مزاولة

‫‪Ahmad ghannam‬‬
‫اسئلة مزاولة بكالوريس ‪2023‬‬
‫اعداد وتدقيق أحمد غنام‬

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Circle the most correct answer -I
This is characterized by severe symptoms relatively

of short duration.
a. Chronic Illness
b. Acute Illness
c. Pain
d. Syndrome
Lochia red sometimes happens during postpartum to bleed

heavily with smell for the first three to ten postpartum
days, the nurse should expect that may to?
A- Lochia pink
B- Sign of abnormal hemoglobin
C- Infection
D- Bleeding
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The apical pulse can be best auscultated at the:

1. Left 2nd intercostal space lateral to the mid clavicular
line
2. Left 2nd intercostal space at the left sternal border
3. Left 5th intercostal space at the mid clavicular line
4. Left 5th intercostal space at the mid axillary line
Which goal is priority after surgical repair of cleft lip?

A. Pain Management
B. Prevent infection
C. Increase mobility
D. Develop parenting skills
A full term newborn is admitted to NICU with a .

diagnosis of meningocele. Which of the following
?admission assessment is needed
Specific gravity of urine A.
Head circumference B.
Weight and length C.
D. Palpation of the abdomen
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physician orders an intravenous fluid of D5NS at 100cc/hr.

This is an example of which of the solution?
A. hyper alimentation
B. hypertonic
C. hypotonic
D. isotonic
to prevent shampoo from getting into your resident

eyes, you should:
a) Put adhesive tape on the eyes
b) Use dry shampoo
c) Rinse the hair thoroughly
d) Use a washcloth to cover the eyes
Second day post delivery which blood color will be the

lochia
E. Locia rubra
F. Lochia serosa
G. Lochia alpa
the yellow hard containers in the hospital used to waste

which of the following:
a) Used gauze, cotton

b) Sharp waste
c) Used papers and fluid
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d) All of them
Which of the following is the appropriate route of

administration for insulin?
a. Intramuscular
b. Intradermal
c. Subcutaneous
d. Intravenous
Which of the following technique involves the sense of sight?
a. Inspection
b. Palpation
c. Percussion
d. Auscultation
The first techniques used examining the abdomen of a client is:
a. Palpation
b. Auscultation
c. Percussion
d. Inspection
the nurse observes that Mr. Adams begins to have increased

difficulty breathing. She elevates the head of the bed to the
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high Fowler position, which decreases his respiratory distress.

The nurse documents this Breathing as:
a. Tachypnea
b. Eupnca
c. Orthopnea
d. Hyperventilation
A multipara mother complained of small vulva with swelling

following vaginal delivery of a baby weight 3.8 Kg What is the
initial nursing action should the nurse advise the mother to
perform?
A. Apply ice pack
B. Maintain bed rest
C. Administer analgesics
D. Encourage fluid intake
the physician orders a platelet count to be performed on Mrs.

Smith after breakfast. The nurse is responsible for:
a. Instructing the patient about this diagnostic test
b. Writing the order for this test
c. Giving the patient breakfast
d. All of the above

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All the following interventions may be performed by you

for a child with
?productive cough except
a. Encourage fluid intake
b. Administering antitussive
c. Postural drainage
d. Giving mucolytics
A client is hospitalized for the first time, which of the

following actions ensure the safety of the client?
a. Keep unnecessary furniture out of the way
b. Keep the lights on at all time
c. Keep side rails up at all time
d. Keep all equipment out of view
Fallot tetraology includes which of the following defects

a. Pulmonary stenosis
b. Right ventricular hypertrophy
c. Ventricular septal defect
d. All of the above
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The nursing care for cardiac disease child should include

a. Bed rest
b. Provision of oxygen as needed
c. Passive stimulation
d. All of the above
Hyperbilirubinemia in newborn usually occurs due to

a. Immature liver function
b. Rh incompatibility
c. ABO incompatibility
d. Hepatitis disease
What is the proper procedure of doing breast self-examination?
A. Use the palm of the hand to feel the lumps
B. Apply three different levels of pressure to feel breast tissues
C. Stand when performing a breast self exam
D. Perform self exam annually

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The most dangerous complication of hyperbilirubinemia

?in newborn is
a. Lethargy
b. poor feeding
c. Kernicterus
d. Jaundice in the eyes
A woman patient is admitted for abdominal pain. She

complain generalized plan nausea vomiting and
constipation rebound tenderness and abdominal rigidity
the past hour her localized on right side
RR 18 TEM 38.6 What should the nurse BP 130/68 HR 92
suspect
Intestinal obstruction .A
Influenza .B
Appendicitis .C
Pyloric stenosis.D
A nurse is caring for child who is post tonsillectomy

and adenoidectomy. The nurse should the nurse plan
to assess which of the following complication?
Pulmonary hypertension .A
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Hemorrhage .B
Hearing loss .C
Orthopnea
All the following nursing measures may be done for

anemic child
?except
a. Bed rest
b. Elevate head of bed
c. Large meals
d. Administration of blood
Which of the following interventions may be done for iron

deficiency
?anemia child
a. Bed rest
b. High iron diet
c. Brushing teeth after iron administration
d. All of the above
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Thalassemic child care may include all of the following

?except
a. Administration of blood every 3-4 weeks
)b. Administration of iron chelating agent (desferal
c. Increase physical activity
d. Possible splenectomy
Mr. (A) admitted to CCU with the congestive heart

disease his vital Signs are HR 120 b/m. BP 110/60
mmhg . Stroke volume is 80. The cardiac output for Mr
(A) is
A. 182
B. 1700
C. 2400
D. 9600
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The nurse is caring for child admitted with viral

pneumonia. Which of the following nursing
diagnoses should receive PRIORITY?
Nutrition altered: less than body .a
requirements
Ineffective airway clearance .b
Fluid volume deficit.c
Risk for injury
Nurse is assessing a child (an infant) with pyloric stenosis. Which of the
following is likely to note?
A. Diarrhoea
B. Projectile vomiting
C. Swallowing difficulties
D. Currant jelly like stool
All the following nursing measures are suitable for child

with convulsions
?except
a. Keeping patent air way
b. Place child on his side
c. Restraining child’s extremities
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d. Recording the events of convulsion
As a nurse you should position the new born with

myelomeningiocele on
a. Back
b. Prone
c. Supine position
d. All of the above
Management of bacterial meningitis may include all the

?following except
a. Isolation
b. Oral antibiotics
c. Quiet environment
d. Monitoring convulsions and complications
A patient about to undergo abdominal inspection is best

placed in which of the following positions?
a. Prone
b. Trendelenburg
c. Supine
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d. Side-lying
When a child is brought to the emergency department

with acute epiglottitis, which of the following nursing
diagnoses should receive PRIORITY?
Ineffective airway clearance .a
Activity intolerance .b
Fluid volume deficit .c
Impaired verbal communication
Which of the following CSF results not match the bacterial

?meningitis
a. High cells count
b. High sugar
c. High protein
d. Turbid CSF fluid
Pregnant woman in the 3 months have a thrombus in

the right leg what do you expect the doctor will
order
A. Heparin
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B. Insulin
C. Warfarin
D. Aspirin
When the post-operative patient returns to the surgical

unit, the priority is to:
Assess the patient's pain .A
Measure the patient’s vital signs .B
Monitor the rate of the IV infusion .C
Check the physician’s post-operative orders .D
In child with acute glumerulonephritis and impaired renal

?function, you may do all the following except
a. Bed rest
b. Record intake and out put
c. Give high fluid diet
d. Monitor blood pressure
Screening should be done for newborns in Gaza to early

?detect
a. Hypothyroidism
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b. CDH
c. PKU
d. All of the above
?Juvenile D.M. in children can be treated by

a. Insulin
b. Diet
c. Oral hypoglycemic agents
d. All of the above
?Celiac disease child dietary management includes

a. Low phenylalanine diet
b. Life long free gluten diet
c. Low fat soluble vitamins supplementation
d. All of the above
?Growth is increase in
a. Function
b. Size
c. Quality
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d. A+C
?The adolescent age groups are influenced more by
a. Their older brothers/sisters
b. Their peers
c. Their parents
d. Their teachers
?Adolescents are more vulnerable to

a. Suicide
b. Drugs addiction
c. Emotional instability
d. All of the above
Pregnant woman 34 weeks has hypertension this problem is

identifiedas?
A. Hypertension
B. pregnancy induced DM
C. PIH (Pregnancy included hypertension)
D. placenta Previa
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The Parents should ………… their child’s growth and

?development
a. Monitor
b. Facilitate
c. Understand
d. All of the above
?The child birth weight triples at

a. 3 months old
b. 6 months old
c. 12 months old
d. 15 months old
Treating pregnant women diagnosed with syphilis is considered?
A. Primary level of prevention
B. Secondary level of prevention
C. Tertiary level of prevention
D. Primary and secondary

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Infant starts sitting without support for the first time

?mostly at
a. 4 months age
b. 7 months age
c. 8 months age
d. 10 months age
All of the following are normally present in urine

:result EXCEPT
.a) Urea
.b) Createnin
.c) Albumin
d) Sodium
.
A client has atrial fibrillation the nurse should monitor the client for
A. cardiac arrests
B. cerebrovascular accident
C. heart block
D. ventricular fibrillation
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All of the following are etiologic factors of fluid

:volume deficit except
a) Vomiting
b) Diarrhea
c) Renal failure
d) Excessive sweating
All of the following are most common complications

:postoperatively except
a) Hemorrhage
b) Tonsillitis
c) Wound infection
d) Pain
All of the following are clinical manifestations of fluid

:volume excess except
a) Edema
b) Oligurea
c) Distended neck veins
d) Increased CVP
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:Apnea is medical term means

a) Rapid pulse
b) Increase body temperature
c) Stop breathing
d) Low blood pressure
The registered nurse should give the highest priority

?of care for
Patient newly diagnosed with hypertension A.
Patient complaining of severe headache B.
Patient with chest pain C.
Patient with peptic ulcer D.
All of the following are nursing actions during .

:preoperative nursing care except
a) Observe incisional site
b) Remove hairpins and hairpieces
c) Remove jewelry and prostheses
d) Assess all vital signs
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Signs and symptoms of Hypovolemic shock are all of

:the following except
a) Tachycardia
b) Hypertension
c) Pallor and cyanosis
d) Tachypnea
Normal Saline 0.9% solution is considered as which of

:the following
a) Isotonic solution
b) Hypotonic solution
c) Hypertonic solution
d) Non of the above
When blood sugar level is above normal range, this

means that patient has:
a) Hypotension
b) Hypoglycemia
c) Hyperglycemia
d) Bradycardia
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First time mother is concerned about her 6 months old infant is not
gaining enough weight what should the nurse tell the mother
A. Birth weight doubles by 6 months of age
B. Birth weight doubles by 3 months of age
B. The baby will eat what he needs
D. You need to make sure that the baby finishes each bottle
The most important thing should be done after any .

:nursing action is
a) Documentation
b) Nursing diagnosis
c) Planning
d) All of the above
All of the following are assessment sites for body .

:temperature except
.a) Oral Site
.b) Rectal Site
.c) Axillary Site
d) Apical
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Mr. Ashraf aged 35 years old, his pulse rate is found .

to be 120 bpm. His heart rate could be
:described as
.a) Tachypnea
.b) Tachycardia
c) Bradypnea
d) Bradycardia
Which of the following factors are affecting body .
:temperature
.a) Food intake
b) Age and Gender
.c) Climate
d) All of the above
The condition in which a person is aware of his or .

:her own heart beats is called
.a) Palpitation
.b) Dysrhythmia
.c) Pulse rhythm
d) Arrhythmia
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Which one of the following signs and symptoms is associated

withincreased intracranial pressure?
A. restlessness and confusion
B. bradycardia and hypertension
C. tachycardia and hypotension
D. respiratory depression and headache
The condition in which the body temperature is .

)above the average normal is called: a
Bradypnea
.b) Fever
.c) Hypertension
.d) Hypothermia
Which of the following best describes the technique .
:of palpation
.a) The use of the sense of hearing to listen for sounds
b) The use of tapping on a particular part of the body
.to produce sounds
c) The use of the senses to evaluate general
.appearance of the patient
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d) The sense of touch to feel the body by slight or

deep pressure
.
:Inhalation or inspiration means .
.a) Stop breathing
.b) Difficult breathing
.c) Breathing out
d) Breathing in
.
:Pulse pressure is defined as which of the following .
.a) Difference between systolic and diastolic pressure
.b) Expansion of the artery as blood moves through it
.c) Difference between arterial and venous pressure
d) Difference between venous and systolic pressure
.
:Sleep is defined as .
.a) A state of arousable unconsciousness
.b) A state of emotional rest and excessive sleepiness
.c) A state of drowsiness and decreased activity
d) A state of decreased activity and mental
stimulation
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.
:Unoccupied bed making means .
a) Changing linen when the patient remains in the
.bed
.b) Changing linen when the bed empty
.c) State in which a person is relieved of distress
d) None of the above
The advantage of use head to toe approach when .

:you assess the patient
.a) It is difficult to detect the disease or problem
b) It helps to prevent overlooking some aspect of data
.collection
.c) It increase the number of position changes
.d) It takes more time
35.8
:The most accurate time for measuring pulse rate is .
.a) 30 seconds
.b) 15 seconds
.c) 60 seconds
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d) 45 seconds
Which of the following is considered one of the common

complicationsfollowing abdominal total hysterectomy?
A. DVT
B. paralytic ileus
C. constipation
D. perforation
Normal respiratory rate at rest per minute in adults .

is ranging from:
.a) 10-14
.b) 12-20
.c) 20-25
.d) 20-30
Practices that promote health through personal .
:cleanliness is called
.a) General appearance
.b) Self image
.c) Insomnia
d) Hygiene
.
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:All of the following are therapeutic bathes except .

