1.ง่าย
What is closed-loop communication?
- ACommunication that only happens in a closed room
- BSending a message to the team without waiting for any reply or confirmation
- CWriting every message in the patient’s chart only
- DThe receiver repeats the message back and the sender confirms it is correct
2.ง่าย
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt shows exactly which antibiotic will work
- BIt quickly sorts bacteria into groups that help choose early treatment
- CIt confirms whether the patient has a virus and which virus it is
- DIt measures the number of white cells in the blood
3.ง่าย
Which drug is the first-line treatment for anaphylaxis?
- ADiphenhydramine
- BPrednisone
- CEpinephrine (adrenaline)
- DFamotidine
4.ปานกลาง
A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?
- AArrange a new fit test
- BWear a surgical mask underneath it
- CMoisten the edges so it seals better
- DPerform a user seal check
5.ปานกลาง
A patient on nasal cannula oxygen has dry lips. Which product should the nurse offer?
- APetroleum jelly
- BA water-based lip lubricant
- CA scented petroleum ointment
- DAn oil-based lip balm
6.ปานกลาง
What is the main aim of purposeful hourly rounding?
- ATo replace the need for a call light
- BTo check pain, toileting, position and personal items before the patient needs to ask
- CTo count the patient’s medications every hour and check that none are missing
- DTo wake the patient every hour to check orientation
7.ยาก
A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?
- ANo reporting is needed because the nurse is immune
- BNo hepatitis B treatment is needed, but the injury is still reported and followed up
- CHepatitis B immune globulin and a complete new vaccine series are both needed at once
- DThe nurse must stop all patient care for six months
8.ยาก
A nurse caring for a patient with influenza on droplet precautions will assist with an aerosol-generating procedure, such as bronchoscopy. What change in PPE is needed?
- AWear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
- BNo change, because influenza only needs droplet precautions
- CWear gloves only, because the procedure is short
- DWear two surgical masks, one on top of the other, for the length of the procedure
เฉลย
- 1. D · The receiver repeats the message back and the sender confirms it is correct
- 2. B · It quickly sorts bacteria into groups that help choose early treatment
- 3. C · Epinephrine (adrenaline)
- 4. D · Perform a user seal check
- 5. B · A water-based lip lubricant
- 6. B · To check pain, toileting, position and personal items before the patient needs to ask
- 7. B · No hepatitis B treatment is needed, but the injury is still reported and followed up
- 8. A · Wear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
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