1.Easy
What does a "culture and sensitivity" test of a sample show?
- AThe amount of antibiotic in the patient's blood
- BWhether the patient is allergic to an antibiotic
- CHow many white cells are present in the sample
- DWhich organism grows and which antibiotics work on it
2.Easy
Which HbA1c value meets the usual diagnostic threshold for diabetes?
- A5.0% (31 mmol/mol) or higher
- B5.5% (37 mmol/mol) or higher
- C6.5% (48 mmol/mol) or higher
- D4.5% (26 mmol/mol) or higher
3.Easy
What is the difference between serum and plasma?
- ASerum contains all the red cells, while plasma contains none
- BPlasma is the fluid left after blood clots, without fibrinogen
- CSerum and plasma are two names for exactly the same fluid
- DSerum is what is left after blood clots, minus clotting factors
4.Medium
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA high serum calcium
- BA low serum magnesium
- CA high serum potassium
- DA low serum sodium
5.Medium
A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?
- ALow glucose and high magnesium
- BLow potassium and low bicarbonate
- CHigh potassium and high bicarbonate
- DHigh sodium and high calcium
6.Medium
A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?
- ASerum calcium
- BSerum amylase
- CSerum chloride
- DSerum sodium
7.Hard
A patient without symptoms has a finger-stick glucose of 340 mg/dL (18.9 mmol/L). The previous values were normal, and the patient has just peeled an orange. What should the nurse do first?
- AAsk the laboratory to measure HbA1c from the same drop of blood
- BGive a correction dose of insulin for a glucose of 340 mg/dL
- CHave the patient wash and dry their hands, then repeat the test
- DReport the result as a new diagnosis of diabetes mellitus
8.Hard
A young man has a swollen knee after minor trauma. His aPTT is prolonged, but his PT/INR and platelet count are normal. Which condition fits best?
- AVitamin K deficiency from poor diet
- BImmune thrombocytopenia (ITP)
- CHemophilia A (factor VIII deficiency)
- DDisseminated intravascular coagulation
Answer key
- 1. D · Which organism grows and which antibiotics work on it
- 2. C · 6.5% (48 mmol/mol) or higher
- 3. D · Serum is what is left after blood clots, minus clotting factors
- 4. D · A low serum sodium
- 5. B · Low potassium and low bicarbonate
- 6. A · Serum calcium
- 7. C · Have the patient wash and dry their hands, then repeat the test
- 8. C · Hemophilia A (factor VIII deficiency)
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