1.ง่าย
Before giving a medication, how many patient identifiers should the nurse check?
- AOne, the room number
- BNone, if the nurse already knows the patient well
- CAt least two, such as name and date of birth
- DOne, the bed number
2.ง่าย
Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?
- ATurning and repositioning the patient every 2 hours
- BPlanning the patient’s skin care
- CChoosing which wound dressing to use
- DDeciding whether a pressure injury has got worse since yesterday
3.ง่าย
Which capillary refill time is prolonged in an adult?
- A1 second
- B4 seconds
- C2 seconds
- DLess than 1 second
4.ปานกลาง
ในหน่วยอายุรกรรมรวม พยาบาลควรไปดูผู้ป่วยรายใดก่อน?
- Aผู้ป่วยซึมเศร้าที่มอบสิ่งของของตนให้ผู้อื่นและมีแผนฆ่าตัวตาย
- Bผู้ป่วยปวดศีรษะจากความตึงเครียดเล็กน้อยที่ขอพาราเซตามอล
- Cผู้ป่วยที่ขอข้อมูลเป็นลายลักษณ์อักษรเรื่องการจำหน่ายพรุ่งนี้
- Dผู้ป่วยความดันโลหิตสูงที่ความดันโลหิต 136/84 mmHg
5.ปานกลาง
Several patients on a gastroenterology unit need care. Which patient should the nurse see first?
- ACrohn disease, waiting to be taken down for a scheduled CT scan
- BLong-standing back pain, asking for the usual analgesic
- CTwo hours after a colonoscopy: rigid abdomen and severe new pain
- DUlcerative colitis, asking about diet changes for home
6.ปานกลาง
A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?
- A“I will take my weight on my hands, not on my armpits.”
- B“I will remove loose rugs from the floor at home.”
- C“I will keep the crutch tips in good condition.”
- D“I will lean on the crutch pads under my arms to rest.”
7.ยาก
A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?
- AThe pain has moved to a different, harmless place
- BThe appendicitis is getting better without surgery
- CThe appendix may have ruptured, causing peritonitis
- DThe patient’s analgesic has finally started to work
8.ยาก
A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?
- AA urinary tract infection
- BPlacenta previa, which is usually painless
- CNormal labor contractions starting
- DPlacental abruption, which is an emergency
เฉลย
- 1. C · At least two, such as name and date of birth
- 2. A · Turning and repositioning the patient every 2 hours
- 3. B · 4 seconds
- 4. A · ผู้ป่วยซึมเศร้าที่มอบสิ่งของของตนให้ผู้อื่นและมีแผนฆ่าตัวตาย
- 5. C · Two hours after a colonoscopy: rigid abdomen and severe new pain
- 6. D · “I will lean on the crutch pads under my arms to rest.”
- 7. C · The appendix may have ruptured, causing peritonitis
- 8. D · Placental abruption, which is an emergency
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