1.Easy
What is the usual BUN-to-creatinine ratio in a healthy adult (using mg/dL)?
- AAbout 100:1 to 200:1
- BAbout 10:1 to 20:1
- CAbout 50:1 to 60:1
- DAbout 1:1 to 2:1
2.Easy
What is the main effect of parathyroid hormone (PTH) on serum calcium?
- AIt raises serum calcium
- BIt has no effect on calcium
- CIt only changes urine calcium
- DIt lowers serum calcium
3.Easy
What is the usual target INR for a patient taking warfarin for a deep vein thrombosis?
- A4.0–5.0
- B2.0–3.0
- C0.8–1.2
- D1.0–1.5
4.Medium
A patient starts high-dose prednisone. Which laboratory change should the nurse expect?
- AA fall in the white cell count
- BA rise in serum potassium
- CA fall in serum sodium
- DA rise in blood glucose
5.Medium
Which change in clotting tests is normal in late pregnancy?
- APlatelets rise above 600 × 10³/µL
- BINR rises to about 3.0
- CFibrinogen and D-dimer rise
- DaPTT doubles from baseline
6.Medium
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
- AHbA1c and lipid panel
- BPlatelet count and PT/INR
- CSerum sodium and chloride
- DTSH and free T4
7.Hard
The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?
- A"I must not eat anything for 12 hours before the HbA1c test"
- B"A lower result means less risk of damage to my eyes and kidneys"
- C"My daily finger-stick readings still matter between the tests"
- D"The test shows my average glucose over the past few months"
8.Hard
A patient with SIADH is on fluid restriction. Which task can the RN delegate to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?
- ADeciding when to recheck the sodium level
- BTeaching the reasons for fluid restriction
- CMeasuring and recording intake and output
- DAssessing the patient for new confusion
Answer key
- 1. B · About 10:1 to 20:1
- 2. A · It raises serum calcium
- 3. B · 2.0–3.0
- 4. D · A rise in blood glucose
- 5. C · Fibrinogen and D-dimer rise
- 6. B · Platelet count and PT/INR
- 7. A · "I must not eat anything for 12 hours before the HbA1c test"
- 8. C · Measuring and recording intake and output
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