1.やさしい
Serum amylase is less specific than lipase for pancreatitis because amylase also comes from:
- AThe bone marrow
- BThe salivary glands
- CThe thyroid gland
- DThe heart muscle
2.やさしい
What does a positive direct antiglobulin test (direct Coombs test) show?
- AThe patient's platelets are clumping together in the blood sample
- BThe patient's plasma is missing the clotting factor VIII
- CThe patient's red cells are too small and contain little hemoglobin
- DAntibodies or complement are attached to the patient's red cells
3.やさしい
Using American Diabetes Association (ADA) criteria, a fasting plasma glucose of 100–125 mg/dL (5.6–6.9 mmol/L) is classed as:
- AMild hypoglycemia (low glucose)
- BType 1 diabetes mellitus
- CNormal fasting glucose for an adult
- DPrediabetes (impaired fasting glucose)
4.ふつう
A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?
- ASerum sodium
- BSerum calcium
- CSerum chloride
- DSerum amylase
5.ふつう
慢性腎臓病で、血清リン酸の高値には、通常、カルシウムのどのような変化を伴いますか?
- A血清カルシウムの上昇
- Bカルシウムは変化しない
- Cカルシウムの変化はなく、血清カリウムだけが高い
- D血清カルシウムの低下
6.ふつう
低カルシウム血症に関連する心電図の変化はどれですか?
- AQT 間隔の短縮
- B目立つデルタ波
- C尖って高い T 波
- DQT 間隔の延長
7.むずかしい
A patient receiving IV magnesium sulfate has a respiratory rate of 9/min and absent patellar reflexes. After stopping the infusion, which medication should the nurse expect to give?
- AProtamine sulfate
- BSodium bicarbonate
- CPotassium chloride
- DCalcium gluconate
8.むずかしい
The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?
- A"I'll keep the container cool as the laboratory told me to"
- B"If I forget to save one void, I'll just carry on to the end"
- C"I'll empty my bladder at the end time and add that urine"
- D"I'll ask whether any foods or drugs should be avoided first"
解答
- 1. B · The salivary glands
- 2. D · Antibodies or complement are attached to the patient's red cells
- 3. D · Prediabetes (impaired fasting glucose)
- 4. B · Serum calcium
- 5. D · 血清カルシウムの低下
- 6. D · QT 間隔の延長
- 7. D · Calcium gluconate
- 8. B · "If I forget to save one void, I'll just carry on to the end"
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