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الاسم: ____________________ التاريخ: ____________
1.سهلة
What does a raised D-dimer level show?
AThe patient is taking too much warfarin
BThe liver is no longer able to make clotting factors
CThe platelet count is too low to stop bleeding
DFibrin clots are being formed and broken down in the body
2.سهلة
لدى شخص لا يتناول مضاد تخثر، يكون INR نموذجيًا نحو:
A0,8–1,2
B2,0–3,0
C5,0–6,0
D3,5–4,5
3.سهلة
What is the main role of platelets?
ATo carry oxygen and carbon dioxide in the blood
BTo form a plug at the site of vessel injury
CTo break down old red cells in the spleen
DTo produce antibodies against bacteria and viruses
4.متوسطة
A breathless patient in the emergency department has a BNP below 100 pg/mL. What does this suggest?
AThe kidneys are failing and the patient needs dialysis
BHeart failure is an unlikely cause of the breathlessness
CSevere heart failure is certainly the cause of the problem
DThe patient has had a myocardial infarction in the past day
5.متوسطة
A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?
AThe color proves blood is present in the urine
BThe color shows severe liver failure is present
CThe dye can interfere with dipstick color readings
DThe drug improves the accuracy of all dipsticks
6.متوسطة
A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?
ASerum lipase
BSerum ammonia
CCardiac troponin
DCreatine kinase (CK)
7.صعبة
A patient's results: sodium 140 mEq/L, chloride 100 mEq/L, bicarbonate 12 mEq/L. What is the anion gap, and what does it suggest?
A40 mEq/L, a high anion gap
B52 mEq/L, a very high anion gap
C28 mEq/L, a high anion gap
D12 mEq/L, a normal anion gap
8.صعبة
A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?
AAssume the meter is broken and give the usual insulin dose
BGive oral glucose in case the reading is wrong and the patient is low
CRecord "HI" and repeat the meter test at the next scheduled time
DSend a venous sample to the lab and inform the provider at once
مفتاح الإجابات
1. D · Fibrin clots are being formed and broken down in the body
2. A · 0,8–1,2
3. B · To form a plug at the site of vessel injury
4. B · Heart failure is an unlikely cause of the breathlessness
5. C · The dye can interfere with dipstick color readings
6. D · Creatine kinase (CK)
7. C · 28 mEq/L, a high anion gap
8. D · Send a venous sample to the lab and inform the provider at once
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