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Nader 28 29 30 31 32 25 26 27 AL-smadi
nadersmadi@hotmail.com 40 33 34 35 36 37 38 39 41 42 43 44 45 46 47 48
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nadersmadi@hotmail.com

When explaining to a client about the iron supplement, you should instruct the client to take the iron with which of the following to promote maximum absorption
X √ X X Tea Orange Milk Chocolate
‫ لن وجود فيتامين‬c ‫يساعد على امتصاص كمية‬ ‫اكبر من الحديد, والبرتقال يعتبر عنصر غني‬ ‫.بهذا الفيتامين‬

EXAM
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QUESTION -1-

Which of the following drugs would the nurse expect to administer to the client receiving intravenous magnesium sulfate if the client develops magnesium toxicity?
X √ X X Diazepam (valium) Calcium gluconate Vitamin K Protamine sulfate

EXAM
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QUESTION -2-

Which of the following instructions would the nurse include when teaching the who is to receive digoxin?
To take digoxin with a full glass of water To take digoxin with meal To take digoxin after meal To take digoxin 1 hour before eating

X X X √

EXAM
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QUESTION -3-

The physician orders digoxin (Lanoxin) 0.15 mg PO daily for a child. The pharmacy supplies the digoxin in liquid form at a concentration of 0.05 mg/ml. How much of the medication should the nurse administer at each dose X X √ X 0.2 ml 0.5 ml 3 ml 5 ml

EXAM
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QUESTION -4-

A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to :
√ X X X Improve venous return Reduce the drying time Decrease irritation to the skin Promote the client's comfort

EXAM
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QUESTION -5-

When caring for a client receiving warfarin (Coumadin), which lab test would the nurse monitor to determine therapeutic response to the drug?
X √ X X Bleeding time Prothrombin time (PT) Partial thromboplastin time (PTT) Coagulation time

EXAM
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QUESTION -6-

The nurse is teaching a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client?
X X X √ Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine Clean the meatus, begin voiding, then catch urine stream

EXAM
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QUESTION -7-

A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?
X X √ X Productive cough Fever and Chills Expiratory wheezing Nausea and vomiting

EXAM
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QUESTION -8-

A child is brought to the emergency room because he was injured on the school playground and appears to have a fractured leg. The first action of the nurse:
√ X X X Assess the child and the extent of the injury Apply cold compresses to the injured area Immobilize the limb and joints above and below the injury Apply cast to the leg

EXAM
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QUESTION -9-

A 14 month-old child ingested half a bottle of aspirin tablets. Which of the following would the nurse expect to see in the child?
X √ X X Edema Epistaxis Dyspnea Hypothermia

EXAM
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‫ترجمة‬

QUESTION -10-

A client has been admitted to the coronary care unit with a myocardial infarction. Which nursing diagnosis should have priority?
X X X √ Risk for constipation Risk for dysarrhythmia Anxiety related to pain Pain related to ischemia

EXAM
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‫ترجمة‬

QUESTION -11-

A nurse is stuck in the hand by an exposed used needle. What immediate action should the nurse take?
X X √ X See the policy of needle stick Contact employee services Immediately wash the hands vigorously Inform the supervisor

EXAM
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‫ترجمة‬

QUESTION -12-

The nurse is having difficulty reading the physician’s written order that was left just before the shift change. What action should be taken?
√ X X X Call the physician for clarification Leave the order to the second shift Ask the pharmacy for assistance Ask the charge nurse for assistance

EXAM
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‫ترجمة‬

QUESTION -13-

An adult client is found to be unresponsive . After checking for responsiveness and calling for help, the next action that should be taken by the nurse is to:
X √ X X Give 2 rescue breaths Open the airway Check the carotid pulse Give oxygen

EXAM
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‫ترجمة‬

QUESTION -14-

A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml has been infused after 4 hours. What is the priority nursing action?
X X X √ Tell the client to void Ask the client about any problems Take vital signs Auscultate the lungs

EXAM
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‫ترجمة‬

QUESTION -15-

A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values?
X X √ X Acid phosphatase Blood urea nitrogen Bilirubin Hemoglobin

