QATAR

PROMETRIC
QUESTIONS
FOR NURSES

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 PART-01
1. The main goal of treatment for acute glomerulonephritis is to:
a) encourage activity.
b) encourage high protein intake.
c) maintain fluid balance.
d) teach intermittent urinary catheterization.

2. Nursing diagnoses mostly differ from medical diagnoses, in that they are:
a) dependent upon medical diagnoses for the direction of appropriate interventions.
b) primarily concerned with caring, while medical diagnoses are primarily concerned with curing.
c) primarily concerned with human response, while medical diagnoses are primarily concerned with pathology.
d) primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with
physiologic parameters.

3. A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after 90
minutes, now reports severe incisional pain. The patient's blood pressure is 170/90 mmHg, pulse is 108 beats/min,
temperature is 99oF (37.2oC), and respirations are 30 breaths/min. The patient's skin is pale, and the surgical dressing is
dry and intact. The most appropriate nursing intervention is to:
a) medicate the patient for pain.
b) place the patient in a high Fowler position and administer oxygen.
c) place the patient in a reverse Trendelenburg position and open the IV line.
d) report the findings to the provider.

4. To prevent a common, adverse effect of prolonged use of phenytoin sodium (Dilantin), patients taking the drug are
instructed to:
a) avoid crowds and obtain an annual influenza vaccination.
b) drink at least 2 L of fluids daily, including 8 to 10 glasses of water.
c) eat a potassium-rich, low-sodium diet.
d) practice good dental hygiene and report gum swelling or bleeding.

5. The most common, preventable complication of abdominal surgery is:

a) atelectasis.
b) fluid and electrolyte imbalance.
c) thrombophlebitis.
d) urinary retention.

6. A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who
has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown
children, who live nearby, will help. The best approach to discharge planning is to:
a) arrange nursing home placement for the couple.
b) consult the spouse's healthcare provider about the spouse's ability to care for the patient.
c) contact the children to ascertain their commitment to help.

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 d) discuss community resources with the spouse and offer to make referrals.

7. During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the
development of slurred speech and disorientation to time and place. The nurse's initial action is to:
a) continue the hourly neurologic assessments.
b) inform the neurosurgeon of the patient's status.
c) prepare the patient for emergency surgery.
d) recheck the patient's neurologic status in 15 minutes.

8. For the evaluation feedback process to be effective, the medical-surgical nurse who is a manager:
a) conducts weekly meetings with staff members.
b) considers staff members' interests and abilities when delegating tasks.
c) informs staff members regularly of how well they are performing their jobs.
d) provides goals for staff members to meet.

9. An 80-year-old patient is placed in isolation when infected with methicillin-resistant Staphylococcus aureus. The
patient was alert and oriented on admission, but is now having visual hallucinations and can follow only simple
directions. The medical-surgical nurse recognizes that the changes in the patient's mental status are related to:
a) a fluid and electrolyte imbalance.
b) a stimulating environment.
c) sensory deprivation.
d) sundowning.

10. To prepare a patient on the unit for a bronchoscopic procedure, the medical-surgical nurse administers an IV
sedative. The nurse then instructs the licensed practical nurse to:
a) educate the patient about the procedure.
b) give the patient small sips of water only.
c) measure the patient's blood pressure and heart rate.
d) take the patient to the bathroom one more time.

11. Which physiological response is often associated with surgery-related stress?

a) Bronchial constriction.
b) Decreased cortisol levels.
c) Peripheral vasodilation.
d) Sodium and water retention.

12. A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best
for the patient under the circumstances. This assumption reflects:
a) justice.
b) paternalism.
c) pragmatism.
d) veracity.

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13. Which statement by a patient with diabetes indicates an understanding of the medication insulin glargine injection
(Lantus)?
a) "Lantus causes weight loss."
b) "Lantus is used only at night."
c) "The duration of Lantus is six hours."
d) "There is no peak time for Lantus."

14. Which action occurs primarily during the evaluation phase of the nursing process?
a) Data collection.
b) Decision-making and judgment.
c) Priority-setting and expected outcomes.
d) Reassessment and audit.

15. The medical-surgical nurse performs a dressing change on a patient with a history of non–insulin-dependent
diabetes. The patient questions why the wound is not healing. Recognizing a teaching opportunity, what response does
the nurse offer the patient?
a) "Are you eating enough carbohydrates in your diet?"
b) "Have you limited your exercise because of the wound?"
c) "How much sleep are you getting at night?"
d) "How often do you check your blood sugar levels at home?"

