1-nursing process consists

assessment
planning
implementation
all of the above

2-The following techniques are using for general physical examination:

Inspection
palpitation
percussion
auscultation
all of the above

3-The most accurate temperature is:

rectal
axilla
oral
4-The normal temperature is :
37c
37.5c
37.6c

5-Normal adult pulse is:

60-80 b/m
70-80 b/m
50-70 b/m

6-The systolic pressure in lower extremities is usually ___________ than upper extremities
10mm of hg higher
5mm of hg higher
15mm of hg higher

7-An informed consent is a ______ for any operative procedures:

medico legal requirement
operative permit
document
8-The best position for postoperative patient to maintain a patient airway is:
lateral position with neck extended
supine position
semi fowlers position

9-When a patient admitted in dr with full term pregnancy & her membranes rupture
spontaneously all of the following actions are appropriate ; first you will
check the FHR
check the color of fluid
assess the quantity of fluid
notify the physician

10- The nurse assigned to care a patient after gastric resection in the recovery room in
stable condition. during your assessment for hypovolemic shock, the sign that you would
expect to note if this complication occurs is
hypertension
cyanosis
oliguria
tachypnea

11-Paralytic ileus is a frequent - complication of post-operative abdominal surgery .

according to the physician's orders & your own assessment data base, a planned
intervention would be to:
administer p.o fluids only
insert a N.G.T
insert a rectal tube
listen for bowel sounds

12-Assessing a patient diagnosed as a schizophrenic, the nurse keeps in mind that a

diagnosis of schizophrenia involves
inability to concentrate
loss of contact with reality
guilt feelings
feelings of worthlessness

13-The doctor applies a leg cast of a patient with leg fracture . following casting, the nurse
should first check patient's toes for
increase in temperature
change in color
edema
movement
14-From your knowledge of the casting procedure, you understand that a wet cast should
be
placed on a firm surface for the first few hours
handed only with the palms of the hands
left along to set for at least 3 hours
pedaled to lessen chance of irritation to the patient.

15-Immadiate assessment of the premature infant in the nursery would not include
hunger status
cardiac status
respiratory status
congenital abnormalities

16-Which of the following best explain why premature infant are more likely to develop
hyperlibidemia ?
Liver enzymes are immature
antibody formation is immature
premature infants receive few antibodies from the mother .
WBC live immature
17-Nursing responsibilities for the pre operative period would include notifying the physician if
the
erythrocyte count is 6 million 1 cc mm
temperature is 99 C F orally
hemoglobin is 14 gm/100ml
urine report-indicates ketonuria

18-A test used in the diagnosis of cystic fibrosis called

sweat chloride
blood glucose
sputum culture
stool specimen for fat content

19-Following a radical mastectomy patient to be positioned

on her operative side
on her un operative side
in semi - fowler's with her affected arm flat on bed
in semi-fowler's with her affected arm elevated

20-The major operative complication following a cholecystectomy is

paralytic ileus
thrombophlebitis
pneumonia
hemorrhage

21-A30 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
27%
36%
45%
54%

22-During a retention catheter or bladder irrigation the nurse must use

sterile equipment & wear sterile gloves
clean equipment & maintain surgical asepsis
sterile equipment &maintain medical asepsis
clean equipment & technique

23-The millimeters of drug that should be used to give 0.5 gm if the label on the bottle reads 5 gm in
10 ml is
2.0
1.0
0.5
5.0

24-Following total hip replacement , immediately post operative you would expect orders to include:
head of bed elevated to 45 C angle
operative leg maintain in abduction
buck's traction unit 1 hip can be put through range of motion
turn on operative side only immediately post operatively

25-When you are administering heparin the substance you will keep at the bedside as the antidote is:
magnesium sulfate
vitamin K
protamin sulfate
calcium gloconate

26-What you will observe for a patient is on anti coagulant therapy:

bleeding from any site of the body
drowsiness
weight reduction
hypotension

27-Robert Reinhold , a construction worker , is seen in the ER with low blood pressure , normal pulse
, cool skin temperature and weakness . these are clinical signs of:
heat exhaustion
heat stroke
heat cramp
hypothermia

28-Which of the following would be an appropriate site for taking a pulse on 2-year -old
redial
apical
brachial
femoral)

29-If measuring BP were necessary in the leg . the nurse would expect the diastolic pressure to be:
10-40 mm hg higher than in the brachial artery
20_30 mm hg lower than in the brachial artery
50mmhg higher than in the brachial artery
essentially the same as that in the brachial artery

30-The nurse could best auscultator the point of maximum impulse PMI in 8_year_old Gina at the:
fourth intercostals space , left of midclavicular line
fifth intercostals space , left of midclavicular line
second intercostals space , right of midclavicular line
third intercostals space , left of midclavicular line

31-A21_year _old , female patient asking when should she do the self examination for the breast
during the month . the nurse should answer
any time you think of it
at the same time each month
on the first day of your menstrual period
on the last day of your menstrual period

32-Mrs. Jarrett has abdominal pain of unknown origin . during the abdominal examination , which of
the following is most accurate ?
The palpitation should be performed first.
Auscultation is best done with Mrs. Jarrett in the sitting position
bowel sounds should be heard by examining each quadrant for 3 _ 5 minutes
a paralytic ileus would result in low, growling sounds

33-Which of the following could contribute to causing a nosocomial infection

washing hands before applying a dressing.
taping a plastic bag to the bed rail for tissue disposal
placing a Foley bag on the bed when transferring a client
using butadiene to cleans the skin before starting an IV line

34-The nurse employs surgical aseptic technique when :

placing soiled linen in moisture resistant bags
inserting an intravenous catheter
disposing of syringes in puncture proof containers
washing hands before changing a dressing

35-Mr. walls has allergy abdominal incision that requires a dressing . the incision is paked with half
inch iodoform packing (soaked in butadiene( and covered with a dry sterile 4 by 4 inch gauze. when
changing the dressing , the nurse accidentally drops the packing onto the client's abdomen. the nurse
should
add more butadiene to the packing and insert it to incision
throw the paking away and prepare a new one
pick up the packing with sterile forceps & gently place it into the incision
rinse the packing with sterile water & put the packing into the incision with sterile gloves

36-The overall rule for avoiding accidents with equipment in the hospital is for the nurse to:
always lock wheels
never operate equipment without prior instruction
always unplug equipment when moving the client
never use equipment without a person to assist you

37-Jessica , age 4 years , is scheduled to receive an IV line the most appropriate type of restraint to use
on Jessica to prevent her from trying to remove the IV line would be a
wrist restraint
jacket restraint
elbow restraint
mummy restraint

38-The workmen cause an electrical fire when installing a new piece of equipment in the intensive
care unit . Mr. Richey is on a ventilator on the next room . the first action the nurse should take is to:
attempt to extinguish the fire
pull the alarm
call the physician to obtain orders to take Mr. Richey off the ventilator
use an ambo bag & remove Mr. Richey from the area
39-two nurses are standing on opposite side of the bed to move Mr.Chtrowx up in bed with a draw
sheet. where should the nurses be standing in relation with mr. chatrowx,s body as thy prepare to
move him ?
Even with his thorax
even with his shoulders
even with his hips
even with his knees

40-Mr. Harlan has right _ sided hemi paresis . the nurse helps him to walk by
standing at his left side and holding his arm
standing at his left side and holding one arm around his waist
standing at his right side and holding his arm
standing at his right side and holding one arm around his waist

41-Pressure ulcer form primarily as a result of

prolonged illness or diseases
restricted mobility
nitrogen buildup in the underlying tissues
poor nutrition

42-The nurse notes a client's skin is redden with a small abrasion and serous fluid present . the nurse
would classify this stage of ulcer formation as
stage 1
stage 2
stage 3
stage 4

43-Mr. Gibbs has rheumatoid arthritis

and is prone to skin breakdown . he is also somewhat immobile because of his arthritic pain . which
of the following is the best intervention for his skin integrity
he should be allowed to sit up on chair 4 hour intervals
the care providers should keep the head of his bed in a high fowler's position to increase his
circulation.
a written schedule of turning & positioning Mr. Gibbs should be kept
he should perform pelvic muscle training exercises several times a day

44-The nurse prepares to irrigate Mrs.Notz,s wound . the primary reason for this procedure is to
remove debris from the wound
decrease scar formation
improve circulation to the wound
decrease irritation from wound drainage
45-When turning a client , the nurse notices a reddened area on the coccyx. what skin care
interventions should the nurse use on this area
clean & dry the area & add a protective moisturizer
hydrogen peroxide
normal saline solution
povidon_iodine

46-Mr. Milan has a large abdominal wound that requires a dressing change every 4 hours . he will be
discharged to his home setting where he will continue the dressing care which of the following is true
concerning his healing process
an antiseptic agent is best followed with a rinse of sterile saline solution .
a heat lamp should be used every 2 hours to rid the wound area of contaminants.
Sterile technique should be emphasized to Mr. Milan & his family.
Addressing covering should allow the wound area to remind moist.

