SCHS Nursing Specialist Exam Model 5 1.

While taking a patient who had gone an abdominal surgery, to bathroom, he complained of abdominal pain, what is the first action? Call the doctor Return patient to the bed immediately Take vital signs Give analgesic 2. Which of the followings can be a sign of heparin over dose: Abdominal pain Headache Orange or red urine Vomiting . 3. The antidote for morphine is : Protamine sulphate Naloxone Valium Vitamin K 4. Which of the followings is a clinical manifestation of hypoglycemia : Polyuria and fever Tachycardia and glucoseuria Paleness and diaphoresis Acetone smell 5. Which of the followings is considered side effect of atropine: Tachycardia Diarrhea Bradycardia Constipation 6. The procedure of taking sample from the CSF is called : CSF = cerebrospinal fluid L.P = lumbar puncture BMA CSD L.D L.P 7. Nursing care for a paralysis patient to prevent bed sores: Administering medications as Voltaren Taking vital signs every 4 hours Changing position of the patient every 2 hours None of the above

8. All of the followings are clinical manifestations of shock except : Hypothermia Hyperthermia Hypotension Pale skin 9. The most system that excretes fluids from the body is : The skin Respiratory system Urinary system Digestive system 10. According to the sources of bleeding, when the blood is dark red and slow : From a capillary Internal From an artery From a vein 11. According to burn, if the right arm and right leg are affected then the percent is: Right arm = 9 % Right leg = 18 % 9 + 18 = 27 % 27 % 18 % 36 % 9% 12. Weak rapid pulse is found in which of the followings : Hypertension Asthma Appendicitis Shock 13. The baby with Apgar score of 9 is considered With severe distress Moderate difficulty Normal None of the above 14. The normal range of respiratory rate in the newborn is 50 100 B/m 30 60 B/m 15 25 B/m 12 20 B/m 15. The most common site for dislocation is: Knee Shoulder Femur
2

Neck 16. The phase that begins with the patient transfer to the operation room (OR) is called: Perioperative phase Intraoperative phase Post operative phase Preoperative phase 17. Which of the followings may lead to neurogenic shock : Bleeding Antibiotics Mild headache 2nd degree burn . ,

18. One of the followings is not from the five rights of drug administration: Right place Right patient Right dose Right time The five rights are : Right patient , right medication , Right dose , right rout , right time

19. According to drug administration, the abbreviation ( q.i.d ) means : Three times daily Four times daily Two times daily Once daily 20. The angle of insertion I.M injection is : Angles of insertion: I.M : 90 degree S/C : 45 degree I.D : 15 degree 45 degree 90 degree 30 degree 15 degree 21. The most common nursing care for the patient with leg edema is : Administer prescribed medications Elevate the leg above heart level Check vital signs frequently All of the above

22. Dr order is: give dextrose water 500 ml I.V Q 8 hrs (drop factor is 10), then the rate is : ( 500 X 10 ) / ( 8 X 60 ) = 5000 / 480 = 10.4 = 10 drop/minute 30 drops/minute 20 drops/minute 10 drops/minute 15 drops/minute 23. I.M injection is contraindicated in which of the following cases : Anemia Sickle cell anemia Leukemia Bleeding .

24. The nevus in the newborn results from which of the followings : Constriction of blood vessels Dilatation of blood vessels Skin secretions Internal bleeding 25. The first nursing intervention for the patient with hemophilia is : Give Voltaren I.M Prevent bleeding Take vital signs None of the above 26. When the dermis and epidermis are involved in the burn, then the burn is : 2nd degree 3rd degree 1st degree 4th degree 27. The first nursing care for a patient with head trauma is: Give O2 Gastric lavage Check level of consciousness None of the above 28. Ventolin is belonging to which group of the followings : Analgesics Bronchodilators Vasodilators Anesthesia
4

29. The bluish discoloration of the skin because of oxygen loss is called : Cyanosis Paleness Jaundice Erythema 30. The word or unit the concerns with the care of children is called : Pediatric word Orthopedic word Medical word Nursery word 31. The obstruction of one or more coronary arteries by a thrombus is called: Pulmonary embolism M.I (Myocardial Infarction) Chest trauma Angina 32. All of the followings are steps that you should do before doing any procedure except one : Hand washing Explain the procedure Documentation Provide privacy 33. All of the followings are characteristics of chronic illness except one: Irreversible Required long period of care Comes suddenly None of the above 34. The following surgery is considered optional surgery: Cosmetic Appendectomy Gunshot Stab wound 35. The period of treatment of T.B ( tuberculosis ) is: 6 to 9 years 1 to 2 months 3 to 5 months 6 to 9 months 36. What is the suitable temperature for keeping the insulin : At room temperature ( 2 8 ) Degree Celsius ( 5 12 ) DC ( 10 15 ) DC
5

37. What is the normal range of hemoglobin in the adult male patient : ( 13.5 16.5 ) ( 12.5 15.5 ) ( 10 14 ) ( 12 16 ) 38. The doctor prescribed diclofenac sodium for the patient, you should instruct the patient to take the medication : After meal Before sleep After meal by 2 hours Before meal by 1 hour 39. The common nursing intervention for a patient with emphysema is: Give O2 in high concentration Administer prescribed bronchodilators (Ventolin) Put the patient in lateral position All of the above 40. Which of the following medications is not given to the patient with myocardial infarction: Heparin Aspirin Streptokinase Salbutamol 41. What is the first nursing action for the patient with hemothorax : Give analgesics Give O2 Prepare for thoracentesis All of the above 42. What is the substance that is given to the patient to prevent the absorption of poisoning or drug overdose : Ipecac Activated charcoal Narcan Actifed 43. Aspirin is contraindicated in which of the following cases : Myocardial infarction Teeth ache Headache Gastric ulcer .

44. Gun shot surgery is considered: Emergency surgery Elective surgery Urgent surgery Required surgery 45. The most suitable site for taking temperature in conscious adult : Rectally Orally Axillary Tympanic 46. The inflammation of the bones is called Meningitis Pneumonia Osteoporosis Osteomyelitis 47. The time for the drug to reach its minimum effective concentration is called : Peak effect Duration of action Onset of action Side effect 48. The drugs that are indicated for the treatment of congestive heart failure (CHF) are: Digitalis Antihypotensive Lidocaine All of the above