مجموعه من الاسئلة التمريضية

‫شبكة ومنتديات بيت التمريض‬
1-nursing process consists
assessment
planning
implementation
all of the above
2-The following techniques are using for general physical examination:
Inspection
palpitation
percussion
auscultation
all of the above
3-The most accurate temperature is:
rectal
axilla
oral
4-The normal temperature is :
37c
37.5c
37.6c
5-Normal adult pulse is:

60-80 b/m
70-80 b/m
50-70 b/m
6-The systolic pressure in lower extremities is usually ___________ than
‫حسن عصفور‬:‫إعداد‬
upper extremities
10mm of hg higher
5mm of hg higher
15mm of hg higher
7-An informed consent is a ______ for any operative procedures:

medico legal requirement
operative permit
document
8-The best position for postoperative patient to maintain a patient

airway is:
lateral position with neck extended
supine position
semi fowlers position
9-When a patient admitted in dr with full term pregnancy & her

membranes rupture spontaneously all of the following actions are
appropriate ; first you will
check the FHR
check the color of fluid
assess the quantity of fluid
notify the physician
10- The nurse assigned to care a patient after gastric resection in the recovery
room in stable condition. during your assessment for hypovolemic shock, the
sign that you would expect to note if this complication occurs is
hypertension
cyanosis
oliguria
tachypnea
11-Paralytic ileus is a frequent - complication of post-operative abdominal

surgery . according to the physician's orders & your own assessment data
base, a planned intervention would be to:
administer p.o fluids only
insert a N.G.T
insert a rectal tube
listen for bowel sounds
12-Assessing a patient diagnosed as a schizophrenic, the nurse keeps in mind

that a diagnosis of schizophrenia involves
inability to concentrate
loss of contact with reality
guilt feelings
feelings of worthlessness
13-The doctor applies a leg cast of a patient with leg fracture . following
casting, the nurse should first check patient's toes for
increase in temperature
change in color
edema
movement
14-From your knowledge of the casting procedure, you understand that a wet
cast should be
placed on a firm surface for the first few hours
handed only with the palms of the hands
left along to set for at least 3 hours
pedaled to lessen chance of irritation to the patient.
15-Immadiate assessment of the premature infant in the nursery would not

include
hunger status
cardiac status
respiratory status
congenital abnormalities
16-Which of the following best explain why premature infant are more likely
to develop hyperlibidemia ?
Liver enzymes are immature
antibody formation is immature

premature infants receive few antibodies from the mother .
WBC live immature
17-Nursing responsibilities for the pre operative period would include

notifying the physician if the
erythrocyte count is 6 million 1 cc mm
temperature is 99 C F orally
hemoglobin is 14 gm/100ml
urine report-indicates ketonuria
18-A test used in the diagnosis of cystic fibrosis called

sweat chloride
blood glucose
sputum culture
stool specimen for fat content
19-Following a radical mastectomy patient to be positioned

on her operative side
on her un operative side
in semi - fowler's with her affected arm flat on bed
in semi-fowler's with her affected arm elevated
20-The major operative complication following a cholecystectomy is

paralytic ileus
thrombophlebitis
pneumonia
hemorrhage
21-A30 years old male patient has burns on the front & back of both his legs &
arms. the appropriate percentage of his body that has been involved is
27%
36%
45%
54%
22-During a retention catheter or bladder irrigation the nurse must use

sterile equipment & wear sterile gloves
clean equipment & maintain surgical asepsis
sterile equipment &maintain medical asepsis
clean equipment & technique
23-The millimeters of drug that should be used to give 0.5 gm if the label on the
bottle reads 5 gm in 10 ml is
2.0
1.0
0.5
5.0
24-Following total hip replacement , immediately post operative you would

expect orders to include:
head of bed elevated to 45 C angle
operative leg maintain in abduction
buck's traction unit 1 hip can be put through range of motion
turn on operative side only immediately post operatively
25-When you are administering heparin the substance you will keep at the
bedside as the antidote is:
magnesium sulfate
vitamin K
protamin sulfate
calcium gloconate
26-What you will observe for a patient is on anti coagulant therapy:

bleeding from any site of the body
drowsiness
weight reduction
hypotension
27-Robert Reinhold , a construction worker , is seen in the ER with low blood

pressure , normal pulse , cool skin temperature and weakness . these are clinical
signs of:
heat exhaustion
heat stroke
heat cramp
hypothermia
28-Which of the following would be an appropriate site for taking a pulse on 2-

year -old
redial
apical
brachial
femoral)
29-If measuring BP were necessary in the leg . the nurse would expect the
diastolic pressure to be:
10-40 mm hg higher than in the brachial artery
20_30 mm hg lower than in the brachial artery
50mmhg higher than in the brachial artery
essentially the same as that in the brachial artery
30-The nurse could best auscultator the point of maximum impulse PMI in
8_year_old Gina at the:
fourth intercostals space , left of midclavicular line
fifth intercostals space , left of midclavicular line
second intercostals space , right of midclavicular line
third intercostals space , left of midclavicular line
31-A21_year _old , female patient asking when should she do the self
examination for the breast during the month . the nurse should answer
any time you think of it
at the same time each month
on the first day of your menstrual period
on the last day of your menstrual period
32-Mrs. Jarrett has abdominal pain of unknown origin . during the abdominal
examination , which of the following is most accurate ?
The palpitation should be performed first.
Auscultation is best done with Mrs. Jarrett in the sitting position

bowel sounds should be heard by examining each quadrant for 3 _ 5 minutes
a paralytic ileus would result in low, growling sounds
33-Which of the following could contribute to causing a nosocomial infection

washing hands before applying a dressing.
taping a plastic bag to the bed rail for tissue disposal
placing a Foley bag on the bed when transferring a client
using butadiene to cleans the skin before starting an IV line
34-The nurse employs surgical aseptic technique when :

placing soiled linen in moisture resistant bags
inserting an intravenous catheter
disposing of syringes in puncture proof containers
washing hands before changing a dressing
35-Mr. walls has allergy abdominal incision that requires a dressing . the incision
is paked with half inch iodoform packing (soaked in butadiene( and covered with
a dry sterile 4 by 4 inch gauze. when changing the dressing , the nurse
accidentally drops the packing onto the client's abdomen. the nurse should
add more butadiene to the packing and insert it to incision
throw the paking away and prepare a new one
pick up the packing with sterile forceps & gently place it into the incision
rinse the packing with sterile water & put the packing into the incision with
sterile gloves
36-The overall rule for avoiding accidents with equipment in the hospital is for
the nurse to:
always lock wheels
never operate equipment without prior instruction
always unplug equipment when moving the cl ient
never use equipment without a person to assist you
37-Jessica , age 4 years , is scheduled to receive an IV line the most appropriate

type of restraint to use on Jessica to prevent her from trying to remove the IV
line would be a
wrist restraint
jacket restraint
elbow restraint
mummy restraint
38-The workmen cause an electrical fire when installing a new piece of

equipment in the intensive care unit . Mr. Richey is on a ventilator on the next
room . the first action the nurse should take is to:
attempt to extinguish the fire
pull the alarm
call the physician to obtain orders to take Mr. Richey off the ventilator
use an ambo bag & remove Mr. Richey from the area
39-two nurses are standing on opposite side of the bed to move Mr.Chtrowx up
in bed with a draw sheet. where should the nurses be standing in relation with
mr. chatrowx,s body as thy prepare to move him ?
Even with his thorax
even with his shoulders
even with his hips
even with his knees
40-Mr. Harlan has right _ sided hemi paresis . the nurse helps him to walk by
standing at his left side and holding his arm
standing at his left side and holding one arm around his waist
standing at his right side and holding his arm
standing at his right side and holding one arm around his waist
41-Pressure ulcer form primarily as a result of

prolonged illness or diseases
restricted mobility
nitrogen buildup in the underlying tissues
poor nutrition
42-The nurse notes a client's skin is redden with a small abrasion and serous fluid
present . the nurse would classify this stage of ulcer formation as
stage 1
stage 2
stage 3
stage 4
43-Mr. Gibbs has rheumatoid arthritis

and is prone to skin breakdown . he is also somewhat immobile because of his
arthritic pain . which of the following is the best intervention for his skin integrity
he should be allowed to sit up on chair 4 hour intervals
the care providers should keep the head of his bed in a high fowler's position to
increase his circulation.
a written schedule of turning & positioning Mr. Gibbs should be kept
he should perform pelvic muscle training exercises several times a day
44-The nurse prepares to irrigate Mrs.Notz,s wound . the primary reason for this
procedure is to
remove debris from the wound
decrease scar formation
improve circulation to the wound
decrease irritation from wound drainage
45-When turning a client , the nurse notices a reddened area on the coccyx. what
skin care interventions should the nurse use on this area
clean & dry the area & add a protective moisturizer
hydrogen peroxide
normal saline solution
povidon_iodine
46-Mr. Milan has a large abdominal wound that requires a dressing change every
4 hours . he will be discharged to his home setting where he will continue the
dressing care which of the following is true concerning his healing process
an antiseptic agent is best followed with a rinse of sterile saline solution .
a heat lamp should be used every 2 hours to rid the wound area of contaminants.
Sterile technique should be emphasized to Mr. Milan & his family.
Addressing covering should allow the wound area to remind moist.
47-With advancing age , which of the following normal physiological changes in

sensory function occurs
decreased sensitivity to glare
increased number of taste buds
difficulty discriminating bowels sounds
decreased sensitivity to pain
48-When assessing a patient’s medication history , the nurse should :

