1.ง่าย
In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?
- AGiving scheduled oral medications
- BMeasuring vital signs
- CGiving an IV push medication
- DReinforcing teaching already given
2.ง่าย
Which white blood cell count suggests an infection or inflammation?
- A8,200/mm³ (8.2 × 10⁹/L)
- B7,000/mm³ (7 × 10⁹/L)
- C6,500/mm³ (6.5 × 10⁹/L)
- D18,000/mm³ (18 × 10⁹/L)
3.ง่าย
Using the PASS method for a fire extinguisher, what is the first step?
- ASqueeze the handle
- BAim at the base of the fire
- CPull the pin
- DSweep from side to side
4.ปานกลาง
A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?
- AChecking the tube’s position
- BAssessing the drainage for blood
- CIrrigating the tube when it blocks
- DGiving mouth care
5.ปานกลาง
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
- A“Only she should press the button when she needs pain relief.”
- B“The pump has limits set by the nurse so she cannot get too much at once.”
- C“I will tell the nurse if she becomes very sleepy or hard to wake.”
- D“I will press the button for her while she is asleep so she stays comfortable.”
6.ปานกลาง
A patient has a tonic-clonic seizure in bed. What should the nurse do first?
- APlace a tongue depressor between the teeth
- BGive a drink of water to help the patient wake
- CProtect the head and turn the patient on their side when possible
- DHold the arms and legs down firmly to stop the jerking movements quickly
7.ยาก
Two patients on the unit have the same surname. What should the nurse do before giving a medication?
- ACheck two identifiers against the wristband and the medication record
- BAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
- CUse the room number as the main identifier
- DAsk a nursing assistant which patient is which
8.ยาก
A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?
- AGive a large drink of water to calm the child
- BPlace the child in a knee-to-chest position
- CLay the child flat on their back
- DEncourage the child to keep crying to open the lungs
เฉลย
- 1. C · Giving an IV push medication
- 2. D · 18,000/mm³ (18 × 10⁹/L)
- 3. C · Pull the pin
- 4. D · Giving mouth care
- 5. D · “I will press the button for her while she is asleep so she stays comfortable.”
- 6. C · Protect the head and turn the patient on their side when possible
- 7. A · Check two identifiers against the wristband and the medication record
- 8. B · Place the child in a knee-to-chest position
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