1.ง่าย
Which infection is mainly spread through blood and is a major risk after a needlestick injury?
- AHepatitis A
- BSeasonal influenza
- CHepatitis B
- DNorovirus
2.ง่าย
Which vaccine is recommended for health care workers every year?
- AInfluenza vaccine
- BTetanus vaccine
- CHepatitis B vaccine
- DMMR vaccine
3.ง่าย
What is the purpose of hip protectors for older adults at risk of falls?
- ATo keep the hips warm in a cold room at night
- BTo hold a urinary catheter in place
- CTo reduce the chance of a hip fracture if a fall happens
- DTo stop the person from falling at all when they walk
4.ปานกลาง
A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?
- ARecap it carefully with both hands and dispose of it after the drug round
- BActivate the safety device and drop it into a sharps container at once
- CLay it on the medication tray and discard it later
- DBend the needle to make it unusable, then discard it
5.ปานกลาง
Where is a gait belt placed when helping a patient to walk?
- AAround the patient’s waist, over clothing
- BAround the hips, directly on bare skin
- CAround both thighs, just above the knees
- DAround the chest, under the arms
6.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?
- AA failed test that must be repeated next year
- BActive TB, which needs airborne isolation
- CLatent TB infection, which is not contagious
- DImmunity to TB from a past exposure
7.ยาก
A nursing student describes how they remove PPE (gown, gloves and a mask worn for splash protection) at the doorway before leaving a contact precautions room. Which statement shows a need for further teaching?
- A“I remove my gloves without touching the outside with my bare hand.”
- B“I roll the gown inward as I take it off.”
- C“I clean my hands as soon as all the PPE is off.”
- D“I take off my mask first, and then I take off my gloves.”
8.ยาก
การกระทำของพยาบาลข้อใดแสดงว่าปฏิบัติตามห้าจังหวะของการทำความสะอาดมือ (five moments of hand hygiene)?
- Aทำความสะอาดมือหลังสัมผัสราวกั้นเตียง
- Bทำความสะอาดมือเฉพาะตอนเริ่มและสิ้นสุดเวร
- Cสวมถุงมือคู่เดิมระหว่างผู้ป่วยสองราย
- Dทำความสะอาดมือเฉพาะเมื่อมือดูสกปรก
เฉลย
- 1. C · Hepatitis B
- 2. A · Influenza vaccine
- 3. C · To reduce the chance of a hip fracture if a fall happens
- 4. B · Activate the safety device and drop it into a sharps container at once
- 5. A · Around the patient’s waist, over clothing
- 6. C · Latent TB infection, which is not contagious
- 7. D · “I take off my mask first, and then I take off my gloves.”
- 8. A · ทำความสะอาดมือหลังสัมผัสราวกั้นเตียง
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