Only be interested in prescribed medication taken .
Know the names of all medication kept in the patient’s home
Record all nonprescription medi cation & prescription medication
Only be interested in nonprescription medication being taken
49- Preparations coated to dissolve in the intestines & not in the stomach are
referred to as:
Sustained – action
Enteric coated
Lozenges
A tablet within a tablet
When the appearance , odor , or color of a medication changes , the nurse should
50- :
Disregard this & give the medication as ordered
Have the registered nurse give the medication
Withhold the medication & consult the pharmacist .
Understand this is a normal occurrence when dealing with chemicals
51-The route of drug administration that provides the most rapid & dependable
absorption is :-
Oral
Intermuscular
Subcuntaneous
Intravenous
52-For accurate drug administration the nurse should read the drug label :-
2 times
3 times
4 times
5 times
53-When a medication is being administered , the most accurate way to verify a

patient’s identification is to :-
call the patient by the name in the drug card or kardex
ask the patient to state his or her name
ask another nurse to identify the patient
check the patient’s identification bracelet
54-When the nurse is administering medications , the patient informs the

nurse that the tablet usually received is a different color . the nurse should :-
insist that the patient take the tablet she poured
have the patient take the tablet & then recheck the order
leave the medication at the bedside & recheck the order
recheck the order before giving the drug
verify the medication with the physician .
55-The physician’s order to administer 3 L of IV fluid 5% D \ 0.45 % normal

saline over 24 hours . The drop factor is 60 gtt / ml. the nurse regulates the IV
at :
25 gtt / min
100 gtt / min
125 gtt / min

150 gtt / min
56-All of the following are examples of mild allergy symptoms that may occur
in response to antibiotic therapy except
urticaria ( redness )
rash
wheezing
pruritus ( itching )
57-For which client is the oral rout of administration appropriate ?

Client D who has vomited twice in the last hour.
client E who is complaining of a sever headache
client F whose assessment reveals an absence of bowel sounds.
Client G who is only responsive to painful stimuli.
58-ORDERED : 500 cc D5RL to be infused in 6 hours . The drop factor is 15. How
many gtt per minute should you give?
28 gtt / min
32 gtt / min
21 gtt / min
30 gtt / min
59-Of the following , which is the main reason the nurse should stay with the
patient until the oral medication is swallowed ?
All liquid that is ingested is considered part of the fluid intake.
An unopened unit dose drug can be saved if the patient refuses it
the nurse is responsible for documenting that the drug was taken
the nurse is only one that can give the patient medications.
60-Listed below are statements related to pharmacokinetics .

1 . drug taken to its site of action
2 . drug & their metabolites excreted in renal system

3 . drug undergoes metabolism or biotransformation
4 . drug pass into from site of entry to the body fluid
the correct order of occurrence of these processes is :-
1,2,3,4
4,1,3,2
4,3,2,1
1,2,4,3
61-Which of the following organs is a primary site for the metabolism of drugs
?
Heart
Liver
Pancreas
Intestine
62-Mr .Jonnes has the following order : ASA ( Aspirin ) 5 gr p.o bid pc . Which
of the following is the best interpretation & correct scheduling of this order?
Give him ASA 5 gr at 9 : 00 am ( after breakfast ) & 6 : 00 pm ( after supper ) .
Give him ASA 5 gr at 10 :00 , 2 :00 & 6 :00 round the clock .
Give him ASA 5 gr per intramuscular injection at 9 : 00 am & 3 :00 pm .
Question the order as it is too high a dose then schedule it for 7 : 30 am & 5
:00 pm .
note : bid == twice .
63-Mrs. Higgins has refused to take her ASA ordered by the physician. The first
action of the nurse should be: -
Notify the physician of the refusal
Chart the refusal on the medication administration record.
Find out why she doesn’t want to take the ASA
Tell her she must take the ASA because the physician has ordered it .
64-Amedication order should never be implemented if : -

the nurse doesn’t know the physician .
the nurse doesn’t know the patient’s history .
the nurse Questions any part of the order

the nurse did not know witness the writing of the order .
65-ORDERD: penicillin 400.000 u IM now

AVAILABLE: penicillin 800.000 u per 2 cc
how many ml should you give?
2 ml
1 ml
0.2 ml
0.4 ml
66-ORDERD : deltasone 7.5 mg now .

AVAILABLE: deltasone 2.5 mg scored tablets.
How many should you give?
3 tablets
1 tablets
tablets ½ 2
tablets ½ 1
67-Mr. Johnson has liver failure. Using your understanding of

pharmacokinetics, decide which of the following is a most likely occurrence for
this client?
He will require larger doses than normal
He will not be able to tolerate p.o drugs
He may respond better to drugs excr eted by the kidneys
He may build up toxic levels of drugs .
68-Mr. Mulligan, LPN, IS Mrs. Rooney’s primary nurse & is working the 8:00 AM
to 4:00 PM shift. The next four questions refer to this situation.
At 10:10 AM nurse Mulligan brings Mrs. Rooney her 10:00 AM medication.

Mrs. Rooney says, [oh, I’ve already had those little red pills once this morning; do
I really need more? ] . What would be most appropriate response by nurse
Mulligan?
1. “I checked your medication very carefully, Mrs. Rooney, but to make sure these
are right, I’ll check the chart one more time
2.” I checked & double checked your medication orders and I’m sure I’m right,
pleas take them”
3. Let me check with the doctor. I’ll be right back “
4. “ I think these are correct, but to make sure, I’ll discuss this with the head
nurse “
69-20 minutes after receiving her noon dose of oral medication, Mrs. Rooney
vomits . To assure accuracy in medication administration the first thing nurse
Mulligan should do is to:-
1. Report the situation to the head nurse
2. Contact the physician
3. Administer another dose of medication
4. Examine the vomits for signs of medication
70-At 9:45 PM nurse sheener , Mrs. Rooney evening nurse arrives with sleeping
medication . Nurse sheener is a summer nursing student & doesn’t know any of
the individuals on the unit. How should nurse sheener determine that she is
giving the right medication to the right individual?
1. Examine the individual’s name posted outside the door.
2. Say: “Mrs. Rooney, I’ve your medication.”
3. Ask: are you Mrs. Rooney?”
4. Say: “I’m nurse sheener . What is your name “
71-Nurse sheener explain to Mrs. Rooney that she has sleeping medication? Mrs.
Rooney says “I don’t want to take that now. I want to finish watching this TV
show.” nurse sheener should:
1. ask Mrs. Rooney to put on her call light when she is ready fore the pill.
2. Leave the pill at the bedside so Mrs. Rooney can take it when the TV program
is over.
3. Insist Mrs. Rooney takes the sleeping pill at, once
4. Discard the medication
72-Which of the following routs for drug administration is the most common ,
least expensive , safest , and best tolerated by patient ?
1. Intramuscular
2. Topical
3. Oral
4. Intravenous
73-You arrives in Mr. Rich’s room with the ASA [aspirin] he requested for the
headache. You find him in the bathroom. You are very busy & don’t have time to
wait. You should:
1. tell him you will return and take the medication with you
2. Ask him to com out of the bathroom immediately
3. Ask his roommate to give him the ASA
4. Leave the medication on the over-the-bed table since ASA is a nonprescription
drug .
74-The medication order is for indomethacin . p.o 50mg , bid , this drug is
irritating to the stomach mucosa . For this reason the nurse should:
1. give the medication one hour before meals.
2. Give the medication 2 hour after meals.
3. Ask the physician for an IV preparation
4. Have food available when administering the medication
75-You are preparing to administer Mrs. Carter’s eye drops. The correct position
for her to assume would be:
1. head titled forward, placing the drops in the conjunctiva sac.
2. Head titled backward, placing the drops in the lower conjunctival sac.
3. Head titled forward, placing the drops directly on the eyeball.
4. Head titled backward, placing the drops directly on the eyeball.
76-To instill drops in the adult patient , the ear canal is opened by pulling the ear
:-
1. Up and back
2. Down and back
3. Up and forward
4. Back and forward
77-he physician orders heparin 7500 u subq . q12hr . for your post-operative
patient . Heparin 5000 u per ml is available. Give ……1.5 ml……….
78-The nurse is giving heparin subcutaneously. Which needle should the nurse
use?
1. 19 gauge, 1 ½ inch
2. 21 gauge, 1 inch
3. 22 gauge, 1 ½ inch
4. 25 gauge , 5/8 inch
79-The nurse correctly administer an IM injection a ……………… degree angle

1. 15
2. 30
3. 45
4. 90
80-Which of the following is true concerning a SC injection:-

1. A bleb indicates that the medication has been properly injected
2. Drug absorption is slower than with the IM route.
3. 0.2 cc of air should be drawn in the syringe before administration
4. Up to 2 cc of water-soluble medication can be given by the SC route.
81-When giving medication , the label should be checked 3 times . Which of the
following is not one of these times?
1. When the nurse reaches for the container
2. Immediately prior to pouring medication
3. When the nurse located the drug on the shell
4. When replacing the container to the drawer or shelf.
82-What body function is essential for adequate drug absorption?

