01
Choose one
1 point
A patient has an eGFR below 60 mL/min/1.73 m² on one test, with no prior results available. Which interpretation is most appropriate?
Free Practice Quiz Question List
4 Renal, Metabolic, and Organ Function Tests Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Renal, Metabolic, and Organ Function Tests, test your knowledge, and prepare for your next test or exam.
20 questions
02
True or false
1 point
A raised BUN result by itself establishes that a patient has kidney injury.
- A
True
- B
False
03
Written response
1 point
A patient’s ALP is elevated out of proportion to ALT and AST. What liver-test pattern does this suggest?
04
Fill in the blank
1 point
A urine albumin-to-creatinine ratio greater than 30 mg/g is and may indicate kidney damage, even when eGFR is 60 or higher.
05
Choose one
1 point
A patient’s fasting plasma glucose is 112 mg/dL, and the patient has no clear symptoms of hyperglycemia. Which interpretation is most appropriate?
- A
The result is in the prediabetes range; in the absence of clear symptoms, diagnostic results generally need confirmation.
- B
The result confirms diabetes without further assessment.
- C
The result is below the prediabetes range and needs no contextual interpretation.
- D
The result establishes an acute hypoglycemic episode.
06
True or false
1 point
A1C should be used to judge a patient's glucose level during an acute episode of confusion.
- A
True
- B
False
07
Fill in the blank
1 point
A glucose below 70 mg/dL is an alert threshold; a glucose below 54 mg/dL is .
08
Choose all
1 point
A patient with low glucose is unconscious and cannot swallow safely. Which actions are appropriate? Select all that apply.
- A
Do not give oral food or drink.
- B
Give juice by mouth immediately despite the unsafe swallow.
- C
Activate the emergency response.
- D
Follow the hypoglycemia protocol.
09
Choose all
1 point
A patient has a random glucose of 218 mg/dL and reports classic symptoms of hyperglycemia. Which statements or actions are appropriate? Select all that apply.
- A
The result with classic hyperglycemia symptoms may support diagnosis.
- B
The reading should still be interpreted in context.
- C
The result alone always confirms diabetes, regardless of symptoms or context.
- D
Assess the patient for concerning symptoms and clinical deterioration.
10
Choose one
1 point
A patient has a prolonged PT/INR and new bleeding. Which response is most appropriate?
- A
Promptly seek clinical review, particularly because the patient is bleeding.
- B
Treat the result as a definitive diagnosis of liver disease without further assessment.
- C
Ignore the result unless ALT and AST are also elevated.
- D
Use the result alone to determine the cause of the bleeding.
11
True or false
1 point
Severe, persistent upper abdominal pain can be dismissed as not serious when lipase is normal or only mildly elevated.
- A
True
- B
False
12
Open ended
1 point
A patient has severe, persistent upper abdominal pain and repeated vomiting, but the lipase is only mildly elevated. Explain how the result should be interpreted and what nursing response is appropriate.
13
Written response
1 point
What is the lowest fasting plasma glucose value in the diabetes range?
14
Choose one
1 point
A patient has an elevated BUN after several days of poor fluid intake. Which interpretation is most appropriate?
- A
Conclude that the patient has kidney injury based on the BUN result alone.
- B
Reassess hydration and compare both results with baseline and other clinical findings.
- C
Disregard the results unless the patient reports pain.
- D
Treat the BUN as a direct measure of urine output.
15
Choose one
1 point
A patient’s eGFR is 78 mL/min/1.73 m², but the UACR is 42 mg/g. Which interpretation best fits these results?
- A
A UACR above 30 mg/g is not meaningful if eGFR is at least 60.
- B
The result establishes chronic kidney disease without further assessment.
- C
The abnormal UACR may indicate kidney damage despite the preserved eGFR and warrants follow-up.
- D
The result proves that kidney filtration is normal and no follow-up is needed.
16
Choose one
1 point
A patient has eGFR results below 60 mL/min/1.73 m² on repeated tests spanning four months. Which interpretation is most appropriate?
- A
The persistent reduction may meet the duration criterion for chronic kidney disease; interpret it with the clinical context.
- B
The first low eGFR alone proves chronic kidney disease, regardless of duration.
- C
The results rule out chronic kidney disease because the values are not falling rapidly.
- D
The eGFR is unreliable whenever it is below 60, even if creatinine is stable.
17
Written response
1 point
When ALT and AST elevations are out of proportion to alkaline phosphatase, what is the name of the predominant pattern?
18
Choose one
1 point
A patient has a low albumin and prolonged PT/INR, along with unusual bruising. Which interpretation and response are most appropriate?
- A
A low albumin by itself confirms liver disease.
- B
A prolonged PT/INR is specific to liver disease and needs no further assessment.
- C
Both results should be ignored unless bilirubin is also elevated.
- D
These results can contribute to assessment of liver protein-making function, but require interpretation in context; the prolonged PT/INR warrants prompt review, especially with bleeding.
19
Choose one
1 point
A patient has a critical potassium result and new palpitations. What is the most appropriate nursing response?
- A
Wait for the next routine laboratory draw before taking action.
- B
Promptly escalate according to policy and reassess for weakness, palpitations, or rhythm changes.
- C
Assume the result is harmless if the patient does not report muscle pain.
- D
Use the potassium result alone to diagnose the cause of the patient’s symptoms.
20
Written response
1 point
A patient has an elevated AST after a muscle injury. Which non-liver tissue source could contribute to the elevated AST?