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SampleQuestionsforHAAD,PrometricandDHAforNurses

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SampleQuestionsforHAAD,PrometricandDHAforNursesbyNgee:July24,2016,07:41:39AM
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1.Cellulitisonthefloorofmouthisknownas...???
A.Stomatitis
B.Glositis
C.Anginapectoris
D.AnginaLudovici
E.Gingivitis
Answer:D/ludwing'sangina
2.Toremovesoftcontactlensesfromtheeyesofanunconsciouspatientthenurseshould:
A.Usesasmallsuctioncupplacedonthelenses
B.Pinchesthelensofftheeyethenslidesitoffthecornea
C.Liftsthelenseswithadrycottonballthatadherestothelenses
D.Tensesthelateralcanthuswhilestimulatingablinkreflexbythepatient
Answer:B
3.Apatientundergoeslaminectomy.Intheimmediatepostoperativeperiod,thenurseshould
A.Monitorthepatient'svitalsignsandlogrollhimtoproneposition
B.Monitorthepatient'svitalsignsandencouragehimtoambulate
C.Monitorthepatient'svitalsignsandauscultatehisbowelsounds
D.Monitorthepatient'svitalsigns,checksensationandmotorpowerofthefeet
Answer:D
4.Apatientwithduodenalpepticulcerwoulddescribehispainas:
A.Generalizedburningsensation
B.Intermittentcolickypain
C.Gnawingsensationrelievedbyfood
D.Colickypainintensifiedbyfood
Answer:D
5.Apatientadmittedtothehospitalinhypertensivecrisisisorderedtoreceivehydralazine
(Apresoline)20mgIVstatforbloodpressuregreaterthan190/100mmHg.Thebestresponseofthe
nursetothisorderisto:
A.Givethedoseimmediatelyandonce
B.Givemedicationifpatient'sbloodpressureis>190/100mmHg
C.Callthephysicianbecausetheorderisnotclear
D.Administerthedoseandrepeatasnecessary
Answer:A
6.Whilstrecoveringfromsurgeryapatientdevelopsdeepveinthrombosis.Thesignthatwouldindicatethiscomplicationtothenursewouldbe:
A.Intermittentclaudication
B.Pittingedemaofthearea
C.Severepainwhenraisingthelegs
D.Localizedwarmthandtendernessofthesite
Answer:D
7.Apatientpresentstotheemergencydepartmentwithdiminishedandthreadypulses,hypotensionandanincreasedpulserate.Thepatient
reportsweightloss,lethargy,anddecreasedurineoutput.Thelabworkrevealsincreasedurinespecificgravity.Thenurseshouldsuspect:
A.Renalfailure
B.Sepsis
C.Pneumonia
D.Dehydration
Answer:D

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8.clientwithchronicrenalfailurehasaserumpotassiumlevelof6.8mEq/L.Whatshouldthenurseassessfirst?
A.Bloodpressure
B.Respirations
C.Temperature
D.Cardiacrhythm
Answer:D
9.Thenurseisplanningcareforaclientwithpneumococcalpneumonia.Whichofthefollowingwouldbemosteffectiveinremovingrespiratory
secretions?
A.Administrationofcoughsuppressants
B.Increasingoralfluidintaketo3000ccperday
C.Maintainingbedrestwithbathroomprivileges
D.Performingchestphysiotherapytwiceaday
AnswerisB:Increasingoralfluidintaketo3000ccperday.Secretionremovalisenhancedwithadequatehydrationwhichthinsandliquefies
secretions.
10.Methodtodiagnosis&locateseizures?
A.EEG
B.PET
C.MRI
D.CTscan
Answer:A
11.Theprimarygoaloftherapyforaclientwithpulmonaryedemaandheartfailure?
AEnhancecomfort
BImproverespiratorystatus
CPeripheraledemadecreased
DIncreasecardiacoutput
Answer:D
12.ThenurseispreparingtoadministeranI.M.injectioninaclientwithaspinalcordinjurythathasresultedinparaplegia.Whichofthefollowing
musclesisbestsitefortheinjectioninthiscase?
A.Deltoid.
B.Dorsalgluteal.
C.Vastuslateralis.
D.Ventralgluteal.
Answer:A
13.Thenurseistocollectasputumspecimenfromaclient.Thebesttimetocollectthisspecimenis:
A.earlyintheevening.
B.anytimeduringtheday.
C.inthemorning,assoonastheclientawakens.
D.beforebedtime.
Answer:CBecausesputumaccumulatesinthelungsduringsleep,thenurseshouldcollectasputumspecimeninthemorning,assoonastheclient
awakensandbeforeheeatsordrinks.Thisspecimenwillbeconcentrated,increasingthelikelihoodofanaccurateculture
14.Anobeseclienthasreturnedtotheunitafterreceivingsedationandelectroconvulsivetherapy.Thenurserequestsassistancemovingtheclient
fromthestretchertothebed.Thereare2peopleavailabletoassist.Whichofthefollowingisthebestmethodoftransferforthispatient?
A.Carrylift.
B.Slidingboard.
C.Liftsheettransfer.
D.Hydrauliclift.
Answer:B
Whichtypeofnursinginterventiondoesthenurseperformwhensheadministersoralcaretoaclient?
A.Psychomotor.
B.Educational.
C.Maintenance.
D.Supervisory.
Answer:c
Onher3rdpostpartumday,aclientcomplainsofchillsandaches.Herchartshowsthatshehashadatemperatureof100.6F(38.1C)forthe
past2days.Thenurseassessesfoulsmelling,yellowlochia.Whatdothesefindingssuggest?
A.Lochiaalba
B.Lochiaserosa
C.Localizedinfection
D.Cervicallaceration
.Whatisthetermusedfornormalrespiratoryrhythmanddepthinaclient?
A.Eupnea
B.Apnea
C.Bradypnea
D.Tachypnea
QJ1.Aclientreceivesapainkiller.Thirtyminutes
later,Thenurseaskstheclientifthepainis
relieved.Whichstepofnursingprocessthe
nurseisusing?
A.Assessment
B.Nursingdiagnosis
C.Implementation

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D.Evaluation
Aclientsaystothenurse"IknowthatI'mgoingtodie."Whichofthefollowingresponsesbythenursewouldbebest?
A."Wehavespecialequipmenttomonitoryouandyourproblem."
B."Don'tworry.Weknowwhatwe'redoingandyouaren'tgoingtodie."
C."Whydoyouthinkyou'regoingtodie?"
D."Ohno,you'redoingquitewellconsideringyourcondition."
Adullpercussionisnotedoverthesymphysispubis,itmayindicate
A.Pelvicinflammatorydisease
B.Prostatitis
C.Peritonitis
D.DistendedBladder
Answer:D
Thenurseisassessingthereflexesofanewborn.Thenurseassesseswhichofthefollowingreflexesbyplacingafingerinthenewbornsmouth?
A.Mororeflex
B.Suckingreflex
C.Rootingreflex
D.Babinskireflex
Answer:B
Whencaringforapatientwhohasintermittentclaudication,acardiac/vascularnurseadvisesthepatientto:
A.applygraduatedcompressionstockingsbeforegettingoutofbed.
B.elevatethelegswhensitting.
C.refrainfromexercise.
D.walkastolerated.
Answer:D
Theclientisbroughttotheemergencydepartmentduetodrugpoisoning.Whichofthefollowingnursinginterventionsismosteffectiveinthe
managementoftheclientscondition?
a)Gastriclavage
b)Activatedcharcoal
c)Catharticadministration
d)Milkdilution
Answer:BActivatedcharcoal
Theadministrationofactivatedcharcoalisthemosteffectiveinthemanagementofpoisoningbecauseitabsorbschemicalsinthegastrointestinal
tract,thusreducingitstoxicity.
Anurseisassessingagroupofclients.Thenurseknowsthatwhichofthefollowingclientsisatriskforfluidvolumedeficit?(DHA)
a)Clientdiagnosedwithlivercirrhosis.
b)Clientwithdiminishedkidneyfunction.
c)Clientdiagnosedwithcongestiveheartfailure.
d)Clientattachedtoacolostomybag.
Answer:D
BesttimetocheckIOP?
A.Earlymorning
B.Afternoon
C.Lateevening
D.Atnoon
Answer:A
Thephysicianteachesaclientabouttheneedtoincreaseherintakeofcalcium.Atafollowupappointment,thenurseaskstheclientwhichfoods
shehasbeenconsumingtoincreasehercalciumintake.Whichanswersuggeststhatteachingaboutcalciumrichfoodswaseffective?
A.Broccoliandnuts
B.Yogurtandkale
C.Breadandshrimp
D.Beansandpotatoes
Answer:B
Thenurseiscaringforaclientdiagnosedwithastroke.Becauseofthestroke,theclienthasdysphagia(difficultyswallowing).Whichintervention
bythenurseisbestforpreventingaspiration?
A.PlacingtheclientinhighFowler'spositiontoeat.
B.Offeringliquidsandsolidstogether.
C.Keepingliquidsthinned.
D.Placingfoodontheaffectedsideofthemouth.
Answer:A
WhenadministeringanI.M.injectiontoaninfant,thenurseinchargeshouldusewhichsite?
a.Deltoid
b.Dorsogluteal
c.Ventrogluteal
d.Vastuslateralis
Answer:D
Whichorganinthebodyalwaysrecievethemostpercentageofblood(%cardiacoutput)flow?.(AIIMS,ME,BPSC)
A.Kidney
B.Heart
C.Brain
D.Lung
Answer:D
Lungrecieves100%ofcardiacoutputviabothpulmonary&systemiccirculation.

