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الاسم: ____________________ التاريخ: ____________
1.سهلة
A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?
ADuctal breast cancer
BHepatocellular (liver) cancer
CBladder urothelial cancer
DProstate adenocarcinoma
2.سهلة
What does the term "left shift" mean on a white cell differential?
AMore lymphocytes than neutrophils in the blood
BMore immature neutrophils (bands) than normal
CA rise in the number of eosinophils
DA fall in all the white cell types together
3.سهلة
In many US nursing references, what is the commonly cited therapeutic range for serum lithium in maintenance therapy?
AAbout 0,6–1,2 mEq/L
BAbout 3,5–5,0 mEq/L
CAbout 2,0–3,0 mEq/L
DAbout 10–20 mEq/L
4.متوسطة
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
AIt measures the main ketone in DKA, and the dipstick may miss it
BIt is the only test that can measure glucose and ketones together
CThe urine dipstick only detects ketones in people without diabetes
DIt shows the average ketone level over the past three months
5.متوسطة
A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?
AThe drug improves the accuracy of all dipsticks
BThe color shows severe liver failure is present
CThe color proves blood is present in the urine
DThe dye can interfere with dipstick color readings
6.متوسطة
A patient on warfarin has an INR of 7,8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?
ANaloxone hydrochloride
BProtamine sulfate
CVitamin K (phytonadione)
DAcetylcysteine
7.صعبة
The nurse teaches a patient with chronic kidney disease about a potassium-restricted diet. Which statement shows a need for further teaching?
A"I'll check food labels and ask my dietitian about portion sizes"
B"Dried apricots and raisins will be a good snack for me now"
C"I'll limit bananas, oranges and potatoes in my meals"
D"I can leach potatoes by soaking them before cooking them"
8.صعبة
A patient stopped long-term prednisone suddenly a week ago. Now: blood pressure 78/46 mm Hg, sodium 128 mEq/L, potassium 4,6 mEq/L, glucose 58 mg/dL (3,2 mmol/L). Which condition is most likely?
ACushing syndrome from steroid excess
BAcute adrenal insufficiency (adrenal crisis)
CSyndrome of inappropriate ADH (SIADH)
DPrimary hyperaldosteronism (Conn syndrome)
مفتاح الإجابات
1. B · Hepatocellular (liver) cancer
2. B · More immature neutrophils (bands) than normal
3. A · About 0,6–1,2 mEq/L
4. A · It measures the main ketone in DKA, and the dipstick may miss it
5. D · The dye can interfere with dipstick color readings
6. C · Vitamin K (phytonadione)
7. B · "Dried apricots and raisins will be a good snack for me now"
8. B · Acute adrenal insufficiency (adrenal crisis)
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