A patient is placed in isolation and the nurse notices the gloves are contaminated. What should the nurse do?
• A) Wear double clean gloves
• B) Wear sterile gloves ✅
• C) Wear sterile gloves over the clean gloves
• D) Continue care with contaminated gloves
✅ Correct Answer: B) Wear sterile gloves
• A) Wear double clean gloves
• B) Wear sterile gloves ✅
• C) Wear sterile gloves over the clean gloves
• D) Continue care with contaminated gloves
✅ Correct Answer: B) Wear sterile gloves
SNLE smart Review (سمارت)✨
SNLE 14-9-2025 part two.pdf
From which site is blood commonly drawn in a child?
• A) Femoral vein
• B) Heel (for infants) / antecubital for older children ✅
• C) Carotid artery
• D) Radial artery
• A) Femoral vein
• B) Heel (for infants) / antecubital for older children ✅
• C) Carotid artery
• D) Radial artery
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Which vaccines are typically given at 6 months?
• A) MMR
• B) Varicella
• C) DTaP, IPV, HepB, Hib (booster) ✅
• D) Influenza only
• A) MMR
• B) Varicella
• C) DTaP, IPV, HepB, Hib (booster) ✅
• D) Influenza only
What is the preferred position for a patient after tonsillectomy?
• A) Supine
• B) Side-lying or semi-prone ✅
• C) High Fowler
• D) Trendelenburg
• A) Supine
• B) Side-lying or semi-prone ✅
• C) High Fowler
• D) Trendelenburg
Which is the priority nursing action for a child receiving IV therapy?
• A) Monitor site for infiltration ✅
• B) Administer medication
• C) Check vitals only
• D) Flush every 24 hours
• A) Monitor site for infiltration ✅
• B) Administer medication
• C) Check vitals only
• D) Flush every 24 hours
After delivery, which signs require immediate intervention?
• A) Increased bleeding, hypotension, tachycardia ✅
• B) Mild uterine cramping
• C) Occasional dizziness
• D) Breast engorgement
• A) Increased bleeding, hypotension, tachycardia ✅
• B) Mild uterine cramping
• C) Occasional dizziness
• D) Breast engorgement
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A postpartum mother reports heartburn. What is the best dietary advice?
• A) Eat large meals
• B) Skip meals
• C) Eat small frequent meals ✅
• D) Avoid water during meals
• A) Eat large meals
• B) Skip meals
• C) Eat small frequent meals ✅
• D) Avoid water during meals
A mother with multiple children (9) is receiving a visit. What type of visit is this?
• A) Initial visit
• B) Routine check-up
• C) Home/community follow-up visit ✅
• D) Emergency visit
• A) Initial visit
• B) Routine check-up
• C) Home/community follow-up visit ✅
• D) Emergency visit
Child is Rh positive and mother is Rh negative. What should the nurse do?
• A) No action
• B) Administer Rho(D) immune globulin to mother ✅
• C) Give child vaccination
• D) Monitor only
• A) No action
• B) Administer Rho(D) immune globulin to mother ✅
• C) Give child vaccination
• D) Monitor only
How do you assess pain in a 4-year-old child?
• A) Verbal description
• B) Use Faces Pain Scale / Wong-Baker scale ✅
• C) Only observe crying
• D) Ask parents only
• A) Verbal description
• B) Use Faces Pain Scale / Wong-Baker scale ✅
• C) Only observe crying
• D) Ask parents only
A 10-year-old gives herself insulin. What is the next nursing action?
• A) Give more insulin
• B) Ensure proper disposal: throw needle in sharps container ✅
• C) Call physician immediately
• D) Observe only
• A) Give more insulin
• B) Ensure proper disposal: throw needle in sharps container ✅
• C) Call physician immediately
• D) Observe only
COVID-19 pandemic started in which year?
• A) 2019 ✅
• B) 2020
• C) 2022
• D) 2002
• A) 2019 ✅
• B) 2020
• C) 2022
• D) 2002
What are the airborne precautions for TB?
• A) Standard precautions
• B) Droplet precautions
• C) Airborne precautions: N95 mask, negative pressure room ✅
• D) Contact precautions
• A) Standard precautions
• B) Droplet precautions
• C) Airborne precautions: N95 mask, negative pressure room ✅
• D) Contact precautions
What type of isolation is used for measles?
• A) Standard
• B) Contact
• C) Airborne ✅
• D) Droplet
• A) Standard
• B) Contact
• C) Airborne ✅
• D) Droplet
A 75-year-old patient with a history of peptic ulcer complains of joint pain. Which drug is safest for the nurse to administer?
• A) Aspirin
• B) Ibuprofen
• C) Naproxen
• D) Acetaminophen (Paracetamol) ✅
• A) Aspirin
• B) Ibuprofen
• C) Naproxen
• D) Acetaminophen (Paracetamol) ✅
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Which of the following charts is used to determine the gestational age of a newborn?
• A) FLACC
• B) Pain scale
• C) Ballard ✅
• D) Apgar score
• A) FLACC
• B) Pain scale
• C) Ballard ✅
• D) Apgar score
When the nurse puts a baby with high temperature into cold water, the baby will lose heat through?
• A) Evaporation
• B) Conduction ✅
• C) Convection
• D) Radiation
✅ Correct Answer: Conduction
• A) Evaporation
• B) Conduction ✅
• C) Convection
• D) Radiation
✅ Correct Answer: Conduction
SNLE smart Review (سمارت)✨
When the nurse puts a baby with high temperature into cold water, the baby will lose heat through? • A) Evaporation • B) Conduction ✅ • C) Convection • D) Radiation ✅ Correct Answer: Conduction
• Conduction: Heat transfer by direct contact (baby’s skin ↔ cold water).
• Evaporation: Heat loss by sweat/water turning into vapor.
• Convection: Heat loss by air movement around the body (e.g., fan, air draft).
• Radiation: Heat transfer from body to cooler objects not in direct contact (e.g., body to cold wall).
• Evaporation: Heat loss by sweat/water turning into vapor.
• Convection: Heat loss by air movement around the body (e.g., fan, air draft).
• Radiation: Heat transfer from body to cooler objects not in direct contact (e.g., body to cold wall).
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Bone healing time for a 9-year-old child is approximately:
• A) 2–4 weeks
• B) 6–8 weeks ✅
• C) 10–12 weeks
• D) Over 12 weeks
• A) 2–4 weeks
• B) 6–8 weeks ✅
• C) 10–12 weeks
• D) Over 12 weeks
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