(1) A 15-year-old girl is admitted after a Motor

Vehicle Accident child has a fracture in her left leg

and a wound in her face,when dealing with this
child the nurse should be aware that important task
to achieve during this age is which of the following
?

A. Initiative versus guilt

B. Industry versus inferiority
C. Trust versus mistrust
D. Identity vs. Role confusion ✓

(2) Mastitis is an infection of the breast that occurs

most often 2-4 after child birth, which of the
following is considered first line treatment of
mastitis?

A. Drainage of breast abscess

B. Antibiotic therapy and cessation of breast-
feeding
C. Antibiotic therapy and continuation of
breastfeeding ✓
D. Advise mother to stop breastfeeding until
infection is clean.

(3) Postpartum mother was complaining of mastitis

on the Right breast, and she told the nurse that it's
safe feeding by my left side, What should The
nurse response?

A. Breastfeed from both sides it is safe ✓

B. The left side is only safe
C. The right side is only safe

(4) A nurse is providing instructions to a mother

who has been diagnosed with mastitis. Which of
the following statements if made by the mother
indicates a need for further teaching?
A. I need to take antibiotics. And I should begin to
feel better in 24-48 hours.
B. I can use analgesics to assist in alleviating some
of the discomfort.
C. I need to wear a supportive bra to relieve the
discomfort.
D. I need to stop breastfeeding until this condition
resolves ✓

(5) A nurse is giving health education for a mother

who has mastitis. Which of the following if stated
by the mother about what she needs to do, indicate
the additional education is needed?

A. Take antibiotics
B. Use analgesics
C. Wear a supportive bra.
D. Stop breast-feeding. ✓
(6)Extrapyramidal adverse effects and symptoms
are most often associated with which of the
following drug classes ?

A. Antidepressants
B. Antipsychotics ✓
C. Antihypertensives
D. Antidysrhythmic

(7) Psychiatric patient is complaining from

extrapyramidal side effect with continuous spasms
and muscle contractions, motor restlessness,
rigidity, slowness of movement, tremor, and
irregular, jerky movements, upward eye movement,
smacking and sucking of lips and protruding
tongue. What is the most common drug cause that?

A. Clozapine
B. Haloperidol ✓
(8) A 19-year-old boy has been hospitalized with
fracture in upper and lower extremities after
accident, then provided with casts for upper and
lower limbs, Which of these Nursing diagnoses
should the nurse consider in the Nursing plan of
care. According to his age ?

A. Impaired social interaction

B. Alteration in body image ✓
C. Risk for infection
D. Anxiety

(9) Nurse plan community program to those who

experienced a disease And assess the recovery or
rehabilitation or disability Which level of
prevention?
A. Primary
B. Secondary
C. Tertiary ✓
(10) What is an example of secondary level of
prevention ?

A-How to be smoking cessation .

B-Given education on HIV to high school students
C. Nurse Combine to medication ✓

(11) A gravida 3 para 2 presents to the Maternity

Triage Unit after the amniotic membranes ruptured
at home. The fluid is noted to be clear.The neonates
head is engaged into the pelvis and the patient is
having contractions every 5 to 7 minutes. Each
contraction lasts for 60-90 seconds. An
examination of the cervix finds 4 centimeters
dilatation and 90% effacement. She is
uncomfortable during contractions and rates the
pain at a level 7, on pain scale of 1-10. Which of
the following is most indicative that she is in true
labour to?
A. Level of pain
B. Cervical dilatation and effacement ✓
C. Engagement of presenting part
D. Frequency and length of contractions

(12) new-born has small, whitish, pinpoint spots

over the nose, which the nurse knows are caused by
retained sebaceous secretions. When charting this
observation, the nurse identifies it as?

A. Milia ✓
B. Lanugo
C. Whiteheads
D. Mongolian spots

(13) Radon can cause any cancer?

A. skin ✓
B. cervical
C. colon
D. prostatic
Note:
Cause: lung or pancreas cancer also

(14) What is the action of combined

oral contraceptives?

A. induce thinning of endometrium and prevent

ovulation ✓
B. Decrease the production of luteinizing hormone
and follicle and prevent ovulation.

(15) A nurse cares for a client with an epidural

catheter for labor pain management and requests
additional medication a student registered nurse
anesthetist (SRNA) responds and administers
medication via the epidural catheter. Which action
performed by the SRNA Require the nurse to stop
administration of medication?
A. Aspirating bloody fluid into a syringe
B. Obtaining a negative aspiration into a syringe
C. Cleansing the port with alcohol for 15 seconds
✓
D. Assessing the client’s blood pressure

(16) Patient ABG PH 7.38, Paco2 50, Hco3 6

normal. What is the ABG interpretation?

A. Compensated Metabolic alkalosis

B. Uncompensated Metabolic acidosis
C. Compensated Respiratory acidosis ✓
D. Uncompensated Respiratory alkalosis

(17) ABG reading was low PH, HIGH PCO2,

NORMAL Hco3 what the interpretation?
A. Compensated respiratory acidosis
B. Uncompensated respiratory acidosis ✓
C. Metabolic acidosis
D. Metabolic alkalosis

(18) Gastric suction can cause?

A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis ✓
D. Respiratory alkalosis.

(19) Patient with ABG ph low, pco2 high, hco3

normal what is expected signs and symptoms for
the patient?

A. Vomiting and difficult breathing SOB ✓

B. Headache and vomiting
C. Shallow, rapid breath and vomiting
D. Kaussmal respiration

(20) An infant was admitted with patent Ductus

arteriosus. Indomethacin 0.2mg/kg with
prostaglandin inhibitor via intravenous route was
prescribed for him. Which of the following is the
function of indomethacin?

A. Assist closure of ductus arteriosus ✓

B. Prevent infection
C. Improve tissue perfusion
D. Preserve hormone level

(21) A 30-year-old pregnant lady in her 33 weeks'

pregnancy. When the nurse assesses the health
condition of the lady, she provides nursing care and
health teaching.Which of the following types of
home visiting is the best to be conducted?

A. Follow up ✓
B. Selective
C. Systematic routine

(22) A 56- year old man with history of COPD is

complaining of chest, shortness of breath , lethargy,
fever and productive cough. Upon examination,
crackles could be heard in the lower lobes BP
11./70 HR 111 RR 18 TEM 37.4 Oxygen Sat 90%

A. Prone
B. Supine
C. High fowler ✓
D. Trendelenburg

(23) Child 2 years old has acute otitis media. What

is the sign while the nurse observing child, confirm
the diagnosis?

A. Otorrhea
B. Roll head side to side ✓
(24) Patient diagnosed with UTI. He has frequent
urination . The urine analysis is rescheduled to the
next day. What is the best action for the patient?

A. Increase fluid intake ✓

B. Decrease fluid intake
C. Normal fluid intake
D. Avoid fluid intak

(25) Recurrent urinary tract infection what advice

to give?

A. Drink 2-3 liters of water ✓

B. Wipe from back to front
C. Urinate only when you have the urge.

(26) Years boy with polyuria and dysuria after

assessment diagnosed with urinary tract infections
what should do to take urine sample

A. Increase fluid intake ✓

B. Decrease urine intake
C. Regular intake of fluid
D. Zero intake of fluid

(27) Postpartum Mother 2 days after delivery her

baby Blood collection from heel is done to PKU.
She has appointment next day for circumcision .
What is the most important attention for
circumcision?

