ورقة عمل القيم المخبرية والشوارد مع الإجابات

A blood lactate level above about which value is usually considered raised in an adult?

1. A0,2 mmol/L
2. B2 mmol/L
3. C10 mmol/L
4. D20 mmol/L

ما المدى المرجعي النموذجي لصوديوم المصل لدى البالغين؟

1. A150–165 mEq/L
2. B135–145 mEq/L
3. C95–105 mEq/L
4. D3,5–5,0 mEq/L

Why can bilirubin appear in the urine in obstructive jaundice but not in hemolytic jaundice?

1. AThe kidneys are always damaged in obstructive jaundice
2. BUnconjugated bilirubin is broken down in the bladder
3. COnly conjugated bilirubin is water soluble and filtered
4. DHemolysis stops the kidneys making any urine at all

A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?

1. APotassium and creatinine
2. BTSH and free T₄
3. CALT and bilirubin
4. DCalcium and phosphate

Which IV fluid can be given through the same line as a red cell transfusion?

1. ALactated Ringer's (Hartmann's) solution
2. B5% dextrose in water
3. C0,9% sodium chloride
4. D0,45% sodium chloride

غلوكوز مريض الصائم اليوم 98 mg/dL (5,4 mmol/L)، لكن HbA1c لديه 8,9% (74 mmol/mol). ما أفضل تفسير؟

1. Aيعكس HbA1c الـ 24 ساعة الماضية فقط
2. Bكان ضبط الغلوكوز سيئًا خلال الشهرين إلى الثلاثة الماضية
3. Cتدل نتيجة اليوم الجيدة على أن السكري مضبوط جيدًا
4. Dالمريض ليس مصابًا بالسكري

A patient receiving chemotherapy has a white cell count of 1,8 × 10³/µL with 20% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?

1. A4,500/µL
2. B360/µL
3. C1,800/µL
4. D450/µL

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?

1. ARebound after a hypo; give fast-acting carbohydrate and recheck in 15 minutes
2. BNormal pump function; wait for the next mealtime bolus to lower the glucose
3. CInsulin overdose from the pump; suspend the pump and stop all insulin for a day
4. DInsulin delivery failure; inject a correction dose by pen and change the set