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 blood glucose at the moment of the test
- BThe average blood glucose over the last two to three months
- CThe amount of insulin made by the pancreas over the last week
- DThe amount of glucose in the urine
3.ง่าย
What is the main effect of applying cold to a new sprain?
- ABlood vessels widen, bringing more blood to the area
- BThe muscles relax and stretch more easily
- CBlood vessels narrow, reducing swelling and pain
- DThe bones heal more quickly
4.ปานกลาง
Why do nurses often count the respiratory rate while still appearing to take the pulse?
- AIt is not allowed to tell patients that breathing is measured
- BThe pulse and breathing rates are always the same number
- CPatients who know their breathing is watched tend to change it
- DCounting breaths is only accurate when the wrist is held
5.ปานกลาง
วิธีใดเชื่อถือได้มากที่สุดในการตรวจสอบว่าสายให้อาหารทางจมูก (nasogastric tube) อยู่ในกระเพาะอาหารก่อนใช้งาน?
- Aทดสอบค่า pH ของสิ่งที่ดูดได้ พร้อมเอกซเรย์ทรวงอกหากจำเป็น
- Bวางปลายสายในน้ำเพื่อดูฟองอากาศ
- Cฟังเสียง "วูบ" หลังฉีดอากาศเข้าไป
- Dถามผู้ป่วยว่ารู้สึกถูกต้องหรือไม่
6.ปานกลาง
What is the purpose of a negative-pressure isolation room?
- AAir flows out of the room, keeping germs from the corridor away from the patient
- BAir flows into the room, so airborne particles do not escape into the corridor
- CIt makes it easier for patients to breathe
- DThe low pressure kills bacteria inside the room
7.ยาก
Before giving a PRN dose of oral morphine, which assessment is most important?
- AThe respiratory rate and level of sedation
- BThe patient's last bowel movement
- CThe patient's weight and height, recorded on admission
- DThe patient's blood glucose level
8.ยาก
A patient with dementia keeps getting out of bed at night. What is the best first nursing approach?
- ARaise the bed rails and leave the patient alone
- BTie a sheet across the bed to keep the patient in
- CAsk the doctor to prescribe a sedative so the patient sleeps through the night
- DLook for an unmet need such as toileting, pain, hunger or thirst
เฉลย
- 1. D · At the fifth intercostal space in the left midclavicular line
- 2. B · The average blood glucose over the last two to three months
- 3. C · Blood vessels narrow, reducing swelling and pain
- 4. C · Patients who know their breathing is watched tend to change it
- 5. A · ทดสอบค่า pH ของสิ่งที่ดูดได้ พร้อมเอกซเรย์ทรวงอกหากจำเป็น
- 6. B · Air flows into the room, so airborne particles do not escape into the corridor
- 7. A · The respiratory rate and level of sedation
- 8. D · Look for an unmet need such as toileting, pain, hunger or thirst
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