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Fundamental 3

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w1.

All of the following are normally present in urine result EXCEPT:


a) Urea
b) Createnin
c) Albumin.
d) Sodium
2. All of the following are etiologic factors of fluid volume deficit except:
a) Vomiting
b) Diarrhea
c) Renal failure.
d) Excessive sweating
3. All of the following are most common complications postoperatively except:
a) Hemorrhage
b) Tonsillitis.
c) Wound infection
d) Pain
4. All of the following are clinical manifestations of fluid volume excess except:
a) Edema
b) Oligurea.
c) Distended neck veins
d) Increased CVP
5. Apnea is medical term means:
a) Rapid pulse
b) Increase body temperature
c) Stop breathing.
d) Low blood pressure
6. All of the following are nursing actions during preoperative nursing care
except:
a) Observe incisional site.
b) Remove hairpins and hairpieces
c) Remove jewelry and prostheses
d) Assess all vital signs
7. Signs and symptoms of Hypovolemic shock are all of the following except:
a) Tachycardia
b) Hypertension.
c) Pallor and cyanosis
d) Tachypnea
8. Normal Saline 0.9% solution is considered as which of the following:
a) Isotonic solution.
b) Hypotonic solution
c) Hypertonic solution
d) Non of the above
9. When blood sugar level is above normal range, this means that patient has:
a) Hypotension
b) Hypoglycemia
c) Hyperglycemia.
d) Bradycardia
10. The most important thing should be done after any nursing action is:
a) Documentation.
b) Nursing diagnosis
c) Planning
d) All of the above
11. All of the following are assessment sites for body temperature except:
a) Oral Site
b) Rectal Site
c) Axillary Site
d) Apical.
12. Mr. Ashraf aged 35 years old, his pulse rate is found to be 120 bpm. His heart
rate could be
described as:
a) Tachypnea
b) Tachycardia.
c) Bradypnea
d) Bradycardia
13. Which of the following factors are affecting body temperature:
a) Food intake
b) Age and Gender
c) Climate
d) All of the above.
14. The condition in which a person is aware of his or her own heart beats is
called:
a) Palpitation.
b) Dysrhythmia
c) Pulse rhythm
d) Arrhythmia
15. The condition in which the body temperature is above the average normal is
called:
a) Bradypnea
b) Fever.
c) Hypertension
d) Hypothermia
16. Which of the following best describes the technique of palpation:
a) The use of the sense of hearing to listen for sounds
b) The use of tapping on a particular part of the body to produce sounds
c) The use of the senses to evaluate general appearance of the patient
d) The sense of touch to feel the body by slight or deep pressure.
17. Inhalation or inspiration means:
a) Stop breathing
b) Difficult breathing
c) Breathing out
d) Breathing in.
18. Normal body temperature is ranging from:
a) 35.8 – 37.4 C.
b) 34.5 – 36.5 C
c) 35.0 – 38.0 C
d) 36.5 – 38.5 C
19. Pulse pressure is defined as which of the following:
a) Difference between systolic and diastolic pressure.
b) Expansion of the artery as blood moves through it
c) Difference between arterial and venous pressure
d) Difference between venous and systolic pressure

