Question 1

A patient is suspected of having copper intoxication.Which of the following tests would be most appropriate for confirming this suspicion?

Accepted Answer

A) Cerebrospinal fluid (CSF)analysis 
B) Catecholamines, blood and urine 
C) CD4/CD8 enumeration 
D) Ceruloplasmin

Question 2

A nurse is preparing a patient for computed tomography (CT)of the pelvis with an IV ionic contrast medium.As the nurse questions the patient one final time regarding any contraindications, the patient mentions that she is a single kidney transplant recipient.The nurse immediately notifies the health-care provider that they need to cancel the procedure.What is the proper rationale behind the nurse's action?

Accepted Answer

A) Kidney transplant recipients are more likely to develop cancer from exposure to x-rays. 
B) Kidney transplant recipients tend to be allergic to ionic contrast media. 
C) Kidney transplant recipients are at high risk for a hypertensive crisis related to contrast media. 
D) Kidney transplant recipients are more vulnerable to the nephrotoxicity of contrast media.

Question 3

The nurse is caring for a 10-day-old infant with suspected seizure activity who is to undergo an electroencephalogram (EEG).Which of the following statements to the parent is best?

Accepted Answer

A) "Don't worry; this won't hurt the baby at all." 
B) "Do you have any specific questions or concerns about the test?" 
C) "Have you seen the baby seize?" 
D) "Do you have any other children with neurological problems?"

Question 4

A nurse is assisting a patient who is taking a color perception test.Which of the following should the patient be instructed to do during this test? Select all that apply.

Accepted Answer

A) Stand. 
B) Look at a test booklet with both eyes open. 
C) Identify numbers or letters buried in a maze of dots. 
D) Read rows of letters that become progressively smaller from a chart on the wall. 
E) Have a puff of air blown into the eye by a pneumatic machine.

Question 5

The nurse is caring for a patient scheduled for a radiofrequency ablation of the liver who asks, "Do you think this will hurt very much?" Which of the following statements by the nurse is best?

Accepted Answer

A) "I don't know much about this test; it isn't done commonly." 
B) "I think they'll give you something.Did the doctor tell you why you needed this test?" 
C) "Tell me what you're most worried about-pain during or after the procedure." 
D) "We take pain very seriously at this hospital, so don't worry; you will be monitored closely."

Question 6

The nurse is providing care for a 37-year-old woman who is scheduled for a thallium stress test.The woman asks, "I'm still breastfeeding my baby.Is that okay?" Which of the following responses by the nurse is best?

Accepted Answer

A) "Breastfeeding is wonderful.I breastfed all of my children, too." 
B) "This test won't affect your breast milk in any way." 
C) "You should pump and discard your breast milk for at least 3 days." 
D) "When do you plan to wean the baby? We can reschedule the test."

Question 7

A nurse is providing posttest teaching to a patient following collagen cross-linked N-telopeptide testing.Which of the following lifestyle changes should the nurse recommend to reduce the patient's risk for developing osteoporosis? Select all that apply.

Accepted Answer

A) Engage in nonimpact exercise. 
B) Stop smoking. 
C) Drink plenty of milk fortified with vitamin D. 
D) Eat plenty of spinach. 
E) Limit alcohol intake.

Question 8

The nurse is caring for a 44-year-old moderately obese woman admitted with sharp, stabbing abdominal pain that came on suddenly.Lab results indicate an amylase of 413 u/mL.Which of the following diagnostic procedures would the nurse anticipate?

Accepted Answer

A) Endoscopic retrograde cholangiopancreatography (ERCP) 
B) Hysteroscopy 
C) Computed tomography (CT)of the chest 
D) Liver-spleen scan

Question 9

A patient who suffered carbon monoxide poisoning from sitting in a car with the engine running in a closed garage has just been brought to the emergency room.The patient's laboratory test results indicate that 35% of total hemoglobin is saturated with carbon monoxide.Which of the following sets of symptoms should the nurse expect to see in this patient, based on this finding?

