1.やさしい
What is the main role of fibrinogen in the blood?
- AIt is converted to fibrin, which forms the mesh of a clot
- BIt transports iron from the gut to the bone marrow
- CIt carries oxygen from the lungs to the body tissues
- DIt breaks down clots once the bleeding has stopped
2.やさしい
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- AHigh
- BNormal
- CLow
- DAbsent
3.やさしい
Which fasting triglyceride level is commonly described as normal?
- AAbove 1,000 mg/dL (11.3 mmol/L)
- BAbove 500 mg/dL (5.6 mmol/L)
- CBetween 200 and 499 mg/dL (2.3–5.6 mmol/L)
- DBelow 150 mg/dL (1.7 mmol/L)
4.ふつう
A patient with diabetes also takes propranolol. Why is regular glucose monitoring especially important?
- AThe drug causes very high glucose in all patients
- BThe drug blocks the insulin injection site
- CThe drug can mask warning signs of hypoglycemia
- DThe drug stops the meter from reading correctly
5.ふつう
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
- AFolate (folic acid)
- BIron (low ferritin)
- CVitamin B12
- DVitamin C (ascorbic acid)
6.ふつう
心房細動のためにワルファリンを服用している患者の INR が 5.2 で、出血はありません。看護師の最もよい対応はどれですか?
- Aワルファリンの投与を保留し、処方者に知らせる
- B2 倍量を投与する
- C今日から緑色の野菜を食べるのをやめるよう助言する
- D通常の用量を投与し、1 か月後に再検査する
7.むずかしい
A patient recovering from acute tubular necrosis now passes 4–5 L of urine a day. Which electrolyte changes should the nurse watch for?
- AHigh potassium and high sodium from retention
- BLow potassium and low sodium from urine losses
- CHigh calcium and high phosphate from bone loss
- DNo changes, because the kidneys are now normal
8.むずかしい
A patient has a positive hepatitis C antibody (anti-HCV) test. What is the most appropriate next step?
- ARepeat the antibody test, as a positive test is always false
- BTell the patient they definitely have chronic hepatitis C
- CTest for HCV RNA to find out whether infection is current
- DGive hepatitis C vaccine to prevent further infection
解答
- 1. A · It is converted to fibrin, which forms the mesh of a clot
- 2. A · High
- 3. D · Below 150 mg/dL (1.7 mmol/L)
- 4. C · The drug can mask warning signs of hypoglycemia
- 5. C · Vitamin B12
- 6. A · ワルファリンの投与を保留し、処方者に知らせる
- 7. B · Low potassium and low sodium from urine losses
- 8. C · Test for HCV RNA to find out whether infection is current
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