1.やさしい
A urine albumin-to-creatinine ratio (ACR) of at least which value is usually called moderately increased albuminuria?
- A300 mg/dL (3 mg/mL)
- B3 mg/g (0.3 mg/mmol)
- C30 mg/g (3 mg/mmol)
- D3,000 mg/g (300 mg/mmol)
2.やさしい
Why can bilirubin appear in the urine in obstructive jaundice but not in hemolytic jaundice?
- AUnconjugated bilirubin is broken down in the bladder
- BThe kidneys are always damaged in obstructive jaundice
- COnly conjugated bilirubin is water soluble and filtered
- DHemolysis stops the kidneys making any urine at all
3.やさしい
A tuberculin skin test (TST) is read as positive. What does this mean?
- AThe person has never been exposed to TB bacteria
- BThe person definitely has active, contagious pulmonary TB
- CThe person is fully immune and can never develop TB
- DThe person has been infected with TB bacteria at some point
4.ふつう
バンコマイシンのトラフ値が目標範囲を超えています。主な懸念となる有害作用はどれですか?
- A血小板数の増加(血小板増多症)
- B便秘と腹部膨満
- C腎障害(腎毒性)
- D低血糖
5.ふつう
フロセミドを服用している患者のカリウムが 2.9 mEq/L です。看護師が予想する所見はどれですか?
- A心電図での尖って高い T 波
- B筋力低下と下肢のこむら返り
- C腸の活動亢進による下痢と腹部のけいれん痛
- D口の周りのピリピリ感と、陽性のクボステック徴候
6.ふつう
Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?
- AINR and the platelet count
- BKidney function and thyroid function
- CLiver enzymes and serum amylase
- DTroponin and creatine kinase (CK)
7.むずかしい
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- AGlucose 145 mg/dL (8.0 mmol/L) after surgery
- BHemoglobin 12.1 g/dL (121 g/L) after surgery
- CCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- DSodium 136 mEq/L on IV fluids after surgery
8.むずかしい
The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?
- A"I'll stay seated during the test if I can"
- B"I'll avoid smoking until the test is over"
- C"I'll fast overnight but can drink plain water"
- D"I can have a light breakfast before the test"
解答
- 1. C · 30 mg/g (3 mg/mmol)
- 2. C · Only conjugated bilirubin is water soluble and filtered
- 3. D · The person has been infected with TB bacteria at some point
- 4. C · 腎障害(腎毒性)
- 5. B · 筋力低下と下肢のこむら返り
- 6. B · Kidney function and thyroid function
- 7. C · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. D · "I can have a light breakfast before the test"
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