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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which finding is expected in a patient with long-standing COPD?
ASudden sharp chest pain
BA barrel-shaped chest
CNew confusion
DAn SpO₂ of 78%
2.سهلة
What does a root cause analysis look for after a serious event?
AHow much the event cost the hospital
BThe underlying system causes of the event
CThe single staff member who should be blamed
DWhich patient made the complaint
3.سهلة
Which platelet count is within the normal adult range?
A40,000/mm³ (40 × 10⁹/L)
B90,000/mm³ (90 × 10⁹/L)
C700,000/mm³ (700 × 10⁹/L)
D250,000/mm³ (250 × 10⁹/L)
4.متوسطة
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
A“I will tell the nurse if she becomes very sleepy or hard to wake.”
B“I will press the button for her while she is asleep so she stays comfortable.”
C“The pump has limits set by the nurse so she cannot get too much at once.”
D“Only she should press the button when she needs pain relief.”
5.متوسطة
A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?
ANew chest pain or confusion suggesting organ damage
BA history of high blood pressure for ten years
CForgetting to take the blood pressure tablet this morning
DMild anxiety about the high reading on the monitor
6.متوسطة
تجد ممرضة مريضًا على الأرض بجانب السرير. ما الإجراء الأول؟
Aالاتصال بأسرة المريض لشرح ما حدث
Bملء تقرير حادثة بينما التفاصيل حاضرة
Cتقييم استجابة المريض وإصاباته قبل تحريكه
Dمساعدة المريض على العودة إلى السرير فورًا بمساعدة زميل
7.صعبة
Which patient finding after a total knee replacement needs the nurse’s action first?
ASudden calf pain and swelling in the operated leg, with new breathlessness
BAsks for an ice pack to help with swelling around the knee
CA small amount of dried blood on the dressing
DPain of 4/10 when the physiotherapist bends the knee during the morning session
8.صعبة
After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?
AHypovolemic shock from dehydration
BCardiac tamponade
CLeft-sided heart failure
DA blocked urinary catheter
مفتاح الإجابات
1. B · A barrel-shaped chest
2. B · The underlying system causes of the event
3. D · 250,000/mm³ (250 × 10⁹/L)
4. B · “I will press the button for her while she is asleep so she stays comfortable.”
5. A · New chest pain or confusion suggesting organ damage
6. C · تقييم استجابة المريض وإصاباته قبل تحريكه
7. A · Sudden calf pain and swelling in the operated leg, with new breathlessness
8. B · Cardiac tamponade
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