1.简单
Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?
- AHeat intolerance, tremor, weight loss and diarrhea
- BJaundice, itching, pale stools and dark urine
- CKidney stones, bone pain, abdominal pain and confusion
- DTetany, muscle cramps, tingling and seizures
2.简单
Which condition commonly causes a high serum potassium?
- ARepeated vomiting
- BSevere diarrhea
- CKidney failure
- DLoop diuretic use
3.简单
What is a typical adult reference range for thyroid-stimulating hormone (TSH)?
- AAbout 10–20 mIU/L
- BAbout 0.4–4.0 mIU/L
- CAbout 0.01–0.04 mIU/L
- DAbout 40–80 mIU/L
4.中等
A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?
- AIt is always diluted and given by infusion pump, never as an IV push
- BIt is given as an undiluted bolus into a large vein to avoid irritation
- CIt may be given as a slow IV push over one minute if the level is very low
- DIt is added to the IV bag without mixing, so it stays at the bottom
5.中等
A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?
- ASerum chloride
- BSerum calcium
- CSerum amylase
- DSerum sodium
6.中等
A patient has a calcium of 11.8 mg/dL (2.95 mmol/L) from bone metastases. Which nursing measure is appropriate?
- AGive calcium carbonate antacids for nausea
- BEncourage fluids and mobility as tolerated
- CEncourage bed rest and limit oral fluids
- DOffer extra milk and cheese at each meal
7.困难
A patient with long-standing rheumatoid arthritis has a hemoglobin of 10.5 g/dL (105 g/L), a low serum iron, a low total iron-binding capacity (TIBC) and a high-normal ferritin. Which condition fits best?
- AIron-deficiency anemia
- BVitamin B12 deficiency anemia
- CAcute blood loss anemia
- DAnemia of chronic disease (inflammation)
8.困难
A patient has a hematocrit of 60% and a raised red cell mass. Which result suggests polycythemia vera rather than secondary polycythemia from chronic hypoxia?
- AA high carboxyhemoglobin
- BA high erythropoietin level
- CA low oxygen saturation
- DA low erythropoietin level