1.简单
A raised eosinophil count is most typical of:
- AAllergic conditions and parasitic infections
- BAcute bacterial pneumonia and sepsis
- CViral infections such as glandular fever
- DAcute blood loss after trauma
2.简单
Which blood test is the usual measure of a person's vitamin D status?
- AParathyroid hormone
- BSerum phosphate
- C25-hydroxyvitamin D
- D1,25-dihydroxyvitamin D
3.简单
Which type of white blood cell is normally the most numerous in an adult's blood?
- AMonocytes
- BNeutrophils
- CLymphocytes
- DEosinophils
4.中等
A patient takes valproate (valproic acid) for epilepsy. Which tests are monitored regularly?
- AThyroid function and serum calcium
- BTroponin and B-type natriuretic peptide
- CLiver function tests and platelet count
- DSerum lithium and urine specific gravity
5.中等
A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?
- ACardiac troponin
- BSerum lipase
- CSerum ammonia
- DCreatine kinase (CK)
6.中等
The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?
- AOnly after the infusion is stopped
- BAbout 6 hours after the change
- CAbout 3 days after the change
- DAbout 30 minutes after the change
7.困难
Four drug levels are reported. Which patient should the nurse assess first?
- AValproate 75 mcg/mL with no symptoms
- BLithium 1.8 mEq/L with a new coarse tremor
- CDigoxin 1.0 ng/mL with a pulse of 72/min
- DPhenytoin 15 mcg/mL with no symptoms
8.困难
A patient without symptoms has a finger-stick glucose of 340 mg/dL (18.9 mmol/L). The previous values were normal, and the patient has just peeled an orange. What should the nurse do first?
- AHave the patient wash and dry their hands, then repeat the test
- BReport the result as a new diagnosis of diabetes mellitus
- CAsk the laboratory to measure HbA1c from the same drop of blood
- DGive a correction dose of insulin for a glucose of 340 mg/dL
答案
- 1. A · Allergic conditions and parasitic infections
- 2. C · 25-hydroxyvitamin D
- 3. B · Neutrophils
- 4. C · Liver function tests and platelet count
- 5. D · Creatine kinase (CK)
- 6. B · About 6 hours after the change
- 7. B · Lithium 1.8 mEq/L with a new coarse tremor
- 8. A · Have the patient wash and dry their hands, then repeat the test
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