NSG 3800 Exam 4 Final - Comprehensive Hepatitis
& Lab Values Examination WITH QUESTIONS AND
WELL VERIFIED ANSWERS ALREADY GRADED A+
REAL 2026!!!!
SECTION 1: LABORATORY VALUES (Questions 1-30)
Question 1:
A nurse is reviewing laboratory results for a patient. Which PT (Prothrombin Time) value would be
considered within normal limits?
A. 8 seconds
B. 11-12.5 seconds
C. 18 seconds
D. 25 seconds
ANSWER✨✨✔-: B
Rationale:
Option A (8 seconds): Incorrect. This value is below the normal range of 11-12.5 seconds and would
indicate hypercoagulability, not a normal finding.
Option B (11-12.5 seconds): Correct. The normal PT range is 11-12.5 seconds, which measures the
extrinsic pathway of coagulation.
Option C (18 seconds): Incorrect. This is elevated above normal and indicates prolonged clotting time,
possibly due to liver disease, vitamin K deficiency, or anticoagulant therapy.
Option D (25 seconds): Incorrect. This is significantly elevated and indicates severe coagulation problems
requiring immediate intervention.
Question 2:
The nurse knows that the normal range for PTT (Partial Thromboplastin Time) is:
A. 10-15 seconds
B. 20-30 seconds
,C. 20-35 seconds
D. 40-50 seconds
ANSWER✨✨✔-: B
Rationale:
Option A (10-15 seconds): Incorrect. This is too low and closer to PT values, not PTT.
Option B (20-30 seconds): Correct. The normal PTT range is 20-30 seconds (some sources say 25-35 or
25-40 seconds), which measures the intrinsic pathway of coagulation.
Option C (20-35 seconds): Incorrect. While close, the standard normal range is typically 20-30 seconds.
Option D (40-50 seconds): Incorrect. This is elevated and would indicate prolonged clotting time,
possibly from heparin therapy or clotting factor deficiencies.
Question 3:
A patient's platelet count is 95,000/mm³. How should the nurse interpret this finding?
A. Normal platelet count
B. Mild thrombocytopenia
C. Moderate thrombocytopenia
D. Severe thrombocytopenia requiring immediate intervention
ANSWER✨✨✔-: B
Rationale:
Option A (Normal platelet count): Incorrect. Normal platelet count is 150,000-400,000/mm³. This value
is below normal.
Option B (Mild thrombocytopenia): Correct. A platelet count of 95,000/mm³ represents mild
thrombocytopenia (50,000-150,000). The patient should be monitored for bleeding.
Option C (Moderate thrombocytopenia): Incorrect. Moderate thrombocytopenia is typically 20,000-
50,000/mm³.
Option D (Severe thrombocytopenia): Incorrect. Severe thrombocytopenia is <20,000/mm³ and requires
immediate intervention for spontaneous bleeding risk.
Question 4:
Which laboratory value would indicate a potential problem with fibrinogen levels?
A. Fibrinogen 350 mg/dL
B. Fibrinogen 180 mg/dL
C. Fibrinogen 450 mg/dL
,D. Fibrinogen 100 mg/dL
ANSWER✨✨✔-: D
Rationale:
Option A (Fibrinogen 350 mg/dL): Incorrect. Normal fibrinogen is 200-400 mg/dL. This is within normal
limits.
Option B (Fibrinogen 180 mg/dL): Incorrect. While slightly low, this is borderline and may not indicate a
significant problem.
Option C (Fibrinogen 450 mg/dL): Incorrect. This is slightly elevated but can occur with inflammation,
pregnancy, or stress.
Option D (Fibrinogen 100 mg/dL): Correct. This is significantly below the normal range (200-400 mg/dL)
and indicates hypofibrinogenemia, which can lead to bleeding problems. This may be seen in DIC, liver
disease, or massive transfusion.
Question 5:
A patient with liver disease has an ammonia level of 85 mcg/dL. What is the nurse's priority action?
A. Document the finding as normal
B. Assess for signs of hepatic encephalopathy
C. Administer lactulose immediately
D. Increase protein intake
ANSWER✨✨✔-: B
Rationale:
Option A (Document as normal): Incorrect. Normal ammonia is 15-45 mcg/dL (some sources 10-80
mcg/dL). This is elevated.
