1.ง่าย
Which serum sodium value is within the normal adult range?
- A152 mEq/L (152 mmol/L)
- B140 mEq/L (140 mmol/L)
- C120 mEq/L (120 mmol/L)
- D128 mEq/L (128 mmol/L)
2.ง่าย
Which arterial blood pH is within the normal range?
- A7.28
- B7.18
- C7.40
- D7.52
3.ง่าย
In US patient-safety terms (The Joint Commission), what is a sentinel event?
- AAn unexpected event that causes death or serious harm
- BA planned admission to intensive care
- CA routine handover between shifts
- DA minor error that was noticed but caused no harm at all
4.ปานกลาง
A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?
- AAntihypertensive drugs
- BTopical skin creams
- CInhaled bronchodilators
- DEye drops for glaucoma
5.ปานกลาง
When making patient assignments, what should the charge nurse consider first?
- AGiving each nurse patients in rooms next to each other
- BLetting staff choose the patients they prefer
- CMatching each patient’s needs to staff competence
- DGiving the newest staff the most complex patients
6.ปานกลาง
A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?
- A“If I miss a dose, I will take two the next day.”
- B“I will keep my INR blood test appointments.”
- C“I will tell my dentist and pharmacist that I take warfarin.”
- D“I will use a soft toothbrush.”
7.ยาก
A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?
- ACooler, paler skin on the arms and legs
- BA heart rate that keeps rising after each bag of fluid
- CUrine output at least 0.5 mL/kg/h and clearer thinking
- DNew crackles at both lung bases
8.ยาก
After handover on a medical unit, which patient should the nurse see first?
- APneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
- 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
- DDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
เฉลย
- 1. B · 140 mEq/L (140 mmol/L)
- 2. C · 7.40
- 3. A · An unexpected event that causes death or serious harm
- 4. A · Antihypertensive drugs
- 5. C · Matching each patient’s needs to staff competence
- 6. A · “If I miss a dose, I will take two the next day.”
- 7. C · Urine output at least 0.5 mL/kg/h and clearer thinking
- 8. B · New atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
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