1.ง่าย
Where is the apical pulse best heard in an adult?
- AAt the second intercostal space just right of the sternum
- BOver the lower end of the sternum in the midline
- CAt the left side of the neck beside the windpipe
- DAt the fifth intercostal space in the left midclavicular line
2.ง่าย
What does an HbA1c test show?
- AThe average blood glucose over the last two to three months
- BThe blood glucose at the moment of the test
- CThe amount of insulin made by the pancreas over the last week
- DThe amount of glucose in the urine
3.ง่าย
What is urinary retention?
- ALeaking urine without control
- BProducing very dilute urine
- CBeing unable to empty the bladder fully
- DPassing small amounts of urine too often
4.ปานกลาง
How can a patient reduce pain when coughing after abdominal surgery?
- AHold a pillow firmly against the wound while coughing
- BLie flat on their back with arms by their sides
- CCough while bending forward with no support
- DAvoid coughing completely until the stitches have been removed
5.ปานกลาง
How should adhesive tape be removed from an older patient's fragile skin?
- AAfter wetting it with alcohol rub
- BSlowly, low and close to the skin, while supporting the skin
- CQuickly in one firm pull, straight upwards and away from the skin
- DBy pulling it away from the wound as hard as possible
6.ปานกลาง
ผู้ป่วยมีอุณหภูมิ 38.6 °C อัตราการเต้นของหัวใจ 118/นาที อัตราการหายใจ 24/นาที และสับสนขึ้นใหม่ ควรสงสัยอะไรก่อน?
- Aภาวะน้ำตาลในเลือดต่ำเท่านั้น
- Bภาวะติดเชื้อในกระแสเลือด (sepsis)
- Cการฟื้นตัวหลังผ่าตัดตามปกติ
- Dภาวะขาดน้ำจากการดื่มน้ำไม่พอเท่านั้น
7.ยาก
Which statement about the use of physical restraint is correct?
- AIt is the best way to stop older patients from falling
- BIt is a last resort, uses the least restrictive option and needs regular checks
- CIt can be used whenever a patient is confused, without further assessment
- DIt never needs to be documented if it is used only overnight
8.ยาก
A collapsed patient is unresponsive and making only occasional slow gasps. What should the nurse do?
- AWait to see whether the gasps become regular
- BPlace the patient in the recovery position and keep observing them
- CGive a sip of water to clear the throat
- DTreat it as not breathing normally, call for help and start CPR
เฉลย
- 1. D · At the fifth intercostal space in the left midclavicular line
- 2. A · The average blood glucose over the last two to three months
- 3. C · Being unable to empty the bladder fully
- 4. A · Hold a pillow firmly against the wound while coughing
- 5. B · Slowly, low and close to the skin, while supporting the skin
- 6. B · ภาวะติดเชื้อในกระแสเลือด (sepsis)
- 7. B · It is a last resort, uses the least restrictive option and needs regular checks
- 8. D · Treat it as not breathing normally, call for help and start CPR
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