The nurse is caring for a client who just returned from CT. The CT results confirmed a pulmonary embolism. The provider orders the following: initiate a heparin drip per the pulmonary embolism protocol, labs (PT/INR, PTT, CBC), NPO status, and activity as tolerated. Which order should the nurse implement first?

A child is brought into the emergency department with severe injuries. The physician orders a transfusion of one unit of whole blood to be administered immediately. The nurse has completed a rapid assessment of the child but there are no laboratory results available to know the child’s blood type. Which of the following actions of the nurse is most appropriate?

A client is seen in the primary care clinic after having excessive vomiting for three days. The provider orders a CBC and metabolic panel to assess for underlying illness. Which of the following lab results would most likely appear after consistent vomiting?

A nurse is performing a pre-op assessment and physical on a 55-year-old client who will be undergoing surgery. Which of the following laboratory tests would most likely be drawn before a surgical procedure? Select all that apply.

A client who is preparing for surgery will receive a CBC to check a platelet count before the procedure. When providing information to the client about the test, which data should the nurse include?

A client is admitted to the healthcare clinic for symptoms of anxiety, weight loss, and a goiter. The provider suspects that the client has Graves’ disease. Which of the following lab test orders would the nurse expect to see in order to diagnose this condition?

Prior to back surgery, the provider has ordered a complete blood count for a client. Which best describes the purpose of performing this test before surgery?

A client presents to the emergency department via ambulance from a motor vehicle crash where she was the passenger. The car was T-boned on the passenger side, and the client is complaining of right flank pain. Which of the following laboratory work is a priority to collect for this client? Select all that apply.

The nurse is caring for a client who has been on a heparin drip for 3 days for a pulmonary embolism. The day the drip was started, the client’s platelet count was 152,000. Yesterday’s CBC showed a platelet count of 90,000. The nurse notes that today’s CBC reveals a platelet count of 68,000. What is the nurse’s next priority at this time?

A client is recovering from a total hip replacement. On the second day after surgery, the provider has ordered a lab test for hemoglobin and hematocrit levels. The client asks the nurse why there is a need for these tests. Which response is correct?

A nurse is preparing to draw blood from a client’s central line using the syringe method. The nurse has stopped the infusion of IV solution that is currently running and has clamped the tubing. Which action would the nurse perform next?

A nurse is preparing to draw a capillary blood gas on an infant to check his oxygenation level. The nurse has gathered her supplies and selected the heel to use for the blood draw. Which of the following actions should the nurse perform first?

A 77-year-old client is seen in the ED for chest pain. The provider orders lab work to determine if damage has been done to the heart muscle. Which lab test is a cardiac enzyme that would be ordered to check for heart damage?

A 56-year-old client is being seen at the primary care clinic for follow-up after having chest pain. The client tells the nurse, “I think I had a heart attack yesterday but it could have just been chest pain. It still hurts some, though.” The provider orders a troponin level and an ECG. Which response from the nurse is most appropriate?

A nurse is caring for a client with increased brain natriuretic peptide (BNP). Which organ does the nurse need to be concerned about?

A client has a brain natriuretic peptide value of 782 pg/mL. The nurse recognizes this as an indication of issues in which of the following organs?

A nurse is checking the lab results on a client who has just been admitted to the hospital. The client’s RBC count is 2.9 as noted on the CBC. Which condition is most commonly associated with this test result?

A nurse is caring for a client with a Red Blood Cell level of 6.0 x 10^6/L. Which of the following conditions could have caused this level? Select all that apply.

The nurse is caring for a client with pale skin, generalized weakness, and increased fatigue. Which laboratory value would the nurse expect to be abnormal in this client?

A nurse is caring for a client post-op colon resection and notes a decreased blood pressure, rigid abdomen and the client reports severe pain. Based on these findings and knowing the possible complications, which of the following lab values would be the MOST appropriate to evaluate at this time?

The nurse is caring for a client with beta thalassemia. Which diagnosis is the most concerning for this client?

A nurse is caring for a client who delivered a baby 24 hours ago. The client has a hemoglobin level ordered as part of morning lab work. The clients level is 12 g/dL. Which response from the nurse is most appropriate?

Which best describes a normal hemoglobin level for a 4-year-old child?

A client presents to the emergency department complaining of rectal bleeding. Which of the following findings is the priority issue that needs to be addressed?

A nurse is caring for a postpartum mother who delivered a baby 3 days ago. On the first day following delivery, the provider ordered a hemoglobin level for the client. The result was 9.9 g/dL. The provider did not list any other orders in the client’s chart since that time. Which response of the nurse is most appropriate?

Following a cardiac procedure, a client in the recovery room requires transfusion of packed red blood cells for low hemoglobin levels. Which of the following are other risk factors for which a client would most likely need a blood product transfusion following cardiac surgery? Select all that apply.

