1.ง่าย
A medication error has just reached a patient. What is the nurse’s first action?
- ACorrect the entry on the medication record
- BComplete an incident report before doing anything else
- CAssess the patient for any effects of the error
- DTell the nurse manager at the end of the shift
2.ง่าย
When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?
- AHow long the patient has been in the hospital since admission
- BHow ill the patient is and how much nursing care they need
- CHow many visitors the patient is expected to have
- DHow far the patient’s room is from the nurses’ station
3.ง่าย
What is the main purpose of an incident report?
- ATo replace the nurse’s notes in the patient’s record
- BTo decide which staff member should be punished
- CTo inform the patient’s insurance company
- DTo improve safety by finding out why events happen
4.ปานกลาง
A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?
- AA rise in urine output and thirst only
- BFlushed, warm skin and a slow heart rate
- CTall, peaked T waves and muscle twitching
- DMuscle weakness and U waves on the ECG
5.ปานกลาง
A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?
- AMeasuring and reporting vital signs at the times set by the nurse
- BDeciding whether to stop the transfusion if the patient has chills
- CStarting the transfusion once the blood arrives
- DAssessing the patient for signs of a transfusion reaction
6.ปานกลาง
A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?
- AApply a heat pad to the area to increase circulation
- BRelieve pressure on the area by changing position regularly
- CMassage the area firmly to improve the blood flow to the skin
- DKeep the patient lying on the back to protect the area
7.ยาก
Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?
- AThe confused patient climbing out of bed
- BWhichever patient’s room is closer to the station
- CThe patient in pain after surgery
- DThe patient whose call light went on first
8.ยาก
A patient is admitted with inhalational anthrax. Which precautions are needed?
- AAirborne precautions in a negative-pressure room for the whole of the hospital stay
- BStandard precautions, because it does not usually spread from person to person
- CDroplet precautions with a surgical mask for everyone who enters
- DFull contact and droplet precautions for all staff and visitors on the unit
เฉลย
- 1. C · Assess the patient for any effects of the error
- 2. B · How ill the patient is and how much nursing care they need
- 3. D · To improve safety by finding out why events happen
- 4. D · Muscle weakness and U waves on the ECG
- 5. A · Measuring and reporting vital signs at the times set by the nurse
- 6. B · Relieve pressure on the area by changing position regularly
- 7. A · The confused patient climbing out of bed
- 8. B · Standard precautions, because it does not usually spread from person to person
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