1.쉬움
In a person with HIV infection, a CD4 count below which level defines AIDS?
- A200 cells/µL
- B1,000 cells/µL
- C500 cells/µL
- D50 cells/µL
2.쉬움
A serum sodium of 151 mEq/L is called:
- AHyponatremia
- BHypercalcemia
- CHyperkalemia
- DHypernatremia
3.쉬움
혈청 나트륨의 전형적인 성인 기준 범위는 얼마인가요?
- A3.5–5.0 mEq/L
- B150–165 mEq/L
- C135–145 mEq/L
- D95–105 mEq/L
4.보통
환자의 왼쪽 아래팔에 정맥 수액이 들어가고 있습니다. 간호사는 어디에서 채혈해야 하나요?
- A같은 팔의 정맥 주사 부위 바로 위에서
- B수액이 들어가는 중에 정맥 카테터에서
- C수액이 결과에 영향을 주지 않으므로 어느 정맥에서나
- D반대쪽 팔에서
5.보통
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
- AThe laboratory charges extra when a tube is not filled correctly
- BThe blood-to-anticoagulant ratio must be right for accurate clotting times
- CUnderfilled tubes always give a falsely low hemoglobin and hematocrit
- DAn overfull tube is needed to measure the potassium level
6.보통
환자의 나트륨이 152 mEq/L입니다. 간호사가 예상하는 소견은 무엇인가요?
- A발목 부종을 동반한 체중 증가
- B갈증, 마른 점막, 안절부절못함
- C양성 트루소 징후를 동반한 근육 씰룩임
- D뾰족한 T파를 동반한 서맥
7.어려움
A stable patient's hemoglobin has been 13–14 g/dL for days. Today's result is 8.2 g/dL, but the patient feels well, the vital signs are normal and there is no bleeding. What should the nurse suspect first?
- AA sample taken from the wrong patient
- BAcute bone marrow failure overnight
- CA normal day-to-day variation in Hb
- DSudden massive internal bleeding
8.어려움
A patient using an insulin pump has a glucose of 300 mg/dL (16.7 mmol/L) that has not fallen 2 hours after a correction bolus through the pump. Blood ketones are 1.8 mmol/L. What is the most likely problem and action?
- ANormal pump function; wait for the next mealtime bolus to lower the glucose
- BRebound after a hypo; give fast-acting carbohydrate and recheck in 15 minutes
- CInsulin delivery failure; inject a correction dose by pen and change the set
- DInsulin overdose from the pump; suspend the pump and stop all insulin for a day
정답표
- 1. A · 200 cells/µL
- 2. D · Hypernatremia
- 3. C · 135–145 mEq/L
- 4. D · 반대쪽 팔에서
- 5. B · The blood-to-anticoagulant ratio must be right for accurate clotting times
- 6. B · 갈증, 마른 점막, 안절부절못함
- 7. A · A sample taken from the wrong patient
- 8. C · Insulin delivery failure; inject a correction dose by pen and change the set
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