47-With advancing age , which of the following normal physiological changes in sensory function
occurs
decreased sensitivity to glare
increased number of taste buds
difficulty discriminating bowels sounds
decreased sensitivity to pain

48-When assessing a patient’s medication history , the nurse should :

Only be interested in prescribed medication taken .
Know the names of all medication kept in the patient’s home
Record all nonprescription medication & prescription medication
Only be interested in nonprescription medication being taken

49- Preparations coated to dissolve in the intestines & not in the stomach are referred to as:
Sustained – action
Enteric coated
Lozenges
A tablet within a tablet

50- When the appearance , odor , or color of a medication changes , the nurse should :
Disregard this & give the medication as ordered
Have the registered nurse give the medication
Withhold the medication & consult the pharmacist .
Understand this is a normal occurrence when dealing with chemicals

51-The route of drug administration that provides the most rapid & dependable absorption is :-
Oral
Intermuscular
Subcuntaneous
Intravenous

52-For accurate drug administration the nurse should read the drug label :-
2 times
3 times
4 times
5 times

53-When a medication is being administered , the most accurate way to verify a patient’s
identification is to :-
call the patient by the name in the drug card or kardex
ask the patient to state his or her name
ask another nurse to identify the patient
check the patient’s identification bracelet

54-When the nurse is administering medications , the patient informs the nurse that the tablet
usually received is a different color . the nurse should :-
insist that the patient take the tablet she poured
have the patient take the tablet & then recheck the order
leave the medication at the bedside & recheck the order
recheck the order before giving the drug
verify the medication with the physician .
55-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 :
25 gtt / min
100 gtt / min
125 gtt / min
150 gtt / min

56-All of the following are examples of mild allergy symptoms that may occur in response to
antibiotic therapy except
urticaria ( redness )
rash
wheezing
pruritus ( itching )

57-For which client is the oral rout of administration appropriate ?

Client D who has vomited twice in the last hour.
client E who is complaining of a sever headache
client F whose assessment reveals an absence of bowel sounds.
Client G who is only responsive to painful stimuli.

58-ORDERED : 500 cc D5RL to be infused in 6 hours . The drop factor is 15. How many gtt per
minute should you give?
28 gtt / min
32 gtt / min
21 gtt / min
30 gtt / min

59-Of the following , which is the main reason the nurse should stay with the patient until the oral
medication is swallowed ?
All liquid that is ingested is considered part of the fluid intake.
An unopened unit dose drug can be saved if the patient refuses it
the nurse is responsible for documenting that the drug was taken
the nurse is only one that can give the patient medications.

60-Listed below are statements related to pharmacokinetics .

1 . drug taken to its site of action
2 . drug & their metabolites excreted in renal system
3 . drug undergoes metabolism or biotransformation
4 . drug pass into from site of entry to the body fluid
the correct order of occurrence of these processes is :-
1,2,3,4
4,1,3,2
4,3,2,1
1,2,4,3

61-Which of the following organs is a primary site for the metabolism of drugs ?
Heart
Liver
Pancreas
Intestine

62-Mr .Jonnes has the following order : ASA ( Aspirin ) 5 gr p.o bid pc . Which of the following is
the best interpretation & correct scheduling of this order?
Give him ASA 5 gr at 9 : 00 am ( after breakfast ) & 6 : 00 pm ( after supper ) .
Give him ASA 5 gr at 10 :00 , 2 :00 & 6 :00 round the clock .
Give him ASA 5 gr per intramuscular injection at 9 : 00 am & 3 :00 pm .
Question the order as it is too high a dose then schedule it for 7 : 30 am & 5 :00 pm .

note : bid == twice .

63-Mrs. Higgins has refused to take her ASA ordered by the physician. The first action of the
nurse should be: -
Notify the physician of the refusal
Chart the refusal on the medication administration record.
Find out why she doesn’t want to take the ASA
Tell her she must take the ASA because the physician has ordered it .

64-Amedication order should never be implemented if : -

the nurse doesn’t know the physician .
the nurse doesn’t know the patient’s history .
the nurse Questions any part of the order
the nurse did not know witness the writing of the order .

65-ORDERD: penicillin 400.000 u IM now

AVAILABLE: penicillin 800.000 u per 2 cc
how many ml should you give?
2 ml
1 ml
0.2 ml
0.4 ml

66-ORDERD : deltasone 7.5 mg now .

AVAILABLE: deltasone 2.5 mg scored tablets.
How many should you give?
3 tablets
1 tablets
tablets ½ 2
tablets ½ 1

67-Mr. Johnson has liver failure. Using your understanding of pharmacokinetics, decide which of
the following is a most likely occurrence for this client?
He will require larger doses than normal
He will not be able to tolerate p.o drugs
He may respond better to drugs excreted by the kidneys
He may build up toxic levels of drugs .

68-Mr. Mulligan, LPN, IS Mrs. Rooney’s primary nurse & is working the 8:00 AM to 4:00 PM shift.
The next four questions refer to this situation.
At 10:10 AM nurse Mulligan brings Mrs. Rooney her 10:00 AM medication.
Mrs. Rooney says, [oh, I’ve already had those little red pills once this morning; do I really need more?
] . What would be most appropriate response by nurse Mulligan?
1. “I checked your medication very carefully, Mrs. Rooney, but to make sure these are right, I ’ll check
the chart one more time
2.” I checked & double checked your medication orders and I’m sure I’m right, pleas take them”
3. Let me check with the doctor. I’ll be right back “
4. “ I think these are correct, but to make sure, I’ll discuss this with the head nurse “

69-20 minutes after receiving her noon dose of oral medication, Mrs. Rooney vomits . To assure
accuracy in medication administration the first thing nurse Mulligan should do is to:-
1. Report the situation to the head nurse
2. Contact the physician
3. Administer another dose of medication
4. Examine the vomits for signs of medication

70-At 9:45 PM nurse sheener , Mrs. Rooney evening nurse arrives with sleeping medication . Nurse
sheener is a summer nursing student & doesn’t know any of the individuals on the unit. How should
nurse sheener determine that she is giving the right medication to the right individual?
1. Examine the individual’s name posted outside the door.
2. Say: “Mrs. Rooney, I’ve your medication.”
3. Ask: are you Mrs. Rooney?”
4. Say: “I’m nurse sheener . What is your name “

71-Nurse sheener explain to Mrs. Rooney that she has sleeping medication? Mrs. Rooney says “I
don’t want to take that now. I want to finish watching this TV show.” nurse sheener should:
1. ask Mrs. Rooney to put on her call light when she is ready fore the pill.
2. Leave the pill at the bedside so Mrs. Rooney can take it when the TV program is over.
3. Insist Mrs. Rooney takes the sleeping pill at, once
4. Discard the medication

72-Which of the following routs for drug administration is the most common , least expensive , safest
, and best tolerated by patient ?
1. Intramuscular
2. Topical
3. Oral
4. Intravenous

73-You arrives in Mr. Rich’s room with the ASA [aspirin] he requested for the headache. You find him
in the bathroom. You are very busy & don’t have time to wait. You should:
1. tell him you will return and take the medication with you
2. Ask him to com out of the bathroom immediately
3. Ask his roommate to give him the ASA
4. Leave the medication on the over-the-bed table since ASA is a nonprescription drug .

74-The medication order is for indomethacin . p.o 50mg , bid , this drug is irritating to the stomach
mucosa . For this reason the nurse should:
1. give the medication one hour before meals.
2. Give the medication 2 hour after meals.
3. Ask the physician for an IV preparation
4. Have food available when administering the medication

75-You are preparing to administer Mrs. Carter’s eye drops. The correct position for her to assume
would be:
1. head titled forward, placing the drops in the conjunctiva sac.
2. Head titled backward, placing the drops in the lower conjunctival sac.
3. Head titled forward, placing the drops directly on the eyeball.
4. Head titled backward, placing the drops directly on the eyeball.

76-To instill drops in the adult patient , the ear canal is opened by pulling the ear :-
1. Up and back
2. Down and back
3. Up and forward
4. Back and forward

77-he physician orders heparin 7500 u subq . q12hr . for your post-operative patient . Heparin 5000 u
per ml is available. Give ……1.5 ml……….

