Question 1

A patient diagnosed with hepatitis B reports easy bruising and bleeding with minor skin trauma.Which lab result should a nurse relate to this finding?

Accepted Answer

A) Hematocrit of 40% 
B) Platelet count of 200,000/mm3 
C) PT of 22 seconds 
D) PTT of 35 seconds

Question 2

A patient is suspected of having pheochromocytoma.Which type of angiography should be performed to detect this condition?

Accepted Answer

A) Abdominal 
B) Adrenal 
C) Carotid 
D) Coronary

Question 3

A patient who has received multiple blood transfusions has a positive result for platelet antibodies.Which patient teaching should the nurse implement?

Accepted Answer

A) "Drink at least 32 ounces of water daily to maintain adequate renal function." 
B) "Minimize risk of bleeding by using a soft-bristle toothbrush for oral hygiene and take the appropriate dietary measures to prevent constipation." 
C) "Promote regular physical activity to prevent deep vein thrombophlebitis." 
D) "Take a low-dose aspirin daily to decrease risk of coronary occlusion."

Question 4

A patient suspects that he has an allergy to cats.Elevation of which of the following would tend to confirm this suspicion?

Accepted Answer

A) Cortisol 
B) Aldosterone 
C) Blood glucose 
D) Immunoglobulin E

Question 5

A patient is suspected of having multiple myeloma and needs to undergo testing to identify the individual types of immunoglobulins present to confirm a diagnosis.Which test would be most appropriate for this purpose?

Accepted Answer

A) Immunofixation electrophoresis (IF
E)  
B) Immunoglobulin E (Ig
E)  
C) Immunoglobulin A (Ig
A)  
D) Immunosuppressant cyclosporine

Question 6

A patient who recently started on new medications notices that his urine now has a bluish tint.Which medication is most likely contributing to this finding?

Accepted Answer

A) Ferrous sulfate 
B) Hydrochlorothiazide with triamterene (Maxzide, Dyazide) 
C) Levodopa (Sinemet) 
D) Phenazopyridine (Pyridium)

Question 7

A patient is suspected of having biliary cirrhosis.Which of the following antibody tests should the nurse expect to conduct on this patient to confirm this suspicion?

Accepted Answer

A) Anti-cyclic citrullinated peptide (anti-CCP) 
B) Anti-glomerular basement membrane (anti-GBM) 
C) Actin (smooth muscle)and mitochondrial M2 
D) Antineutrophilic cytoplasmic

Question 8

A patient's laboratory test results indicate an elevated amylase level.This finding most likely indicates which of the following diseases?

Accepted Answer

A) Pancreatitis 
B) Cirrhosis 
C) Hepatitis 
D) Kidney disease

Question 9

A nurse assesses a patient with a serum phosphate level of 2.1 mg/dL.Which assessment findings should a nurse identify as related to an increased serum phosphate level?

Accepted Answer

A) Constipation, Chvostek's sign, and perioral numbness 
B) Positive Trousseau's sign, muscle cramping, and confusion 
C) Seizures, prolonged QT interval, and paresthesia 
D) Numbness in extremities, convulsions, arrhythmias, tetany, muscle cramps, and muscle twitching

Question 10

A nurse notes that a patient's laboratory results show an acetylcholine receptor antibody (AChR)of 2.46 nmol/L.Based on this information, the nurse should assess this patient for clinical manifestations of:

Accepted Answer

A) Malignant hyperpraxia 
B) Myasthenia gravis 
C) Multiple myeloma 
D) Muscular dystrophy

Question 11

A nurse is providing teaching to a patient following venipuncture for amylase testing.The patient is an alcoholic.Which instruction should the nurse give the patient to help maintain open airways and move secretions?

Accepted Answer

A) Eat small, frequent meals. 
B) Use an inhaler with bronchodilator. 
C) The nurse should administer oxygen. 
D) Perform incentive spirometry with deep cough.

Question 12

After administering gallium intravenously to a patient before a gallium scan, the nurse realizes that the IV catheter is not fully in the vein and that the radionuclide tracer has seeped deep into the muscle tissue.The nurse should expect which of the following to occur as a result of this error?

Accepted Answer

A) Anaphylactic shock 
B) Tissue necrosis in the affected area 
C) Erroneous hot spots on image 
D) Hypotensive crisis

Question 13

An adult male patient who is suspected of having prostate cancer has just undergone testing for prostate-specific antigen (PSA).Which of the following ratios of free to complexed PSA would be consistent with a diagnosis of prostatic cancer?

Accepted Answer

A) 8% 
B) 15% 
C) 27% 
D) 35%

Question 14

A patient who has been taking the aminoglycoside antibiotic gentamicin is exhibiting signs of toxicity.Which of the following interventions would be most appropriate for assessing for one of the major complications associated with toxicity?

Accepted Answer

A) Visual acuity test using a Snellen chart 
B) Incentive spirometry 
C) Blood glucose monitoring 
D) Monitoring blood urea nitrogen (BUN)and creatinine levels

Question 15

A male patient with a history of an enlarged prostate has a prostate-specific antigen level that is increased from its baseline.Which pertinent information should the nurse identify that may cause an increase in prostate-specific antigen?

Accepted Answer

A) Administration of estrogen therapy 
B) Excessive exercise in the day prior to the test 
C) Ingestion of alcohol in the previous 24 hours 
D) Recent prostatic needle biopsy

Question 16

A patient's laboratory test results indicate decreased total iron-binding capacity.This finding is consistent with which of the following conditions? Select all that apply.

Accepted Answer

A) Hemolytic anemias 
B) Neoplastic diseases 
C) Iron-deficiency anemias 
D) Cirrhosis 
E) Late pregnancy

Question 17

A nurse is explaining the potential complications of renal angiography to a patient before requesting informed consent.Which of the following should the nurse mention? Select all that apply.

Accepted Answer

A) Infection 
B) Allergic reaction 
C) Blood clot formation 
D) Myocardial infarction 
E) Nerve injury

Question 18

A nurse is preparing to discharge a patient from a hospital after being diagnosed and treated for heart failure.The patient has a B-type natriuretic peptide level of 445 pg/mL.When preparing discharge teaching for this patient, which medication will the nurse most likely discuss?

Accepted Answer

A) Acetaminophen 
B) Angiotensin-converting enzyme (AC
E) inhibitor 
C) Enoxaparin 
D) Warfarin

Question 19

If each of the following medications is ordered for a patient, which medication should a nurse identify as a treatment for a serum calcium level of 13.4 mg/dL?

Accepted Answer

A) Furosemide (Lasix) 
B) Hydrochlorothiazide (HydroDIURIL) 
C) Propranolol (Inderal) 
D) Sodium bicarbonate

Question 20

A patient undergoing assessment for anemia has a haptoglobin level of 25 mg/dL and an increased reticulocyte count.Which type of anemia should a nurse plan to manage?

Accepted Answer

A) Aplastic anemia 
B) Hemolytic anemia 
C) Folic acid-deficiency anemia 
D) Iron-deficiency anemia

Exam 1: About This Book