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

Which three responses make up the Glasgow Coma Scale?

1. APupil size, pulse and blood pressure
2. BEye opening, verbal response and motor response
3. COrientation to time, place and person, plus memory
4. DReflexes, muscle tone and sensation

What is the most common cause of dementia?

1. AHuntington's disease
2. BAlzheimer's disease
3. CParkinson's disease
4. DMultiple sclerosis

Which hormones does the adrenal medulla release?

1. ACortisol and aldosterone
2. BThyroxine and calcitonin
3. CInsulin and glucagon
4. DAdrenaline and noradrenaline

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. BHot baths cause new areas of damage in the brain
3. CThis shows that the disease has entered a new progressive stage
4. DThey should take very cold baths to reverse the damage

After a kidney biopsy, which observation is most important?

1. AThe colour of the patient's skin on the face
2. BThe patient's appetite at the next meal
3. CSigns of bleeding, such as haematuria and a rising pulse
4. DThe temperature every four hours only

Which statement about storing insulin is correct?

1. AInsulin should be kept on a sunny windowsill to stay warm
2. BAll insulin must be stored in the freezer to keep it stable
3. CUnopened insulin goes in the fridge and must never be frozen
4. DInsulin that has been frozen can be used once it has thawed

مريض لديه ارتفاع ضغط داخل القحف يحتاج إلى شفط عبر الأنبوب الرغامي. أيّ نهج هو الأنسب؟

1. Aالشفط 30 ثانية على الأقل لتنظيف كل الإفرازات دفعة واحدة
2. Bالأكسجة المسبقة، وإبقاء كل مرور قصيرًا، وتقليل عدد المرات
3. Cالشفط كل 15 دقيقة بشكل روتيني حتى دون إفرازات
4. Dإضجاع المريض مسطحًا مع إدارة الرأس أثناء الشفط

A patient with polycystic kidney disease suddenly has the worst headache of their life and neck stiffness. What should the nurse suspect?

1. AA migraine linked to high blood pressure
2. BA subarachnoid haemorrhage from a brain aneurysm
3. CPain spreading upwards from a kidney cyst
4. DA urinary infection that has spread