Question 1

The nurse caring for a patient who is being sent home with a Holter monitor recognizes the need for further teaching by which of the following patient statements?

Accepted Answer

A) "I will wear this during the day and take it off at night." 
B) "I need to wear loose clothing so it doesn't pull these electrodes." 
C) "I should not use my electric toothbrush or shaver while I'm wearing this." 
D) "I can do all of my regular activities and take my regular medications." 
A) "I will wear this during the day and take it off at night." 
B) "I need to wear loose clothing so it doesn't pull these electrodes." 
C) "I should not use my electric toothbrush or shaver while I'm wearing this." 
D) "I can do all of my regular activities and take my regular medications."

Question 2

The nurse is providing care to a patient who is undergoing cystoscopy with retrograde ureteropyelography.Which of the following statements best explains this procedure?

Accepted Answer

A) "The health-care provider will inject dye into your kidney to examine where urine is collected before moving into your bladder." 
B) "The health-care provider will inject dye into your bladder to make sure you are not experiencing reflux into the ureters." 
C) "The health-care provider will inject dye into your arm and then take pictures that show how it is excreted in your body." 
D) "The health-care provider will take a series of three-dimensional pictures that can be seen slice by slice to examine your pelvic organs." 
A) "The health-care provider will inject dye into your kidney to examine where urine is collected before moving into your bladder." 
B) "The health-care provider will inject dye into your bladder to make sure you are not experiencing reflux into the ureters." 
C) "The health-care provider will inject dye into your arm and then take pictures that show how it is excreted in your body." 
D) "The health-care provider will take a series of three-dimensional pictures that can be seen slice by slice to examine your pelvic organs."

Question 3

A patient is undergoing renal computed tomography (CT)using a multislice scanner.This type of scanner does which of the following? Select all that apply.

Accepted Answer

A) It continuously collects images in a spiral fashion. 
B) It collects a series of individual images. 
C) It collects many images in a matter of seconds. 
D) It identifies small abnormalities. 
E) It produces high-quality images. 
A) It continuously collects images in a spiral fashion. 
B) It collects a series of individual images. 
C) It collects many images in a matter of seconds. 
D) It identifies small abnormalities. 
E) It produces high-quality images.

Question 4

A nurse has just seen the results of a patient's blood carbon dioxide test.Which of the following should the nurse consider critical findings that should be reported to the health-care provider immediately? Select all that apply.

Accepted Answer

A) 10 mmol/L 
B) 25 mmol/L 
C) 30 mmol/L 
D) 45 mmol/L 
E) 60 mmol/L 
A) 10 mmol/L 
B) 25 mmol/L 
C) 30 mmol/L 
D) 45 mmol/L 
E) 60 mmol/L

Question 5

A patient is suspected of having gonorrhea.Which test would be most appropriate for helping diagnose this condition?

Accepted Answer

A) Anal/genital culture, bacteria 
B) Culture and smear, mycobacteria 
C) Blood culture, bacteria 
D) Sputum culture, bacteria 
A) Anal/genital culture, bacteria 
B) Culture and smear, mycobacteria 
C) Blood culture, bacteria 
D) Sputum culture, bacteria

Question 6

A patient's laboratory test results indicate elevated total cholesterol level.The health-care provider is concerned, however, that the level might be falsely elevated.Which of the following factors could explain such a finding?

Accepted Answer

A) Ongoing hormone replacement therapy during testing. 
B) Ingestion of alcohol 12 hours before the test. 
C) Patient supine for 20 minutes before testing. 
D) Patient has pernicious anemia. 
A) Ongoing hormone replacement therapy during testing. 
B) Ingestion of alcohol 12 hours before the test. 
C) Patient supine for 20 minutes before testing. 
D) Patient has pernicious anemia.

Question 7

A patient is undergoing computed tomography angiography (CTA)with a contrast medium to assist in the diagnosis of an aneurysm.Which of the following are advantages of this procedure over traditional angiography? Select all that apply.

Accepted Answer

A) More precise information regarding the true extent of stenosis 
B) Ability to reconstruct images in different planes 
C) Less invasive 
D) Ability to look at slices or thin sections of certain anatomic views of the vessels 
E) Increased number of imaging planes 
A) More precise information regarding the true extent of stenosis 
B) Ability to reconstruct images in different planes 
C) Less invasive 
D) Ability to look at slices or thin sections of certain anatomic views of the vessels 
E) Increased number of imaging planes

Question 8

The nurse is caring for a patient with a colostomy who is to undergo a barium enema.Which of the following statements by the nurse is best?