A. Avoid tighted daipper ✓

B. Notify first day of first voiding urination
(28) A patient comes to the Emergency
Department after falling out The nurse notices that
the patient's left leg is externally rotate shorter than
the right leg The patient cannot move the left
complains of severe pain. What is the most likely
cause of these symptoms?
A. A Dislocated patella
B. Fractured left hip ✓
C. Fractured left tibia
D. Dislocated left fibula
(29) A patient is admitted to the emergency
department after sustaining abdominal injuries and
a broken femur from a motor vehicle accident. The
patient is pale, diaphoretic, and is not talking
coherently Vital signs upon admission are
temperature 98.0 F (36.3 C), heart rate 130
beats/minute, respiratory rate 34 breaths /minute,
blood pressure 50/40mmHg The healthcare
provider suspects which type of shock?

A. Distributive
B. Neurogenic
C. Cardiogenic
D. Hypovolemic ✓
(30) The nurse was caring for patient wound
staples after operation. While she was preparing the
patient sneezed and one staple fell down the floor.
What should the nurse do?

A. Bring the staple from floor

B. Bring it and put back on wound
C. Apply dressing to the wound ✓

(31) Doctor write new order restrain (PRN) for

Psychiatric patient that he is overly aggressive
which of the following indicate that the nurse
should do?

A. Call doctor while patient aggressive to do that

by himself.
B. Apply the order one time only or if needed. ✓
C. Close patient room and do not apply restrain.
D. Express that is not acceptable and complains
about your supervisor
(32) Therapeutic communication is used by the
nurse to create a beneficial outcome in the delivery
of quality nursing care.Which of the following
statement best describe the term therapeutic
communication?

A. interactive process of socialization.

B. Assessment component of nursing process
C. Communication with patient through words and
language
D. Process to encourage the expression of feelings
and needs ✓
(33) Which of the following best describes the role
of a case management?

A. promotes healthy lifestyle

B. provides coordination of care to ensure
continuity ✓
C. possesses highly skilled communication
methods
D. promotes the comfort of the patient

(34) A 38-year- old patient is about to have lumber

disk surgery during preoperative care, the nurse
instructs the patient including the family members
how to do log rolling to change patient position
One of the family members ask why they must do
such action in turning the patient postoperative
Which of the following is the nurse best response ?

A. Facility good circulation

B. Avoid movement
C. Prevent post-operative bedsore ✓
D. Makes changing of patient position easier
(35) Nursing supervisor newly elected Wants to use
disciplinary evaluation to nurses behavior What
type of power she is using ?

A. Reward
B. Coercive ✓
C. legitimate
D. Formal

(36) Nurse educator said to a new nurse our

hospital provides the highest level of specialized
healthcare in an integrated educational and research
setting which of the following aspects of the
hospital's strategic plan is indicated by this
statement?

A. Vision
B. Policy
C. Values
D. Mission ✓

(37) Diphtheria which type of isolation?

A. Droplet ✓
B. Airborne

(38) Patient with schizophrenia seen with which of

the following signs?
A. Word salad
B. Associates lessens ✓
(39) The nurse administered a prescribed
intramuscular medication to a patient during a
home health visit. How should the nurse dispose of
the used needle and syringe?
A. Recap the needle, then place the needle and
syringe into a waterproof. Container until safe
disposal can be made.
B. Bend the needle back towards the barrel of the
syringe before putting. The needle and syringe in a
metal trash container.
C. Wrap the needle and syringe in disposable paper
before putting the needle and syringe into the dirty
section of the nurse’s equipment bag.
D. Put the needle and syringe directly into a
puncture-resistant plastic. container that has a lid ✓

(40) Doctor writes DNR on a patient with end stage

cancer, the patient tells the nurse and express
hisfeelings he wants to be resuscitation, what is
your nursing action?
A. explain to the patient to except DNR
B. ignore the patient feeling
C. Follow the hospital policy ✓
D. Report the doctor to Saudi Commission for
Health Specialties
(41) Nurse is caring for a client with a nasogastric
tube that is attached to low suction the nurse
monitors the client, knowing that the client is at
risk for which acid-base disorder?

A. Metabolic acidosis
B. Metabolic alkalosis ✓
C. Respiratory acidosis
D. Respiratory alkalosis

(42) Mother of nine children, three of them with

congenital anomalies Down syndrome, she is a
primary school graduate, with low status. She is not
using any method of family planning. According to
primary health care nurse referred her for
counseling which of the following types of home
visits that the community her nurse should conduct
for this client?
A. Systematic routine
B. Selective
C. Follow up ✓

(43) The nurse is assessing patient after

craniotomy. The patient's blood pressure is 180/65
ICP is 25.What is the patient's cerebral perfusion
pressure?

A. 72mmHg
B. 81mmHg
C. 78mmHg ✓
‫طريقة حل السؤال‬
CPP= MAP-ICP
‫ في السؤال حسب لي قيمة‬ICP = 25
:MAP ‫احسب قيمة‬
MAP (main arterial pressure ):
 Systolic blood pressure + (2× Diastolic blood
pressure)/3
180 +(2×65) ÷3= 103
‫نطبق القانون‬
ICP=MAP-ICP
103-25 =78

(44) A patient in surgical was transferred to

isolation room after the wound swab confirmed to
have methicillin Resistant staphylococcus Atreus
MRSA. Which of the following measures should
the nurse take to prevent infection in the ward?
A. Clean the Room three times a day
B. Discard all soiled dressing into waste bag
C. Instruct the patient to wash hands regularly
D. Wear gloves and gown on every entry into the
room ✓
(45) A man is to be discharged from the General
appendectomy the precautionary measures, plans
are discussed with him what the most important
desired outcome is after discharge?

A. Remain free of post-surgical complications. ✓

B. Report fever, redness or drainage from the
wound site
C. Use pain management techniques apropos.
D. Resume gradual activities and avoid weight.

(46) The head nurse of a Coronary Care Unit

delegated the staff a senior nurse in that unit what
initial step must the head nurse implement before ?

A. Check the hospital policies for delegating tasks.

✓
B. Explain the task to the senior nurse.
C. Negotiate with the senior nurse.
D. Take the signature of the senior nurse

(47) Nurse notes some students with anorexia

nervosa what does she do?

A. Push them to eat.

B. One to one superior during eating
C. Let students eat with them the same meals ✓

(48) A 20 weeks pregnant, primary gravid woman

visits the antenatal has sickle cell anemia trait and
worried this disease transmitted to her baby which
of the following should be initial intervention?

A. Plan for the fetal genetic screening

B. Educate mother that her disease is inactive.
C. Discuss the chances of genetic disease in the
fetus.
D. Gather data about the other family members
having the disease ✓

(49) A 40-year-old man was admitted to a male

medical department with pneumonia. A nurse in
the department explained and obtained informed
consent for a chest CT scan procedure with
contrast. With of the following ethical principles
underpinning informed consent?

A. Autonomy ✓
B. Non maleficence
C. Beneficence
D. Respect

(50) A patient was complaining of depression,

muscle weakness and continuous fatigue which of
the following deficiencies is suspected?
A. Deficiency of vitamin B.
B. Deficiency of vitamin D. ✓
C. Deficiency of vitamin E
D. Deficiency of vitamin K

(51) What is drug that prevent recurrence of

rheumatic fever?

A-Penicillin ✓
B- Corticosteroids
C. Salicylates

(52) Pregnant complain vaginal blood spots

happened 3 days back and repeat again today. What
should the nurse instruct her?

A. Rest on her back and elevate the leg ✓

B. Prepare her for vaginal examination

(53) During suction of child, ensure that each pass

of the suction catheter take no more than?

A. 5 Sec ✓
B. 10 Sec
C. 15 Sec

(54) During suction of adult, ensure that each pass

of the suction catheter take no more than?

A-5 Sec
B-10 Sec ✓
C-15 Sec
(55) The head nurse notice conflict between the
stuff nurses and try to solve this conflict. She told
them that one side give in the satisfaction what type
of this solution

A. avoidance
B. accommodation ✓
C. Compromise
D. Collaboration

(56) Nurse manager tells one of the staff, “I don’t

have time to discuss the matter with you now. See
me in my office later” when the latter asks if they
can talk about an issue. Which of the following
conflict resolution strategies did she use?

