You have to do your part in finding the answers for some questions.

1- patient is on digoxin. What is the drug of choice? - Lasix 2- post operation patient always asking for analgesic (over seeking). What is the most appropriate nursing intervention? - inform the physician to put the patient on regular analgesic - tell the patient that its a fake feeling - Increase patients analgesic dose 3- 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 understands the 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 affected 9- What the suitable position for CVA patient, during doing oral cavity care. - Supine - lateral - prone 10- During NGT (Nasogastric Tube) insertion, the nurse noticed a resistance, what is the suitable Nursing intervention? - remove the NGT. - apply more power - Rotate the tube 11- 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,etc 20- Patient with Hyperkalemia, which is the best way to decrease the K (potassium) level in the blood? - insulin, lasix pumps - kay oxalate 21- the Description of good granulation tissue formation? - pink, soft and may bleed when being touched 22- 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 slowly

27- .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 the appropriate Nsg intervention? - tell the pt that this a fake feeling. - I understand 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) - braycaria 31- 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 patient states? - 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 temperature by? - 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, what the 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 - accountability 40- 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, all are 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 urine 42- usually pts on warfarin, they must regularly check.. - bleeding time - INR or PT

- ESR (Estimated sedemintation rate). - PTT 43 usually pts on Heparin, the nurse must regularly check.. - bleeding time - INRor PT - ESR (Estimated sedemintation rate). - PTT 44- 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 nsg intervention? - 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 appropriate nsg 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 level

50- 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. - lateral 54- 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 problem 57- 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 - Blindness 60- 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 - Stress 62- Before giving Digoxin, what Must the nurse do? - Assess the BP - Assess the RR - Assess the HR - assess the O2 saturation 63- signs of Bipolar: - hyperactivity 64- Health Education for a patient who had total Knee replacement? - not to cross the legs

65- First choice for feeding a patient with Dysphagia and stroke: - NG tube. - PEG - TPN 66- 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 CO2 69- 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- dressing 71- 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 oligurea 74- what should the nurse advice a Dm patient regarding insulin use? - Small meal Exercise- insulin - insulin sleep- exercise - sleep- exercise insulin 75- a patient with pancreatitis clinical investigation markers are all except: -Amailaise - Lipase - low serum Ca level - high serum glucose level - hypernatremia 76- 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 meals

78- one of the following is correct regarding Dehydration signs (pediatric) - high HR - low skin turgor - crying with no tears 79- Adult patient admitted the ICU, at night he became agitated, what do you expect this patient have: - schizophrenia - depression - Hospital (ICU) psychosis - Stress or anxiety 80- post laparatomy patient, your advice when he wants to cough is: - to support the abdomen by his hand before coughing 81- 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 minus 83- 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 the 100 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 twitching 90- 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, the proper 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 balloon 94- Diagnosis markers of thalassemia? (check the textbook) - HB, Electrolytes - CBC - PTT,PT 95- 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 baby

104- a pregnant woman 2nd-3rd trimester, planned for C/S, the nsg priority is? - Assess pain - start IV fluids 105- Post normal vaginal Delivery, the pt developed vaginal bleeding, uterus is soft, what is the most appropriate Nsg 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 diet 107- the reason of gum bleeding for a pregnant woman? - high estrogen level 108- 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 - grasping 110- to prevent uterus laceration during delivery - Episeotomy 111- Marker diagnostic investigation for Breast CA (Cancer) is? - ERP test - CD and T 112- 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 - Esophagous 114- the drug of choice for Supra ventricular tachycardia is - D/C shock - Atropine - Adrenaline - Adenosine 115- the In charge nurse prepared a medication and asked the RN to give it to patient in room 4, the appropriate RN 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 name 117- 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 sign

120- 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.