SNLEwithOsama 1- What is the best time to take magnesium supplements? A. Before meal B. During meal C. After meal 2- Patient with ongoing magnesium sulfate the nurse should be alert to? A. Respiratory rate B. Urine output C. Temperature 3- Vaccine refrigerator temperature is? A. 0-3 B. 1-5 C. 2-8 4- A 10 years old child had an appendectomy yesterday. Which pain scale should the nurse use to assess child pain? A. Numeric B. Faces C. FLACC D. Cries 5- During Cardiopulmonary Resuscitation (CPR) for a 75-year-old man in the Emergency Department, the doctor introduced himself as a leader for the CPR. What is the most appropriate leadership style for this situation? A. Autocratic B. Democratic C. Laissez-faire SNLEwithOsama 6- The nurse is caring for an adult patient who is admitted with chest pain that started four hours ago. Which test will be most specific in identifying acute heart damage? A. CKP B. Troponin level C. CK-MB D. Cholesterol level 7- The nurse is caring for a patient who is admitted with chest pain and diagnosed with MI. Which test is assisting in diagnosis? A. CK-MR B. CK-MH C. CK-MB D. CK-HM 8- Which of the following related to High pitched breath sound? A. Crackles B. Rhonchi C. Wheezing D. Bronchial 9- Which of the following related to harsh breath sound? A. Crackles B. Bronchial C. Steroidal D. Wheezing 10- Patient will start TPN and should started gradually to avoid which? A. hyperinsulinemia B. hyperinsulinemia C. hyperglycemia SNLEwithOsama 11- Cause of hemodilution in pregnancy? A. Increase plasma B. Decrease RBC C. Increase WBC D. Anemia 12- Cleft palate after repair position? A. Prone B. Back C. Lateral 13- A nurse is caring for 14 - month - old immediately after a surgical repair of cleft palate. In which of the following positions should the nurse put the child ? A. prone B. lateral C. Supine D. Lithotomy Cleft lip Cleft palate supine prone 14- To prevent and releive fetal distress related to maternal hypotension. Which of the position should apply? A. Left side B. Right side C. Semi fowler D. Knee chest position SNLEwithOsama 15- A child with a diagnosis of Tetralogy of Fallot is scheduled to be discharge from the hospital. the nurse who is planning discharge education should instruct the caregivers that during a hyper cyanotic spell, which position is most likely to benefit the child? A. Supine B. Knee-chest C. Side-lying D. Prone 16- The nurse is assessing 50-year-old woman whose thyroid enlarged. A blood sample was collected and an analysis confirm diagnosis: • TSH 0.12 normal 0.4-6.5 • Free 210 normal 50-140. • Thyroxin T4 normal 4.5-11.2 A. Thyroidectomy B. Incision and drainage C. Polythyroidectomy D. Adrenalectomy Chicken box vaccine Varicella 17- Nurse manger float RN nurse from surgical ward to CCU which patient should be assigned to this nurse? A. Patient just transferred after coronary angiography B. Patient postoperative after open heart surgery C. Patient on I. V lasix have congestive heart failure D. Patient has ventricular tachycardia and connected to cardiac monitor SNLEwithOsama 18- Nurse manger pull out (float) nurse from medical ward to CCU which of the following Patients should be assigned to the nurse? A. Patient just transferred from cardiac catheterization B. Patient just received with unstable angina on heparin infusion C. Patient need discharge education about coronary stenting D. Patient on lasix I. V have acute left ventricular failure 19- A 67-year-old patient was brought to the Emergency Room with history of diabetes mellitus, hypertension and heart failure complaining of acute shortness of breath and productive cough. The sputum was pink and frothy. During the assessment, the nurse noticed crackles and wheezes. Blood pressure 80/45 mmHg Heart rate 124/min 36/min Respiratory rate 36.5°C Temperature Which of the following disorders should the nurse suspect? A. Pneumothorax B. Unstable angina C. Pulmonary edema D. Pulmonary embolus 20- A nurse is providing education to a patient who is being discharged after olecystectomy and has been placed on a low fat diet. Which of the following foods should be avoided by the patient? A. Canned beans B. Whole milk C. Rice D. Fish SNLEwithOsama 21- A primi-gravida client at 25 weeks gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform? A. Tailor sitting B. Leg lifting C. Shoulder circling D. Squatting exercises 22- Which of the following vitamins if deficient causes sleep disorder? A. Vitamin D B. Vitamin K C. Vitamin C D. Vitamin E 23- A 5 year old child was bought to the E room with a fractured right forearm. He had several bruises on showed no signs of pain while palpating them. He seemed scared and did not answer any questions asked. Which of the areas should the nurse focus on to utilize her critical thinking approach? A. Physical abuse B. Child’s schooling C. Developmental milestones D. Mother child relationship 24- Child with Ductus arterioses. What should the nurse consulting parent? A. Follow up 6 month B. Vital sign every day SNLEwithOsama 25- Patient told nurse researcher he wants to stop the research , what is called? A. Autonomy B. Confidentiality C. Justice Site of weber test Site of the Rinne Test Middle of the forehead Mastoid bone 26- What are the months in which the patient takes the hepatitis B vaccination? A. 0,2,7 B. 0,3,9 C. 0,2,8 D. 0,2,4,6 27- Which of the following contraceptive method offers protection against sexually transmitted infection? A. Coitus interrupt B. Intra uterine device C. Latex condom D. Oral contraceptive 28- Corticosteroids in Asthma A. Bronchodilator B. Decrease airway swelling 29- The nurses in medical unit decided to make research study about fall. What is the first step for doing? A. Literature review B. Select research design C. Research question SNLEwithOsama 30- The psychiatric patient repeats unknown words for a nurse but the patient can understand them. What is the best term to describe the situation? A. Word salad B. Neologism C. Circumstantiality D. Thought problem 31- There is a family that was exposed to a fire in their house when they were sleeping but nothing happened to them but there is an elderly man who can’t walk lives with them, and they ask the nurse how they can do to protect the older man from the fire if it occurs: A. Put someone sleep with him B. Put fire sensors on all the house C. Keep his room near the exit D. Keep the door and window opening 32- An 8-month-old infant is admitted with Hirschsprung disease. Which of the following would be a significant finding in this infant? A. Depressed anterior fontanel B. Failure to thrive, constipation C. Weight gain, edema D. Polyuria, hematuria 33- Research on corona from march 2020 to october 2020 Types of research ? A. Retrospective cohort study B. Cross sectional study C. prospective cohort study D. Randomized control trial SNLEwithOsama 34- A patient with impaired hearing, He is wearing a hearing aid. The nurse is preparing him to operation, He asked the nurse to keep his hearing aid while he is going to operation? A. Leave patient wear his hearing aid. B. Ask Operation Nursing staff C. Say it is forbidden. You have to remove it D. He does not need it because he will be given general anesthesia 35- The patient scheduled for operation. The doctor