34. You are assigned to assist Mrs. Kelley with her lunch. She is on
bed rest. The best position for her, if permitted, would be
a. Tredelenberg
b. hyperextension
c. dangling at the side of the bed
d. semi-Fowler's.
35. When caring for a patient with a nasogastric tube, you should
a. offer the patient water if she starts to gag
b. take the tape off the nose if it bothers the patient
c. never unfasten the connecting tubing from the patient's gown
d. protect the tube when moving or changing the patient's position.
36. To prevent a patient from getting bedsores, you should
a. wash urine and feces off with only water
b. put baby powder on the skin to keep it dry
c. rub the reddened area once a day
d. turn the patient every 2 hours.
37. When moving a wheelchair on or off an elevator, you should stay
a. behind the chair, pulling it toward you.
b. behind the chair, pushing it away from you
c. in front of patient to observe his or her condition
d. to the side and hold the door open
38. What position should a patient be in to receive an enema?
a. supine
b. Fowler's
c. prone
d. left Sim's.
39. Nursing orders frequently instruct you to assist patient to cough
and deep breathe. This activity helps the patient avoid
a. decubitus ulcers
b. pneumonia.
c. internal bleeding
d. dyspnea
40. A patient who has difficulty chewing or swallowing will need
what type of diet?
a. clear liquid
b. low residue
c. bland (soft)
d. mechanical soft.
41. How often should you total a patient's intake and output records?
a. once each shift.
b. twice a day
c. every 4 hours
d. every 12 hours
Input and output are totaled once per shift as well as every 24 hours
42. The Foley bag must be kept lower than the patient's bladder so
that
a. urine will not leak out, soiling the bed
b. urine will not return to the bladder, causing infection.
c. the bag will be hidden and the patient will not be embarrassed
d. the patient will be more comfortable in bed
43. When assisting a nurse to irrigate a patient's bladder, you notice
that the nurse has contaminated the sterile field. You should
a. tell the doctor right away
b. tell the charge nurse right away
c. offer to get the nurse another sterile pack.
d. ignore it because the nurse is doing the procedure
44. When distributing drinking water, the nursing assistant should
a. use only disposable cups and pitchers
b. give ice to all patients
c. follow the policy of the institution.
d. make sure that all pitchers (‫)اباريق‬are filled completely
45. Mr. Kaplan's orders include the notation, strain(‫ )صفي‬all urine.
This means that you should report
a. the output in millimeters
b. the color of the urine
c. any complaints the patient makes
d. any particles in the strainer.
46. Swelling caused by excess fluid in body tissues is called
a. fluid intake
b. diarrhea
c. perspiration
d. edema.
47. Mrs. Black is a diabetic. For her mid-afternoon nourishment, the
kitchen has sent a carton of chocolate ice cream. Your first action
should be to
a. substitute diet cola for ice cream
b. hold the nourishment and report to the team leader.
c. ask the ward clerk to notify the kitchen of an error
d. ask Mrs. Black if she likes ice cream
48. Your assignment sheet has the following notation: S & A, AC, tid
for Mr. Able. This means that you should
a. take axillary temperature and systolic blood pressure after care is
given two times a day
b. do a routine sugar and acetone urine test before meals three times
a day.
c. do a routine sugar and acid stool test after Mr. Able's next three
stools
d. offer snacks and ginger ale three times a day
49. Mr. Brook has a broken hip and needs to have an enema. The
best type of bedpan to use would be a
a. fracture pan.
b. plastic pan
c. child-sized pan
d. metal pan
a. Choose a fracture pan so Mr. Brook will have a minimal distance
to lift his hips.
50. Before you ambulate a patient who has a Foley catheter, you
should
a. clamp off the catheter and disconnect it, since the bag would be in
the way
b. leave the catheter dangling between the patient's legs
c. carry the bag below the level of the bladder.
d. hide the bag in a pillowcase so the patient will not be embarrassed
83. Which of the following if done by the nurse, is correct during NGT
Insertion?
A. Use an oil based lubricant
B. Measure the amount of the tube to be inserted from the Tip of the
nose, to the earlobe, to the xiphoid process.
C. Soak the NGT in a basin of ice water to facilitate easy insertion
D. Check the placement of the tube by introducing 10 cc of sterile water
and auscultating for bubbling sound
84. Which of the following is the BEST method in assessing for the
correct placement of the NGT?
A. X-Ray.
B. Immerse tip of the tube in water to check for bubbles produced
C. Aspirating gastric content to check if the content is acidic
