1.简单
What is the main role of fibrinogen in the blood?
- AIt breaks down clots once the bleeding has stopped
- BIt carries oxygen from the lungs to the body tissues
- CIt is converted to fibrin, which forms the mesh of a clot
- DIt transports iron from the gut to the bone marrow
2.简单
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- AReceives an insulin injection, and glucose is checked each hour
- BEats a normal meal, and glucose is checked once later that evening
- CFasts for 3 days, and glucose is checked every morning before breakfast
- DDrinks a measured glucose solution, and glucose is checked 2 hours later
3.简单
Which hemoglobin value in an adult man is within the typical reference range?
- A20.5 g/dL (205 g/L)
- B5.5 g/dL (55 g/L)
- C9.0 g/dL (90 g/L)
- D15.0 g/dL (150 g/L)
4.中等
A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?
- AFrom the left hand
- BFrom the left wrist
- CFrom the right arm
- DFrom the fistula
5.中等
A week after a splenectomy, a patient's platelet count is 650 × 10³/µL. What is the best interpretation?
- AA laboratory error, because platelets fall after splenectomy
- BA sign of iron overload from the surgery and transfusion
- CA sign of new leukemia that needs immediate chemotherapy
- DAn expected rise after splenectomy that increases clot risk
6.中等
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- ASend the fluid for cell count and culture and report it
- BAdd more glucose to the next bag to clear the fluid
- CStop dialysis for a week and recheck the fluid later
- DRecord it as normal and continue the usual exchanges
7.困难
A patient admitted with heavy alcohol use and malnutrition has a glucose of 52 mg/dL (2.9 mmol/L) and low magnesium. Which prescribed treatment should be given before the IV glucose?
- AIV thiamine
- BIV potassium
- CIV insulin
- DOral iron
8.困难
一名转移性乳腺癌患者钙为 13.2 mg/dL(3.3 mmol/L),意识模糊并便秘。护士预期会首先开始哪种处方治疗?
- A静脉输注 0.9% 氯化钠
- B噻嗪类利尿剂
- C口服钙补充剂
- D严格卧床休息
答案
- 1. C · It is converted to fibrin, which forms the mesh of a clot
- 2. D · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 3. D · 15.0 g/dL (150 g/L)
- 4. C · From the right arm
- 5. D · An expected rise after splenectomy that increases clot risk
- 6. A · Send the fluid for cell count and culture and report it
- 7. A · IV thiamine
- 8. A · 静脉输注 0.9% 氯化钠
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