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الاسم: ____________________ التاريخ: ____________
1.سهلة
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
AWithin the normal range
BLow (leukopenia)
CRaised (leukocytosis)
DNormal for an older adult
2.سهلة
ما الاحتياطات المستخدمة لمريض مصاب بالسعال الديكي؟
Aالعزل الوقائي (العكسي)
Bاحتياطات الرذاذ
Cاحتياطات الانتقال عبر الهواء
Dاحتياطات التلامس
3.سهلة
How can patients take part in infection prevention?
ABy being encouraged to ask staff whether they have cleaned their hands
BBy cleaning their own IV sites with tap water
CBy sharing equipment with other patients
DBy stopping their antibiotics on their own as soon as they feel a little better
4.متوسطة
Many intensive care units bathe patients daily with chlorhexidine. What is the main purpose?
ATo treat existing wound infections without the need for antibiotics
BTo lower the patient’s body temperature
CTo moisturize dry skin in older patients
DTo reduce skin bacteria and bloodstream infections linked to central lines
5.متوسطة
Which technique is correct when collecting a wound culture?
AUse one swab to sample two different wounds
BSwab the old pus on the dressing that was just removed from the wound
CCollect the sample only after antibiotics have been started
DClean the wound with sterile saline first, then swab clean tissue
6.متوسطة
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
ALatent TB infection, which is not contagious
BImmunity to TB from a past exposure
CA failed test that must be repeated next year
DActive TB, which needs airborne isolation
7.صعبة
A patient on long-term high-dose corticosteroids asks for the nasal spray influenza vaccine. What should the nurse explain?
AEither type is fine, as long as it is given in the morning
BThe nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
CThe nasal spray is the best choice for people on steroids, because it is not injected
DPeople on steroids should never have any influenza vaccine
8.صعبة
A patient with depression has suddenly become calm and is giving away personal possessions. What does this suggest?
AThat the patient wants to make new friends on the unit
BA possibly increased suicide risk that needs immediate assessment
CThat the patient is now ready for discharge today
DThat the depression has resolved and observation can be reduced
مفتاح الإجابات
1. C · Raised (leukocytosis)
2. B · احتياطات الرذاذ
3. A · By being encouraged to ask staff whether they have cleaned their hands
4. D · To reduce skin bacteria and bloodstream infections linked to central lines
5. D · Clean the wound with sterile saline first, then swab clean tissue
6. A · Latent TB infection, which is not contagious
7. B · The nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
8. B · A possibly increased suicide risk that needs immediate assessment
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