1. A community health nurse has reviewed information on the population in a local community and determines that there are groups in the population that are at high risk for infection with tuberculosis [TB]. The nurse targets which high risk group for screening?

2. A home care nurse visits a client who had a cerebrovascular accident [ CVA ]  discharged from the hospital. The nurse provides instructions to the family regarding care and tells the family to:-

3. A clinic nurse is providing instructions to a client in the third trimester of pregnancy regarding relief measures related to heartburn. Which instruction would the nurse provide to the client?

4. A nurse is implementing measures to maintain adequate peripheral tissue perfusion in the post – cardiac surgery client. The nurse avoids which of the following in giving care to this client?

5. A nurse has conducted teaching with a client who has experienced pulmonary embolism about methods to prevent reoccurence after discharge from the hospital. The nurse determines the instructions have been effective if the client states an intention to :-

6. A nurse is providing dietary instructions to the client hospitalized for pancreatitis. Which of the following foods would the nurse instruct the client to avoid?

7. A clinic nurse provides instructions to a mother diag noised with croup. Which statement by the mother indicates a need for further instructions?

8. A community health nurse provides instructions to a new mother who is about to breast feed, her newborn infant. The nurse observes the new mother as the breast feeds for the first time and inter vens if they new mother:-

9. A nurse teaches a client preparing for discharge from the hospital following a total hip replacement which statement by the client would indicate a need for further instructions?

10. A high school nurse teaches the female students how to prevent pelvic inflammatory disease.  The nurse tells the students:-

11. A client is diagnosed with hyper phosphatemia. The nurse eneourages the client to limit intake of which item that will aggravate the condition?

12. A postpartum nurse has instructed a new mother on how to bathe her newborn infant. The nurse demonstrates the procedure to the mother, and on the following day, ask the mother, and on the following day, asks the mother to perform the procedure. Which observation by the nurse indicates that the mother is performing the procedure correctly?

13. A client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that the I st day of LMP was October 20, 2017. Using negles rule the nurse determines the expected date of birth to be ……

14. A nursing student is assigned to care for an adolescent female client in the health care clinic and the instructor reviews the menstrual cycle with the student. The instructor determine that the student understands the secretion of FSH and LH the student states …………………

15. A nurse is doing a 48 hour observation of postpartum mother with mild gestational hypertension which of the following data indicate that the gestational hypertension is not resolving:-

16. A nurse is providing instructions to a pregnant woman with heart burn, regarding measures that will alleviate the discomfort to it. The nurse instruct the client to:-

17. A pregnant woman complains of beign awakened frequently by leg cramps. the nurse reinforces instructions to the clients partner and tells the partners to ……..

18. The client 28 weeks gestation is Bb negative and coomb antibody negative. The nurse determines that the client understands what the nurse has taught her about Rb sensitization, when the client states….

19. The nurse is caring for a woman in labor. The women become irritable restless, complains of nurse and has heavious show. The membranes just ruptured spontaneasly it may indicate…………

20. A client in the 3rd trimester of pregnancy is rushed to the hospital for abrupt, painless, bright red vaginal bleeding. The physician diagnoses placents previa after an USG. Which intervention does the nurse perform first…..

21. A nurse prepare a prenatal class for a group of adol sients in first timester of pregnancy. The nurse includes diet and nutrition information for which potential a dole scent pregnancy complications?

22. A client 8 weeks gestation diagnosed with an ectopic pregnancy. Which information does the nurse provide to the client:-

23. A nurse provides pre conception  counselling to a young adult who wishes to become pregnant which in next 2 years. The nurse provides additional education about miscarriage risk after collecting  which data:-

24. Four patient admitted to the emergency department with the complaints of breathing difficulty, productive cough, fatigue. What should be the priority nursing diagnosis:-

25. How they should an inactive patient position be changed:-

26. When teaching a client about the signs of colorectal cancer. Nurse stresses that the most common complaints of persons with colorectal cancer is :-

27. A patient admitted to the emergency department with a closed head injury. The late sign of increased incranial pressure is:-

28. The nurse is planning dietary changes for a client following as episode of pancreatitis. Which diet is suitable for the client:-

29. A client has autoimmune thrombocytopenic purpua. To determine the clients response to treatment the nurse would monitor:-

30. Following a surgery the general assessment of the patient is in order:-

31. Thick purulent sputum in the airway of a patient diagnosed with pneumonia. Nursing priority for this patient ……

32. A patient present to the emergency department with left side hemiplegia. Which position of the spinal cord is affected for this patient:-

33. A patient is posted for a surgery. Patient hed the complaints of severe back pain, unable to walk, numbness of the affected side, which surgical procedure for this patient?

34. Soon after baby birth the nurse assess the APGAR score of a new born. The new born assessment are:-

Skin ________>  pale color

Movement ______> Not active movement

Heart Rate ________> less than 98 b/mts

Poor respiration calculate APGAR Score

35. A client is admitted with a diagnosis of due denal ulcer. A common complaint of the client is :

36. A patient admitted to the ward complaints of breathing difficulty, dyspnea on exertion. Which position is suitable for this patient?