.a) Shampooing bath
,b) Whirlpool bath
.c) Medicated bath
d) Sitz bath
Which common uterus position cause of abortion
A. Longitudinal
B. Oblique
C. A retroverted uterus
D. Linear
During stressful situation the patient is complaining from chest pain,

sweating, tremors. And visual difficulties what is the expected
cause?
A. Bipolar disorder
B. Panic disorder
C. Hyperglycaemia
D. Hypertension
:Orthopnea is defined as .
.a) Breathing facilitated by sitting or standing up
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.b) Absence of breathing

.c) Rapid breathing
d) Difficult breathing
.
:Which of the following is a form of radiograhpy .
.a) Fluoroscopy
.b) Contrast medium
c) C.T. Scan
d) All of the above
The examination that indicates physical inspection .

of the vagina and cervix with palpation of uterus and
ovaries is called:
. a) A Pap test
.b) Electrocardiography
.c) Pelvic examination
d) Paracentesis
Lithium therapy affects which of the following hormones?
A. Cortisone
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B. TSH
C. FSH
D. Oestrogen
Procedure that involves the insertion of a needle .

between lumber vertebra in the spine but
:below the spinal cord itself is called
.a) Lumber puncture
.b) Paracentesis
.c) Pelvic Examination
d) Electromyography
.
Which of the following is considered as a benefit of .
:bathing
.a) Improving self image
.b) Eliminating body odor
.c) Stimulating circulation
All of the above
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The patient is reclining on back with the feet .

)elevated in metal support, this position is called: a
.Knee-Chest position
.b) Lithotomy position
.c) Modified Standing position
d) Sims position
.
Exchange of oxygen and carbon dioxide when taking .
)air in and out of the chest is: a
.Respiration
.b) Circulation
.c) Blood pressure
.
:Ventilation means .
.a) Movement of air in and out of the chest
.b) Movement of air out of the chest
.c) Movement of air in the chest
d) Non of the above
.
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All of the following are common factors that .

)invalidated examination or test results except: a
.Inadequate specimen volume
.b) Failure to send the specimen in a timely manner
.c) Correct diet preparation
d) Insufficient bowel cleansing
.
All of the following are physical assessment .
.techniques except: a) Inspection
.b) Percussion
.c) Puncturing
d) Palpation
The most common risk factors for Suicides is?
a. Dehydration
B. electrolyte imbalance
C. cardiogenic shock
D. Depression
All of the following are post procedural nursing .

:responsibilities except
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a) The nurse has to attend the patient for comfort and

.rest
.b) Care of specimens
.c) Assist the examiner
d) Record and report of information
.
A patient is prepared for hemodialysis. He receives .
heparin before therapy before primarily to
:help
a) Relieve discomfort
b) Prevent blood clotting
c) Maintain blood pressure
d) Stimulate the production of urine
:Another name for a stone in the urinary tract is

a) Calix
b) Calculus
c) Calcemia
d) Calcitonin
Urine that remains in pt's bladder after he voids is
:called
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a) Reflux urine
b) Over flow urine
c) Retention urine
d) Residual urine
Which of the following vaccines is not done by

intramuscular (IM)injection?
A. Measles vaccine Vaccine for child 9-12

month - Measles
B. DPT
C. Hepa-B vaccine
D. Tetanus toxoids
For a normal person the urine specific gravity is .

:ranged between
a) 1.000 and 1.010
b) 1.015 and 1.025
c) 1.025 and 1.050
d) 1.050 and 1.070
In order to reduce the risk of disease transmission from a patient with

diphtheria, which of the following standard precautions would
be thenurse implemented?
A- Droplets
B- Airborne
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C- Ventilatory
D- Contact
Which of the following conditions does not .

)predispose the development of renal failure: a
Mismatched blood transfusion
b) Sever dehydration
c) Septicemia
d) Cerebrovascular accident (CVA
)
Which of the following terms is used to indicate total

urine out put of less than 50 ml in 24
hours:
a) Anuria
b) Oliguria
c) Dysuria
d) Polyuria
Which of the following terms refers to a disorder .

,characterized by proteinuria, edema
hypoalbuminuria, and hyperlipidemia.
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a) Pyelonephritis
b) Interstitial cystitis
c) Nephrotic syndrome
d) Glomerulonephritis
The name of the procedure for the removal of .

urinary bladder stone is:
a) Cystolithiasis
b) Cystolithectomy
c) Cystometry
d) Cystoextraction
A home care nurse instructing a mother of child diagnosed with

cystic fibrosis (CF) about the appropriate dietary
measures. Which diet shouldthe nurse tell the mother that
the child needs to consume?
A. Low calorie – low fat diet

B. High calorie – restricted fat
C. Low calorie – low protein diet
D. High calorie – high protein diet
Patients who are receiving hemodialysis for ESRD .

(end stage renal failure), are especially
:prone to develop
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a) Peritonitis
b) Renal calculi
c) Bladder infection
d) Serum hepatitis
After the IVP, the nurse should anticipate

incorporating which of the following measures into
:the client plan of care
.a) Maintaining bed rest
.b) Encouraging adequate fluid intake
.c) Assessing for hematuria
d) Administering laxatives
Nurse is caring for a client in labor. The nurse determines that the
clientis beginning in the 2nd stage of labor when which of the
following assessments is noted?
A-The client begins to expel clear vaginal fluid
B-The contractions are regular
C-The membranes have ruptured
D-The cervix is dilated completely
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The nurse should instruct the female to reduce the .

:recurrent UTI as the following
a) Cleanse around the perineum with front to back
.cleansing
.b) Wash genitalia in tub bath
.c) Drink alittle amount of fluid
d) Non of the above
.
Acetyl calsilic acid (Aspirin) contraindicated to be .
:given in
. a) Pt. with hemorrhage
.b) Severe headack
c) Heart disease
d) Rheumatic fever
:Gentamicin is .
. a) Broad spectrum antibiotics
. b) Antimetabolite
c) Aminoglycocides
d) A and c
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Which of the following is described as premature

separation of a normally implanted placenta during
the second half of pregnancy, Usually with severe
hemorrhage?
Placenta Previa .A
Ectopic pregnancy .B
Incompetent cervix .C
Abruptio placentae
Which of the following is the correct order for putting

?on personal protective equipment
A- gown, mask, goggles, gloves
B- mask, gown, goggles, gloves
C- goggles, mask, gloves, gown
.D- gloves, gown , goggles, mask
?Most side effect of oral contraceptive except is

Fever A.
Nausea B.
Headache C.
Ovaries cancer .D
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Medical complications often accompany Down

?syndrome
hypospadias A.
renal failure B.
Congenital heart defects C.
Pt. with head trauma should have all the following

:treatment except
a) IV line catheter
b) IV fluid
c) Sedatives
d) Oxygen
Which of the following taking highest priority

?according to Maslow's hierarchy of needs
Enough breath A.
safety B.
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love and belong C.
:You should instruct the Pt. when taking Prothiasin

a) To take it after 2 hours of meal
b) To void after 2 hours
c) Not to drive his care
d) Don’t worry about vomiting
Patient treating with TPN what is the first action the

?nurse should be observed
A- Hypoglycemia
B- Hyperglycemia
C- Hypokalemia
An 8-month-old infant is admitted with Hirschsprung

disease. Which of the following would be a significant
finding in this infant?
Depressed anterior fontanel .A

Polyuria, hematuria .B
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Weight gain, edema .C

Failure to thrive, constipation .D
.
Insertion of a tube through the nose into the stomach

:called
.a) Orogastric intubation
.b) Nasogastric intubation
.c) Nasointestinal intubation
d) Transabdominal tube
.
:Lavage is .
.a) Giving nourishment by tube
.b) Surgical opening in the stomach
.c) Removing substances from the stomach
d) Non of the above
.
:Normal color of urine is .
.a) Urine has no color
.b) Bright red color
.c) Light yellow
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d) Light green
.
:Urinary elimination process means .
a) The process of re-absorption of water and minerals
.in the kidney
b) The process of urine collection in the human
.bladder
c) The process of releasing excess fluid and metabolic
.wastes
d) The process of urine assessment by the lab
technicians
:Measurement of the NGT as

.a) From neck to nose to epigastric region
.b) From shoulder to nose to zephoid process
.c) From ear to nose to zephoid process
d) From mouth to nose to zephoid process
.
Substances associated with childhood poisoning .
include all of the following except:
. a) Drugs
.b) Cleansing agents
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.c) Fresh food

.d) Cosmetics
For all the following poisoning situation induce .
vomiting and gastric lavage recommended
except:
.a) Food poisoning
. b) Drug poisoning
. c) Caustic and corrosive poisoning
d) Plant poisoning
.
:Pain transmition begins by stimulation of .
.a) Nerve plexus
.b) Nerve receptors
.c) Spinal cord
.d) Skin
:Promotion of oxygenation could be occur by .

a) Maintain air way open
)b) Positioning (sitting or fowler
.c) Oxygen supply
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.d) Breathing techniques

.e) All of the above
f) Non of the above
.
:Peri-operative period means .
a) Total period before surgery
b) Total period after surgery
)c) Total period of (before, during and after surgery
d) Non of the above
All the following factors are considered when .

selecting a syringe and needle except:
a) Depth of
the tissue
b) Family history
c) Type of the drug
d) Size of the patient
All the following routs of administration considered
parenteral routs except:
a) Intradermal
b) IV
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c) SC
d) Otic
e) Intra-joint
f) Ophthalmic
g) Both d and f
:IV bolus administration means .

a) Given drug IV in short period
b) Given drug IV in along period
c) Given drug IV by infusion
d) Given drug IV quickly without dilution
:Z-Tract technique used in .

a) Deep intramuscular injection
b) Irritant drugs
c) Both a and b
d) Neither a nor b
:All the following IM injection sights except .

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a) Dorsogluteal
b) Forearm
c) Ventrogluteal
d) Vastus lateralis
e) Deltoid
: In case of meningitis, the CSF examination will be .
.a) Low protein level
.b) Low glucose level
.c) Clear appearance
d) Decrease CSF pressure
.
All the following are potential complication of .
:meningitis Except
.a) Seizures
.b) Cerebral infarction or abscess
.c) Myocardial infarction
d) Subdural effusion
.
All the following is clinical manifestation of a cute .
: glomerulonephritis Except
a) Brown colored urine
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.b) Weight loss

.c) Malaise
d) Hypertension
All of the following are considered congenital a .

:cyanotic heart disease Except
)a) Ventricular septal defect (VSD

.b) Tricuspid atresia
c) Coarctation of aorta
d) Patent ductus arterioses
.
Tetorolgy of fallot is characterized by all of the .
:following Except
.a) Right ventricular hypertrophy
b) Pulmonary stenosis
.c) Ventricular septal defect
d) Atrial septal defect
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:Kerning's sign is manifestation for

a) Wiliam's tumor Encephalitis
.b) Acute Rheumatic Fever
c) Encephalitis
d) Meningitis
All of the following are cardinal signs of nephrotic .
:syndrome Except
a) Hypoalbuminemia
b) Proteinuria
c) Hypocholesterolemia
d) Edema
:A full-term pregnancy normally ranges between .

a) 37-40
b) 38-42
c) 38-44
d) 36-40
:Morning sickness is caused by .

a) Vitamin deficiency
b) Exhaustion
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c) Pregnancy Hormones
d) Twins pregnancy
During what phase of the menstrual cycle is an egg .

?(ovum) released
a) Ovulation
b) Gestation
c) Luteal
d) Mittelschmerz
e) Incubation
?What does amenorrhea mean .

a) Painful menstruation
b) Menstrual cycle where ovulation does not occur
c) Absence of menstrual period
d) Heavy bleeding during menstruation
When the foetus is growing inside the uterus it needs

?nutrients. What provides these nutrients
a) Placenta
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b) Amniotic sac
c) Uterus
d) Oviduct
?Why is breast milk important to a newly born baby .

a) It is the right temperature for the baby
b) It is made by its own mother so it is matched to its
needs
c) It contains antibodies that protect against common
microorganisms
d) It tastes better than bottle milk
?HCG is an acronym for what .

a) Human cloning gene
b) Human cell gamete
c) Human chorionic gonadotropin
d) Human corpus growth
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The family structure consisting of parents and their .

dependent children living together is
:)known as a(n
a) Binuclear family
b) Reconstituted family
c) Nuclear family
d) Extended family
:Adolescents are at a greater risk for injury from .

.a) Poisoning and child abduction
b) Automobile accidents, suicide, and substance
.abuse
.c) Home accidents
d) Physiological changes of aging
.
:The patient lying face down is called .
a) Supine
b) Prone
c) Fowler's
d) Lateral
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Which of the following has had the greatest impact on

reducing infant mortality in the United
?States
a) Improvements in perinatal care
b) Decreased incidence of congenital abnormalities
c) Better maternal nutrition
d) Improved funding for health care
Which of the following is FALSE concerning .

?gestational diabetes in mothers-to-be
a) The diabetes usually disappears after birth
b) Their babies may experience hypo-glycemia after
birth
c) Their babies are commonly born with breathing
difficulties
d) Their newborns tend to be underweight
?What is polyhydramnios .
a) Excessive vomiting during pregnancy
b) Excessive maternal hair growth
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c) Excessive maternal swelling

d. Excessive fluid around the
fetus
Preeclampsia is another possible complication of
pregnancy. Which of the following is NOT
characteristic of preeclampsia?
a. protein in the urine
b. high blood pressure
c. vaginal bleeding
d. swelling
Pregnancy Lasts on average .

a) 280 days from last period
b) 37 weeks
c) 42 weeks
d) 40 weeks
e) a & c
Which nutrient has been proven to prevent birth .

