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Free Practice Quiz Question List

4 Hepatic, Cardiac, and Endocrine Studies Online Quiz Questions

Use this free practice quiz with 20 questions to review 4 Hepatic, Cardiac, and Endocrine Studies, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: A laboratory result outside its reference interval is, by itself, sufficient to diagnose a disease.

  1. A

    True

  2. B

    False

02
Fill in the blank
1 point

When interpreting a laboratory result, compare it with the reference interval on the patient's and with prior results when available.

03
Choose one
1 point

A patient's ALT and AST are markedly elevated, while alkaline phosphatase (ALP) is only mildly elevated. Which pattern does this most strongly suggest?

  1. A

    Predominantly hepatocellular injury

  2. B

    Predominantly cholestatic injury

  3. C

    Isolated impairment of liver synthesis

  4. D

    A normal liver profile

04
Choose one
1 point

A patient with new liver-test abnormalities becomes confused. The INR is 2.0, and there is no known history of chronic liver disease. What is the priority nursing response?

  1. A

    Document the findings and reassess at the next scheduled observation

  2. B

    Promptly escalate the mental-status change and abnormal INR for urgent evaluation

  3. C

    Encourage oral fluids and repeat the tests the next day

  4. D

    Treat the INR as a direct measure of bleeding risk in cirrhosis

05
Choose one
1 point

A patient reports new chest pressure. The first high-sensitivity troponin is below the assay's upper reference limit; a later sample is above it and rising. Which response is most appropriate?

  1. A

    Assess the patient, facilitate an ECG under the chest-pain pathway, notify the clinician promptly, and follow serial testing orders

  2. B

    Reassure the patient because the first troponin was below the reference limit

  3. C

    Wait for another routine sample before assessing the new chest pressure

  4. D

    Conclude that myocardial infarction is confirmed from the rising troponin alone

06
True or false
1 point

True or false: An elevated troponin, by itself, confirms myocardial infarction.

  1. A

    True

  2. B

    False

07
Fill in the blank
1 point

When interpreting an elevated ALP, remember that it can also come from ; use other results and the clinical picture to help identify its source.

08
Choose one
1 point

A patient with shortness of breath has an elevated BNP. Which interpretation is most accurate?

  1. A

    An elevated BNP confirms heart failure, so no further assessment is needed

  2. B

    The BNP result should be ignored if the patient has kidney dysfunction

  3. C

    BNP can support heart failure as a cause, but requires interpretation with clinical context and often additional testing

  4. D

    An elevated BNP proves that the shortness of breath is caused by fluid overload

09
Choose all
1 point

A patient with shortness of breath has an elevated BNP. Select all appropriate nursing actions or interpretations.

  1. A

    Assess respiratory status, oxygenation, and vital signs

  2. B

    Use the BNP result alone to confirm heart failure

  3. C

    Assess for signs of fluid overload

  4. D

    Consider that kidney dysfunction or some lung or other heart conditions can also raise natriuretic peptide levels

10
Open ended
1 point

A patient with unexplained hypotension has a low morning cortisol, hyponatremia, and hyperkalemia. Explain the concern raised by this pattern and the priority response, including whether to wait for confirmatory testing.

11
Choose all
1 point

A patient with sepsis and kidney disease has an elevated troponin but no chest pain. Select all conclusions or actions supported by this finding.

  1. A

    Recognize that myocardial injury is possible without assuming myocardial infarction is confirmed

  2. B

    Ignore the result because the patient has kidney disease

  3. C

    Correlate with symptoms, ECG, serial values, and the patient's condition

  4. D

    Consider sepsis and kidney disease as possible contexts for elevated troponin

12
True or false
1 point

True or false: A high TSH together with a low free T4 generally suggests primary hypothyroidism.

  1. A

    True

  2. B

    False

13
Written response
1 point

A patient has a high TSH and a low free T4. What condition does this pattern generally indicate? Enter the condition name.

14
Choose one
1 point

A patient has a disproportionately elevated ALP and increased direct bilirubin. Which interpretation best fits this liver-test pattern?

  1. A

    A cholestatic pattern associated with possible impaired bile formation or flow

  2. B

    A hepatocellular pattern dominated by ALT and AST elevation

  3. C

    An isolated thyroid hormone abnormality

  4. D

    A normal liver profile

15
Written response
1 point

A patient's ALP is disproportionately elevated and direct bilirubin is increased. What adjective describes the likely liver-test pattern?

16
Choose one
1 point

A patient's ALP is elevated. What should the nurse keep in mind when interpreting this result?

  1. A

    An elevated ALP always proves impaired bile flow.

  2. B

    ALP can come from bone, so interpret it with other results and the clinical picture.

  3. C

    ALP is a direct measure of liver synthetic function.

  4. D

    An elevated ALP can be ignored if the patient has no jaundice.

17
Choose one
1 point

A patient with shortness of breath has an elevated BNP. Which nursing action is most appropriate?

  1. A

    Wait for a routine repeat BNP before assessing the patient

  2. B

    Assess respiratory status, oxygenation, vital signs, and signs of fluid overload

  3. C

    Assume the BNP identifies the cause of shortness of breath

  4. D

    Dismiss the result because BNP can be affected by other conditions

18
Choose one
1 point

A patient reports new chest pressure. The first high-sensitivity troponin is below the assay’s upper reference limit, but a later sample is above it and rising. Which interpretation and response are most appropriate?

  1. A

    A rising troponin rules out myocardial injury if the first sample was below the reference limit

  2. B

    The result confirms myocardial infarction without considering symptoms, ECG, timing, or assay

  3. C

    The change may indicate acute myocardial injury; promptly assess the patient, facilitate an ECG, and notify the clinician

  4. D

    No action is needed until the next day because the first result was below the limit

19
Written response
1 point

In a patient with cirrhosis, what does the material say INR is not a reliable stand-alone measure of?

20
Written response
1 point

A patient has very large ALT and AST elevations. What does the size of these elevations not, by itself, measure?