A client with anemia is having blood drawn to assess her levels of blood cells. Which best describes a normal level of hematocrit for a female client?

A nurse is caring for a client who delivered a baby 24 hours ago. The client has a hemoglobin level ordered as part of morning lab work. The clients level is 12 g/dL. Which response from the nurse is most appropriate?

A nurse is caring for a postpartum mother who delivered a baby 3 days ago. On the first day following delivery, the provider ordered a hemoglobin level for the client. The result was 9.9 g/dL. The provider did not list any other orders in the client’s chart since that time. Which response of the nurse is most appropriate?

Which best describes a normal hemoglobin level for a 4-year-old child?

Which of the following clients should the nurse identify as having the greatest risk for a decreased white blood cell count?

A nurse admitted a client with a WBC count of 12,450 cells/mcL. Which medication is most likely causing this lab value?

A nurse has just received the results of a client’s complete blood count with differential. Which of the following WBC elevation would indicate a left shift?

A nurse is reviewing a laboratory report for a client admitted with a suspected bacterial infection. The report indicates a white blood cell (WBC) count of 15,000/mm^3. Which of the following actions should the nurse take first?

A provider orders a complete blood count (CBC) with a differential for a client who is suffering from allergic rhinitis due to pollen and environmental allergies. Which of the following results on the CBC would the nurse expect to see?

A nurse is educating a client with a high white blood cell count on measures to prevent infection. Which of the following instructions should the nurse include?

A nurse is caring for a client with leukopenia. Which of the following interventions is most important for the nurse to implement?

The nurse is caring for a client with abdominal cramps, nausea, vomiting, and diarrhea. What statement by the client causes the nurse to suspect trichinosis?

A client presents to the ER after falling down the stairs and getting a cut on their knee that won’t stop bleeding. The nurse examines the client and notices tiny purple dots all over the client’s skin as well as little bruises all over in different stages of healing. Which of the following conditions does this client most likely have?

The nurse is getting ready to administer platelets to a client. Which of the following considerations must the nurse take into account before platelet administration?

A client presents with both a heavy menstrual period and a nose bleed that has been going on for 5 hours. The nurse examines the client and notices tiny purple dots all over the client’s skin. Which of the following conditions is consistent with these symptoms?

Which of the following tests are used to measure a client’s platelet count?

A nurse is caring for a client who has developed sepsis related to the catheter used for TPN. The client has a fever and chills and the physician-ordered laboratory testing determined that the blood culture for infection was positive. Which of the following nursing interventions is most appropriate?

A 31-year-old client presents for care with symptoms of toxic shock syndrome secondary to Staphylococcus aureus infection. The provider has ordered a blood culture, urinalysis, and CBC as part of diagnostic studies. With this condition, the nurse would most likely expect to see which of the following indicated by the CBC?

A nurse who works at a long-term care facility has received a call from a local lab about a positive blood culture result found on one of the residents in the facility. Which action should the nurse take next?

A client is suspected to have a central line associated blood stream infection (CLABSI). The nurse is preparing to draw blood for one blood culture from the client’s central venous catheter. The client has a triple-lumen catheter with fluid running into one lumen and two lumens that are not in use. What is the first step when drawing a blood sample using the syringe method?

A diabetic client has a foot wound that is most likely infected. The nurse must collect a sample for culture using a swab. Which actions would be part of the process of collecting a wound specimen using a swab? Select all that apply.

A healthy adult female who is not at increased risk of heart disease should have her blood cholesterol checked how often?

A client in the healthcare clinic has an order for total cholesterol levels because of his history of heart disease. The nurse provides information to this client about the upcoming test. Which of the following is true information regarding the results of this type of test? Select all that apply.

A 28-year-old client with no risk factors for heart disease asks the nurse about whether to have cholesterol checks and how often this should be monitored. Which answer from the nurse is correct?

A nurse is monitoring her client who is in the medical-surgical unit with a recent bowel resection. The client has an infusion of TPN with lipids running into a central line. Which of the following metabolic complications would the nurse most likely see with a client receiving TPN?

A nurse is providing dietary discharge teaching to a client who has been diagnosed with cirrhosis who has had an elevated ammonia level. Which of the following statements by the client demonstrate that more education is required?

A nurse is caring for a client who is scheduled for a urea breath test. The nurse knows that this test detects which of the following substances?

The client is scheduled for a cholangiogram. Which of the following pre-procedure nursing tasks can the nurse expect to perform? Select all that apply.

The nurse is caring for a client with jaundice. The provider orders labs. Which of the following labs would the nurse NOT expect to be ordered?

The client is scheduled for a cholangiogram. Which of the following pre-procedure nursing tasks can the nurse expect to perform? Select all that apply.

A nurse is caring for a client with Wilson’s disease. The nurse knows that this client will need lab work monitored for which of the following systems?

The nurse is caring for a client with jaundice. The provider orders labs. Which of the following labs would the nurse NOT expect to be ordered?