78-The nurse is giving heparin subcutaneously. Which needle should the nurse use?
1. 19 gauge, 1 ½ inch
2. 21 gauge, 1 inch
3. 22 gauge, 1 ½ inch
4. 25 gauge , 5/8 inch

79-The nurse correctly administer an IM injection a ……………… degree angle

1. 15
2. 30
3. 45
4. 90

80-Which of the following is true concerning a SC injection:-

1. A bleb indicates that the medication has been properly injected
2. Drug absorption is slower than with the IM route.
3. 0.2 cc of air should be drawn in the syringe before administration
4. Up to 2 cc of water-soluble medication can be given by the SC route.

81-When giving medication , the label should be checked 3 times . Which of the following is not one
of these times?
1. When the nurse reaches for the container
2. Immediately prior to pouring medication
3. When the nurse located the drug on the shell
4. When replacing the container to the drawer or shelf.

82-What body function is essential for adequate drug absorption?

1. adequate blood supply
2. adequate receptor sites
3. adequate liver function .
4. adequate kidney function

83-Mr. Baker is to receive penicillin IM. Nurse hill locates the site of the injection by planning the
posterior superior iliac spine & the greater trochanter . An imaginary line is drawn the posterior
superior iliac spine & the greater trochanter . The injection side is lateral & slightly superior to the
midpoint of the line . Which of the following is correct name of the site?
1. dorsogluteal site.
2. rectus femoral site.
3. ventrogluteal site
4. vastus lateralis
84-Which of the following is the reason for using the Z tract technique for injections ?
1. for medication of over 5cc in quantity
2. for medication that is highly irritating to subcutaneous tissue
3. for medication that stains the tissue
4. for medication that cannot be given orally
85-Which of the following orders is complete :-
1. ampicillin 250mg IM q12hrs x 10 days
2. Maalox 30 cc po
3. humulin R insulin SQ in AM & noon
4. OPV (oral polio vaccine) 0.5 cc

86-Mrs. Kelly tells the nurse that her arm is sore from an injection she received early in the day.
She states “the nurse gave me a shot, and I heard her say that the needle was a 25 gauge. Isn’t that
too big for a local injection?” . Your best response would be:
1. “ a 25 gauge needle is a small needle , but it can cause som discomfort . let me see your arm .”
2. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . you are over –reacting to the shot
“
3. a 25 gauge needle is very small . you are just nervous about the injection.”
4. a 25 gauge needle is very small. So you are wrong about the pain from the injection.”

87-Just prior to pouring a dosage of Mylanta Liquid , you will :

1. pour without shaking the bottle
2. rotate the bottle gently , side to side
3. turn the bottle end – over – end , top to bottom .
4. vigorously shake the bottle

88-Mrs. Davis has a written order from her physician for Demerol 100 mg stat . Which of the
following best explain this order?
1. give it needed
2. give once when needed .
3. give once immediately
4. give once when specified

89-While checking Mr. Appendectomy’s vital signs , he requests his “ medication for the pain in
my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the Morphine sulfate injection
at this time due to witch vital signs reading ?
1. blood pressure
2. pulse
3. respiration
4. Temperature
90-Mr. Mulligan, LPN , IS Mrs. Rooney’s primary nurse & is working the 8:00 AM to 4:00 PM shift
. the next four questions refer to this situation .
At 10:10 AM nurse Mulligan brings Mrs. Rooney her 10:00 AM medication.
Mrs. Rooney says, [ oh, I’ve already had those little red pills once this morning ; do I really need
more ? ] . What would be most appropriate response by nurse Mulligan ?
1.“ I checked your medication very carefully , Mrs. Rooney , but to make sure these are right , I’ll
check the chart one more time
2.” I checked & double checked your medication orders and I’m sure I’m right, pleas take them”
3. let me check with the doctor . I’ll be right back “
4. “ I think these are correct, but to make sure , I’ll discuss this with the head nurse “

91-20 minutes after receiving her noon dose of oral medication , Mrs. Rooney vomits . To assure
accuracy in medication administration the first thing nurse Mulligan should do is to :-
1. report the situation to the head nurse
2. contact the physician
3. administer another dose of medication
4. examine the vomits for signs of medication

92-At 9:45 PM nurse sheener , Mrs. Rooney evening nurse arrives with sleeping medication . nurse
sheener is a summer nursing student & doesn’t know any of the individuals on the unit . how
should nurse sheener determine that she is giving the right medication to the right individual ?
1. examine the individual’s name posted outside the door .
2. say : “Mrs. Rooney , I’ve your medication .”
3. ask : are you Mrs. Rooney ?”
4. say : “ I’m nurse sheener . What is your name “

93-Nurse sheener explain to Mrs. Rooney that she has sleeping medication? Mrs. Rooney says “ I
don’t want to take that now . I want to finish watching this TV show.” nurse sheener should:
1. ask Mrs. Rooney to put on her call light when she is ready fore the pill .
2. leave the pill at the bedside so Mrs. Rooney can take it when the TV program is over .
3. insist Mrs. Rooney take the sleeping pill at ,once
4. discard the medication

94-You arrives in Mr. Rich’s room with the ASA [ aspirin ] he requested for the headache . you
find him in the bathroom . you are very busy & don’t have time to wait . You should:
1. tell him you will return and take the medication with you
2. ask him to com out of the bathroom immediately
3. ask his roommate to give him the ASA
4. leave the medication on the over-the-bed table since ASA is a nonprescription drug .

95-The medication order is for indomethacin . p.o 50mg , bid , this drug is irritating to the stomach
mucosa . for this reason the nurse should :
1. give the medication one hour before meals .
2. give the medication 2 hour after meals .
3. ask the physician for an IV preparation
4. have food available when administering the medication

96-You are preparing to administer Mrs. Carter’s eye drops . the correct position for her to assume
would be :
1. head titled forward , placing the drops in the conjunctival sac.
2. head titled backward , placing the drops in the lower conjunctival sac.
3. head titled forward , placing the drops directly on the eyeball .
4. head titled backward , placing the drops directly on the eyeball.

97-To instill drops in the adult patient , the ear canal is opened by pulling the ear :-
1. up and back
2. down and back
3. up and forward
4. back and forward

98-The physician orders heparin 7500 u subq . q12hr . for your post-operative patient . Heparin
5000 u per ml is available . give …………….

99-The nurse is giving heparin subcutaneously. Which needle should the nurse use?
1. 19 gauge , 1 ½ inch
2. 21 gauge , 1 inch
3. 22 gauge , 1 ½ inch
4. 25 guage , 5/8 inch

100-The nurse correctly administer an IM injection a ……………… degree angle

1. 15
2. 30
3. 45
4. 90

101-Which of the following is true concerning a SC injection:-

1. a bleb indicates that the medication has been properly injected
2. drug absorption is slower than with the IM route .
3. 0.2 cc of air should be drawn in the syringe before administration
4. up to 2 cc of water-soluble medication can be given by the SC route .

102-When giving medication , the label should be checked 3 times . Which of the following is not
one of these times?
1. when the nurse reaches for the container
2. immediately prior to pouring medication
3. when the nurse located the drug on the shell
4. when replacing the container to the drawer or shelf .

103-What body function is essential for adequate drug absorption?

1. adequate blood supply
2. adequate receptor sites
3. adequate liver function .
4. adequate kidney function
104-Mr. Baker is to receive penicillin IM . nurse hill locates the site of the injection by planning the
posterior superior iliac spine & the greater trochanter . an imaginary line is drawn the posterior
superior iliac spine & the greater trochanter . the injection side is lateral & slightly superior to the
midpoint of the line . which of the following is correct name of the site ?
1. dorsogluteal site.
2. rectus femoral site.
3. ventrogluteal site
4. vastus lateralis

105-Which of the following is the reason for using the Z tract technique for injections ?
1. for medication of over 5cc in quantity
2. for medication that is highly irritating to subcutaneous tissue
3. for medication that stains the tissue
4. for medication that cannot be given orally
2

106-Which of the following orders is complete :-

1. ampicillin 250mg IM q12hrs x 10 days
2. Maalox 30 cc po
3. humulin R insulin SQ in AM & noon
4. OPV ( oral polio vaccine ) 0.5 cc

107-Mrs. Kelly tells the nurse that her arm is sore from an injection she received early in the day .
she states “ the nurse gave me a shot , and I heard her say that the needle was a 25 gauge . isn’t
that too big for a local injection ?” . your best response would be :
1. “ a 25 gauge needle is a small needle , but it can cause som discomfort . let me see your arm .”
2. really, Mrs. Kelly, no once gets hurts with a 25 gauge needle . You are over –reacting to the shot
3. a 25 gauge needle is very small . you are just nervous about the injection.”
4. a 25 gauge needle is very small. So you are wrong about the pain from the injection.”

