1. Position post appendectomy?

A. High fowlers
B. Semi fowler x
C. Sitting
D. Dorsal recumben

2. Patient has difficulty in walking and lethargic, there decrease in capillary refill
and urine incontinence, the patient has risk for?
A. Aspiration
B. Infection
C. Skin breakdown xx
D. Body disturbance

3. Mixture of words and phrases that have no meaning:

A. Clang Association
B. Word Salad xx
C. Echolalia
D. Autism

4. Repetition of words or phrases similar in sound but in another words "I tied the
rope soap the slope nope".
A. Clang Association x
B. Word Salad
C. Echolalia
D. Autism

5. Repetition of words or phrases heard from another person:

A. Clang Association
B. Word Salad
C. Echolalia xx
D. Autism

6. A mother of a patient who is on antipsychotic drug asked a doctor about some

more detail about the drug. The doctor told the mother that her son is taking
an atypical antipsychotic drug. Which of the following is an examples of this type
of drug?
A. Thioridazine
B. Chlorpromazine
C. Haloperidol
D. Clozapine xx
7. A 56 year old present to the emergency department experiencing left sides eye
discomfort for the past 3 hours, left eye was blurred while vision in the right eye
remained examination showed increased intra-ocular pressure in the left eye
pupil of the left also reacted slowly to light. which is the most likely health
problem?
A. Detached retina
B. Macular hole
C. Glaucoma xx
D. Cataract

8. A 19-year-old girl was scheduled for the extraction under general anaesthesia.
Her pre-operative was done and the consent was signed by her, but her nail
polish and trim her long nails, requirement. What should be the nurse's action in
response to?
A. Explain why nails need to be cleaned xx
B. Respect the patient's right to refuse
C. Record and inform physician
D. Remove as per protocol

9. Which of the following assessment is contraindicated while providing

intrapartum nursing care for a patient with HELLP syndrome?
A. Heart sounds
B. Leopold's maneuvers xx
C. Blood studies
D. Deep tendon reflexes

10. For which of the following issues should the nurse observe the movie closely
during the 4TH stage of labor?
A. Uterine irritability xx
B. Signs of infection
C. Signs of bleeding
D. Unwillingness to breastfeed

11. A newborn has small, whitish, pinpoint spots over the nose, which the nurse
knows are caused by retained sebaceous secretions. When charting this
observation, the nurse identifies it as:
A. Milia x
B. Lanugo
C. Whiteheads
D. Mongolian spots
12. A nurse is performing physical examination on the new born she notes that the
baby has cephalhetoma this baby is risk to develop which of the following?
A. Sudden death
B. Infected umbilical cord
C. Pathological jaundice x
D. Increased intracranial pressure

13. A patient 4 years old needs to receive a doctor-prescribed medication at a dosage

of 10mg/kg/day. The medication is available in a concentration of 125mg/5ml.
The patient's body weight is 12 kg. How many ml per day should be given to the
patient?
A. 2 ml Bid ✓
B. 3 ml Bid
C. 6 ml PRN

14. Hyperemesis gravidium is a common occurrence for pregnant women, and there
are home remedies that have been proven to relieve nausea and vomiting. Which
one of the following is one of them?
A. Coffee
B. Ginger
C. Cinnamon

15. Patient after cholecystectomy what is the diet?

A. Grapes and gelatin
B. Cola and macaroni
C. Cheesecake and yogurt

16. The nurse is caring for a 60-year-old in the Medical-Surgical Unit. On entering the
room the nurse finds the patient alert and oriented. The skin color appears
healthy and pink. The nurse observes the electrocardiogram and notices absent
P-waves. Which initial action is the most important?
A. Defibrillate
B. Cardioversion
C. Pacemaker preparation
D. Intravenous amiodarone xx

17. During health education for a patient on Monoamine oxidase inhibitor (MAOI)
the nurse instructs him to avoid certain foods that can interact with the MAOI.
Food containing the following contents should be avoided:
A. Alcohol
B. Caffeine
C. Tyra mine xx
D. Folic acid
18. A nurse is preparing a medication order of 100 mg IV stat. The available
hydrocortisone is 200mg per 5 ml distilled water for injection. Which of the
following is the correct administered?
A. 4.5 ML
B. 3.5 ML
C. 2.5 ML xx
D. 1.5 ML