?defects
a) Folic acid
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b) Pantothenic acid
c) Manganese
d) b. Riboflavin
Which of the following vitamins helps the body .

?absorb iron
a) Vitamin C
b) Riboflavin
c) Vitamin E
d) Vitamin A
When will the baby first recognize his mother

?visually
a) From birth
b. 3 to 4
weeks
c. 3 to 4 months
d. 6 to 8 months
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Antibodies in milk protect the baby against .

:problems with
a) Vision
b) Gastrointestinal tract
c) Respiratory system
d. B and
C
You're most fertile when one of your ovaries .
releases a mature egg. This process, called
:ovulation, occurs
a) Halfway through your menstrual cycle
b. 12 to 16 days before your next period
starts
c. Right before you get your period
The Nurse Midwife is an advanced practice nurse .

:who
a) Provides care to child-bearing women during
preconception, prenatal, labor and delivery, and
.postpartum periods
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b) Transports and cares for sick and injured patients

in emergency situations and during the transport of
.patients from one patient care facility to another
c) Performs pharmaceutical, medical, and nursing
.research
d) Helps create public health policies
:A newborn loses heat through .

a) Evaporation
b) Conduction
c) convection
d) radiation
e) insensible water loss through skin, feces, urine,
respiration
f) all of the above
Premature separation of the normally implanted .

placenta is a. placenta accrete
b. placenta previa
c. placenta percreta
d. none of the
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above
Treatment with hormone replacement therapy .

.a) Should always include a progestagen
b. Reduces the incidence of cardiovascular disease in
post-menopausal
.women
c. Is not beneficial unless given within one year of the
.menopause
.d. Should not result in vaginal bleeding
e. Is of no benefit unless given for longer than ten
years
.
Immediate post-partum hemorrhage is associated .
with
.a) Retained placenta
.b) lacerations or tears of the cervix
.c) Ritodrine administration
d. Uterine
atony
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:Placenta previa is .
a) Premature separation of the normally implanted
.placenta before the birth of the fetus
b. The abnormal implantation of the placenta in the
lower uterine segment, partially or
completely
c. A placenta that attaches itself too deeply and too
.firmly into the wall of the uterus
d. Placenta that bleeds all the pregnancy period
: First management of unconscious victim is .

a. administer shock
b. determine unresponsiveness
c. administer oxygen
d. check blood pressure
Immediate management for reaction during blood .

: transfusion
a. Slow down the rate
b. Stop blood transfusion
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c. Change blood transfusion with a new pack

d. Administer antihistamine injection
:Best diagnostic test for suspected leukemia is .
a. CBC
b. Blood chemistry
c. Bone marrow aspiration
d. PT and PTT
: ECT is indicated to treat .

a. psychotic depression
b. obsessive compulsive disorder
c. neurosis
d. none of the above
: There is no vaccination for .

a. Small pox
b. Measles
c. DPT
d. Polio
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When the skin , whole epidermis , dermis and the .

underlying structures are affected in a burn , it is
a. first degree burn called
b. second degree burn
c. third degree burn
As a child increases age , cardiac and respiratory .

: rate should
a. Increase
b. Decrease
c. Remain unchanged
d. Stabilize at the adult level
A must important nursing measure in the .

prevention of thrombophebitis for the post-partum
patient is
a. Elastic stocking
b. Early ambulation
c. Anticoagulant
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d. Isometric exercise
Which of the following lab. test must be done on a .

patient with major burns , prior to administration of
: antibiotics
a. complete blood account
b. wound culture
c. type and cross match
d. sensitivity studies
Surgical patients should be taught to perform leg .
:exercises for the main purpose of
a. preventing muscle atrophy
b. preventing joint degeneration
c. improving circulation
d. preventing boredom
The most reliable method used for sterilizing .

hospital equipment to be free of spores and bacteria
: is
a. soaking in strong chemical
b. washing and drying it thoroughly after use
c. applying steam under pressure in an autoclave
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d. boiling the equipment
When the bleeding site has been determined, the .

first emergency measure to institute during
: hemorrhage would be to
a. apply a firm – pressure dressing
b. apply direct , firm – pressure over the bleeding area
or the artery
involved
c. apply a tourniquet just proximal to the wound
elevate the
extremity
When assessing the unconscious victim for .

pulselessness , which of the following is the best
: artery to check
a. radial
b. femoral
c. brachial
d. carotid
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When administering an antibiotic or a vaccine , the .

: nurse must be alert for the possibility of
a. overdoses and CNS depression
b. hypersensitivity and possible anaphylaxis
c. sings of increasing infection
d. orthostatic hypotension
The best method of preventing the spread of .

: infection is
a. isolating all patients suspected of having an
infection
b. wearing rubber gloves when performing all nursing
procedures
c. washing the hands thoroughly before & after each
contact with a
patient
d. sterilizing the hands with strong germicide at least
once a day
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Digoxin can be with held to a patient with an apical .

: pulse rate of below
a. 45
b. 60
c. 70
d. 80
: The cure for chronic renal failure is

a. Dialysis
b. kidney transplant
c. diuretics
d. force fluids
: Deep breathing and coughing exercise is done .

a. at angle of 90 degree
b. angel 45 degree
c. lie laterally
d. semi-fowler’s position
: The common cause of death in burns .

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a. Hemorrhage
b. Neurogenic shock
c. Sepsis
d. Hypovolemic shock
The most vital immediate observation to a new born .

: baby is
a. Cardiac rate
. b. Respiration rate
c. Color
d. Tone
An electrolyte deficiency that affects the heart .

muscular activity
:is
a. k
b. cal
c. Na
d. mg
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: First stage of labor ends with .

. a. pain occurs
b. dilation of cervix 10 cm
c. delivery of the baby
d. delivery of the placenta
:The normal PH for blood is .

a. 7.0
b. 7.4
c. 8.0
d. 8.4
In fetal circulation , the oxygenated blood placenta .

: travels via
a. umbilical artery
. b. umbilical vein
. c. ductus arteriosus
d. Ductus venosus
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: Optimum normal urine out put hourly to an adult .

a. 10cc
b. 25cc
c. 50cc
d. 100cc
Mrs. Davis has a written order from her physician for

Demerol mg stat. which of the following best explains
?this order
IV
a. give it needed
. b. give once when needed
c. give once immediately
d. give once when specified
: Which of the following orders is complete .

a. ampicillin 250mg IM q12hrs x 10 days
b. Maalox 30 cc po
c. humulin R insulin SQ in AM & noon
d. OPV ( oral polio vaccine ) 0.5 cc
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the anti-D is given within 72 hours to Rh –ve

women after:
a) Labor
b) Abortion
c) Labor and abortion
d) Pregnancy
according to Palestinian primary health care

clinic, how many doses MMR vaccine is giving:
a) 2 doses
b) 3 doses
c) 1 doses
d) 4 doses
a technique in physical examination that is use to

assess the movement of air through the
tracheobronchial tree:
a) Palpation
b) Auscultation
c) Inspection
d) Percussion
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which of the following is not correct about

cleaning glass thermometer after talking the
patient temperature:
a) Wipe thermometer starring from the stem down
to the bulb
b) Clean thermometer with soap and water
c) Rinse thermometer under hot water
d) Place thermometer in disinfectant solution
male patient, admitted to hospital after fighting

with mandible fracture, the FIRST nursing
management for this case is:
a) Maintain jaw immobilization
b) Provide support & reassurance
c) Avoid adequate nutrition
d) Maintain oral hygiene
s1…..is heard best at the:

a) Second right intercostal space at the sternal
border
b) 5th left intercostal space along the midclavicular
line
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c) Second left intercostal space at the sternal

border
d) 3rd intercostal space to the left of the
midclavicular line
the most vital immediate observation to anew

born baby is:
a) Heart rate
b) Respiration
c) Color
d) Urine output
which class of nutrients is needed in larger

quantities than all the rest:
a) Carbohydrate
b) Protein
c) Lipids
d) Water
growth chart assessment include all the following

except:
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a) Weight
b) Height
c) Abdomen circumference
d) Head circumference
swelling and blisters is formed in which of the

following burn degree:
a) Third degree
b) Fourth degree
c) First degree
d) Second degree
……..is what your body produce when you're

having an allergic reaction:
a) Insulin
b) Adrenaline
c) Histamine
d) Dopamine
all the following are most common complication

postoperatively except:
a) Wound infection
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b) Pain
c) Hemorrhage
d) Polyuria
the position in which patient is lying horizontally

on his back and face up is:
a) Supine position
b) Siting position
c) Lateral position
d) Fowlers position
what is the following is good way to promote the

immune system:
a) Eat a lot of sweet
b) Decrease stress
c) Driving car
d) Bed rest
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asthma is a disorder occur in which of the

following system:
a) Renal system
b) Immune system
c) Respiratory system
d) Digestive system
one of the function of the gallbladder is:

a) Storage of bile
b) To store white blood cells
c) To produce vitamin D
d) To reabsorb water
……….. is invasion and growth of germs such as

viruses or bacteria in the body:
a) Allergy
b) Infection
c) Protection
d) Restriction
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the following are type of anemia except:

a) Hemolytic
b) Lymphoma
c) Sickle cell
d) Iron deficiency
alcohol 70% is used in hospital for:

a) Sterilizing equipment
b) Cleaning bathrooms
c) Mouth wash for patient
d) Antiseptic
when an order reads that a drug must be

administrated t.i.d how often should this drug be
given:
a) Three times a day
b) Four times a day
c) Every other day
d) Every three hours
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dementia among elder patient is considered as:

a) Cognitive disorder
b) Personality disorder
c) Anxiety disorder
d) Mood disorder
Pramin drug is classified as:

a) Antiemetic
b) Psychotic medication
c) Narcotic medication
d) Antihypertensive
all the following may induce angina pectoris

except:
a) Physical exercise
b) Take vasodilation medication
c) Stress or emotion upset
d) Exposed for cold
failure to thrive for a baby refers to:

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a) Absorption failure
b) Metabolism failure
c) Growth failure
d) Coping failure
the nurse is triaging clients in emergency

department, which of the following client's should
be evaluation first:
a) A 65 years old with abdominal pain
b) A 15 years old with a lacerated leg
c) A 2 years old with a 2 day history of diarrhea
d) A 30 years old with shortness of breath
while preparing a sterile field the nurse should do

all of the following except:
a) Drop sterile item onto sterile field from 15 cm
height
b) Top wrapper open toward you
c) Check that sterile package is dry
d) Place the prepared package in center of work
area
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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?
Metabolic acidosis .A
Metabolic alkalosis .B
C.Respiratory acidosis .C
D. Respiratory alkalosis
Nurse is preparing to insert a nasogastric tube into a

client. The nurse places the client in which position for
insertion:
Right side .A
Low Fowler's .B
High Fowler's .C
Supine with the head flat
She is not using any. method of family planning

Accordingly, the primary health care nurse has
.referred her for counselling the following
terms describe any restriction or lack of ability to
?perform an activity
Impairment A.
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Abnormality B.
Handicapped C.
Disability D.
The nurse correctly administer an IM injection a .

degree angle of
a. 15
b. 30
c. 45
d. 90
: The largest gauge needle of the following is .

a. 19 gauge
b. 20 gauge
c. 21 gauge
d. 22 gauge
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?
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72mmHg .A
81mmHg .B
78mmHg .C
83mmHg
In nursing process, teaching the patient about the .

medication is a
part of the
a. assessment
b. planning
c. implementation
d. evaluation
In nursing process, asking the patient if he is allergic .

to any medication is a part of the
a. assessment
b. planning
c. implementation
d. evaluation
.
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While preparing a dosage of FIORINAL#3, you .

accidentally drop a tablet on the floor . you would most
: appropriately
a. blow it off and go ahead and administer it
b. have another medication nurse witness destruction
and sign the
. control book
c. return the tablet to the pharmacy for “
“ decontamination
d. throw the tablet in the trash can and prepare
another dose
Prior to administering a Lanoxin preparation, .

you take an apical pulse rate on Mr. M .
infarction and fined the rate to be 52 .the most
: appropriate nursing action would be to
a. administer one- half the dosage order
b. give the drug as ordered
c. give one- half of the tablet now and the other one-
half tablet in two
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hours
d. withhold the drug and report the team leader
ORDERD : penicillin 400.000 u IM now AVAILABLE : .

u per 2 cc How many ml should 800.000penicillin
? you give
a. 2 ml
b. 1 ml
c. 0.2 ml
d. 0.4 ml
ORDERD : deltasone 7.5 mg now . AVAILABLE : .

deltasone 2.5 mg scored tablets . How many should
? you give
a. 3 tablets
b. 1 tablets
c. tablets ½ 2
d. tablets ½ 1
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ORDERED : 500 cc D5RL to be infused in 6 hours . .

the drop factor is 15 . how many gtt per minute
? should you give
a. 28 gtt / min
b. 32 gtt / min
c. 21 gtt / min
d. 30 gtt / min
The physician’s order to administer 3 L of IV fluid .

5% D \ 0.45 normal saline over 24 hours . the drop
: factor is 60 gtt / ml . the nurse regulates the IV at
%
a. 25 gtt / min
b. 100 gtt / min
c. 125 gtt / min
d. 150 gtt / min
The route of drug administration that provides the .

