1.ง่าย
ในการมอบหมายงาน "คำสั่งและการสื่อสารที่ถูกต้อง" (right directions and communication) หมายความว่าอย่างไร?
- Aคำสั่งที่ชัดเจนและเฉพาะเจาะจง: ต้องทำอะไร เมื่อไร และต้องรายงานกลับอะไร
- Bบอกผู้รับมอบหมายให้ใช้วิจารณญาณของตนเอง
- Cขอให้ผู้รับมอบหมายรายงานข้อสังเกตผิดปกติเมื่อสิ้นสุดเวร
- Dเขียนงานไว้ในเวชระเบียนของผู้ป่วยเท่านั้น
2.ง่าย
Which protective equipment is needed for airborne precautions?
- AA fit-tested N95 or FFP3 respirator
- BA plastic apron only
- CA simple surgical mask worn loosely
- DGloves only
3.ง่าย
Which patient usually fits ESI level 5?
- AAn adult in cardiac arrest
- BA stable adult who only needs a repeat prescription
- CAn adult with chest pain suggesting a heart attack
- DA stable adult who needs blood tests and an X-ray of the chest
4.ปานกลาง
A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?
- A“I will use my reliever inhaler and get emergency help straight away.”
- B“I will go for a short run to open up my lungs.”
- C“I will stop all my inhalers until the reading is back up.”
- D“I will wait until tomorrow morning to see if the reading gets better on its own.”
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 report signs of infection early.”
- C“I will tell my dentist and other doctors that I take a steroid.”
- D“I will take the tablets with food.”
6.ปานกลาง
Before accessing a central venous catheter, what should the nurse do to prevent infection?
- ATouch the hub to check it is clean
- BBlow on the hub to remove any dust before connecting the syringe or line
- CRinse the hub with tap water and dry it
- DScrub the hub with an antiseptic such as chlorhexidine and let it dry
7.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
- BAcute kidney injury with oliguria
- CSIADH
- DDiabetic ketoacidosis
8.ยาก
A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?
- ALet the patient sleep, because the saturation is above target
- BAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
- CGive the as-needed sedative so the patient rests comfortably
- DIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
เฉลย
- 1. A · คำสั่งที่ชัดเจนและเฉพาะเจาะจง: ต้องทำอะไร เมื่อไร และต้องรายงานกลับอะไร
- 2. A · A fit-tested N95 or FFP3 respirator
- 3. B · A stable adult who only needs a repeat prescription
- 4. A · “I will use my reliever inhaler and get emergency help straight away.”
- 5. A · “I will stop the tablets as soon as I feel better.”
- 6. D · Scrub the hub with an antiseptic such as chlorhexidine and let it dry
- 7. A · Diabetes insipidus
- 8. B · Assess breathing and escalate for a blood gas, as carbon dioxide may be rising
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