1.やさしい
Why can bilirubin appear in the urine in obstructive jaundice but not in hemolytic jaundice?
- AOnly conjugated bilirubin is water soluble and filtered
- BHemolysis stops the kidneys making any urine at all
- CThe kidneys are always damaged in obstructive jaundice
- DUnconjugated bilirubin is broken down in the bladder
2.やさしい
Uric acid in the blood is a breakdown product of:
- AHemoglobin
- BFats
- CPurines
- DGlucose
3.やさしい
A raised neutrophil count (neutrophilia) is most typical of:
- AA mild viral cold
- BVitamin B12 deficiency
- CHay fever and asthma
- DAcute bacterial infection
4.ふつう
A patient with hyponatremia from SIADH starts tolvaptan. Why is the serum sodium checked frequently in the first day?
- AThe drug lowers blood glucose sharply
- BThe sodium always falls further
- CThe drug causes severe hyperkalemia
- DThe sodium can rise too quickly
5.ふつう
A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?
- AAspirate from the sampling port with a sterile syringe
- BRemove the catheter and culture the catheter tip
- CDisconnect the catheter from the tubing and let it drain
- DPour urine from the drainage bag into a sterile cup
6.ふつう
When do the blood counts usually reach their lowest point (nadir) after many standard chemotherapy regimens?
- AOn the same day as treatment
- BWithin 1–2 hours of treatment
- CAbout 6 months after treatment
- DAbout 7–14 days after treatment
7.むずかしい
A patient with SIADH is on fluid restriction. Which task can the RN delegate to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?
- ATeaching the reasons for fluid restriction
- BMeasuring and recording intake and output
- CAssessing the patient for new confusion
- DDeciding when to recheck the sodium level
8.むずかしい
Weeks after neck surgery, a patient has muscle cramps and tingling. Calcium is low, phosphate is high and parathyroid hormone (PTH) is low. Which condition fits best?
- AHypoparathyroidism
- BChronic kidney disease
- CVitamin D toxicity
- DPrimary hyperparathyroidism
解答
- 1. A · Only conjugated bilirubin is water soluble and filtered
- 2. C · Purines
- 3. D · Acute bacterial infection
- 4. D · The sodium can rise too quickly
- 5. A · Aspirate from the sampling port with a sterile syringe
- 6. D · About 7–14 days after treatment
- 7. B · Measuring and recording intake and output
- 8. A · Hypoparathyroidism
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