1.쉬움
A urine dipstick is positive for nitrites. What does this most likely show?
- ARed blood cells leaking from the glomeruli
- BBacteria in the urine that convert nitrate to nitrite
- CKetones produced from fat breakdown in fasting
- DGlucose spilling into the urine from high blood levels
2.쉬움
In iron-deficiency anemia, the transferrin saturation is usually:
- AVariable
- BNormal
- CLow
- DHigh
3.쉬움
갑상선 기능을 선별하는 데 보통 가장 먼저 쓰는 혈액 검사는 무엇인가요?
- A갑상선 자극 호르몬(TSH)
- B혈청 칼슘
- C당화혈색소(HbA1c)
- D혈청 코르티솔
4.보통
Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?
- AFrom the existing IV line while the infusion continues to run
- BAfter the first antibiotic dose, so the infusion is not delayed
- CBoth from the same site, one minute apart, to save time for the patient
- DFrom two separate venipuncture sites, using strict aseptic technique
5.보통
After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?
- AA sign of iron deficiency from the earlier bleeding
- BA sure sign that the cancer has been fully cured
- CA normal change after surgery that needs no follow-up
- DPossible recurrence that needs further assessment
6.보통
A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?
- AProtamine sulfate
- BNaloxone
- CVitamin K (phytonadione)
- DCalcium gluconate
7.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?
- AInsulin delivery failure; inject a correction dose by pen and change the set
- BNormal pump function; wait for the next mealtime bolus to lower the glucose
- CRebound after a hypo; give fast-acting carbohydrate and recheck in 15 minutes
- DInsulin overdose from the pump; suspend the pump and stop all insulin for a day
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?
- A티아지드 이뇨제
- B정맥 0.9% 염화나트륨
- C엄격한 침상 안정
- D경구 칼슘 보충제
정답표
- 1. B · Bacteria in the urine that convert nitrate to nitrite
- 2. C · Low
- 3. A · 갑상선 자극 호르몬(TSH)
- 4. D · From two separate venipuncture sites, using strict aseptic technique
- 5. D · Possible recurrence that needs further assessment
- 6. A · Protamine sulfate
- 7. A · Insulin delivery failure; inject a correction dose by pen and change the set
- 8. B · 정맥 0.9% 염화나트륨
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