1.简单
A urine dipstick is positive for leukocyte esterase. What does this show?
- ABilirubin is being passed in the urine
- BWhite blood cells are present in the urine
- CRed blood cells are present in the urine
- DProtein is leaking through the glomeruli
2.简单
细胞内液中的主要阳离子是哪种?
- A氯
- B钙
- C钾
- D钠
3.简单
A urine albumin-to-creatinine ratio (ACR) of at least which value is usually called moderately increased albuminuria?
- A3 mg/g (0.3 mg/mmol)
- B3,000 mg/g (300 mg/mmol)
- C300 mg/dL (3 mg/mL)
- D30 mg/g (3 mg/mmol)
4.中等
A test has very high sensitivity for a disease. What does a negative result mean?
- AThe result cannot be used, because sensitivity is high
- BThe disease is certain, so treatment should begin
- CThe disease is unlikely, so it helps rule it out
- DThe patient must have a different disease instead
5.中等
A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?
- AGive one sample after brushing with mouthwash so it is clean
- BGive several samples of nasal mucus blown into a tissue
- CGive one sample of saliva collected from the mouth at any time of day
- DGive several deep-cough samples, often first thing in the morning
6.中等
一名抗利尿激素分泌失调综合征(SIADH)患者的钠为 128 mEq/L。护士预期会有哪项处方措施?
- A低钠饮食
- B限制液体
- C鼓励多饮水
- D大量静脉输注 5% 葡萄糖
7.困难
Which patient's result should the nurse act on first?
- AHemoglobin 6.4 g/dL (64 g/L) with new chest pain and a pulse of 124/min
- BFerritin 15 ng/mL in a well patient with known iron-deficiency anemia on oral iron
- CHemoglobin 9.6 g/dL (96 g/L) in a patient with stable chronic kidney disease
- DPlatelets 140 × 10³/µL in a patient with mild chronic liver disease
8.困难
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
- BGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
- CEncourage the patient to drink more fluids and check the blood pressure later
- DDim the lights and encourage rest, as headaches are common after chemotherapy
答案
- 1. B · White blood cells are present in the urine
- 2. C · 钾
- 3. D · 30 mg/g (3 mg/mmol)
- 4. C · The disease is unlikely, so it helps rule it out
- 5. D · Give several deep-cough samples, often first thing in the morning
- 6. B · 限制液体
- 7. A · Hemoglobin 6.4 g/dL (64 g/L) with new chest pain and a pulse of 124/min
- 8. A · Assess neurological status and report it at once as possible brain bleeding
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