ورقة عمل التمريض السريري مع الإجابات

أي علامة تشير إلى التهاب الوريد في موضع قنية وريدية؟

1. Aالمريض عطشان
2. Bجلد طبيعي دون ألم
3. Cالجلد شاحب وبارد بعيدًا عن الموضع
4. Dاحمرار وألم وتورم على طول الوريد

In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:

1. A1 mmol/L
2. B7 mmol/L
3. C10 mmol/L
4. D4 mmol/L

What is the main purpose of a surgical wound drain?

1. ATo remove blood or fluid so it does not collect in the wound
2. BTo give antibiotics directly into the wound bed
3. CTo keep the wound open permanently so that it can be cleaned
4. DTo measure the patient's temperature

Which measure helps prevent delirium in older inpatients?

1. AReorientation, glasses and hearing aids in use, and good sleep and hydration
2. BRestricting fluids to avoid incontinence
3. CKeeping the lights on all night
4. DMoving the patient to a different bed each night to give them a change of scene

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis typically causes patchy "skip" lesions
2. BUlcerative colitis can affect any part of the gut from mouth to anus
3. CUlcerative colitis affects only the colon, continuously from the rectum
4. DUlcerative colitis always affects the full thickness of the bowel wall

Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?

1. AStopping early greatly increases the risk of a clot forming in the stent
2. BStopping causes severe low blood pressure
3. CStopping causes immediate kidney failure
4. DThe stent will dissolve if the drugs are stopped before the course ends

A patient with a COPD exacerbation remains acidotic with a high PaCO₂ despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?

1. A15 L/min oxygen via a non-rebreathe mask
2. BNon-invasive ventilation
3. CSedation to slow the breathing
4. DStopping all oxygen therapy

Why can pulse oximetry be misleading in carbon monoxide poisoning?

1. AThe oximeter overheats in smoke-exposed patients
2. BCarbon monoxide makes the oximeter read zero even in a well patient
3. CCarbon monoxide only affects the heart rate reading
4. DStandard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin