Question 1

A nurse is preparing a patient for an electrocardiogram (ECG, EKG).When placing the leads, the nurse should place the V1 lead at the:

Accepted Answer

A) Fifth intercostal space in the midclavicular line 
B) Right sternal border in the fourth intercostal space 
C) Right upper chest, just below the clavicle 
D) Left midaxillary line, 6 inches below the axilla 
A) Fifth intercostal space in the midclavicular line 
B) Right sternal border in the fourth intercostal space 
C) Right upper chest, just below the clavicle 
D) Left midaxillary line, 6 inches below the axilla

Question 2

A patient's laboratory test results indicate an increased ceruloplasmin level.Which of the following conditions would most likely be associated with this finding?

Accepted Answer

A) Menkes' disease 
B) Biliary cirrhosis 
C) Wilson's disease 
D) Nutritional deficiency of copper 
A) Menkes' disease 
B) Biliary cirrhosis 
C) Wilson's disease 
D) Nutritional deficiency of copper

Question 3

A nurse in the ophthalmology clinic is assisting in the care of a patient scheduled for a Schirmer tear test.Which of the following statements by the nurse is best?

Accepted Answer

A) "This is a test to determine the presence of glaucoma." 
B) "There is no need to numb your eyes for this test." 
C) "The test is used to determine if your tear ducts are functioning correctly." 
D) "The test helps us select the right size contact lenses for you." 
A) "This is a test to determine the presence of glaucoma." 
B) "There is no need to numb your eyes for this test." 
C) "The test is used to determine if your tear ducts are functioning correctly." 
D) "The test helps us select the right size contact lenses for you."

Question 4

A patient is preparing to undergo blood cortisol testing.This test is the best indicator of the function of which gland?

Accepted Answer

A) Adrenal 
B) Pituitary 
C) Thymus 
D) Thyroid 
A) Adrenal 
B) Pituitary 
C) Thymus 
D) Thyroid

Question 5

A nurse is reviewing an electrocardiogram for a patient who reports sudden onset of chest pain that radiates down the left arm and feels "like something is sitting on my chest." The nurse identifies an ST elevation.Other diagnostic data confirm a diagnosis of acute myocardial infarction.Which procedure should the nurse anticipate to be ordered immediately for this patient?

Accepted Answer

A) Cardiac catheterization 
B) Cardiac scoring 
C) Exercise stress test 
D) Holter monitoring 
A) Cardiac catheterization 
B) Cardiac scoring 
C) Exercise stress test 
D) Holter monitoring

Question 6

The nurse is completing a telephone history and pre-procedural instructions for a patient anticipating a parathyroid scan.Which of the following would be included?

Accepted Answer

A) "You must not eat or drink anything after midnight prior to the test." 
B) "The procedure is usually performed in a surgical suite and takes about an hour." 
C) "This procedure helps identify if you have Cushing's disease." 
D) "You will need to sign a consent form prior to the procedure." 
A) "You must not eat or drink anything after midnight prior to the test." 
B) "The procedure is usually performed in a surgical suite and takes about an hour." 
C) "This procedure helps identify if you have Cushing's disease." 
D) "You will need to sign a consent form prior to the procedure."

Question 7

A nurse is preparing a patient for computed tomography (CT)colonoscopy.The nurse understands that this procedure is most effective in detecting polyps that are of which diameter, when compared with conventional colonoscopy?

Accepted Answer

A) <3 mm 
B) 3 to 4.9 mm 
C) 5 to 9.9 mm 
D) $\ge$10 mm 
A) <3 mm 
B) 3 to 4.9 mm 
C) 5 to 9.9 mm 
D) $\ge$10 mm

Question 8

A patient's laboratory test results indicate a blood chloride level of 60 mmol/L.Which of the following signs and symptoms should the nurse expect do see in this patient? Select all that apply.

Accepted Answer

A) Tremors 
B) Slow, shallow breathing 
C) Weakness 
D) Lethargy 
E) Hypotension 
A) Tremors 
B) Slow, shallow breathing 
C) Weakness 
D) Lethargy 
E) Hypotension

Question 9

The nurse is assisting in the care of a 46-year-old woman undergoing cystometry and recognizes that which of the following findings would indicate normal bladder function?

