1.やさしい
What is a "critical value" (panic value) in laboratory reporting?
- AAny result that is slightly outside the laboratory reference range
- BA result so abnormal that it may threaten life and needs prompt action
- CA result that is normal but differs from the patient's last value
- DA result that the laboratory could not measure because of a bad sample
2.やさしい
Using American Diabetes Association (ADA) criteria, which HbA1c range is classed as prediabetes?
- A5.7–6.4% (39–47 mmol/mol)
- B6.5–7.5% (48–58 mmol/mol)
- C8.0–9.0% (64–75 mmol/mol)
- D4.0–5.6% (20–38 mmol/mol)
3.やさしい
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- ANormal
- BLow
- CHigh
- DAbsent
4.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ワルファリンの投与を保留し、処方者に知らせる
- 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
- C通常の用量を投与し、1 か月後に再検査する
- D2 倍量を投与する
5.ふつう
For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?
- AAbout 140–180 mg/dL (7.8–10 mmol/L)
- BAbout 60–80 mg/dL (3.3–4.4 mmol/L)
- CAbout 250–300 mg/dL (13.9–16.7 mmol/L)
- DAbout 300–350 mg/dL (16.7–19.4 mmol/L)
6.ふつう
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
- AHbA1c and lipid panel
- BTSH and free T4
- CSerum sodium and chloride
- DPlatelet count and PT/INR
7.むずかしい
A patient admitted with heavy alcohol use and malnutrition has a glucose of 52 mg/dL (2.9 mmol/L) and low magnesium. Which prescribed treatment should be given before the IV glucose?
- AOral iron
- BIV insulin
- CIV thiamine
- DIV potassium
8.むずかしい
A patient with ongoing hemolytic anemia has an HbA1c of 4.6%, but home glucose readings are often 180–220 mg/dL (10–12 mmol/L). What best explains the gap?
- AHemolysis makes the HbA1c test read too high
- BShort red cell life span lowers the HbA1c falsely
- CThe home glucose meter is reading falsely high
- DThe patient has true, well-controlled diabetes
解答
- 1. B · A result so abnormal that it may threaten life and needs prompt action
- 2. A · 5.7–6.4% (39–47 mmol/mol)
- 3. C · High
- 4. A · ワルファリンの投与を保留し、処方者に知らせる
- 5. A · About 140–180 mg/dL (7.8–10 mmol/L)
- 6. D · Platelet count and PT/INR
- 7. C · IV thiamine
- 8. B · Short red cell life span lowers the HbA1c falsely
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