Dirre Barnoota Fayya

25 Mitta who is 16 months old weigh 11kg and has axillary temperature of 370c. Her mother said that she had discharge coming from her ear for the last 5-6 days. Mitta does not have any danger signs, has no cough or difficult breathing, and has no diarrhoea and fever, but the health worker saw pus draining from the ear. He did not feel any tender swelling behind either ear. What is Mitta’s classification for ear problem? A Mastoiditis    B Acute ear infection C Chronic ear infection             D No ear infection

24. A 12-year-old child presents with headaches and epistaxis. On exam, upper limb BP is 150/95 mmHg, and lower limb BP is 90/60 mmHg. Femoral pulses are weak. What is the most likely condition of this child?  A Essential HTN B Renal artery stenosis C Coarctation of the aorta D Patent ductus arteriosus

23. A 45 year old male known congestive heart failure patient is admitted to medical ward after exacerbation of edema and the electrolyte profile shows hyperkalemia. Which of the following diuretics should not be given for this patient? A Furosemide B Hydrochlorothiazide C Spironolactone D Chlorothiazide

22 Respecting a patient's right to make their own healthcare decisions refers to: A. Beneficence B. Justice C. Nonmaleficence D. Autonomy

21 During neurologic examination, the nurse ask the 67 years old patient to stand with his feet together and arm at his side with his eyes closed. Then meanwhile a patient start to sway and moves feet further apart. This finding is best reflect? A Ataxia B Lack of coordination C Romberg test D Risk for injury

20. A male client is admitted with a cervical spine injury after motor cycle accident. When planning this client’s care, the nurse should assign highest priority to which nursing diagnosis? A Impaired physical mobility B Ineffective breathing pattern C Self-care deficient D  Distrusted  Sensory preception

19. A 78-year-old patient, was admitted to the medical unit with complaints of increasing difficulty of walking and frequent near falls at home over the past 6 months. He has a 5-year history of Parkinson's disease, managed with levodopa. What is the priority nursing diagnosis of this patient? A Risk for Injury B Self-Care Deficit C Impaired Physical Mobility D Impaired Verbal Communication

18. A 2 years old grabs a hand full of cake setting on the table and stuffs it in his mouth. What is characteristics of child? A. Superego B. Id C. Uncouncious mind D. Ego

17.A pregnant mother with nausea vomitng and vaginal bleeding. She is diagnosed a molar pregnancy What is the managment of this? A. Methotrexate B. Hysterectomy C. Suction curretage D. Chemotherapy

16.A mother with Eclampsia received loading dose of Magnesium sulfate and  have the seizure and  continue recurrent occur seizure. What is the next step? A. Stop medication B. Give Diazepam C. Continue magnesium sulfate loading dose D. Start antibiotics

15.The nurse observes visible muscle contraction, but the contraction is insufficient to produce any joint movement. Based on the grading of range of motion, how should this finding be classified! A. Good B. Fair C. Poor D. Trace

14 .A patient with liver cirrhosis presents with confusion and asterixis (flapping tremor). What condition is this likely indicating? A.Hepatic encephalopathy B.Ascites C.Portal hypertension D.Gallstone pancreatitis

13. 28‑year‑old male patient comes to the hospital with a right leg fracture after accidentally encountering a falling‑down injury while [skiing/…]. He is being treated in the emergency room and is stable. Vital signs show tachycardia, hypotension, respiratory alkalosis, [and decreased O2 saturation]. What is the most likely complication of this patient? A. Compartment syndrome B. Fat embolism syndrome C. Complex regional pain syndrome D. Deep vein thrombosis

12.A patient with septic arthritis was complaining of pain with joint movement. What is the immediate and appropriate nursing response to this patient? a. Restrict fluid intake b. Avoid antibiotics c. Keep the patient flat on the bed d. Encourage deep breathing and cough

11.Mr. X is a 45‑year‑old patient who experienced an electric burn while he was painting the wall of his house. He was taken to the emergency outpatient department and the nurse found that 50% of the total body surface area was burned. The patient’s weight was 60 kg. How much fluid does this patient need for resuscitation in the first 8 hours? A 6655ml B 6000ml C 6560ml D 6650ml

10.Binders are bandages made for specific body parts. Which of the following is the specific application area of T‑binder? a. Perineal b. Scalp of the head c. Abdomen d. Under axilla

9.When can we say the principle of curriculum organization is applied effectively? a. Present difficult concepts first b. Work from what learners already know c. Present abstract before concrete concepts d. Introduce new material first

8 A diabetic patient presents with diabetic ketoacidosis. The blood glucose of the patient is 400 mg/dL and a nurse was preparing IV fluids for administration. Which appropriate nursing intervention has to be implemented first? a. Administer an IV infusion of 0.9% sodium chloride. b. Administer an IV infusion of 0.9% sodium chloride with glucose added. c. Administer an IV infusion of regular insulin at 0.1 U/kg/hr. d. Administer an IV infusion of 0.45% sodium chloride.

7 Which statement most accurately describes a cardiac catheterization procedure? a. Requires general anesthesia b. A noninvasive procedure c. Retrieves part of the heart muscle, which is sent for laboratory testing d. Visualizes the heart by injecting radiopaque dye into the vessels

6 A man has developed intrusive memories, nightmares, avoidance, guilt, and depression after two weeks of a fatal car accident. What is the most likely actual nursing diagnosis that can be formulated from these findings? A. Mood instability related to depression B. Loss of memory related to trauma C. Anxiety related to loss of sleep D. Stress related to trauma