Critical question:

Concept of Emergency Nursing and Critical Care Nursing:

1. Requires a unique blend of generalized and specialized assessment, intervention

and management skill:
A. Medical ward
B. Surgical ward
C. Emergency nursing
D. Operating theater

2-The principle of perform deeds of mercy, kindness, friendship, charity, and the like to
benefit others is ?

Beneficence

3-Which of is the following moral situations in which a clear conflict exists ?

Moral dilemma

Legal and ethical issues and professional role related to emergency

care and critical care:

1. Role or Scope of emergency nurse or a person who publicly supports or

recommends a particular cause or policy:
A. Care provider
B. Educator
C. Manager
D. Advocate
2. A formal obligation to disclose, what you have done, why you did it and what the
results of your action were:
A. Accountability
B. Competence
C. Professional Issues
D. Informed Consent
3. General ethical concepts in emergency care where one should do no harm:
A. Autonomy
B. Nonmaleficence
C. Beneficence
 D. Veracity
4. The principle of treating all persons equally and fairly, refers to fairness in the
allocation of resources in regard to health care delivery :
A. Rationing
B. Paternalism
C. Justice
D. Fidelity
5. Facilities that provides a spectrum of care for all injured patients:
A. Definitive care
B. Secondary survey
C. Triage
D. Primary survey

6-What the Objectives of Secondary survey ?

Formulate a management plan for the patient

7-A formal obligation to disclose, what you have done, why you did it and what the results of
your action were is, known as ?

Accountability

Strategies and basic principles of delivering emergency care and

critical care:
1. Is the process of deciding which patients should be treated first based on
how sick or seriously injured they are:
A. Triage
B. Definitive Care
C. Secondary survey
D. None of the above
2. If the client is unconscious, there is chance for the tongue to obstruct the airway.
If so, open the airway using:
A. Airway is open
B. Open mouth and inspect for blood, broken teeth, vomitus or other foreign
materials in the airway.
C. Head- tilt-chin-lift maneuver’ or jaw thrust maneuver”
D. None of the above
3. Categories of Triage for emergency or very urgent:
 A. Category 1
B. Category 2
C. Category 3
D. Category 4
4. Triage color code to see immediately:
A. Red
B. Amber
C. Yellow
D. Green
5. A 15-year-old male client was sent to the emergency unit following a small
laceration on the forehead. The client says that he can’t move his legs. Upon
assessment, respiratory rate of 20 and strong pulses Which triage category would this
client be assigned to?
A. amber
B. Yellow
C. Green.
D. Red.

6-Which of the following is the process of deciding which patient should be treated first
based on how sick or seriously injured they are ?

Triage

Management and nursing care of patients with Neurologic System

Disorders:
1. John suddenly experiences a seizure, and Nurse Gina notice that
John exhibits uncontrollable jerking movements. Nurse Gina
documents that John experienced which type of seizure?
a) Tonic seizure
b) Absence seizure
c) Myoclonic seizure
d) Clonic seizure
2. Best diagnostic test to determine craniocerebral trauma:
A. Transcranial doppler
 B. Cervical spine x-ray
C. Glascow coma scale
D. CT scan
3. Drug used to reduce ICP(Intracranial pressure) and cerebral edema:
A. Sedatives
B. Analgesic
C. Mannitol
D. Anticonvulsant
4. Fracture or displacement of one or more vertebrae causing damage to spinal
cord and nerve roots resulting in neurological deficit and paralysis or both:
A. Spinal cord injury
B. Guillain Barre syndrome
C. Stroke
D. Transient Ischemic Attack
5. Normal intracranial pressure is the pressure exerted by the total volume
from the brain tissue, blood, and CSF , normal ICP:
A. 20- 30
B. 2-12
C. 5-15
D. 10 - 20
6. An uncontrolled electrical discharge of the CNS that interferes with normal
function:
A. Tonic
B. Clonic
C. Seizure
D. Epilepsy
7. Seizure classification muscle stiffness & rigidity :
A. Absent seizures
B. Myoclonic seizures
C. Clonic seizures
D. Tonic seizures
8. It is acute inflammatory demyelinating polyneuropathy leading to progressive
muscle weakness and areflexia:
A. Guillain Barre syndrome
 B. Spinal Cord Injury
C. Stroke
9. Is contra (avoided) in patients with increased ICP because the sudden release of
pressure can cause the brain to herniated:
A. CT scans
B. MRI scans
C. Lumbar puncture
D. Intracranial Pressure monitoring device
D. Transient Ischemic Attack
10. A client with a subdural hematoma becomes restless and confused, with dilation of the
ipsilateral pupil. The physician orders mannitol for which of the following reasons?
A. To reduce intraocular pressure
B. To prevent acute tubular necrosis
C. To promote osmotic diuresis to decrease ICP
D. To draw water into the vascular system to increase blood pressure
11. Which priority client problem should be included in the care plan for the client
diagnosed with Guillain-Barre syndrome?
A. High risk for injury.
B. Altered nutrition.
C. Ineffective breathing pattern
D. Fear and anxiety

