1.ง่าย
เมื่อปัจจัยอื่นเท่ากัน ปัญหาใดมักมีความสำคัญก่อน?
- Aปัญหาเรื้อรังที่เป็นมานาน เพราะส่งผลต่อชีวิตของผู้ป่วยมากกว่า
- Bปัญหาเฉียบพลันที่เกิดขึ้นใหม่
- Cปัญหาที่ใช้เวลาแก้ไขน้อยที่สุด
- Dปัญหาที่ครอบครัวกังวลมากที่สุด
2.ง่าย
An adult without lung disease is breathing room air. Which SpO₂ reading needs action?
- A97%
- B99%
- C89%
- D96%
3.ง่าย
A patient has a Glasgow Coma Scale score of 8. What is the main concern?
- AThe patient can safely eat and drink without help
- BThe patient may not be able to protect the airway
- CThe patient is fully alert and oriented
- DThe patient only has a mild headache
4.ปานกลาง
A patient with severe neutropenia needs a room. Which roommate is the safest choice?
- AA patient with C. difficile diarrhea
- BA patient with influenza
- CA patient after a knee replacement with no signs of infection
- DA patient with an infected, draining leg wound
5.ปานกลาง
A patient has a serum potassium of 6.8 mEq/L. Which action comes first?
- AGive the patient’s scheduled potassium supplement
- BRecheck the level next week
- CEncourage foods high in potassium
- DPlace the patient on a cardiac monitor
6.ปานกลาง
A patient is in skeletal traction. Which finding needs the nurse to act?
- AThe weights are hanging freely
- BThe weights are resting on the floor
- CThe ropes are in the pulleys
- DThe patient’s body is in line with the traction
7.ยาก
A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?
- AThe injury does not fit the infant’s development, so possible abuse must be reported
- BA spiral fracture in an infant is always caused by birth trauma
- CInfants of this age often roll off furniture and break bones in this way
- DNo further action is needed once the fracture is treated
8.ยาก
A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?
- AStand close to the patient to finish care faster
- BSpend longer in the room each time but visit less often during the shift
- CLimit time in the room, keep as far away as possible and use shielding
- DWear a surgical mask to block the radiation
เฉลย
- 1. B · ปัญหาเฉียบพลันที่เกิดขึ้นใหม่
- 2. C · 89%
- 3. B · The patient may not be able to protect the airway
- 4. C · A patient after a knee replacement with no signs of infection
- 5. D · Place the patient on a cardiac monitor
- 6. B · The weights are resting on the floor
- 7. A · The injury does not fit the infant’s development, so possible abuse must be reported
- 8. C · Limit time in the room, keep as far away as possible and use shielding
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