ورقة عمل التمريض السريري مع الإجابات

Pain from gallstones (biliary colic) is typically felt in which area?

1. AThe left lower abdomen, usually after drinking water
2. BBehind the left knee
3. CThe lower back on the left, when walking
4. DThe right upper abdomen, often after a fatty meal

Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?

1. ATo keep the drug at the right temperature during use
2. BTo make the drug work faster
3. CTo stop the patient from seeing the drug
4. DTo protect themselves from exposure to hazardous drugs

Why should insulin injection sites be rotated?

1. ABecause insulin causes the skin to bleed if one site is used often
2. BTo stop the insulin from freezing under the skin
3. CTo make the insulin work more slowly and evenly every time
4. DTo prevent lumpy fatty areas that make absorption unpredictable

A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?

1. ADriven by high-flow oxygen at 15 L/min for as long as possible
2. BDriven by compressed air, with oxygen given separately if needed
3. COnly with the patient lying flat
4. DWithout monitoring oxygen saturation

Which side effect is common when a patient starts taking metformin?

1. ANausea, abdominal discomfort or diarrhoea
2. BHypoglycaemia in most patients who take it
3. CRapid weight gain
4. DSevere headache

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHypoxia
2. BHyperventilation
3. CHyperthyroidism
4. DHypertension

A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?

1. AHypoglycaemia
2. BHyperosmolar hyperglycaemic state
3. CSimple gastroenteritis with no further concern
4. DEuglycaemic diabetic ketoacidosis

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