NCLEX Practice Exam for Laboratory Values

Practice Mode

Welcome to your NCLEX Practice Exam for Laboratory Values! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 15 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Think about the test that is typically used as a follow-up to confirm HIV after an initial positive screening.

1 / 15

1. Nurse Emily is reviewing test results for Mark, a 35-year-old client who had a positive ELISA screening for HIV. To confirm the diagnosis of HIV, which of the following tests should Nurse Emily anticipate will be used?

💡 Hint

Consider the potassium level that indicates hypokalemia, which can be exacerbated by diuretics like furosemide.

2 / 15

2. Nurse Patel is preparing to administer furosemide (Lasix) to a patient diagnosed with congestive heart failure. Before proceeding, Nurse Patel reviews the patient’s latest potassium levels. Which potassium level should prompt Nurse Patel to report to the physician prior to giving the medication?

💡 Hint

Think about how low calcium levels can affect the heart's electrical activity and what specific ECG changes are associated with hypocalcemia.

3 / 15

3. Nurse Riley is caring for Kevin, a client with a serum calcium level of 6.8 mg/dL. What change would Nurse Riley expect to see on Kevin's electrocardiogram (ECG)?

💡 Hint

Consider the standard lab tests used to monitor the effects and dosage of Warfarin.

4 / 15

4. Nurse Hernandez is caring for a patient who has come to the emergency department, reporting that he has been accidentally taking double his prescribed dose of Warfarin (Coumadin). Although there are no signs of obvious bleeding, what should Nurse Hernandez do next?

💡 Hint

Consider the common electrolyte and hematologic imbalances associated with Addison's disease.

5 / 15

5. Nurse Hannah is providing care for Emily, a female client with Addison's disease. Which of the following laboratory values should Nurse Hannah be alert for?

💡 Hint

Consider what an elevated A1c level indicates about blood sugar control and the related health risks.

6 / 15

6. Nurse Lisa is caring for Robert, a client with diabetes mellitus, who has a glycosylated hemoglobin A1c level of 10%. Based on this result, what should Nurse Lisa plan to emphasize in her teaching to Robert?

💡 Hint

Think about the normal range for blood urea nitrogen and how it reflects kidney function and hydration status.

7 / 15

7. Nurse Taylor is caring for John, a client experiencing diarrhea and dehydration. To evaluate if John has received adequate fluid replacement, Nurse Taylor checks his blood urea nitrogen (BUN) levels. Which BUN level indicates sufficient hydration?

💡 Hint

Think about the therapeutic range for digoxin and what actions are necessary when the levels are elevated.

8 / 15

8. Nurse Alex is reviewing the lab results for Sarah, a client receiving digoxin (Lanoxin), and notices that her digoxin level is 2.5 ng/mL. Based on this result, what should Nurse Alex plan to do next?

💡 Hint

Think about the electrolyte imbalances typically seen in Tumor Lysis Syndrome, particularly the expected changes in phosphorus levels.

9 / 15

9. Nurse Jordan is caring for David, a client undergoing radiotherapy for mandibular cancer who has now been diagnosed with Tumor Lysis Syndrome (TLS). Which of the following phosphorus levels correlates with TLS?

💡 Hint

Think about how dietary habits, particularly protein intake, can influence kidney function and affect creatinine clearance levels.

10 / 15

10. Nurse Emma is reviewing the lab results for Lisa, a female client who has a creatinine clearance of 200 mL/min. Which of the following conditions could be the cause of this increased level?

💡 Hint

Consider how chronic pancreatitis affects enzyme production and the typical range of serum amylase levels in this condition.

11 / 15

11. Nurse Olivia is managing the care of David, a client with chronic pancreatitis. While reviewing David’s medical records, which of the following serum amylase levels should Nurse Olivia expect to find?

💡 Hint

Think about which condition could lead to a lower than normal hemoglobin count by affecting the lifespan or destruction of red blood cells.

12 / 15

12. Nurse Adams is reviewing the lab results of an adult male client who has a hemoglobin count of 12.5 g/dL. Considering this result, which note in the client's record is most likely associated with this hemoglobin level?

💡 Hint

Think about how dehydration from diaphoresis can impact serum sodium levels.

13 / 15

13. Nurse Williams is attending to a patient who arrived at the emergency room with a sudden high fever and excessive sweating. Among the lab tests ordered, serum sodium levels are included. Which sodium value is Nurse Williams likely to find?

