1.やさしい
What is the main effect of antidiuretic hormone (ADH) on the kidneys?
- AMore potassium is reabsorbed, so the serum potassium rises
- BMore water is excreted, so the urine becomes dilute
- CMore water is reabsorbed, so urine is concentrated
- DMore glucose is excreted, so the urine contains sugar
2.やさしい
てんかんで、血清バルプロ酸(総濃度)の治療域として一般に挙げられる範囲はどれですか?
- A約 500–1000 mcg/mL(mg/L)
- B約 0.6–1.2 mcg/mL(mg/L)
- C約 50–100 mcg/mL(mg/L)
- D約 5–10 mcg/mL(mg/L)
3.やさしい
A patient who has not eaten for 2 days has ketones in the urine. What is the most likely reason?
- AThe body is burning fat for energy
- BThe liver is making too much glucose
- CThe kidneys are leaking protein
- DThe bladder has a bacterial infection
4.ふつう
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
- AIt measures the main ketone in DKA, and the dipstick may miss it
- BIt shows the average ketone level over the past three months
- CThe urine dipstick only detects ketones in people without diabetes
- DIt is the only test that can measure glucose and ketones together
5.ふつう
Which instruction is correct for a patient starting oral iron tablets?
- ATake the tablet with an antacid to improve absorption
- BYour urine will turn bright orange while you take it
- CTake each tablet with milk to protect the stomach
- DYour stools may turn dark green or black
6.ふつう
A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?
- AALT and bilirubin
- BPotassium and creatinine
- CTSH and free T4
- DCalcium and phosphate
7.むずかしい
A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?
- AAssume the meter is broken and give the usual insulin dose
- BRecord "HI" and repeat the meter test at the next scheduled time
- CSend a venous sample to the lab and inform the provider at once
- DGive oral glucose in case the reading is wrong and the patient is low
8.むずかしい
A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?
- ABleeding into the abdominal cavity
- BNormal ascitic fluid in cirrhosis
- CSpontaneous bacterial peritonitis
- DMalignant ascites from cancer
解答
- 1. C · More water is reabsorbed, so urine is concentrated
- 2. C · 約 50–100 mcg/mL(mg/L)
- 3. A · The body is burning fat for energy
- 4. A · It measures the main ketone in DKA, and the dipstick may miss it
- 5. D · Your stools may turn dark green or black
- 6. B · Potassium and creatinine
- 7. C · Send a venous sample to the lab and inform the provider at once
- 8. C · Spontaneous bacterial peritonitis
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