1.ง่าย
Which sign is typical of right-sided heart failure?
- ACrackles in both lungs and pink frothy sputum
- BSwollen ankles and a raised jugular venous pressure
- CPinpoint pupils, drowsiness and a slow breathing rate
- DA high fever with rigors
2.ง่าย
The term "tinnitus" means:
- ALoss of balance and dizziness
- BA blocked nose
- CRinging or buzzing in the ears
- DBlurred vision
3.ง่าย
Before moving or handling a patient, what should the nurse do first?
- ALift the patient quickly before they become tired or anxious
- BAssess the risks and choose the right equipment and number of staff
- CAsk the patient's relative to help lift them to save time
- DBend at the waist and keep the knees straight
4.ปานกลาง
ผู้ป่วยสับสนขึ้นใหม่ อัตราการหายใจ 24/นาที และความดันซิสโตลิก 95 mmHg ควรสงสัยอะไรก่อน?
- Aภาวะติดเชื้อในกระแสเลือด (sepsis)
- Bการฟื้นตัวหลังผ่าตัดตามปกติ
- Cมึนเมาแอลกอฮอล์
- Dความวิตกกังวล
5.ปานกลาง
Why are alternate sutures sometimes removed first when taking out stitches?
- ATo check the wound stays closed before removing the rest
- BBecause the remaining sutures dissolve on their own within a day
- CTo make the procedure faster
- DTo reduce the cost of dressings
6.ปานกลาง
Why are patients with atrial fibrillation often given anticoagulants?
- ATo slow the heart rate directly and prevent palpitations
- BTo lower the blood pressure
- CTo convert the rhythm back to normal
- DTo reduce the risk of stroke from clots in the atria
7.ยาก
A patient has sudden, severe "tearing" chest pain going through to the back and a large difference in blood pressure between the arms. What should be suspected?
- AAortic dissection
- BPericarditis
- CStable angina
- DGastro-oesophageal reflux
8.ยาก
A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?
- ADoubling the doses to make up for any missed while at home
- BPrescribing only the medicines that the patient can remember taking
- CStopping all regular medicines until the day the patient is discharged
- DMedicines reconciliation against reliable sources, such as primary care records
เฉลย
- 1. B · Swollen ankles and a raised jugular venous pressure
- 2. C · Ringing or buzzing in the ears
- 3. B · Assess the risks and choose the right equipment and number of staff
- 4. A · ภาวะติดเชื้อในกระแสเลือด (sepsis)
- 5. A · To check the wound stays closed before removing the rest
- 6. D · To reduce the risk of stroke from clots in the atria
- 7. A · Aortic dissection
- 8. D · Medicines reconciliation against reliable sources, such as primary care records
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