informed the patient about expected complication and the outcomes May be not acceptable and unsatisfying . You have to sign informed consent . What is the non-preferable ethical principles? A. Malpractice B. Negligence C. Ethical dilemma D. Molars concussion 36- During a night shift a medical doctor complains of back pain and asks the t nurse to give him morphine 5 mg IM. Which of the following actions indicates professionalism in handing the ation by the nurse? A. Call another doctor to manage B. Refer him to Emergency Room C. Administer morphine to doctor D. Ask him to write a prescription first SNLEwithOsama 37- A 65-year-old woman visited the gynecological outpatient history reveals that she had 3 pregnancies, one abortion gestational age, and had 2 normal deliveries. She smokes 20 Her complaint is that she wets herself when she coughs embarrassing for her. Which of the following can be considered as risk factors pelvic floor muscles? A. Chronic coughing B. Diabetes mellitus C. Excessive spot D. Sedentary lifestyle 38- A women should get their (pap smear test) each? A. 6 month B. 1year C. 3years D. 5 years 39- A nurse receives a telephone call from the admission office of the hospital and is told that a patient with streptococcal meningitis will be admitted to the Medical Unit. The nurse is planning to apply infection control measures for the patient. Which type of isolation precaution the nurse must observe? A. Droplet precautions B. Contact precautions C. Airborne precautions D. Standard precautions SNLEwithOsama 40- The nurse was planning care for a 25-year-old primigravida post-partum mother who had engorgement due to poor feeding technique. the left breast appeared red and swollen and was diagnosed as Which of the following is the best education for the mother A. Avoid wearing brassiere B. Begin suckling on the right breast C. Stop pumping milk from the left breast D. Take antibiotics till the soreness subside 41- Patient has heart failure and suddenly has edema. What is the lung sound will be hearing? A. Rales B. Rhonchi C. Wheezing 42- A nurse is completing the preoperative assessment of the patient who is scheduled for vein ligation and stripping. The nurse should explain that which of the following is included in the patient postoperative plan of care? A. Apply cold packs B. Wearing elasticized stockings C. Ambulating with axillary crutches D. Participating in physical therapy 43- As identified by DR Elizabeth Kubler which stage of dying is characterized by the transition from ‘NO’ not me to “yes, me but....” A. Bargaining B. Depression C. Acceptance D. Anger SNLEwithOsama 44- A mother of a patient who is on antipsychotic drug asked a doctor about some more detail about the drug. The doctor told the mother that her son is taking an atypical antipsychotic drug. Which of the following is an examples of this type of drug? A. Thioridazine B. Clozapine C. Chlorpromazine D. Haloperidol 45- Nurse during in emergency situations. The doctor order to administer medication verbally, What should the nurse do? A. Write order repeat it to doctor and administer B. Repeat order again to doctor and administer it C. Have another nurse to hear order and administer 46- A nurse was assessing a newborn delivery by a mother infected with Neisseria gonorrhea. What is the complication that can occur to the newborn? A. Deafness B. Blindness C. Mental retardants D. Hyperbilirubinemia 47- A 23-year-old vaginal delivery primigravida mother was discomfort due to breast engorgement on the second post The mother complained of pain on the breast site and the baby not able to suck the milk. Which of the following will relief the mother's discomfort? A. Breast binder B. Well-fitting brassiere C. Encourage breast feeding D. Lactation suppressing medication SNLEwithOsama 48- A6-year-old child is diagnosed with sickle. cell disease is admitted with severe pain in upper and lower extremities. What type of crisis that the child experiences? A. Sequestration B. Aplastic Lae. C. Vasoocclusive 49- Position for patient after appendectomy? A. High fowler B. Low fowler C. Right side D. Left side 50- Before sending a client for a CT with contrast dye, what is the first thing the nurse must do? A. Teach about the need for post-procedure hydration B. Verify that the informed consent is complete C. Place the side rails of the bed up before transport D. Check the client's health record for allergies 51- Patient came with vomiting what expected in his CBC? A. Elevate oxygen B. Decrease PH C. Elevate HCO3 52- Patient after cholecystectomy what is the diet? A. Grapes and gelatin B. Cola and macaroni C. Cheese cake and yogurt SNLEwithOsama 53- The head nurse ensures that the nursing staff give nursing care to patients according to the criteria. What is this considered? A. Leading B. Supervisor C. Delegation D. Give orders 54- Which one subjective data? A. Patient say pain 6/10 B. Oxygen 90% C. Temperature 36.7 D. HR 90 Abdominal examination Inspection - Auscultation - Percussion – Palpate 55- Multipara mother in labor the cervix dilated 7 cm 2 hours ago. The mother asked nurse if she can go the bathroom for bowel movements. What is the nurse response? A. Help mother to go the bathroom B. Give mother bed pan C. Do a vaginal examination 56- What is the purpose of a self-help group for psychiatric patients? A. Support B. Psychotherapy SNLEwithOsama 57- Long term use of mannitol can cause A. Hypertension B. Decrease urine output 58- What is the food should be limited during pregnancy? A. Pasteurized Milk B. Processed Cheese C. Soft Cheese D. Yougort 59- A female patient complains of abdominal discomfort. A watery stool has been leaking from her rectum. This could be a sign of which of the following? A. Fecal impaction B. Constipation C. Diarrhoea D. Bowel incontinence 60- Internal electronic fetal monitoring by attaching a thin line with an electrode penetrates the fetal scalp to check the fetal heart rate. When using an internal fetal heart rate monitor, you must ensure first for which of the following? A. Complete dilatation of cervix B. Rupture of membranes C. Uterine Contraction 61- What is the most common complication during TPN insertion? A. Rebound hypoglycemia B. Air embolism C. Pneumothorax SNLEwithOsama 62- What is the Intervention for open fracture? A. Mobilize as much as possible B. Left uncovered C. Splinting leg D. Rise leg 90 degree 63- Vaginal assessment is contraindication in? A. Placenta Previa B. Placenta Abruptiu C. Hydatidiform Mole D. Ectopic Pregnancy 64- During the assessment phase of a preoperative interview, the patient reports feeling nervous. The patient conveys to the nurse that a parent died in surgery due to malignant hyperthermia. To whom would this information be most important? A. PACU nurse B. SCRUB nurse C. ANAESTHESIA team D. CHARGE nurse 65- A patient comes to Emergency Department with a rash starting on the face and moving to the trunk? A. Measles B. German measles C. Chicken pox SNLEwithOsama 66- long situation 34-year-old female patient came with a rash all over the chest and palms and feet and headache and fatigue she diagnosed with syphilis, what is the stage of syphilis? A. Primary B. Secondary C. Tertiary 67- A teenage girl can't give herself insulin. What