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1 2 3 4 5 6 7 8

9 10 Prepared
11 12 13 By
14 15 16

17 18 19 20 21 22 23 24
Nader AL-smadi
25 26 27 28 29 30 31 32
nadersmadi@hotmail.com
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Page  1 nadersmadi@hotmail.com
When explaining to a client about the iron supplement,
you should instruct the client to take the iron with
which of the following to promote maximum absorption

X Tea
Orange ‫ لن وجود فيتامين‬c ‫يساعد على امتصاص كمية‬
√ ‫ والبرتقال يعتبر عنصر غني‬,‫اكبر من الحديد‬
Milk ‫بهذا الفيتامين‬.
X
Chocolate
X

EXAM
Page  2
QUESTION -1-
Which of the following drugs would the nurse expect to
administer to the client receiving intravenous magnesium
sulfate if the client develops magnesium toxicity?

X Diazepam (valium)
Calcium gluconate

Vitamin K
X
Protamine sulfate
X

EXAM
Page  3
QUESTION -2-
Which of the following instructions would the nurse
include when teaching the who is to receive digoxin?

X To take digoxin with a full glass of water

X To take digoxin with meal


To take digoxin after meal
X
To take digoxin 1 hour before eating

EXAM
Page  4
QUESTION -3-
The physician orders digoxin (Lanoxin) 0.15 mg PO daily for a
child. The pharmacy supplies the digoxin in liquid form at a
concentration of 0.05 mg/ml. How much of the medication
should the nurse administer at each dose

X 0.2 ml

X 0.5 ml
3 ml

5 ml
X

EXAM
Page  5
QUESTION -4-
A client has been hospitalized after an automobile
accident. A full leg cast was applied in the emergency
room. The most important reason for the nurse to elevate
the casted leg is to :
√ Improve venous return
Reduce the drying time
X
Decrease irritation to the skin
X
Promote the client's comfort
X

EXAM
Page  6
QUESTION -5-
When caring for a client receiving warfarin
(Coumadin), which lab test would the nurse monitor
to determine therapeutic response to the drug?

X Bleeding time
Prothrombin time (PT)

Partial thromboplastin time (PTT)
X
Coagulation time
X

EXAM
Page  7
QUESTION -6-
The nurse is teaching a client how to collect a clean
catch urine specimen. What is the appropriate
sequence to teach the client?

X Void a little, clean the meatus, then collect specimen

X Clean the meatus, then urinate into container


Void continuously and catch some of the urine
X
Clean the meatus, begin voiding, then catch urine stream

EXAM
Page  8
QUESTION -7-
A client is admitted to the emergency room following
an acute asthma attack. Which of the following
assessments would be expected by the nurse?

X Productive cough

X Fever and Chills


Expiratory wheezing

Nausea and vomiting
X

EXAM
Page  9
QUESTION -8-
A child is brought to the emergency room because
he was injured on the school playground and
appears to have a fractured leg. The first action of
the nurse:
√ Assess the child and the extent of the injury
Apply cold compresses to the injured area
X
Immobilize the limb and joints above and below the injury
X
Apply cast to the leg
X

EXAM
Page  10
QUESTION -9-
A 14 month-old child ingested half a bottle of aspirin
tablets. Which of the following would the nurse
expect to see in the child?

X Edema
Epistaxis

Dyspnea
X
Hypothermia
X

EXAM
Page  11 ‫ترجمة‬ QUESTION -10-
A client has been admitted to the coronary care unit
with a myocardial infarction. Which nursing diagnosis
should have priority?

X Risk for constipation

X Risk for dysarrhythmia


Anxiety related to pain
X
Pain related to ischemia

EXAM
Page  12 ‫ترجمة‬ QUESTION -11-
A nurse is stuck in the hand by an exposed used
needle. What immediate action should the nurse
take?

X See the policy of needle stick

X Contact employee services


Immediately wash the hands vigorously

Inform the supervisor
X

EXAM
Page  13 ‫ترجمة‬ QUESTION -12-
The nurse is having difficulty reading the physician’s
written order that was left just before the shift
change. What action should be taken?

√ Call the physician for clarification


Leave the order to the second shift
X
Ask the pharmacy for assistance
X
Ask the charge nurse for assistance
X

EXAM
Page  14 ‫ترجمة‬ QUESTION -13-
An adult client is found to be unresponsive . After
checking for responsiveness and calling for help, the
next action that should be taken by the nurse is to:

X Give 2 rescue breaths


Open the airway

Check the carotid pulse
X
Give oxygen
X

EXAM
Page  15 ‫ترجمة‬ QUESTION -14-
A client has an order for 1000 ml of D5W over an 8 hour
period. The nurse discovers that 800 ml has been
infused after 4 hours. What is the priority nursing action?