EXAM
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‫ترجمة‬

QUESTION -16-

A 14 month-old had cleft palate surgical repair several days ago. After discharge, Which lunch is the best example of an appropriate meal?
√ X X X Soup, ice cream, milk Hot dog and milk Sandwich, chips, and milk Chicken and milk
‫الطفل الذي تجرى له عملية اصلح الشق في‬ ‫الحنك يحتاج الى غذاء لين وسهل البلع ول يحتوي‬ ‫على قطع صلبة لنها تؤدي الى اصابة الجلد في‬ ‫مكان العملية , لذلك يجب تجنب هذه المواد مثل‬ ‫الدجاج والمكسرات والبقوليات والخبز واللحوم‬ ‫والشيبس, وغيرها‬

EXAM
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‫ترجمة‬

QUESTION -17-

The nurse is assessing a 12 year-old who has hemophilia A. Which finding would the nurse anticipate?
X √ X X An excess of red blood cells A deficiency of clotting factor VIII An excess of white blood cells A deficiency of clotting factor VIII and IX
‫ هيموفيليا‬A = ‫نقص في العامل الثامن‬ ‫ هيموفيليا‬B = ‫نقص في العامل التاسع‬

EXAM
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‫ترجمة‬

QUESTION -18-

The nurse is assessing a client with a deep vein thrombosis (DVT). Which of the following signs and/or symptoms would the nurse anticipate finding?
X X X √ Increase in white blood cells Rapid respiration Diaphoresis Swelling of lower extremity

EXAM
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‫ترجمة‬

QUESTION -19-

The nurse is performing a physical assessment on a client with insulin dependent diabetes mellitus. Which client finding calls for immediate nursing action?
X X √ X Reduced lower leg sensation Thirst Diaphoresis Hunger
‫لن التعرق من العلمات الساسية لهبوط‬ ‫السكر في الدم مما يستدعي اهتمام وتصرف‬ ‫.سريع من قبل الممرض‬

EXAM
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‫ترجمة‬

QUESTION -20-

The nurse is planning care for a client with increased intracranial pressure. The best position for this client is :
√ X X X Semi-fowlers position Trendelenburg position Prone position Side-lying position

EXAM
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‫ترجمة‬

QUESTION -21-

A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most serious effect of chronic lead poisoning is :
X √ X X Renal damage Central nervous system damage Anemia Growth impairment

EXAM
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‫ترجمة‬

QUESTION -22-

A 74 year-old male is admitted due to inability to void. He has not voided in 14 hours. When assessing for bladder distention, the best method for the nurse to use is to assess for :
X X X √ Urinary discharge Left lower quadrant distention Lower abdominal pain Rounded swelling above the pubis

EXAM
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‫ترجمة‬

QUESTION -23-

What is the most common sign of digoxin toxicity in children :
Lethargy Vomiting Bradycardia Bradypnea

X X √ X

EXAM
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‫ترجمة‬

QUESTION -24-

Which of the followings is the correct pathway of blood flow through the heart?
Right atrium, right ventricle, left atrium, left ventricle Left ventricle, right ventricle, left atrium, right atrium Right atrium, left atrium, right ventricle, left ventricle Right ventricle, left ventricle, right atrium, left atrium

√ X X X

EXAM
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‫ترجمة‬

QUESTION -25-

The nurse is caring for a client with status epilepticus. The most important nursing assessment(s) of this client is/are :
X √ X X Intravenous fluids rate Level of consciousness Pulse and respiration Injuries to the extremities

EXAM
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‫ترجمة‬

QUESTION -26-

‫‪A client is admitted for COPD. Which findings would‬‬ ‫?‪require the nurse's immediate attention‬‬
‫‪Nausea and vomiting‬‬ ‫‪Low-grade fever‬‬ ‫‪Cough and sputum‬‬ ‫‪Restlessness and confusion‬‬
‫التوتر وعدم الرتياح والزرقاق تعتبر من‬ ‫علمات القصور التنفسي , لذا يجب فحص‬ ‫.في هذه الحالة )‪ (ABG‬غازات الدم الشرياني‬

‫‪X‬‬ ‫‪X‬‬ ‫‪X‬‬ ‫√‬

‫أدخل مريض الى المستشفى في حالة المراض التنفسية النسدادية المزمنة , أي من العلمات التالية تتطلب‬ ‫: انتباه فوري من الممرض‬ ‫غثيان وقيء •‬ ‫ارتفاع طفيف في درجة الحرارة •‬ ‫سعال مع بلغم •‬ ‫توتر وعدم ارتياح •‬

‫‪EXAM‬‬
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‫ترجمة‬

‫-72- ‪QUESTION‬‬

You are to give 30 mg. of Inderal. The available dosage strength is a scored 60mg. tablet. What amount will you give?
X X √ X 1 tablet 2 tablet 0.5 tablet 1.5 tablet

EXAM
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‫ترجمة‬

QUESTION -28-

The physician orders an IV infusion of D5W 1000 ml to infuse over the next eight hours. The IV tubing that you are using delivers 15gtt/min. What is the correct rate of flow?
√ X X X 31 gtt/m 21 gtt/m 41 gtt/m 33 gtt/m
‫= معدل التنقيط‬ (‫ الكمية‬X ‫ عامل التنقيط(\)عدد الساعات‬X 60) (1000 X 15 ) \ ( 8 X 60 ) = ( 15000 ) \ ( 480 ) = 31,25 = 31 ‫نقطة في الدقيقة‬ ( ‫) عامل التنقيط دائما يعتبر 51 ال اذا ذكر غير ذلك‬

EXAM
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‫ترجمة‬

QUESTION -29-

Dr. order: Lasix 20 mg IV stat; available solution contains 10mg/cc. How many ml will you give?
1 ml 2 ml 3 ml 0.5 ml
‫01 ملغم‬ ‫02 ملغم‬ ‫يحتوي على‬ ‫كل 1 مل‬ ‫يحتوي على‬ ‫كل ؟ مل‬ 1 ) = ‫ ؟‬X 20 ) \ 10 = 2 ‫. مل‬

X √ X X

EXAM
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‫ترجمة‬

QUESTION -30-

A nurse is teaching a client who has just undergone eye surgery. The nurse instructs the client that which of the following activities is permitted.
X X X √ Bending Lifting objects Reading Watching TV

‫يقوم الممرض بتعليم المريض الذي اجريت له عملية جراحية في العين , اي من النشاطات التالية تكون مسموح‬ ‫: بها في هذه الفترة‬ • ‫النحناء‬ • ‫رفع الشياء‬ • ‫القراءة‬ • ‫مشاهدة التلفاز‬

EXAM
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‫ترجمة‬

QUESTION -31-

Which factor most probably contributed to the development of the client’s hemorrhoids :
Taking daily softener History of colitis Frequently constipated Working as computer programmer

X X √ X

EXAM
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‫ترجمة‬

QUESTION -32-

When the client asks the nurse how he acquired hepatitis A, the best answer is that a common route of hepatitis A transmission is from:
√ X X X Fecal contamination Insects Infected blood Sex

EXAM
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‫ترجمة‬

QUESTION -33-

Which of the following results would the nurse expect to find in the patient with acute pancreatitis :
Elevated creatinine Elevated amylase Low glucose Low alkaline phosphatase

X √ X X

EXAM
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‫ترجمة‬

QUESTION -34-

The patient’s temperature is 36 DC, the most appropriate initial nursing measure would be to :
Place a hot water bottle on his feet Check for signs of shock Inform the physician Cover him with additional blankets

X X X √

EXAM
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‫ترجمة‬

QUESTION -35-

The patient has an order to infuse 100 ml of D51/2NS with 10 MEq of KCl over the next thirty minutes. The set calibration is 10gtt/ml. What is the correct rate of flow for this patient?
X X √ X 41 drop/m 36 drop/m 33 drop/m 32 drop/m
100 ) = ‫ معدل التنقيط‬X 10 ) \ 30 = 1000 \30 = 33,33 = 33 ‫.نقطة في الدقيقة‬
( ‫) لحظ أنه في هذا السؤال ل يوجد ساعات لذلك نقسم على عدد الدقائق مباشرة‬

