ورقة عمل التمريض السريري مع الإجابات

يصف مصطلح "التغوط الأسود" (melaena):

1. Aدم أحمر قانٍ ممزوج بالقيء أو البلغم
2. Bبراز شاحب بلون الطين
3. Cبراز أسود قطراني كريه الرائحة
4. Dبول أصفر داكن

يقيّم مقياس غلاسكو للغيبوبة (GCS):

1. Aالمنعكسات وتوتر العضلات والإحساس
2. Bحجم الحدقة واستجابتها وضغط الدم والنبض
3. Cالألم والغثيان والقلق
4. Dفتح العينين والاستجابة اللفظية والاستجابة الحركية

What is a normal capillary refill time in an adult?

1. A8–10 seconds
2. BMore than 15 seconds
3. C2 seconds or less
4. D5–6 seconds

Why is an urgent brain scan needed before thrombolysis for a suspected stroke?

1. ATo measure the size of the ventricles
2. BTo confirm the patient's age
3. CTo rule out bleeding in the brain
4. DTo check for brain tumours only

Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?

1. ATo stretch the bladder back to its normal size
2. BTo give antibiotics directly into the kidneys
3. CTo stop blood clots from blocking the catheter
4. DTo measure the patient's kidney function

Why is lactulose given to a patient with hepatic encephalopathy?

1. ATo lower the blood glucose
2. BTo increase the liver's production of albumin
3. CTo reduce the absorption of ammonia from the gut
4. DTo stop bleeding from varices

A patient with a central venous catheter needs the line removed. Which position reduces the risk of air embolism during removal of a neck or chest line?

1. ALying flat or slightly head-down, holding the breath or breathing out
2. BStanding up and walking
3. CLying on the right side with the legs raised
4. DSitting fully upright and taking a deep breath in as the line comes out

The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?

1. AThe drain is working perfectly and needs no checks
2. BThe patient's breathing has become normal and the drain can be pulled out by the nurse
3. CThe tube may be kinked or blocked, or the lung may have fully re-expanded
4. DThe water seal has been set up correctly for the first time