1.ง่าย
Where should medicines be stored in a home with young children?
- AOn the kitchen counter so doses are not forgotten
- BIn a handbag that is left on the floor or a chair
- CIn their original containers in a locked or high cabinet
- DIn unlabeled containers or pill boxes so they are easy to carry around
2.ง่าย
Why is the symbol “µg” avoided in medication orders?
- AIt is the symbol for micrograms of alcohol and is only used in laboratory reports
- BIt can be misread as “mg”, giving a dose a thousand times too high
- CIt means “units per gram” in some countries
- DIt can only be used for intravenous drugs
3.ง่าย
ควรทำความสะอาดมือเมื่อใดเมื่อเกี่ยวข้องกับการสวมถุงมือ?
- Aก่อนสวมถุงมือเท่านั้น
- Bเฉพาะเมื่อถุงมือขาด
- Cไม่ต้องทำเลย เพราะถุงมือใช้แทนการทำความสะอาดมือ
- Dก่อนสวมถุงมือและหลังถอดถุงมือ
4.ปานกลาง
A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?
- AReturn the rest to the patient’s medication drawer
- BKeep the rest for the patient’s next dose
- CDiscard it alone in the sink and document the amount wasted later in the shift
- DDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it
5.ปานกลาง
A patient on oxygen is being taken to another department by wheelchair. What should the nurse check first?
- AThat the cylinder is the largest size available
- BThat the cylinder is placed on the patient’s lap
- CThat the oxygen is turned off during the transfer to save the supply in the tank
- DThat the portable cylinder has enough oxygen for the whole trip
6.ปานกลาง
A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?
- AThe prescription glasses alone
- BThe glasses with a surgical mask
- CGoggles or a face shield worn over the glasses
- DNo eye protection, if the nurse stands to one side
7.ยาก
A patient given naloxone for an opioid overdose wakes up. An hour later, the patient is drowsy again with slow breathing. What is the likely reason?
- AThe patient is simply tired after the event
- BNaloxone itself causes slow breathing and drowsiness once it has been given
- CThe patient is now allergic to naloxone
- DNaloxone wears off sooner than many opioids, so the opioid effect returns
8.ยาก
Who should mark the operative site before surgery?
- AThe admitting clerk, using the information written on the consent form
- BThe patient, alone, using a marker pen at home on the night before surgery
- CThe person who will perform the procedure, with the patient involved where possible
- DAny member of the operating room team after anesthesia starts
เฉลย
- 1. C · In their original containers in a locked or high cabinet
- 2. B · It can be misread as “mg”, giving a dose a thousand times too high
- 3. D · ก่อนสวมถุงมือและหลังถอดถุงมือ
- 4. D · Discard it in front of a second licensed (registered) nurse, who witnesses and documents it
- 5. D · That the portable cylinder has enough oxygen for the whole trip
- 6. C · Goggles or a face shield worn over the glasses
- 7. D · Naloxone wears off sooner than many opioids, so the opioid effect returns
- 8. C · The person who will perform the procedure, with the patient involved where possible
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