1.简单
血酮或尿酮检查阳性主要说明什么?
- A肝脏产生过多胆红素
- B患者有尿路感染
- C肾脏向尿中漏出蛋白质
- D身体在分解脂肪作为能量来源,如胰岛素缺乏或饥饿时
2.简单
What does the term "thrombocytosis" mean?
- AA low red cell count
- BA high white cell count
- CA low platelet count
- DA high platelet count
3.简单
On a liver panel, "direct bilirubin" refers to which form of bilirubin?
- AConjugated bilirubin
- BUnconjugated bilirubin
- CBilirubin in the stool
- DTotal urine urobilinogen
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?
- ACreatine kinase (CK)
- BCardiac troponin
- CSerum lipase
- DSerum ammonia
5.中等
How should a blood sample for serum ammonia be handled?
- APlaced on ice and sent to the laboratory at once
- BShaken firmly to mix it before it is sent away
- CLeft at room temperature for several hours first
- DKept warm and sent with the next routine batch
6.中等
A patient on warfarin for atrial fibrillation has a target INR of 2.0–3.0. How does the usual target for a patient with a mechanical mitral valve compare?
- ALower, about 1.0–1.5
- BHigher, about 2.5–3.5
- CThe same, 2.0–3.0
- DMuch higher, about 5.0–6.0
7.困难
一名肾功能正常、心电图正常的患者钾为 6.2 mEq/L。实验室备注样本发生了溶血。最好的解释是什么?
- A患者有肾衰竭
- B钾肯定是正常的,无需随访
- C不再做进一步检查,立即用胰岛素和葡萄糖治疗
- D结果可能是假性偏高;评估患者并安排重新采样
8.困难
The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?
- A"My daily finger-stick readings still matter between the tests"
- B"A lower result means less risk of damage to my eyes and kidneys"
- C"The test shows my average glucose over the past few months"
- D"I must not eat anything for 12 hours before the HbA1c test"
答案
- 1. D · 身体在分解脂肪作为能量来源,如胰岛素缺乏或饥饿时
- 2. D · A high platelet count
- 3. A · Conjugated bilirubin
- 4. A · Creatine kinase (CK)
- 5. A · Placed on ice and sent to the laboratory at once
- 6. B · Higher, about 2.5–3.5
- 7. D · 结果可能是假性偏高;评估患者并安排重新采样
- 8. D · "I must not eat anything for 12 hours before the HbA1c test"
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