: most rapid dependable absorption is
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&
a. P.O
b. I.M
c. S/C
d. I.V
The nurse notes a client's skin is redden with a small .
abrasion and serious fluid present . the nurse would
classify this stage of ulcer
formation as
a. stage 1
b. stage 2
c. stage 3
d. stage 4
What you will observe for a patient is on .

anticoagulant therapy a bleeding from any site of the
body
b. drowsiness
c. weight reduction
d. hypotension
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When you are administering heparin the substance .

you will keep at the bedside as the antidote is
a. magnesium sulfate
b. vitamin K
c. protamine sulfate
d. calcium gloconate
The millimeters of a drug that should be used to give .
0.5 gm if the label on the bottle reads 5 gm in 10 ml is
a. 2.0
b. 1.0
c. 0.5
d. 5.0
A 30 years old male patient has burns on the front & .

back of both his legs & arms. the appropriate
percentage of his body that has been
:involved is
a. 27%
b. 36%
c. 45%
d. 54%
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An informed consent is a ______ for any operative .

:procedures
a. medicolegal requirement
b. operative permit
c. document
d. procedure explaining
: The normal temperature is .

a. 36c
b. 37.5c
c. 37.6c
d. All of the above
:The most accurate temperature is .

a. rectaly
b. axillary
c. orally
d. tympanic
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The following techniques are using for general .

physical
:examination except one
a. inspection
b. palpitation
c. percussion
d. auscultation
: Nursing process consists of .
a. assessment
b. planning
c. implementation
d. all of the above
Hemophilia B is the deficiency of clotting factor

:number
a. VI
b. VII
c. VIII
d. IX
:Dehydration in infants may result from .

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a. Vomiting
b. Diarrhea
c. Bleeding
d. All of the above
Patients eat contaminated food and the diagnosed with

hepatitis A as result of that food which of the following s
related to hepatitis A disease: -
A-The disease is transmitted through the blood.
B- The disease is transmitted through sexual contact.
C- Incubation period 3-5weeks.
D- Incubation period 4-5 month
An old patient admitted to ICU with signs and

symptoms of Dyspnoea, cough, expectoration,
weakness, and edema. Which of the following
?conditions are correct related these symptoms
Pericarditis A.
Hypertension B.
Obliterative C.
.Restrictive D.
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Contra indications to the use of anticoagulant .

:include
a. Blood dyscrasias
b. Liver or kidney disease
c. Peptic ulcer
d. All of the above conditions
Women should get their pap smear test each.

A-6-month
B-1year
C-3years
D-5 years
When administering heparin , the substance the

:nurse would keep available as the antidote is
a. magnesium sulphate
b. protamine sulphate
c. calcium gloconate
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d. vitamin k
:Immunization should be started when child is .

a. 6 months
b. 2 months
c. 1 months
d. 1 week
:In treating puncture wound, the first priority is to .

a. stop the bleeding
b. cleans the wound
c. give prophylactic treatment against tetanus
When assessing the unconscious adult victim for

pulselessness which of the following is the best artery
:to check
a. Radial
b. Femoral
c. Brachial
d. Carotid
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DTP is a vaccine that covers all of the followings .

:diseases except
a. Diphtheria
b. Tetanus
c. Pertussis
d. Typhoid
When administering an antibiotic, the nurse must be

:alert for the possibility of
Dr. order:" give ranitidine 40 mg P.O ABT", and the .
available is mg tablets, how many tablet you should
give to the patient in one
day
a. 1
b. 2
c. 3
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d. 4
You should not give digoxin to the patient if his pulse
:is less than
a. 60 B/m
b. 70 B/m
c. 80 B/m
d. 90 B/m
A female patient complains of abdominal discomfort.

Watery stool has been leaking from her rectum. This
could be a sign of which of the following?
fecal impaction .A
constipation .B
bowel incontinence .C
diarrhea
Mother with hypothyroidism high risk for??

Preterm labor .A
Hemorrhage .B
Congenital anomalies .C
Eclampsia .D
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Dr. order: "give amoxicillin injection 625 mg I.V .

stat", the available is 250mg in 5 ml, then the right
dose that should be given to
:the patient is
a. 10.5 ml
b. 11.5 ml
c. 12.5 ml
d. 13.5 ml
When there is an extra chromosome belonging to .
the pair 21, the following symptoms will appear on
the baby except one
a. small head
b. long hands
c. mental retardation
d. large tongue protrudes from the mouth
Mother with hyperthyroidism high risk for??

Preterm labor .A
Pre-eclampsia .B
Hemorrhage .C
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Congenital anomalies
Inability of the heart to pump an adequate amount of
blood to the systemic circulation to meet the
...demands of the body is called
a. aortic stenosis
b. ASD
c. CHF
d. VSD
What is most appropriate blood test for

patient who is going to surgery?
WBC .A
Albumin .B
Prothrombin time .C
Hemoglobin
A 28-year man admitted to orthopedic ward

complaining of throbbing pain in casted leg. Which of
the following nursing intervention should be taken
?first
Remove the cast A.
Notify a doctor B.
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.Assess pedal pulse C.

Administer PRN medication D.
One of the following respiratory rates of newborn is

considered
…abnormal
a. 30 B/m
b. 40 B/m
c. 50 B/m
:Leaving the tourniquet for a long-time cause

Embolism A.
Low blood flow B.
Ischemia C.
Acute abdominal pain, Nausea, Vomiting, Fever, High

WBC,, are
S&S of
a. Esophagitis
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b. Stomatitis
c. Appendicitis
d. Gastritis
position after appendectomy?

A-high fowlers
B-semi fowler
C-sitting
.D-Dorsal recumbent
Streptokinase injection is given to patient with M.I,

this drug is
a. Analgesic
b. Narcotic
c. Thrombolytics
d. Anticoagulant
child has urine incontinence two day ago with WBC in

urine.?
A-psychological abuse
B-urinary trac infection
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C-genitalia defect
Spinal anesthesia is injected into the subarachnoid .

space at the lumbar level to block nerves and suspend
:sensation to the
a. lower extremities
b. perineum
c. lower abdomen
d. all of the above
When the Zygote enter to the uterusafter fertilization?

2 day .A
4 day .B
6 day .C
8 day
One of the followings is not a principle of surgical .

:asepsis
.a. All items in OR must be sterile
.b. Sterile should touch only sterile
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c. Anything used for one client must be discarded or

.sterilized
d. Only the surgeon must perform a surgical scrub
.
The first nursing intervention should be done in the .
recovery room is:
a. give the patient analgesics
b. put the patient in recovery position
c. take vital signs and record
d. do suction to the airway
The nurse that is responsible for setting sterile tables

:and equipment and assist surgeon is
a. scrub nurse
b. circulating nurse
c. recovery nurse
:One of the followings is a preanesthetic medication .

a. adrenaline
b. atropine
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c. insulin
d. heparin
:The local anesthesia is given by .

a. I.V injection
b. I.M injection
c. I.D injection
d. S/C injection
.
How many times you should take vital signs in the
recovery room
:at the first hour
a. 6
b. 10
c. 12
d. 14
The normal fasting blood glucose rang mg per 100 ml

. of venous
blood is
a. 60-80
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b. 80-120
c. 100-150
d. 100-200
What are the symptoms of the BCG vaccination side
effect?
Diarrhea .A
Skin ulcer or scar .B
no symptoms .C
Seizure
Before irrigating a client’s NGT the nurse must first .

a. assess breath sounds
b. instill 15 ml. Of normal saline
c. auscultate for bowel sounds
d. check the tube for placement
The best method of preventing the spread of infection

is
a. isolating all patients suspected of having an
infection
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b. wearing rubber gloves when performing all nursing

procedures
c. washing the hands thoroughly before & after each
contact with a
patient
d. sterilizing the hands with strong germicide at least
once a day
When administering an antibiotic or a vaccine , the

: nurse must be alert for the possibility of
Immediately after a child is admitted with acute

: bacterial meningitis , the nurse should plan to
a. assess the child’s vital signs every 3 hours
b. administer oral antibiotic medication as ordered
c. check the child’s level of consciousness every hour
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d. restrict parental visiting until isolation is

discontinued
a fractured that bone breaks but there is no
puncture or wound in the skin is called:
a) Closed fracture
b) Complete fracture
c) Comminuted fracture
d) Open fracture
5 years child developed blisters on his hand after

exposure to burn, which stage of burn it will be:
a) 2nd stage
b) 1st stage
c) 4 stage
d) 3rd stage
early clinical manifestations of breast carcinoma

include all of the following except:
a) Irregular lump shape
b) Symmetry of the breast
c) Nipple retraction
d) Pain in the breast tissue
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When assessing the unconscious victim for

pulselessness , which of the following is the best
: artery to chick
a. radial
b. femoral
c. brachial
d. carotid
Ones the bleeding site has been determined , the first

emergency measure to institute during hemorrhage
: would be to
a. apply a firm – pressure dressing
b. apply direct , firm – pressure over the bleeding area
or the artery
involved
c. apply a tourniquet just proximal to the wound
d. elevate the extremity
urinary tract infection (UTI) is a common problem

in a pregnancy due to:
a) Inadequate vulvar hygiene
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b) Action of progesterone on the bladder

c) Short urethra
d) Action of estrogen on the bladder
the nurse enters the room of an adult who is

having a grand mal seizure, which initial action is
appropriate:
a) Put padded tongue blade in the client’s mouth
b) Restrain the client
c) Turn the client’s head to the side
d) Call the physician immediately
the nurse is preparing to care for a child with

diagnosis of intussusception, the nurse review the
child’s record and expect to note which symptoms
of this disorder document:
a) Watery diarrhea
b) Ribbon like stool
c) Profuse projectile vomiting
d) Bright red blood and mucus in the stools
Nursing measures that can be used to lower core .

body
: temperature include
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a. immersing the patient in cold water

b. placing the patient on a hypothermic blanket
c. administering chilled saline enemas
d. all of the above measures
When dealing with a client with aphasia , the nurse

: should remember to
a. wait for him to communicate
b. speak loudly to ensure that the massage is received
c. speak from the client’s side to avoid overload
d. encourage writing of massages
: Immunization should be started when child is

a. 6 months
b. 2 months
c. 1 months
d. 1 week
If a S/C injection is to be given, in to which level of .

: tissue must the solution be released
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a. Epidermis
b. Dermis
c. Subcutaneous
d. Any of the above
The most reliable method used for sterilizing .

hospital equipment to be free of spores and bacteria
: is
a. soaking in strong chemical

b. washing and drying it thoroughly after use
c. applying steam under pressure in an autoclave
d. boiling the equipment
Surgical patients should be taught to perform leg .

: exercises for the main purpose of

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a patient with COPD has carbon dioxide retention and

is ordered oxygenation therapy delivery systems:
a) Face tent
b) Face mask
c) Nasal cannula
d) Non rebreathing mask
a client complains of heaviness and swelling in the extremity

of the intravenous infusion, the nurse would first:
a) Flush the line

b) Document the feeling
c) Notify the physician
d) Discontinue the intravenous infusion
When the skin , whole epidermis , dermis and the

underlying structures are affected in a burn , it is
: called
a. first degree burn
b. second degree burn
c. third degree burn
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local cold applications are used to:
a) Reduce pain, prevent swelling, and decrease circulation

b) Prevent the spread of microorganisms
c) Dilate blood vessels
d) Increase circulation
The most common and serious complication of burns
: that often lead to death is
a. hypovolemic shock
b. hypothermia
. c. sepsis
d. infection
Before giving antibiotic to a patient which of the .

:following should be done first
a. wound culture
b. blood tests
c. wound dressing
d. sensitivity testing
.
When the patient is diaphoretic , there is .
tachycardia and decrease blood pressure , he is
: experiencing
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.a. Neurogenic shock

b. Hypovolemic shock
c. Hypothermia
d. Septicemia
What is the normal weight of the new born .

according to statistics
a. 3900 gm
b. 3200 gm
c. 2500 gm
d. 4500 gm
: There is no vaccination for .

a. Small pox
b. Measles
c. DPT
d. Polio
The most important nursing responsibility following .

head injury
a. monitor vital signs and record
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b. monitor GCS –Glasgow coma scale

c. observe for restlessness
:The best diagnostic test for suspected leukemia is .

a. CBC
b. Blood chemistry
c. Bone marrow aspiration
d. LFT
Immediate management for reaction during blood .

: transfusion
a. Slow down the rate
b. Stop blood transfusion
c. Change blood transfusion with a new pack
d. Give antipyretics
:Nursing responsibility before giving Digoxin .

a. Check BP
b. Check apical rate
c. Instruct patient to do deep breathing
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d. Do ECG
: Atropine so4 is given pre-operative to .

a. relax the patient
b. decrease the secretion
c. prevent intra-operative bleeding
d. decrease heart rate
A patient with asthma is receiving intravenous .

aminophylline .the adverse reaction for which the
: nurse should observe is
a. Oliguria
b. Bradycardia
c. hypotension
d. Tachycaredia
The force with which the blood is pushing against .

the arterial walls when the ventricles are contracting
:is called
a. pulse pressure
b. pressure gradient
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c. systolic pressure
d. diastolic pressure
: Carbohydrates are stored in the body in the form of .

a. Glucose
b. Glucagons
c. glycogen
d. glucose 6 phosphate
An injection into the gluteal site must be given in .

which quadrant of the buttocks
a. upper – inner quadrant:
b. upper-outer quadrant
c. lower – inner quadrant
d. lower – outer quadrant
The antidote for heparin is .

a. warfarin
b. protamine sulphate
c. narcan
d. vitamin K
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Surgical patients should be taught to perform leg

exercises for the
: main purpose of
The nurse correctly administer an IM injection a .

degree angle of
a. 15
b. 30
c. 45
d. 90
The nurse is giving heparin subcutaneously . which

? needle should the nurse use
a. 19 gauge , 1 ½ inch
b. 21 gauge , 1 inch
c. 22 gauge , 1 ½ inch
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d. 25 gauge , 5/8 inch
In nursing process, teaching the patient about the .

diet is a part of the
a. assessment
b. planning
c. implementation
d. evaluation
The drug that is used in the treatment of sinus

bradycardia is
a. Atropine
b. Adenosine
c. Inderal
d. None of the above
:CBC is an example of .
a. Venous blood specimen
b. Arterial blood specimen
c. Capillary blood specimen
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The type of shock that caused by sever allergic

:reaction is
a. Septic shock
b. Neurogenic shock
c. Anaphylactic shock
d. Cardiogenic shock
The type of anesthesia that affects the whole body .

