Question 1

A nurse is obtaining blood specimens from a patient's central line.What measure should the nurse use to ensure correct identification of the specimens collected?

Accepted Answer

A) Confirm patient name and room number and then write these on the specimen tubes and confirm with patient. 
B) Identify the patient using two unique identifiers before starting the sample collection, and then immediately affix the label with patient identification, time collected, and nurse's initials. 
C) Place printed label with identification on all tubes before obtaining the specimens, and ask the patient to observe that this is done. 
D) Request the presence of a laboratory technician to label the specimens as these are collected, and note date and time collected on the label. 
A) Confirm patient name and room number and then write these on the specimen tubes and confirm with patient. 
B) Identify the patient using two unique identifiers before starting the sample collection, and then immediately affix the label with patient identification, time collected, and nurse's initials. 
C) Place printed label with identification on all tubes before obtaining the specimens, and ask the patient to observe that this is done. 
D) Request the presence of a laboratory technician to label the specimens as these are collected, and note date and time collected on the label.

Question 2

During collection of a venous blood sample, a nurse finds it difficult to locate a patient's vein while wearing gloves.Which action by the nurse is most appropriate?

Accepted Answer

A) Identify landmarks where the vein is palpable and attempt venipuncture with gloves on. 
B) Obtain assistance from another nurse to perform venipuncture. 
C) Remove one glove from the dominant hand to palpate the vein. 
D) Tear off one or two fingertips from the glove to make the fingertips accessible for palpation. 
A) Identify landmarks where the vein is palpable and attempt venipuncture with gloves on. 
B) Obtain assistance from another nurse to perform venipuncture. 
C) Remove one glove from the dominant hand to palpate the vein. 
D) Tear off one or two fingertips from the glove to make the fingertips accessible for palpation.

Question 3

A nurse is assisting with a liver biopsy.When should the nurse administer ordered prophylactic antibiotics?

Accepted Answer

A) 2 hours before incision 
B) Immediately before incision 
C) Immediately after liver tissue is excised 
D) 1 hour before incision 
A) 2 hours before incision 
B) Immediately before incision 
C) Immediately after liver tissue is excised 
D) 1 hour before incision

Question 4

During a precollege physical examination, a student asks a nurse when a young woman should have a pelvic examination with a Papanicolaou (Pap)smear for the first time.Which response by the nurse is correct?

Accepted Answer

A) "Any woman who is sexually active needs a Pap smear annually and anytime a new sexual partner is acquired." 
B) "Pap smears are recommended beginning with puberty." 
C) "Decisions regarding the need for and frequency of PAP smears or other cancer screening procedures should be made after consultation between the patient and health-care provider." 
D) "If there is no family history of endometrial cancer, a woman should not need a Pap smear until after the first child is born, or by age 25 if nulliparous." 
A) "Any woman who is sexually active needs a Pap smear annually and anytime a new sexual partner is acquired." 
B) "Pap smears are recommended beginning with puberty." 
C) "Decisions regarding the need for and frequency of PAP smears or other cancer screening procedures should be made after consultation between the patient and health-care provider." 
D) "If there is no family history of endometrial cancer, a woman should not need a Pap smear until after the first child is born, or by age 25 if nulliparous."

Question 5

A patient is suspect of having sarcoidosis.Which type of biopsy should the nurse expect this patient to undergo?

Accepted Answer

A) Liver 
B) Lung 
C) Kidney 
D) Intestinal 
A) Liver 
B) Lung 
C) Kidney 
D) Intestinal

Question 6

A nurse is providing instructions to a patient regarding care of a Holter monitor, which the patient will be wearing for the next 2 days.Which of the following should the nurse tell the patient? Select all that apply.

Accepted Answer

A) "Wear loose-fitting clothing over the electrodes and do not disturb or disconnect them." 
B) "Avoid contact with electrical devices, such as a shaver, that can affect the strip tracings." 
C) "Refrain from physical activity, such as walking or climbing stairs, during the test." 
D) "Press the button on the monitor when you feel any chest pain or discomfort." 
E) "If you see a light blinking on the monitor, remove the device and electrodes." 
A) "Wear loose-fitting clothing over the electrodes and do not disturb or disconnect them." 
B) "Avoid contact with electrical devices, such as a shaver, that can affect the strip tracings." 
C) "Refrain from physical activity, such as walking or climbing stairs, during the test." 
D) "Press the button on the monitor when you feel any chest pain or discomfort." 
E) "If you see a light blinking on the monitor, remove the device and electrodes."

