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First semester\second exam Al-Najah National University Student name

Adult Health Nursing1 \Final exam Faculty Of Nursing Student number
Miss Fatima Hirzallah

1-Of the following persons, who is most likely to be at risk for tuberculosis(T.B):
a-Tobacco farmer
b- -Housewife
c-Homeless man
d-Day care workers

2-When teaching about tuberculosis (TB), it is known that which tests are needed to
confirm the disease?

Sputum and chest x-ray
Four positive test
Chest x-ray only
Skin test only

3-The nurse should be alert for a complication of bronchioectasis is:
a-atelectasis
b-emphysema
c-pleurisy
d-pneumonia

4-A client has COPD. One way to improve lung function is to eliminate one of the
risk factors. The most important, well-known risk factor is?
a-Exposure to asbestos
b-Cigarette smoking
c-Exposure to allergens
d-Exposure to woo smoke

5-A patient with asthma given aminophylline to:

a-deacrese body inflammation reaction
b-relax pulmonary vessels
c-reduce sleep and rest
d-cause dilation of bronchi

6-After a laryngectomy a client is concerned about improvement the ability to
communicate. The nurse should arrange for the client to learn more about:
a-Sign language
b-Body language
c-Esophageal speech
d-Computer generated speech

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Smaller R-waves c.Widened QRS d-ST segment elevation 2 . Decrease blood pressure b. An atrial rhythm characterized by a sawtooth pattern between QRS complex d.postural hypotension d.A new onset MI can be recognized by which of the following ECG changes? a. The nurse understands that this type of shock is: a-an irreversible phenomenon b-a failure of the circulatory pump c-usually a fleeting reaction to tissue injury d-generally caused by decreased blood volume 11-In the caring for a client with vasovagal syncope. Cardiac enlargement d.vestibular dysfunction b. An irregular. A barely discernible rhythm.Q-waves b. Increase heart rate 9-A client has edema in the lower extremities. chaotic ventricular rhythm b. anaphylactic shock 13. Promote coagulation c. Trigger vasodilation d.First semester\second exam Al-Najah National University Student name Adult Health Nursing1 \Final exam Faculty Of Nursing Student number Miss Fatima Hirzallah 7-Atrial flutter may best be describe as: a. hypokalemia b.sudden vascular fluid shifting c. Cardiac Dysrhythmias c.bradyrhythmia. the nurse should know that the associated temporary loss of consciousness is most commonly related to : a.Catecholamine’s (epinephrine and nor epinephrine) act to: a. 12-the nurse in the coronary care unit (CCU) should observe for one of the More common complication of myocardium infarction . The nurse should suspect: a-Lung disease b-Pulmonary edema c-Myocardial infarction d-Right ventricular heart failure 10-The nurse suspects a client is in cardiogenic shock. An irregular rhythm with little wave formation between QRS complex c.which is : a. not associated with any heart muscle activity 8 .

17-when caring for a client with disseminated intravascular coagulation (DIC). X. b. is admitted to the intensive care unit after she developed disseminated intravascular coagulation (DIC) following a vaginal delivery. 15. resulting in simultaneous microvascular clotting and hemorrhage c-.First semester\second exam Al-Najah National University Student name Adult Health Nursing1 \Final exam Faculty Of Nursing Student number Miss Fatima Hirzallah 14-A 60-year-old male with a history of angina pectoris complains of chest pain radiating to the neck and left arm.Vasodilatation. The nurse's best initial response is which of the following? Administer oxygen per nasal cannula Notify the physician Administer aspirin Administer sublingual nitroglycerin Questions 15-17 refer to the following situation. resulting in vasodilation and decreased perfusion 16-Laboratory values for DIC will show abnormalities in: a. c. it is important for the nurse to: a-Asses for hommans sign b-Avoid intramuscular injections c-Take temperatures via the rectal route d-Apply sequential compression stockings 18-A client is admitted with suspected atelactasis when assessing this individual.What is the result of DIC? a.Hypersensitive response to an antigen. resulting in hypotension d. Ms.tests for renal function.clotting studies. the nurse should expect: a-slow deep respiration b-diminished breath sound c-a dry.Septic shock.liver function tests.Depletion of clotting factors and excessive fibrinolysis. unproductive cough d-a normal oral temperature 19-the most frequent symptom of lung cancer: a-sputum production b.dyspnea c-couphing d-sever pain 3 . d. resulting in anaphylaxis b.blood glucose levels.

