1.やさしい
息切れのある患者で、B 型ナトリウム利尿ペプチド(BNP)の上昇が最も強く支持する病態はどれですか?
- A肺炎
- B心不全
- C喘息発作
- Dパニック発作
2.やさしい
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
- A60 mL/min/1.73 m²
- B45 mL/min/1.73 m²
- C15 mL/min/1.73 m²
- D90 mL/min/1.73 m²
3.やさしい
Using American Diabetes Association (ADA) criteria, a fasting plasma glucose of 100–125 mg/dL (5.6–6.9 mmol/L) is classed as:
- APrediabetes (impaired fasting glucose)
- BType 1 diabetes mellitus
- CMild hypoglycemia (low glucose)
- DNormal fasting glucose for an adult
4.ふつう
A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?
- ALow glucose and high magnesium
- BHigh sodium and high calcium
- CHigh potassium and high bicarbonate
- DLow potassium and low bicarbonate
5.ふつう
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
- AVitamin B12
- BFolate (folic acid)
- CVitamin C (ascorbic acid)
- DIron (low ferritin)
6.ふつう
Which instruction is correct for a patient taking an oral potassium chloride supplement?
- AUse a salt substitute as well, so less of the tablet is needed each day
- BTake it with food and a full glass of water, and do not crush extended-release tablets
- CTake it on an empty stomach with only a small sip of water to speed absorption
- DCrush the extended-release tablets and mix them with a little water if needed
7.むずかしい
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- AGlucose 145 mg/dL (8.0 mmol/L) after surgery
- BHemoglobin 12.1 g/dL (121 g/L) after surgery
- CSodium 136 mEq/L on IV fluids after surgery
- DCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
8.むずかしい
A patient has a hematocrit of 60% and a raised red cell mass. Which result suggests polycythemia vera rather than secondary polycythemia from chronic hypoxia?
- AA low oxygen saturation
- BA high carboxyhemoglobin
- CA low erythropoietin level
- DA high erythropoietin level
解答
- 1. B · 心不全
- 2. C · 15 mL/min/1.73 m²
- 3. A · Prediabetes (impaired fasting glucose)
- 4. D · Low potassium and low bicarbonate
- 5. A · Vitamin B12
- 6. B · Take it with food and a full glass of water, and do not crush extended-release tablets
- 7. D · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. C · A low erythropoietin level
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。