ورقة عمل التمريض السريري مع الإجابات

Which vaccine is offered every year to healthcare workers to protect patients and staff?

1. AYellow fever vaccine
2. BTyphoid vaccine
3. CInfluenza vaccine
4. DRabies vaccine

يجب مراقبة المريض الذي يتناول مسكنات أفيونية خصوصًا من حيث:

1. Aارتفاع ضغط الدم
2. Bتثبيط التنفس والتهدئة
3. Cالإسهال
4. Dزيادة الشهية

Which group of findings suggests fluid overload?

1. AWeight loss, sunken eyes and a dry mouth
2. BSwollen ankles, breathlessness, lung crackles and weight gain
3. CLow jugular venous pressure and cool skin
4. DDry mouth, thirst, dark urine and a rapid weak pulse

A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?

1. ACalcium, because both drugs lower it
2. BSodium, because both drugs raise it sharply
3. CPotassium, because both drugs can raise it
4. DGlucose, because both drugs cause hyperglycaemia

A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?

1. ANon-rebreathe mask with reservoir bag at 15 L/min
2. BNasal cannula at 2 L/min
3. CSimple face mask at 5 L/min with the patient sitting up
4. DVenturi mask set to 24%

Why is lactulose given to a patient with hepatic encephalopathy?

1. ATo reduce the absorption of ammonia from the gut
2. BTo stop bleeding from varices
3. CTo lower the blood glucose
4. DTo increase the liver's production of albumin

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"I am calling about Mr Smith, who is breathless."
2. B"He was admitted three days ago with pneumonia."
3. C"His blood pressure is 85/50 and he is confused."
4. D"Please review him within the next 15 minutes."

Which statement about oxygen in a patient with suspected acute coronary syndrome is correct?

1. AOxygen is given if the SpO₂ is below the target range
2. BHigh-flow oxygen should always be given, whatever the SpO₂
3. COxygen replaces the need for an ECG
4. DOxygen must never be given in chest pain