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Thehormoneresponsibleforapositivepregnancytest(UPT)is:
A.Estrogen
B.Progesterone
C.HumanChorionicGonadotropin
D.FollicleStimulatinghormone
Answer:C
Thestoolguaiactest(gFOBT)forthedetectionof...?
A.Piles
B.Pepticulcer
C.Intestinalobstruction
D.ColoRectolcarcinoma
Answer:D
Whichofthefollowing,ifobservedasasuddenchangeintheresident,isconsideredapossiblewarningsignofastroke?
A.Dementia
B.Contractures
C.Slurredspeech
D.Irregularheartbeat
Answer:C
Oneoftheclasicalsymptomofstroke
Aresidentwhoisincontinentofurinehasanincreasedriskofdeveloping(prometricsaudi2016)
A.dementia.
B.urinarytractinfections.
C.dehydration
D.pressuresore
Answer
Riskforalteredskinintegrityduetocontactwithwetsurface
Aresidentisonabladderretrainingprogram.Thenurseaidecanexpecttheresidentto
A.Haveafluidintakerestrictiontopreventsuddenurgestourinate.
B.Wearanincontinentbriefincaseofanaccident.
C.Haveanindwellingurinarycatheter.
D.Haveaschedulefortoileting.
WhatisthefirstchoiceofMI
a)Ecospirin
b)Streptokinase
c)Morphine
c)Heparin
Inaclientwithchronicbronchitis,whichsignwouldleadthenursetosuspectrightsidedheartfailure?
A.Cyanosisofthelips
B.Bilateralcrackles
C.Productivecough
D.Legedema
Whichofthefollowingisconsideredanormalagerelatedchange?
A.Dementia
B.Contractures
C.Bladderholdinglessurine
D.Wheezingwhenbreathing
Answer:C
Isaagerelatedphysiologicalchanges.Othesarepathological
Whichistheprimaryconsiderationwhenpreparingtoadministerthrombolytictherapytoapatientwhoisexperiencinganacutemyocardial
infarction(MI)?(HAAD2014)
A.Historyofheartdisease.
B.Sensitivitytoaspirin.
C.SizeandlocationoftheMI.
D.Timesinceonsetofsymptoms.
Answer:D
Itsthecrieteriaforthrombolytictherapy,earlyonset.Thrombolyticmedicationsareapprovedfortheimmediatetreatmentofstroke(within3hrs
ofonset)andheartattack(within12hrsofonest)
Whichofthefollowingstatementsistrueaboutrangeofmotion(ROM)exercises?
ADonejustonceaday
BHelppreventstrokesandparalysis
CRequireatleasttenrepetitionsofeachexercise
DAreoftenperformedduringADLssuchasbathingordressing
Answer:D
Wheninstructingtheclientdiagnosedwithhyperparathyroidismaboutdiet,thenurseshouldstresstheimportanceof:
A.restrictingfluids.
B.restrictingsodium.
C.forcingfluids.
D.restrictingpotassium.
.Whenassessingaclientwithglaucoma,anurseexpectswhichofthefollowingfindings?
A.Complaintsofdoublevision.
B.Complaintsofhalosaroundlights.
C.Intraocularpressureof15mmHg.
D.Softglobeonpalpation.

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Intheemergencydepartment,thenurseiscaringforaclientwithtype1diabeteswhowasbroughtinbyambulanceafterlosingconsciousness.
Uponassessment,theclient'sbreathwasnotedtobefruity.WhichofthefollowingABGresultswouldthenurseexpect?
A.pH:7.49PCO2:50HCO3:18
B.pH7.28:PCO2:40HCO3:16
C.pH:7.38PCO2:45HCO3:26
D.pH:7.31PCO2:60HCO3:29
Answer:B
Riskformetabolicacidosisintype1DM
Beforeadministeringmethergine,totreatPPHthenursingprioritytocheck
A.Uterinetone
B.Output
C.BP
D.amountoflochia
E.Deeptendonreflex
Answer:C
Highriskclientsforthereactivationofherpeszoster?
theclientswith....
A.Firstdegreeburns
B.Renaltransplant
C.PostORIF
D.Headinjury.
ThecardiacmarkerwhichiselevatedsoonafterMIis
A:TropT
B:CKMB
C:LDH
D:Myoglobin
Thenurseistakingthehealthhistoryofapatientbeingtreatedforsicklecelldisease.Afterbeingtoldthepatienthasseveregeneralizedpain,the
nurseexpectstonotewhichassessmentfinding?
A.Severeandpersistentdiarrhea
B.Intensepaininthetoe
C.Yellowtingedsclera
D.Headache
Aclienthashypoxemiaofpulmonaryorigin.Whatportionofarterialbloodgasresultsismostusefulindistinguishingacuterespiratorydistress
syndromefromacuterespiratoryfailure?
A.Partialpressureofarterialoxygen(PaO2)
B.Partialpressureofarterialcarbondioxide(PaCO2)
C.pH
D.Bicarbonate(HCO3)
Answer:A
Theprocedureinvolvesremovalofthe"head"(widepart)ofthepancreas,theduodenum,aportionofthecommonbileduct,gallbladder,and
sometimespartofthestomach.Andanastomosistojejunum?
A.Birloth1procedures
B.Birloth2procedures
C.Wippleprocedures
D.Subtotalcholecystectomy
Answer:C
AclientwithafluidvolumedeficitisreceivinganI.V.infusionofdextrose5%inwaterandlactatedRinger'ssolutionat125ml/hour.Whichdata
collectionfindingindicatestheneedforadditionalI.V.fluids?
A.Serumsodiumlevelof135mEq/L
B.Temperatureof99.6F(37.6C)
C.Neckveindistention
D.Darkamberurine
Answer:D
Normally,urineappearslightyellowdarkamberurineisconcentratedandsuggestsdecreasedfluidintake.
Pseudomembraneouscolitisisdueto
A.Tetenustoxins
B.Clostridiumdifficile
C.H.pylori
D.EColi
Glomerulonephritisisthecomplicationofimpetigodueto...?
A.Streptococcus
B.Staphylococci
C.Pseudomonas
D.Klebsiella
Whichofthefollowingtypesofimmunoglobulinsdoesnotcrossthebarrierbetweenmotherandinfantinthewomb?
A.IgA
B.IgM
C.IgD
D.IgE
Themostsevereexpressionsofalcoholwithdrawalsyndrome?
A.disequilibriumsyndrome
B.dawnphenomenon

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C.somogyiphenomenon
D.Deliriumtremens
Answer:D
A39yearoldforkliftoperatorpresentswithshakiness,sweating,anxiety,andpalpitationsandtellsthenursehehastype1diabetesmellitus.
Whichofthefollowactionsshouldthenursedofirst?
A.Inject1mgofglucagonsubcutaneously.
B.Administer50mLof50%glucoseI.V.
C.Give4to6oz(118to177mL)oforangejuice.
D.Givetheclientfourtosixglucosetablets
Thenurseiscollectingdataonamaleclientdiagnosedwithgonorrhea.Whichsymptomlikelypromptedtheclienttoseekmedicalattention?
A.Rashesonthepalmsofthehandsandsolesofthefeet
B.Cauliflowerlikewartsonthepenis
C.Painfulredpapulesontheshaftofthepenis
D.Foulsmellingdischargefromthepenis
AclientwithBnegativebloodrequiresabloodtransfusionduringsurgery.IfnoBnegativebloodisavailable,theclientshouldbetransfusedwith:
A.Apositiveblood
B.Bpositiveblood
C.Onegativeblood
D.ABnegativeblood
Answer:C
IftheclientsownbloodtypeandRharenotavailable,thesafesttransfusionisOnegativeblood.AnswersA,B,andDareincorrectbecausethey
cancausereactionsthatcanprovefataltotheclient
Anwomanisprescribedmetforminforglucosecontrol.ThepatientisonNPOstatuspendingadiagnostictest.Thenurseismostconcernedabout
whichsideeffectofmetformin?
A.DiarrheaandVomiting
B.DizzinessandDrowsiness
C.Metallictaste
D.Hypoglycemia
A30yearoldmalefromHaitiisbroughttotheemergencydepartmentinsicklecellcrisis.Whatisthebestpositionforthisclient?
a.Sidelyingwithkneesflexed
b.Kneechest
c.HighFowlerswithkneesflexed
d.SemiFowlerswithlegsextendedonthebed
WhichofthefollowingveiniscommonlyusedforCABG
a)Femoral
b)greatersaphenus
c)popliteal
d)brachial
Chronicalcoholic'sneedswhichofthefollowingvitamins
A.Thiamine
B.Riboflavine
C.cyanocobalamin
D.Pyridoxine
Answer:A
whichofthefollowingisthewarningsignofdying?
A.Rigormortis
B.Kussmaulbreathing
C.Chyenestrokerespiraton
D.Tachycardia
Answer:C
Thenurseadministersfurosemide(Lasix)totreataclientwithheartfailure.Whichadverseeffectmustthenursewatchformostcarefully?
A.Increaseinbloodpressure
B.Increaseinbloodvolume
C.Lowserumpotassiumlevel
D.Highserumsodiumlevel
Answer:C
Furosemideisapotassiumwastingdiuretic.Thenursemustmonitortheserumpotassiumlevelandassessforsignsoflowpotassium.Aswater
andsodiumarelostintheurine,bloodpressuredecreases,bloodvolumedecreases,andurineoutputincreases.
Aconfirmationaltestforgestationaldiabetes?
A.Fastingbloodsugar
B.Urinesugar
C.glucosetolerancetest
D.FastinglipidprofilewithRBS
Answer:C
nasalseptumdisruptionisanindicationforoverusageof
A.Marijuana
B.Alcohol
C.cocaine
D.Brownsugar
Answer:C
Thenurseiscaringforaclientwithpneumonia.Thephysicianorders600mgofceftriaxone(Rocephin)oralsuspensiontobegivenonceperday.
Themedicationlabelindicatesthatthestrengthis150mg/5ml.Howmanymillilitersofmedicationshouldthenursepourtoadministerthecorrect

