1.やさしい
What is a typical adult reference range for total serum bilirubin?
- AAbout 0.3–1.2 mg/dL (5–21 µmol/L)
- BAbout 10–20 mg/dL (171–342 µmol/L)
- CAbout 3–12 mg/dL (51–205 µmol/L)
- DAbout 0.03–0.1 mg/dL (0.5–1.7 µmol/L)
2.やさしい
Why is serum creatinine a better marker of kidney function than BUN?
- AIt is made by the liver, so it rises in every kind of illness
- BIt is affected mainly by protein intake, which is easy to control
- CIt is not filtered by the kidneys, so its level stays very stable
- DIt is less affected by diet, hydration and bleeding in the gut
3.やさしい
Lactate is mainly produced when cells:
- AStore glucose as glycogen in the muscles
- BBreak down fat completely with oxygen
- CBreak down protein in the liver for energy
- DBreak down glucose without enough oxygen
4.ふつう
敗血症が疑われる患者の血液培養は、いつ採取すべきですか?
- A抗菌薬は結果に影響しないので、いつでも
- B発熱が 3 日を超えて続く場合のみ
- C抗菌薬の最初の 3 回の投与後
- D最初の抗菌薬の前に、投与をあまり遅らせずに
5.ふつう
A patient's eGFR has fallen to 24 mL/min/1.73 m². Which prescribed drug should the nurse question before giving it?
- AInsulin glargine
- BLevothyroxine
- CAcetaminophen (paracetamol)
- DMetformin
6.ふつう
患者の左前腕に輸液が入っています。看護師はどこから採血すべきですか?
- A輸液が流れている間に、点滴の留置針から
- B反対側の腕から
- C輸液は結果に影響しないので、どの静脈からでも
- D同じ腕の、点滴の刺入部のすぐ上から
7.むずかしい
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
- APersistent bacteremia, as in infective endocarditis
- BA urinary tract infection that has spread to the skin
- CA normal finding in patients with heart murmurs
- DContamination of all three samples during collection
8.むずかしい
Ten minutes into a red cell transfusion, a patient develops fever, chills, low back pain and dark urine. After stopping the transfusion, what should the nurse do next?
- ARestart the transfusion more slowly after giving an antipyretic drug
- BFlush the remaining blood through the line with the IV fluid to finish it
- CDiscard the blood bag and tubing in the clinical waste to stop exposure
- DKeep the IV open with normal saline using new tubing and call the provider
解答
- 1. A · About 0.3–1.2 mg/dL (5–21 µmol/L)
- 2. D · It is less affected by diet, hydration and bleeding in the gut
- 3. D · Break down glucose without enough oxygen
- 4. D · 最初の抗菌薬の前に、投与をあまり遅らせずに
- 5. D · Metformin
- 6. B · 反対側の腕から
- 7. A · Persistent bacteremia, as in infective endocarditis
- 8. D · Keep the IV open with normal saline using new tubing and call the provider
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