Option B (Assess for hepatic encephalopathy): Correct. Elevated ammonia (>45 mcg/dL) can cause
hepatic encephalopathy. The nurse should assess for confusion, asterixis, personality changes, and
decreased level of consciousness.
Option C (Administer lactulose immediately): Incorrect. While lactulose may be prescribed, assessment
comes first. The nurse needs a provider's order.
Option D (Increase protein intake): Incorrect. This would worsen the condition. Protein restriction is
often needed to reduce ammonia production.
Question 6:
The normal range for calcium is:
A. 4.5-5.5 mEq/L
, B. 8.5-10.5 mg/dL
C. 12-14 mg/dL
D. 2.5-3.5 mEq/L
ANSWER✨✨✔-: B
Rationale:
Option A (4.5-5.5 mEq/L): Incorrect. This is not the correct range for calcium.
Option B (8.5-10.5 mg/dL): Correct. Normal total calcium is 8.5-10.5 mg/dL (or 4.5-5.5 mEq/L).
Option C (12-14 mg/dL): Incorrect. This indicates hypercalcemia, which can cause cardiac dysrhythmias,
kidney stones, and decreased neuromuscular excitability.
Option D (2.5-3.5 mEq/L): Incorrect. This is not the correct range for calcium measurement.
Question 7:
A fasting glucose level of 105 mg/dL indicates:
A. Normal glucose
B. Prediabetes
C. Diabetes
D. Hypoglycemia
ANSWER✨✨✔-: A
Rationale:
Option A (Normal glucose): Correct. Normal fasting glucose is 70-110 mg/dL (some sources 70-100
mg/dL). A level of 105 mg/dL is within normal limits.
Option B (Prediabetes): Incorrect. Prediabetes is indicated by fasting glucose of 100-125 mg/dL (some
sources use 110-125 mg/dL).
Option C (Diabetes): Incorrect. Diabetes is diagnosed with fasting glucose ≥126 mg/dL on two separate
occasions.
Option D (Hypoglycemia): Incorrect. Hypoglycemia is <70 mg/dL.
Question 8:
Which ALT (Alanine Aminotransferase) value would be considered elevated?
A. 25 IU/mL
B. 35 IU/mL
C. 50 IU/mL
& Lab Values Examination WITH QUESTIONS AND
WELL VERIFIED ANSWERS ALREADY GRADED A+
REAL 2026!!!!
SECTION 1: LABORATORY VALUES (Questions 1-30)
Question 1:
A nurse is reviewing laboratory results for a patient. Which PT (Prothrombin Time) value would be
considered within normal limits?
A. 8 seconds
B. 11-12.5 seconds
C. 18 seconds
D. 25 seconds
ANSWER✨✨✔-: B
Rationale:
Option A (8 seconds): Incorrect. This value is below the normal range of 11-12.5 seconds and would
indicate hypercoagulability, not a normal finding.
Option B (11-12.5 seconds): Correct. The normal PT range is 11-12.5 seconds, which measures the
extrinsic pathway of coagulation.
Option C (18 seconds): Incorrect. This is elevated above normal and indicates prolonged clotting time,
possibly due to liver disease, vitamin K deficiency, or anticoagulant therapy.
Option D (25 seconds): Incorrect. This is significantly elevated and indicates severe coagulation problems
requiring immediate intervention.
Question 2:
The nurse knows that the normal range for PTT (Partial Thromboplastin Time) is:
A. 10-15 seconds
B. 20-30 seconds
,C. 20-35 seconds
D. 40-50 seconds
ANSWER✨✨✔-: B
Rationale:
Option A (10-15 seconds): Incorrect. This is too low and closer to PT values, not PTT.
Option B (20-30 seconds): Correct. The normal PTT range is 20-30 seconds (some sources say 25-35 or
25-40 seconds), which measures the intrinsic pathway of coagulation.
Option C (20-35 seconds): Incorrect. While close, the standard normal range is typically 20-30 seconds.
Option D (40-50 seconds): Incorrect. This is elevated and would indicate prolonged clotting time,
possibly from heparin therapy or clotting factor deficiencies.
Question 3:
A patient's platelet count is 95,000/mm³. How should the nurse interpret this finding?