Question 7

A patient is suspected of having a neuroblastoma.Which test would be most appropriate for confirming this suspicion?

Accepted Answer

A) Homovanillic acid (HV
A)  
B) 5-Hydroxyindoleacetic acid (5-HIA
A)  
C) Homocysteine and methylmalonic acid 
D) Hexosaminidase A and B 
A) Homovanillic acid (HV
A)  
B) 5-Hydroxyindoleacetic acid (5-HIA
A)  
C) Homocysteine and methylmalonic acid 
D) Hexosaminidase A and B

Question 8

A patient diagnosed with hypertension is maintained on losartan (Cozaar)-an angiotensin II receptor antagonist.Based on this information, which of the following lab results should a nurse monitor?

Accepted Answer

A) Hemoglobin and hematocrit 
B) Serum glucose and sodium 
C) Serum potassium and creatinine 
D) Urinary sodium and calcium 
A) Hemoglobin and hematocrit 
B) Serum glucose and sodium 
C) Serum potassium and creatinine 
D) Urinary sodium and calcium

Question 9

A nurse is performing a 24-hour urine collection for $\beta$2-microglobulin testing.Which of the following actions should the nurse perform? Select all that apply.

Accepted Answer

A) Begin the test between 6 and 8 a.m. 
B) Gather together a clean 3-L urine specimen container, toilet-mounted collection device, and a plastic bag. 
C) Collect the first voiding and add to the collection device. 
D) Keep the specimen at room temperature throughout the entire collection period. 
E) Record all urinary output for 24 hours. 
A) Begin the test between 6 and 8 a.m. 
B) Gather together a clean 3-L urine specimen container, toilet-mounted collection device, and a plastic bag. 
C) Collect the first voiding and add to the collection device. 
D) Keep the specimen at room temperature throughout the entire collection period. 
E) Record all urinary output for 24 hours.

Question 10

A nurse is undergoing bioterrorism preparedness training and is learning about toxins and infectious agents and how the Centers for Disease Control and Prevention (CDC)categorizes them according to the risk each poses to the public.Which of the following agents are in category A, the highest risk agents? Select all that apply.

Accepted Answer

A) Anthrax 
B) Ricin 
C) Botulism 
D) Smallpox 
E) Plague 
A) Anthrax 
B) Ricin 
C) Botulism 
D) Smallpox 
E) Plague

Question 11

During vision screening for school-aged children, a school health nurse asks each child to view several charts with "maze dots" and "trace the pattern or number." What is the nurse assessing with this test?

Accepted Answer

A) Fine motor coordination 
B) Hereditary defects in color perception 
C) Oculomotor nerve function 
D) Visual acuity 
A) Fine motor coordination 
B) Hereditary defects in color perception 
C) Oculomotor nerve function 
D) Visual acuity

Question 12

At an annual health screening, a patient's routine urinalysis is normal except for protein in the urine with "casts." The patient is in good health.Which factor in the patient's medical history should the nurse relate to this laboratory finding?

Accepted Answer

A) Drinks 6 to 8 glasses of water (12 ounces per glass)each day 
B) Eats a low-protein, high-carbohydrate diet 
C) Exercises daily and runs 4 to 5 miles per day 
D) Sleeps at least 8 hours per day 
A) Drinks 6 to 8 glasses of water (12 ounces per glass)each day 
B) Eats a low-protein, high-carbohydrate diet 
C) Exercises daily and runs 4 to 5 miles per day 
D) Sleeps at least 8 hours per day

Question 13

A patient admitted to an emergency department with trauma after a motorcycle accident needs blood drawn.The patient has a fracture of the right arm that is splinted, lacerations of both legs, and IV fluids infusing in the left antecubital space.Which is the most appropriate intervention for a nurse to use to collect the required blood specimens?

Accepted Answer

A) Access a vein in the foot for specimen collection. 
B) Request insertion of a central line to use for blood collection and IV access as needed. 
C) Stop the IV infusion for 2 minutes and then access a site below the IV. 
D) Use a butterfly needle to access a vein in the right hand. 
A) Access a vein in the foot for specimen collection. 
B) Request insertion of a central line to use for blood collection and IV access as needed. 
C) Stop the IV infusion for 2 minutes and then access a site below the IV. 
D) Use a butterfly needle to access a vein in the right hand.

Question 14

A patient is scheduled to have blood drawn for a serum aldosterone level.Which additional laboratory order should a nurse anticipate for this patient?

