مركز الاختبارات الالكترونية و المحوسبة

رقم السؤال: 1 من 56 درجة السؤال: 1

The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:

Utilize an infusion pump.

Check the blood glucose level.

Place the client in Trendelenburg position.

Cover the solution with foil.

رقم السؤال: 2 من 56 درجة السؤال: 1

As a perioperative nurse, how can you best meet the safety need of the client after administering preoperative narcotic?

Put side rails up and ask client not to get out of bed

Send the client to ORD with the family

Allow client to get up to go to the comfort room

Obtain consent form

رقم السؤال: 3 من 56 درجة السؤال: 1

Situation – Nurses hold a variety of roles when providing care to a perioperative patient.

Which of the following role would be the responsibility of the scrub nurse?

Assess the readiness of the client prior to surgery

Ensure that the airway is adequate

Account for the number of sponges, needles, supplies, Used during the surgical procedure

Evaluate the type of anesthesia appropriate for the surgical client

رقم السؤال: 4 من 56 درجة السؤال: 1

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?

Activity intolerance related to fatigue

Anxiety related to actual threat to health status

Risk for infection related to retained secretions

Impaired gas exchange related to airflow obstruction

رقم السؤال: 5 من 56 درجة السؤال: 1

The experienced LPN/LVN reports that a client’s blood pressure and heart rate have decreased and that when the face is assessed, one side twitches. What action should you take at this time?

Reassess the client’s blood pressure and heart rate

Review the client’s morning calcium level

Request a neurologic consult today

Check the client’s papillary reaction to light

رقم السؤال: 6 من 56 درجة السؤال: 1

Situation – In the OR, there are safety protocols that should be followed. The OR nurse should be well versed with all these to safeguard the safety and quality to patient delivery outcome.

Which of the following should be given highest priority when receiving patient in the OR?

Assess level of consciousness

Verify patient identification and informed consent

Assess vital signs

Check for jewelry, gown, manicure and dentures

رقم السؤال: 7 من 56 درجة السؤال: 1

The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

Feet

Neck

Hands

Sacrum

رقم السؤال: 8 من 56 درجة السؤال: 1

The client also has the nursing diagnosis Decreased Cardiac Output related to decrease plasma volume. Which finding on assessment supports this nursing diagnosis?

Flattened neck veins when client is in supine position

Full and bounding pedal and post-tibial pulses

Pitting edema located in feet, ankles, and calves

Shallow respirations with crackles on auscultation

رقم السؤال: 9 من 56 درجة السؤال: 1

A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as needed. Which assessment finding indicates that the patient needs another pancuronium dose?

Leg movement

Finger movement

Lip movement

Fighting the ventilator

رقم السؤال: 10 من 56 درجة السؤال: 1

The physician has written the following orders for the client with Excess Fluid volume. The client’s morning assessment includes bounding peripheral pulses, weight gain of 2 pounds, pitting ankle edema, and moist crackles bilaterally. Which order takes priority at this time?

Weight client every morning.

Maintain accurate intake and output.

Restrict fluid to 1500 mL per day.

Administer furosemide (Lasix) 40 mg IV push.

رقم السؤال: 11 من 56 درجة السؤال: 1

A client is admitted to the unit with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). For which electrolyte abnormality will you be sure to monitor?

Hypokalemia

Hyperkalemia

Hyponatremia

Hypernatremia

رقم السؤال: 12 من 56 درجة السؤال: 1

When caring for a male patient who has just had a total laryngectomy, the nurse should plan to:

Encourage oral feeding as soon as possible

Develop an alternative communication method

Keep the tracheostomy cuff fully inflated

Keep the patient flat in bed

رقم السؤال: 13 من 56 درجة السؤال: 1

After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. When caring for this patient, the nurse must:

Monitor fluctuations in the water-seal chamber

Clamp the chest tube once every shift

Encourage coughing and deep breathing

Milk the chest tube every 2 hours

رقم السؤال: 14 من 56 درجة السؤال: 1

In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?

Instruct client to observe strict bed rest

Check for epidural catheter drainage

Administer analgesia through epidural catheter as prescribed

Assess respiratory rate carefully

رقم السؤال: 15 من 56 درجة السؤال: 1

On auscultation, which finding suggests a right pneumothorax?