1. adequate blood supply
2. adequate receptor sites
3. adequate liver function .
4. adequate kidney function
83-Mr. Baker is to receive penicillin IM. Nurse hill locates the site of the injection
by planning the posterior superior iliac spine & the greater trochanter . An
imaginary line is drawn the posterior superior iliac spine & the greater trochanter
. The injection side is lateral & slightly superior to the midpoint of the line .
Which of the following is correct name of the site?
1. dorsogluteal site.
2. rectus femoral site.
3. ventrogluteal site
4. vastus lateralis
84-Which of the following is the reason for using the Z tract technique for
injections ?
1. for medication of over 5cc in quantity
2. for medication that is highly irritating to subcutaneous tissue
3. for medication that stains the tissue
4. for medication that cannot be given orally
85-Which of the following orders is complete :-

1. ampicillin 250mg IM q12hrs x 10 days
2. Maalox 30 cc po
3. humulin R insulin SQ in AM & noon
4. OPV (oral polio vaccine) 0.5 cc
86-Mrs. Kelly tells the nurse that her arm is sore from an injection she received
early in the day. She states “the nurse gave me a shot, and I heard her say that
the needle was a 25 gauge. Isn’t that too big for a local injection?” . Your best
response would be:
1. “ a 25 gauge needle is a small needle , but it can cause som discomfort . let me
see your arm .”
2. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . you are over –
reacting to the shot “
3. a 25 gauge needle is very small . you are just nervous about the injection.”
4. a 25 gauge needle is very small. So you are wrong about the pain from the
injection.”
87-Just prior to pouring a dosage of Mylanta Liquid , you will :

1. pour without shaking the bottle
2. rotate the bottle gently , side to side
3. turn the bottle end – over – end , top to bottom .
4. vigorously shake the bottle
88-Mrs. Davis has a written order from her physician for Demerol 100 mg stat .
Which of the following best explain this order?
1. give it needed
2. give once when needed .
3. give once immediately
4. give once when specified
89-While checking Mr. Appendectomy’s vital signs , he requests his “ medication

for the pain in my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the
Morphine sulfate injection at this time due to witch vital signs reading ?
1. blood pressure
2. pulse
3. respiration
4. Temperature
90-Mr. Mulligan, LPN , IS Mrs. Rooney’s primary nurse & is working the 8:00
AM to 4:00 PM shift . the next four questions refer to this situation .
At 10:10 AM nurse Mulligan brings Mrs. Rooney her 10:00 AM medication.
Mrs. Rooney says, [ oh, I’ve already had those little red pills once this morning
; do I really need more ? ] . What would be most appropriate response by
nurse Mulligan ?
1.“ I checked your medication very carefully , Mrs. Rooney , but to make sure
these are right , I’ll check the chart one more time
2.” I checked & double checked your medication orders and I’m sure I’m right,
pleas take them”
3. let me check with the doctor . I’ll be right back “
4. “ I think these are correct, but to make sure , I’ll discuss this with the head
nurse “
91-20 minutes after receiving her noon dose of oral medication , Mrs. Rooney
vomits . To assure accuracy in medication administration the first thing nurse
Mulligan should do is to :-
1. report the situation to the head nurse
2. contact the physician
3. administer another dose of medication
4. examine the vomits for signs of medication
92-At 9:45 PM nurse sheener , Mrs. Rooney evening nurse arrives with
sleeping medication . nurse sheener is a summer nursing student & doesn’t
know any of the individuals on the unit . how should nurse sheener determine
that she is giving the right medication to the right individual ?
1. examine the individual’s name posted outside the door .
2. say : “Mrs. Rooney , I’ve your medication .”
3. ask : are you Mrs. Rooney ?”
4. say : “ I’m nurse sheener . What is your name “
93-Nurse sheener explain to Mrs. Rooney that she has sleeping medication?
Mrs. Rooney says “ I don’t want to take that now . I want to finish watching
this TV show.” nurse sheener should:
1. ask Mrs. Rooney to put on her call light when she is ready fore the pill .
2. leave the pill at the bedside so Mrs. Rooney can take it when the TV
program is over .
3. insist Mrs. Rooney take the sleeping pill at ,once
4. discard the medication
94-You arrives in Mr. Rich’s room with the ASA [ aspirin ] he requested for the
headache . you find him in the bathroom . you are very busy & don’t have
time to wait . You should:
1. tell him you will return and take the medication with you
2. ask him to com out of the bathroom immediately
3. ask his roommate to give him the ASA
4. leave the medication on the over-the-bed table since ASA is a
nonprescription drug .
95-The medication order is for indomethacin . p.o 50mg , bid , this drug is
irritating to the stomach mucosa . for this reason the nurse should :
1. give the medication one hour before meals .
2. give the medication 2 hour after meals .
3. ask the physician for an IV preparation
4. have food available when administering the medication
96-You are preparing to administer Mrs. Carter’s eye drops . the correct
position for her to assume would be :
1. head titled forward , placing the drops in the conjunctival sac.
2. head titled backward , placing the drops in the lower conjunctival sac.
3. head titled forward , placing the drops directly on the eyeball .
4. head titled backward , placing the drops directly on the eyeball.
97-To instill drops in the adult patient , the ear canal is opened by pulling the
ear :-
1. up and back
2. down and back
3. up and forward
4. back and forward
98-The physician orders heparin 7500 u subq . q12hr . for your post-operative
patient . Heparin 5000 u per ml is available . give …………….
99-The nurse is giving heparin subcutaneously. Which needle should the nurse
use?
1. 19 gauge , 1 ½ inch
2. 21 gauge , 1 inch
3. 22 gauge , 1 ½ inch
4. 25 guage , 5/8 inch
100-The nurse correctly administer an IM injection a ……………… degree angle

1. 15
2. 30
3. 45
4. 90
101-Which of the following is true concerning a SC injection:-

1. a bleb indicates that the medication has been properly injected
2. drug absorption is slower than with the IM route .
3. 0.2 cc of air should be drawn in the syringe before administration
4. up to 2 cc of water-soluble medication can be given by the SC route .
102-When giving medication , the label should be checked 3 times . Which of

the following is not one of these times?
1. when the nurse reaches for the container
2. immediately prior to pouring medication

3. when the nurse located the drug on the shell
4. when replacing the container to the drawer or shelf .
103-What body function is essential for adequate drug absorption?

1. adequate blood supply
2. adequate receptor sites
3. adequate liver function .
4. adequate kidney function
104-Mr. Baker is to receive penicillin IM . nurse hill locates the site of the
injection by planning the posterior superior iliac spine & the greater
trochanter . an imaginary line is drawn the posterior superior iliac spine & the
greater trochanter . the injection side is lateral & slightly superior to the
midpoint of the line . which of the following is correct name of the site ?
1. dorsogluteal site.
2. rectus femoral site.
3. ventrogluteal site
4. vastus lateralis
105-Which of the following is the reason for using the Z tract technique for
injections ?
1. for medication of over 5cc in quantity
2. for medication that is highly irritating to subcutaneous tissue
3. for medication that stains the tissue
4. for medication that cannot be given orally
2
106-Which of the following orders is complete :-

1. ampicillin 250mg IM q12hrs x 10 days
2. Maalox 30 cc po
3. humulin R insulin SQ in AM & noon
4. OPV ( oral polio vaccine ) 0.5 cc
107-Mrs. Kelly tells the nurse that her arm is sore from an injection she
received early in the day . she states “ the nurse gave me a shot , and I heard
her say that the needle was a 25 gauge . isn’t that too big for a local injection
?” . your best response would be :
1. “ a 25 gauge needle is a small needle , but it can cause som d iscomfort . let
me see your arm .”
2. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . You are over –
reacting to the shot
3. a 25 gauge needle is very small . you are just nervous about the injection.”
4. a 25 gauge needle is very small. So you are wrong about the pain from the
injection.”
108-Just prior to pouring a dosage of Mylanta Liquid , you will :

1. pour without shaking the bottle
2. rotate the bottle gently , side to side
3. turn the bottle end – over – end , top to bottom .
4. vigorously shake the bottle
109-Mrs. Davis has a written order from her physician for Demerol 100 mg stat
. which of the following best explain this order ?
1. give it needed
2. give once when needed .
3. give once immediately
4. give once when specifie
110-While checking Mr. Appendectomy’s vital signs , he requests his “

medication for the pain in my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the
Morphine sulfate injection at this time due to witch vital signs reading ?
1. blood pressure
2. pulse
3. respiration
4. temperature
111-Prior to administering a Lanoxin preparation , you take an apical pulse rat

on Mr. M . Infarction and fined the rate to be 52 .the most appropriate nursing
action would be to:-
1. administer one- half the dosage order
2. give the drug as ordered
3. give one- half of the tablet now and the other one- half tablet in two hours
4. Withhold the drug and report the team leader .
112-While preparing a dosage of FIORINAL#3 , you accidentally drop a tablet

on the floor . You would most appropriately :
1. blow it off and go ahead and administer it
2. have another medication nurse witness destruction and sign the control
book .
3. return the tablet to the pharmacy for “ decontamination “
4. throw the tablet in the trash can and prepare another dose .
5. wash it off under running water , dry it with a paper towel and administer it
113-Mr. Construction worker has been given a prescription which contains “

Phenobarbital “ to be taken as an out patient . when doing patient teaching
about this drug’s action . you will be sure to tell him that :
1. “ drowsiness is common while taken this drug , so don’t drive or operate
machinery “
2. “ dryness of throat and mouth is frequent , so be sure to drink extra fluids
during every waking hour .”
3. frequent voiding is an action of this drug , so be sure to take it in the
morning so you won’t be up all night going to the bathroom .”
4. your stool may begin to appear black and tar-like a few days after you begin
on the drug . “
114-After withdrawing the needle from the tissue when administering an ID

injection you :-
1. apply firm pressure to the site with your thumb .