16. What is primarily a developmental task of middle age?

a) Learning and acquiring new skills and information.
b) Rediscovering or developing satisfaction in one's relationship with a significant other.
c) Relying strongly upon spiritual beliefs.
d) Risk-taking and its perceived consequences.

17. The medical-surgical nurse, who cares for a patient newly diagnosed with cancer, observes the patient becoming
angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:
a) allow the patient and family members time to be alone.
b) arrange time for the patient to speak with another patient with cancer.
c) direct the discussion and validation of emotion, without false reassurance.
d) request a consultation from a social worker on the oncology unit.

18. It is hospital policy to assess and record a patient's heart rate before administering digoxin (Lanoxin). By auditing the
nursing records to determine the frequency of compliance with this policy, the quality assessment and improvement
committee is conducting:
a) a process analysis.
b) a quality analysis.
c) a system analysis.
d) an outcome analysis.
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19. The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the
patient outcome criterion of:
a) agreeing to discontinue smoking.
b) ambulating 50 feet without experiencing dyspnea.
c) experiencing no dyspnea on exertion.
d) tolerating activity well.

20. A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical
framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best
supports this concept?
a) Erikson.
b) Maslow.
c) Rogers.
d) Watson.

21. Which statement by a patient demonstrates an accurate understanding about herbal supplements?
a) "Herbs may interact with prescribed medications but not other herbs."
b) "Most herbs have been tested and found to be safe and therapeutic."
c) "The Food and Drug Administration regulates herbs and allows advertising."
d) "There is no standardization among the manufacturers of herbs in this country."

22. For a patient with Crohn disease, the medical-surgical nurse recommends a diet that is:
a) high in fiber, and low in protein and calories.
b) high in potassium.
c) low in fiber, and high in protein and calories.
d) low in potassium.

23. When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:
a) flaccidity of the upper extremities.
b) hyperreflexia and spasticity of the upper extremities.
c) impaired diaphragmatic function requiring ventilator support.
d) independent use of upper extremities and efficient cough.

24. After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected
stroke, the medical-surgical nurse anticipates the next step in the immediate care of this patient will include:
a) administering tissue plasminogen activator.
b) obtaining a CT scan of the head without contrast.
c) obtaining a neurosurgical consultation.
d) preparing for carotid Doppler ultrasonography.

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25. The first step in applying the quality improvement process to an activity in a clinical setting is to:
a) assemble a team to review and revise the activity.
b) collect data to measure the status of the activity.
c) select an activity for improvement.
d) set a measurable standard for the activity.

ANSWERS:
Question 1
The right answer was maintain fluid balance.

Question 2
The right answer was primarily concerned with human response, while medical diagnoses are primarily concerned with
pathology.

Question 3
The right answer was medicate the patient for pain.

Question 4
The right answer was practice good dental hygiene and report gum swelling or bleeding.

Question 5
The right answer was atelectasis.

Question 6
The right answer was discuss community resources with the spouse and offer to make referrals.

Question 7
The right answer was inform the neurosurgeon of the patient's status.

Question 8
The right answer was informs staff members regularly of how well they are performing their jobs.

Question 9
The right answer was sensory deprivation.

Question 10
The right answer was measure the patient's blood pressure and heart rate.

Question 11
The right answer was Sodium and water retention.

Question 12
The right answer was paternalism.

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Question 13
The right answer was "There is no peak time for Lantus."

Question 14
The right answer was Reassessment and audit.

Question 15
The right answer was "How often do you check your blood sugar levels at home?"

Question 16
The right answer was Rediscovering or developing satisfaction in one's relationship with a significant other.

Question 17
The right answer was direct the discussion and validation of emotion, without false reassurance.

Question 18
The right answer was a process analysis.

Question 19
The right answer was ambulating 50 feet without experiencing dyspnea.

Question 20
The right answer was Watson.

Question 21
The right answer was "There is no standardization among the manufacturers of herbs in this country."

Question 22
The right answer was low in fiber, and high in protein and calories.

Question 23
The right answer was independent use of upper extremities and efficient cough.

Question 24
The right answer was obtaining a CT scan of the head without contrast.

Question 25
The right answer was select an activity for improvement.

PART-02
1. A patient requires a high dose of a new antihypertensive medication because the new
medication has a significant first-pass effect. What does this mean?
a. The medication must pass through the patient's bloodstream several times to
generate a therapeutic effect.
b. The medication passes through the renal tubules and is excreted in large amounts.
c. The medication is extensively metabolized in the patient's liver.

