1.쉬움
Which pain description is typical of an acute aortic dissection?
- ACramping calf pain that eases with a short rest
- BBurning pain after meals that eases with antacids
- CDull ache that slowly builds over several days
- DSudden, severe tearing pain that spreads to the back
2.쉬움
How is cystic fibrosis inherited?
- AAutosomal recessive
- BAutosomal dominant
- CX-linked recessive
- DIt is not inherited
3.쉬움
What is the classic clinical definition of chronic bronchitis?
- AA single episode of coughing up blood after a chest infection
- BA dry cough lasting about one week after a common cold
- CWheeze and chest tightness that occur only during exercise
- DA cough with sputum most days for 3 months in 2 years running
4.보통
A patient with a mechanical heart valve asks to switch from warfarin to apixaban. What is the correct response?
- AAspirin alone can replace warfarin once the valve has healed
- BMechanical valves do not need anticoagulation after the first month
- CAny anticoagulant works equally well once the valve is in place
- DDirect oral anticoagulants are not used for mechanical valves
5.보통
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass III
- BClass I
- CClass IV
- DClass II
6.보통
How should a patient breathe in when using a dry powder inhaler?
- ASeveral times, breathing out into the device between breaths
- BThrough the nose with the mouthpiece in the mouth
- CSlowly and gently over about ten seconds
- DQuickly and deeply, after breathing out away from the device
7.어려움
심방세동으로 와파린을 복용 중인 환자의 INR이 8.5이지만 출혈은 없습니다. 가장 가능성 높은 관리는?
- A와파린을 보류하고 처방자에게 알리며 곧 INR을 다시 확인한다
- B프로트롬빈 복합체 농축액과 수혈을 투여한다
- C역전시키기 위해 즉시 정맥 프로타민 황산염을 투여한다
- D평소 용량을 계속하고 한 달 뒤 INR을 다시 확인한다
8.어려움
심방세동 환자의 심박수가 165회/분, 혈압 78/45 mmHg이며 흉통과 새로운 혼돈이 있습니다. 간호사가 예상해야 하는 치료는?
- A경구 비소프롤롤과 아침 재평가
- B긴급 동기화 전기적 심장율동전환
- C혈압을 높이기 위한 정맥 아트로핀
- D심정지처럼 비동기 제세동
정답표
- 1. D · Sudden, severe tearing pain that spreads to the back
- 2. A · Autosomal recessive
- 3. D · A cough with sputum most days for 3 months in 2 years running
- 4. D · Direct oral anticoagulants are not used for mechanical valves
- 5. A · Class III
- 6. D · Quickly and deeply, after breathing out away from the device
- 7. A · 와파린을 보류하고 처방자에게 알리며 곧 INR을 다시 확인한다
- 8. B · 긴급 동기화 전기적 심장율동전환
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