2. do not rewipe the site
3. gently wipe the site
4. massage the site vigorously
115-Mr. Harvey , age 54 , is admitted with a diagnosis of congestive heart

failure secondary to chronic obstructive pulmonary disease [COPD] . the
physician orders sublingual nitroglycerin , 0.4 mg p.r.n , for chest pain , whine
administering the nitroglycerin , the nurse should :-
1. tell Mr. Harvey to hold the tablet under his tongue and let it dissolve .
2. tell Mr. Harvey to swallow the tablet with water .
3. apply nitroglycerin ointment to Mr. Harvey’s chest .
4. mix the nitroglycerin with applesauce for Mr. Harvey to eat
116-Asking the patient if he is allergic to any medication is a part of the

……………
phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation
117-Teaching the patient about the medication is a part of the ……………

phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation
118-A nurse is unable to read the label on a bottle of liquid medication

because the label is stained from spillage . the nurse knows that the correct
procedure is to :-
A. ask the charge nurse to verify the medication in the bottle and apply a new
label .
B. smell and test the medication and apply a new label if certain of the
contents.
C. empty the contents down the drain and notify the charge and the
pharmacist.
D. Send the bottle back to the pharmacy to be relabeled
119-You are teaching Mrs. Keller to give own insulin. Her orders read NPH
insulin 30 u , and regular insulin 10 u daily . Which of the following would be
correct twchnique for mixing insulin: -
A. Inject 10 units of air into the regular insulin. Remove the needle without
touching the insulin. Inject 30 units of air into the NPH insulin. Withdraw 30
units of NPH. Inject the needle into the regular insulin and remove 10 units.
Rotate the syringe to mix and give to client.
B. injects 30 units of air into the NPH insulin. Remove the needle, not allowing
the needle to touch the insulin. Inject 10 units of air into the regular insulin
bottle and remove 10 units. Insert th e needle into the NPH bottle and remove
30 units rotate the syringe to mix and give.
C. Inject 10 units of air into the NPH bottle and remove 10 units of NPH. Inject
30 units of air into regular insulin rotate the needle to mix and give.
D. Inject 30 units of air into the bottle of NPH insulin and remove 30 units of
insulin. inject the needle into the regular insulin bottle and remove 10 units of
regular insulin . rotate the syringe to mix and carefully give .
120-You are giving an injection of Morphine 3 mg & Tigan 199 mg IM to an

elderly debilitated client. He has sacral edema with extensive bruising of the
buttocks & the ventral gluteal areas which of the following sites is the best
choice for injection ?
A. Deltoid site using the Z-tract method.
B. Dorsal gluteal , since the volume is over 2 ml .
C. Vastus lateralis using a 22 gauge 1 inch needle .
D. Abdomen using a 5/8 inch needle .
121-Medications which are labeled [ otic ] are specific for use in \ on the :-
A. Eyes
B. Ears
C. Nose
D. Throat
122-Mr. Walker will receive regular insulin . The nurse monitors for the onsite
of action in approximately ------------
A. 5 to 10 minutes .
B. 150to 20 minutes
C. 30 to 60 minutes
D. 1 to 2 hours.
123-Is it necessary for the nurse to wear gloves during administration of an

intermittent feeding through a G-tube ?
A. yes , because it is a sterile procedure .
B. yes , because universal precautions must be maintained .
C. no , because it is not a sterile procedure .
D. no , because there is no danger of contact with body fluid if the procedure
is performed correctly .
124-To prepare the skin for injection the nurse would use :
A. friction with back and forth motions at the site with alcohol swab .
B. friction and alcohol swab moving from outer edge to center of site .
C. friction and alcohol swab with circular motions and palpate site gently with
finger pad before injection .
D. friction and circular motions with alcohol swab from center of site outward.
125-IM injection into the deltoid muscle should be limited to :-

A. 2.5 ml of solution
B. 2 ml of solution
C. 1 ml of solution
D. 0.5 ml of solution
126-A primary concern when giving heparin SC is to prevent :

A. pain and bruising .
B. pain and bleeding
C. bleeding and bruising
D. injecting a vein .
127-The type of needle selected for the ( dorsogluteal ) intramuscular ( IM )

injections would be based on :-
1) the size of the patient [ e.g., obese versus debilitated ]
2) the viscosity of the antibiotic .
3) the position of the patient .
4) the volume of medication .
A. 1,2,3,4
B. 1,2,3
C. 2,3,4
D. 1,2
128-The largest gauge needle of the following is :-

A. 19 gauge
B. 20 gauge
C. 21 gauge
D. 22 gauge
129-The nurse needs to give an injection to 5-year-old Shawn . Which of the

following approaches by the nurse is appropriate?
A. “Shawn I need to give you a shot. Which one of your arms should I give it in
?“
B. “Shawn , is it ok if I give you a shot now ?”
C. “Shawn , I have a hypodermic injection to administer to you now “
D. “Shawn, I have a shot to give you . be a big boy and don’t cry “
130-Mr. Bell is an 80 year old , man , admitted to the hospital with a urinary
tract infection UTI . Which of the following should the nurse understand when
giving medications to this client ?
A. larger doses of most medications will be required by Mr. Bell because of
absorption problems.
B. increased plasma binding decreases the possibility of drug toxicity in Mr.
Bell.
C. drugs are excreted more slowly from the body as a result of changes in Mr.
Bell kidney function.
D. urinary antiseptics are of little value to Mr. Bell because of his age.
131-Optimum normal urine out put hourly to an adult :

A. 10cc
B. 25cc
C. 50cc
D. 100cc
132-Scurvy is a deficiency of :
A. Vit a
B. Vit b
C. Vit c
D. Vit d
133-Specific gravity of urine to have a normal fluid balance

A. 1.005
B. 1.015
C. 1.030
D. 1.020
134-Normal intra-ocular pressure

A. 15-20mmhg
B. 20-25 mmhg(18-24)
C. 30-35mmhg
D. 10-15mmhg
135-12 hours after delivery the fundus is at the level of

A. one fingerbreadth below the umbilicus .
B. one fingerbreadth above the umbilicus .
C. at the level of umbilicus.
D. Below syphilis pubis
136-In dystocia the ,mother should be watched for :-

A. Post partum haemorrhage .
B. Hypertension .
C. Cord proplase .
D. fetal death.
137-In the first trimester of pregnancy the vaccination to avoid :-

A. polio
B. rubella .
C. measles.
D. small pox.
138-In fetal circulation , the oxygenated blood placenta travels via :-

A. umbilical artery
B. umbilical vein .
C. doctus arteriosus .
D. ductus venosus .
139-Normal PH for blood :-

A. 7.0
B. 7.4
C. 8.0
D. 8.4
140-First stage of labor ends with :-

A. pain occurs .
B. dilation of cervix 10 cm
C. delivery of the baby
D. delivery of the placenta
141-An electrolyte deficiency that affect the heart muscular activity :-

A. k
B. cal
C. Na
D. mg
142-Patient with hemopneumothorax had a ICD ( inter costal drainage ) in the

right side what position the patient should be to promote drainage ?
A. left side [ unaffected ]
B. right side [ affected ]
C. semi sitting
D. leg raised
143-Coagulation of blood :-
A. Vit E
B. Vit K
C. Vit A
D. Vit C .
144-Patient receiving an anticoagulant must be watched for :-

A. Bleeding of the nose
145-To detect what organism causes tonsillitis in children :-

A. Throat culture
B. Nasopharynges culture
C. Blood culture .
D. Sensitivity test .
146-The most vital immediate observation to a new born baby is :-

A. Cardiac rate
B. Respiration rate .
C. Color
D. Tone
147-Signs of dehydration :-
A. Loss of skin turgor .
B. Low body temperature
C. High body temperature
D. Sweating
148-Most of the metabolic changes of drugs occur in :-

A. Liver
B. Lungs
C. Stomach
D. Circulation
149-Common cause of death in burns :-

A. Hemorrhage
B. Neurogenic shock
C. Sepsis
D. Hypovolemic shock
150-The difference in close & open fracture is that , in open fracture you have
to watch for :-
A. Infection
B. Hemorrhage
C. Inflammation
D. Pain
151-A wound is inflamed if there is :-

