1.쉬움
What is the purpose of a type and crossmatch before a transfusion?
- ATo test the donor blood for bacterial contamination only
- BTo check that donor blood is compatible with the patient's blood
- CTo find out how quickly the patient's blood forms a clot
- DTo measure how much iron is stored in the patient's bone marrow
2.쉬움
Using American Diabetes Association (ADA) criteria, which HbA1c range is classed as prediabetes?
- A5.7–6.4% (39–47 mmol/mol)
- B6.5–7.5% (48–58 mmol/mol)
- C4.0–5.6% (20–38 mmol/mol)
- D8.0–9.0% (64–75 mmol/mol)
3.쉬움
저칼륨혈증에 전형적인 심전도 변화는 무엇인가요?
- A높고 뾰족한 T파와 넓은 QRS
- B델타파와 짧은 PR 간격
- C편평한 T파와 뚜렷한 U파
- D이웃한 두 개 이상의 유도에서 ST 상승
4.보통
A patient with an upper gastrointestinal bleed has a BUN of 48 mg/dL (urea 17 mmol/L) and a normal creatinine. What is the most likely explanation?
- ASkeletal muscle is breaking down because of the blood loss
- BDigested blood adds protein, which the liver turns into urea
- CThe liver has stopped making urea because of the bleeding
- DThe kidneys have suddenly lost most of their function
5.보통
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
- ATroponin, creatine kinase and myoglobin
- BSerum lithium, sodium and urine specific gravity
- CComplete blood count, liver tests and kidney function
- DSerum amylase, lipase and blood ketones
6.보통
A patient has a calcium of 11.8 mg/dL (2.95 mmol/L) from bone metastases. Which nursing measure is appropriate?
- AEncourage bed rest and limit oral fluids
- BEncourage fluids and mobility as tolerated
- CGive calcium carbonate antacids for nausea
- DOffer extra milk and cheese at each meal
7.어려움
A patient with diabetes had a glucose of 58 mg/dL (3.2 mmol/L), took 15 g of fast-acting carbohydrate and, 15 minutes later, the glucose is 64 mg/dL (3.6 mmol/L). The patient is alert. What should the nurse do next?
- AGive a protein snack only and recheck tomorrow
- BGive a long-acting insulin dose to stabilize it
- CGive another 15 g of fast carbohydrate and recheck
- DWait until the next meal before giving anything
8.어려움
A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T4 is low. What is the most likely explanation?
- AAmiodarone-induced hyperthyroidism
- BSecondary hypothyroidism from pituitary failure
- CAmiodarone-induced hypothyroidism
- DA normal response to amiodarone needing no action
정답표
- 1. B · To check that donor blood is compatible with the patient's blood
- 2. A · 5.7–6.4% (39–47 mmol/mol)
- 3. C · 편평한 T파와 뚜렷한 U파
- 4. B · Digested blood adds protein, which the liver turns into urea
- 5. C · Complete blood count, liver tests and kidney function
- 6. B · Encourage fluids and mobility as tolerated
- 7. C · Give another 15 g of fast carbohydrate and recheck
- 8. C · Amiodarone-induced hypothyroidism
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