بسمَّهللاَّالرمحنَّالرحمي
(فَأَمَّاَّالزبَدُ َّفَيَ ْذه َُبَّ ُجفَ ًاءَّ َوأَماَّ َماَّي َ ْنفَ ُعَّالن َاسَّفَيَ ْم ُك ُث يَِّفَّ
َّاَّلل ْ َ
َّاْل ْمث َا ََّل) ْض ُب ُ ْ َاْل ْر يضَّكَ َذ ي َِلَّي َ ْ ي
قالَّرسولَّهللاَّصيلَّهللاَّعليهَّ"اذاَّماتَّابنَّأدمَّانقطعَّمعهلَّ
االَّمنَّثالثَّ:صدقةَّجاريةَّ،أوَّعملَّينتفعَّبهَّ،أوَّودلَّصاحلَّ
يدعوَّهل"
اللهمَّاجعلَّهذاَّالعملَّخالصاَّلوهجكَّوانَّيرباانَّممنَّيس تغهلَّ
ملصاحلَّماديهَّاوَّمعنويهَّوانَّيرزقناَّحسنَّالعمل.
الَّنرجوَّمنمكَّسويَّدعوةَّصادقهَّمنَّالقلبَّعيسَّانَّتكونَّ
منَّنصيبناَّفاحبَّالاعاملَّايلَّهللاَّادلعاء.
نسألَّهللاَّالتوفيقَّوالنجاحَّوالسدادَّوانَّيرزقمكَّماَّتمتنونَّ
واس تغفرَّهللاَّيلَّولمك
(امللفَّالرئييس)
EMS
َّ
{1}
1. Patient has pain 8 of 10 what medication you will give
A. Morphine
B. Paracetamol.
C. Ibuprofen.✅
D. Pethidine.
2. Ineffective airway clearance related to copd as evidence persistent cough. The
problem is refer to . Which of the following?
A. Airway clearance ✅
B. Copd.
C. Persistent cough.
3.Which of the following considered a complex nursing assessment.
A. Laps time.
B. Admission.
C. Emergency ✅
4.Vaccination is considered as which of the following?
A. Natural immunity
B. Passive immunity
C. Active immunity ✅
4.The nurse is assessing a client response to skeletal traction applied to the lower
extremity . Which finding would be considered normal ?
A. Coolness and pallor below the fracture level
B. Eryrthema and swelling immediately around the pin insertion site
C. Moderate to severe muscle spasms around the fracture eara
D. Serous drainage and crust formation at the pin insertion site✅
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{2}
5.The patient is unconscious and need emergency OR and the family is 2 hours before
reach the hospital to whom to get the consent?
a. Call the family and get the consent
b. do the procedure ✅
c. Let the supervisor do the consent
d. Nurse will sign the consent
6.Patient with grade 2 pressure ulcer, what's the best action to do?
A. Put bed ban
B. Moist cream ✅
7.The LPN suspects that another nurse is stealing a pt drug. What action should be
taken?
A. Discuss her suspicions with the state board of nursing.
B. Report her suspicions to the nurse supervisor of the facility.✅
C. Report her suspicions to the pt so that he can confront the nurse.
D. Discuss her suspicions with the nurse suspected of stealing the drugs
8.Which of the following is Late sign of heart failure ?
A. Frothy blood tinged sputum ✅
B. Foamy thick sputum
9.The suitable time that will take from the beginning of administer antibiotics until it's
reaction appear is :
A. 1-2 weeks ✅
B. 3-6 wks
C. 7-10 wks
D. 3 months
10. Side effects of Lasix drug is :
A. Decrease sodium " hyponatremia
B. hypokalemia ✅
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{3}
11.The client with color blindness will most likely have problems distinguishing which of
the following colors?
