1.Dễ
A medication error has just reached a patient. What is the nurse’s first action?
- ATell the nurse manager at the end of the shift
- BComplete an incident report before doing anything else
- CCorrect the entry on the medication record
- DAssess the patient for any effects of the error
2.Dễ
In stroke care, what does the “last known well” time mean?
- AThe last time the patient was seen without stroke symptoms
- BThe time the patient arrived at the hospital and was triaged
- CThe time of the patient’s last meal
- DThe time the first symptom was noticed by a stranger
3.Dễ
What should the nurse try before using physical restraints on a confused patient?
- ARestraining all four limbs to be fully safe
- BLess restrictive measures, such as more frequent checks or a bed alarm
- CAsking the family to bring restraints from home
- DUsing restraints at once and removing them later if they turn out not to be needed
4.Trung bình
Trong phân loại START tại hiện trường thương vong hàng loạt, một nạn nhân có thể đi đến khu vực chỉ định khi được yêu cầu. Nạn nhân được xếp loại nào?
- AXanh lá (nhẹ)
- BVàng (trì hoãn)
- CĐỏ (cấp cứu ngay)
- DĐen (chờ đợi)
5.Trung bình
A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?
- A“I will breathe in slowly and deeply through the mouthpiece.”
- B“I will use it several times every hour while awake.”
- C“I will blow into it as hard and fast as I can.”
- D“I will try to hold my breath for a few seconds at the top.”
6.Trung bình
A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?
- AGive a prescribed diuretic straight away
- BCheck the tubing for kinks or obstruction
- CEncourage the patient to drink more water
- DRemove the catheter and wait for the patient to void
7.Khó
After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?
- AHypovolemic shock from dehydration
- BCardiac tamponade
- CLeft-sided heart failure
- DA blocked urinary catheter
8.Khó
Several patients on a unit develop diarrhea within two days. What should the nurse do first?
- AGive all patients antidiarrheal drugs without assessment
- BMove the affected patients into shared rooms with other patients to free up beds
- CWait to see if more patients become unwell
- DPlace affected patients on contact precautions and inform infection control
Đáp án
- 1. D · Assess the patient for any effects of the error
- 2. A · The last time the patient was seen without stroke symptoms
- 3. B · Less restrictive measures, such as more frequent checks or a bed alarm
- 4. A · Xanh lá (nhẹ)
- 5. C · “I will blow into it as hard and fast as I can.”
- 6. B · Check the tubing for kinks or obstruction
- 7. B · Cardiac tamponade
- 8. D · Place affected patients on contact precautions and inform infection control
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