1.ง่าย
Where is intramuscular epinephrine usually injected for anaphylaxis?
- AA vein in the hand
- BThe abdomen under the skin
- CThe outer middle thigh
- DThe buttock
2.ง่าย
Which drug reverses the anticoagulant effect of heparin?
- ANaloxone
- BVitamin K
- CAtropine
- DProtamine sulfate
3.ง่าย
Using the PASS method for a fire extinguisher, what is the first step?
- APull the pin
- BAim at the base of the fire
- CSqueeze the handle
- DSweep from side to side
4.ปานกลาง
A patient has a new plaster cast that is still drying. How should the nurse handle it?
- AWith the palms of the hands, not the fingertips
- BBy resting it directly on a hard surface
- CWith the fingertips, pressing firmly to test it
- DBy covering it tightly with a plastic sheet
5.ปานกลาง
A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?
- AThiamine (vitamin B1)
- BVitamin D (calciferol)
- CVitamin C (ascorbic acid)
- DVitamin K (phytonadione)
6.ปานกลาง
A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?
- ALeave the patient for a few minutes to find the relatives and explain what is happening
- BGo to the station to finish documentation for other patients
- CStay with the patient, give oxygen as prescribed and have recent vital signs ready
- DGive a dose of every as-needed medication on the chart
7.ยาก
A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?
- AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
- BRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
- CCheck the blood potassium level before any shock is considered
- DDefibrillate as soon as the defibrillator is available, with CPR until then
8.ยาก
After handover on a medical unit, which patient should the nurse see first?
- ADay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
- BNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
- CDeep vein thrombosis on a heparin infusion, aPTT in the target range
- DPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
เฉลย
- 1. C · The outer middle thigh
- 2. D · Protamine sulfate
- 3. A · Pull the pin
- 4. A · With the palms of the hands, not the fingertips
- 5. A · Thiamine (vitamin B1)
- 6. C · Stay with the patient, give oxygen as prescribed and have recent vital signs ready
- 7. D · Defibrillate as soon as the defibrillator is available, with CPR until then
- 8. B · New atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
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