ورقة عمل التمريض السريري مع الإجابات

Rheumatoid arthritis typically affects:

1. AOnly the spine
2. BThe small joints of the hands and feet on both sides of the body
3. COnly one large weight-bearing joint, such as the knee or hip
4. DOnly the big toe

ما معدل التنفس الطبيعي أثناء الراحة لدى البالغ؟

1. Aنحو 12–20 نفسًا في الدقيقة
2. Bنحو 40–50 نفسًا في الدقيقة
3. Cنحو 4–8 أنفاس في الدقيقة
4. Dنحو 25–35 نفسًا في الدقيقة

Which pair of symptoms is typical of hyperglycaemia?

1. ASlow pulse and cold, pale skin
2. BPinpoint pupils and slow breathing
3. CIncreased thirst and passing large amounts of urine
4. DSweating, trembling hands and a sudden feeling of hunger

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 gets bigger when the patient coughs
4. DThe lump disappears completely when the patient lies down flat

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

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

يصاب مريض في الجناح بأزيز وضيق نفس بعد الجرعة الأولى من حاصر بيتا. أي سابقة مرضية تجعل ذلك هو الأرجح؟

1. Aالفصال العظمي
2. Bقصور الغدة الدرقية
3. Cالشقيقة
4. Dالربو

A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?

1. AThe family may make the decision instead if they disagree with the patient's choice
2. BThe team may override any decision that it disagrees with if it is serious
3. CThe patient must be assessed by a psychiatrist before refusing
4. DA person is not treated as lacking capacity just because they make an unwise decision

A potassium result of 6,9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?

1. AGive IV insulin and glucose straight away
2. BIgnore the result because the patient looks well and the ECG is normal
3. CStart a potassium supplement
4. DRepeat the blood test promptly, as haemolysis can falsely raise potassium