ورقة عمل التمريض السريري مع الإجابات

Coeliac disease is an immune reaction to:

1. ALactose
2. BPeanuts
3. CGluten
4. DShellfish

On an ECG, what does the P wave represent?

1. AClosure of the heart valves
2. BVentricular depolarisation
3. CVentricular repolarisation
4. DAtrial depolarisation

What is the usual normal platelet count in adults?

1. A150–400 × 10⁹/L (150,000–400,000/mm³)
2. B4–11 × 10⁹/L (4,000–11,000/mm³)
3. C1,000–2,000 × 10⁹/L (1–2 million/mm³)
4. D1–2 × 10⁹/L (1,000–2,000/mm³)

A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?

1. ASteroids destroy the pancreas
2. BSteroids always cause hypoglycaemia
3. CSteroids can raise the blood glucose
4. DSteroids make glucose meters inaccurate

Why are patients asked to fast before a general anaesthetic?

1. ATo prevent postoperative constipation and abdominal bloating
2. BTo reduce the risk of aspirating stomach contents
3. CTo lower the blood glucose before surgery
4. DTo make the surgery shorter

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo work out the patient's fluid needs
2. BTo exclude significant arterial disease, as compression could cut off blood flow
3. CTo check for a urinary tract infection that could delay ulcer healing
4. DTo measure how deep the ulcer is and how much exudate it produces

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
2. BA normal response to atrial fibrillation needing no action
3. CAnxiety about the new diagnosis that will settle with reassurance and rest alone
4. DA stable rhythm that can safely be reviewed at the next routine ward round

A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?

1. AA minor throat infection
2. BHypothermia from the fire service water
3. CAirway swelling from inhalation injury
4. DDehydration from sweating