A. Normal platelet count
B. Mild thrombocytopenia
C. Moderate thrombocytopenia
D. Severe thrombocytopenia requiring immediate intervention
ANSWER✨✨✔-: B
Rationale:
Option A (Normal platelet count): Incorrect. Normal platelet count is 150,000-400,000/mm³. This value
is below normal.
Option B (Mild thrombocytopenia): Correct. A platelet count of 95,000/mm³ represents mild
thrombocytopenia (50,000-150,000). The patient should be monitored for bleeding.
Option C (Moderate thrombocytopenia): Incorrect. Moderate thrombocytopenia is typically 20,000-
50,000/mm³.
Option D (Severe thrombocytopenia): Incorrect. Severe thrombocytopenia is <20,000/mm³ and requires
immediate intervention for spontaneous bleeding risk.
Question 4:
Which laboratory value would indicate a potential problem with fibrinogen levels?
A. Fibrinogen 350 mg/dL
B. Fibrinogen 180 mg/dL
C. Fibrinogen 450 mg/dL
,D. Fibrinogen 100 mg/dL
ANSWER✨✨✔-: D
Rationale:
Option A (Fibrinogen 350 mg/dL): Incorrect. Normal fibrinogen is 200-400 mg/dL. This is within normal
limits.
Option B (Fibrinogen 180 mg/dL): Incorrect. While slightly low, this is borderline and may not indicate a
significant problem.
Option C (Fibrinogen 450 mg/dL): Incorrect. This is slightly elevated but can occur with inflammation,
pregnancy, or stress.
Option D (Fibrinogen 100 mg/dL): Correct. This is significantly below the normal range (200-400 mg/dL)
and indicates hypofibrinogenemia, which can lead to bleeding problems. This may be seen in DIC, liver
disease, or massive transfusion.
Question 5:
A patient with liver disease has an ammonia level of 85 mcg/dL. What is the nurse's priority action?
A. Document the finding as normal
B. Assess for signs of hepatic encephalopathy
C. Administer lactulose immediately
D. Increase protein intake
ANSWER✨✨✔-: B
Rationale:
Option A (Document as normal): Incorrect. Normal ammonia is 15-45 mcg/dL (some sources 10-80
mcg/dL). This is elevated.
Option B (Assess for hepatic encephalopathy): Correct. Elevated ammonia (>45 mcg/dL) can cause
hepatic encephalopathy. The nurse should assess for confusion, asterixis, personality changes, and
decreased level of consciousness.
Option C (Administer lactulose immediately): Incorrect. While lactulose may be prescribed, assessment
comes first. The nurse needs a provider's order.
Option D (Increase protein intake): Incorrect. This would worsen the condition. Protein restriction is
often needed to reduce ammonia production.
Question 6:
The normal range for calcium is:
A. 4.5-5.5 mEq/L
, B. 8.5-10.5 mg/dL
C. 12-14 mg/dL
D. 2.5-3.5 mEq/L
ANSWER✨✨✔-: B
Rationale:
Option A (4.5-5.5 mEq/L): Incorrect. This is not the correct range for calcium.
Option B (8.5-10.5 mg/dL): Correct. Normal total calcium is 8.5-10.5 mg/dL (or 4.5-5.5 mEq/L).
Option C (12-14 mg/dL): Incorrect. This indicates hypercalcemia, which can cause cardiac dysrhythmias,
kidney stones, and decreased neuromuscular excitability.
Option D (2.5-3.5 mEq/L): Incorrect. This is not the correct range for calcium measurement.
Question 7:
A fasting glucose level of 105 mg/dL indicates:
A. Normal glucose
B. Prediabetes
C. Diabetes
D. Hypoglycemia
ANSWER✨✨✔-: A
Rationale:
Option A (Normal glucose): Correct. Normal fasting glucose is 70-110 mg/dL (some sources 70-100
mg/dL). A level of 105 mg/dL is within normal limits.
Option B (Prediabetes): Incorrect. Prediabetes is indicated by fasting glucose of 100-125 mg/dL (some
sources use 110-125 mg/dL).
Option C (Diabetes): Incorrect. Diabetes is diagnosed with fasting glucose ≥126 mg/dL on two separate
occasions.
Option D (Hypoglycemia): Incorrect. Hypoglycemia is <70 mg/dL.
Question 8:
Which ALT (Alanine Aminotransferase) value would be considered elevated?
A. 25 IU/mL
B. 35 IU/mL
C. 50 IU/mL
