1.やさしい
For a fasting plasma glucose test, the patient should have had no caloric intake for at least:
- A24 hours
- B3 hours
- C8 hours
- D1 hour
2.やさしい
Which ECG change is linked to hypercalcemia?
- AA prolonged QT interval
- BProminent U waves
- CTall, peaked T waves
- DA shortened QT interval
3.やさしい
What does the red cell distribution width (RDW) describe?
- AHow long red cells survive in the blood
- BHow fast the red cells settle in a tube
- CHow many red cells are young cells
- DHow much the red cells vary in size
4.ふつう
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
- AHbA1c and lipid panel
- BSerum sodium and chloride
- CPlatelet count and PT/INR
- DTSH and free T4
5.ふつう
The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?
- AAbout 30 minutes after the change
- BAbout 3 days after the change
- COnly after the infusion is stopped
- DAbout 6 hours after the change
6.ふつう
A patient takes valproate (valproic acid) for epilepsy. Which tests are monitored regularly?
- ALiver function tests and platelet count
- BThyroid function and serum calcium
- CSerum lithium and urine specific gravity
- DTroponin and B-type natriuretic peptide
7.むずかしい
インスリンを静脈内持続投与している患者の血糖が 65 mg/dL(3.6 mmol/L)です。最もよい対応はどれですか?
- A同じ速度で続け、4 時間後に再測定する
- B点滴を止め、血糖の再測定は朝まで待つ
- C低血糖のプロトコルに従い、医療者に知らせる
- D心臓を守るために、経口のカリウムを投与する
8.むずかしい
A patient receiving chemotherapy has a white cell count of 1.8 × 10³/µL with 20% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?
- A360/µL
- B450/µL
- C1,800/µL
- D4,500/µL
解答
- 1. C · 8 hours
- 2. D · A shortened QT interval
- 3. D · How much the red cells vary in size
- 4. C · Platelet count and PT/INR
- 5. D · About 6 hours after the change
- 6. A · Liver function tests and platelet count
- 7. C · 低血糖のプロトコルに従い、医療者に知らせる
- 8. B · 450/µL
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