1.ง่าย
How many levels does the Emergency Severity Index have?
- ASix
- BThree
- CFive
- DFour
2.ง่าย
Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?
- ATurning and repositioning the patient every 2 hours
- BChoosing which wound dressing to use
- CDeciding whether a pressure injury has got worse since yesterday
- DPlanning the patient’s skin care
3.ง่าย
In the FAST stroke check, what does the T stand for?
- ATremor of the hands
- BTime to call emergency services
- CTongue movement
- DTemperature
4.ปานกลาง
A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?
- AHelp the patient walk to the toilet to relieve abdominal pressure
- BPush the bowel gently back into the abdomen with a gloved hand
- CCover the wound with sterile dressings moistened with saline
- DLeave the wound uncovered so the surgeon can see it on arrival
5.ปานกลาง
พยาบาลได้รับสัญญาณเรียกพยาบาลสี่เครื่องพร้อมกัน พยาบาลไปหาผู้ป่วยรายใดก่อน?
- Aผู้ป่วยที่ถามว่าแพทย์จะมากี่โมง
- Bผู้ป่วยที่พูดว่า "ฉันหายใจไม่ทัน"
- Cผู้ป่วยที่เครื่องควบคุมสารน้ำส่งเสียงเตือนเพราะถุงสารน้ำคงสภาพหมดแล้ว
- Dผู้ป่วยที่ขอยาแก้ปวดสำหรับอาการปวด 4/10
6.ปานกลาง
Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?
- AIgnore it and hope they sort it out
- BMeet both of them privately to hear each side
- CChange both of their assignments without any discussion
- DReport them to human resources at once
7.ยาก
A patient is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?
- AAsk the patient’s family to call the provider
- BDocument the concern and continue routine care
- CActivate the rapid response team
- DWait another hour and call the provider again
8.ยาก
Which patient is the best choice for the room closest to the nurses’ station?
- AA young adult waiting for discharge tomorrow
- BA patient admitted for a planned scan, feeling well
- CA patient with stable diabetes who walks independently
- DA confused older adult at high risk of falls
เฉลย
- 1. C · Five
- 2. A · Turning and repositioning the patient every 2 hours
- 3. B · Time to call emergency services
- 4. C · Cover the wound with sterile dressings moistened with saline
- 5. B · ผู้ป่วยที่พูดว่า "ฉันหายใจไม่ทัน"
- 6. B · Meet both of them privately to hear each side
- 7. C · Activate the rapid response team
- 8. D · A confused older adult at high risk of falls
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