Question 1

A patient's laboratory test results indicate increased collagen cross-linked N-telopeptide (NTx)in the urine.This finding most likely points to which of the following?

Accepted Answer

A) Atypical pneumonia 
B) Osteoporosis 
C) Hemophilia 
D) Colon cancer 
A) Atypical pneumonia 
B) Osteoporosis 
C) Hemophilia 
D) Colon cancer

Question 2

The nurse in the imaging suite is assisting in the care of a patient receiving magnetic resonance imaging (MRI)of the chest.Which of the following instructions should the nurse provide?

Accepted Answer

A) "You must wear this lead apron to minimize exposure to your heart." 
B) "You will need to lie on your left side so we get a good image." 
C) "When you get back to your room, place a warm compress on your arm to reduce swelling." 
D) "Please take a deep breath and hold it when I ask you to do so." 
A) "You must wear this lead apron to minimize exposure to your heart." 
B) "You will need to lie on your left side so we get a good image." 
C) "When you get back to your room, place a warm compress on your arm to reduce swelling." 
D) "Please take a deep breath and hold it when I ask you to do so."

Question 3

The nurse is caring for a patient after an outpatient arthroscopy of the left knee.Which of the following interventions by the nurse is best?

Accepted Answer

A) Apply warm soaks to the joint for 30 minutes. 
B) Encourage the patient to bend the joint 4-6 times every hour. 
C) Provide ice packs, alternating on and off the area for the first few hours. 
D) Instruct the patient to take aspirin for the pain a few hours after arriving home. 
A) Apply warm soaks to the joint for 30 minutes. 
B) Encourage the patient to bend the joint 4-6 times every hour. 
C) Provide ice packs, alternating on and off the area for the first few hours. 
D) Instruct the patient to take aspirin for the pain a few hours after arriving home.

Question 4

The nurse is working with a patient whose dual energy x-ray absorptiometry (DEXA)scan results included a T-score of -1.5.Which of the following would be documented in the chart?

Accepted Answer

A) "Normal bone density noted" 
B) "Osteoporosis identified" 
C) "Osteopenia present" 
D) "Results indicate osteomalacia" 
A) "Normal bone density noted" 
B) "Osteoporosis identified" 
C) "Osteopenia present" 
D) "Results indicate osteomalacia"

Question 5

A patient is being considered for capsule endoscopy to assist in visualization of the gastrointestinal tract.Which of the following would be contraindications for performing this procedure in the patient? Select all that apply.

Accepted Answer

A) Duodenal ulcers 
B) Prior stomach surgery 
C) Blood coagulation defect 
D) Neoplastic tumors of the small intestine 
E) Esophageal varices 
A) Duodenal ulcers 
B) Prior stomach surgery 
C) Blood coagulation defect 
D) Neoplastic tumors of the small intestine 
E) Esophageal varices

Question 6

A nurse assisting with a chest x-ray asks the patient to breathe all of the air out of the lungs before the radiograph is taken.Expiration images aid in detection of which of the following conditions?

Accepted Answer

A) Fractures 
B) Metastatic lesions 
C) Pleural effusion 
D) Pneumothorax 
A) Fractures 
B) Metastatic lesions 
C) Pleural effusion 
D) Pneumothorax

Question 7

A nurse is preparing a patient for a colposcopy procedure.Which of the following conditions in the patient would contraindicate this procedure?

Accepted Answer

A) Abnormal Papanicolaou (Pap)test 
B) Vaginal lesions 
C) Menstruation 
D) Cervical intraepithelial neoplasia 
A) Abnormal Papanicolaou (Pap)test 
B) Vaginal lesions 
C) Menstruation 
D) Cervical intraepithelial neoplasia

Question 8

A nurse is assisting with blood and urine tests for catecholamines.The nurse understands that which of the following factors affect catecholamine levels and therefore must be controlled during the test? Select all that apply.

Accepted Answer

A) Diurnal variations 
B) Stress level 
C) Talking 
D) Postural changes 
E) Diet 
A) Diurnal variations 
B) Stress level 
C) Talking 
D) Postural changes 
E) Diet

Question 9

The nurse is providing care for a man with recently diagnosed prostate cancer who is being evaluated for metastasis to the bone.Which of the following tests would most likely be ordered?

