Deck 3: Reviewers

Question 1

The nurse is caring for a patient after an outpatient arthroscopy of the left knee.Which of the following interventions by the nurse is best?
1)Apply warm soaks to the joint for 30 minutes.
2)Encourage the patient to bend the joint 4-6 times every hour.
3)Provide ice packs, alternating on and off the area for the first few hours.
4)Instruct the patient to take aspirin for the pain a few hours after arriving home.

Answer 1

3

Question 2

The nurse would question an order for a magnetic resonance angiogram (MRA)for which of the following individuals?
1)A 65-year-old man whose blood urea nitrogen = 38 mg/dL
2)A 71-year-old woman whose triglycerides = 145 mg/dL
3)A 52-year-old woman whose prothrombin time = 12 seconds
4)A 66-year-old man whose prostate specific antigen (PSA)= 14 ng/mL

Answer 2

1

Question 3

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?
1)Ribs
2)Liver
3)Metal debris
4)Subcutaneous air

Answer 3

2

Question 4

A patient's laboratory test results indicate an increased level of blood C-peptide, indicating possible type 2 diabetes.However, the health-care provider is concerned that an interfering factor may be causing the C-peptide level to not correlate with the endogenous insulin level.Which of the following factors could cause this?
1)Smoking
2)Stress
3)Diet
4)Obesity

Question 5

The nurse is caring for a patient who is scheduled for abdominal angiography.Which of the following statements would be included in the patient teaching?
1)"You will be under general anesthesia for the procedure."
2)"The test involves injecting dye, usually through an IV started in your groin."
3)"You will need to drink a special dye that lights up your intestines on x-ray."
4)"It will be important to eat lots of fruit and drink fruit juices after the test to help get rid of the contrast."

Question 6

The nurse working the midnight shift is caring for a patient scheduled to receive an echocardiogram in the morning.Which of the following findings documented in the chart would require an intervention?
1)Patient returned from barium swallow at 2 p.m.the previous day.
2)The patient has a history of cardiac catheterization 3 years prior.
3)The patient takes digoxin 0.5 mg po daily.
4)The patient has a 35-pack-year history of smoking.

Question 7

The nurse is caring for a woman who is being evaluated for an ovarian cyst.The nurse would expect the patient to sign a consent for which of the following?
1)Magnetic resonance imaging (MRI)of the abdomen
2)Computed tomography (CT)of the abdomen
3)Gynecological laparoscopy
4)Hysteroscopy

Question 8

The nurse is caring for a patient scheduled for a cystoscopy.Which of the following would indicate the need for further instruction?
1)"If they can see a stone, they'll be able to remove it."
2)"Tissue or urine samples may be collected during the test."
3)"They will give me a shot at the base of my penis to numb things up first."
4)"The scope will be inserted so the doctor can see my urethra and bladder."

Question 9

The nurse is caring for a 7-year-old child involved in a motor vehicle accident who may have suffered foreign matter in the left eye.Which of the following diagnostic tests would the nurse anticipate?
1)Refraction test
2)Schirmer tear test
3)Slit-lamp biomicroscopy
4)Computed tomography of the head

Question 10

The nurse is caring for an individual whose magnetic resonance imaging of the brain revealed a brain tumor.Which of the following statements by the nurse is best?
1)"I'm so sorry.I know you must be upset by this news."
2)"Try not to worry.There are all kinds of treatments that may be available."
3)"I imagine you want to be alone right now, so I'll leave you some privacy."
4)"This is very hard news to hear.How can I best help you right now?"

Question 11

The nurse is caring for a young woman anticipating a hysteroscopy who asks, "Will they put me to sleep for this?" Which of the following responses by the nurse is best?
1)"Have you had general anesthesia before?"
2)"Don't worry; you'll be awake before you know it."
3)"If you hold really still, no anesthesia will be necessary."
4)"The test can be done with local or general anesthesia.Did you discuss your procedure with your health-care provider?"

Question 12

A patient's computed tomography (CT)scan of the brain reveals areas of decreased density on the image.These are most likely associated with which of the following?
1)Multiple sclerosis
2)Hematoma location after trauma
3)Brain abscess
4)Ventricular enlargement

Question 13

The nurse is caring for an 8-year-old who just returned from a magnetic resonance imaging (MRI)of the brain.Which of the following statements by the nurse is best?
1)"Please let me know if you have any questions about the test."
2)"Sometimes that test can make you feel nauseated, so use your call light if you feel sick."
3)"That big machine is pretty cool, don't you think?"
4)"I'll bet your friends are jealous that you're missing school today."