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dose?
A.2.5ml
B.4ml
C.10ml
D.20ml
Answer:D
Thenurseispreparingtodischargea70yearoldmanonwarfarintherapyforapulmonaryembolism.Thenursesdischargeteachingshould
includewhichofthefollowinginstructions?
A.Followahealthydietbyincreasingingestionofgreen,leafyvegetables.
B.Takeherbalremediestomanagecoldsymptoms.
C.Avoidalcoholduetoenhancedanticoagulanteffect.
D.TakeCoumadinonlyonanemptystomach.
RouteofadministrationofBCGvaccine?question(AIIMSDelhi2011)
A.IM
B.ID
C.SC
D.IV
Answer:B
majorpartofcardiacoutputusedforwhichorgan?
A.Brain
B.Heart
C.Spleen
D.kidney
Cysticfibrosisisdiagnosedby....
A.Fibroscan
B.Sweattest
C.Myelogram
D.USG
Worldimmunizationday?
A.Oct10
B.Nov10
C.Dec10
D.Aug10
Answer:B
Aclientwithamyocardialinfarctionandcardiogenicshockisplacedonanintraaorticballoonpump(IAPB).Ifthedeviceisfunctioningproperly,
theballooninflateswhenthe:
A.tricuspidvalveisclosed.
B.pulmonicvalveisopen.
C.aorticvalveisclosed.
D.mitralvalveisclosed
QM1:worldmalariaday?
A.March18
B.April25
C.May12
D.May25
WorldCancerdayis...?
A.January30
B.December1
C.February4
D.March7
Answer:C
Inadults,Normalendotrachealsuctionpressure?
A.4090mmofHg
B.70140mmofHg
C.130180mmofHg
D.180320mmofHg
Answer:B
Aclientundergoeshippinningsurgery(DHS)totreatanintertrochantericfractureoftherighthip.Thenurseshouldincludewhichinterventionin
thepostoperativeplanofcare?
A.Performingpassiverangeofmotion(ROM)exercisesontheclient'slegsonceeachshift
B.Keepingapillowbetweentheclient'slegsatalltimes
C.Turningtheclientfromsidetosideevery2hours
D.MaintainingtheclientinsemiFowler'sposition
Answer:B
Duringtheinitialadmissionprocess,ageriatricclientseemsconfused.Whatisthemostprobablecauseofthisclient'sconfusion?
A.Depression
B.Alteredlongtermmemory
C.Decreasedlevelofconsciousness(LOC)
D.Stressrelatedtoanunfamiliarsituation
Answer:D
Thestressofbeinginanunfamiliarsituation,suchasadmissiontoahospital,cancauseconfusioningeriatricclients.Depressiondoesn'tproduce

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confusion,butitcancausemoodchanges,weightloss,anorexia,constipation,andearlymorningawakening.Ingeriatricclients,longterm
memoryusuallyremainsintact,althoughshorttermmemorymaybealtered.DecreasedLOCdoesn'tnormallyresultfromagingtherefore,it'sa
lesslikelycauseofconfusioninthisclient.
ThephysicianordersanI.M.injectionforaclient.WhichfactormayaffectthedrugabsorptionratefromanI.M.injectionsite?
A.Muscletone
B.Musclestrength
C.Bloodflowtotheinjectionsite
D.Amountofbodyfatattheinjectionsite
Answer:C
BloodflowtotheI.M.injectionsiteaffectsthedrugabsorptionrate.Muscletoneandstrengthhavenoeffectondrugabsorption.Theamountof
bodyfatattheinjectionsitemayhelpdeterminethesizeoftheneedleandthetechniqueusedtolocalizethesitehowever,itdoesn'taffectdrug
absorption(unlessthenurseinadvertentlyinjectsthemedicationintothesubcutaneoustissueinsteadofthemuscle).
Thenursingcareplanforaclientwithdecreasedadrenalfunctionshouldinclude
A.Encouragingactivity
B.Placingclientinreverseisolation
C.Limitingvisitors
D.Measurestopreventconstipation
AnswerisC:Limitingvisitors
Anyexertion,eitherphysicaloremotional,placesadditionalstressontheadrenalglandswhichcouldprecipitateanaddisoniancrisis.Theplanof
careshouldprotectthisclientfromthephysicalandemotionalexertionofvisitors.
Witch'smilkcommonlyseenonlyin?
A.Infants
B.newborns
C.Adolescents
D.prenatalclients
Answer:A
Lactationprovidescontraceptionfor
A.14days
B.30days
C.90days
D.120days
E.180days
Answer:C
Thenurseisdoingaphysicalassessmentandelectrocardiogramonanelderlyclient.Whichfindingduringthenurse'sassessmentofthecardiac
systemisofmostconcernandwarrantspromptfurtherinvestigation?
A.S4heartsound.
B.IncreasedPRinterval.
C.Orthostatichypotension.
D.Irregularlyirregularheartrate.
(Quote)(Report)

Re:SampleQuestionsforHAAD,PrometricandDHAforNursesbyElizabethJoseph:August16,2016,08:33:11AM
Quotefrom:NgeeonJuly24,2016,07:41:39AM
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uaemohexammodelquestionpapersaudimohquestionsmohquestionsandanswersfornursesinkuwait
1.Cellulitisonthefloorofmouthisknownas...
A.Stomatitis
B.Glositis
C.Anginapectoris
D.AnginaLudovici
E.Gingivitis
Answer:D/ludwing'sangina
2.Toremovesoftcontactlensesfromtheeyesofanunconsciouspatientthenurseshould:
A.Usesasmallsuctioncupplacedonthelenses
B.Pinchesthelensofftheeyethenslidesitoffthecornea
C.Liftsthelenseswithadrycottonballthatadherestothelenses
D.Tensesthelateralcanthuswhilestimulatingablinkreflexbythepatient
Answer:B
3.Apatientundergoeslaminectomy.Intheimmediatepostoperativeperiod,thenurseshould
A.Monitorthepatient'svitalsignsandlogrollhimtoproneposition
B.Monitorthepatient'svitalsignsandencouragehimtoambulate
C.Monitorthepatient'svitalsignsandauscultatehisbowelsounds
D.Monitorthepatient'svitalsigns,checksensationandmotorpowerofthefeet
Answer:D
4.Apatientwithduodenalpepticulcerwoulddescribehispainas:
A.Generalizedburningsensation
B.Intermittentcolickypain
C.Gnawingsensationrelievedbyfood
D.Colickypainintensifiedbyfood
Answer:D