should a nurse do with a patient? A. Make her come back to the hospital every few weeks B. Teach the patient C. Teach her mother and father 68- A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as: A. Milia B. Lanugo C. Whiteheads D. Mongolian spots SNLEwithOsama 69- When performing a newborn assessment, the nurse should measure the vital signs in the following sequence: A. Pulse, respirations, temperature B. Temperature, pulse, respirations C. Respirations, temperature, pulse D. Respirations, pulse, temperature 70- Vitamin K is prescribed for a neonate. A nurse prepares to administer the medication in which muscle site? A. Deltoid B. Triceps C. Vastus lateralis D. Biceps 71- 55-year old male patient is admitted with an active tuberculosis infection. The nurse will place the patient in precautions and will l when providing patient care? A. Droplet B. Airborne C. Contact D. Droplet & contact SNLEwithOsama 72- A37 years old man with chest pain An ECG shows significant elevation In the st segment 11,111,aVF, indicating MI related to occlusion in the artery What is the location of MI? A. Posterior MI B. Anterior MI C. Inferior MI D. Lateral MI 73- A 12-year-old child has been diagnosed with Diabetes insipidus which of the following is a disorder? A. Posterior pituitary B. Adrenal medulla C. Anterior pituitary D. Adrenal cortex 74- Women with bipolar taking carbamazepine, which of the following side effects of this medication? A. Sexual dysfunction B. False positive pregnancy test 75- What is a characteristic of a democratic leadership style? A. More changes B. Structured work C. Staff participation D. No leader decisions 76- What is the medical abbreviation used for at bedtime? A. Hs B. Prn C. Stat SNLEwithOsama 77- What type of isolation for patient with Rota virus ? A. Contact B. Airborne C. Droplet D. Standard 78- Following a lumbar puncture, a patient has several complaints. Which of the following complaints indicate that patient is experiencing a complaints? A. I have a headache that gets worse when I sit up B. I am having pain in my lower back when I move my legs C. My throat hurts when I swallow D. I feel sick to my stomach and I'm going throw up 79- There is someone his father is dead. Then he turned his sadness and anger by learning martial arts. What is the defense mechanism that he used? A. Displacement B. Sublimation Projection C. Denial 80- The nurse is caring for a 60- year-old in the MedicalSurgical Unit. On entering the room the nurse finds the patient alert, oriented and. The skin color appears healthy and pink. The nurse observes electrocardiogram and notices absent P-waves. Which initial action is themost important? A. Defibrillate B. Cardio version C. Pacemaker preparation D. Intravenous amiodarone SNLEwithOsama 81- Who can check patient record file? A. Adult sibling B. Relative C. Family D. New graduant Nurse 82- Which patient is contraindicated for enema? A. Glaucoma B. Hypertensive C. Renal failure D. Liver disease 83- A client who had an application of a right arm cast complains of pain at the wrist when the arm is passively moved, what action should the nurse take first? A. Elevate the arm B. Document the finding C. Medicate with an additional dose of an opioid D. Check for paresthesia and paralysis of the right arm 84- The nurse is providing care for a patient who has been admitted to the hospital for the treatment of nephrotic syndrome. Which of the following drug of choice for patient with nephrotic syndrome? A. Prednisone (corticosteroids) B. NSAIDs C. Pibuprofen SNLEwithOsama 85- What is the most appropriate blood test for patient who is going to surgery? A. WBC B. Albumin C. Prothrombin time D. Hemoglobin 86- What are hormones for biological difference between male and female? A. Estrogen and HCG B. Testosterone and progesterone C. Testosterone and estrogen 87- What is the primary sign for ARF acute renal failure? A. Hypertension B. Oliguria C. Face edema 88- A patient is admitted to the Emergency Department with broken nose and no other facial fractures or injuries. What category of surgery would repair a broken nose fall under? A. Urgent B. Elective C. Emergency D. Immediate 89- A patient is scheduled for an abdominal aneurysm repair. This is what type of surgical intervention? A. Diagnostic B. Transplant C. Curative D. Palliative SNLEwithOsama 90- The nurse notes some students with anorexia nervosa what does she do? A. Push them to eat. B. One to one superior during eating C. Let students eat with them the same meals 91- Patient with rheumatoid arthritis. The nurse instruct patient for pain relive measures. Which intervention decreases pain if occurred? A. During pain do flexion for your fingers B. Put warm pads early morning C. Take pain medication frequently even if no pain 92- A pregnant woman came to ER complaining of severe pain in her leg. When the nurse assessed her, the nurse found that woman has varicose veins. What should the nurse do? A. Instruct her to Put a pillow behind her back while setting B. Instruct her to put a pillow under her head and elevate the shoulder C. Instruct her to wear elastic stockings with a suitable size 93- While taking care of a patient with a spinal cord injury, the patient suddenly complains of a pounding headache upon assessment the patient was found to have diaphoresis, a drop in the heart and elevated blood pressure autonomic dysreflexia is suspected and the head on the bed is elevated. Which of the following is the most appropriate to important immediately? A. Notify the physician B. Assess bladder for distention C. Continue to monitor for the next hour SNLEwithOsama 94- Patient with discharge instructions to take an tetracycline. What drinks should he avoid? A. Milk B. Tea C. Coffee D. Orange juice 95- A nurse is explaining to the nursing students working on the antepartum unit how to assess edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area? A. +1 B. +2 C. +3 D. +4 Scale Description +1 Edema in lower extremity +2 Edema in lower extremities and hands or arms +3 Edema of lower extremities&hand or arms& sacral area&face +4 Edema of the entire body 96- The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (IDH). Which of the following should be a priority intervention for the client? A. Monitoring hourly intake and output B. Pressure ulcer prevention strategies C. Encourage client to eat foods rich in potassium D. Restricting fluid intake of the client to less than 1000ml per day SNLEwithOsama 97- Patient with a burn. The burn includes epidermis and dermis layers of skin and reaches to the subcutaneous tissue. Which of the following stage of burn? A. First (superficial) B. Second (partial thickness) C. Third (full thickness) D. Fourth 98- The patient has refused to take the medication, what the nurse will be response? A. Give me a good reason for not taking the medication B. Tell me why you don't want to take the medication C. Convinced me why you shouldn't take the medication D. If you do not take the medication, you will sign a waiver 99- Patient with Gastroesophageal reflux disease (GERD) take omeprazole what is the best time to take? A. 30-60 minute before meal B. 90 minute after meal SNLEwithOsama 100- Woman came to outpatient for follow up. She complained from