19. A patient 4 years old needs to receive a doctor-prescribed medication at a dosage

of 10mg/kg/day for one week. The medication is available in a concentration of
125mg/5ml. The patient's body weight is 15 kg. How many ml per day should be
given to the patient?
A. 2 ml QID
B. 3 ml Bid ✓
C. 5 ml OD
D. 6 ml PRN

20. A client has a history of urolithiasis related to hyperuricemia. To prevent the

formation of future stones, the nurse instructs the client to avoid certain foods,
including?
A. Liver x
B. Carrots
C. Skim milk
D. White rice
Rationale: The client with uric acid stones should avoid foods containing high amounts
of purines. This includes limiting or avoiding organ meats such as liver, brain, heart,
kidney, and sweetbreads. Other foods to avoid include herring, sardines, anchovies,
meat extracts, consommés, and gravies. Foods that are low in purines include all fruits,
many vegetables, milk, cheese, eggs, refined cereals, sugars and sweets, coffee, tea,
chocolate, and carbonated beverages.
21. Which of the following diet instructions should be given to the client with
recurring urinary tract infections?
A. Increase intake of meats.
B. Avoid citrus fruits.
C. Perform peri care with hydrogen peroxide.
D. Drink a glass of cranberry juice every day ✓
22. A client is complaining of severe flank and abdominal pain. A flat plate of the
abdomen shows urolithiasis. Which intervention is important?
A. Strain all urine xx
B. Limit fluid intake
C. Enforce strict bed rest.
D. Encourage a high-calcium diet

23. A nurse is educating a primigravida woman who is pregnant at 30 weeks on

breastfeeding. Which of the following statement by the woman indicates that
she needs additional teaching?
A. Breast milk can be stored at room temperature
B. Breastfeeding should be based on baby's demand
C. Baby can be held in different ways during feeding
D. Breastfeeding helps the uterus to return to pregnancy size

24. A nurse is educating a primigravida woman who is pregnant at 30 weeks on

breastfeeding. Which of the following statement by the woman indicates that
she needs additional teaching?
A. Breast milk can be stored at room temperature
B. Breastfeeding should be based on baby's demand
C. Baby can be held in different ways during feeding
D. Breastfeeding helps the uterus to return to prepregnancy size

25. order doctor medication 10mg /kg/day available 125mg/5ml and body weight
12kg, how many ml /day should be give the patient?
A. 2 Bid
B. 3 Bid
C. 6 PRN

26. Which of the following statements is true concerning epidemic diseases?

A. They are usually not very contagious.
B. At the end of an epidemic, a disease spreads at an increasing rate and then
abruptly disappears.
C. They usually appear and disappear seasonally. Xx

27. Diseases that are always present in a community, usually at a low, more or less
constant, frequency are classified as having an ____________ pattern.
A. epidemic
B. endemic xx
C. pandemic
28. An epidemic that becomes unusually widespread and even global in its reach is
referred to as a _________________ .
A. pandemic xx
B. hyperendemic
C. Spanish flu

A. AN EPIDEMIC is a disease that affects a large number of people within a

community, population, or region.
B. A PANDEMIC is an epidemic that’s spread over multiple countries or continents.
C. ENDEMIC is something that belongs to a particular people or country.

29. What is the health education for patient with appendectomy?

Resume activity gradually and avoid heavy lifting ✓
Prevent complications
Signs to report

30. Which medication can take from local pharmacy?

❖ NSAIDs ✓
❖ Narcotics
❖ Antibiotics
❖ Antipsychotic

 The due date or expected date of confinement (EDC) can be calculated using
Naegele’s Rule. Begin on the first day of the last menstrual period (LMP),
subtract 3 months, add 7 days, and then add 1 year.
Example
LMP: February 14, 2015
A. Subtract 3 months (Great Scott x 3): November 14, 2014
B. Add 7 days (N-A-E-G-E-L-E): November 21, 2014
C. Add 1 bear (year): November 21, 2015
31. A pregnant woman’s last menstrual period began on April 10, 2022, and ended
on April 13. Using Naegele’s rule her estimated date of birth would be:
A. July 1, 2021
B. January 17, 2023 ✓
C. January 20, 2020
D. November 5, 2024

32. What is COPD position?

A. Semi fowler
B. Sitting position ✓
C. 40-degree level position
D. 45-degree level position

33. A 15-year-old male needs urgent surgery. The informed consent should taken
from which person?
A. Patient
B. Physician
C. Nurse
D. legal guardian x