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5.Apatientadmittedtothehospitalinhypertensivecrisisisorderedtoreceivehydralazine
(Apresoline)20mgIVstatforbloodpressuregreaterthan190/100mmHg.Thebestresponseofthe
nursetothisorderisto:
A.Givethedoseimmediatelyandonce
B.Givemedicationifpatient'sbloodpressureis>190/100mmHg
C.Callthephysicianbecausetheorderisnotclear
D.Administerthedoseandrepeatasnecessary
Answer:A
6.Whilstrecoveringfromsurgeryapatientdevelopsdeepveinthrombosis.Thesignthatwouldindicatethiscomplicationtothenursewouldbe:
A.Intermittentclaudication
B.Pittingedemaofthearea
C.Severepainwhenraisingthelegs
D.Localizedwarmthandtendernessofthesite
Answer:D
7.Apatientpresentstotheemergencydepartmentwithdiminishedandthreadypulses,hypotensionandanincreasedpulserate.Thepatient
reportsweightloss,lethargy,anddecreasedurineoutput.Thelabworkrevealsincreasedurinespecificgravity.Thenurseshouldsuspect:
A.Renalfailure
B.Sepsis
C.Pneumonia
D.Dehydration
Answer:D
8.clientwithchronicrenalfailurehasaserumpotassiumlevelof6.8mEq/L.Whatshouldthenurseassessfirst?
A.Bloodpressure
B.Respirations
C.Temperature
D.Cardiacrhythm
Answer:D
9.Thenurseisplanningcareforaclientwithpneumococcalpneumonia.Whichofthefollowingwouldbemosteffectiveinremovingrespiratory
secretions?
A.Administrationofcoughsuppressants
B.Increasingoralfluidintaketo3000ccperday
C.Maintainingbedrestwithbathroomprivileges
D.Performingchestphysiotherapytwiceaday
AnswerisB:Increasingoralfluidintaketo3000ccperday.Secretionremovalisenhancedwithadequatehydrationwhichthinsandliquefies
secretions.
10.Methodtodiagnosis&locateseizures?
A.EEG
B.PET
C.MRI
D.CTscan
Answer:A
11.Theprimarygoaloftherapyforaclientwithpulmonaryedemaandheartfailure?
AEnhancecomfort
BImproverespiratorystatus
CPeripheraledemadecreased
DIncreasecardiacoutput
Answer:D
12.ThenurseispreparingtoadministeranI.M.injectioninaclientwithaspinalcordinjurythathasresultedinparaplegia.Whichofthe
followingmusclesisbestsitefortheinjectioninthiscase?
A.Deltoid.
B.Dorsalgluteal.
C.Vastuslateralis.
D.Ventralgluteal.
Answer:A
13.Thenurseistocollectasputumspecimenfromaclient.Thebesttimetocollectthisspecimenis:
A.earlyintheevening.
B.anytimeduringtheday.
C.inthemorning,assoonastheclientawakens.
D.beforebedtime.
Answer:CBecausesputumaccumulatesinthelungsduringsleep,thenurseshouldcollectasputumspecimeninthemorning,assoonasthe
clientawakensandbeforeheeatsordrinks.Thisspecimenwillbeconcentrated,increasingthelikelihoodofanaccurateculture
14.Anobeseclienthasreturnedtotheunitafterreceivingsedationandelectroconvulsivetherapy.Thenurserequestsassistancemovingthe
clientfromthestretchertothebed.Thereare2peopleavailabletoassist.Whichofthefollowingisthebestmethodoftransferforthispatient?
A.Carrylift.
B.Slidingboard.
C.Liftsheettransfer.
D.Hydrauliclift.
Answer:B
Whichtypeofnursinginterventiondoesthenurseperformwhensheadministersoralcaretoaclient?
A.Psychomotor.
B.Educational.
C.Maintenance.
D.Supervisory.
Answer:c

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Onher3rdpostpartumday,aclientcomplainsofchillsandaches.Herchartshowsthatshehashadatemperatureof100.6F(38.1C)forthe
past2days.Thenurseassessesfoulsmelling,yellowlochia.Whatdothesefindingssuggest?
A.Lochiaalba
B.Lochiaserosa
C.Localizedinfection
D.Cervicallaceration
.Whatisthetermusedfornormalrespiratoryrhythmanddepthinaclient?
A.Eupnea
B.Apnea
C.Bradypnea
D.Tachypnea
QJ1.Aclientreceivesapainkiller.Thirtyminutes
later,Thenurseaskstheclientifthepainis
relieved.Whichstepofnursingprocessthe
nurseisusing?
A.Assessment
B.Nursingdiagnosis
C.Implementation
D.Evaluation
Aclientsaystothenurse"IknowthatI'mgoingtodie."Whichofthefollowingresponsesbythenursewouldbebest?
A."Wehavespecialequipmenttomonitoryouandyourproblem."
B."Don'tworry.Weknowwhatwe'redoingandyouaren'tgoingtodie."
C."Whydoyouthinkyou'regoingtodie?"
D."Ohno,you'redoingquitewellconsideringyourcondition."
Adullpercussionisnotedoverthesymphysispubis,itmayindicate
A.Pelvicinflammatorydisease
B.Prostatitis
C.Peritonitis
D.DistendedBladder
Answer:D
Thenurseisassessingthereflexesofanewborn.Thenurseassesseswhichofthefollowingreflexesbyplacingafingerinthenewbornsmouth?
A.Mororeflex
B.Suckingreflex
C.Rootingreflex
D.Babinskireflex
Answer:B
Whencaringforapatientwhohasintermittentclaudication,acardiac/vascularnurseadvisesthepatientto:
A.applygraduatedcompressionstockingsbeforegettingoutofbed.
B.elevatethelegswhensitting.
C.refrainfromexercise.
D.walkastolerated.
Answer:D
Theclientisbroughttotheemergencydepartmentduetodrugpoisoning.Whichofthefollowingnursinginterventionsismosteffectiveinthe
managementoftheclientscondition?
a)Gastriclavage
b)Activatedcharcoal
c)Catharticadministration
d)Milkdilution
Answer:BActivatedcharcoal
Theadministrationofactivatedcharcoalisthemosteffectiveinthemanagementofpoisoningbecauseitabsorbschemicalsinthe
gastrointestinaltract,thusreducingitstoxicity.
Anurseisassessingagroupofclients.Thenurseknowsthatwhichofthefollowingclientsisatriskforfluidvolumedeficit?(DHA)
a)Clientdiagnosedwithlivercirrhosis.
b)Clientwithdiminishedkidneyfunction.
c)Clientdiagnosedwithcongestiveheartfailure.
d)Clientattachedtoacolostomybag.
Answer:D
BesttimetocheckIOP?
A.Earlymorning
B.Afternoon
C.Lateevening
D.Atnoon
Answer:A
Thephysicianteachesaclientabouttheneedtoincreaseherintakeofcalcium.Atafollowupappointment,thenurseaskstheclientwhich
foodsshehasbeenconsumingtoincreasehercalciumintake.Whichanswersuggeststhatteachingaboutcalciumrichfoodswaseffective?
A.Broccoliandnuts
B.Yogurtandkale
C.Breadandshrimp
D.Beansandpotatoes
Answer:B

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Thenurseiscaringforaclientdiagnosedwithastroke.Becauseofthestroke,theclienthasdysphagia(difficultyswallowing).Which
interventionbythenurseisbestforpreventingaspiration?
A.PlacingtheclientinhighFowler'spositiontoeat.
B.Offeringliquidsandsolidstogether.
C.Keepingliquidsthinned.
D.Placingfoodontheaffectedsideofthemouth.
Answer:A
WhenadministeringanI.M.injectiontoaninfant,thenurseinchargeshouldusewhichsite?
a.Deltoid
b.Dorsogluteal
c.Ventrogluteal
d.Vastuslateralis
Answer:D
Whichorganinthebodyalwaysrecievethemostpercentageofblood(%cardiacoutput)flow?.(AIIMS,ME,BPSC)
A.Kidney
B.Heart
C.Brain
D.Lung
Answer:D
Lungrecieves100%ofcardiacoutputviabothpulmonary&systemiccirculation.
Thehormoneresponsibleforapositivepregnancytest(UPT)is:
A.Estrogen
B.Progesterone
C.HumanChorionicGonadotropin
D.FollicleStimulatinghormone
Answer:C
Thestoolguaiactest(gFOBT)forthedetectionof...?
A.Piles
B.Pepticulcer
C.Intestinalobstruction
D.ColoRectolcarcinoma
Answer:D
Whichofthefollowing,ifobservedasasuddenchangeintheresident,isconsideredapossiblewarningsignofastroke?
A.Dementia
B.Contractures
C.Slurredspeech
D.Irregularheartbeat
Answer:C
Oneoftheclasicalsymptomofstroke
Aresidentwhoisincontinentofurinehasanincreasedriskofdeveloping(prometricsaudi2016)
A.dementia.
B.urinarytractinfections.
C.dehydration
D.pressuresore
Answer
Riskforalteredskinintegrityduetocontactwithwetsurface
Aresidentisonabladderretrainingprogram.Thenurseaidecanexpecttheresidentto
A.Haveafluidintakerestrictiontopreventsuddenurgestourinate.
B.Wearanincontinentbriefincaseofanaccident.
C.Haveanindwellingurinarycatheter.
D.Haveaschedulefortoileting.
WhatisthefirstchoiceofMI
a)Ecospirin
b)Streptokinase
c)Morphine
c)Heparin
Inaclientwithchronicbronchitis,whichsignwouldleadthenursetosuspectrightsidedheartfailure?
A.Cyanosisofthelips
B.Bilateralcrackles
C.Productivecough
D.Legedema
Whichofthefollowingisconsideredanormalagerelatedchange?
A.Dementia
B.Contractures
C.Bladderholdinglessurine
D.Wheezingwhenbreathing
Answer:C
Isaagerelatedphysiologicalchanges.Othesarepathological
Whichistheprimaryconsiderationwhenpreparingtoadministerthrombolytictherapytoapatientwhoisexperiencinganacutemyocardial
infarction(MI)?(HAAD2014)
A.Historyofheartdisease.
B.Sensitivitytoaspirin.
C.SizeandlocationoftheMI.

