1.Easy
Which hemoglobin value in an adult man is within the typical reference range?
- A20.5 g/dL (205 g/L)
- B9.0 g/dL (90 g/L)
- C5.5 g/dL (55 g/L)
- D15.0 g/dL (150 g/L)
2.Easy
Which substance contributes most to normal serum osmolality?
- AUrea (from BUN)
- BPlasma albumin
- CGlucose in plasma
- DSodium and its anions
3.Easy
What is a typical adult reference range for serum magnesium?
- AAbout 6.0–8.0 mEq/L (3.0–4.0 mmol/L)
- BAbout 1.3–2.1 mEq/L (0.65–1.05 mmol/L)
- CAbout 0.3–0.7 mEq/L (0.15–0.35 mmol/L)
- DAbout 3.5–5.0 mEq/L (1.75–2.5 mmol/L)
4.Medium
A patient taking furosemide has a potassium of 3.3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?
- AWhite bread
- BDried apricots
- CRice cakes
- DPlain crackers
5.Medium
A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?
- AGlucose in the urine
- BKetones in the urine
- CNitrites in the urine
- DProtein in the urine
6.Medium
A patient with joint aches has a positive antinuclear antibody (ANA) test. Which statement is correct?
- AA positive ANA rules out all other autoimmune diseases
- BA positive ANA means the patient has a viral infection
- CA positive ANA proves the patient has rheumatoid arthritis
- DA positive ANA supports lupus but does not diagnose it alone
7.Hard
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?
- AFluid restriction to protect the heart from overload
- BLarge-volume IV fluids with cardiac monitoring
- CHigh-dose NSAIDs for the muscle pain
- DAn oral potassium supplement with each meal
8.Hard
The nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will have my INR checked as often as I am told to"
- B"I will tell my dentist and pharmacist that I take warfarin"
- C"If I miss a dose, I will take two tablets the next day"
- D"I will keep my intake of green leafy vegetables about the same"
Answer key
- 1. D · 15.0 g/dL (150 g/L)
- 2. D · Sodium and its anions
- 3. B · About 1.3–2.1 mEq/L (0.65–1.05 mmol/L)
- 4. B · Dried apricots
- 5. D · Protein in the urine
- 6. D · A positive ANA supports lupus but does not diagnose it alone
- 7. B · Large-volume IV fluids with cardiac monitoring
- 8. C · "If I miss a dose, I will take two tablets the next day"
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