1.ง่าย
How can patients take part in infection prevention?
- ABy cleaning their own IV sites with tap water
- BBy sharing equipment with other patients
- CBy stopping their antibiotics on their own as soon as they feel a little better
- DBy being encouraged to ask staff whether they have cleaned their hands
2.ง่าย
มาตรการใดเป็นส่วนหนึ่งของการป้องกันมาตรฐาน (standard precautions)?
- Aสวมหน้ากากชนิด N95 ทุกครั้งที่สัมผัสผู้ป่วย
- Bสวมถุงมือเมื่อคาดว่าจะสัมผัสเลือดหรือสารคัดหลั่งจากร่างกาย
- Cสวมชุดคลุมและหน้ากากทุกครั้งที่สัมผัสผู้ป่วย ไม่ว่าจะทำหัตถการใดก็ตาม
- Dจัดผู้ป่วยทุกรายไว้ในห้องความดันลบ
3.ง่าย
What is terminal cleaning?
- ACleaning a room only once a week, whatever happens on the ward
- BCleaning the hands at the end of a shift before going home
- CA full clean and disinfection of a room after the patient leaves
- DCleaning computer terminals at the nurses’ station
4.ปานกลาง
Which kitchen practice helps prevent scald burns in young children?
- ATurn pot handles toward the back of the stove
- BHold the child while drinking a hot drink
- CLeave hot drinks at the edge of the table
- DLet the child stand on a chair beside the stove
5.ปานกลาง
When should a nurse call the rapid response team?
- AOnly after a patient has had a cardiac or respiratory arrest on the ward
- BOnly when the provider has written an order for a rapid response call in the chart
- CWhen a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- DOnly when the patient’s family makes a complaint
6.ปานกลาง
Which IV fluid can be given with packed red blood cells in the same line?
- A5% dextrose in 0.45% sodium chloride
- B5% dextrose in water
- CLactated Ringer’s (Hartmann’s) solution
- D0.9% sodium chloride
7.ยาก
A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?
- AAcceptable behavior, because it is common on the unit
- BSimple human error, managed only by consoling the nurse and moving on
- CAt-risk behavior, managed by coaching and fixing the system pressures behind it
- DReckless behavior, managed by immediate dismissal and reporting to the licensing board
8.ยาก
A nurse teaches parents about firearm safety at home. Which statement shows a need for further teaching?
- A“We keep the gun loaded in the nightstand, and the children know not to touch it.”
- B“We will ask other parents about guns before play dates.”
- C“We keep all the ammunition locked away separately from the gun.”
- D“We store the gun unloaded in a locked safe in the bedroom.”
เฉลย
- 1. D · By being encouraged to ask staff whether they have cleaned their hands
- 2. B · สวมถุงมือเมื่อคาดว่าจะสัมผัสเลือดหรือสารคัดหลั่งจากร่างกาย
- 3. C · A full clean and disinfection of a room after the patient leaves
- 4. A · Turn pot handles toward the back of the stove
- 5. C · When a patient shows an acute decline, such as new confusion or a sharp change in vital signs
- 6. D · 0.9% sodium chloride
- 7. C · At-risk behavior, managed by coaching and fixing the system pressures behind it
- 8. A · “We keep the gun loaded in the nightstand, and the children know not to touch it.”
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