1.ง่าย
What is the purpose of the “time-out” just before a surgical procedure?
- ATo let the family say goodbye to the patient
- BTo count the swabs at the end of the operation
- CTo confirm the correct patient, procedure and site
- DTo give the surgeon a short rest before the operation starts
2.ง่าย
Using the PASS method for a fire extinguisher, what is the first step?
- ASqueeze the handle
- BPull the pin
- CAim at the base of the fire
- DSweep from side to side
3.ง่าย
What does a “PRN” medication order mean?
- AGive the drug when needed, within the prescribed limits
- BGive the drug once only, immediately
- CGive the drug at exactly the same time every single day
- DGive the drug only before surgery
4.ปานกลาง
A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?
- AReassure the patient that a coarse tremor is expected at first
- BGive the dose with food to reduce the stomach upset
- CHold the next dose and report for an urgent lithium level
- DEncourage the patient to cut down on salt and fluids
5.ปานกลาง
เมื่อใช้ดัชนีความรุนแรงของแผนกฉุกเฉิน (ESI) ผู้ป่วยรายใดได้รับระดับความเร่งด่วนสูงสุด?
- Aผู้ป่วยที่อาจกระดูกข้อเท้าหัก
- Bผู้ป่วยเจ็บคอสามวันที่สัญญาณชีพปกติ
- Cผู้ป่วยที่ไม่ตอบสนองและหายใจเฮือกไม่สม่ำเสมอ
- Dผู้ป่วยเจ็บหน้าอกที่สัญญาณชีพปกติ
6.ปานกลาง
Which action helps prevent a catheter-associated urinary tract infection?
- ALeaving the catheter in place longer than needed
- BDisconnecting the bag every shift to empty it
- CRaising the drainage bag above the bladder when walking
- DKeeping the drainage bag below the level of the bladder
7.ยาก
A patient in labor is receiving oxytocin, and the fetal monitor shows repeated late decelerations. What should the nurse do first?
- AIncrease the oxytocin rate
- BPlace the patient flat on her back
- CStop the oxytocin infusion
- DEncourage the patient to start pushing
8.ยาก
After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?
- ADiabetes insipidus
- BSIADH
- CDiabetic ketoacidosis
- DAcute kidney injury with oliguria
เฉลย
- 1. C · To confirm the correct patient, procedure and site
- 2. B · Pull the pin
- 3. A · Give the drug when needed, within the prescribed limits
- 4. C · Hold the next dose and report for an urgent lithium level
- 5. C · ผู้ป่วยที่ไม่ตอบสนองและหายใจเฮือกไม่สม่ำเสมอ
- 6. D · Keeping the drainage bag below the level of the bladder
- 7. C · Stop the oxytocin infusion
- 8. A · Diabetes insipidus
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