34. German measles incubation period?

A. 5 days ✓
B. 1 week
C. 2 weeks
D. 3 weeks

35. The doctor is conducting an assessment while the patient is uncomfortable and
asks, What should the nurse do?
197. Cover the unassessed area ✓
198. Stop the assessment and write a report
199. Ignore the patient
200. Complete the assessment

36. The nurse places a hospitalized client with a diagnosis of active tuberculosis in a
private, well-ventilated isolation room. In addition, which action would the nurse
take before entering the client's room?
A. Wash the hands.
B. Wash the hands and wear a gown and gloves.
C. Wash the hands and place a high-efficiency particulate air (HEPA) respirator over
the nose and mouth.
D. The nurse needs no special precautions, but the client is instructed to cover his or
her mouth and nose when coughing or sneezing.
37. A nurse is caring for a pregnant patient who is diagnosed with abruption
placenta. Which of the following findings of assessment would indicate a
concealed hemorrhage?
A. Maternal tachycardia
B. Decrease in fundal height
C. Rigid, board like abdomen
D. Acceleration in fetal heart rate
38. Cleft lip repair at which age?
A. 1-2 month
B. 2-3 month
C. 3-4month
D. 4-6 months

39. A nurse performing a nursing care plan for a neonate after a birth, which
intervention has the highest nursing priority neonate?
A. Obtained a dextrose
B. Give the initial bath
C. Give the vitamin K injection
D. Cover the neonate head with a cap

40. A cigarette vendor was brought to the emergency department of a hospital after
she fell into the ground and hurt her left leg. She is noted to be tachycardic and
tachypneic. Painkillers were carried out to lessen her pain. Suddenly, she started
complaining that she is still in pain and now experiencing muscle cramps,
tingling, and paraesthesia. Measurement of arterial blood gas reveals pH 7.6,
PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean?
A. Respiratory Alkalosis, Uncompensated
B. Respiratory Acidosis, Partially Compensated
C. Metabolic Alkalosis, Uncompensated
D. Metabolic Alkalosis, Partially Compensated

41. Which of the following diagnostic tests is definitive for TB?

A. Chest x-ray
B. Mantoux test
C. Sputum culture
D. Tuberculin test
42. A 10-year-old girl presents to the Emergency Room (ER) with pain. On
assessment, you noticed that when you palpate the left lower quadrant of the
child’s abdomen, the child feels pain in the right quadrant. Which of the
following is the name of this sign?
A. Rebound tenderness
B. McBurney sign
C. Roving’s sign
D. Obdurate sign

43. A 30 year old female is 25 weeks pregnant with twins. She has 5 living children.
Four of the 5 children were born at 39 weeks gestation and one child was born
at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks
gestation. What is her GTPAL?
A. G=7, T=4, P=0, A=1, L=5
B. G=7, T=4, P=1, A=1, L=5
C. G=6, T=4, P=0, A=1, L=5
D. G=6, T=2, P=2, A=1, L=5

44. Why is better to prevent the use of powder for children after bathing?
A. Respiratory problems
B. Itching skin
C. Diarrhea
D. Skin dryness

45. A nurse is caring for a female newborn who born with an imperforate anus.
When assessing the newborns urine, she should notify the doctor immediately
if the newborn's urine contains which of the following?
A. Meconium
B. Sugar
C. Albumin
D. Crystals

46. When the bag of waters ruptures, the nurse should check the characteristic of
the amniotic fluid. The normal color of amniotic fluid is
A. Yellowish
B. Clear as water
C. Bluish
D. Greenish
47. A 12-year-old child has been diagnosed with Diabetes insipidus which of the
following is a disorder?
A. Posterior pituitary
B. Adrenal medulla
C. Anterior pituitary
D. Adrenal cortex
48. A nurse checked medication. What is the medication nor refill new prescription?
A. Diazepam
B. Digoxin
C. Ibuprofen
D. Tetracycline

49. A 52-year-old female with mitral valve stenosis is admitted to the floor. She asks
the nurse why she got this condition because it does not run in her family. The
nurse explains most cases of mitral stenosis are due to a history of
A. right-sided heart failure.
B. hypercholesterolemia.
C. rheumatic fever.
D. viral meningitis.
Rationale: The most common cause of mitral valve stenosis is rheumatic heart
disease caused by a past history of rheumatic fever. Infective endocarditis is
another, less common, cause of mitral valve stenosis. Right-sided heart failure,
hypercholesterolemia, and viral meningitis do not cause mitral valve stenosis.

