Question 1

A pregnant client is scheduled for a fetal ultrasound.The nurse must instruct the client to:

Accepted Answer

A) request a lead apron be placed over the abdomen during the test 
B) delay urination and ensure a full bladder at the time of the test 
C) remove all jewelry prior to the test 
D) eat a normal breakfast 
A) request a lead apron be placed over the abdomen during the test 
B) delay urination and ensure a full bladder at the time of the test 
C) remove all jewelry prior to the test 
D) eat a normal breakfast B

Question 2

When obtaining blood samples from a central line,what action must the nurse take?

Accepted Answer

A) Discard the first sample in the amount indicated by agency protocol. 
B) Suggest that another venue be used. 
C) Withdraw a greater amount of blood than required,with a peripheral stick. 
D) Withdraw only the amount of blood required for the ordered tests,and document amount in nurse's notes according to agency policy. 
A) Discard the first sample in the amount indicated by agency protocol. 
B) Suggest that another venue be used. 
C) Withdraw a greater amount of blood than required,with a peripheral stick. 
D) Withdraw only the amount of blood required for the ordered tests,and document amount in nurse's notes according to agency policy. A

Question 3

A client has just returned to the nursing unit following a cardiac catheterization.The catheter was placed in the right femoral artery.The test was uneventful.Which instruction should the nurse include on the nursing care plan?

Accepted Answer

A) Check the urine for hematuria for 24 hours. 
B) Inspect the hands for signs of circulatory problems. 
C) Keep the client on bed rest for 6 hours. 
D) Restrict the client's fluid intake. 
A) Check the urine for hematuria for 24 hours. 
B) Inspect the hands for signs of circulatory problems. 
C) Keep the client on bed rest for 6 hours. 
D) Restrict the client's fluid intake. C

Question 4

Which of these tests locates a tumor marker present in ovarian cancer?

Accepted Answer

A) alpha-fetoprotein 
B) CA 125 
C) HCG 
D) PSA 
A) alpha-fetoprotein 
B) CA 125 
C) HCG 
D) PSA

Question 5

A client is admitted with a diagnosis of fever of unknown origin.The health care provider's orders include requests for blood and urine cultures,initiation of intravenous (IV)fluids,and IV antibiotics.Which actions must the nurse take FIRST?

Accepted Answer

A) Start antibiotics to ensure fastest treatment of underlying pathogen. 
B) Obtain cultures before initiating antibiotic therapy. 
C) The order of procedures does not matter. 
D) Establish an intravenous line. 
A) Start antibiotics to ensure fastest treatment of underlying pathogen. 
B) Obtain cultures before initiating antibiotic therapy. 
C) The order of procedures does not matter. 
D) Establish an intravenous line.

Question 6

What does urine specific gravity measure?

Accepted Answer

A) acidity or alkalinity of urine 
B) actual weight of urine in g/mL 
C) number of solutes in a solution 
D) presence or absence of bacteria in the urine 
A) acidity or alkalinity of urine 
B) actual weight of urine in g/mL 
C) number of solutes in a solution 
D) presence or absence of bacteria in the urine

Question 7

During the collection of a 24-hour urine,how should the specimen be treated?

Accepted Answer

A) kept at room temperature for 24 hours 
B) kept on ice or refrigerated during collection 
C) saved until at least 1,000 mL have been obtained 
D) strained at the conclusion of 24 hours 
A) kept at room temperature for 24 hours 
B) kept on ice or refrigerated during collection 
C) saved until at least 1,000 mL have been obtained 
D) strained at the conclusion of 24 hours

Question 8

A client is having chest pain.To distinguish between an acute myocardial infarction (MI)and angina that may be due to other causes,which of the following diagnostic tests would the nurse expect to be ordered for this client? (Select all that apply. )

Accepted Answer

A) troponin I 
B) CPK 
C) CA 125 
D) CD4 
E) cholesterol
F)troponin T cardiac-specific 
A) troponin I 
B) CPK 
C) CA 125 
D) CD4 
E) cholesterol
F)troponin T cardiac-specific

Question 9

All of these tests require the client to be NPO prior to the test.Which one requires that the client have no exposure to barium for at least 4 days before the test?

Accepted Answer

A) barium swallow 
B) computed tomography 
C) gallbladder series 
D) renal angiography 
A) barium swallow 
B) computed tomography 
C) gallbladder series 
D) renal angiography

Question 10

When preparing a client for a diagnostic procedure,which health care professional is responsible for ensuring that the needed consent form has been signed?

Accepted Answer

A) nurse 
B) physician's assistant 
C) health care provider ordering the procedure 
D) health care provider performing the procedure 
A) nurse 
B) physician's assistant 
C) health care provider ordering the procedure 
D) health care provider performing the procedure

Question 11

A client is scheduled for a thoracentesis.Which of the following would be important information to include in your teaching plan for this client?

Accepted Answer

A) Explain that the procedure will not hurt,and she won't remember any of it. 
B) Caution her that she must not move or cough for 6 hours after the procedure. 
C) Explain that she will be positioned sitting on the edge of the bed with her arms and head on the bedside table. 
D) Explain to her that the needle will be left in place for 24 hours. 
A) Explain that the procedure will not hurt,and she won't remember any of it. 
B) Caution her that she must not move or cough for 6 hours after the procedure. 
C) Explain that she will be positioned sitting on the edge of the bed with her arms and head on the bedside table. 
D) Explain to her that the needle will be left in place for 24 hours.

