1.쉬움
What does a positive direct antiglobulin test (direct Coombs test) show?
- AThe patient's platelets are clumping together in the blood sample
- BAntibodies or complement are attached to the patient's red cells
- CThe patient's plasma is missing the clotting factor VIII
- DThe patient's red cells are too small and contain little hemoglobin
2.쉬움
당뇨병의 일반적인 진단 기준에 해당하는 HbA1c 값은 어느 것인가요?
- A5.5%(37 mmol/mol) 이상
- B6.5%(48 mmol/mol) 이상
- C5.0%(31 mmol/mol) 이상
- D4.5%(26 mmol/mol) 이상
3.쉬움
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
- A90 mL/min/1.73 m²
- B45 mL/min/1.73 m²
- C60 mL/min/1.73 m²
- D15 mL/min/1.73 m²
4.보통
A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?
- ASalt substitutes protect against the potassium loss caused by this drug
- BMost salt substitutes contain potassium and can raise the level too high
- CSalt substitutes are safe because they contain only sodium chloride
- DSalt substitutes are fine as long as the patient drinks more water
5.보통
A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?
- APregnancy hormones stop the bone marrow from making red cells
- BThe fetus is destroying the mother's red cells in the circulation
- CPlasma volume rises more than red cell mass, diluting the blood
- DIron is being lost through the kidneys during the pregnancy
6.보통
When should a blood specimen tube be labeled?
- AAt the nurses' station, after all samples for the shift are drawn
- BIn the laboratory, by the staff who receive the unlabeled sample
- CAt the bedside, in the patient's presence, using two identifiers
- DBefore entering the room, so tubes are ready for the next patients
7.어려움
Which set of results best shows that diabetic ketoacidosis is resolving?
- AA rising potassium with a falling bicarbonate
- BA closing anion gap with a rising bicarbonate and pH
- CA falling glucose with a still widening anion gap
- DA falling glucose with a falling serum bicarbonate
8.어려움
A patient with SIADH is on fluid restriction. Which task can the RN delegate to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?
- AAssessing the patient for new confusion
- BMeasuring and recording intake and output
- CDeciding when to recheck the sodium level
- DTeaching the reasons for fluid restriction
정답표
- 1. B · Antibodies or complement are attached to the patient's red cells
- 2. B · 6.5%(48 mmol/mol) 이상
- 3. D · 15 mL/min/1.73 m²
- 4. B · Most salt substitutes contain potassium and can raise the level too high
- 5. C · Plasma volume rises more than red cell mass, diluting the blood
- 6. C · At the bedside, in the patient's presence, using two identifiers
- 7. B · A closing anion gap with a rising bicarbonate and pH
- 8. B · Measuring and recording intake and output
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