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الاسم: ____________________ التاريخ: ____________
1.سهلة
For a patient with a suspected heart attack and no contraindications, which drug is usually given early?
AAcetaminophen (paracetamol)
BCodeine
CIbuprofen
DAspirin, chewed
2.سهلة
Which drug is used to reverse the effect of warfarin?
AProtamine sulfate
BNaloxone
CFlumazenil
DVitamin K
3.سهلة
Which task is appropriate to delegate to a nursing assistant?
AAssessing a pressure injury on the sacrum
BGiving a stable patient their oral medications
CFeeding a stable patient who has no swallowing problems
DFeeding a patient with newly diagnosed dysphagia after a stroke
4.متوسطة
A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?
ALet him lie down and see if it improves
BDrive him to the hospital yourself after he has eaten dinner
CCall emergency services now and note the time it started
DBook an appointment with his doctor next week
5.متوسطة
Which patient with diabetes should the nurse see first?
AHbA1c result of 8,2%, asking about diet
BNeeds foot care teaching before discharge tomorrow
CGlucose 210 mg/dL (11,7 mmol/L) after a large lunch, feels well
DGlucose 48 mg/dL (2,7 mmol/L), sweating and confused
6.متوسطة
بعد أربع ساعات من جراحة الغدة الدرقية، أي علامة لدى المريض ينبغي أن تتصرف الممرضة بشأنها أولًا؟
Aطلب الجلوس لشرب الماء
Bألم في الشق بدرجة 4/10
Cكمية صغيرة من سائل مصلي ظاهرة على ضمادة الرقبة
Dصوت يزداد بحة مع تنفس صاخب جديد
7.صعبة
A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?
AMeasuring the vital signs and weights of every patient on the unit before breakfast
BWriting the discharge teaching plan for a patient with new diabetes
CAssessing a patient who returned from surgery 30 minutes ago
DGiving a scheduled subcutaneous anticoagulant injection to a stable patient
8.صعبة
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?
AIgnore the result, since potassium is always high in this condition and will correct itself
BGive the insulin as a fast bolus to bring the potassium up
CStart the insulin at once, because the glucose is the bigger problem
DReport the result before starting, because insulin will push potassium even lower
مفتاح الإجابات
1. D · Aspirin, chewed
2. D · Vitamin K
3. C · Feeding a stable patient who has no swallowing problems
4. C · Call emergency services now and note the time it started
5. D · Glucose 48 mg/dL (2,7 mmol/L), sweating and confused
6. D · صوت يزداد بحة مع تنفس صاخب جديد
7. D · Giving a scheduled subcutaneous anticoagulant injection to a stable patient
8. D · Report the result before starting, because insulin will push potassium even lower
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