1.Easy
What is a typical adult reference range for blood urea nitrogen (BUN)?
- AAbout 70–99 mg/dL (urea 25–35 mmol/L)
- BAbout 135–145 mg/dL (urea 48–52 mmol/L)
- CAbout 7–20 mg/dL (urea 2.5–7.1 mmol/L)
- DAbout 0.6–1.2 mg/dL (urea 0.2–0.4 mmol/L)
2.Easy
Which urine test is used to screen people with diabetes for early kidney damage?
- AA urine pregnancy test
- BUrine specific gravity
- CThe urine albumin-to-creatinine ratio (ACR)
- DA urine culture for bacteria
3.Easy
What does the term pancytopenia mean?
- ALow red cells with normal platelets
- BHigh red cells, white cells and platelets
- CLow red cells, white cells and platelets
- DHigh white cells with low platelets
4.Medium
Which blood collection practice helps prevent hemolysis of the sample?
- AForcing blood quickly through a needle into the tube
- BUsing the smallest needle available for every patient
- CLeaving the tourniquet on for at least 3 minutes
- DGently inverting the tubes instead of shaking them
5.Medium
A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?
- AThe thyroid is now completely normal
- BThe levothyroxine dose is too high
- CThe levothyroxine dose is too low
- DThe patient has stopped the drug
6.Medium
Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?
- ATroponin and creatine kinase (CK)
- BKidney function and thyroid function
- CLiver enzymes and serum amylase
- DINR and the platelet count
7.Hard
The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?
- A"I'll keep the container cool as the laboratory told me to"
- B"I'll empty my bladder at the end time and add that urine"
- C"If I forget to save one void, I'll just carry on to the end"
- D"I'll ask whether any foods or drugs should be avoided first"
8.Hard
A nursing student has a positive interferon-gamma release assay (IGRA) for tuberculosis, no symptoms and a normal chest X-ray. What does this most likely mean?
- ALatent TB infection, which is not contagious
- BPast BCG vaccination only, with no infection
- CA false result, as the test does not detect TB
- DActive pulmonary TB, which is contagious
Answer key
- 1. C · About 7–20 mg/dL (urea 2.5–7.1 mmol/L)
- 2. C · The urine albumin-to-creatinine ratio (ACR)
- 3. C · Low red cells, white cells and platelets
- 4. D · Gently inverting the tubes instead of shaking them
- 5. B · The levothyroxine dose is too high
- 6. B · Kidney function and thyroid function
- 7. C · "If I forget to save one void, I'll just carry on to the end"
- 8. A · Latent TB infection, which is not contagious
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