12-traumatic brain injury, occurs after head trauma that result in a change in the client's
neurological function but no identified brain amage Known as....?

Brain concussion

13-A patient receiving emergency care following an automobile crash accident has a possible
spinal cord injury. What is the immediate care to be followed ?

Immobilize the patient with rigid collar

14-Mr. Ahmed was brought to the emergency room after a car crash. He had head injury and
on primary survey, he was found unconscious wit Glasgow coma scale of 8/15. What is the
immediate management for the patient?

Endotracheal tube insertion

15- The nurse knows that a client suffering from complete paralysis from lower part of the
body would have the condition of which of the following?

Paraplegia
Management and nursing care of patients with cardiovascular
disorders:
1. Shows shape, size of heart and evidence of pulmonary congestion associated with
heart failure :
A. Auscultation
B. Exercise stress test
C. Chest X-ray Film
D. Electrocardiography(ECG)

2. It is the graphic representation of the electrical activity of the

heart.
a) Electrocardiography(ECG)
b) Cardiac catheterization
c) Cardiovascular radioisotopes
d) Auscultation
3. Deposits of fatty substances with degeneration in small arteries
and arterioles lead to Loss of elasticity, walls thick and hard,
lumen narrows.
a) Coronary heart disease
b) Myocardial infraction
c) Atherosclerosis
d) Angina pectoris
4. If administered when myocardial infarction is detected, the
anti platelet properties of this drug may reduce the overall size
of the infarction.
a) Morphine
b) Nitroglycerin
c) Calcium ion
d) Aspirin
5. Any abnormality of rate, regularity or site of origin of cardiac
impulse or disturbance of conduction that alters the normal
sequence of activity of atria and ventricles.
a) Cardiomyopathy
b) Cardiac arrhythmias
c) Acute coronary syndrome
d) Coronary artery disease
6. Angina is caused by myocardial ischemia. Which cardiac
medication would be appropriate for acute angina?
a) Digoxin
b) Nitroglycerin
c) Atropine
d) Propanolol (Inderal
7. The right list of parameters of blood pressure for diagnosing
hypertension
a) Greater than 140/90
b) Less than 100/90
c) Greater than 90/60
d) Less than 120/80
8. Hassan who is hospitalized following a myocardial infarction
asks the nurse why he is taking morphine. The nurse explains
that morphine:
a) Increase oxygen level
b) Prevents shock and relieves pain
c) Dilates coronary blood vessels
d) Helps prevent fibrillation of the heart
 9. Dr. Ahmed orders a continuous intravenous nitroglycerin
infusion for the client suffering from myocardial infarction.
Which of the following is the most essential nursing action?
a) Monitoring urine output frequently
b) Monitoring blood pressure every 4 hours
c) Obtaining serum potassium levels daily
d) Obtaining infusion pump for the medication
10. A 64 year old male client with a long history of cardiovascular
problem including hypertension and angina is to be scheduled
for cardiac catheterization. During pre cardiac catheterization
teaching, Nurse Cherry should inform the client that the
primary purpose of the procedure is…..
a) To determine the existence of chronic heart disease
b) To visualize the disease process in the coronary arteries
c) To obtain the heart chambers pressure
d) To measure oxygen content of different heart chambers
11. Repetitive episodes of colour change at least 2 of pallor, cyanosis,
erythema in either cold or normal environment:
A. Buerger’s Disease
B. Disseminated intravascular coagulation
C. Thrombocytopenia
D. Raynaud’s phenomenom

12-Which of the following is visualization of blood flow in coronary artery?

