اسئلة شهر 7 ⬆️✨

مهم 🙏⬆️⬆️

Q1. The ECG strip below shows:
A. Atrial fibrillation
B. Ventricular tachycardia ✅
C. Supraventricular tachycardia
D. Ventricular fibrillation

Correct Answer: B
Rationale: Wide QRS, regular, high rate → Ventricular tachycardia.

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Q2. A child is post-operative for cleft lip repair on the left side. Which position is most appropriate to prevent aspiration and protect the surgical site?
A. Prone
B. Supine
C. Left lateral
D. Right lateral ✅

Rationale: Lie on the opposite side of the repair to reduce pressure and risk of trauma.

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Q3. Which medication requires the patient to avoid excessive heat, sweating, and sun exposure to prevent toxicity?
A. Lithium ✅
B. Furosemide
C. Digoxin
D. Prednisone

Rationale: Heat and dehydration increase lithium toxicity risk.

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Q4. Immediately after delivery, the nurse’s first priority assessment is to:
A. Check uterine fundus ✅
B. Encourage the mother to avoid urination
C. Provide breastfeeding education
D. Assess for bowel movement

Rationale: The first priority is preventing postpartum hemorrhage by assessing fundal tone.

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Q5. The vital signs machine in the ward is not working properly. As a nurse manager, what is the best action?
A. Wait for maintenance to fix it
B. Instruct staff to use another machine and compare readings ✅
C. Postpone vital signs monitoring
D. Borrow from another hospital

Rationale: Use a functioning device immediately to ensure patient safety.

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Q6. Why is dexamethasone administered to a pregnant woman at risk for preterm labor?
A. Reduce blood pressure
B. Mature fetal lungs ✅
C. Control maternal blood sugar
D. Prevent infection

Rationale: Steroids stimulate surfactant production for fetal lung maturity.

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Q7. In the second stage of labor, the nurse should:
A. Monitor contractions only
B. Encourage pushing and manage breathing ✅
C. Give analgesics
D. Prepare for episiotomy

Rationale: Support effective pushing to facilitate delivery.

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Q8. Leopold maneuvers are used to determine:
A. Amniotic fluid volume
B. Presentation and position of the fetus ✅
C. Fetal lung maturity
D. Cervical dilation

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Q9. Which is a sign of normal labor?
A. Head presentation ✅
B. Breech presentation
C. Greenish amniotic fluid
D. Irregular contractions

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Q10. NPH insulin onset time is:
A. 10–15 minutes
B. 30–60 minutes ✅

Rationale: NPH insulin starts working in 1–2 hours, but the closest in given options is 30–60 min.

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Q11. Post cleft palate repair education should include:
A. Feeding techniques ✅
B. Strict bed rest
C. Oral suctioning every 2 hours
D. No fluid intake for 24 hours

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Q12. A pregnant woman presents with headache, blurred vision, proteinuria, and edema. Diagnosis?
A. Gestational hypertension
B. Preeclampsia ✅
C. Eclampsia
D. Hyperemesis gravidarum

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Q13. A patient with thalassemia who receives frequent blood transfusions is at risk for:
A. Vitamin B12 deficiency
B. Iron overload ✅
C. Hypokalemia
D. Neutropenia

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Q14. A patient with RLQ pain and positive rebound tenderness test should:
A. Be kept NPO ✅
B. Receive oral analgesics
C. Drink clear fluids
D. Have abdominal massage

Rationale: Suspect appendicitis → NPO to prepare for possible surgery.

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Q15. All of the following are signs of dehydration except:
A. Decreased urine output
B. Hypoxia ✅
C. Poor skin turgor
D. Altered respiratory pattern

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Q16. Emotional neglect in a child may lead to:
A. Dental caries
B. Low school grades
C. Low self-esteem ✅
D. Frequent infections

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Q17. Down syndrome is most commonly associated with:
A. Diabetes mellitus
B. Congenital heart disease ✅
C. Asthma
D. Renal failure

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Q18. Vitamin K is essential for:
A. Wound healing
B. Production of prothrombin ✅
C. Calcium absorption
D. Erythropoiesis

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Q19. Management for an infant diagnosed with HIV includes:
A. Antiviral therapy ✅
B. Isolation until age 2
C. Avoid breastfeeding only
D. Vitamin K injections

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Q20. COVID-19 is transmitted mainly via:
A. Droplets ✅
B. Airborne particles
C. Vector
D. Contact only

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Q21. The hormone responsible for implantation of the fertilized egg into the uterine wall is:
A.

Progesterone ✅
B. Estrogen
C. LH
D. Oxytocin

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Q22. A multipara mother develops vulvar swelling after delivering a 3.8 kg baby. Initial nursing action?
A. Apply ice pack ✅
B. Maintain bed rest
C. Administer analgesics
D. Encourage fluid intake

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Q23. A breastfeeding mother reports nipple soreness after 3 days postpartum. The nurse should advise:
A. Lubricate nipples with expressed milk before feeding ✅
B. Dry nipples with soft towel after feeding
C. Apply warm compress before feeding
D. Apply soap directly to nipples

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Q24. Tetracycline absorption is reduced by:
A. Milk ✅
B. Brown rice
C. Grapes
D. Meat

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Q25. Tetracycline interacts with:
A. Tea
B. Coffee
C. Milk ✅
D. Orange juice

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Q26. A patient’s chest tube becomes accidentally disconnected. The nurse covers the site immediately to prevent:
A. Hemothorax
B. Pneumothorax ✅
C. Pulmonary edema
D. Pleural effusion

‏صلاة الضُّحى صلاة الأوّابين لا تأخذ منك خمس دقائق من وقتك، صدقة عن 360 مفصل في جسدك ويقول أحد الصالحين: "والله مادعوت الله بشيء في صلاة الضحى إلّا واستجيب لي"

‏لاتخسر هذا الفضل العظيم
اللهُم صلِ وسلم على نبينا محمد❤️