A. Redness
B. Pain & swelling
C. Pus
D. Tenderness
152-Epinephrine is not given via :-

A. IV
B. Orally
C. Parentally
D. Intracardiac
153-Immuno-deficiency :-
A. Protective isolation
B. Enteric and body fluid isolation
C. Respiratory isolation .
154-To detect the effectiveness of a resuscitation [CPR] :-

A. Constricted pupils
B. Dilated pupils
C. Non-reacting pupils
D. A symmetrical pupils
155-Ultra sound :-
A. To detect fetal position
B. To detect diameter of fetal head
C. To detect placenta abnormalities
D. All of the above .
156-To prevent oral mucosa infection q4h, instruct patient to use :-

A. Warm saline gargle
B. Glycerin oil
C. Antibiotic
D. Warm gargle with mineral oil
157-Glomerula nephritis :-
A. Urea
B. Creatinine
C. Uric aid
D. Cholesterol
158-One of the vital care after cholecystectomy :-

A. Bed rest
B. Low fat diet
C. Low Cholesterol diet
D. Low protein diet
159-Pulmonary tuberculosis :-
A. To start anti TB drugs as prescribed
B. Detection of possible contacts
C. Scrupulous screening .
D. All of the above
160-X-ray of upper GI tract , the nurse should instruct the patient to take :-
A. Laxative previous day
B. NPO 8-12 hours
C. High fat diet
D. Normal diet
161-IN ORDER TO ADMINISTER 5 ML SYRUP TO PATIENT , WE USE A :-

A. ½ tsp
B. 1 tsp
C. ½ table spoon
D. 1 table spoon
“ tsp == tea spoon”
162-In case of penetrating abdominal injury :-

A. hemorrhage
B. peritonitis
C. infection
D. hypovolemic shock
163-A very serious complication of hysterectomy :-

A. vaginal pain
B. vaginal discharge
C. abdominal distention
D. no urine out put
164-Deep breathing and coughing exercise done :-

A. at angle of 90 degree
B. angel 45 degree
C. lie laterally
D. semi-fowler’s position
165-Patient with spinal cord injury must be :-

A. not to move at all
B. log rolled
C. turn the back with support in the head
166-After spinal anesthesia , watch for :-

A. hypotension / headache
B. fowler’s position to the optimum
C. numbness of extremities
D. analgesic
167-The cure for chronic renal failure is :-

A. dialysis
B. kidney transplant
C. diuretics
D. force fluids
168-Hypoglycemia :-
A. dizzy
B. headache
C. filthy odor
D. vomiting
169-28 days menstrual cycle . ovulation takes place :-

A. 16-18 days
B. 12-16 days
C. 10-13 days
D. 15-20 days
170-Acetyl salycilate [ aspirin ] immediate side effect :-

A. tinnitus
B. nausea & vomiting
C. abdominal pain
D. vomiting & diarrhea
171-Digoxin can be with held to a patient with an apical pulse rate of below :-
A. 45
B. 60
C. 70
D. 80
172-The best time to collect urine for culture :-

A. early morning awaking sample .
B. 30 minutes after voiding
C. 30 minutes after fluid
D. double voided
173-Organism inter blood stream :-

A. CNS
B. Urinary tract
C. Peritoneal cavity
D. Respiratory tract
174-Prothrombin – fibrin activator :-

A. Vit k
B. Ca
C. Vit c
D. Vit d
175-Hepatitis infects via :-

A. Oral
B. Sharing needles
C. Contaminated food
176-The postpartum patient should be watched closely during the first hours
after delivery for :-

A. Uterine contraction
B. Vaginal bleeding
C. Hypotention
D. All of the above
177-Evaluation of the skin of a neonate for adequate hydration is best don by

observing the skin :-
a. Color
b. Elasticity
c. Ton
d. Moisture
178-The child with cerebral palsy usually diagnosed :-

A. In the early months
B. When the child begins to walk
C. When the child begins to play
D. When the child enter school
179-The child with rubella should stay at home until :-

A. The rash appears
B. The rash disappears
C. One week after The rash disappears
D. The temperature is normal .
180-When caring for the elderly skin, special care must be taken because the
skin becomes:-
A. More dry
B. Less elastic
C. More vascular
D. All of the above
181-The major goals for the burn patient in the first 48 hours after burn, is
that the patient
A. Has fluid and electrolyte balance maintained
B. Develops no contractures
C. Dose not develop hyperthermia
D. Develops minimal scarring
182-After a mastectomy , a patient returns from surgery with a portable

suction unit in place & a dry sterile dressing covering the site of incision .
when observing this patient for signs of bleeding , the nurse should :-
A. inspect the bed clothes under the axillary area for signs of drainage .
B. turn the client on the affected side to inspect for blood that may flow
backward
C. empty the measure output in the portable suction unit hourly
D. reinforce the operative site with a pressure dressing and observe if any
drainage appears on the dressing .
183-The normal fasting blood glucose rang mg per 100 ml . of venous blood is
1. 60-80
2. 80-120
3. 100-150
4. 100-200
184-Before irrigating a client’s NGT the nurse must first :-

1. assess breath sounds
2. instill 15 ml. Of normal saline
3. ausculate for bowel sounds
4. check the tube for placement
185-The best method of preventing the spread of infection is :-

1. isolating all patients suspected of having an infection
2. wearing rubber gloves when performing all nursing procedures
3. washing the hands thoroughly before & af ter each contact with a patient
4. sterilizing the hands with strong germicide at least once a day
186-Which of the following is not an abnormal finding in a routine urine

analysis ?
1. ph 60
2. pus
3. RBCs
4. protein
187-when caring for a client who has an open reduction and internal fixation
of hip , the nurse encourages active leg and foot exercise of the unaffected leg
every 2 hours to help to :-
1. reduce leg discomfort .
2. maintain muscle strength .
3. prevent formation of clots .
4. limit venous inflammation .
188-when administering an antibiotic or a vaccine , the nurse must be alert for

the possibility of :-
1. Overdoses and CNS depression
2. hypersensitivity and possible anaphylaxis
3. sings of increasing infection
4. orthostatic hypotension
189-Immediately after a child is admitted with acute bacterial meningitis,the

nurse should plan to :-
1. assess the child’s vital signs every 3 hours
2. administer oral antibiotic medication as ordered
3. check the child’s level of consciousness every hour
4. restrict parental visiting until isolation is discontinued
190-when assessing the unconscious victim for pulselessness , which of the

following is the best artery to chick :-
1. radial
2. femoral
3. brachial
4. carotid
191-Common signs and symptoms of jaundice include:-

1. ascites
2. dermatitis
3. icteric sclera
4. dark-colored stools
192-Patient with head injuries are not given sedative because these drugs may
:-
1. Produce coma
2. depress the patient’s respiration
3. mask the patient’s symptoms
4. lead to cerebral hemorrhage
193-In treating puncture wounds , the first priority is to :-

1. stop the bleeding
2. cleans the wound
3. give prophylactic treatment aginst tetanus
4. remove the object from the wound
194-Ones the bleeding site has been determined , the first emergency measure
to institute during hemorrhage would be to :-
1. apply a firm – pressure dressing
2. apply direct , firm – pressure over the bleeding area or the artery involved
3. apply a tourniquet just proximal to the wound
4. elevate the extremity
195-Nursing measures that can be used to lower core body temperature

include :-
1. Immersing the patient in cold water
2. Placing the patient on a hypothermic blanket
3. administering chilled saline enemas
4. all of the above measures
196-The female hormone that induces changes in endometrium to prepare

uterus for implantation of a fertilized ovum and maintenance of a pregnancy is
called :-
1. aldosterone
2. testoterone
3. progesterone
4. estrogen
197-For a hearing – impaired client to hear a conversation , a nurse should :-

1. use a louder tone of voice than normal
2. use visual aids such as the hands and eyes when speaking
3. approach a client quietly from behind before speaking
4. select a public area to have a conversation
198-When dealing with a client with aphasia , the nurse should remember to :-
1. wait for him to communicate
2. speak loudly to ensure that the massage is received
3. speak from the client’s side to avoid overload
4. encourage writing of massages
199-Immunization should be started when child is :-

A. 6 months
B. 2 months
C. 1 months
D. 1 week
200-The most reliable method used for sterilizing hospital equipment to be

free of spores and bacteria is :-
A. soaking in strong chemical
B. washing and drying it thoroughly after use
C. applying steam under pressure in an autoclave
D. boiling the equipment
201-Nursing care of a child admitted with acute glomerulonephritis , should be

directed toward :-
A. forcing fluids
B. promoting diuresis
C. enforcing strict bed rest
D. eliminating sodium from diet
202-The nurse empties a portable wound suction device when it is only half
full because :-
A. it is easier and faster to empty the unit when it is only half full
B. this facilitates a more accurate measurement of drainage output .
C. their negative pressure in the unit lessens as fluid accumulates in it ,
interfering with further drainage
D. as fluid collects in the unit it exerts positive pressure , forcing drainage back
up the tubing and into the wound .
203-A patient develops a small decubitus ulcer on the sacral area . the nurse
should plan to deal with this problem by :-
A. keeping the area dry
B. applying moist dressing
C. providing a low caloric diet