( ‫( لحظ أيضا أن كمية الدواء‬KCL) ‫) مهملة في هذه الحالة‬

EXAM
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‫ترجمة‬

QUESTION -36-

Which physical examination technique would be used first when assessing the abdomen?
Inspection Palpation Percussion Auscultation

√ X X X

EXAM
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‫ترجمة‬

QUESTION -37-

Dr. order: to give 3 mg of Haldol IM. On your unit, Haldol is available in 2 ml ampules that contain 5 mg/ml. What amount will you give?
X √ X X 12 ml 0.6 ml 1.2 ml 6 ml
‫5 ملغم‬ ‫3 ملغم‬ ‫يحتوي على‬ ‫يحتوي على‬ (1X3)\5 = 0,6 ‫مل‬ ‫كل 1 مل‬ ‫كل ؟ مل‬

( ‫) لحظ أن ال 2 مل من الهالدول فيها 01 ملغم‬

EXAM
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‫ترجمة‬

QUESTION -38-

The patient admitted with hypothyroid crisis (myxedema coma) would most likely have which of the following electrolyte abnormalities?
X X X √ Hyperglycemia Hypocalcemia Hypernatremia Hyponatremia

EXAM
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‫ترجمة‬

QUESTION -39-

The most common fluid used to manage the 2nd degree burn patient is :
Normal saline Dextrose saline Ringer lactate Glucose 10 %

X X √ X

EXAM
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‫ترجمة‬

QUESTION -40-

Dr. order: give ringer lactate 2000 cc I.V Q 12 hrs, what will be the rate of infusion :
42 drop/m 33 drop/m 36 drop/m 40 drop/m

√ X X X

EXAM
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‫ترجمة‬

QUESTION -41-

The doctor ordered to give a volume of solution over 8 hours, the rate of the solution was 31 drop/minute, how many cc of the solution will be given :
X √ X X 1000 cc 992 cc 760 cc 672 cc
( ‫ الكمية‬X 15 ) \ ( 8 X 60 ) = 31 ( ‫ الكمية‬X 15 ) = ( 8 X 60 X 31 ) ‫الكمية = 299 مل‬

EXAM
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‫ترجمة‬

QUESTION -42-

A patient has recently experienced MI (myocardial infarction ) within the last 4 hours. Which of the following medications would most like be administered?
X X X √ Atropine Adrenaline Coumadin Streptokinase

EXAM
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‫ترجمة‬

QUESTION -43-

The life span of RBC in the body is :

X X √ X

45 days 60 days 120 days 90 days

EXAM
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‫ترجمة‬

QUESTION -44-

In adult CPR, after confirming that the patient is unconscious, what is the next step :
Call EMS Check carotid pulse Apply chest compressions Put the patient in supine position

√ X X X

EXAM
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‫ترجمة‬

QUESTION -45-

Which of the following nursing measures would be appropriate when caring for a patient in skeletal traction for a fractured femur?
X √ X X Maintaining the patient in a supine position Inspecting the pin site at least every 8 hours Removing weights when repositioning the patient Keep the patient without any movements

EXAM
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‫ترجمة‬

QUESTION -46-

Which of the following would be the priority for a client admitted to the emergency room with burns covering an estimated 27% of body surface area?
X X X √ Inserting a large I.V line Administering prescribed morphine Doing dressing over the burned areas Maintaining a patent airway

EXAM
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‫ترجمة‬

QUESTION -47-

When preparing a client for a scheduled colonoscopy, which of the following would the nurse include?
X X √ X Inserting a nasogastric tube 12 hours before the procedure Administering an antibiotic to decrease the risk of infection Cleansing the bowel with laxatives or enemas No need for the client to be NPO before the procedure

EXAM
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‫ترجمة‬

QUESTION -48-