نموذج من امتحان الكفاءة

Q1. Which of the following nursing interventions is idicated to improve nutritional status among patients with impaired liver function

a. Assess the degree of Jaundice & edema before meals

b. Provide diet high in CHO with protein intake consistent with liver function.

c. Elevate head of the bed after meal.

d. Provide diet high in protein and low with CHO.
 

Q2. The most appropriate expected patient outcome for the nursing diagnosis of deficient knowledge about post-MI-self-care would be

a. Experiences relief of angina 

b. Is less anxious

c. Maintains adequate tissue perfusion

d. Adheres to self-care-program
 

Q3. Patients’ daily output is 500ml. How much amount of fluids are you going to give in order to replace the missing fluid

a.  500 ml

b. 1000 ml

c. 1500 ml

d. 2000 ml
 

Q4. Passive immunity is

a. The transfer of maternal antibodies to neonate via the placenta or breast milk

b. The administration of antibodies or antitoxins in immune globulin

c. The transfer of maternal antibodies and administration of antibodies or antitoxins in immune globulin.

d. The infection & formation of antibodies and through
immunization 
 

Q5.Which of the followings ethical principles the nurse uses when follows the "five right" of medication administration?

a. Non-maleficence.

b. Beneficence.

c. Justice.

d. Autonomy
 

Q6. Which postoperative activity does the nurse encourage
the client to avoid when there is a risk for increased intracranial pressure?

a. Deep breathing

b. Turning

c. Coughing 

d. Passive range-of-motion 
exercises
 

Q7. An intradermal injection (ID) is frequently given:

a. For diagnostic purposes

b. As an emergency route of administering medication

c. Because it is an easy method of drug administration

d. To avoid capillary damage
 

Q8. To combat the most common adverse effects of chemotherapy, the nurse would administer an:

a. Antiemetic.

b. Antimetabolite.123

c. Tumor antibiotic.

d. Anticoagulant.
 

Q9. The nurse is caring for a patient who underwent a lumbar laminectomy 2 days ago. Which of the following findings should the nurse consider abnormal?

a. More back pain than the first postoperative day.

b. Paresthesia in the dermatomes near the wounds.

c. Urinary retention or incontinence.

d. Temperature of 37.3o c.
 

Q10. The nurse is teaching a client with a new colostomy how to apply an appliance to the stoma. The client leaves 5cm of skin exposed between the stoma and the ring of the appliance. What teaching is indicated here?

a. Telling the client that this is too much skin exposed to the fecal drainage 

b. No teaching, this is a correct procedure.

c. Telling the client that exposed skin should be between 2 and 3cm.

d. The ring of the appliance should be about 0.3cm larger than the stoma.
 

Q11. transplantation. Which of the following pieces of information should be given to a client with a transplant?

a. Alopecia may occur

b. Othostatic hypotension is common.

c. Cholesterol level may become elevated.

d. Blood glucose level may become elevated
 

Q12. A client's arterial blood gases (ABG) values as follows: pH, 7.47; PaO2, 90mmHg, PaCO2, 22mmHg; HCO3, 22 mEq\L. Which of the following (ABGs) is your interpretation: 

a. Respiratory alkalosis

b. Metabolic alkalosis 

c. Respiratory acidosis 

d. Metabolic acidosis.
 

Q13. As part of the preparation of a patient for a sigmoidoscopy, the nurse should

a. Administer an-enema the morning of the examination

b. Provide a container for the collection of a stool specimen

c. Withhold all fluids and foods for 24 hours before the examination

d. Explain to the client that chalklike substance will have to be swallowed
 

Q14. The duration of labor is usually different for a primipara and multipara and depends on

a. Regular progressive uterine contractions

b. Progressive effacement and dilation of the cervix

c. Progressive descent of the presenting part

d. All of the above
 

Q15. The new born infant who is more likely to develop Respiratory distress Syndrome(RDS) is

a. Vaginal delivery newborn

b. Cesarean section C/S newborn

c. Small for gestational age

d. Large for gestational age 
 

Q16. Majed, is a 2 month-old baby admitted to hospital for treatment of diarrhea and vomiting and diagnosed as moderately dehydrated
On admission to hospital, Majed is placed in isolation in a single room because

a. He required intensive nursing care

b. His resistance to infection is low

c. The cause of his diarrhea and vomiting is not known

d. His mother can then stay with him for an extended time
 

Q17. If the newborn presents with excessive salivation, cough, choking and cyanosis, you will suspect which of the following problems

a. Intussusception.

b. Cleft palate.

c. Tracheo esophageal fistula with esophageal Artesia.

d. Imperforate anus.
 

Q18. Which of the following contraceptive methods is not a modern contraceptive method

a. Oral contraceoptives

b. Intrauterine Device

c. Basal body temperature

d. Spermisides
 

Q19. An acute infectious disease that often results in malformation of the fetus is

a. Pneumonia

b. Rubella 

c. Poliomyelitis

d. Influenza
 

Q20. Neuroleptics are the drugs of choice to relieve symptoms of :

a. Psychosis 

b. Depression 

c. Hyperkinesis 

d. Narcotic withdrawal 
 

Q21. Distributing written information sheets on the nursing unit that outline the benefits of 
primary nursing over functional nursing would be a part of what phase of planned change:

a. Unfreezing

b. Movement

c. Refreezing

d. Resistance
 

Q22. The initial treatment plan for a 40 year old client with the long- standing, obsessive-compulsive behavior of hand and body washing should include:

a. Denying the client time for the ritualistic behavior.

b. Determining the purpose of the ritualistic behavior.

c. Providing the client with a routine schedule of activities.

d. Suggesting a symptom substitution technique to refocus the behavior .
 

Q23. The community health nurse assumes several roles which are essential when working with the community as a client. These include 

a. Collaborator

b. Coordinator 

c. Facilitator 

d. All of the above
 

Q24. Chronic diseases are common among older adults. Select the statement that most accurately reflects older adults and chronic diseases:

a. Postural hypotension can be related to falls in elders

b. Many older adults are diagnosed with diabetes 

c. Weight-bearing exercises are related to increased cases of osteoporosis

d. Suicide is not a serious problem among older men
 

Q25. A community health nurse who assumes that all rural clients believe in the "evil eye" is displaying

a. Cultural blindness.

b. Cultural conflict.

c. Ethnocentrism.

d. Cultural stereotyping.
 




الاجابات الصحيحة:
Q1.
b
Q8.
a
Q15.
b
Q22.
c

Q2.
d
Q9.
c
Q16.
b
Q23.
d

Q3.
b
Q10.
d
Q17.
c
Q24.
b

Q4.
c
Q11.
d
Q18.
c
Q25.
d

Q5.
a
Q12.
a
Q19.
b



Q6.
c
Q13.
a
Q20.
a



Q7.
a
Q14.
d
Q21.
a