D. Instilling air in the NGT and listening for a gurgling sound at the
epigastric area
11. A pattern in which the nursing personnel divide the patient into
groups and complete their care together is called:
a) Primary method
b) Team nursing.
c) Nursing managed care case method
d) Case method
12. Which of the following is considered as subjective data?
a) Anxiety.
b) Skin color
c) Height
d) Temperature
14. The physician has ordered an indwelling urinary catheter
inserted in a hospitalized patient, the nurse is aware that:
a) The procedure requires surgical asepsis.
b) Lubricant not needed for catheter insertion
c) Smaller catheters are used for male catheter
d) Normally a clean technique is required for catheter insertion
06. To examine the ear canal of the child, this is done by:
a) Pull the ear down and back.
b) Pull the ear up and back
c) Pull the ear only back
d) Do not pull the ear, direct examine the ear by otoscope
16. Diarrhea is best described by its:
a) Amount
b) Consistency.
c) Frequency
d) Odor
17.When a person bas a fever or diaphoresis, the urine output will be
which of the following:
a) Increased and diluted
b) Increased and concentrated
c) Decreased and highly diluted
d) Decreased and highly concentrated.
21. A primary concern when giving heparin subcutaneously to
prevent bleeding is:
a) Don’t make massage on the injection site.
b) To make massage on the injection site
c) Use the smallest gauge needle that is appropriate
d) Use Z technique
22. When administering medication via nasogastric tubing, clamp the
tube for at least:
a) One half hour prior to medication administration to prevent
complication
b) One half hours after instilling medication to allow for absorption.
c) One hour prior to medication administration to prevent complication
d) One and one half hours after instilling medication to allow for
absorption
To ensure that medications are prepared and administered correctly,
the nurse should:
a) Give the medication without question
b) Use the patient's rights
c) Give the medication only when requested
d) Use the FIVE rights.
24. The nurse chooses to inject a prescribed intramuscular
medication into the ventrogluteal site. If the nurse selects the site
correctly, the injection is administered into the.
a) Hip.
b) Arm
c) Thigh
d) Buttock
27. All of the following is used Central Venous Catheter, EXCEPT:
a) Clients require long term IV medication
b) IV medications are irritating to peripheral veins
c) Clients require short term IV medication
d) Difficult to insert peripheral catheter
28. In case of kerosene poisoning the best management is:
a) Induce vomiting for patient
b) Give kerosene antidote
c) Give the patient water or milk to ditute the kerosene.
d) Give patient activated charcoal
30. A pre-operative check list form that should be completed before
surgery, it should be including which of the following?
a) The surgical consent form
b) All laboratory test
c) Vital Signs
d) All of above
32. During the inflammation process, which of the following
characteristics occur first:
a) Swelling
b) Pain
c) Redness
d) Decreased functioning
33. Of the following, which is the earliest signs of excessive pressure:
a) Pale appearance of the skin
b) Reddened appearance of the skin.
c) Ulcer formation on the skin
d) Dark or cyanotic color to the skin
34. To prevent the formation of thrombi in the postoperative patient,
the nurse should
a) Teach foot and leg exercises
b) Have the patient lie still
c) Place pillows under the knee
d) Lie in lateral position
36. Which of the following is used to determine the activity of the
brain:
a) Electrocardiography ecg
b) Electromyography emg
c) Electroencephalography.eeg
d) Echocardiography
37. An infection that the patient acquires in the hospital is called:
a) A local infection
b) An endogenous infection
c) A nosocomial infection.
d) A secondary infection
39. If a nasogastric tube has been misplaced in the trachea during
preparation to obtain a gastric specimen, the nurse should anticipate
that the patient will:
a) Have difficult breathing.
b) Swallow every few seconds
c) Gage without relief
d) Complain of feeling nauseated
40. When planning Mr. Asem care (50 years) who demonstrates
difficulty in breathing. Which of the following positions is most
appropriate?
a) On either side
b) Flat on his back
c) On his abdomen
d) Mid-Flower's position.
43. Dorsal recumbent position is used when performing the following
procedures EXCEPT:
a) Suppository insertion.
b) Cystoscopic examination
c) Urinary catheter insertion
d) Vaginal examination
44. All of the following would be expected symptoms of CHF
EXCEPT:
a) Rapid, shallow, difficult breathing
b) Pyuria
c) Peripheral edema
d) Pulmonary congestion

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