108-Just prior to pouring a dosage of Mylanta Liquid , you will :

1. pour without shaking the bottle
2. rotate the bottle gently , side to side
3. turn the bottle end – over – end , top to bottom .
4. vigorously shake the bottle

109-Mrs. Davis has a written order from her physician for Demerol 100 mg stat . which of the
following best explain this order ?
1. give it needed
2. give once when needed .
3. give once immediately
4. give once when specifie
110-While checking Mr. Appendectomy’s vital signs , he requests his “ medication for the pain in
my incision “ the vital signs were :
BP 100/60 , T – 98.4 F , P – 66 , RR – 10 .you decide he may not have the Morphine sulfate injection
at this time due to witch vital signs reading ?
1. blood pressure
2. pulse
3. respiration
4. temperature

111-Prior to administering a Lanoxin preparation , you take an apical pulse rat on Mr. M .
Infarction and fined the rate to be 52 .the most appropriate nursing action would be to:-
1. administer one- half the dosage order
2. give the drug as ordered
3. give one- half of the tablet now and the other one- half tablet in two hours
4. Withhold the drug and report the team leader .

112-While preparing a dosage of FIORINAL#3 , you accidentally drop a tablet on the floor . You
would most appropriately :
1. blow it off and go ahead and administer it
2. have another medication nurse witness destruction and sign the control book .
3. return the tablet to the pharmacy for “ decontamination “
4. throw the tablet in the trash can and prepare another dose .
5. wash it off under running water , dry it with a paper towel and administer it

113-Mr. Construction worker has been given a prescription which contains “ Phenobarbital “ to be
taken as an out patient . when doing patient teaching about this drug’s action . you will be sure to
tell him that :
1. “ drowsiness is common while taken this drug , so don’t drive or operate machinery “
2. “ dryness of throat and mouth is frequent , so be sure to drink extra fluids during every waking
hour .”
3. frequent voiding is an action of this drug , so be sure to take it in the morning so you won’t be
up all night going to the bathroom .”
4. your stool may begin to appear black and tar-like a few days after you begin on the drug . “

114-After withdrawing the needle from the tissue when administering an ID injection you :-
1. apply firm pressure to the site with your thumb .
2. do not rewipe the site
3. gently wipe the site
4. massage the site vigorously

115-Mr. Harvey , age 54 , is admitted with a diagnosis of congestive heart failure secondary to
chronic obstructive pulmonary disease [COPD] . the physician orders sublingual nitroglycerin ,
0.4 mg p.r.n , for chest pain , whine administering the nitroglycerin , the nurse should :-
1. tell Mr. Harvey to hold the tablet under his tongue and let it dissolve .
2. tell Mr. Harvey to swallow the tablet with water .
3. apply nitroglycerin ointment to Mr. Harvey’s chest .
4. mix the nitroglycerin with applesauce for Mr. Harvey to eat

116-Asking the patient if he is allergic to any medication is a part of the ……………

phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation

117-Teaching the patient about the medication is a part of the ……………

phase of the nursing process ?
A. assessment
B. planning
C. implementation
D. evaluation
118-A nurse is unable to read the label on a bottle of liquid medication because the label is stained
from spillage . the nurse knows that the correct procedure is to :-
A. ask the charge nurse to verify the medication in the bottle and apply a new label .
B. smell and test the medication and apply a new label if certain of the contents.
C. empty the contents down the drain and notify the charge and the pharmacist.
D. Send the bottle back to the pharmacy to be relabeled

119-You are teaching Mrs. Keller to give own insulin. Her orders read NPH insulin 30 u , and
regular insulin 10 u daily . Which of the following would be correct twchnique for mixing insulin:
-
A. Inject 10 units of air into the regular insulin. Remove the needle without touching the insulin.
Inject 30 units of air into the NPH insulin. Withdraw 30 units of NPH. Inject the needle into the
regular insulin and remove 10 units. Rotate the syringe to mix and give to client.
B. injects 30 units of air into the NPH insulin. Remove the needle, not allowing the needle to touch
the insulin. Inject 10 units of air into the regular insulin bottle and remove 10 units. Insert the
needle into the NPH bottle and remove 30 units rotate the syringe to mix and give.
C. Inject 10 units of air into the NPH bottle and remove 10 units of NPH. Inject 30 units of air into
regular insulin rotate the needle to mix and give.
D. Inject 30 units of air into the bottle of NPH insulin and remove 30 units of insulin. inject the
needle into the regular insulin bottle and remove 10 units of regular insulin . rotate the syringe to
mix and carefully give .

120-You are giving an injection of Morphine 3 mg & Tigan 199 mg IM to an elderly debilitated
client. He has sacral edema with extensive bruising of the buttocks & the ventral gluteal areas
which of the following sites is the best choice for injection ?
A. Deltoid site using the Z-tract method.
B. Dorsal gluteal , since the volume is over 2 ml .
C. Vastus lateralis using a 22 gauge 1 inch needle .
D. Abdomen using a 5/8 inch needle .

121-Medications which are labeled [ otic ] are specific for use in \ on the :-
A. Eyes
B. Ears
C. Nose
D. Throat
122-Mr. Walker will receive regular insulin . The nurse monitors for the onsite of action in
approximately ------------
A. 5 to 10 minutes .
B. 150to 20 minutes
C. 30 to 60 minutes
D. 1 to 2 hours.

123-Is it necessary for the nurse to wear gloves during administration of an intermittent feeding
through a G-tube ?
A. yes , because it is a sterile procedure .
B. yes , because universal precautions must be maintained .
C. no , because it is not a sterile procedure .
D. no , because there is no danger of contact with body fluid if the procedure is performed
correctly .

124-To prepare the skin for injection the nurse would use :
A. friction with back and forth motions at the site with alcohol swab .
B. friction and alcohol swab moving from outer edge to center of site .
C. friction and alcohol swab with circular motions and palpate site gently with finger pad before
injection .
D. friction and circular motions with alcohol swab from center of site outward.

125-IM injection into the deltoid muscle should be limited to :-

A. 2.5 ml of solution
B. 2 ml of solution
C. 1 ml of solution
D. 0.5 ml of solution
126-A primary concern when giving heparin SC is to prevent :
A. pain and bruising .
B. pain and bleeding
C. bleeding and bruising
D. injecting a vein .

127-The type of needle selected for the ( dorsogluteal ) intramuscular ( IM ) injections would be
based on :-
1) the size of the patient [ e.g., obese versus debilitated ]
2) the viscosity of the antibiotic .
3) the position of the patient .
4) the volume of medication .
A. 1,2,3,4
B. 1,2,3
C. 2,3,4
D. 1,2

128-The largest gauge needle of the following is :-

A. 19 gauge
B. 20 gauge
C. 21 gauge
D. 22 gauge

129-The nurse needs to give an injection to 5-year-old Shawn . Which of the following approaches
by the nurse is appropriate?
A. “Shawn I need to give you a shot. Which one of your arms should I give it in ? “
B. “Shawn , is it ok if I give you a shot now ?”
C. “Shawn , I have a hypodermic injection to administer to you now “
D. “Shawn, I have a shot to give you . be a big boy and don’t cry “

130-Mr. Bell is an 80 year old , man , admitted to the hospital with a urinary tract infection UTI .
Which of the following should the nurse understand when giving medications to this client ?
A. larger doses of most medications will be required by Mr. Bell because of absorption problems.
B. increased plasma binding decreases the possibility of drug toxicity in Mr. Bell.
C. drugs are excreted more slowly from the body as a result of changes in Mr. Bell kidney
function.
D. urinary antiseptics are of little value to Mr. Bell because of his age.

131-Optimum normal urine out put hourly to an adult :

A. 10cc
B. 25cc
C. 50cc
D. 100cc
132Scurvy is a deficiency of :
A. Vit a
B. Vit b
C. Vit c
D. Vit d
133-Specific gravity of urine to have a normal fluid balance
A. 1.005
B. 1.015
C. 1.030
D. 1.020

134-Normal intra-ocular pressure

A. 15-20mmhg
B. 20-25 mmhg(18-24)
C. 30-35mmhg
D. 10-15mmhg

135-12 hours after delivery the fundus is at the level of

A. one fingerbreadth below the umbilicus .
B. one fingerbreadth above the umbilicus .
C. at the level of umbilicus.
D. Below syphilis pubis
136-In dystocia the ,mother should be watched for :-
A. Post partum haemorrhage .
B. Hypertension .
C. Cord proplase .
D. fetal death.

