1.やさしい
A raised lymphocyte count is most typical of:
- AViral infections
- BAllergic asthma
- CBacterial abscesses
- DIron deficiency
2.やさしい
主に肝細胞が傷害されたときに上昇する肝臓の検査はどれですか?
- Aヘモグロビン A1c(HbA1c)
- B血中尿素窒素(BUN)
- CALT(アラニンアミノトランスフェラーゼ)
- Dクレアチンキナーゼ(CK)
3.やさしい
尿比重 1.035 は、何を最も強く示唆しますか?
- A脱水のときのような、濃縮した尿
- B尿路感染症
- Cすべての患者にとって正常な尿
- D尿崩症のときのような、非常に薄い尿
4.ふつう
When blood is drawn from a central venous catheter, why is a small volume of blood usually discarded first, according to policy?
- ATo check that the catheter tip is still in the right vein
- BTo remove blood clots that form in all central lines
- CTo avoid diluting the sample with flush or infusion fluid
- DTo lower the patient's hemoglobin for a blood transfusion
5.ふつう
A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?
- ASerum amylase
- BSerum sodium
- CSerum calcium
- DSerum chloride
6.ふつう
A urine culture report states "mixed growth of three organisms, likely contamination." What is the nurse's best response?
- ARecord the result as a confirmed urinary tract infection
- BDiscard the report, because a mixed growth is always normal
- CInform the provider and arrange a new, correctly collected sample
- DStart treatment for all three organisms with three antibiotics
7.むずかしい
患者の総カルシウムが 7.9 mg/dL(2.0 mmol/L)、アルブミンが 2.4 g/dL(24 g/L)で、症状はありません。真の低カルシウム血症があるかどうかを最もよく明らかにする検査はどれですか?
- A尿比重
- Bイオン化カルシウム
- CHbA1c
- D血清ナトリウム
8.むずかしい
A patient on hemodialysis receives epoetin, but the hemoglobin has not risen in 2 months. Which results should be checked first?
- AAmylase and lipase levels
- BTSH and the free T3 level
- CTroponin and creatine kinase
- DFerritin and transferrin saturation
解答
- 1. A · Viral infections
- 2. C · ALT(アラニンアミノトランスフェラーゼ)
- 3. A · 脱水のときのような、濃縮した尿
- 4. C · To avoid diluting the sample with flush or infusion fluid
- 5. C · Serum calcium
- 6. C · Inform the provider and arrange a new, correctly collected sample
- 7. B · イオン化カルシウム
- 8. D · Ferritin and transferrin saturation
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