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이름: ____________________ 날짜: ____________
1.쉬움
혈액투석을 위한 동정맥루가 작동하는지 간호사는 어떻게 확인합니까?
A진동(thrill)을 만져 보고 잡음(bruit)을 들어 본다
B동정맥루 부위의 발적을 살핀다
C반대쪽 팔의 요골 맥박을 확인한다
D동정맥루가 있는 팔의 혈압을 잰다
2.쉬움
소변 비중은 간호사에게 무엇을 알려 줍니까?
A혈액에 포도당이 얼마나 있는지
B소변에 단백질이 얼마나 들어 있는지
C소변이 얼마나 농축되어 있는지
D소변에 세균이 있는지
3.쉬움
A patient with advanced CKD has a high potassium. Which foods are often limited?
AEgg whites, chicken and fish
BApples, berries and cabbage
CWhite rice, pasta and bread
DBananas, potatoes and oranges
4.보통
A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?
AUse lubricating drops and sleep with the head raised
BStay in bright sunlight to dry the eyes
CRub the eyes firmly each morning to reduce the swelling
DSmoking more will not affect the eyes
5.보통
A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?
AAn oral anticoagulant
BA loop diuretic
CA proton pump inhibitor
DA beta-agonist inhaler
6.보통
뇌관류압(CPP)은 어떻게 계산합니까?
A수축기 동맥압에 두개내압을 더한 값
B평균 동맥압에서 두개내압을 뺀 값
C평균 동맥압을 심박수로 나눈 값
D이완기 혈압에서 중심정맥압을 뺀 값
7.어려움
A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?
AGive the evening long-acting insulin early to balance it
BIgnore it, because vomiting raises blood glucose
CGive another insulin dose because the meal was lost
DMonitor glucose closely and tell the prescriber about the hypo risk
8.어려움
An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?
AAKI from rhabdomyolysis, treated with generous IV fluids
BA kidney stone, treated with strong pain relief
CHypothermia, treated with a fluid restriction
DA urinary infection, treated with oral antibiotics only
정답표
1. A · 진동(thrill)을 만져 보고 잡음(bruit)을 들어 본다
2. C · 소변이 얼마나 농축되어 있는지
3. D · Bananas, potatoes and oranges
4. A · Use lubricating drops and sleep with the head raised
5. A · An oral anticoagulant
6. B · 평균 동맥압에서 두개내압을 뺀 값
7. D · Monitor glucose closely and tell the prescriber about the hypo risk
8. A · AKI from rhabdomyolysis, treated with generous IV fluids