1.쉬움
What is the main effect of antidiuretic hormone (ADH) on the kidneys?
- AMore water is excreted, so the urine becomes dilute
- BMore water is reabsorbed, so urine is concentrated
- CMore potassium is reabsorbed, so the serum potassium rises
- DMore glucose is excreted, so the urine contains sugar
2.쉬움
혈액 요소 질소(BUN)의 전형적인 성인 기준 범위는 얼마인가요?
- A약 7–20 mg/dL (요소 2.5–7.1 mmol/L)
- B약 135–145 mg/dL (요소 48–52 mmol/L)
- C약 70–99 mg/dL (요소 25–35 mmol/L)
- D약 0.6–1.2 mg/dL (요소 0.2–0.4 mmol/L)
3.쉬움
In the US (NCEP ATP III) classification, which LDL cholesterol level is called optimal for an adult?
- AAbout 190 mg/dL (4.9 mmol/L) or more
- BAbout 220–260 mg/dL (5.7–6.7 mmol/L)
- CBelow 100 mg/dL (2.6 mmol/L)
- DAbout 160–189 mg/dL (4.1–4.9 mmol/L)
4.보통
디곡신을 복용하는 환자의 농도가 2.8 ng/mL이고 심박수가 분당 52회입니다. 간호사의 가장 좋은 조치는 무엇인가요?
- A심박수가 분당 50회 이상이므로 용량을 준다
- B리듬을 교정하기 위해 두 배 용량을 준다
- C용량을 주고 한 달 뒤에 농도를 다시 확인한다
- D용량을 보류하고 처방자에게 알린다
5.보통
환자의 헤모글로빈이 7.8 g/dL(78 g/L)입니다. 간호사가 예상하는 소견은 무엇인가요?
- A느린 심박수, 붉어진 피부, 높은 혈압
- B피로, 창백, 빠른 심박수, 활동 시 호흡곤란
- C두통, 코피, 붉은 얼굴
- D가려움, 노란 피부, 짙은 소변
6.보통
A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?
- AIt is always diluted and given by infusion pump, never as an IV push
- BIt is added to the IV bag without mixing, so it stays at the bottom
- CIt may be given as a slow IV push over one minute if the level is very low
- DIt is given as an undiluted bolus into a large vein to avoid irritation
7.어려움
A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2.1 mg/dL (186 µmol/L). What does this indicate?
- ASuccessful response to treatment
- BMild infection needing no treatment
- CUnrelated chronic kidney disease
- DSevere C. difficile infection
8.어려움
Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?
- AAssess neurological status and report it at once as possible brain bleeding
- BDim the lights and encourage rest, as headaches are common after chemotherapy
- CGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
- DEncourage the patient to drink more fluids and check the blood pressure later
정답표
- 1. B · More water is reabsorbed, so urine is concentrated
- 2. A · 약 7–20 mg/dL (요소 2.5–7.1 mmol/L)
- 3. C · Below 100 mg/dL (2.6 mmol/L)
- 4. D · 용량을 보류하고 처방자에게 알린다
- 5. B · 피로, 창백, 빠른 심박수, 활동 시 호흡곤란
- 6. A · It is always diluted and given by infusion pump, never as an IV push
- 7. D · Severe C. difficile infection
- 8. A · Assess neurological status and report it at once as possible brain bleeding
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