1.Easy
What is the main role of platelets?
- ATo carry oxygen and carbon dioxide in the blood
- BTo break down old red cells in the spleen
- CTo form a plug at the site of vessel injury
- DTo produce antibodies against bacteria and viruses
2.Easy
What is the commonly cited therapeutic range for total serum valproate (valproic acid) in epilepsy?
- AAbout 5–10 mcg/mL (mg/L)
- BAbout 50–100 mcg/mL (mg/L)
- CAbout 500–1000 mcg/mL (mg/L)
- DAbout 0.6–1.2 mcg/mL (mg/L)
3.Easy
The serum total protein is made up mainly of:
- AGlucose and urea
- BHemoglobin and iron
- CAlbumin and globulins
- DSodium and chloride
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 meet the criteria for diabetes
- BThe results show reactive hypoglycemia
- CThe results show prediabetes only
- DThe results are within the normal fasting range
5.Medium
A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?
- ARemove the catheter and culture the catheter tip
- BPour urine from the drainage bag into a sterile cup
- CAspirate from the sampling port with a sterile syringe
- DDisconnect the catheter from the tubing and let it drain
6.Medium
When several samples are drawn at the same venipuncture, which tubes or bottles are filled first?
- ABlood culture bottles
- BEDTA (complete blood count) tubes
- CFluoride (glucose) tubes
- DCoagulation (citrate) tubes
7.Hard
A patient on warfarin with an INR of 3.6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?
- AEncourage rest in a dark room to settle the pain
- BGive acetaminophen (paracetamol) and recheck the INR tomorrow
- CHold warfarin for one dose and observe at home
- DReport urgently for imaging and possible reversal
8.Hard
Which set of results best shows that diabetic ketoacidosis is resolving?
- AA falling glucose with a falling serum bicarbonate
- BA rising potassium with a falling bicarbonate
- CA falling glucose with a still widening anion gap
- DA closing anion gap with a rising bicarbonate and pH
Answer key
- 1. C · To form a plug at the site of vessel injury
- 2. B · About 50–100 mcg/mL (mg/L)
- 3. C · Albumin and globulins
- 4. A · The results meet the criteria for diabetes
- 5. C · Aspirate from the sampling port with a sterile syringe
- 6. A · Blood culture bottles
- 7. D · Report urgently for imaging and possible reversal
- 8. D · A closing anion gap with a rising bicarbonate and pH
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