NUR 204 Chapter 34 : Diagnostic Testing
Which of the following statements is accurate for Hemoccult testing? a. A large sample is required. b. Surgical asepsis is used. c. Ova and parasites can be identified. d. The strip changes color when blood is found.
d
Which phrase describes an advantage of fine-needle aspiration? a. Elimination of pain b. Administration of medication c. Rapid administration of fluid d. Minimization of trauma to organs
d
Which procedure calls for neurologic assessment of the patient to evaluate for complications? A. Esophagogastroduodenoscopy B. Bronchoscopy C. Bone marrow aspiration D. Lumbar puncture
d
A patient is having a magnetic resonance imaging (MRI) scan of the pancreas with contrast. Which hypothesis is the priority for this patient? A. Drug Dependence B. Risk for allergic reaction C. Lack of Family Support D. Lack of Trust in Health Care Provider
b
For which patient would magnetic resonance imaging (MRI) be contraindicated? A. The patient with seizures B. The patient with a pacemaker C. The patient with an artificial eye D. The patient with an open wound
b
How does positron emission tomography (PET) scanning detect disease earlier than other imaging modalities? A. Enhances images of vasculature B. Shows cellular metabolic changes C. Measures electromagnetic fields D. Records tissue response to radiant energy
b
The nurse is caring for a patient who has just undergone bronchoscopy. The patient requests a drink of water. What is the nurse's best action? a. Provide ice chips. b. Check the patient for a gag reflex. c. Provide a small cup of ice water with a straw. d. Keep the patient NPO.
b
The nurse is caring for a patient who is sedated following a colonoscopy. Which is the priority action of the nurse? a. Provide a quiet, dark environment so that the patient can rest comfortably. b. Monitor the patient's pulse oximetry and respirations closely. c. Inform the patient that the procedure has been completed. d. Assess the patient's bowel sounds and passage of flatus.
b
The nurse is caring for a patient who recently had a liver biopsy. To whom must the nurse give the results? a. The patient b. The patient's health care provider c. The patient's insurance provider d. The patient's spouse
b
A nurse is reviewing the laboratory results of a client who has diabetes mellitus. Which of the following results indicates the client's diabetes is under control? a. hgb A1c less than 1% b. hgb A1c 5% c. hgb A1c 8% d. hgb A1c more than 10%
b
Which blood test would the nurse expect to be elevated in a patient with chronic renal failure? a. Creatine kinase b. Triglycerides c. Creatinine d. Alkaline phosphatase
c
Which coagulation test measures the amount of a plasma protein present in the blood? a. Platelet count b. International normalized ratio c. Fibrinogen level d. Prothrombin time
c
Which descriptive phrase applies to the images produced by a positron emission tomography (PET) scanner? A. Magnified ×2 B. Shades of gray C. Color-coded images D. Two-dimensional images
c
The nurse is caring for a patient whose immune system is destroying red blood cells at a very rapid rate. Which test result will the nurse expect to see in the patient's chart as a result? a. Bilirubin level 4 mg/dL b. Platelet count 450,000/mm3 c. Potassium 3.2 mEq/L d. Partial thromboplastin time 45 seconds
a
The nurse is caring for a woman who has a cyst in her breast that was found at her recent mammogram. The physician wants to make sure that the cyst is not malignant. Which test will be used to determine this? a. Needle aspiration with biopsy b. Paracentesis c. Thoracentesis d. Endoscopy
a
A patient scheduled for a cystoscopy has no knowledge of the self-preparation for the procedure. Which patient-centered outcome is appropriate for the patient's hypothesis of Lack of Knowledge of Diagnostic Test? A. Using the patient instruction sheet as a guide, the patient will explain how to carry out self-preparation for the cystoscopy procedure. B. The patient will ask questions about self-preparation for a cystoscopy after the nurse's explanation of what is to be done. C. The patient will be attentive while a member of the health care team explains the purpose of the procedure. D. The patient will explain the importance of following the self-preparation protocol carefully.