:is
a. general anesthesia
b. spinal anesthesia
c. local anesthesia
d. partial anesthesia
Hyperactivity is present in what endocrine disorder .

a. hypothyroidism
b. hypoparathyroidism
c. hyperthyroidism
d. hyperparathyroidism
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According to D.M, all of the followings are true .

except
a. type 1 is called IDDM
b. type 2 is called NIDDM
c. type 1 is characterized by insulin deficiency
d. type 1 most commonly affects persons above 40
years
Nursing care for a patient with traction to prevent .

bed sores
a. administering medications as Voltaren
b. taking vital signs every 4 hours
c. changing position of the patient every 2 hours
:The followings may lead to anaphylactic shock .

a. penicillin
b. local anesthetic
c. egg
d. all of the above
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All of the followings are S&S of AIDS except one .

a. weight gain
b. chronic diarrhea
c. fever
d. skin lesion
When caring of a patient with osteoporosis, what you

should
teach him about diet
a. to increase protein and calcium in diet
b. to increase fluids intake
c. to increase fiber diet
d. all of the above
The orthopedic surgery that involves stabilization of .

reduced fracture with screws and plates is called
a. open reduction
b. close reduction
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c. internal fixation
d. bone grafting
The gland that organizes the secretions of all other .

endocrine glands
a. pituitary gland
b. thyroid gland
c. adrenal gland
The ratio for chest compression to ventilation in .

case of child
:CPR is
a. 15 – 2
b. 15 – 1
c. 5 – 2
d. 5 – 1
:The average of blood in adult body contains about .
a. 4 liters
b. 9 liters
c. 5 liters
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d. 7 liters
:Head tilt/chin lift maneuver procedure for .

a. checking the breathing
b. open airway
c. checking circulation
d. checking LOC
In the nursing process, the data collection is .

happened in
a. assessment
b. diagnosis
c. planning
d. evaluation
Vital signs is considered.

a. subjective data
c. health history
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All of the followings are sources of data collection .

except one
a. client
b. interview
c. family
d. medical records
Measuring the client response to the nursing action .

is
a. assessment
b. diagnosis
c. planning
d. evaluation
In physical examination, using the sense of touch is .

called
a. inspection
b. palpation
c. percussion
d. auscultation
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The instrument that is used to examine the ear is .

a. Otoscope
b. Ophthalmoscope
c. Laryngoscope
The most suitable position to assess the abdomen is .

a. prone position
b. sitting position
c. supine position
d. standing position
The angle of insertion the intradermal injection is .

a. 30 degree
b. 60 degree
c. 15 degree
d. 90 degree
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The blood pressure of 145/90 is considered .

a. normal
b. hypertension
c. hypotension
d. tachycardia
Before taking vital signs, you should .

a. do hand washing
b. explain the procedure
c. prepare the equipments
d. all of the above
If the blood pressure of a patient is 150/100 mmHg, .

then the pulse
pressure is
a. 150
b. 100
c. 50
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The device that used for measuring blood pressure .

is called
a. thermometer
b. spirometer
c. sphygmomanometer
d. hammer
The white to yellow powder that covers the face of .

the newborn and results from the skin secretions is
…called
a. vernix caseosa
b. milia
c. nevus
d. lanugo
…The umbilical cord contains .

a. one artery and one vein
b. 2 arteries and 2 veins
c. 2 arteries and one vein
d. one artery and 2 veins
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The labor that happened before the completion of .

37 weeks of gestation is called
a. Abortion
b. Preterm labor
c. Postterm labor
d. Postpartum
The male sex hormone is .

a. Estrogen
b. Testosterone
c. Progesterone
d. All of the above
COPD includes .
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. All of the above
When the gas exchange in the lungs cannot match the

rate of O2 consumption in the body. This is
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a. Asthma
b. Bronchitis
c. Pulmonary embolism
d. Acute respiratory failure
The obstruction of one or more pulmonary arteries

by a
thrombus is called
a. Emphysema
b. Pulmonary embolism
c. Chest trauma
Which of the following medications is not given to the

patient with pulmonary embolism
a. Heparin
b. Warfarin
c. Streptokinase
d. Digoxin
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: Mode of transmission of hepatitis A .

a. oral
b. sexual
c. blood transfusion
d. skin
Most effective , easy and un-expensive method of .

: sterilization is
a. heat b. pressure
c. drying
d. antiseptic
: Iron is mostly absorbed in .

a. large intestine
b. small intestine
c. liver
d. stomach
The drug of choice for treatment of an angina pectoris

:
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a. Nitroglycerin
b. Quinidine
c. Epinephrine
d. dopamine
: Carbohydrates are stored in the body in the form of

a. glucose
b. glucagons
c. glycogen
d. glucose 6 phosphate
The force with which the blood is pushing against the

artrial walls when the ventricles are contracting is
:called
a. pulse pressure
b. pressure gradient
c. systolic pressure
d. diastolic pressure
Ahmad ghannam
A patient with asthma is receiving intravenous .

aminophylline .the adverse reaction for which the
nurse should observe is :
a. oliguria
b. bradycardia
c. hypotension
d. hypertension
: Atropine is given pre-operative to .

a. relax the patient
b. decrease the secretion
c. prevent intra-operative bleeding
d. all of the above
:All of the followings are signs of HYPOXIA Except

a) Rapid pulse
b) Cyanosis
c) Rapid shallow respiration
d) Diarrhea
.
:Hypercabnia is
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a) Bluish discoloration of the skin nails beds and

.mucosal membrane
b) Inadequate alveolar ventilation can lead to
.hypoxia
.c) Accumulation of carbon dioxide in the blood
d) Slow respiration rate
.
Which position allow maximum chest expansion to
:the client
.a) Prone
.b) Semifolwer
.c) Supine
d) Lateral
.
Which one of the following its major function to
:supply energy
a) Protein
b) Carbohydrates
c) Fats
d) Minerals
What number 18 indicate, regarding body mass index
scale
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:)BMI(
a)Underweight
b) Morbidly obese
c) Malnourished
d) Normal
Which one of the following diets include only water,

,tea, coffee
:clear juice
a) Clear liquid diet
b) Soft diet
c) Full liquid diet
d) Diabetic diet
:Constipation is
.a) Fewer than 5 bowel movement per week
.b) Fewer than three bowel movement per week
c) Passage of liquid feces and increased frequency of
.defecation
d) air or gas in GI tract
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All of the followings are normal characteristics of

:feces Except
.a) Brown color
.b) Very hard and solid
.c) Amount: varies with diet
d) Odor: affected by digested food
:Oliguria is
a) Production of abnormally large amount of urine by
.kidneys
b) Lack of urine production, with no effective urine
.production
.c) voiding that either painful or difficult
d) Low urine output, usually less than 500 ml a day,
or 30 ml an hour
.
All of the followings are normal characteristics of
urine
:Except
a) Volume: 1200- 1500 ml per day
.b) Straw color
.c) Sterile, no microorganisms
d) Cloudy
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.
:The drug generic name is
.a) Is the name by which the chemist knows it
b) Is the name under which it’s listed in one in the
.official publication
.c) Is given for the drug to being official name
d) Is name given by the drug manufacture
.
:The preferred site for IM injection is
.a) Ventrogluteal site
.b) Vastus latralis
.c) Dorsogluteal site
d) Deltoid muscle
.
:The intentional wound is
.a) Occur during therapy
.b) Occur accidentally
.c) The mucous membrane or skin surface is broken
d) The tissue is traumatized without a break in the
.skin
:The abrasion is
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a) Open wound involving skin only

.b) It is due to surface scrape
.c) It is painful wound
d) All of the above
.
All of the followings are risk factors for nosocomial
infections EXCEPT:
.a) Poor hand washing
.b) Using sterile techniques
.c) Contamination of closed drainage system
d) Improper procedure technique (dressing,
suctioning, catherization
.)
:Medical asepsis includes
.a) Hand washing
b) Personal protective equipment (uniform, gown,
.)gloves, face mask
.c) Cleaning, Disinfecting, Sterilizing
d) All of the above
.
:Acute infection is
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.a) Infection may occur slowly and takes long time

b) is limited to the specific part of the body where
micro organisms
.remain
.c) Infection appears suddenly or in short time
d) When micro organisms spread and damage
different part of body
.
:Indirect transmission of infection includes
.a) Vehicle born transmission
.b) Vector borne transmission
.c) A only correct
d) A and B are correct
.
:Incubation period of infection is
a) Person is most infectious and non specific sign and
.symptom
.b) Organism growing and multiplying
.c) Recovery from infection
d) Presence of specific sign and symptom
.
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All of the following libratory data indicating infection

:EXCEPT
.a) Increased specific type of leukocyte
.b) Increased in body temp
.c) Decreased WBC
d) Positive culture in blood, urine or sputum
.
All of the followings are Signs of systematic infection )
:EXCEPT
.a) Fever
.b) Vomiting
.c) Fatigue and loss of energy
d) Enlargement and tenderness of lymph node
All of the followings are etiologies of self care deficit

:EXCEPT
.a) scar and abrasions
.b) Activity intolerance or weakness
.c) Mental impairment
d) Visual impairment
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:Skin turgor is
a) Decrease sensation in extremities due to nerves
.system disease
.b) Collection of fluids inside the tissue
c) Elasticity by lifting and pulling the skin on an
.extremity
d) Non of the above
.
Which of the following conditions indicate long term
lack of
:oxygen
.a) Koilonychias
b) Capillary refill
.c) Clubbing fingers
b) Non of the above
.
:Pressure ulcer risk factors include
.a) Immobility and inactivity
.b) Fecal and urinary incontinence
.c) Decreased mental status
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d) All of the above

.
:Complications of wound healing include
.a) Hematoma
.b) Nausea
.c) Hypertension
d) All of the above
.
The patient should be fasts (NPO) before the surgery
:for
.a) 24 hours
.b) 16 hours
.c) 6 to 8 hours
d) 12 hours
.
:Scrub nurse role includes
.a) Assist the surgeons
.b) Draping the client with sterile drapes
.c) Handling sterile equipments and supplies
d) All of the above
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Deep- Breathing and coughing exercises in

postoperation phase
:are important for
.)a) Prevent deep vain thrombosis (DVT
.)b) Atalectasis (collapse of alveoli
.c) Hemorrhage
d) Infection
.
:Which of the following vital signs are normal)
.a) Temp: 37, RR: 22, HR: 90, BP: 135/85
.b) Temp: 36.7, RR: 18, HR: 75, BP: 125/80
.c) Temp: 38, RR: 12, HR: 110, BP: 155/90
d) Temp: 37.2, RR: 16, HR: 50, BP: 115/65
:Nurse can provide care for

.a) Individual
.b) Families
.c) Communities
d) All of the above is correct
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:Nursing can be defined as

.a) Caring
.b) Science and art
.c) Holistic
:Example of health promotion

.a) Immunization
.)b) Direct care (give medication
.c) Stop cigarette smoking
:Immunization is an example of
.a) Health promotion
.b) Prevent illness
.c) Restoring health
d) Care of the dying
.
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:Health is defined as
a) State of complete physical, social, mental, and
spiritual wellbeing
.and not merely absence of disease
.b) Felling of wellbeing
.c) Absence of disease
d) State of complete physical and mental wellbeing
only
In which phase of nursing process the nurse collect

data about the
:client
.a) Diagnosis
.b) Assessment
.c) Implementation
d) Evaluation
.
:Chief complain includes
.a) Immunization and childhood illness
.b) Hoppies and sleep pattern
.c) Risk factor for certain diseases
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d) The answer given to question “what brought you to

the hospital
:The chief complain should be record using

.a) Nurse words
.b) Patient words
.c) Physician words
:Nursing diagnosis is
a) A statement that describes actual health problem
.only
b) A statement that describes potential health
.problem only
c) A statement that describes actual and potential
.health problems
d) Puts the nursing care plan into action
The nursing diagnosis include all the following

:except
.a) Problem
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.b) Time
.c) Sign
d) Etiology
.
:Hyperthermia is
a) Body temperature between 36.4 – 37.4
b) Body temperature between 39 – 41
.c) Body temperature below 36
d) Body temperature between 38 – 40
:All of the following are clinical sign of fever except

.a) Palled
.b) Shivering
.c) Decrease thirst
d) Increase heart rate
.
All of the following factors are increase respiratory
:rate except
.a) Decrease temp
.b) Stress
.c) Exercise
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d) Increase altitude
.
The most safe and non invasive site to measure the
:temperature
.a) Oral site
.b) Auxiliary site
.c) Rectal site
d) Tympanic site
.
:The difference between rectal and auxiliary temp is
a) 0.5 c
b) 0.8 c
c) 2 c
d) 1 c
: The tachycardia is
.a) Heart rate below 60
.b) Heart rate above 100
.c) Respiratory rate below 12
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d) Respiratory rate above 20
:Hyperventilation is)
.a) Slow breathing
.b) Shallow respiration
.c) Deep respiration
d) Fast respiratory rate
:Hemoptysis is)
.a) Cough with secretions
.b) Cough without secretions
.c) Difficult breathing
d) Blood in the sputum
the following are sign and symptoms of post

mature infant except:
A. Dry skin
B. Lanugo present
C. Meconium staining of amniotic fluid
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D. Hypoglycemia
exhalation means:
A. Stop breathing
B. Difficult breathing
C. Breathing out
D. Breathing in
one of typical symptoms of hyperthyroidism is:

