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Name: ____________________ Date: ____________
1.Easy
Which fasting triglyceride level is commonly described as normal?
ABetween 200 and 499 mg/dL (2.3–5.6 mmol/L)
BAbove 500 mg/dL (5.6 mmol/L)
CBelow 150 mg/dL (1.7 mmol/L)
DAbove 1,000 mg/dL (11.3 mmol/L)
2.Easy
What is the main role of fibrinogen in the blood?
AIt breaks down clots once the bleeding has stopped
BIt carries oxygen from the lungs to the body tissues
CIt transports iron from the gut to the bone marrow
DIt is converted to fibrin, which forms the mesh of a clot
3.Easy
Which liver test rises mainly when liver cells are damaged?
AHemoglobin A1c (HbA1c)
BCreatine kinase (CK)
CBlood urea nitrogen (BUN)
DALT (alanine aminotransferase)
4.Medium
A patient scheduled for surgery this morning has a potassium of 3.0 mEq/L on pre-operative tests. What should the nurse do?
ARepeat the test after the surgery is finished
BGive an oral potassium dose without a prescription
CReport it to the surgical team before surgery
DSend the patient to surgery without comment
5.Medium
A patient who is breathless during a transfusion has hypotension, fever and bilateral lung infiltrates, with no signs of fluid overload. Which complication is most likely?
AA simple allergic reaction with hives
BTransfusion-associated circulatory overload
CTransfusion-related acute lung injury (TRALI)
DA mild febrile nonhemolytic reaction
6.Medium
When is a peak level for an IV aminoglycoside such as gentamicin usually drawn?
AAt any time convenient for the patient
BJust before the next dose is started
CExactly 24 hours after the first dose
DAbout 30 minutes after the infusion ends
7.Hard
A patient admitted with heavy alcohol use and malnutrition has a glucose of 52 mg/dL (2.9 mmol/L) and low magnesium. Which prescribed treatment should be given before the IV glucose?
AOral iron
BIV potassium
CIV thiamine
DIV insulin
8.Hard
Which patient should the nurse assess first?
AHeart failure with a BNP lower than the result on admission
BHypertension with a potassium of 3.6 mEq/L on a thiazide
CChest pain with troponin rising from the first to the second sample
DStable angina with a total cholesterol of 245 mg/dL (6.3 mmol/L)
Answer key
1. C · Below 150 mg/dL (1.7 mmol/L)
2. D · It is converted to fibrin, which forms the mesh of a clot
3. D · ALT (alanine aminotransferase)
4. C · Report it to the surgical team before surgery
5. C · Transfusion-related acute lung injury (TRALI)
6. D · About 30 minutes after the infusion ends
7. C · IV thiamine
8. C · Chest pain with troponin rising from the first to the second sample
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