AL- NAJAH NATIONAL UNIVERSITY

Fundamental of Nursing II
First semester\Finalexam Faculty Of Nursing StudentNname
Miss Fatima Hirzallah Student Number

1- During the initial postoperative period of the client’s stoma. The nurse evaluates
which of the following observations should be reported immediately to the
physician?
a. Stoma is blue to purple
b. Stoma is oozes a small amount of blood
c. Stoma is lightly edematous
d. Stoma does not expel stool

2- The Nurse should regularly assess the client’s ability to metabolize the total
parenteral nutrition (TPN) solution adequately by monitoring the client for which
of the following signs:

a. Hyperglycemia
b. Hypoglycemia
c. Hypertension
d. Elevate blood urea nitrogen concentration

3- A client has undergone gastrectomy. Nurse is aware that the best position for the
client is:
a. Left side lying
b. Low fowler’s
c. Prone
d. Supine

4-Nurse Jocelyn is caring for a client with nasogastric tube that is attached to low
suction. Nurse Jocelyn assesses the client for symptoms of which acid-base
disorder?
a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis

5-Which of the following is not a sign of thromboembolism?

a. Edema
b. Swelling
c. Redness
d. Coolness

6- patient returns form surgery with permanent colostomy. During the first 24 hours
the colostomy does not drain. The nurse should be aware that:

a. Proper functioning of nasogastric suction

b. Presurgical decrease in fluid intake
c. Absence of gastrointestinal motility
d. Intestinal edema following surgery

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 AL- NAJAH NATIONAL UNIVERSITY
Fundamental of Nursing II
First semester\Finalexam Faculty Of Nursing StudentNname
Miss Fatima Hirzallah Student Number

7- One therapeutic measure for treating hyperkalemia is the administration of dextrose

and regular insulin. How do these agents lower potassium?

a- It forces potassium out of the cells and into the serum so it lowers it on a
cellular level
b- It promotes higher excretion of potassium in the urine.
c- It binds with resin in the bowel and is eliminated in the feces.
d- It forces potassium out of the serum and into the cells, thus causing
potassium to lower

8-On admission a patient presents as follows:

pH 7.25; PaCO2 32, and HCO3 11. These gases show:

a- Respiratory acidosis
b- Respiratory alkalosis
c- Metabolic acidosis
d- Metabolic alkalosis

9-Which of the following symptoms would be most consist the previous values :
a-Diarrhea
b- shortness of breath
C-hyperventelation
d-central cyanosis

10-The primary purpose of an incentive spirometer is to:

a-Encourage the pt to exhale
b-Arouse & stimulate the pt
c- Increase respiratory volume
d-measures inspiratory reserve volume

11-While conducting a physical assessment, you note that the patient’s breathing is
rapid and shallow. This type of breathing pattern is known as:

a-hyperventilation.
b- tachypnea.
c- obstructive breathing.
d- bradypnea

12-The movement of air into and out of the lungs is termed:

a- ventilation.
b- respiration.
c- diffusion.
d-perfusion.

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 AL- NAJAH NATIONAL UNIVERSITY
Fundamental of Nursing II
First semester\Finalexam Faculty Of Nursing StudentNname
Miss Fatima Hirzallah Student Number

13-All of the following is characteristic of REM except :

a-Eyes dart back and forth quickly
b-Respirations irregular
c-Rapid or irregular pulse
d- Involuntary muscle jerking may occur

14-Individuals with which of the following blood type are often called universal
donors:
a- Type A
b- Type O
c- Type AB
d- Type B

15-A client complains of abdominal cramping and a full sensation in the rectal area as
the client passes liquid stool. Upon rectal examination, the nurse palpates a puttylike
mass in the rectum. The nurse recognizes that the client is experiencing which of the
following

a-Diarrhea
b-Internal hemorrhoids
c-Fecal impaction
d-Rectal carcinoma

16-A nurse establishing a plan of care for a client admitted with anorexia nervosa
identifies which of the following nursing diagnoses as the priority diagnosis:

a-Disturbed Body Image

b-Chronic Low Self-Esteem
c-Ineffective Therapeutic Regimen Management
d-Imbalanced Nutrition: Less than Body Requirements

Q1-Give 3 indications of transfusion of packed RBCs ?

(3 marks )

Q2-What are the indications of (TPN ) total parenteral nutrition ? (5 mark)

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 AL- NAJAH NATIONAL UNIVERSITY
Fundamental of Nursing II
First semester\Finalexam Faculty Of Nursing StudentNname
Miss Fatima Hirzallah Student Number

Q3-List five factors affect on sleep and five roles can you use to induce good rest
and good sleeping? (5 mark)

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Q4-Constipation consider the most fecal elimination problems in the elderly

What is the common causes of these problem ? and how can teach this age group
to resolve this problem (6 mark)

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Q5-Define each of disorders: (5 mark)

Insomnia: --------------------------------------------------------------------------------------
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Snoring:-------------------------------------------------------------------------------------

Sleep apnea:-----------------------------------------------------------------------------------

anorexia nervosa:------------------------------------------------------------------------------

Bulimia:----------------------------------------------------------------------------------------