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d. The medication is ineffective following the first dose and increasingly effective with
each subsequent dose.

2. As you are preparing morning medications, the patient says, “I have had loose stools all
night long.” Your patient has scheduled docusate at 0900. What is the priority action?
a. Hold the medication and inform the healthcare provider.
b. Administer the medication as ordered.
c. Increase IV flow rate
d. Ask the healthcare provider to increase the dose of the medication.

3. A patient taking SMZ/TMP asks the nurse what the name means. The nurse replies
sulfamethoxazole is combined with trimethoprim in SMZ/TMP to help the drug effectiveness.
How does this work?
a. Sulfamethoxazole acts along with trimethoprim as an anesthetic.
b. Sulfamethoxazole is highly protein bound and displaces the trimethoprim.
c. Sulfamethoxazole increases the excretion of trimethoprim, thereby increasing the
response in the bladder.
d. Sulfamethoxazole has a synergistic effect with trimethoprim against gram-positive
and gram-negative organisms.

4. The nurse will be administering an antitussive medication containing codeine to a patient.

What is the priority assessment?
a. Pulse oximeter reading
b. Lung sounds
c. Respiratory rate
d. Sputum consistency

5. The nurse is monitoring a patient taking furosemide for heart failure. Which electrolyte
imbalance must the nurse be alert for?
a. Hyperkalemia
b. Hypernatremia
c. Hypokalemia
d. Hyponatremia

6. A patient in the clinic reports difficulty tolerating the current ACE inhibitor medication, and
questions if another medication could be used. The nurse correctly suspects the prescriber
will choose which medication, which affects the renin-angiotensin-aldosterone system?
a. atenolol
b. losartan
c. spironolactone
d. adenosine

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7. The nurse is caring for a patient who is taking warfarin. The nurse notes the presence of
gross hematuria and large areas of bruising on the patient's body. The nurse notifies the
health care prescriber and anticipates what medication will be ordered?
a. heparin sulfate
b. protamine sulfate
c. phytonadione (Vitamin K)
d. oral potassium supplements

8. A patient is about to receive a morning dose of digoxin and has an apical pulse of 53
beats/minute. Which of the following actions should the nurse do first?
a. Hold the dose
b. Administer the dose as scheduled
c. Notify the charge nurse of the findings
d. Contact the provider for dose adjustment

9. What should the nurse include when teaching a patient regarding the use of omeprazole?
a. Take after meals to increase drug effectiveness
b. Take before meals to increase drug effectiveness
c. Take with meals to increase drug effectiveness
d. May take without regard to meals or other medications

10. A child is receiving methylphenidate. The mother tells the nurse the patient is having trouble
sleeping while on the medication. What is the best response by the nurse?
a. “Give the medication before 4:00 pm.”
b. “Give the medication at 8:00 pm.”
c. “Stop the medication immediately and see the doctor.”
d. “Add diphenhydramine at bedtime.”

11. A patient with type 2 diabetes mellitus asks the nurse how metformin decreases blood
sugar. What is the best response by the nurse?
a. the medication decreases glucose production in the liver
b. the medication increases insulin resistance of the cells in the body
c. the medication blocks carbohydrate absorption in the intestine
d. the medication increases insulin release from the pancreas

12. The nurse is administering oxycodone to a patient. Which common side effect should the
nurse teach the patient about?
a. Paresthesia in lower extremities.
b. Increased intracranial pressure.
c. Occipital headache.
d. Drowsiness.

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13. Enteric coated acetylsalicylic acid has been prescribed for a patient to treat chronic arthritis.
The patient calls the clinic nurse because of gagging and difficulty swallowing the tablets.
What response would the nurse give to the patient?
a. “Crush the tablets and mix with juice or food”
b. “I’ll notify the healthcare provider for a medication change”
c. “Open the tablet and mix the contents with food”
d. “Swallow the tablets with large amounts of water or milk”

14. A patient has an order for metoprolol. Prior to medication administration, what does the
nurse need to assess?
a. Respirations
b. Temperature
c. Heart rate
d. Oxygen saturation

Answers:
1. c, 2. a, 3. d, 4. b, 5. c, 6. c, 7. b, 8. c, 9. a, 10. b, 11. a, 12. a, 13. d, 14. b, 15 c

PART-3
01. During which of the five steps int he nursing process does the nurse determine whether outcomes of care are
achieved?
A. Implementation
B. Evaluation
C. Planning
D. Analysis
Ans: B. Evaluation

02. When considering the nursing process, the word "observe" is to "assess" as the word "explore" is to which of the
following words?
A. Plan
B. Analyze
C. Evaluate
D. Implement
Ans: B. Analyze

03. Which statement is related to the concept that is central to the nursing process?
A. It is dynamic rather than static.
B. It focuses on the role of the nurse.
C. It moves from the simple to the complex.
D. It is based on the patient's medical problem.

