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BOOKLITCODE: 011 T CODE: 01 (4) A 23year-old promigravid a mother came to a hospital with a complaint of labor pain for five hours. On evaluation, she had three regular uterine contractions and cervix is Scin dilated Miter an hour. the tervis became fully ditated fetal heart beat is 90mm and there is three rogular uterine contractions The nurse decided to deliver the fetus using vacuum. What is the most likely indication for the above procedure" (C) Poor matemal expulsive effort (A) Tight perincum (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 IU of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drop per minute and increased every 30 minutes till adequate uterine contraction is achieved After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery. On examination, the contraction was adequate with vertex presentation the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy. What is the most likely indication used to decide this procedure? (A) Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 93. A 20-year-old primigravida mother visited a health center for delivery.On arrival, she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pain secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother

BOOKLET CODE :012 45. A 21-year-old woman,with no previous history of mental illness, came to a clinic complaining hearing of persistent voices commenting all her actions in thelast three months. Mental status examination revealed that she has frequent derailment of speech and looks apathetic. What is the most likely diagnosis of this patient? (C)disorder (A) Schizophrenia (B)disorder (D) Sehizophrenifor disorder 46. A known adult patient with schizophrenia and who is currently on halopendol 5mg/dxy came for follow up visit. His attendant reports that he was doing well with this medication but started to show returning of symptoms after he resistedto take his medication. No evidence of drug side effect observed. What is the most appropriate drug of choice for this patient? (A) Thioridazine (B) Chloropromizine (C)Fluphenazinedecanoate (D) Couple of haloperidol and Carbamazepine 47. A 19-year-old male student reports sleep disturbance, difficulty of concentrating and periods of extreme muscle tension. He is constantly worried about the health of his parents,his university study and many others since joining university eight months ago. He recognizes that his worries are often unfounded, but can't stop worrying. What is the most likely diagnosis of this patient? (C) Separation anxicly disorder (A) Panic disorder (B) Social anxiety disorder (D) Generalized anxiety disorder 48. A 20-year-old university student was brought by the school counselor to an emergency department. He is on mood stabilizer medication for anxiety disorder Currently, he was found sitting in the lift of the residential hall He claims that he hears a voice talking to him despite no one is around What is the most likely current psychopathology of this student? (A) Thought disturbance (C) Emotional disturbance (B) Cognitive disturbance (D) Perceptual disturbance 49. A 30-vear-old male patient came to a psychiatric department with a complaint of persistent low mood and insommi.for the last two weeks. He has feeling of hopelessness.worthlessness and surcidal ideation. He has no underlined medical condition. The nurse diagnosis the patient with major depressive disorder What is the most likelycriterion used to diagnose the patient's problem? (A) Insomnia (C) Hopelessness (B) Low mood (D) suicidal ideation

BOOKLET CODE :012 45. A 21-year-old woman,with no previous history of mental illness, came to a climic complaining hearing of persistent voices commenting all her actions in thelast throe months. Mental status examination revealed that she has frequent derailment of speech and looks apathetic. What is the most likely diagnosis of this patient? (C)disorder (A) Schizophrenia (D) Schizophrenifor disorder (B)disorder 46. A known adult patient with schizophrenia and who is currently on haloperidol 5 mgiday. came for follow up visit. His attendant reports that he was doing well with this medication but started to show returning of symptoms after he resistedto take his medication. No evidence of drug side effect observed. What is the most appropriate drug of choice for this patient? (A)Thioridazine (B)Chloropromizine (C)Eluphemerinedecanoate (D)haloperidol and Carbamazepine 47. A 19-year-old male student reports sleep disturbance, difficulty of concentrating and periods of extreme muscle tension. He is constantly worried about the health of his parents,his university study and many others since joining university eight months ago. He recognizes that his worries are often unfounded, but can't stop worrying. What is the most likely diagnosis of this patient? (C) Separation anxiety disorder (A) Panic disorder (B) Social anxiety disorder (D) Generalized anxiety disorder 48. A 20-year-old university student was brought by the school counselor to an emergency department. He is on mood stabilizer medication for anxiety disorder Currently, he was found sitting in the lift of the residential hall. He claims that he hears a voice talking to him despite no one is around What is the most likely current psychopathology of this student? (A) Thought disturbance (C) Emotional disturbance (B) Cognitive disturbance (D) Perceptual disturbance 49. A 30-year-old male patient came to a psychiatric department with a complaint of persistent low mood and insomnia for the last two weeks. He has feeling of hopelessness worthlessness and suicidal ideation. He has no underlinec medical condition The nurse diagnosis the patient with major depressive disorder. What is the most likelycriterion used to diagnose the patient's problem? (A) Insomnia (C) Hopelessness (B) Low mood (D) suicidal ideation