137-In the first trimester of pregnancy the vaccination to avoid :-

A. polio
B. rubella .
C. measles.
D. small pox.

138-In fetal circulation , the oxygenated blood placenta travels via :-

A. umbilical artery
B. umbilical vein .
C. doctus arteriosus .
D. ductus venosus .

139-Normal PH for blood :-

A. 7.0
B. 7.4
C. 8.0
D. 8.4

140-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

141-An electrolyte deficiency that affect the heart muscular activity :-

A. k
B. cal
C. Na
D. mg

142-Patient with hemopneumothorax had a ICD ( inter costal drainage ) in the right side what
position the patient should be to promote drainage ?
A. left side [ unaffected ]
B. right side [ affected ]
C. semi sitting
D. leg raised

143-Coagulation of blood :-
A. Vit E
B. Vit K
C. Vit A
D. Vit C .

144-Patient receiving an anticoagulant must be watched for :-

A. Bleeding of the nose

145-To detect what organism causes tonsillitis in children :-

A. Throat culture
B. Nasopharynges culture
C. Blood culture .
D. Sensitivity test .

146-The most vital immediate observation to a new born baby is :-

A. Cardiac rate
B. Respiration rate .
C. Color
D. Tone

147-Signs of dehydration :-
A. Loss of skin turgor .
B. Low body temperature
C. High body temperature
D. Sweating

148-Most of the metabolic changes of drugs occur in :-

A. Liver
B. Lungs
C. Stomach
D. Circulation

149-Common cause of death in burns :-

A. Hemorrhage
B. Neurogenic shock
C. Sepsis
D. Hypovolemic shock

150-The difference in close & open fracture is that , in open fracture you have to watch for :-
A. Infection
B. Hemorrhage
C. Inflammation
D. Pain

151-A wound is inflamed if there is :-

A. Redness
B. Pain & swelling
C. Pus
D. Tenderness

152-Epinephrine is not given via :-

A. IV
B. Orally
C. Parentally
D. Intracardiac

153-Immuno-deficiency :-
A. Protective isolation
B. Enteric and body fluid isolation
C. Respiratory isolation .

154-To detect the effectiveness of a resuscitation [CPR] :-

A. Constricted pupils
B. Dilated pupils
C. Non-reacting pupils
D. A symmetrical pupils

155-Ultra sound :-
A. To detect fetal position
B. To detect diameter of fetal head
C. To detect placenta abnormalities
D. All of the above .

156-To prevent oral mucosa infection q4h, instruct patient to use :-

A. Warm saline gargle
B. Glycerin oil
C. Antibiotic
D. Warm gargle with mineral oil

157-Glomerula nephritis :-
A. Urea
B. Creatinine
C. Uric aid
D. Cholesterol

158-One of the vital care after cholecystectomy :-

A. Bed rest
B. Low fat diet
C. Low Cholesterol diet
D. Low protein diet

159-Pulmonary tuberculosis :-
A. To start anti TB drugs as prescribed
B. Detection of possible contacts
C. Scrupulous screening .
D. All of the above

160-X-ray of upper GI tract , the nurse should instruct the patient to take :-
A. Laxative previous day
B. NPO 8-12 hours
C. High fat diet
D. Normal diet

161-IN ORDER TO ADMINISTER 5 ML SYRUP TO PATIENT , WE USE A :-

A. ½ tsp
B. 1 tsp
C. ½ table spoon
D. 1 table spoon

“ tsp == tea spoon”

162-In case of penetrating abdominal injury :-

A. hemorrhage
B. peritonitis
C. infection
D. hypovolemic shock

163-A very serious complication of hysterectomy :-

A. vaginal pain
B. vaginal discharge
C. abdominal distention
D. no urine out put

164-Deep breathing and coughing exercise done :-

A. at angle of 90 degree
B. angel 45 degree
C. lie laterally
D. semi-fowler’s position

165-Patient with spinal cord injury must be :-

A. not to move at all
B. log rolled
C. turn the back with support in the head

166-After spinal anesthesia , watch for :-

A. hypotension / headache
B. fowler’s position to the optimum
C. numbness of extremities
D. analgesic

167-The cure for chronic renal failure is :-

A. dialysis
B. kidney transplant
C. diuretics
D. force fluids

168-Hypoglycemia :-
A. dizzy
B. headache
C. filthy odor
D. vomiting

169-28 days menstrual cycle . ovulation takes place :-

A. 16-18 days
B. 12-16 days
C. 10-13 days
D. 15-20 days

170-Acetyl salycilate [ aspirin ] immediate side effect :-

A. tinnitus
B. nausea & vomiting
C. abdominal pain
D. vomiting & diarrhea

171-Digoxin can be with held to a patient with an apical pulse rate of below :-
A. 45
B. 60
C. 70
D. 80

172-The best time to collect urine for culture :-

A. early morning awaking sample .
B. 30 minutes after voiding
C. 30 minutes after fluid
D. double voided

173-Organism inter blood stream :-

A. CNS
B. Urinary tract
C. Peritoneal cavity
D. Respiratory tract

174-Prothrombin – fibrin activator :-

A. Vit k
B. Ca
C. Vit c
D. Vit d

175-Hepatitis infects via :-

A. Oral
B. Sharing needles
C. Contaminated food

176-The postpartum patient should be watched closely during the first hours after delivery for :-
A. Uterine contraction
B. Vaginal bleeding
C. Hypotention
D. All of the above

177-Evaluation of the skin of a neonate for adequate hydration is best don by observing the skin :-
a. Color
b. Elasticity
c. Ton
d. Moisture

178-The child with cerebral palsy usually diagnosed :-

A. In the early months
B. When the child begins to walk
C. When the child begins to play
D. When the child enter school

179-The child with rubella should stay at home until :-

A. The rash appears
B. The rash disappears
C. One week after The rash disappears
D. The temperature is normal .

180-When caring for the elderly skin, special care must be taken because the skin becomes:-
A. More dry
B. Less elastic
C. More vascular
D. All of the above
181-The major goals for the burn patient in the first 48 hours after burn, is that the patient
A. Has fluid and electrolyte balance maintained
B. Develops no contractures
C. Dose not develop hyperthermia
D. Develops minimal scarring

182-After a mastectomy , a patient returns from surgery with a portable suction unit in place & a
dry sterile dressing covering the site of incision . when observing this patient for signs of bleeding
, the nurse should :-
A. inspect the bed clothes under the axillary area for signs of drainage .
B. turn the client on the affected side to inspect for blood that may flow backward
C. empty the measure output in the portable suction unit hourly
D. reinforce the operative site with a pressure dressing and observe if any drainage appears on the
dressing .

183-The normal fasting blood glucose rang mg per 100 ml . of venous blood is
1. 60-80
2. 80-120
3. 100-150
4. 100-200

184-Before irrigating a client’s NGT the nurse must first :-

1. assess breath sounds
2. instill 15 ml. Of normal saline
3. ausculate for bowel sounds
4. check the tube for placement

185-The best method of preventing the spread of infection is :-

1. isolating all patients suspected of having an infection
2. wearing rubber gloves when performing all nursing procedures
3. washing the hands thoroughly before & after each contact with a patient
4. sterilizing the hands with strong germicide at least once a day

186-Which of the following is not an abnormal finding in a routine urine analysis ?

1. ph 60
2. pus
3. RBCs
4. protein

187-when caring for a client who has an open reduction and internal fixation of hip , the nurse
encourages active leg and foot exercise of the unaffected leg every 2 hours to help to :-
1. reduce leg discomfort .
2. maintain muscle strength .
3. prevent formation of clots .
4. limit venous inflammation .

