1.쉬움
The HbA1c reflects the average blood glucose over about which period?
- AThe past 2–3 months
- BThe past 1–2 years
- CThe past 24 hours
- DThe past 1–2 weeks
2.쉬움
노인이 몇 시간 동안 바닥에 누워 있다가 발견되었습니다. 골격근 파괴(횡문근융해증)를 가장 잘 보여 주는 혈액 검사는 무엇인가요?
- A혈청 알부민
- B혈청 리파제
- C당화혈색소(HbA1c)
- D크레아틴 키나제(CK)
3.쉬움
A serum sodium of 151 mEq/L is called:
- AHypernatremia
- BHyperkalemia
- CHyponatremia
- DHypercalcemia
4.보통
A patient's potassium is unexpectedly 5.8 mEq/L. The sample was taken after the tourniquet was on for several minutes while the patient pumped their fist. What is the best interpretation?
- ATourniquet time affects only the glucose result, not the potassium
- BThe result may be falsely high and should be repeated with better technique
- CFist pumping lowers potassium, so the true level is even higher
- DThe result confirms true hyperkalemia and needs no further checking
5.보통
만성 콩팥병 환자에게 흔히 빈혈이 있는 이유는 무엇인가요?
- A요독 물질이 골수가 적혈구 대신 백혈구를 만들게 한다
- B신장 질환의 높은 칼륨이 적혈구를 파괴한다
- C손상된 신장이 적혈구를 걸러 파괴한다
- D신장이 적혈구 생성을 촉진하는 에리트로포이에틴을 덜 만든다
6.보통
A patient starts high-dose prednisone. Which laboratory change should the nurse expect?
- AA fall in serum sodium
- BA rise in serum potassium
- CA rise in blood glucose
- DA fall in the white cell count
7.어려움
A patient started methimazole for hyperthyroidism 6 weeks ago and now has a fever and a severe sore throat. Which action is most important?
- AAdvise the patient to continue the drug and drink more fluid
- BHold the drug and arrange an urgent white cell and neutrophil count
- CGive the next dose and suggest warm salt-water gargles for comfort
- DCheck the TSH and double the dose if it is still low
8.어려움
A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?
- ANo special measures, because the risk starts only after a week
- BCalcium supplements and a high-phosphate diet during treatment
- CIV hydration, a uric acid-lowering drug and frequent electrolytes
- DFluid restriction and a high-potassium diet before the treatment
정답표
- 1. A · The past 2–3 months
- 2. D · 크레아틴 키나제(CK)
- 3. A · Hypernatremia
- 4. B · The result may be falsely high and should be repeated with better technique
- 5. D · 신장이 적혈구 생성을 촉진하는 에리트로포이에틴을 덜 만든다
- 6. C · A rise in blood glucose
- 7. B · Hold the drug and arrange an urgent white cell and neutrophil count
- 8. C · IV hydration, a uric acid-lowering drug and frequent electrolytes
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