1.Easy
What is the difference between serum and plasma?
- APlasma is the fluid left after blood clots, without fibrinogen
- BSerum and plasma are two names for exactly the same fluid
- CSerum is what is left after blood clots, minus clotting factors
- DSerum contains all the red cells, while plasma contains none
2.Easy
Which hemoglobin value in an adult man is within the typical reference range?
- A9.0 g/dL (90 g/L)
- B20.5 g/dL (205 g/L)
- C5.5 g/dL (55 g/L)
- D15.0 g/dL (150 g/L)
3.Easy
What does the term "thrombocytosis" mean?
- AA low red cell count
- BA low platelet count
- CA high white cell count
- DA high platelet count
4.Medium
A patient’s fasting glucose today is 98 mg/dL (5.4 mmol/L), but the HbA1c is 8.9% (74 mmol/mol). What is the best interpretation?
- AToday’s good result shows that diabetes is well controlled
- BThe patient does not have diabetes
- CThe HbA1c reflects only the past 24 hours
- DGlucose control has been poor over the past 2–3 months
5.Medium
A patient has started parenteral nutrition (PN) through a central line. Which test is monitored most frequently in the first days?
- AThyroid hormones
- BSerum lipase
- CHemoglobin A1c
- DBlood glucose
6.Medium
A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?
- ADisconnect the catheter from the tubing and let it drain
- BAspirate from the sampling port with a sterile syringe
- CRemove the catheter and culture the catheter tip
- DPour urine from the drainage bag into a sterile cup
7.Hard
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- ACalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- BHemoglobin 12.1 g/dL (121 g/L) after surgery
- CSodium 136 mEq/L on IV fluids after surgery
- DGlucose 145 mg/dL (8.0 mmol/L) after surgery
8.Hard
A patient on IV gentamicin has a trough level above the target, and the creatinine has risen since yesterday. The next dose is due. What is the best action?
- AGive the dose with extra oral fluids to protect the kidneys
- BGive the dose now and recheck the levels next week
- CGive half of the dose and document the reason for it
- DHold the dose and report the results to the prescriber
Answer key
- 1. C · Serum is what is left after blood clots, minus clotting factors
- 2. D · 15.0 g/dL (150 g/L)
- 3. D · A high platelet count
- 4. D · Glucose control has been poor over the past 2–3 months
- 5. D · Blood glucose
- 6. B · Aspirate from the sampling port with a sterile syringe
- 7. A · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. D · Hold the dose and report the results to the prescriber
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