1.ง่าย
Which precautions are used for an infant in diapers who has rotavirus diarrhea?
- ADroplet precautions
- BContact precautions
- CAirborne precautions
- DA protective environment
2.ง่าย
What is a safety huddle?
- AA long monthly meeting about staff holidays
- BA meeting between the patient and their lawyer
- CA short team meeting to share current risks and the plan for the shift
- DA formal disciplinary meeting held after a staff member makes an error
3.ง่าย
During a hospital fire evacuation, where are patients usually moved first?
- ADownward, using the elevators
- BUpward, to the roof of the building where helicopters can reach them
- CHorizontally, through fire doors to a safe area on the same floor
- DStraight out of the building, whatever their condition
4.ปานกลาง
A patient is booked for an MRI scan. What must the nurse check beforehand?
- AWhether the patient has had a hearing test this year
- BWhether the patient has any metal implants or devices, such as a pacemaker
- CWhether the patient has eaten a large meal recently
- DWhether the patient’s blood glucose has been in the normal range today
5.ปานกลาง
An older adult has trouble getting in and out of the bath. Which measures make bathing safer?
- AA loose rug beside the tub to stand on
- BBath oil to help the person slide in and out
- CA shower chair, grab bars and a non-slip mat
- DLocking the bathroom door for privacy
6.ปานกลาง
During a surgical hand scrub, how are the hands held?
- AAbove the elbows, so water runs from the fingertips toward the elbows
- BBelow the elbows, so water runs off the fingertips into the sink
- CPointing downward into the sink at all times
- DAt the level of the waist, close to the body
7.ยาก
A patient’s cardiac monitor alarms often because of artifact, and a colleague suggests turning the alarm off. What is the best response?
- ADisconnect the monitor overnight so the patient can sleep
- BTurn the alarm off and check the monitor screen at the nurses’ station every hour instead
- CKeep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
- DTurn the alarm volume down as low as it will go
8.ยาก
A patient with pulmonary tuberculosis has been on treatment. Which findings usually allow airborne isolation to end?
- AThe patient has been in hospital for one week and has taken every dose of medicine
- BThree negative sputum smears, clinical improvement and continued therapy
- COne negative chest x-ray after starting treatment
- DThe cough has stopped, even with no sputum tests
เฉลย
- 1. B · Contact precautions
- 2. C · A short team meeting to share current risks and the plan for the shift
- 3. C · Horizontally, through fire doors to a safe area on the same floor
- 4. B · Whether the patient has any metal implants or devices, such as a pacemaker
- 5. C · A shower chair, grab bars and a non-slip mat
- 6. A · Above the elbows, so water runs from the fingertips toward the elbows
- 7. C · Keep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
- 8. B · Three negative sputum smears, clinical improvement and continued therapy
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