1.ง่าย
How can patients take part in infection prevention?
- ABy being encouraged to ask staff whether they have cleaned their hands
- BBy sharing equipment with other patients
- CBy cleaning their own IV sites with tap water
- DBy stopping their antibiotics on their own as soon as they feel a little better
2.ง่าย
Why must fire doors in a hospital never be propped open?
- AThey keep heat inside the ward in winter
- BThey stop fire and smoke spreading between areas
- CThey keep noise away from patient rooms
- DThey stop visitors from entering the ward outside visiting hours
3.ง่าย
Malaria is passed to people through the bite of an infected mosquito. Which mode of transmission is this?
- AVector-borne transmission
- BAirborne transmission
- CDirect contact transmission
- DDroplet transmission
4.ปานกลาง
A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?
- AA tuberculin skin test, which is read 24 hours after it is placed
- BA chest x-ray every month for the first year
- CNo screening, because BCG prevents all TB
- DAn interferon-gamma release assay (IGRA) blood test
5.ปานกลาง
Which practice reduces back strain when a nurse moves a patient or heavy object?
- AHold the load at arm’s length to keep it steady
- BStand with the feet close together for balance
- CBend at the waist and keep both knees straight
- DKeep the load close to the body and avoid twisting
6.ปานกลาง
ระหว่างเตรียมพื้นที่ปราศจากเชื้อ พยาบาลหันหลังให้เพื่อตอบคำถาม ข้อใดถูกต้อง?
- Aใช้พื้นที่นั้นได้หากคลุมไว้ภายหลัง
- Bพื้นที่ยังปราศจากเชื้อเพราะไม่มีใครสัมผัสในช่วงนั้น
- Cเปลี่ยนเฉพาะอุปกรณ์ที่อยู่ใกล้พยาบาลที่สุด
- Dถือว่าพื้นที่ปนเปื้อนและต้องจัดเตรียมใหม่
7.ยาก
An 82-year-old patient is prescribed diphenhydramine at bedtime for sleep. Why should the nurse raise this with the prescriber?
- AIt is only available as an IV drug and cannot be given by mouth at bedtime
- BIt is too weak to help an older person sleep
- CIt raises blood pressure in most older adults
- DIt is strongly anticholinergic and can cause confusion and falls in older adults
8.ยาก
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- ANo, because reporting near misses only blames the pharmacy staff for nothing
- BYes, near misses are reported so system weaknesses can be fixed
- CNo, because the patient was not harmed
- DOnly if the same error happens three times
เฉลย
- 1. A · By being encouraged to ask staff whether they have cleaned their hands
- 2. B · They stop fire and smoke spreading between areas
- 3. A · Vector-borne transmission
- 4. D · An interferon-gamma release assay (IGRA) blood test
- 5. D · Keep the load close to the body and avoid twisting
- 6. D · ถือว่าพื้นที่ปนเปื้อนและต้องจัดเตรียมใหม่
- 7. D · It is strongly anticholinergic and can cause confusion and falls in older adults
- 8. B · Yes, near misses are reported so system weaknesses can be fixed
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