X Tell the client to void

X Ask the client about any problems


Take vital signs
X
Auscultate the lungs

EXAM
Page  16 ‫ترجمة‬ QUESTION -15-
A client is admitted with a diagnosis of hepatitis B. In
reviewing the initial laboratory results, the nurse would
expect to find elevation in which of the following values?

X Acid phosphatase

X Blood urea nitrogen


Bilirubin

Hemoglobin
X

EXAM
Page  17 ‫ترجمة‬ QUESTION -16-
A 14 month-old had cleft palate surgical repair several
days ago. After discharge, Which lunch is the best
example of an appropriate meal?

√ Soup, ice cream, milk ‫الطفل الذي تجرى له عملية اصلح الشق في‬
Hot dog and milk ‫الحنك يحتاج الى غذاء لين وسهل البلع ول يحتوي‬
X ‫على قطع صلبة لنها تؤدي الى اصابة الجلد في‬
Sandwich, chips, and milk ‫ لذلك يجب تجنب هذه المواد مثل‬, ‫مكان العملية‬
X ‫الدجاج والمكسرات والبقوليات والخبز واللحوم‬
Chicken and milk ‫ وغيرها‬,‫والشيبس‬
X

EXAM
Page  18 ‫ترجمة‬ QUESTION -17-
The nurse is assessing a 12 year-old who has
hemophilia A. Which finding would the nurse
anticipate?

X An excess of red blood cells ‫ هيموفيليا‬A = ‫نقص في العامل الثامن‬


‫ هيموفيليا‬B = ‫نقص في العامل التاسع‬
A deficiency of clotting factor VIII

An excess of white blood cells
X
A deficiency of clotting factor VIII and IX
X

EXAM
Page  19 ‫ترجمة‬ QUESTION -18-
The nurse is assessing a client with a deep vein
thrombosis (DVT). Which of the following signs
and/or symptoms would the nurse anticipate finding?

X Increase in white blood cells

X Rapid respiration
Diaphoresis
X
Swelling of lower extremity

EXAM
Page  20 ‫ترجمة‬ QUESTION -19-
The nurse is performing a physical assessment on a
client with insulin dependent diabetes mellitus. Which
client finding calls for immediate nursing action?

X Reduced lower leg sensation

X Thirst ‫لن التعرق من العلمات الساسية لهبوط‬


‫السكر في الدم مما يستدعي اهتمام وتصرف‬
Diaphoresis ‫سريع من قبل الممرض‬.

Hunger
X

EXAM
Page  21 ‫ترجمة‬ QUESTION -20-
The nurse is planning care for a client with increased
intracranial pressure. The best position for this client
is :

√ Semi-fowlers position
Trendelenburg position
X
Prone position
X
Side-lying position
X

EXAM
Page  22 ‫ترجمة‬ QUESTION -21-
A young child is admitted for treatment of lead
poisoning. The nurse recognizes that the most
serious effect of chronic lead poisoning is :

X Renal damage
Central nervous system damage

Anemia
X
Growth impairment
X

EXAM
Page  23 ‫ترجمة‬ QUESTION -22-
A 74 year-old male is admitted due to inability to void. He
has not voided in 14 hours. When assessing for bladder
distention, the best method for the nurse to use is to
assess for :
X Urinary discharge

X Left lower quadrant distention


Lower abdominal pain
X
Rounded swelling above the pubis

EXAM
Page  24 ‫ترجمة‬ QUESTION -23-
What is the most common sign of digoxin toxicity in
children :

X Lethargy

X Vomiting
Bradycardia

Bradypnea
X

EXAM
Page  25 ‫ترجمة‬ QUESTION -24-
Which of the followings is the correct pathway of
blood flow through the heart?

