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ANCC PMHNP Lab Values Exam 2024: Questions and Answers, Exams of Laboratory Practices and Management

A comprehensive list of lab values relevant to psychiatric mental health nurse practitioners (pmhnps), including normal ranges, potential causes of deviations, and clinical implications. It also includes questions and answers related to these lab values, making it a valuable resource for students preparing for the ancc pmhnp exam.

Typology: Exams

2024/2025

Available from 01/29/2025

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ANCC PMHNP LAB VALUES
EXAM 2024 QUESTIONS AND ANSWERS
"CREATININE - CORRECT ANSWER 0.5-1.2 normal, kidney damage if elevated , athletes may be higher"
"BUN - CORRECT ANSWER 10-20 mg/dL"
"SIGNS OF LITHIUM TOXICITY - CORRECT ANSWER nystagmus, ataxia, increased deep tendon reflexes,
altered mental status, cardiac arrhythmias"
"Calcium, Ca++ - CORRECT ANSWER 8.8-10.5
<7.0, tetany
>11.0, hyperparathyroidism
>13.5, hypercalcemic coma, metastatic cancer"
"Sodium, Na+ - CORRECT ANSWER 135-148 mEq/L"
"hypernatremia - CORRECT ANSWER dehydration
hypovolemia
diabetes insipidus
eating too much salt
gastroenteritis
drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds"
"hyponatremia - CORRECT ANSWER drugs such as lithium, vasopressin, diuretics
addisons
renal disorder
gi fluid loss"
"Magnesium, Mg - CORRECT ANSWER 1.3 - 2.1 mEq/L
lithium can increase"
"hypomagnesemia - CORRECT ANSWER depression, confusion, irritability,nystagmus, tetany,
convulsions, ataxia, increased reflexes, muscle weakness"
"hypermagnesemia - CORRECT ANSWER N/V, respiratory depression, hypotension, depressed skeletal
muscle contraction and nerve function, bradycardia"
"Potassium, K+ - CORRECT ANSWER 3.5-5.1 mEq/L"
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ANCC PMHNP LAB VALUES

EXAM 2024 QUESTIONS AND ANSWERS

"CREATININE - CORRECT ANSWER 0.5-1.2 normal, kidney damage if elevated , athletes may be higher"

"BUN - CORRECT ANSWER 10-20 mg/dL"

"SIGNS OF LITHIUM TOXICITY - CORRECT ANSWER nystagmus, ataxia, increased deep tendon reflexes,

altered mental status, cardiac arrhythmias"

"Calcium, Ca++ - CORRECT ANSWER 8.8-10.

<7.0, tetany

11.0, hyperparathyroidism 13.5, hypercalcemic coma, metastatic cancer"

"Sodium, Na+ - CORRECT ANSWER 135-148 mEq/L"

"hypernatremia - CORRECT ANSWER dehydration

hypovolemia diabetes insipidus eating too much salt gastroenteritis drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds"

"hyponatremia - CORRECT ANSWER drugs such as lithium, vasopressin, diuretics

addisons renal disorder gi fluid loss"

"Magnesium, Mg - CORRECT ANSWER 1.3 - 2.1 mEq/L

lithium can increase"

"hypomagnesemia - CORRECT ANSWER depression, confusion, irritability,nystagmus, tetany,

convulsions, ataxia, increased reflexes, muscle weakness"

"hypermagnesemia - CORRECT ANSWER N/V, respiratory depression, hypotension, depressed skeletal

muscle contraction and nerve function, bradycardia"

"Potassium, K+ - CORRECT ANSWER 3.5-5.1 mEq/L"

"hyperkalemia - CORRECT ANSWER chronic marijuana use can elevate potassium"

"Chloride, Cl - CORRECT ANSWER 98 - 106

passive transport through sodium major anion in the extracellular fluid"

"Liver - ALT - CORRECT ANSWER 5 - 35 U/L - depakote can increase, safe to use up to 2 times normal

limit"

"Liver - AST - CORRECT ANSWER 5 - 40 U/L

slight elevation can occur in DT's depakote can increase, safe to use up to 2 times normal limit"

"Liver - GGT - CORRECT ANSWER 10 - 38 IU/L"

“T4, FREE THYROXINE - CORRECT ANSWER 0.8-2.

Increased In Graves Decreased In Hypothyroidism"

"TSH - CORRECT ANSWER 2- 10 mu/l

Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per liter),"

"Thrombocytopenia - CORRECT ANSWER Platelet count normal = 150,000-450,

if below - bone marrow doesn't make enough platelets. or bone marrow makes enough platelets, but the body destroys them or uses them up. or - The spleen holds on to too many platelets. The spleen is an organ that normally stores about one- third of the body's platelets. It also helps your body fight infection and remove unwanted cell material. can be caused by Valproate"

"LIVER PANEL - CORRECT ANSWER ALP, AST, ASP, BILIRUBIN, ALBUMIN, TTL PROTEIN, CBC with WBC

DIFFERENTIAL, PLATELET COUNT. FOR VALPROATE THERAPY - CK BASELINE AND MONTHLY FOR SEVERAL

MONTHS"

"LITHIUM THERAPY - CORRECT ANSWER CREATININE/BUN, SERUM ELECTROLYTES, CBC W/WBC &

DIFF, URINALYSIS, EKG, ck levels (post dose 12 hrs trough), after 4 days on med, then q 4-5 days during initial therapy"

"lithium levels during acute tx - CORRECT ANSWER 0.8 -1.2, during maintenance 0.6 - 1.0"

"ALP - CORRECT ANSWER 44-147"

"CK, creatine kinase - CORRECT ANSWER <240, indicates muscle injury of heart, brain, skeletal muscle,

elevated in MI, myositis, rhabdomysitis"

Clozapine - WBC => 3500 to initiate therapy, ANC MUST BE =>2000/mm, ck wbc/anc weekly x 6 months, then Q other week for 6 months; if stable then Q 4 weeks. after therapy test for at least 4 weeks,"

"what meds do to lithium - CORRECT ANSWER ACE inhibitors, ARB's, nsaid, tetracyclines,

metronidazole can INCREASE LITHIUM"

"DECREASES LITHIUM LEVELS - CORRECT ANSWER potassium-sparing diuretics, thiazide diuretics,

theophyline decreases lithium"