ورقة عمل التمريض السريري مع الإجابات

What is the most reliable indicator of pain in a patient who can communicate?

1. AThe nurse's impression of their face
2. BThe patient's heart rate
3. CThe patient's blood pressure
4. DThe patient's own report

How does omeprazole work?

1. AIt speeds up the emptying of the stomach
2. BIt reduces the production of stomach acid
3. CIt neutralises acid already in the stomach
4. DIt kills bacteria in the bowel

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AAssessing a cannula site for signs of phlebitis
2. BChecking blood glucose control
3. CMeasuring the speed and volume of an infusion
4. DScoring the patient's pain

Which finding with a groin hernia needs urgent surgical review?

1. AThe lump has been present for several years without pain
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 gets bigger when the patient coughs

Which instruction is correct for taking weekly alendronic acid (alendronate)?

1. AChew the tablet with breakfast and a cup of milky tea
2. BTake it with a glass of milk at bedtime and then lie down straight away
3. CTake it with an antacid to protect the stomach
4. DTake it with plain water on an empty stomach and stay upright for 30 minutes

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

1. Aالفيتامينات الذائبة في الماء فقط
2. Bالكربوهيدرات تمامًا
3. Cفيتامين C والألياف
4. Dالبوتاسيوم والفوسفات

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

1. APlatelet count for both drugs
2. BAPTT for heparin and INR for warfarin
3. CINR for heparin and APTT for warfarin
4. DD-dimer for both drugs

Why are patients with nephrotic syndrome at increased risk of blood clots?

1. AAnticoagulant proteins are lost in the urine and clotting factors rise
2. BThey lose most of their platelets in the urine every day
3. CThey lose all their red cells in the urine, which thickens the remaining blood
4. DTheir blood pressure is always very low