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

What does "pleuritic" chest pain mean?

1. ADull pressure that spreads to the jaw on exertion
2. BBurning pain behind the breastbone after meals
3. CAching that is worse when the arm is moved
4. DSharp pain that worsens on breathing in or coughing

كيف ينبغي للممرضة أن تفحص عجز النبض (pulse deficit) في الرجفان الأذيني؟

1. Aيعدّ شخص واحد النبض الكعبري لمدة 15 ثانية ويضربه في أربعة
2. Bيعدّ شخصان النبض القمي والكعبري معًا لمدة دقيقة
3. Cيُقرأ معدل القلب من شاشة مقياس التأكسج النبضي
4. Dيجسّ شخص واحد النبضين السباتيين في الوقت نفسه

Rust-coloured sputum is classically linked with which infection?

1. AAllergic rhinitis
2. BOral thrush
3. CA viral common cold
4. DPneumococcal pneumonia

After a prescribed IV fluid bolus for hypotension, what should the nurse do next?

1. AWait until the next routine observations in four hours
2. BReassess heart rate, blood pressure, urine output and lung sounds
3. CStop all monitoring if the patient says they feel better
4. DStart a second fluid bolus straight away without checking anything

ما التطعيمات الموصى بها عادةً لمرضى COPD؟

1. Aلقاح BCG كل خمس سنوات
2. Bلقاح الإنفلونزا السنوي ولقاح المكورات الرئوية
3. Cلا لقاحات إطلاقًا، لأنها معروفة بإثارة التفاقم
4. Dمعزز الكزاز السنوي فقط

A patient on home oxygen has dry, sore lips. Which product is safest to use?

1. AAn alcohol-based gel
2. BAn oil-based balm
3. CA water-based lubricant
4. DPetroleum jelly

A conscious adult in the dining room is suddenly unable to speak, cough or breathe after a mouthful of food. What should the nurse do first?

1. AUp to five back blows, then up to five abdominal thrusts if needed
2. BEncourage them to drink a glass of water to wash the food down
3. CLie them down on the floor and start chest compressions immediately
4. DSweep blindly in the mouth with a finger

A patient with both COPD and heart disease is more breathless, with bilateral basal crackles, raised JVP, ankle swelling and a markedly raised NT-proBNP. Which problem is most likely driving this episode?

1. AHyperventilation from anxiety
2. BA primary spontaneous pneumothorax
3. CAn asthma attack
4. DDecompensated heart failure