Accepted Answer

A) Bone scan 
B) X-rays of the skull 
C) Computed tomography (CT)scan of the abdomen 
D) Magnetic resonance imaging (MRI)of the pelvis 
A) Bone scan 
B) X-rays of the skull 
C) Computed tomography (CT)scan of the abdomen 
D) Magnetic resonance imaging (MRI)of the pelvis

Question 10

A nurse is providing teaching to a patient following diagnostic visualization that revealed kidney stones.Which of the following instructions should the nurse give the patient? Select all that apply.

Accepted Answer

A) Strain all urine. 
B) Increase salt intake. 
C) Drink cranberry juice. 
D) Eat a protein-rich diet. 
E) Ensure adequate fluid intake. 
A) Strain all urine. 
B) Increase salt intake. 
C) Drink cranberry juice. 
D) Eat a protein-rich diet. 
E) Ensure adequate fluid intake.

Question 11

The nurse is caring for a 44-year-old who anticipates ordering contact lenses for the first time and is preparing for a Schirmer tear test.Which of the following statements should be included in the patient teaching?

Accepted Answer

A) "This test helps ensure that your eyes make enough tears to comfortably wear contacts." 
B) "We will test one eye at a time." 
C) "You should squeeze your eyes several times during the test to ensure adequate tear production." 
D) "The doctor will put drops in your eyes to help them dilate before the test begins." 
A) "This test helps ensure that your eyes make enough tears to comfortably wear contacts." 
B) "We will test one eye at a time." 
C) "You should squeeze your eyes several times during the test to ensure adequate tear production." 
D) "The doctor will put drops in your eyes to help them dilate before the test begins."

Question 12

The nurse is collecting history information from a patient who is scheduled to have an arthroscopy of the right shoulder.Which of the following would require an intervention?

Accepted Answer

A) Patient takes Glucophage daily. 
B) Patient runs 2 miles every other day. 
C) Patient reports a history of Crohn's disease. 
D) Patient takes garlic supplements daily. 
A) Patient takes Glucophage daily. 
B) Patient runs 2 miles every other day. 
C) Patient reports a history of Crohn's disease. 
D) Patient takes garlic supplements daily.

Question 13

The nurse is caring for a patient who is scheduled for magnetic resonance angiography (MRA)of the brain.Which of the following statements best describes this test?

Accepted Answer

A) "Magnetic fields are used to help take pictures of your brain." 
B) "Contrast is used to identify normal and abnormal structures in your brain." 
C) "The test provides images of blood flow in normal or abnormal vessels in your brain." 
D) "By mapping the electricity of your brain, the doctor can pinpoint problem areas." 
A) "Magnetic fields are used to help take pictures of your brain." 
B) "Contrast is used to identify normal and abnormal structures in your brain." 
C) "The test provides images of blood flow in normal or abnormal vessels in your brain." 
D) "By mapping the electricity of your brain, the doctor can pinpoint problem areas."

Question 14

A nurse is preparing a patient for a scheduled capsule endoscopy.Which instructions should the nurse include?

Accepted Answer

A) "Do not take any laxatives or bowel prep for 24 hours prior to the procedure." 
B) "Keep the recording device attached for the entire time." 
C) "Maintain NPO status for 24 hours after ingesting the transmitter capsule." 
D) "Save stool when the capsule is excreted so the transmitter can be returned to the provider." 
A) "Do not take any laxatives or bowel prep for 24 hours prior to the procedure." 
B) "Keep the recording device attached for the entire time." 
C) "Maintain NPO status for 24 hours after ingesting the transmitter capsule." 
D) "Save stool when the capsule is excreted so the transmitter can be returned to the provider."

Question 15

The nurse is caring for an individual scheduled to receive a magnetic resonance angiography (MRA)of the brain.Which of the following findings in the chart should be reported to the radiology department prior to the procedure?