Bilateral inspiratory and expiratory crackles

Absence of breaths sound in the right thorax

Inspiratory wheezes in the right thorax

Bilateral pleural friction rub

رقم السؤال: 16 من 56 درجة السؤال: 1

Which route of administration is preferred if immediate analgesia and rapid titration are necessary?

Intraspinal

Patient-controlled analgesia (PCA)

Intravenous (IV)

Sublingual

رقم السؤال: 17 من 56 درجة السؤال: 1

A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure?

Regular insulin

Glipizide (Glucotrol)

Repaglinide (Prandin)

Metformin (Glucophage)

رقم السؤال: 18 من 56 درجة السؤال: 1

The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

Question the order.

Administer the medications.

Administer them separately.

Contact the pharmacy.

رقم السؤال: 19 من 56 درجة السؤال: 1

Family members are encouraging your client to “tough it out” rather than run the risk of becoming addicted to narcotics. The client is stoically abiding by the family’s wishes. Priority nursing interventions for this client should target which dimension of pain?

Sensory

Affective

Sociocultural

Behavioral

رقم السؤال: 20 من 56 درجة السؤال: 1

OR nurses should be aware that maintaining the client’s safety is the overall goal of nursing care during the intraoperative phase. As the circulating nurse, you make certain that throughout the procedure.......

the surgeon greets his client before induction of anesthesia

the surgeon and anesthesiologist are in tandem

strap made of strong non-abrasive material are fastened securely around the joints of the knees and ankles and around the 2 hands around an arm board

client is monitored throughout the surgery by the assistant anesthesiologist

رقم السؤال: 21 من 56 درجة السؤال: 1

You are preparing to discharge a client whose calcium level was low but is now just slightly within the normal range (9-10.5 mg/dL). Which statement by the client indicates the need for additional teaching?

I will call my doctor if I experience muscle twitching or seizures.

I will make sure to take my vitamin D with my calcium each day.

I will take my calcium pill every morning before breakfast.

I will avoid dairy products, broccoli, and spinach when I eat.

رقم السؤال: 22 من 56 درجة السؤال: 1

A client with chronic pain reports to you, the charge nurse, that the nurse have not been responding to requests for pain medication. What is your initial action?

Check the MARs and nurses’ notes for the past several days.

Ask the nurse educator to give an in-service about pain management.

Perform a complete pain assessment and history on the client.

Have a conference with the nurses responsible for the care of this client.

رقم السؤال: 23 من 56 درجة السؤال: 1

When titrating an analgesic to manage pain, what is the priority goal?

Administer smallest dose that provides relief with the fewest side effects.

Titrate upward until the client is pain free.

Titrate downwards to prevent toxicity.

Ensure that the drug is adequate to meet the client’s subjective needs.

رقم السؤال: 24 من 56 درجة السؤال: 1

It is the responsibility of the pre-op, nurse to do skin prep for patients undergoing surgery. If hair at the operative site is not shaved, what should be done to make suturing easy and lessen chance of incision infection?

Draped

Pulled

Clipped

Shampooed

رقم السؤال: 25 من 56 درجة السؤال: 1

In caring for a young child with pain, which assessment tool is the most useful?

Simple description pain intensity scale

0-10 numeric pain scale

Faces pain-rating scale

McGill-Melzack pain questionnaire

رقم السؤال: 26 من 56 درجة السؤال: 1

A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient’s condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high pressure alarm on the mechanical ventilator, alarm sounds, the nurse starts to check for the cause. Which condition triggers the high pressure alarm?

Kinking of the ventilator tubing

A disconnected ventilator tube

An endotracheal cuff leak

A change in the oxygen concentration without resetting the oxygen level alarm

رقم السؤال: 27 من 56 درجة السؤال: 1

Some different habits and hobbies affect postoperative respiratory function. If your client smokes 3 packs of cigarettes a day for the past 10 years, you will anticipate increased risk for:

perioperative anxiety and stress

delayed coagulation time

delayed wound healing

postoperative respiratory dysfunction

رقم السؤال: 28 من 56 درجة السؤال: 1

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

Nausea or vomiting

Abdominal pain or diarrhea

Hallucinations or tinnitus

Lightheadedness or paresthesia

رقم السؤال: 29 من 56 درجة السؤال: 1

Surgeries like I and D (incision and drainage) and debridement are relatively short procedures but considered ‘dirty cases’. When are these; procedures best scheduled?

