1.ง่าย
A nurse cannot get a good seal with an N95 respirator because of a beard. Which device can be used instead?
- AA washable cloth face mask worn over the beard
- BTwo surgical masks worn together
- CA powered air-purifying respirator (PAPR)
- DA standard surgical mask
2.ง่าย
Which finding suggests a systemic infection rather than only a local one?
- ARedness around a small cut
- BSlight tenderness around an IV site
- CFever with a raised heart rate
- DMild swelling at an injection site
3.ง่าย
Which type of knot is used to secure the straps of a restraint?
- AA knot tied on the patient’s wrist
- BA tight double knot
- CA quick-release knot
- DA square knot
4.ปานกลาง
A family member will visit a patient on contact precautions. What should the nurse do?
- ATell them visits are not allowed at all
- BTell them precautions only apply to staff
- CShow them how to use the gown and gloves and how to clean their hands
- DAsk them to wear an N95 respirator only, with no gown or gloves
5.ปานกลาง
Before a defibrillator shock is delivered, what must the person operating it do?
- ACall “all clear” and check that nobody is touching the patient or bed
- BKeep the oxygen mask on the patient’s face, held against the chest
- CHold the patient’s hand to keep them still
- DAsk a colleague to hold the paddles in place
6.ปานกลาง
How is a urine specimen for culture obtained from an indwelling catheter?
- AFrom the sampling port, after cleaning it, using aseptic technique
- BBy removing the catheter and sending its tip for culture
- CFrom the urine already collected in the drainage bag at the bedside
- DBy disconnecting the catheter from the drainage tubing
7.ยาก
A patient on airborne precautions for tuberculosis wants to walk in the hallway. What is the best response?
- AExplain that they must stay in the room, and offer ways to stay active inside it
- BAllow it, if they avoid the nurses’ station
- CAllow it, as long as they walk quickly
- DAllow it, as long as the patient wears an N95 respirator in the corridor
8.ยาก
A nurse has a needlestick from a patient whose HIV and hepatitis status is unknown. What should happen?
- AThe source patient is tested per policy, and the nurse has baseline tests
- BNothing, because the source patient is probably not infected
- CThe nurse is assumed to be infected and stops all work
- DThe nurse waits six months before having any blood tests at all
เฉลย
- 1. C · A powered air-purifying respirator (PAPR)
- 2. C · Fever with a raised heart rate
- 3. C · A quick-release knot
- 4. C · Show them how to use the gown and gloves and how to clean their hands
- 5. A · Call “all clear” and check that nobody is touching the patient or bed
- 6. A · From the sampling port, after cleaning it, using aseptic technique
- 7. A · Explain that they must stay in the room, and offer ways to stay active inside it
- 8. A · The source patient is tested per policy, and the nurse has baseline tests
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