a
Although care is taken with all patients having a venipuncture, the nurse is especially alert to the potential for continued bleeding for the patient who regularly takes: a. aspirin. b. insulin. c. calcium. d. Lasix
a
Although care is taken with all patients having a venipuncture, the nurse is especially alert to the potential for continued bleeding for the patient who regularly takes: a. aspirin b. insulin c. calcium d. Lasix
a
The nurse is caring for a patient who has a deep leg wound that is badly infected. Which laboratory test results will the nurse expect to find in the patient's chart? a. Elevated C-reactive protein (CRP) 6.5 mg/dL b. Decreased serum creatinine 0.8 mg/dL c. Elevated serum bilirubin 0.5 mg/dL d. Prothrombin time (PT) 11.5 seconds
a
The nurse is caring for a patient who has diabetes. The patient reports compliance with the medical regime. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan? a. Hemoglobin A1c 16% b. Random blood sugar (RBS) 112 mg/dL c. Lactate dehydrogenase (LDH) 55 units/L d. Erythrocyte sedimentation rate (ESR) 14 mm/hr
a
The nurse is caring for a patient who has had severe acid reflux. Which test will allow the physician to directly check for damage to the esophagus? a. Esophagogastroduodenoscopy (EGD) b. MRI scan with contrast c. Abdominal ultrasound d. Positron emission tomography (PET) scan
a
The nurse is caring for a patient who is scheduled for a needle aspiration and biopsy to rule out cancer. Which nursing diagnosis is appropriate and important for this patient? a. Anxiety related to potential for cancer diagnosis depending on biopsy results. b. Impaired health maintenance related to delayed insurance coverage for procedure. c. Powerlessness related to lengthy wait for diagnosis. d. Impaired coping process related to patient stated she is a little nervous about the test results.
a
The nurse is caring for a patient who is to have a noncontrast MRI scan performed. Which assessment finding leads the nurse to report that the patient may not be able to have the test? a. The patient has an implanted insulin pump. b. The patient is breastfeeding her newborn infant. c. The patient is severely allergic to iodine and latex. d. The patient has profound hearing loss.
a
The nurse is caring for a patient who will be undergoing bone marrow aspiration. Which statement by the patient indicates that additional teaching is needed? a. "I will count the ceiling tiles when the doctor inserts the numbing medicine." b. "I will take acetaminophen later today if the site becomes uncomfortable." c. "I will squeeze your hand to help calm my fears about the test." d. "I will keep the aspiration site clean and dry for the next 24 hours."
a
The nurse is caring for a patient who will be undergoing flexible sigmoidoscopy testing to screen for colon cancer. What goal will the nurse include in the patient's plan of care? a. Patient will verbalize understanding of preprocedure preparation to be completed at home the day before the test. b. Patient will feel comfortable about the upcoming test and have trust in the health care providers. c. Patient will learn common side effects of the medications used to prepare the GI tract for endoscopy testing. d. Patient will realize how important regular sigmoidoscopy testing is in the prevention of colon cancer.
a
A lumbar puncture is ordered for the patient suspected of having: a. peritonitis b. meningitis c. sinusitis d. glomerulonephritis
b
The nurse is teaching the patient how to collect a specimen for blood glucose monitoring. The patient demonstrates correct technique when: a. calibrating the meter to the strip. b. using the center of the tip of a finger for the puncture. c. holding the finger upright after puncture. d. vigorously squeezing the fingertip after puncture.
a
The patient is going to have a cystoscopy tomorrow. The nurse is aware that a possible complication of this procedure is: a. Hematuria b. Pneumonia c. Thrombophlebitis d. Compartment syndrome
a
The patient is going to have a cystoscopy tomorrow. The nurse is aware that a possible complication of this procedure is: a. hematuria. b. pneumonia. c. thrombophlebitis. d. compartment syndrome
a
When asked about allergies during a prediagnostic procedural assessment, a patient reports being allergic to codeine and penicillin. Which question is mostimportant for the nurse to ask next? A. "What happens when you take these drugs?" B. "When was the last time you took one of these drugs?" C. "How much time passes between taking the drug and developing the allergic reaction?" D. "How much of these drugs do you need to take before you have an allergic reaction?"
a
Which factor is indicated by the mean corpuscular volume? a. Size of erythrocyte b. Amount of hemoglobin in erythrocytes c. Proportion of red blood cells to total blood volume d. Proportion of an erythrocyte occupied by hemoglobin
a
Which interpretation of activated partial thromboplastin time (aPTT) of 50 seconds is accurate? a. The patient has a significantly elevated value. b. The patient has a normal value. c. The patient has a significantly decreased value. d. The patient has a value indicative of a laboratory error.