188-when administering an antibiotic or a vaccine , the nurse must be alert for the possibility of :-
1. Overdoses and CNS depression
2. hypersensitivity and possible anaphylaxis
3. sings of increasing infection
4. orthostatic hypotension
189-Immediately after a child is admitted with acute bacterial meningitis,the nurse should plan to
:-
1. assess the child’s vital signs every 3 hours
2. administer oral antibiotic medication as ordered
3. check the child’s level of consciousness every hour
4. restrict parental visiting until isolation is discontinued
190-when assessing the unconscious victim for pulselessness , which of the following is the best
artery to chick :-
1. radial
2. femoral
3. brachial
4. carotid

191-Common signs and symptoms of jaundice include:-

1. ascites
2. dermatitis
3. icteric sclera
4. dark-colored stools

192-Patient with head injuries are not given sedative because these drugs may :-
1. Produce coma
2. depress the patient’s respiration
3. mask the patient’s symptoms
4. lead to cerebral hemorrhage

193-In treating puncture wounds , the first priority is to :-

1. stop the bleeding
2. cleans the wound
3. give prophylactic treatment aginst tetanus
4. remove the object from the wound

194-Ones the bleeding site has been determined , the first emergency measure to institute during
hemorrhage would be to :-
1. apply a firm – pressure dressing
2. apply direct , firm – pressure over the bleeding area or the artery involved
3. apply a tourniquet just proximal to the wound
4. elevate the extremity

195-Nursing measures that can be used to lower core body temperature include :-
1. Immersing the patient in cold water
2. Placing the patient on a hypothermic blanket
3. administering chilled saline enemas
4. all of the above measures

196-The female hormone that induces changes in endometrium to prepare uterus for implantation
of a fertilized ovum and maintenance of a pregnancy is called :-
1. aldosterone
2. testoterone
3. progesterone
4. estrogen

197-For a hearing – impaired client to hear a conversation , a nurse should :-

1. use a louder tone of voice than normal
2. use visual aids such as the hands and eyes when speaking
3. approach a client quietly from behind before speaking
4. select a public area to have a conversation

198-When dealing with a client with aphasia , the nurse should remember to :-
1. wait for him to communicate
2. speak loudly to ensure that the massage is received
3. speak from the client’s side to avoid overload
4. encourage writing of massages

199-Immunization should be started when child is :-

A. 6 months
B. 2 months
C. 1 months
D. 1 week

200-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
201-Nursing care of a child admitted with acute glomerulonephritis , should be directed toward :-
A. forcing fluids
B. promoting diuresis
C. enforcing strict bed rest
D. eliminating sodium from diet

202-The nurse empties a portable wound suction device when it is only half full because :-
A. it is easier and faster to empty the unit when it is only half full
B. this facilitates a more accurate measurement of drainage output .
C. their negative pressure in the unit lessens as fluid accumulates in it , interfering with further
drainage
D. as fluid collects in the unit it exerts positive pressure , forcing drainage back up the tubing and
into the wound .

203-A patient develops a small decubitus ulcer on the sacral area . the nurse should plan to deal
with this problem by :-
A. keeping the area dry
B. applying moist dressing
C. providing a low caloric diet
D. keep the patient on the right side

204-When administering heparin , the substance the nurse would keep available as the antidote is
:-
A. magnesium sulphate
B. protamine sulphate
C. calcium gloconate
D. vitamin k

205-The main effect of excess calcium on the myocardium is :-

A. spastic contraction
B. cardiac flaccidity
C. tetany
D. bradycardia

206-Which of the following vitamin increase the retention of calcium and phosphorous ions in the
blood :-
A. Vit A
B. Vit B12
C. Vit. D
D. Vit C

207-If a SC injection is in to which level of tissue must the solution be released :-

A. Epidermis
B. Dermis
C. Subcutaneous
D. Any of the above

208-A critical nursing measure to employ with a patient on any sulphonamide drug is to :-
A. Monitor blood pressure every 30 minutes
B. Force fluids
C. Watch for tinnitus.
D. Monitor electrolytes

209-The primary cause of decubitus ulcer is :-

A. Excessive perspiration
B. Pressure on bony area
C. Poor nutrition and inadequate fluid intake
D. Inability to control voiding

210-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

211-Progesterone is primarily used for the treatment of :-

A. Hypertension of pregnancy
B. Abnormal uterine bleeding
C. Unovulation
D. Hypermenorrhagia

212-The average daily amount if water eliminated from the kidneys as urine is :-
A. 500 cc
B. 1500 cc
C. 2000 cc
D. 1200 cc-1500

213-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

214-When a patient is vomiting post-operatively , the most important nursing objective is to

prevent :-
A. dehydration
B. aspiration
C. rupture of suture line
D. metabolic acidosis

215-Which of the following is an appropriate diet for a patient with congestive heart failure :-
A. low-calorie , high-residue diet with no caffeine
B. low-calorie , low- residue diet with low Na
C. high-calorie , low-fat , low-protein diet
D. high –protein , no fat , no carbohydrate diet

216-To obtain a truly estimation of the patient’s average blood pressure , your nursing assessment
should include :-
A. only one blood pressure reading
B. serial reading , which should be taken at the same time each day for 7 days
C. serial reading , which should be taken every 2 hours over an 8 hour period for 2 days
D. blood pressure reading on both arms should be taken sitting and standing once a day for 2
days
217-Dietary control of patients with ulcers should include :-
A. taking antacids every hour
B. increase roughage in the diet
C. eliminate highly seasoned food
D. increasing amount of carbohydrate

218-During physical examination , the part of the kidney may be felt on deep palpation is :-
A. lower pole of the right kidney .
B. lower pole of the left kidney .
C. entire right kidney .
D. right and left kidney

219-The major nursing goals post-operative care of the cataract patient is to :-

A. prevent hemorrhage and stress on the sutures
B. prevent hemorrhage and eye stress .
C. prevent increased intro-ocular pressure and to promote better visual acuity
D. promote decreased intro-ocular pressure and to maintain a visible lens .

220-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

221-For how many days after a facial wound are sutures usually left in place ?
A. 3 days
B. 10 days
C. 14 days
D. 7 days

222-To control bleeding from the radial artery , pressure to be applied directly above the :-
A. Thumb on the flexor surface of the arm .
B. Thumb on the extensor surface of the arm .
C. Little finger on the flexor surface of the arm .
D. Little finger on the extensor surface of the arm .

223-All patients taking tranquilizers must be warned that they may feel :-
A. Anxious
B. Nauseated
C. Clumsy
D. Drowsy

224-Which of the following indicates placental separation after delivery :-

A. A globular – shaped uterus
B. A sudden rise of the funds
C. A sudden gush of blood
D. All of the above signs

225-If a patient whose membranes ruptures during labor and prior to descent of the head , the
nurse must assess the patient fore :-
A. Hemorrhage
B. Pain
C. Cord prolapsed
D. Uterine inertia

226-A must important nursing measure in the prevention of thrombophebitis for the post-partum
patient is :-
A. Elastic stocking
B. Early ambulation
C. Anticoagulant
D. Isometric exercise

227-As a child increases age , cardiac and respiratory rate should :-

A. Increase
B. Decrease
C. Remain unchanged
D. Stabilize at the adult level

228-An excellent diet suggest for an elderly patient is :-

A. High-calorie , low-fat , high carbohydrate diet
B. low-calorie , low-fat , lot of fruits and vegetables
C. High-calorie , high-fat , high protein diet
D. low-calorie , high-fat , high protein diet

229-In opened and close fracture , the nurse should be aware of which of the following when open
fracture is presented ?
A. mal-alignment
B. infection
C. bleeding
D. pain

230-Nursing consideration for a child with osteomyelitis should include :-

A. relieving of pain
B. maintaining antibiotic therapy
C. maintaining adequate nutrition
D. all of the above

231-How long should the affected extremity be kept elevated after the application of cast ?
A. until the cast is dry
B. when the leg is no longer painful
C. for 24 hours after casting
D. for 72 hours after casting

232-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

233-The most common and serious complication of burns that often lead to death is :-
A. hypovolemic shock
B. hypothermia
C. sepsis .
D. infection

234-Before giving antibiotic to a burn patient which of the following should be done first:-
A. wound culture
B. blood tests
C. wound dressing
D. sensitivity testing .

235-When the patient is diaphoretic , there is tachycardia and decrease blood pressure , he is
experiencing :-
A. neurogenic shock.
B. Hypovolemic shock
C. Hypothermia
D. Septicemia

236-What type of isolation precaution is indicated for a burn patient ?

A. Standard precaution
B. Reverse isolation
C. Proper isolation
D. Disposal of sharps
237-Which is the best aid to prevent breast cancer ?
A. Teaching women how to perform self breast exam
B. Public knowledge about chemotherapy
C. To eat fruits and vegetable only
D. Encourage women to perform self breast examination monthly

238-In cute stage of osteomyelities , the child should be :-

A. Confined to bed .
B. Up with crutches .
C. Up in a wheelchair
D. Up and about

239-Which one should the nurse monitor first in an infant ?

