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الاسم: ____________________ التاريخ: ____________
1.سهلة
At what time of day is serum cortisol normally highest?
AEarly morning
BLate afternoon
CAround midnight
DAfter the evening meal
2.سهلة
What does the term "thrombocytosis" mean?
AA low platelet count
BA high white cell count
CA high platelet count
DA low red cell count
3.سهلة
ما المدى المرجعي النموذجي لصوديوم المصل لدى البالغين؟
A150–165 mEq/L
B3,5–5,0 mEq/L
C95–105 mEq/L
D135–145 mEq/L
4.متوسطة
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
AUnderfilled tubes always give a falsely low hemoglobin and hematocrit
BAn overfull tube is needed to measure the potassium level
CThe laboratory charges extra when a tube is not filled correctly
DThe blood-to-anticoagulant ratio must be right for accurate clotting times
5.متوسطة
قبل إعطاء كلوريد البوتاسيوم الوريدي الموصوف، أي تقييم هو الأهم؟
Aالسمع في كلتا الأذنين
Bإدرار البول ووظائف الكلى
Cحجم الحدقة واستجابتها للضوء
Dمرونة الجلد على الساعد
6.متوسطة
When should a blood specimen tube be labeled?
AIn the laboratory, by the staff who receive the unlabeled sample
BBefore entering the room, so tubes are ready for the next patients
CAt the bedside, in the patient's presence, using two identifiers
DAt the nurses' station, after all samples for the shift are drawn
7.صعبة
The nurse teaches a patient with thrombocytopenia (platelets 25 × 10³/µL) about home safety. Which statement shows a need for further teaching?
A"I'll take aspirin if I get a headache"
B"I'll blow my nose gently, not forcefully"
C"I'll use an electric razor to shave"
D"I'll use a soft-bristled toothbrush"
8.صعبة
A patient using an insulin pump has a glucose of 300 mg/dL (16,7 mmol/L) that has not fallen 2 hours after a correction bolus through the pump. Blood ketones are 1,8 mmol/L. What is the most likely problem and action?
AInsulin delivery failure; inject a correction dose by pen and change the set
BRebound after a hypo; give fast-acting carbohydrate and recheck in 15 minutes
CInsulin overdose from the pump; suspend the pump and stop all insulin for a day
DNormal pump function; wait for the next mealtime bolus to lower the glucose
مفتاح الإجابات
1. A · Early morning
2. C · A high platelet count
3. D · 135–145 mEq/L
4. D · The blood-to-anticoagulant ratio must be right for accurate clotting times
5. B · إدرار البول ووظائف الكلى
6. C · At the bedside, in the patient's presence, using two identifiers
7. A · "I'll take aspirin if I get a headache"
8. A · Insulin delivery failure; inject a correction dose by pen and change the set
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