1.Easy
Which drug commonly causes a low serum potassium?
- AFurosemide
- BAmiloride
- CSpironolactone
- DLisinopril
2.Easy
Uric acid in the blood is a breakdown product of:
- AGlucose
- BFats
- CHemoglobin
- DPurines
3.Easy
In many US nursing references, what is the commonly cited therapeutic range for serum lithium in maintenance therapy?
- AAbout 3.5–5.0 mEq/L
- BAbout 2.0–3.0 mEq/L
- CAbout 10–20 mEq/L
- DAbout 0.6–1.2 mEq/L
4.Medium
Which factor is most likely to raise a patient’s lithium level?
- AEating more salt than usual for several days
- BTaking each dose with a meal instead of before
- CDrinking more fluid than usual in hot weather
- DDehydration or a sudden drop in sodium intake
5.Medium
A nurse completed the hepatitis B vaccine series. Which result shows protective immunity?
- AA positive IgM anti-HBc
- BA positive HBsAg test
- CA raised ALT level
- DAnti-HBs of 10 mIU/mL or more
6.Medium
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
- AHigh TSH with a low free T4
- BLow TSH with a high free T4
- CHigh TSH with a normal free T4
- DNormal TSH with a low free T4
7.Hard
A patient on digoxin has a calcium of 12.1 mg/dL (3.0 mmol/L) and new nausea and a slow pulse. Why is the calcium result important?
- AHigh calcium makes the kidneys clear digoxin faster
- BHigh calcium only matters if the potassium is also high
- CHigh calcium increases the risk of digoxin toxicity
- DHigh calcium blocks digoxin, so the drug stops working
8.Hard
The nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"If I miss a dose, I will take two tablets the next day"
- B"I will have my INR checked as often as I am told to"
- C"I will keep my intake of green leafy vegetables about the same"
- D"I will tell my dentist and pharmacist that I take warfarin"
Answer key
- 1. A · Furosemide
- 2. D · Purines
- 3. D · About 0.6–1.2 mEq/L
- 4. D · Dehydration or a sudden drop in sodium intake
- 5. D · Anti-HBs of 10 mIU/mL or more
- 6. B · Low TSH with a high free T4
- 7. C · High calcium increases the risk of digoxin toxicity
- 8. A · "If I miss a dose, I will take two tablets the next day"
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