1.Dễ
Which term describes a patient who is unable to understand and decide about their own care?
- AProviding valid informed consent
- BExercising autonomy
- CLacking decision-making capacity
- DFully competent
2.Dễ
Trong ủy quyền, "đúng hoàn cảnh" nghĩa là gì?
- ABối cảnh và tình trạng người bệnh làm cho việc ủy quyền an toàn
- BĐiều dưỡng kiểm tra kết quả sau khi nhiệm vụ hoàn thành
- CNhiệm vụ được ghi rõ trong bản mô tả công việc của người được ủy quyền
- DĐiều dưỡng đưa hướng dẫn rõ ràng, cụ thể cho người được ủy quyền
3.Dễ
Which medication is the first-line treatment for anaphylaxis?
- AIntramuscular epinephrine
- BAn inhaled corticosteroid
- COral paracetamol (acetaminophen)
- DAn oral antihistamine
4.Trung bình
An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?
- AGive IV sodium bicarbonate as soon as it can be found
- BStay with the patient and coach slow, calm breathing
- CGive oxygen at the highest flow and leave the room
- DEncourage the patient to breathe even faster
5.Trung bình
Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?
- AAsk the patient to lie still for another hour
- BMassage the uterus firmly for ten minutes
- CHelp the patient empty her bladder
- DGive a dose of oxytocin straight away
6.Trung bình
An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?
- AGive a sedative from the as-needed list without first assessing the patient
- BRaise all four bed rails so the patient cannot climb out
- CApply wrist restraints for the rest of the night
- DCheck for pain, thirst or a full bladder, and offer toileting
7.Khó
A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?
- ALet the nurse work, but only with stable patients
- BAsk the nurse to drink coffee and then start work
- CWait until the end of the shift and then discuss the concern with the nurse privately
- DRemove the nurse from patient care and report it according to policy
8.Khó
Several patients on a unit develop diarrhea within two days. What should the nurse do first?
- AWait to see if more patients become unwell
- BGive all patients antidiarrheal drugs without assessment
- CPlace affected patients on contact precautions and inform infection control
- DMove the affected patients into shared rooms with other patients to free up beds
Đáp án
- 1. C · Lacking decision-making capacity
- 2. A · Bối cảnh và tình trạng người bệnh làm cho việc ủy quyền an toàn
- 3. A · Intramuscular epinephrine
- 4. B · Stay with the patient and coach slow, calm breathing
- 5. C · Help the patient empty her bladder
- 6. D · Check for pain, thirst or a full bladder, and offer toileting
- 7. D · Remove the nurse from patient care and report it according to policy
- 8. C · Place affected patients on contact precautions and inform infection control
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