Exam 2: Preface

A patient's laboratory test results indicate a positive finding for human leukocyte antigen B27 (HLA-B27).Which of the following conditions are associated with this finding? Select all that apply.

A patient diagnosed with heart failure has a B-type natriuretic peptide (BNP)level of 945 pg/mL upon admission to the hospital.At discharge, the patient's BNP is 435 pg/mL.Which discharge instruction should the nurse emphasize for this patient?

A patient's laboratory test results indicate a positive finding for hepatitis B virus (HBV).Given this virus's primary modes of transmission, the nurse should be prepared to provide teaching to the patient on which of the following? Select all that apply.

A patient's laboratory test results following urine analysis for bladder cancer markers demonstrate a positive finding for bladder cancer based on an nuclear matrix protein (NMP)22 level of 11 units/mL.However, the requesting provider is concerned that this could be a false positive.Which of the following interfering factors would most likely result in a false-positive of this marker?

A nurse is preparing a patient to undergo hysteroscopy.Which of the following interventions should the nurse make? Select all that apply.

A nurse is preparing to draw an arterial sample for blood gas analysis.Which equipment should the nurse have available?

When collecting a blood specimen for prostate-specific antigen (PSA), which information should the nurse provide to the laboratory to ensure accurate interpretation of the results?

Which statement by a nurse will ensure that a specimen is obtained from the correct patient?

A nurse is caring for a patient who is undergoing a blood transfusion.Soon after the transfusion is begun, the patient complains of chills and fever and becomes anxious.The nurse notes generalized bleeding and soon determines that the patient is having an ABO acute hemolytic transfusion reaction.Which of the following should the nurse do? Select all that apply.

A cystometry evaluation reveals that an adult patient reports an urge to void when the bladder is filled at the 200 mL level and that the bladder pressure is 60 cm H₂O.The nurse should use these results to plan interventions for:

A patient has an order for a urine specimen to measure collagen crosslinked N-telopeptide (NTx).The results show that this patient's NTx has decreased.When reviewing this diagnostic result, the nurse is evaluating this patient's response to treatment for:

A patient is suspected of having intravascular hemolysis related to a transfusion reaction.Which test would be most appropriate to confirm this suspicion?

A patient who reports palpitations and syncope is admitted to a hospital for observation.The patient has a methemoglobin level of 18%.Which diagnostic data should a nurse identify as most likely to be inaccurate for this patient?

A patient has an increased parathyroid hormone (PTH)level.Based on this information, a nurse should also assess for:

A nurse is assisting with computed tomography (CT)scan of the brain.Which of the following would constitute a critical finding that the nurse should report to the requesting health-care provider immediately? Select all that apply.

A patient with a history of kidney stones is scheduled for a renogram.Which medication should a nurse instruct the patient to stop at least 1 week prior to this procedure?

A nurse is advising a patient with hypertension on natural products that may affect his condition adversely.Which of the following should the nurse mention? Select all that apply.

A patient needs to undergo testing to assess cardiovascular disease risk.Which test would be most appropriate for this purpose?

A nurse is reviewing the pulse oximetry results of several patients.For which patient should the nurse consider the results questionable?

Which instruction should a nurse give to a patient who needs to collect a sputum specimen for culture?