1.ง่าย
Under US OSHA rules, how often must a health care worker be fit-tested for a tight-fitting respirator such as an N95?
- AOnly after the worker has an exposure
- BOnce only, when the worker is first hired by the hospital
- CEvery five years, at license renewal
- DAt least once a year, and when the model changes
2.ง่าย
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AThe tap is left running for the next person
- BWith a clean, dry paper towel
- CWith the freshly washed hands
- DWith the bare forearm before drying
3.ง่าย
During a hospital fire evacuation, where are patients usually moved first?
- AStraight out of the building, whatever their condition
- BUpward, to the roof of the building where helicopters can reach them
- CHorizontally, through fire doors to a safe area on the same floor
- DDownward, using the elevators
4.ปานกลาง
A family member will visit a patient on contact precautions. What should the nurse do?
- AAsk them to wear an N95 respirator only, with no gown or gloves
- BTell them visits are not allowed at all
- CTell them precautions only apply to staff
- DShow them how to use the gown and gloves and how to clean their hands
5.ปานกลาง
How should a portable oxygen cylinder be kept in a patient’s room?
- ASecured upright in a stand or holder
- BLying loose on the floor beside the bed
- CPlaced next to a heater to keep it warm
- DLaid on the bed next to the patient
6.ปานกลาง
A patient wants to use their own electric hair dryer in the hospital. What is correct?
- AIt can be used in the bathroom near the sink if the patient is careful
- BIt can be used straight away if it looks new
- CIt can be plugged into an extension lead under the bed
- DIt is checked for electrical safety according to hospital policy before use
7.ยาก
In a US hospital (CMS rules), a patient keeps pulling at an endotracheal tube, and alternatives have failed. The nurse applies wrist restraints in an emergency. What must happen next?
- AObtain a time-limited order for the restraint promptly, following policy
- BKeep the restraints on without an order until the patient is calm
- CAsk the family to sign a consent form instead of an order
- DAsk the provider for a PRN restraint order to use as needed
8.ยาก
A patient in a vest restraint has slid down in bed, and the vest is pressing against the neck. What should the nurse do first?
- ARelease the restraint at once and reposition the patient
- BTighten the vest so the patient cannot slide down again
- CCall the provider to ask about a different restraint
- DWrite a note about the event in the chart
เฉลย
- 1. D · At least once a year, and when the model changes
- 2. B · With a clean, dry paper towel
- 3. C · Horizontally, through fire doors to a safe area on the same floor
- 4. D · Show them how to use the gown and gloves and how to clean their hands
- 5. A · Secured upright in a stand or holder
- 6. D · It is checked for electrical safety according to hospital policy before use
- 7. A · Obtain a time-limited order for the restraint promptly, following policy
- 8. A · Release the restraint at once and reposition the patient
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