Question 1

After returning from colonoscopy, a patient complains of increasing abdominal pain.What is an appropriate nursing intervention?

Accepted Answer

A)  Limiting her diet to clear liquids
B)  Assisting her with a warm bath to soothe the anorectal area
C)  Administering a gentle enema to assist in evacuation of colon contents and air
D)  Administering a laxative to assist in evacuation of excess colon contents
E)  None of the above E

Question 2

After a lumbar puncture, a nursing priority is to prevent a spinal headache.Which of the following activities is to be avoided?

Accepted Answer

A)  Ambulating the patient in the room
B)  Drinking fluids through a straw
C)  Keeping the patient on bed rest
D)  Keeping the patient's head flat A

Question 3

Immediately after undergoing kidney biopsy, a patient notices gross hematuria.What is the most appropriate nursing intervention?

Accepted Answer

A)  Collecting serial urine specimens
B)  Dehydrating the patient to diminish urine output and bleeding
C)  Notifying the physician immediately and obtaining a specimen for blood typing and crossmatching
D)  All the above A

Question 4

A 5-year-old patient has fallen and injured her right arm during play therapy.Why does the physician order radiographs of both arms?

Accepted Answer

A)  The noninjured arm could have been injured in the fall.
B)  Fracture lines of long bones in children are difficult to distinguish from normal growth lines, which make comparison films necessary.
C)  The battered child syndrome can be diagnosed by documenting multiple fractures.
D)  All the above.

Question 5

A patient has been diagnosed with primary hypothyroidism.Her triiodothyronine (T3) and thyroxine (T4) levels are decreased.What would a clinician expect the thyroid-stimulating hormone (TSH) levels to be?

Accepted Answer

A)  Normal
B)  Increased
C)  Decreased
D)  Near zero

Question 6

A patient is scheduled for magnetic resonance imaging (MRI).Which of the following factors is a contraindication to this procedure?

Accepted Answer

A)  Iodine allergy
B)  Severe visual impairment
C)  Cardiac pacemaker
D)  None of the above

Question 7

A woman in her first trimester of pregnancy develops pain consistent with gallbladder disease.What is the most appropriate diagnostic test?

Accepted Answer

A)  Gallbladder ultrasonography
B)  Gallbladder radioscintigraphy scan
C)  Oral cholecystography
D)  Computed tomography

Question 8

Before mammography, which of the following is or are appropriate information to give a patient?

Accepted Answer

A)  Mammography involves a low dose of radiation and therefore can safely be performed annually.
B)  Mammography can reveal breast cancer 1 to 2 years before a tumour is clinically palpable.
C)  Although mammography is an accurate means of detecting breast cancer, it is only 85% accurate.
D)  All the above.

Question 9

Which of the following is a possible cause of hyperkalemia?

Accepted Answer

A)  Diarrhea and vomiting
B)  Diuretic drug therapy
C)  Cushing's syndrome
D)  Acidosis

Question 10

A patient is scheduled for lumbar puncture.Which of the following conditions is a contraindication to this procedure?

Accepted Answer

A)  Meningitis
B)  Neurosyphilis
C)  Multiple sclerosis
D)  Increased intracranial pressure (ICP)

Question 11

What is the best time of the day for obtaining a sputum specimen?

Accepted Answer

A)  Early morning
B)  After breakfast
C)  Evening
D)  The time does not matter

Question 12

What is the most specific test for identifying recurrent prostate cancer?

Accepted Answer

A)  Prostatic acid phosphatase measurement
B)  Prostate-specific antigen (PS
A)   measurement
C)  Digital rectal examination
D)  Transrectal ultrasonography

Question 13

After a liver biopsy, the patient should:

Accepted Answer

A)  Ambulate to maintain mobility
B)  Lie on the left side
C)  Lie on the right side
D)  Lie prone

Question 14

The serum creatinine level is usually elevated in patients with which of the following?

Accepted Answer

A)  Renal disease
B)  Liver disease
C)  Lung disease
D)  Muscular disease

Question 15

A "shift to the left" in white blood cell production indicates an acute bacterial infection.Which of the following cells are increased in this situation?

Accepted Answer

A)  Mature neutrophils
B)  Monocytes
C)  Lymphocytes
D)  Band (or stab)  cells

Question 16

A patient underwent a tuberculin skin test 48 hours ago.He returns to the clinic for the nurse to read the test results.Which of the following is considered a positive result?

Accepted Answer

A)  A reddened area measuring 20 mm
B)  A flat, red area measuring 10 mm
C)  An indurated area measuring 8 mm
D)  An indurated area measuring 12 mm

Question 17

Which of the following foods may interfere with determining the results of urinary vanillylmandelic acid or catecholamines?

Accepted Answer

A)  Potatoes and red meat
B)  Coffee and licorice
C)  Beer and salted pretzels
D)  All the above

Question 18

Cortisol levels normally rise and fall during the day.This fluctuation is referred to as the diurnal variation.At what time of the day are levels the highest?

Accepted Answer

A)  8 am
B)  Noon
C)  4 pm
D)  Midnight

Question 19

Which of the following statements best describes the Sims-Huhner test?

Accepted Answer

A)  This test is an evaluation of the quality of cervical mucus.
B)  This test is an examination of cervical mucus for colour, viscosity, and tenacity.
C)  This test is an assessment of the number of motile sperm per high-power microscopic field.
D)  This test is an evaluation of the interaction between the sperm and cervical mucus.

Question 20

A patient's leg has become swollen 1 week after arthroscopy.For what should he be evaluated?

Accepted Answer

A)  Hemarthrosis
B)  Joint stiffness after prolonged immobilization
C)  Postoperative thrombophlebitis
D)  Joint dislocation

Exam 1: Mosbys Canadian Manual of Diagnostic and Laboratory Tests, 1st Canadian Edition