The nurse is caring for a client in the emergency department following prolonged exposure to sun and heat. The nurse notes that the client has a high pulse rate, poor skin turgor, and a BUN of 30 mg/dL. Which of the following interventions are appropriate for the client? Select all that apply.

The provider has ordered a creatinine level on a client who is experiencing delirium. The nurse knows that which of the following are components of creatinine in the serum?

A client has a GFR of 60 mL/min. The nurse recognizes this to be indicative of failure of which organ?

A nurse has an order for a urine specimen for a client with an indwelling catheter in place. Which action would be part of collecting a urine sample from this client? Select all that apply.

A client’s urinalysis is being evaluated for infection. What amount of bacteria indicates the normal threshold for confirming the presence of infection?

A nurse is working with a client who is being tested for diabetes. The provider has ordered a hemoglobin A1C test and the nurse checks the results. The client asks, “What is the hemoglobin A1C test?” Which response from the nurse is correct?

A client is being tested for blood insulin levels. The nurse should instruct the client to do which of the following?

A client who is in the hospital requires total parenteral nutrition for management of malnutrition. After two days on the TPN solution, the nurse checks the clients blood glucose levels and the result is 181 mg/dL. Which action of the nurse is most appropriate?

A nurse is assessing a client with a history of diabetes. The client tells the nurse that she does not feel well. The nurse checks her blood glucose levels and gets a result of 51 mg/dL. What signs or symptoms would the nurse expect to see with this blood glucose level? Select all that apply.

An 18-year-old has chronic kidney insufficiency and must take an injection of growth hormone. He takes his own injections and his parents bring him to the healthcare clinic every four weeks for follow-up evaluation. What laboratory levels would need to be monitored in a client taking growth hormones?

A nurse is caring for a pregnant client who has been diagnosed with gestational diabetes. The nurse is teaching the client how to test herself for ketones. Which information from the nurse best describes how to perform this test?

A 41-year-old client has been diagnosed with type 2 diabetes. The nurse is teaching the client about how to perform self-monitoring of blood glucose (SMBG) at home. The nurse instructs the client about how to use a lancet to obtain a blood sample. Which technique would the nurse most likely include?

The nurse enters a client’s room to find that the client is becoming confused. The nurse checks the client’s blood glucose and gets a result of 40, but the client is alert and talking. What is the first thing the nurse should do?

A nurse is working with a client who is being tested for diabetes. The provider has ordered a hemoglobin A1C test and the nurse checks the results. The client asks, “What is the hemoglobin A1C test?” Which response from the nurse is correct?

A nurse is caring for a mother who is 35 weeks’ pregnant. The client’s medical record states that she tested positive for group B Streptococcus infection. Which of the following precautions should be given in this situation?

A pregnant client who is in labor has an epidural placed because she will be undergoing a cesarean section. The epidural remains in place for the next 24 hours after delivery. Which of the listed side effects is most commonly associated with an epidural following cesarean section?

A client with a lung infection must undergo an ABG. The client asks the nurse why this lab test is necessary. Which of the following should the nurse include that would explain the reasons for this test? Select all that apply.

The nurse is reviewing a clients lab results. Which of the following results for vancomycin would the nurse recognize as within the therapeutic range?

A client had an electrolyte panel drawn and the potassium level was 5.4 mEq/L. The nurse is getting ready to notify the provider about the results. Which implications would the nurse need to consider when contacting the provider about this result? Select all that apply.

A nurse in the emergency department is caring for a client who presented with an irregular pulse, muscle twitching and hyperactive bowel sounds. Based on these symptoms, which of the following laboratory values would the nurse most likely see?

A nurse is caring for a client with increased brain natriuretic peptide (BNP). Which organ does the nurse need to be concerned about?

A client has a brain natriuretic peptide value of 782 pg/mL. The nurse recognizes this as an indication of issues in which of the following organs?

A client is undergoing pulmonary function tests for diagnosis of a respiratory condition. Which type of condition would pulmonary function tests most likely diagnose?

The provider has ordered a creatinine level on a client who is experiencing delirium. The nurse knows that which of the following are components of creatinine in the serum?

The nurse is caring for a client in the emergency department following prolonged exposure to sun and heat. The nurse notes that the client has a high pulse rate, poor skin turgor, and a BUN of 30 mg/dL. Which of the following interventions are appropriate for the client? Select all that apply.

A nurse admitted a client with a WBC count of 12,450 cells/mcL. Which medication is most likely causing this lab value?

A nurse has just received the results of a client’s complete blood count with differential. Which of the following WBC elevation would indicate a left shift?

The nurse is caring for a client who has been admitted for a stroke. Vital signs and neurological exams have been stable. The client has a follow-up CT scan of the head for tomorrow, orders to see PT/OT, a diet order, and sequential compression devices to be placed. The client has also requested a glass of water. What is the nurse’s priority at this time?