1.やさしい
A raised procalcitonin level most strongly suggests:
- AAn allergic reaction
- BA viral common cold
- CIron-deficiency anemia
- DA bacterial infection
2.やさしい
For a fasting plasma glucose test, the patient should have had no caloric intake for at least:
- A1 hour
- B24 hours
- C8 hours
- D3 hours
3.やさしい
糖尿病の人の早期の腎障害をスクリーニングするために用いられる尿検査はどれですか?
- A尿中アルブミン・クレアチニン比(ACR)
- B細菌の尿培養
- C尿比重
- D尿妊娠検査
4.ふつう
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- ASend the fluid for cell count and culture and report it
- BRecord it as normal and continue the usual exchanges
- CStop dialysis for a week and recheck the fluid later
- DAdd more glucose to the next bag to clear the fluid
5.ふつう
1 時間前に胸痛が始まった患者の、最初のトロポニンが正常でした。正しい解釈はどれですか?
- A梗塞は否定されておらず、プロトコルに従ってトロポニンを再測定する
- Bトロポニンは、胸痛のある患者には役に立たない
- C患者はすぐに帰宅できる
- D梗塞は否定されたので、それ以上のトロポニン検査は不要である
6.ふつう
Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?
- AA low temperature and slow heart rate
- BCrackles, hypertension and a raised BNP
- CHives and itching without other signs
- DBack pain with dark red urine output
7.むずかしい
Which patient should the nurse assess first?
- AStable angina with a total cholesterol of 245 mg/dL (6.3 mmol/L)
- BChest pain with troponin rising from the first to the second sample
- CHeart failure with a BNP lower than the result on admission
- DHypertension with a potassium of 3.6 mEq/L on a thiazide
8.むずかしい
A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?
- ARapid infusion of 3% saline to raise the volume
- BGradual replacement of free water over many hours
- CStrict fluid restriction to below 800 mL a day
- DA loop diuretic to remove the extra sodium quickly
解答
- 1. D · A bacterial infection
- 2. C · 8 hours
- 3. A · 尿中アルブミン・クレアチニン比(ACR)
- 4. A · Send the fluid for cell count and culture and report it
- 5. A · 梗塞は否定されておらず、プロトコルに従ってトロポニンを再測定する
- 6. B · Crackles, hypertension and a raised BNP
- 7. B · Chest pain with troponin rising from the first to the second sample
- 8. B · Gradual replacement of free water over many hours
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。