dizziness and fatigue. The nurse refered her to relax inside empty room. She suddenly fell down on the floor then she has fainting and loss of consciousness. The nurse examined her and assessed vital signs. BP 90/50 mmHg, HR 120 b/m, RR 23 b/m. What is the first intervention for her? A. Notify the doctor B. Lie down her slightly and elevate her leg C. Check Physical assessment and vital signs D. Give her more fluids 101- What is the priority care for patient during bathing? A. Wear sterile gloves B. Lower the bed and left side rails away bed C. Put gauze on any wound 102- What is the location of liver and gallbladder in abdomen? A. Left hypochondriac B. Right hypochondriac SNLEwithOsama 103- Renal failure patient came for dialysis, the nurse suspect that the patient develops Steal Syndrome. What is the Steal Syndrome characteristic? A. Pain and warmth B. Pain and coldness C. Redness 104- The client was recently diagnosed with end stage renal disease states to a nurse, "I don't think I want to be on dialysis anymore, it's just too painful me." Which of the following is the most appropriate response by the nurse? A. "You need to stay on dialysis to avoid getting worse" B. "Why do you think you will be unable to stay on dialysis" C. "You feel that dialysis is painful for you. Tell me more about that" D. "It is not hard to stay on dialysis. Remember you can sleep during the dialysis" 105- High school girl, who has fears of being obese thin, visited the primary healthcare center with her The mother reports that her daughter refuses to eat with the family, and often pretends being a sleep Which of the following disorders best describe girl? A. Substance Abuse B. Obesity C. Anorexia Nervosa D. Bulimia Nervosa SNLEwithOsama 106- Post right-side mastectomy where to take blood pressure? A. Right brachial B. Left brachial C. Right radial D. Left radial 107- Coomb's test is used to detect and screening for which of the following? A. Sickle cell anemia B. Congenital anomaly C. Neural tube deficient 108- What is the point of maximum pulse monitoring while auscultated apical pulse? A. 5th intercostal space left midclavicular B. 5th right C. 4th left D. 4th right 109- What is the transmission method of HAb virus? A. Food B. Blood C. Sexual transmission 110- How to know if the left shoulder has dislocated? A. Left arm longer than right arm B. Patient cannot move the left shoulder C. Swelling in the left shoulder SNLEwithOsama 111- The patient weighs 67 kg. He is receiving drug 30mg/kg/24hr. How many grams should the nurse give for 24 hr? A. 58 B. 1.5g C. 18 D. 2g Step 1. Convert mg to g: Step 2. Calculate the dose in g: 30mg ÷ 1000 = 0.03g 67kg × 0.03 = 2.01 ≈ 2g 112- What is the antenatal assessment schedule for women during conception and 28 weeks of gestation? A. Once a week B. Every 2 week C. Every 3 weeks D. Every 4 weeks 113- After thyroidectomy which of the following juice should be offered? A. Apple juice B. Tomato juice C. Orange juice D. Strawberry 114- Patient fell in the bathroom and his left leg was fractured, in order to communicate information about the patient to the next shift. Which of the following documentation should be used by the nurse at the nurse at the end of the shift? A. Kardex record B. Assignment record C. Shift report D. Incident report SNLEwithOsama 115- The nurse is caring for a 55 years patient with abdominal pain. On assessment the nurse noticed lower abdominal distention on palpation and was concerned about urinary retention. Which of the following clinical indicators supports the nurses concerns? A. Hyperthermia B. Urine output of 35 ml/hour C. Imbalanced electrolytes level D. Voiding small amounts of urine at a time 116- A nurse is inserting a nasogastric tube for a 65-year-old patient with paralytic ileus Immediately after insertion 200 ml of milky appearing drainage was noted in the bag. The nurse is not sure if the distal end of the tube is in the stomach. What is the most appropriate technique confirm positioning? A. X-ray of stomach B. Check pH of drainage 117- Patient was admitted to the hospital for umbilical hernia surgery. After doing a physical examination and Lab investigation the doctor decided to reschedule the surgery after 2 months because of the result abnormalities. The informed consent is already signed by the patient. What is the best action regarding consent? A. Keep the old consent it is enough B. We need to take verbal consent later C. Provide new informed consent D. Need to take consent from the husband SNLEwithOsama 118- During Hajji timing there is an outbreak of meningitis in KSA. The Saudi health authority requests the vaccine. What is the type of disease? A. Epidemic B. Pandemic C. Endemic 119- A 9-year-old girl is seen in the emergency department because of following the expected fracture in the right fibula. Which of the response to the parent's question about the bone healing period of the girl? A. 4-6 weeks B. 2-4 weeks C. 6-8 weeks D. 8-10 weeks 120- A nurse is educating a primigravida woman who is pregnant at 30 weeks on breastfeeding. Which of the following statement by the woman indicates that she needs additional teaching? A. Breast milk can be stored at room temperature B. Breastfeeding should be based on baby's demand C. Baby can be held in different ways during feeding D. Breastfeeding helps the uterus to return to pregnancy size 121- A nurse is educating a primigravida woman who is pregnant at 30 weeks on breastfeeding. Which of the following statement by the woman indicates that she needs additional teaching? A. Breast milk can be stored at room temperature B. Breastfeeding should be based on baby's demand C. Baby can be held in different ways during feeding SNLEwithOsama D. Breastfeeding helps the uterus to return to prepregnancy size 122- What are the symptoms of fluid excess? A. Crackle lung sound B. Impaired skin integrity 1. A 67-year-old patient was brought to the Emergency Room with history of diabetes mellitus, hypertension and heart failure complaining of acute shortness of breath and productive cough. The sputum was pink and frothy. During the assessment, the nurse noticed crackles and wheezes. Blood pressure 80/45 mmHg Heart rate 124/min 36/min Respiratory rate 36.5°C Temperature Which of the following disorders should the nurse suspect? A. Pneumothorax B. Unstable angina C. Pulmonary edema D. Pulmonary embolus 2. A 5-year-old child was brought to the Emergency Room with a fractured right forearm. He had several bruises on his body but showed no signs of a while palpating them. He seemed scared and did not answer any questions asked. Why should the nurse discuss this case with the nurse manager? A. Continuity of care B. Rule out child abuse C. Psychological support D. Fracture management SNLEwithOsama 3. A midwife is discussing the birth spacing measures with a mother whose first baby boy is a 1-year-old and was born with spina bifida. The midwife has explained the possible causes of the baby's condition and the measures necessary if the mother is planning for a next pregnancy? A. Increase iron and calcium supplements B. Multivitamin and folic acid intake C. Genetic screening D. Immunization before and during pregnancy 4. A Child came to the pediatric emergency room with