ورقة عمل التمريض السريري مع الإجابات

Hepatitis B is mainly transmitted by:

1. ATouching door handles
2. BInsect bites
3. CBlood and other body fluids
4. DCoughing and sneezing in a crowded room

Why should insulin injection sites be rotated?

1. ABecause insulin causes the skin to bleed if one site is used often
2. BTo prevent lumpy fatty areas that make absorption unpredictable
3. CTo make the insulin work more slowly and evenly every time
4. DTo stop the insulin from freezing under the skin

Drugs whose names end in "-olol", such as bisoprolol, belong to which class?

1. AACE inhibitors
2. BBeta-blockers
3. CStatins
4. DCalcium channel blockers

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

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

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

1. AUse it only after the pain has lasted over an hour, with the patient lying flat
2. BSit down before using it, as it can cause dizziness and low blood pressure
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

Which is a recognised risk factor for postoperative nausea and vomiting?

1. AUse of opioids after surgery
2. BA short operation under local anaesthetic
3. CBeing male
4. DBeing a smoker

A patient with central chest pain has ST elevation on the 12-lead ECG. What is the main aim of urgent treatment?

1. AWaiting for the troponin result before taking any action
2. BStrict bed rest for several days before deciding on treatment
3. CRestoring blood flow through the blocked coronary artery quickly
4. DStarting a cholesterol-lowering drug before any other treatment is given

A patient has sudden, severe "tearing" chest pain going through to the back and a large difference in blood pressure between the arms. What should be suspected?

1. AAortic dissection
2. BGastro-oesophageal reflux
3. CStable angina
4. DPericarditis