Question 1

The nurse is caring for a patient who needs to collect a 24-hour urine specimen at home. Which steps of specimen collection may be delegated to the assistant? (Select all that apply.)

Accepted Answer

A)  Label the urine container and lab slips with the patient's name and information. 
B)  Assess the patient's ability to collect the specimen as required. 
C)  Explain the procedure to the patient. 
D)  Obtain the urine container from the utility room or laboratory. 
E)  Transport the specimen to the laboratory once it is collected.
F) Ensure that the correct test is ordered and collected.

Question 2

The nurse is caring for a patient who has had severe acid reflux. Which test will allow the physician to directly check for damage to the esophagus?

Accepted Answer

A)  Upper GI endoscopy 
B)  MRI scan with contrast 
C)  Abdominal ultrasound 
D)  Positron emission tomography (PET) scan

Question 3

The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?

Accepted Answer

A)  Hemoglobin A_${1C}$ 16% 
B)  Random blood sugar (RBS) 112 mg/dL 
C)  Lactate dehydrogenase (LDH) 55 units/L 
D)  Erythrocyte sedimentation rate (ESR) 14 mm/hr

Question 4

The nurse is caring for a patient who has just undergone paracentesis. For which complication will the nurse carefully monitor?

Accepted Answer

A)  Collapse of the lung with shortness of breath 
B)  Fecal impaction from retained barium in the colon 
C)  Cerebrospinal fluid leak resulting in severe headache 
D)  Perforation of the bowel resulting in abdominal infection

Question 5

The nurse is caring for a patient who is to have a noncontrast MRI scan performed. Which assessment finding leads the nurse to report that the patient may not be able to have the test?

Accepted Answer

A)  The patient has an implanted insulin pump. 
B)  The patient is breastfeeding her newborn infant. 
C)  The patient is severely allergic to iodine and latex. 
D)  The patient has profound hearing loss.

Exam 34: Diagnostic Testing

The nurse is caring for a patient who needs to collect a 24-hour urine specimen at home. Which steps of specimen collection may be delegated to the assistant? (Select all that apply.)

The nurse is caring for a patient who has had severe acid reflux. Which test will allow the physician to directly check for damage to the esophagus?

The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?

The nurse is caring for a patient who has just undergone paracentesis. For which complication will the nurse carefully monitor?

The nurse is caring for a patient who is to have a noncontrast MRI scan performed. Which assessment finding leads the nurse to report that the patient may not be able to have the test?