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Lab Nclex

Total questions: 12

Worksheet time: 6mins

Name
Class
Date
1.

The nurse is caring for a client who has been involved in a motor vehicle accident. The client's labs indicate a minimally elevated serum creatinine level. The nurse should further assess which body system for signs of injury?

a)

Renal

b)

Cardiac

c)

Pulmonary

d)

Nervous

2.

A nurse who works in an oncology clinic is assessing a client who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the client's skin appears yellow. Which blood tests should be done to further explore this clinical sign?

a)

Liver function tests (LFTs)

b)

Complete blood count (CBC)

c)

Platelet count

d)

Blood urea nitrogen and creatinine

3.

Which is a key diagnostic indicator of heart failure?

a)

Blood urea nitrogen (BUN)

b)

Creatinine

c)

Brain natriuretic peptide (BNP)

d)

Complete blood count (CBC)

4.

A patient with renal failure has decreased erythropoietin production. Upon analysis of the patient's complete blood count (CBC), the nurse will expect which of the following CBC results?

a)

An increased hemoglobin and hematocrit

b)

A decreased hemoglobin and hematocrit

c)

A decreased mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH)

d)

An increased MCV and MCH

5.

The nurse is collecting data for a client who has been diagnosed with iron-deficiency anemia. What subjective findings does the nurse recognize as symptoms related to this type of anemia?

a)

“I feel hot all of the time.”

b)

“I have a difficult time falling asleep at night.”

c)

“I have an increase in my appetite.”

d)

“I have difficulty breathing when walking 30 feet.”

6.

A nursing instructor is evaluating a student caring for a neutropenic client. The instructor concludes that the nursing student demonstrates accurate knowledge of neutropenia based on which intervention?

a)

Monitoring the client’s temperature and reviewing the client’s complete blood count (CBC) with differential

b)

Monitoring the client’s breathing and reviewing the client’s arterial blood gases

c)

Monitoring the client’s heart rate and reviewing the client’s hemoglobin

d)

Monitoring the client’s blood pressure and reviewing the client’s hematocrit

7.

A client reports feeling tired, cold, and short of breath at times. Assessment reveals tachycardia and reduced energy. What would the nurse expect the physician to order?

a)

CBC

b)

antibiotic

c)

chest radiograph

d)

ECG

8.

A 20-year-old client cut a hand while replacing a window. While reviewing the complete blood count (CBC) with differential, the nurse would expect which cell type to be elevated first in an attempt to prevent infection in the client’s hand?

a)

Eosinophils

b)

Neutrophils

c)

B cells

d)

Monocytes

9.

The nurse cares for a client prescribed warfarin orally. The nurse reviews the client’s prothrombin time (PT) level to evaluate the effectiveness of the medication. Which laboratory values should the nurse also evaluate?

a)

international normalized ratio (INR)

b)

partial thromboplastic time (PTT)

c)

complete blood count (CBC)

d)

Sodium

10.

A client is taking hydroxyurea as treatment for essential thrombocythemia. Which laboratory test will the nurse remind the client to have completed regularly?

a)

Uric acid level

b)

Clotting factors

c)

Complete blood count

d)

Serum potassium level

11.

A client with a history of chronic kidney disease presents with fatigue and pallor. Which laboratory test would the nurse anticipate the physician to order to assess for anemia?

a)

Complete blood count (CBC)

b)

Serum electrolytes

c)

Liver function tests (LFTs)

d)

Blood glucose level

12.

A client is admitted with symptoms of jaundice and abdominal pain. Which blood test would be most relevant to assess liver function?

a)

Complete blood count (CBC)

b)

Blood urea nitrogen (BUN)

c)

Liver function tests (LFTs)

d)

Serum potassium level