ورقة عمل التمريض الباطني الجراحي: القلب والأوعية والجهاز التنفسي مع الإجابات

ما أخطر مضاعفات خثار الأوردة العميقة؟

1. Aالتهاب الوريد الخثاري السطحي
2. Bدوالي الأوردة
3. Cالانصمام الرئوي
4. Dتورم الساق بعد الخثار

What is the correct first aid for an adult with a nosebleed?

1. ATilt the head back and pinch the bony bridge of the nose firmly
2. BBlow the nose hard to clear the clots
3. CLie flat on the back with the head turned to one side for an hour
4. DSit forward and pinch the soft part of the nose for 10–15 minutes

What is the classic clinical definition of chronic bronchitis?

1. AA single episode of coughing up blood after a chest infection
2. BA dry cough lasting about one week after a common cold
3. CWheeze and chest tightness that occur only during exercise
4. DA cough with sputum most days for 3 months in 2 years running

Which ECG pattern is typical of acute pericarditis?

1. AST elevation only in leads II, III and aVF with Q waves
2. BA sawtooth baseline with a regular ventricular rate
3. CWidespread saddle-shaped ST elevation with PR depression
4. DTall peaked T waves with a wide QRS

How should a patient breathe in when using a dry powder inhaler?

1. AThrough the nose with the mouthpiece in the mouth
2. BSlowly and gently over about ten seconds
3. CQuickly and deeply, after breathing out away from the device
4. DSeveral times, breathing out into the device between breaths

How does digoxin help a patient with atrial fibrillation and heart failure?

1. AIt dissolves clots that have formed in the left atrium
2. BIt lowers potassium to stabilise the heart
3. CIt speeds conduction through the AV node to the ventricles
4. DIt slows AV node conduction and increases contractility

A patient with rheumatoid arthritis is due to start an anti-TNF biologic drug. Which screening is essential beforehand?

1. AA sweat chloride test
2. BScreening for latent tuberculosis
3. CAn exercise ECG test on a treadmill
4. DA peak flow diary for a month

A nurse finds a patient collapsed in bed and unresponsive. What should the nurse do first?

1. ALeave the patient to fetch a defibrillator before calling anyone
2. BGive two rescue breaths, then check the blood glucose before calling anyone
3. CShout for help, open the airway and check breathing for up to 10 seconds
4. DTake a full set of observations, including temperature and blood glucose