1.쉬움
호흡곤란 환자에서 B형 나트륨이뇨펩티드(BNP) 상승이 가장 강하게 뒷받침하는 질환은 무엇인가요?
- A심부전
- B천식 발작
- C폐렴
- D공황 발작
2.쉬움
What is a typical reference range for urine specific gravity in an adult?
- AAbout 1.040–1.060
- BAbout 1.100–1.300
- CAbout 1.005–1.030
- DAbout 0.900–0.990
3.쉬움
What does the term pancytopenia mean?
- AHigh white cells with low platelets
- BHigh red cells, white cells and platelets
- CLow red cells, white cells and platelets
- DLow red cells with normal platelets
4.보통
A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?
- AInternational normalized ratio
- BSerum amylase
- CSerum lithium level
- DAbsolute neutrophil count
5.보통
A patient has a calcium of 7.0 mg/dL (1.75 mmol/L) and tingling around the mouth. Which nursing measure is most appropriate?
- AEncourage 3 L of fluid per day to dilute the calcium
- BLimit dairy products until the level falls again
- CPut seizure precautions in place and report the result
- DPromote walking to move calcium back into the bone
6.보통
Which blood collection practice helps prevent hemolysis of the sample?
- ALeaving the tourniquet on for at least 3 minutes
- BForcing blood quickly through a needle into the tube
- CUsing the smallest needle available for every patient
- DGently inverting the tubes instead of shaking them
7.어려움
An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?
- AA urinary tract infection that needs urgent IV antibiotics
- BPyelonephritis, which needs admission and IV fluids today
- CAsymptomatic bacteriuria, usually not treated with antibiotics
- DContamination, so the culture must be repeated every week
8.어려움
A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?
- ANormal ascitic fluid in cirrhosis
- BSpontaneous bacterial peritonitis
- CBleeding into the abdominal cavity
- DMalignant ascites from cancer
정답표
- 1. A · 심부전
- 2. C · About 1.005–1.030
- 3. C · Low red cells, white cells and platelets
- 4. D · Absolute neutrophil count
- 5. C · Put seizure precautions in place and report the result
- 6. D · Gently inverting the tubes instead of shaking them
- 7. C · Asymptomatic bacteriuria, usually not treated with antibiotics
- 8. B · Spontaneous bacterial peritonitis
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