A. Decreased appetite
B. Weight loss
C. Bradycardia
D. Weight gain
when does ovulation for a women occur?

A. Between 6-12 days of the menstrual cycle
B. Between 12-16 days of menstrual cycle
C. Between 20-26 days of menstrual cycle
D. Between 5-7 days of the menstrual cycle
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the following considered body gland except:

A. Thymus
B. Adrenal
C. Thyroid
D. Epidural
the term flush, often used to describe the

appearance of the skin, is usually associated with:
A. Oliguria
B. A low blood pressure
C. Inadequate circulation
D. An elevated temperature
the nursing intervention to relieve ‘’morning

sickness’’ in a pregnant woman is by giving:
A. Dry carbohydrate food like crackers
B. Low sodium diet
C. Intravenous infusion
D. Antacid
the best site for sensitivity test is:

A. Intramuscular
B. Subcutaneous
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C. Intradermal
D. Intravenous
according to Palestinian immunization program,

which of the following vaccine should be given to
anew porn:
A. BCG
B. OPV
C. DTP
D. MMR
acute dehydration among children if not treated

may cause:
A. Mental retardation
B. Acute renal failure
C. Anemia
D. Cerebral thrombi
one of the following is false about health

promotion activities, toddlers & preschooler:
A. The nurse should teach parents how to prevent
accidents
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B. The nurse should teach parents about need for

teaching
C. The nurse should teach parents about need for
nutrition
D. The nurse should teach parents about need for
religious education
the following symptoms are associated to mental

illness except:
A. Hallucination
B. Delusion
C. Illusion
D. Constipation
the most common vasodilator used to treat

anginas pain:
A. Paracetamol
B. Aminophylline
C. Nitroglycerine
D. Pethidine Hcl
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all of the following is considered as a clinical

manifestation of hypovolemic except:
A. Decrease skin turgor
B. Hypotension
C. Oliguria
D. Flushed face
dementia is characterized by impairment in the

following cognitive abilities except:
A. Memory
B. Thinking
C. Judgment
D. Walking
which of the following is the most critical

physiologic change required of newborns at birth:
A. Onset of breathing
B. Body temperature maintenance
C. Stabilization of fluid and electrolytes
D. Passing meconium
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chest tube is indicated in all of the following cases

except:
A. Pleural effusion
B. Hemothorax
C. Pneumothorax
D. Pulmonary edema
the most dangerous hernia that will need an

urgent operation
A. Reducible hernia
B. Inguinal hernia
C. Umbilical hernia
D. Strangulated hernia
one of the functions of the pancreases is to:

A. Produce insulin
B. To store white blood cells
C. To produce vitamin D
D. To produce bile
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which of the following is false about

documentation of the drug:
A. The nurse must document after giving the
medication
B. Patient reaction to drug is documented
C. Nurse’s note should be written by the nurses
who give drug
D. Drug are not documented
which of the following is considered disorder:

A. Septicemia
B. Deep vein thrombosis
C. Hemophilia
D. Cleft lip
the client states (I feel headache and nausea) this

is:
A. Subjective data
B. Objective data
C. Adjective data
D. It is not a data
normal term pregnancy lasts for:

A. 36 weeks
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B. 40 weeks
C. 42 weeks
D. 38 weeks
all the following are instruments that used in

physical assessment for measurement the blood
pressure except:
A. Appropriate stethoscope
B. Blood pressure cuff
C. Thermometer
D. Sphygmomanometer
all the following are modification necessary to

prevent bruising in the area of heparin injection
except:
A. Rotation of the site
B. Never aspirate the plunger once the needle in
place
C. Change the needle before injection
D. Massage the site of injection
for which of the following patients a special

caution needed when providing foot care:
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A. Bed rest patient

B. Diabetic mellitus patient
C. Confused patient
D. Renal failure patient
APGAR score for newborn includes assessment

for the following signs except:
A. Heart rate
B. Muscle tone
C. Temperature
D. Color
all the following pediatric diseases is classified as

a genetic (hereditary) disease except:
A. Spina bafida
B. Hemophilia
C. Thalassemia
D. Sickle cell anemia
] the nurse should include all of the following

while recording output for patient except:
a) i.v fluid
b) Urine
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c) Bleeding
d) Vomiting
which of the following sentences is correct about

administration intramuscular injection:
a) If blood appears while aspirate the needle should
be withdrawn
b) If blood appears inject the medication
c) Abdominal muscle is appropriate site for
injection
d) Recap the used needle
who has more severe symptoms at the onset of

schizophrenia:
a) Men
b) Women
c) Children
d) Elderly
a client has a bowel movement of hard, dark, but

formed stool, the nurse associates these
characteristics with:
a) Bowel incontinence
b) Constipation
c) Diarrhea
d) Vomiting
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Anapril drug is classified as:

a) Psychotic medication
b) Analgesic
c) Antiemetic
d) Antihypertensive
Suspensions are what kind’s form of drug:

a) Liquid form of drug
b) Solid form of drug
c) Tablet
d) Capsule
Paracentesis is best described as:

a) The removal of fluid from the lung
b) The removal of fluid or air from pleural cavity
c) The removal of body fluid from abdominal cavity
d) The removal of secretion from the stomach
D/C is an abbreviation that means:

a) Discontinue
b) Documentation
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c) Dizziness
d) Disableliy
to enhance milk production, a lactating mother

must do the following intervention except:
a) Increased fluid intake including milk
b) Eat foods that increases lactation
c) Heavy exercise
d) Have adequate nutrition and rest
all of the following are sign & symptoms of

congestive heart failure, except:
a) Edema
b) Pulmonary edema
c) Weakness and fatigue
d) Bleeding
Barium enema is a diagnostic test used with:

a) x-ray
b) ultrasound
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c) MRI
d) Peptic ulcer
which of the following test value looks abnormal

value:
a) Hb 10 mg/dl
b) Fasting blood sugar 100 mg/dl
c) Blood culture negative
d) Stool for occult blood negative
when the patient skin looks cyanosed, the nurse

assumes which of the following disease is the
reason:
a) Asthma
b) Intestinal obstruction
c) Diabetic
d) Polycythemia
Ahmad ghannam
arterial blood gas result with Ph=7.5 and

PCO2=33 mm Hg denotes:
a) Normal
b) Respiratory acidosis
c) Metabolic acidosis
d) Respiratory alkalosis
in SBAR clinical communication tool, (A) meaning

is:
a) Assessment
b) Advanced
c) Analysis
d) Airway
Ectopic pregnancy is:

a) Pregnancy in the fallopian tube
b) Pregnancy anywhere except the uterus
c) Illegal pregnancy
d) No fetal heart sound heard
All the following are risk factors in pregnancy

except:
a) Uterus small or large for date
b) Anemia
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c) A menorrhea
d) Polyhydramnios
the main goal of treatment for acute

glomerulonephritis is to:
a) Encourage activity
b) Encourage high protein intake
c) Maintain fluid balance
d) Teach intermittent urinary catheterization
Ahmad is admitted to the hospital due to

metabolic acidosis caused by diabetic
ketoacidosis (DKA).the following medication as
an initial treatment for this problem:
a) Regular insulin
b) Potassium
c) Sodium bicarbonate
d) Calcium gluconate
Heart rate is initiated by:

a) Purkinjee fiber
b) S.A node
c) A.V node
d) Bundle of His
Ahmad ghannam
pregnant woman who come to clinic , told the

nurse that she have 4 live baby , and she had one
abortion after 3 month of gestation the nurse
should write :
a) G5P4A1
b) G6P5A1
c) G4P1A1
d) G5P5A1
the client states'' my lips feel numb and I can't see

very well '' , and the nurse inform the DR about it ,
this is:
a) Subjective data from patient
b) Objective data from a patient
c) Subjective data from the nurse
d) Objective data from the nurse
the term paraplegia means:

a) Paralysis of left side of the body
b) Paralysis of all four extremities
c) Paralysis of right side of the body
d) Paralysis of lower extremities
initial sign and symptoms of diabetic

hyperglycemia include the following except:
a) Blurred vision
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b) Frequent urination
c) Thirst
d) Active and energic
dorsal decubitus position is same as:

a) Prone position
b) Supine position
c) Lateral position
d) Fowler position
Anhedonia is:
a) Decreased of feel pleasure
b) Lack of sleep
c) Lack of energy
d) Excess energy
a client complains of heaviness and swelling in

the extremity of the intravenous infusion, the
nurse would first:
e) Flush the line
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f) Document the feeling

g) Notify the physician
h) Discontinue the intravenous infusion
if adverse reaction for blood transfusion occur

after clamping the tube of blood , which of the
following you should do first:
a) Give medication for reaction
b) Start with normal saline
c) Transfer patient to ICU
d) Record the event on the chart
a nurse is caring for a patient who just has been

diagnosed with a peptic ulcer, when teaching the
patient about his new diagnosis, how nurse best
should describe a peptic ulcer:
a) Inflammation of the lining of the stomach
b) Erosion of the lining of the stomach or intestine
c) Bleeding from mucosa in the stomach
d) Viral invasion of the stomach wall
Ahmad ghannam
all the following are hematologic disease except:

a) Iron deficiency
b) Leukemia
c) Lymphoma
d) Pernicious anemia
doctor order to do continuous bladder irrigation

for patient the nurse will choose:
a) In and out catheter
b) Indwelling 2 ways catheter
c) Three ways Foley catheter
d) Condom
the nursing interventions for a patient with

pneumonia include all the following except:
a) Remove of secretion
b) Coughing exercise
c) Fluid restrictions
d) Chest physiotherapy
Ahmad ghannam
the process in which complete elimination and

destruction of all form of microbial life and spores
called:
a) Disinfection
b) Sterilization
c) Cleaning
d) Decontamination
local cold applications are used to:

a) Reduce pain, prevent swelling, and decrease
circulation
b) Prevent the spread of microorganisms
c) Dilate blood vessels
d) Increase circulation
you find a victim arrested in the street according

to car accident, you found a clear fluid dropping
from his ear and you must give him rescues
breathing, what you will do:
a) Head tilt, chin lift
b) Chest thrust
c) Jaw thrust
d) Put him in left side position
Ahmad ghannam
which of the following findings is associated with

right side heart failure:
a) Shortness of breath
b) Edema
c) Daytime oliguria
d) Crackles in the lung
the risk factor for disseminated intravascular

coagulation (DIC) includes all of the following
except:
a) Obstetric complication
b) Acute hemolysis
c) Trauma
d) Anemia
when doing an assessment on a client’s eyes the

first thing to do is :
a) Eyes internal structure
b) Color of the irises of the eye
c) The pupil’s reactivity to light
d) Eyes external structure
Ahmad ghannam
newborn baby weight at birth 4 kg at one year he

will reach:
a) 8 kg
b) 10 kg
c) 12 kg ( triple )
d) 16 kg
which of the condition is most likely related to the

development of renal calculi:
a) Gout
b) Pancreatitis
c) Fractured femur
d) Disc disease
blood transfusion adverse reaction is most likely

to occur in the first:
a) 5 minute of connecting the transfusion
b) 15 minute of connecting the transfusion
c) ½ hrs. of connection the transfusion
d) 30 minute of connection the transfusion
chlorpromazine (, Thorazine , largactil) is

classified as which of the following group:
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a) An antipsychotic
b) An antidepressant
c) A minor tranquilizer
d) A sedative
gloves are required as barriers in which of the

following situation:
a) When direct contact with the source of
microorganisms will occur
b) When the nurse is ill and don’t want to transmit
the microorganism
c) When microorganisms present on the hands
grown
d) When feeding the patient
which of the following blood study results would

the nurse expect as most likely when caring for
the child with iron deficiency anemia:
a) Increased hemoglobin
b) Normal hematocrit
c) Decreased mean corpuscular volume (MCV)
d) Normal total iron-binding capacity (TIBC)
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at what point during a hospital stay should

discharge plan:
a) After surgery and successful recovery
b) After the patient is less anxious
c) Immediately before discharge
d) On admission to the hospital
which of the following is the safest way to identify
the client before administration of medication:
a) Check the room number
b) Check the client’s identification band
c) State the client’s name out loud and wait a client
to repeat it
d) Ask the client to state his name
which of the following is a late sign of increased

intra cranial pressure is:
a) Nausea
b) Bradycardia
c) Bulging fontanel
d) Dilated scalp vein
Ahmad ghannam
progressive neurological disorder affecting brain

center that control and progressive dopamine
level is:
a) Myasthenia-gravis
b) Parkinson-disease
c) Multiple-sclerosis
d) Convulsions
a patient with COPD has carbon dioxide retention

and is ordered oxygenation therapy delivery
systems:
e) Face tent
f) Face mask
g) Nasal cannula
h) Non rebreathing mask
patient has suddenly cardiac arrest, what is the

critical time that the nurse must keep in mind
before irreversible occurs:
a) 1-3 minute
b) 2-4 minute
c) 4-6 minute
d) 8-10 minute
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a client has just returned to a nursing unit

following bronchoscopy, a nurse would
implement which of the following nursing
intervention for this client:
a) Encouraging additional fluids for the next 24
hours
b) Ensuring the return of the gag reflex before
offering food or fluid
c) Administering atropine intravenously
d) Encourage cough exercise
a nurse is assessing the blood pressure of a client

