‫الدورة التحضيرية للخريجين الجدد الجتياز االمتحانات العامة للتمريض‬

‫االختبار االول لقياس قدرتك على استخدام استراتيجات حل االسئلة‬

‫ ساعة واحدة‬: ‫مدة االمتحان‬ ‫ سؤال‬50 :‫عدد االسئلة‬

‫ مصدر هذه االسئلة من مواقع تمريض عالمية و أي تشابه بينها و بين اسئلة أي‬:1 ‫مالحظة هامة‬
‫امتحان اخر داخل االردن او خارجها هو بسبب اخذها من نفس المصدر‬
‫ االسئلة هي فقط لتدريبك‬, ‫ ال تعتمد على االسئلة فقط في التحضير الي امتحان‬:2 ‫مالحظة هامة‬
. ‫على النمط و طريقة تعاملك مع االمتحان و تقسيم وقت االمتحان بين االسئلة‬

1- A nurse is formulating a plan of care for a client receiving enteral feedings. The nurse identifies
which nursing diagnosis as the highest priority for this client?

a) diarrhea
b) aspiration
c) risk for deficient fluid volume
d) imbalanced nutrition, less than body requirements

2- A client arrives at the emergency department with upper gastrointestinal (GI) bleeding and is in
moderate distress. The priority nursing action is to:

a) obtain vital signs

b) ask the client about the precipitating events
c) complete an abdominal physical assessment
d) insert a nasogastric (NG) tube

3- A group of health nurse is caring for a group of homeless people. When planning for the
potential needs of this group, what is the most immediate concern?

a) peer support through structured groups

b) finding affordable housing for the group
c) setting up a 24-hour crisis center and hotline
d) meeting the basic needs to ensure that adequate food, shelter, and clothing are available

4- A community health nurse is working with older residents who were involved in a recent flood.
Many of the residents are emotionally despondent, and they refused to leave their homes for
days. When planning forth rescue and relocation of these older residents, what is the first item
that the nurse needs to consider?

a) contacting the older resident's families

b) attending to the emotional needs of the older residents
c) arranging for ambulance transportation for the oldest residents
d) attending to the nutritional status and basic needs of the older residents
5- A client is scheduled for an arteriogram using a radiopaque dye. The nurse assesses which
most critical item before the procedure?

a) vital signs
b) intake and output
c) height and weight
d) allergy to iodine or shellfish

6- A client in a long-term care facility has had a series of gastrointestinal (GI) diagnostic tests,
including an upper GI series and endoscopies. Upon return to the long-term care facility, the
priority nursing assessment should focus on:

a) the comfort level

b) activity tolerance
c) the level of consciousness
d) the hydration and nutrition status

7- A nurse is assessing a 39 year old Caucasian female client. The client has a blood pressure
(BP) of 152/92 mm Hg at rest, a total cholesterol of level of 190 mg/dL, and a fasting blood
glucose level of 110 mg/dL. The nurse would place priority on which risk factor for coronary
heart disease (CHD) in this client?

a) age
b) hypertension
c) hyperlipidemia
d) glucose intolerance

8- A labor room nurse is caring for a client in labor with a known history of sickle cell anemia.
Which priority action would the nurse implement to assist in preventing a sickle cell crisis from
occurring during labor?

a) continually reassure and coach the client

b) administer the prescribed oxygen throughout labor
c) maintain strict asepsis throughout the labor process
d) increase the intravenous (IV) fluids if the client complains of feeling thirsty

9- A nurse is caring for a client with preeclampsia who suddenly progresses to an eclamptic state.
The initial nursing action would be to:

a) check the fetal heart rate

b) check the maternal blood pressure
 c) maintain an open airway
d) administer oxygen to the mother by face mask

10- A nurse is caring for a client who has wrist restraints applied. Which nursing intervention would
receive highest priority regarding the wrist restraints?

a) providing range-of-motion exercises to the wrists

b) removing the restraints periodically per agency guidelines
c) applying lotion to the skin under the restraints
d) assessing color, sensation, and pulses distal to the restrain

11- A primigravida is admitted to the labor unit. During the assessment of the client, her
membranes rupture spontaneously. The priority nursing action is which of the following?

a) monitor the contraction pattern

b) assess the fetal heart rate
c) note the amount, color, and odor of the amniotic fluid
d) maintain strict asepsis throughout the labor process

