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الاسم: ____________________ التاريخ: ____________
1.سهلة
In the United States, what is a "boxed warning" (black box warning) on a drug label?
AA sign that the drug must be stored in a dark box
BThe strongest FDA warning about a serious or life-threatening risk
CA label showing that the drug is a controlled substance with abuse potential
DA note that the drug is available without prescription
2.سهلة
Where should an adrenaline (epinephrine) auto-injector be given?
AUnder the tongue
BInto the abdomen under the skin
CInto the outer thigh muscle
DInto a vein in the arm
3.سهلة
Which drug is an antidote for methanol or ethylene glycol (antifreeze) poisoning?
AFlumazenil
BAtropine
CNaloxone
DFomepizole
4.متوسطة
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
AStraight after a large evening meal
BOnly when heartburn is severe
CAbout 30–60 minutes before the first meal of the day
DWith a glass of milk at bedtime, when acid output is highest
5.متوسطة
لماذا لا ينبغي إيقاف الكورتيكوستيرويدات الفموية طويلة الأمد فجأة؟
Aلأن الغدتين الكظريتين مثبطتان وقد لا تنتجان ما يكفي من الكورتيزول
Bلأن الإيقاف يسبب ارتفاعًا مفاجئًا في سكر الدم
Cلأن الجهاز المناعي سيهاجم الكبد والغدتين الكظريتين فورًا
Dلأن الدواء يكوّن مستقلبات سامة عند إيقافه
6.متوسطة
After a vaccination, why is a person asked to wait for a short time before leaving?
ATo watch for anaphylaxis, which usually starts within minutes
BTo make sure the injection site does not bruise
CTo measure the person's temperature for fever
DTo check that the vaccine has already created protective antibodies
7.صعبة
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
AWithhold it and contact the prescriber, as amoxicillin is a penicillin
BGive the amoxicillin, as it belongs to a different antibiotic group
CGive the amoxicillin with an antihistamine to prevent a reaction
DGive half the dose and observe for a reaction
8.صعبة
A patient taking furosemide has a serum potassium of 2,9 mmol/L (mEq/L). Which ECG change is typical of this level?
AA short QT interval with high R waves
BWidened QRS with a sine-wave pattern
CTall, peaked T waves
DFlattened T waves and prominent U waves
مفتاح الإجابات
1. B · The strongest FDA warning about a serious or life-threatening risk
2. C · Into the outer thigh muscle
3. D · Fomepizole
4. C · About 30–60 minutes before the first meal of the day
5. A · لأن الغدتين الكظريتين مثبطتان وقد لا تنتجان ما يكفي من الكورتيزول
6. A · To watch for anaphylaxis, which usually starts within minutes
7. A · Withhold it and contact the prescriber, as amoxicillin is a penicillin
8. D · Flattened T waves and prominent U waves
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