1.ง่าย
Which adult blood glucose result needs treatment straight away?
- A52 mg/dL (2.9 mmol/L) with sweating and shakiness
- B98 mg/dL (5.4 mmol/L) before breakfast
- C130 mg/dL (7.2 mmol/L) two hours after a large lunch
- D110 mg/dL (6.1 mmol/L) after a snack
2.ง่าย
What does NPO mean on a patient’s care plan?
- ANormal patient observations
- BNo pain observed
- CNot for physical therapy
- DNothing by mouth
3.ง่าย
Which task should the registered nurse not delegate to a nursing assistant?
- AWalking a stable patient up and down the corridor after lunch
- BGiving a bed bath to a stable patient
- CEvaluating whether the patient understood discharge teaching
- DMaking an occupied bed
4.ปานกลาง
Which practice makes a shift handover safest?
- AA structured format, such as SBAR, with time for questions
- BA quick chat in the corridor with no notes taken
- CLeaving a sticky note on the computer screen for the next nurse
- DHanding over only the patients who had problems during the shift
5.ปานกลาง
ผู้ใหญ่ที่กำลังรับประทานอาหารในห้องรวมจู่ ๆ ก็กุมคอ พูด หายใจ หรือไอไม่ได้ พยาบาลควรทำอะไรก่อน?
- Aเรียกขอความช่วยเหลือและตบหลังแล้วกดท้อง (abdominal thrusts)
- Bรอดูว่าผู้ป่วยจะไอออกมาเองได้หรือไม่
- Cให้ผู้ป่วยดื่มน้ำหนึ่งแก้วเพื่อกลืนอาหารลงไป
- Dใช้นิ้วควานในปากโดยไม่เห็น
6.ปานกลาง
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
- A“The pump has limits set by the nurse so she cannot get too much at once.”
- B“I will press the button for her while she is asleep so she stays comfortable.”
- C“Only she should press the button when she needs pain relief.”
- D“I will tell the nurse if she becomes very sleepy or hard to wake.”
7.ยาก
Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?
- AReassure her that this is normal “baby blues”
- BLeave her alone with the baby to bond
- CAdvise more sleep and book a routine follow-up visit for next month
- DKeep the mother and baby safe and arrange urgent psychiatric care
8.ยาก
A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?
- AAn epidural hematoma
- BA mild concussion that is settling
- CLow blood sugar from missing a meal
- DNormal tiredness after a fall
เฉลย
- 1. A · 52 mg/dL (2.9 mmol/L) with sweating and shakiness
- 2. D · Nothing by mouth
- 3. C · Evaluating whether the patient understood discharge teaching
- 4. A · A structured format, such as SBAR, with time for questions
- 5. A · เรียกขอความช่วยเหลือและตบหลังแล้วกดท้อง (abdominal thrusts)
- 6. B · “I will press the button for her while she is asleep so she stays comfortable.”
- 7. D · Keep the mother and baby safe and arrange urgent psychiatric care
- 8. A · An epidural hematoma
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