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D.Timesinceonsetofsymptoms.
Answer:D
Itsthecrieteriaforthrombolytictherapy,earlyonset.Thrombolyticmedicationsareapprovedfortheimmediatetreatmentofstroke(within
3hrsofonset)andheartattack(within12hrsofonest)
Whichofthefollowingstatementsistrueaboutrangeofmotion(ROM)exercises?
ADonejustonceaday
BHelppreventstrokesandparalysis
CRequireatleasttenrepetitionsofeachexercise
DAreoftenperformedduringADLssuchasbathingordressing
Answer:D
Wheninstructingtheclientdiagnosedwithhyperparathyroidismaboutdiet,thenurseshouldstresstheimportanceof:
A.restrictingfluids.
B.restrictingsodium.
C.forcingfluids.
D.restrictingpotassium.
.Whenassessingaclientwithglaucoma,anurseexpectswhichofthefollowingfindings?
A.Complaintsofdoublevision.
B.Complaintsofhalosaroundlights.
C.Intraocularpressureof15mmHg.
D.Softglobeonpalpation.
Intheemergencydepartment,thenurseiscaringforaclientwithtype1diabeteswhowasbroughtinbyambulanceafterlosingconsciousness.
Uponassessment,theclient'sbreathwasnotedtobefruity.WhichofthefollowingABGresultswouldthenurseexpect?
A.pH:7.49PCO2:50HCO3:18
B.pH7.28:PCO2:40HCO3:16
C.pH:7.38PCO2:45HCO3:26
D.pH:7.31PCO2:60HCO3:29
Answer:B
Riskformetabolicacidosisintype1DM
Beforeadministeringmethergine,totreatPPHthenursingprioritytocheck
A.Uterinetone
B.Output
C.BP
D.amountoflochia
E.Deeptendonreflex
Answer:C
Highriskclientsforthereactivationofherpeszoster?
theclientswith....
A.Firstdegreeburns
B.Renaltransplant
C.PostORIF
D.Headinjury.
ThecardiacmarkerwhichiselevatedsoonafterMIis
A:TropT
B:CKMB
C:LDH
D:Myoglobin
Thenurseistakingthehealthhistoryofapatientbeingtreatedforsicklecelldisease.Afterbeingtoldthepatienthasseveregeneralizedpain,
thenurseexpectstonotewhichassessmentfinding?
A.Severeandpersistentdiarrhea
B.Intensepaininthetoe
C.Yellowtingedsclera
D.Headache
Aclienthashypoxemiaofpulmonaryorigin.Whatportionofarterialbloodgasresultsismostusefulindistinguishingacuterespiratorydistress
syndromefromacuterespiratoryfailure?
A.Partialpressureofarterialoxygen(PaO2)
B.Partialpressureofarterialcarbondioxide(PaCO2)
C.pH
D.Bicarbonate(HCO3)
Answer:A
Theprocedureinvolvesremovalofthe"head"(widepart)ofthepancreas,theduodenum,aportionofthecommonbileduct,gallbladder,and
sometimespartofthestomach.Andanastomosistojejunum?
A.Birloth1procedures
B.Birloth2procedures
C.Wippleprocedures
D.Subtotalcholecystectomy
Answer:C
AclientwithafluidvolumedeficitisreceivinganI.V.infusionofdextrose5%inwaterandlactatedRinger'ssolutionat125ml/hour.Whichdata
collectionfindingindicatestheneedforadditionalI.V.fluids?
A.Serumsodiumlevelof135mEq/L
B.Temperatureof99.6F(37.6C)
C.Neckveindistention
D.Darkamberurine
Answer:D

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Normally,urineappearslightyellowdarkamberurineisconcentratedandsuggestsdecreasedfluidintake.
Pseudomembraneouscolitisisdueto
A.Tetenustoxins
B.Clostridiumdifficile
C.H.pylori
D.EColi
Glomerulonephritisisthecomplicationofimpetigodueto...?
A.Streptococcus
B.Staphylococci
C.Pseudomonas
D.Klebsiella
Whichofthefollowingtypesofimmunoglobulinsdoesnotcrossthebarrierbetweenmotherandinfantinthewomb?
A.IgA
B.IgM
C.IgD
D.IgE
Themostsevereexpressionsofalcoholwithdrawalsyndrome?
A.disequilibriumsyndrome
B.dawnphenomenon
C.somogyiphenomenon
D.Deliriumtremens
Answer:D
A39yearoldforkliftoperatorpresentswithshakiness,sweating,anxiety,andpalpitationsandtellsthenursehehastype1diabetesmellitus.
Whichofthefollowactionsshouldthenursedofirst?
A.Inject1mgofglucagonsubcutaneously.
B.Administer50mLof50%glucoseI.V.
C.Give4to6oz(118to177mL)oforangejuice.
D.Givetheclientfourtosixglucosetablets
Thenurseiscollectingdataonamaleclientdiagnosedwithgonorrhea.Whichsymptomlikelypromptedtheclienttoseekmedicalattention?
A.Rashesonthepalmsofthehandsandsolesofthefeet
B.Cauliflowerlikewartsonthepenis
C.Painfulredpapulesontheshaftofthepenis
D.Foulsmellingdischargefromthepenis
AclientwithBnegativebloodrequiresabloodtransfusionduringsurgery.IfnoBnegativebloodisavailable,theclientshouldbetransfused
with:
A.Apositiveblood
B.Bpositiveblood
C.Onegativeblood
D.ABnegativeblood
Answer:C
IftheclientsownbloodtypeandRharenotavailable,thesafesttransfusionisOnegativeblood.AnswersA,B,andDareincorrectbecause
theycancausereactionsthatcanprovefataltotheclient
Anwomanisprescribedmetforminforglucosecontrol.ThepatientisonNPOstatuspendingadiagnostictest.Thenurseismostconcerned
aboutwhichsideeffectofmetformin?
A.DiarrheaandVomiting
B.DizzinessandDrowsiness
C.Metallictaste
D.Hypoglycemia
A30yearoldmalefromHaitiisbroughttotheemergencydepartmentinsicklecellcrisis.Whatisthebestpositionforthisclient?
a.Sidelyingwithkneesflexed
b.Kneechest
c.HighFowlerswithkneesflexed
d.SemiFowlerswithlegsextendedonthebed
WhichofthefollowingveiniscommonlyusedforCABG
a)Femoral
b)greatersaphenus
c)popliteal
d)brachial
Chronicalcoholic'sneedswhichofthefollowingvitamins
A.Thiamine
B.Riboflavine
C.cyanocobalamin
D.Pyridoxine
Answer:A
whichofthefollowingisthewarningsignofdying?
A.Rigormortis
B.Kussmaulbreathing
C.Chyenestrokerespiraton
D.Tachycardia
Answer:C
Thenurseadministersfurosemide(Lasix)totreataclientwithheartfailure.Whichadverseeffectmustthenursewatchformostcarefully?

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A.Increaseinbloodpressure
B.Increaseinbloodvolume
C.Lowserumpotassiumlevel
D.Highserumsodiumlevel
Answer:C
Furosemideisapotassiumwastingdiuretic.Thenursemustmonitortheserumpotassiumlevelandassessforsignsoflowpotassium.Aswater
andsodiumarelostintheurine,bloodpressuredecreases,bloodvolumedecreases,andurineoutputincreases.
Aconfirmationaltestforgestationaldiabetes?
A.Fastingbloodsugar
B.Urinesugar
C.glucosetolerancetest
D.FastinglipidprofilewithRBS
Answer:C
nasalseptumdisruptionisanindicationforoverusageof
A.Marijuana
B.Alcohol
C.cocaine
D.Brownsugar
Answer:C
Thenurseiscaringforaclientwithpneumonia.Thephysicianorders600mgofceftriaxone(Rocephin)oralsuspensiontobegivenonceper
day.Themedicationlabelindicatesthatthestrengthis150mg/5ml.Howmanymillilitersofmedicationshouldthenursepourtoadministerthe
correctdose?
A.2.5ml
B.4ml
C.10ml
D.20ml
Answer:D
Thenurseispreparingtodischargea70yearoldmanonwarfarintherapyforapulmonaryembolism.Thenursesdischargeteachingshould
includewhichofthefollowinginstructions?
A.Followahealthydietbyincreasingingestionofgreen,leafyvegetables.
B.Takeherbalremediestomanagecoldsymptoms.
C.Avoidalcoholduetoenhancedanticoagulanteffect.
D.TakeCoumadinonlyonanemptystomach.
RouteofadministrationofBCGvaccine?question(AIIMSDelhi2011)
A.IM
B.ID
C.SC
D.IV
Answer:B
majorpartofcardiacoutputusedforwhichorgan?
A.Brain
B.Heart
C.Spleen
D.kidney
Cysticfibrosisisdiagnosedby....
A.Fibroscan
B.Sweattest
C.Myelogram
D.USG
Worldimmunizationday?
A.Oct10
B.Nov10
C.Dec10
D.Aug10
Answer:B
Aclientwithamyocardialinfarctionandcardiogenicshockisplacedonanintraaorticballoonpump(IAPB).Ifthedeviceisfunctioning
properly,theballooninflateswhenthe:
A.tricuspidvalveisclosed.
B.pulmonicvalveisopen.
C.aorticvalveisclosed.
D.mitralvalveisclosed
QM1:worldmalariaday?
A.March18
B.April25
C.May12
D.May25
WorldCancerdayis...?
A.January30
B.December1
C.February4
D.March7

