ورقة عمل القيم المخبرية والشوارد مع الإجابات

ما المدى المرجعي النموذجي لنيتروجين اليوريا في الدم (BUN) لدى البالغين؟

1. Aنحو 70–99 mg/dL (اليوريا 25–35 mmol/L)
2. Bنحو 0,6–1,2 mg/dL (اليوريا 0,2–0,4 mmol/L)
3. Cنحو 7–20 mg/dL (اليوريا 2,5–7,1 mmol/L)
4. Dنحو 135–145 mg/dL (اليوريا 48–52 mmol/L)

For many non-pregnant adults with diabetes, which HbA1c target is commonly recommended?

1. AAbove 9% (75 mmol/mol)
2. BBelow 10% (86 mmol/mol)
3. CBelow 7% (53 mmol/mol)
4. DBelow 4% (20 mmol/mol)

عند نفخ كمّة ضغط الدم على الذراع، تدخل يد المريض في تشنج مع ثني المعصم. أي اضطراب شوارد توحي به هذه العلامة؟

1. Aنقص كالسيوم الدم
2. Bفرط صوديوم الدم
3. Cفرط كالسيوم الدم
4. Dفرط بوتاسيوم الدم

A test has very high sensitivity for a disease. What does a negative result mean?

1. AThe result cannot be used, because sensitivity is high
2. BThe disease is certain, so treatment should begin
3. CThe disease is unlikely, so it helps rule it out
4. DThe patient must have a different disease instead

A patient with a potassium of 2,8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?

1. AIt is added to the IV bag without mixing, so it stays at the bottom
2. BIt is given as an undiluted bolus into a large vein to avoid irritation
3. CIt may be given as a slow IV push over one minute if the level is very low
4. DIt is always diluted and given by infusion pump, never as an IV push

مستوى القاع (trough) للفانكومايسين أعلى من المدى المستهدف. ما الأثر الضار الذي يمثل الشاغل الرئيسي؟

1. Aارتفاع تعداد الصفائح (كثرة الصفائح)
2. Bانخفاض سكر الدم (نقص سكر الدم)
3. Cتلف الكلى (السمية الكلوية)
4. Dالإمساك والانتفاخ

A patient with diabetes had a glucose of 58 mg/dL (3,2 mmol/L), took 15 g of fast-acting carbohydrate and, 15 minutes later, the glucose is 64 mg/dL (3,6 mmol/L). The patient is alert. What should the nurse do next?

1. AWait until the next meal before giving anything
2. BGive another 15 g of fast carbohydrate and recheck
3. CGive a protein snack only and recheck tomorrow
4. DGive a long-acting insulin dose to stabilize it

A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T₄ is low. What is the most likely explanation?

1. AAmiodarone-induced hypothyroidism
2. BAmiodarone-induced hyperthyroidism
3. CA normal response to amiodarone needing no action
4. DSecondary hypothyroidism from pituitary failure