ANCC PMHNP LAB VALUES EXAM AND PRACTICE EXAM
NEWEST ACTUAL EXAM COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
T4, FREE THYROXINE - CORRECT ANSWER 0.8-2.8
Increased In Graves
Decreased In Hypothyroidism
TSH - CORRECT ANSWER 2- 10 mu/l
Normal values can range from 0.4 - 4.0 mIU/L (milli-
international units per liter),
Calcium, Ca++ - CORRECT ANSWER 8.8-10.5
<7.0, tetany
>11.0, hyperparathyroidism
>13.5, hypercalcemic coma, metastatic cancer
Sodium, Na+ - CORRECT ANSWER 135-148 mEq/L
hypernatremia - CORRECT ANSWER dehydration
hypovolemia
diabetes insipidus
eating too much salt
gastroenteritis
drugs such as adrenocorticosteroids, methyldopa, hydrazine,
cough meds
,hyponatremia - CORRECT ANSWER drugs such as lithium,
vasopressin, diuretics
addisons
renal disorder
gi fluid loss
Magnesium, Mg - CORRECT ANSWER 1.3 - 2.1 mEq/L
lithium can increase
hypomagnesemia - CORRECT ANSWER depression,
confusion, irritability,nystagmus, tetany, convulsions,
ataxia, increased reflexes, muscle weakness
hypermagnesemia - CORRECT ANSWER N/V, respiratory
depression, hypotension, depressed skeletal muscle
contraction and nerve function, bradycardia
Potassium, K+ - CORRECT ANSWER 3.5-5.1 mEq/L
hyperkalemia - CORRECT ANSWER chronic marijuana use
can elevate potassium
Chloride, Cl - CORRECT ANSWER 98 - 106
passive transport through sodium
major anion in the extracellular fluid
Liver - ALT - CORRECT ANSWER 5 - 35 U/L - depakote can
increase, safe to use up to 2 times normal limit
Liver - AST - CORRECT ANSWER 5 - 40 U/L
slight elevation can occur in DT's
,depakote can increase, safe to use up to 2 times normal
limit
Liver - GGT - CORRECT ANSWER 10 - 38 IU/L
Thrombocytopenia - CORRECT ANSWER Platelet count
normal = 150,000-450,000
if below - bone marrow doesn't make enough platelets.
or bone marrow makes enough platelets, but the body
destroys them or uses them up.
or - The spleen holds on to too many platelets. The spleen is
an organ that normally stores about one-third of the body's
platelets. It also helps your body fight infection and remove
unwanted cell material.
can be caused by Valproate
Neutropenia - CORRECT ANSWER A normal ANC is above
1,500 cells per microliter. An ANC less than 500 cells/µL is
defined as neutropenia and significantly increases the risk
of infection. Neutropenia is the condition of a low ANC,
Clozapine - WBC => 3500 to initiate therapy, ANC MUST BE
=>2000/mm, ck wbc/anc weekly x 6 months, then Q other
week for 6 months; if stable then Q 4 weeks. after therapy
test for at least 4 weeks,
LIVER PANEL - CORRECT ANSWER ALP, AST, ASP,
BILIRUBIN, ALBUMIN, TTL PROTEIN, CBC with WBC
DIFFERENTIAL, PLATELET COUNT. FOR VALPROATE
THERAPY - CK BASELINE AND MONTHLY FOR SEVERAL
MONTHS
, CREATININE - CORRECT ANSWER 0.5-1.2 normal, kidney
damage if elevated , athletes may be higher
BUN - CORRECT ANSWER 10-20 mg/dL
LITHIUM THERAPY - CORRECT ANSWER CREATININE/BUN,
SERUM ELECTROLYTES, CBC W/WBC & DIFF, URINALYSIS,
EKG, ck levels (post dose 12 hrs trough), after 4 days on
med, then q 4-5 days during initial therapy
lithium levels during acute tx - CORRECT ANSWER 0.8 -1.2,
during maintenance 0.6 - 1.0
ALP - CORRECT ANSWER 44-147
Descriptive Vividness - CORRECT ANSWER The researcher
describes the data gathering process in sufficient detail that
the reader can personally experience it. The data collected,
often in the form of personal statements, should be quoted
directly and extensively, because this is the raw data from
the study.
Methodological Congruence - CORRECT ANSWER The
researcher presents the philosophical and methodological
approach used and cites references to support their
approach. The subjects, sampling method, data-gathering
and data-analysis strategies, and processes for informed
consent are clearly and concisely described.
Theoretical Conectedness - CORRECT ANSWER Any theory
developed from the study is clearly stated, logically
consistent, reflective of the data, and in accord with other
available knowledge.