Accepted Answer

A) "The contrast will be inserted into the stoma using a catheter." 
B) "The contrast will be inserted into your rectum using an enema delivery system." 
C) "The doctor must have made a mistake, since they won't be able to give you a regular enema." 
D) "This test is contraindicated for people who cannot retain an enema, so I will call and cancel it." 
A) "The contrast will be inserted into the stoma using a catheter." 
B) "The contrast will be inserted into your rectum using an enema delivery system." 
C) "The doctor must have made a mistake, since they won't be able to give you a regular enema." 
D) "This test is contraindicated for people who cannot retain an enema, so I will call and cancel it."

Question 9

The nurse is caring for a patient who recently started taking amiodarone hydrochloride (Pacerone).Which of the following diagnostic tests would help determine the effectiveness of the treatment regimen?

Accepted Answer

A) Computed tomography (CT)of the abdomen 
B) Small bowel follow-through 
C) An exercise stress test 
D) An echocardiogram 
A) Computed tomography (CT)of the abdomen 
B) Small bowel follow-through 
C) An exercise stress test 
D) An echocardiogram

Question 10

A patient is undergoing postoperative cholangiography.Which of the following are abnormal findings? Select all that apply.

Accepted Answer

A) Channels of contrast medium appear outside of the biliary ducts. 
B) Contrast medium fills the ductal system and flows freely. 
C) Biliary ducts dilate. 
D) Radiolucent shadows appear within the biliary ducts. 
E) Filling defects appear within the biliary ducts. 
A) Channels of contrast medium appear outside of the biliary ducts. 
B) Contrast medium fills the ductal system and flows freely. 
C) Biliary ducts dilate. 
D) Radiolucent shadows appear within the biliary ducts. 
E) Filling defects appear within the biliary ducts.

Question 11

The nurse is talking to a patient who is interested in pursuing LASIK surgery and is having a refraction test done.Which of the following statements by the nurse is best?

Accepted Answer

A) "Your health-care provider will perform a standard vision test and eye exam to determine your baseline vision." 
B) "We will need to have conscious sedation for the test so accurate measurements can be taken." 
C) "Your health-care provider will use non-stinging eye drops to moisten your eye to make the exam more comfortable." 
D) "You should use your eye drops for glaucoma the day of the test." 
A) "Your health-care provider will perform a standard vision test and eye exam to determine your baseline vision." 
B) "We will need to have conscious sedation for the test so accurate measurements can be taken." 
C) "Your health-care provider will use non-stinging eye drops to moisten your eye to make the exam more comfortable." 
D) "You should use your eye drops for glaucoma the day of the test."

Question 12

The nurse is participating in the care of a 32-year-old man who suffered anoxia.The family is trying to determine if life support should be removed.Which of the following diagnostic tests should the nurse anticipate?

Accepted Answer

A) Computed tomography (CT)of the brain 
B) Corneal reflex testing 
C) Electroencephalogram (EEG) 
D) Positron emission tomography (PET)of the brain 
A) Computed tomography (CT)of the brain 
B) Corneal reflex testing 
C) Electroencephalogram (EEG) 
D) Positron emission tomography (PET)of the brain

Question 13

A nurse is assessing a patient for contraindications before the patient undergoes cystometry.Which of the following are contraindications for this test? Select all that apply.

Accepted Answer

A) Urinary incontinence 
B) Congenital urinary abnormality 
C) Acute urinary tract infection (UTI) 
D) Urethral obstruction 
E) Cervical cord lesion 
A) Urinary incontinence 
B) Congenital urinary abnormality 
C) Acute urinary tract infection (UTI) 
D) Urethral obstruction 
E) Cervical cord lesion

Question 14

A patient's laboratory test results indicate a markedly elevated level of low-density lipoprotein cholesterol (LDLC).Which of the following conditions are associated with this finding? Select all that apply.

Accepted Answer

A) Anorexia nervosa 
B) Acute stress 
C) Hyperthyroidism 
D) Chronic renal failure 
E) Diabetes 
A) Anorexia nervosa 
B) Acute stress 
C) Hyperthyroidism 
D) Chronic renal failure 
E) Diabetes

Question 15

In November 2013, new guidelines for the prevention of cardiovascular disease (CVD)were developed by several organizations.Which of the following are some of the latest trends in prevention and care of CVD that are included in these guidelines? Select all that apply.

