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الاسم: ____________________ التاريخ: ____________
1.سهلة
A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?
AThe charge nurse or nursing supervisor
BThe pharmacy technician on duty that day
CThe patient’s next of kin
DThe hospital’s chief executive
2.سهلة
Which serum potassium result should the nurse report to the provider promptly?
A3,8 mEq/L (3,8 mmol/L)
B4,9 mEq/L (4,9 mmol/L)
C4,2 mEq/L (4,2 mmol/L)
D6,4 mEq/L (6,4 mmol/L)
3.سهلة
In SBAR communication, what does the letter R stand for?
AResult
BRecommendation
CReassessment
DResponse
4.متوسطة
Which patient on an addiction unit should the nurse see first?
ALast drink this morning; asking when lunch will arrive
BLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
CLast drink one week ago; asking about support groups
DIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
5.متوسطة
A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?
A“I will sit or lie down when I take a tablet.”
B“If the pain has not eased as my action plan says, I will call emergency services.”
C“I will take five tablets one after the other before I call for help.”
D“I will carry the tablets with me when I go out.”
6.متوسطة
تطلب ممرضة من مساعد تمريض أن "يقيّم ألم المريض ويقرر ما إذا كان المريض يحتاج إلى مزيد من الدواء". أي حق من حقوق التفويض يُنتهك؟
Aالإشراف والتقويم الصحيحان
Bالمهمة الصحيحة
Cالظرف الصحيح
Dالشخص الصحيح
7.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?
AStart the insulin at once, because the glucose is the bigger problem
BReport the result before starting, because insulin will push potassium even lower
CGive the insulin as a fast bolus to bring the potassium up
DIgnore the result, since potassium is always high in this condition and will correct itself
8.صعبة
A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?
AThe pain has moved to a different, harmless place
BThe appendix may have ruptured, causing peritonitis
CThe appendicitis is getting better without surgery
DThe patient’s analgesic has finally started to work
مفتاح الإجابات
1. A · The charge nurse or nursing supervisor
2. D · 6,4 mEq/L (6,4 mmol/L)
3. B · Recommendation
4. B · Last drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
5. C · “I will take five tablets one after the other before I call for help.”
6. B · المهمة الصحيحة
7. B · Report the result before starting, because insulin will push potassium even lower
8. B · The appendix may have ruptured, causing peritonitis
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