pneumonia. which of the following is the appropriate nursing action? A. Postural drainage B. Encourage coughing C. Encourage exercise 5. What is the first assessment for neonate after cutting umbilical cord? A. Cover baby with towel and keep warming B. Encourage early contact with mother C. Check baby from cyanosis D. Check score assessment 6. A newborn is delivered by the midwife. The umbilical cord is cut safely by following necessary aseptic techniques. Which of the following intervention is the most desired? A. Assess sucking response B. Increase mother-child bonding C. Assess and record the APGAR score D. Keep dry and maintain thermoregulation SNLEwithOsama 7. Physician order three times the normal dose - when the nurse calls him, he insists on giving the ordered medication what should the nurse do? A. Call pharmacy B. Call another doctor C. Withhold medication and inform the charge nurse D. Withhold medication and inform the medical office 8. A nurse received the serum digoxin level result for the patient the day and notes that the result is 2.6 ng/mL (see lab result) ❖ Test: Digoxin (men) ❖ Result: 2.6 ❖ Normal value: 0.8-2ng/mL Which of following nursing actions are the most important? A. Notify the physician B. Check the previous vital signs of the patient C. Record normal value on the nursing note D. Administer a scheduled dose of medication 9. A 5year-old child was seen to the Emergency Department with abdominal pain, palpable sausage-shaped mass, and Intussusception is suspected Which of the following is the best diagnostic evaluation to? A. X-ray B. Endoscopy C. Rectal biopsy D. Ultrasonograph SNLEwithOsama 10. While a nurse is assessing an infant born 11 hours ago full term by cesarean section, she auscultated moist lung sounds. Which of the following is the most likely interpretation? A. Abnormal finding B. Normal finding C. Pneumothorax D. Surfactant aspiration 11. A patient has a hip fracture complaining of sever pain. He nurse finds no analgesic was ordered. She calls the orthopedic doctor by telephone and received a medication order. What is the most appropriate nursing action to ensure the correct medication order is taken? A. Write down the order and get the pharmacy supply B. Write down the order and get medication immediately with another registered nurse C. Get another registered to witness, the nurse writes down the order and read back to the D. doctor E. Write down the medication and after serving get the doctor to witness 12. A nurse calls a physician regarding a change in a patient's condition. A physician gives orders over the telephone for stat arterial blood gases. Which of the following is the best intervention to be implemented? A. Give order stat to health unit coordinator to input in the computer B. Write down the order and read it back to the physician C. Write down the order for ABGs immediately D. Call respiratory therapist stat to draw the ABGs SNLEwithOsama 13. A toddler is admitted to the pediatric room with several episodes of diarrhea for 3 days. the child is diagnosed with gastroenteritis. Which organism is responsible for the most diarrhea episodes in children? A. Rota B. Bacillus magissterium C. Shigella D. Staphylococcus 14. Which abnormal lung sound would require immediate intervention? A. Stridor B. Crackles C. Wheezing 15. Hypermesis gravidium is a common occurrence for pregnant women, and there are home remedies that have been proven to relive nausea and vomiting. Which one of the following is one of them? A. Coffee B. Ginger C. Cinnamon 16. Placenta abruption: Pain that radiate to the back , brownish red and heavy bleeding. Occur during 3rd trimester. 17. Placenta previa: Painless bright red bleeding no dilation. Occur 1st trimester 24 weeks. 18. The best and beneficial exercise for patients post-op mastectomy is Stretching hand up with fingers wall-walking. SNLEwithOsama 19. Which assessment finding would the nurse expect in an infant diagnosed with pyloric stenosis? A. Visible waves of peristalsis B. Rectal prolapse C. Ribbon-like stools D. Abdominal rigidity How does rotavirus spread? ❖ Rotavirus infection is highly contagious ❖ Rotavirus spread by fecal-oral route ❖ The primary mode of transmission of rotavirus is the passage of the virus in stool to the mouth of another child. ❖ 20. What is COPD complication? A. Cardiac tamponade B. Pneumothorax C. Cor pulmonale Anovulation happens when an egg (ovum) does not release from your ovary during your menstrual cycle. ()انقطاع االباضة 21. The manager tells new staff (I will evaluate you after 3 month). Which aspect of practice referred to that? A. Assignment B. Delegation C. Feedback SNLEwithOsama 22. The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the: A. Dorsogluteal muscle B. Rectus femoris muscle C. Vastus lateralis muscle D. Deltoid muscle 23. When administering an intramuscular injection to an infant, which of the following sites appropriate for the nurse to use? A. Rectus femoris B. Deltoid C. Dorsogluteal D. Ventrogluteal 24. A 25-year-old-primipare visited her primary health care clinic husband. He says that his wife delivered 5 days ago. For the past few days, she is very irritable and crying for nothing, she is tired and sleepy and he is very concerned about her condition. Which of the following diagnosis by the attending physician will her symptoms? A. Post-partum blues B. Postpartum psychosis C. Postpartum depression D. Postpartum anxiety SNLEwithOsama 25. At 6:00 PM while admitting a woman for a scheduled repeat C-section, a patient tells a nurse that she drank a cup of coffee at 4:00 AM because she wanted to avoid getting a headache. Which of the following actions should they take first? A. Inform the anesthesia care provider B. Ensure preoperative lab results are available C. Start prescribed IV with lactated ringers D. Contact the patient's obstetrician 26. What is the best position for a patient with COPD? A. Supine B. Prone C. Sild-lying D. Fowler’s position 27. 24-weeks-pregnant mother is in the Antenatal Clinic. She is upset and crying about having her third baby girl as her family wants a boy. She is requesting an abortion immediately before her family finds out about the sex of the baby. Which of the following is the most appropriate plan for the mother? A. Calm her down and reassure for an appropriate solution B. Provide moral support and book her for a procedure C. Repeat the ultrasound and wait for a few more weeks D. Family counseling and follow religious guidance 28. In the hospital digital dashboard, what types of data are displayed? A. Staffing B. Financial C. Performance D. Knowledge-based SNLEwithOsama 29. The nursing director wants to evaluate the quality of nursing care in the in-patient areas. The management team will evaluate on a quarterly basis the documentation and the relationship between the patient's length of stay and the quality of care which of the following is the most important data source to identify the quality of care? A. Patient's complaints and time taken to resolve them B. Patient's satisfaction level at the time of discharge C. Details of nursing notes for patient's progress 30. A mother of a patient who is on antipsychotic drugs asked a doctor for some more detail about the drug. The doctor told the mother that her son is taking an atypical antipsychotic drug. Which of the following is an example of this type of drug? A. Thioridazine B. Clozapine C. Chlorpromazine D. Haloperidol 31. newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as? A. Milia B. Lanugo C. Whiteheads D. Mongolian spots SNLEwithOsama Lanugo hair: thin, soft, and poorly pigmented hair that covers the body of the fetus or a newborn Mongolian spots: flat bluish- to bluish-gray skin markings commonly appearing at birth or shortly thereafter. They appear commonly at the base of the spine, on the buttocks and back and also can appear on the shoulders 32. A client who experienced a myocardial infarction is being monitored via cardiac telemetry. The nurse notes the sudden onset of this cardiac rhythm on the monitor (refer to figure) and immediately takes which action? A. Takes the client’s blood pressure B. Initiates cardiopulmonary resuscitation (CPR) C. Places a nitroglycerin tablet under the client’s tongue D. Continues to monitor the client and then contacts the health care provider (HCP) 33. Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart? A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle SNLEwithOsama 34. During a meningitis outbreak in one of the hospitals, the nunimmune staff were given immunoglobulin in order to prevent them from infection. What is the type of immunity that will be developed by these staff? A. Active B. Long-term C. Natural D. Passive 35. How to prevent cleft lip and palate from occurring? A. Eat green vegetables and citrus fruit B. Drink too much juice 36. Doctor ordered to give Ofloxacin Otic route the nurse understands that medication will be given? A. Nasal B. Eye C. Ear D. Sublingual 37. A parent brings their teenage child to the pediatrician’s office. The parent reports that the patient frequently complains of abdominal bloating and stomach pain after eating and also has a chronic sore throat. The patient’s lab shows Hypokalemia. Which of the following diagnosis should the nurse anticipate? A. Anorexia nervosa B. Bulimia SNLEwithOsama 38. High school girl, who has fears of being obese thin, visited the primary healthcare center with her The mother reports that her daughter refuses to be with the family, and often pretends being asleep Which of the following disorders best describes the girl? A. Bulimia B. Obesity C. Substance Abuse D. Anorexia Nervosa 39. A 28-year-old pregnant woman at 9 weeks presents to the ER with vaginal bleeding. During the assessment, the nurse found height is 12cm. Which of the following is the most likely diagnosis? A. Placenta previa B. Abruptio placenta C. Ectopic pregnancy D. Hydatidiform mole 40. What is the pernicious anemia complication? A. Prolonged bleeding B. Hepatomegaly 41. 37. A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12? A. banana nut muffin, bowl of grits, green tea B. bran waffles, grapefruit, iced coffee C. whole grain oatmeal with strawberry slices, orange juice D. scrambled eggs, beef sausage patty, milk SNLEwithOsama 42. A nurse is caring for a client who has pernicious anemia. Which of the following factors should the nurse identify with this condition? A. Iron deficiency B. Hemolytic blood loss C. Folic acid deficiency D. Vitamin B 12 deficiency 43. current research proved no benefit for some routine interventions from the past which of the following intervention for women in labour is considered harmful by current evidence-based practice A. Enema B. Amniotomy C. Vaginal examination D. Filling the partogram 44. The most common site of myocardial infarction is the? A. Left atrium B. Left ventricle C. Right atrium D. Right ventricle 45. What is the newborn stomach capacity? A. 6ml B. 12ml C. 18ml D. 36ml SNLEwithOsama 46. Nurse A want to take a break and delegate her task to Nurse B, during that time the patient falling. As a nurse, who is responsible and be accountable for fall? A. Head nurse B. Nurse A C. Nurse B D. Nurse A and B 47. Nurse A want to take a break and delegate her task to Nurse B, during that time the patient falling. As a nurse, who is responsible for write incident report? A. Head nurse B. Nurse A C. Nurse B D. Nurse A and B 48. A midwife is conducting a health a health education session to the primigravid mothers. The session is about antepartum care to ensure the health of the mother their babies. Which of the following statement made by mother suggest their appropriate understandings of anti-partum periods ? A. Beginning of labor till the baby birth B. Diagnosis of pregnancy till the baby birth C. Last three months of pregnancy D. Forty days after the child is born SNLEwithOsama 49. Patient came to ER with dyspnea, Heart rate 136, Respiration rate 29. After doing x-ray the patient diagnosed lung abscess. Which Unit should the nurse have admitted thepatient? A. ICU B. Medical, Surgical ward C. Cardiac ward 50. A nurse is instructing a female client how to do a breast self-exam. Which of the following is the best time to perform this exam? A. After ovulation B. After the period C. Two weeks after period D. Three days before period 51. A nurse reviewed a chart of a 42 year-old man whose ABG analysis report is shown PH 7.20 PCO2 35 HCO3 20. Which of the following I the most likely interpretation of the findings in the report? A. Respiratory alkalosis B. Metabolic acidosis C. Respiratory acidosis D. Metabolic acidosis SNLEwithOsama 52. The nurse assesses a client with an ileostomy for possible development of which of the following acid-base imbalances? A. Respiratory acidosis B. Metabolic acidosis C. Metabolic alkalosis D. Respiratory alkalosis Metabolic acidosis Diarrhea Diabetic ketoacidosis Renal faliure Ileostomy Shock Asipirn overdose Respiratory acidosis Hypoventilation Drowing Aspirition Pneumothorax Emphysema Atleltacasis Metabolic alkalosis Vomiting Suction Hypokalemia Cushing syndrome Respirtory alkalosis Fever Hypoxemia Pulmonary embolism Mechanical ventilation Hyperventilation Anxiety 53. A nurse is caring for a female newborn who born with an imperforate anus. When assessing the newborns urine, she should notify the doctor immediately if the newborn's urine contains which of the following? A. Meconium B. Sugar C. Albumin D. Crystals SNLEwithOsama 54. A nurse is assigned to care for a child after a cleft palate repair which of the following types of restraints is very effective for child? A. Mummy restraint B. Elbow restraint C. Wrist restraint D. Mitt restraint 55. During the night shift routine rounds, a nurse found that a patient complains of sleep disturbance due to frequent voiding several times at night. Which of the following is the best condition that describes the patient's complain? A. Dysuria B. Polyuria C. Nocturia D. Hematuria 56. A nurse is performing a physical examination on a newborn. She that the baby has developed cephalohematoma. This baby is at risk of which of the following? A. Sudden death B. Pathological jaundice C. Infected umbilical cot D. Increased intracranial pressure 57. A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication: A. Should be taken in the morning B. May decrease the client’s energy level C. Must be stored in a dark container SNLEwithOsama 58. A 15-year-old girl is admitted to the hospital with diarrhea. She