1.やさしい
What is the main role of platelets?
- ATo form a plug at the site of vessel injury
- BTo break down old red cells in the spleen
- CTo produce antibodies against bacteria and viruses
- DTo carry oxygen and carbon dioxide in the blood
2.やさしい
Which drug commonly causes a low serum potassium?
- ALisinopril
- BFurosemide
- CSpironolactone
- DAmiloride
3.やさしい
血清ナトリウムが 128 mEq/L の状態は何と呼ばれますか?
- A低ナトリウム血症
- B低カリウム血症
- C高ナトリウム血症
- D高カリウム血症
4.ふつう
Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?
- ABoth from the same site, one minute apart, to save time for the patient
- BFrom two separate venipuncture sites, using strict aseptic technique
- CFrom the existing IV line while the infusion continues to run
- DAfter the first antibiotic dose, so the infusion is not delayed
5.ふつう
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
- ATroponin, creatine kinase and myoglobin
- BComplete blood count, liver tests and kidney function
- CSerum lithium, sodium and urine specific gravity
- DSerum amylase, lipase and blood ketones
6.ふつう
A urine culture report states "mixed growth of three organisms, likely contamination." What is the nurse's best response?
- AStart treatment for all three organisms with three antibiotics
- BInform the provider and arrange a new, correctly collected sample
- CDiscard the report, because a mixed growth is always normal
- DRecord the result as a confirmed urinary tract infection
7.むずかしい
A patient with a round face, central weight gain and purple stretch marks has a glucose of 210 mg/dL (11.7 mmol/L) and a potassium of 3.1 mEq/L. Which condition fits best?
- ADiabetes insipidus
- BCushing syndrome
- CHypothyroidism
- DAdrenal insufficiency
8.むずかしい
A patient with SIADH is on fluid restriction. Which task can the RN delegate to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?
- AMeasuring and recording intake and output
- BAssessing the patient for new confusion
- CTeaching the reasons for fluid restriction
- DDeciding when to recheck the sodium level
解答
- 1. A · To form a plug at the site of vessel injury
- 2. B · Furosemide
- 3. A · 低ナトリウム血症
- 4. B · From two separate venipuncture sites, using strict aseptic technique
- 5. B · Complete blood count, liver tests and kidney function
- 6. B · Inform the provider and arrange a new, correctly collected sample
- 7. B · Cushing syndrome
- 8. A · Measuring and recording intake and output
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