A. Smoothing
B. Compromise
C. Avoidance ✓
D. Restriction
(57) Patient has cystic fibrosis and the nurse wants
to perform postural drainage when is the best time
for posture drainage?

A-Before meals
B-After meals after half an hour of meals ✓
C-Before sleeping
D. Afternoon

(58) The nurse is caring for a client who has just

had a chest tube attached to a water seal drainage
system. To ensure that the system is functioning
effectively the nurse should?
A. Observe for intermittent bubbling in the water
seal chamber ✓
B. Flush the chest tubes with 30-60 ml of NSS
every 4-6 hours
C. Maintain the client in an extreme lateral
position.
D. Strip the chest tubes in the direction of the client

(59) A community Nursing nurse is planning to

conduct prenatal teaching and community assembly
for pregnant adolescents. Which teaching strategy
would be most effective?

A. Offering open sessions for pregnant adolescents

and anyone else who wants to attend.
B. Designing posters that girls can view
individually in community Nursing centre.
C. Preparing group class sessions for teaching
pregnant adolescents together ✓
D. Conducting one to one teaching sessions for
both mothers and daughters

(60) The doctor ordered for patient TPN How can

we prevent infection from central line if the nurse
suspect that there is bacteria inside?
A. Give antibiotics 3 times per day
B. Apply dressing with alcohol on central line ✓
C. Apply one lumen for TPN
D. Apply dressing with antibiotics TPN daily

(61) What is the Location of rheumatic arthritis?

A. Wrist ✓
B. Elbow
C. Knee
D. Shoulder

(62) 17 year old mother after normal delivery have

anemia and bleeding. Which of the following
education the nurse do?

a. Mass media
b. Group education
c. Individual education ✓
(63) The nurse is receiving Post-operative patient
from operating room after general anesthesia to
transfer him to the ward which of the following is
the priority nursing care for the patient?

A. Wear comfortable, loosely clothes

B. Ensure to keep side rails up ✓
C. Administration of morphine

(64) The float nurse is transferring from surgical

word to neurological ward which of the following
cases should delegate for her?

A. Patient with myasthenia gravis

B. Patient stable with fracture hip and casted ✓
C. Patient with chronic disease and on oxygen

(65) What is the complication of disc?

A. Continue muscle spasm
B. Impaired motor response ✓
C. Cerebrovascular accident

(66) Patient take anticoagulant daily what is the

common risk factor should the nurse concern?

A. Infection
B. Bleeding ✓
C. Pain

(67) What is the side effects of Depakote

(Depakine)?

A. Nausea
B. Vomiting
C. Hair loss ✓

(68) Patient complain that he has difficulty in night

sleeping, needs to put 3 pillows behind back lung
sounds crackles & heart sounds confirm S gallop
which is the Most diagnosis?

A. Asthma.
B. Bronchitis.
C. Lt side heart failure ✓
D. Rt side heart failure
(69) 29-year-old woman patient was brought to the
Outpatient for the removal of stitches on her left
cheek which was treated nine days back after being
involved in road traffic accident She covers her
face completely and requests to be seen by a female
doctor. The site of the wound was red, swollen and
some pussy points were visible. She states that she
did not wash her face since her accident and kept
her face covered all the time as she did not want
anyone to see it. What is the most appropriate
nursing diagnosis?

A. Hopelessness
B. Social isolation ✓
C. Anxiety
D. Powerlessness

(70) A patient with a history of atrial fibrillation

has an order for 0.25 milligrams of drug (X) the
available supply/dose is 0.125milligrams. Which of
the following doses in correct?

A. Dispense two tablets to the patient ✓

B. Administer one tablet twice daily
C. Dispense one half tablet to the patient
D. Return tablets to the pharmacy and re-order

(71) A patient with a history of atrial fibrillation

has an order for 25 milligrams of drug (X), the
available supply/dose is 0.25 milligrams. Which of
the following doses in correct?

A. Dispense two tablets to the patient

B. Administer one tablet twice daily
C. Dispense one half tablet to the patient
D. Return tablets to the pharmacy and re-order ✓

(72) Position of patient with endoscopy on distal

part of intestine ?

A. Supine
B. Left lateral recumbent ✓
C. Right lateral sims
D. Prone

(73) 17-year-old women went to the Emergency

Department complaining of fever, sore throat, and
hoarseness of voice. Laboratory tests were done
(see lab results) Test Result Normal values
- HB 120.5 120-158 g/L
- HCT 0.39 0.36-0.47 g/L
- RBC 4.0 3.8-5.1 × 1022/L
- WBC 14.2 4-10.5 × 109/L
Throat culture positive Beta Hemolytic Nonfound
Streptococcus. Which of the following. Would be
the possible complication for the patient condition?
A. Cellulitis
B. Bacterial cholangitis
C. Infective endocarditis
D. Rheumatic heart disease ✓

(74) A 17-years-old mother presented to the

primary health after delivery. She is suffering from
fatigue, anemia, fever vaginal discharge (see lab
results)
81/50 mmHg Blood pressure
98 /min Heart rate
26 /min Respiratory rate
39.6C Temperature
Result Test
4.6 RBC 4.7-6.1 × 1012/L (Male) Normal Values
4.2-5.4 ×1012 /L (Female)
88 Hb 130-170 g/L (Male) 120-160 g/L (Female)
2.50 Calcium 2.15-2.62 mmol/L
Which of the following is considered as the main
maternal postpartum haemorrhage complication ?

A. Death ✓
B. Candidacies
C. Cervical cancer
D. Uterine prolapsed

(75) 71year-old male was diagnosed with subdural

underwent burr hole craniotomy for subdural
hernatoma days ago. In order to detect the sign of
meningitis as one of which of the following
indicates the patient has meninges.

A. Negative Kerning’s signs

B. Positive Brudzinski's sign ✓
C. Absence of nuchal rigidity
D. Glasgow comma scale of 14 points

(76) Patient with urine output less than 400 ml for

24h what is the common diagnosis?

A. Dysuria
B. Polyuria
C. Oliguria ✓

(77) 12 years old child diagnosed with Diabetes

mellitus. The doctor ordered insulin for him. The
nurse should teach how to take insulin. Which of
the following is the most appropriate nursing
intervention?

A. Teach parent how to inject

B. Teach child how to inject himself ✓
(78) 55-year-old male has a myocardial infarction
requiring admission to the hospital. He is being
treated with an anticoagulant. The healthcare
provider would be most concerned about?
Which of the following:

A. Touble sleeping
B. Nausea
C. An elevated creatinine
D. Purpura ✓

(79) What is the organism that causes cervical

cancer?

A. HPV ✓
B. Herpes 2
C. HIV
(80) During a CPR of an admitted patient cardiac
arrest a family member tasks the unit nurse to be at
the bedside and say final words to their loved one
The nurse explains to the family member that the
scene is very disturbing and the medical team is
doing its job. The family member still insists in
witnessing the resuscitation efforts what would be
the most appropriate action by the unit nurse?

A. Allow family member to be at bedside ✓

B. Wait and ask permission from team leader
C. Call security to escort family member out
D. Refuse because there is not enough space in the
room

(81) During her break time, the nurse was eating in

the hospital cafeteria when she noticed a female
colleague grasping her neck and unable to speak.
Which of the following maneuvers is the best to be
performed by the nurse?
A. Epley
B. Heimlich ✓
C. Valsalva
D. Leopold's

(82) Nurse makes a clinical judgment that an

African American male patient in a stressful job is
more vulnerable to developing hypertension than
White male patients in the same or similar
situation. The nurse has formulated what type of
nursing diagnosis?

