1.Easy
What does a "culture and sensitivity" test of a sample show?
- AWhich organism grows and which antibiotics work on it
- BWhether the patient is allergic to an antibiotic
- CThe amount of antibiotic in the patient's blood
- DHow many white cells are present in the sample
2.Easy
What is a typical adult reference range for serum creatinine?
- AAbout 3.5–5.0 mg/dL
- BAbout 135–145 mg/dL
- CAbout 0.6–1.2 mg/dL
- DAbout 10–20 mg/dL
3.Easy
In a healthy adult, the CSF glucose is usually about what proportion of the blood glucose?
- AAbout one tenth (10%)
- BExactly the same (100%)
- CAbout double (200%)
- DAbout two-thirds (60%)
4.Medium
A patient with joint aches has a positive antinuclear antibody (ANA) test. Which statement is correct?
- AA positive ANA supports lupus but does not diagnose it alone
- BA positive ANA means the patient has a viral infection
- CA positive ANA proves the patient has rheumatoid arthritis
- DA positive ANA rules out all other autoimmune diseases
5.Medium
A patient who has been vomiting for two days has a BUN of 32 mg/dL (urea 11.4 mmol/L) and a normal creatinine. What is the most likely cause?
- AOverhydration
- BLiver failure
- CLow-protein diet
- DDehydration
6.Medium
When should a blood specimen tube be labeled?
- AAt the nurses' station, after all samples for the shift are drawn
- BIn the laboratory, by the staff who receive the unlabeled sample
- CAt the bedside, in the patient's presence, using two identifiers
- DBefore entering the room, so tubes are ready for the next patients
7.Hard
The nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"If I miss a dose, I will take two tablets the next day"
- B"I will tell my dentist and pharmacist that I take warfarin"
- C"I will keep my intake of green leafy vegetables about the same"
- D"I will have my INR checked as often as I am told to"
8.Hard
A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?
- ANormal ascitic fluid in cirrhosis
- BMalignant ascites from cancer
- CBleeding into the abdominal cavity
- DSpontaneous bacterial peritonitis
Answer key
- 1. A · Which organism grows and which antibiotics work on it
- 2. C · About 0.6–1.2 mg/dL
- 3. D · About two-thirds (60%)
- 4. A · A positive ANA supports lupus but does not diagnose it alone
- 5. D · Dehydration
- 6. C · At the bedside, in the patient's presence, using two identifiers
- 7. A · "If I miss a dose, I will take two tablets the next day"
- 8. D · Spontaneous bacterial peritonitis
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