1.简单
中性粒细胞减少通常定义为中性粒细胞绝对计数(ANC)低于约:
- A150 × 10³/µL(150 000/mm³)
- B1.5 × 10³/µL(1500/mm³)
- C5.0 × 10³/µL(5000/mm³)
- D15 × 10³/µL(15 000/mm³)
2.简单
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
- AErythrocyte sedimentation rate (ESR)
- BInternational normalized ratio (INR)
- CActivated partial thromboplastin time (aPTT)
- DPlatelet function assay (PFA-100 test)
3.简单
Which gland produces thyroid-stimulating hormone (TSH)?
- AThe anterior pituitary gland
- BThe thyroid gland itself
- CThe adrenal cortex
- DThe parathyroid glands
4.中等
一名患者的血小板计数为 18 × 10³/µL。哪项护理措施是恰当的?
- A患者头痛时给予处方的阿司匹林
- B鼓励每天使用牙线两次,并用锋利的剃刀刮胡子
- C为准确起见,每四小时经直肠测体温
- D使用软毛牙刷、电动剃须刀,不做肌内注射
5.中等
An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1.0 to 1.8 mg/dL (88 to 159 µmol/L). What is the most likely cause?
- AMore activity has increased the patient's muscle mass quickly
- BThe NSAID reduces kidney blood flow on top of the other two drugs
- CA laboratory error, since ibuprofen has no effect on the kidney
- DNormal aging of the kidneys over a period of a few weeks
6.中等
A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?
- AProtein in the urine
- BNitrites in the urine
- CKetones in the urine
- DGlucose in the urine
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
A patient has taken metformin for 8 years and now has numbness in the feet, a hemoglobin of 10.2 g/dL (102 g/L) and an MCV of 108 fL. Which deficiency is most likely?
- AVitamin B12 deficiency
- BVitamin D (calciferol) deficiency
- CIron deficiency from gut loss
- DVitamin K deficiency
答案
- 1. B · 1.5 × 10³/µL(1500/mm³)
- 2. C · Activated partial thromboplastin time (aPTT)
- 3. A · The anterior pituitary gland
- 4. D · 使用软毛牙刷、电动剃须刀,不做肌内注射
- 5. B · The NSAID reduces kidney blood flow on top of the other two drugs
- 6. A · Protein in the urine
- 7. B · Lithium 1.8 mEq/L with a new coarse tremor
- 8. A · Vitamin B12 deficiency
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