‫نقابة التمريض الفلسطينية‬

Palestine Nursing Association

1. The nurse should anticipate that a client brought to the emergency
room with methadone intoxication will be given which of the
following medications.
A. Proventil (albuterol)
B. Valium (diazepam)
C. Demerol (meperidine)
D. Narcan (naloxone)

5.The nurse is about to remove sutures on an Arabic male recovering

from a colon resection.The client’s son, daughter and wife are with
him. The nurse should realize that in the client’s culture
A. family members participate in the client’s care
B. only a male family member may remain in the room during treatment
procedures
C. a male nurse is the only acceptable care provider
D. all family members have to approve any procedures
1. A 2-day postoperative client suddenly becomes diaphoretic, dusky
and short of breath. The nurse’s immediate response should be to
A. transfer the client to the cardiac intensive care unit
B. begin cardiopulmonary resuscitation
C. administer oxygen.
D. lower the head of the bed
2. A client who has a fractured hip is admitted to the hospital. The
client’s hygiene is poor and her clothing is soiled. The nursing
assistant says, “Isn’t this disgusting? I can’t believe anyone would
take such poor care of herself.” The nurse’s most appropriate
response would be:
A. “Let’s get her cleaned up.”
B. “You sound upset.”
C. “I totally agree. This is awful.”
D. “Not everyone is as fortunate as we are.”.
4. During an initial home visit post-hospitalization, the nurse note
that the client has a history of recent stroke with residual left sided
hemiparesis, slight aphasia, diminished gag reflex and emotional
liability. The client outcome of highest priority is ability to.
A. communicate effectively
B. perform activities of daily living (ADLs) with assistance
C. ambulate with assistance
D. swallow liquids and solids without aspiration.
11. The nurse is assigned to a client with a diagnosis of terminal
cancer and an order for comfort measures only. Which of the
following nursing interventions would have the highest priority for
this client?
A. Performing a body systems assessment
B. Measuring oxygen saturation level
C. Assessing pain status
D. Repositioning for comfort
13. The home health nurse assists a client with acquired immune
deficiency syndrome (AIDS) to assess for pseudo membranous
candidiasis by observing for:
A. white plaques on oral surfaces.
B. cracking and erythema of the nares
C. red, painful lesions in the outer ear canal
D. conjunctivitis of either or both eyes
14. To facilitate swallowing by a dysphagic client, the nurse should
use which of the following techniques at mealtime?
A. Have the client eat in a brightly lit, stimulating dining room
B. Offer the client only room temperature foods
C. Encourage the client to alternate thickened liquids and solids in small
amounts.
D. Encourage the client to hyperextend his neck when swallowing
1. A client is admitted to the emergency department following an
automobile accident. The client has four fractured ribs and a right
sided pneumothorax. Which of the following respiratory assessment
findings would the nurse expect to find?
A. Crackles on the right chest and a respiratory rate of 3 breaths/minute
B. Diminished breath sounds on the right and pain on inspiration.
C. Bilateral rhonchi and pink frothy sputum
D. Dry cough and wheezing on the right side of the chest
11. The clinic nurse should monitor which of the following tests to
evaluate the over-all therapeutic compliance of a diabetic client with
a normal serum hemoglobin?
A. Fasting serum glucose
B. Glycosylated hemoglobin.
C. Urine glucose and ketone levels
D. Routine serum chemistry profile
13. Which of the following physical assessment findings should
indicate to the nurse that a client who received a renal transplant one
month ago is experiencing acute organ rejection?
A. Distended abdomen
B. Pink, sensitive incisional line
C. Lower extremity edema.
D. Tenderness in lower abdomen.
14. Which of the following breathing patterns would indicate to the
nurse that a client with chronic asthma has improved respiratory
status?
A. A rate of exhalation twice that of inhalation.
B. A rate of inhalation twice that of exhalation
C. Slow, shallow inhalation
D. Slow, shallow exhalation
20. When administering methylprednisolone (Solu-Medrol) to a
client with IDDM (insulin dependent diabetes mellitus) the nurse
would expect the client’s insulin requirement to
A. increase.
B. decrease
C. remain stable
D. fluctuate widely
22. Which of the following statements would be most appropriate for
the nurse to make when teaching a client with human papilloma
virus (HPV)?
A. “You may need to be treated again.”
B. “You may resume your normal level of activity.”
C. “You should have a pap smear.”
D. “You need to continue your medication until symptoms subside.”.
23. The nurse is teaching a hypertensive client about management of
the disease. Which of these client statements indicates the greatest
need for further instruction?
A. “I can continue swimming 3 times a week.”