√ Right atrium, right ventricle, left atrium, left ventricle


Left ventricle, right ventricle, left atrium, right atrium
X
Right atrium, left atrium, right ventricle, left ventricle
X
Right ventricle, left ventricle, right atrium, left atrium
X

EXAM
Page  26 ‫ترجمة‬ QUESTION -25-
The nurse is caring for a client with status
epilepticus. The most important nursing
assessment(s) of this client is/are :

X Intravenous fluids rate


Level of consciousness

Pulse and respiration
X
Injuries to the extremities
X

EXAM
Page  27 ‫ترجمة‬ QUESTION -26-
‫‪A client is admitted for COPD. Which findings would‬‬
‫?‪require the nurse's immediate attention‬‬

‫‪X‬‬ ‫‪Nausea and vomiting‬‬ ‫التوتر وعدم الرتياح والزرقاق تعتبر من‬
‫علمات القصور التنفسي ‪ ,‬لذا يجب فحص‬
‫‪X‬‬ ‫‪Low-grade fever‬‬ ‫‪.‬في هذه الحالة )‪ (ABG‬غازات الدم الشرياني‬
‫‪Cough and sputum‬‬
‫‪X‬‬
‫‪Restlessness and confusion‬‬
‫√‬
‫أدخل مريض الى المستشفى في حالة المراض التنفسية النسدادية المزمنة ‪ ,‬أي من العلمات التالية تتطلب‬
‫‪ :‬انتباه فوري من الممرض‬
‫غثيان وقيء •‬

‫ارتفاع طفيف في درجة الحرارة •‬

‫سعال مع بلغم •‬

‫توتر وعدم ارتياح •‬

‫‪EXAM‬‬
‫‪Page  28‬‬ ‫ترجمة‬ ‫‪QUESTION -27-‬‬
You are to give 30 mg. of Inderal. The available
dosage strength is a scored 60mg. tablet. What
amount will you give?

X 1 tablet

X 2 tablet
0.5 tablet

1.5 tablet
X

EXAM
Page  29 ‫ترجمة‬ QUESTION -28-
The physician orders an IV infusion of D5W 1000 ml to
infuse over the next eight hours. The IV tubing that you
are using delivers 15gtt/min. What is the correct rate of
flow?
√ 31 gtt/m ‫= معدل التنقيط‬
21 gtt/m (‫ الكمية‬X ‫ عامل التنقيط(\)عدد الساعات‬X 60)
X (1000 X 15 ) \ ( 8 X 60 )
41 gtt/m = ( 15000 ) \ ( 480 )
X = 31,25 = 31 ‫نقطة في الدقيقة‬
33 gtt/m ( ‫ ال اذا ذكر غير ذلك‬15 ‫) عامل التنقيط دائما يعتبر‬
X

EXAM
Page  30 ‫ترجمة‬ QUESTION -29-
Dr. order: Lasix 20 mg IV stat; available solution
contains 10mg/cc. How many ml will you give?

X 1 ml
2 ml ‫ ملغم‬10 ‫يحتوي على‬ ‫ مل‬1 ‫كل‬
√ ‫ ملغم‬20 ‫يحتوي على‬ ‫كل ؟ مل‬
3 ml 1 ) = ‫ ؟‬X 20 ) \ 10
X = 2 ‫ مل‬.
0.5 ml
X

EXAM
Page  31 ‫ترجمة‬ QUESTION -30-
A nurse is teaching a client who has just undergone eye
surgery. The nurse instructs the client that which of the
following activities is permitted.

X Bending

X Lifting objects
Reading
X
Watching TV

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

• ‫رفع الشياء‬

• ‫القراءة‬

• ‫مشاهدة التلفاز‬

EXAM
Page  32 ‫ترجمة‬ QUESTION -31-
Which factor most probably contributed to the
development of the client’s hemorrhoids :

X Taking daily softener

X History of colitis
Frequently constipated

Working as computer programmer
X

EXAM
Page  33 ‫ترجمة‬ QUESTION -32-
When the client asks the nurse how he acquired
hepatitis A, the best answer is that a common route
of hepatitis A transmission is from:

√ Fecal contamination
Insects
X
Infected blood
X
Sex
X

EXAM
Page  34 ‫ترجمة‬ QUESTION -33-
Which of the following results would the nurse expect
to find in the patient with acute pancreatitis :

X Elevated creatinine
Elevated amylase

Low glucose
X
Low alkaline phosphatase
X

EXAM
Page  35 ‫ترجمة‬ QUESTION -34-
The patient’s temperature is 36 DC, the most
appropriate initial nursing measure would be to :

X Place a hot water bottle on his feet

X Check for signs of shock


Inform the physician
X
Cover him with additional blankets

EXAM
Page  36 ‫ترجمة‬ QUESTION -35-
The patient has an order to infuse 100 ml of D51/2NS
with 10 MEq of KCl over the next thirty minutes. The set
calibration is 10gtt/ml. What is the correct rate of flow for
this patient?
X 41 drop/m
100 ) = ‫ معدل التنقيط‬X 10 ) \ 30
X 36 drop/m = 1000 \30
= 33,33 = 33 ‫نقطة في الدقيقة‬.
33 drop/m
√ ( ‫) لحظ أنه في هذا السؤال ل يوجد ساعات لذلك نقسم على عدد الدقائق مباشرة‬
32 drop/m ( ‫( لحظ أيضا أن كمية الدواء‬KCL) ‫) مهملة في هذه الحالة‬
X

EXAM
Page  37 ‫ترجمة‬ QUESTION -36-
Which physical examination technique would be
used first when assessing the abdomen?

