smoker

Case control study

Bluetooth 'and Cancer

(Cross Sectionals)

The relationship between brain death 'and headphone

(Cross sectionals

Community 'assess random sample of resident by telephone questioner, obesity is strongly 'associated with
diagnoses diabetic
(Cross Sectionals

When the nurse missing medication then she calls the pharmacist to tall hem about that it's called Ethical
Patient asks nurse to not tell anyone about her disease except her husband that’s called Confidential
A Vaginal discharge green with foul odor, painful during urination its Trichomonas
Parents have sickle disease 100% the children will have. 100%

A patient on a medical floor is diagnosed with pneumonias. Which of the following nursing diagnoses takes
priority?

40
 ‫اﺟﻌﻞ ﻣﻦ ﻳﺮاك ﺪﻋﻮ ﻟﻤﻦ ر ﺎك‬

A- Ineffective airway clearance related to presence of tracheobronchial secretions

Nurse goes to do education that’s called Primary Education

Epidemic source in poor country Water contaminated

When we c
ouldn't find the family of the patient during our visiting home we should Arrange Another Visit.

When the nurse missing medication then she calls the pharmacist to tall hem about that it's called Ethical

Patient asks nurse to not tell anyone about her disease except her husband that’s called Confidential

ِ ‫اﻹ ْﺣﺴ‬
ِْ ‫ﺎن إِﱠﻻ‬
‫اﻹ ْﺣ َﺴﺎ ُن‬ َ ِْ ُ‫َﻫ ْﻞ َﺟ َﺰاء‬

41