1- patient is on digoxin. What is the drug of choice?

● Lasix
2- post operation patient always asking for analgesic (over seeking). What is the most
appropriate nursing intervention?
● inform the physician to put the patient on regular analgesic
● tell the patient that it’s a fake feeling
● Increase patients analgesic dose
3- patient with Digoxin with Hyperkalemia, what do you expect the ECG rythem
● peaked, Inverted T wave?? (check)
4- a woman with dysmennorhea, how can the RN know that she is pregnant without any
investigations?
–
5- A patient with diabetic foot, during the discharge plan, how can the nurse know that the patient
understands the correct way to take care of his feet?
● I’ll check my foot every day (inspect)
6- when foleys is inserted, hoe does it fixed?
● inflation of the balloon.
● rotate the cathter and fix it by tape.
7- patient with acute renal failure, after investigation (Blood and urine) what do you expect to have?
● creatinine is high.
8- how can you assess the severity of CVA (Cerebrovascular Accident)
● the affected area in the brain
● block of the artery
● Nerves affected
9- What the suitable position for CVA patient, during doing oral cavity care.
● Supine
● lateral
● prone
10- During NGT (Nasogastric Tube) insertion, the nurse noticed a resistance, what is the
suitable Nursing intervention?
● remove the NGT.
● apply more power
● Rotate the tube
11- During NGT insertion the patient become cyanosed, Nsg intervention?
– remove the NG and monitor.
– Give O2.
12- During NG feeding, why it suppose to be slowly feeding (by gravity)?
– because the patient may develop Diarrhea
– because may develop abdominal destination.
13- what is the ideal way when you make suctioning to a patient on Mechanical Ventilator?
– Hyperventilation (by Ampobag) pre and post suctioning.
14- How the RN assess that the Chest tube s are working proberly?
– fluctuation (oxalating)
15- How to assess an emphysema with palpitation?
– When crackles sensation under the skin is felt (palpated)
16- the most common risk factors of developing a pneumonia?
– pts on Mechanical Ventilator.
17- Pneumonic Patient , has purulent mucous, how the nurse can assist the excretion of this
mucous?
– by percussion.
18- patient is planned for discharge on diuretics, how the nurse can know the patient understood
the care plan ?
– “ will measure and document the intake/ output”
– “ I’ll weigh my self daily”
19- Renal Failure patient for discharge, health education??
– avoid food with high K (potassium), Banana,etc
20- Patient with Hyperkalemia, which is the best way to decrease the K (potassium) level in
the blood?
– insulin, lasix pumps
– kay oxalate
21- the Description of good granulation tissue formation?
– pink, soft and may bleed when being touched
22- patient on diuretic, what the RN must keep in mind to monitor.
– Pulse.
– Potassium level.
– Blood Pressure.
23- Patient with GI (Gastrointestinal) (GI Bleeding), stool color?
– Dark (Upper GI Bleeding), (Bright Lower GI B.) + bed odor (Melena)
24- the purpose of let the patient with esophagus Varices having cold water ?
– cold water makes Vasoconstriction, prevent bleeding.
25- the Evidence that the patient may have Anorexia nervosa?
– Anemia
26- During Dealing with a Geriatric Patient , what the nurse should expect?
– difficulty swallowing
– Speaking slowly
27- .patient with CVA, how the nurse can assist to enhance the facial movement?
– encourage chewing and smiling.
28- patient with an amputated leg above the knee, complaing of pain in the his amputated knee,
what is the appropriate Nsg intervention?
– tell the pt that this a fake feeling.
– “I understand what you feel, bla bla. The nurse have to realize the fantom Pain).
29- post op patient had a thyroidectomy, how can the nurse realize that the pt developed
a parathyroid injury?
– muscle twitching.
30- the most dangerous arrhythmia?
– V-tach (Ventricular tachycardia.
– VF (Ventricular fibrillation)
– braycaria
31- a pediatric patient with VSD (Ventricular-Septal Defect), the nurse must know that this
disease is?
– Cyanotic disease.
– may or may not need surgical repair.
