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الاسم: ____________________ التاريخ: ____________
1.سهلة
Why do nurses wear chemotherapy-tested gloves and gowns when handling cytotoxic drugs?
ATo protect the drug from light
BBecause cytotoxic drugs are radioactive and give off radiation
CTo avoid exposure to drugs that may cause cancer or birth defects
DTo keep the drugs warm during the infusion
2.سهلة
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt prevents allergic reactions to the anaesthetic
BIt makes the anaesthetic act on the brain as well
CIt speeds up the removal of the anaesthetic from the tissue into the blood
DIt constricts vessels, so the block lasts longer and less enters the blood
3.سهلة
Vitamin D supplements support bone health mainly by:
AStimulating osteoclasts to break down bone
BReplacing collagen in bone
CIncreasing calcium absorption from the gut
DIncreasing calcium loss in the urine
4.متوسطة
A patient refuses a prescribed oral medicine. What should the nurse do?
AHide the tablet in the patient's food
BExplore the reason, respect the decision, document and inform the prescriber
CLeave the tablet on the bedside table for later
DRecord the medicine as given, so that the chart stays complete for the next shift
5.متوسطة
Which lab tests are monitored in a patient taking carbamazepine?
AThyroid antibodies and cortisol
BSerum amylase and lipase
CINR and aPTT
DFull blood count and serum sodium
6.متوسطة
لماذا يحتاج المرضى الذين يتناولون الكلوزابين إلى تعداد دم منتظم؟
Aلأنه يغيّر زمرة الدم
Bلأنه قد يسبب ندرة المحببات
Cلأنه يرفع تعداد الصفائح بشكل خطير
Dلأنه كثيرًا ما يسبب فقر الدم بعوز الحديد
7.صعبة
A patient with type 2 diabetes starts a high dose of prednisolone for a flare of COPD. Which change should the nurse expect?
AHigher blood glucose, so more frequent glucose checks are needed
BNo change in glucose, as steroids act only in the lungs
CLower blood glucose, so the diabetes medicines should be stopped
DLower potassium only, with no effect on glucose
8.صعبة
A patient receiving cisplatin is given large volumes of IV fluid before and after each dose. What is the main purpose?
ATo reduce kidney damage
BTo prevent hair loss
CTo prevent bleeding
DTo increase drug absorption from the gut
مفتاح الإجابات
1. C · To avoid exposure to drugs that may cause cancer or birth defects
2. D · It constricts vessels, so the block lasts longer and less enters the blood
3. C · Increasing calcium absorption from the gut
4. B · Explore the reason, respect the decision, document and inform the prescriber
5. D · Full blood count and serum sodium
6. B · لأنه قد يسبب ندرة المحببات
7. A · Higher blood glucose, so more frequent glucose checks are needed
8. A · To reduce kidney damage
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