Professional Documents
Culture Documents
30. A clinical condition that can be characterized 36. A client who suffered from automobile
by upward displacement the upper stomach accident complains of seeing frequent flashes
and the Gastroesophageal junction and slide of light.The nurse should expect:
in and out in the thorax A. Myopia C. Glaucoma
A. Sliding hernia C. Paraesophageal hernia B. Detached retina D. Scleroderma
B. Rolling hernia D. Esophageal diverticulum
37. A client suffered from a lower leg injury and
31. Twenty-eight-year-old Hirot has recently been seeks treatment in the emergency room.
diagnosed with hyperthyroidism. As a nurse, There is a prominent deformity to the lower
you will assess the signs and symptoms aspect of the leg, and the injured leg appears
regarding hyperthyroidism that includes: shorter that the other leg. The affected leg is
A. Tachycardia, sweating, and tremors painful, swollen and beginning to become
B. Fatigue, lethargy, and weight gain ecchymotic. The nurse interprets that the
C. Muscle twitching, tetany, and galactorrhea client is experiencing:
D. Scotoma, alopecia, and hirsutism A. Fracture C. Sprain
B. Strain D. Contusion
32. Worku is admitted to the hospital due to
metabolic acidosis caused by Diabetic 38. You are assigned in the surgical ward and
ketoacidosis DKA). The nurse prepares which assessing the client’s casted extremity for
of the following medications as an initial signs of infection. Which of the following
treatment for this problem? findings is indicative of infection?
A. Regular insulin A. Edema
B. Potassium B. Weak distal pulse
C. Sodium bicarbonate C. Coolness of the skin
D. Calcium gluconate D. Presence of “hot spot” on the cast
39. George who has undergone thoracic surgery 45. A mother came in the clinic with her 2-month
has chest tube connected to water-seal old baby for check up. The nurse knows that
drainage system attached to suction. Presence the child has received this set of
of excessive bubbling is identified in water- immunization
seal chamber, the nurse should… A. BCG, DPT1,OPV1
A. “Strip” the chest tube catheter B. BCG, IPV, DPT1
B. Check the system for air leaks C. BCG,OPV1, DPT2
C. Recognize the system is functioning D. DPT2,BCG, MEASLES
correctly
D. Decrease the amount of suction pressure 46. A mother of a preschool is concerned about
her baby consistently talking to an imaginary
40. Priority nursing diagnosis for client with friend, the nurse tells the mother that
pneumonia is: A. The child need doctor’s evaluation
A. Ineffective Airway Clearance B. This is an example of group play
B. Impaired Gas Exchange C. Normal
C. Ineffective Breathing Pattern D. Form of regression
D. Ineffective Pulmonary Perfusion
47. An infant is to receive amoxicillin 90 mg three
Pediatric Nursing times a day for 10 days to treat otitis media
on the left side. Amoxicillin suspension is
Situation: Questions 41-44 supplied as 125mg/ 5 ml. how much of the
Patient Ayelech, 2 months old, was brought to the medication should the mother administer at
Pediatric ward due to cough and fever. Upon each dosing time?
interview, the mother verbalized that she vomits A. 1.8 ml C. 13.45 ml
B. 3.6 ml D. 26.90 ml
most of what she takes after having a meal. During
assessment, nurse Jale was able to determine that the 48. A newborn that has an asymmetrical Moro
patient had diminishing consciousness fast breathing reflex response should be further assessed for
and chest retractions. She is currently 7kg. She also which of the following?
has a family history of Asthma. A. Talipes equinovarus
41. Understanding the situation, nurse Jale would B. Fractured clavicle
suspect that Ayelech’s diagnosis will be? C. Congenital hypothyroidism
A. Pneumonia C. Severe Pneumonia D. Increased intracranial pressure
B. Dehydration D. Severe Dehydration 49. A newborn baby is quiet, limp and not crying.
The baby does not respond to steps to
42. Nurse jale understands that the management stimulate breathing. What should you do
for the above diagnosis will be; next?
A. Give Cotrimoxazole C. Give A. Slap the baby’s back
Amoxicillin B. Hold the baby upside down
B. Give Vitamin A D. All of the above C. Squeeze the baby’s ribs
D. Begin resuscitation
43. During the Vital Sign Taking, Nurse Jale
confirms fast breathing when; 50. The mother of a newborn asks the nurse.
A. The RR is more than 40 cpm “What’s wrong with my son’s breasts? Why
B. there is presence of Alar Flaring are they so enlarged?” Which of the following
C. The RR is more than 50 cpm would be the best response by the nurse?
D. there is presence of cough A. “The breast tissue is inflamed from the
trauma experienced with birth”
44. Nurse Jale assesses for Danger Signs. She B. “A decrease in material hormone present
should look/ask all of the following, EXCEPT; before birth cause enlargement,”
A. Is Ayele able to drink or breastfeed? C. “You should discuss this with your doctor. It
B. Does Ayele vomit everything he takes in? could be a malignancy”
C. Is Ayele abnormally sleepy? D. “The tissue has hypertrophied while the
D. Is Ayele having fast breathing? baby was in the uterus”
D. Informed consent
51. Immediately after birth the nurse notes the 57. One of the following is not the characteristics
following on a male newborn: respirations 78; of informed consent
A. Client understands the reason for the
apical hearth rate 160 BPM, nostril flaring;
proposed intervention, and its benefits and
mild intercostal retractions; and grunting at risks.
the end of expiration. Which of the following B. Autonomy might be limited when
should the nurse do? prevention of harm overrides the loss of
A. Call the assessment data to the physician’s individual freedom
attention C. Autonomy should be considered regardless
B. Start oxygen per nasal cannula at 1L/min. of the competency they had.
D. None
C. Suction the infant’s mouth and nares
D. Recognize this as normal first period of 58. A legal document that permit a person to offer
reactivity his/her knowledge to the public
A. License C. Registration
52. The nurse hears a mother telling a friend on B. Certification D. Accreditation
the telephone about umbilical cord care.
Which of the following statements by the 59. One of the following might not be an
indication of unintentional tort;
mother indicates effective teaching?
A. Failure to follow standards of care
A. “Daily soap and water cleansing is best” B. Failure to document
B. “Alcohol helps it dry and kills germs” C. Using physical restrain
C. “An antibiotic ointment applied daily D. Unable to use equipment in a responsible
prevents infection” manner
D. “He can have a tub bath each day”
60. Legal safeguards for nursing practice would be
characterized by
53. The post-term neonate with meconium-
A. Acting beyond the scope of practice
stained amniotic fluid needs care designed to B. Failure to communicate
especially monitor for which of the following? C. Act of commission or omission of the nurse
A. Respiratory problems that result a breach of the standard of care.
B. Gastrointestinal problems D. Competent practice
C. Integumentary problems
Obstetrics and Gynecology Nursing
D. Elimination problems
54. A two year old child was brought to the under- 61. A client Named Tsion, 38 years, visits the
five clinic by his parents with worrying of not nurse practitioner for a regular prenatal
increasing body weight. On measurement his check-up. She's 32 weeks pregnant. When
weight is 12 kg and height is 75th percentile of assessing her, the nurse Zewditu should stay
normal. The management is especially alert for signs and symptoms of:
A. Advise multivitamin A. Pregnancy-induced hypertension (PIH).
B. Force to eat B. Iron deficiency anemia.
C. Investigate for UTI C. Cephalopelvic disproportion.
D. Advise parents to stop worrying D. Sexually transmitted diseases (STDs).
55. A nurse is assessing a child for Protein Energy 62. The nurse Fayiso is caring for a client whose
Malnutrition. Of the following listed signs membranes ruptured prematurely 12 hours
which do not indicate marasmus? ago. When assessing this client, the nurse's
A. Sever muscle wasting highest priority is to evaluate:
B. Less than 60% of Weight for age A. Cervical effacement and dilation.
C. Bilateral edema B. Maternal vital signs and FHR.
D. None C. Frequency and duration of contractions.
D. White blood cell (WBC) count.
Professional Ethics
63. The nurse Chala is planning care for a 15-year-
56. All are example of beneficence except old client in the prenatal clinic. Adolescents
A. Positioning the patient are prone to which complication during
B. Administer pain medication pregnancy?
C. Perform a dressing A. IDA C. Nausea and vomiting
B. Varicosities D. Gestational Diabetes
64. The nurse Kalkidan is caring for 18-year-old Pharmacology
pregnant client. The client is taking an iron
supplement. What should this client drink to 71. Ritodrine hydrochloride is used in the
increase the absorption of iron? treatment of.
A. A glass of milk A. Hypertension C. Bronchial Asthma
B. A cup of hot tea B. Parkinson’s Disease D. Premature Labor
C. A liquid antacid
D. A glass of orange juice 72. All of the following drugs are used topically in
the treatment of chronic wide-angle
65. A 26 years old female presented with glaucoma. Which of these agents reduces
unexplained vaginal bleeding in FP unit. The intraocular pressure by decreasing the
most preferable FP method is: formation of the aqueous humor?