Accepted Answer

A) Movement toward the use of low-density lipoprotein cholesterol (LDL
C) targets in determining treatment with statins. 
B) Selecting patients for statin treatment who fall into the four groups most likely to benefit from it. 
C) Selecting the level of statin intensity most likely to affect or reduce development of CVD. 
D) Adherence to a high-protein diet. 
E) Use of a new 10-year risk assessment tool. 
A) Movement toward the use of low-density lipoprotein cholesterol (LDL
C) targets in determining treatment with statins. 
B) Selecting patients for statin treatment who fall into the four groups most likely to benefit from it. 
C) Selecting the level of statin intensity most likely to affect or reduce development of CVD. 
D) Adherence to a high-protein diet. 
E) Use of a new 10-year risk assessment tool.

Question 16

A nurse is providing pretest teaching to a patient who will be undergoing catecholamine testing.Which of the following instructions should the nurse give the patient? Select all that apply.

Accepted Answer

A) Follow a low-sodium diet for 3 days before testing. 
B) Abstain from smoking tobacco for 24 hours before testing. 
C) Consume foods high in amines for 48 hours before testing. 
D) Withhold food and fluids for 10 to 12 hours before testing. 
E) Avoid excessive stress and exercise during the 24-hour period of urine specimen collection. 
A) Follow a low-sodium diet for 3 days before testing. 
B) Abstain from smoking tobacco for 24 hours before testing. 
C) Consume foods high in amines for 48 hours before testing. 
D) Withhold food and fluids for 10 to 12 hours before testing. 
E) Avoid excessive stress and exercise during the 24-hour period of urine specimen collection.

Question 17

A patient is preparing to undergo computed tomography (CT)of the thorax.Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

A) Detect aortic aneurysms. 
B) Evaluate retroperitoneal lymph nodes. 
C) Determine blood, fluid or fat accumulation in the pleuritic space. 
D) Differentiate tumor from tuberculosis. 
E) Evaluate renal calculi. 
A) Detect aortic aneurysms. 
B) Evaluate retroperitoneal lymph nodes. 
C) Determine blood, fluid or fat accumulation in the pleuritic space. 
D) Differentiate tumor from tuberculosis. 
E) Evaluate renal calculi.

Question 18

The nurse is checking off orders in a patient's chart and notes the following: "Abdominal flat plate today." To enter this order in the computer, the nurse would choose which of the following procedures?

Accepted Answer

A) Voiding cystography 
B) Computed tomography of the abdomen 
C) Liver and spleen scan 
D) Kidney, ureter, and bladder study 
A) Voiding cystography 
B) Computed tomography of the abdomen 
C) Liver and spleen scan 
D) Kidney, ureter, and bladder study

Question 19

A patient is preparing to undergo a computed tomography (CT)scan of the pituitary.Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

A) Investigate causes of a positive occult blood test. 
B) Evaluate unexplained weight loss, jaundice, and epigastric pain. 
C) Visualize bony septa in the sphenoid sinus. 
D) Evaluate for nonpneumatization of the sphenoid sinus. 
E) Assist in differentiating between benign and malignant tumors. 
A) Investigate causes of a positive occult blood test. 
B) Evaluate unexplained weight loss, jaundice, and epigastric pain. 
C) Visualize bony septa in the sphenoid sinus. 
D) Evaluate for nonpneumatization of the sphenoid sinus. 
E) Assist in differentiating between benign and malignant tumors.

Question 20

A nurse is positioning a patient for a chest x-ray.How should the patient be positioned?

Accepted Answer

A) Seated 
B) Standing 
C) Prone 
D) Supine 
A) Seated 
B) Standing 
C) Prone 
D) Supine

The nurse caring for a patient who is being sent home with a Holter monitor recognizes the need for further teaching by which of the following patient statements?

The nurse is providing care to a patient who is undergoing cystoscopy with retrograde ureteropyelography.Which of the following statements best explains this procedure?

A patient is undergoing renal computed tomography (CT)using a multislice scanner.This type of scanner does which of the following? Select all that apply.

A nurse has just seen the results of a patient's blood carbon dioxide test.Which of the following should the nurse consider critical findings that should be reported to the health-care provider immediately? Select all that apply.

A patient is suspected of having gonorrhea.Which test would be most appropriate for helping diagnose this condition?

A patient's laboratory test results indicate elevated total cholesterol level.The health-care provider is concerned, however, that the level might be falsely elevated.Which of the following factors could explain such a finding?

A patient is undergoing computed tomography angiography (CTA)with a contrast medium to assist in the diagnosis of an aneurysm.Which of the following are advantages of this procedure over traditional angiography? Select all that apply.

The nurse is caring for a patient with a colostomy who is to undergo a barium enema.Which of the following statements by the nurse is best?