Accepted Answer

A) Creatinine 
B) Renin level 
C) Uric acid 
D) Urobilinogen 
A) Creatinine 
B) Renin level 
C) Uric acid 
D) Urobilinogen

Question 15

A patient's laboratory test results indicate congestive heart failure.Which of the following is a sign or symptom of this condition that the nurse should expect to observe in this patient?

Accepted Answer

A) Decreased peripheral pulses 
B) Increased urinary output 
C) Warm, dry skin 
D) Bradypnea 
A) Decreased peripheral pulses 
B) Increased urinary output 
C) Warm, dry skin 
D) Bradypnea

Question 16

A patient's genetic test results related to thyroid cancer indicate high levels of the genetic marker BRAF.Which type of thyroid cancer does this marker indicate?

Accepted Answer

A) Follicular 
B) Medullary 
C) Papillary 
D)  Multiple endocrine neoplasia 
A) Follicular 
B) Medullary 
C) Papillary 
D)  Multiple endocrine neoplasia

Question 17

A nurse is preparing a patient for thoracotomy under general anesthesia.Which type of lung biopsy requires this type of surgery?

Accepted Answer

A) Open biopsy 
B) Needle biopsy 
C) Transbronchial biopsy 
D) Transcatheter bronchial brushing 
A) Open biopsy 
B) Needle biopsy 
C) Transbronchial biopsy 
D) Transcatheter bronchial brushing

Question 18

Despite using lotion and drying hands thoroughly after washing, a nurse observes increasing irritation of both hands occurring the day after working.A blood specimen tests positive for latex allergy.What pertinent history should the nurse relate to this finding?

Accepted Answer

A) Allergy to numerous medications, including opiates and aspirin 
B) Food allergies, including bananas, kiwis, pineapple, and peaches 
C) Working primarily in outpatient and community health settings 
D) No known history of previous allergy to food or medication 
A) Allergy to numerous medications, including opiates and aspirin 
B) Food allergies, including bananas, kiwis, pineapple, and peaches 
C) Working primarily in outpatient and community health settings 
D) No known history of previous allergy to food or medication

Question 19

A patient has been diagnosed with scurvy.The nurse is aware that this condition is associated with a deficiency in which vitamin?

Accepted Answer

A) Vitamin C 
B) Vitamin D 
C) Vitamin E 
D) Vitamin K 
A) Vitamin C 
B) Vitamin D 
C) Vitamin E 
D) Vitamin K

Question 20

A nurse is preparing to collect a routine urine specimen for urinalysis from a patient with an indwelling urinary catheter.To collect the specimen, the nurse should:

Accepted Answer

A) Clean the catheter sample port with alcohol, aspirate the required amount of urine, and transfer the urine to a specimen cup. 
B) Disconnect the collection tubing from the indwelling catheter and collect the specimen in a standard specimen cup using good aseptic technique. 
C) Disconnect the collection tubing from the indwelling catheter and, using an irrigation syringe, aspirate the urine specimen; label the syringe. 
D) Replace the urine collection bag with a clean bag; drain the urine into a specimen cup as soon as an adequate volume has accumulated. 
A) Clean the catheter sample port with alcohol, aspirate the required amount of urine, and transfer the urine to a specimen cup. 
B) Disconnect the collection tubing from the indwelling catheter and collect the specimen in a standard specimen cup using good aseptic technique. 
C) Disconnect the collection tubing from the indwelling catheter and, using an irrigation syringe, aspirate the urine specimen; label the syringe. 
D) Replace the urine collection bag with a clean bag; drain the urine into a specimen cup as soon as an adequate volume has accumulated.

A nurse is obtaining blood specimens from a patient's central line.What measure should the nurse use to ensure correct identification of the specimens collected?

During collection of a venous blood sample, a nurse finds it difficult to locate a patient's vein while wearing gloves.Which action by the nurse is most appropriate?

A nurse is assisting with a liver biopsy.When should the nurse administer ordered prophylactic antibiotics?

During a precollege physical examination, a student asks a nurse when a young woman should have a pelvic examination with a Papanicolaou (Pap)smear for the first time.Which response by the nurse is correct?

A patient is suspect of having sarcoidosis.Which type of biopsy should the nurse expect this patient to undergo?

A nurse is providing instructions to a patient regarding care of a Holter monitor, which the patient will be wearing for the next 2 days.Which of the following should the nurse tell the patient? Select all that apply.