A. Respiratory rate
B. Cardiac rate
C. Pulse rate
D. Motor functioning

240-When assessing neonates hydration , the nurse should check for the skin’s :-
A. Elasticity
B. Tone
C. Moisture
D. Color

241-Cerebral palsy can be detected in which of the following stage of child’s life ?
a. During the early months
b. When the child is walking
c. When the child is playing

242-What is the normal weight of the new born according to statistics ?

A. 3700 gms
B. 3200 gms.
C. 2500 gms
D. 4500 gms

243-When the head of the baby is already out in a cervix , the nurse should do which of the
following first ?
A. ask the mother to push more
B. check if the baby is breathing
C. wait for the baby to come out

244-FHR is heard clearly on fetal :-

A. head
B. back
C. abdomen

245-Soon after the delivery of head of the baby the nurse should :-
A. suction mouth and oral cavity
B. wait for the delivery of the baby
C. ask her to push

246-Normal birth weight of newborn according to statistics :

A. 2.500 gm
B. 3.200 gm
C. 3.500 gm
D. 3.700 gm

247-The fetus will get immunity from :-

A. lymph system
B. placenta

248-Diet and nutritional status of pregnancy should be encouraged :-

A. first trimester
B. second trimester
C. third trimester

249-Precaution of infection diseases in early childhood ?

A. immunization
B. isolation technique
C. parental education

250-When the bag of water ruptures , the nurse should watch for which of the following :-
A. cord prolapse
B. bleeding
C. fetal death
D. fetal distress
E. respiratory distress

251-During labor a mother experienced dystocia , which of the following should the nurse watch
out for ?
A. fetal death
B. hemorrhage
C. cord prolapse

252-Which are the signs of placenta separation ?

A. rising of the fundus
B. sudden gush of blood
C. globular shape of the uterus
D. all of the above

253-During hyperthermia which of the following should be done as measure to lower the temp. of
the baby ?
A. immerse baby in cold water
B. give cold enema
C. external cooling measures
D. all of the above

254-When is health teaching concerning nutrition be given to a pregnant woman ?

A. first trimester
B. second trimester
C. third trimester

255-Premature labor occurs during :-

A. between 20-36 weeks
B. between 36-42 weeks

256-Which of the following hormones prepares the uterus for the arrival of a fertilized ovum for
implantation ?
A. progesterone
B. estrogen
C. FHS
D. NON OF THE ABOVE

257-What is the most common complication after hysterectomy ?

A. Abdominal distention
B. Hemorrhage
C. Vaginal pain
D. Vaginal discharge

258-When dose ovulation occur?

A. Between 10-12 days
B. Between 12-16 days
C. Between 18-21 days

259-Diphtheria vaccine is being given during infancy and repeated :-

A. Booster dose at age 6
B. Every after 5 years
C. Every after 10 years .
D. No booster is recommended

260-There is no vaccination for :-

A. Small pox
B. Measles
C. DPT
D. Polio

261-The end of the first stage of labor is :-

A. When the cervix starts to dilate
B. Full dilatation of cervix up to 10 cm
C. Birth of baby
D. Separation of placenta

262-One sign of vaginal infection is :-

A. Pain
B. Itchiness
C. Foul smelling discharges

263-One post-partum nursing responsibility for preventing vaginal bleeding is :-

A. Put patient on trendelenburg position .
B. Regulate IV fluid with oxytosis
C. do fundal massage frequently

264-Fetal heart tone is best heard at :-

A. anterior part of the fetus
B. posterior back of the fetus

265-During pregnancy iron supplement starts on :-

A. first trimester
B. second trimester
C. third trimester

266-72 hours post placental delivery , fundic height will be :-

A. 1-2 finger above the umbilical
B. 1-2 finger below the umbilical
C. on the level of umbilical

267-In the hospital , isolation is indicated if the patient :-

A. staphylococcal pneumonia
B. local staphylococcal infection
C. puerperal fever
D. all are indicated

268-At which age is administration of the measles vaccine the most effective :-
A. 2 months
B. 6 months
C. 12 months
D. 15 months

269-The postpartal patient should be watched closely during the first hours after delivery for:-
A. uterine contraction
B. vaginal bleeding
C. hypotension
D. all of the above

270-Premature labor is the labor that occurs between :-

A. 20-36 week gestation
B. 28-37 week gestation
C. 30-38 week gestation
D. any of the above

271-Which of the following complication is life threatening after a penetrating abdominal injury :-
A. Hemorrhage .
B. Peritonitis
C. Abdominal distention

272-WHICH OF THE FOLLOEING IS THE IMMEDIATE TREATMENT FOR PUNCTURED

WOUND ?
A. CLEANS the wound
B. Stop the bleeding
C. Remove the object from the wound
D. Give prophylactic anti-tetanus

273-When there is malfunction of the glomerular filter there is high secretion of:-
A. Urea
B. Creatinine
C. Potassium
D. Protein
274-In a nephritic syndrome , aside from clinical manifestation , what else can the patient
complain upon consultation ?
A. Protienurea
B. Oliguria
C. albuminuria
D. polyuria

275-ECT is indicated to treat :

A. psychotic depression
B. obsessive compulsive disorder
C. neurosis

276-After taking tranquilizer ,a nurse must warn the patient that he may experience :-
A. nausea
B. hallucination
C. drowsiness
277-One of the signs and symptoms of paralytic ileus is:-
A. increased peristalsis
B. increased gas formation
C. absence of bowel sounds

278-The most important nursing responsibility following head injury is :-

A. monitor vital signs and record
B. monitor GCS –Glasgow coma scale
C. observe for restlessness

279-Post –operative prevention of thrombophebitis :-

A. leg exercise in bed
B. passive exercise by nurse to patient
C. early ambulation

280-Nursing management which is contraindicated for thrombophelbitis :-

A. encourage early ambulation
B. deep breathing and coughing exercise
C. massage the operative site i.e. leg calf muscle

281-What will you observe following spinal anesthesia ?

a. nausea and vomiting
b. restlessness
c. hypotension and headache

282-Second degree burns involve:-

A. skin , dermis
B. dermis , subcutaneous , muscle
C. epidermis , dermis , subcutaneous

283-within 48 hours of burns , management is focused on :-

A. prevention of infection
B. hydration

284-Best diagnostic test for suspected leukemia is:-

A. CBC
B. Blood chemistry
C. Bone marrow aspiration

285-Nursing responsibility on leukemia :-

A. Ensure safety
B. Prevent infection
C. Obtain blood samples regular
286-Immediate management for reaction during blood transfusion :-
A. Slow down the rate
B. Stop blood transfusion
C. Change blood transfusion with a new pack

287-How many liters of oxygen can be given with nasal canula ?

A. 1-2 liters
B. 1-10 liters
C. 1-6 liters.

288-Destruction of bacterial is called :-

A. medical asepsis
B. surgical asepsis
C. disinfections .

289-First management of unconscious victim is :-

A. administer shock
B. determine unresponsiveness
C. administer oxygen .

290-Nursing responsibility before giving Digoxin:-

A. Check BP
B. Check apical rate
C. Instruct patient to do deep breathing

291-Explain briefly the following :-

A. Comminuted fracture
B. Simple fracture

292-Treatment of scurvy :-
1. Vit.b supplement
2. Vit.c supplement
3. Iron supplement

293-Atropine so4 is given pre-operative to :-

1. relax the patient
2. decrease the secretion
3. prevent intra-operative bleeding

294-When the patient is diagnosed with wilm,s tumor , the nurse should :-
1. always keep bed rails up
2. avoid palpation of abdomen
3. observe foe nausea and vomiting

295-A patient with asthma is receiving intravenous aminophylline .the adverse reaction for which
the nurse should observe is :-
1. oliguria
2. braducardia
3. hypotension
4. hypertension

296-The force with which the blood is pushing against the arterial walls when the ventricles are
contracting is called:-
1. pulse pressure
2. pressure gradient
3. systolic pressure
4. diastolic pressure

297-Acide-base balance refers to the regulation of the concentration of:-

1. hydrogen ions
2. sodium
3. bicarbonates ions
4. plasma protein

298-Carbohydrates are stored in the body in the form of :-

1. glucose
2. glucagons
3. glycogen
4. glucose 6 phosphate

299-The period in which communicable is most contagious is the :-

1. incubation period
2. period of illness
3. convalescent period
4. all are equally contagious

300-Spinal fluid for culture :-

1. can be stored in the refrigerator for 48 hours
2. can survive refrigeration for only 4-6 hours
3. must be examined immediately
4. will survive in a holding medium for 72 hours

301-An injection the gluteal site must be given in which quadrant of the buttocks :-
1. upper – inner quadrant
2. upper-outer quadrant
3. lower – inner quadrant
4. lower – outer quadrant
302-The most important rout of drug excretion for nonvolatile substances is:-
1. lungs
2. kidneys
3. feces
4. liver