Accepted Answer

A) Creatinine = 0.6 mg/dL 
B) Patient reports taking atenolol (Tenormin)every day 
C) Platelet count = 130,000/mm3 
D) Patient has a pacemaker 
A) Creatinine = 0.6 mg/dL 
B) Patient reports taking atenolol (Tenormin)every day 
C) Platelet count = 130,000/mm3 
D) Patient has a pacemaker

Question 16

A patient is preparing to undergo voiding cystourethrography (VCU).Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

A) Determine possible causes of frequent urinary tract infections (UTIs). 
B) Coagulate bleeding areas. 
C) Evaluate the presence and extent of ureteral reflux. 
D) Identify and remove polyps and small tumors. 
E) Assess the urethra for obstruction and strictures. 
A) Determine possible causes of frequent urinary tract infections (UTIs). 
B) Coagulate bleeding areas. 
C) Evaluate the presence and extent of ureteral reflux. 
D) Identify and remove polyps and small tumors. 
E) Assess the urethra for obstruction and strictures.

Question 17

The nurse is caring for a patient with metastatic ovarian cancer who has been receiving chemotherapy.The patient is scheduled to have an MRI of the pelvis to evaluate tumor response to the therapy.Which of the following statements by the nurse is best?

Accepted Answer

A) "Have you had this test before?" 
B) "Do you have a family history of ovarian cancer?" 
C) "They should be coming to take you down shortly; I'll give you some privacy." 
D) "I imagine the hardest part of treatment is waiting for test results.What have you done to cope with that tension before?" 
A) "Have you had this test before?" 
B) "Do you have a family history of ovarian cancer?" 
C) "They should be coming to take you down shortly; I'll give you some privacy." 
D) "I imagine the hardest part of treatment is waiting for test results.What have you done to cope with that tension before?"

Question 18

A nurse is observing the results of a patient's clot retraction test.A normal finding in this test would be that an incubated blood clot would shrink to half its original size in how long?

Accepted Answer

A) 10 minutes 
B) 30 minutes 
C) 60 minutes 
D) 90 minutes 
A) 10 minutes 
B) 30 minutes 
C) 60 minutes 
D) 90 minutes

Question 19

A patient's laboratory test results following lumbar puncture for cerebrospinal fluid analysis indicate an elevated white blood cell (WBC)count with a predominance of neutrophils.Which of the following conditions should the nurse most suspect in this patient?

Accepted Answer

A) Bacterial meningitis 
B) Viral meningitis 
C) Parasitic meningitis 
D) Fungal meningitis 
A) Bacterial meningitis 
B) Viral meningitis 
C) Parasitic meningitis 
D) Fungal meningitis

Question 20

A nurse is managing the care of a patient who is readmitted to a hospital with a diagnosis of deep vein thrombophlebitis (DVT)1 month after discharge following orthopedic surgery.The patient is receiving IV heparin.In addition to an activated partial thromboplastin time (aPTT), which laboratory result should the nurse monitor at least every other day?

Accepted Answer

A) Creatinine 
B) Platelet count 
C) ProTime 
D) Reticulocyte count 
A) Creatinine 
B) Platelet count 
C) ProTime 
D) Reticulocyte count

A patient's laboratory test results indicate increased collagen cross-linked N-telopeptide (NTx)in the urine.This finding most likely points to which of the following?

The nurse in the imaging suite is assisting in the care of a patient receiving magnetic resonance imaging (MRI)of the chest.Which of the following instructions should the nurse provide?

The nurse is caring for a patient after an outpatient arthroscopy of the left knee.Which of the following interventions by the nurse is best?

The nurse is working with a patient whose dual energy x-ray absorptiometry (DEXA)scan results included a T-score of -1.5.Which of the following would be documented in the chart?

A patient is being considered for capsule endoscopy to assist in visualization of the gastrointestinal tract.Which of the following would be contraindications for performing this procedure in the patient? Select all that apply.

A nurse assisting with a chest x-ray asks the patient to breathe all of the air out of the lungs before the radiograph is taken.Expiration images aid in detection of which of the following conditions?

A nurse is preparing a patient for a colposcopy procedure.Which of the following conditions in the patient would contraindicate this procedure?

A nurse is assisting with blood and urine tests for catecholamines.The nurse understands that which of the following factors affect catecholamine levels and therefore must be controlled during the test? Select all that apply.

The nurse is providing care for a man with recently diagnosed prostate cancer who is being evaluated for metastasis to the bone.Which of the following tests would most likely be ordered?

A nurse is providing teaching to a patient following diagnostic visualization that revealed kidney stones.Which of the following instructions should the nurse give the patient? Select all that apply.

The nurse is caring for a 44-year-old who anticipates ordering contact lenses for the first time and is preparing for a Schirmer tear test.Which of the following statements should be included in the patient teaching?