Angiography.

13-What would the nurse identify as the priority goal in planning the care for patient with
myocardial infarction?

To relieve pain.

14-73-year-old man presents with several episodes of hematemesis. Examination shows

signs of orthostatic hypotension and melena. What is the first priority in caring for this
patient? Resuscitation with adequate IV access and
appropriate fluid and blood products.
 15-Patrick who is hospitalized following a myocardial infarction asks the nurse why he is
taking morphine. The nurse explains that morphine:

Prevents shock and relieves pain..

16-Which of the following conditions is most closely associated with weight gain, nausea,
and a decrease in urine output?

Right-sided heart failure.

17- vibration sensation of blood flow in coronary artery?

bruits

18- What is the diagnostic procedure used to determine the exact location of the myocardial
injury?

Cardiac catheterization.

Management and nursing care of patients with Respiratory

disorders:
1. Patient admitted to the health care facility for treatment of chronic obstructive
pulmonary disease. Which nursing diagnosis is most important for this patient?
A. Activity intolerance related to fatigue
B. Anxiety related to actual threat to health status
C. Risk for infection related to retained secretions
D. Impaired gas exchange related to airflow obstruction
1.
2. Nursing care for the client with pulmonary embolism drug
given for treatment of hypotension
a) Digoxin
b) Morphine
c) Dopamine
d) Heparin
3. High pitched and loud heard best over major air way (trachea) :
A. Bronchovesicular
B. Vesicular sound
 C. Bronchial sound
D. All of the above
4. In ability to breathe except in an upright position :
A. Central cyanosis
B. Orthopnea
C. Peripheral cyanosis
D. Hemoptysis
5. Grating sound made when inflamed pleural surfaces move during
respiration:
A. Rhonci
B. Wheezes
C. Friction rub
D. Crackles
6. High pitched inspiratory crowing sound louder in the neck than over the
chest wall, originating in the larynx or the trachea, obstruction from
edematous tissues or a foreign body:
A. Stridor
B. Crackles
C. Rhonci
D. Wheezes
7. Decreased levels of oxygen in arterial blood :
A. Hypoxia
B. Hypercapnia
C. Hypocapnia
D. Hypoxemia
8. It is a chronic inflammatory air way disorder that cause excessive
tracheobronchial mucus production and a productive cough most days of
week at least 3 months of the year for 2 consecutive years:
A. Chronic Obstructive Pulmonary Disease
B. Chronic Bronchitis
C. Pulmonary Emphysema
D. Asthma
9. May be used locally as inhalation to inhibit secretion from mucous
glands:
 A. Bronchodilators
B. Steroids
C. Atropine
D. Magnesium
10. Breath sound medium in pitch and loudness heard over middle chest over
mainstream bronchi :
A. Vesicular sound
B. Bronchial sound
C. Bronchovesicular sound
D. None of the above
11. Cough with sputum tinged with blood indicate:
A. Acute respiratory tract
B. T.B.(tuberculosis)
C. Bronchitis
D. Left side heart failure
12. It is heard with or without stethoscope , it is often founded in patient with
airway narrowing :
A. Central cyanosis
B. Peripheral cyanosis
C. Orthopnea
D. Wheezing
13. The term “blue bloater” refers to which of the following conditions?
A. Adult respiratory distress syndrome (ARDS)
B. Asthma
C. Chronic obstructive bronchitis
D. Emphysema

14-A male patient is admitted to the health care facility for treatment of chronic obstructive
pulmonary disease. Which nursing diagnosis is most important for this patient?

Impaired gas exchange related to airflow obstruction.

15-A male adult client is suspected of having a pulmonary embolus. A nurse assesses the
client, knowing that which of the following is a common clinical manifestation of pulmonary
embolism?

Dyspnea.

16-Which phrase is used to describe the volume of air inspired and expired with a normal
breath?
Tidal volume.

17-Which best describes the purpose of pursed-lip breathing in the client with COPD?