has been repeatedly vomiting for now weak and lethargic. She is oriented to time to questions appropriately. The nurse prepares the temperature using an electronic thermometer. Which measurement would be most appropriate? A. Oral B. Rectal C. Axillary D. Tympanic 59. The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid? A. Putting the child in lateral position B. Palpating the child's abdomen C. Putting the child in a private room D. Provide mouth hygiene 30 minutes after meal 60. A child with type 1 diabetes mellitus. The nurse is instructing the mother. Which of the following signs should be alert? A. Polyuria B. Vomiting C. Dizziness D. Thirsty 61. A nurse is making an assessment for the manifestation of cyanosis in a dark-skinned client. which of the following sites is the best for the nurse to check for the presence of cyanosis? A. Lips B. Palms C. Nail bed SNLEwithOsama 62. During tonic-clonic seizure patient moves and has the difficulty of breathing and cyanosis what is the appropriate nursing intervention? A. Support arm and extremities B. Put soft material under patient C. Put tongue depressed between teeth D. Protect patient head from injury 63. A male client is having tonic clonic seizure. What should the nurse do first? A. Elevate the head of the bed B. Restrain the client arms and legs C. Place a tongue place in mouth D. Take measures to prevent injury 64. A nurse is given health education to the parent how to reduce febrile avulsion in the child at home. Which of the following medication in the safest intervention? A. Analgesic B. Antipyretic C. Antibiotic D. Antiemetic 65. What are the characteristics of Newborn meconium? A. Brown green loosely B. Dark green thickly SNLEwithOsama 66. A 32 weeks pregnant patient was present for her followup appointment in the antenatal clinic. She complains of experiencing frequent heartburn. Which of the following is the most appropriate advice for the patient? A. Drink plain water between meals B. Raise head of the bed C. Eat favorite foods D. Lie down for one hour after taking food 67. During Cardiopulmonary Resuscitation (CPR) for a 75year-old man in the Emergency Department, the doctor introduced himself as a leader for the CPR. What is the most appropriate leadership style for this situation? A. Autocratic B. Democratic C. Bureaucratic D. Laissez-faire 68. A pregnant lady come to the gynecological ward she has vaginal bleeding and cervix was not dialed the problem occurred before she followed bed rest and when she did an effort it returned back to her. They diagnosed her with threatened abortion. What is the treatment should the nurse expect for this lady? A. Surgical treatment B. Induction of labor(syntocinon) C. Dialitation and curtage D. Repeate Bed rest 69. Patient after cholecystectomy what is the diet? A. Grapes and gelatin B. Cola and macaroni C. Cheese cake and yogurt SNLEwithOsama 70. Preeclampsia is another possible complication of pregnancy. Which of the following is NOT characteristic of preeclampsia? A. Protein in the urine B. High blood pressure C. Vaginal bleeding D. Swelling 71. To reduce the risk of transmitting methicillin-resistant staphylococcus auras (MRSA) from an infectious wound, which of the following precautions should be implemented? A. Airborne B. Contact C. Droplet D. Reverse isolation 72. Which of the following vaccines in highly recommended to be taken by pilgrims before Haji season? A. Meningococcal meningitis B. Tuberculosis C. Hepatitis A D. Polio myelitis 73. Woman after mastectomy on the right side. Which of the following complaints needs to notify the doctor immediately? A. Pain B. Edema on the right arm C. Temperature 37.1°c D. BP: 131/78 Stages of grief after death The five stages: Denial, Anger, Bargaining, Depression and Acceptance SNLEwithOsama 74. A 10-year-old girl presents to the Emergency Room (ER) with pain. On assessment, you noticed that when you palpate the left lower quadrant of the child’s abdomen, the child feels pain in the right quadrant. Which of the following is the name of this sign? A. Rebound tenderness B. McBurney sign C. Roving’s sign D. Obdurate sign 75. Which of the following statements best describes for patients with myopia? A. They must hold a paper at arm's length or greater to read it B. They can see close-up objects clearly, but distant objects are out of focus C. They can see distant objects clearly, but close-up objects are out of focus D. They are unable to focus horizontal and vertical rays of light on the retina simultaneously 76. The nurse is caring for patient with deep vein thrombosis (DVT). The patient’s heparin sodium infusion has been discontinued and the patient is receiving prescribed warfarin sodium (Coumadin). The nurse should advise the patient that which of the following needs to be continued? A. Daily complete blood count (CBC) B. Laboratory tests for partial thromboplastin time (PTT) C. Strict bed rest D. Wearing elasticized support stockings SNLEwithOsama 77. After 3 days of breast feeding a post-partial patient reports nipple soreness. To relieve her discomfort the nurse should suggest that she? A. lubricate her nipples with expressed milk before feeding B. Dry her nipples with a soft towel after feeding C. Apply warm compresses to her nipples just before feeding D. Apply soap directly to her nipples, and then rinse 78. To prevent the spread of disease malignancy STD advice to user Which of the following? A. Condoms B. Gloves C. Surgical masks 79. A client who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus’ head is? A. Not yet engaged B. Entering the pelvic inlet C. Below the ischial spines D. Visible at the vaginal opening 80. A 17-year-old mother presented to the primary health center ten after delivery. She is suffering from fatigue, anemia, fever and vaginal discharge ❖ See lab results: ▪ Blood pressure 80/50 mmHg ▪ Heart rate 112 /min ▪ Respiratory rate 35 /min ▪ Temperature 39.6 C SNLEwithOsama ❖ Test Result Normal Values ▪ RBC 4 4.7-6.1 × 1012 /L (male) 4.2-5.4 × 1012 /L (female) ▪ Hb 90 130-170 g/L 120-160 g/L (female) ▪ HCT 0.29 0.42-0.52 (male) 0.37-0.48 (female) ▪ WBC 12.8 4.5-10.5 × 109/L Which of the following is the best diagnosis of health problem in this case? A. Severe urinary track infiction B. Vesico-vaginal fistula C. Puerperal sepsis D. Post-partum haemorrhage 81. The Vitro fertilization is related to (indications)? A. Blockage of fallopian tube B. Donner of sperm C. Absence of sperm D. Imnunolergic hormone 82. The patient is experiencing a burn 20% TBSA. Which of the following hormone affected? A. Ranin B. Cortisol C. Anti diuretic H1N1 H5N1 Airborne precaution Contact precaution 83. Which of the following could adversely affect the function of a pacemaker? A. Hair dryer B. Electric razor C. Electric mixer SNLEwithOsama Wassermann reaction test For Syphilis 84. When should we do cleft palate and lip surgery? A. After one year B. After two years C. After the child is able to hold a cup D. After improving his awareness 85. A woman should get their (pap smear test) each: A. 6 month B. 1year C. 3years D. 5 years 86. What is Hirschsprung disease? A. A rash that occurs due to fungal infections that form in the sensitive areas of the infant B. Partial or complete colon obstruction