1.简单
Which laboratory test best reflects the body's iron stores?
- ASerum ferritin
- BSerum albumin
- CPlatelet count
- DSerum sodium
2.简单
What does the red cell distribution width (RDW) describe?
- AHow fast the red cells settle in a tube
- BHow many red cells are young cells
- CHow long red cells survive in the blood
- DHow much the red cells vary in size
3.简单
What does a creatinine clearance measured from a 24-hour urine collection estimate?
- AThe rate of red cell production
- BThe concentrating ability of the urine
- CThe glomerular filtration rate
- DThe amount of protein lost from the blood
4.中等
A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?
- ASerum ammonia
- BSerum lipase
- CCardiac troponin
- DCreatine kinase (CK)
5.中等
为什么肝衰竭患者即使没有服用华法林,INR 也可能升高?
- A胆红素直接破坏凝血因子
- B肾脏不再从血液中清除凝血因子
- C肝脏合成大多数凝血因子,因此合成减少
- D白蛋白是一种凝血因子,其水平下降
6.中等
一名因房颤服用华法林的患者 INR 为 1.4。这意味着什么?
- A患者出血风险很高,需要立即使用维生素 K
- B抗凝不足,更容易发生血栓和卒中
- C患者不再需要服用华法林
- D剂量恰到好处,无需改变
7.困难
The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?
- A"I'll keep the container cool as the laboratory told me to"
- B"If I forget to save one void, I'll just carry on to the end"
- C"I'll ask whether any foods or drugs should be avoided first"
- D"I'll empty my bladder at the end time and add that urine"
8.困难
Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?
- AThe potassium is normal for the second day after surgery
- BHypokalemia from gastric losses is contributing to paralytic ileus
- CHyperkalemia from tissue damage is causing the bowel to stop
- DThe low potassium is due to the patient drinking too much water
答案
- 1. A · Serum ferritin
- 2. D · How much the red cells vary in size
- 3. C · The glomerular filtration rate
- 4. D · Creatine kinase (CK)
- 5. C · 肝脏合成大多数凝血因子,因此合成减少
- 6. B · 抗凝不足,更容易发生血栓和卒中
- 7. B · "If I forget to save one void, I'll just carry on to the end"
- 8. B · Hypokalemia from gastric losses is contributing to paralytic ileus
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