A. POP C. IUCD A. Pilocarpine C. Echothiopate
B. COC D. All B. Timolol D. Physostigmine
66. A 23 year mother presented in your health 73. Which of the following antihypertensive agent
facility after she had missed abortion. Which should be avoided in pregnant women’s
one of the following is not true about this regimen?
mother? A. Hydralazine C. Captopril
A. DIC is a risk B. Methyldopa D. Hydrochlorothiazide
B. Immediate evacuation is indicated
C. U/s determine IUFD 74. Which of the following beta blockers is NOT
D. None approved for treatment of heart failure?
A. Metropolol succinate C. Carvidelol
67. All of the following are true about milk B. Bisoprolol D. Propanolol
production and release: EXCEPT
A. Prolactin - stimulates milk production 75. Select antischizophrenic drug is limited to
B. Oxytocin – stimulates milk release treating only positive symptoms of
“expressed” schizophrenia?
C. Suckling - inhibits prolactin-inhibiting A. Risperidone C. Chlorpromazine
hormone B. Clozapine D. Olanzapine
D. none
76. Which of the following adverse effect is NOT
68. Mrs. Jessie is a 30 yrs gravida mother comes to associated with Penicillins?
your health centre for her antenatal check up. A. Hypersensetivity
When the history was collected the mother B. Diarrhea
told she already has three children. In her first C. Nephrotoxicity
pregnancy she delivered a male child. Her D. Bone marrow suppression
second pregnancy ended with delivering a
twins female children. What is her obstetrical 77. Which of the following agent is NOT
score. contraindicated in children or pregnant
A. G3P3L3 C. G3P2L3 women?
B. G2P3L3 D. G2P4L3 A. Amoxicillin C. Ciprofloxacin
B. Tetracycline D. Chloramphenicol
69. Mrs. Rosy, 22 yrs gravida mother with OB
score of G1L0P0. Her gestational age is 32 78. Select ART drug which is linked with the least
weeks. She got admitted in your health centre adverse effect and hence part of most HAART
with complaint of vaginal bleeding which is regimen?
bright red in colour. While collecting history A. Zidovudine C. Lamivudine
the mother told she got the bleeding suddenly B. Stavudine D. Saquinavir
while she was doing the household work.
What is the diagnosis of this case? 79. A 60 year-old diabetic male on an oral
A. Ectopic pregnancy C. Placenta previa hypoglycemic agent develops abnormal liver
B. Abortion D. None of the above function tests. Which of the following agents
can cause this finding?
70. What is the amount of bleeding in post A. Metformin C. Troglitazone
partum hemorrhage? B. Acarbose D. Glyburide
A. 550ml C. 500ml
B. 250ml D. 400ml
80. A 27 year old female has just returned from a 84. In 2015, the District Health Office asked you to
trip to Sewana Woreda in the past 24 hours , visit all households in your village to check for
she had developed shaking , chills, and a the presence of a cough lasting more than
temperature of 104 F. A blood smear reveals two weeks in adults (that is, people aged 15
Plasmodium Vivax. Which of the following years or older). The total adult population was
agents should be used to eradicate the 4,000 people in that year. Following this
hepatic phase of the organism? request, you visited all households and
A. Arthemeter and Lumefantrine combination identified 100 people who had a cough lasting
B. Primaquine more than two weeks. Of these 100 people,
C. Chloroquine 10 had a confirmed diagnosis of tuberculosis
D. Quinine (TB) after laboratory investigation. What kind
of surveillance did you conduct based on the
Community Health Nursing, RH, Communicable above Scenario?
Diseases, Nursing Leadership and Management A. Passive D. Outbreak investigation
B. Active E. None
81. A 6-year-old child has recently Health Center. C. IDRS
For the last 2 weeks, he has had fever every
other day along with nausea, vomiting, 85. Which management concept best fit with the
arthralgia, and abdominal pain. On further statement” goal achievement with balanced
questioning, the mother tells you that the use of resources”:
