1.Easy
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- AHigh
- BNormal
- CAbsent
- DLow
2.Easy
What does normal cerebrospinal fluid (CSF) look like?
- AClear and colorless
- BCloudy and yellow
- CPink and bloody
- DThick and green
3.Easy
Why is "free T4" often measured rather than total T4?
- AThe free form is the only form made by the gland
- BThe free form is the unbound, active hormone
- CThe free form is stored inside the pituitary
- DThe free form is the form excreted in urine
4.Medium
A patient with the syndrome of inappropriate antidiuretic hormone (SIADH) has a sodium of 128 mEq/L. Which prescribed measure would the nurse expect?
- AEncouraging extra water intake
- BLarge volumes of IV 5% glucose
- CA low-sodium diet
- DFluid restriction
5.Medium
A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?
- AA rising serum calcium
- BA falling serum uric acid
- CA falling serum potassium
- DA rising white cell count
6.Medium
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
- ASerum sodium and chloride
- BTSH and free T4
- CPlatelet count and PT/INR
- DHbA1c and lipid panel
7.Hard
A patient's total calcium is 7.6 mg/dL and the albumin is 2.0 g/dL. Using the common correction (add 0.8 mg/dL for each 1 g/dL that albumin is below 4.0), what is the corrected calcium?
- A11.6 mg/dL, above the normal range
- B7.6 mg/dL, below the normal range
- C9.2 mg/dL, within the normal range
- D6.0 mg/dL, well below the normal range
8.Hard
A patient started methimazole for hyperthyroidism 6 weeks ago and now has a fever and a severe sore throat. Which action is most important?
- ACheck the TSH and double the dose if it is still low
- BGive the next dose and suggest warm salt-water gargles for comfort
- CAdvise the patient to continue the drug and drink more fluid
- DHold the drug and arrange an urgent white cell and neutrophil count
Answer key
- 1. A · High
- 2. A · Clear and colorless
- 3. B · The free form is the unbound, active hormone
- 4. D · Fluid restriction
- 5. B · A falling serum uric acid
- 6. C · Platelet count and PT/INR
- 7. C · 9.2 mg/dL, within the normal range
- 8. D · Hold the drug and arrange an urgent white cell and neutrophil count
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