ورقة عمل التمريض السريري مع الإجابات

Osteoporosis mainly increases the risk of:

1. AHigh blood calcium
2. BFractures from minor falls
3. CJoint infections
4. DMuscle cramps at night

What are the two most common causes of peptic ulcers?

1. ASpicy food and emotional stress on their own
2. BLow fibre intake and lack of exercise
3. CHelicobacter pylori infection and NSAID use
4. DViral infection of the stomach and dehydration

What is the main purpose of a surgical wound drain?

1. ATo keep the wound open permanently so that it can be cleaned
2. BTo remove blood or fluid so it does not collect in the wound
3. CTo give antibiotics directly into the wound bed
4. DTo measure the patient's temperature

Why is blood pressure monitored closely in a patient with an epidural infusion?

1. AEpidurals always cause severe hypertension that needs regular treatment
2. BBlood pressure readings show whether the catheter is infected
3. CThe local anaesthetic can block sympathetic nerves and cause hypotension
4. DThe epidural pump uses the blood pressure to set the rate

Why are patients with atrial fibrillation often given anticoagulants?

1. ATo slow the heart rate directly and prevent palpitations
2. BTo convert the rhythm back to normal
3. CTo lower the blood pressure
4. DTo reduce the risk of stroke from clots in the atria

Which finding with a groin hernia needs urgent surgical review?

1. AThe lump gets bigger when the patient coughs
2. BThe lump has become painful and tender and cannot be pushed back
3. CThe lump disappears completely when the patient lies down flat
4. DThe lump has been present for several years without pain

مريض لديه نزف هضمي حاد ومعدل قلبه 120/min وضغطه 90/60 mmHg. ما الأولوية التمريضية بعد طلب المساعدة؟

1. Aتأجيل أي إجراء حتى يُتحقق من لون البراز
2. Bإعطاء وجبة كبيرة لاستعادة الطاقة
3. Cتأمين خط وريدي واسع القطر والاستعداد لتعويض السوائل أو الدم
4. Dتشجيع المريض على المشي وحده إلى الحمام

A patient on metformin with reduced kidney function is due a CT scan with IV contrast. Why might metformin be withheld?

1. AThere is a risk of lactic acidosis if kidney function worsens
2. BMetformin makes the images blurry
3. CMetformin reacts with the contrast to cause severe hyperglycaemia
4. DMetformin causes severe bleeding during scans