32- during assessing the understanding of health education for a patient about elastic stocking,
the patient states?
– “ I will wear them during the day, and take them of before sleeping”.
33- the most common risk factor after thigh open fracture injury is?
– Pulmonary empolism.(fat embolism)
– Bleeding.
– Severe pain.
34- ICP (IntraCranial pressure) normal value is?
– 10-20 cm h2o.
35- how is the appropriate nursing care for a diabetic (DM) patient’s nails?
– cut straight, then file.
36- Health Education for a diabetic patient, before having a bath the patient must mesure the water
temperature by?
– put his elbow in the water.
– use a thermometer.
37- Physician order “give 10 IU mixtard (mixed) with 5 IU actrapid (clear) insulin …..) , the nurse
should?
– withdraw actrapid then Mixtard.
– withdraw mix then actrapid.
38- During medication preparation, the nurse noticed unclear label, or unclear expiary date of a
medication, what the appropriate nsg intervention?
– return to the pharmacy to be replaced.
39- When a nurse write an incident report about an error he/she does, it is an example of?
– confidentiality
– accountability
40- when the RN delegates a PN to do a procedure, in case of any mistakes who will
be responsible?
– RN
– PN
– Supervisor
– Physician.
41- Patient on Warfarin (Anti coagulation), how the nurse know that the pt understood his
health education, all are correct expcept?
– I will shave by raser instead of shaving set.
– I check (inspect) my body daily of bruises.
– Continuously lab check especially INR level.
– its normal to have dark urine
42- usually pts on warfarin, they must regularly check..
– bleeding time
– INR or PT
– ESR (Estimated sedemintation rate).
– PTT
43– usually pts on Heparin, the nurse must regularly check..
– bleeding time
– INRor PT
– ESR (Estimated sedemintation rate).
– PTT
44- Bed ridden patients hoe have low weight (slim), with poor nutrition, immobilized, are at high
risk to develop..
– Bed Sores
– DVT (Deep Vein Thrimbosis)
45- when changing the position for a patient with skin traction (with fractured leg), the appropriate
nsg intervention?
– Hold the weight (the traction) before changing the position.
46- the protective infection precaution equipment when dealing with a meningitis case is?
– surgical face mask (droplet)
– Gloves.
47- to have the best effectiveness when using a skin traction is?
– free hanging.
48- when the nurse deals with a psycho patient with severe depression, the nurse needs toilet,
the appropriate nsg intervention is?
– tell the patient that he will come back in 5 minutes, and instruct him not to move until he come.
– make any other nurse to cover (replacement).
49- in an Acute Bacterial Meningitis, the CSF (CerebriSpinal Fluid) investigation will be:
– low glucose level.
– high glucose level
– high protein level.
– low protein level
50- in PACU (Post Anesthesia care Unit), the nurse priority during monitoring the pt is?
– Blood pressure (BP)
(in case you have an airways and o2 saturation in the choices not the BP that will be the correct answer)
51- the drug of choice for bradycardia
– Atropine.
– Digoxin.
– epinephrine (Adrenaline)
– norepinephrine.
52- for terminal stages pts who complaining of pain, asking (Morphine)
– give when they complain pain.
53- the best position during having a kidney biopsy is?
– Prone with sand bag support behind the Rt- Lt abdominal area.
– lateral
54- the most complication may the patient have after the liver biopsy procedure is?
– severe Pain.
– Bleeding (Bile)
55- Nsg intervention for an amputated leg with a biological patch is?
– Elevation above pillow – to prevent contractures.
56- severe dehydrated baby, which of the following the nurse must expect as a sign:
– crying without tears.
57- Apgar score:
– 0-3 severe distress
– 4-6 Need observation
– 7-10 No problem
57- In Renal calculi case, urine analysis will appear:
– high WBC (white Blood Cells)
– High creatinine.
– high RBC (Red Blood cells)
58- when you are speaking (communicating) to a CVA patient:
– give the patient enough time to speak (because he/she speaking moving slowly)
– Encourage the patient to speak faster.
– act as you understand what he was speaking then ignore.
59- A patient with high ICP (Intracranial Pressure), What do you expect the patient to develop:
– coma
– Seizure
– Blindness
60- How to assess the pediatric tissue perfusion/ Breathing
– Capillary refill to be < 2 seconds.
61- a patient who recently lost his mother, after being informed he said “No she is coming today
to visit me”, this patient considered in which stage of grieving process?
– Acceptance.
– Denial
– Depression
– Stress
62- Before giving Digoxin, what Must the nurse do?
– Assess the BP
– Assess the RR
– Assess the HR
– assess the O2 saturation
63- signs of Bipolar:
– hyperactivity
64- Health Education for a patient who had total Knee replacement?
– not to cross the legs
65- First choice for feeding a patient with Dysphagia and stroke:
– NG tube.
– PEG
– TPN
66- Heavy smoker are at high risk to have:
– Hypertension
– CAD (Coronary Artery Diseases)
– stroke (CVA)
67- which of the following considered as (Plasma Expander)?
– Mannitol
– RBCS
– Albumin
– Perfalgan
68- why its contraindication to give high flow O2 to a COPD (Chronic Obstructive Pulmonary
Disease) patients?
– because it may cause O2 toxicity.
– to maintain breathing stimulation which initiated by the CO2
69- Picc line , when be used for the first time, what you expect from the physician to do?
– withdraw to check if you have food blood flow before using.
– CXR (Chest X-Ray)
– good and firm dressing.
70- which of the following is correct regarding Chest drainage system Discontinue?
– slowly remove the tube – suture- dressing
– clamp- instruct of inhalation then hold on- remove – tie the wound- dressing
71- post Bronchoscopy patient, the nurse should observe before starting feeding:
– Gag reflex
– wait bowel movement
– NPO (Nothing Per Oss) for 6 hrs then feed.
72- to irrigate a colostomy stoma, the nurse should use:
– Tepid water
– normal Saline
– Ringer lactate
– Distilled water
73- Nursing diagnosis as priority for a patient with Renal calcholie:
– Fluid volume deficit
– Pain
– risk for bleeding
– risk for oligurea
74- what should the nurse advice a Dm patient regarding insulin use?
– Small meal – Exercise- insulin
– insulin – sleep- exercise
– sleep- exercise – insulin
75- a patient with pancreatitis clinical investigation markers are all except:
-Amailaise
– Lipase
– low serum Ca level
– high serum glucose level
– hypernatremia
76- B-Blocker acts as anti arrhythmic agent is?
– isoptine
– lidocain
– Norvasc
– Tenormin
77- signs of duodenal ulcer:
– continuous pain
– intermittent pain.
– pain relieved by meals
– pain increased by meals
78- one of the following is correct regarding Dehydration signs (pediatric)
– high HR
– low skin turgor
– crying with no tears
79- Adult patient admitted the ICU, at night he became agitated, what do you expect this
patient have:
– schizophrenia
– depression
– Hospital (ICU) psychosis
– Stress or anxiety
80- post laparatomy patient, your advice when he wants to cough is:
– to support the abdomen by his hand before coughing
81- with pre-exlampsia , the nurse expect: (check the textbook)
– high Na (hypernatremia), low K (Hypokalemia)
–
82- Nsg diagnosis for a patient with Gestationl DM? (check the textbook)
– CVA
– Low BP
– Placenta Previa
– Poly Hydro minus
83- Type of Anemia, why..? (check the textbook)
– Low folic acid
– ….
84- DM insepidus, with old patient , you expect : (check the textbook)
– Hyponatremia
– Hypoglycemia
– high crealtinine – urine analysis
– …..
85- Most Priority Nsg action post “ Electroconvulsion Therapy” is?
– Put the pt on lateral position
– change position every 15 min
– ask how doe the pt feel.
86- When the RN prepare a dose of 75mg of pethidine, what must the nure do with the residual
amount in the 100 mg pethidine ampule?
– Discard it
87- Nursing meaning for the pts principle of Autonomy?
– pt has the right to be informed about results and procedures.
– the nurse respects the patients principles of freedom, choices, self determination and privacy.
