Diagnostic Tests

the nurse is assisting with an electroencephalography (EEG). In which area would the nurse place the electrodes?

Head

A patient has anemia from lack of iron. Which laboratory test should the nurse review to determine if the medication is effective?

Hemoglobin

A patient is preparing for a magnetic resonance imaging (MRI) test. Which question should the nurse ask?

"Do you have any metal plates or screws?"

The nurse is reinforcing teaching with a patient about preparation for a colonoscopy. Which statements by the patient would indicate successful teaching? Select all that apply.

"I will avoid strawberry soda." "I will drink clear liquids 24 hours before the test." "I will not remember the procedure."

The nurse is reinforcing teaching with an older adult patient who is scheduled for a chemical stress test. Which statement by the patient would indicate successful teaching?

"I will not eat or drink anything with caffeine for 24 hr prior to the test."

The nurse reinforces teaching with a patient about an exercise stress test. Which statement by the patient indicates a correct understanding of the teaching?

"I will use a treadmill for this test."

Which statement by the patient indicates a correct understanding of using a Holter monitor?

"I will wear this for about a week."

A patient says to the nurse that an aneurysm was found after an angiography test. The patient asks the nurse what this means. How should the nurse respond?

"There is a weakened area in your artery."

The nurse reinforces teaching with a patient who is scheduled for a magnetic resonance imaging (MRI) test. Which information should the nurse include? Select all that apply.

"You will hear loud knocking and clicking sounds." "It will take about 30 minutes to an hour and a half to complete." "You may listen to music during the procedure."

A pregnant woman is scheduled for an ultrasonography. Which information should the nurse share with the patient?

"You will need to drink several glasses of water before the test."

A patient is scheduled for an electrocardiogram (ECG). Which information would the nurse reinforce?

"You will need to lie as still as possible during the procedure."

Which patient information would cause the nurse to notify the health-care provider or registered nurse (RN) for patients prescribed a magnetic resonance angiography (MRA)? Select all that apply.

-A diabetic patient using an insulin pump -A patient has an implanted defibrillator -A patient with aneurysm clips -A patient with a pacemaker

The nurse is reviewing a diabetic patient's chart (see below). Which findings would cause the nurse to notify the health-care provider or registered nurse (RN) before a computed tomography (CT) scan with contrast medium is performed? Select all that apply.

-Allergies -Metformin -Creatinine -Glomerular filtration rate

The nurse is checking a patient's urinalysis. Which findings would the nurse report as abnormal? Select all that apply.

-Cloudy appearance -The presence of ketones -Specific gravity 1.031

Which interventions would the nurse perform based upon a patient's diagnostic test? Select all that apply.

-Collect urine samples from a patient undergoing a glucose tolerance test. -Keep the patient flat in bed for 8 hr after a lumbar puncture test. -Inform the patient that after a barium enema stools will be white.

The nurse is collecting data from a patient who has returned from an esophagogastroduodenoscopy. Which findings would indicate the patient is experiencing perforation? Select all that apply.

-Dyspnea -Difficulty swallowing -Epigastric pain -Shoulder pain

he nurse is checking laboratory results for different patients. Based upon the patient's disease, which laboratory results should the nurse check? Select all that apply.

-White blood cell count for a patient with an infected wound. -B-type natriuretic peptide for a patient with suspected congestive heart failure. -Lipase for a patient with pancreatitis. -Alanine aminotransferase for a patient with liver disease.

The nurse is reviewing the adult patient's laboratory results. Which findings would cause the nurse to notify the health-care provider or registered nurse (RN)? Select all that apply.

-White blood cell count is 16.4 mm3 -Hematocrit for a male patient is 63% -Platelet count is 80,000/mm3

A patient has returned from a colonoscopy. The first vital signs were taken at 1000. At which time should the nurse take the next vital signs? Record answer in military time.

1015 vital signs are taken every15 min for 1 hr and then every hr for 4 hr.

A patient has a shift to the left. The patient's plan of care would focus on which condition?

Bacterial infection

The nurse is caring for a patient that has yellow sclera. When the nurse checks the laboratory tests, which result would most likely be elevated?

Bilirubin

Which test should the nurse review to best determine a patient's kidney function?

