1.Easy
What does a raised erythrocyte sedimentation rate (ESR) show?
- AA specific infection of the urinary tract by bacteria
- BA low level of iron stored in the bone marrow
- CDamage to heart muscle within the past few hours
- DInflammation somewhere in the body, without showing where
2.Easy
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- AHigh
- BLow
- CNormal
- DAbsent
3.Easy
A serum sodium of 128 mEq/L is called:
- AHyponatremia
- BHypokalemia
- CHyperkalemia
- DHypernatremia
4.Medium
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA low serum magnesium
- BA high serum calcium
- CA low serum sodium
- DA high serum potassium
5.Medium
A patient’s hemoglobin is 7.8 g/dL (78 g/L). Which findings would the nurse expect?
- AFatigue, pallor, a fast heart rate and breathlessness on exertion
- BItching, yellow skin and dark urine
- CA slow heart rate, flushed skin and a high blood pressure
- DHeadache, nosebleeds and a red face
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?
- AThe next morning
- BAt the next meal
- CAfter about 2 hours
- DAfter about 15 minutes
7.Hard
A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2.3 without warfarin, and the platelets are normal. What is the most likely cause?
- AImmune thrombocytopenia
- BIron-deficiency anemia
- CHemophilia A
- DVitamin K deficiency
8.Hard
An RN cares for a patient on a 24-hour urine collection. Which task can be delegated to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?
- ATeaching the patient why the 24-hour collection is needed
- BDeciding whether to restart the collection after a missed sample
- CInterpreting the creatinine clearance result when it comes back
- DSaving all urine in the collection container as instructed
Answer key
- 1. D · Inflammation somewhere in the body, without showing where
- 2. A · High
- 3. A · Hyponatremia
- 4. C · A low serum sodium
- 5. A · Fatigue, pallor, a fast heart rate and breathlessness on exertion
- 6. D · After about 15 minutes
- 7. D · Vitamin K deficiency
- 8. D · Saving all urine in the collection container as instructed
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