Last case

In between cases

According to availability of anesthesiologist

According to the surgeon’s preference

رقم السؤال: 30 من 56 درجة السؤال: 1

Pain in Ortho cases may not be mainly due to the surgery. There might be other factors such as cultural or psychological that influence pain. How can you alter these factors as the nurse?

Explain all the possible interventions that may cause the client to worry.

Establish trusting relationship by giving his medication on time.

Stay with the client during pain episodes.

Promote client’s sense of control and participation in pain control by listening to his concerns.

رقم السؤال: 31 من 56 درجة السؤال: 1

You are reviewing a client’s morning laboratory results. Which of these results is of most concern?

Serum potassium 5.2 mEq/L

Serum sodium 134 mEq/L

Serum calcium 10.6 mg/dL

Serum magnesium 0.8 mEq/L

رقم السؤال: 32 من 56 درجة السؤال: 1

As the charge nurse, you are reviewing the charts of clients who were assigned to a newly graduated RN. The RN has correctly charted dose and time of medication, but there is no documentation regarding non-pharmaceutical measures. What action should you take first?

Make a note in the nurse’s file and continue to observe clinical performance.

Refer the new nurse to the in-service education department.

Quiz the nurse about knowledge of pain management.

Give praise for the correct dose and time and discuss the deficits in charting.

رقم السؤال: 33 من 56 درجة السؤال: 1

Another nursing check that should not be missed before the induction of general anesthesia is:

check for presence underwear

check for presence dentures

check patient’s blood studies

check baseline vital signs

رقم السؤال: 34 من 56 درجة السؤال: 1

The best method of evaluating the amount of peripheral edema is:

Weighing the client daily

Measuring the extremity

Measuring the intake and output

Checking for pitting

رقم السؤال: 35 من 56 درجة السؤال: 1

In applying the principles of pain treatment, what is the first consideration?

Treatment is based on client goals.

A multidisciplinary approach is needed.

The client must be believed about perceptions of own pain.

Drug side effects must be prevented and managed.

رقم السؤال: 36 من 56 درجة السؤال: 1

The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

Replenish her supply every 3 months.

Take one every 15 minutes if pain occurs.

Leave the medication in the brown bottle.

Crush the medication and take it with water.

رقم السؤال: 37 من 56 درجة السؤال: 1

A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities that is not responding to NSAIDs. You anticipate that the physician will order which adjuvant medication for this type of pain?

Amitriptyline (Elavil)

Corticosteroids

Methylphenidate (Ritalin)

Lorazepam (Ativan)

رقم السؤال: 38 من 56 درجة السؤال: 1

In educating clients about non-pharmaceutical alternatives, which topic could you delegate to an experienced LPN/LVN, who will function under your continued support and supervision?

Therapeutic touch

Use of heat and cold applications

Meditation

Transcutaneous electrical nerve stimulation (TENS

رقم السؤال: 39 من 56 درجة السؤال: 1

A client’s nursing diagnosis is Deficient Fluid Volume related to excessive fluid loss. Which action related to the fluid management should be delegated to a nursing assistant?

Administer IV fluids as prescribed by the physician.

Provide straws and offer fluids between meals.

Develop plan for added fluid intake over 24 hours.

Teach family members to assist client with fluid intake.

رقم السؤال: 40 من 56 درجة السؤال: 1

Which of the following nursing intervention is done when examining the incision wound and changing the dressing?

Observe the dressing and type and odor of drainage if any

Get patient’s consent

Wash hands

Request the client to expose the incision wound

رقم السؤال: 41 من 56 درجة السؤال: 1

A nursing assistant asks why the client with a chronically low phosphorus level needs so much assistance with activities of daily living. What is your best response?

The client’s low phosphorus is probably due to malnutrition.

The client is just worn out form not getting enough rest.

The client’s skeletal muscles are weak because of the low phosphorus.

The client will do more for herself when her phosphorus is normal.

رقم السؤال: 42 من 56 درجة السؤال: 1

Which client is most likely to receive opioids for extended periods of time?