B. “I drink alcohol only on weekends.”.
C. “I will visit an eye doctor yearly.”
D. “Relaxation for me is going to the movies.”
24. The most appropriate action for the nurse from geriatric care
unit to take when asked to report for a shift in the surgical intensive
care unit would be to
A. refuse the assignment immediately
B. notify the state board of nurse examiners
C. accept responsibility only for tasks for which the nurse is qualified.
D. say nothing and comply with the request
2. The nurse should instruct a client preparing for eye surgery that
which of these activities will be restricted post-operatively?
A. Bending with the knees flexed.
B. Bending from the waist
C. Keeping the head in a neutral position
D. Lying flat
30. Four clients are admitted to the hospital following a car accident.
Which of the following clients should the nurse assess first?
A. A 22 year old complaining of a headache
B. An 13 year old with a compound fracture of the right arm
C. A 2 year old with blood on both pant legs.
D. A 20 year old with epistaxis
3. Which of these discharge instructions should the nurse give to a
client taking atorvastatin (Lipitor)?
A. “Wear sunglasses and use sunscreen when you are outdoors
B. “You must take the medication with a meal
C. “You may experience some minor muscle cramps.
D. “Taking fat-soluble vitamins will promote absorption of the drug
32. Which of the following interventions should be added to the
nursing care plan for a client who has difficulty swallowing after a
stroke?
A. Avoid salty foods
B. Thicken liquids before feeding.
C. Elevate head of bed 310 degrees
D. Place food in center of mouth
33. A nurse making a home visit to a client with a central line
discovers a possible occlusion. Which of the following actions would
the nurse implement initially before notifying the physician?
A. Infuse a thrombolytic agent
B. Change the client’s position.
C. Have an X-ray taken
D. Flush the line with sterile water
41. Which of these laboratory findings would indicate that
simvastatin (Zocor) is having the desired effect?
A. Lowered high density lipoproteins (HDL)
B. Decreased triglycerides.
C. Elevated alanine aminotransferase (ALT)
D. Increased aspartate aminotransferase (AST)
42. The nurse suspects a client has been smoking crack cocaine when
she observes which of the following assessment findings?
A. Euphoria and dilation of the pupil.
B. Red eyes and increased appetite
C. Drowsiness and constricted pupils
D. Depressed appetite and hallucinations
44. During the nursing history, a client states, “I have anemia”. The
nursing care plan should include measures to:
A. promote hydration
B. prevent infection
C. alleviate fatigue.
D. protect skin integrity
4. Which of the following nursing actions should be included in the
care plan for a client with acute hypercalcemia?
A. Monitor vital signs every hour
B. Administer pain medication every 4 hours
C. Encourage fluid intake to >2000ml/day.
D. Assess for numbness and tingling of extremities
41. The physician orders interferon alfa-2b for a client with hepatitis
C. The nurse should assess the client for which of these side effects of
the medication?
A. Constipation.
B. Bradycardia
C. Insomnia
D. Fatigue
42. Which of the following would be a nursing priority for discharge
planning of the aging client?
A. Educating the client and family to remove throw rugs from the client’s
apartment
B. Speaking loudly to be certain that the client can hear you
C. Encouraging the client to switch to a soft diet with fruit
D. Recommending a low cholesterol diet to decrease risk of heart disease.
43. The best position for the client who is admitted with risk of
increased intracranial pressure from a concussion would be:
A. Trendelenburg
B. Semi-fowler's.
C. Sim’s lateral
D. Supine
44. A client sustains a life-threatening head injury in a motor vehicle
accident and is admitted to the hospital. The client’s wife approaches
the nurse and asks, “Is he going to die?” The nurses best response
would be:
A. We won’t let that happen. I know how much he means to you.”
B. I will get the physician to talk to you as soon as possible.”.
C. He is very ill, and we’re doing the best we can for him
D. His condition is very serious and I will arrange for you to see him
0. Which of the following post-procedure instructions should be
included in the teaching plan for a client undergoing an arteriogram
of the lower extremities?
A. Nothing by mouth for at least 2 hours after the procedure
B. Increased fluid intake for the first 4 hours after the procedure.
C. Conduct full range of motion exercises of the affected limb
D. Remove pressure dressing after 1 hour
1. Which of the following is not associated with Wilson's disease?
A. Asterixis
B. Basal ganglia
C. Cirrhois
D. Pancreatitis.
A rare, autosomal recessive disorder caused by abnormal copper
accumulation in the body particularly involving the brain, liver, and
cornea
2. Which of the following is not associated with Reye's syndrome?
A. Coma
B. Hyperglycemia.
C. Influenza B
D. Fatty liver tissue