To balance the effects of carbon dioxide and oxygen in the bloodstream.

18-The term “blue bloater” refers to which of the following conditions?

Chronic obstructive bronchitis.

19-Which of the following is process of Production of Blood cells in the bone marrow is
called?

Hematopoiesis.

20-Which of the following is the main drug of choice for respiratory failure?

Bronchodilator.

21-Which among the following is the sites of blood forming tissues?

Bone Marrow

22-cough with sputum tinged with blood?

TB

23-A man with 10-year-history of asthma present with respiratory distress, labored
breathing, use of accessory muscles, and audible inspiratory and expiratory wheezes. Which
of the following would
indicate his condition is worsening?
Audible expiratory wheezes with lessening inspiratory wheezes
24-Mr. Ahmed is admitted to the health care facility for treatment of chronic obstructive
pulmonary disease.
Which nursing diagnosis is high priority for this patient?
Impaired gas exchange related to airflow obstruction

Management and nursing care of patients with Gastrointestinal

Disorders:
1. A patient is admitted to the ER with the following signs and symptoms: very
painful mid-epigastria pain felt in the back, elevated glucose, fever, and
vomiting. During the head-to-toe assessment, you notice bluish discoloration
around the umbilicus. As the nurse, you know this is called?
A. Grey-Turner's Sign
B. McBurney's Sign
C. Homan's Sign
D. Cullen's Sign
2. A 65-year-old man presents with several episodes of hematemesis.
Examination shows signs of orthostatic hypotension and melena. What is the
first priority in caring for this patient?
A. Nasogastric tube placement and gastric lavage.
B. Resuscitation with adequate IV access and appropriate fluid and blood
product fusion.
C. Intravenous infusion of H2-receptor antagonists to stop the bleeding.
D. Urgent surgical consultation.
3. Interruption of the blood supply to the mesentery can be
caused by Arterial embolism ,Thrombosis and Profound
vasospasm
a) Acute mesenteric ischemia
b) Hepatic encephalopathy
c) Acute fulminant hepatic failure
d) Pancreatitis
4. An umbrella term used to describe disorders that involve
chronic inflammation of your digestive tract :
A. Inflammatory bowel disease
B. Ischemia
C. Meckel’s diverticulum
D. Neoplasms
5. As in any critically ill patient, the management of acute GI bleeding starts
with:
A. Assessment of the airway, breathing, and circulation (ABCs)
B. Insert at least two large-bore (16-gauge) IV catheters
C. Infuse blood, plasma expanders, and/or normal saline to maintain a
mean arterial pressure ≥65 mmHg
D. All of the above
6. A nonsurgical procedure used to examine a person's digestive tract using
a flexible tube with a light and camera attached to it :
A. Sclerotherapy
B. Vasopressin Infusion
 C. Endoscopy
D. . Balloon Tamponade
7. Sphincter between the esophagus and stomach opens, allowing stomach
acids to travel up :
A. Gastroesophageal Reflux Disease
B. Arterial embolization
C. Mesenteric Ischemia
D. Fulminant hepatic failure
8. An inflammatory process of the pancreas with a wide range of clinical
severity ranging from self-limited to a lethal disease, complicated by
multiple organ system failure :
A. Appendicitis
B. Pancreatitis
C. Hepatic Encephalopathy
D. Acute Fulminant Hepatic Failure

9-Which is a complication in patients with Acute Pancreatitis?

Permanent diabetes mellitus

10-Which of the following nursing interventions should be implemented to manage a client

with appendicitis?

Assessing for symptoms of peritonitis.

Management of patients with Fluid and Electrolyte imbalance

&Acid- Base imbalances:
1. It is a solution that contains small molecules that flow easily
across the cell membranes, allowing for transfer from blood
stream into cells and body tissues.
a) Colloids
b) Crystalloids
c) Blood products
d) None of the above
 2. Contraction of the facial muscles after tapping on the facial
nerve anterior to the ear
a) Trousseau sign
b) Chvostek’s sign
c) Acidosis
d) Alkalosis
3. It contains large molecules that do not pass the cell membrane:
A. Blood products
B. Crystalloids
C. Colloids
D. Fluid and electrolyte balance
4. Is an acid-base imbalance resulting from excessive absorption or
retention of acid or excessive excretion of bicarbonate. Results in
Increased blood acidity:
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis

Management and nursing care of patients with Renal Disorders:

1. Deficiency of ADH lead to excessive thirst large volumes of dilute urine:
A. Diabetic ketoacidosis
B. Diabetes insipidus
C. Hyperglycemic hyperosmolar state
D. Hypoglycemia
5. Lasts 1-2 weeks there is gradual increase in urine output and may lead to
volume deficits and electrolytes imbalance :
A. I- Onset phase (initiating)
B. II- Oliguric phase or non oliguric phase
C. III- Diuretic phase
D. IV- Recovery phase

Which patient has the greatest risk for pre-renal AKI ?

the patient has vascular changes related to coagulapathies

Management and Nursing Care of patients with Endocrine System

Disorders:
1. Nurse Nora should expect a client with hypothyroidism to report which health
concerns?
A. Increased appetite and weight loss
B. Puffiness of the face and hands
C. Nervousness and tremors
D. Thyroid gland swelling
2. Diabetic emergencies it occur in type 1& type 2 diabetes blood glucose
level less than 50 mg/dL:
A. Hypoglycemia
B. Hyperglycemic hyperosmolar state
C. Diabetes insipidus
D. Diabetic ketoacidosis
3. Early this morning, a female client had a subtotal thyroidectomy. During evening
rounds, nurse Tina assesses the client, who now has nausea, a temperature of 40.5°
C, tachycardia, and extreme restlessness. What is the most likely cause of these
signs?
A. Diabetic ketoacidosis
B. Thyroid crisis
C. Hypoglycemia
D. Tetany
4. __________________commonly develops in patients with neglected, inadequately
treated, or undiagnosed hypothyroidism.
A. Thyroid crisis
B. Graves Disease
C. Myxedemaic Coma
D. Hashimoto’s Thyroiditis
Management and Nursing care of patients with Hematologic and
Immune System Disorders:
1. The breakdown of red blood cells, with the release of
hemoglobin into the plasma or serum.
a) Hemolysis
b) Hematoma
c) Hemoglobin
d) Anticoagulant
2. Sickle-shaped red blood cells may stick to the walls of the tiny
blood vessels in the brain. This can cause:
a) Splenic Crisis
b) Stroke
c) Acute Chest Syndrome
d) Pulmonary Arterial Hypertension
3. Group of malignant disorder of WBCs the usual rate of WBCs
is greater than the RBCs these abnormal(immature) cells spill
into circulation and invade other organ as liver spleen and
lymph node if not treated it lead to death as it replace all
blood cells
a) Sickle Cell Anemia
b) Infectious Mononucleosis
c) Malignant lymphoma
d) Leukemia
4. Disorder of decreased platelets platelet count below 100,000,
spontaneous hemorrhage occur when platelet at 20,000/ml:
a) Thrombocytopenia
b) Disseminated intravascular coagulation
c) Raynaud’s Phenomenon
d) Buerger’s Disease
 5. A serious condition in which red blood cells can become sickle-shaped:
A. Leukemia
B. Thrombocytopenia
C. Disseminated intravascular coagulation
D. Sickle cell anemia
6.
Management and nursing care of patients with Multisystem
Disorders:
1. Nursing management of patient with hypervolemia except:
a) Monitor I & O
b) Check for edema & weigh patient daily
c) Do not limit intake of fluids
d) Restrict sodium intake as prescribed
2. Results when fluid volume moves out of vascular space into extravascular
space :
A. Absolute hypovolemia
B. Relative hypovolemia
C. Neurogenic shock
D. Anaphylactic shock
3. Acute life-threatening hypersensitivity reaction massive vasodilation
,release of mediators ↑ capillary permeability :
A. Neurogenic shock
B. Anaphylactic shock
C. Septic shock
D. Obstructive shock
4. Stages of shock that begins when compensatory mechanisms fail:
A. Initial stage
B. Compensatory stage
C. Progressive stage
D. Irreversible stage
 5. A victim of a road traffic accident suffered a severe injury that he lost a lot of blood.
He was brought to the Emergency Room of a nearby hospital. Upon assessment: BP
– 70/40 mm Hg; CR – 120 bpm; with cold clammy skin what type of shock?