associated with an absence of an epidural ganglion cells 87. The soldier was brought to the triage area after being exposed to chemical weapons. Signs and symptoms of nerve gas exposure were noticed. A nurse prepares for medical management. Which medication should the nurse prepare for the patient? A. Atropine B. Adrenaline C. Sodium nitrate D. Sodium thiosulphate SNLEwithOsama 88. There is a new community nurse assigned to work in Makkah, one of the most multicultural cities in Saudi Arab has to interact with a multicultural population every day. What is the most important step the nurse should do before with the clients? A. Asking the client about his/her cultural background B. Conducting an appropriate culturological assessment C. Ensuring that the client has his/her a privacy D. Looking at the client's file to take history 89. Bedridden PT nurse is doing pathing for him and she used lotion after bathing to prevent pressure ulcer for the patient. What is appropriate action? A. Dry patient after bathing B. Use Air mattress C. Keep the sheet loosely 90. When communicating with a client who speaks a different language, which best practice should the nurse implement? A. Speak loudly and slowly B. Arrange for an interpreter to translate C. Speak to the client and family together D. Stand close to the client and speak loudly 91. Student nurse is asking the head nurse about touching communications. What should the Manager response? A. Don't touch patient head B. You can touch patient as much you need C. Each patient has different congnition for touching SNLEwithOsama 92. 30 year old man newly diagnosed with Diabetes. The patient has great knowledge on how to monitor his blood glucose levels. But needs education on insulin administration, dose, discard of medication. What should the nurse’s outcome be? A. “ the patient will show knowledge about insulin and insulin administration and discard of needle” B. “ the patient will return correct demonstration of aspirating the medication for vial, administration of insulin and how, discarding needles in sharp box.” 93. A patient returned to the Surgical Unit from the thyroidectomy. The nurse observed that the arousable. Blood pressure 90/60 mmHg Heart rate 108 /min What immediate action should the nurse take? A. Recheck pulse and blood pressure B. Administer intravenous fluids as ordered C. Place client in modified Trendelenburg's D. Assess the back of neck surgical dressing for bleeding 94. A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIDH). Which of the following should be a priority intervention for the client? A. Monitoring hourly intake and output B. Pressure ulcer prevention strategies C. Encourage client to eat foods rich in potassium D. Restricting fluid intake of the client to less than 1000ml per day SNLEwithOsama 95. A patient took his NPH insulin at 6 AM, when will he be hypoglycemia? A. 7am B. 8am C. 9am D. 10am 96. The nurse is reviewing the health care provider’s prescriptions for a child with a streptococcal infection and notes that an antistreptolysin O titer is prescribed. Based on this prescription, which disorder would the nurse suspect in the child? A. Rheumatic Fever RF B. Aortic valve diseases C. Pulmonic valve diseases D. Congestive heart failure 97. 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 foods? A. Fruit juice B. Raw meat C. Whole grains D. Milk products 98. Multiple myeloma is a neoplastic proliferation of? A. lymphocytes B. Granulocytes C. Plasma cells D. Monocytes SNLEwithOsama 99. Postoperative patient the doctor ordered blood transfusion. The nurse assessed the patient after 15 minutes. The patient feels froozing and tight breathing. What should the nurse do first? A. Stop infusion, start normal saline and notify the doctor B. Stop infusion , cover patient with blanket and notify the doctor C. Slow infusion rate to half and give anti allergic medication 100. What precautions are necessary when caring for a patient with Hepatitis A to protect the family from infected? A. Wash dishes and do not share B. Not sharing the toilet C. Placing the patient in a private room SNLEwithOsama MOTHER OF NINE 1. Mother of nine children, three of them with congenital anomalies and one down syndrome,she is a primary school graduate, with low financial status, she is not using any method of family planning . according, the primary health are nurse has referred her for counselin .Which of the following is a model concerned with disability as from of social injustice due to stigma, or discrimination? A. Health belief B. Biomedical C. Sociopolitical D. Economic 2. Mother of nine children, three of them with congenital anomalies and one Down syndrome; she is a primary school graduate, with low financial status. She is not using any method of family planning. Accordingly, the primary health care nurse has referred her for counseling. Which of the following is a barrier facing the team responsible for providing health services to handicapped individuals? A. Sensory limitations B. Rigid rules C. Developmental disabilities SNLEwithOsama 3. Mother of nine children, three of them with congenitalanomales Down syndrome; she is a primary school graduate, with low first status. She is not using any method of family planning. According primary health care nurse has refered her counselling. Which of the following phases of home visit accomplishes intervention? A. Initial B. Closing C. Action D. Terminal 4. Mother of nine children, three of them with congenital anomalies Down syndrome; she is a primary school graduate, with low status. She is not using any method of family planning. According primary health care nurse referred her for counseling Which of the following types of home visits that the community her nurse should conduct for this client? A. Systematic routine B. Selective C. Follow up D. Field trip 5. Mother of nine children, three of them with congenital anomalies and one down syndrome; she is primary school graduate, with low financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following is the best health education method that can be used? A. Community organization B. Individual counseling C. Group discussion D. Health class SNLEwithOsama 6. Mother of nine children, three of them with congenital anomalies and one down syndrome: she is a primary school graduate, with low financial status. She is not using any method of family planning. So, the primary health care nurse has referred her for counseling. Which of the following indicates that the summarizes the important points during counselin? A. Provision broad ideas to the client B. Restatement for better understanding C. Keeping silent while the client asking questions D. Interpreting feelings and resistance of the client 7. Mother of nine children, three of them with congenital an down syndrome; she is a primary school graduate, with status. She is not using any method of family planning. So Health care nurse has referred her for counselling which of the following must be focused on by the community nurse to provide an effective health education? A. Educate regardless realistic objectives B. Use clear and concise language C. Use scientific terms during explanation D. Explain the negative consequences in the family SNLEwithOsama
