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الاسم: ____________________ التاريخ: ____________
1.سهلة
In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?
AGiving scheduled oral medications
BReinforcing teaching already given
CGiving an IV push medication
DMeasuring vital signs
2.سهلة
Which term means being answerable for your own actions and their results?
ADelegation
BAccountability
CAuthority
DAssignment
3.سهلة
In the ABC framework, which finding is mainly a breathing problem?
AHeart rate 150/min with a low blood pressure and cold skin
BShallow breaths with an SpO₂ of 85% on room air
CA blood glucose of 60 mg/dL (3,3 mmol/L)
DStridor caused by a swollen throat
4.متوسطة
A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?
AWeight loss from too much appetite
BHair growth and skin color
CRising blood glucose levels
DThoughts of suicide or self-harm
5.متوسطة
A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?
ATurn the feed off only while the patient is asleep at night
BLay the patient flat for an hour after each bag is hung
CKeep the head of the bed raised to at least 30 degrees
DIncrease the feed rate so the stomach empties sooner
6.متوسطة
A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?
A“I will check the soles of my feet every day with a mirror.”
B“I will wear shoes that fit well, even at home.”
C“I will dry well between my toes after washing.”
D“I will soak my feet in hot water every evening.”
7.صعبة
A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?
AGive an oral analgesic and reassess the patient in about one hour
BCall for emergency help at once and prepare for urgent surgery
CPalpate the mass firmly to check its size and spread
DEncourage the patient to walk to ease the back pain
8.صعبة
Which patient is the best choice for the room closest to the nurses’ station?
AA confused older adult at high risk of falls
BA patient admitted for a planned scan, feeling well
CA patient with stable diabetes who walks independently
DA young adult waiting for discharge tomorrow
مفتاح الإجابات
1. C · Giving an IV push medication
2. B · Accountability
3. B · Shallow breaths with an SpO₂ of 85% on room air
4. D · Thoughts of suicide or self-harm
5. C · Keep the head of the bed raised to at least 30 degrees
6. D · “I will soak my feet in hot water every evening.”
7. B · Call for emergency help at once and prepare for urgent surgery
8. A · A confused older adult at high risk of falls
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