37. A man frequently reached the office late. Because he frequently checked the door of his home, when he out of his home. What type of behaviour can be analysed…….

38. Formula for mean arterial presure (M^P)?

39. An 81 year old client diagnosed CVA with right sided paralysis. To reduce the risk of dysphagia, nurse plans a diet menu schedule. As per, the nurse requires to be obtain for

40. A 3 year old boy suspected with cystic jabrois physician ordered for sweat chloride test, to conjlem the condition. For thirt test, nurse may obtain for

41. A 50 year old Alcheimers client treated for right extremily fracture. Currently client having a good prognoisis, cast  is also applied. Prior to discharge, while nurse educates the caretakes, which instructions may include :-

42. A 54 year old client had spinal cord injury, who has ordered for bed rest, currently nurse noticed that patient is having urinary incantincri while caring the patient, the nurse should understand the client at risk of.

43.  An 33 year old client had craniotany 2  days ago. Nurse noticed that client is experiencing AO4 defieiency the IDCP migltordes for

44. Vital signs include:-

45. How a nurse should confirm the progress by

46. A community health nurse conducting a class regarding infections disease and their prevention at community setup. After the class conclusion. Which statement from the community people may indicate the understanding about the topic.

47. A 65 year old client diagnosed with glaucoma, has been came for follow up after low. A nurse noticed that patient having a good progress by indicating:-

48. A mother came with 5 year child to the emergency department. Mother complains that child has staring at one point for same seconds, having no response, and this occurring for 2.3 days in a week. According to the mothers words, the physician might diagnose the child:-

49. A 60 year old cclient came to the emergency department complains that, patient experiences a vibrating sensation and movable mass at perfumbilicant region; dysphagia and feeling of abdominal furthers. According to the physician, the client may clrogonse as:

50. A 59 year old client had CABG 2 days ago. As per patients discomfort; a nurse formalities a nursing diagnosis chat altered level of comfort inspite, which activity. by patent indicating that the nurse has been achieved the goal;

51. A 28 week gestational mother has came to the clinic for routine cheek up. The obstetrician has ordered for Glucose tolerance test (GTT) When the mother enquired about the test, the nurse explained that this test will perform to confirm diabetis during pregnancy; although the accurate test will be;

52. A 50 year old. client has recently diagnosed. With alzheimer’s disease, to reduce the risk of progressive. Symptoms; the nurse may include in the plan of care;

53. A nurse is conducting a class regarding multiple sderoxis in a ward. During the class, the nurse explained the dietary pattern for this patient, depending on their symptoms, the nurse may add good items such as;

54. A 20 year old client came to the clinic, with complaint of excerssive night sweats, blood tingeel cough. Physician diagnosed the client as pulmionary TB and ordered anti TB medication. The most common route for administering anti TB medication via;

55. A 21 year old client have been diagnosed with hemophilia. Physician ordered for blood transfusion. After 1-2 her administering, client seems developing urticaria, fevee, chilus, restlessness. The nurse understand that ; it may be;

56. A 53 year old client have been scheduled for hernia repairment surgery. Patient history shows BMJ – 40, Vital signr with in the baseline. Nurse has provided preoperative instructions

Temperature – 98 degree F

Pulse – 80 b/m

Respiration – 16 br/min

BP – 110/70 mm kg

To reduce the risk of surgical complications, the nurse advices

57. A 38 year old obese patient undercoent abominal hystertony 2 days ago although ousse consds, the patient refuses to ambulate in the corridoor, here the nurse understand, the patient may prove to risk of

58. A RN educating the student nurse regarding IV fluids while educating the nurse explain that fluid therapy is processing through a principle of

59. A student nurse have been allotted in cardiac ICU. A nursing in charge in the ICU Provided orientation and explained the disease conditions present in ICU. While educating, the nurse in charge ask the student nurse about calculation of cardiac output. The students may answer:-

60. A 70 year old client having stroke volume 70 ml. and heartbeat 76 br/min, idence the cardiac output may be;

61. A research is conducting regarding TB is a community setup. A research observed that the setting having 836 people

Age   1-12 yrs      13-20 yrs     21 – 30      31 – 40     41 – 50    51 – 60     >60

TS points 20         22                   23               21              15             10                 25

The mean value is :-

62. A 53 year old client met with motor vehicle accident. Came to the emergency department having head injury. Physician ordered Neurological Assessment

A nurse has performed GCS Assessment. and the characteristics are response to painful stimulionly, decorticate posture. and disdriented estimate GCS score [pic of GCS scale]

63. A nurse caring a new born baby; assessign APGAR score at 1 min according the nurse noted the following in the nurses note, weak cry

• Same felxias of the aims of leg
• Active movement
• cries to stimulation
• heart rate – 145b/m
• pallor all over body and extremities

Estimate the APGAR Score

64. A 60 year old common with osteoporosis came to the clinic for follow up. She complains back pain and unable to bend and walk. According to lab investigation, calcium level is 6 mg/dl (85-10 gm/dl) nurses observed patient walking with forward curvature. It might be noted as:-

65. A client has been started on genfibrazil (Lopid) in combination with atorvastatin (Lipitor) for treatment of severely elevated triglyceride levels. When the client develops brucesing the nurse anticipates order may?

