1.Easy
Which antibody test is most specific for rheumatoid arthritis?
- AAnti-D antibody
- BAnti-HBs antibody
- CAnti-CCP antibodies
- DAntinuclear antibody
2.Easy
Which sample is commonly used to screen a patient for MRSA carriage on admission?
- AA sample of stool sent for culture
- BA clean-catch midstream urine sample
- CA blood culture from one arm
- DA swab from the front of the nose
3.Easy
What does the term "thrombocytosis" mean?
- AA high white cell count
- BA high platelet count
- CA low platelet count
- DA low red cell count
4.Medium
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
- AA pulmonary embolism is now certain to be present
- BA DVT is unlikely and can usually be ruled out
- CA DVT is confirmed and anticoagulation is needed
- DThe test is useless and should always be ignored
5.Medium
A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38.3 °C (100.9 °F). What should the nurse do first?
- AGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
- BReport it at once so cultures and antibiotics start quickly
- CRemove extra blankets and offer a tepid sponge bath
- DEncourage oral fluids and record the fever in the chart
6.Medium
A conscious patient with a blood glucose of 54 mg/dL (3.0 mmol/L) has taken 15 g of fast-acting carbohydrate. When should the glucose be rechecked?
- AAt the next meal
- BThe next morning
- CAfter about 2 hours
- DAfter about 15 minutes
7.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?
- AAssessing the patient for new confusion
- BDeciding when to recheck the sodium level
- CMeasuring and recording intake and output
- DTeaching the reasons for fluid restriction
8.Hard
A stable patient's hemoglobin has been 13–14 g/dL for days. Today's result is 8.2 g/dL, but the patient feels well, the vital signs are normal and there is no bleeding. What should the nurse suspect first?
- AA normal day-to-day variation in Hb
- BA sample taken from the wrong patient
- CSudden massive internal bleeding
- DAcute bone marrow failure overnight
Answer key
- 1. C · Anti-CCP antibodies
- 2. D · A swab from the front of the nose
- 3. B · A high platelet count
- 4. B · A DVT is unlikely and can usually be ruled out
- 5. B · Report it at once so cultures and antibiotics start quickly
- 6. D · After about 15 minutes
- 7. C · Measuring and recording intake and output
- 8. B · A sample taken from the wrong patient
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