A client with fibromyalgia

A client with phantom limb pain

A client with progressive pancreatic cancer

A client with trigeminal neuralgia

رقم السؤال: 43 من 56 درجة السؤال: 1

Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the:

Contralateral side in a simple pneumothorax

Affected side in a hemothorax

Affected side in a tension pneumothorax

Contralateral side in hemothorax

رقم السؤال: 44 من 56 درجة السؤال: 1

The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

Macaroni and cheese

Shrimp with rice

Turkey breast

Spaghetti and meatballs

رقم السؤال: 45 من 56 درجة السؤال: 1

Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In a acute rhinitis, nasal drainage normally is:

Yellow

Green

Clear

Gray

رقم السؤال: 46 من 56 درجة السؤال: 1

It is also the nurse’s function to determine when infection is developing in the surgical incision. The perioperative nurse should observe for what signs of impending infection?

Localized heat and redness

Serosanguinous exudates and skin blanching

Separation of the incision

Blood clots and scar tissue are visible

رقم السؤال: 47 من 56 درجة السؤال: 1

The client presents to the clinic with a serum cholesterol of 275 mg/dl and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?

Report muscle weakness to the physician.

Allow 6 months for the drug to take effect.

Take the medication with fruit juice.

Ask the doctor to perform a complete blood count prior to starting the medication.

رقم السؤال: 48 من 56 درجة السؤال: 1

You continuously evaluate the client’s adaptation to pain. Which of the following behaviors-indicate appropriate adaptation?

The client reports pain reduction and decreased activity

The client denies existence of pain

The client can distract himself during pain episodes

The client reports independence from watchers

رقم السؤال: 49 من 56 درجة السؤال: 1

The charge nurse assigned in the care for a client with acute renal failure and hypernatremia to you, a newly graduated RN. Which actions can you delegate to the nursing assistant?

Provide oral care every 3-4 hours

Monitor for indications of dehydration

Administer 0.45% saline by IV line

Assess daily weights for trends

رقم السؤال: 50 من 56 درجة السؤال: 1

Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the nurse should explain that it may cause:

Nasal congestion

Nervousness

Lethargy

Hyperkalemia

رقم السؤال: 51 من 56 درجة السؤال: 1

Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses sees many abbreviations. What does a lowercase “a” in ABG value present?

Acid-base balance

Arterial Blood

Arterial oxygen saturation

Alveoli

رقم السؤال: 52 من 56 درجة السؤال: 1

The client’s potassium level is 6.7 mEq/L. Which intervention should you delegate to the student nurse under your supervision?

Administer Kayexalate 15 g orally.

Administer spironolactone 25 mg orally.

Assess WCG strip for tall T waves.

Administer potassium 10 mEq orally.

رقم السؤال: 53 من 56 درجة السؤال: 1

Situation - You are assigned in the Orthopedic Ward where clients are complaining of pain in varying degrees upon movement of body parts.

Troy is a one day post open reduction and internal fixation (ORIF) of the left hip and is in pain. Which of the following observation would prompt you to call the doctor?

Dressing is intact but partially soiled

Left foot is cold to touch and pedal pulse is absent

Left leg in limited functional anatomic position

BP 114/78, pulse of 82 beats/minute

رقم السؤال: 54 من 56 درجة السؤال: 1

Before administering ephedrine, Nurse Tony assesses the patient’s history. Because of ephedrine’s central nervous system (CNS) effects, it is not recommended for:

Patients with an acute asthma attack

Patients with narcolepsy

Patients under age 6

Elderly patients

رقم السؤال: 55 من 56 درجة السؤال: 1

You have been pulled to the telemetry unit for the day. The monitor informs you that the client has developed prominent U waves. Which laboratory value should you check immediately?

Sodium

Potassium

Magnesium

Calcium

رقم السؤال: 56 من 56 درجة السؤال: 1

A 54-year-old male is admitted to the cardiac unit with chest pain radiating to the jaw and left arm. Which enzyme would be most specific in the diagnosis of a myocardial infarction?

Aspartate aminotransferase

Lactic acid dehydrogenase

Hydroxybutyric dehydrogenase

Creatine phosphokinase

ارقام الاسئلة التي لم تجب عليها:

1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56

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