a
Which major risk is associated with endoscopy? A. Perforation B. Radiation exposure C. Claustrophobic panic D. Allergic reaction to contrast material
a
Which medical condition can be diagnosed by a fecal fat stool test? a. Malabsorption b. Colon cancer c. Gastrointestinal parasite infection d. Gastrointestinal tract bleeding
a
Which of the following tests is used to specifically determine liver function? a. Alkaline phosphatase b. Chloride c. Glucose d. Hematocrit
a
Which of the following tests is used to specifically determine liver function? a. Alkaline phosphatase b. Chloride c. Glucose d. Hematocrit
a
Which phenomenon does "echo" refer to when used in relationship to ultrasound imaging? A. Reflected ultrasonic waves B. Image generated by the ultrasonic waves C. Ultrasonic waves absorbed by body tissues D. Sound produced as ultrasonic waves are produced
a
Which time of day is best to collect a sputum sample? A. 07:00 B. 12:00 C. 16:00 D. 19:00
a
Which type of tissue shows up as gray on a conventional x-ray image? A. Soft tissue B. Dense tissue C. Hollow tissue D. Moving tissue
a
the nurse is teaching the patient how to collect a specimen for blood glucose monitoring the patient demonstrates the correct technique a. calibrating the meter to the strip b. using the center of the tip of a finger for the puncture c. holding the finger upright after the puncture d. vigorously squeezing the fingertip after puncture
a
The nurse is caring for a patient who is taking medication that is toxic to the liver. Which laboratory test results will be reviewed by the nurse to ensure that the patient's liver is tolerating the medication without damage to the organ? (Select all that apply.) a. Alanine aminotransferase (ALT) b. Alkaline phosphatase (ALP) c. Blood urea nitrogen (BUN) d. Anti-nuclear antibody (ANA) e. Erythrocyte sedimentation rate (ESR) f. Fibrin degradation products (FDP)
a,b
Which information would the nurse use to identify a patient before collecting a sample for diagnostic testing?Select all that apply. A. Name B. Date of birth C. Room number D. Home address E. Social security number
a,b
The nurse is caring for a patient who is undergoing a liver biopsy. Which interventions will be included in the patient's care plan for the diagnosis of Risk for infection: r/t invasive diagnostic procedure? (Select all that apply.) a. Monitor for and report redness, warmth, discharge, or fever promptly to the physician. b. Carefully maintain the sterile field during the biopsy procedure. c. Teach patient how to care for the biopsy site when procedure is completed. d. Provide a supportive, caring presence to minimize patient anxiety. e. Provide information about the pathophysiology and treatment options for liver cancer. f. Consider using healing touch and other mind-body-spirit interventions.
a,b,c
The nurse is preparing a patient for a barium swallow test. Which statement(s) by the patient indicate that the patient has understood the nurse's teaching? (Select all that apply.) a. "The doctor will be able to view my stomach and intestines during the test." b. "I should increase fluids after the test." c. "I will have to drink a contrast agent." d. "Barium can cause constipation and I may need a mild laxative." e. "I will be NPO for 8 hours after the test." f. "My stools may turn black for a few days afterward."
a,b,c,d
Which instructions from the nurse to unlicensed assistive personnel (UAP) delegated to obtain a midstream clean-catch urine specimen are appropriate?Select all that apply. A. "Tell me when you have the sample." B. "Please collect the urine sample as soon as possible." C. "Be sure the area around the urethral meatus is thoroughly cleaned." D. "Use a sterile specimen cup and make sure not to touch the inside of the cup or the cover." E. "Please make sure the patient begins to urinate in the toilet, stops, and finishes urinating in the specimen cup."
a,b,c,d
Which anatomic structures can be imaged by ultrasound?Select all that apply. A. Ovary B. Spleen C. Kidneys D. Frontal sinus E. Lymph nodes
a,b,c,e
Which blood chemistry findings are consistent with diabetes mellitus? Select all that apply. a. Level of low-density lipoproteins (LDLs) of 160 mg/dL b. Plasma glucose level of 150 mg/dL c. Triglycerides 210 mg/dL d. Level of high-density lipoproteins (HDLs) of 57 mg/dL e. Level of 10% glycosylated hemoglobin f. Total cholesterol of 150 mg/dL
a,b,c,e
A lumbar puncture is ordered for the patient suspected of having: a. peritonitis. b. meningitis. c. sinusitis. d. glomerulonephritis.
b
Before an invasive diagnostic procedure, which elements of patient care are the nurse's responsibility?Select all that apply. A. Documenting baseline vital signs B. Administering preprocedure medications C. Supervising the preparation for anesthesia D. Ensuring prescribed intravenous (IV) access E. Having the patient sign a consent form if one is not already in the chart
a,b,d
Which measures would the nurse take to avoid stimulating the patient's gag reflex when obtaining a throat culture?Select all that apply. A. Place swab off center. B. Swab the patient's throat quickly. C. Have patient gargle with viscous lidocaine. D. Ask the patient to sit upright and say, "Ahh." E. Ask the patient to tilt the head to the side and say, "Ahh."
a,b,d
For which purposes might a chest x-ray be used?Select all that apply. A. Diagnosing pneumonia B. Assessing for tuberculosis C. Screening for breast cancer D. Checking placement of a chest tube E. Confirming location of a pacemaker
a,b,d,e
Which questions would the nurse typically ask a patient before sedation for a diagnostic procedure?Select all that apply. A. "Did you drink any alcohol within the last 24 hours?" B. "When was the last time you had anything to eat or drink?" C. "What was the date of your last visit to your primary health care provider?" D. "Can you tell me about the procedure you are having and ask any questions you may have about it?" E. "What prescription, over-the-counter, or herbal medications do you take on a daily basis?"
