1.Easy
What does the red cell distribution width (RDW) describe?
- AHow much the red cells vary in size
- BHow many red cells are young cells
- CHow long red cells survive in the blood
- DHow fast the red cells settle in a tube
2.Easy
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
- APlatelet function assay (PFA-100 test)
- BErythrocyte sedimentation rate (ESR)
- CActivated partial thromboplastin time (aPTT)
- DInternational normalized ratio (INR)
3.Easy
Which antibody test is most specific for rheumatoid arthritis?
- AAnti-CCP antibodies
- BAntinuclear antibody
- CAnti-D antibody
- DAnti-HBs antibody
4.Medium
A patient's potassium is 7.0 mEq/L. Which ECG change would the nurse expect?
- AFlattened T waves
- BTall, peaked T waves
- CDelta waves before the QRS
- DProminent U waves
5.Medium
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
- AThe blood-to-anticoagulant ratio must be right for accurate clotting times
- BUnderfilled tubes always give a falsely low hemoglobin and hematocrit
- CAn overfull tube is needed to measure the potassium level
- DThe laboratory charges extra when a tube is not filled correctly
6.Medium
Which instruction is correct for a patient starting oral iron tablets?
- AYour urine will turn bright orange while you take it
- BTake each tablet with milk to protect the stomach
- CYour stools may turn dark green or black
- DTake the tablet with an antacid to improve absorption
7.Hard
A patient has macrocytic anemia with low vitamin B12 and antibodies to intrinsic factor. What does this suggest, and how is it usually treated?
- AIron deficiency, treated with oral iron tablets
- BFolate deficiency, treated with folic acid only
- CPernicious anemia, treated with B12 injections
- DHemolytic anemia, treated with blood transfusion
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?
- ADiabetes insipidus
- BAdrenal insufficiency
- CHypothyroidism
- DCushing syndrome
Answer key
- 1. A · How much the red cells vary in size
- 2. C · Activated partial thromboplastin time (aPTT)
- 3. A · Anti-CCP antibodies
- 4. B · Tall, peaked T waves
- 5. A · The blood-to-anticoagulant ratio must be right for accurate clotting times
- 6. C · Your stools may turn dark green or black
- 7. C · Pernicious anemia, treated with B12 injections
- 8. D · Cushing syndrome
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