💡 Hint

Consider what action is appropriate if the prothrombin time is significantly prolonged, indicating a higher risk of bleeding.

14 / 15

14. Nurse Kim is caring for a male patient with atrial fibrillation who is on maintenance therapy with warfarin (Coumadin). The patient's prothrombin time (PT) comes back at 37 seconds. Based on this result, what should Nurse Kim do according to the doctor's orders?

💡 Hint

Think about the normal range for total protein levels in the blood to determine if a high-protein diet is working effectively.

15 / 15

15. Nurse Jamie is monitoring Anna, a client with liver cirrhosis who has been advised to follow a high-protein diet. To evaluate the effectiveness of this diet, Nurse Jamie checks Anna's total protein level. Which of the following values indicates that the diet is effective?

Exam Mode

Welcome to your NCLEX Practice Exam for Laboratory Values! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 15 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 22 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 22 minutes and 30 seconds in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 15

1. Nurse Jordan is caring for David, a client undergoing radiotherapy for mandibular cancer who has now been diagnosed with Tumor Lysis Syndrome (TLS). Which of the following phosphorus levels correlates with TLS?

2 / 15

2. Nurse Adams is reviewing the lab results of an adult male client who has a hemoglobin count of 12.5 g/dL. Considering this result, which note in the client's record is most likely associated with this hemoglobin level?

3 / 15

3. Nurse Taylor is caring for John, a client experiencing diarrhea and dehydration. To evaluate if John has received adequate fluid replacement, Nurse Taylor checks his blood urea nitrogen (BUN) levels. Which BUN level indicates sufficient hydration?

4 / 15

4. Nurse Kim is caring for a male patient with atrial fibrillation who is on maintenance therapy with warfarin (Coumadin). The patient's prothrombin time (PT) comes back at 37 seconds. Based on this result, what should Nurse Kim do according to the doctor's orders?

5 / 15

5. Nurse Olivia is managing the care of David, a client with chronic pancreatitis. While reviewing David’s medical records, which of the following serum amylase levels should Nurse Olivia expect to find?

6 / 15

6. Nurse Jamie is monitoring Anna, a client with liver cirrhosis who has been advised to follow a high-protein diet. To evaluate the effectiveness of this diet, Nurse Jamie checks Anna's total protein level. Which of the following values indicates that the diet is effective?

7 / 15

7. Nurse Williams is attending to a patient who arrived at the emergency room with a sudden high fever and excessive sweating. Among the lab tests ordered, serum sodium levels are included. Which sodium value is Nurse Williams likely to find?

8 / 15

8. Nurse Alex is reviewing the lab results for Sarah, a client receiving digoxin (Lanoxin), and notices that her digoxin level is 2.5 ng/mL. Based on this result, what should Nurse Alex plan to do next?

9 / 15

9. Nurse Hannah is providing care for Emily, a female client with Addison's disease. Which of the following laboratory values should Nurse Hannah be alert for?

10 / 15

10. Nurse Hernandez is caring for a patient who has come to the emergency department, reporting that he has been accidentally taking double his prescribed dose of Warfarin (Coumadin). Although there are no signs of obvious bleeding, what should Nurse Hernandez do next?

11 / 15

11. Nurse Patel is preparing to administer furosemide (Lasix) to a patient diagnosed with congestive heart failure. Before proceeding, Nurse Patel reviews the patient’s latest potassium levels. Which potassium level should prompt Nurse Patel to report to the physician prior to giving the medication?

12 / 15

12. Nurse Emily is reviewing test results for Mark, a 35-year-old client who had a positive ELISA screening for HIV. To confirm the diagnosis of HIV, which of the following tests should Nurse Emily anticipate will be used?

13 / 15

13. Nurse Riley is caring for Kevin, a client with a serum calcium level of 6.8 mg/dL. What change would Nurse Riley expect to see on Kevin's electrocardiogram (ECG)?

14 / 15

14. Nurse Lisa is caring for Robert, a client with diabetes mellitus, who has a glycosylated hemoglobin A1c level of 10%. Based on this result, what should Nurse Lisa plan to emphasize in her teaching to Robert?

15 / 15

15. Nurse Emma is reviewing the lab results for Lisa, a female client who has a creatinine clearance of 200 mL/min. Which of the following conditions could be the cause of this increased level?