The nurse is caring for a patient who recently started taking amiodarone hydrochloride (Pacerone).Which of the following diagnostic tests would help determine the effectiveness of the treatment regimen?

A patient is undergoing postoperative cholangiography.Which of the following are abnormal findings? Select all that apply.

The nurse is talking to a patient who is interested in pursuing LASIK surgery and is having a refraction test done.Which of the following statements by the nurse is best?

The nurse is participating in the care of a 32-year-old man who suffered anoxia.The family is trying to determine if life support should be removed.Which of the following diagnostic tests should the nurse anticipate?

A nurse is assessing a patient for contraindications before the patient undergoes cystometry.Which of the following are contraindications for this test? Select all that apply.

A patient's laboratory test results indicate a markedly elevated level of low-density lipoprotein cholesterol (LDLC).Which of the following conditions are associated with this finding? Select all that apply.

In November 2013, new guidelines for the prevention of cardiovascular disease (CVD)were developed by several organizations.Which of the following are some of the latest trends in prevention and care of CVD that are included in these guidelines? Select all that apply.

A nurse is providing pretest teaching to a patient who will be undergoing catecholamine testing.Which of the following instructions should the nurse give the patient? Select all that apply.

A patient is preparing to undergo computed tomography (CT)of the thorax.Which of the following are indications for this procedure? Select all that apply.

The nurse is checking off orders in a patient's chart and notes the following: "Abdominal flat plate today." To enter this order in the computer, the nurse would choose which of the following procedures?

A patient is preparing to undergo a computed tomography (CT)scan of the pituitary.Which of the following are indications for this procedure? Select all that apply.

A nurse is positioning a patient for a chest x-ray.How should the patient be positioned?

About This Book

Preface

Monographs

System Tables

Filters

Exam 3: Reviewers

The nurse caring for a patient who is being sent home with a Holter monitor recognizes the need for further teaching by which of the following patient statements?

The nurse is providing care to a patient who is undergoing cystoscopy with retrograde ureteropyelography.Which of the following statements best explains this procedure?

A patient is undergoing renal computed tomography (CT)using a multislice scanner.This type of scanner does which of the following? Select all that apply.

A nurse has just seen the results of a patient's blood carbon dioxide test.Which of the following should the nurse consider critical findings that should be reported to the health-care provider immediately? Select all that apply.

A patient is suspected of having gonorrhea.Which test would be most appropriate for helping diagnose this condition?

A patient's laboratory test results indicate elevated total cholesterol level.The health-care provider is concerned, however, that the level might be falsely elevated.Which of the following factors could explain such a finding?

A patient is undergoing computed tomography angiography (CTA)with a contrast medium to assist in the diagnosis of an aneurysm.Which of the following are advantages of this procedure over traditional angiography? Select all that apply.

The nurse is caring for a patient with a colostomy who is to undergo a barium enema.Which of the following statements by the nurse is best?

The nurse is caring for a patient who recently started taking amiodarone hydrochloride (Pacerone).Which of the following diagnostic tests would help determine the effectiveness of the treatment regimen?

A patient is undergoing postoperative cholangiography.Which of the following are abnormal findings? Select all that apply.

The nurse is talking to a patient who is interested in pursuing LASIK surgery and is having a refraction test done.Which of the following statements by the nurse is best?

The nurse is participating in the care of a 32-year-old man who suffered anoxia.The family is trying to determine if life support should be removed.Which of the following diagnostic tests should the nurse anticipate?

A nurse is assessing a patient for contraindications before the patient undergoes cystometry.Which of the following are contraindications for this test? Select all that apply.

A patient's laboratory test results indicate a markedly elevated level of low-density lipoprotein cholesterol (LDLC).Which of the following conditions are associated with this finding? Select all that apply.

In November 2013, new guidelines for the prevention of cardiovascular disease (CVD)were developed by several organizations.Which of the following are some of the latest trends in prevention and care of CVD that are included in these guidelines? Select all that apply.

A nurse is providing pretest teaching to a patient who will be undergoing catecholamine testing.Which of the following instructions should the nurse give the patient? Select all that apply.

A patient is preparing to undergo computed tomography (CT)of the thorax.Which of the following are indications for this procedure? Select all that apply.

The nurse is checking off orders in a patient's chart and notes the following: "Abdominal flat plate today." To enter this order in the computer, the nurse would choose which of the following procedures?

A patient is preparing to undergo a computed tomography (CT)scan of the pituitary.Which of the following are indications for this procedure? Select all that apply.

A nurse is positioning a patient for a chest x-ray.How should the patient be positioned?

About This Book

Preface

Monographs

System Tables

Filters