Summarize the following text to main points and sub-points and make detailed explain for them:

U).
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140. The third stage of labor ends with which of the following?
a)
The birth of the baby
b)
When the client is fully dilated
c)
After the birth of the placenta
d)
When the client is transferred to her postpartum bed
141. Which of the following would the nurse expect to assess as presumptive signs of
pregnancy ?
a)
Amenorrhea and nausea  & vomiting
b)
Uterine enlargement and Chadwick's sign
c)
A positive pregnancy test and a fetal outline
d)
Braxton Hicks contractions and Hegar's sign
Community Nursing
142.
A Diabetic patient was amputated following an unexpected necrosis on the right leg,
he sustained and undergone BKA. He then underwent therapy on how to use his new
prosthetic leg. this is a type of what level of prevention?
a) primary
b) secondary
c) tertiary
d) none of above
143.
All of the following are live attenuated vaccine EXCEPT
a) mumps
b) Sabine
c) pertussis
d) BCG
144.
The best temperature to keep vaccine in refrigerator is
a) 2-8 º C
b)2-4 º C
c) 0-10 º C
d)0-6 º C
145.
The best site for BCG vaccine administration is
a)intramuscular
b)subcutaneous
c) intradermal
d)oral
146.
Which of the following are primary causes of death among infant stage
a) congenital anomalies
b)sudden infant death syndrome
c) respiratory distress syndrome
d)all of the above
147.
Which of the  following vaccines never be frozen
a) DTP
b)BCG
c) Measles
d)MMR
148.
Which the following vaccine are given to protect from Diphtheria and tetanus
disease . it should suitable for children old than six year and pregnant woman
a) TT
b)DT
c) Td
d)DTP
 ﻣﻨﺘﺪى اﻟﻤﻤﺮض اﻟﻔﻠﺴﻄﯿﻨﻲ–اﻟﻠﺠﻨﺔ اﻟﻌﻠﻤﯿﺔ
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149.
An incidence rate of  a disease refer to:
a) the measurement of the existing number of cases identified in a given population
b) the measurement of the number of new cases identified in a given period of time
c) how the community health nurse determines the risk factors of the disease
d) the measurement of the entire population at risk in designed area.
150.
Palestinian health care system consider  :
a) social welfare system
b)free enterprise system
c) Transition system
d)comprehensive system
151.
One a advantage of the home visit for the community health nurse includes:
a) being able to control environmental distraction.
b) understanding  client life style is easier in family residence.
c) client transportation concern are a non relevant personal situation.
d) non of the above.
152.
Immunization  is example of:
a) active natural immunity
b) active artificial immunity
c) passive natural immunity
d) passive artificial immunity
153.
The preventive services in which a special test or standardized examination
procedure is used to identify patients requiring special intervention called
a) screening
b) promotion
c) prevention
d) evaluation
154.
Crude mortality rate may be defined as :
a) number of deaths occurring in a calendar year per the number of  the total population during
the same period multiplied by 1000
b)number of death  of infant under 1 year of age per 1000 live births
c) number of death  of a woman while pregnant per 1000 number of live birth
d)number of deaths occurring in a calendar year per the number of  the total death of  population
during the same period multiplied by 100000
155.
The host , environment and agent are constitute part of the
a) wheel model
b)epidemiological cycle
c) epidemiological triangle
d)prospective study
156.
(BSN ONLY) Which the following phrases best serves as a definition of
epidemiology
a) science that with the incidence , distribution, determinate and control of health and illness in
population
b)science that with the incidence and prevalence of disease among population
c) science that study specific disease develops in the population
d)non of the above
157.
A female client undergoes yearly mammography. This is a type of what level of
prevention?
a) primary
b) secondary
c) tertiary
d) none of above
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Medical Surgical Nursing:
158.
Estimate the burn size using the rule of nines, if the client burned at anterior chest,
abdomen and left arm:
a) 27%
b) 36%
c) 9%
d) 18%
159.
What is the main route of transmission of this hepatitis B virus?
a) Sputum
b) Feces
c) Blood
d) Urine
160.
A nurse caring for a client with deep vein thrombosis must be especially alert for
complications such as pulmonary embolism. Which findings suggest pulmonary
embolism?
a) Nonproductive cough and abdominal pain
b) Hypertension and lack of fever
c) Bradypnea and bradycardia
d) Chest pain and dyspnea
161.
A client is undergoing an extensive diagnostic workup for a suspected GI problem.
