1.ง่าย
ผู้ป่วยที่มีภูมิคุ้มกันบกพร่องรุนแรง เช่น หลังการปลูกถ่ายเซลล์ต้นกำเนิด ควรอยู่ในห้องประเภทใด?
- Aเตียงในห้องรวมที่ระบายอากาศธรรมชาติดีและเปิดหน้าต่าง
- Bห้องความดันบวกที่มีการกรองอากาศ
- Cห้องแยกโรคทางอากาศความดันลบ
- Dห้องใดก็ได้ ตราบเท่าที่ผู้เยี่ยมสวมถุงมือ
2.ง่าย
Which footwear is safest for a hospitalized patient who is walking?
- ALoose slippers with an open heel that are easy to slide on
- BOrdinary cotton socks with no grip on the soles
- CBare feet on the polished floor
- DNon-slip socks or well-fitting shoes with non-slip soles
3.ง่าย
In the fire extinguisher acronym PASS, what does the A stand for?
- AActivate the fire alarm
- BAssess the size of the room
- CAim at the base of the fire
- DAlert the fire department
4.ปานกลาง
A patient has a non-violent restraint. In most nursing policies, how often at minimum is it released for range of motion, toileting and skin care?
- AAt least every 2 hours
- BOnly when the patient asks for it
- COnce a day, during the bath
- DOnce every 12-hour shift
5.ปานกลาง
A patient walking with a gait belt suddenly starts to fall. What should the nurse do?
- AGrab the patient under both arms and try hard to keep them standing up
- BPull the patient backwards quickly toward the bed
- CHold the belt, widen the stance and ease the patient gently to the floor
- DLet go of the belt and run to call for help
6.ปานกลาง
Why can side rails be dangerous for a confused, restless patient?
- ASide rails always cause pressure injuries
- BSide rails stop staff from reaching the patient in an emergency
- CSide rails make the bed move by itself
- DThe patient may climb over them or get trapped in gaps
7.ยาก
A patient with dementia is often found at the exit doors trying to leave the unit. Which measure is most appropriate?
- AKeep the patient in a chair with a vest restraint
- BUse an electronic wander alert, supervise closely and offer meaningful activity
- CGive a sedative each time the patient goes to the door
- DLock the patient alone in a single room so that they cannot reach the exit doors
8.ยาก
During a procedure, a nurse sees that the team is about to start without a time-out. What should the nurse do?
- ASpeak up clearly and stop the start until the time-out is done
- BReport it to the manager at the end of the week
- CSay nothing, because the surgeon is responsible for the procedure
- DWait and raise the issue after the procedure is finished
เฉลย
- 1. B · ห้องความดันบวกที่มีการกรองอากาศ
- 2. D · Non-slip socks or well-fitting shoes with non-slip soles
- 3. C · Aim at the base of the fire
- 4. A · At least every 2 hours
- 5. C · Hold the belt, widen the stance and ease the patient gently to the floor
- 6. D · The patient may climb over them or get trapped in gaps
- 7. B · Use an electronic wander alert, supervise closely and offer meaningful activity
- 8. A · Speak up clearly and stop the start until the time-out is done
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