1.简单
The HbA1c reflects the average blood glucose over about which period?
- AThe past 2–3 months
- BThe past 1–2 weeks
- CThe past 24 hours
- DThe past 1–2 years
2.简单
血清地高辛常被引用的治疗范围是多少?
- A约 0.5–2.0 ng/mL
- B约 10–20 ng/mL
- C约 20–40 ng/mL
- D约 0.05–0.2 ng/mL
3.简单
On urinalysis, dark amber urine with a high specific gravity most often suggests:
- ANormal urine after drinking extra water
- BConcentrated urine from low fluid intake
- CVery dilute urine from high fluid intake
- DUrine with a large amount of glucose
4.中等
A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?
- AIron is being lost through the kidneys during the pregnancy
- BPregnancy hormones stop the bone marrow from making red cells
- CThe fetus is destroying the mother's red cells in the circulation
- DPlasma volume rises more than red cell mass, diluting the blood
5.中等
A test has very high sensitivity for a disease. What does a negative result mean?
- AThe patient must have a different disease instead
- BThe result cannot be used, because sensitivity is high
- CThe disease is unlikely, so it helps rule it out
- DThe disease is certain, so treatment should begin
6.中等
Which IV fluid can be given through the same line as a red cell transfusion?
- ALactated Ringer's (Hartmann's) solution
- B0.9% sodium chloride
- C5% dextrose in water
- D0.45% sodium chloride
7.困难
Four drug levels are reported. Which patient should the nurse assess first?
- ADigoxin 1.0 ng/mL with a pulse of 72/min
- BLithium 1.8 mEq/L with a new coarse tremor
- CValproate 75 mcg/mL with no symptoms
- DPhenytoin 15 mcg/mL with no symptoms
8.困难
Three days after starting haloperidol, a patient has a temperature of 40 °C, severe muscle rigidity and confusion. Which laboratory result would the nurse expect?
- AA very low serum sodium
- BA very low white cell count
- CA very high creatine kinase (CK)
- DA very high serum lithium
答案
- 1. A · The past 2–3 months
- 2. A · 约 0.5–2.0 ng/mL
- 3. B · Concentrated urine from low fluid intake
- 4. D · Plasma volume rises more than red cell mass, diluting the blood
- 5. C · The disease is unlikely, so it helps rule it out
- 6. B · 0.9% sodium chloride
- 7. B · Lithium 1.8 mEq/L with a new coarse tremor
- 8. C · A very high creatine kinase (CK)
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