5 to 2 c.First semester\second exam Al-Najah National University Student name Adult Health Nursing1 \Final exam Faculty Of Nursing Student number Miss Fatima Hirzallah 20-as assessment information.3.Thoracentesis b.0.0 23-A patient presents moderately short of breath and dyspneic.which is : a-cough b-syncope c.1.hemoptyis d-tachypnea 22-Anticoagulation with heparin is administered in an attempt to maintain partial prothromboplastin time (PTT) at how many times the normal values : a . The nurse expect to find: a. Moist crackles at the posterior of the lungs d.Bronchoscopy c.V/Q scan d. Increased resonance with percussion of the involved area 25-In the emergency department chest tubes are inserted to a client in the second intercostal spaces and one at the base of the lung.2. Reduced or absent of breath sounds at the base of the lung c. The nurse is assessing a client with pleural effusion. The physician is most likely to order which of the following procedures? a. The nurse looks for frequent sign . a nurse knows that the majority of Pulmonary emboli originate in: a-deep leg veins b-pelvic area c-lung tissue d-right atrium of the heart 21-the nurse assesses a pt for a possible pulmonary embolism. The nurse understands that the tube in the second intercostals space will: a-Remove the air that is present in the intrapleural space b-Drain serosanguieous fluid from the intrapleural compartment c-Provide access for the instillation of medication into the pleural space d-Permit the development of positive pressure between the layers of the pleura 4 . Deviation of the trachea towards the involved side b.5 to 3 d.5 to1 b.Repeat chest x-ray 24. A chest x-ray examination reveals a large right pleural effusion with significant atelectasis.

Lymph node pain b. and asymmetrical chest movement are indicative of which of the following disorders? a. c-Spoon-shaped nails d. Which of the following would the nurse expect the client to report? a. the lymph nodes usually affected first are the: a-Axillary b-Inguinal c-Cervical d-Mediastinal 27.Pulmonary fibrosis d-Atelectasis 5 .Hemoglobin electrophoresis b. tracheal deviation to the left side.convex nails. Headache 28-A characteristic of iron-deficiency anemia is nail alterations.A client admitted with newly diagnosed with Hodgkin’s disease.First semester\second exam Al-Najah National University Student name Adult Health Nursing1 \Final exam Faculty Of Nursing Student number Miss Fatima Hirzallah 26-With Hodgkin’s disease. This condition can be described as a.Tension pneumothorax b.Total iron binding capacity c-Complete blood count d. b-ridged nails.Pneumonia c.Serum ferritin 31-Diminished-to-absent breath sounds on the right side. Weight gain c. the nurse would emphasis the use of food high in which substance: a-Vitamin A b-Vitamin C c-Vitamin B d-Vitamin K 30-What is the diagnostic study used to evaluate hemolytic anemia a. During diet teaching.clubbed nails. Night sweats d. 29-A client is diagnosed with iron deficiency anemia.

Pernicious anemia c. Decreased rate of red blood cell destruction d.young children more than 15 years d. A bilirubin level above 2mg/100 ml blood volume could indicate: a. dyspneic.adult Q1-What is the nursing management for pt post tonsillectomy ? (3mark) --------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------- 6 . Hemolytic anemia b. and jaundiced. Low oxygen carrying capacity of erythrocytes 33-The increased tendency toward coronary and cerebral seen in individuals with polycythemia vera is attributable to the: a--Increased viscocity b-Fragility of the cells c-Elevated blood pressure d-Immaturity of red blood cells 34-A definitive diagnosis of cystic fibrosis is based on the following diagnostic test : a-bronchoscopy b-CT scan c-sweat chloride test d-pulmonary function test 35-The major cause of death in patients with leukemia is believed to be: a-anemia b-dehydration c-emboli d-infection 36-Acute lymphatic leukemia (ALL) most common in: a.First semester\second exam Al-Najah National University Student name Adult Health Nursing1 \Final exam Faculty Of Nursing Student number Miss Fatima Hirzallah 32-A serum bilirubin is performed on a client who is weak.young children less than15 years c.elderly b.

his skin was cool .moist.RR 25b\m 1-What is the underlying causes of pulmonary edema? (2mark) ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- 7 . pale .First semester\second exam Al-Najah National University Student name Adult Health Nursing1 \Final exam Faculty Of Nursing Student number Miss Fatima Hirzallah Q2-Mr. HR:110 b\m .RR:35b\m. urine out put(U\O) was 50 ml over 2 hrs . he is anxious and irritable V\S were BP 110\60mmhg .V\S were BP 80\60mmhg HR:120b\m .who was received on nursing unit from the recovery room after having a labratomy for cholecystectomy pt with abdominal drain . chest pain.k is a42 years old.he is a 70 years old admitted to emergency as a case of pulmonary edema secondary o congestive heart failure C\O : dyspnea . The nurse assessed that the pt was experiencing shock . and his abdominal drain was drainage blood 750 ml\hr . 75 Kg .J . 1-What is the type of shock according to previous assessment? and defined it ? (2mark) -------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- 2-What is the appropriate therapeutic management & nursing management of shock ? (6mark) ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- Q3-Mr O. on inintial assessment Mrj.k was alert . j.

First semester\second exam Al-Najah National University Student name Adult Health Nursing1 \Final exam Faculty Of Nursing Student number Miss Fatima Hirzallah 2-What is the appropriate nursing intervention for Mr O.J? (6mark) ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------- -- 8 .