Comprehensive Guide to Complete Metabolic Panel Labs for NCLEX Questions: Causes, Symptoms, Treatment

Welcome nursing students and future nurses! As you gear up to conquer the NCLEX, understanding how to answer NCLEX questions on the Complete Metabolic Panel is paramount to your success. Let’s get started!
Question: A 55-year-old patient with a history of hypertension and diabetes presents to the emergency department complaining of weakness and fatigue. The healthcare provider orders a complete metabolic panel (CMP) to assess the patient’s overall health. Which laboratory result should the nurse prioritize for further investigation? A) Sodium (Na) B) Potassium (K) C) Blood Urea Nitrogen (BUN) D) Glucose E) Calcium (Ca)

Correct Answer: B) Potassium (K)

Rationale: In patients with a history of hypertension and diabetes, the risk of electrolyte imbalances, especially hyperkalemia, is increased. Potassium plays a crucial role in maintaining cardiac rhythm, and abnormal levels can lead to life-threatening arrhythmias. Monitoring potassium levels is essential in patients with cardiovascular risk factors.

Question: A 70-year-old patient is admitted with a diagnosis of chronic kidney disease (CKD). The nurse reviews the patient’s complete metabolic panel (CMP) and notes an elevated blood urea nitrogen (BUN) level. What action should the nurse take based on this finding? A) Administer intravenous potassium B) Encourage increased fluid intake C) Administer insulin as prescribed D) Monitor for signs of bleeding E) Assess for respiratory distress

Correct Answer: B) Encourage increased fluid intake

Rationale: Elevated BUN levels in a patient with CKD indicate impaired renal function. Encouraging increased fluid intake helps promote renal excretion of waste products and prevent further complications associated with kidney dysfunction.

Question: A 30-year-old pregnant woman comes for a routine check-up. The healthcare provider orders a complete metabolic panel (CMP) as part of the prenatal assessment. Which laboratory result is particularly important to monitor in pregnant women? A) Alanine Aminotransferase (ALT) B) Creatinine C) Hemoglobin A1c D) Magnesium E) Alkaline Phosphatase (ALP)

Correct Answer: D) Magnesium

Rationale: During pregnancy, magnesium is crucial for fetal development and maternal health. Abnormal magnesium levels can lead to complications such as preeclampsia or preterm labor. Monitoring magnesium levels is essential to ensure a healthy pregnancy outcome.

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Question: A 40-year-old male patient is admitted to the hospital with severe dehydration. The healthcare provider orders a complete metabolic panel (CMP) to assess the patient’s electrolyte balance. Which laboratory result should the nurse prioritize to evaluate the patient’s hydration status? A) Sodium (Na) B) Chloride (Cl) C) Blood Urea Nitrogen (BUN) D) Glucose E) Albumin

Correct Answer: A) Sodium (Na)

Rationale: Sodium is a key electrolyte that plays a crucial role in fluid balance. In cases of dehydration, sodium levels may be elevated due to hemoconcentration. Monitoring sodium levels provides valuable information about the patient’s hydration status and helps guide fluid replacement therapy.

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Question: A 65-year-old female patient with a history of heart failure presents to the clinic for a follow-up appointment. The healthcare provider orders a complete metabolic panel (CMP) to assess renal function. Which laboratory result is most indicative of impaired kidney function in this patient? A) Blood Urea Nitrogen (BUN) B) Creatinine C) Glucose D) Calcium (Ca) E) Phosphorus (Phos)

Correct Answer: B) Creatinine

Rationale: Creatinine is a waste product excreted by the kidneys, and elevated levels indicate impaired renal function. In patients with heart failure, impaired cardiac output can lead to reduced renal perfusion, contributing to elevated creatinine levels. Monitoring creatinine helps assess renal function in patients with heart failure.

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Question: A 25-year-old pregnant woman is scheduled for a routine prenatal check-up. The healthcare provider orders a complete metabolic panel (CMP) to assess her overall health. Which laboratory result is particularly important to monitor during pregnancy? A) Alanine Aminotransferase (ALT) B) Hemoglobin A1c C) Magnesium D) Phosphate (Phos) E) Total Protein

Correct Answer: C) Magnesium

Rationale: Magnesium plays a crucial role in neuromuscular function and is essential for fetal development. Monitoring magnesium levels during pregnancy is important to prevent complications such as preterm labor or preeclampsia. Abnormal magnesium levels can impact both maternal and fetal well-being, making it a key parameter in prenatal care.

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NCLEX Focus Exploring Complete Metabolic Panel: Causes and Diagnosis

Question: A 30-year-old patient with a known history of liver disease presents to the emergency department with jaundice. The healthcare provider orders a complete metabolic panel (CMP) to assess liver function. Which laboratory result should the nurse prioritize for further investigation? A) Aspartate Aminotransferase (AST) B) Creatinine C) Hemoglobin A1c D) Potassium (K) E) Sodium (Na)

Correct Answer: A) Aspartate Aminotransferase (AST)

Rationale: Elevated AST levels can indicate liver damage or dysfunction. In patients with liver disease, monitoring liver enzymes such as AST is crucial for assessing the severity of the condition and guiding appropriate interventions.

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Question: A 55-year-old diabetic patient presents to the clinic for a routine check-up. The healthcare provider orders a complete metabolic panel (CMP) to assess overall health. Which laboratory result is most important to monitor in this patient to evaluate long-term glucose control? A) Sodium (Na) B) Alanine Aminotransferase (ALT) C) Blood Urea Nitrogen (BUN) D) Hemoglobin A1c E) Phosphate (Phos)

Correct Answer: D) Hemoglobin A1c

Rationale: Hemoglobin A1c reflects average blood glucose levels over the past 2-3 months, providing valuable information about long-term glycemic control in diabetic patients. Regular monitoring of HbA1c helps assess the effectiveness of diabetes management and guide adjustments to the treatment plan.

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Jaundice due to liver cirrhosis

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Question: A 45-year-old patient with hypertension is admitted to the hospital for further evaluation. The healthcare provider orders a complete metabolic panel (CMP) to assess kidney function. Which laboratory result is most indicative of renal impairment? A) Calcium (Ca) B) Blood Urea Nitrogen (BUN) C) Glucose D) Albumin E) Phosphate (Phos)

Correct Answer: B) Blood Urea Nitrogen (BUN)

Rationale: Elevated BUN levels can indicate impaired renal function, as the kidneys are responsible for excreting urea nitrogen. Monitoring BUN helps assess the efficiency of renal filtration and identifies potential kidney dysfunction in hypertensive patients.

Comprehensive Guide to Complete metabolic panel for NCLEX Questions: Causes, Symptoms, Treatment
Lab assessment and documentation

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Question: An 80-year-old patient with a history of osteoporosis is undergoing a comprehensive health assessment. The healthcare provider orders a complete metabolic panel (CMP) to evaluate various parameters. Which laboratory result is essential for assessing the patient’s bone health? A) Potassium (K) B) Calcium (Ca) C) Hemoglobin A1c D) Phosphate (Phos) E) Sodium (Na)

Correct Answer: B) Calcium (Ca)

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Rationale: Calcium is a vital mineral for bone health, and abnormal levels can indicate issues such as osteoporosis. Monitoring calcium levels is crucial in elderly individuals, especially those with a history of bone-related conditions, to prevent complications related to bone density loss.