303-Atropine is capable of producing which of the following effects :-

1. dilated pupils
2. decreased bronchial secretion
3. blocked stimulation of the vagus nerve
4. all of the above

304-The sulfonamide drugs remin the treatment of the control of :-

1. respiratory infections
2. skin infections
3. urinary tract infections
4. gastrointestinal infections

305-The drug of choice for treatment of an angina pectoris :-

1. nitroglycerin
2. quinidine
3. epinephrine
4. dopamine

306-Any one using antihistamine should be cautioned that antihistamine may cause:-
1. drowsiness
2. hypertinsion
3. tachycardia
4. anaphylaxis

307-The most frequent causes of death in pneumonia patients are shock and:-
1. pulmonary embolism
2. pulmonary edema
3. pulmonary consolidation
4. atelectasis

308-The most important factor in the promotion and maintenance of wound healing both during
surgery and the postoperative period is :-
1. adequate fluid intake
2. proper administration of antibiotics
3. strict asepsis
4. frequent cleansing of the wound

309-The major complications of inhalation anesthesia which the nurse should be constantly aware
of :-
1. circulatory depression only
2. circulatory and respiratory depression
3. respiratory and renal depression
4. renal and circulatory depression

310-If the skin must be shaven prior to surgery . Ideally the preoperative shave be done:-
1. the night before
2. early in the morning of the surgery
3. no more than one hour before surgery
4. by the patient before entering

311-Which of the following amounts of water per day should be ingested by the average person to
maintain hydration :-
1. 500cc
2. 1000cc
3. 1200cc
4. 2500cc

312-In the internal environment , fluids make up what percent of body weight :-
1. 10%
2. 20%
3. 40%
4. 70%

313-In which of the following ways can ascorbic acid be administer?

1. orally
2. IM
3. Diluted intravenous fluids
4. all of the above

314-The type of burn in which all the dermis and epidermis , is destroyed and there is
involvement of underlying structures is called :-
1. superficial or first degree burn
2. partial thickness or second degree burn
3. full-thickness or third degree burn
4. fourth degree burn

315-While teaching diabetic patient to give himself insulin , you should stress that injections
should not be given in any one spot more often than every:-
1. 36 hours
2. one week
3. two weeks
4. month

316-Which of the following dietary restrictions are usually indicated to decrease edema in
nephritic :-
1. high – protein , low – calorie , on sodium restrictive diet
2. high – protein , high – calorie , low on sodium diet
3. low– protein , low – calorie, high vitamin diet
4. low– protein, high – calorie , on sodium diet

317-Following a sigmoid scope , the patient should be observed for signs of hemorrhage and :-
1. fluid loss
2. performation
3. flatus
4. nausea

318-To avoid the possible development of heart diseases following rheumatic fever the patient
must guard himself against infection :-
1. until the fever is gone
2. for one year
3. until sedimentation rat is normal
4. for the rest of his life

319-Hypertension is a persistent elevation of systolic and diastolic pressure above:-

1. 140/90 mmhg
2. 150/190 mmhg
3. 160/100 mmhg
4. 160/110 mmhg

320-After below knee amputation:-

1. keep the patient in semi fowler’s
2. stump to be evaluated
3. watch the site for bleeding

321-Before giving Digoxin :-

1. check; apical pulse .
2. check BP
3. check respiration

322-To collect urine c/s specimen , the most accurate method:-

1. catheterize the patient
2. mid stream urine
3. provide sterile bedpan and collect urine

323-The nurse should observe the patient receiving decradon:-

1. urinary stasis
2. hypotension
3. infection
4. weight loss
324-Active immunity is acquired by :-
1. having had the disease
2. exposure to
3. taking the vaccine

325-Signs of septic shock :-

1. cool & clammy skin
2. bradicardia
3. warm & dry skin

326-Oral contraceptive used for :-

1. once daily for 21 days
2. once daily for 18 days
3. once daily for 28 days

327-Normal arterial O2 saturation :-

1. 85%
2. 92%
3. 97%
4. 100%

328-Atropine is given prior to surgery :-

1. to relax the muscle
2. to control the secretion

329-Valve which control the blood flow from right atrium to right ventricle :-
1. bicuspid valve
2. tricuspid valve
3. mitral valve
4. pulmonary artery

330-The common complication after operation :-

1. fever
2. pulmonary edema
3. pulmonary embolism

331-Digitalis is given :-
1. with meals
2. before meals
3. 2 hours after meals
4. bedtime
332-Diet in cirrhosis of liver without ascitis and swelling :-
1. low protein with multivitamins
2. high protein with vitamins B supplement
3. high protein with sodium restriction
4. high protein with diet .

333-Persistent sweating , hypotension , tachycardia with loss of fluid on blood . nurse would
suspect :-
1. hypovolemic shock
2. cardiogenic shock
3. septic shock
4. neurogenic shock

334-Before the collection of blood culture , the site should be cleansed:-

1. 70% isopropyl alcohol
2. 100% isopropyl alcohol
3. povidone iodine

335-Blood transfusion reaction occurs , the nurse should :-

1. slow down the rate
2. notify the physician
3. shut off the transfusion

336-Signs of hyperglacemia :-
1. polyuria , polydepsia , loss of appetite
2. acetone breath , flushed face , polyuria
337-If O2 is ordered as midication , which method the nurse would choose ?
1. nasal canula
2. nasal catheter
3. O2 mask
4. O2 tent

338-Pre-op medication is given :-

1. 2 hours before operation
2. 45 min. before operation
3. previous night of operation
4. as physician ordered

339-Temp. 98.6 f , is equal to :-

1. 37C
2. 37.5C
3. 36.8C
4. 37.3 C
340-A+ve tuberculin test means the person has :-
1. active TB
2. inactive TB

341-Complication of chemotherapy :-
1. bon marrow depression
2. liver damage

342-ECT is given for :-

1. psychotic depression
2. obsessive compulsive neurosis
3. hysteria

343-Age group more prone to get rheumatic fever :-

A. 5-15 years
B. 5 years
C. above 65 years

344-Iron is mostly absorbed in :-

A. large intestine
B. small intestine
C. liver

345-Early signs of respiratory arrest:-

A. thready pulse
B. cyanosis
C. orthopnea .

346-One fluid ounce equal to :-

A. 30cc
B. 15cc
C. 60cc
D. 5cc

347-Most effective , easy and un-expensive method of sterlization is :-

A. heat
B. pressure
C. drying
D. antiseptic

348-In nephritic syndrome , apart from clinical manifestation the patient would complain of:-
A. proteinuria
B. oliguria
C. hematuria

349-In active stage of osteomelitis the child should be:-

A. continue in bed
B. allowed to sit in a wheel chair
C. walk up and down

350-An enlarged movable lymphnode is a sign of:-

A. inflammation
B. malignant
C. normal lymph node
D. any of the above

351-To prevent irreversible brain hypoxia CPR should be commenced within:-

A. 2-3min
B. 4-6 min
C. 6-8 min
D. 8-10 min

352-Post-operative patient to do deep breathing & change of position every:-

A. 2 hourly
B. 4 hourly
C. in each shift
D. hourly

353-Cystitis patient should be encourage to pass urine :-

A. 2-3hourly
B. 2-3 hourly & 2 times in the night
C. 2-3 times round the clock
D. any one of the above according to the patient’s schedule

354-Mode of transmission of hepatitis A :-

A. oral
B. parental
C. blood transfusion

355-Reacting of penicillin :-
A. anaphylactic shock
B. vomiting
C. nausea.

356-Disease without vaccination :-

A. small pox
B. measles
C. polio
D. chicken pox

357-Health teaching to a diabetic patient will be on :-

A. diet , oral hypoglycemic , weight loss , feeding
B. diet , insulin , exercise , feeding
C. diet , hypoglycemic , exercise , feeding
D. about complications

358-Surgical asepsis means :-

A. destroying bacteria from articles .
B. removing the bacteria which is in contact with the patient
C. destroying the bacteria before entering in to the body
D. hand washing

359-ECG done for a patient with chest to assess:-

A. stress of heart rate
B. change the rhythm
C. the decreased blood supply to the particular part of the heart

360-The nurse is expecting fracture of bone for patient , the sign would be:-
A. absence of normal activity
B. tenderness
C. loss of sensation
D. all of the above

361-The medicine which will pass through placenta to the fetus:-

A. antibiotic
B. narcotics
C. sedatives
D. all of the above