Question 14

The nurse in the imaging suite is assisting in the care of a patient receiving magnetic resonance imaging (MRI)of the chest.Which of the following instructions should the nurse provide?
1)"You must wear this lead apron to minimize exposure to your heart."
2)"You will need to lie on your left side so we get a good image."
3)"When you get back to your room, place a warm compress on your arm to reduce swelling."
4)"Please take a deep breath and hold it when I ask you to do so."

Question 15

A patient's laboratory test results following lumbar puncture for cerebrospinal fluid analysis indicate an elevated white blood cell (WBC)count with a predominance of neutrophils.Which of the following conditions should the nurse most suspect in this patient?
1)Bacterial meningitis
2)Viral meningitis
3)Parasitic meningitis
4)Fungal meningitis

Question 16

A nurse assisting with a chest x-ray asks the patient to breathe all of the air out of the lungs before the radiograph is taken.Expiration images aid in detection of which of the following conditions?
1)Fractures
2)Metastatic lesions
3)Pleural effusion
4)Pneumothorax

Question 17

The nurse is caring for a patient whose magnetic resonance imaging revealed a torn rotator cuff.Which of the following interventions is most appropriate?
1)Support the patient's wrist with a metal brace.
2)Place the patient's arm in a sling.
3)Teach the patient to use a three-point walk with crutches.
4)Wrap the patient's ankle with an Ace bandage.

Question 18

The nurse is caring for a 44-year-old who anticipates ordering contact lenses for the first time and is preparing for a Schirmer tear test.Which of the following statements should be included in the patient teaching?
1)"This test helps ensure that your eyes make enough tears to comfortably wear contacts."
2)"We will test one eye at a time."
3)"You should squeeze your eyes several times during the test to ensure adequate tear production."
4)"The doctor will put drops in your eyes to help them dilate before the test begins."

Question 19

The nurse working in a mammography center would question an appointment for which of the following individuals?
1)A 38-year-old woman who has never had children
2)A 44-year-old woman with a right mastectomy
3)A 23-year-old woman with two children
4)A 51-year-old woman experiencing symptoms of menopause

Question 20

The nurse is caring for a 2-year-old child who will have otoscopy.Which of the following positions should the nurse help the child assume?
1)Sitting
2)Supine on the caregiver's lap
3)Standing next to exam table
4)Supine on the exam table

Question 21

A nurse is caring for a patient scheduled for a colonoscopy who has orders for tap water enemas until clear.The nursing assistant administers a soap suds enema.Which of the following is the best documentation of this event?
1)"Nursing assistant gave the wrong type of enema, patient is currently stable."
2)"Soap suds enema given by nursing assistant, moderate amount liquid stool with brown flecks noted with returns.Patient denies abdominal cramping."
3)"Incident report completed due to provision of soap suds enema by the nursing assistant."
4)"Tap water enema ordered, soap suds enema given, physician notified."

Question 22

On assessment of a patient scheduled for cystoscopy, a nurse suspects that the patient likely has acute urethritis.On confirmation of this suspicion, the nurse notifies the health-care provider so that the procedure may be rescheduled after the patient has recovered from this condition.Which of the following is the best rationale for this action?
1)The patient is at risk for excessive bleeding from the lower urinary tract.
2)The procedure would be too painful for the patient.
3)The patient is at greater risk for trauma.
4)The patient is at risk of bacteria entering the bloodstream as a result of instrumentation.

Question 23

A nurse is applying povidone-iodine to a patient's back in preparation for a puncture procedure to obtain a cerebrospinal fluid specimen.The nurse should apply this solution to the area between which of the following vertebrae?
1)C2 and C3
2)T8 and T9
3)L3 and L4
4)S1 and S2

Question 24

The nurse is caring for a patient undergoing cardiac catheterization who states, "My father died of a massive heart attack when he was 50, so I do everything I can to stay fit." Which of the following statements by the nurse is best?
1)"That is great.Staying healthy isn't easy these days."
2)"You look pretty healthy.Does your wife work out with you, too?"
3)"I'm sure the death of your father at a young age is concerning.What specific things do you do to stay healthy?"
4)"Wow, 50 is really young.How old were you when he died?"