a,b,d,e
Which techniques can be used to obtain a sputum sample if coughing alone is ineffective?Select all that apply. A. Suctioning B. Use of expectorants C. Saline lavage D. Chest percussion E. Use of an aerosol or nebulizer
a,b,d,e
From which sources can blood be collected for diagnostic testing?Select all that apply. A. Arteries B. Veins C. Arterioles D. Venules E. Capillaries
a,b,e
Which signs would the nurse recognize as indicative of an allergic reaction to a contrast medium?Select all that apply. A. Itching B. Urticaria C. Vomiting D. Abdominal pain E. Respiratory distress
a,b,e
The nurse is caring for a patient who is anemic. Which CBC test results demonstrate that the patient's treatment plan is effective and the anemia is resolving? (Select all that apply.) a. Red blood cell count (RBC) 5.8 million/mm3 b. Hematocrit (HCT) 25% c. Hemoglobin (HGB) 14 g/dL d. White blood cell count (WBC) 4500/mm3 e. Platelet count (PLT) 255,000/mm3
a,c
Which blood test results are consistent with obesity?Select all that apply. a. Plasma glucose level of 130 mg/dL b. Total cholesterol 180 mg/dL c. High-density lipoprotein (HDL) cholesterol 30 mg/dL d. Low-density lipoprotein (LDL) cholesterol 110 mg/dL e. Triglycerides 40 mg/dL
a,c
A patient arrives for an invasive diagnostic procedure and indicates that preprocedure NPO (nothing by mouth) instructions have not been followed. Which actions would the nurse take?Select all that apply. A. Ask what and how much the patient ate and drank B. Reschedule the procedure. C. Notify the health care team. D. Document the information about the patient's eating and/or drinking. E. Ask when the patient ate and drank.
a,c,d,e
Which characteristics are descriptive of a fiberoptic scope?Select all that apply. A. It is flexible. B. It is disposable C. It can be fitted with a camera. D. It has ports that allow insertion of instruments. E. It can transmit light around curves and corners.
a,c,d,e
Which patient specimens should be collected by the nurse using sterile technique in a sterile container? (Select all that apply.) a. Clean-catch urine b. Stool for occult blood c. Wound drainage d. Sputum e. Urine from a Foley catheter
a,c,d,e
Which questions might a nurse ask a patient during a preprocedural assessment to obtain essential information about the patient's medication history?Select all that apply. A. "Do you take any prescription medications on a regular basis?" B. "Have you taken any antibiotics within the past month?" C. "Are you allergic to any medications?" D. "Do you take any herbal medications?" E. "Have you taken any medication today?"
a,c,d,e
The nurse is caring for a patient who has been having abdominal pain. The doctor suspects that the patient may have an abdominal aortic aneurysm. Which tests would confirm the doctor's suspicion? (Select all that apply.) a. Magnetic resonance imaging (MRI) scan b. Needle aspiration with biopsy c. Fiberoptic endoscopy d. Computed tomography (CT) scan e. Flexible sigmoidoscopy f. Thoracentesis
a,d
The nurse is caring for a patient who needs to collect a 24-hour urine specimen at home. Which steps of specimen collection may be delegated to the assistant? (Select all that apply.) a. Label the urine container and lab slips with the patient's name and information. b. Assess the patient's ability to collect the specimen as required. c. Explain the procedure to the patient. d. Obtain the urine container from the utility room or laboratory. e. Transport the specimen to the laboratory once it is collected. f. Ensure that the correct test is ordered and collected.
a,d,e
Which information must the nurse routinely verify as part of assessment before any diagnostic test?Select all that apply. A. Patient's history of allergies B. Patient's ethnic affiliation C. Patient's insurance coverage D. Patient's understanding of what is to be done E. Patient's completion of any required preparation
a,d,e
Which conditions are consistent with a plasma glucose level of 50 mg/dL? Select all that apply. a. Anxiety b. Diabetes c. Obesity d. Malabsorption e. Excessive exercise f. Overproduction of insulin
a,d,e,f
Which actions would the nurse take to protect self and others when drawing blood from a patient during a routine annual checkup?Select all that apply. a. Wear gloves. b. Wear a gown. c. Wear a mask. d. Double-glove. e. Dispose of sharps properly.
