1.Easy
A raised eosinophil count is most typical of:
- AViral infections such as glandular fever
- BAllergic conditions and parasitic infections
- CAcute bacterial pneumonia and sepsis
- DAcute blood loss after trauma
2.Easy
Which blood test is the usual measure of a person's vitamin D status?
- A1,25-dihydroxyvitamin D
- B25-hydroxyvitamin D
- CParathyroid hormone
- DSerum phosphate
3.Easy
Which blood group is the universal donor for red blood cells in an emergency?
- AGroup O, Rh negative
- BGroup AB, Rh positive
- CGroup A, Rh negative
- DGroup B, Rh positive
4.Medium
A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?
- AThe patient has developed a new infection
- BThe inflammation is settling with treatment
- CThe antibiotic is causing liver damage
- DThe infection has spread to another organ
5.Medium
A patient has a sodium of 124 mEq/L, a headache and new confusion. Which nursing measure is most appropriate?
- AKeep the patient flat and limit neurological checks to once a shift
- BPut seizure precautions in place and monitor neurological status
- CGive the next dose of the prescribed thiazide diuretic early
- DEncourage the patient to drink plenty of plain water
6.Medium
A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?
- AProtamine sulfate
- BNaloxone
- CCalcium gluconate
- DVitamin K (phytonadione)
7.Hard
A patient without diabetes in the ICU with sepsis has a glucose of 260 mg/dL (14.4 mmol/L) and an HbA1c of 5.2%. What is the best interpretation?
- AA meter error, because HbA1c is normal
- BType 1 diabetes from autoimmune damage
- CStress hyperglycemia from acute illness
- DLong-standing undiagnosed type 2 diabetes
8.Hard
A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2.1 mg/dL (186 µmol/L). What does this indicate?
- AUnrelated chronic kidney disease
- BMild infection needing no treatment
- CSuccessful response to treatment
- DSevere C. difficile infection
Answer key
- 1. B · Allergic conditions and parasitic infections
- 2. B · 25-hydroxyvitamin D
- 3. A · Group O, Rh negative
- 4. B · The inflammation is settling with treatment
- 5. B · Put seizure precautions in place and monitor neurological status
- 6. A · Protamine sulfate
- 7. C · Stress hyperglycemia from acute illness
- 8. D · Severe C. difficile infection
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