1.やさしい
In iron-deficiency anemia, the transferrin saturation is usually:
- AVariable
- BHigh
- CNormal
- DLow
2.やさしい
成人の血清リン酸の典型的な基準範囲はどれですか?
- A約 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- B約 5.5–7.5 mg/dL(1.8–2.4 mmol/L)
- C約 0.5–1.5 mg/dL(0.2–0.5 mmol/L)
- D約 8.5–10.5 mg/dL(2.1–2.6 mmol/L)
3.やさしい
A urine dipstick is positive for nitrites. What does this most likely show?
- ABacteria in the urine that convert nitrate to nitrite
- BRed blood cells leaking from the glomeruli
- CGlucose spilling into the urine from high blood levels
- DKetones produced from fat breakdown in fasting
4.ふつう
When should the nurse check the glucose before giving a mealtime dose of rapid-acting insulin (such as lispro)?
- ATwo hours after the meal, then giving the insulin dose
- BOnly once a day, then giving the same dose before every meal
- CJust before the meal, giving insulin when the food is ready
- DAt bedtime only, then giving the mealtime insulin overnight
5.ふつう
A patient is starting dabigatran, a direct oral anticoagulant. Which laboratory test is most important to review before the first dose?
- ALipase, to rule out an inflamed pancreas first
- BKidney function (creatinine clearance)
- CTSH, to rule out an overactive thyroid gland
- DINR, to set the dose of the anticoagulant
6.ふつう
A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7.3 mmol/L) on Monday and 138 mg/dL (7.7 mmol/L) on Thursday. What does this show?
- AThe results are within the normal fasting range
- BThe results meet the criteria for diabetes
- CThe results show prediabetes only
- DThe results show reactive hypoglycemia
7.むずかしい
腎臓に問題がなく、心電図が正常な患者のカリウムが 6.2 mEq/L でした。検査室は、検体が溶血していたとコメントしています。最もよい解釈はどれですか?
- A患者には腎不全がある
- B結果は偽高値の可能性があり、患者をアセスメントして再採血を手配する
- Cそれ以上の確認なしに、すぐにインスリンとブドウ糖で治療する
- Dカリウムは確実に正常で、フォローアップは不要である
8.むずかしい
A patient without symptoms has a finger-stick glucose of 340 mg/dL (18.9 mmol/L). The previous values were normal, and the patient has just peeled an orange. What should the nurse do first?
- AAsk the laboratory to measure HbA1c from the same drop of blood
- BReport the result as a new diagnosis of diabetes mellitus
- CHave the patient wash and dry their hands, then repeat the test
- DGive a correction dose of insulin for a glucose of 340 mg/dL
解答
- 1. D · Low
- 2. A · 約 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- 3. A · Bacteria in the urine that convert nitrate to nitrite
- 4. C · Just before the meal, giving insulin when the food is ready
- 5. B · Kidney function (creatinine clearance)
- 6. B · The results meet the criteria for diabetes
- 7. B · 結果は偽高値の可能性があり、患者をアセスメントして再採血を手配する
- 8. C · Have the patient wash and dry their hands, then repeat the test
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