50. The priority nursing intervention for a client with sickle cell crisis is to
A. administer pain medication.
B. administer packed RBC.
C. administer oxygen.
D. administer IV fluids.
Rationale: All of the interventions listed are important during a sickle cell crisis;
however, administering IV fluids is the priority. Hydration can stop the sickling
process of the blood cells by causing hemodilution.

51. Before a hemorrhoidectomy operation, a patient asked the nurse what position
they will be in during the surgery?
A. Jackknife position
B. Supine position

52. Before administering NGT feeding, what should the nurse do?
A. Aspirate 30 cc to check for residual feeding from the last time
B. Check the consistency of the food
C. Ensure the NGT is correctly placed
53. A woman first time do mammogram Pap smear testing. Which of the following
is the goal of the nursing practice here?
A. Health promotion
B. Health protection
C. Health prevention
54. A child has third-degree burns of the hands, face, and chest. Which nursing
diagnosis takes priority?
A. Risk for infection related to epidermal disruption
B. Ineffective airway clearance related to edema
C. Disturbed body image related to physical appearance
D. Impaired urinary elimination related to fluid loss

55. A client has received atropine sulfate preoperatively. The nurse monitors the
client for which effect of the medication in the immediate postoperative period?
A. Diarrhea
B. Bradycardia
C. Urinary retention
D. Excessive salivation
Rationale: Atropine sulfate is an anticholinergic medication that causes
tachycardia, drowsiness, blurred vision, dry mouth, constipation, and urinary
retention. The nurse should monitor the client for any of these effects in the
immediate postoperative period. None of the other options relate to this
medication

56. A client suspected of having developed tuberculosis is to undergo pleural biopsy

at the bedside. Knowing the potential complications of the procedure, what
equipment would the nurse plan to have available at the bedside?
A. Intubation tray
B. Morphine sulfate injection
C. Portable chest x-ray machine
D. Chest tube and drainage system
Rationale: Complications after pleural biopsy include hemothorax,
pneumothorax, and temporary pain from intercostal nerve injury. The nurse has a
chest tube and drainage system available at the bedside for use if hemothorax or
pneumothorax develops. An intubation tray is not indicated. The client should be
premedicated before the procedure, or a local anesthetic is used. A portable chest
x-ray machine would be called for to verify placement of a chest tube if one was
inserted, but it is unnecessary to have at the bedside before the procedure.

57. A 4-month old infant is admitted with diarrhea and vomiting. To prevent the
recurrence of diarrhea the nurse should instruct the mother to do which of the
following?
A. Frequent hand washing
B. Increase milk intake
C. Increase water intake
D. Change diaper frequently
58. 71-year-old male was diagnosed with subdural underwent burr hole craniotomy
for subdural hernatoma days ago. In order to detect the sign of meningitis as one
of which of the following indicates the patient has meninge?
A. Negative Kernig's signs
B. Positive Brudzinski's sign
C. Absence of nuchal rigidity
D. Glasgow comma scale of 14 points

59. A 2-year-old is hospitalized with suspected intussusception. Which finding is

associated with intussusception?
A. “Ribbon-like” stools
B. “Currant jelly” stools
C. Palpable mass over the flank
D. Projectile vomiting

60. The nurse is caring for the client with a leaking cerebral aneurysm- What is the
earliest sign that would indicate to the nurse that increased ICP may be
developing?
A. Change in pupil size and reaction
B. Sudden drop in the blood pressure
C. Experiencing diminished sensation
D. Change in the level of consciousness

61. Which one of the following signs and symptoms is associated with increased
(late) intracranial pressure?
A. Restlessness and confusion
B. Bradycardia and hypertension
C. Tachycardia and hypotension
D. Respiratory depression and headache

62. A female patient came to the ER two weeks after postpartum and presented with
a hemorrhage. What type of postpartum hemorrhage is the nurse expecting?
A. Late postpartum hemorrhage
B. Early postpartum hemorrhage
C. Atonic
D. Traumatic
63. A pregnant woman in labor has a cervix dilated to 7cm. What is the frequency of
contractions?
A. 3-4 minutes
B. 2-3 minutes
C. 1-2 minutes
64. When is abortion allowed in Saudi Arabia?
A. There is a risk to the mother
B. There is a risk to the baby

65. Lanugo hair found on?

A. Back
B. holder
C. forehead

66. A gravid 8 para 8 women has just delivered a 4.5Kg infant a pregnancy. Which of
the following is a possible complication?
A. Postpartum depression
B. Maternal hypoglycemia
C. Postpartum hemorrhage
D. Pregnancy-induced hypertension