a,e
Which coagulation test results are desirable for a patient on warfarin therapy?Select all that apply. a. Prothrombin time (PT) 1.5-2.0 greater than the control value b. Platelet count of 250,000 cells/mm3 c. An activated partial thromboplastin time (aPTT) 1.5-2.0 less than the control value d. Fibrinogen level greater than 400 mg/dL e. International normalized ratio (INR) between 2 and 3
a,e
Which procedures require the patient to remain NPO (nothing by mouth) until the gag reflex returns?Select all that apply. A. Bronchoscopy B. Cystoscopy C. Colonoscopy D. Arthroscopy E. Esophagogastroduodenoscopy
a,e
The nurse is caring for a patient with a urinary tract infection. Which test will indicate which antibiotics will be effective to treat the infection? a. Complete blood count (CBC) b. Culture and sensitivity (C&S) c. Renal scan and angiography d. Radioreceptor assay for HCG
b
The nurse is caring for a patient with diabetes who will be doing fingerstick blood glucose testing at home. What is the best way for the nurse to ensure that the patient can perform the procedure correctly? a. Quiz the patient on the steps of the procedure. b. Have the patient perform the procedure in front of the nurse. c. Ask the patient if he has any questions about the test. d. Use terminology that the patient can easily understand.
b
The patient is taking an oral anticoagulant (warfarin). Which of the following laboratory results should the nurse recognize as being the most clinically significant for this patient? a. Platelets: 400,000 cells/mm3 b. INR: 5.9 c. Activated partial thromboplastin time: 30 seconds d. Fibrinogen: 350 mg/dL
b
When a patient reports for an invasive diagnostic procedure that involves the use of contrast material, which action would the nurse perform first? A. Check that a signed consent form is on file. B. Confirm the patient's identity. C. Ask about known allergies. D. Obtain baseline vital signs.
b
When obtaining a urine specimen for urinalysis from a patient with an indwelling catheter, the nurse should: a. apply sterile gloves for the procedure. b. clamp the drainage tubing for 10 to 30 minutes before specimen collection begins. c. disconnect the catheter from the drainage tubing and collect the urine in a specimen cup. d. insert a small-gauge needle directly into the cath-eter tubing to draw up the urine.
b
Which action would the nurse take if a patient accidently urinates into the stool collection container? A. Use the sample as is. B. Obtain a new sample. C. Send the sample after draining urine. D. Notify the health care provider.
b
Which coagulation test is commonly used to monitor the effectiveness of warfarin? a. Platelet count b. International normalized ratio (INR) c. Fibrinogen levels d. Activated partial thromboplastin time (aPTT)
b
Which hypothesis is appropriate for a patient who has researched the planned procedure and requests time to clarify findings with the nurse? A. Anxiety B. Ready to Learn C. Lack of Knowledge of Diagnostic Test D. Nonadherence to Diagnostic Testing Regime
b
Which hypothesis is being addressed when the nurse verifies with a patient that required preparation for a diagnostic test was done? A. Anxiety B. Risk for Injury C. Risk for Anaphylaxis D. Lack of Knowledge of Diagnostic Test
b
Which outcome is applicable to a hypothesis of Anxiety? A. Flushing, itching, and urticaria are absent. B. Patient respirations are easy with a rate within an expected range. C. The patient remains free of injury related to the diagnostic procedure. D. The patient's understanding of the diagnostic procedure is free of misconceptions.
b
Which patient information would be communicated to the laboratory when collecting a clean-catch urine sample to avoid a false-positive result for hematuria? A. Patient is diabetic. B. Patient is menstruating. C. Patient has an enlarged prostate. D. Patient is constipated.
b
Which statement describes a major advantage of endoscopy over other imaging techniques? a. It is noninvasive. b. It allows for biopsy. c. It has no associated risks. d. It does not require sedation.
b
the nurse is checking the laboratory reports for the patient who has diabetes mellitus which finding indicates that the patient has the diabetes under control a. hgb A1c less than 1% b. hgb A1c 5% c. hgb A1c 8% d. hgb A1c more than 10%
b
when obtaining a urine specimen for urinalysis from a patient with an indwelling catheter the nurse should do which of the following a. apply sterile gloves for the proceure b. clamp the drainage tubing for 10-30 mins before specimen collection begins c. disconnect the cath from the drainage tubing and collect the urine in a specimen cup d. insert a small gauge needle directly into the cath tubing to draw up urine
b
which of the following is found in higher amounts when jaundice is present a. albumin b.bilrubin c. alkaline phosphatase d. gamma-glutamyltransferase
b
which of the following is found in higher amounts when jaundice is present a. albumin b. bilirubin c. alkaline phosphatase d. gamma glutamyltransferase
b
The nurse is caring for a patient after a lumbar puncture to obtain a cerebrospinal fluid specimen. Which are appropriate postprocedure interventions? (Select all that apply.) a. Position the patient with the head of the bed up at least 90 degrees for 4 hours. b. Assess the puncture site for drainage or bleeding. c. Encourage oral fluids. d. Maintain NPO until the gag reflex returns. e. Encourage ambulation immediately after the test is complete.