A. Actual
B. Risk ✓
C. Possible
D. Wellness

(83) To make cornea reflux you should use?

A. Straily gloves.
B. Swap cotton ✓
C. Cotton tap
D. Sterile tongue depressor

(84) The patient has ranaud's syndrome on his toes.

The patient has yellow ulceration changed from
blue to pale. What is the most common cause?

A. Ascites
B. palpitation
C. digital sensitivity to cold ✓

(85) Patient developed ascites which procedure will

help relieve this condition ?

A. Paracenthesis ✓
B. Hemodialysis
C. Lumber puncture
(86) A patient fell in the bathroom and his left leg
was fractured, in order to communicate information
about the patient to the next shift. Which of the
following documentation should be used by the
nurse at the nurse at the end of the shift ?

A. Kardex record ✓
B. Assignment record
C. Shift report
D. Incident report

(87) A 25 years old patient with history of

amenorrhea for two months was admitted for
hydatiform mole investigation. Which signs and
symptoms would nurse observe?

A. Hypotension
B. Hyperglycemia
C. Rapid uterine growth ✓
D. Painful uterine contraction
(88) Anurs is caring for an elderly bed ridden
patient who is dependent on staff most activities of
daily living. There is an order for standard
precautions in the patient's chart. The patient’s care
plan includes feeding washing hair with dry
shampoo brushing teeth and nail care which of the
activities would require precaution?

A. Brushing teeth ✓
B. Feeding
C. Hair washing
D. Nail care

(89) A prim gravid client who is at 14 weeks

gestation has been diagnosed with hyperemesis
gravid arum. The nurse explains to the client that
the condition is related to high levels of ?

A. Testosterone
B. Estrogen ✓
C. Aldosterone
D. Progesteron

(90) Most common cause for acute renal failure?

A. pyelonephritis
B. Tubular destruction
C. Urenary tract obstruction
D. Dehydration ✓

(91) A pregnant mother with sickle cell anemia is

in labor. What should the nurse to ensure the safety
of the infant?

A. Control pain
B. Administer oxygen ✓
C. Monitor fetal heartrate
D. Monitor maternal vital sign
(92) HIV patient will be risk for which of life
threating disease?

A. Pneumonia
B. Tuberculosis ✓

(93) 36 weeks gestational with irregular painless

contraction, this .Signs called ?
A. Hegar's sign
B. Braxton Hicks ✓
C. True lobor

(94) Pregnant woman has convulsions associated

with eclampsia which of following drug is expect
to administer?
A. diazepam ✓
B. midazolam
C. magnesium sulfate
(95) A 21-year-old in oversized clothing presents to
the hospital with of felling dizzy and faint the hair
and nail appear thin and dry the skin appears pale,
and she has sunk eye sockets and tenting skin. Her
body mass index is 16.She often induces vomiting
after eating blood is collected for analysis (see lab
results). Blood pressure 90/52 mmHg, Heart
rate118 /min Respiratory rate 26/min
Temperature37.2C, Oxygen saturation 97%. ABG
Test Result Normal value :
- HCO₃ 31 22 – 88mmol/L
- PCO₂ 10.3 4.7-6.0 kPa
- PH 750 7.36-7.45
Which nursing problems stem is the most
appropriate?

A. Impaired nutrition
B. Decreased cardiac output. ✓
C. Infective airway clearance
D. Ineffective breathing pattern
(96) You have learned that in babies and children
with developmental dysplasia of the hip (DDH),
the hip joint has not formed normally which of the
Following is the most common form of DDH?
A. acetabular dysplasia
B. dislocation
C. Preluxion
D. Subluxion ✓

(97) newborn has diagnosed Development

Dysplasia of hip DDH and is using a Pavlik
Harness as treatment .
A. Multiple
B. Acetabular dysplasia
C. Subluxation
D. Dislocation ✓

(98) A women should get their (pap smear test)

each?
A. 6month
B. 1year
C. 3years ✓
D. 5years

(99) Which test should be performed to screen for

cervical neoplasia during antenatal assessment?

A. Papanicolau (PAP test) ✓

B. Vaginal rectal culture
C. Rapid plasma regain test (PPR)
D. Venereal disease research laboratory test
(VDRL)

(100) Mother of nine children, three of them with

congenital anomalies and one Down syndrome, she
is a primary school graduate, with low financial
status, and she is not using any method of family
planning. According, the primary health are nurse
has referred her for counselin .Which of the
following is a model concerned with disability as
from of social injustice due to stigma, or
discrimination?

A. Health belief
B. Biomedical
C. Sociopolitical ✓
D. Economic

(101) A nurse working in medical unit is going out

(removing) with droplet precaution measures in
place. The following personal protective
equipment; eyewear. What is the correct sequence
foe putting the equipment off?

A. Face Mask, Gown, Eyewear, and Gloves

B. Gown, Face Mask, Eyewear, and Gloves
C. Eyewear, Cloves, Face Mask, and Gown
D. Gloves, Eyewear , Gown, , and Face Mask ✓

(102) A nurse working in medical unit is preparing

to with droplet precaution measures in place. The
following personal protective equipment; eyewear.
What is the correct sequence foe putting the
equipment on?

A. Face Mask, Gown, Eyewear, and Gloves

B. Gown, Face Mask, Eyewear, and Gloves ✓
C. Eyewear, Cloves, Face Mask, and Gown
D. Gloves, Gown, Face Mask, and Eyewear

(103) 45 year-old woman is receiving

chemotherapy for breast cancer. Two weeks after
the initial treatment she telephoned the nurse at the
cancer center and reports, she has hair loss, nausea,
tiredness, a body temperature is 38.1 C, and air
hunger. Which finding most likely indicates she
needs to report the clinic?
A. Pyrexia
B. Nausea
C. Hair loss
D. Air hunger ✓

(104) A nurse is performing physical examination

on the new born she notes that the baby has
cephalhetoma this baby is risk to develop which of
the following?

A. Sudden death
B. Pathological jaundice ✓
C. Infected umbilical cord
D. Increased intracranial pressure

(105) Head nurse has 200 patient and has 120 nurse
what the percentage?
A. 80
B. 60 ✓
C. 50
D. 40
Note:
120/200 = 0.6 ×100 = 60

(106) The mother brought her child to hospital then

the child admitted to NICU. After leaving the
mother for him. He started crying. what stage of
anxiety separation?

A. Protest, despair, denial ✓

B. Protest, despair and denial
C. Denial, protest, despair
D. Protest, denial, despair
(107) Child with VSD. What is blood flow
characteristic?

A. mixes atrium blood

B .decreased pulmonary blood flow
C. increase pulmonary blood flow ✓

(108) Neonatal mortality rate?

A. 1:100
B. 1:1000 ✓
C. 1:100000
D. 1:1000000

(109) A 40 year-old woman present with painful

leg cramps and muscle twitching, which wakens
her at night. Her menstrual cycles are irregular and
cause painful abdominal cramping. The hair, skin
and nails appear dry and brittle (see lab results)
Test Result Normal Values Calcium 2.09 2. 15-
2.62mmollL Phosphate, inorganic 1.69 0.82-
1.51mmollL Magnesium 0.55 0.7-1.0mmollL what
type of lifelong diet would be most beneficial for
this patient?
A. Increased magnesium and vitamin C.
B. Increased calcium and vitamin D ✓
C. Increased dairy and iron
D. High protein and high calorie

(110) DA 33 old woman presented to the ER with

general weakness. The laboratory investigation
indicated VIT D deficiency. Which of the
following nutrient should be recommended as a
good source of vitamin?

A. Rice
B. Green tea
C. Orange juice
D. Fish liver oils ✓
(111) nurse is about to perform venipuncture to
initiate intravenous therapy with 0.9% normal
saline solution. Before venipuncture, the nurse
collects the require supplies and plans to Perform
certain action. Which of the following actions is the
most important?

