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الاسم: ____________________ التاريخ: ____________
1.سهلة
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
ANormal
BAbsent
CLow
DHigh
2.سهلة
أي قيمة هيموغلوبين لدى امرأة بالغة تقع دون المدى المرجعي النموذجي؟
A14,6 g/dL (146 g/L)
B9,2 g/dL (92 g/L)
C13,5 g/dL (135 g/L)
D12,8 g/dL (128 g/L)
3.سهلة
على ماذا يدل ارتفاع البروتين التفاعلي C (CRP) أساسًا؟
Aالجفاف وفقد السوائل
Bالتهاب في الجسم
Cنوبة قلبية بوجه خاص
Dفشل كلوي بوجه خاص
4.متوسطة
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
AThe laboratory charges extra when a tube is not filled correctly
BAn overfull tube is needed to measure the potassium level
CUnderfilled tubes always give a falsely low hemoglobin and hematocrit
DThe blood-to-anticoagulant ratio must be right for accurate clotting times
5.متوسطة
A urine culture report states "mixed growth of three organisms, likely contamination." What is the nurse's best response?
ADiscard the report, because a mixed growth is always normal
BInform the provider and arrange a new, correctly collected sample
CStart treatment for all three organisms with three antibiotics
DRecord the result as a confirmed urinary tract infection
6.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
7.صعبة
A patient has a sodium of 150 mEq/L, a glucose of 180 mg/dL and a BUN of 28 mg/dL. Using the formula 2 × Na + glucose/18 + BUN/2,8, what is the calculated serum osmolality?
AAbout 320 mOsm/kg, which is high
BAbout 358 mOsm/kg, which is high
CAbout 285 mOsm/kg, which is normal
DAbout 300 mOsm/kg, which is normal
8.صعبة
The nurse teaches a patient with severe neutropenia after chemotherapy. Which statement shows a need for further teaching?
A"I'll call the clinic if my temperature rises"
B"I'll avoid people who have a cold or the flu"
C"I'll wash my hands before eating and after the toilet"
D"I'll check my temperature rectally to be accurate"
مفتاح الإجابات
1. D · High
2. B · 9,2 g/dL (92 g/L)
3. B · التهاب في الجسم
4. D · The blood-to-anticoagulant ratio must be right for accurate clotting times
5. B · Inform the provider and arrange a new, correctly collected sample
6. B · Heart failure is an unlikely cause of the breathlessness
7. A · About 320 mOsm/kg, which is high
8. D · "I'll check my temperature rectally to be accurate"
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