Question 25

A woman is scheduling an annual mammogram.Which question should a nurse ask in order to schedule this procedure at the best time for the patient?
1)"Are you using oral contraceptives?"
2)"Have you gained weight recently?"
3)"How much radiation exposure have you had this year?"
4)"When do you expect your next menstrual period to end?"

Question 26

A patient is suspected of having septicemia.Which test would be most appropriate for helping diagnose this condition?
1)Anal/genital culture, bacteria
2)Culture and smear, mycobacteria
3)Blood culture, bacteria
4)Sputum culture, bacteria

Question 27

A patient's laboratory test results indicate an increased ionized calcium level, but the health-care provider is concerned that an interfering factor may be causing a false-positive reading.Which of the following factors could cause such a reading?
1)Calcitonin
2)Citrates
3)Foscarnet
4)Antacids

Question 28

The nurse is providing care to a patient who is undergoing cystoscopy with retrograde ureteropyelography.Which of the following statements best explains this procedure?
1)"The health-care provider will inject dye into your kidney to examine where urine is collected before moving into your bladder."
2)"The health-care provider will inject dye into your bladder to make sure you are not experiencing reflux into the ureters."
3)"The health-care provider will inject dye into your arm and then take pictures that show how it is excreted in your body."
4)"The health-care provider will take a series of three-dimensional pictures that can be seen slice by slice to examine your pelvic organs."

Question 29

The nurse is caring for an individual with a colostomy who just completed a barium enema.Which of the following patient statements indicates the need for further teaching?
1)"My stool may be white or light for a while."
2)"If my stool is not a normal color within 48 hours, I need to call my health-care provider."
3)"I can take a mild laxative if I need one."
4)"Irrigation with tap water may help move the barium through my system."

Question 30

The nurse is caring for a patient with breast cancer who has metastasis to the liver.The health-care providers are recommending radiofrequency ablation of the liver lesions.Which of the following statements indicates the patient understands this procedure?
1)"Dyes will be used to locate the blood flow pattern, and then the blood supply will be blocked so the tumor dies."
2)"Three-dimensional films will help isolate the tumors so the health-care provider can beam radiation directly to them."
3)"A special needle will be placed into each tumor, and then current will heat the needle to kill the cancer cells."
4)"Cancer-killing drugs will be infused through the vein that leads to my liver and directly into the tumor area, so I won't have as many side effects."

Question 31

A nurse is reviewing a patient's computed tomography (CT)scan of the pelvis.Which of the following is a critical finding that the nurse should report to the requesting health-care provider immediately?
1)Bladder calculi
2)Ectopic pregnancy
3)Fibroid tumor
4)Hydrosalpinx

Question 32

Which of the following diagnostic procedures would most likely be included in the plan of care for an individual with suspected Hodgkin's disease?
1)Chest x-ray
2)Lymphangiography
3)MUGA scan
4)Thallium stress test

Question 33

The nurse is caring for a patient with metastatic ovarian cancer who has been receiving chemotherapy.The patient is scheduled to have an MRI of the pelvis to evaluate tumor response to the therapy.Which of the following statements by the nurse is best?
1)"Have you had this test before?"
2)"Do you have a family history of ovarian cancer?"
3)"They should be coming to take you down shortly; I'll give you some privacy."
4)"I imagine the hardest part of treatment is waiting for test results.What have you done to cope with that tension before?"

Question 34

The nurse is providing care for a patient with a heart murmur detected during his annual physical.Which of the following diagnostic tests would the nurse expect to be ordered?
1)Chest x-ray
2)Holter monitor
3)Echocardiogram
4)Myocardial perfusion scan

Question 35

The nurse is checking off orders in a patient's chart and notes the following: "Abdominal flat plate today." To enter this order in the computer, the nurse would choose which of the following procedures?
1)Voiding cystography
2)Computed tomography of the abdomen
3)Liver and spleen scan
4)Kidney, ureter, and bladder study

Question 36

A patient's laboratory test results indicate an increased level of C-reactive protein (CRP).Which of the following conditions is associated with this finding?
1)Diabetes mellitus
2)Hypertension
3)Acute inflammation
4)HIV

Question 37

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

Question 38

The nurse is conducting education for adult women on the importance of health screening at the local YMCA.Which of the following indicates teaching has been effective?
1)A 52-year-old woman signs up for a baseline mammogram.
2)A 40-year-old signs up for a smoking-cessation class.
3)A 25-year-old signs up for a three sessions with a personal trainer.
4)A 38-year-old signs up for a tai chi course.