diagnosed with primary hypertension, the nurse
ensures accurate measurement avoiding which of
the following:
a) Seating the client with arm supported, and at
heart level
b) Using a cuff over bare skin not over clothing’s
c) Measuring the blood pressure after the client has
been seated quietly for 15 minute
d) Using too tight cuff
Ahmad ghannam
the two major neurotransmitters of the

autonomic nervous system are:
a) Acetylcholine and norepinephrine
b) Epinephrine
c) Dopamine and serotonin
d) GABA and glutamate
…..…. Is diagnosis a procedure for any abnormality

in the upper part of gastrointestinal tract?
a) Segmoidoscope
b) Gastroscope
c) Be-enema
d) Bronchoscope
all are primary prevention except:

a) Surgery
b) Good nutrition
c) Safe environment
d) Health life style habit
when examining a patient with abdominal pain

the nurse in charge should assess:
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a) Any quadrant first

b) The symptomatic quadrant first
c) The symptomatic quadrant last
d) The symptomatic quadrant either second or
third
the nurse is to remove an indwelling urinary

catheter from an adult client, which step does
first:
a) Cut the catheter with scissors
b) Withdraw the fluid from the balloon
c) Clamp the catheter
d) Remove the urine bag then the catheter
flail chest is usually characterized by the presence

of the following characteristics except:
a) Loss of stability of chest wall
b) Dyspnea and increased arterial oxygen tension
c) Paradoxical movement of involved chest wall
d) Associated with some degree of lung contusion
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life expectancy has been improved in Palestine in

the last years due to all the following except:
a) Decline infant mortality rate
b) Improve access to the health service
c) Increased primary health care centers
d) Increased of number of bed in hospitals
a scrub nurse is the operation room has which

responsibility:
a) Positioning the patient
b) Assisting with gowning and gloves
c) Handling surgical instrument to the surgeon
d) Applying surgical drapes
the common normal site of zygote implantation:

a) Upper uterine portion
b) Fallopian tube
c) Lower uterine segment
d) Lower cervical segment
which element in the circular chain of infection

can be eliminated by preserving skin integrity:
a) Host
b) Reservoir
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c) Mode of transmission
d) Portal of entry
a family is defined as:

a) At least one parents in a household with one or
more children
b) Two or more individuals who share bonds and
emotional closeness and who consider
themselves a family
c) Several individuals related by marriage or blood
or blood who make up a single household and
share financial resources
d) A husband and wife with at least one child
a female client has clear fluid leaking from the

nose following a basilar skull fracture, the nurse
assess that this is:
a) Plasma
b) Mucus
c) Serous fluid
d) Cerebrospinal fluid
rapid onset headache accompanied with neck

stiffness, photophobia & fever is:
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a) Tension headache
b) Meningitis headache
c) Hypertension headache
d) Brain tumor
the adolescent patient has symptoms of

meningitis: nuchal rigidity, fever, vomiting, and
lethargy, the nurse knows to prepare for the
following test:
1. Throat and ear culture
2. Lumber puncture
3. Blood culture
4. Cat scan
which of the following technique involves sense

of hearing:
1. Inspection
2. Olfaction
3. Palpation
4. Auscultation
Ahmad ghannam
which is an example of the school nurse’s health

care provider function:
1. Requesting for BCG from the RHU for school
entrant immunization
2. Conducting random classroom inspection during
a measles epidemic
3. Taking remedial action on an accident hazard in
the school playground
4. Observing places in the school where pupils
spend their free time
which would be the position of choice for client

with a pleural effusion scheduled for paracentesis
?
1. Side lying with affected side down
2. Side lying with affected side up
3. High-fowler’s position
4. Low fowler’s position
Ahmad ghannam
nonverbal communication includes all of the

following except:
1. Facial expression
2. Grooming and crying
3. Posture and mode of dress
4. Speaking in low voice
all the following are factors that predispose

newborn to development of jaundice except:
1. Polycythemia
2. Poor feeding
3. Short lifespan of red blood cells
4. Immature spleen
hypopituitarism in children cause:

1. Creationism
2. Rickets
3. Acromegaly
4. Dwarfism
regular oral hygiene is essential intervention for

the client who has had a stroke, which of the
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following nursing measurement is inappropriate

when providing oral hygiene:
a) Cleaning the client’s mouth and teeth with a
toothbrush
b) Keeping portable suctioning equipment at the
bedside
c) Opening the client’s mouth with a padded tongue
blade
d) Placing the client on the back with a small pillow
under the head
the Heimlich maneuver (abdominal thrust), for

acute airway obstruction, attempts to:
a) Increase systemic circulation
b) Put pressure on the apex of the heart
c) Force air out of the lungs
d) Induce emptying of the stomach
minor disorder of pregnancy includes all of the

following except:
a) Morning sickness
b) Heart burn
c) Constipation
d) Amenorrhea
Ahmad ghannam
the nurse should teach a client that the best time

to perform breast self-examination each month is:
a) First day of menstruation
b) In the middle of cycle
c) 1-2 days after menstruation
d) 7-8 day after menstruation
after adding solution to a powdered medication in

a vial and roll it the next step should be:
a) Give medication
b) Invert the vial and let stand for 2 to 3 minute
c) Inject the measured air into the space above the
solution
d) Remove the medication
Huda age 15 has urinary tract infection UTI; she is

placed on antibiotic q.i.d, to prevent recurrence of
all of the following except:
a) Drink 3 liters of fluid daily
b) Discontinue the antibiotic once symptoms are no
longer present
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c) Wipe perineum from front to back after toileting

d) Return to doctor’s office for repeat urine cultures
after completion of drug therapy
hallucination and grandeur or persecutory

delusion is symptoms of:
a) Paranoid schizophrenia
b) Catatonic schizophrenia
c) Disorganized schizophrenia
d) Residual type
which of the following is an example of

appropriate behavior when conducting a client
interview:
a) Recording all the information on the agency-
approved from during the interview
b) Asking the client’ ‘’why did you think it was
necessary to seek health care at this time”
c) Using precise medical terminology when asking
the client question
d) Sitting, facing the client in a chair at the client
bedside, using active listening
Ahmad ghannam
the most important long-term goal for a client

with hypertension would be to:
a) Control high blood pressure
b) Learn how to avoid stress
c) Make a commitment to long term therapy
d) Explore a job change or early retirement
all the following ate type of anxiety disorder

except:
a) Mania
b) Obsessive compulsive disorder
c) Panic attack
d) Phobia
when preparing a client for liver biopsy, the nurse

explains that during the test the client will be
placed in what position:
a) In the supine position, with the right arm raised
behind the head
b) On the right side, with the left arm stretched up
and over the head
c) On the left side, with the right arm extend out in
front across the bed
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d) In the prone position, with both elbow flexed and

the hands resting on the pillow
sign and symptoms of diabetes include all of the

following except:
a) Excessive thirst
b) Extreme hunger
c) Frequent urination
d) Weight gain
Q116) the nurse is assessing a client’s abdomen,

which position the nurse put the patient:
a) Supine
b) Prone
c) Lateral
d) Semi fowler
a client is scheduled for a bronchoscopy, when

teaching the client what is expect afterward, the
nurse’s highest priority of what information
would be:
a) Food and fluid will be withheld for at least 2
hours
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b) Warm saline gargles will be done q2h

c) Coughing and deep-breathing exercises will be
done q2h
d) Only ice chips and cold liquid will be allowed
initially
women usually lose blood during vaginal birth,

the normal amount of blood loss after giving birth
is:
a) 1000 ml
b) 500 ml
c) 200 ml
d) 1500 ml
a nursing diagnosis for bulimia nervosa is

powerlessness related to feeling not in control of
eating habits, the goal for this problem is:
a) Patient will learn problem solving skills
b) Patient will have decreased symptoms of anxiety
c) Patient will perform self-care activities daily
d) Patient will verbalize how to set limits on others
Ahmad ghannam
dysphagia is a sign usually associated with:

a) Cancer of esophagus
b) Cancer of stomach
c) Inguinal hernia
d) Cancer of colon
newborn baby weight at birth 4 kg at one year he

will reach:
a) 8 kg
b) 10 kg
c) 12 kg
d) 16 kg
the use of evidence-based practice to guide the

formation of nursing intervention based on
research and clinical expertise is considered as a
part of which component of the nursing process:
a) Evaluation
b) Planning
c) Assessment
d) Nursing diagnosis
all are primary prevention except:

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a) Surgery
b) Good nutrition
c) Safe environment
which is an example of the school nurse's health

care provider function:
a) Requesting for BCG vaccines from central store
b) Describing the needed medication for students
c) Conducting random classroom inspection during
measles epidemic
d) Attending the lessons with the students to give
feedback to the teacher about students
gastric lavage is performed for:

a) Feeding a patient through nasogastric tube
b) Administer drug through nasogastric tube
c) Removing ingested poison from the stomach
d) To prevent vomiting
patient admitted to ER as a case of 3rd degree burn

with blood pressure 60/40, oliguria. Mood test
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shows elevation of the creatinine level, the best

diagnosis of this case is:
a) Hypovolemic shock
b) Cystitis
c) Chronic renal failure
d) Acute renal failure
a health care provider has prescribed oxygen as

needed for an infant with heart failure. In which
situation should the nurse administer the oxygen
to the infant?
a) During sleep
b) When changing the infant's diapers
c) When the mother is holding the infant
d) When drawing blood for electrolyte level testing
using seatbelt while driving is considered at what

level of prevention:
a) Primary
b) Secondary
c) Intermediate
d) Tertiary
Ahmad ghannam
female patient with history of DM complaining of

burning sensation when voiding and fever, the
best diagnosis of this patient is:
a) Urethritis
b) Pyelonephritis
c) Glomerulonephritis
d) Cystitis
a client believes she is hearing her baby crying

when the baby is not crying, this is example of:
a) An error in judgment
b) A persecutory delusion
c) A hallucination
d) An illusion
a patient arrives in the emergency department

with symptoms of myocardial infraction,
progressing to cardiogenic shock, which of the
following symptoms should the nurse expect the
patient to exhibit with cardiogenic shock:
a) Hypertension
b) Bradycardia
c) Bounding pulse
d) Confusion
Ahmad ghannam
puerperium period means:

a) Period before maternal delivery
b) Period of third of pregnancy
c) Period after maternal delivery
d) Menstruation period
emergency treatment for a client with impending

anaphylaxis secondary to hypersensitivity to a
drug should include what of the following action
first:
a) Inserting and I.V catheter
b) Administrating oxygen
c) Obtaining a complete blood count (CBC)
d) Taking vital sign
a patient is suspected of having early Parkinson's

disease because he is developing the following
symptoms except:
a) Weakness and tremors
b) Hyperactivity
c) Slowing of normal body movement
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d) Depression
to prevent shampoo from getting into your

resident eyes, you should:
e) Put adhesive tape on the eyes
f) Use dry shampoo
g) Rinse the hair thoroughly
h) Use a washcloth to cover the eyes
when nurse attempt to suction the patient she

should:
a) Never apply suction as the catheter is introduce
b) Suction for 20 second
c) Use clean technique
d) Turn suction to a high pressure
the nurse should encourage the mother for breast

feeding especially in the first day because:
a) Baby will be more clever
b) The baby will sleep well
c) The mother will save money from not buying
formula milk
Ahmad ghannam
d) The first breast milk secretion contains

antibodies which provide benefit to the baby
the care of neonate at the nursery or post-partum

ward includes all of the following except:
a) Weight the neonate
b) Measure height, head and chest circumference
c) Place the neonate beside his mother in her bed
d) Assess vital sign for neonate
the most painful degree of burn is:
a) All degree of burn are painful
b) The third degree
c) The first and second
d) The fourth degree
according to Palestinian immunization program

IPV vaccine is given to the infant in:
a) 1st & 2nd month post birth
b) 2nd & 3rd month
c) One year
d) 5th & 6th month
Ahmad ghannam
all the following are common sign and symptoms

of phlebitis except:
a) Edema and warmth at the IV insertion site
b) Pain or discomfort at the IV insertion site
c) Frank bleeding at the insertion site
d) A red streak exiting the IV insertion site
the indication of vaginal examination in

pregnancy are all of the following except:
a) Detection of cervical dilation for preterm labor
b) Taking cervical cytology smear
c) Investigation of vaginal discharge
d) To assess fetus heart
in cord prolapse, the cord indicates that the fetus

is alive if:
a) The cord is shiny
b) The cord is pulsating
c) The cord is not pulsating
d) The cord is warm
Ahmad ghannam
during the fourth stage of labor, the primary

reason that the nurse encourages the mother to
hold her baby is to:
a) Prolong the first period of newborn reactivity
b) Promote mother-infant bonding
c) Distract the mother from her pain
d) Calm the newborn infant
the word paraplegia mean:

a) Paralysis lower extremities
b) Paralysis of left side of the body
c) Paralysis of right side of the body
d) Paralysis of all four extremities
a patient has just had surgery and is being

transported to the post anesthesia care unit, who
will accompany the nurse when transporting the
patient:
a) The surgeon
b) The nurse anesthetist
c) The scrub nurse
d) The circulating nurse
Ahmad ghannam
common nursing intervention that are carried out

during the implementing phase are the following
except:
a) Teaching and educating patient
b) Head to toe assessment
c) Pain management
d) Preventing complication
when nurse attempt to administer a cleansing

enema she should do the following except:
a) Slowly and gently insert the rectal tube
b) Insert the rectal tube 15-20 cm
c) Lubricate the end of the rectal tube
d) Introduce the solution slowly over a period of 5-
10 minute
which action occur primarily during the

evaluation phase of the nursing process:
a) Data collection
b) Decision-making and judgment
c) Priority-setting and expected outcomes
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d) Reassessment and audit
the white layer of the eye that covers most of the

outside of the eyeball is:
a) Pupil
b) Conjunctiva
c) Cornea
d) Sclera
in Maslow's hierarchy of needs, the human need

of least priority is:
a) Elimination
b) Nutrition
c) Love
d) Oxygen
the process that eliminates many or all

pathogenic microorganisms, except bacterial
spores, on inanimate objects is called:
a) Cleaning
b) Disinfection
c) Sterilization
d) Decontamination
Ahmad ghannam
a client has been diagnosed with hypertension;

the nurse priority nursing diagnosis would be:
a) Ineffective health maintenance
b) Impaired skin integrity
c) Deficient fluid volume
d) Pain
the following are lipid abnormalities, which of the

following is a risk factor for the development of
atherosclerosis:
a) High level of low density lipid (LDL) cholesterol
b) High level of high density lipid (HDL) cholesterol
c) Low concentration triglycerides
d) Low level of LDL cholesterol
during the first 4 hours after a male circumcision,

assessing for which of the following is the
priority:
a) Infection
b) Hemorrhage
c) Discomfort
d) Dehydration
Ahmad ghannam
dorsal decubitus position is same as:

a) Supine position
b) Fowler position
c) Lateral position
d) Prone position
the posterior fontanel usually closes at:

a) 6 month of age
b) 3 month of age
c) 12 months of age
d) 18 months of age
which of the following intervention will help

lessen the effect of GERD (acid reflux):
a) Elevate the head of the bed
b) Lie down after eating
c) Wear a girdle
d) Increase fluid intake just before bedtime
sign and symptoms of overdose of insulin

