1.Easy
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- AAbsent
- BHigh
- CNormal
- DLow
2.Easy
For sodium and potassium, how does 1 mEq/L compare with 1 mmol/L?
- AThey are equal, because each ion carries a single charge
- BThey cannot be compared, as they measure different things
- C1 mEq/L equals 0.5 mmol/L for these ions
- D1 mEq/L equals 2 mmol/L for these ions
3.Easy
Why can bilirubin appear in the urine in obstructive jaundice but not in hemolytic jaundice?
- AOnly conjugated bilirubin is water soluble and filtered
- BHemolysis stops the kidneys making any urine at all
- CUnconjugated bilirubin is broken down in the bladder
- DThe kidneys are always damaged in obstructive jaundice
4.Medium
A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7.3 mmol/L) on Monday and 138 mg/dL (7.7 mmol/L) on Thursday. What does this show?
- AThe results are within the normal fasting range
- BThe results meet the criteria for diabetes
- CThe results show reactive hypoglycemia
- DThe results show prediabetes only
5.Medium
A patient with the syndrome of inappropriate antidiuretic hormone (SIADH) has a sodium of 128 mEq/L. Which prescribed measure would the nurse expect?
- AFluid restriction
- BLarge volumes of IV 5% glucose
- CA low-sodium diet
- DEncouraging extra water intake
6.Medium
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
- AAfter about 3 days
- BAfter about 6–8 weeks
- CAfter about 24 hours
- DAfter about 1 year
7.Hard
A patient on clozapine for 2 years has been stable. Which statement shows a need for further teaching?
- A"I'll report a sore throat or fever at once"
- B"I can stop my blood tests since I feel well"
- C"I'll tell other doctors that I take clozapine"
- D"I'll keep all my scheduled blood test visits"
8.Hard
A patient with a round face, central weight gain and purple stretch marks has a glucose of 210 mg/dL (11.7 mmol/L) and a potassium of 3.1 mEq/L. Which condition fits best?
- AAdrenal insufficiency
- BDiabetes insipidus
- CCushing syndrome
- DHypothyroidism
Answer key
- 1. B · High
- 2. A · They are equal, because each ion carries a single charge
- 3. A · Only conjugated bilirubin is water soluble and filtered
- 4. B · The results meet the criteria for diabetes
- 5. A · Fluid restriction
- 6. B · After about 6–8 weeks
- 7. B · "I can stop my blood tests since I feel well"
- 8. C · Cushing syndrome
Full step-by-step solutions: practise this topic on examproblems.com.