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الاسم: ____________________ التاريخ: ____________
1.سهلة
In US patient-safety terms (The Joint Commission), what is a sentinel event?
AA planned admission to intensive care
BAn unexpected event that causes death or serious harm
CA routine handover between shifts
DA minor error that was noticed but caused no harm at all
2.سهلة
يبلغ مساعد تمريض عن أربع حالات. أيها ينبغي أن تفحصها الممرضة أولًا؟
Aمريض يريد الاتصال بأحد الأقارب
Bمريض لا يستطيع فجأة تحريك ذراعه اليمنى
Cمريض يطلب بطانية أخرى
Dمريض لم يُنهِ صينية فطوره
3.سهلة
في معظم الأوساط، من يجري فرز الوافدين الجدد في قسم الطوارئ؟
Aممرضة عملية (LPN/LVN) دون مشاركة ممرضة مسجلة
Bممرضة مسجلة
Cكاتب الجناح
Dمساعد تمريض
4.متوسطة
Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?
AMild bruising around the fracture site on the second day
BItching under the cast during the first week after it was applied
CA strong pedal pulse with warm, pink toes and pain that settles with analgesia
DPain out of proportion to the injury that worsens when the toes are stretched
5.متوسطة
A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?
AFalling blood pressure, a fast pulse and warm, flushed dry skin
BLow temperature, fast breathing and a strong appetite
CRising systolic pressure, slow pulse and irregular breathing
DNormal blood pressure, normal pulse and clear speech
6.متوسطة
Which two patients can most safely share a room?
ATwo patients who both have C. difficile infection
BA patient with MRSA in a wound and a patient after surgery
CA patient with chickenpox and a patient on chemotherapy
DA patient with influenza and a patient with COPD
7.صعبة
An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?
ADiabetic ketoacidosis
BHyperosmolar hyperglycemic state
CStress-induced mild hyperglycemia
DHypoglycemia with rebound
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 appendix may have ruptured, causing peritonitis
BThe patient’s analgesic has finally started to work
CThe pain has moved to a different, harmless place
DThe appendicitis is getting better without surgery
مفتاح الإجابات
1. B · An unexpected event that causes death or serious harm
2. B · مريض لا يستطيع فجأة تحريك ذراعه اليمنى
3. B · ممرضة مسجلة
4. D · Pain out of proportion to the injury that worsens when the toes are stretched
5. C · Rising systolic pressure, slow pulse and irregular breathing
6. A · Two patients who both have C. difficile infection
7. B · Hyperosmolar hyperglycemic state
8. A · The appendix may have ruptured, causing peritonitis
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