1.쉬움
혈청 삼투압 농도의 전형적인 기준 범위는 얼마인가요?
- A약 135–145 mOsm/kg
- B약 50–100 mOsm/kg
- C약 400–500 mOsm/kg
- D약 275–295 mOsm/kg
2.쉬움
혈청 칼륨의 전형적인 성인 기준 범위는 얼마인가요?
- A6.0–8.0 mEq/L
- B1.3–2.1 mEq/L
- C3.5–5.0 mEq/L
- D135–145 mEq/L
3.쉬움
Which antibody test is most specific for rheumatoid arthritis?
- AAntinuclear antibody
- BAnti-D antibody
- CAnti-HBs antibody
- DAnti-CCP antibodies
4.보통
A week after a splenectomy, a patient's platelet count is 650 × 10³/µL. What is the best interpretation?
- AAn expected rise after splenectomy that increases clot risk
- BA laboratory error, because platelets fall after splenectomy
- CA sign of iron overload from the surgery and transfusion
- DA sign of new leukemia that needs immediate chemotherapy
5.보통
A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?
- AIt is added to the IV bag without mixing, so it stays at the bottom
- BIt is given as an undiluted bolus into a large vein to avoid irritation
- CIt is always diluted and given by infusion pump, never as an IV push
- DIt may be given as a slow IV push over one minute if the level is very low
6.보통
In countries that screen all pregnant women (such as the US), a vaginal-rectal swab is taken at about 36–37 weeks. Which organism is it screening for?
- AGroup B Streptococcus
- BCandida albicans
- CStaphylococcus aureus
- DHepatitis B virus
7.어려움
A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?
- AIncreased breakdown of red blood cells (hemolytic anemia)
- BBlockage of bile flow, for example by a tumor in the bile duct
- CGilbert syndrome, a harmless inherited bilirubin disorder
- DAcute viral hepatitis with widespread liver cell damage
8.어려움
Which patient should the nurse assess first?
- AStable angina with a total cholesterol of 245 mg/dL (6.3 mmol/L)
- BHeart failure with a BNP lower than the result on admission
- CChest pain with troponin rising from the first to the second sample
- DHypertension with a potassium of 3.6 mEq/L on a thiazide
정답표
- 1. D · 약 275–295 mOsm/kg
- 2. C · 3.5–5.0 mEq/L
- 3. D · Anti-CCP antibodies
- 4. A · An expected rise after splenectomy that increases clot risk
- 5. C · It is always diluted and given by infusion pump, never as an IV push
- 6. A · Group B Streptococcus
- 7. B · Blockage of bile flow, for example by a tumor in the bile duct
- 8. C · Chest pain with troponin rising from the first to the second sample
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