1.Easy
Which blood marker is the most specific for injury to the heart muscle?
- ALactate dehydrogenase
- BCardiac troponin
- CSerum myoglobin
- DTotal creatine kinase
2.Easy
What is the typical range of urine pH?
- AAbout 7.35–7.45
- BAbout 4.5–8.0
- CAbout 9.0–11.0
- DAbout 1.0–2.0
3.Easy
Which fasting blood glucose is within the typical normal range for an adult without diabetes?
- A140 mg/dL (7.8 mmol/L)
- B210 mg/dL (11.7 mmol/L)
- C45 mg/dL (2.5 mmol/L)
- D85 mg/dL (4.7 mmol/L)
4.Medium
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA high serum calcium
- BA low serum sodium
- CA high serum potassium
- DA low serum magnesium
5.Medium
Which IV fluid can be given through the same line as a red cell transfusion?
- ALactated Ringer's (Hartmann's) solution
- B0.9% sodium chloride
- C0.45% sodium chloride
- D5% dextrose in water
6.Medium
How does the nurse start a 24-hour urine collection at 08:00?
- ASave three samples spread across the day and discard all of the urine passed at night
- BSave the 08:00 urine as the first sample, then collect until 08:00 the next day
- CHave the patient void and discard that urine, then save all urine until 08:00 the next day
- DCollect only the first urine passed on waking, and repeat this the next morning
7.Hard
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- AHemoglobin 12.1 g/dL (121 g/L) after surgery
- BCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- CGlucose 145 mg/dL (8.0 mmol/L) after surgery
- DSodium 136 mEq/L on IV fluids after surgery
8.Hard
At the start of a shift, the nurse reviews four new results. Which patient needs attention first?
- AHemoglobin 11.0 g/dL (110 g/L) in a patient with rheumatoid arthritis
- BGlucose 180 mg/dL (10 mmol/L) after a meal in a patient with diabetes
- CSodium 119 mEq/L in a patient with new confusion and vomiting
- DPotassium 5.2 mEq/L in a patient with stable chronic kidney disease
Answer key
- 1. B · Cardiac troponin
- 2. B · About 4.5–8.0
- 3. D · 85 mg/dL (4.7 mmol/L)
- 4. B · A low serum sodium
- 5. B · 0.9% sodium chloride
- 6. C · Have the patient void and discard that urine, then save all urine until 08:00 the next day
- 7. B · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. C · Sodium 119 mEq/L in a patient with new confusion and vomiting
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