ใบงาน พื้นฐานการพยาบาล พร้อมเฉลย

What does culturally sensitive care mean?

1. AAsking patients to follow the hospital's culture
2. BOnly caring for patients from your own culture
3. CGiving every patient exactly the same care plan, whatever their background
4. DRespecting the patient's beliefs and values when planning care

Which complication of long bed rest causes the foot to point downwards and stiffen in that position?

1. AFlat foot
2. BHammer toe
3. CClub foot
4. DFoot drop

Where is the apical pulse best heard in an adult?

1. AAt the fifth intercostal space in the left midclavicular line
2. BAt the second intercostal space just right of the sternum
3. COver the lower end of the sternum in the midline
4. DAt the left side of the neck beside the windpipe

A patient with right-sided weakness is moving from bed to chair. Where should the chair be placed?

1. AAcross the room so the patient can practise walking
2. BOn the patient's right side, close to the bed
3. COn the patient's left side, close to the bed
4. DAt the foot of the bed facing away

How should the opening of a stoma bag be cut?

1. ASmaller than the stoma so it grips it tightly
2. BIn any shape, as long as the bag sticks
3. CTo fit closely around the stoma without pressing on it
4. DMuch larger than the stoma so that the edge never rubs against it

Why do nurses often count the respiratory rate while still appearing to take the pulse?

1. AThe pulse and breathing rates are always the same number
2. BCounting breaths is only accurate when the wrist is held
3. CIt is not allowed to tell patients that breathing is measured
4. DPatients who know their breathing is watched tend to change it

A nurse realises that a dose of analgesia given two hours ago was not documented. What is correct?

1. AWrite it in the space for two hours ago as if it was recorded then
2. BLeave it out, as it is now too late to record it in the notes
3. CAsk a colleague to sign that they gave it
4. DWrite it now as a late entry, stating when it was given

A patient with capacity tells the nurse they do not want the operation their family keeps pushing for. What is the nurse's best action?

1. ASay nothing to avoid a conflict with the family
2. BLet the family decide, as they know the patient best
3. CSupport the patient to tell the team their wishes
4. DTell the patient to follow the family's advice