1.ง่าย
What is the normal pH range of arterial blood?
- A7.00–7.10
- B6.85–6.95
- C7.55–7.65
- D7.35–7.45
2.ง่าย
How should nursing records be written?
- AAccurately and as soon as possible after the event, with date, time and signature
- BUsing personal abbreviations that only the nurse who wrote them understands
- CAt the end of the week, written from memory in one go to save time
- DIn pencil so that mistakes can be rubbed out
3.ง่าย
The term "bradycardia" in an adult means a heart rate:
- ABetween 60 and 100 beats per minute
- BAbove 100 beats per minute
- CBelow 60 beats per minute
- DThat is irregularly irregular
4.ปานกลาง
Which group of symptoms suggests hypercalcaemia?
- AThirst, constipation, confusion and abdominal pain
- BWeight gain, feeling cold and a slow pulse
- CTingling lips, muscle cramps and spasms of the hands and feet
- DSweating, tremor and sudden hunger
5.ปานกลาง
A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?
- AUse the fistula arm for routine IV cannulas
- BKeep the arm raised and still at all times
- CApply a tight bandage over the fistula at night to protect it
- DAvoid blood pressure readings and blood samples on that arm
6.ปานกลาง
ผู้ป่วยเบาหวานหมดสติมีน้ำตาลในเลือด 2.1 mmol/L และไม่มีทางให้สารน้ำทางหลอดเลือดดำ สามารถให้อะไรได้?
- Aกลูคากอนฉีดเข้ากล้าม
- Bอินซูลินฉีดใต้ผิวหนัง
- Cเม็ดกลูโคสทางปาก
- Dน้ำผลไม้ทางปาก
7.ยาก
A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3.6 mmol/L (65 mg/dL). What should the nurse do next?
- AGive another dose of fast-acting carbohydrate and recheck
- BTake no action because the level is rising
- CGive a long-acting carbohydrate snack only and recheck tomorrow
- DGive a dose of subcutaneous insulin
8.ยาก
A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?
- A"Please review him within the next 15 minutes."
- B"He was admitted three days ago with pneumonia."
- C"His blood pressure is 85/50 and he is confused."
- D"I am calling about Mr Smith, who is breathless."
เฉลย
- 1. D · 7.35–7.45
- 2. A · Accurately and as soon as possible after the event, with date, time and signature
- 3. C · Below 60 beats per minute
- 4. A · Thirst, constipation, confusion and abdominal pain
- 5. D · Avoid blood pressure readings and blood samples on that arm
- 6. A · กลูคากอนฉีดเข้ากล้าม
- 7. A · Give another dose of fast-acting carbohydrate and recheck
- 8. A · "Please review him within the next 15 minutes."
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