b,c
Which blood test results are consistent with anemia?Select all that apply. a. Hematocrit level of 60% b. Red blood cell (RBC) count of 3 cells/mm3 c. Hemoglobin level of 9 g/dL d. Neutrophil count of 9000 cells/mm3 e. Basophil count of 35 cells/mm3
b,c
Put the following steps in the correct sequence for obtaining a capillary blood glucose. a. Cleanse the site with alcohol and allow to dry. b. Ensure that hands are washed. c. Select the site and put on gloves. d. Quickly puncture the skin with the lancet. e. Cover the test strip with full blood sample. f. Wipe away the first drop of blood with gauze.
b,c,a,d,f,e
Which cardiac marker findings support a suspicion of cardiac muscle damage after an infarction?Select all that apply. a. Total creatine kinase level of 100 units/L b. Myoglobin level of 100 ng/mL c. Troponin I level of 0.07 ng/mL d. Creatine kinase-MB (CK-MB) of 5% e. Alkaline phosphatase level of 60 units/L
b,c,d
Which information should unlicensed assistive personnel (UAP) collecting a stool sample provide the nurse immediately after collection?Select all that apply. a. "I put on gloves before I obtained the stool sample." b. "This stool sample is Hemoccult positive." c. "The patient said that it hurt to pass the stool." d. "The stool sample was clay colored." e. "The patient told me that he was not comfortable providing a stool sample with me there and asked for privacy."
b,c,d
Which information would unlicensed assistive personnel (UAP) report to the nurse when performing blood glucose testing on a patient?Select all that apply. A. The patient showered and ambulated before the glucose test was done. B. The patient's blood glucose was 56 mg/dL. C. The required glucose tests have been completed. D. The patient is concerned about how many times a finger stick is performed. E. The patient is so swollen that blood cannot be obtained from the finger stick.
b,c,d,e
Which responsibilities related to the collection of routine specimens for diagnostic testing are generally considered to be part of the nursing role?Select all that apply. A. Prescribing B. Scheduling C. Collecting D. Handling E. Documenting
b,c,d,e
In which aspects of a procedure for collecting a sputum specimen should unlicensed assistive personnel (UAP) be educated?Select all that apply. A. Proper suctioning technique B. Appropriate handling of the specimen C. Appropriate collection of the specimen D. Appropriate processing of the specimen E. Reporting of procedural or physiologic difficulties
b,c,e
The nurse who recognizes and analyzes clues among laboratory results should immediately report which of the following to the primary care provider (PCP)? (Select all that apply.) a. Hemoglobin: 15.6 g/dL b. Hematocrit: 31% c. Red blood cells: 5.3 × 106/μL d. White blood cells: 2,000 cells/mm3 e. Platelets 230,000 cells /mm3
b,d
Which question would the nurse ask a patient who collects a urine specimen at home?Select all that apply. A. "Was the specimen left unattended for any length of time?" B. "At which temperature was the specimen maintained?""Who collected the specimen?" C. "How quickly was the specimen transported?" D. "Was the specimen transported by anyone other than the patient?"
b,d
For which adverse events must a patient be monitored when a contrast medium is used?Select all that apply. A. Pain B. Localized rash C. Loss of vision D. Anaphylaxis E. Vomiting
b,d,e
Which statements describe disadvantages of magnetic resonance imaging (MRI)?Select all that apply. A. MRI always requires the use of contrast media. B. The magnet will attract metal-containing objects in the body. C. The magnet causes discoloration and bleeding of tattooed areas. D. The magnet will cause mechanical malfunction of internal devices E. The magnet can cause mechanical malfunction of external computerized equipment. F. MRI has a soft, high-pitched whirring sound and a vibration that can be distressing to patients.
b,d,e
Which screening questions would the nurse ask a patient before magnetic resonance imaging (MRI)?Select all that apply. A. "When did you eat last?" B. "Do you get claustrophobic?" C. "Do you have any open wounds?" D. "Do you have a cardiac pacemaker?" E. "Are you wearing a watch or any jewelry?" F. "Do you have any metal objects in your body?"
b,d,e,f
Which steps performed before any specimen collection procedure are critical to patient safety?Select all that apply. A. Provide privacy. B. Identify the patient. C. Gather the equipment. D. Explain what is to be done to the patient. E. Notify the laboratory that the specimen will be arriving. F. Verify the health care provider's prescription for the specimen.
