Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
             
 
 
 
4
 
 
19- Which of the following findings or client history most possibility of 
cancer of the breast? 
a. Family history of breast cancer 
b. Cyclic changes in mass size 
c. History of taking oral contraceptive 
d. Increased size of the breast 
20- Which of the following is the most accurate statement as regard 
malignant tumors? 
a. Ability to invade surrounding cells. 
b. Is capsulated. 
c. Remains localized 
d. Rate of growth is usually slow. 
21- Which of the following nursing action is correct prior to 
administration Digoxin administration when the bradycardia patient's 
apical pulse revaled 
a. Administer the dose as ordered. 
b. Hold the dose and notify the physician. 
c. Administer the dose with frequent body weight 
d. Hold this dose and give the next one 
22- Which of the following is a common side effect of Spironolactone( 
potassium sparing diuretic) 
a. Hypernatremia 
b. Hyperkalemia 
c. Hypokalemia 
d. Hyponatremia 
23- The nurse is preparing a discharge teaching plan for the patient who 
had surgical umbilical hernia repair. What should the nurse include in the 
care plan: 
a. Avoiding coughing and straining 
b. Irrigate the wound during dressing 
c. Maintaining bed rest 
 
 
 
 
 
 
5
 
 
24- A 33 years old patient admitted to the emergency department with 
complicated untreated hernia; which of the following condition is 
suspected and require an urgent surgery: 
a. Reducible hernia 
b. Strangulated hernia 
c. Incisional hernia 
d. Indirect inguinal hernia 
25- A young patient come to hospital with hernia complaining from 
sudden severe pain with marked hydrocele what is the examination can 
revealed: 
a. Direct inguinal hearnia 
b. Indirect inguinal hernia. 
c. Strangulated hernia. 
d. Intestinal perforation 
26- Hernia that occurs when the wall defect is a result of an incompletely 
healed previous surgical wound is 
a. Umblical hernia 
b. Inguinal hernia 
c. Diaphragmatic hernia 
d. Incisional hernia 
27- Which of this condition is considered as a cause of liver cirrhosis? 
a. Cholecystitis 
b. Hepatitis E virus 
c. Alcohol consumption 
d. Hepatitis A virus 
28- In patient with end stage renal diseases on hemodialysis which of the 
following complications can develop as a result of machine priming with 
heparinized saline: 
a. Increase coagulation profile 
b. Fluid volume excess 
c. Fluid volume defecit 
d. Excessive blood oozing at the site of dialysis catheters removal 
29- The meal plan option that should be avoided for patient suspected to 
develop hypertensive crisis? 
a. Increased saturated fat intake with sodium restricted diet 
b. Decreased saturated fat intake with sodium restricted diet 
 
 
 
6
 
 
part 2 
1- Which of the following is one of the immediate preoperative nursing 
interventions? 
a. Preparing the Skin 
b. Preparing the Bowel for Surgery 
c. Managing Nutrition and Fluids 
d. The patient changes into a hospital gown 
2- Which of the following role is the responsibility of the scrub nurse? 
a. As

            Quiz: