1.やさしい
Which sample is commonly used to screen a patient for MRSA carriage on admission?
- AA swab from the front of the nose
- BA blood culture from one arm
- CA sample of stool sent for culture
- DA clean-catch midstream urine sample
2.やさしい
Uric acid in the blood is a breakdown product of:
- AFats
- BPurines
- CGlucose
- DHemoglobin
3.やさしい
A raised neutrophil count (neutrophilia) is most typical of:
- AHay fever and asthma
- BAcute bacterial infection
- CVitamin B12 deficiency
- DA mild viral cold
4.ふつう
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- AStop dialysis for a week and recheck the fluid later
- BRecord it as normal and continue the usual exchanges
- CSend the fluid for cell count and culture and report it
- DAdd more glucose to the next bag to clear the fluid
5.ふつう
処方された塩化カリウムを静脈内投与する前に、最も重要なアセスメントはどれですか?
- A両耳の聴力
- B前腕の皮膚ツルゴール
- C尿量と腎機能
- D瞳孔の大きさと対光反射
6.ふつう
A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?
- AIt is given as an undiluted bolus into a large vein to avoid irritation
- BIt may be given as a slow IV push over one minute if the level is very low
- CIt is always diluted and given by infusion pump, never as an IV push
- DIt is added to the IV bag without mixing, so it stays at the bottom
7.むずかしい
心不全の患者の BNP は入院時に非常に高く、利尿薬による治療後の現在は低下しています。これは何を最も示している可能性が高いですか?
- Aただちに利尿薬を中止しなければならない
- B心不全の悪化で、より多くの輸液が必要
- C利尿薬による新たな腎不全
- D心臓への伸展が減っており、改善と合致する
8.むずかしい
A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1.8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8.8 mmol/L). Which condition fits best?
- APrerenal kidney injury
- BLiver cirrhosis only
- CAcute pyelonephritis
- DNephrotic syndrome
解答
- 1. A · A swab from the front of the nose
- 2. B · Purines
- 3. B · Acute bacterial infection
- 4. C · Send the fluid for cell count and culture and report it
- 5. C · 尿量と腎機能
- 6. C · It is always diluted and given by infusion pump, never as an IV push
- 7. D · 心臓への伸展が減っており、改善と合致する
- 8. D · Nephrotic syndrome
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