b,f
A male patient with heart disease asks the nurse what his ideal numbers should be for cholesterol and triglycerides. Which of the following is the recommended level for lipids? a. Total cholesterol: >200 mg/dL b. LDL: >100 mg/dL c. HDL: >45 mg/dL d. Triglycerides: >160 mg/dL
c
Before which diagnostic test would the nurse ask a question about breastfeeding? A. Magnetic resonance imaging (MRI) B. Computed tomography (CT) scan C. Positron emission tomography (PET) scan D. Ultrasound
c
For which patient is magnetic resonance imaging (MRI) contraindicated? a. A patient with an allergy to latex b. A patient with an infection c. A patient with an inner ear implant d. A patient with a head injury
c
In terms of diagnosis, which aspect differentiates a conventional x-ray and a computed tomography (CT) scan? A. Amount of radiation exposure B. Time required for the procedure C. Amount and accuracy of information D. Required preparation for the procedure
c
In which way is endoscopy a unique imaging technique? A. It does not involve exposure to radiation. B. It provides a permanent visual record of the examination. C. It allows direct visualization of the inside of body structures. D. It produces three-dimensional (3D) images of tissues within the body.
c
Instruction to the patient for collection of a mid-stream sample includes: a. use of a clean specimen cup. b. collection of 200 mL of urine for testing. c. voiding some urine first and then collecting the sample. d. washing the perineal area back and forth with povidoneiodine (Betadine).
c
The nurse is caring for a patient who has a bleeding gastric ulcer. How will the nurse expect the patient's stool to appear? a. Soft and formed with bright red streaks b. Watery with particles of undigested food c. Sticky and black d. Hard lumps that are difficult to pass
c
The nurse is caring for a patient who is having blood drawn as part of preoperative testing. Which step is the most important to ensure the safety of the patient and the nurse? a. Ensuring that the tourniquet is not left in place for too long b. Using the smallest possible needle for venipuncture c. Properly disposing of the needle after the specimen is obtained d. Making sure that all of the collection tubes are filled completely
c
When a patient must provide a specimen for diagnostic testing at home, which factor is most important for the nurse to assess in the patient? A. Ability to arrange for transport for a follow-up appointment with health care provider B. Previous experience with specimen collection C. Ability to follow the correct collection technique D. Communication with the health care provider about specimen collection at home
c
Which action would the nurse take first when told by a patient arriving for a diagnostic test that requires an 8-hour fast that a glass of ginger ale and a grilled cheese sandwich were eaten 6 hours earlier? A. Reschedule the examination. B. Document the information. C. Notify the health care provider. D. Ask the patient about gastrointestinal (GI) distress.
c
Which areas of the body are examined when a cystoscopy is performed? A. Hip and pelvis B. Trachea and lung C. Bladder and urethra D. Esophagus and stomach
c
Which direction would the nurse give to a patient who has had a thoracentesis? A. "Lie on the affected side for at least an hour." B. "Do not eat or drink until your gag reflex returns." C. "Notify the nurse if you experience trouble breathing." D. "Keep the arm on the affected side elevated for 4 hours."
c
Which event can result if a tourniquet remains in place for more than a minute during a venous blood draw? A. Hemolysis resulting in bruising. B. Inflammation resulting in tissue damage. C. Hemoconcentration resulting in erroneous blood values. D. Nerve compression resulting in muscle spasm distal to the site.
c
Which hypothesis is the immediate priorityfor a patient who is sedated before undergoing an invasive diagnostic procedure? A. Anxiety B. Ready to Learn C. Risk for Injury D. Lack of Knowledge of Diagnostic Test
c
Which statement describes how bacteria in the urine affect its appearance? a. The urine becomes pale. b. The urine becomes hazy. c. The urine becomes cloudy. d. The urine becomes amber colored.
c
Which statement explains why ribs show up as white on a chest x-ray? A. Ribs are high in phosphorus. B. Ribs consist of bone, which is white. C. Ribs are dense, so they block the x-ray beam. D. Ribs are visualized against the air-filled lungs.
c
instruction to the patient for collection of a midstream sample includes a. use of a clean specimen cup b. collection of 200ml of urine for testing c. voiding some urine first and then collecting the sample d. washing the perineal area back and forth with povidone iodine(betadine)
c
For which reasons would a culture be prescribed?Select all that apply. a. To store samples b. To kill the microorganism c. To detect infection d. To identify the infecting organism e. To determine optimal treatment
c,d
Which questions would the nurse ask to evaluate the patient's ability to comply with the prescribed regimen of self-monitoring blood glucose?Select all that apply. A. "Have you monitored your glucose before?" B. "Has the diabetes educator seen you yet?" C. "Do you see yourself being able to check your blood glucose at the times prescribed?" D. "Are you able to buy your own glucometer, strips, and lancets?" E. "Do you have a friend or relative who self-monitors blood glucose?"
