1- patient is on digoxin. What is the drug of choice?- Lasix2- post operation patient always asking for analgesic (over seeking). What is the most appropriate nursingintervention?- inform the physician to put the patient on regular analgesic- tell the patient that its a fake feeling - Increase patients analgesic dose3- patient with Digoxin with Hyperkalemia, what do you expect the ECG rythem- peaked, Inverted T wave?? (check)4- a woman with dysmennorhea, how can the RN know that she is pregnant without any investigations?-5- A patient with diabetic foot, during the discharge plan, how can the nurse know that the patient understandsthe correct way to take care of his feet?- Ill check my foot every day (inspect) 6- when foleys is inserted, hoe does it fixed?- inflation of the balloon.- rotate the cathter and fix it by tape.7- patient with acute renal failure, after investigation (Blood and urine) what do you expect to have?- creatinine is high.8- how can you assess the severity of CVA (Cerebrovascular Accident)- the affected area in the brain- block of the artery- Nerves affected9- What the suitable position for CVA patient, during doing oral cavity care.- Supine- lateral- prone10- During NGT (Nasogastric Tube) insertion, the nurse noticed a resistance, what is the suitable Nursingintervention?- remove the NGT.- apply more power - Rotate the tube11- During NGT insertion the patient become cyanosed, Nsg intervention?- remove the NG and monitor.- Give O2.
12- During NG feeding, why it suppose to be slowly feeding (by gravity)?- because the patient may develop Diarrhea- because may develop abdominal destination.13- what is the ideal way when you make suctioning to a patient on Mechanical Ventilator?- Hyperventilation (by Ampobag) pre and post suctioning.14- How the RN assess that the Chest tube s are working proberly?- fluctuation (oxalating)15- How to assess an emphysema with palpitation?- When crackles sensation under the skin is felt (palpated)16- the most common risk factors of developing a pneumonia?- pts on Mechanical Ventilator.17- Pneumonic Patient , has purulent mucous, how the nurse can assist the excretion of this mucous?- by percussion.18- patient is planned for discharge on diuretics, how the nurse can know the patient understood the care plan ?- will measure and document the intake/ output - Ill weigh my self daily 19- Renal Failure patient for discharge, health education??- avoid food with high K (potassium), Banana,etc20- Patient with Hyperkalemia, which is the best way to decrease the K (potassium) level in the blood?- insulin, lasix pumps- kay oxalate21- the Description of good granulation tissue formation?- pink, soft and may bleed when being touched22- patient on diuretic, what the RN must keep in mind to monitor.- Pulse.- Potassium level.- Blood Pressure.23- Patient with GI (Gastrointestinal) (GI Bleeding), stool color?- Dark (Upper GI Bleeding), (Bright Lower GI B.) + bed odor (Melena)24- the purpose of let the patient with esophagus Varices having cold water ?- cold water makes Vasoconstriction, prevent bleeding.25- the Evidence that the patient may have Anorexia nervosa?- Anemia
26- During Dealing with a Geriatric Patient , what the nurse should expect?- difficulty swallowing- Speaking slowly27- .patient with CVA, how the nurse can assist to enhance the facial movement?- encourage chewing and smiling.28- patient with an amputated leg above the knee, complaing of pain in the his amputated knee, what is theappropriate Nsg intervention?- tell the pt that this a fake feeling.- I understa nd what you feel, bla bla. The nurse have to realize the fantom Pain).29- post op patient had a thyroidectomy, how can the nurse realize that the pt developed a parathyroid injury?- muscle twitching.30- the most dangerous arrhythmia?- V-tach (Ventricular tachycardia.- VF (Ventricular fibrillation)- braycaria31- a pediatric patient with VSD (Ventricular-Septal Defect), the nurse must know that this disease is?- Cyanotic disease.- may or may not need surgical repair.32- during assessing the understanding of health education for a patient about elastic stocking, the patientstates?- I will wear them during the day, and take them of before sleeping. 33- the most common risk factor after thigh open fracture injury is?- Pulmonary empolism.(fat embolism)- Bleeding.- Severe pain.34- ICP (IntraCranial pressure) normal value is?- 10-20 cm h2o.35- how is the appropriate nursing care for a diabetic (DM) patients nails? - cut straight, then file.36- Health Education for a diabetic patient, before having a bath the patient must mesure the water temperatureby?- put his elbow in the water.- use a thermometer.37- Physician order give 10 IU mixtard (mixed) with 5 IU actrapid (clear) insulin ..) , the nurse should? - withdraw actrapid then Mixtard.- withdraw mix then actrapid.
38- During medication preparation, the nurse noticed unclear label, or unclear expiary date of a medication, whatthe appropriate nsg intervention?- return to the pharmacy to be replaced.39- When a nurse write an incident report about an error he/she does, it is an example of?- confidentiality- accountability40- when the RN delegates a PN to do a procedure, in case of any mistakes who will be responsible?- RN- PN- Supervisor - Physician.41- Patient on Warfarin (Anti coagulation), how the nurse know that the pt understood his health education, allare correct expcept?- I will shave by raser instead of shaving set.- I check (inspect) my body daily of bruises.- Continuously lab check especially INR level.- its normal to have dark urine42- usually pts on warfarin, they must regularly check..- bleeding time- INR or PT- ESR (Estimated sedemintation rate).- PTT43
usually pts on Heparin, the nurse must regularly check..- bleeding time- INRor PT- ESR (Estimated sedemintation rate).- PTT44- Bed ridden patients hoe have low weight (slim), with poor nutrition, immobilized, are at high risk to develop..- Bed Sores- DVT (Deep Vein Thrimbosis)45- when changing the position for a patient with skin traction (with fractured leg), the appropriate nsgintervention?- Hold the weight (the traction) before changing the position.46- the protective infection precaution equipment when dealing with a meningitis case is?- surgical face mask (droplet)- Gloves.47- to have the best effectiveness when using a skin traction is?- free hanging.
48- when the nurse deals with a psycho patient with severe depression, the nurse needs toilet, the appropriatensg intervention is?- tell the patient that he will come back in 5 minutes, and instruct him not to move until he come.- make any other nurse to cover (replacement).49- in an Acute Bacterial Meningitis, the CSF (CerebriSpinal Fluid) investigation will be:- low glucose level.- high glucose level- high protein level.- low protein level50- in PACU (Post Anesthesia care Unit), the nurse priority during monitoring the pt is?- Blood pressure (BP)(in case you have an airways and o2 saturation in the choices not the BP that will be the correct answer)51- the drug of choice for bradycardia- Atropine.- Digoxin.- epinephrine (Adrenaline)- norepinephrine.52- for terminal stages pts who complaining of pain, asking (Morphine)- give when they complain pain.53- the best position during having a kidney biopsy is?- Prone with sand bag support behind the Rt- Lt abdominal area.- lateral54- the most complication may the patient have after the liver biopsy procedure is?- severe Pain.- Bleeding (Bile)55- Nsg intervention for an amputated leg with a biological patch is?- Elevation above pillow
to prevent contractures.56- severe dehydrated baby, which of the following the nurse must expect as a sign:- crying without tears.57- Apgar score:- 0-3 severe distress- 4-6 Need observation- 7-10 No problem57- In Renal calculi case, urine analysis will appear:- high WBC (white Blood Cells)- High creatinine.- high RBC (Red Blood cells)
58- when you are speaking (communicating) to a CVA patient:- give the patient enough time to speak (because he/she speaking moving slowly)- Encourage the patient to speak faster.- act as you understand what he was speaking then ignore.59- A patient with high ICP (Intracranial Pressure), What do you expect the patient to develop:- coma- Seizure- Blindness60- How to assess the pediatric tissue perfusion/ Breathing- Capillary refill to be < 2 seconds.61- a patient who recently lost his mother, after being informed he said No she is coming today to visit me, this patient considered in which stage of grieving process?- Acceptance.- Denial- Depression- Stress62- Before giving Digoxin, what Must the nurse do?- Assess the BP- Assess the RR- Assess the HR- assess the O2 saturation63- signs of Bipolar:- hyperactivity64- Health Education for a patient who had total Knee replacement?- not to cross the legs65- First choice for feeding a patient with Dysphagia and stroke:- NG tube.- PEG- TPN66- Heavy smoker are at high risk to have:- Hypertension- CAD (Coronary Artery Diseases)- stroke (CVA)67- which of the following considered as (Plasma Expander)?- Mannitol- RBCS- Albumin- Perfalgan
68- why its contraindication to give high flow O2 to a COPD (Chronic Obstructive Pulmonary Disease) patients?- because it may cause O2 toxicity.- to maintain breathing stimulation which initiated by the CO269- Picc line , when be used for the first time, what you expect from the physician to do?- withdraw to check if you have food blood flow before using.- CXR (Chest X- Ray)- good and firm dressing.70- which of the following is correct regarding Chest drainage system Discontinue?- slowly remove the tube
suture- dressing- clamp- instruct of inhalation then hold on- remove
tie the wound- dressing71- post Bronchoscopy patient, the nurse should observe before starting feeding:- Gag reflex- wait bowel movement- NPO (Nothing Per Oss) for 6 hrs then feed.72- to irrigate a colostomy stoma, the nurse should use:- Tepid water - normal Saline- Ringer lactate- Distilled water 73- Nursing diagnosis as priority for a patient with Renal calcholie:- Fluid volume deficit- Pain- risk for bleeding- risk for oligurea74- what should the nurse advice a Dm patient regarding insulin use?- Small meal
Exercise- insulin- insulin
sleep- exercise- sleep- exercise
insulin75- a patient with pancreatitis clinical investigation markers are all except:-Amailaise- Lipase- low serum Ca level- high serum glucose level- hypernatremia76- B-Blocker acts as anti arrhythmic agent is?- isoptine- lidocain- Norvasc- Tenormin
