1.ง่าย
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- ADroplet precautions
- BStandard precautions only
- CContact precautions only
- DAirborne precautions
2.ง่าย
What is seclusion?
- AKeeping a patient alone in a room or area that they are prevented from leaving
- BPlacing a patient on contact precautions in a single room with the door closed
- CMoving a patient to a private room at their request
- DClosing the curtains during personal care
3.ง่าย
Surgical instruments that enter sterile tissue are “critical” items. Which processing do they need before reuse?
- ACleaning with detergent and water only
- BLow-level disinfection
- CHigh-level disinfection
- DSterilization
4.ปานกลาง
A patient on contact precautions must be taken to another department for a test. What is correct?
- AHave the patient wear an N95 respirator during transport
- BCancel the test until the precautions are no longer needed, however urgent it is
- CPut the patient in a separate elevator with the doors open
- DCover wounds, give the patient a clean gown and tell the receiving department
5.ปานกลาง
A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?
- ANo screening, because BCG prevents all TB
- BA tuberculin skin test, which is read 24 hours after it is placed
- CAn interferon-gamma release assay (IGRA) blood test
- DA chest x-ray every month for the first year
6.ปานกลาง
ผู้ป่วยเป็นงูสวัด (herpes zoster) ที่บริเวณหน้าอกด้านเดียว ภูมิคุ้มกันปกติ และสามารถปิดรอยโรคได้ทั้งหมด โดยทั่วไปต้องใช้การป้องกันแบบใด?
- Aการป้องกันการแพร่เชื้อทางอากาศในห้องความดันลบ
- Bการป้องกันมาตรฐาน โดยปิดรอยโรคให้มิดชิด
- Cการป้องกันทางละอองฝอยเท่านั้น
- Dสิ่งแวดล้อมป้องกันเชื้อแบบความดันบวก
7.ยาก
While preparing an IV medication, a nurse sees that the syringe tip touched the medication tray after the cap came off. What should the nurse do?
- AGive the dose anyway, because the medication tray was cleaned this morning
- BBlow on the tip to remove any dust
- CWipe the tip with an alcohol swab and give the dose
- DDiscard the syringe and prepare the dose again with new equipment
8.ยาก
A child with fever, cough, red eyes and a spreading rash is in a clinic waiting room. Measles is suspected. What should the nurse do first?
- AGive the child an antipyretic and continue triage
- BAsk the family to wait in the main waiting room until the child is called in
- CSend the child home to rest without an assessment
- DPut a mask on the child and move them into an airborne isolation room
เฉลย
- 1. A · Droplet precautions
- 2. A · Keeping a patient alone in a room or area that they are prevented from leaving
- 3. D · Sterilization
- 4. D · Cover wounds, give the patient a clean gown and tell the receiving department
- 5. C · An interferon-gamma release assay (IGRA) blood test
- 6. B · การป้องกันมาตรฐาน โดยปิดรอยโรคให้มิดชิด
- 7. D · Discard the syringe and prepare the dose again with new equipment
- 8. D · Put a mask on the child and move them into an airborne isolation room
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