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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which finding meets the usual definition of orthostatic hypotension?
AHeart rate falls by 5/min after lying down
BBlood pressure is the same lying and standing
CSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
DSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
2.سهلة
عمومًا، أي نوع من المشكلات يُعالَج قبل غيره؟
Aمشكلة فعلية لدى المريض الآن
Bحاجة تعليمية للخروج
Cمشكلة مدرجة في خطة رعاية أقدم
Dمشكلة خطر قد تتطور لاحقًا
3.سهلة
Which drug is used to reverse the effect of warfarin?
ANaloxone
BProtamine sulfate
CFlumazenil
DVitamin K
4.متوسطة
A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?
ALower the bed now and remind the assistant why it matters
BWrite it in the assistant’s yearly review only
CAsk the family to lower the bed when they next visit
DLeave it because the patient is asleep
5.متوسطة
A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?
AAssessing the patient for signs of a transfusion reaction
BMeasuring and reporting vital signs at the times set by the nurse
CDeciding whether to stop the transfusion if the patient has chills
DStarting the transfusion once the blood arrives
6.متوسطة
باستخدام مؤشر شدة الطوارئ، أي مريض يحصل على أعلى مستوى حدّة؟
Aمريض بكسر محتمل في الكاحل
Bمريض بألم صدري وعلامات حيوية طبيعية
Cمريض بالتهاب حلق منذ ثلاثة أيام وعلامات حيوية طبيعية
Dمريض غير مستجيب مع أنفاس لاهثة غير منتظمة
7.صعبة
A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?
ATell the patients to watch the colleague carefully
BSay nothing, because it is not their business
CReport it to the nurse manager according to policy
DAsk the colleague to share the vial with them
8.صعبة
A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?
AAn ordinary pain crisis that will improve with rest
BAnxiety that will settle with reassurance
CAcute chest syndrome, which needs urgent escalation and oxygen
DA minor chest infection that can safely wait until the morning round
مفتاح الإجابات
1. C · Systolic pressure falls by 20 mmHg or more within 3 minutes of standing
2. A · مشكلة فعلية لدى المريض الآن
3. D · Vitamin K
4. A · Lower the bed now and remind the assistant why it matters
5. B · Measuring and reporting vital signs at the times set by the nurse
6. D · مريض غير مستجيب مع أنفاس لاهثة غير منتظمة
7. C · Report it to the nurse manager according to policy
8. C · Acute chest syndrome, which needs urgent escalation and oxygen
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