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الاسم: ____________________ التاريخ: ____________
1.سهلة
Vitamin D supplements support bone health mainly by:
AReplacing collagen in bone
BIncreasing calcium loss in the urine
CStimulating osteoclasts to break down bone
DIncreasing calcium absorption from the gut
2.سهلة
How does allopurinol prevent gout?
AIt inhibits xanthine oxidase, so less uric acid is made
BIt blocks prostaglandins in the inflamed joint
CIt dissolves crystals already in the joint within hours
DIt increases the kidney excretion of calcium
3.سهلة
In the United States, what does a Schedule II controlled substance mean?
AA drug with accepted medical use but a high risk of abuse
BA drug with no accepted medical use and a high potential for abuse
CA drug available freely over the counter
DA drug with almost no risk of abuse
4.متوسطة
A nurse realises that a patient has been given the wrong dose of a medicine. What is the first action?
AWait to see whether the patient notices
BCorrect the chart so it shows the right dose
CAssess the patient for effects of the error
DComplete the incident report before anything else
5.متوسطة
A patient refuses a prescribed oral medicine. What should the nurse do?
ARecord the medicine as given, so that the chart stays complete for the next shift
BHide the tablet in the patient's food
CLeave the tablet on the bedside table for later
DExplore the reason, respect the decision, document and inform the prescriber
6.متوسطة
While giving medicines, a patient says, "That pill looks different from the one I usually take." What should the nurse do?
AReassure the patient and give the pill anyway
BStop and recheck the order and the medicine before giving it
CGive the pill and check the chart afterwards
DExplain that only the staff decide which medicines are given
7.صعبة
Carboprost is a prostaglandin used for postpartum haemorrhage. In which woman should it be avoided?
AA woman with iron deficiency anaemia
BA woman with asthma
CA woman who is breastfeeding
DA woman who had a vaginal birth
8.صعبة
A patient with angina is taught to use sublingual glyceryl trinitrate (nitroglycerin). Which statement shows a need for further teaching?
A"If the pain is no better after one tablet, I will wait an hour before calling for help."
B"I will replace my tablets before the expiry date."
C"I will sit down before I take the tablet, because it can make me feel faint or dizzy."
D"I may get a headache after taking it."
مفتاح الإجابات
1. D · Increasing calcium absorption from the gut
2. A · It inhibits xanthine oxidase, so less uric acid is made
3. A · A drug with accepted medical use but a high risk of abuse
4. C · Assess the patient for effects of the error
5. D · Explore the reason, respect the decision, document and inform the prescriber
6. B · Stop and recheck the order and the medicine before giving it
7. B · A woman with asthma
8. A · "If the pain is no better after one tablet, I will wait an hour before calling for help."
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