1.쉬움
Where is urea, measured as blood urea nitrogen (BUN), made?
- AIn the muscles, from the breakdown of creatine
- BIn the kidneys, from the breakdown of glucose
- CIn the bone marrow, from old red blood cells
- DIn the liver, from the breakdown of protein
2.쉬움
Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?
- AIt has a long half-life, so it changes over months
- BIt is not affected by inflammation or liver disease
- CIt is measured in urine, so no blood test is needed
- DIt has a short half-life, so it changes within days
3.쉬움
Which laboratory test is used to monitor warfarin therapy?
- APT with INR
- BPlatelet count
- CD-dimer
- DaPTT
4.보통
반코마이신 최저 농도가 목표 범위보다 높습니다. 주된 우려가 되는 이상 반응은 무엇인가요?
- A신장 손상(신독성)
- B낮은 혈당(저혈당)
- C혈소판 수 증가(혈소판증가증)
- D변비와 복부 팽만
5.보통
정맥 글루콘산칼슘은 중증 고칼륨혈증 환자에게 어떻게 도움이 되나요?
- A신장의 칼륨 배설을 늘린다
- B장에서 칼륨을 결합해 대변으로 배출시킨다
- C칼륨을 혈액에서 세포 안으로 이동시킨다
- D칼륨을 낮추지 않고 심장 세포막을 안정시킨다
6.보통
A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?
- AThe inflammation is settling with treatment
- BThe antibiotic is causing liver damage
- CThe patient has developed a new infection
- DThe infection has spread to another organ
7.어려움
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- AGlucose 145 mg/dL (8.0 mmol/L) after surgery
- BCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- CHemoglobin 12.1 g/dL (121 g/L) after surgery
- DSodium 136 mEq/L on IV fluids after surgery
8.어려움
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
- AA urinary tract infection that has spread to the skin
- BPersistent bacteremia, as in infective endocarditis
- CContamination of all three samples during collection
- DA normal finding in patients with heart murmurs
정답표
- 1. D · In the liver, from the breakdown of protein
- 2. D · It has a short half-life, so it changes within days
- 3. A · PT with INR
- 4. A · 신장 손상(신독성)
- 5. D · 칼륨을 낮추지 않고 심장 세포막을 안정시킨다
- 6. A · The inflammation is settling with treatment
- 7. B · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. B · Persistent bacteremia, as in infective endocarditis
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