Accepted Answer

A) Bladder capacity of 200 mL 
B) Bladder pressure of 6 cm H2O 
C) Urge to void at 300 mL 
D) Urethral pressure lower than bladder pressure 
A) Bladder capacity of 200 mL 
B) Bladder pressure of 6 cm H2O 
C) Urge to void at 300 mL 
D) Urethral pressure lower than bladder pressure

Question 10

A nurse is assisting with a postoperative cholangiography 7 days after the patient underwent a cholecystectomy.Which of the following are the most likely reasons for performing this procedure at this time? Select all that apply.

Accepted Answer

A) Assess the patency of the common bile duct. 
B) Detect any remaining calculi. 
C) Place a T-tube. 
D) Distinguish between obstructive and nonobstructive jaundice. 
E) Remove kidney stones. 
A) Assess the patency of the common bile duct. 
B) Detect any remaining calculi. 
C) Place a T-tube. 
D) Distinguish between obstructive and nonobstructive jaundice. 
E) Remove kidney stones.

Question 11

A nurse is observing the results of a patient's test for cancer antigens (CAs).The patient is a smoker.Which of the antigens should the nurse expect to be elevated in this patient compared with the normal range for nonsmokers, regardless of the presence of cancer?

Accepted Answer

A) Carcinoembryonic antigen (CE
A)  
B) CA 15-3 
C) CA 19-9 
D) CA 125 
A) Carcinoembryonic antigen (CE
A)  
B) CA 15-3 
C) CA 19-9 
D) CA 125

Question 12

A patient needs to undergo testing to determine the sufficiency of dietary calcium intake and rate of absorption.Which of the following tests would be best to determine these measures?

Accepted Answer

A) Calcitonin 
B) Blood calcium 
C) Urine calcium 
D) Ionized calcium 
A) Calcitonin 
B) Blood calcium 
C) Urine calcium 
D) Ionized calcium

Question 13

A patient is suspected of having a urinary tract infection.Which test would be most appropriate for helping diagnose this condition?

Accepted Answer

A) Stool culture, bacterial 
B) Throat culture, bacterial 
C) Urine culture, bacterial 
D) Throat culture, fungal 
A) Stool culture, bacterial 
B) Throat culture, bacterial 
C) Urine culture, bacterial 
D) Throat culture, fungal

Question 14

A patient's laboratory test results reveal an elevated blood calcium level.Which of the following conditions are associated with this finding? Select all that apply.

Accepted Answer

A) Acidosis 
B) Bone cancer 
C) Alkalosis 
D) Paget's disease 
E) Hepatic cirrhosis 
A) Acidosis 
B) Bone cancer 
C) Alkalosis 
D) Paget's disease 
E) Hepatic cirrhosis

Question 15

Which of the following diagnostic procedures would most likely be included in the plan of care for an individual with suspected Hodgkin's disease?

Accepted Answer

A) Chest x-ray 
B) Lymphangiography 
C) MUGA scan 
D) Thallium stress test 
A) Chest x-ray 
B) Lymphangiography 
C) MUGA scan 
D) Thallium stress test

Question 16

A patient's laboratory test results indicate an increased blood level of C-reactive protein.However, the health-care provider is concerned that this finding could be a false positive.Which of the following conditions could result in a false-positive finding? Select all that apply.

Accepted Answer

A) Salicylates 
B) Chemotherapy 
C) Steroids 
D) Intrauterine device 
E) Oral contraceptives 
A) Salicylates 
B) Chemotherapy 
C) Steroids 
D) Intrauterine device 
E) Oral contraceptives

Question 17

A patient who was just rescued from a burning building is being treated for smoke inhalation.Which of the following tests would be most appropriate for determining the amount of toxin that is in the patient's blood as a result of this inhalation?

Accepted Answer

A) Carbon dioxide 
B) Carboxyhemoglobin 
C) Calcitonin 
D) Calculus 
A) Carbon dioxide 
B) Carboxyhemoglobin 
C) Calcitonin 
D) Calculus

A nurse is preparing a patient for an electrocardiogram (ECG, EKG).When placing the leads, the nurse should place the V1 lead at the:

A patient's laboratory test results indicate an increased ceruloplasmin level.Which of the following conditions would most likely be associated with this finding?

A nurse in the ophthalmology clinic is assisting in the care of a patient scheduled for a Schirmer tear test.Which of the following statements by the nurse is best?

A patient is preparing to undergo blood cortisol testing.This test is the best indicator of the function of which gland?

