1.Easy
In a person with HIV infection, a CD4 count below which level defines AIDS?
- A50 cells/µL
- B200 cells/µL
- C1,000 cells/µL
- D500 cells/µL
2.Easy
Which is the main cation in the fluid inside the cells?
- AChloride
- BPotassium
- CCalcium
- DSodium
3.Easy
The sweat chloride test is used to diagnose which condition?
- ASickle cell disease
- BHypothyroidism
- CDiabetes mellitus
- DCystic fibrosis
4.Medium
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- AAdd more glucose to the next bag to clear the fluid
- BRecord it as normal and continue the usual exchanges
- CStop dialysis for a week and recheck the fluid later
- DSend the fluid for cell count and culture and report it
5.Medium
A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?
- ASerum amylase level
- BUrine ketone level
- CSerum lithium level
- DComplete blood count
6.Medium
A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?
- AKetones in the urine
- BProtein in the urine
- CNitrites in the urine
- DGlucose in the urine
7.Hard
A patient stopped long-term prednisone suddenly a week ago. Now: blood pressure 78/46 mm Hg, sodium 128 mEq/L, potassium 4.6 mEq/L, glucose 58 mg/dL (3.2 mmol/L). Which condition is most likely?
- AAcute adrenal insufficiency (adrenal crisis)
- BSyndrome of inappropriate ADH (SIADH)
- CPrimary hyperaldosteronism (Conn syndrome)
- DCushing syndrome from steroid excess
8.Hard
A patient in diabetic ketoacidosis has a potassium of 3.0 mEq/L before the insulin infusion is started. What should the nurse expect?
- APotassium is replaced first, and insulin waits until the level is safe per protocol
- BFluids are stopped until the potassium is normal
- CInsulin is started at once at a higher rate
- DPotassium is not replaced, because insulin will raise it
Answer key
- 1. B · 200 cells/µL
- 2. B · Potassium
- 3. D · Cystic fibrosis
- 4. D · Send the fluid for cell count and culture and report it
- 5. D · Complete blood count
- 6. B · Protein in the urine
- 7. A · Acute adrenal insufficiency (adrenal crisis)
- 8. A · Potassium is replaced first, and insulin waits until the level is safe per protocol
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