ورقة عمل التمريض السريري مع الإجابات

ما أدنى نتيجة ممكنة على مقياس غلاسكو للغيبوبة؟

1. A3
2. B5
3. C1
4. D0

يُتحقق عادةً من موضع الأنبوب الأنفي المعدي بجانب السرير عن طريق:

1. Aالاستماع إلى الهواء بالسماعة ("اختبار الصفير")
2. Bالطلب من المريض أن يسعل
3. Cوضع طرف الأنبوب في كوب ماء
4. Dقياس pH السائل المسحوب

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. AAmylase
2. BD-dimer
3. CTroponin
4. DBilirubin

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

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

Which technique is correct when suctioning through a tracheostomy?

1. AKeep suctioning for at least a minute each time to clear all the secretions
2. BSuction every 15 minutes whether or not secretions are present
3. CApply suction continuously while inserting the catheter as far as it will go
4. DApply suction only while withdrawing the catheter, for no more than about 10–15 seconds

An arterial blood gas shows a low pH, a high PaCO₂ and a normal bicarbonate. What does this show?

1. AMetabolic acidosis
2. BMetabolic alkalosis
3. CRespiratory alkalosis
4. DRespiratory acidosis

A nurse teaches a patient with asthma about a new inhaled steroid "preventer". Which statement shows a need for further teaching?

1. A"I will only use it when I'm wheezy."
2. B"I will use it every day even when I feel well."
3. C"I'll keep my reliever inhaler with me."
4. D"I will rinse my mouth after using it."

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. ANo precautions, because it is not contagious
2. BAirborne precautions with a negative-pressure room for the whole hospital stay
3. CIsolation only after the patient has gone home
4. DDroplet precautions until 24 hours of effective antibiotics have been given