1.ง่าย
ในการมอบหมายงาน "การกำกับดูแลและการประเมินผลที่ถูกต้อง" (right supervision and evaluation) หมายความว่าอย่างไร?
- Aหัวหน้าเวรลงนามรับรองงานที่มอบหมายทั้งหมดเมื่อสิ้นสุดเวร
- Bพยาบาลเฝ้าดูทุกวินาทีของงานที่มอบหมายทุกอย่าง
- Cผู้รับมอบหมายตรวจและลงนามรับรองงานของตนเองภายหลัง
- Dพยาบาลติดตาม แทรกแซงหากจำเป็น และตรวจสอบผลลัพธ์
2.ง่าย
A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?
- AA large protein meal
- BThe next dose of insulin
- CA fast-acting carbohydrate by mouth, such as glucose tablets or juice
- DIV glucose through a new cannula as the first choice for every patient
3.ง่าย
Which strategy helps a nurse organize care at the start of a shift?
- AWait until problems come up and then decide what to do
- BDo the quickest tasks first so the list gets shorter
- CRank the tasks by urgency after report and plan the time around them
- DDo the tasks in strict order of room number, whatever their urgency
4.ปานกลาง
A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?
- AAdvise the patient to use ear drops
- BGive the next dose early to finish the course
- CHold the next dose and report it promptly
- DReassure the patient that it is a normal effect
5.ปานกลาง
A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?
- A“I will stop the tablets as soon as I feel better.”
- B“I will take the tablets with food.”
- C“I will tell my dentist and other doctors that I take a steroid.”
- D“I will report signs of infection early.”
6.ปานกลาง
A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?
- AGive the next dose of lisinopril with water
- BAssess the airway and call for urgent help
- CApply a cold pack and recheck in an hour
- DTell the patient this is a common, harmless effect
7.ยาก
A patient with raised intracranial pressure is being nursed on the ward. Which position is best?
- AHead of the bed at about 30 degrees with the neck straight
- BSitting forward with the chin on the chest
- CHead down with the legs raised above the heart
- DFlat on the back with the head turned well over to one side
8.ยาก
An infant is choking and cannot cry or breathe. Which technique is correct?
- AAbdominal thrusts, as in adults
- BHolding the infant upside down by the feet
- CBack blows and chest thrusts
- DA blind finger sweep of the mouth
เฉลย
- 1. D · พยาบาลติดตาม แทรกแซงหากจำเป็น และตรวจสอบผลลัพธ์
- 2. C · A fast-acting carbohydrate by mouth, such as glucose tablets or juice
- 3. C · Rank the tasks by urgency after report and plan the time around them
- 4. C · Hold the next dose and report it promptly
- 5. A · “I will stop the tablets as soon as I feel better.”
- 6. B · Assess the airway and call for urgent help
- 7. A · Head of the bed at about 30 degrees with the neck straight
- 8. C · Back blows and chest thrusts
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com