1.やさしい
Which blood group's plasma can be given to patients of any ABO group (universal plasma donor)?
- AGroup AB
- BGroup A
- CGroup B
- DGroup O
2.やさしい
What is the main purpose of a Gram stain?
- ATo sort bacteria quickly into gram-positive or negative
- BTo test which antibiotics a bacterium is sensitive to
- CTo detect viruses in a sample of respiratory secretions
- DTo measure exactly how many bacteria are in the blood
3.やさしい
How does dehydration usually affect the hematocrit?
- AIt raises it
- BIt lowers it
- CIt has no effect
- DIt makes it zero
4.ふつう
Why must vitamin B12 deficiency be ruled out before treating macrocytic anemia with folic acid alone?
- AFolic acid can fix the anemia while B12-related nerve damage continues
- BFolic acid makes B12 deficiency anemia much worse within a few days
- CFolic acid causes iron overload when B12 levels are low
- DFolic acid blocks the absorption of all B12 from the diet
5.ふつう
A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?
- ASalt substitutes are safe because they contain only sodium chloride
- BMost salt substitutes contain potassium and can raise the level too high
- CSalt substitutes are fine as long as the patient drinks more water
- DSalt substitutes protect against the potassium loss caused by this drug
6.ふつう
A patient has started parenteral nutrition (PN) through a central line. Which test is monitored most frequently in the first days?
- AHemoglobin A1c
- BSerum lipase
- CBlood glucose
- DThyroid hormones
7.むずかしい
心不全の患者が、リシノプリル、スピロノラクトン、カリウム補充薬を服用しています。今日のカリウムは 6.0 mEq/L です。最も考えられる説明はどれですか?
- Aリシノプリルは、カリウムを下げる
- Bカリウムを上げる複数の薬が、一緒に服用されている
- Cスピロノラクトンは、カリウムの喪失を起こす
- Dカリウム補充薬は、血清濃度に影響しない
8.むずかしい
Four drug levels are reported. Which patient should the nurse assess first?
- ADigoxin 1.0 ng/mL with a pulse of 72/min
- BLithium 1.8 mEq/L with a new coarse tremor
- CValproate 75 mcg/mL with no symptoms
- DPhenytoin 15 mcg/mL with no symptoms
解答
- 1. A · Group AB
- 2. A · To sort bacteria quickly into gram-positive or negative
- 3. A · It raises it
- 4. A · Folic acid can fix the anemia while B12-related nerve damage continues
- 5. B · Most salt substitutes contain potassium and can raise the level too high
- 6. C · Blood glucose
- 7. B · カリウムを上げる複数の薬が、一緒に服用されている
- 8. B · Lithium 1.8 mEq/L with a new coarse tremor
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