1.ง่าย
โดยทั่วไป บุคลากรสวมอะไรเมื่อเข้าห้องผู้ป่วยที่ใช้การป้องกันทางละอองฝอย?
- Aชุดป้องกันสารอันตรายเต็มตัว
- Bหน้ากาก N95 เท่านั้น
- Cหน้ากากอนามัย
- Dถุงมือปราศจากเชื้อ
2.ง่าย
In the chain of infection, which link is broken when a patient covers the mouth and nose with a tissue when coughing?
- AThe susceptible host
- BThe infectious agent
- CThe reservoir
- DThe portal of exit
3.ง่าย
Which vaccine is a live attenuated vaccine?
- AMMR (measles, mumps, rubella)
- BInjected inactivated influenza vaccine
- CTetanus toxoid vaccine
- DHepatitis B vaccine
4.ปานกลาง
A nurse who never had BCG vaccine has a positive tuberculin skin test for the first time. The chest x-ray is clear and there are no symptoms. What does this most likely mean?
- AImmunity to TB from a past exposure
- BA failed test that must be repeated next year
- CLatent TB infection, which is not contagious
- DActive TB, which needs airborne isolation
5.ปานกลาง
Why are blood cultures usually taken from two separate venipuncture sites?
- ATo make the results come back faster from the laboratory
- BTo reduce the total amount of blood taken
- CTo help tell a true infection from skin contamination
- DBecause each site tests a different antibiotic
6.ปานกลาง
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up in the morning and ask a colleague to check it once
- BSet it up in the morning and cover it with a clean towel until the procedure starts
- CSet it up just before the procedure, because a waiting field may become contaminated
- DSet it up in the morning and leave it uncovered in an empty room
7.ยาก
A patient with suspected sepsis has orders for blood cultures and an IV antibiotic. What is the correct order of actions?
- AGive the antibiotic and take the cultures an hour later
- BWait for the culture results before starting the antibiotic
- CDraw the blood cultures first, then give the antibiotic without delay
- DGive the antibiotic first so that treatment starts, and take the cultures the next day
8.ยาก
A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?
- ACheck with the other nurse and the records before giving another dose
- BTell the patient they must be confused
- CGive the tablet, because the record shows none was given
- DGive half a tablet now, to be safe, and the other half later if needed
เฉลย
- 1. C · หน้ากากอนามัย
- 2. D · The portal of exit
- 3. A · MMR (measles, mumps, rubella)
- 4. C · Latent TB infection, which is not contagious
- 5. C · To help tell a true infection from skin contamination
- 6. C · Set it up just before the procedure, because a waiting field may become contaminated
- 7. C · Draw the blood cultures first, then give the antibiotic without delay
- 8. A · Check with the other nurse and the records before giving another dose
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