1.쉬움
총 혈청 칼슘의 전형적인 성인 기준 범위는 얼마인가요?
- A약 3.5–5.0 mg/dL (0.87–1.25 mmol/L)
- B약 12–16 mg/dL (3.0–4.0 mmol/L)
- C약 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- D약 1.3–2.1 mg/dL (0.3–0.5 mmol/L)
2.쉬움
호흡곤란 환자에서 B형 나트륨이뇨펩티드(BNP) 상승이 가장 강하게 뒷받침하는 질환은 무엇인가요?
- A천식 발작
- B폐렴
- C심부전
- D공황 발작
3.쉬움
뇌전증에서 총 혈청 발프로산(발프로이산)의 흔히 인용되는 치료 범위는 얼마인가요?
- A약 0.6–1.2 mcg/mL (mg/L)
- B약 5–10 mcg/mL (mg/L)
- C약 50–100 mcg/mL (mg/L)
- D약 500–1000 mcg/mL (mg/L)
4.보통
Which instruction is correct for a patient taking an oral potassium chloride supplement?
- ATake it with food and a full glass of water, and do not crush extended-release tablets
- BUse a salt substitute as well, so less of the tablet is needed each day
- CTake it on an empty stomach with only a small sip of water to speed absorption
- DCrush the extended-release tablets and mix them with a little water if needed
5.보통
A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?
- ASwitch the infusion to oral warfarin without a prescription
- BStop the infusion and give protamine sulfate as quickly as possible
- CContinue the same rate and recheck the aPTT in a few days
- DAdjust the rate as the protocol directs and recheck as scheduled
6.보통
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
- AThe patient is injecting too much insulin and needs a lower dose
- BThe pancreas is making very little insulin, as in type 1 diabetes
- CThe patient has high insulin resistance, as in type 2 diabetes
- DThe kidneys are excreting all of the patient's insulin in urine
7.어려움
빠르게 자라는 림프종의 항암화학요법 후, 어떤 검사 결과 양상이 종양융해증후군을 시사하나요?
- A높은 나트륨과 낮은 혈당만
- B낮은 칼륨, 낮은 인산염, 낮은 요산, 높은 칼슘
- C높은 칼륨, 높은 인산염, 높은 요산, 낮은 칼슘
- D정상 전해질과 높은 헤모글로빈
8.어려움
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- ACalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- BGlucose 145 mg/dL (8.0 mmol/L) after surgery
- CHemoglobin 12.1 g/dL (121 g/L) after surgery
- DSodium 136 mEq/L on IV fluids after surgery
정답표
- 1. C · 약 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- 2. C · 심부전
- 3. C · 약 50–100 mcg/mL (mg/L)
- 4. A · Take it with food and a full glass of water, and do not crush extended-release tablets
- 5. D · Adjust the rate as the protocol directs and recheck as scheduled
- 6. B · The pancreas is making very little insulin, as in type 1 diabetes
- 7. C · 높은 칼륨, 높은 인산염, 높은 요산, 낮은 칼슘
- 8. A · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
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