1.Easy
What does a raised erythrocyte sedimentation rate (ESR) show?
- AInflammation somewhere in the body, without showing where
- BA specific infection of the urinary tract by bacteria
- CDamage to heart muscle within the past few hours
- DA low level of iron stored in the bone marrow
2.Easy
A low mean corpuscular hemoglobin concentration (MCHC) means that the red cells are:
- AMore numerous than normal
- BPaler than normal (hypochromic)
- CShaped like a sickle
- DLarger than normal (macrocytic)
3.Easy
Which liver test is especially sensitive to heavy alcohol use?
- ACardiac troponin I or T
- BSerum creatinine and BUN
- CGamma-glutamyl transferase (GGT)
- DSerum lipase (pancreatic enzyme)
4.Medium
A patient’s white cell count is 16 × 10³/µL with a high proportion of immature neutrophils (bands). What does this most likely indicate?
- AA normal result
- BAn acute bacterial infection
- CA chronic viral illness only
- DIron-deficiency anemia
5.Medium
A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?
- APour urine from the drainage bag into a sterile cup
- BDisconnect the catheter from the tubing and let it drain
- CAspirate from the sampling port with a sterile syringe
- DRemove the catheter and culture the catheter tip
6.Medium
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
- ATSH and free T4
- BSerum sodium and chloride
- CHbA1c and lipid panel
- DPlatelet count and PT/INR
7.Hard
Which pattern of results fits SIADH?
- ALow serum sodium, low serum osmolality and concentrated urine
- BNormal sodium with very dilute urine
- CHigh serum sodium, high serum osmolality and very dilute urine
- DLow serum sodium, high serum osmolality and dilute urine
8.Hard
A patient with a round face, central weight gain and purple stretch marks has a glucose of 210 mg/dL (11.7 mmol/L) and a potassium of 3.1 mEq/L. Which condition fits best?
- AAdrenal insufficiency
- BHypothyroidism
- CCushing syndrome
- DDiabetes insipidus
Answer key
- 1. A · Inflammation somewhere in the body, without showing where
- 2. B · Paler than normal (hypochromic)
- 3. C · Gamma-glutamyl transferase (GGT)
- 4. B · An acute bacterial infection
- 5. C · Aspirate from the sampling port with a sterile syringe
- 6. D · Platelet count and PT/INR
- 7. A · Low serum sodium, low serum osmolality and concentrated urine
- 8. C · Cushing syndrome
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