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الاسم: ____________________ التاريخ: ____________
1.سهلة
The prostate-specific antigen (PSA) test is used mainly in relation to which organ?
AProstate gland
BThyroid gland
CPituitary gland
DPancreas
2.سهلة
Which substance contributes most to normal serum osmolality?
AGlucose in plasma
BUrea (from BUN)
CSodium and its anions
DPlasma albumin
3.سهلة
Which laboratory test is used to diagnose sickle cell disease?
AProthrombin time with INR
BHemoglobin electrophoresis
CErythrocyte sedimentation rate
DSerum ferritin and transferrin saturation
4.متوسطة
A patient with a potassium of 2,8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?
AIt is added to the IV bag without mixing, so it stays at the bottom
BIt may be given as a slow IV push over one minute if the level is very low
CIt is given as an undiluted bolus into a large vein to avoid irritation
DIt is always diluted and given by infusion pump, never as an IV push
5.متوسطة
A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?
AFrom the left wrist
BFrom the left hand
CFrom the right arm
DFrom the fistula
6.متوسطة
How should a patient collect a clean-catch midstream urine sample?
AFill the cup completely, then add tap water if there is not enough
BCollect the very first urine of the stream directly in the sterile cup
CClean the area, start voiding into the toilet, then catch the middle part
DCollect urine from the toilet bowl after voiding into the toilet
7.صعبة
مريض على تسريب إنسولين وريدي سكر دمه 65 mg/dL (3,6 mmol/L). ما أفضل إجراء؟
Aاتباع بروتوكول انخفاض الغلوكوز وإبلاغ مقدّم الرعاية
Bإعطاء بوتاسيوم فموي لحماية القلب
Cالمواصلة بالمعدل نفسه وإعادة الفحص بعد أربع ساعات
Dإيقاف التسريب وترك إعادة فحص الغلوكوز إلى الصباح
8.صعبة
A patient on clozapine for 2 years has been stable. Which statement shows a need for further teaching?
A"I'll keep all my scheduled blood test visits"
B"I'll tell other doctors that I take clozapine"
C"I can stop my blood tests since I feel well"
D"I'll report a sore throat or fever at once"
مفتاح الإجابات
1. A · Prostate gland
2. C · Sodium and its anions
3. B · Hemoglobin electrophoresis
4. D · It is always diluted and given by infusion pump, never as an IV push
5. C · From the right arm
6. C · Clean the area, start voiding into the toilet, then catch the middle part
7. A · اتباع بروتوكول انخفاض الغلوكوز وإبلاغ مقدّم الرعاية
8. C · "I can stop my blood tests since I feel well"
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