12- A nurse is assigned to provide care to a client in labor and will care for the client throughout
labor and into the postpartum period. The nurse assists in developing a plan of care and
determines that the priority assessment in the fourth stage of labor is which of the following?

a) assessing the uterine fundus and lochia

b) checking the mother's temperature
c) encouraging food and fluid intake
d) providing privacy for the parents and their newborn infant

13- A nurse has just administered a dose of hydralazine hydrochloride (Apresoline) intravenously
to a client. Based on the action of this medication, the nurse would initially assess the client's:

a) cardiac rhythm
b) oxygen saturation
c) blood pressure
d) respiratory rate

14- A client is 3 hours postoperative following a right upper lobectomy. The collection chamber of
the closed pleural drainage system contains 400 ml of bloody drainage. The client's vital signs
are blood pressure 100/50 mmHg, heart rate of 100 beats per minute, and respiratory rate 26
breaths per minute. There is intermittent bubbling in the water seal chamber. One hour
following the initial assessment, the nurse notes that the bubbling in the water seal chamber is
now constant and the client appears dyspneic. The nurse should first check:

a) lung sounds
b) vital signs
c) the chest tube connections
d) the amount of drainage
15- A client with mania will be placed in seclusion after overturning two tables and throwing a chair
against the wall. Before placing the client in seclusion, the nurse would first:

a) inspect the client for injuries resulting from the incident and initiate appropriate treatment
b) document the behavior leading to seclusion
c) document the time and the client is placed in seclusion
d) make sure that there is a written order by the physician allowing for the seclusion

16- A nurse in a postanesthesia care unit (PACU) receives a client transferred from the operating
room. The PACU nurse assesses the client for which of the following first?

a) active bowel sounds

b) adequate urine output
c) orientation to the surroundings
d) a patent airway

17- A nurse responds to an external disaster that occurred in a large city when a building
collapsed. Numerous victims require treatment. Which victim will the nurse attend to first?

a) an alert victim who has numerous bruises on the arms and legs
b) a victim with a partial amputation of a leg who is bleeding profusely
c) a hysterical victim who received a head injury
d) a victim who sustained multiple serious injuries and is Dead

18- The health care provider has written all of these orders for a client with a diagnosis of Excess
Fluid Volume. The client's morning assessment reveals bounding peripheral pulses, weight gain
of 2 lb, pitting ankle edema, and moist crackles bilaterally. The orders were Weigh the client
every morning. , Maintain accurate intake and output records., Restrict fluids to 1500 mL/ day.
And Administer furosemide (Lasix) 40 mg IV push. Which order takes priority at this time?

1. Weigh the client every morning.

2. Maintain accurate intake and output records.
3. Restrict fluids to 1500 mL/ day.
4. Administer furosemide (Lasix) 40 mg IV push.

19- . You have been floated to the telemetry unit for the day. The monitor watcher informs you that
the client has developed flat T wavess. Which laboratory value should you check
immediately?
1. Sodium
2. Potassium
3. Magnesium
4. Calcium
20- 1. A client who has recently traveled to China comes to the emergency department (ED) with
increasing shortness of breath and is strongly suspected of having severe acute respiratory
syndrome (SARS). Which of these prescribed actions will you take first?
1. Infuse normal saline at 75 mL/ hr.
2. Obtain blood, urine, and sputum for cultures.
3. Place the client on airborne and contact isolation precautions.
4. Give methylprednisolone (Solu-Medrol) 1 g IV.

21- You are caring for a newly admitted client with increasing dyspnea, hypoxia, and dehydration
who has possible avian influenza (" bird flu"). Which of these prescribed actions will you
implement first?
1. Start oxygen using a nonrebreather mask.
2. Infuse 5% dextrose in water at 100 mL/ hr.
3. Administer first dose of oseltamivir (Tamiflu).
4. Obtain blood and sputum specimens for testing

22- . You are preparing to leave the room after performing oral suctioning on a client who is on
contact and airborne precautions. In which order will you Doff first ?
1. Remove N95 respirator.
2. Take off goggles.
3. Remove gloves.
4. Take off gown.
5. Perform hand hygiene.