Question 39

A nurse is helping prepare a 9-month-old patient for blood chromosome analysis for a suspected chromosomal disorder.The patient's mother is concerned because he is not able to turn over from his back to his belly, sit upright, or crawl.The nurse observes that the patient startles dramatically to loud noises.Which of the following autosomal chromosome defects is most associated with these findings?
1)Cystic fibrosis
2)Cri du chat
3)Down syndrome
4)Tay-Sachs

Question 40

The nurse is providing care for a patient returning from a transesophageal echocardiogram.Which of the following should be included in the patient's plan of care?
1)Provide lozenges once the gag reflex has returned.
2)Keep patient NPO for 12 hours after the procedure.
3)Monitor blood glucose levels hourly for 4 hours.
4)Instruct the patient to increase the intake of saturated fats.

Question 41

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?
1)Asymptomatic
2)Disturbance of judgment, headache, and dizziness
3)Dizziness, muscle weakness, vision problems, confusion, increased heart rate, and increased breathing rate
4)Loss of consciousness, coma

Question 42

The nurse is providing care for a man with recently diagnosed prostate cancer who is being evaluated for metastasis to the bone.Which of the following tests would most likely be ordered?
1)Bone scan
2)X-rays of the skull
3)Computed tomography (CT)scan of the abdomen
4)Magnetic resonance imaging (MRI)of the pelvis

Question 43

The nurse is caring for a patient whose computed tomography of the brain is indicative of multiple sclerosis.The patient's partner states, "I just don't know how to deal with the fact that she is probably going to get worse." Which of the following responses by the nurse is best?
1)"No one really knows how fast things may get worse."
2)"How have the two of you coped with illness or tragedy in the past?"
3)"We have an excellent social worker who can help you locate resources to help."
4)"Do you have children still living at home?"

Question 44

A patient is suspected of having a brain hemorrhage.Which of the following tests would be most appropriate to confirm this suspicion?
1)Cerebrospinal fluid (CSF)analysis
2)Catecholamines, blood and urine
3)CD4/CD8 enumeration
4)Ceruloplasmin

Question 45

The nurse is caring for a patient scheduled to receive a Meckel's diverticulum scan.Which of the following would be included in the preprocedure instructions?
1)"You will need to take metoclopramide (Reglan)as ordered for 2 days before the exam."
2)"There are no food restrictions for this test."
3)"You will need to use precautions with your body fluids for 48 hours after the procedure."
4)"This test will help your health-care provider identify a blockage in your intestines."

Question 46

The nurse is caring for a patient who is scheduled for a kidney, ureter, and bladder scan.The patient states, "I hate hospitals.I just want to get this over with." Which of the following statements by the nurse is best?
1)"The hospital can be a scary place, but I love it here."
2)"Do you get scared at your health-care provider's office, too?"
3)"You must watch a lot of scary movies; it really isn't scary here."
4)"Is there something specific that frightens you?"

Question 47

A nurse working in an ophthalmologist's office instills anesthetic eye drops in a patient's eyes in preparation for a nerve fiber analysis.Which of the following statements should be included in the teaching?
1)"The test helps screen for glaucoma since that disease does not cause symptoms."
2)"The health-care provider will perform the test to detect cataracts."
3)"The test will help determine if you have macular degeneration since you've complained of changes in your vision."
4)"As our eyes age, vision changes, so this test will help determine your visual acuity."

Question 48

The nurse is caring for a patient who is scheduled for a positron emission tomography of the heart.The nurse would be most concerned if the patient were taking which of the following?
1)Omeprazole (Prilosec)
2)Warfarin (Coumadin)
3)Spironolactone (Aldactone)
4)Gemfibrozil (Lopid)

Question 49

A patient's laboratory test results indicate an increased ceruloplasmin level.Which of the following conditions would most likely be associated with this finding?
1)Menkes' disease
2)Biliary cirrhosis
3)Wilson's disease
4)Nutritional deficiency of copper

Question 50

The nurse is caring for a patient with jaundice and an elevated bilirubin level.Which of the following tests would not be contraindicated for this patient?
1)Oral cholangiography
2)IV cholangiography
3)Endoscopic retrograde cholangiopancreatography (ERCP)
4)Hepatobiliary scan

