1.Easy
Which blood test is the usual measure of a person's vitamin D status?
- ASerum phosphate
- B25-hydroxyvitamin D
- C1,25-dihydroxyvitamin D
- DParathyroid hormone
2.Easy
Which is the main cation in the fluid inside the cells?
- AChloride
- BCalcium
- CSodium
- DPotassium
3.Easy
What does a "culture and sensitivity" test of a sample show?
- AWhich organism grows and which antibiotics work on it
- BWhether the patient is allergic to an antibiotic
- CThe amount of antibiotic in the patient's blood
- DHow many white cells are present in the sample
4.Medium
A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?
- AThe color shows severe liver failure is present
- BThe drug improves the accuracy of all dipsticks
- CThe dye can interfere with dipstick color readings
- DThe color proves blood is present in the urine
5.Medium
A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?
- ALow potassium and low bicarbonate
- BLow glucose and high magnesium
- CHigh potassium and high bicarbonate
- DHigh sodium and high calcium
6.Medium
When do the blood counts usually reach their lowest point (nadir) after many standard chemotherapy regimens?
- AOn the same day as treatment
- BWithin 1–2 hours of treatment
- CAbout 6 months after treatment
- DAbout 7–14 days after treatment
7.Hard
A patient with severe hypertriglyceridemia has a measured sodium of 128 mEq/L, but a measured serum osmolality is normal, and the patient has no symptoms. What is the most likely explanation?
- AHyponatremia caused by severe hyperglycemia in diabetes
- BHyponatremia caused by drinking far too much water
- CTrue hyponatremia from SIADH that needs fluid restriction
- DPseudohyponatremia, an artifact caused by very high lipids
8.Hard
A patient with advanced chronic kidney disease has a mildly raised troponin that has stayed the same on several tests over months. There is no chest pain and the ECG is unchanged. What is the best interpretation?
- AProof of an acute myocardial infarction that needs emergency treatment now
- BA laboratory error, because troponin is never raised in kidney disease
- CA chronic stable rise; infarction needs a rising or falling pattern
- DA sign of skeletal muscle injury, because troponin comes from all muscles
Answer key
- 1. B · 25-hydroxyvitamin D
- 2. D · Potassium
- 3. A · Which organism grows and which antibiotics work on it
- 4. C · The dye can interfere with dipstick color readings
- 5. A · Low potassium and low bicarbonate
- 6. D · About 7–14 days after treatment
- 7. D · Pseudohyponatremia, an artifact caused by very high lipids
- 8. C · A chronic stable rise; infarction needs a rising or falling pattern
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