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

Which organism causes tuberculosis?

1. ACorynebacterium diphtheriae
2. BPseudomonas aeruginosa
3. CMycobacterium tuberculosis
4. DStaphylococcus aureus

How does CPAP help in obstructive sleep apnoea?

1. AIt removes carbon dioxide through a filter
2. BIt delivers a drug that relaxes the airway muscles overnight
3. CConstant positive pressure holds the upper airway open
4. DIt slows the breathing rate during sleep

Which precautions are needed for a patient with suspected infectious pulmonary tuberculosis?

1. AStandard precautions only
2. BAirborne precautions with a respirator mask
3. CContact precautions with gloves only
4. DProtective isolation for the patient's own sake

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

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

Which history is a contraindication to thrombolysis for a STEMI?

1. AA previous appendicectomy many years ago
2. BMild asthma controlled with inhalers
3. CTreated high blood pressure
4. DA previous haemorrhagic stroke

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. ACheck the patient and the electrodes, as this is likely artefact
2. BGive IV amiodarone as a bolus
3. CStart chest compressions straight away and call the arrest team
4. DDeliver an immediate defibrillation shock before checking anything

During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?

1. AStop or clamp the drainage and inform the doctor
2. BSpeed up the drainage to finish quickly
3. CLie the patient flat until the drainage is complete
4. DAsk the patient to cough harder to help the flow

A patient with end-stage COPD has severe breathlessness at rest despite optimal treatment and wants comfort-focused care. Which measure is recognised to help?

1. AStopping all medicines, including inhalers
2. BEncouraging long walks to build fitness
3. CA low-dose opioid with a hand-held fan and calm positioning
4. DHigh-flow oxygen at 15 L/min whatever the oxygen saturation is