1.ง่าย
How should a healthy infant be placed to sleep to reduce the risk of sudden infant death?
- AIn the parents’ bed, between two pillows
- BOn the side, propped up with rolled blankets
- COn the back, on a firm flat surface with no soft bedding
- DOn the stomach, on a soft mattress with a small pillow for comfort
2.ง่าย
What is respiratory hygiene, or cough etiquette?
- ATaking an antibiotic at the first sign of a cough
- BCovering coughs with a tissue or the elbow, then cleaning the hands
- CWearing an N95 respirator at all times whenever you have a cough
- DCoughing into the hands, then wiping them on clothing
3.ง่าย
Which is one of the body’s first-line, non-specific defenses against infection?
- AAntibiotics in the bloodstream
- BAntibodies made after vaccination
- CMemory T cells
- DIntact skin
4.ปานกลาง
A patient has fallen, and the nurse completes an incident report. Which statement about this report is correct?
- AIt replaces the need to document the fall in the patient’s record
- BIt is written factually and does not replace documenting the fall in the patient’s record
- CA copy of it is placed in the patient’s chart so all staff know about the fall
- DIt is only needed when the patient is injured
5.ปานกลาง
Why is blood glucose control important around the time of surgery?
- AHigh glucose makes anesthetic drugs work for much longer and delays waking up
- BGlucose levels only affect patients who have type 1 diabetes
- CLow glucose is needed around surgery so that the wound edges close more quickly
- DHigh glucose impairs white cell function and raises the risk of surgical site infection
6.ปานกลาง
A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?
- ALay it on the medication tray and discard it later
- BActivate the safety device and drop it into a sharps container at once
- CBend the needle to make it unusable, then discard it
- DRecap it carefully with both hands and dispose of it after the drug round
7.ยาก
Which patient with a suspected infection meets at least two SIRS criteria?
- ARespiratory rate 16/min and WBC 8,000/mm3
- BTemperature 36.8 °C and respiratory rate 18/min
- CTemperature 38.6 °C and heart rate 112/min
- DTemperature 37.2 °C and heart rate 80/min
8.ยาก
A competent patient at high risk of falls insists on walking to the bathroom alone. What is the best nursing approach?
- AApply wrist restraints so the patient stays in bed
- BRemove the patient’s shoes and walking aid so that they cannot walk alone
- CExplain the risks, agree on ways to reduce them, respect the decision and document
- DTell the patient that walking alone is against hospital law
เฉลย
- 1. C · On the back, on a firm flat surface with no soft bedding
- 2. B · Covering coughs with a tissue or the elbow, then cleaning the hands
- 3. D · Intact skin
- 4. B · It is written factually and does not replace documenting the fall in the patient’s record
- 5. D · High glucose impairs white cell function and raises the risk of surgical site infection
- 6. B · Activate the safety device and drop it into a sharps container at once
- 7. C · Temperature 38.6 °C and heart rate 112/min
- 8. C · Explain the risks, agree on ways to reduce them, respect the decision and document
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