D. keep the patient on the right side
204-When administering heparin , the substance the nurse would keep

available as the antidote is :-
A. magnesium sulphate
B. protamine sulphate
C. calcium gloconate
D. vitamin k
205-The main effect of excess calcium on the myocardium is :-

A. spastic contraction
B. cardiac flaccidity
C. tetany
D. bradycardia
206-Which of the following vitamin increase the retention of calcium and

phosphorous ions in the blood :-
A. Vit A
B. Vit B12
C. Vit. D
D. Vit C
207-If a SC injection is in to which level of tissue must the solution be released

:-
A. Epidermis
B. Dermis
C. Subcutaneous
D. Any of the above
208-A critical nursing measure to employ with a patient on any sulphonamide

drug is to :-
A. Monitor blood pressure every 30 minutes
B. Force fluids
C. Watch for tinnitus.
D. Monitor electrolytes
209-The primary cause of decubitus ulcer is :-

A. Excessive perspiration
B. Pressure on bony area
C. Poor nutrition and inadequate fluid intake
D. Inability to control voiding
210-Contra indications to the use of anticoagulant include :-

a. Blood dyscrasias
b. Liver or kidney disease
c. Peptic ulcer
d. All of the above condition s
211-Progesterone is primarily used for the treatment of :-

A. Hypertension of pregnancy
B. Abnormal uterine bleeding
C. Unovulation
D. Hypermenorrhagia
212-The average daily amount if water eliminated from the kidneys as urine is
:-
A. 500 cc
B. 1500 cc
C. 2000 cc
D. 1200 cc-1500
213-Surgical patients should be taught to perform leg exercises for the main
purpose of :-
A. preventing muscle atrophy
B. preventing joint degeneration
C. improving circulation
D. preventing boredom
214-When a patient is vomiting post-operatively , the most important nursing

objective is to prevent :-
A. dehydration
B. aspiration
C. rupture of suture line
D. metabolic acidosis
215-Which of the following is an appropriate diet for a patient with congestive

heart failure :-
A. low-calorie , high-residue diet with no caffeine
B. low-calorie , low- residue diet with low Na
C. high-calorie , low-fat , low-protein diet
D. high –protein , no fat , no carbohydrate diet
216-To obtain a truly estimation of the patient’s average blood pressure , your
nursing assessment should include :-
A. only one blood pressure reading
B. serial reading , which should be taken at the same time each day for 7 days
C. serial reading , which should be taken every 2 hours over an 8 hour period
for 2 days
D. blood pressure reading on both arms should be taken sitting and standing
once a day for 2 days
217-Dietary control of patients with ulcers should include :-

A. taking antacids every hour
B. increase roughage in the diet
C. eliminate highly seasoned food
D. increasing amount of carbohydrate
218-During physical examination , the part of the kidney may be felt on deep
palpation is :-
A. lower pole of the right kidney .
B. lower pole of the left kidney .
C. entire right kidney .
D. right and left kidney
219-The major nursing goals post-operative care of the cataract patient is to :-

A. prevent hemorrhage and stress on the sutures
B. prevent hemorrhage and eye stress .
C. prevent increased intro-ocular pressure and to promote better visual acuity
D. promote decreased intro-ocular pressure and to maintain a visible lens .
220-Which of the following lab. test must be done on a patient with major
burns , prior to administration of antibiotics :-
A. complete blood account
B. wound culture
C. type and cross match
D. sensitivity studies
221-For how many days after a facial wound are sutures usually left in place ?
A. 3 days
B. 10 days
C. 14 days
D. 7 days
222-To control bleeding from the radial artery , pressure to be applied directly
above the :-
A. Thumb on the flexor surface of the arm .
B. Thumb on the extensor surface of the arm .

C. Little finger on the flexor surface of the arm .
D. Little finger on the extensor surface of the arm .
223-All patients taking tranquilizers must be warned that they may feel :-
A. Anxious
B. Nauseated
C. Clumsy
D. Drowsy
224-Which of the following indicates placental separation after delivery :-

A. A globular – shaped uterus
B. A sudden rise of the funds
C. A sudden gush of blood
D. All of the above signs
225-If a patient whose membranes ruptures during labor and prior to descent
of the head , the nurse must assess the patient fore :-
A. Hemorrhage
B. Pain
C. Cord prolapsed
D. Uterine inertia
226-A must important nursing measure in the prevention of thrombophebitis

for the post-partum patient is :-
A. Elastic stocking
B. Early ambulation
C. Anticoagulant
D. Isometric exercise
227-As a child increases age , cardiac and respiratory rate should :-

A. Increase
B. Decrease
C. Remain unchanged
D. Stabilize at the adult level
228-An excellent diet suggest for an elderly patient is :-

A. High-calorie , low-fat , high carbohydrate diet
B. low-calorie , low-fat , lot of fruits and vegetables
C. High-calorie , high-fat , high protein diet
D. low-calorie , high-fat , high protein diet
229-In opened and close fracture , the nurse should be aware of which of the
following when open fracture is presented ?
A. mal-alignment
B. infection
C. bleeding
D. pain
230-Nursing consideration for a child with osteomyelitis should include :-

A. relieving of pain
B. maintaining antibiotic therapy
C. maintaining adequate nutrition
D. all of the above
231-How long should the affected extremity be kept elevated after the
application of cast ?
A. until the cast is dry
B. when the leg is no longer painful
C. for 24 hours after casting
D. for 72 hours after casting
232-When the skin , whole epidermis , dermis and the underlying structures
are affected in a burn , it is called :-
A. first degree burn
B. second degree burn
C. third degree burn
233-The most common and serious complication of burns that often lead to
death is :-
A. hypovolemic shock
B. hypothermia
C. sepsis .
D. infection
234-Before giving antibiotic to a burn patient which of the following should be

done first:-
A. wound culture
B. blood tests
C. wound dressing
D. sensitivity testing .
235-When the patient is diaphoretic , there is tachycardia and decrease blood

pressure , he is experiencing :-
A. neurogenic shock.
B. Hypovolemic shock
C. Hypothermia
D. Septicemia
236-What type of isolation precaution is indicated for a burn patient ?

A. Standard precaution
B. Reverse isolation
C. Proper isolation
D. Disposal of sharps
237-Which is the best aid to prevent breast cancer ?

A. Teaching women how to perform self breast exam
B. Public knowledge about chemotherapy
C. To eat fruits and vegetable only
D. Encourage women to perform self breast examination monthly
238-In cute stage of osteomyelities , the child should be :-

A. Confined to bed .
B. Up with crutches .
C. Up in a wheelchair
D. Up and about
239-Which one should the nurse monitor first in an infant ?

A. Respiratory rate
B. Cardiac rate
C. Pulse rate
D. Motor functioning
240-When assessing neonates hydration , the nurse should check for the skin’s
:-
A. Elasticity
B. Tone
C. Moisture
D. Color
241-Cerebral palsy can be detected in which of the following stage of child’s

life ?
a. During the early months

b. When the child is walking
c. When the child is playing
242-What is the normal weight of the new born according to statistics ?

A. 3700 gms
B. 3200 gms.
C. 2500 gms
D. 4500 gms
243-When the head of the baby is already out in a cervix , the nurse should do
which of the following first ?
A. ask the mother to push more
B. check if the baby is breathing
C. wait for the baby to come out
244-FHR is heard clearly on fetal :-

A. head
B. back
C. abdomen
245-Soon after the delivery of head of the baby the nurse should :-
A. suction mouth and oral cavity
B. wait for the delivery of the baby
C. ask her to push
246-Normal birth weight of newborn according to statistics :

A. 2.500 gm
B. 3.200 gm
C. 3.500 gm
D. 3.700 gm
247-The fetus will get immunity from :-

A. lymph system
B. placenta
248-Diet and nutritional status of pregnancy should be encouraged :-

A. first trimester
B. second trimester
C. third trimester
249-Precaution of infection diseases in early childhood ?

A. immunization
B. isolation technique
C. parental education
250-When the bag of water ruptures , the nurse should watch for which of the
following :-
A. cord prolapse
B. bleeding
C. fetal death
D. fetal distress
E. respiratory distress
251-During labor a mother experienced dystocia , which of the following

should the nurse watch out for ?
A. fetal death
B. hemorrhage
C. cord prolapse
252-Which are the signs of placenta separation ?

A. rising of the fundus
B. sudden gush of blood
C. globular shape of the uterus
D. all of the above
253-During hyperthermia which of the following should be done as measure

to lower the temp. of the baby ?
A. immerse baby in cold water
B. give cold enema
C. external cooling measures
D. all of the above
254-When is health teaching concerning nutrition be given to a pregnant

woman ?
A. first trimester
B. second trimester
C. third trimester
255-Premature labor occurs during :-

A. between 20-36 weeks
B. between 36-42 weeks
256-Which of the following hormones prepares the uterus for the arrival of a
fertilized ovum for implantation ?
A. progesterone
B. estrogen
C. FHS
D. NON OF THE ABOVE
257-What is the most common complication after hysterectomy ?