Question 12

A female client has a hematocrit of 45%.The nurse should recognize this finding as:

Accepted Answer

A) within normal limits for a female 
B) needing immediate follow-up 
C) borderline high 
D) borderline low 
A) within normal limits for a female 
B) needing immediate follow-up 
C) borderline high 
D) borderline low

Question 13

When assisting the health care provider to perform a lumbar puncture,the nurse would place the client in which position?

Accepted Answer

A) dorsal recumbent 
B) lithotomy 
C) prone 
D) side-lying,knee-chest 
A) dorsal recumbent 
B) lithotomy 
C) prone 
D) side-lying,knee-chest

Question 14

A client receives radioactive iodine as part of a diagnostic procedure.After the test,what actions must the nurse take?

Accepted Answer

A) Ask the client about previous allergic reactions to iodine or shellfish. 
B) Assess the client's skin for breakdown and allergic reaction to the iodine. 
C) Collect and discard the client's urine in a special container approved for handling radioactive wastes. 
D) Notify the client's family. 
A) Ask the client about previous allergic reactions to iodine or shellfish. 
B) Assess the client's skin for breakdown and allergic reaction to the iodine. 
C) Collect and discard the client's urine in a special container approved for handling radioactive wastes. 
D) Notify the client's family.

Question 15

Which of these tests can be used to accurately determine thyroid function in pregnant females?

Accepted Answer

A) TRH 
B) T 3 
C) T 4 
D) free T 4 
A) TRH 
B) T 3 
C) T 4 
D) free T 4

Question 16

A client suspected of having an acute myocardial infarction (MI)has cardiac enzymes drawn about 5 hours after symptoms presented.Which of these values would confirm the client had an MI?

Accepted Answer

A) elevated CPK 
B) elevated CK-BB 
C) elevated LDH 5 
D) LDH,less than LDH 2 
A) elevated CPK 
B) elevated CK-BB 
C) elevated LDH 5 
D) LDH,less than LDH 2

Question 17

What are the MOST common sites for bone marrow aspiration?

Accepted Answer

A) long bones of the lower extremities 
B) pelvis and floating ribs 
C) sternum and iliac crest 
D) ulna and radius 
A) long bones of the lower extremities 
B) pelvis and floating ribs 
C) sternum and iliac crest 
D) ulna and radius

Question 18

A client's differential count shows the following values: segs 71%,bands 8%.What do these findings indicate?

Accepted Answer

A) chronic disease 
B) normalcy 
C) possible allergic reaction 
D) possible bacterial infection 
A) chronic disease 
B) normalcy 
C) possible allergic reaction 
D) possible bacterial infection

Question 19

A client is scheduled for a preoperative electrocardiogram (EKG)tomorrow.The nurse should advise the client:

Accepted Answer

A) No special preparation is required. 
B) Extreme exercise should be avoided. 
C) Consumption of glucose-rich food and fluids is encouraged. 
D) Sexual intercourse should be avoided. 
A) No special preparation is required. 
B) Extreme exercise should be avoided. 
C) Consumption of glucose-rich food and fluids is encouraged. 
D) Sexual intercourse should be avoided.

Question 20

A client is scheduled to have an alpha-fetoprotein test drawn today.The nurse recognizes that the client MUST be:

Accepted Answer

A) between 16 and 18 weeks' gestation 
B) taking oral contraceptives 
C) at least 15 years of age 
D) taking a hormone replacement drug 
A) between 16 and 18 weeks' gestation 
B) taking oral contraceptives 
C) at least 15 years of age 
D) taking a hormone replacement drug

Exam 28: Diagnostic Tests

A pregnant client is scheduled for a fetal ultrasound.The nurse must instruct the client to:

When obtaining blood samples from a central line,what action must the nurse take?

A client has just returned to the nursing unit following a cardiac catheterization.The catheter was placed in the right femoral artery.The test was uneventful.Which instruction should the nurse include on the nursing care plan?

Which of these tests locates a tumor marker present in ovarian cancer?

A client is admitted with a diagnosis of fever of unknown origin.The health care provider's orders include requests for blood and urine cultures,initiation of intravenous (IV)fluids,and IV antibiotics.Which actions must the nurse take FIRST?

What does urine specific gravity measure?

During the collection of a 24-hour urine,how should the specimen be treated?

A client is having chest pain.To distinguish between an acute myocardial infarction (MI)and angina that may be due to other causes,which of the following diagnostic tests would the nurse expect to be ordered for this client? (Select all that apply. )

All of these tests require the client to be NPO prior to the test.Which one requires that the client have no exposure to barium for at least 4 days before the test?

When preparing a client for a diagnostic procedure,which health care professional is responsible for ensuring that the needed consent form has been signed?

A client is scheduled for a thoracentesis.Which of the following would be important information to include in your teaching plan for this client?

A female client has a hematocrit of 45%.The nurse should recognize this finding as:

When assisting the health care provider to perform a lumbar puncture,the nurse would place the client in which position?

A client receives radioactive iodine as part of a diagnostic procedure.After the test,what actions must the nurse take?

Which of these tests can be used to accurately determine thyroid function in pregnant females?

A client suspected of having an acute myocardial infarction (MI)has cardiac enzymes drawn about 5 hours after symptoms presented.Which of these values would confirm the client had an MI?

What are the MOST common sites for bone marrow aspiration?

A client's differential count shows the following values: segs 71%,bands 8%.What do these findings indicate?

A client is scheduled for a preoperative electrocardiogram (EKG)tomorrow.The nurse should advise the client:

A client is scheduled to have an alpha-fetoprotein test drawn today.The nurse recognizes that the client MUST be:

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months