Question 1

A nurse is assessing a patient for contraindications before the patient undergoes cystometry.Which of the following are contraindications for this test? Select all that apply.

Accepted Answer

Cystometry is not recommended in patients with acute UTI as it can lead to false-positive results, and it can be uncomfortable for the patient. Patients with urethral obstruction or cervical cord lesions can experience complications from cystometry, and therefore it should be avoided. Urinary incontinence and congenital urinary abnormalities are not contraindications for cystometry.

Question 2

A patient is preparing to undergo voiding cystourethrography (VCU).Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

Voiding cystourethrography (VCU) is a diagnostic procedure used to evaluate the bladder, ureters, and urethra. It is used to diagnose conditions such as ureteral reflux, urethral obstruction or strictures, and frequent urinary tract infections (UTIs). Coagulating bleeding areas and identifying or removing polyps and tumors are not indications for VCU.

Question 3

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

Stopping smoking, drinking milk fortified with vitamin D, and limiting alcohol intake are recommended lifestyle changes to reduce the risk of developing osteoporosis. Smoking and excessive alcohol can weaken bones, while vitamin D and calcium from milk help strengthen them.

Question 4

A patient is preparing to undergo computed tomography (CT)of the spine.Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

CT scans of the spine are used to determine the presence of paraspinal cysts (B), identify vascular malformations (D), and detect congenital anomalies such as spina bifida, meningocele, and myelocele (E). CT is excellent for visualizing bone detail and abnormalities in soft tissue density, making it suitable for these indications. However, it is not used to identify infectious organisms in the bone marrow (A) or monitor bone marrow response to chemotherapy (C), as these are better assessed with other imaging modalities or laboratory tests.

Question 5

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

Cord compression, fracture, and tumor with significant mass effect are critical findings on a CT scan of the spine that require immediate reporting to the healthcare provider. Spina bifida and herniated intervertebral disks are not necessarily critical findings that require immediate reporting.

Question 6

A patient is preparing to undergo a computed tomography (CT)scan of the pituitary.Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

The answer of A patient is preparing to undergo a...

Question 7

A patient's laboratory test results indicate a blood chloride level of 60 mmol/L.Which of the following signs and symptoms should the nurse expect do see in this patient? Select all that apply.

Accepted Answer

The answer of A patient's laboratory test results indicate a...

Question 8

A nurse is obtaining a blood specimen from a patient for testing for carcinoembryonic antigen (CEA)level.This screening test is useful for which of the following purposes? Select all that apply.

Accepted Answer

The answer of A nurse is obtaining a blood specimen...

Question 9

A nurse is reviewing a patient's computed tomography (CT)scan of the spleen.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

Abscess, hemorrhage, and laceration are critical findings that may require immediate medical intervention. An abscess indicates infection, hemorrhage suggests active bleeding, and a laceration could lead to further complications.

Question 10

A patient's laboratory test results indicate a decreased blood calcium level.Which of the following symptoms should the nurse expect to see in this patient? Select all that apply.

Accepted Answer

A decreased blood calcium level, also known as hypocalcemia, can cause muscle cramps, arrhythmias, and convulsions. Excessive thirst and polyuria are not typical symptoms of hypocalcemia.

Question 11

A nurse is preparing a patient for cytomegalovirus (CMV)testing.The nurse understands that which of the following patients are at high risk for CMV infection? Select all that apply.

Accepted Answer

Patients who are immunocompromised or have undergone organ transplant are at high risk for CMV infection. Pregnancy also increases the risk of CMV transmission from mother to fetus. Frequent ear infections or a fractured hip do not increase the risk of CMV infection.

Question 12

A patient is undergoing computed tomography angiography (CTA)with a contrast medium to assist in the diagnosis of an aneurysm.Which of the following are advantages of this procedure over traditional angiography? Select all that apply.

Accepted Answer

The answer of A patient is undergoing computed tomography angiography...

Question 13

A patient's laboratory test results reveal an elevated blood calcium level.Which of the following conditions are associated with this finding? Select all that apply.

Accepted Answer

The answer of A patient's laboratory test results reveal an...

