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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which task is appropriate to delegate to a nursing assistant?
AFeeding a stable patient who has no swallowing problems
BGiving a stable patient their oral medications
CAssessing a pressure injury on the sacrum
DFeeding a patient with newly diagnosed dysphagia after a stroke
2.سهلة
Which patient need belongs to the love and belonging level of Maslow’s hierarchy?
AWanting family members to visit
BNeeding pain relief after surgery
CWanting praise for progress in rehabilitation
DNeeding the call light within reach
3.سهلة
Does asking a patient directly about suicidal thoughts increase their risk?
AOnly if the patient is over 65 years old
BOnly when the question is asked in writing
CNo; asking directly is safe and helps assess the risk
DYes; asking about it may give the patient the idea
4.متوسطة
يبلّغ مساعد تمريض بأن ضغط دم مريض 168/98 mmHg (كان 130/80 سابقًا) وأن المريض يشكو من صداع. ماذا ينبغي أن تفعل الممرضة المسجلة؟
Aمطالبة المساعد بإعطاء الدواء الخافض للضغط عند الحاجة الآن
Bمطالبة المساعد بإعادة قياس الضغط بعد ساعة
Cتقييم المريض وإعادة قياس الضغط والبحث عن أعراض
Dتوثيق القيمة ومواصلة جولة الأدوية
5.متوسطة
A patient with severe neutropenia needs a room. Which roommate is the safest choice?
AA patient with C. difficile diarrhea
BA patient after a knee replacement with no signs of infection
CA patient with influenza
DA patient with an infected, draining leg wound
6.متوسطة
On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?
AEncourage the patient to walk to improve the circulation
BRaise the head of the bed, give oxygen and call for urgent help
CGive the next dose of oral analgesia and reassess the patient in an hour
DMassage the patient’s calves to ease any muscle cramp
7.صعبة
Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?
AAdvise more sleep and book a routine follow-up visit for next month
BLeave her alone with the baby to bond
CKeep the mother and baby safe and arrange urgent psychiatric care
DReassure her that this is normal “baby blues”
8.صعبة
A patient takes lithium. Which statement shows a need for further teaching?
A“I will keep my daily salt intake about the same as usual.”
B“I will take ibuprofen every day for my headaches.”
C“I will go for my blood tests as planned.”
D“I will drink enough fluid every day.”
مفتاح الإجابات
1. A · Feeding a stable patient who has no swallowing problems
2. A · Wanting family members to visit
3. C · No; asking directly is safe and helps assess the risk
4. C · تقييم المريض وإعادة قياس الضغط والبحث عن أعراض
5. B · A patient after a knee replacement with no signs of infection
6. B · Raise the head of the bed, give oxygen and call for urgent help
7. C · Keep the mother and baby safe and arrange urgent psychiatric care
8. B · “I will take ibuprofen every day for my headaches.”
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