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الاسم: ____________________ التاريخ: ____________
1.سهلة
A nurse notices that a medication is past its expiry date. What should the nurse do?
AGive it, if it is less than one month expired
BGive it, because medicines work for years after expiry
CGive a double dose to make up for lost strength
DNot give it, and return it according to policy
2.سهلة
Under event-related sterility, how long is a sterile package considered sterile?
AForever, even if the outer wrapper gets wet
BUntil it is opened, torn, wet or otherwise damaged
CUntil the end of the shift on which it was opened
DFor exactly seven days after it was packed
3.سهلة
مريض مصاب بالحصبة. ما الاحتياطات المبنية على طريقة الانتقال اللازمة؟
Aالاحتياطات القياسية فقط
Bاحتياطات الرذاذ فقط
Cاحتياطات الانتقال عبر الهواء
Dاحتياطات التلامس فقط
4.متوسطة
Why is blood glucose control important around the time of surgery?
AHigh glucose impairs white cell function and raises the risk of surgical site infection
BGlucose levels only affect patients who have type 1 diabetes
CHigh glucose makes anesthetic drugs work for much longer and delays waking up
DLow glucose is needed around surgery so that the wound edges close more quickly
5.متوسطة
A patient with poorly controlled seizures asks about activities at home. Which advice is most important?
AAvoid all forms of exercise
BSleep sitting up in a chair
CNever swim or bathe alone
DAvoid drinking water before bed
6.متوسطة
Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?
AGiving antibiotics to every patient before insertion
BRoutine replacement of the catheter on a fixed schedule, such as every three days
CChoosing the femoral vein as the first site in adults
DChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
7.صعبة
Over a few hours, the emergency department sees many previously healthy people with the same unusual severe symptoms. What should the nurse do?
ATell only the patients’ families about the pattern
BTreat each patient and wait to see if more arrive next week
CReport it to infection prevention and public health authorities promptly
DSend the patients home quickly to avoid crowding the emergency department
8.صعبة
A patient given naloxone for an opioid overdose wakes up. An hour later, the patient is drowsy again with slow breathing. What is the likely reason?
AThe patient is simply tired after the event
BNaloxone wears off sooner than many opioids, so the opioid effect returns
CNaloxone itself causes slow breathing and drowsiness once it has been given
DThe patient is now allergic to naloxone
مفتاح الإجابات
1. D · Not give it, and return it according to policy
2. B · Until it is opened, torn, wet or otherwise damaged
3. C · احتياطات الانتقال عبر الهواء
4. A · High glucose impairs white cell function and raises the risk of surgical site infection
5. C · Never swim or bathe alone
6. D · Chlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
7. C · Report it to infection prevention and public health authorities promptly
8. B · Naloxone wears off sooner than many opioids, so the opioid effect returns
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