– pt has the right for high quality of nsg care and international standards.
88- Effectiveness of O2 therapy for a pt with COPD ?
– HB
– PH and O2 sat
– CBC, ABGs, O2 Sat.
89- with duretics administration, the nurse must be aware of:
– high BP
– weak pulse
– muscle twitching
90- first priority Nsg interventions purpose with Alzhaimer pts is:
– to cure the disease
– giving medicaton to minimize the Signs and symptoms of Alzhaimer.
91- first priority when dealing with unconscious traumatic pt received in the ER?
– jaw thrust maneuver.
– maintain airways and breathing and O2 therapy
– assess level of consciousness.
92- Rectal tube insertion procedure, all of the following steps are correct except:
– Lubricate the rectal tube.
– insert 4-6 inches
– assess for abdominal distention before and after insertion.
– leave the tube for 40 minutes.
93- if the pt complains of pain when inflation of the balloon during the foleys catheter
insertion procedure, the proper nsg action is?
– Aspirate the fluid and remove.
– withdraw the fluid and insert more in then re inflate.
– put lower amount of fluid inside the balloon
94- Diagnosis markers of thalassemia? (check the textbook)
– HB, Electrolytes
– CBC
– PTT,PT
95- Which of the following regarding the Nsg diagnosis?
– Medical Pathology
– Treatment
– Actual problem
– Lab result
100- Health Education how to make wound care, the nurse knows that the pt understands by:
– states the steps of sterile techniques while dealing with his wound.
101- to prevent lipo dystrophy with DM patient?
– Rotate injection sites.
– deep injection
– use 25 gauge syringe.
102- Meningitis therapy (Nursing Care) includes:
– ventilate the room
– Allow frequent visitore.
– use low lighting system. (light sensitivity)
103- the purpose of giving “Anti D” for a pregnant woman?
– to prevent the RBCs destruction for the next baby
104- a pregnant woman 2nd-3rd trimester, planned for C/S, the nsg priority is?
– Assess pain
– start IV fluids
105- Post normal vaginal Delivery, the pt developed vaginal bleeding, uterus is soft, what is
the most appropriate Nsg intervention?
– Uterus message to make the uterus rigid and decrease bleeding.
106- The most suitable diet for a woman with pre- exlampsia is?
– high protein, low salt diet
107- the reason of gum bleeding for a pregnant woman?
– high estrogen level
108- 20 weeks pregnant woman, first fatal movement called?
– Quacking.
109- when you let the patient suddenly down, the normal newborn’s reflex is called?
(revise reflexes)
– Moro reflex
– Babiniski reflex
– rotating (sucking) reflex
– grasping
110- to prevent uterus laceration during delivery…
‘- Episeotomy
111- Marker diagnostic investigation for Breast CA (Cancer) is?
– ERP test
– CD and T
112- the priority, pt with facial and chest burn is?
– maintain airways and breathing. (laryngeal edema)
113- Post ETT (Endotracheal Intubation), patient’s breathing with gargling, this gargling is
evidence that the tube is located in:
– Bronchioles
– Trachea
– Carina
– Esophagous
114- the drug of choice for Supra ventricular tachycardia is …
– D/C shock
– Atropine
– Adrenaline
– Adenosine
115- the In charge nurse prepared a medication and asked the RN to give it to patient in room 4,
the appropriate RN intervention:
– refuse giving this medication ( who prepared will give, no deligation)
– give it, and sign instead of the in charge.
116- the first priority regarding medication administration ?
– chceck pts name
– check the expiry date
– check physician order
– check medication name
117- preparation for thoracentesis?
– give pre medication
– keep pt NPO for 8 hrs.
– keep the pt on upright position and mark the site.
118- the ideal way to remove the eye lenses?
– apply a pressure to the eyelids then instruct to clinch.
119- Documentation error (with 2 words) hoe the nurse fixes this error?
– use the corrector
– flat line over then sign
120- documentation- while the nurse document in a pts file, he discovered that he was writing in
the wrong pt, what is the appropriate action should the nurse do?
– make oblique line in the whole page and sign.