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

Where is the apex beat normally felt in an adult?

1. AThe second intercostal space to the right of the sternum
2. BJust below the right nipple
3. CThe fifth intercostal space in the left mid-clavicular line
4. DOver the middle of the breastbone

Which group of symptoms is typical of pulmonary tuberculosis?

1. ACalf pain, leg swelling and redness
2. BSudden wheeze, itching and a raised skin rash
3. CSharp chest pain only when lying flat on the back
4. DLong-lasting cough, night sweats and weight loss

Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?

1. AA fast, irregular heart rate
2. BA productive cough with green sputum
3. CSwelling of both ankles
4. DA persistent dry cough

يُظهر المراقب رجفانًا بطينيًا. المريض غير مستجيب ولا يتنفس بشكل طبيعي. ما العلاج الأساسي؟

1. Aأتروبين وريدي وتنظيم نظم خارجي
2. Bأدينوزين وريدي سريع تليه شطفة
3. Cالإنعاش القلبي الرئوي وإزالة الرجفان بأسرع وقت ممكن
4. Dتقويم نظم القلب المتزامن تحت تهدئة عميقة

A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?

1. AClass II
2. BClass IV
3. CClass III
4. DClass I

Why does a large, rapidly forming pericardial effusion lower the blood pressure?

1. AIt makes the heart muscle contract too strongly and too fast
2. BIt dilates the arteries throughout the body
3. CIt compresses the heart and stops the ventricles filling
4. DIt causes the aortic valve to leak backwards into the ventricle

After a pneumonectomy, how is the patient usually positioned?

1. AFlat and prone for the whole of the first day after surgery
2. BOn the back or the operated side, not fully on the remaining lung
3. CFully on the non-operated side, to help drain the empty space
4. DHead down with the legs raised, to drain secretions from the lung

During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?

1. AStop suctioning, give oxygen and monitor the patient
2. BIncrease the suction pressure to finish faster
3. CGive a dose of atropine without a prescription
4. DContinue suctioning until the airway is completely clear