Lab Values And Medication Therapeutic Ranges

26 Questions

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Lab Quizzes & Trivia

Normal lab value ranges, therapeutic medication ranges, antidotes, s/s r/t an abnormal range of lab value or medication toxicity.


Questions and Answers
  • 1. 
    A patient is taking a normal therapeutic dose of Warfarin. What would the therapeutic INR be:
    • A. 

      1.5 to 2

    • B. 

      2 to 3

    • C. 

      3 to 5

    • D. 

      3 to 4

  • 2. 
    What is the normal magnesium level of an adult:
    • A. 

      6 to 20mg/dl

    • B. 

      1.6 to 2.6mg/dl

    • C. 

      4mg/dl

    • D. 

      1mg/dl

  • 3. 
    • A. 

      1.6 mg/dl

    • B. 

      1.1mg/dl

    • C. 

      1.9mg/dl

    • D. 

      3.5mg/dl

  • 4. 
    A creatinine level of 3.5mg/dl would be associated with(check all that apply)
    • A. 

      Acute renal failure

    • B. 

      Hepatotoxicity

    • C. 

      Chronic renal failure

    • D. 

      Bone marrow suppression

  • 5. 
    A patient has a magnesium level of 6mg/dl. What should the nurse do:
    • A. 

      Document the finding in the nurse's notes

    • B. 

      Give the ordered dose of Calcium Carbonate

    • C. 

      Notify the MD

    • D. 

      Monitor for seizures and dysrhymias

  • 6. 
    A client with diabetes mellitus has a sample for fating blood glucose drawn. The nurse identifies which of the following results as a critical value:
    • A. 

      150dl/mg

    • B. 

      220mg/dl

    • C. 

      170mg/dl

    • D. 

      340mg/dl

  • 7. 
    The client has leukemia. The normal range of WBC is 4.5 to 11. What value is usually seen with this diagnosis.
    • A. 

      6

    • B. 

      18

    • C. 

      2.5

    • D. 

      4

  • 8. 
    What is usually given to a patient with diabetic ketoacidosis:
    • A. 

      Insulin

    • B. 

      Potassium

    • C. 

      Orange juice

    • D. 

      A soda pop

  • 9. 
    The patient has been taking Lasix and Digoxin. His potassium level is 6. What should the nurse do:
    • A. 

      Get a crash cart

    • B. 

      Add a banana to his supper tray

    • C. 

      Chart the finding and monitor for cardiac arrest

    • D. 

      Give the ordered Kayexalate(polystyrene sulfonate)

  • 10. 
    A client with diabetes mellitus has a glycosylated hemoglobin level of 8%. Based on this test result, the nurse plans to reinforce teching measures with the client about the need to:
    • A. 

      Avoid infections

    • B. 

      Take adequate fluids

    • C. 

      Prevent hyperglycemia

    • D. 

      Prevent hypoglycemia

  • 11. 
    A critical Hgb A1c would be greater than what value:
    • A. 

      Seven

    • B. 

      Eight

    • C. 

      Nine

    • D. 

      Six

  • 12. 
    A postpartum client has an abnormally elevated H and H this would indicate what possiblity(Select all that apply)
    • A. 

      Hypovolemia

    • B. 

      Increase intercranical pressure

    • C. 

      Hemorrhage

    • D. 

      Low sodium level

  • 13. 
    What is the normal BUN range
    • A. 

      8 to 26

    • B. 

      10 to 20

    • C. 

      2 to 3

    • D. 

      1.5 to 2

  • 14. 
    A BUN of 36 in an older client would mean
    • A. 

      Renal failure

    • B. 

      Renal insuffiency

    • C. 

      Cirrhosis

    • D. 

      UTI

  • 15. 
    A client's Dig level is 4. What is the nurse's action
    • A. 

      Give Digibind as ordered

    • B. 

      Hold the med and call the MD

    • C. 

      Give the medication and monitor the HR

    • D. 

      Hold the medication and give Digibind as ordered

  • 16. 
    A client's serum ammonia level is 75. what should the nurse do:
    • A. 

      Get an order of a liver biopsy

    • B. 

      Force fluids

    • C. 

      Give Lactalose as ordered

    • D. 

      Elevated the head of the bed

  • 17. 
    A patient urine specific gravity is 1.001. This could be related to what condition:
    • A. 

      Diabetes Insipidus

    • B. 

      Hyperthyroidism

    • C. 

      UTI

    • D. 

      Urinary retention

  • 18. 
    The client's Dilantin level in 30. Is this high or low:
    • A. 

      Low

    • B. 

      High

  • 19. 
    An adult female has a hemoglobin of 10. This would indicate that she has
    • A. 

      Anemia

    • B. 

      Lack of iron in the diet

    • C. 

      Low RBC count

    • D. 

      High WBC count

  • 20. 
    An adult male has a hematocrit level of 60. This could indicate what condition
    • A. 

      Hypovolemia

    • B. 

      Renal insuffiency

    • C. 

      Dehydration

    • D. 

      Heart attack

  • 21. 
    Pick the most common treatment of hyperkalemia
    • A. 

      1000ml of normal saline

    • B. 

      Insulin

    • C. 

      Infusion of Sodium Bicarbonate

    • D. 

      D5W with glucose

  • 22. 
    In Diabetic Ketoacidosis insulin is used to treat the elevated blood sugar, What lab value could be low:
    • A. 

      Potassium

    • B. 

      Bicarbonate

    • C. 

      Urinary ketones

    • D. 

      Urine specific gravity

  • 23. 
    If a patient has been given an overdose of Insulin what is the treatment:
    • A. 

      Infusion of potassium

    • B. 

      D5W infusion

    • C. 

      Glucotrol

    • D. 

      Glucophage

  • 24. 
    The patient who is receiving a slow infusion of Potassium should closely be monitored for:
    • A. 

      Blood sugar levels

    • B. 

      Vomiting

    • C. 

      Lethargy

    • D. 

      Cardiac dysrhythmias

  • 25. 
    A patient is experiencing seizure activity due to his high alcohol intake. Which of the following could be used as anticonvulsant:
    • A. 

      Elavil

    • B. 

      Ativan

    • C. 

      Magnesium Bromine

    • D. 

      Sodium Bicarbonate

  • 26. 
    During a female catheterization, you miss and the catheter tip has been inserted 5 inches without urine output. Where do you think the catheter tip is?
    • A. 

      Needs to be inserted another 2 inches

    • B. 

      It is probably in the vagina and the catheter should remain as a marker there as you attempt another insertion with a new catheter

    • C. 

      Oops the order was for the male client

    • D. 

      Pull out and try another angle

    • E. 

      Anchor the uretheral opening with your thumb as it may be in the vagina