A. Neurogenic shock.
B. Cardiogenic shock
C. Anaphylactic shock.
D. Hypovolemic shock.

Roles, Responsibilities and Developing leadership Ability in

Emergency Room and Critical Care Unit:
1. Role of critical care nursing that makes independent assessment :
A. Staff nurse
B. Nurse educator
C. Nurse manager
D. Case Manager
2-A person who work on another person's behalf for the best interest of the patient is ?

Nurse advocate

General questions 1-12

After a car accident the patient is brought to emergency department, The patient is alert
report back pain, difficulty moving the lower extremities. Which observation is an indication
the patient may be experiencing neurogenic shock?

Bradycardia

A 15-year-old male client was sent to the emergency unit following a small laceration on the
forehead, the client says that he can not move his legs. Upon assessment, respiratory rate of
20 and strong pulses which triage category would this client be include?

Yellow

When attending a client with head and neck trauma following vehicular accident the nurse
initial action is to? Immobilized the cervical area

A male adult patient hospitalized for treatment a pulmonary embolism develops respiratory
alkalosis. Which clinical findings accompany respiratory alkalosis?

Chest pain describe as tightness

Nurse Fatima is developing a teaching plan for a male client diagnosed with diabetes
Insipidus. The nurse should include information about which hormone lacking?

ADH (Anti diuretic hormone)

A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes.
There are no P waves, The QRS complexes are wide and the ventricular rate is regular but
over 100, the nurse determines that as?

Ventricular Tachycardia

Amal 43 years old present with reduced level of consciousness sustaining a head injury
during fall she does not open her eye but moans and reflexes her limbs when given jaw
thrust THE GCS IS?

E1 V2 M3

A 73-year-old man presents with several episodes of hematemesis. Examination shows signs
of orthostatic hypotension and melena. What's the first priority in caring for this patient?

Resuscitation with adequate IV access and appropriate blood and fluid fusion

During your morning assessment of a patient with cirrhosis, you note the patient is
disoriented to person and place. In addition, while assessing the upper extremities the
patient hand demonstrates a flapping motion. What lab result would these abnormal
assessment findings?

Increase ammonia level

A Patient is admitted to the ER with the following signs and symptoms, very painful,
epigastria pain felt in the back e, elevated glucose, fever , vomiting and during assessment
you notices and bluish discoloration around umbilicus as a nurse you know that is?

Cullen's sign

Impulse passes from atria to ventricles via

Bundle of his

A client comes in ER after hitting his head in a MVA. He is unconsciousness, there is a chance
for the tongue to obstruct the airway. Which of following nursing interventions should be
done first?

Open the airway with head-tilt-chin-lift maneuver

Wich priority client problem should be included in the care plan for the client diagnosed
with Guillain-Barre syndrome ?

Ineffective breathing pattern

The patient admitted to ICU after motor vehicle accident has been diagnosed with ARF.
Which findings indicate onset of oliguria resulting from ARF?

Urine output less than 400 ml for the past 24h

What is the primary cause of septic shock?

Infection

The treatment of massive GIT bleeding may include all of the followings EXCEPT?

Antihypertensive drugs

The destruction of the alveolar wall leading to abnormal distention of airspaces in the lung,
the patient has pink puffer appearance?"

Emphysema

A Client with a C6 spinal injury would most likely have which of followings symptoms?

Tetraplegia

Which of following cause of Cushing's syndrome?

Adrenal tumor

Which of following values is considered normal for ICP?

4-15 mm Hg

Nazar 35 year at ICU with new-onset grand mal seizures. While his bedside, you witness a
seizure. What should your first action be?

Roll Nazar at right side and protect airway

The nurse is assessing a post craniotomy client and finds the urine output from a catheter is
1500 ml for the 1st h and the same for 2nd h. The nurse should suspect;

Diabetes insipidus

The most common sources of GI bleeding in ICU

Gastro duodenal stress ulcerations

Early this morning , a female client had a subtotal thyroidectomy . During evening rounds ,
nurse Tina assesses the client , who now has nausea , a temperature of 40.5 ° C , tachycardia
, and extreme restlessness . What is the most likely cause of these signs ?