The nurse is completing a telephone history and pre-procedural instructions for a patient anticipating a parathyroid scan.Which of the following would be included?

A nurse is preparing a patient for computed tomography (CT)colonoscopy.The nurse understands that this procedure is most effective in detecting polyps that are of which diameter, when compared with conventional colonoscopy?

A patient's laboratory test results indicate a blood chloride level of 60 mmol/L.Which of the following signs and symptoms should the nurse expect do see in this patient? Select all that apply.

The nurse is assisting in the care of a 46-year-old woman undergoing cystometry and recognizes that which of the following findings would indicate normal bladder function?

A nurse is assisting with a postoperative cholangiography 7 days after the patient underwent a cholecystectomy.Which of the following are the most likely reasons for performing this procedure at this time? Select all that apply.

A nurse is observing the results of a patient's test for cancer antigens (CAs).The patient is a smoker.Which of the antigens should the nurse expect to be elevated in this patient compared with the normal range for nonsmokers, regardless of the presence of cancer?

A patient needs to undergo testing to determine the sufficiency of dietary calcium intake and rate of absorption.Which of the following tests would be best to determine these measures?

A patient is suspected of having a urinary tract infection.Which test would be most appropriate for helping diagnose this condition?

A patient's laboratory test results reveal an elevated blood calcium level.Which of the following conditions are associated with this finding? Select all that apply.

Which of the following diagnostic procedures would most likely be included in the plan of care for an individual with suspected Hodgkin's disease?

A patient's laboratory test results indicate an increased blood level of C-reactive protein.However, the health-care provider is concerned that this finding could be a false positive.Which of the following conditions could result in a false-positive finding? Select all that apply.

A patient who was just rescued from a burning building is being treated for smoke inhalation.Which of the following tests would be most appropriate for determining the amount of toxin that is in the patient's blood as a result of this inhalation?

About This Book

Preface

Monographs

System Tables

Filters

Exam 3: Reviewers

A nurse is preparing a patient for an electrocardiogram (ECG, EKG).When placing the leads, the nurse should place the V1 lead at the:

A patient's laboratory test results indicate an increased ceruloplasmin level.Which of the following conditions would most likely be associated with this finding?

A nurse in the ophthalmology clinic is assisting in the care of a patient scheduled for a Schirmer tear test.Which of the following statements by the nurse is best?

A patient is preparing to undergo blood cortisol testing.This test is the best indicator of the function of which gland?

The nurse is completing a telephone history and pre-procedural instructions for a patient anticipating a parathyroid scan.Which of the following would be included?

A nurse is preparing a patient for computed tomography (CT)colonoscopy.The nurse understands that this procedure is most effective in detecting polyps that are of which diameter, when compared with conventional colonoscopy?

A patient's laboratory test results indicate a blood chloride level of 60 mmol/L.Which of the following signs and symptoms should the nurse expect do see in this patient? Select all that apply.

The nurse is assisting in the care of a 46-year-old woman undergoing cystometry and recognizes that which of the following findings would indicate normal bladder function?

A nurse is assisting with a postoperative cholangiography 7 days after the patient underwent a cholecystectomy.Which of the following are the most likely reasons for performing this procedure at this time? Select all that apply.

A nurse is observing the results of a patient's test for cancer antigens (CAs).The patient is a smoker.Which of the antigens should the nurse expect to be elevated in this patient compared with the normal range for nonsmokers, regardless of the presence of cancer?

A patient needs to undergo testing to determine the sufficiency of dietary calcium intake and rate of absorption.Which of the following tests would be best to determine these measures?

A patient is suspected of having a urinary tract infection.Which test would be most appropriate for helping diagnose this condition?

A patient's laboratory test results reveal an elevated blood calcium level.Which of the following conditions are associated with this finding? Select all that apply.

Which of the following diagnostic procedures would most likely be included in the plan of care for an individual with suspected Hodgkin's disease?

A patient's laboratory test results indicate an increased blood level of C-reactive protein.However, the health-care provider is concerned that this finding could be a false positive.Which of the following conditions could result in a false-positive finding? Select all that apply.

A patient who was just rescued from a burning building is being treated for smoke inhalation.Which of the following tests would be most appropriate for determining the amount of toxin that is in the patient's blood as a result of this inhalation?

About This Book

Preface

Monographs

System Tables

Filters