1.ง่าย
Which strategy helps a nurse organize care at the start of a shift?
- ADo the tasks in strict order of room number, whatever their urgency
- BRank the tasks by urgency after report and plan the time around them
- CWait until problems come up and then decide what to do
- DDo the quickest tasks first so the list gets shorter
2.ง่าย
For a patient who does not take an anticoagulant, which INR is normal?
- A6.0
- B1.0
- C4.0
- D2.5
3.ง่าย
Where is intramuscular epinephrine usually injected for anaphylaxis?
- AThe buttock
- BThe abdomen under the skin
- CA vein in the hand
- DThe outer middle thigh
4.ปานกลาง
ในการคัดกรองแบบ START ณ จุดเกิดเหตุผู้บาดเจ็บจำนวนมาก ผู้บาดเจ็บเดินไปยังพื้นที่ที่กำหนดได้เมื่อถูกขอ ผู้บาดเจ็บถูกจัดเป็นหมวดใด?
- Aสีแดง (ต้องรักษาทันที)
- Bสีดำ (ไม่คาดว่าจะรอด)
- Cสีเหลือง (รอได้)
- Dสีเขียว (บาดเจ็บเล็กน้อย)
5.ปานกลาง
Which medication order should the nurse question?
- APotassium chloride by IV push
- BOral potassium chloride with food
- CPotassium chloride diluted in an IV bag via a pump
- DPotassium chloride oral solution diluted in juice
6.ปานกลาง
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
- A“I will tell the nurse if she becomes very sleepy or hard to wake.”
- B“Only she should press the button when she needs pain relief.”
- C“I will press the button for her while she is asleep so she stays comfortable.”
- D“The pump has limits set by the nurse so she cannot get too much at once.”
7.ยาก
A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?
- AA very low blood pressure with fixed, dilated pupils
- BRestlessness and a rising heart rate while the blood pressure is still normal
- CA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
- DLoss of consciousness with gasping breaths
8.ยาก
At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?
- ALeave on time, because the shift has officially ended
- BLeave a written note at the station and go home
- CAsk a nursing assistant to watch the patients until someone comes
- DStay and tell the charge nurse, and hand over before leaving
เฉลย
- 1. B · Rank the tasks by urgency after report and plan the time around them
- 2. B · 1.0
- 3. D · The outer middle thigh
- 4. D · สีเขียว (บาดเจ็บเล็กน้อย)
- 5. A · Potassium chloride by IV push
- 6. C · “I will press the button for her while she is asleep so she stays comfortable.”
- 7. B · Restlessness and a rising heart rate while the blood pressure is still normal
- 8. D · Stay and tell the charge nurse, and hand over before leaving
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