1) A nurse is reviewing the laboratory results for a client receiving warfarin therapy for atrial fibrillation. Which INR value indicates a therapeutic effect of the medication? a) 0.5 b) 1.0 c) 2.5 d) 4.0 2) A client is receiving a continuous IV infusion of heparin. The nurse is monitoring their aPTT. Which result indicates a therapeutic level? a) 110 seconds b) 60 seconds c) 35 seconds d) 25 seconds 3) A nurse is reviewing the complete blood count (CBC) for a 20-month-old child. Which White Blood Cell (WBC) count would the nurse interpret as being within the normal range for this child? a) 5,500 mm3 b) 8,000 mm3 c) 4,500 mm3 d) 18,500 mm3 4) An emergency department nurse is caring for a client with shortness of breath. The B-Type Natriuretic Peptide (BNP) level is 750 pg/mL. How should the nurse interpret this finding? a) Severe heart failure  b) mild heart failure c) No evidence of heart failure d) moderate heart failure 5) A client taking digoxin for heart failure reports nausea and seeing yellow halos around lights. The nurse suspects digoxin toxicity. Which serum digoxin level would confirm this suspicion? a) 2.4 ng.mL b) 0.4 ng.mL c) 2.1 ng/mL d) 1.8 ng.mL 6) A nurse is caring for a client who has been taking lithium for one month. Which serum lithium level indicates that the client's dose is within the therapeutic range for maintenance therapy? a) 1.4 mEq/L b) 1.0 mEq/L c) 0.2 mEq/L d) 1.6 mEq/L 7) A client with type 2 diabetes mellitus has a glycosylated hemoglobin (HgbA1C) level of 5.5%. What is the nurse's best interpretation of this result? a) The client's blood glucose has been well controlled over the past few months. b) The result is inconclusive and needs to be repeated immediately c) The client is at high risk for developing DKA d) The client hasn't been adherent to the prescribed diet and medication regimen.  8) A nurse reviews the basic metabolic panel (BMP) of an adult client and finds a serum potassium level of 3.1 mEq/L. Which action should the nurse prioritize? a) Encourage the client to eat foods low in potassium b) Document the finding as normal c) Prepare to administer a diuretic d) Notify the healthcare provider of the result 9) A client is admitted with a suspected myocardial infarction. Serial cardiac enzymes are ordered. If both Troponin T (TT) and Troponin I (TI) levels are elevated, which marker would be expected to remain elevated for a longer duration? a) CPK-MB, which returns to normal within 2-3 days b) Troponin I, which returns to normal in 4-7 days c) Myoglobin which returns to normal in 12-24 hours d) Troponin T, which returns to normal in 10-14 days.  10) A nurse is assessing a 12-hour-old newborn. Which set of vital signs would be considered within the normal range for this infant? a) pulse 100, RR 25, BP 90/60 mmhg b) Pulse 140, RR, 45, BP 70/50 mmhg c) Pulse 120, RR 20, BP 100/70 mmhg d) Pulse 180, RR 70, BP 60/40 mmhg 11) A nurse is reviewing lab results for a 45-year-old male and a 45-year-old non-pregnant female. Both have a hemoglobin (Hgb) level of 13.0 g/dL. How should the nurse interpret these findings? a) The males value is normal, female value is low b) both values are below normal limits c) Both values are within normal limits d) The female value is normal, male value is low 12) The lab results for a 12-year-old boy show an Alkaline Phosphatase (ALP) level of 250 IU/L. His mother is concerned because she knows the normal adult range is much lower. How should the nurse respond? a) inform her that this level is critically high and indicates severe liver damage b) Explain that this level is normal for a child his age due to active bone growth c) Tell her the value is slightly elevated but not a cause for concern in any patient d) Suggest that the lab test must be an error and should be repeated immediately 13) A client's arterial blood gas (ABG) results are: pH 7.48, PCO2 42 mm Hg, HCO3 30 mEq/L. Which values fall outside the standardized normal range? a) Both pH and HCO3 b) PCO2 only