ใบงาน พื้นฐานการพยาบาล พร้อมเฉลย

What is the 4AT used for?

1. AAssessing the risk of pressure ulcers
2. BRapid screening for delirium
3. CScoring pain in children
4. DMeasuring the risk of malnutrition

What is the pulse pressure?

1. AThe difference between the systolic and diastolic pressure
2. BThe pressure needed to stop the radial pulse
3. CThe number of heartbeats felt at the wrist in one minute
4. DThe average of the systolic and diastolic pressure

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

1. AFlat foot
2. BClub foot
3. CFoot drop
4. DHammer toe

ชุดสัญญาณใดบ่งชี้การติดเชื้อที่แผล?

1. Aอาการคันเล็กน้อยขณะขอบแผลสมาน
2. Bเนื้อเยื่อเม็ดสีชมพู มีน้ำเหลืองใสเล็กน้อย และแผลที่เล็กลง
3. Cสะเก็ดแห้งที่ไม่เจ็บ
4. Dรอยแดงที่เพิ่มขึ้น ความร้อน อาการบวม ความปวด และหนอง

What makes "Risk for falls" a risk nursing diagnosis rather than an actual one?

1. AThe fall has not happened yet, but risk factors are present
2. BThe problem can never be prevented
3. CThe doctor has confirmed the diagnosis with tests and a scan
4. DThe patient has already fallen several times

A patient starts regular morphine. What is usually prescribed alongside it to prevent a common side effect?

1. AAn antihistamine
2. BAn antibiotic
3. CA diuretic
4. DA laxative

Why should a near miss be reported even though no harm occurred?

1. ASo the nurse involved can be identified and disciplined
2. BIt helps find and fix system problems before someone is harmed
3. CIt does not need reporting if no one was harmed
4. DBecause insurance companies require a report for every shift worked

During a sterile dressing change, the nurse's sterile glove touches the bed rail. What should the nurse do?

1. APut a second pair of sterile gloves over the first pair
2. BWipe the glove with an alcohol swab and carry on with the dressing change
3. CCarry on, as the bed rail was cleaned that morning
4. DRemove the gloves, perform hand hygiene and put on new sterile gloves