Exam 2: Preface

A nurse is assisting with an intestinal biopsy.Which of the following are critical findings that should be communicated immediately to the requesting health-care provider? Select all that apply.

A patient is suspected of having hemochromatosis.Which test would be most appropriate to confirm this suspicion?

A patient with a family history of early-onset coronary artery disease is tested for apolipoprotein A and B (apo A and apo B).The patient has concerns about the need for another blood test.Which is the best response by the nurse when the patient asks about the purpose of the apolipoprotein test?

A patient in a community clinic recently learned that a new sexual partner is a carrier for hepatitis B.The patient is concerned about being exposed and requests testing for hepatitis.In addressing this patient's concerns, which question by a nurse is most appropriate?

A patient who is undergoing a diagnostic work-up for possible lactose intolerance has an order for a lactose-tolerance test.To begin the test, the nurse should:

A nurse is monitoring a patient who is recovering from moderate sedation with IV midazolam (Versed)and fentanyl administered during an outpatient diagnostic procedure.The nurse notes that the patient's pulse oximetry result has decreased from 94% to 90%.The patient is receiving oxygen by nasal cannula at 3 L/min.After confirming the result, which action should be taken by the nurse first?

An alert and oriented patient, who is to provide a sputum specimen for cytology, has been unable to produce a specimen.A nurse has an order to obtain the specimen by tracheal suction with an in-line trap.Which precaution should the nurse observe when performing this procedure?

A patient has an antimitochondrial antibody (AMA)titer that is more than 1:40 and an alkaline phosphatase (ALP)level of 225 units/L.Based on his information, the nurse should assess this patient for signs of:

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

A 26-year-old college student having a routine screening completed at an annual gynecological examination has a negative varicella antibody titer.Which evaluation by the nurse is appropriate for this patient?

At the first prenatal visit, a primiparous patient with type O negative blood has a negative indirect antiglobulin (IAT)Coombs' test.Which response by the nurse is most accurate when the patient asks what this result means?

A patient is undergoing chorionic villus biopsy.Which of the following conditions can this test detect and assist in diagnosing? Select all that apply.

A nurse is undergoing bioterrorism preparedness training and is learning about the risk of certain agents spreading throughout a population.Which of the following can be transmitted directly from person to person? Select all that apply.

A patient's laboratory test results indicate a positive finding for varicella antibodies in the blood.The nurse knows that this finding is associated with which of the following?

A nurse is assisting in a blood transfusion and notes that the patient has developed a mild fever.Which of the following interventions would be appropriate to take at this time? Select all that apply.

A nurse is preparing a 7-year-old to have his leg x-rayed.To communicate with this patient effectively and in a developmentally appropriate way, the nurse should do which of the following? Select all that apply.

A 90-year-old patient has a carotid duplex ultrasound that shows stenosis of 40% to 60% and a moderate amount of plaque.Which nursing action is most appropriate for this patient?

A nurse is preparing to administer a tuberculin skin test to a patient who has never had this test before.What should the nurse have available before administering the tuberculin intradermally?

A nurse advocates for hepatitis A virus (HAV)screening for all individuals who are at high risk in the community.Which of the following represents a group at high risk for HAV?

Two hours after completing a computed tomography (CT)scan of the brain with contrast, an ambulatory patient asks a nurse for "medication for itching." What should be the nurse's first response?