1.ง่าย
A nurse sees water spilled on the floor in a patient’s room. What should be done?
- AWarn only the patient in that room
- BCover it with a towel and leave it there until the floor is cleaned later
- CLeave it for the next cleaning round
- DClean it up promptly and use a wet-floor warning sign until it is dry
2.ง่าย
Which type of latex reaction is the most dangerous?
- AType I (immediate) hypersensitivity
- BDry skin from frequent hand washing
- CIrritant contact dermatitis
- DType IV (delayed) hypersensitivity
3.ง่าย
In the United States classification, which class of fire extinguisher is used for an electrical fire?
- AClass A
- BClass B
- CClass C
- DClass K
4.ปานกลาง
A peripheral IV site is red, warm and tender along the vein. What should the nurse do?
- ARemove the catheter and insert a new one at another site if still needed
- BApply a warm pack and keep using the same site
- CFlush the catheter harder to clear the vein and keep using the same site
- DIncrease the infusion rate to finish the bag sooner
5.ปานกลาง
When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?
- AAt the start of each shift to save time later
- BWhenever the pharmacist is slow to review new orders and the patient is waiting
- CWhenever the nurse is sure of the dose
- DOnly in an urgent situation where delay would harm the patient, per policy
6.ปานกลาง
A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?
- AAsk the prescriber or pharmacist for another form and not crush the tablet
- BCut the tablet in half so it is easier to swallow
- CCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
- DDissolve the tablet in a glass of hot water
7.ยาก
A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?
- AHide the patient’s clothes and belongings so that they cannot leave the ward
- BLock the doors so the patient cannot leave
- CApply wrist restraints until the provider arrives to speak with the patient
- DExplain the risks, notify the provider and follow the policy for leaving against advice
8.ยาก
ขณะใส่สายสวนปัสสาวะด้วยเทคนิคปราศจากเชื้อ ปลายสายสวนไปสัมผัสต้นขาของผู้ป่วย พยาบาลควรทำอย่างไร?
- Aเช็ดปลายสายด้วยน้ำยาฆ่าเชื้อแล้วทำต่อ
- Bล้างปลายสายด้วยน้ำปราศจากเชื้อแล้วทำต่อ
- Cทิ้งสายสวนนั้นและใช้สายสวนปราศจากเชื้อเส้นใหม่
- Dทำต่อ เพราะทำความสะอาดต้นขาไว้แล้ว
เฉลย
- 1. D · Clean it up promptly and use a wet-floor warning sign until it is dry
- 2. A · Type I (immediate) hypersensitivity
- 3. C · Class C
- 4. A · Remove the catheter and insert a new one at another site if still needed
- 5. D · Only in an urgent situation where delay would harm the patient, per policy
- 6. A · Ask the prescriber or pharmacist for another form and not crush the tablet
- 7. D · Explain the risks, notify the provider and follow the policy for leaving against advice
- 8. C · ทิ้งสายสวนนั้นและใช้สายสวนปราศจากเชื้อเส้นใหม่
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com