Blood urea nitrogen (BUN)

The nurse is reviewing the electrocardiogram (ECG) tracing. Click on the tracing where the nurse would observe the ventricles relaxing?

The T wave represents the repolarization of the ventricles, during which the ventricles relax in preparation for the next depolarization. ^

The nurse checking a urinalysis discovers protein in a patient's urine. How should the nurse interpret this finding?

The patient has a type of kidney problem.

A patient is scheduled for a thoracentesis. Which task is most appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)?

Weigh the patient.

The nurse is reviewing a chest x-ray (CXR). Which information can the nurse determine from a CXR?

Whether the patient has atelectasis

Which instruction would the nurse share with a patient who is scheduled for an esophagogastroduodenoscopy at 9 a.m.?

You must be NPO at midnight."

Which term should the nurse use in report to describe A patient's low platelet count (PLT)?

thrombocytopenia

placing the electrodes on a patient

• White to the right: White goes on the right upper chest.• Clouds over grass: White goes on the right upper chest, green goes on the right lower chest. • Smoke over fire: Black goes on the left upper chest, red goes on the left lower chest .• Brown is ground: Brown goes in the middle of the chest.

The nurse is assisting with a paracentesis. Which action should the nurse take?

Have the patient void prior to the procedure.

A patient asks the nurse how ultrasonography works. Before replying, the nurse bases the answer on which principle?

It works by using sound waves.

A patient's red blood cell (RBC) count is low. For which problem should the nurse monitor closely in this patient?

Lack of oxygen to the cells

A patient has a capsule endoscopy. Which action by the nurse is priority?

Make sure the capsule is expelled in the bowel movement.

Evaluate the image. Which priority laboratory test would this patient most likely have prescribed? v1-v6

Myoglobin, troponin, and creatine kinase-MB

Upon collecting data from a patient who recently returned from a colonoscopy, the nurse observes abdominal distention and rigidity. Which action should the nurse take?

Notify the health-care provider.

The nurse is assisting the health-care provider with obtaining informed consent for a computed tomography (CT) scan. Which action should the nurse take?

Obtain the patient's written signature for the CT scan.

A patient has returned to the unit after a femoral arteriography. There is a right femoral pressure dressing in place. Which parameter is essential for the nurse to monitor?

Right pedal pulse

The nurse is assisting the health-care provider with aspiration procedures. Which position should the nurse use based upon the patient's ordered procedure?

Orthopneic position for a patient who needs a thoracentesis

The nurse is placing the electrodes on a patient who is prescribed telemetry. Which technique should the nurse use for electrode placement?

Place the green electrode on the right lower chest.

The nurse is contributing to a staff education program about the production of blood components. Which statement by a staff member indicates a correct understanding of the teaching?

Platelets are produced in the bone marrow.

The nurse is monitoring a patient's kidney function. Which laboratory test is best for the nurse to check?

Glomerular filtration rate

A patient has diabetes. Which laboratory test would the nurse monitor to determine how well the patient managed the disease for the last 90 days?

Glycosylated hemoglobin

Which instructions would the nurse reinforce with a patient who is scheduled for a femoral arteriography? Select all that apply.

"You will have an IV started." "Your vital signs will be taken before, during, and after the procedure." "You must keep your leg straight after the procedure."

A patient is admitted with myocardial ischemia. The nurse should prepare the patient for which graphic recording test?

12-lead electrocardiogram

The nurse is caring for a patient with diabetes and is checking the glycosylated hemoglobin level (A1c). Which maximum percentage level will indicate the patient is well controlled? Record answer to the tenth decimal place.

6.5% or less

The nurse is comparing the pretest weight and abdominal girth to the posttest weight and abdominal girth for a patient who underwent a paracentesis. What does the nurse expect to find?

Both the weight and abdominal girth will decrease.

A patient is on telemetry. Which action should the nurse take?

Call the monitoring unit before giving the patient a shower.

A patient has returned from an esophagogastroduodenoscopy (EGD). The patient is thirsty and wants a drink. Which action should the nurse take first?

Check the gag reflex.

Which laboratory test would require the nurse to tell a patient to not eat or drink for 6 to 8 hr before the test?

Cholesterol test

A patient has a parasitic tapeworm in the gastrointestinal tract. Which white blood cell count does the nurse expect to be elevated?

Eosinophils