1.쉬움
Which findings are typical of a low serum magnesium?
- ALoss of reflexes, flushing and slow breathing
- BJaundice, itching and pale stools
- CPolyuria, extreme thirst and pale urine
- DTremor, hyperreflexia and cardiac arrhythmias
2.쉬움
What is the usual urine dipstick result for protein in a healthy adult?
- APositive only in the morning
- BAlways moderately positive
- CNegative or trace
- DStrongly positive (+++)
3.쉬움
At what time of day is serum cortisol normally highest?
- AAround midnight
- BAfter the evening meal
- CLate afternoon
- DEarly morning
4.보통
A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38.3 °C (100.9 °F). What should the nurse do first?
- AGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
- BRemove extra blankets and offer a tepid sponge bath
- CReport it at once so cultures and antibiotics start quickly
- DEncourage oral fluids and record the fever in the chart
5.보통
Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?
- ABoth from the same site, one minute apart, to save time for the patient
- BAfter the first antibiotic dose, so the infusion is not delayed
- CFrom the existing IV line while the infusion continues to run
- DFrom two separate venipuncture sites, using strict aseptic technique
6.보통
처방된 정맥 염화칼륨을 투여하기 전에 가장 중요한 사정은 무엇인가요?
- A소변량과 신장 기능
- B아래팔의 피부 탄력
- C양쪽 귀의 청력
- D동공 크기와 빛 반사
7.어려움
aPTT 결과가 매우 높은데, 간호사는 검체가 헤파린 주입이 들어가는 팔에서 채취되었음을 알게 됩니다. 가장 좋은 조치는 무엇인가요?
- A헤파린을 되돌리기 위해 즉시 프로타민을 준다
- B헤파린 주입을 영구적으로 중단하고 의료인에게 알린다
- C결과를 받아들이고 주입 속도를 절반으로 줄인다
- D용량을 조절하기 전에 반대쪽 팔에서 새 검체를 요청한다
8.어려움
A patient's total calcium is 7.6 mg/dL and the albumin is 2.0 g/dL. Using the common correction (add 0.8 mg/dL for each 1 g/dL that albumin is below 4.0), what is the corrected calcium?
- A7.6 mg/dL, below the normal range
- B9.2 mg/dL, within the normal range
- C6.0 mg/dL, well below the normal range
- D11.6 mg/dL, above the normal range
정답표
- 1. D · Tremor, hyperreflexia and cardiac arrhythmias
- 2. C · Negative or trace
- 3. D · Early morning
- 4. C · Report it at once so cultures and antibiotics start quickly
- 5. D · From two separate venipuncture sites, using strict aseptic technique
- 6. A · 소변량과 신장 기능
- 7. D · 용량을 조절하기 전에 반대쪽 팔에서 새 검체를 요청한다
- 8. B · 9.2 mg/dL, within the normal range
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