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

What is the normal duration of the QRS complex on an adult ECG?

1. ABetween 0,20 and 0,40 seconds
2. BLess than 0,12 seconds
3. CExactly 1 second
4. DMore than 0,50 seconds

Which cardiac arrest rhythms are shockable?

1. AVentricular fibrillation and pulseless ventricular tachycardia
2. BSinus rhythm and sinus tachycardia with a normal pulse
3. CAtrial fibrillation and atrial flutter
4. DAsystole and pulseless electrical activity with a slow rate

يقول مريض مصاب بقصور القلب إنه يحتاج إلى ثلاث وسائد ليتنفس براحة ليلًا. ماذا يسمى هذا العرض؟

1. Aبطء التنفس
2. Bتسرّع التنفس
3. Cضيق النفس الانتصابي (orthopnoea)
4. Dنفث الدم

Why is a shock for cardioversion synchronised with the QRS complex?

1. ATo make the shock less painful for the patient
2. BTo allow the use of a lower battery charge
3. CTo avoid delivering the shock during the T wave
4. DTo keep the pads from burning the skin

A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?

1. AInsulin should be stopped while taking a beta-blocker
2. BThe beta-blocker will prevent all episodes of hypoglycaemia
3. CHypoglycaemia will always cause a very slow and weak pulse
4. DSome warning signs, such as a fast heartbeat, may be masked

A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?

1. ARun it at the highest possible gas flow
2. BMix it with an eye drop before putting it in the nebuliser
3. CUse a mouthpiece or protect the eyes from the mist
4. DGive it only with the patient lying completely flat

A nurse has four cardiac patients. Which one should be seen first?

1. AA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
2. BA patient with heart failure whose weight is 0,3 kg up on yesterday's morning weight
3. CA patient with angina whose chest pain has not eased with rest and who is sweating
4. DA patient after a radial angiogram asking when they can eat

مريض مصاب بـ COPD على قناع فنتوري 28% (SpO₂ 90%) يريد تناول وجبة. ما الخطة الأنسب؟

1. Aالتحويل إلى قناع غير معيد للتنفس بتدفق 15 L/min أثناء الوجبة
2. Bإبقاء قناع فنتوري وإعطاء السوائل فقط عبر ماصّة
3. Cنزع كل الأكسجين أثناء الوجبة وإعادته بعدها
4. Dالتحويل إلى قنية أنفية بتدفق منخفض، مع إبقاء SpO₂ عند 88–92%