Thyroid crisis

A female client has a serum calcium level of 6.2 mg / dl . During the physical examination ,
the nurse expects to assess :

Trousseau's sign

Mona with acute renal failure moves into the diuretic phase after one week of therapy,
during this phase the client must be assessed for signs of developing:

Hypovolemia

Which of following is role critical care make independent assessment?

Staff nurse

Which of followings disorder of decreased platelet can cause hemorrhage?

Thrombocytopenia

The process of deciding which patients should be treated first based on how sick or seriously
injured is;

Triage

Sickle-shaped red blood cells may stick to the walls of the tiny blood vessels in the brain
cause:

Stroke

A client diagnosed with peptic ulcer is taking proton pump inhibitor twice a day for 4 weeks.
What is the action of the medication?

Suppress acid production

Which of the following patient is at most risk for acute pancreatitis?

Patient with Alcoholism history

A client with acute cholecystitis is experiencing jaundice which should the nurse consider as
the reason for the jaundice?

Obstruction of the evatie duct by gallstone

Which of the following principles of ethics requires information about a client kept private?

Confidentially

Means being faithful to one’s commitments and promises.

FIDELITY

Which of the followings is a condition that results when lungs no longer able to oxygenate
the blood sufficiently or remove CO2 from it?

Respiratory failure

RBCs production in the bone marrow called?

Hematopoiesis

Which of following is quality of being functionally adequate in performing activities and

assuming the role of a specific position with requisite knowledge , ability, judgment
,attitudes, vales?

Competence

Who is responsible in assess patient and family learning needs,plans,implements teaching

strategies to meet those needs?

Nurse educator

Regarding the effectiveness of prescribed therapies for a patient with ventilator fallure,
which diagnestie test will be most useful to the nurse?

intravenous blood gas (ABG) analysis

What would the nurse identify as the priority goal in planning the care for patient with in
myocardial infarction MI ?

To relieve pain

A37 years-old man. Presents with several episodes of hematopoiesis. Examination shows
sign of orthostatic hypotension and melena. What is the first priority in caring for this
patient?

Resuscitation with adequate intravenous fluid and blood product

Which of the following should the nurse teach the client about the signs of digitalis toxicity ?

Visual disturbances such as seeing yellow spots

Atherosclerosis impedes coronary blood flow by which of the following mechanisms ?

Plagues obstruct the artery

Early this morning, a female client had a subiptal thyroidectomy. During evening rounds,
nurse Tina assesses the client, who now has nausea, a temperature of 40,5 tachycardia , and
extreme restlessness, What is the most likely cause of these signs ?

Thyroid crisis

Which priority client problem should be included in the care plan for the client diagnosed
with Gaillain-Bafre syndrome ?

ineffective breathing pattern

Which of the following causes Cushing's syndrome?

Adrenal Tumor

Beneficence is defined as ?

duty to perform deeds of mercy

Nurse Mona is assigned to telephone triage. A client called who was stung a boneybee and
is asking for help . The client report pain , localized swelling and respiratory distress ,BP
90/50 mmHg ,PR 120 b/mt and RR 24 C/ mt . Which type of shock is reported ?

anaphylactic shock

General ethical concepts in emergency care where one should telling the truth is ?

Veracity

You're working as a triage nurse during a disaster situation . Based on the Triage color. Code
takes placed on each of the wounded which tag color represents the wounded who have the
highest priority of being triaged first ?

Red

The nurse notes that a client with COPD demoastrales more dyspnea in certain positions .
Which position is most likely to alleviate the client's dyspaoea?
Standing or sitting upright

Which of the following microorganisms is common cause of gastric ulcers ?

Helicobacter pylori

A 64-year-old male client with a long history of cardiovascalar problem including

hypertension and angina is to be scheduled for cardiac catheterization. During pre-cardiac
catheterization teaching, Nurse Cherry should inform the client that the primary parpose of
the procedure is..........?

To determine the existence of chronic heart disease

Repetitive episodes of color change at least 2 of pallor, cyanosis ,erythema in either old or
normal environment is ?

Raynaud phenomenon

END
By A.M