SAUDI NURSING EXAM QUESTIONS

1. A client is admitted to a psychiatric unit after taking an overdose of barbiturates. On the day after admission, which client behavior is most significant in evaluating whether the client’s risk for committing suicide has increased? The client
1) no longer talks about suicide.
2) socializes with a group of other clients.
3) verbalizes angry feelings.
4) becomes more cheerful and outgoing.

2. Which of the following is the most common symptom of myocardial infarction?
a. Chest pain
b. Palpitations
c. Edema
d. Dyspnea

3. During the second meeting of an outpatient group, a client tries to change the rules of the group. Which is the nurse’s most therapeutic intervention?
 1) Treat the client’s disruptive behavior matter-of-factly.
2) Ignore the client’s manipulative behavior.
3) Have the client restate personal expectations in relation to group goals.
4) Arrange an individual session with the client.

4. A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation?

A. Platelet count.
B. Prothrombin time.
C. Partial thromboplastin time.
D. Hemoglobin

5. A client who describes himself as a recreational cocaine user denies the seriousness of his cocaine use when confronted by his family. Which would be the most healthy family response?
1) Acknowledge their inability to change his behavior.
2) Give the client one more chance to quit by himself.
3) Continue the discussion when everyone is calmer.
4) State that they will contact the authorities if they find any cocaine.

6.  Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct?

A. It results when oxygen demand is greater than oxygen supply.
B. It is characterized by pain that often occurs duing rest.
C. It is a result of tissue hypoxia.
D. It is characterized by cramping and weakness.

7. Why should the nurse allow a newly admitted client with obsessive-compulsive behavior to complete rituals? Because the client
1) will not develop trust in the nurse who prevents rituals from being completed
2) will become psychotic if prevented from completing the rituals
3)  has not yet learned alternative coping mechanisms
4) needs to know that the staff is accepting of this behavior 

8. After a destructive tornado occurs in a community, which event should indicate to the nurse that community-wide crisis intervention is needed?
1) The school board changes the policy on fire drills to include tornado drills.
2) Many parents report that their children have nightmares and sleep disturbances.
3) The local weather bureau receives increased requests for information on tornado precautions.
4) The number of homes put up for sale increases. 

9. The nurse is assessing a client with possible depression. Which finding in the client’s history would indicate a predisposition to depressive disorders? The client’s
1) adoptive mother had a diagnosis of bipolar disorder.
2) biological father was treated for reactive depression.
3) adoptive father was treated for reactive depression.
4) biological mother had a diagnosis of bipolar disorder. 

10. Which response by the nurse leader can enhance norm setting for a group and promote a feeling of safety and support? 
1) We’ve heard you discuss this before, Mr. Jones.
2) It is important to give everyone a chance to participate.
3) What do you see as your worst problem at home?
4) Questions should be addressed to me.

11. Because the eggs are easily transmitted, even through the , pinworms can occur in the cleanest of households.
A. air
B. bed clothes
C. hair
D. hands
E. fingernails

12. What is the primary task of the orientation stage of the nurse-client relationship? 1) to solve problems
2) to establish therapeutic goals
3) to explore past difficulties
4) to evaluate progress 

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