c) HCO3 only d) pH only 14) A nurse is administering phenytoin to a client for a seizure disorder. Before giving the next dose, the nurse reviews the client's serum drug level. Which level indicates the medication is at a therapeutic concentration? a) 35 mcg/mL b) 8 mcg/mL c) 25 mcg/mL d) 15 mcg/mL 15) A nurse is comparing the creatinine levels of three clients: an adult male (Client A), an adult female (Client B), and a 6-year-old child (Client C). A creatinine level of 0.8 mg/dL would be considered a normal finding for which client(s)? a) Client A only b) Client A and Client B c) Client C only d) Client B and C only 16) A 30-year-old female client's lab work shows a serum iron level of 55 mcg/dL. The nurse should recognize that this value is: a) WNL for an adult female b) below normal, suggesting a possible iron deficiency c) Critically high, indicating iron poisoning d) within the normal range for a child but not an adult  17) A pregnant client with preeclampsia is receiving an intravenous infusion of magnesium sulfate. The nurse is monitoring for signs of toxicity. Which serum magnesium level would be considered therapeutic and not toxic? a) 5.5 mEq/L b) 7.0 mEq/L c) 2.0 mEq/L d) 3.0 mEq/L 18) A nurse is performing a routine check-up on a 2-year-old toddler. Which finding would warrant further investigation? a) BP 100/65 mmhg b) HR 110 bpm c) RR 30/min d) RR 40/min 19) A 50-year-old male client's lipid profile results are: Total Cholesterol 220 mg/dL, LDL 150 mg/dL, HDL 40 mg/dL, Triglycerides 150 mg/dL. Which values are outside the desirable range? a) Triglycerides only b) HDL only c) all values are within normal limits d) Total Cholesterol, LDL, and HDL 20) A nurse is preparing to administer the next dose of intravenous vancomycin. The laboratory report shows the client's trough level is 45 mcg/mL. What is the nurse's priority action? a) Request a repeat lab draw to confirm the result b) Hold the dose and notify the provider c) Administer half of the prescribed dose d) Administer the dose as scheduled 21) A nurse is reviewing the lab results of an adult client prior to surgery. The platelet count is 100,000 mm3. The nurse should identify this finding as: a) Thrombocytosis, increasing the risk of clotting b) Thrombocytopenia, increasing the risk of bleeding c) Within the normal reference range d) A value that has no impact on surgical risk  22) A client presents to the emergency department with severe midepigastric pain that radiates to the back, along with nausea and vomiting. The nurse anticipates that which laboratory tests will be elevated if the client has acute pancreatitis? a) BUN and Creatinine b) Troponin and BNP c) AST and ALT d) Amylase and Lipase  23) A nurse is teaching a childbirth education class. When discussing physiological changes during pregnancy, the nurse explains that certain coagulation values are expected to change. Which value typically decreases during pregnancy? a) D-Dimer b) Erythrocyte Sedimentation Rate (ESR) c) Prothrombin Time (PT) d) Hemoglobin 24) The vital signs of a 9-year-old child in the school nurse's office are: Pulse 90, Respirations 22, BP 110/70 mm Hg. Which interpretation by the nurse is correct? a) All vital signs are within normal range b) The respiratory rate is tachypneic c) The blood pressure is hypertensive d) The pulse is bradycardic 25) A client is taking carbamazepine for trigeminal neuralgia. A routine blood test reveals a drug level of 14 mcg/mL. What is the nurse's best action? a) Administer the next dose to maintain the level b) Hold the dose to inform the provider of the toxic level c) Document the finding as within the therapeutic range d) Notify the provider that the level is subtherapeutic 26) A nurse is reviewing the results of a urinalysis for a client who is at risk for dehydration. Which specific gravity finding would be most indicative of dehydration? a) 1.0035 b) 1.003 c) 1.025 d) 1.015

Standardized Nursing Values

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