1.Easy
Which form of bilirubin rises mainly when red cells are broken down faster than normal?
- AConjugated (direct)
- BStool bilirubin
- CUnconjugated (indirect)
- DUrine bilirubin
2.Easy
Which fasting blood glucose is within the typical normal range for an adult without diabetes?
- A140 mg/dL (7.8 mmol/L)
- B210 mg/dL (11.7 mmol/L)
- C45 mg/dL (2.5 mmol/L)
- D85 mg/dL (4.7 mmol/L)
3.Easy
For a fasting plasma glucose test, the patient should have had no caloric intake for at least:
- A24 hours
- B3 hours
- C1 hour
- D8 hours
4.Medium
A patient's eGFR has fallen to 24 mL/min/1.73 m². Which prescribed drug should the nurse question before giving it?
- AAcetaminophen (paracetamol)
- BLevothyroxine
- CInsulin glargine
- DMetformin
5.Medium
Which technique is recommended for a capillary blood glucose test on an adult's finger?
- ASqueeze the finger very hard
- BPrick the side of the fingertip
- CUse the same finger every time
- DPrick the center of the fingertip
6.Medium
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
- AIt measures the main ketone in DKA, and the dipstick may miss it
- BIt shows the average ketone level over the past three months
- CIt is the only test that can measure glucose and ketones together
- DThe urine dipstick only detects ketones in people without diabetes
7.Hard
The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?
- A"If I forget to save one void, I'll just carry on to the end"
- B"I'll ask whether any foods or drugs should be avoided first"
- C"I'll keep the container cool as the laboratory told me to"
- D"I'll empty my bladder at the end time and add that urine"
8.Hard
An RN cares for a patient on a 24-hour urine collection. Which task can be delegated to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?
- ATeaching the patient why the 24-hour collection is needed
- BDeciding whether to restart the collection after a missed sample
- CInterpreting the creatinine clearance result when it comes back
- DSaving all urine in the collection container as instructed
Answer key
- 1. C · Unconjugated (indirect)
- 2. D · 85 mg/dL (4.7 mmol/L)
- 3. D · 8 hours
- 4. D · Metformin
- 5. B · Prick the side of the fingertip
- 6. A · It measures the main ketone in DKA, and the dipstick may miss it
- 7. A · "If I forget to save one void, I'll just carry on to the end"
- 8. D · Saving all urine in the collection container as instructed
Full step-by-step solutions: practise this topic on examproblems.com.