1.简单
成人白细胞计数的典型参考范围是多少?
- A约 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
- B约 150–400 × 10³/µL(150–400 × 10⁹/L)
- C约 0.5–1.0 × 10³/µL(0.5–1.0 × 10⁹/L)
- D约 25–40 × 10³/µL(25–40 × 10⁹/L)
2.简单
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
- APlatelet function assay (PFA-100 test)
- BInternational normalized ratio (INR)
- CActivated partial thromboplastin time (aPTT)
- DErythrocyte sedimentation rate (ESR)
3.简单
What is the usual diagnostic cut-off for diabetes on a fasting plasma glucose test, when confirmed on a second test?
- A126 mg/dL (7.0 mmol/L) or higher
- B100 mg/dL (5.6 mmol/L) or higher
- C110 mg/dL (6.1 mmol/L) or higher
- D200 mg/dL (11.1 mmol/L) or higher
4.中等
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
- APlatelet count and PT/INR
- BTSH and free T4
- CSerum sodium and chloride
- DHbA1c and lipid panel
5.中等
How does the nurse start a 24-hour urine collection at 08:00?
- AHave the patient void and discard that urine, then save all urine until 08:00 the next day
- BSave the 08:00 urine as the first sample, then collect until 08:00 the next day
- CSave three samples spread across the day and discard all of the urine passed at night
- DCollect only the first urine passed on waking, and repeat this the next morning
6.中等
A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38.3 °C (100.9 °F). What should the nurse do first?
- AReport it at once so cultures and antibiotics start quickly
- BGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
- CEncourage oral fluids and record the fever in the chart
- DRemove extra blankets and offer a tepid sponge bath
7.困难
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- ASodium 136 mEq/L on IV fluids after surgery
- BGlucose 145 mg/dL (8.0 mmol/L) after surgery
- CHemoglobin 12.1 g/dL (121 g/L) after surgery
- DCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
8.困难
A young man has a swollen knee after minor trauma. His aPTT is prolonged, but his PT/INR and platelet count are normal. Which condition fits best?
- ADisseminated intravascular coagulation
- BVitamin K deficiency from poor diet
- CImmune thrombocytopenia (ITP)
- DHemophilia A (factor VIII deficiency)
答案
- 1. A · 约 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
- 2. C · Activated partial thromboplastin time (aPTT)
- 3. A · 126 mg/dL (7.0 mmol/L) or higher
- 4. A · Platelet count and PT/INR
- 5. A · Have the patient void and discard that urine, then save all urine until 08:00 the next day
- 6. A · Report it at once so cultures and antibiotics start quickly
- 7. D · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. D · Hemophilia A (factor VIII deficiency)
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