A. Abdominal distention
B. Hemorrhage
C. Vaginal pain
D. Vaginal discharge
258-When dose ovulation occur?

A. Between 10-12 days
B. Between 12-16 days
C. Between 18-21 days
259-Diphtheria vaccine is being given during infancy and repeated :-

A. Booster dose at age 6
B. Every after 5 years
C. Every after 10 years .
D. No booster is recommended
260-There is no vaccination for :-

A. Small pox
B. Measles
C. DPT
D. Polio
261-The end of the first stage of labor is :-

A. When the cervix starts to dilate
B. Full dilatation of cervix up to 10 cm
C. Birth of baby
D. Separation of placenta
262-One sign of vaginal infection is :-

A. Pain
B. Itchiness
C. Foul smelling discharges
263-One post-partum nursing responsibility for preventing vaginal bleeding is

:-
A. Put patient on trendelenburg position .
B. Regulate IV fluid with oxytosis
C. do fundal massage frequently
264-Fetal heart tone is best heard at :-

A. anterior part of the fetus
B. posterior back of the fetus
265-During pregnancy iron supplement starts on :-

A. first trimester
B. second trimester
C. third trimester
266-72 hours post placental delivery , fundic height will be :-

A. 1-2 finger above the umbilical
B. 1-2 finger below the umbilical
C. on the level of umbilical
267-In the hospital , isolation is indicated if the patient :-

A. staphylococcal pneumonia
B. local staphylococcal infection
C. puerperal fever
D. all are indicated
268-At which age is administration of the measles vaccine the most effective :-
A. 2 months
B. 6 months
C. 12 months
D. 15 months
269-The postpartal patient should be watched closely during the first hours
after delivery for:-
A. uterine contraction
B. vaginal bleeding
C. hypotension
D. all of the above
270-Premature labor is the labor that occurs between :-

A. 20-36 week gestation
B. 28-37 week gestation
C. 30-38 week gestation
D. any of the above
271-Which of the following complication is life threatening after a penetrating

abdominal injury :-
A. Hemorrhage .
B. Peritonitis
C. Abdominal distention
272-WHICH OF THE FOLLOEING IS THE IMMEDIATE TREATMENT FOR

PUNCTURED WOUND ?
A. CLEANS the wound
B. Stop the bleeding
C. Remove the object from the wound
D. Give prophylactic anti-tetanus
273-When there is malfunction of the glomerular filter there is high secretion

of:-
A. Urea
B. Creatinine
C. Potassium
D. Protein
274-In a nephritic syndrome , aside from clinical manifestation , what else can
the patient complain upon consultation ?
A. Protienurea
B. Oliguria
C. albuminuria
D. polyuria
275-ECT is indicated to treat :

A. psychotic depression
B. obsessive compulsive disorder
C. neurosis
276-After taking tranquilizer ,a nurse must warn the patient that he may
experience :-
A. nausea
B. hallucination
C. drowsiness
277-One of the signs and symptoms of paralytic ileus is:-

A. increased peristalsis
B. increased gas formation
C. absence of bowel sounds
278-The most important nursing responsibility following head injury is :-

A. monitor vital signs and record
B. monitor GCS –Glasgow coma scale

C. observe for restlessness
279-Post –operative prevention of thrombophebitis :-

A. leg exercise in bed
B. passive exercise by nurse to patient
C. early ambulation
280-Nursing management which is contraindicated for thrombophelbitis :-

A. encourage early ambulation
B. deep breathing and coughing exercise
C. massage the operative site i.e. leg calf muscle
281-What will you observe following spinal anesthesia ?

a. nausea and vomiting
b. restlessness
c. hypotension and headache
282-Second degree burns involve:-

A. skin , dermis
B. dermis , subcutaneous , muscle
C. epidermis , dermis , subcutaneous
283-within 48 hours of burns , management is focused on :-

A. prevention of infection
B. hydration
284-Best diagnostic test for suspected leukemia is:-

A. CBC
B. Blood chemistry
C. Bone marrow aspiration
285-Nursing responsibility on leukemia :-

A. Ensure safety
B. Prevent infection
C. Obtain blood samples regular
286-Immediate management for reaction during blood transfusion :-

A. Slow down the rate
B. Stop blood transfusion
C. Change blood transfusion with a new pack
287-How many liters of oxygen can be given with nasal canula ?

A. 1-2 liters
B. 1-10 liters
C. 1-6 liters.
288-Destruction of bacterial is called :-

A. medical asepsis
B. surgical asepsis
C. disinfections .
289-First management of unconscious victim is :-

A. administer shock
B. determine unresponsivenes s
C. administer oxygen .
290-Nursing responsibility before giving Digoxin:-

A. Check BP
B. Check apical rate
C. Instruct patient to do deep breathing
291-Explain briefly the following :-

A. Comminuted fracture
B. Simple fracture
292-Treatment of scurvy :-
1. Vit.b supplement
2. Vit.c supplement
3. Iron supplement
293-Atropine so4 is given pre-operative to :-

1. relax the patient
2. decrease the secretion
3. prevent intra-operative bleeding
294-When the patient is diagnosed with wilm,s tumor , the nurse should :-
1. always keep bed rails up
2. avoid palpation of abdomen
3. observe foe nausea and vomiting
295-A patient with asthma is receiving intravenous aminophylline .the adverse

reaction for which the nurse should observe is :-
1. oliguria
2. braducardia
3. hypotension
4. hypertension
296-The force with which the blood is pushing against the arterial walls when
the ventricles are contracting is called:-
1. pulse pressure
2. pressure gradient
3. systolic pressure
4. diastolic pressure
297-Acide-base balance refers to the regulation of the concentration of:-

1. hydrogen ions
2. sodium
3. bicarbonates ions
4. plasma protein
298-Carbohydrates are stored in the body in the form of :-

1. glucose
2. glucagons
3. glycogen
4. glucose 6 phosphate
299-The period in which communicable is most contagious is the :-

1. incubation period
2. period of illness
3. convalescent period
4. all are equally contagious
300-Spinal fluid for culture :-

1. can be stored in the refrigerator for 48 hours
2. can survive refrigeration for only 4-6 hours
3. must be examined immediately
4. will survive in a holding medium for 72 hours
301-An injection the gluteal site must be given in which quadrant of the
buttocks :-
1. upper – inner quadrant
2. upper-outer quadrant
3. lower – inner quadrant
4. lower – outer quadrant
302-The most important rout of drug excretion for nonvolatile substances is:-
1. lungs
2. kidneys
3. feces
4. liver
303-Atropine is capable of producing which of the following effects :-

1. dilated pupils
2. decreased bronchial secretion
3. blocked stimulation of the vagus nerve
4. all of the above
304-The sulfonamide drugs remin the treatment of the control of :-

1. respiratory infections
2. skin infections
3. urinary tract infections
4. gastrointestinal infections
305-The drug of choice for treatment of an angina pectoris :-

1. nitroglycerin
2. quinidine
3. epinephrine
4. dopamine
306-Any one using antihistamine should be cautioned that antihistamine may

cause:-
1. drowsiness
2. hypertinsion
3. tachycardia
4. anaphylaxis
307-The most frequent causes of death in pneumonia patients are shock and:-
1. pulmonary embolism
2. pulmonary edema
3. pulmonary consolidation
4. atelectasis
308-The most important factor in the promotion and maintenance of wound

healing both during surgery and the postoperative period is :-
1. adequate fluid intake
2. proper administration of antibiotics
3. strict asepsis
4. frequent cleansing of the wound
309-The major complications of inhalation anesthesia which the nurse should

be constantly aware of :-
1. circulatory depression only
2. circulatory and respiratory depression
3. respiratory and renal depression
4. renal and circulatory depression
310-If the skin must be shaven prior to surgery . Ideally the preoperative shave
be done:-
1. the night before
2. early in the morning of the surgery
3. no more than one hour before surgery
4. by the patient before entering
311-Which of the following amounts of water per day should be ingested by

the average person to maintain hydration :-
1. 500cc
2. 1000cc
3. 1200cc
4. 2500cc
312-In the internal environment , fluids make up what percent of body weight
:-
1. 10%
2. 20%
3. 40%
4. 70%
313-In which of the following ways can ascorbic acid be administer?

