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Primary Care Lab Values Cheat Sheet

Memorize these standard adult lab reference ranges for your certification exam. Print or save this quick-reference guide to drill essential primary care values.

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Complete Blood Count (CBC)

WBC β€” 4,500 to 11,000 cells/mcL / indicates infection or immunosuppression Hemoglobin (Male) β€” 13.5 to 17.5 g/dL / screens for anemia or bleeding Hemoglobin (Female) β€” 12.0 to 15.5 g/dL / screens for anemia or bleeding Hematocrit (Male) β€” 41% to 50% / measures proportion of red blood cells Hematocrit (Female) β€” 36% to 48% / measures proportion of red blood cells Platelets β€” 150,000 to 450,000/mcL / crucial for clotting and bleeding risk

Basic Metabolic Panel (Electrolytes)

Sodium (Na) β€” 135 to 145 mEq/L / critical for fluid balance and neuro function Potassium (K) β€” 3.5 to 5.0 mEq/L / essential for cardiac conduction Calcium (Ca) β€” 8.5 to 10.2 mg/dL / vital for muscle contraction and bone health Chloride (Cl) β€” 96 to 106 mEq/L / maintains acid-base balance Magnesium (Mg) β€” 1.7 to 2.2 mg/dL / low levels trigger cardiac arrhythmias

Renal Function

BUN (Blood Urea Nitrogen) β€” 8 to 20 mg/dL / evaluates kidney function and hydration Creatinine (Male) β€” 0.7 to 1.3 mg/dL / primary indicator of renal impairment Creatinine (Female) β€” 0.6 to 1.1 mg/dL / primary indicator of renal impairment GFR (Glomerular Filtration Rate) β€” >90 mL/min/1.73m2 / defines chronic kidney disease stages

Lipid Panel

Total Cholesterol β€” <200 mg/dL / baseline marker for cardiovascular risk LDL (Low-Density Lipoprotein) β€” <100 mg/dL / optimal target for healthy adults HDL (High-Density Lipoprotein) β€” >40 mg/dL (Male) or >50 mg/dL (Female) / cardioprotective cholesterol Triglycerides β€” <150 mg/dL / elevated levels increase pancreatitis risk

Thyroid & Diabetes Screening

TSH (Thyroid Stimulating Hormone) β€” 0.4 to 4.0 mIU/L / first-line test for thyroid dysfunction Free T4 β€” 0.8 to 1.8 ng/dL / confirms hyperthyroidism or hypothyroidism Fasting Blood Glucose β€” 70 to 99 mg/dL / screens for prediabetes and diabetes Hemoglobin A1c (Normal) β€” <5.7% / reflects 90-day average blood glucose Hemoglobin A1c (Diabetes) β€” β‰₯6.5% / diagnostic threshold for diabetes mellitus

Liver Function Tests (LFTs)

ALT (Alanine Aminotransferase) β€” 7 to 56 U/L / highly specific to liver injury AST (Aspartate Aminotransferase) β€” 10 to 40 U/L / indicates liver, heart, or muscle damage ALP (Alkaline Phosphatase) β€” 44 to 147 U/L / elevated in biliary obstruction or bone disease Total Bilirubin β€” 0.1 to 1.2 mg/dL / causes jaundice when significantly elevated

Exam Facts & Passing Scores

AANP FNP-C Passing Score β€” 500 / scaled from 200 to 800 ANCC FNP-BC Passing Score β€” 350 / scaled from 0 to 500 Recertification β€” Every 5 years / requires continuing education or re-examination Practice Bank β€” 3000+ practice questions / use these to drill lab value scenarios

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