1.Dễ
Which adult blood glucose result needs treatment straight away?
- A110 mg/dL (6,1 mmol/L) after a snack
- B130 mg/dL (7,2 mmol/L) two hours after a large lunch
- C98 mg/dL (5,4 mmol/L) before breakfast
- D52 mg/dL (2,9 mmol/L) with sweating and shakiness
2.Dễ
In US patient-safety terms (The Joint Commission), what is a sentinel event?
- AAn unexpected event that causes death or serious harm
- BA planned admission to intensive care
- CA routine handover between shifts
- DA minor error that was noticed but caused no harm at all
3.Dễ
Which capillary refill time is prolonged in an adult?
- A1 second
- B2 seconds
- C4 seconds
- DLess than 1 second
4.Trung bình
A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?
- ARecord the result and recheck the glucose at the usual time before the evening meal
- BGive another serving of fast-acting carbohydrate and recheck in 15 minutes
- CGive the next scheduled dose of rapid-acting insulin with the meal
- DWait another hour, because juice can take a long time to work
5.Trung bình
A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?
- AStay with the patient, give oxygen as prescribed and have recent vital signs ready
- BLeave the patient for a few minutes to find the relatives and explain what is happening
- CGive a dose of every as-needed medication on the chart
- DGo to the station to finish documentation for other patients
6.Trung bình
During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?
- ARelieve pressure on the cord by lifting the presenting part with a gloved hand
- BWait for the next contraction before acting
- CPush the cord back into the uterus
- DAsk the patient to walk around the room to bring the baby lower and speed up labor
7.Khó
An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?
- AGive abdominal thrusts straight away until the food comes out
- BEncourage the patient to keep coughing and stay with them
- CSweep the mouth blindly with a finger
- DGive the patient water to wash the food down
8.Khó
Trong khi nuôi ăn qua ống liên tục, người bệnh đột nhiên ho, khó thở và SpO₂ tụt. Hành động đầu tiên của điều dưỡng là gì?
- ANgừng nuôi ăn, cho người bệnh ngồi thẳng và đánh giá hô hấp
- BTăng tốc độ nuôi ăn để xong sớm hơn
- CCho người bệnh nằm phẳng để nghỉ
- DBơm rửa ống với 50 mL nước, rồi tiếp tục nuôi ăn như trước
Đáp án
- 1. D · 52 mg/dL (2,9 mmol/L) with sweating and shakiness
- 2. A · An unexpected event that causes death or serious harm
- 3. C · 4 seconds
- 4. B · Give another serving of fast-acting carbohydrate and recheck in 15 minutes
- 5. A · Stay with the patient, give oxygen as prescribed and have recent vital signs ready
- 6. A · Relieve pressure on the cord by lifting the presenting part with a gloved hand
- 7. B · Encourage the patient to keep coughing and stay with them
- 8. A · Ngừng nuôi ăn, cho người bệnh ngồi thẳng và đánh giá hô hấp
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.