ورقة عمل التمريض السريري مع الإجابات

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the right upper abdomen and moves up to the centre of the chest
2. BIt starts around the umbilicus and moves to the right lower abdomen
3. CIt starts in the left lower abdomen and stays there
4. DIt starts in the left shoulder and moves to the back

Coeliac disease is an immune reaction to:

1. ALactose
2. BShellfish
3. CPeanuts
4. DGluten

Shingles (herpes zoster) is caused by:

1. AA fungal infection of the nerves
2. BAn allergy to medicines
3. CA bacterial skin infection
4. DReactivation of the chickenpox virus

How is Helicobacter pylori infection usually treated?

1. AAntacids alone, taken after every meal for a month
2. BA combination of antibiotics with a proton pump inhibitor
3. CSurgery to remove the stomach
4. DA single dose of paracetamol and a bland diet for a week

Which instruction is correct for taking weekly alendronic acid (alendronate)?

1. ATake it with plain water on an empty stomach and stay upright for 30 minutes
2. BChew the tablet with breakfast and a cup of milky tea
3. CTake it with a glass of milk at bedtime and then lie down straight away
4. DTake it with an antacid to protect the stomach

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ASit down before using it, as it can cause dizziness and low blood pressure
2. BUse it only after the pain has lasted over an hour, with the patient lying flat
3. CTake it with a large glass of milk to protect the stomach lining
4. DSwallow the spray rather than leaving it under the tongue

A patient two days after abdominal surgery coughs and says something "gave way". The wound has opened and bowel is visible. What should the nurse do first?

1. AApply dry gauze tightly and ask the patient to keep coughing
2. BGently push the bowel back into the abdomen and tape the wound edges firmly closed
3. CSit the patient fully upright and offer a hot drink
4. DCover the wound with sterile, saline-moistened dressings and get urgent surgical help

A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?

1. A"I will tell other doctors and my dentist I take an anticoagulant."
2. B"If I forget a dose, I'll take two the next day to catch up."
3. C"I will report any blood in my urine."
4. D"I will take it at the same time each day."