1.やさしい
Which laboratory test is used to monitor warfarin therapy?
- AaPTT
- BD-dimer
- CPlatelet count
- DPT with INR
2.やさしい
What is the main effect of antidiuretic hormone (ADH) on the kidneys?
- AMore water is reabsorbed, so urine is concentrated
- BMore glucose is excreted, so the urine contains sugar
- CMore water is excreted, so the urine becomes dilute
- DMore potassium is reabsorbed, so the serum potassium rises
3.やさしい
Uric acid in the blood is a breakdown product of:
- AGlucose
- BPurines
- CHemoglobin
- DFats
4.ふつう
When should a blood sample for a digoxin level be drawn to be interpreted correctly?
- AAt least 6–8 hours after a dose, often just before the next one
- BAt any time, because digoxin levels do not change during the day
- COnly after a meal, because food is needed for absorption
- DWithin 30 minutes after an oral dose to show the peak level
5.ふつう
心房細動のためにワルファリンを服用している患者の INR が 5.2 で、出血はありません。看護師の最もよい対応はどれですか?
- A通常の用量を投与し、1 か月後に再検査する
- B今日から緑色の野菜を食べるのをやめるよう助言する
- C2 倍量を投与する
- Dワルファリンの投与を保留し、処方者に知らせる
6.ふつう
A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?
- ACardiac troponin
- BSerum lipase
- CSerum ammonia
- DCreatine kinase (CK)
7.むずかしい
Four results arrive at the same time. Which patient should the nurse see first?
- AHemoglobin 10.4 g/dL (104 g/L) in a patient with stable chronic kidney disease
- BWhite cell count 12.0 × 10³/µL on the first day after surgery
- CGlucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
- DINR 2.6 in a patient on warfarin for atrial fibrillation
8.むずかしい
A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?
- AMagnesium is excreted by the kidneys, so it can build up to toxic levels
- BMagnesium causes potassium loss, so the kidneys release more fluid
- CPoor kidney function makes the magnesium level fall quickly
- DMagnesium is broken down by the liver, so it will stop working soon
解答
- 1. D · PT with INR
- 2. A · More water is reabsorbed, so urine is concentrated
- 3. B · Purines
- 4. A · At least 6–8 hours after a dose, often just before the next one
- 5. D · ワルファリンの投与を保留し、処方者に知らせる
- 6. D · Creatine kinase (CK)
- 7. C · Glucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
- 8. A · Magnesium is excreted by the kidneys, so it can build up to toxic levels
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