ورقة عمل التمريض السريري مع الإجابات

ما أهم إجراء للوقاية من قرح الضغط لدى مريض طريح الفراش؟

1. Aإبقاء المريض في وضعية واحدة طوال اليوم
2. Bتقييد السوائل
3. Cتدليك المناطق الحمراء بقوة
4. Dتغيير الوضعية بانتظام لتخفيف الضغط

Which urine dipstick findings most suggest a urinary tract infection?

1. AA low specific gravity alone
2. BBilirubin and urobilinogen
3. CGlucose and ketones
4. DNitrites and leucocytes

What is a typical SpO₂ in a healthy adult at rest breathing room air?

1. AAbout 85–88%
2. BAbout 60–70%
3. CAbout 95–100%
4. DAbout 75–80%

Under the Mental Capacity Act 2005 (England and Wales), which principle applies?

1. AA diagnosis of dementia means the person lacks capacity for all decisions
2. BA person must be assumed to have capacity unless it is shown that they lack it
3. CEveryone over 75 is assumed to lack capacity
4. DCapacity is decided by the next of kin, who must sign a form for every decision

Which group of symptoms suggests hypercalcaemia?

1. AWeight gain, feeling cold and a slow pulse
2. BSweating, tremor and sudden hunger
3. CThirst, constipation, confusion and abdominal pain
4. DTingling lips, muscle cramps and spasms of the hands and feet

ما الذي ينبغي عادة أن يحدّ منه مريض الكلى المزمن في نظامه الغذائي؟

1. Aالكربوهيدرات تمامًا
2. Bفيتامين C والألياف
3. Cالفيتامينات الذائبة في الماء فقط
4. Dالبوتاسيوم والفوسفات

Which drug group is first-line for a prolonged convulsive seizure?

1. ABeta-blockers, such as bisoprolol or atenolol
2. BOpioids, such as morphine or diamorphine, given intravenously
3. CBenzodiazepines, such as buccal midazolam or IV lorazepam
4. DAntihistamines, such as chlorphenamine

A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12,5 to 8,5 g/dL) and their heart rate has risen to 118/min. What is the priority?

1. AEncourage the patient to eat iron-rich foods
2. BRecheck the haemoglobin next week
3. CEscalate urgently, as the patient may be bleeding
4. DDocument the result and take no further action