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

Postural (orthostatic) hypotension is a drop in blood pressure that happens:

1. AOn standing up from lying or sitting
2. BAfter eating a large meal
3. COnly during heavy exercise or climbing stairs
4. DOnly during deep sleep

After a stroke, a patient has "aphasia". What does this mean?

1. ALoss of vision in one eye
2. BDifficulty understanding or producing language
3. CWeakness of one side of the body
4. DDifficulty swallowing food, drink and saliva

Which equipment must always be kept at the bedside of a patient with a tracheostomy?

1. AA peak flow meter and a nebuliser
2. BSpare tracheostomy tubes, including one a size smaller, and working suction
3. CA blood glucose meter and a spare urinary catheter of the same size
4. DA blood pressure cuff and a spare nasal cannula and oxygen mask only

Which group of features is typical of nephrotic syndrome?

1. APolyuria, thirst and weight loss
2. BSevere loin pain and fever
3. CBlood in the urine, high blood pressure and reduced urine output only
4. DHeavy proteinuria, low serum albumin and oedema

Which of these is a non-drug measure that can help relieve pain?

1. AKeeping the patient awake all night
2. BRestricting visitors completely
3. CRepositioning and distraction
4. DTelling the patient that the pain is not real

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. AAn allergic reaction to the dressing
2. BSimple cellulitis that will settle with oral antibiotics
3. CNecrotising fasciitis
4. DA superficial bruise

Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?

1. ATeaching a patient to inject insulin for the first time
2. BGiving a dose of intravenous antibiotic
3. CAssessing a patient who has just reported new chest pain
4. DMeasuring and recording vital signs on a stable patient