√ Inspection
Palpation
X
Percussion
X
Auscultation
X

EXAM
Page  38 ‫ترجمة‬ QUESTION -37-
Dr. order: to give 3 mg of Haldol IM. On your unit,
Haldol is available in 2 ml ampules that contain 5
mg/ml. What amount will you give?

X 12 ml ‫ ملغم‬5 ‫يحتوي على‬ ‫ مل‬1 ‫كل‬


0.6 ml ‫ ملغم‬3 ‫يحتوي على‬ ‫كل ؟ مل‬
√ (1X3)\5
1.2 ml = 0,6 ‫مل‬
X
6 ml ( ‫ ملغم‬10 ‫ مل من الهالدول فيها‬2 ‫) لحظ أن ال‬
X

EXAM
Page  39 ‫ترجمة‬ QUESTION -38-
The patient admitted with hypothyroid crisis
(myxedema coma) would most likely have which of
the following electrolyte abnormalities?

X Hyperglycemia

X Hypocalcemia
Hypernatremia
X
Hyponatremia

EXAM
Page  40 ‫ترجمة‬ QUESTION -39-
The most common fluid used to manage the 2nd
degree burn patient is :

X Normal saline

X Dextrose saline
Ringer lactate

Glucose 10 %
X

EXAM
Page  41 ‫ترجمة‬ QUESTION -40-
Dr. order: give ringer lactate 2000 cc I.V Q 12 hrs,
what will be the rate of infusion :

√ 42 drop/m
33 drop/m
X
36 drop/m
X
40 drop/m
X

EXAM
Page  42 ‫ترجمة‬ QUESTION -41-
The doctor ordered to give a volume of solution over
8 hours, the rate of the solution was 31 drop/minute,
how many cc of the solution will be given :

X 1000 cc
992 cc ( ‫ الكمية‬X 15 ) \ ( 8 X 60 ) = 31
√ ( ‫ الكمية‬X 15 ) = ( 8 X 60 X 31 )
760 cc
X ‫ مل‬992 = ‫الكمية‬
672 cc
X

EXAM
Page  43 ‫ترجمة‬ QUESTION -42-
A patient has recently experienced MI (myocardial
infarction ) within the last 4 hours. Which of the following
medications would most like be administered?

X Atropine

X Adrenaline
Coumadin
X
Streptokinase

EXAM
Page  44 ‫ترجمة‬ QUESTION -43-
The life span of RBC in the body is :

X 45 days

X 60 days
120 days

90 days
X

EXAM
Page  45 ‫ترجمة‬ QUESTION -44-
In adult CPR, after confirming that the patient is
unconscious, what is the next step :

√ Call EMS
Check carotid pulse
X
Apply chest compressions
X
Put the patient in supine position
X

EXAM
Page  46 ‫ترجمة‬ QUESTION -45-
Which of the following nursing measures would be
appropriate when caring for a patient in skeletal
traction for a fractured femur?

X Maintaining the patient in a supine position


Inspecting the pin site at least every 8 hours

Removing weights when repositioning the patient
X
Keep the patient without any movements
X

EXAM
Page  47 ‫ترجمة‬ QUESTION -46-
Which of the following would be the priority for a
client admitted to the emergency room with burns
covering an estimated 27% of body surface area?

X Inserting a large I.V line

X Administering prescribed morphine


Doing dressing over the burned areas
X
Maintaining a patent airway

EXAM
Page  48 ‫ترجمة‬ QUESTION -47-
When preparing a client for a scheduled
colonoscopy, which of the following would the nurse
include?

X Inserting a nasogastric tube 12 hours before the

X procedure
Administering an antibiotic to decrease the risk of

infection
X
Cleansing the bowel with laxatives or enemas
No need for the client to be NPO before the procedure

EXAM
Page  49 ‫ترجمة‬ QUESTION -48-

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