Question 51

The nurse is caring for a patient undergoing treatment with Adriamycin (doxorubicin hydrochloride)for breast cancer.The patient has had four cycles of chemotherapy.Which of the following studies would be used to evaluate if additional chemotherapy can be given safely?
1)MUGA scan (multigated blood pool imaging study)
2)CT scan (computerized tomography)of the brain
3)EMG (electromyography)
4)Lung perfusion scan (V/Q scan)

Question 52

During an abdominal computed tomography (CT)scan, the patient complains of chest pain.Which of the following actions would be most appropriate?
1)Instruct the patient to take slow, deep breaths.
2)Administer an antianxiety agent.
3)Establish an IV fluid line.
4)Terminate the procedure.

Question 53

A nurse is providing pretest teaching to a patient who is preparing to undergo capsule endoscopy.The nurse should tell the patient that which of the following could result in serious damage to the patient's intestinal tract if occurring during the time of the procedure?
1)Undergoing an x-ray of the abdomen.
2)Undergoing magnetic resonance imaging (MRI).
3)Using narcotics.
4)Drinking fluids.

Question 54

A nurse working in a diagnostic breast center would expect which of the following women to undergo ductography?
1)A 33-year-old with unilateral nipple discharge
2)A 24-year-old with symptoms of mastitis
3)A 21-year-old who is lactating
4)A 45-year-old with bilateral nipple discharge

Question 55

The nurse is providing care for an 11-year-old who suffered a growth plate injury of the left ulna after falling down on roller skates.After 4 weeks in a cast, which of the following would be used to evaluate therapy?
1)Computed tomography (CT)of the left arm
2)X-ray of the left leg
3)X-ray of the left arm
4)CT of the left leg

Question 56

A nurse working in the emergency room is providing care for a woman with a history of breast cancer who fell suddenly while walking and has a suspected fracture.The nurse expects which of the following to be ordered?
1)A magnetic resonance imagining (MRI)scan
2)A magnetic resonance angiography (MRA)
3)An x-ray
4)A bone scan

Question 57

A patient's laboratory test results following blood analysis indicate acute cytomegalovirus (CMV)infection.The presence of which immunoglobulin (Ig)antibodies would be consistent with this finding?
1)IgM
2)IgG
3)IgA
4)IgD

Question 58

A nurse in the ophthalmology clinic is assisting in the care of a patient scheduled for a Schirmer tear test.Which of the following statements by the nurse is best?
1)"This is a test to determine the presence of glaucoma."
2)"There is no need to numb your eyes for this test."
3)"The test is used to determine if your tear ducts are functioning correctly."
4)"The test helps us select the right size contact lenses for you."

Question 59

The nurse is caring for a patient who has jaundice and is scheduled for a hepatobiliary scan.The patient states, "I don't think I really want to have this test.What if they find liver cancer or something!" Which of the following responses by the nurse is best?
1)"It is easy to get paranoid, but this isn't the cancer floor, so you shouldn't worry."
2)"What do you know about the reason your health-care provider has scheduled the test?"
3)"This test is usually given to look for problems with the bowel, so I don't think your health-care providers are worried that you might have liver cancer."
4)"I know what you mean; the tests are never as hard as waiting for the results."

Question 60

The nurse is caring for a patient in the intensive care unit admitted with a hemorrhagic cerebral vascular accident.The patient is drowsy but arousable, with blood pressure 188/58, pulse 62, and irregular respiratory pattern.Which of the following diagnostic tests would be most appropriate?
1)Electroencephalogram (EEG)
2)Cardiac catheterization
3)Pulmonary function tests
4)Ventilation perfusion (V/Q)scan

Question 61

A nurse is helping prepare a patient for blood chromosome analysis for a suspected chromosomal disorder.The nurse observes that the patient presents with a catlike cry, microcephaly, and intellectual disability.Which of the following autosomal chromosome defects is most associated with these findings?
1)Cystic fibrosis
2)Cri du chat
3)Down syndrome
4)Tay-Sachs

Question 62

A patient has signs of acute pharyngitis and is suspected of having a streptococcal infection.Which test would be most appropriate for helping diagnose this condition?
1)Stool culture, bacterial
2)Throat culture, bacterial
3)Urine culture, bacterial
4)Throat culture, fungal