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Answer:C
Inadults,Normalendotrachealsuctionpressure?
A.4090mmofHg
B.70140mmofHg
C.130180mmofHg
D.180320mmofHg
Answer:B
Aclientundergoeshippinningsurgery(DHS)totreatanintertrochantericfractureoftherighthip.Thenurseshouldincludewhichinterventionin
thepostoperativeplanofcare?
A.Performingpassiverangeofmotion(ROM)exercisesontheclient'slegsonceeachshift
B.Keepingapillowbetweentheclient'slegsatalltimes
C.Turningtheclientfromsidetosideevery2hours
D.MaintainingtheclientinsemiFowler'sposition
Answer:B
Duringtheinitialadmissionprocess,ageriatricclientseemsconfused.Whatisthemostprobablecauseofthisclient'sconfusion?
A.Depression
B.Alteredlongtermmemory
C.Decreasedlevelofconsciousness(LOC)
D.Stressrelatedtoanunfamiliarsituation
Answer:D
Thestressofbeinginanunfamiliarsituation,suchasadmissiontoahospital,cancauseconfusioningeriatricclients.Depressiondoesn't
produceconfusion,butitcancausemoodchanges,weightloss,anorexia,constipation,andearlymorningawakening.Ingeriatricclients,long
termmemoryusuallyremainsintact,althoughshorttermmemorymaybealtered.DecreasedLOCdoesn'tnormallyresultfromaging
therefore,it'salesslikelycauseofconfusioninthisclient.
ThephysicianordersanI.M.injectionforaclient.WhichfactormayaffectthedrugabsorptionratefromanI.M.injectionsite?
A.Muscletone
B.Musclestrength
C.Bloodflowtotheinjectionsite
D.Amountofbodyfatattheinjectionsite
Answer:C
BloodflowtotheI.M.injectionsiteaffectsthedrugabsorptionrate.Muscletoneandstrengthhavenoeffectondrugabsorption.Theamountof
bodyfatattheinjectionsitemayhelpdeterminethesizeoftheneedleandthetechniqueusedtolocalizethesitehowever,itdoesn'taffect
drugabsorption(unlessthenurseinadvertentlyinjectsthemedicationintothesubcutaneoustissueinsteadofthemuscle).
Thenursingcareplanforaclientwithdecreasedadrenalfunctionshouldinclude
A.Encouragingactivity
B.Placingclientinreverseisolation
C.Limitingvisitors
D.Measurestopreventconstipation
AnswerisC:Limitingvisitors
Anyexertion,eitherphysicaloremotional,placesadditionalstressontheadrenalglandswhichcouldprecipitateanaddisoniancrisis.Theplan
ofcareshouldprotectthisclientfromthephysicalandemotionalexertionofvisitors.
Witch'smilkcommonlyseenonlyin?
A.Infants
B.newborns
C.Adolescents
D.prenatalclients
Answer:A
Lactationprovidescontraceptionfor
A.14days
B.30days
C.90days
D.120days
E.180days
Answer:C
Thenurseisdoingaphysicalassessmentandelectrocardiogramonanelderlyclient.Whichfindingduringthenurse'sassessmentofthecardiac
systemisofmostconcernandwarrantspromptfurtherinvestigation?
A.S4heartsound.
B.IncreasedPRinterval.
C.Orthostatichypotension.
D.Irregularlyirregularheartrate.
(Quote)(Report)

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1.Cellulitisonthefloorofmouthisknownas...
A.Stomatitis
B.Glositis
C.Anginapectoris
D.AnginaLudovici

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E.Gingivitis
Answer:D/ludwing'sangina
2.Toremovesoftcontactlensesfromtheeyesofanunconsciouspatientthenurseshould:
A.Usesasmallsuctioncupplacedonthelenses
B.Pinchesthelensofftheeyethenslidesitoffthecornea
C.Liftsthelenseswithadrycottonballthatadherestothelenses
D.Tensesthelateralcanthuswhilestimulatingablinkreflexbythepatient
Answer:B
3.Apatientundergoeslaminectomy.Intheimmediatepostoperativeperiod,thenurseshould
A.Monitorthepatient'svitalsignsandlogrollhimtoproneposition
B.Monitorthepatient'svitalsignsandencouragehimtoambulate
C.Monitorthepatient'svitalsignsandauscultatehisbowelsounds
D.Monitorthepatient'svitalsigns,checksensationandmotorpowerofthefeet
Answer:D
4.Apatientwithduodenalpepticulcerwoulddescribehispainas:
A.Generalizedburningsensation
B.Intermittentcolickypain
C.Gnawingsensationrelievedbyfood
D.Colickypainintensifiedbyfood
Answer:D
5.Apatientadmittedtothehospitalinhypertensivecrisisisorderedtoreceivehydralazine
(Apresoline)20mgIVstatforbloodpressuregreaterthan190/100mmHg.Thebestresponseofthe
nursetothisorderisto:
A.Givethedoseimmediatelyandonce
B.Givemedicationifpatient'sbloodpressureis>190/100mmHg
C.Callthephysicianbecausetheorderisnotclear
D.Administerthedoseandrepeatasnecessary
Answer:A
6.Whilstrecoveringfromsurgeryapatientdevelopsdeepveinthrombosis.Thesignthatwouldindicatethiscomplicationtothenursewouldbe:
A.Intermittentclaudication
B.Pittingedemaofthearea
C.Severepainwhenraisingthelegs
D.Localizedwarmthandtendernessofthesite
Answer:D
7.Apatientpresentstotheemergencydepartmentwithdiminishedandthreadypulses,hypotensionandanincreasedpulserate.Thepatient
reportsweightloss,lethargy,anddecreasedurineoutput.Thelabworkrevealsincreasedurinespecificgravity.Thenurseshouldsuspect:
A.Renalfailure
B.Sepsis
C.Pneumonia
D.Dehydration
Answer:D
8.clientwithchronicrenalfailurehasaserumpotassiumlevelof6.8mEq/L.Whatshouldthenurseassessfirst?
A.Bloodpressure
B.Respirations
C.Temperature
D.Cardiacrhythm
Answer:D
9.Thenurseisplanningcareforaclientwithpneumococcalpneumonia.Whichofthefollowingwouldbemosteffectiveinremovingrespiratory
secretions?
A.Administrationofcoughsuppressants
B.Increasingoralfluidintaketo3000ccperday
C.Maintainingbedrestwithbathroomprivileges
D.Performingchestphysiotherapytwiceaday
AnswerisB:Increasingoralfluidintaketo3000ccperday.Secretionremovalisenhancedwithadequatehydrationwhichthinsandliquefies
secretions.
10.Methodtodiagnosis&locateseizures?
A.EEG
B.PET
C.MRI
D.CTscan
Answer:A
11.Theprimarygoaloftherapyforaclientwithpulmonaryedemaandheartfailure?
AEnhancecomfort
BImproverespiratorystatus
CPeripheraledemadecreased
DIncreasecardiacoutput
Answer:D
12.ThenurseispreparingtoadministeranI.M.injectioninaclientwithaspinalcordinjurythathasresultedinparaplegia.Whichofthe
followingmusclesisbestsitefortheinjectioninthiscase?
A.Deltoid.
B.Dorsalgluteal.
C.Vastuslateralis.
D.Ventralgluteal.

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Answer:A
13.Thenurseistocollectasputumspecimenfromaclient.Thebesttimetocollectthisspecimenis:
A.earlyintheevening.
B.anytimeduringtheday.
C.inthemorning,assoonastheclientawakens.
D.beforebedtime.
Answer:CBecausesputumaccumulatesinthelungsduringsleep,thenurseshouldcollectasputumspecimeninthemorning,assoonasthe
clientawakensandbeforeheeatsordrinks.Thisspecimenwillbeconcentrated,increasingthelikelihoodofanaccurateculture
14.Anobeseclienthasreturnedtotheunitafterreceivingsedationandelectroconvulsivetherapy.Thenurserequestsassistancemovingthe
clientfromthestretchertothebed.Thereare2peopleavailabletoassist.Whichofthefollowingisthebestmethodoftransferforthispatient?
A.Carrylift.
B.Slidingboard.
C.Liftsheettransfer.
D.Hydrauliclift.
Answer:B
Whichtypeofnursinginterventiondoesthenurseperformwhensheadministersoralcaretoaclient?
A.Psychomotor.
B.Educational.
C.Maintenance.
D.Supervisory.
Answer:c
Onher3rdpostpartumday,aclientcomplainsofchillsandaches.Herchartshowsthatshehashadatemperatureof100.6F(38.1C)forthe
past2days.Thenurseassessesfoulsmelling,yellowlochia.Whatdothesefindingssuggest?
A.Lochiaalba
B.Lochiaserosa
C.Localizedinfection
D.Cervicallaceration
.Whatisthetermusedfornormalrespiratoryrhythmanddepthinaclient?
A.Eupnea
B.Apnea
C.Bradypnea
D.Tachypnea
QJ1.Aclientreceivesapainkiller.Thirtyminutes
later,Thenurseaskstheclientifthepainis
relieved.Whichstepofnursingprocessthe
nurseisusing?
A.Assessment
B.Nursingdiagnosis
C.Implementation
D.Evaluation
Aclientsaystothenurse"IknowthatI'mgoingtodie."Whichofthefollowingresponsesbythenursewouldbebest?
A."Wehavespecialequipmenttomonitoryouandyourproblem."
B."Don'tworry.Weknowwhatwe'redoingandyouaren'tgoingtodie."
C."Whydoyouthinkyou'regoingtodie?"
D."Ohno,you'redoingquitewellconsideringyourcondition."
Adullpercussionisnotedoverthesymphysispubis,itmayindicate
A.Pelvicinflammatorydisease
B.Prostatitis
C.Peritonitis
D.DistendedBladder
Answer:D
Thenurseisassessingthereflexesofanewborn.Thenurseassesseswhichofthefollowingreflexesbyplacingafingerinthenewbornsmouth?
A.Mororeflex
B.Suckingreflex
C.Rootingreflex
D.Babinskireflex
Answer:B
Whencaringforapatientwhohasintermittentclaudication,acardiac/vascularnurseadvisesthepatientto:
A.applygraduatedcompressionstockingsbeforegettingoutofbed.
B.elevatethelegswhensitting.
C.refrainfromexercise.
D.walkastolerated.
Answer:D
Theclientisbroughttotheemergencydepartmentduetodrugpoisoning.Whichofthefollowingnursinginterventionsismosteffectiveinthe
managementoftheclientscondition?
a)Gastriclavage
b)Activatedcharcoal
c)Catharticadministration
d)Milkdilution
Answer:BActivatedcharcoal
Theadministrationofactivatedcharcoalisthemosteffectiveinthemanagementofpoisoningbecauseitabsorbschemicalsinthe

