ورقة عمل التمريض السريري مع الإجابات

من الإجراءات التمريضية الأساسية لتقليل عدوى المسالك البولية المرتبطة بالقثطرة:

1. Aفصل الكيس بشكل متكرر
2. Bإزالة القثطرة فور انتفاء الحاجة إليها
3. Cتغيير القثطرة كل يوم
4. Dإبقاء كيس التصريف أعلى من مستوى مثانة المريض

What is a normal capillary refill time in an adult?

1. A8–10 seconds
2. B2 seconds or less
3. CMore than 15 seconds
4. D5–6 seconds

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

1. ACategory 2
2. BCategory 3
3. CCategory 4
4. DCategory 1

ما العلامات التي تشير إلى تفاعل نقل الدم في الدقائق الأولى؟

1. Aجوع خفيف
2. Bتحسن اللون وزيادة النشاط
3. Cارتفاع بطيء وثابت في الهيموغلوبين خلال اليوم التالي
4. Dحمى وقشعريرة وألم في الظهر وانخفاض ضغط الدم

Which measure helps reduce the risk of surgical site infection?

1. ARemoving hair, if needed, with clippers rather than a razor
2. BChanging the wound dressing every hour
3. CShaving the area with a razor the night before surgery
4. DLeaving the patient cool during surgery to slow bacterial growth

A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?

1. AAvoid blood pressure readings and blood samples on that arm
2. BKeep the arm raised and still at all times
3. CUse the fistula arm for routine IV cannulas
4. DApply a tight bandage over the fistula at night to protect it

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?

1. AThe appendix has perforated, causing peritonitis
2. BThe patient has developed gastroenteritis
3. CThe analgesia has started working
4. DThe appendicitis has resolved without treatment

Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?

1. ATeaching a patient to inject insulin for the first time
2. BGiving a dose of intravenous antibiotic
3. CMeasuring and recording vital signs on a stable patient
4. DAssessing a patient who has just reported new chest pain