ورقة عمل التمريض السريري مع الإجابات

What is the normal pH range of arterial blood?

1. A7,35–7,45
2. B7,55–7,65
3. C7,00–7,10
4. D6,85–6,95

What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?

1. A2,2–2,6 mmol/L
2. B3,5–5,0 mmol/L
3. C135–145 mmol/L
4. D95–105 mmol/L

How does omeprazole work?

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

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

1. AThe drain is blocked
2. BThe lung has fully re-expanded
3. CThe drain is working normally for a fluid collection only
4. DAn air leak, from the lung or from the drainage system

A patient is admitted with cellulitis of the leg. Why might the nurse mark the edge of the redness on the skin?

1. ATo mark the site for an injection
2. BTo help the patient find the sore area
3. CTo monitor whether the infection is spreading or improving
4. DTo show the surgeon exactly where to make the incision

Why are patients encouraged to use an incentive spirometer after abdominal surgery?

1. ATo strengthen the abdominal muscles around the wound
2. BTo measure their lung function so the result can go in the discharge letter
3. CTo lower their heart rate before mobilising
4. DTo encourage deep breaths that prevent atelectasis and chest infection

Which patient should the nurse assess first?

1. AA patient with asthma who can only speak in single words
2. BA patient with COPD whose SpO₂ is 89% and within their target range
3. CA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
4. DA postoperative patient who rates their pain as 6/10

بعد وقت قصير من بدء نقل الدم يصبح المريض ضيق النفس مع أزيز وانخفاض في الضغط وتورم في الوجه. ماذا يجب أن تفعل الممرضة أولًا؟

1. Aإيقاف نقل الدم، والإبقاء على الخط الوريدي، وطلب المساعدة العاجلة
2. Bإعطاء الباراسيتامول ومضاد الهيستامين ومواصلة نقل الدم
3. Cإبطاء معدل نقل الدم وإعادة قياس العلامات بعد ساعة
4. Dإنهاء الوحدة بسرعة ليكون زمن التعرض أقصر ما يمكن