1.쉬움
What is a typical reference range for the reticulocyte count in an adult?
- AAbout 0.01–0.05% of red cells
- BAbout 10–20% of red cells
- CAbout 0.5–2% of red cells
- DAbout 40–50% of red cells
2.쉬움
A patient who has not eaten for 2 days has ketones in the urine. What is the most likely reason?
- AThe body is burning fat for energy
- BThe kidneys are leaking protein
- CThe liver is making too much glucose
- DThe bladder has a bacterial infection
3.쉬움
Where does most of the ammonia in the blood come from, and which organ removes it?
- AGlucose breakdown in muscle; removed by the pancreas
- BFat breakdown in adipose tissue; removed by the lungs
- CRed cell breakdown in the spleen; removed by the skin
- DProtein breakdown by gut bacteria; removed by the liver
4.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?
- AThe fetus is destroying the mother's red cells in the circulation
- BPregnancy hormones stop the bone marrow from making red cells
- CIron is being lost through the kidneys during the pregnancy
- DPlasma volume rises more than red cell mass, diluting the blood
5.보통
A patient with chronic kidney disease receives an erythropoiesis-stimulating agent such as epoetin alfa. Which assessments are most important?
- ALiver enzymes and bilirubin
- BSerum amylase and lipase
- CSerum glucose and ketones
- DHemoglobin and blood pressure
6.보통
심방세동으로 와파린을 복용하는 환자의 INR이 5.2이고 출혈은 없습니다. 간호사의 가장 좋은 조치는 무엇인가요?
- A와파린 용량을 보류하고 처방자에게 알린다
- B오늘부터 녹색 채소를 먹지 말라고 조언한다
- C두 배 용량을 준다
- D평소 용량을 주고 한 달 뒤에 다시 확인한다
7.어려움
Which cerebrospinal fluid (CSF) pattern most strongly suggests bacterial meningitis?
- AClear fluid, normal glucose, mildly raised protein, lymphocytes
- BCloudy fluid, low glucose, high protein, many neutrophils
- CClear fluid, high glucose, low protein, many red cells
- DClear fluid, normal glucose, normal protein, no white cells
8.어려움
전이성 유방암 환자의 칼슘이 13.2 mg/dL(3.3 mmol/L)이고 혼돈과 변비가 있습니다. 간호사가 가장 먼저 시작할 것으로 예상하는 처방 치료는 무엇인가요?
- A정맥 0.9% 염화나트륨
- B엄격한 침상 안정
- C티아지드 이뇨제
- D경구 칼슘 보충제
정답표
- 1. C · About 0.5–2% of red cells
- 2. A · The body is burning fat for energy
- 3. D · Protein breakdown by gut bacteria; removed by the liver
- 4. D · Plasma volume rises more than red cell mass, diluting the blood
- 5. D · Hemoglobin and blood pressure
- 6. A · 와파린 용량을 보류하고 처방자에게 알린다
- 7. B · Cloudy fluid, low glucose, high protein, many neutrophils
- 8. A · 정맥 0.9% 염화나트륨
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