23- You are evaluating and assessing a patient with a diagnosis of chronic emphysema. The
patient is receiving oxygen at a flow rate of 5 L/ min by nasal cannula. Which finding concerns
you immediately?
1. Fine bibasilar crackles
2. Respiratory rate of 8 breaths/ min
3. The patient sitting up and leaning over the nightstand
4. A large barrel chest

24- You are working in the emergency department (ED) when a client arrives reporting substernal
and left arm discomfort that has been going on for about 3 hours. Which laboratory test will be
most useful in determining whether you should anticipate implementing the acute myocardial
infarction [MI] standard protocol?
1. Creatine kinase MB level
2. Troponin I level
3. Potassium level
4. C-reactive protein level

25- You are monitoring a 53-year-old client who is undergoing a treadmill stress test. Which client
finding will require the most immediate action?
1. Blood pressure of 152/ 88 mm Hg
2. Heart rate of 134 beats/ min
3. Oxygen saturation of 91%
4. Chest pain level of 3 (on a scale of 10)
26- A 32-year-old patient with sickle cell anemia is admitted to the hospital during a sickle cell crisis.
Which action prescribed by the health care provider will you implement first?
1. Give morphine sulfate 4 to 8 mg IV every hour as needed.
2. Administer 100% oxygen using a nonrebreather mask.
2. Start a 14-gauge IV line and infuse normal saline at 200 mL/ hr.
4. Give pneumococcal (Pneumovax) and Haemophilus influenzae (ActHIB) vaccines.

27- What is the priority nursing diagnosis for a client experiencing a migraine headache?
1. Acute Pain related to biologic and chemical factors
2. Anxiety related to change in or threat to health status
3. Hopelessness related to deteriorating physiologic condition
4. Risk for Injury related to side effects of medical therapy

28- You would be most concerned about an order for a total parenteral nutrition (TPN) fat
emulsion for a client with which condition?
1. Gastrointestinal (GI) obstruction
2. Severe anorexia nervosa
3. Chronic diarrhea and vomiting
4. Fractured femur

29- You are preparing to review a teaching plan for a patient with type 2 diabetes mellitus. To
determine the patient's level of compliance with his prescribed diabetic regimen, which value
would you be sure to review?
1. Fasting glucose level
2. Oral glucose tolerance test results
3. Glycosylated hemoglobin (HgbA1c) level
4. Fingerstick glucose findings for 24 hours

30- As the shift begins, you are assigned to care for the following patients. Which patient should
you assess first? 1. 38-year-old with Graves disease and a heart rate of 94 beats/ min
2. 63-year-old with type 2 diabetes and fingerstick glucose level of 137 mg/ dL
3. 58-year-old with hypothyroidism and a heart rate of 40 beats/ min
4. 49-year-old with Cushing disease and dependent edema rated as 1 +

31- You have just received a change-of-shift report for the burn unit. Which client should you
assess first?
1. Client with deep partial-thickness burns on both legs who reports severe and continuous leg
pain
2. Client who has just arrived from the emergency department with facial burns sustained in a
house fire
3. Client who has just been transferred from the postanesthesia care unit after having skin
grafts applied to the anterior chest
4. Client admitted 3 weeks ago with full-thickness leg and buttock burns who has been waiting
for 3 hours to receive discharge teaching
32- While performing a breast examination on a 22-year-old client, you obtain the following data.
Which finding is of most concern?
1. Both breasts have many nodules in the upper outer quadrants.
2. The client reports bilateral breast tenderness with palpation.
3. The breast on the right side is slightly larger than the left breast.
4. An irregularly shaped, nontender lump is palpable in the left breast.

33- You are working in the triage area of an ED, and the following four clients approach the triage
desk at the same time. you will assess first .

1. Ambulatory, dazed 25-year-old man with a bandaged head wound

2. Irritable infant with a fever, petechiae, and nuchal rigidity
3. 35-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
4. 50-year-old woman with moderate abdominal pain and occasional vomiting

34- The nurse is assessing a client 22 hours after a cesarean birth. Which assessment finding
would require immediate action by the nurse?

A - A gush of blood from the vagina when the client stands up

B - Heart rate of 132 beats/min and blood pressure of 84/60 mmHg
C - Oral temperature of 100.2° F (37.9º C)
D - Reports of abdominal pain and cramping

35- The nurse has just admitted a client to the emergency department for evaluation of a possible
myocardial infarction (MI). Which diagnostic intervention, by the nurse, would be priority?

A - Echocardiogram
B - Cardiac catheterization
C - Cardiac enzymes
D - Electrocardiogram (ECG)

36- A hospitalized client, with a productive cough, chills, and night sweats is suspected of having
active tuberculosis (TB). What is the nurse's most important intervention?

