1.Dễ
Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?
- A2,0–3,0
- B6,0–7,0
- C0,5–1,0
- D4,0–5,0
2.Dễ
What should the nurse try before using physical restraints on a confused patient?
- AUsing restraints at once and removing them later if they turn out not to be needed
- BLess restrictive measures, such as more frequent checks or a bed alarm
- CAsking the family to bring restraints from home
- DRestraining all four limbs to be fully safe
3.Dễ
Which phrase in a question usually signals a priority question?
- A“Which term means inflammation of the liver?”
- B“Which action should the nurse take first?”
- C“Which statement describes this drug’s class?”
- D“Which bone is found in the forearm?”
4.Trung bình
Which practice makes a shift handover safest?
- AHanding over only the patients who had problems during the shift
- BA structured format, such as SBAR, with time for questions
- CA quick chat in the corridor with no notes taken
- DLeaving a sticky note on the computer screen for the next nurse
5.Trung bình
A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?
- AThe surgical dressing and the drains
- BThe pain score
- CUrine output
- DAirway patency and breathing
6.Trung bình
Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?
- AChange both of their assignments without any discussion
- BIgnore it and hope they sort it out
- CMeet both of them privately to hear each side
- DReport them to human resources at once
7.Khó
Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?
- AA patient with influenza on droplet precautions
- BA patient with C. difficile diarrhea
- CA patient with an MRSA wound infection
- DA patient with neutropenia after chemotherapy
8.Khó
A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?
- ARespect the refusal, check the patient understands the risks and inform the provider
- BGive the transfusion while the patient is asleep, because saving their life comes first
- CTell the patient that refusing treatment is not allowed in hospital
- DAsk the family to persuade the patient until they agree
Đáp án
- 1. A · 2,0–3,0
- 2. B · Less restrictive measures, such as more frequent checks or a bed alarm
- 3. B · “Which action should the nurse take first?”
- 4. B · A structured format, such as SBAR, with time for questions
- 5. D · Airway patency and breathing
- 6. C · Meet both of them privately to hear each side
- 7. D · A patient with neutropenia after chemotherapy
- 8. A · Respect the refusal, check the patient understands the risks and inform the provider
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