67. The nurse notes documentation that a child is exhibiting an inability to flex the
leg when the thigh is extended anteriorly at the hip. Which condition does the
nurse suspect?
A. Meningitis
B. Spinal cord injury
C. Intracranial bleeding
D. Decreased cerebral blood flow

68. The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs
of complications. Which sign or symptom, if frequently exhibited in the client,
indicates that the client is at risk for chronic complications of diabetes if the
blood glucose is not adequately managed?
A. Polyuria
B. Diaphoresis
C. Pedal edema Decreased respiratory rate

69. During the night shift routine rounds, a nurse found that a patient complain of
sleep disturbance due to frequent voiding several times at night. Which of the
following is the best condition that describes the patient complain?
A. Dysuria
B. Polyuria
C. Nocturia
D. Hematuria
70. The charge nurse is working with a student nurse who reports that her assigned
client has severe flushing of the upper body following an IV antibiotic infusion.
The charge nurse understands that the antibiotic likely responsible for this “red
man syndrome” is which medication?
A. cephalexin
B. amoxicillin
C. gentamicin
D. vancomycin
Rationale: Upper body flushing, often called “red man syndrome,” is a side effect
of vancomycin that can occur especially if the drug is infused too rapidly. Side
effects of cephalexin include diarrhea, easy bruising, dark urine, and joint pain.
Side effects of amoxicillin include black or “hairy” tongue, stomach pain, nausea
and vomiting, and pale or yellowed skin. Side effects of gentamicin include loss of
appetite, rash, increased thirst, and muscle twitching. Side effects of antibiotics
may be minor, severe, or life-threatening.
71. What is a characteristic of a democratic leadership style?
A. More changes
B. Structured work
C. Staff participation
D. No leader decisions

72. The appropriate form of hepatitis H vaccine should be used at birth :

A. Monovalent hepatitis B vaccine
B. Combination as PENTA
C. Trivalent
D. All the above

73. The correct site for BCG vaccine injection is :

A. IM in outer upper left arm
B. ID in outer upper right arm
C. SC in outer upper left arm

74. Child has pain on the right side, fever and swelling in the abdomen, and increase
WBC?
A. Gastritis
B. Stomatitis
C. Appendicitis
D. Peritonitis
75. Patient receiving potassium-sparing diuretics should be monitored. Which of the
following?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypercalcemia

76. The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The
nurse should set the IV pump at what flow rate (mL/hr)?
A. 55 mL/hr
B. 125 mL/hr
C. 175 mL/hr
D. 200 mL/hr

Solution:
Convert the amount of saline in liters to milliliters: 1.25 L NS × 1,000 = 1,250 mL
To find the flow rate in milliliters per hour, divide the volume in
milliliters by the time in hours:
1,250 mL/10 hrs = 125 mL/hr
77. In the resuscitation room, if you suspect a neonate has a diaphragmatic hernia,
what should you do?
A. Avoid mask and bag ventilation
B. Administer nitric oxide
C. Immediate surgery repair after resuscitation
D. Start iv fluid

78. What is the recommended diet for gout disease?

A. High fiber
B. Potassium modified
C. Low calcium
D. Low-purine diet

79. Which of the following is not considered as an obstetrical emergency?

A. Ectopic pregnancy
B. Placenta previa
C. Placenta anterior
D. Eclampsia
80. What are the two glands inside to the urethral responsible for moisturizing?
A. Seminal
B. Bartholin
C. Cowper's glands

81. Patient will start TPN and should be started gradually to avoid which:
A. hyperinsulinemia
B. hypoinsulinemia
C. hypoglycemia
D. hyperglycemia

82. Pregnant 36 weeks gestational with irregular painless contraction this sign
called?
A. Hegar's sign
B. Chadwick sign
C. Braxton Hicks (false labor)
D. True labor

83. Which of the following related to High pitched breath sound??

A. Crackles
B. Rhonchi
C. Wheezing
D. Bronchial

84. Which of the following related to harsh breath sound??

A. Crackles
B. Bronchial
C. Wheezing
D. Steroidal

85. A 1-year-old girl admitted to podiatric medical unit significant weight loss,
diminished mid-arm circumference diarrhea, and red hair. Which of the following
type of malnutrition do the nurse suspect
A. Marasmus
B. Spitting up
C. Kwashiorkor
D. Rickets

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