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

During cardiac arrest, how is adrenaline (epinephrine) usually given?

1. ABy mouth, crushed and given with water
2. BBy subcutaneous injection into the abdomen
3. CBy inhalation through a nebuliser mask
4. DIntravenously or by the intraosseous route

What is the normal PR interval on an adult ECG?

1. A0,02–0,06 seconds
2. B0,40–0,60 seconds
3. C0,12–0,20 seconds
4. D1,0–1,2 seconds

What is the compression-to-ventilation ratio for adult CPR?

1. A5 compressions to 1 breath
2. B30 compressions to 2 breaths
3. C15 compressions to 2 breaths
4. D50 compressions to 5 breaths

The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?

1. AStart chest compressions straight away and call the arrest team
2. BDeliver an immediate defibrillation shock before checking anything
3. CCheck the patient and the electrodes, as this is likely artefact
4. DGive IV amiodarone as a bolus

A patient stops ramipril because of a troublesome dry cough. Which drug class is a common alternative?

1. AA non-selective beta-blocker such as propranolol
2. BA loop diuretic such as furosemide
3. CA nitrate such as isosorbide mononitrate
4. DAn angiotensin II receptor blocker such as losartan

مريض مصاب بالرجفان الأذيني لأكثر من 48 ساعة ومدرج لتقويم نظم القلب المبرمج. لماذا يلزم مضاد التخثر قبل ذلك؟

1. Aلأن الخثرات الأذينية قد تنزاح عند عودة النظم الجيبي
2. Bلأن مضادات التخثر تقلّل الطاقة الكهربائية اللازمة للصدمة
3. Cلأن مضادات التخثر تجعل الصدمة أقل إيلامًا
4. Dلأن مضادات التخثر تحوّل الرجفان الأذيني إلى نظم جيبي

A ventilated patient is coughing, and the high-pressure alarm sounds. Coarse sounds are heard over the trachea. What should the nurse do first?

1. AAssess the patient and suction if secretions are present
2. BIncrease the tidal volume on the ventilator to overcome it
3. CTurn the alarm off and reassess the patient in an hour
4. DDeflate the endotracheal tube cuff fully

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

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