child has rigors with fever and sweats when A. Effectiveness C. Work relation
the fever breaks. You suspect malaria. What is B. Efficiency D. Achievement
the best diagnostic method for identifying the
parasites of this illness? 86. Which one is NOT the objective of human
A. RDT resource management?
B. Serologic testing A. Attracting qualified applicants
C. Thick and thin blood smear preparations B. Cost control
D. Liver biopsy C. Retaining employees
E. A&C D. Motivating employees
82. Mr. Live in Urban part of Ethiopia but before 2 87. Filling vacancies by transferring or promoting
weeks He had visits his rural relative and employees within the organization have the
consumes unpasteurized milk. He came to following considerable benefit because:
health center with complain of start illness A. Qualified person may be appointed in
suddenly with fever, chillness and sweats for higher position
the past 12 hours. At physical examination B. Outsiders have chance to show their ability
identified that musculoskeletal pain, low back in the organization
pain and septic arthritis. From the following C. The company will be able to get fresh and
which one is your possible diagnosis? original ideas
A. Brucellosis D. Kept the staff happy and drive job
B. Anthrax satisfaction
C. Typhus fever
D. Hook warm 88. Common performance appraisal error in
E. Leishmaniasis which managers evaluate an employee and
assigns rating on the basis of an overall
83. Fever, chills, gradual increasing and persisting positive or negative impression of the
headache, rash, abdominal pain, diarrhoea or employee is called:
constipation, delirium and prostration stands A. Leniency error C. Horn error
for B. Decency error D. Central tendency error
A. Measles
B. Typhoid 89. One of the following is barriers to delegation
C. Shigellosis that is related to Delegate
D. Pneumonia A. Over dependence on the boss
E. Cholera B. Lack of confidence in subordinates
C. Being suspicious
D. No toleration of mistakes
90. A type of nursing service delivery system, 95. Common harmful traditional practice which
assignments of patient care are made by the are prevailing in Ethiopia include all of the
level of task; in other words, each person following except one.
performs one task or functions in keeping A. Female GENITAL mutilation
with the employees’ educational experience. B. Early schooling & Marriage by abduction
For instance:-professional nurses are C. Uvulectomy and Milk teeth extraction
responsible for medications, treatments, and D. Food prohibition
procedures for all patients. E. None of the above
A. Case Method
B. Functional Method Health Assessment
C. Primary Nursing
D. Case Management 96. In one of the following breast quadrant the
main bulk is localized and more often
91. Meseret is a college girl age 17 years, by implication in breast cancer
chance she get pregnant while she in second A. Upper outer quadrant
year and she want to terminate the B. Upper inner quadrant
pregnancy. Which of the following is not a C. Lower outer quadrant
problem the she may not face? D. Lower inner quadrant
A. Bleeding
B. Laceration of the genital tract 97. The order of the cardinal physical examination
C. Isolation from her peers techniques for abdominal examination is:
D. Infection following abortion A. Inspection →Auscultation →Percussion→
E. None of the above Palpation
B. Inspection →Palpation →Percussion→
92. Adolescents have their own Sexual and Auscultation
Reproductive Health Rights. Which of the C. Inspection→Percussion →Auscultation→
following is not included in these rights? Palpation
A. The right to get marry at the age of 16 D. Inspection→Auscultation →Palpation→
years Percussion
B. The right to have information about
contraceptive methods 98. You do have patient with distended abdomen.
C. The right to get married or not married While you tap one flank sharply with your
D. The right to get reproductive health fingertips, you feel on the opposite flank for
services an impulse transmitted through the fluid and
E. None of the above you conclude that the patient has ascites.
What is the technique you used?
93. Maternal mortality is one of the reproductive A. Test for shifting dullness
health problems in Ethiopia. Considering this B. Test for a fluid wave
problem which of the following is the possible C. Test for balloting
the cause of maternal mortality? D. Test for Murphy’s sign
A. Blood loss during and after delivery
B. Lack of access to skilled delivery service 99. A 30 years old male presents with depressed
C. Infection that may follow home deliveries skull fracture secondary to motor vehicle
D. All of the above accident. Physical examination revealed that
E. None of the above the patient opens his both eyes with loud
voice, speak inappropriate words and extends
94. The Ethiopian government is providing family his leg to external stimuli. What is his level of
planning service free of charge to all consciousness based on Glasgow comma
interested citizens. In the regard which one of scale?
the following is not the reason for providing A. 6 B. 8 C. 9 D. 7
family planning?
A. Socioeconomic or demographic concern 100. Assess the muscles of mastication by
B. Health considerations palpating the temporal and masseter muscles
C. Human right arguments as the person clenches the teeth is helpful to
D. Justice and equity reasons assess which of the following cranial nerves
E. None of the above A. Cranial nerve-III
B. Cranial nerve-V
C. Cranial nerve-VI
D. Cranial nerve-IV
E. Cranial nerve-VII