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Ans: A. It is dynamic rather than static.

04. Which word best describes the role of the nurse when using the nursing process to meet the needs of the patient
holistically?
A. Teacher
B. Advocate
C. Surrogate
D. Counselor
Ans: B. Advocate

05. Which word is most closely associated with scientific principles?

A. Data
B. Problem
C. Rationale
D. Evaluation
Ans: C. Rationale

06. A pebble dropped into a pond causes ripples on the surface of the water. Which part of the nursing diagnosis is
directly related to this concept?
A. Defining Characteristics
B. Outcome criteria
C. Etiology
D. Goal
Ans: C. Etiology

07. A nurse teaches a patient to use visualization to cope with chronic pain. Which step of the nursing process is
associated with this nursing intervention?
A. Planning
B. Analysis
C. Evaluation
D. Implementation
Ans: D. Implementation

08. Which action reflects the assessment step of the nursing process?
A. Taking a patient's apical pulse rate every 2 hours after being admitted for an episode of chest pain
B. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid restriction
C. Examining a patient for injury after a patient falls in the bathroom
D. Obtaining a patient's respiratory rate after a nebulizer treatment
Ans: C. Examining a patient for injuring after a patient falls in the bathroom

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09. A nurse is caring for a patient with a fever. Which is a well-designed goal for this patient?
A. The patient will have a lower temperature.
B. The patient will be taught how to take an accurate temperature.
C. The patient will maintain fluid intake adequate to prevent dehydration.
D. The patient will be given aspirin every eight hours whenever necessary.
Ans: C. The patient will maintain fluid intake adequate to prevent dehydration.

10. Which should the nurse do during the evaluation step of the nursing process?
A. Set the time frames for goals.
B. Revise a plan of care.
C. Determine priorities.
D. Establish outcomes.
Ans: B. Revise a plan of care.

11. During which step of the nursing process does determining which actions will be employed to meet the needs of a
patient occur?
A. Implementation
B. Assessment
C. Planning
D. Analysis
Ans: C. Planning
12. Which information supports the appropriateness of a nursing diagnosis?
A. Defining characteristics
B. Planned intervention
C. Diagnostic statement
D. Related risk factors
Ans: A. Defining characteristics

13. Which is the primary goal of the assessment phase of the nursing process?
A. Build trust
B. Collect data
C. Establish goals
D. Validate the medical diagnosis
Ans: B. Collect data

14. Which most directly influences the planning step of the nursing process?
A. Related factors
B. Diagnostic label
C. Secondary factors
D. Medical diagnosis
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Ans: A. Related factors

15. A nurse collects information about a patient. Which should the nurse do next?
A. Plan nursing interventions
B. Write patient-centered goals
C. Formulate nursing diagnosis
D. Determine significance of the data
Ans: D. Determine significance of the data

16. When two nursing diagnoses appear closely related, which should the nurse do first to determine which diagnosis
most accurately reflects the needs of the patient?
A. Reassess the patient
B. Examine the related to factors
C. Analyze the secondary to factors
D. Review the defining characteristics
Ans: D. Review the defining characteristics

17. A nurse evaluates a patient's response to a nursing intervention. To which aspect of the nursing process is this
evaluation most directly related?
A. Goal
B. Problem
C. Etiology
D. Implementation
A. Goal

18. A nurse evaluates a patient's response to a nursing intervention. To which aspect of the nursing process is this
evaluation most directly related?
A. Goal
B. Problem
C. Etiology
D. Implementation
Ans: A. Goal

19. A nurse concludes that a patient's elevated temperature, pulse and respirations are significant. Which step of the
nursing process is being used when the nurse comes to this conclusion?
A. Implementation
B. Assessment
C. Evaluation
D. Analysis
Ans: D. Analysis

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20. When the nurse considers the nursing process, the word 'identify' is to 'recognize' as the word 'do' is to which of the
following words?
A. Plan
B. Analyze
C. Evaluate
D. Implement
Ans: D. Implement

21. A nurse is collecting subjective data associated with a patient's anxiety. Which assessment method should be used to
collect this information?
A. Observing
B. Inspecting
C. Auscultation
D. Interviewing
Ans: D. Interviewing

