1.Easy
What is a typical adult reference range for the platelet count?
- AAbout 1000–2000 × 10³/µL (1000–2000 × 10⁹/L)
- BAbout 12–16 × 10³/µL (12–16 × 10⁹/L)
- CAbout 4.5–11 × 10³/µL (4.5–11 × 10⁹/L)
- DAbout 150–400 × 10³/µL (150–400 × 10⁹/L)
2.Easy
What is a typical adult reference range for serum creatinine?
- AAbout 10–20 mg/dL
- BAbout 3.5–5.0 mg/dL
- CAbout 0.6–1.2 mg/dL
- DAbout 135–145 mg/dL
3.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)
4.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
- BCalcium gluconate
- CVitamin K (phytonadione)
- DNaloxone
5.Medium
Which instruction is correct for a patient taking an oral potassium chloride supplement?
- ATake it on an empty stomach with only a small sip of water to speed absorption
- BUse a salt substitute as well, so less of the tablet is needed each day
- CTake it with food and a full glass of water, and do not crush extended-release tablets
- DCrush the extended-release tablets and mix them with a little water if needed
6.Medium
Which instruction is correct for a patient starting oral iron tablets?
- ATake the tablet with an antacid to improve absorption
- BYour stools may turn dark green or black
- CYour urine will turn bright orange while you take it
- DTake each tablet with milk to protect the stomach
7.Hard
A patient with long-standing rheumatoid arthritis has a hemoglobin of 10.5 g/dL (105 g/L), a low serum iron, a low total iron-binding capacity (TIBC) and a high-normal ferritin. Which condition fits best?
- AIron-deficiency anemia
- BVitamin B12 deficiency anemia
- CAnemia of chronic disease (inflammation)
- DAcute blood loss anemia
8.Hard
A patient with a calcium of 6.8 mg/dL (1.7 mmol/L) suddenly develops noisy breathing and a hoarse voice. What does this suggest?
- ALaryngospasm, an emergency needing urgent help and IV calcium
- BA common cold that started this morning
- CAnxiety about the blood results, which needs calm reassurance
- DA normal response that will pass without treatment
Answer key
- 1. D · About 150–400 × 10³/µL (150–400 × 10⁹/L)
- 2. C · About 0.6–1.2 mg/dL
- 3. B · Paler than normal (hypochromic)
- 4. A · Protamine sulfate
- 5. C · Take it with food and a full glass of water, and do not crush extended-release tablets
- 6. B · Your stools may turn dark green or black
- 7. C · Anemia of chronic disease (inflammation)
- 8. A · Laryngospasm, an emergency needing urgent help and IV calcium
Full step-by-step solutions: practise this topic on examproblems.com.