ورقة عمل التمريض السريري مع الإجابات

Before moving or handling a patient, what should the nurse do first?

1. AAsk the patient's relative to help lift them to save time
2. BBend at the waist and keep the knees straight
3. CLift the patient quickly before they become tired or anxious
4. DAssess the risks and choose the right equipment and number of staff

Which description is typical of neuropathic pain?

1. AA dull ache that is only present during exercise
2. BBurning, shooting or tingling pain
3. CA sharp pain only when the skin is cut
4. DA pain that only occurs after meals

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

What happens in third-degree (complete) heart block?

1. AThe ventricles beat very fast and regularly
2. BNo impulses from the atria reach the ventricles, so they beat independently
3. CThe atria beat chaotically with no P waves, and the ventricular rate is irregular
4. DEvery impulse reaches the ventricles, but each one is slightly delayed

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

1. APregnant women and immunocompromised people who have not had chickenpox
2. BNo one, because shingles cannot spread
3. CPeople who have already had chickenpox in childhood and are now healthy
4. DOnly people over 80 who have already had shingles themselves

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. AGastric ulcer
2. BAppendicitis
3. CBiliary colic
4. DDiverticulitis

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. BRepeat the blood test promptly, as haemolysis can falsely raise potassium
3. CIgnore the result because the patient looks well and the ECG is normal
4. DStart a potassium supplement

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