77- signs of duodenal ulcer:- continuous pain- intermittent pain.- pain relieved by meals- pain increased by meals78- one of the following is correct regarding Dehydration signs (pediatric)- high HR- low skin turgor - crying with no tears79- Adult patient admitted the ICU, at night he became agitated, what do you expect this patient have:- schizophrenia- depression- Hospital (ICU) psychosis- Stress or anxiety80- post laparatomy patient, your advice when he wants to cough is:- to support the abdomen by his hand before coughing81- with pre-exlampsia , the nurse expect: (check the textbook)- high Na (hypernatremia), low K (Hypokalemia)-82- Nsg diagnosis for a patient with Gestationl DM? (check the textbook)- CVA- Low BP- Placenta Previa- Poly Hydro minus83- Type of Anemia, why..? (check the textbook)- Low folic acid- . 84- DM insepidus, with old patient , you expect : (check the textbook)- Hyponatremia- Hypoglycemia- high crealtinine
urine analysis- .. 85- Most Priority Nsg action post Electroconvulsion Therapy is? - Put the pt on lateral position- change position every 15 min- ask how doe the pt feel.86- When the RN prepare a dose of 75mg of pethidine, what must the nure do with the residual amount in the100 mg pethidine ampule?- Discard it
87- Nursing meaning for the pts principle of Autonomy?- pt has the right to be informed about results and procedures.- the nurse respects the patients principles of freedom, choices, self determination and privacy.- pt has the right for high quality of nsg care and international standards.88- Effectiveness of O2 therapy for a pt with COPD ?- HB- PH and O2 sat- CBC, ABGs, O2 Sat.89- with duretics administration, the nurse must be aware of:- high BP- weak pulse- muscle twitching90- first priority Nsg interventions purpose with Alzhaimer pts is:- to cure the disease- giving medicaton to minimize the Signs and symptoms of Alzhaimer.91- first priority when dealing with unconscious traumatic pt received in the ER?- jaw thrust maneuver.- maintain airways and breathing and O2 therapy- assess level of consciousness.92- Rectal tube insertion procedure, all of the following steps are correct except:- Lubricate the rectal tube.- insert 4-6 inches- assess for abdominal distention before and after insertion.- leave the tube for 40 minutes.93- if the pt complains of pain when inflation of the balloon during the foleys catheter insertion procedure, theproper nsg action is?- Aspirate the fluid and remove.- withdraw the fluid and insert more in then re inflate.- put lower amount of fluid inside the balloon94- Diagnosis markers of thalassemia? (check the textbook)- HB, Electrolytes- CBC- PTT,PT95- Which of the following regarding the Nsg diagnosis?- Medical Pathology- Treatment- Actual problem- Lab result
100- Health Education how to make wound care, the nurse knows that the pt understands by:- states the steps of sterile techniques while dealing with his wound.101- to prevent lipo dystrophy with DM patient?- Rotate injection sites.- deep injection- use 25 gauge syringe.102- Meningitis therapy (Nursing Care) includes:- ventilate the room- Allow frequent visitore.- use low lighting system. (light sensitivity)103- the purpose of giving Anti D for a pregnant woman? - to prevent the RBCs destruction for the next baby104- a pregnant woman 2nd-3rd trimester, planned for C/S, the nsg priority is?- Assess pain- start IV fluids105- Post normal vaginal Delivery, the pt developed vaginal bleeding, uterus is soft, what is the most appropriateNsg intervention?- Uterus message to make the uterus rigid and decrease bleeding.106- The most suitable diet for a woman with pre- exlampsia is?- high protein, low salt diet107- the reason of gum bleeding for a pregnant woman?- high estrogen level108- 20 weeks pregnant woman, first fatal movement called?- Quacking.109- when you let the patient suddenly down, the normal newborns reflex is called? (revise reflexes) - Moro reflex- Babiniski reflex- rotating (sucking) reflex- grasping110- to prevent uterus laceration during delivery
- Episeotomy111- Marker diagnostic investigation for Breast CA (Cancer) is?- ERP test- CD and T112- the priority, pt with facial and chest burn is?- maintain airways and breathing. (laryngeal edema)
113- Post ETT (Endotracheal Intubation), patients breathing with gargling, this gargling is evidence that the tube is located in:- Bronchioles- Trachea- Carina- Esophagous114- the drug of choice for Supra ventricular tachycardia is - D/C shock- Atropine- Adrenaline- Adenosine115- the In charge nurse prepared a medication and asked the RN to give it to patient in room 4, the appropriateRN intervention:- refuse giving this medication ( who prepared will give, no deligation)- give it, and sign instead of the in charge.116- the first priority regarding medication administration ?- chceck pts name- check the expiry date- check physician order - check medication name117- preparation for thoracentesis?- give pre medication- keep pt NPO for 8 hrs.- keep the pt on upright position and mark the site.118- the ideal way to remove the eye lenses?- apply a pressure to the eyelids then instruct to clinch.119- Documentation error (with 2 words) hoe the nurse fixes this error?- use the corrector - flat line over then sign120- documentation- while the nurse document in a pts file, he discovered that he was writing in the wrong pt,what is the appropriate action should the nurse do?- make oblique line in the whole page and sign.
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