1. orally
2. IM
3. Diluted intravenous fluids
4. all of the above
314-The type of burn in which all the dermis and epidermis , is destroyed and
there is involvement of underlying structures is called :-
1. superficial or first degree burn
2. partial thickness or second degree burn
3. full-thickness or third degree burn
4. fourth degree burn
315-While teaching diabetic patient to give himself insulin , you should stress
that injections should not be given in any one spot more often than every:-
1. 36 hours
2. one week
3. two weeks
4. month
316-Which of the following dietary restrictions are usually indicated to

decrease edema in nephritic :-
1. high – protein , low – calorie , on sodium restrictive diet
2. high – protein , high – calorie , low on sodium diet
3. low– protein , low – calorie, high vitamin diet
4. low– protein, high – calorie , on sodium diet
317-Following a sigmoid scope , the patient should be observed for signs of

hemorrhage and :-
1. fluid loss
2. performation
3. flatus
4. nausea
318-To avoid the possible development of heart diseases following rheumatic

fever the patient must guard himself against infection :-
1. until the fever is gone
2. for one year
3. until sedimentation rat is normal
4. for the rest of his life
319-Hypertension is a persistent elevation of systolic and diastolic pressure

above:-
1. 140/90 mmhg
2. 150/190 mmhg
3. 160/100 mmhg
4. 160/110 mmhg
320-After below knee amputation:-

1. keep the patient in semi fowler’s
2. stump to be evaluated
3. watch the site for bleeding
321-Before giving Digoxin :-

1. check; apical pulse .
2. check BP
3. check respiration
322-To collect urine c/s specimen , the most accurate method:-

1. catheterize the patient
2. mid stream urine
3. provide sterile bedpan and collect urine
323-The nurse should observe the patient receiving decradon:-

1. urinary stasis
2. hypotension
3. infection
4. weight loss
324-Active immunity is acquired by :-

1. having had the disease
2. exposure to
3. taking the vaccine
325-Signs of septic shock :-

1. cool & clammy skin
2. bradicardia
3. warm & dry skin
326-Oral contraceptive used for :-

1. once daily for 21 days
327-Normal arterial O2 saturation :-

1. 85%
2. 92%
3. 97%
4. 100%
328-Atropine is given prior to surgery :-

1. to relax the muscle
2. to control the secretion
329-Valve which control the blood flow from right atrium to right ventricle :-
1. bicuspid valve
2. tricuspid valve
3. mitral valve
4. pulmonary artery
330-The common complication after operation :-

1. fever
2. pulmonary edema
3. pulmonary embolism
331-Digitalis is given :-
1. with meals
2. before meals
3. 2 hours after meals
4. bedtime
332-Diet in cirrhosis of liver without ascitis and swelling :-

1. low protein with multivitamins
2. high protein with vitamins B supplement
3. high protein with sodium restriction
4. high protein with diet .
333-Persistent sweating , hypotension , tachycardia with loss of fluid on blood

. nurse would suspect :-
1. hypovolemic shock
2. cardiogenic shock
3. septic shock
4. neurogenic shock
334-Before the collection of blood culture , the site should be cleansed:-

1. 70% isopropyl alcohol
2. 100% isopropyl alcohol
3. povidone iodine
335-Blood transfusion reaction occurs , the nurse should :-

1. slow down the rate
2. notify the physician
3. shut off the transfusion
336-Signs of hyperglacemia :-
1. polyuria , polydepsia , loss of appetite
2. acetone breath , flushed face , polyuria
337-If O2 is ordered as midication , which method the nurse would choose ?

1. nasal canula
2. nasal catheter
3. O2 mask
4. O2 tent
338-Pre-op medication is given :-

1. 2 hours before operation
2. 45 min. before operation
3. previous night of operation
4. as physician ordered
339-Temp. 98.6 f , is equal to :-

1. 37C
2. 37.5C
3. 36.8C
4. 37.3 C
340-A+ve tuberculin test means the person has :-

1. active TB
2. inactive TB
341-Complication of chemotherapy :-
1. bon marrow depression
2. liver damage
342-ECT is given for :-

1. psychotic depression
2. obsessive compulsive neurosis
3. hysteria
343-Age group more prone to get rheumatic fever :-

A. 5-15 years
B. 5 years
C. above 65 years
344-Iron is mostly absorbed in :-

A. large intestine
B. small intestine
C. liver
345-Early signs of respiratory arrest:-

A. thready pulse
B. cyanosis
C. orthopnea .
346-One fluid ounce equal to :-

A. 30cc
B. 15cc
C. 60cc
D. 5cc
347-Most effective , easy and un-expensive method of sterlization is :-

A. heat
B. pressure
C. drying
D. antiseptic
348-In nephritic syndrome , apart from clinical manifestation the patient

would complain of:-
A. proteinuria
B. oliguria
C. hematuria
349-In active stage of osteomelitis the child should be:-

A. continue in bed
B. allowed to sit in a wheel chair
C. walk up and down
350-An enlarged movable lymphnode is a sign of:-

A. inflammation
B. malignant
C. normal lymph node
D. any of the above
351-To prevent irreversible brain hypoxia CPR should be commenced within:-

A. 2-3min
B. 4-6 min
C. 6-8 min
D. 8-10 min
352-Post-operative patient to do deep breathing & change of position every:-

A. 2 hourly
B. 4 hourly
C. in each shift
D. hourly
353-Cystitis patient should be encourage to pass urine :-

A. 2-3hourly
B. 2-3 hourly & 2 times in the night
C. 2-3 times round the clock
D. any one of the above according to the patient’s schedule
354-Mode of transmission of hepatitis A :-

A. oral
B. parental
C. blood transfusion
355-Reacting of penicillin :-
A. anaphylactic shock
B. vomiting
C. nausea.
356-Disease without vaccination :-

A. small pox
B. measles
C. polio
D. chicken pox
357-Health teaching to a diabetic patient will be on :-

A. diet , oral hypoglycemic , weight loss , feeding
B. diet , insulin , exercise , feeding
C. diet , hypoglycemic , exercise , feeding
D. about complications
358-Surgical asepsis means :-

A. destroying bacteria from articles .
B. removing the bacteria which is in contact with the patient
C. destroying the bacteria before entering in to the body
D. hand washing
359-ECG done for a patient with chest to assess:-

A. stress of heart rate
B. change the rhythm
C. the decreased blood supply to the particular part of the heart
360-The nurse is expecting fracture of bone for patient , the sign would be:-
A. absence of normal activity
B. tenderness
C. loss of sensation
D. all of the above
361-The medicine which will pass through placenta to the fetus:-

A. antibiotic
B. narcotics
C. sedatives
D. all of the above

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1-nursing process consists

2-The following techniques are using for general physical examination:

3-The most accurate temperature is:

4-The normal temperature is :

5-Normal adult pulse is:

6-The systolic pressure in lower extremities is usually ___________ than

7-An informed consent is a ______ for any operative procedures:

8-The best position for postoperative patient to maintain a patient

9-When a patient admitted in dr with full term pregnancy & her

11-Paralytic ileus is a frequent - complication of post-operative abdominal

12-Assessing a patient diagnosed as a schizophrenic, the nurse keeps in mind

15-Immadiate assessment of the premature infant in the nursery would not

antibody formation is immature

17-Nursing responsibilities for the pre operative period would include

18-A test used in the diagnosis of cystic fibrosis called

19-Following a radical mastectomy patient to be positioned

20-The major operative complication following a cholecystectomy is

22-During a retention catheter or bladder irrigation the nurse must use

24-Following total hip replacement , immediately post operative you would

26-What you will observe for a patient is on anti coagulant therapy:

27-Robert Reinhold , a construction worker , is seen in the ER with low blood

28-Which of the following would be an appropriate site for taking a pulse on 2-

Auscultation is best done with Mrs. Jarrett in the sitting position

33-Which of the following could contribute to causing a nosocomial infection

34-The nurse employs surgical aseptic technique when :

37-Jessica , age 4 years , is scheduled to receive an IV line the most appropriate

38-The workmen cause an electrical fire when installing a new piece of

41-Pressure ulcer form primarily as a result of

43-Mr. Gibbs has rheumatoid arthritis

47-With advancing age , which of the following normal physiological changes in

48-When assessing a patient’s medication history , the nurse should :

53-When a medication is being administered , the most accurate way to verify a

54-When the nurse is administering medications , the patient informs the

55-The physician’s order to administer 3 L of IV fluid 5% D \ 0.45 % normal

125 gtt / min

57-For which client is the oral rout of administration appropriate ?

60-Listed below are statements related to pharmacokinetics .

2 . drug & their metabolites excreted in renal system

note : bid == twice .

64-Amedication order should never be implemented if : -

the nurse Questions any part of the order

65-ORDERD: penicillin 400.000 u IM now

66-ORDERD : deltasone 7.5 mg now .

67-Mr. Johnson has liver failure. Using your understanding of

At 10:10 AM nurse Mulligan brings Mrs. Rooney her 10:00 AM medication.

4. Discard the medication

79-The nurse correctly administer an IM injection a ……………… degree angle

80-Which of the following is true concerning a SC injection:-

82-What body function is essential for adequate drug absorption?

85-Which of the following orders is complete :-

87-Just prior to pouring a dosage of Mylanta Liquid , you will :

89-While checking Mr. Appendectomy’s vital signs , he requests his “ medication

100-The nurse correctly administer an IM injection a ……………… degree angle

101-Which of the following is true concerning a SC injection:-

102-When giving medication , the label should be checked 3 times . Which of

2. immediately prior to pouring medication

103-What body function is essential for adequate drug absorption?

106-Which of the following orders is complete :-

4. OPV ( oral polio vaccine ) 0.5 cc

108-Just prior to pouring a dosage of Mylanta Liquid , you will :

110-While checking Mr. Appendectomy’s vital signs , he requests his “

111-Prior to administering a Lanoxin preparation , you take an apical pulse rat

112-While preparing a dosage of FIORINAL#3 , you accidentally drop a tablet