1.ง่าย
What is the purpose of the “time-out” just before a surgical procedure?
- ATo confirm the correct patient, procedure and site
- BTo count the swabs at the end of the operation
- CTo give the surgeon a short rest before the operation starts
- DTo let the family say goodbye to the patient
2.ง่าย
Which resting heart rate is normal for a newborn?
- A210/min
- B80/min
- C60/min
- D140/min
3.ง่าย
งานที่ต้องใช้การประเมิน วิจารณญาณทางการพยาบาล หรือการประเมินผล ควร:
- Aทำโดยพยาบาลวิชาชีพ
- Bมอบให้ครอบครัวของผู้ป่วย
- Cมอบหมายให้ LPN/LVN เสมอ
- Dมอบหมายให้ผู้ช่วยพยาบาลที่มีประสบการณ์มากที่สุด
4.ปานกลาง
Which patient is at the highest risk of falling?
- AAn 84-year-old taking a diuretic who has fallen before and gets up at night
- BA 60-year-old admitted for chest pain that has since been ruled out by tests
- CA 45-year-old with asthma who is alert and independent
- DA 30-year-old after an appendectomy who walks with steady steps
5.ปานกลาง
A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?
- ALower the bed now and remind the assistant why it matters
- BWrite it in the assistant’s yearly review only
- CAsk the family to lower the bed when they next visit
- DLeave it because the patient is asleep
6.ปานกลาง
An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?
- ARespiratory acidosis
- BMetabolic acidosis
- CRespiratory alkalosis
- DMetabolic alkalosis
7.ยาก
A patient with septic shock remains hypotensive, with a mean arterial pressure of 58 mmHg, after adequate IV fluids. What should the nurse anticipate?
- AA vasopressor, such as norepinephrine, to raise the pressure
- BA beta-blocker to slow the heart rate
- CA loop diuretic to remove the extra fluid that has been given
- DAn oral fluid challenge with a sports drink
8.ยาก
A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?
- ATaking the victim straight to the X-ray department
- BFull assessment inside the main department straight away
- CDecontamination before the victim enters the treatment area
- DPlacing the victim in the waiting room until a doctor is free
เฉลย
- 1. A · To confirm the correct patient, procedure and site
- 2. D · 140/min
- 3. A · ทำโดยพยาบาลวิชาชีพ
- 4. A · An 84-year-old taking a diuretic who has fallen before and gets up at night
- 5. A · Lower the bed now and remind the assistant why it matters
- 6. B · Metabolic acidosis
- 7. A · A vasopressor, such as norepinephrine, to raise the pressure
- 8. C · Decontamination before the victim enters the treatment area
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