(diabetic coma) include the following except:
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a) Deep breathing
b) Flushed face
c) Confusion
d) Polyuria
Mr. Ahmad is nervous about a gastroscopy

scheduled for tomorrow, the nurse describes the
test by explaining that it allows:
a) Visual examination of the large intestine
b) Fluoroscopic examination of the small intestine
c) Radiographic examination of the esophagus and
stomach
d) Visual examination of the esophagus and
stomach
when discussing a scheduled liver biopsy with a

client the nurse should explain that for several
hours after the biopsy the client will have to
remain:
a) The right side lying position with pillows placed
under the costal margin
b) Any comfortable recumbent position as long as
the client remains immobile
Ahmad ghannam
c) The left side lying position with the head of the

bed elevated
d) A high fowlers position with both arms
supported on pillows
nursing intervention for patient with colostomy

include the following except:
a) Inspect stoma and peristome skin area with each
pouch change
b) Support surrounding skin when gently removing
appliance
c) Clean with alcohol and pat dry
d) Measure stoma periodically
a 35 years old male has intense fear of height and

flying, the client is suffering from:
a) Hydrophobia
b) Social phobia
c) Claustrophobia
d) Acrophobia
the major adverse effect antipsychotic medication

is:
Ahmad ghannam
a) Weight loss
b) Vomiting
c) Hypoglycemia
d) Seizure
on auscultation, which finding suggest a right

pneumothorax:
a) Absence of breaths sound in the right thorax
b) Bilateral pleural friction rub
c) Bilateral inspiratory and expiratory crackles
d) Inspiratory wheezes in the right thorax
what is the best reason for the nurse in

instructing the client to rotate injection sites for
insulin:
a) Lipodystrophy (fibro fatty masses) can result
and is extremely painful
b) Lipodystrophy (fibro fatty masses) areas can
result, causing the insulin to be poorly absorbed
and lead to erratic reactions
c) Poor rotation technique can cause superficial
hemorrhaging
d) Injection sites can never be reused
Ahmad ghannam
which of the following doesn't occur when the

parasympathetic system is stimulated:
a) Heart rate decreases
b) Bronchi constrict
c) Pupils dilate
d) Gastrointestinal peristalsis increases
a client's ABGs results are as follow: Ph:7.56;

paco2: 31 mm HG ; Hco3: 22 meq/L ; sao2: 81% ,
this ABGs result:
a) Metabolic acidosis
b) Metabolic alkalosis
c) Respiratory acidosis
d) Respiratory alkalosis
the average life span for platelet is:

a) 10 days
b) 7 days
c) 6 days
d) 12 days
Ahmad ghannam
the word hemiplegia means:

a) Paralysis of one side of the body
b) Paralysis of all four extremities
c) Paralysis of upper extremities
d) Paralysis of lower extremities
all the following are characterized of mentally

health present except:
a) Optimistic
b) Accept self and others
c) Unable to cope
d) Recognize limitation
a child with celiac disease should avoid which

kind of food:
a) Chicken
b) Wheat
c) Milk
d) Rice
cimetidine (ratadine) achieves is effect by:

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a) Neutralization gastric acid

b) Coating the lining of the stomach
c) Blocking the histamine receptor
d) Stimulating the secretion of gastrin
bronchiolitis is a viral disease mostly

affects…………age children:
a) Six month and less
b) One years and more
c) Two years
d) Adolescent
the respiratory disease which is not caused by

microorganism infection is:
a) Tonsillitis
b) Laryngitis
c) Cystic fibrosis
d) Croup
the respiratory disease which characterized by

drooling and endangering life is:
a) Asthma
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b) Pneumonia
c) Respiratory distress syndrome
d) Epiglottis
hyperbilirubinemia in newborn usually occurs

due to:
a) Immature liver function
b) Rh incompatibility
c) ABO incompatibility
d) Hepatitis disease
you found the cardiac monitor show straight line

in a sleeping patient in CCU what you will do:
a) Call for CPR
b) Give cardiac massage
c) Check cardiac monitor leads
d) Give cardiac shock
the yellow hard containers in the hospital used to

waste which of the following:
a) Used gauze, cotton
b) Sharp waste
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c) Used papers and fluid

d) All of them
the most serious problems that wrinkles in the

bedclothes can cause:
a) Restlessness
b) Sleeplessness
c) Decubitus ulcer
d) Bleeding and shock
a client has 15% blood loss, which of the following

nursing assessment finding indicate hypovolemic
shock:
a) Systolic blood pressure less than 90 mm hg
b) Pupils unequally dilated
c) Respiratory rate of 4 breath/min
d) Pulse rate less than 60 bpm
a client is suspected of developing diabetes

insipidus. Which of the following is the most
effective in assessing the client:
a) Taking vital sign every 4 hours
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b) Monitoring blood glucose

c) Assessing ABGs values every other day
d) Measuring urine output hourly
the most common normal presenting part of the

fetus in utero is:
a) Breach
b) Vertex
c) Minto
d) Face
before administration patients intravenous fluid,

which is not appropriate measure the nurse for
patient:
a) Administering 2ml of air is better for checkup
b) Palpating the site of cannula for swelling or pain
c) Lowering the infusion bag below the patient level
d) Administering 2ml sodium chloride IV push
which of the following is the meaning of PRN:

a) Immediately
b) When necessary
c) Now
d) When advice
Ahmad ghannam
The best initial management of burns that can be

employed at the site is generally which of the
following the nurse will do:
a) Pour tap water over the burned areas
b) Apply clean dressing to the affected area
c) Rinse the area with mild soap and water
d) Apply ice for 10 minutes and then ointment over
the area
following a successful coronary artery bypass

graft, a 71 year old male patient has been care
unit (PACU), what is the priority for the patient's
nursing care during this stage of his recovery:
a) Protecting and maintaining airway
b) Positioning the patient to prevent skin
breakdown
c) Treating the patient's pain
d) Preventing incisional infection and monitoring
for sign and symptoms of infection
Ahmad ghannam
a mother of term neonate asks what the thick,

white, cheesy coating is on his skin, which
correctly describes this finding:
a) Lanugo
b) Milia
c) Nevus flammeus
d) Vernix
a client expresses that he is seeing someone out

killing a child while this is not real, this example
is:
a) A hallucination
b) An error in judgment
c) A delusion of persecution
d) An illusion
when the patient mood is elevated and have in

tense energy, laughs extremely . His diagnosis as:
a) Mania
b) Obsessive-compulsive
c) Anxiety
d) Depressive
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a male client who has suffered a cerebrovascular

accident (CVA) is too weak to move on his own, to
help client avoid pressure ulcers, the nurse
should:
a) Turn him frequently
b) Perform passive range of motion (ROM) exercise
c) Reduce the client fluid intake
d) Encourage the client to use a footboard
a fracture that produce several bone fragment is

called:
a) Closed fracture
b) Comminuted fracture
c) Complete fracture
d) Closed fracture
the two blood vessels most commonly used for

TPN infusion are the:
a) Subclavian and jugular veins
b) Brachial and subclavian veins
c) Femoral and subclavian veins
d) Brachial and femoral veins
Ahmad ghannam
Ali told his nurse that someone is monitoring and

recording his every movement and that
microphone have been planted in the unit wall,
which action would be the most therapeutic
response:
a) Confront the delusional material directly by
telling Ali that this simply is no so
b) Tell Ali that this must seem frightening to him
but that you believe he is safe here
c) Tell Ali to wait and talk about these beliefs in his
one on one counseling session
d) Isolate Ali when he begins to talk about these
beliefs
which area of the alimentary canal is the most

common location for Crohn's disease:
a) Ascending colon
b) Descending colon
c) Sigmoid colon
d) Terminal colon
the placenta produces all the following hormones,

except:
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a) Prolactin
b) Progesterone
c) Human placental lactogenic
d) Human chorionic gonadotropin
a new mother asks the nurse when the baby's

umbilical cord will fall, the nurse replies that it
usually detach:
a) After one month
b) After 3 month
c) 7-10 days
d) 1st day post delivery
the following are considered as changing in

behavior feeling for depressive patient except:
a) Enjoy anything
b) Neglect of responsible and appearance
c) General slowing down
d) Suicidal thought
Ahmad ghannam
treatment of hyperbilirubinemia for new born

include exposure of new born to:
a) Hot water
b) Cold water
c) Phototherapy
d) Sun light
all the following are normal sign and symptoms

during pregnancy except:
a) Amniotic fluid around the baby
b) Enlarged breast
c) Protein in urine
d) Enlarged uterus
all the following are considered when selecting

Foleys catheter except:
a) Family history
b) Patient age
c) Patient weight
d) Reason for use
Ahmad ghannam
the nurse has completed foot care for a client as

part of routine morning care, what should the
nurse document about the procedure:
a) The amount of time taken on foot care
b) The client comments about foot care
c) The condition of skin & nails
d) Nothing unless a problem is noted
all the following are normally present in urine

result except:
a) Creatinine
b) Protein
c) Urea
d) Sodium
Which of the following is characteristic of mental

ill person:
a) Responsible
b) Self-awareness
c) Unable to cope with tension
d) Self-directive
Ahmad ghannam
surgical removal of gallbladder is called:

a) Cystolithotomy
b) Cholecystolithiasis
c) Nephrectomy
d) Cholecystectomy
At labor room, a nurse assessed the condition of the

patient and gathered the following data. Cervical
dilatation 2-5minutes lasting 40-60seconds
increasing bloody show leg discomfort with
heaviness what is thesignificance of the data?
D. Patient on the first stage of labor
E. Patient on the third stage of labor
F. Patient on the second stage of labor
Patient is experiencing a prolonged labor
Epidural anesthesia site?

A. L3 - L4
B. L1 - L2
C. T3 - T4
C1 - C2
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‫‪Ahmad ghannam‬‬

‫اسئلة مزاولة بكالوريس ‪2023‬‬

‫اعداد وتدقيق أحمد غنام‬

Circle the most correct answer -I

This is characterized by severe symptoms relatively

Lochia red sometimes happens during postpartum to bleed

The apical pulse can be best auscultated at the:

Which goal is priority after surgical repair of cleft lip?

A full term newborn is admitted to NICU with a .

physician orders an intravenous fluid of D5NS at 100cc/hr.

to prevent shampoo from getting into your resident

Second day post delivery which blood color will be the

the yellow hard containers in the hospital used to waste

a) Used gauze, cotton

Which of the following is the appropriate route of

Which of the following technique involves the sense of sight?

the nurse observes that Mr. Adams begins to have increased

high Fowler position, which decreases his respiratory distress.

A multipara mother complained of small vulva with swelling

A. Apply ice pack

B. Maintain bed rest

D. Encourage fluid intake

the physician orders a platelet count to be performed on Mrs.

a. Instructing the patient about this diagnostic test

b. Writing the order for this test

c. Giving the patient breakfast

d. All of the above

All the following interventions may be performed by you

A client is hospitalized for the first time, which of the

Fallot tetraology includes which of the following defects

The nursing care for cardiac disease child should include

Hyperbilirubinemia in newborn usually occurs due to

What is the proper procedure of doing breast self-examination?

A. Use the palm of the hand to feel the lumps

B. Apply three different levels of pressure to feel breast tissues

C. Stand when performing a breast self exam

D. Perform self exam annually

The most dangerous complication of hyperbilirubinemia

A woman patient is admitted for abdominal pain. She

A nurse is caring for child who is post tonsillectomy

All the following nursing measures may be done for

Which of the following interventions may be done for iron

Thalassemic child care may include all of the following

Mr. (A) admitted to CCU with the congestive heart

The nurse is caring for child admitted with viral

D. Currant jelly like stool

All the following nursing measures are suitable for child

d. Recording the events of convulsion

As a nurse you should position the new born with

Management of bacterial meningitis may include all the

A patient about to undergo abdominal inspection is best

When a child is brought to the emergency department

Ineffective airway clearance .a

Fluid volume deficit .c

Impaired verbal communication

Which of the following CSF results not match the bacterial

Pregnant woman in the 3 months have a thrombus in

When the post-operative patient returns to the surgical

In child with acute glumerulonephritis and impaired renal

Screening should be done for newborns in Gaza to early