1.ง่าย
Which protective equipment is needed for droplet precautions?
- AA surgical mask when close to the patient
- BA fitted N95 respirator at all times in the room
- CGloves only, with no mask
- DA lead apron and goggles
2.ง่าย
Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?
- ATurning the head sharply to one side
- BJaw thrust without head tilt
- CHead-tilt, chin-lift
- DRaising the legs above the heart
3.ง่าย
Using the PASS method for a fire extinguisher, what is the first step?
- AAim at the base of the fire
- BSweep from side to side
- CPull the pin
- DSqueeze the handle
4.ปานกลาง
A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?
- ACheck the tubing for kinks or obstruction
- BRemove the catheter and wait for the patient to void
- CGive a prescribed diuretic straight away
- DEncourage the patient to drink more water
5.ปานกลาง
ในภาวะหัวใจหยุดเต้นบนหอผู้ป่วย การกระทำใดมาก่อนหลังยืนยันแล้วว่าผู้ป่วยไม่ตอบสนองและไม่หายใจตามปกติ?
- Aช่วยหายใจสองครั้ง แล้วตรวจชีพจรเป็นเวลาหนึ่งนาที
- Bวัดความดันโลหิต
- Cหาเวชระเบียนของผู้ป่วยเพื่อตรวจสถานะการช่วยฟื้นคืนชีพก่อนเรียกขอความช่วยเหลือ
- Dเรียกขอความช่วยเหลือและเริ่มกดหน้าอก
6.ปานกลาง
A patient with severe neutropenia needs a room. Which roommate is the safest choice?
- AA patient after a knee replacement with no signs of infection
- BA patient with an infected, draining leg wound
- CA patient with C. difficile diarrhea
- DA patient with influenza
7.ยาก
A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?
- AThe burns are healing and the skin is tightening normally
- BThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
- CThe patient is anxious and only needs reassurance
- DThe tight burned skin is restricting chest movement, so an escharotomy may be needed
8.ยาก
Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?
- AAsk a family member to sign on the patient’s behalf
- BNot witness the consent and inform the surgeon
- CWitness it and write “sedated” beside the signature
- DWitness it quickly before the sedative takes full effect
เฉลย
- 1. A · A surgical mask when close to the patient
- 2. C · Head-tilt, chin-lift
- 3. C · Pull the pin
- 4. A · Check the tubing for kinks or obstruction
- 5. D · เรียกขอความช่วยเหลือและเริ่มกดหน้าอก
- 6. A · A patient after a knee replacement with no signs of infection
- 7. D · The tight burned skin is restricting chest movement, so an escharotomy may be needed
- 8. B · Not witness the consent and inform the surgeon
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