3. Emphysema is not linked to which of the following terms?

A. Blue Bloater.
B. Dyspnea
C. Liver cirrhosis
D. Tachycardia
4. Guillian-Barre' is not linked to which of the following statements?
A. Infections often present
B. Greater initial upper extremity deficits.
C. Increased CSF protein levels
D. Hypertension
Hypertension is likely due to autonomic instability and present in about
20% of GBS patients
5. Pancoast's tumor is not linked to which of the following statements?
A. Horner's syndrome
B. Anhidrosis
C. Cervical plexus involvement
D. Arthritis.
Pancoast tumours are cancers that start in the top part of the lung (the
apex)

6. Wermer's syndrome is considered a?

A. MEN type I.
B. MEN type II
C. MEN type III
D. MEN type IV
MEN1 (Wermer syndrome) affects the pituitary, parathyroid, and
pancreatic area.
7. Which of the following is not a cause of acute pancreatitis?
A. Hyperlipidemia
B. Ethanol
C. Steroids
D. Hypotension.
8. Which of the following is not directly related with Alzheimer's
disease?
A. Senile plaques
B. Diabetes mellitus.
C. Tangles
D. Dementia
-Senile plaques) are extracellular deposits of the amyloid beta (Aβ)
protein mainly in the grey matter of the brain
-Tangles: abnormal accumulations of a protein called tau that collect
inside neurons
9. Which of the following is not directly related with Horner's syndrome?
A. Miosis
B. Malaise.
C. Ptosis
D. Anhidrosis
10. Which of the following is not directly related with Goodpasture's
syndrome?
A. Hematuria
B. Anemia MEN
C..Adrenal atrophy
D. Hemoptysis
11. Which of the following is not directly related with Hasimoto's
thyroiditis?
A. Hypothyroidism
B. Slow onset
C. Neuropathy.
D. Autoimmune disease
Hashimoto's disease happens when your immune system attacks your
thyroid gland. Hypothyroidism occurs when your thyroid is underactive
12. Which of the following is not a causative agent with syndrome of
inappropriate antidiuretic hormone secretion?
A. Pulmonary disorders
B. TBI
C. Drug induced
D. HIV.
13. Which of the following is not a type of embolus?
A. Air
B. Bacteria
C. Tumor
D. Viral.
14. Which of the following is not directly related with Buerger's disease?
A. Claudication
B. Thromboangitis obliterans
C. Night sweats.
D. Poor tolerance of cold
Buerger's disease (also known as thromboangiitis obliterans) affects
blood vessels in the body, most commonly in the arms and legs
15. Which of the following is not directly related with Kawasaki disease?
A. Lymphadenitis
B. Fever
C. Arthritis.
D. Conjunctiva
16. Which of the following is not directly related with Pericarditis?
A. Conjunctiva.
B. SLE
C. Uremia
D. Rheumatic fever
Uremic pericarditis typically occurs in patients with end-stage renal
disease
17. Which of the following is not directly related with
pheochromocytoma?
A. Pallor
B. Perspiration
C. Decreased blood pressure.
D. Headaches
A pheochromocytoma is a rare, usually noncancerous (benign) tumor that
develops in an adrenal gland.
18. Which of the following is not directly related with Sarcoidosis?
A. Interstitial fibrosis
B. Elevated levels of ACE
C. RA
D. Obstructive lung disease.
19. Which of the following is not a risk factor for hypertension?
A. Genetics
B. Obesity
C. Youth
D. Smoking
20. Which of the following is not a characteristic of MS?
A. Nystagmus
B. Elevated IgE levels.
C. Optic neuritis
D. Tremors
Nystagmus is a vision condition in which the eyes make repetitive, uncontrolled movements