Haad Questions
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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.
