1.ง่าย
โดยทั่วไป บุคลากรสวมอะไรเมื่อเข้าห้องผู้ป่วยที่ใช้การป้องกันทางละอองฝอย?
- Aหน้ากากอนามัย
- Bชุดป้องกันสารอันตรายเต็มตัว
- Cหน้ากาก N95 เท่านั้น
- Dถุงมือปราศจากเชื้อ
2.ง่าย
In quality improvement, what does the PDSA cycle stand for?
- APredict, Decide, Start, Analyze
- BPlan, Document, Supervise, Audit
- CPrepare, Deliver, Score, Assess
- DPlan, Do, Study, Act
3.ง่าย
What does the abbreviation MRSA stand for?
- AMethicillin-reactive Staphylococcus albus
- BMultidrug-resistant Streptococcus agalactiae
- CMethicillin-resistant Staphylococcus aureus
- DMultiply-resistant Salmonella agent
4.ปานกลาง
Which instruction about using a standard walker is correct?
- AMove the walker forward, then step into it
- BCarry the walker and use it only when tired
- CWalk well ahead of the walker for balance
- DPush up from the walker to stand from a chair
5.ปานกลาง
A patient has leftover opioid tablets after surgery. Which advice about disposal is best?
- AReturn them to a pharmacy or an approved take-back site
- BLeave them in the bathroom cabinet indefinitely
- CGive them to a friend or relative who has back pain
- DKeep them in an unlocked drawer at home in case of future pain
6.ปานกลาง
A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?
- AAsk the prescriber or pharmacist for another form and not crush the tablet
- BDissolve the tablet in a glass of hot water
- CCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
- DCut the tablet in half so it is easier to swallow
7.ยาก
A small-bore feeding tube has just been inserted blindly at the bedside. Which method is the most reliable way to confirm its position before the first feeding?
- ABy putting the end in water to look for bubbles
- BBy an x-ray reviewed by a competent clinician
- CBy checking that the patient can still talk
- DBy listening over the stomach while injecting air
8.ยาก
A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?
- ASimple human error, managed only by consoling the nurse and moving on
- BAcceptable behavior, because it is common on the unit
- CReckless behavior, managed by immediate dismissal and reporting to the licensing board
- DAt-risk behavior, managed by coaching and fixing the system pressures behind it
เฉลย
- 1. A · หน้ากากอนามัย
- 2. D · Plan, Do, Study, Act
- 3. C · Methicillin-resistant Staphylococcus aureus
- 4. A · Move the walker forward, then step into it
- 5. A · Return them to a pharmacy or an approved take-back site
- 6. A · Ask the prescriber or pharmacist for another form and not crush the tablet
- 7. B · By an x-ray reviewed by a competent clinician
- 8. D · At-risk behavior, managed by coaching and fixing the system pressures behind it
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