1.Easy
A patient who has not eaten for 2 days has ketones in the urine. What is the most likely reason?
- AThe bladder has a bacterial infection
- BThe kidneys are leaking protein
- CThe liver is making too much glucose
- DThe body is burning fat for energy
2.Easy
What does the specificity of a diagnostic test describe?
- AThe proportion of people without the disease who test negative
- BThe cost of the test compared with other tests
- CThe proportion of people with the disease who test positive
- DThe total number of people who take the test each year
3.Easy
Which ECG change is linked to hypercalcemia?
- AA prolonged QT interval
- BA shortened QT interval
- CProminent U waves
- DTall, peaked T waves
4.Medium
A patient's eGFR has fallen to 24 mL/min/1.73 m². Which prescribed drug should the nurse question before giving it?
- AInsulin glargine
- BMetformin
- CLevothyroxine
- DAcetaminophen (paracetamol)
5.Medium
A patient had a total gastrectomy. Which long-term therapy is needed to prevent anemia?
- ALifelong vitamin B12 replacement
- BLifelong oral folic acid tablets only
- CMonthly transfusions of red blood cells
- DWeekly doses of oral vitamin K tablets
6.Medium
A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?
- AUric acid
- BSodium bicarbonate
- CMagnesium
- DPhosphate
7.Hard
The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?
- A"I'll avoid smoking until the test is over"
- B"I'll fast overnight but can drink plain water"
- C"I'll stay seated during the test if I can"
- D"I can have a light breakfast before the test"
8.Hard
Four results arrive at the same time. Which patient should the nurse see first?
- AHemoglobin 10.4 g/dL (104 g/L) in a patient with stable chronic kidney disease
- BWhite cell count 12.0 × 10³/µL on the first day after surgery
- CINR 2.6 in a patient on warfarin for atrial fibrillation
- DGlucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
Answer key
- 1. D · The body is burning fat for energy
- 2. A · The proportion of people without the disease who test negative
- 3. B · A shortened QT interval
- 4. B · Metformin
- 5. A · Lifelong vitamin B12 replacement
- 6. C · Magnesium
- 7. D · "I can have a light breakfast before the test"
- 8. D · Glucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
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