A - Maintain the client on respiratory isolation

B - Prepare the client to be discharged on bed rest
C - Administer the tuberculin test ordered by the health care provider
D - Administer the isoniazid ordered by the health care provider immediately before discharge

37- A seven-year-old child who ingested several leaves of a poisonous plant has arrived in the
emergency department. What is the priority nursing intervention?

A - Provide emotional support to the child

B - Begin teaching accident prevention
C - Be prepared for immediate intervention
D - Provide emotional support to the parents
38- What is the nurse's priority action when a neighbor frantically rushes over and states, "My child
has just been bitten by a dog!"

A - Immediately administer antibiotics

B - Nothing; bites from dogs have a low incidence of infection
C - Clean and irrigate the wounds
D - Administer a rabies vaccine

39- While performing the morning postpartum assessment, the nurse notices that a client's perineal
pad is completely saturated with lochia rubra. What is the nurse's best action?

A - Call the health care provider immediately

B - Have the charge nurse review the assessment
C - Ask the client when she last changed her perineal pad
D - Vigorously massage the fundus

40- A nurse is assessing the fundus of a client who is 12 hours postpartum, and finds that the
fundus is boggy. Which action should the nurse take first?

A - Administer blood replacement products

B - Prepare the client for surgery
C - Administer methylergonovine, as ordered
D - Massage the fundus

41- The nurse is caring for a client in the post anesthesia care unit (PACU) following an
adrenalectomy. What is the nurse's priority action?

A – administer potassium
B - Administering opioids
C - Administering dextrose in water
D - Assessing blood pressure

42- A client has received an infusion of antibiotics and is now experiencing an anaphylactic
reaction. What is the most important intervention by the nurse?

A - Administer epinephrine
B - Maintain a patent airway
C - Monitor vital signs
D - Administer a bolus of normal saline solution

43- The nurse is caring for a client with terminal lung cancer. What is the priority nursing
intervention for this client?

A - Provide pain control.

B - Provide nutritional support.
C - Prepare the client's will.
D - Provide emotional support.
44- The nurse is caring for a client with type 1 diabetes mellitus. At 3:00 AM, the nurse finds the
client disoriented to time and place, diaphoretic, and complaining of palpitations. What is the
nurse's priority intervention?

A - Call the healthcare provider for additional insulin order

B - Give 10 to15 g of carbohydrate orally
C - Check blood glucose level
D - Administer 1 mg of glucagon subcutaneously

45- A nurse is caring for a client with sickle cell disease (SCD). Which action is most effective in
reducing the potential for sepsis in this client?
A. Administering prophylactic drug therapy
B. Frequent and thorough handwashing
C. Monitoring laboratory values to look for abnormalities
D. Taking vital signs every 4 hours-day and night

46- The nurse is assigned to care for four clients. In planning client rounds, which client should the
nurse assess first?
a. A client scheduled for a chest x-ray
b. A client requiring daily dressing changes
c. A postoperative client preparing for discharge
d. A client receiving nasal oxygen who had difficulty breathing during the previous shift.

47- The nurse employed in an emergency department is assigned to triage clients coming to the
emergency department for treatment on the evening shift. The nurse should assign priority to
which client?
a. A client complaining of muscle aches, a headache, and malaise
b. A client who twisted her ankle when she fell while rollerblading
c. A client with a minor laceration on the index finger sustained while cutting an eggplant
d. A client with chest pain who states that he just are pizza that was made with a very spicy
sauce.

48- A nurse has received the assignment for the day shift. After making initial rounds and checking
all of the assigned clients, which client should the nurse plan to care for first?
a. A client who is ambulatory
b. A client scheduled for physical therapy at 1 pm
c. A client with a fever who is diaphoretic and restless
d. A postoperative client who has just received pain medication

49- The nurse receives a report on 4 clients. Which client should the nurse assess first?
1. A 29-year-old heroin user admitted for arm cellulitis 24 hours ago has abdominal cramps and
is restless
2.A 34-year-old admitted with femur fracture 24 hours ago is confused and has SpO2 of 91%
3. A 65-year-old admitted with serum sodium of 125 mEq/L (125 mmol/L) 8 hours ago is
confused
4. A 78-year-old admitted for urinary tract infection 6 hours ago is disoriented to time and place
50- The nurse is managing assigned clients on the evening shift. Which client presentation is a
priority?
1. Blunt head trauma with projectile vomiting
2. History of Alzheimer disease with agitation
3. History of carpal tunnel syndrome with hand numbness
4. History of third cranial nerve pathology with double vision