Question 14

In November 2013, new guidelines for the prevention of cardiovascular disease (CVD)were developed by several organizations.Which of the following are some of the latest trends in prevention and care of CVD that are included in these guidelines? Select all that apply.

Accepted Answer

The guidelines introduced in November 2013 for the prevention of cardiovascular disease (CVD) emphasized a shift from using low-density lipoprotein cholesterol (LDL-C) targets towards a more holistic approach in determining statin therapy. They highlighted the importance of identifying patients who fall into one of four specific groups most likely to benefit from statin therapy (B), selecting the appropriate intensity of statin therapy to reduce the risk or progression of CVD (C), and introduced a new 10-year risk assessment tool for evaluating the risk of cardiovascular disease in individuals (E). These guidelines moved away from specific LDL-C targets and did not specifically recommend adherence to a high-protein diet as a primary strategy for CVD prevention.

Question 15

A patient's laboratory test results indicate red blood cell (RBC)agglutination of 4+.Which of the following conditions could this finding indicate? Select all that apply.

Accepted Answer

RBC agglutination is indicative of conditions where there is an immune response against red blood cells, leading to their clumping and destruction. Autoimmune hemolytic anemia involves the body's immune system attacking its own red blood cells. Hemolytic disease of the newborn occurs when there is an incompatibility between the blood types of the mother and fetus, leading to the destruction of fetal red blood cells. A transfusion reaction can occur when the blood type of a transfused product is incompatible with the recipient's, causing immune-mediated agglutination and hemolysis of the transfused red blood cells.

Question 16

A nurse is reviewing the results of a patient's coagulation factors test and learns that the patient has a deficiency in one of the factors, resulting in poor tissue perfusion.The patient complains of dizziness, and the nurse finds the patient's extremities cool to the touch.Which of the following interventions would be appropriate to address this finding? Select all that apply.

Accepted Answer

Monitoring blood pressure, assessing capillary refill, and administering prescribed vasodilators are appropriate interventions to address poor tissue perfusion caused by a deficiency in coagulation factors.

Question 17

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

The patient should be instructed to identify numbers or letters buried in a maze of dots during a color perception test. Standing, looking at a test booklet with both eyes open, reading rows of letters that become progressively smaller from a chart on the wall, and having a puff of air blown into the eye by a pneumatic machine are not relevant or appropriate instructions for this type of test.

Quiz 3: Reviewers

A nurse is assessing a patient for contraindications before the patient undergoes cystometry.Which of the following are contraindications for this test? Select all that apply.

A patient is preparing to undergo voiding cystourethrography (VCU) .Which of the following are indications for this procedure? Select all that apply.

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.

A patient is preparing to undergo computed tomography (CT) of the spine.Which of the following are indications for this procedure? Select all that apply.

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.

A patient is preparing to undergo a computed tomography (CT) scan of the pituitary.Which of the following are indications for this procedure? Select all that apply.

A patient's laboratory test results indicate a blood chloride level of 60 mmol/L.Which of the following signs and symptoms should the nurse expect do see in this patient? Select all that apply.

A nurse is obtaining a blood specimen from a patient for testing for carcinoembryonic antigen (CEA) level.This screening test is useful for which of the following purposes? Select all that apply.

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

A patient's laboratory test results indicate a decreased blood calcium level.Which of the following symptoms should the nurse expect to see in this patient? Select all that apply.

A nurse is preparing a patient for cytomegalovirus (CMV) testing.The nurse understands that which of the following patients are at high risk for CMV infection? Select all that apply.

A patient is undergoing computed tomography angiography (CTA) with a contrast medium to assist in the diagnosis of an aneurysm.Which of the following are advantages of this procedure over traditional angiography? Select all that apply.

A patient's laboratory test results reveal an elevated blood calcium level.Which of the following conditions are associated with this finding? Select all that apply.

In November 2013, new guidelines for the prevention of cardiovascular disease (CVD) were developed by several organizations.Which of the following are some of the latest trends in prevention and care of CVD that are included in these guidelines? Select all that apply.

A patient's laboratory test results indicate red blood cell (RBC) agglutination of 4+.Which of the following conditions could this finding indicate? Select all that apply.

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.