35. A S3-year-old male HIV positive patient was admitted in a surgical HAART for the last four During adinission, he and cooperative years but, currently he tas call additional intravenous antibiotic. One day after the operation by disorientation fluctuating level of consciousness and perceptual distortions. What is the most likely diagnosis of this man? (A) Delirium (B) Medication-induced Neurocognitive disorder (C)disorder infection (D) Neurocognitive disorder due to another medical condition BOOKLET CODE: 012 56. A six-year-old boy was brought to a hospital with a complaint of pattem of diminished sustamed attention and higher levels of impulsivity than his age mates. He had persistent problems with academic achievement. He was frequently sent to the school principal were similarly frustrated at home During Examination, he has poor speech articulation and difficulty to wait his tum. What is the most likely diagnosis of this child? (A) Autistic disonder (C) Pervasive developmental disorders (B) Conduct related disorder (D) Attention deficit hyperactivity disorder 57. The presidents of public university in Ethiopia addressed overall activities of the university for the graduation attendees in his opening speech. At lunch time the president signed a community service provision project agreement with government officials. What is the most likely managerial role played by the president? (A) Liaison (C)Figurehead (B) Leader (D) Entrepreneur 58. The chief executive officer (CEO) of a hospital has organized a task force to carry out SWOT analysis on the entire functional areas of the hospital. After gathering and analyzing data, the task foree came up with evidences showing frequent shortage of drug d analyzing poorly motivated staff.and low availability of transportation facility in the hospital. What is the most likely SWOT analysis component observed in this hospital? (A) Threat (B) Strength (C) Weakness (D) Opportunity 59. The human resource officer of a hospital wants to estimate the number of nurses required to he employed for next year.Then, the officer consulted the chief administ identify criteria for the estimation and agreed to appraise the number bu services in the hospital. What is the most appropriate base for estimating the human resource required by the his (C) The health care demands (A) Health service targets (D) Human resourcedo population ratios (B) The health needs approach Nursing 2015/2023

SUBJECT CODE 35. A 53-year old mate HIV positive patient was admitted in a surgical TAART for the antibiotic. One day after the operation During adimission, he was calm and cooperative He has been on he has an additional intravenous disorientation.fluctuating level of consciousness and perceptual distortions. What is the most likely diagnosis of this man? (A) Delinum (B) Medication-induced Neurocognitive disorder (C)disorder infection (D) Neurocognitive disorder due to another medical condition BOOKLET CODE: 012 56. A six-year-old boy was brought to a hospital with a complaint of pattem of diminished sustained attention and higher levels of impulsivity than his age mates.He had persistent problems with academic achievement. He was frequently sent to the school principal and his problem were similarly frustrated at home.During Examination, he has poor speech articulation and difficulty to wait his turn. What is the most likely diagnosis of this child? (C) Pervasive developmental disorders (A) Autistic disonder (B) Conduct related disorder (D) Attention deficit hyperactivity disorder 57. The presidents of public university in Ethiopia addressed overal activities of the university for the graduation attendees in his opening speech. At lunch time the president signed a community service provision project agreement with govemment officials. What is the most likely managerial role played by the president? (A) Liaison (C) Figurehead (B) Leader (D) Entrepreneur 58. The chief executive oflicer (CEO) of hospital has organized a task force to carry out SWOT analysis on the entire functional areas of the hospital. After gathering and analyzing data, the task force came up with evidences showing frequent shortage of drug supply presence of poorly motivated staff and low availability of transportation facility in the hospital. What is the most likely SWOT analysis component observed in this hospital? (A) Threat (B) Strength (C) Weakness (D) Opportunity 59. The human resourve officer of a hospital wants to estimate the number of nurses required to he employed for next year.Then, the officer consulted the chief administ identify criteria for the estimation and agreed to appraise the number bar services in the hospital. What is the most appropriate base for estimating the human resource required by the lisa (C) The health care demands (A) Health service targets (D) Human resource4 o-population ratios (B) The health needs approach WEHPLE-Nursing 20