A. Apply a tourniquet below the site of

venipuncture
B. Place an arm board at the joint above the
venipuncture
C. Apply cool compress over the vein to be used
for venipuncture
D. Inspect 0.9% normal saline solution date of
expir ✓

(112) Nurse said to patient, your identity will not

be linked to responses, What's The ethical
principles?

A. Privacy
B. Confidentiality
C. Anonymity ✓
D. Debriefing

(113) As identified by DR Elizabeth Kubler, which

stage of dying is characterized by the transition
from NO not me to yes me but?

A. Anger
B. Depression
C. Acceptance
D. Bargaining ✓

(114) Patient have sore throat, lesions in mouth that

didn't cure , disphagia , loss of weight. What's the
expected diagnosis?

A. Gastritis
B. Tonsillitis
C. Laryngeal cancer ✓
D. Emphysema
(115) The doctor order 600 ml of drug during 10
hours. How many minutes for 15 ml of the drug?

A. 15 ✓
B. 20
C. 25
D. 30

(116) A 16-year-old girl developed an infection

over the surface of the heart after having her nose
pierced to place jewelry On admission, she had
developed pyrexia of 38C, a heart murmur and
petechiae over the whole body. She was admitted
to the hospital and treated with intravenous
antibiotics. The nurse explains to the patient that
she is at high-risk for re-infection and provides
discharge teaching on preventive measures. Which
of the following would most likely require
prophylactic treatment?
 ) ‫)سؤال ام زمام‬
A. A pelvic examination
B. dental care ✓
C. bronchoscopy
D. urinary catheterization

(117) A client was admitted in the Emergency

Room due to mild metabolic acidosis associated
with dehydration and potassium the doctor
administered Hartmann’s (lactated Ringer’s)
intravenous fluid and electrolyte replacement.
Which of the following elements of the lactated
Ringer’s solution highest value?

A. Calcium
B. Sodium ✓
C. Potassium
D. Magnesium
(118) The head nurse gives low evaluation to the
nurse because of her late. What is the type of her
evaluation effect?
A. Halo effect
B. Horn effect ✓
C. Central tendency
D. Central effect

(119) The head nurse gives high evaluation to the

nurse because she is active and cooperative with
her colleage. What is the type of her evaluation
effect?
A. Halo effect ✓
B. Horn effect
C. Central tendency
D. Central effect
(120) The head nurse is too busy to give evaluation
to her staff. She gave to everyone average
evaluation. What is the evaluation type that the
head nurse used?

A. Halo effect
B. Horn effect
C. Central tendency ✓
D. Central effect

(121) A patient is attending a primary health clinic

for regular checkup. He complains of constipation.
After assessment, the nurse instructed him to
consume bulk-forming foods. Which of the
following is the best bulk-forming foods?

A. Fruit juice
B. Raw meat
C. Whole grains ✓
D. Milk products
(122) 5-year-old child was admitted with Nephrotic
Syndrome. A nurse noticed that the child has slight
facial puffiness with mild pitting edema on his
hands and feet. There was no distended abdomen
diet the nurse should order for the child?

A. High protein, high salt diet

B. Low protein, low fiber diet
C. Low protein, normal salt diet
D. Normal protein, low salt diet ✓

(123) what is drug that prevent recurrence of

rheumatic fever?

A-Penicillin ✓
B. Corticosteroids
C. Salicylate
(124) The community midwife has just finished an
educational session with a group of women
regarding maternal health and annual gynecological
examination along with mammogram and Pap
smear testing. What outcome is the most desired?

A. Disease prevention.
B. Increased healthy livin
C. Early detection of related issues. ✓
D. Strengthened marital relationship

(125) Female patient has been advised that

laboratory tests confirm herpes simplex virus
(HSV), type 2. The nurse should teach the patient
that a Papanicolaou test (Pap smear) is
recommended?

A. Every 6 months if symptoms persist despite

treatment. ✓
B. Every year even if asymptomatic whenever
symptoms recur.
C. Every 3 years if other Pap smears have been
negative

(126) CHN is a community -based practice. Which

best explains this statement ?

A. The service is provided in the natural

environment of people
B. The nurse has to conduct community diagnosis
to determine nursing needs and problems ✓
C. The service are based on the available resources
within the community
D. Priority setting is based on the magnitude of the
health problems identified

(127) Patient admitted to medical ward. Which

medicine prescription the nurse should question ?
A. Lasix 40mg oral BID
B. Codeine oral PRN ✓
C. Insulin S. C 50 IU
D. Ampicillin I. V 1000mg

(128) nurse intervention a patient recently admitted

to long term care facility to obtain information on
the patient health perception. The nurse encourage
the patient to elaborate this change. Which of the
following type of question would be the most
effective in this situation?

A. Analytical
B. Focused
C. Closed
D. Open ended ✓

(129) the nurse care for a 60 year old woman who

history hypertension, hypothyroidism and elevated
cholesterol levels. She takes tablets daily for each
of the health problem. The doctor orders a routine
dual- x-ray absorptiometry test that shows
decrease bone density. Which medication most
likely contributed the test result?

A. Statins
B. Anti-hypertensive
C. Synthetic thyroid hormones ✓
D. Cholesterol absorption inhibitors

(130) A head nurse of an intensive care unit wrote

a report about the needs of her department and gave
it to the nursing supervisor. Which of the following
types of communication is this?

A. Upward ✓
B. Horizontal
C. Diagonal
D. Downward
(131) A nurse is providing session regarding lung
cancer, which statement indicates teaching was not
effective?
A. I will eat fruit and vegetables
B. if I have COPD does not mean I will have lung
cancer
C. no need to worry because I do not smoke, my
husband does ✓

APGAR score
(132) A neonatal nurse performs Apgar assessment
at 1 minute of birth to evaluate the physical
condition of the newborn and immediate need for
resuscitation. At 1 minute, Apgar score is 7. At 5
minutes, Apgar score is to the progression of scores
suggests?

A. A healthy newborn ✓
B. The need for supplement oxygen
C. A genetic defect
D. The infant is becoming stable

(133) A newborn APGAR score at 1 and 5 minutes

is 5 and 10, half an hour later the baby became
bluish in color with heart rate of 140/m, your first
action would be?

A. Estimate the score again

B. Shower the baby with warm water
C. Give oxygen immediately ✓
D. Ignore the finding because it is normal

(134) A nurse is caring for a full term newborn

who was delivered five minutes ago. The infant's
Apgar score was 8 at one minutes and 10 at five
minutes. Which of the following has the highest
priority?

A. Assessing the infant's red reflex

B. Preventing heat loss from the infant ✓
C. Maintaining the infant in the supine position
D. Administering humidified oxygen to the infant

(135) A newborn is delivered by the midwife. The

umbilical cord i cut safely by following necessary
aseptic techniques. Furth newborn is to be taken.
Which of the following intervention is the most
desired?

A. Assess sucking response

B. Increase mother child bonding
C. Assess and record APGAR score
D. Keep dry and maintain thermoregulation ✓
(136) A newborn baby is being evaluated on the
APGAR score immediately after his birth. The
score measures the quality of newborn's pulse rate,
reflexes, muscles tone and respiration. His APGAR
score is graded as 7 out 10.What is the significance
of measuring the APGAR score immediately after
the birth

A. It helps to plan the treatment for congenital

diseases
B. It serves as a permanent record for the newborn
babies
C. It provides the bases for the comparison, a few
minutes later ✓
D. It helps identifying the abnormalities related to
muscular tone

(137) In determining the one minute APGAR score

of a male infant the nurse assesses a heart rate of
120 beats per minute and respiratory rate of 44 per
minute. He has flaccid muscle tone with slight
flexion and resistance to straightening. He has a
loud cry with colour is acrocyanotic What is the
APGAR score for the infant?

