For a nonpregnant adult, an A1C result is 6.2%. Which category best fits this result?
4 Glucose and Endocrine Laboratory Values Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Glucose and Endocrine Laboratory Values, test your knowledge, and prepare for your next test or exam.
A laboratory result outside its reference interval is, by itself, enough to establish a diagnosis.
- A
True
- B
False
What is the lower A1C cutoff for the diabetes range in the adult criteria described here? Enter the cutoff as a numeric percentage value.
What glucose cutoff, in mg/dL, marks the boundary below which a result is considered an alert value? Enter the cutoff itself, not a value below it.
Severe hypoglycemia is defined by the need for another person’s help, regardless of the glucose measurement.
- A
True
- B
False
A nonpregnant adult has a 2-hour oral glucose tolerance test result of 185 mg/dL after a 75-g glucose drink. Which category applies?
- A
Normal range
- B
Prediabetes range
- C
Diabetes range
A patient with diabetes is confused and cannot swallow safely during a hypoglycemic episode. Select all appropriate immediate actions.
- A
Give nothing by mouth.
- B
Activate emergency assistance.
- C
Give fast-acting carbohydrate by mouth.
- D
Administer glucagon or IV dextrose as authorized by protocol or order.
A patient taking an SGLT2 inhibitor has nausea, abdominal pain, and deep breathing, with a glucose reading of 185 mg/dL. Which response is most appropriate?
- A
Rule out DKA because the glucose is below 200 mg/dL.
- B
Treat DKA as possible and arrange urgent clinical assessment, including evaluation for ketones and acid-base disturbance.
- C
Wait for the glucose to rise before contacting the clinician.
- D
Give extra insulin without an order or protocol.
A laboratory reports a critical result. Select all appropriate actions under the stated policy guidance.
- A
Promptly assess the patient.
- B
Verify patient and specimen identity.
- C
Communicate the result using the required escalation chain.
- D
Delay escalation until every question about the reference range is resolved.
- E
Document who was notified and when, and reassess after interventions.
A patient with possible adrenal insufficiency becomes hypotensive and vomits repeatedly. Describe the immediate response and whether treatment should wait for confirmatory cortisol testing.
A random plasma glucose of at least 200 mg/dL together with classic symptoms can support a diabetes diagnosis.
- A
True
- B
False
An 8 a.m. serum cortisol result is 4 mcg/dL. Which interpretation best reflects the common interval and its limitations?
- A
It is within the commonly cited 8 a.m. interval and rules out adrenal insufficiency.
- B
It establishes the specific cause of adrenal insufficiency.
- C
It is below the commonly cited 8 a.m. interval and may prompt evaluation, but does not by itself establish the cause.
- D
It cannot be interpreted because cortisol results do not depend on timing.
What glucose cutoff marks the level below which hypoglycemia is considered clinically significant? Enter the cutoff value in mg/dL.
A nonpregnant adult with no unequivocal symptoms has a fasting plasma glucose of 132 mg/dL. Which interpretation is most appropriate?
- A
Prediabetes-range result; no further evaluation is needed
- B
Diabetes-range result; generally confirm the abnormal result
- C
Normal result because the patient is stable
- D
Diagnostic of diabetes regardless of symptoms or confirmation
A patient’s results show high TSH and low free T4. Which interpretation is most appropriate?
- A
The pattern commonly suggests primary hypothyroidism
- B
The pattern commonly suggests hyperthyroidism
- C
The results rule out thyroid disease
- D
TSH alone identifies the cause of the abnormality
A patient with known thyrotoxicosis develops a high fever, marked tachycardia, and agitation. What is the best immediate response?
- A
Arrange routine follow-up after the next thyroid test
- B
Give oral fluids and reassess at the end of the shift
- C
Activate rapid response or emergency care and monitor airway, circulation, temperature, and cardiac rhythm
- D
Wait for a repeat TSH result before escalating
A patient with severe hypothyroidism is hypothermic, breathing inadequately, and becoming less responsive. What is the most appropriate response?
- A
Schedule outpatient thyroid testing because slow breathing is expected
- B
Arrange emergency hospital care and escalate the patient’s condition
- C
Wait for a thyroid test result before contacting the clinician
- D
Treat the low temperature at home and reassess tomorrow
An asymptomatic, nonpregnant adult has a fasting plasma glucose of 132 mg/dL. What is generally needed before diagnosing diabetes from this abnormal result?
A typical HHS presentation includes much higher glucose, severe dehydration, and .
A typical free T4 reference interval is about to ng/dL, although the reporting laboratory’s interval should guide interpretation.
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