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الاسم: ____________________ التاريخ: ____________
1.سهلة
What are passive range-of-motion exercises?
AThe patient lifts weights to build muscle strength
BThe patient moves their own joints through their full range without any help
CThe patient walks a set distance each day
DThe nurse moves the patient's joints without the patient's effort
2.سهلة
Why might a patient be given thickened fluids?
AThey have a stomach ulcer
BThey need more calories than they can get from food
CThey are allergic to water
DThey have difficulty swallowing thin liquids safely
3.سهلة
In UK healthcare, what does the duty of candour require?
AKeeping all mistakes private within the nursing team to avoid upsetting patients
BBeing open and honest with patients when something goes wrong in their care
CReporting errors only when the patient makes a complaint
DOnly telling patients about errors if they ask directly
4.متوسطة
While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?
ALie the patient flat to rest
BFeed more quickly so the meal is finished before they tire
CStop feeding and report for a swallowing assessment
DGive a drink of water to wash the food down
5.متوسطة
A dying patient has noisy, rattling breathing that is upsetting the family. Which nursing action helps?
ATell the family it means the patient is choking and needs help
BReposition the patient and explain the cause to the family
CGive large volumes of oral fluids
DStart deep suction every 10 minutes
6.متوسطة
Which medicine commonly causes constipation?
ADocusate
BCodeine
CLactulose
DSenna
7.صعبة
The family of a patient with terminal cancer worries that morphine will make the patient addicted. What is the best response?
ASuggest giving the morphine only once a day
BAgree that the morphine should be stopped to protect the patient
CExplain that addiction is uncommon when morphine is used for pain
DTell them that addiction does not matter at this stage
8.صعبة
A patient's potassium result is 6,8 mmol/L (6,8 mEq/L). Why is this urgent?
AIt means the patient urgently needs more potassium
BHigh potassium causes only mild muscle cramps that settle without treatment
CIt is normal for patients after surgery
DVery high potassium can cause life-threatening heart arrhythmias
مفتاح الإجابات
1. D · The nurse moves the patient's joints without the patient's effort
2. D · They have difficulty swallowing thin liquids safely
3. B · Being open and honest with patients when something goes wrong in their care
4. C · Stop feeding and report for a swallowing assessment
5. B · Reposition the patient and explain the cause to the family
6. B · Codeine
7. C · Explain that addiction is uncommon when morphine is used for pain
8. D · Very high potassium can cause life-threatening heart arrhythmias
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