A. 7
B. 8 ✓
C. 9
D.10
(138) Five minutes post-birth, a neonate has a heart
rate of 98, irregular eathing, actively moves all
extremities, but has bluish hands and feet, all as a
weak and timid cry. Which is the correct APGAR
assessment score?

A. 9
B. 8
C. 7
D. 6 ✓
(139) A nurse documented assessment on a
newborn as listed. (See table) Indicator Points
Heart rate less than 98/min Respiratory rate 28/min
irregular Muscle tone minimal flexion of the
extremities Reflex irritability grimace Color body
pink, extremities blue What is the total Apgar score

A- 0
B- 3
C- 5 ✓
D- 7

(140) Which of the following APGAR score is

consider moderate depress / risk at the first minutes
and after 5 minutes of assessment?

A. 3-4
B. 3-5
C. 5-7 ✓
D. 8-10
(141) the nurse Assess Neonate after delivery using
Apgar score. Spontaneous respiration Prompt
respond Limited cry 98 pulse Pinkish body color
except hands. What is the expected score?

A. 8
B. 7 ✓
C. 6
D. 5

(142) the neonate after delivery with normal heart

rate and normal respiration rate. The neonate with
Pink skin, active reflexes and Lusty cry. What is
the most appropriate Apgar score?

A. 9
B. 10 ✓
C. 8
D. 7

(143) A nurse is transferring a patient with chest

tube the X-ray department for chest X-ray. Which
location should the nurse place chest tube?

A. Directly on the stretcher in an upright

B. On the side of stretcher next to patient
C. Hanged on IV pole that is attached to the
D. Attached to the stretcher and hanged ✓

(144) An Indian patient, who is vegetarian, is being

discharged from after an elective surgical
procedure. The unit nurse is teaching using visual
aids and pictures about food combinations
complete protein. Which of the following food
items should the nurse recommended dietary list of
the patient?
A. Lentils ✓
B. Potatoes
C. Macaroni
D. Green salad

(145) A 6 months old infant mother decided to

wean her child. Which of the following is the best
principle of weaning process?

A. Start the weaning process by 8 month of life

B. Gradually replace one breast session at a time ✓
C. Discontinues the nighttime feeding first
D. Allow the child to take a bottle of milk or juice
bed

(146) the nurse is preparing to discharge an 8

months old recovering from gastroenteritis. Which
of the following topics the nurse should include in
session?

A. Weaning
B. Toilet training
C. Accident prevention
D. Dietary requirements ✓

(147) When planning discharge teaching for a

patient hospitalized for treatment of the 3rd burns
over 30% of the body, a nurse knows it is most
important to include instructions regarding the loss
of large amounts of serum occurring with burns
and the resulting loss of immune function. Which
of the following instructions should be include?

A. Wash hands frequently each day ✓

B. Wear supplemental oxygen at night
C. Wear masks while in public spaces
D. Take a multiple vitamin tablet night

(148) A mother is the outpatient Clinic for her first

post-natal visit on the 15th day her normal vaginal
delivery. Her physical examination reveals a stable
condition, breasts are soft and her sanitary napkin
has bright colored rubra. Which of the following
needs further evaluation?

A. Amount and frequency of breast-feeding

B. Hydration level and bleeding breast-feeding
C. Activity, exercise and resting periods
D. Uterine size and position ✓

(149) A nurse is performing an assessment of

women who is delivery which assessment finding
would indicates a need to physician?

A. Hemoglobin of 11.0 g/dl

B. White blood cell count of 12,000
C. Fetal heart rate of 180 beats per minute ✓
D. Maternal pulse rate of 85 beats per minute

(150) Which of the following nursing intervention

assists in the prevention of pressure ulcers
following abdominal surgeries?

A. Frequent surgery site every two hours

B. Frequent moisturizing of skin
C. Use side rails as restrains
D. Encourage ambulation ✓

(151) Pregnant woman in active phase with

cervical dilitation 3 cm. The midwife induced labor
by amniotomy. What is the next action?

A. insertion catheter to empty bladder

B. Assess contraction for full minute
C. Assess FHR at least full minute ✓

(152) Child admitted to surgical ward for

thyroidectomy. Which position for child with
thyroidectomy?

A. Semi fowler with slight flexion neck ✓

B. Supine with hyperextened neck

(153) Causes of hemodilution in pregnancy?

A. Anemia
B. Increase plasma ✓
C. Increase WBCS
D. Decrease RBCS

(154) 40-year-old women patient with

Parkinsonism Medical Ward. The patient stated
that she has the past two weeks. The nurse was
planning to which type of diet is most suitable for
parkin?

A. Solid
B. Liquid
C. Semi solid ✓
D. Clear liquid

(155) A nurse check the medication chart of a

patient, which has the following order, Paracetamol
500mg P.O. QID. How many times a day should
the nurse administer the medication?

A. Once
B. Twice
C. Three times
D. Four times ✓
(156) What must be known on legal points of
delegation when process to a new nurse

A. Evaluation of performance of delegate by

clients
B. Actual time it takes to complete the task by
delegate
C. Institution definition of the job description ✓
D. Number of times that the delegate has
previously task

(157) Multicultural team work on Saudi Arabia

what's important thing for the all team member to
have?

A. Have the same value and belief in Saudi

B. Have the same professional guidelines
C. Have the same goal and objectives toward work
✓
D. Have the same qualifications
(158) A nurse in the postnatal ward is assigned for
a multiparous patient has just delivered a healthy
newborn. When should the nurse plan to take the
patient vital signs?

A. Every hour for the first 2 hours

B. Every 30 minutes during the first hour
C. Every 15 minutes during the first hour ✓
D. Every 5 minutes for the first 30 minutes

(159) which of the following diagnostic tests is

definitive for TB?

A. Chest x-ray
B. Mantoux test
C. Sputum culture ✓
D. Tuberculin test
(160) Child has urine incontinence two day ago
with increase WBC in urine. What is the cause?

A. Psychological abuse
B. Urinary tract infection ✓
C. Genitalia defect

(161) Pregnant woman 12 week after motor

accident. She came to ER with vaginal bleeding.
What is the most appropriate Diagnosis?

A. Placenta previa
B. inevitable abortion ✓

(162) Pregnant woman had an accident and come

to ER with brown bleeding abdominal distension
cramps. In abdomen fetus heart rate not heard?
A. Inevitable ✓
B. Threatened
C. Abruptio placenta

(163) Pregnant 33 week came to ER with sudden

vaginal beeding and soft abdomen painless. What
is the most appropriate Diagnosis?

A. Threatened Abortion
B. Abruptio placenta
C. Placenta Previa ✓

(164) A5 - year - old child was brought to the

Emergency Room with a fractured of forearm. He
had several bruises on his body but showed no
signs of pain while palpating them. He seemed
scared and did not answer any questions asked.
How should the nurse initiate therapeutic
communication with the child?

A. Start interviewing
B. Encourage him to speak.
C. Explain about the fracture
D. Greet and show gentleness - nurse gives
health.✓

(165) 71-year-old male was diagnosed with

subdural underwent burr hole craniotomy for
subdural hernatoma days ago. In order to detect the
sign of meningitis as one of which of the following
indicates the patient has meninges?

A. Negative Kernig's signs

B. Positive Brzezinski’s sign ✓
C. Absence of nuchal rigidity
D. Glasgow comma scale of 14 points

(166) A 22-year-old gravida 2 para 1 with

gestational age 38 week admitted to the hospital.
The chief complaint is decreased the fetal non-
stress test revealed decreased variability and fetal
movement. The next morning as part of the
antenatal, the nurse checks the fetal heart rate by
Doppler Sonic aid decreased the fetal heart rate to
less than 100 /min. which of the following action
the nurse should do first?