c,d
Which essential information would the nurse include in the hand-off report when a patient is transferred to a recovery area after an invasive procedure?Select all that apply. A. Duration of the procedure B. Expected time of discharge C. Condition after the procedure D. Condition during the procedure E. Condition before the procedure F. All medications given during the procedure
c,d,e,f
A patient has a 24-hour urine specimen ordered for creatinine clearance. Which education should be provided by the nurse? a. "Collect all urine from the time the collection begins until it ends." b. "Save only a sample from each voiding." c. "Clean the perineal area three times before beginning to urinate." d. "Discard the first urine specimen, and then collect all urine until the time period expires."
d
For which reason is it difficult to diagnose soft tissue disease based on an x-ray? A. X-rays do not pass through soft tissues. B. Reflection of x-rays by soft tissues results in distorted images. C. Ionizing radiation diffuses through soft tissues, blurring organ outlines. D. Soft tissues absorb varying amounts of radiation and do not result in clear, detailed images.
d
In which way does a computed tomography (CT) scan differ from a conventional x-ray? A. CT scans involve less radiation exposure. B. CT scans generate cross-sectional images. C. CT scans use a computer to generate images. D. CT scans provide better images of soft tissue.
d
The function of which organ is indicated by bilirubin level? a. Heart b. Kidneys c. Pancreas d. Liver
d
The nurse is caring for a patient who has just undergone paracentesis. For which complication will the nurse carefully monitor? a. Collapse of the lung with shortness of breath. b. Fecal impaction from retained barium in the colon. c. Cerebrospinal fluid leak resulting in severe headache. d. Perforation of the bowel resulting in abdominal infection.
d
The nurse is caring for a patient who is to collect a 24-hour urine specimen. Which statement by the patient indicates that additional teaching is required? a. "I will keep the urine container on ice to keep it chilled until I bring it to the lab." b. "I will start the test over if I forget and urinate into the toilet during the testing time." c. "I will start the test tomorrow after I urinate first thing in the morning." d. "I will drink extra fluids so that the lab will have a large specimen to test."
d
The nurse is caring for a patient who will be receiving iodine-based contrast medium for a CT scan. Which allergy should be reported to the technician and radiologist before the test is performed? a. Gluten and lactose b. Strawberries and blueberries c. Peanuts and cashews d. Shrimp and scallops
d
The nurse is caring for an elderly patient with dementia. Which laboratory finding indicates to the nurse that that patient is often forgetting to eat meals? a. Serum bilirubin 0.4 mg/dL b. PLT (platelet count) 425,000/mm3 c. Serum cholesterol 175 mg/dL d. Albumin 2.1 g/dL
d
To whom is the nurse responsible for communicating test results? A. Office staff B. Nurse coworker C. Laboratory manager D. Prescribing health care provider
d
Which blood test is used to monitor heparin therapy? a. Platelet count b. Prothrombin time (PT) c. International normalized ratio (INR) d. Activated partial thromboplastin time (aPTT)
d
Which descriptors would the nurse use in reference to changes in a patient's condition after an allergic reaction to contrast media? A. Critical, stable, or good B. Satisfactory or unsatisfactory C. Urgent, concerning, or reassuring D. Improving, declining, or unchanged
d
Which laboratory value is used to detect chronic kidney disease? a. Creatine kinase level b. Alanine aminotransferase level c. Albumin level d. Serum creatinine level
d
Which of the following statements is accurate for Hemoccult testing? a. A large sample is required b. Surgical asepsis is used. c. Ova and parasites can be identified d. The strip changes color when blood is formed.
d
Which purpose is served by using a contrast medium during radiographic examinations? A. Allows different types of cells to be identified B. Compensates for blurriness due to movement C. Magnifies surface characteristics of tissues examined D. Distinguishes tissues with a similar density from one another
d
Which role do sensitivity studies play in treatment of disease? a. Detection of an infection b. Determination of patient allergies c. Identification of the infecting organism d. Determination of effective antibiotic treatment
d
Which statement applies to positron emission tomography (PET) scanning? a. Light sedation is necessary. b. Vital signs must be monitored. c. Fluid intake must be restricted. d. A radioactive tracer must be used.
d
Which stool test is performed to identify a tapeworm infestation? a. Fecal fat b. Urobilinogen c. Occult blood stool d. Ova and parasite stool
d
Which type of endoscopy would be performed on a patient with a persistent cough? A. Cystoscopy B. Arthroscopy C. Esophagogastroduodenoscopy D. Bronchoscopy
d