A. Orange
B. Violet ✅
C. Red
D. White
12.Client who has glaucoma is to have miotic eye drops instilled in both eyes. The nurse
knows that the purpose of the medication is to:
A. Anesthetize the cornea
B. Dilate the pupils
C. Constrict the pupils ✅
D. Paralyze the muscles of accommodation
13.Client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer
this medication:
A. Once per day in the morning
B. Three times per day with meals ✅
C. Once per day at bedtime
D. Four times per day
14.1What is the first action the nurse should take if there is a suspicion that a colleague is
stealing narcotics and recording their administration to assigned clients?
A . Refer the nurse to the ethics committee
B. Notify the local police department
C. Share concerns with nursing peers
D. Report suspicions to a supervisor ✅
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{4}
15.Postoperative patient after surgical procedure. The nurse checked oxygen
saturation . What is the next assessment ?
A. Site of surgery
B. Urine Out put
C. Blood pressure
D. Level of consciousness ✅
16.Which of the following is the definition of autonomy?
A. The patient ability to make decisions without harm the others
B. The patient ability to make decisions away from the health care providers ✅
17.During assessment for hospitalized patient administered 10 days ago . There nurse
has found a lesion above the sacral place , It is not registered on patient charts. What
should the nurse do ?
A. Inform the doctor and make sle
B. Inform the nurse in charge and make sle ✅
C. Ask the patient about it
18.What nursing action is most appropriate when an unresponsive client with terminal
cancer and no advance direction or "do not resuscitate" stops breathing and has no
pulse?
A . Note the time of death
B. Notify the physician
C. Perform postmorten care
D. Begin resuscitative efforts ✅
19.The LPN receives a one-time order from a health care provider for a drug to be given
at a specific time. This scenario describes which type of order?
A. A single order ✅
B. A stat order
C. A PRN order
D. A standing order
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{5}
20.A patient with discharge instructions to take an tetracycline. Which of the following
drinks should the patient avoid ?
A. Tea
B. Orange juice
C. Milk ✅
D. Coffee
21.19 years old woman needs urgent Cesarean section. The informed consent should
taken from which person ?
A. Parents
B. Patient ✅
C. Husband
D. Patient and Husband
22.Patient with fluid volume deficit . What is the most likely symptoms will be found by
nurse ?
A. Tachypnea
B. Tachycardia✅
C. Nausea
23.Evidence based practice in maternity recommended by WHO ?
A. Supine position
B. Epicotomy
C. Aminiotomy
D. Active management during third stage ✅
24.Nurse Manager thinks about primary nursing as a system to deliver care. Which of the
following activities is NOT done by a primary nurse?
A. Collaborates with the physician
B. Provides care to a group of patients together with a group of nurses ✅
C. Provides care for 5-6 patients during their hospital stay.
D. Performs comprehensive initial assessment
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{6}
25.Vaginal assessment is contraindication in?
1.placenta previa ✅
2.placenta abruptiu
3.hidatiform mole
4.ectopic pregnancy
26.the doctor order an injection to the patient but not as a treatment . It for the
psychlogical concern to make the patient more concentrated , calm and follow
orders ?
1.relief pain
2.drug addiction
3.level of tolerate
4.flacebo ✅
27.A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory
distress syndrome. Which assessment signs if noted in the newborn infant would alert the
nurse to the possibility of this syndrome?
1. Hypotension and Bradycardia
2. Tachypnea and retractions ✅
3. Acrocyanosis and grunting
4. The presence of a barrel chest with grunting
28.Patient family centered care :
Patient-focused care - Though staff focuses on strengths and needs of the patient, the
patient is not seen as a potential partner in care
family focused care - Families are the "unit of intervention"
patient family centered care - Priorities and choices of the patient and family drive the
delivery of care; patient and family are involved with care for when they go home. "its
about the human touch"
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{7}
29.A patient diagnosed with stage 3 cancer . She cried and screamed . She said " I
didn't do any thing to deserve this . What should the nurse response ?
