ورقة عمل التمريض الباطني الجراحي: الأعصاب والغدد الصماء والكلى مع الإجابات

Which cranial nerve makes the pupil constrict in response to light?

1. ATrochlear nerve (IV)
2. BOptic nerve (II) alone
3. CAbducens nerve (VI)
4. DOculomotor nerve (III)

What is the normal range for serum potassium in an adult?

1. AAbout 3,5–5,0 mmol/L
2. BAbout 1,5–2,5 mmol/L
3. CAbout 135–145 mmol/L
4. DAbout 6,0–7,5 mmol/L

أيّ اضطراب شاردي هو مضاعفة خطيرة للفشل الكلوي؟

1. Aفرط صوديوم الدم
2. Bفرط كالسيوم الدم
3. Cنقص بوتاسيوم الدم
4. Dفرط بوتاسيوم الدم

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AExpect the drug to shrink the prostate within a day
2. BStop it if the urine stream improves
3. CStand up slowly, because it can make you dizzy
4. DTake it with grapefruit juice to make it work better

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AHeat can briefly worsen MS symptoms, which settle when they cool down
2. BThis shows that the disease has entered a new progressive stage
3. CHot baths cause new areas of damage in the brain
4. DThey should take very cold baths to reverse the damage

Which finding most suggests fluid overload in a patient with chronic kidney disease?

1. AA dry mouth and a low blood pressure when standing
2. BDark yellow urine and thirst
3. CA weight loss of 1 kg (2,2 lb) after a hot day
4. DA weight gain of 2 kg (4,4 lb) in two days with ankle swelling

Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?

1. AThe diabetes has been cured, so insulin can stop
2. BThe patient actually has type 2 diabetes
3. CThe insulin has gone off and should be replaced
4. DA honeymoon phase, but insulin is still needed

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

1. AFluid is being removed too quickly
2. BAn allergic reaction to the needles
3. CNot enough fluid is being removed
4. DThe dialysate is too cold