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gastrointestinaltract,thusreducingitstoxicity.
Anurseisassessingagroupofclients.Thenurseknowsthatwhichofthefollowingclientsisatriskforfluidvolumedeficit?(DHA)
a)Clientdiagnosedwithlivercirrhosis.
b)Clientwithdiminishedkidneyfunction.
c)Clientdiagnosedwithcongestiveheartfailure.
d)Clientattachedtoacolostomybag.
Answer:D
BesttimetocheckIOP?
A.Earlymorning
B.Afternoon
C.Lateevening
D.Atnoon
Answer:A
Thephysicianteachesaclientabouttheneedtoincreaseherintakeofcalcium.Atafollowupappointment,thenurseaskstheclientwhich
foodsshehasbeenconsumingtoincreasehercalciumintake.Whichanswersuggeststhatteachingaboutcalciumrichfoodswaseffective?
A.Broccoliandnuts
B.Yogurtandkale
C.Breadandshrimp
D.Beansandpotatoes
Answer:B
Thenurseiscaringforaclientdiagnosedwithastroke.Becauseofthestroke,theclienthasdysphagia(difficultyswallowing).Which
interventionbythenurseisbestforpreventingaspiration?
A.PlacingtheclientinhighFowler'spositiontoeat.
B.Offeringliquidsandsolidstogether.
C.Keepingliquidsthinned.
D.Placingfoodontheaffectedsideofthemouth.
Answer:A
WhenadministeringanI.M.injectiontoaninfant,thenurseinchargeshouldusewhichsite?
a.Deltoid
b.Dorsogluteal
c.Ventrogluteal
d.Vastuslateralis
Answer:D
Whichorganinthebodyalwaysrecievethemostpercentageofblood(%cardiacoutput)flow?.(AIIMS,ME,BPSC)
A.Kidney
B.Heart
C.Brain
D.Lung
Answer:D
Lungrecieves100%ofcardiacoutputviabothpulmonary&systemiccirculation.
Thehormoneresponsibleforapositivepregnancytest(UPT)is:
A.Estrogen
B.Progesterone
C.HumanChorionicGonadotropin
D.FollicleStimulatinghormone
Answer:C
Thestoolguaiactest(gFOBT)forthedetectionof...?
A.Piles
B.Pepticulcer
C.Intestinalobstruction
D.ColoRectolcarcinoma
Answer:D
Whichofthefollowing,ifobservedasasuddenchangeintheresident,isconsideredapossiblewarningsignofastroke?
A.Dementia
B.Contractures
C.Slurredspeech
D.Irregularheartbeat
Answer:C
Oneoftheclasicalsymptomofstroke
Aresidentwhoisincontinentofurinehasanincreasedriskofdeveloping(prometricsaudi2016)
A.dementia.
B.urinarytractinfections.
C.dehydration
D.pressuresore
Answer
Riskforalteredskinintegrityduetocontactwithwetsurface
Aresidentisonabladderretrainingprogram.Thenurseaidecanexpecttheresidentto
A.Haveafluidintakerestrictiontopreventsuddenurgestourinate.
B.Wearanincontinentbriefincaseofanaccident.
C.Haveanindwellingurinarycatheter.
D.Haveaschedulefortoileting.
WhatisthefirstchoiceofMI

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a)Ecospirin
b)Streptokinase
c)Morphine
c)Heparin
Inaclientwithchronicbronchitis,whichsignwouldleadthenursetosuspectrightsidedheartfailure?
A.Cyanosisofthelips
B.Bilateralcrackles
C.Productivecough
D.Legedema
Whichofthefollowingisconsideredanormalagerelatedchange?
A.Dementia
B.Contractures
C.Bladderholdinglessurine
D.Wheezingwhenbreathing
Answer:C
Isaagerelatedphysiologicalchanges.Othesarepathological
Whichistheprimaryconsiderationwhenpreparingtoadministerthrombolytictherapytoapatientwhoisexperiencinganacutemyocardial
infarction(MI)?(HAAD2014)
A.Historyofheartdisease.
B.Sensitivitytoaspirin.
C.SizeandlocationoftheMI.
D.Timesinceonsetofsymptoms.
Answer:D
Itsthecrieteriaforthrombolytictherapy,earlyonset.Thrombolyticmedicationsareapprovedfortheimmediatetreatmentofstroke(within
3hrsofonset)andheartattack(within12hrsofonest)
Whichofthefollowingstatementsistrueaboutrangeofmotion(ROM)exercises?
ADonejustonceaday
BHelppreventstrokesandparalysis
CRequireatleasttenrepetitionsofeachexercise
DAreoftenperformedduringADLssuchasbathingordressing
Answer:D
Wheninstructingtheclientdiagnosedwithhyperparathyroidismaboutdiet,thenurseshouldstresstheimportanceof:
A.restrictingfluids.
B.restrictingsodium.
C.forcingfluids.
D.restrictingpotassium.
.Whenassessingaclientwithglaucoma,anurseexpectswhichofthefollowingfindings?
A.Complaintsofdoublevision.
B.Complaintsofhalosaroundlights.
C.Intraocularpressureof15mmHg.
D.Softglobeonpalpation.
Intheemergencydepartment,thenurseiscaringforaclientwithtype1diabeteswhowasbroughtinbyambulanceafterlosingconsciousness.
Uponassessment,theclient'sbreathwasnotedtobefruity.WhichofthefollowingABGresultswouldthenurseexpect?
A.pH:7.49PCO2:50HCO3:18
B.pH7.28:PCO2:40HCO3:16
C.pH:7.38PCO2:45HCO3:26
D.pH:7.31PCO2:60HCO3:29
Answer:B
Riskformetabolicacidosisintype1DM
Beforeadministeringmethergine,totreatPPHthenursingprioritytocheck
A.Uterinetone
B.Output
C.BP
D.amountoflochia
E.Deeptendonreflex
Answer:C
Highriskclientsforthereactivationofherpeszoster?
theclientswith....
A.Firstdegreeburns
B.Renaltransplant
C.PostORIF
D.Headinjury.
ThecardiacmarkerwhichiselevatedsoonafterMIis
A:TropT
B:CKMB
C:LDH
D:Myoglobin
Thenurseistakingthehealthhistoryofapatientbeingtreatedforsicklecelldisease.Afterbeingtoldthepatienthasseveregeneralizedpain,
thenurseexpectstonotewhichassessmentfinding?
A.Severeandpersistentdiarrhea
B.Intensepaininthetoe
C.Yellowtingedsclera
D.Headache

