1.쉬움
A patient on warfarin asks what an INR of 2.0 means. Which explanation is best?
- AYou have twice the normal number of platelets
- BYour blood takes about twice as long as normal to clot
- CYour warfarin dose is twice what it should be
- DYour blood clots about twice as fast as is normal
2.쉬움
What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?
- AAbout 98–106 mEq/L
- BAbout 22–28 mEq/L
- CAbout 8–12 mEq/L
- DAbout 35–45 mEq/L
3.쉬움
Vitamin B12 deficiency typically causes which type of anemia?
- AMacrocytic anemia, with large red cells
- BMicrocytic anemia, with small red cells
- CAplastic anemia, with an empty bone marrow
- DHemolytic anemia, with destroyed red cells
4.보통
An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?
- AThe drug and its metabolites build up and cause long lows
- BThe drug stops working entirely when the kidneys fail
- CThe drug makes the glucose meter read falsely low
- DThe drug causes high potassium that lowers the glucose
5.보통
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
- AReference ranges include every healthy person without exception
- BReference ranges are the same in every laboratory worldwide
- CRanges cover about 95% of healthy people, so some fall outside
- DAny result outside the range always means disease is present
6.보통
검사실이 병동에 전화로 칼륨 6.9 mEq/L의 위험(critical) 결과를 알려 줍니다. 간호사는 어떻게 해야 하나요?
- A누구에게 알리기 전에 검사실에 검사 반복을 요청한다
- B수치를 기록하고 다음 근무조에 인계한다
- C수치를 복창하고, 환자를 사정하며, 의료인에게 알린다
- D어떤 조치도 하기 전에 서면 보고서가 올 때까지 기다린다
7.어려움
A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1.8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8.8 mmol/L). Which condition fits best?
- AAcute pyelonephritis
- BNephrotic syndrome
- CLiver cirrhosis only
- DPrerenal kidney injury
8.어려움
The nurse teaches a patient with iron-deficiency anemia who is starting oral iron. Which statement shows a need for further teaching?
- A"My stools may look darker while I take the tablets"
- B"I'll keep the tablets out of reach of the children"
- C"I can take it with orange juice to help absorption"
- D"I'll take my iron tablet with a big glass of milk"
정답표
- 1. B · Your blood takes about twice as long as normal to clot
- 2. B · About 22–28 mEq/L
- 3. A · Macrocytic anemia, with large red cells
- 4. A · The drug and its metabolites build up and cause long lows
- 5. C · Ranges cover about 95% of healthy people, so some fall outside
- 6. C · 수치를 복창하고, 환자를 사정하며, 의료인에게 알린다
- 7. B · Nephrotic syndrome
- 8. D · "I'll take my iron tablet with a big glass of milk"
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