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

What is the classic clinical definition of chronic bronchitis?

1. AA dry cough lasting about one week after a common cold
2. BWheeze and chest tightness that occur only during exercise
3. CA single episode of coughing up blood after a chest infection
4. DA cough with sputum most days for 3 months in 2 years running

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. CA persistent dry cough
4. DSwelling of both ankles

What is the pleura?

1. AA double membrane lining the lungs and the inner chest wall
2. BThe tiny air sacs at the ends of the airways where gas exchange happens
3. CThe cartilage rings of the trachea
4. DThe dome-shaped muscle that separates the chest from the abdomen

Which ECG finding is typical of atrial flutter?

1. AP waves with no relationship to the QRS complexes
2. BWide, bizarre QRS complexes at 180/min
3. CA chaotic baseline with no clear P waves and irregular QRS
4. DRegular sawtooth flutter waves between QRS complexes

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

تفقع حجرة الصمام المائي لمفجّر الصدر باستمرار حتى عندما لا يسعل المريض. ماذا يوحي ذلك؟

1. Aعادت الرئة إلى التمدد الكامل والمفجّر جاهز للإزالة
2. Bالمفجّر مسدود بخثرة في الأنبوب
3. Cأُطفئ مصدر الشفط
4. Dتسرّب هواء من الرئة أو من نظام التصريف

A patient with squamous cell lung cancer becomes confused, thirsty and constipated, with abdominal pain. Which electrolyte disturbance is most likely?

1. AHypercalcaemia
2. BHyponatraemia
3. CHypokalaemia
4. DHypomagnesaemia

A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?

1. A"I use my steroid inhaler when I start to wheeze."
2. B"I use my steroid inhaler every day, even when I feel well."
3. C"I rinse my mouth after the steroid inhaler."
4. D"I carry my blue reliever inhaler with me."