Lab values & electrolytes worksheet with answers

Free printable Lab values & electrolytes worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Below about which blood glucose level is hypoglycemia usually defined and treated in a person with diabetes?

  1. A100 mg/dL (5.6 mmol/L)
  2. B126 mg/dL (7.0 mmol/L)
  3. C40 mg/dL (2.2 mmol/L)
  4. D70 mg/dL (3.9 mmol/L)
2.Easy

On a liver panel, "direct bilirubin" refers to which form of bilirubin?

  1. ATotal urine urobilinogen
  2. BUnconjugated bilirubin
  3. CConjugated bilirubin
  4. DBilirubin in the stool
3.Easy

Which blood group's plasma can be given to patients of any ABO group (universal plasma donor)?

  1. AGroup B
  2. BGroup A
  3. CGroup O
  4. DGroup AB
4.Medium

A patient’s hemoglobin is 7.8 g/dL (78 g/L). Which findings would the nurse expect?

  1. AFatigue, pallor, a fast heart rate and breathlessness on exertion
  2. BItching, yellow skin and dark urine
  3. CHeadache, nosebleeds and a red face
  4. DA slow heart rate, flushed skin and a high blood pressure
5.Medium

A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?

  1. AVitamin K (phytonadione)
  2. BNaloxone
  3. CProtamine sulfate
  4. DCalcium gluconate
6.Medium

An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1.0 to 1.8 mg/dL (88 to 159 µmol/L). What is the most likely cause?

  1. AA laboratory error, since ibuprofen has no effect on the kidney
  2. BThe NSAID reduces kidney blood flow on top of the other two drugs
  3. CMore activity has increased the patient's muscle mass quickly
  4. DNormal aging of the kidneys over a period of a few weeks
7.Hard

A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?

  1. ACalcium supplements and a high-phosphate diet during treatment
  2. BFluid restriction and a high-potassium diet before the treatment
  3. CIV hydration, a uric acid-lowering drug and frequent electrolytes
  4. DNo special measures, because the risk starts only after a week
8.Hard

A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1.8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8.8 mmol/L). Which condition fits best?

  1. AAcute pyelonephritis
  2. BPrerenal kidney injury
  3. CLiver cirrhosis only
  4. DNephrotic syndrome

Answer key

  1. 1. D · 70 mg/dL (3.9 mmol/L)
  2. 2. C · Conjugated bilirubin
  3. 3. D · Group AB
  4. 4. A · Fatigue, pallor, a fast heart rate and breathlessness on exertion
  5. 5. C · Protamine sulfate
  6. 6. B · The NSAID reduces kidney blood flow on top of the other two drugs
  7. 7. C · IV hydration, a uric acid-lowering drug and frequent electrolytes
  8. 8. D · Nephrotic syndrome

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