The nurse is collecting history information from a patient who is scheduled to have an arthroscopy of the right shoulder.Which of the following would require an intervention?

The nurse is caring for a patient who is scheduled for magnetic resonance angiography (MRA)of the brain.Which of the following statements best describes this test?

A nurse is preparing a patient for a scheduled capsule endoscopy.Which instructions should the nurse include?

The nurse is caring for an individual scheduled to receive a magnetic resonance angiography (MRA)of the brain.Which of the following findings in the chart should be reported to the radiology department prior to the procedure?

A patient is preparing to undergo voiding cystourethrography (VCU).Which of the following are indications for this procedure? Select all that apply.

The nurse is caring for a patient with metastatic ovarian cancer who has been receiving chemotherapy.The patient is scheduled to have an MRI of the pelvis to evaluate tumor response to the therapy.Which of the following statements by the nurse is best?

A nurse is observing the results of a patient's clot retraction test.A normal finding in this test would be that an incubated blood clot would shrink to half its original size in how long?

A patient's laboratory test results following lumbar puncture for cerebrospinal fluid analysis indicate an elevated white blood cell (WBC)count with a predominance of neutrophils.Which of the following conditions should the nurse most suspect in this patient?

About This Book

Preface

Monographs

System Tables

Filters

Exam 3: Reviewers

A patient's laboratory test results indicate increased collagen cross-linked N-telopeptide (NTx)in the urine.This finding most likely points to which of the following?

The nurse in the imaging suite is assisting in the care of a patient receiving magnetic resonance imaging (MRI)of the chest.Which of the following instructions should the nurse provide?

The nurse is caring for a patient after an outpatient arthroscopy of the left knee.Which of the following interventions by the nurse is best?

The nurse is working with a patient whose dual energy x-ray absorptiometry (DEXA)scan results included a T-score of -1.5.Which of the following would be documented in the chart?

A patient is being considered for capsule endoscopy to assist in visualization of the gastrointestinal tract.Which of the following would be contraindications for performing this procedure in the patient? Select all that apply.

A nurse assisting with a chest x-ray asks the patient to breathe all of the air out of the lungs before the radiograph is taken.Expiration images aid in detection of which of the following conditions?

A nurse is preparing a patient for a colposcopy procedure.Which of the following conditions in the patient would contraindicate this procedure?

A nurse is assisting with blood and urine tests for catecholamines.The nurse understands that which of the following factors affect catecholamine levels and therefore must be controlled during the test? Select all that apply.

The nurse is providing care for a man with recently diagnosed prostate cancer who is being evaluated for metastasis to the bone.Which of the following tests would most likely be ordered?

A nurse is providing teaching to a patient following diagnostic visualization that revealed kidney stones.Which of the following instructions should the nurse give the patient? Select all that apply.

The nurse is caring for a 44-year-old who anticipates ordering contact lenses for the first time and is preparing for a Schirmer tear test.Which of the following statements should be included in the patient teaching?

The nurse is collecting history information from a patient who is scheduled to have an arthroscopy of the right shoulder.Which of the following would require an intervention?

The nurse is caring for a patient who is scheduled for magnetic resonance angiography (MRA)of the brain.Which of the following statements best describes this test?

A nurse is preparing a patient for a scheduled capsule endoscopy.Which instructions should the nurse include?

The nurse is caring for an individual scheduled to receive a magnetic resonance angiography (MRA)of the brain.Which of the following findings in the chart should be reported to the radiology department prior to the procedure?

A patient is preparing to undergo voiding cystourethrography (VCU).Which of the following are indications for this procedure? Select all that apply.

The nurse is caring for a patient with metastatic ovarian cancer who has been receiving chemotherapy.The patient is scheduled to have an MRI of the pelvis to evaluate tumor response to the therapy.Which of the following statements by the nurse is best?

A nurse is observing the results of a patient's clot retraction test.A normal finding in this test would be that an incubated blood clot would shrink to half its original size in how long?

A patient's laboratory test results following lumbar puncture for cerebrospinal fluid analysis indicate an elevated white blood cell (WBC)count with a predominance of neutrophils.Which of the following conditions should the nurse most suspect in this patient?

About This Book

Preface

Monographs

System Tables

Filters