A. Reassure the mother that the FHR is Ok.

B. immediately notify the physician or midwife. ✓
C. Reposition the patient to left lateral position.
D. Ask the mother about the pattern of fetal
movement.

(167) Patient diagnosed MI then suffered from

cardiogenic shock. What should the nurse observe
in symptoms?

A. Hypertension and hyperventilation

B. Hypotension and shortness of breath ✓
(168) Patient with TB going on Isoniazid
medication. To prevent peripheral Neuropathy
.What should be included in care plan advice?

A. Instruct low protein diet

B. Avoid sun exposure too much
C. Provide vitamin B6 intake ✓
D. Increase fluid intake

(169) what is the goal for NGT insertion after

cholecystectomy?

A. Prevent aspiration
B. Decompress stomach ✓
C. Suction gastric content

1-Meningitis
2 signs of meningitis :

(170) Patient with meningitis after treatment with

effect MCV, how to now is effect from this sign?

A. CBC
B. Negative Brzezinski sign ✓
C. Relive headache

(171) Patient came to ER and diagnosed with

meningitis. How should the nurse handle with
patient?
A. Keep patient in same isolation room ✓
B. Use mask N95 all times
C. Limit the visitors

(172) Patient complained from Loss of

consciousness, the patient diagnosed with
meningitis. What's the first action for the patient?

A. Neurological assessment ✓
B. Observe for seizures

(173) A child is treated for bacterial meningitis

with an intravenous antimicrobial agent. Which of
the following BEST indicates effectiveness of the
treatment?

a. Increased appetite
b. Low Temperature ✓
c. Decrease pulse
d. Nodule of skin disappear

(174) A nurse is putting together a presentation

Meningitis. On which of the following has not been
linked to Meningitis in?

A. S.Pneumonia
B. H. Influenza
C. n. Meningitis
D. C. difficile ✓

(175) what is the main organism that cause

meningitis for a child?

A. Meningococcal
B. Staphylococcus
C. H. Influenza
D. Streptococcal Pneumonia ✓

(176) Mother has infant 6 months came to the

clinic and afraid that her baby May will have
meningitis as his brother already have. What
should the nurse tell the mother?

A. Hib vaccine can decrease the meningitis ✓

B. There are now vaccinations for all meningitis
type
C. Tell the mother the disease is will not come

(177) during meningitis outbreak in one of the

hospital, the non-immune staff members were
given immunoglobulin in order to prevent them
from the infection. What is the type of immunity
will be developed by those staff?

A. Active
B. Long term
C. Natural
D. Passive ✓

(178) What is the type of isolation to Pt with

Meningitis?

A-Negative pressure
B-Positive pressure ✓
C-Reserve
Note:
Airborn precautions = Negative pressure room
Droplet precautions = Positive pressure room
(179) A 5 years old child admitted with bacterial
meningitis and is having seizure. Which of the
following intervention*the nurse should initiate?

A. restrain the child’s limbs to prevent injury

B. slowly put the child on his side on the floor ✓
C. clear the area of objects and administer oxygen
D. roll the child to prone position to protect the
airway

(180) You have just admitted a patient with

bacterial meningitis to the medical-surgical unit.
The patient complains of a severe headache with
photophobia and has a temperature of 102.60 F
orally. Which type of isolation should be suitable
for the patient?

A. Air borne
B. Contact
C. Droplet ✓
1.Pyloric stenosis :

Pyloric stenosis is an uncommon condition in

infants that blocks food from entering the small
intestine.
Normally, a muscular valve (pylorus) between the
stomach and small intestine holds food in the
stomach until it is ready for the next stage in the
digestive process. In pyloric stenosis, the pylorus
muscles thicken and become abnormally large,
blocking food from reaching the small intestine.

(181) Child with pyloric stenosis and de-hydration.

What should the nurse do?

A. Induces Vomiting for child

B. Give oral feeding
C. Start rehydration by nasogastric tube and breast-
feeding ✓
(182) A 5-week-old newborn admitted paediatric
ward with pyloric stenosis the newborn has weight
loss, and projectile vomiting after feeing. Which of
the following abdominal organs are directly
affected when stenosis diagnosed

A. Stomach and duodenum ✓

B. Stomach and esophagus
C. Liver and spleen

(183) A 5-week-old newborn was admitted to

pediatric Ward with pyloric stenosis, the newborn
has weight loss, and projectile vomiting during
feeding. They scheduled surgical repair of pyloric
stenosis which of the following. Postoperative
intervention for this?

A. IV fluid infant is retaining adequate amount by

mouth ✓
B. Administration of proper analgesia until infant
discomfort resolve
C. Start feeding immediately after postoperative.
D. Vomiting is uncommon in the first24-48 hrs.

(184) 1 month-old infant is admitted to the surgical

unit with hypertrophic pyloric stenosis and
scheduled for the surgery. Which of the following
is the findings of abdominal examination?

A. palpable olive-like mass in the left side

B. palpable olive-like mass in the right side ✓
C. Palpable olive-like mass moved from left to
right.
D. Palpable olive-like mass moved from right to
left.

(185) PYLORIC stenosis peristalsis movement?

A. From right to left.

B. From left to right ✓
(186) The nurse is assessing a child (an infant) with
pyloric stenosis. which of the following is likely to
note
A. Diarrhea
B. Projectile vomiting ✓
C. Swallowing difficulties
D. Currant jelly like stool

(187) Surgery for pyloric stenosis movement?

A. Pylorotomy
B. Pylorectomy
C. Pylorostomy
D. Pyloromyotomy ✓

(188) Child with Pyloric stenosis. What is the

expected signs and symptoms postoperative?
A. Abdominal pain
B. Watery stool
C. Vomiting ✓
D. Urinary dysurea

(189) 3 week infant with Pyloric stenosis has

projectile vomiting, weight loss and decrease urine
output. After operation of pyloric stenosis, which
sings, nurse can expect postoperative during 48
hours?

A. Electrolyte imbalance
B. Cough
C. Mild fever
D. Vomiting ✓

(190) Child came to ER with projectile vomiting

and dehydration. The child diagnosed with pyloric
stenosis. What should the nurse expect developing
for?
A. Metabolic alkalosis
B. Metabolic acidosis ✓
C. Respiratory acidosis
 2. Intussusception
Intussusception (in-tuh-suh-SEP-shun) is a serious
condition in which part of the intestine slides into
an adjacent part of the intestine. This telescoping
action often blocks food or fluid from passing
through. Intussusception also cuts off the blood
supply to the part of the intestine that is affected.

(191) A 5year-old child was seen to the Emergency

Department abdominal pain, palpable sauge-shaped
mass, and Intussusception is suspected Which of
the following is the best diagnostic evaluation to

A. X-ray
B. endoscopy
C. Rectal biopsy
D. Ultrasonography ✓

(192) Nurse is preparing to care for a child with a

diagnosis of intussusception. The nurse reviews the
child's record and expects to note which sign of this
disorder documented?

A. watery diarrhea
B. rib bone-like stools
C. profuse projectile vomiting
D. Red jelly stool ✓

(193) A nurse is taking a history from the infant

parents who have a suspected diagnosis of
intussusception. Which of the following assessment
question would be most helpful?

A. Do you breast feeding your child?

B. What does your child's stool look like? ✓
C. How often your child urinating?
D. What is the colour of your child' urine?

(194) A 40year old client underwent and

exploratory laparotomy with anesthesia. An
assessment of abdominal 36 hours postoperative
showed abdominal distension and an absent of
bowel sound. Which complication is most likely?

