1.简单
血清渗透压的典型参考范围是多少?
- A约 275–295 mOsm/kg
- B约 50–100 mOsm/kg
- C约 400–500 mOsm/kg
- D约 135–145 mOsm/kg
2.简单
细胞内液中的主要阳离子是哪种?
- A钙
- B钠
- C钾
- D氯
3.简单
对于钠和钾,1 mEq/L 与 1 mmol/L 相比如何?
- A两者相等,因为每个离子带一个电荷
- B对这些离子来说,1 mEq/L 等于 0.5 mmol/L
- C无法比较,因为它们测量的是不同的东西
- D对这些离子来说,1 mEq/L 等于 2 mmol/L
4.中等
一名意识清醒的患者血糖为 54 mg/dL(3.0 mmol/L),已摄入 15 g 速效碳水化合物。应在何时复测血糖?
- A第二天早晨
- B下一餐时
- C约 15 分钟后
- D约 2 小时后
5.中等
A tired patient with heavy menstrual periods has a normal hemoglobin and MCV but a ferritin of 8 ng/mL. What does this show?
- AIron deficiency without anemia yet
- BA completely normal iron status
- CIron overload from too much iron
- DVitamin B12 deficiency anemia
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?
- AEncourage fluids and mobility as tolerated
- BGive calcium carbonate antacids for nausea
- COffer extra milk and cheese at each meal
- DEncourage bed rest and limit oral fluids
7.困难
A patient with ongoing hemolytic anemia has an HbA1c of 4.6%, but home glucose readings are often 180–220 mg/dL (10–12 mmol/L). What best explains the gap?
- AThe home glucose meter is reading falsely high
- BShort red cell life span lowers the HbA1c falsely
- CHemolysis makes the HbA1c test read too high
- DThe patient has true, well-controlled diabetes
8.困难
The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?
- A"I can have a light breakfast before the test"
- B"I'll fast overnight but can drink plain water"
- C"I'll avoid smoking until the test is over"
- D"I'll stay seated during the test if I can"
答案
- 1. A · 约 275–295 mOsm/kg
- 2. C · 钾
- 3. A · 两者相等,因为每个离子带一个电荷
- 4. C · 约 15 分钟后
- 5. A · Iron deficiency without anemia yet
- 6. A · Encourage fluids and mobility as tolerated
- 7. B · Short red cell life span lowers the HbA1c falsely
- 8. A · "I can have a light breakfast before the test"
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