The nurse discovers that the client has a family history of ulcer disease. Which blood
type also is a risk factor for duodenal ulcers?
a) Type A
b) Type B
c) Type AB
d) Type O
162.
The primary mode of transmission for hepatitis B is:
a) Sexual contact
b) The oral – fecal
c) Contaminated food or milk products
d) Blood
163.
The pain associated with Myocardial Infarction (MI), is due to?
a) Impending circulatory collapse
b) Extracellular electrolyte imbalance
c) Left ventricular overload
d) Insufficient oxygen reaching the heart muscles
164.
Which of the following clinical manifestation would be an early and most sensitive
indicator of deterioration in the client's neurologic status?
a) Widening pulse pressure
b) Decrease in the pulse pressure
c) Otorrhea and rihnorrehea
d) Decrease in level of consciousness
165.
All of the following may induce angina pectoris EXCEPT:
a) Light meal
b) Exposed for cold
c) Stress or emotion upset
d) Physical exercise
166.
Evaluation of the effectiveness of cardiac nitrates is based on:
a) Relief of angina pain
b) Decrease in blood pressure
c) Improved cardiac output
d) Dilation of superficial blood vessels
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167.
Which of the following is a false statement in relation to ECG?
a) The P wave is represents depolarization of the atrium.
b) The QRS wave is represents repolarization of the ventricle.
c) The T wave follows the S wave and represents ventricular relaxation.
d) The U wave represents repolarization of purkinje fibers.
A rhythm strip from a patient's ECG shows the following pattern:
168.
How should the nurse interpret this pattern?
a) Ventricular trigeming
b) Ventricular bigeming
c) Ventricular fibrillation
d) Ventricular tachycardia
169.
All of the following is considered as a clinical manifestation of hypovolemia,
EXCEPT:
a) Decrease skin turgor
b) Hypotension
c) Oliquria
d) Strong, rapid pulse
170.
Which if the following is/are complication of fluid therapy:
a) Hypotension
b) Circulatory overload
c) Allergic reaction
d) All of the above
171.
All of the following considered as the most common life threatening complication for
a patient with renal failure EXCEPT:
a) Acute pulmonary edema
b) Hyperkalemia
c) Metabolic alkalosis
d) Cardiac arrhythmia
172.
After patient return from barium swallow the nursing action include:
a) Increase fluid in take
b) Keep pt. N.P.O until pass stool
c) Complete bed rest
d) Assess the level of consciousness
173.
Which of the following does the liver require for the synthesis of prothrombin?
a) Vitamin B12
b) Vitamin D
c) Vitamin K
d) Ketones
174.
One of the functions of the gallbladder is:
a) Storage and production of bile
b) To store white blood cells
c) To produce vitamin D
d) To reabsorb bile salts
175.
Which of the following occupations is at the greatest risk for contracting hepatitis
B?
a) Flight attendants
b) Fire fighters
c) Health care workers
d) Educators
176.
In a typical patient with cholecysitis, beside localized pain, in what other area might
the patient report feeling pain?
a) Left upper arm
b) Neck or jaw
c) Lower abdomen
d) Right shoulder
 ﻣﻨﺘﺪى اﻟﻤﻤﺮض اﻟﻔﻠﺴﻄﯿﻨﻲ–اﻟﻠﺠﻨﺔ اﻟﻌﻠﻤﯿﺔ
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177.
The patient has a gallstone blocking the bile duct. with what symptoms will the
patient report feeling pain?
a) Increased bilirubin levels in the blood
b) Increase in appetite
c) Weight gain
d) Constipation
178.
In type II non-insulin diabetes mellitus (NIDDM), the patient demonstrates the
following characteristics:
a) A need for insulin for life
b) Usually obesity at diagnosis
c) Islet cell antibodies
d) Decrease in insulin resistance
179.
The nurse teaches the newly diagnosed patient with diabetes mellitus that which of
that which of the following guidelines will decrease the body's need for insulin?
a) Sleep
b) Exercise
c) Stress
d) Low-fat diet
180.
Usually the first symptom associated with esophageal disease is:
a) Dysphagia
b) Pain
c) Malnutrition
d) Regurgition
181.
The most common complication of peptic ulcer disease is:
a) Hemorrhage
b) Perforation
c) Intractable ulcer
d) Pyloric obstruction
182.
On physical examination the nurse should be looking for tenderness on palpation at
Mc Burney's point, which :
a) Left lower quadrant
b) Right lower quadrant
c) Left upper quadrant
d) Right upper quadrant
183.
A symptom or symptoms suggestive of acute appendicitis is(are):
a) Appositive rov

Summary :