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Free Practice Quiz Question List

5 Liver, Pancreatic, Cardiac, and Blood Gas Results Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Liver, Pancreatic, Cardiac, and Blood Gas Results, test your knowledge, and prepare for your next test or exam.

20 questions
01
Fill in the blank
1 point

In interpreting liver tests, ALT and AST mainly indicate , while albumin and PT/INR help assess .

02
Written response
1 point

A patient’s PaO₂ is 58 mmHg. Below what PaO₂ value is a result commonly considered critical?

03
Written response
1 point

A patient is being evaluated for suspected pancreatitis. Which pancreatic enzyme is generally more useful than amylase?

04
Fill in the blank
1 point

An ABG shows pH=7.30\mathrm{pH}=7.30, PaCO2=50 mmHg\mathrm{PaCO_2}=50\ \mathrm{mmHg}, and HCO3−=24 mEq/L\mathrm{HCO_3^-}=24\ \mathrm{mEq/L}. The primary disorder is .

05
Choose one
1 point

A patient has severe upper abdominal pain and vomiting, with lipase markedly above the laboratory range. What is the priority nursing response?

  1. A

    Wait for the next scheduled laboratory draw before assessing the patient.

  2. B

    Assess pain, vital signs, hydration, and overall status; promptly notify the provider and escalate instability.

  3. C

    Conclude that pancreatitis is confirmed by the lipase result and begin treatment without an order.

  4. D

    Encourage oral fluids and defer further action unless the patient develops jaundice.

06
Choose one
1 point

An ABG shows pH=7.48\mathrm{pH}=7.48, PaCO2=40 mmHg\mathrm{PaCO_2}=40\ \mathrm{mmHg}, and HCO3−=30 mEq/L\mathrm{HCO_3^-}=30\ \mathrm{mEq/L}. Which primary acid–base disorder is present?

  1. A

    Respiratory alkalosis

  2. B

    Metabolic acidosis

  3. C

    Metabolic alkalosis

  4. D

    Respiratory acidosis

07
Choose one
1 point

A patient taking an anticoagulant has an elevated INR. Which interpretation is most appropriate when assessing the result?

  1. A

    An elevated INR proves impaired liver synthesis, regardless of medication use.

  2. B

    Consider medication effects when interpreting the INR; do not attribute the result to liver dysfunction alone.

  3. C

    Ignore the INR because anticoagulants make it clinically meaningless.

  4. D

    Stop the prescribed anticoagulant independently and repeat the test later.

08
Choose all
1 point

A patient with suspected liver dysfunction develops new confusion and bleeding. Select all appropriate nursing responses.

  1. A

    Assess for jaundice, dark urine, pale stools, pain, bruising or bleeding, and mental-status change.

  2. B

    Conclude that liver failure is established by any one abnormal liver-panel result.

  3. C

    Promptly report new bleeding, a rising INR, or confusion when liver dysfunction is suspected.

  4. D

    Review medication and alcohol history as appropriate and follow facility escalation procedures.

09
Choose one
1 point

A patient has a prominent ALP rise on a liver panel. Which interpretation is most appropriate?

  1. A

    A cholestatic pattern is possible; interpret it with other results and clinical findings.

  2. B

    A hepatocellular pattern is certain because ALP is elevated.

  3. C

    The result confirms bile-duct obstruction without need for further assessment.

  4. D

    The result is diagnostic of bone disease rather than a liver or bile-flow issue.

10
Choose all
1 point

A patient reports chest discomfort concerning for acute coronary syndrome. Select all appropriate immediate nursing actions.

  1. A

    Rapidly assess the patient and obtain or assist with an ECG.

  2. B

    Wait for serial troponin results before beginning urgent assessment.

  3. C

    Initiate monitoring and promptly notify the responsible clinician or activate the emergency pathway.

  4. D

    Give oxygen only when indicated by hypoxemia or an applicable protocol or order.

11
Open ended
1 point

A patient has a low albumin result. Explain why this finding alone does not establish reduced liver synthesis, and describe how the result should be interpreted.

12
True or false
1 point

True or false: A low albumin result by itself confirms reduced liver synthesis.

  1. A

    True

  2. B

    False

13
Choose one
1 point

A stable patient’s test result is slightly above a commonly cited adult interval but remains within the reporting laboratory’s reference interval. What is the best interpretation?

  1. A

    Treat the result as abnormal because it exceeds a commonly cited interval.

  2. B

    Interpret it using the reporting laboratory’s interval and the patient’s clinical context.

  3. C

    Ignore the result because it falls within at least one published interval.

  4. D

    Diagnose disease from the result without considering symptoms or trends.

14
Choose one
1 point

A patient has severe, persistent upper abdominal pain and vomiting. The lipase is elevated. Which interpretation is most appropriate?

  1. A

    An elevated lipase proves pancreatitis, so further assessment is unnecessary.

  2. B

    Amylase is generally more useful than lipase for suspected pancreatitis.

  3. C

    Lipase is generally more useful than amylase, but the result must be interpreted with symptoms and other findings.

  4. D

    An elevated lipase indicates a pancreatic cause rather than a biliary, intestinal, or renal cause.

15
Choose one
1 point

A liver panel shows a prominent ALP rise compared with the other results. Which pattern does this finding most suggest?

  1. A

    A hepatocellular injury pattern, because ALP is the main marker of liver-cell injury.

  2. B

    A possible cholestatic pattern, while considering that bone disease can also raise ALP.

  3. C

    Impaired liver synthesis, because ALP directly measures synthetic function.

  4. D

    Increased red-cell breakdown, because ALP primarily reflects bilirubin production.

16
Written response
1 point

What is the lower bound, in mmHg, of the approximate adult arterial PaO₂ reference range?

17
Written response
1 point

An ABG shows pH=7.28pH = 7.28, PaCO2=40PaCO_2 = 40 mmHg, and HCO3−=18HCO_3^- = 18 mEq/L. What is the primary acid–base disorder?

18
Choose one
1 point

A patient with chest pressure has one hs-cTn result above the assay’s upper reference limit. What does this result establish by itself?

  1. A

    It confirms myocardial infarction, even without considering other findings.

  2. B

    It establishes acute myocardial injury because any elevated result proves a rise or fall.

  3. C

    It indicates myocardial injury, but does not by itself diagnose myocardial infarction.

  4. D

    It rules out myocardial injury unless CK-MB is also elevated.

19
True or false
1 point

True or false: If a patient's pH is within the usual range but PaCO₂ and HCO₃⁻ are abnormal, an acid–base disorder is ruled out.

  1. A

    True

  2. B

    False

20
True or false
1 point

True or false: A rise or fall in serial high-sensitivity troponin measurements supports acute myocardial injury, but does not by itself diagnose myocardial infarction.

  1. A

    True

  2. B

    False