A patient is suspected of having a neuroblastoma.Which test would be most appropriate for confirming this suspicion?

A patient diagnosed with hypertension is maintained on losartan (Cozaar)-an angiotensin II receptor antagonist.Based on this information, which of the following lab results should a nurse monitor?

A nurse is performing a 24-hour urine collection for $\beta$ 2-microglobulin testing.Which of the following actions should the nurse perform? Select all that apply.

During vision screening for school-aged children, a school health nurse asks each child to view several charts with "maze dots" and "trace the pattern or number." What is the nurse assessing with this test?

At an annual health screening, a patient's routine urinalysis is normal except for protein in the urine with "casts." The patient is in good health.Which factor in the patient's medical history should the nurse relate to this laboratory finding?

A patient is scheduled to have blood drawn for a serum aldosterone level.Which additional laboratory order should a nurse anticipate for this patient?

A patient's laboratory test results indicate congestive heart failure.Which of the following is a sign or symptom of this condition that the nurse should expect to observe in this patient?

A patient's genetic test results related to thyroid cancer indicate high levels of the genetic marker BRAF.Which type of thyroid cancer does this marker indicate?

A nurse is preparing a patient for thoracotomy under general anesthesia.Which type of lung biopsy requires this type of surgery?

Despite using lotion and drying hands thoroughly after washing, a nurse observes increasing irritation of both hands occurring the day after working.A blood specimen tests positive for latex allergy.What pertinent history should the nurse relate to this finding?

A patient has been diagnosed with scurvy.The nurse is aware that this condition is associated with a deficiency in which vitamin?

A nurse is preparing to collect a routine urine specimen for urinalysis from a patient with an indwelling urinary catheter.To collect the specimen, the nurse should:

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Exam 2: Preface

A nurse is obtaining blood specimens from a patient's central line.What measure should the nurse use to ensure correct identification of the specimens collected?

During collection of a venous blood sample, a nurse finds it difficult to locate a patient's vein while wearing gloves.Which action by the nurse is most appropriate?

A nurse is assisting with a liver biopsy.When should the nurse administer ordered prophylactic antibiotics?

During a precollege physical examination, a student asks a nurse when a young woman should have a pelvic examination with a Papanicolaou (Pap)smear for the first time.Which response by the nurse is correct?

A patient is suspect of having sarcoidosis.Which type of biopsy should the nurse expect this patient to undergo?

A nurse is providing instructions to a patient regarding care of a Holter monitor, which the patient will be wearing for the next 2 days.Which of the following should the nurse tell the patient? Select all that apply.

A patient is suspected of having a neuroblastoma.Which test would be most appropriate for confirming this suspicion?

A patient diagnosed with hypertension is maintained on losartan (Cozaar)-an angiotensin II receptor antagonist.Based on this information, which of the following lab results should a nurse monitor?

A nurse is performing a 24-hour urine collection for β\betaβ 2-microglobulin testing.Which of the following actions should the nurse perform? Select all that apply.

During vision screening for school-aged children, a school health nurse asks each child to view several charts with "maze dots" and "trace the pattern or number." What is the nurse assessing with this test?

At an annual health screening, a patient's routine urinalysis is normal except for protein in the urine with "casts." The patient is in good health.Which factor in the patient's medical history should the nurse relate to this laboratory finding?

A patient is scheduled to have blood drawn for a serum aldosterone level.Which additional laboratory order should a nurse anticipate for this patient?

A patient's laboratory test results indicate congestive heart failure.Which of the following is a sign or symptom of this condition that the nurse should expect to observe in this patient?

A patient's genetic test results related to thyroid cancer indicate high levels of the genetic marker BRAF.Which type of thyroid cancer does this marker indicate?

A nurse is preparing a patient for thoracotomy under general anesthesia.Which type of lung biopsy requires this type of surgery?

Despite using lotion and drying hands thoroughly after washing, a nurse observes increasing irritation of both hands occurring the day after working.A blood specimen tests positive for latex allergy.What pertinent history should the nurse relate to this finding?

A patient has been diagnosed with scurvy.The nurse is aware that this condition is associated with a deficiency in which vitamin?

A nurse is preparing to collect a routine urine specimen for urinalysis from a patient with an indwelling urinary catheter.To collect the specimen, the nurse should:

About This Book

Reviewers

Monographs

System Tables

Filters

A nurse is performing a 24-hour urine collection for $\beta$ 2-microglobulin testing.Which of the following actions should the nurse perform? Select all that apply.