1.ง่าย
รูม่านตาเล็กเท่าหัวเข็มหมุด หายใจช้า และง่วงซึมหลังผ่าตัด มีแนวโน้มบ่งชี้ถึง:
- Aความดันในกะโหลกศีรษะสูงเท่านั้น
- Bภาวะขาดน้ำ
- Cความเป็นพิษของโอปิออยด์
- Dภาวะน้ำตาลในเลือดต่ำ
2.ง่าย
What does a pulse oximeter measure?
- AThe percentage of haemoglobin saturated with oxygen
- BThe concentration of haemoglobin in the blood
- CThe amount of oxygen dissolved in the plasma
- DThe partial pressure of carbon dioxide in the blood
3.ง่าย
How does omeprazole work?
- AIt kills bacteria in the bowel
- BIt speeds up the emptying of the stomach
- CIt reduces the production of stomach acid
- DIt neutralises acid already in the stomach
4.ปานกลาง
A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?
- ARestrict fluids to encourage appetite and give a low-protein diet instead
- BRefer to the dietitian and start a nutrition care plan with food charts
- CWeigh the patient again in six months and review at that point
- DEncourage a low-calorie diet
5.ปานกลาง
After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?
- AThe nurse must be tested for HIV the same day to confirm infection
- BPost-exposure prophylaxis works best when started as soon as possible
- CThe patient will need antibiotics
- DThe needle must be sent for culture
6.ปานกลาง
Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?
- AHair loss
- BSevere weight gain and fluid retention
- CBradycardia
- DGenital fungal infections
7.ยาก
A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?
- ANo precautions, because it is not contagious
- BAirborne precautions with a negative-pressure room for the whole hospital stay
- CDroplet precautions until 24 hours of effective antibiotics have been given
- DIsolation only after the patient has gone home
8.ยาก
A drowsy patient in recovery is making snoring sounds and the SpO2 is falling. What is the first action?
- AGive sips of oral fluid to clear the throat and wake them
- BOpen the airway with a head tilt–chin lift or jaw thrust
- CWait for the patient to wake up fully
- DLie the patient face down
เฉลย
- 1. C · ความเป็นพิษของโอปิออยด์
- 2. A · The percentage of haemoglobin saturated with oxygen
- 3. C · It reduces the production of stomach acid
- 4. B · Refer to the dietitian and start a nutrition care plan with food charts
- 5. B · Post-exposure prophylaxis works best when started as soon as possible
- 6. D · Genital fungal infections
- 7. C · Droplet precautions until 24 hours of effective antibiotics have been given
- 8. B · Open the airway with a head tilt–chin lift or jaw thrust
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