1.やさしい
What is the difference between serum and plasma?
- ASerum contains all the red cells, while plasma contains none
- BPlasma is the fluid left after blood clots, without fibrinogen
- CSerum is what is left after blood clots, minus clotting factors
- DSerum and plasma are two names for exactly the same fluid
2.やさしい
What does a raised erythrocyte sedimentation rate (ESR) show?
- ADamage to heart muscle within the past few hours
- BInflammation somewhere in the body, without showing where
- CA specific infection of the urinary tract by bacteria
- DA low level of iron stored in the bone marrow
3.やさしい
Why is serum creatinine a better marker of kidney function than BUN?
- AIt is affected mainly by protein intake, which is easy to control
- BIt is made by the liver, so it rises in every kind of illness
- CIt is less affected by diet, hydration and bleeding in the gut
- DIt is not filtered by the kidneys, so its level stays very stable
4.ふつう
患者の血小板数が 18 × 10³/µL です。適切な看護はどれですか?
- A1 日 2 回のデンタルフロスと、鋭利なカミソリの刃での髭剃りを勧める
- B正確さのために、4 時間ごとに直腸で体温を測定する
- C頭痛のときに、処方されたアスピリンを投与する
- D柔らかい歯ブラシ、電気カミソリ、筋肉内注射をしない
5.ふつう
A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?
- AStart an iron supplement only
- BReferral for colonoscopy
- CRepeat the test in 10 years
- DNo action if there are no symptoms
6.ふつう
A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?
- APour urine from the drainage bag into a sterile cup
- BRemove the catheter and culture the catheter tip
- CDisconnect the catheter from the tubing and let it drain
- DAspirate from the sampling port with a sterile syringe
7.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 is broken down by the liver, so it will stop working soon
- CPoor kidney function makes the magnesium level fall quickly
- DMagnesium causes potassium loss, so the kidneys release more fluid
8.むずかしい
A trauma patient receives many units of blood quickly and then develops muscle twitching and low blood pressure. Which laboratory value is most likely to explain this?
- AA high serum magnesium
- BA low ionized calcium
- CA high serum sodium
- DA low serum glucose
解答
- 1. C · Serum is what is left after blood clots, minus clotting factors
- 2. B · Inflammation somewhere in the body, without showing where
- 3. C · It is less affected by diet, hydration and bleeding in the gut
- 4. D · 柔らかい歯ブラシ、電気カミソリ、筋肉内注射をしない
- 5. B · Referral for colonoscopy
- 6. D · Aspirate from the sampling port with a sterile syringe
- 7. A · Magnesium is excreted by the kidneys, so it can build up to toxic levels
- 8. B · A low ionized calcium
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