1.ง่าย
In the United States, which law sets out the scope of nursing practice in each state?
- AThe federal tax code
- BThe state Nurse Practice Act
- CThe Food and Drug Administration rules
- DThe hospital’s visitor policy
2.ง่าย
What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?
- ATo measure the patient’s satisfaction with care
- BTo spot deterioration early from routine vital signs
- CTo calculate the correct drug doses for each patient
- DTo decide the patient’s diet
3.ง่าย
What does NPO mean on a patient’s care plan?
- ANot for physical therapy
- BNormal patient observations
- CNothing by mouth
- DNo pain observed
4.ปานกลาง
A patient has a new plaster cast that is still drying. How should the nurse handle it?
- AWith the fingertips, pressing firmly to test it
- BBy resting it directly on a hard surface
- CBy covering it tightly with a plastic sheet
- DWith the palms of the hands, not the fingertips
5.ปานกลาง
A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?
- A“I will call if my child has trouble breathing.”
- B“I will give my child plenty of fluids.”
- C“I will keep my child home from school and away from others while unwell.”
- D“I will give my child aspirin to bring the fever down.”
6.ปานกลาง
A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?
- ALeave the wound uncovered so the surgeon can see it on arrival
- BCover the wound with sterile dressings moistened with saline
- CPush the bowel gently back into the abdomen with a gloved hand
- DHelp the patient walk to the toilet to relieve abdominal pressure
7.ยาก
Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?
- AYellow skin with dark urine on the second day
- BA heart rate of 125/min with a falling blood pressure
- CIncreasing abdominal pain with a temperature of 39 °C
- DRight shoulder pain from the gas used during surgery
8.ยาก
ผู้ป่วยที่ศีรษะได้รับบาดเจ็บและกระดูกขาหักกำลังได้รับการเฝ้าติดตาม ข้อสังเกตใดเป็นลำดับความสำคัญ?
- Aรอยถลอกเล็กน้อยที่ข้อศอก
- Bคะแนน Glasgow Coma Scale ลดจาก 15 เป็น 12
- Cปวดขา 6/10 แม้ได้ยาแก้ปวดขนาดล่าสุดแล้ว
- Dผู้ป่วยขออะไรรับประทาน
เฉลย
- 1. B · The state Nurse Practice Act
- 2. B · To spot deterioration early from routine vital signs
- 3. C · Nothing by mouth
- 4. D · With the palms of the hands, not the fingertips
- 5. D · “I will give my child aspirin to bring the fever down.”
- 6. B · Cover the wound with sterile dressings moistened with saline
- 7. D · Right shoulder pain from the gas used during surgery
- 8. B · คะแนน Glasgow Coma Scale ลดจาก 15 เป็น 12
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