22. A nurse assesses that a patient has slurred speech and a retained bolus of food in the mouth. The presence of which
additional patient assessments should be clustered with this group of signs and symptoms? Select all that apply
A. Dyspepsia
B. Coughing
C. Drooling
D. Gurgling
E. Plaque
Ans:
B. Coughing
C. Drooling
D. Gurgling

23. Nurses use the nursing process to provide nursing care. These statements reflect nursing care being provided to a
variety of patients. Place the statements in order as the nurse progresses through the steps of the nursing process,
starting with assessment and ending with evaluation.
A. 'Did you sleep last night after I gave you the sleeping medication?'
B. 'The patient's clinical manifestations indicate dehydration.'
C. The patient will have a bowel movement in the morning.'
D. 'What brought you to the hospital today?'
E. 'I am going to give you an enema.'
Ans:
D. 'What brought you to the hospital today?'
B. 'The patient's clinical manifestations indicate dehydration.'
C. 'The patient will have a bowel movement in the morning.'
E. 'I am going to give you an enema.'
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A. 'Did you sleep last night after I gave you the sleeping medication?'

24. A nurse is caring for a patient with urinary elimination problem. Which are accurately stated goals? Select all that
apply
A. 'The patient will be taught how to use a bedpan while on bed-rest.'
B. 'The patient will experience fewer incontinence episodes at night.'
C. 'The patient will transfer independently and safely to a toilet before discharge.'
D. 'The patient will be assisted to the commode every two hours and whenever necessary.'
E. 'The patient will experience one or less events of urinary incontinence daily within 6 weeks.'
Ans:
C. 'The patient will transfer independently and safely to a toilet before discharge.'
E. 'The patient will experience one or less events of urinary incontinence daily within 6 weeks.'

25. Which human responses identified by the nurse are examples of objective data? Select all that apply
A. Irregular radial pulse of 50 beats/min
B. Wheezing on expiration
C. Temperature of 99F
D. Shortness of breath
E. Dizziness
Ans:
A. Irregular radial pulse of 50 beats/min
B. Wheezing on expiration
C. Temperature of 99F

26. Place the following statements that reflect the analysis step of the nursing process in the order in which they should
be implemented.
A. Cluster data
B. Identify conclusions
C. Interpret clustered data
D. Communicate conclusion to other health team members
E. Identify when additional data are needed to further validate clustered data
Ans:
A. Cluster data
E. Identify when additional data are needed to further validate clustered data
C. Interpret clustered data
B. Identify conclusions
D. Communicate conclusion to other health team members

27. Which patient statements provide subjective data? Select all that apply
A. 'I'm not sure that I am going to be able to manage at home by myself.'
B. 'I can call a home-care agency if I feel I need help at home.'
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C. 'What should I do if I have uncontrollable pain at home?'
D. 'Will a home health aide help me with my care at home?'
E. 'I'm afraid because I live alone and I'm on my own.'
Ans:
A. 'I'm not sure that I am going to be able to manage at home by myself.'
E. 'I'm afraid because I live alone and I'm on my own.'

28. Which nursing action reflects an activity associated with the analysis step of the nursing process? Select all that apply
A. Formulating a plan of care
B. Identifying the patient's potential risks
C. Categorizing data into meaningful relationships
D. Designing ways to minimize a patient's stressors
E. Making decisions about the effectiveness of patient care
Ans:
B. Identifying the patient's potential risks
C. Categorizing data into meaningful relationships

29. A nurse is interviewing a patient. Which patient statements are examples of objective data? Select all that apply
A. 'I am hungry'
B. 'I feel very warm'
C. 'I ate half my lunch.'
D. 'I have a rash on my arm.'
E. 'I have the urge to urinate.'
F. 'I vomit every time I eat something.'
Ans:
C. 'I ate half my lunch.'
D. 'I have a rash on my arm.'
F. 'I vomit every time I eat something.'

30. The nurse assesses a patient and collects a variety of data. Identify the human responses that are subjective data.
Select all that apply
A. Nausea
B. Jaundice
C. Dizziness
D. Diaphoresis
E. Hypotension
Ans:
A. Nausea
C. Dizziness

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31. A patient is transferred from the emergency department to a medical-surgical unit at 6:30pm. The nurse arriving on
duty at 8pm reviews the patient's clinical record. Which information documented in the clinical reflects the evaluation
step of the nursing process?
A. Productive cough
B. Seek order for chest physiotherapy
C. No dizziness reported by patient
D. Acetaminophen 650 mg administered at 5pm
Ans: C. No dizziness reported by patient

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