Accepted Answer

A) Asymptomatic 
B) Disturbance of judgment, headache, and dizziness 
C) Dizziness, muscle weakness, vision problems, confusion, increased heart rate, and increased breathing rate 
D) Loss of consciousness, coma

Question 10

A patient is preparing to undergo calcitonin and calcitonin stimulation tests.These tests are used primarily to diagnose and monitor the effectiveness of treatment for which of the following?

Accepted Answer

A) Leukemia 
B) Prostate cancer 
C) Medullary thyroid cancer 
D) Breast cancer

Question 11

A patient's laboratory test results indicate a carbon dioxide level of 9 mmol/L.The nurse should recognize that this finding is consistent with which of the following conditions.Select all that apply.

Accepted Answer

A) Anxiety 
B) Dehydration 
C) Airway obstruction 
D) Chronic bronchitis 
E) Diabetic ketoacidosis

Question 12

A patient's laboratory test results help confirm a diagnosis of rheumatoid arthritis.The nurse understands that which of the following complement findings are associated with this condition?

Accepted Answer

A) Decreased C3 and normal C4 
B) Decreased C4 and normal C3 
C) Increased C3 and decreased C4 
D) Increased C3 and increased C4

Question 13

A nurse administers clonidine to a hypertensive patient and then draws blood.The patient's laboratory test results indicate elevated catecholamines levels.Which diagnosis do these findings most support?

Accepted Answer

A) Neuroblastoma 
B) Pheochromocytoma 
C) Ganglioneuroma 
D) Parkinson's disease

Question 14

A nurse is assisting with testing to monitor HIV disease progression and the effectiveness of retroviral therapy in a patient.Which of the following tests would be most appropriate for this purpose?

Accepted Answer

A) Cerebrospinal fluid (CSF)analysis 
B) Catecholamines, blood and urine 
C) CD4/CD8 enumeration 
D) Ceruloplasmin

Question 15

A nurse is reviewing a patient's computed tomography (CT)scan of the spine.Which of the following are critical findings that the nurse should report to the requesting health-care provider immediately? Select all that apply.

Accepted Answer

A) Cord compression 
B) Spina bifida 
C) Fracture 
D) Herniated intervertebral disks 
E) Tumor with significant mass effect

Question 16

During a computed tomography angiography (CTA)scan, a patient complains of nausea.Which of the following actions should the nurse take?

Accepted Answer

A) Instruct the patient to take slow, deep breaths. 
B) Administer an antianxiety agent. 
C) Establish an IV fluid line. 
D) Terminate the procedure.

Question 17

When teaching health promotion to a college-level class, a nurse should emphasize that women with no family history of breast cancer should have a mammogram annually or biannually starting:

Accepted Answer

A) With the first pelvic examination after becoming sexually active 
B) Between the ages of 40 to 50 years 
C) After menopause 
D) When fibrocystic changes are found on clinical examination

Question 18

A nurse is collecting a urine specimen for urine calcium analysis.What type of collection is most commonly requested?

Accepted Answer

A) Post-prandial 
B) Timed, unpreserved (12 or 24 hr) 
C) Fasting 
D) Timed, with formalin preservative (12 or 24 hr)

Question 19

The nurse sees the health-care provider viewing the chest-x-ray of a patient admitted after a motor vehicle accident.Which of the following would account for a pale gray field noted below the diaphragm?

Accepted Answer

A) Ribs 
B) Liver 
C) Metal debris 
D) Subcutaneous air

Question 20

While reviewing charts, the nurse would expect to read which of the following notations in the chart of a patient who received a gastroesophageal reflux scan?

Accepted Answer

A) "Oral contrast provided in orange juice." 
B) "Intravenous contrast provided 15 minutes prior to procedure." 
C) "Fleet enema given 1 hour prior to the test; stools clear." 
D) "Patient reports following a clear liquid diet x 24 hours."

Exam 3: Reviewers