A. Paralytic ileus ✓
B. Hemorrhage
C. Rupture colon
D. Intussusception
(195) A 7month old infant seen in the Emergency
Department suffering from episodes of severe
abdominal pain, and the infant's stool become like
red jelly. Abdominal examination revealed
palpable sausage shaped mass in the right upper
quadrant. Which of the foll owing is the best
diagnosis?

A. Hirsch sprung disease

B. Hypertrophic pyloric stenosis
C. Infant colic
D. Intussusception ✓

3. Spina bifida:
Spina bifida is a condition that affects the spine and
is usually apparent at birth. It is a type of neural
tube defect (NTD)

Types of Spina Bifida :

The three most common types of spina bifida are:

1- Myelomeningocele
2- Meningocele
3- Spina Bifida Occulta
(196) infant is born with spinal bifida which of the
following complication is always found in these
Infants?

A. Hydrocephalus ✓
B. Craniosynostosis
C. Meningitis
D. Cerebral palsy

(197) Infant came to ER and during the

examination, the doctor said he had spinal bifida
occult. What does the doctor know about this
condition?

A. Infant has hair patch at back ✓

B. Infant has open wound on back
(198) Neonate in NICU with spina bifida. What is
intervention regarding feeding?
A. Give feeding at scheduled time ✓
B. Limit feeding for neonate
C. Stop feeding. When baby feel back pain during
feeding
D. Burping the baby after feeding

(199) which of the following vitamin supplements

can decrease the incidence of Neural tube defects
such as anencephaly and spina bifida newborn or
congenital anomalies?

A. Vitamin A
B. Riboflavin
C. Folic Acid ✓
D. Vitamin K
(200) While caring for a neonate with a
meningococcal, the nurse should avoid positioning
the child on the ?
A. Abdomen
B. Left side
C. Right side
D. Back ✓

(201) Spina bifida risk for which of the following

complication?

A. Infection ✓
B. Fever
C. Bleeding
D. Death

(202) All of the following are types of spina bifida

EXCEPT?

A. Myelomeningocele
B. Hemophilia ✓
C. Meningocele
D. Spina Bifida Occulta

(203) Position for the baby with spina bifida is?

A. prone position ✓
B. back
C.supine

(204) Infant with spina bifida the nurse should

monitor?
A. Head circumference ✓
B. Abdomen cicumfrance
C. Respiratory rate
D. Temperature
(205) A midwife is discussing the birth spacing
measures with a mother whose first baby boy is a 1
year old and was born with spina bifida. The
midwife has explained the possible causes of
condition of the baby and the measures is necessary
if the mother is planned for a next pregnancy?

A. Increase iron and calcium supplements

B. Multivitamin and folic acid intake ✓
C. Genetic screening
D. Immunization before and during pregnancy

4. Tracheoesophageal fistula/ esophageal atresia:

is an abnormal connection (fistula) between the
esophagus and the trachea. TEF is a common
congenital abnormality, but when occurring late in
life is usually the sequela of surgical procedures
such as a laryngectomy?

Tracheoesophageal fistula is suggested in a

newborn by copious salivation associated with
choking, coughing, vomiting, and cyanosis
coincident with the onset of feeding

(206) A full-term newborn admitted to the neonatal

intensive care unit with diagnosis of
tracheoesophageal fistula. Which of the following
nursing measure to prevent pulmonary
complication and improve good prognosis of the
newborn condition?

A. encourage exclusive breast feeding

B. insert nasogastric tube for gastric decompression
C. intermittent suction by double-lumen catheter ✓
D. prepare for the insertion of tracheostomy

(207) A newborn admitted to the NICU with

tracheoesophageal fistula (TOF). Which of the
following nursing intervention should be included?

A. Elevate the head for feeding

B. Elevating the head but keep the child NPO ✓
C. Insert a nasogastric tube for feeding
D. Encourage the mother to breast feed
(208) neonate after one day of delivery diagnosed
with tracheoesophageal fistula / atresia. What
should the nurse observe for neonate?
A-continuous crying ✓
B- Projectile Vomiting

(209) with tracheoesophageal fistula and has

scheduled for surgery, how to feed the baby before
surgery?
A-gastrostomy
B-Breast feeding
C. NG tube ✓
D-bottle feeding

(210) infant with tracheoesophageal fistula TOF.

What is the signs that need suction for him?
A. Crying
B. Chocking and cyanosis ✓
C. Increase heart rate
(211) A child with tracheoesophageal fistula is
scheduled for an operation. what should the nurse
do preoperatively?
A. Insert NGT
B. Suction periodically ✓
C. Prepare tracheostomy set if necessary

(212) during the home visit by the community

health nurse, she observes that the infant baby
during breastfeeding stop sucking and the milk is
leaked from the nose. What would the nurse
suspect?

A. Pyloric stenosis
B. esophageal atresia
C. Cleft lip and palate ✓
D. Intussusception
(213) 2-day-old newborn is admitted to the nursery.
While the nurse is administrating oral feeding, the
milk returns through the child's nose and mouth
and the infant become cyanotic. Which of the
following condition the newborn should have?
‫الحليب طلع من أنفه و فمه وصار معاه‬
Cyanosis

A. Anorectal malformation
B. Tracheoesophageal fistula ✓
C. Cleft lip and palate
D. Cardiac condition

(214) A term baby boy has diagnosed with Down

syndrome. Physical examination revealed flattened
nose, low set ears, upward slanting eyes, single
palmer crease. Which of the following is the most
common congenital anomaly associated with the
disease?
A. Developmental dysplasia of hip (DDH)
B. Congenital heart disease ✓
C. Hypospadias
D. Pyloric stenosis

5. Hirsch sprung disease:

Hirsch sprung's (HIRSH-sproongz) disease is a

condition that affects the large intestine (colon) and
causes problems with passing stool. The condition
is present at birth (congenital) as a result of missing
nerve cells in the muscles of the baby's colon.
Without these nerve cells stimulating gut muscles
to help move contents through the colon, the
contents can back up and cause blockages in the
bowel.
(215) 3-week-old newborn is diagnosed with
Hirsch sprung disease which of the following
preoperative care should include it in the plan of
care?

A. Restricting oral intake to clear fluids ✓

B. Administering a tap water enema
C. Inserting a gastrostomy tube
D. Using povidone-iodine to prepare the perineum

(216) An 8-month-old infant is admitted with

Hirsch sprung disease. Which of the following
would be a significant finding in this infant?

A. Depressed anterior fontanel

B. Polyuria, hematuria
C. Weight gain, edema
D. Failure to thrive, constipation ✓
(217) A 9 month old child is diagnosed with Hirsch
sprung disease he is scheduled for surgical
operation which of the following is the most
common complication expected during this age?

A. Mechanical obstraction
B. Entro colitis ✓
C. Pleural effusion
D. Esophageal Artesia

(218) A 24 hours after delivery, the nurses noted

that the newborn failed to pass meconium. This
indicates which of the following condition ?

A. GERD
B. Pyloric stenosis
C. Failure to thrive
D. Hirsch sprung disease ✓
(219) 3 days old newborn is diagnosed with Hirsch
sprung disease. The nurse is conducting a physical
examination. Which of the following findings will
alert the nurse to suspect this disease in the
newborn?
A. palpable sausage-shaped mass
B. cyanosis of fingers and toes
C. failure to pass meconium within 24-48 hours of
life ✓
D. weight less than expected for height and age

(220) What is the Noninvasive test for Hirsch

sprung disease ?
A. Ultrasound
B. Anorectal manometry ✓
C. X- ray
(221) which of the following Hirsch sprung disease
causes?
A. Congenital ✓
B. Constipation
C. The child is infected at the age of 6 months

(222) 3 months baby diagnosed with Hirsch sprung

disease what is the disease?
A. Symptoms occur after 6 months
B. Affect both small and large intestine
C. Absences of prestalisis movement in the distal
part of large intestine /colon ✓
D. Telescoping of the intestine