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Aclienthashypoxemiaofpulmonaryorigin.Whatportionofarterialbloodgasresultsismostusefulindistinguishingacuterespiratorydistress
syndromefromacuterespiratoryfailure?
A.Partialpressureofarterialoxygen(PaO2)
B.Partialpressureofarterialcarbondioxide(PaCO2)
C.pH
D.Bicarbonate(HCO3)
Answer:A
Theprocedureinvolvesremovalofthe"head"(widepart)ofthepancreas,theduodenum,aportionofthecommonbileduct,gallbladder,and
sometimespartofthestomach.Andanastomosistojejunum?
A.Birloth1procedures
B.Birloth2procedures
C.Wippleprocedures
D.Subtotalcholecystectomy
Answer:C
AclientwithafluidvolumedeficitisreceivinganI.V.infusionofdextrose5%inwaterandlactatedRinger'ssolutionat125ml/hour.Whichdata
collectionfindingindicatestheneedforadditionalI.V.fluids?
A.Serumsodiumlevelof135mEq/L
B.Temperatureof99.6F(37.6C)
C.Neckveindistention
D.Darkamberurine
Answer:D
Normally,urineappearslightyellowdarkamberurineisconcentratedandsuggestsdecreasedfluidintake.
Pseudomembraneouscolitisisdueto
A.Tetenustoxins
B.Clostridiumdifficile
C.H.pylori
D.EColi
Glomerulonephritisisthecomplicationofimpetigodueto...?
A.Streptococcus
B.Staphylococci
C.Pseudomonas
D.Klebsiella
Whichofthefollowingtypesofimmunoglobulinsdoesnotcrossthebarrierbetweenmotherandinfantinthewomb?
A.IgA
B.IgM
C.IgD
D.IgE
Themostsevereexpressionsofalcoholwithdrawalsyndrome?
A.disequilibriumsyndrome
B.dawnphenomenon
C.somogyiphenomenon
D.Deliriumtremens
Answer:D
A39yearoldforkliftoperatorpresentswithshakiness,sweating,anxiety,andpalpitationsandtellsthenursehehastype1diabetesmellitus.
Whichofthefollowactionsshouldthenursedofirst?
A.Inject1mgofglucagonsubcutaneously.
B.Administer50mLof50%glucoseI.V.
C.Give4to6oz(118to177mL)oforangejuice.
D.Givetheclientfourtosixglucosetablets
Thenurseiscollectingdataonamaleclientdiagnosedwithgonorrhea.Whichsymptomlikelypromptedtheclienttoseekmedicalattention?
A.Rashesonthepalmsofthehandsandsolesofthefeet
B.Cauliflowerlikewartsonthepenis
C.Painfulredpapulesontheshaftofthepenis
D.Foulsmellingdischargefromthepenis
AclientwithBnegativebloodrequiresabloodtransfusionduringsurgery.IfnoBnegativebloodisavailable,theclientshouldbetransfused
with:
A.Apositiveblood
B.Bpositiveblood
C.Onegativeblood
D.ABnegativeblood
Answer:C
IftheclientsownbloodtypeandRharenotavailable,thesafesttransfusionisOnegativeblood.AnswersA,B,andDareincorrectbecause
theycancausereactionsthatcanprovefataltotheclient
Anwomanisprescribedmetforminforglucosecontrol.ThepatientisonNPOstatuspendingadiagnostictest.Thenurseismostconcerned
aboutwhichsideeffectofmetformin?
A.DiarrheaandVomiting
B.DizzinessandDrowsiness
C.Metallictaste
D.Hypoglycemia
A30yearoldmalefromHaitiisbroughttotheemergencydepartmentinsicklecellcrisis.Whatisthebestpositionforthisclient?
a.Sidelyingwithkneesflexed
b.Kneechest

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c.HighFowlerswithkneesflexed
d.SemiFowlerswithlegsextendedonthebed
WhichofthefollowingveiniscommonlyusedforCABG
a)Femoral
b)greatersaphenus
c)popliteal
d)brachial
Chronicalcoholic'sneedswhichofthefollowingvitamins
A.Thiamine
B.Riboflavine
C.cyanocobalamin
D.Pyridoxine
Answer:A
whichofthefollowingisthewarningsignofdying?
A.Rigormortis
B.Kussmaulbreathing
C.Chyenestrokerespiraton
D.Tachycardia
Answer:C
Thenurseadministersfurosemide(Lasix)totreataclientwithheartfailure.Whichadverseeffectmustthenursewatchformostcarefully?
A.Increaseinbloodpressure
B.Increaseinbloodvolume
C.Lowserumpotassiumlevel
D.Highserumsodiumlevel
Answer:C
Furosemideisapotassiumwastingdiuretic.Thenursemustmonitortheserumpotassiumlevelandassessforsignsoflowpotassium.Aswater
andsodiumarelostintheurine,bloodpressuredecreases,bloodvolumedecreases,andurineoutputincreases.
Aconfirmationaltestforgestationaldiabetes?
A.Fastingbloodsugar
B.Urinesugar
C.glucosetolerancetest
D.FastinglipidprofilewithRBS
Answer:C
nasalseptumdisruptionisanindicationforoverusageof
A.Marijuana
B.Alcohol
C.cocaine
D.Brownsugar
Answer:C
Thenurseiscaringforaclientwithpneumonia.Thephysicianorders600mgofceftriaxone(Rocephin)oralsuspensiontobegivenonceper
day.Themedicationlabelindicatesthatthestrengthis150mg/5ml.Howmanymillilitersofmedicationshouldthenursepourtoadministerthe
correctdose?
A.2.5ml
B.4ml
C.10ml
D.20ml
Answer:D
Thenurseispreparingtodischargea70yearoldmanonwarfarintherapyforapulmonaryembolism.Thenursesdischargeteachingshould
includewhichofthefollowinginstructions?
A.Followahealthydietbyincreasingingestionofgreen,leafyvegetables.
B.Takeherbalremediestomanagecoldsymptoms.
C.Avoidalcoholduetoenhancedanticoagulanteffect.
D.TakeCoumadinonlyonanemptystomach.
RouteofadministrationofBCGvaccine?question(AIIMSDelhi2011)
A.IM
B.ID
C.SC
D.IV
Answer:B
majorpartofcardiacoutputusedforwhichorgan?
A.Brain
B.Heart
C.Spleen
D.kidney
Cysticfibrosisisdiagnosedby....
A.Fibroscan
B.Sweattest
C.Myelogram
D.USG
Worldimmunizationday?
A.Oct10

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B.Nov10
C.Dec10
D.Aug10
Answer:B
Aclientwithamyocardialinfarctionandcardiogenicshockisplacedonanintraaorticballoonpump(IAPB).Ifthedeviceisfunctioning
properly,theballooninflateswhenthe:
A.tricuspidvalveisclosed.
B.pulmonicvalveisopen.
C.aorticvalveisclosed.
D.mitralvalveisclosed
QM1:worldmalariaday?
A.March18
B.April25
C.May12
D.May25
WorldCancerdayis...?
A.January30
B.December1
C.February4
D.March7
Answer:C
Inadults,Normalendotrachealsuctionpressure?
A.4090mmofHg
B.70140mmofHg
C.130180mmofHg
D.180320mmofHg
Answer:B
Aclientundergoeshippinningsurgery(DHS)totreatanintertrochantericfractureoftherighthip.Thenurseshouldincludewhichinterventionin
thepostoperativeplanofcare?
A.Performingpassiverangeofmotion(ROM)exercisesontheclient'slegsonceeachshift
B.Keepingapillowbetweentheclient'slegsatalltimes
C.Turningtheclientfromsidetosideevery2hours
D.MaintainingtheclientinsemiFowler'sposition
Answer:B
Duringtheinitialadmissionprocess,ageriatricclientseemsconfused.Whatisthemostprobablecauseofthisclient'sconfusion?
A.Depression
B.Alteredlongtermmemory
C.Decreasedlevelofconsciousness(LOC)
D.Stressrelatedtoanunfamiliarsituation
Answer:D
Thestressofbeinginanunfamiliarsituation,suchasadmissiontoahospital,cancauseconfusioningeriatricclients.Depressiondoesn't
produceconfusion,butitcancausemoodchanges,weightloss,anorexia,constipation,andearlymorningawakening.Ingeriatricclients,long
termmemoryusuallyremainsintact,althoughshorttermmemorymaybealtered.DecreasedLOCdoesn'tnormallyresultfromaging
therefore,it'salesslikelycauseofconfusioninthisclient.
ThephysicianordersanI.M.injectionforaclient.WhichfactormayaffectthedrugabsorptionratefromanI.M.injectionsite?
A.Muscletone
B.Musclestrength
C.Bloodflowtotheinjectionsite
D.Amountofbodyfatattheinjectionsite
Answer:C
BloodflowtotheI.M.injectionsiteaffectsthedrugabsorptionrate.Muscletoneandstrengthhavenoeffectondrugabsorption.Theamountof
bodyfatattheinjectionsitemayhelpdeterminethesizeoftheneedleandthetechniqueusedtolocalizethesitehowever,itdoesn'taffect
drugabsorption(unlessthenurseinadvertentlyinjectsthemedicationintothesubcutaneoustissueinsteadofthemuscle).
Thenursingcareplanforaclientwithdecreasedadrenalfunctionshouldinclude
A.Encouragingactivity
B.Placingclientinreverseisolation
C.Limitingvisitors
D.Measurestopreventconstipation
AnswerisC:Limitingvisitors
Anyexertion,eitherphysicaloremotional,placesadditionalstressontheadrenalglandswhichcouldprecipitateanaddisoniancrisis.Theplan
ofcareshouldprotectthisclientfromthephysicalandemotionalexertionofvisitors.
Witch'smilkcommonlyseenonlyin?
A.Infants
B.newborns
C.Adolescents
D.prenatalclients
Answer:A
Lactationprovidescontraceptionfor
A.14days
B.30days
C.90days
D.120days
E.180days

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Answer:C
Thenurseisdoingaphysicalassessmentandelectrocardiogramonanelderlyclient.Whichfindingduringthenurse'sassessmentofthecardiac
systemisofmostconcernandwarrantspromptfurtherinvestigation?
A.S4heartsound.
B.IncreasedPRinterval.
C.Orthostatichypotension.
D.Irregularlyirregularheartrate.
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