1.やさしい
What does the red cell distribution width (RDW) describe?
- AHow much the red cells vary in size
- BHow long red cells survive in the blood
- CHow fast the red cells settle in a tube
- DHow many red cells are young cells
2.やさしい
Vitamin B12 deficiency typically causes which type of anemia?
- AHemolytic anemia, with destroyed red cells
- BAplastic anemia, with an empty bone marrow
- CMicrocytic anemia, with small red cells
- DMacrocytic anemia, with large red cells
3.やさしい
成人女性で、典型的な基準範囲を下回るヘモグロビン値はどれですか?
- A14.6 g/dL(146 g/L)
- B12.8 g/dL(128 g/L)
- C9.2 g/dL(92 g/L)
- D13.5 g/dL(135 g/L)
4.ふつう
A patient has a calcium of 11.8 mg/dL (2.95 mmol/L) from bone metastases. Which nursing measure is appropriate?
- AEncourage fluids and mobility as tolerated
- BGive calcium carbonate antacids for nausea
- CEncourage bed rest and limit oral fluids
- DOffer extra milk and cheese at each meal
5.ふつう
A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?
- ARepeat the test in 10 years
- BStart an iron supplement only
- CReferral for colonoscopy
- DNo action if there are no symptoms
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
- CCreatine kinase (CK)
- DSerum ammonia
7.むずかしい
Ten minutes into a red cell transfusion, a patient develops fever, chills, low back pain and dark urine. After stopping the transfusion, what should the nurse do next?
- AFlush the remaining blood through the line with the IV fluid to finish it
- BDiscard the blood bag and tubing in the clinical waste to stop exposure
- CKeep the IV open with normal saline using new tubing and call the provider
- DRestart the transfusion more slowly after giving an antipyretic drug
8.むずかしい
A patient taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10.5 mmol/L), pH 7.15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?
- AHyperosmolar hyperglycemic state
- BEuglycemic diabetic ketoacidosis
- CSimple fasting ketosis only
- DRespiratory acidosis from COPD
解答
- 1. A · How much the red cells vary in size
- 2. D · Macrocytic anemia, with large red cells
- 3. C · 9.2 g/dL(92 g/L)
- 4. A · Encourage fluids and mobility as tolerated
- 5. C · Referral for colonoscopy
- 6. C · Creatine kinase (CK)
- 7. C · Keep the IV open with normal saline using new tubing and call the provider
- 8. B · Euglycemic diabetic ketoacidosis
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