A. Talk with your physician
B. You are right . If this is my diagnosis. I would be upset
C. May be we can see an alternative treatments
D. I understand your anger ..... " ✅
30.1st Leopold Maneuver
determine the presentation if
head located it feels firm ,hard
and movable
2nd Leopold Maneuver
determine the position back
located it feels smooth and
hard
3rd Leopold Maneuver
confirm presentation and
engagement over pelvic if
breach located it feels soft ,
non-movable and irregular
4th Leopold Maneuver
determine Fetal attitude and
cephalic prominence
31.MI patient in the cardiac care unit suffers from SOB and dysapnea. the nurse gather
data from relative …what type of database?
1-focus database
2-follow up database
3-emergency database ✅
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{8}
32.Patient with a stoma...when should he come to
the hospital immediatel?
A. If nothing has come out for six hours or more ✅
B. If undigested food come out
C. If liquid stools come out
33.Anemic patient came to the emergency due to a fracture in the right arm...the
nurse insert the cannula in left forearm and then noticed that she had a infiltrate...
where will the nurse insert the new cannula?
1-foot
2-right hand
3-left upper forearm ✅
4-left hand
34.Patient with bacterial pneumonia … the doctor order anti-bacterial... what is the
nurse first action before anti-bacterial?
1-x-ray ✅
2-sputum cultures
35.Pregnant woman in the first stage of childbirth has back pain and effacement 100%
and dilation 5 cm … What do we do to reduce the pain?
A. Nonpharmacologic such as walking
B. Epidural anesthesia ✅
36.Woman has a history of depression and chronic disease and asked the nurse What is
the best contraceptive ?
A. Copper ✅
B. Combined
C. Hermonal
37.How we can prevent skin cancer?
Use of sunscreen and avoid sunlight exposure to protect from all types of skin cancer
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{9}
38.The hospital policy decided to give an new antibiotic to improve the health situation,
the nurse gave the patient this antibiotic, but the patient had rash skin. What is the
cause ?
A. Adversr event
B. Adverse reaction✅
39.Schizophrenic patient, the nurse asked him why you don't spend time with your
family. The patient replied that he enjoys more with his friends (he talks in detail about
how he spends his time with his friends)
A. Tangentially
B. Circumstantially ✅
40. Neonate after delivery with meconium aspiration. What is the first action for the
nurse ?
A. Suction✅
B. Oxygen
41.Child has pain on the right side, fever and swelling in the abdomen, and increase
WBC?
1-gastritis
2-Stomatitis
3-appendicitis✅
4-Peritonitis
42.Which of the following Best position for breastfeeding at night?
A. Setting
B. Side-lying ✅
43.Patient connected with NGT . The nurse noticed that the patient is dry and cracklse ,
what is a first action before start feeding ?
A. Aspiration content
B. Check place of NGT
C. Check line is patent ✅
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
{ 10 }
44. During infant CPR the nurse use two fingers but the nurse noticed there is no
progress?
A. Continue ✅
B. Use heel hand
C. Stop and giving breath
45.Two months pregnant woman . The doctor suggested to her Lithotripsy What should
the nurse do ?
A. Start with Husband consent
B. After childbirth ✅
46.What is the oxygen partial pressure?
A. Fio2
B. Pao2 ✅
C. So2
47.How can In Vitro Fertilization happen ?
A. A woman egg cells are combined with man sperms inside uterus and fertillized egg
and implant in the uterus
B. A woman's egg cells are combined with a man's sperm cells outside the uterus. The
fertilized egg is the implanted in the woman's uterus ✅
48.What does time out mean?
A. Anesthesia is ready
B. All equipments are ready
C. Time for patient identity, the surgical procedure and the site to start ✅
D. Time for patient to go back to ward
ِيِاْلَ أرض
أ ُ م
ُ ك
ثِِف َ اس
ِِف َي أَ َّ ع
ِالن ُ ف
َ ماِيَ أن َّ َوأ
َ ِما َ