66. An 85 year old man came to the clinic with huffling gait, drooling of saliva, tremors and while having the diet, it is noticed that spilling of food orut of the plate, inappropriate grooming. The nurse formation the nursing diagnosis (Picture of parkinson’s disease)

67. A 35 year old client treated with hyper cortisdism 2 weeks ago. During discharge while going unstructions, nurse focussing on:-

68. A 13 weeks gestational mother came to the clinic for further check up; nurse observes that discolouration of vagina and cervtx, leg edema, heart burn, insomnia, urinary incontrnexe. from this the objective data may consider

69. A nursing instructor conducting a class regarding sickle cell disease. While discussing on occurrence the nursing instractor may pr fortize.

70. A patient receiving pyrieinamide reports stiyyness and extreme pain p. right big toe the site is extremely red, swollen and waom. Nurse notifies the HCP and anticipated the order may be 8

71. A 50 year old client admitted with severe from deficiency; physician orders for ferrous sulfate nurse may administers via,

72. A 25 year old client met with road traffic accident. Nurse observe, client having respiratory distress, hemorohage and multiple injury. HCP plans for immediate central line. The click

73. An infectious disease measles found as a sudden outbreak in a community set up. Accordingly a community health nurse, consider it as;

74. A client having glucose level 600mg/dl as per sliding scale. Although nurs may administer cpic of Rding scale )

75. A patient request long term antibiotic has a central line other inserted into the right subclavian vein by the physician. Which of the following must be verified prior to the first use of catheter

76. The clint doynosod with breast cancer ps considiring whather to have a lumpictomy or more invasive prooclure, a modified radical masteidomy from below the nurse may discus the information that;

77. Which of the following instructions would nurse courtney include in a teaching plan that flowers on initial prevention for she. Who is dagnosed with rheumatic fever?

78. A 50 year old women cendesasent CABG 3 days ago. Physician orders Atrovastin long HS, ettro rin, Erythromycin, warfarin. From this below the client may have more surgical risk by the intaler of:-

79. A 55 year old women scheduled for abdominal hysterefomy. To reduce the risk of partoperative complications like DVT the physician may order

80. A 12 year old boy diognosed with cereloral palsy, nurse provided sequre precautions, and safe Environment without sharp items. From this below the best helpful care may be;

81. A 42 year old client underwent thyroidectomy 24 hrs ago. The client may prove to have risk of which complication.

82. The health care provider order lactulose for a patient with hepatic encephula pathy. The nurse will monitor for effectveness of this medication for this patient by assessing

83. A student nurse conducting a senior regarding care of client with ileastony and how to change their pouch drainage system. From the following the incorrect statement may be;

84. An adolsent client with several flu symtoms needs advice. nurse to ask about using cough suppressants. What suggestion from the nurse would promote better airway clearance

85. A 30 year old client is suspeccted & tuberculis physician order PPD (mantoux test) Sputum AAP, and chest X – ray. As per the nurse observes in chest X – Ray as;

86. When caring  intant & manifestations of acute ortitis medica the nurse perds to be recognize that factors. May places the infant at risk at?

87. The healthcare provider working in onimmunization clinic is supervising the medical assistant during an influenza vaccine administration. The healthcare provider should question the immunization of which of the following patients scheduled to receive the vaccine?

88. A 12 month old receives a series of caccinations which includes the hepatitis A vaccine. When should the child receive the 2nd dose of this vaccine?

89. A 54 year old came to the emergency department with the complains of dribbling of urine and painless hematuria. According to ultrasound client is diagnoseid as benign, prostatie hyper plasia (BPH). Although, the effective management is ;

90. When caring a child with frequent respiratory. Injection, physician ordered zinc gluconate, to boost up the immune function. The nurse while giving instruction to the mother, the relevant information may includes:-

91. A client with emphysema should receive only 1 – 3 litre. per min of oxygen, if needed or he may loss his hypoxic drive which of the following statement is correct about hypoxic drive

92. A client has been treated with antibiotic therapy for right lower lobe preumoniar for 10 days and will be discharged today. Which of the following physical finding would lead the nurse to believe, it is appropriate to discharge this client?

93. A client with deep vein thrombosis is receiving streptokinase, the nurse would notify the physician, if which of the following assessment is noted.

94. A client came to the clinic for follow up visit; to know the effectiveness of treatment for pneumonia, while doing the physical assessment, a knowledgable nurse may understand the condition is cured by indicating

95. The Idcp prescribes a integrase inhibitor for an IdIV patient. The patient ask the nurse how this drug works. What is the nurses best response.

96. A 25 year old women came to the clinic with the complains of perineal. ilching, dysuria and lower abdominal pain. Accordingly, the nurse understood the client may have.

97. A clinical feature that distingushes a hypoglycomic reation from a icetoaddrosis reaction is