Question 63

The nurse is caring for a patient who recently started taking amiodarone hydrochloride (Pacerone).Which of the following diagnostic tests would help determine the effectiveness of the treatment regimen?
1)Computed tomography (CT)of the abdomen
2)Small bowel follow-through
3)An exercise stress test
4)An echocardiogram

Question 64

A nurse is preparing a patient for computed tomography (CT)of the pancreas.About 1 hour before the procedure, the nurse has the patient drink 450 mL of a dilute barium solution.Which of the following is the correct rationale for this intervention?
1)It is used to prevent nausea.
2)It is used to distinguish gastrointestinal organs from other abdominal organs.
3)It is used to sedate a patient with claustrophobia.
4)It is used to prevent an allergic reaction to the contrast medium.

Question 65

The nurse receives a report on several patients on a medical-surgical unit.Which of the following patients should the nurse see first?
1)A 42-year-old with breast cancer who returned 2 hours ago from a bone scan that revealed widespread metastasis
2)A 56-year-old who returned from a bronchoscopy 3 hours ago and is reporting nausea and vomiting
3)A 73-year-old who had a barium enema 6 hours ago and is reporting whitish-colored stools
4)A 51-year-old who just returned from an echocardiogram 30 minutes ago and has a blood pressure of 132/76

Question 66

The nurse is caring for a patient with diabetes who reports numbness and tingling in his right foot.The patient is scheduled for arterial plethysmography of both lower limbs.The patient asks the nurse, "Why are they testing both legs instead of just the one that hurts?" Which of the following responses by the nurse is best?
1)"The test will help detect the degree of neuropathy you may have in either leg, even though you only have symptoms in one leg right now."
2)"The test will help identify your risk for varicose veins."
3)"The test will help your health-care provider figure out if the pain in your leg is caused by diabetic damage to your nerves."
4)"The test helps identify changes in the arteries that supply blood to your leg.The vessels in your unaffected leg will be compared to those in the leg that is causing you problems."

Question 67

The nurse is providing care for a woman undergoing laparoscopy to evaluate infertility.Which of the following statements by the nurse is best?
1)"Have you considered adoption?"
2)"Have you been trying to conceive for a long time?"
3)"Do you have any questions about the procedure?"
4)"Lots of women face the same problem these days, so you shouldn't feel alone."

Question 68

A nurse is helping prepare a patient for blood chromosome analysis for a suspected chromosomal disorder.The nurse observes that the patient presents with epicanthal folds, a simian crease of the palm, a flat nasal bridge, and intellectual disability.Which of the following autosomal chromosome defects is most associated with these findings?
1)Cystic fibrosis
2)Cri du chat
3)Down syndrome
4)Tay-Sachs

Question 69

The nurse is caring for a patient with diabetic retinopathy.Which of the following procedures would best help determine the progression of the disease?
1)Refraction test
2)Positron emission tomography of the brain
3)Otoscope examination
4)Fundus photography

Question 70

The nurse is completing a chart review of patients who received a proctosigmoidoscopy in the past 3 months.Which of the following findings would indicate a need for additional investigation?
1)"Patient given tap water enema x 2 one hour prior to procedure; tolerated well."
2)"Patient has a history of colorectal cancer, currently receiving chemotherapy, platelet count = 67, 000/mm³."
3)"Patient with large amounts of flatus postprocedure; BP = 122/68."
4)"Consent signed and witnessed prior to preoperative sedative provision."

Question 71

The nurse is caring for a 3-year-old child whose computed tomography of the abdomen revealed Wilms tumor.The nurse discovers the child's mother sitting in the lounge sobbing.Which of the following actions by the nurse is best?
1)Pretend the mother has not been seen and pass by silently.
2)Go sit next to the mother and place a hand on her shoulder.
3)Inform the mother that there is a private parent lounge at the end of the hall.
4)Ask the mother if there is someone you can call for her.

Question 72

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

Question 73

Which statement by a 55-year-old female patient should a nurse identify as indicating a need for further education?
1)"Now that I no longer have periods I don't need to have mammograms or do breast self-examinations."
2)"I see my health-care provider every year to have a breast examination and mammogram."
3)"Now that I no longer have periods I do a breast self-examination on the first day of each month so I always remember."
4)"The best time for me to complete a breast self-examination is in the shower."

Question 74

The nurse is providing care for a patient who is scheduled for a mediastinoscopy.Which of the following patient statements indicates the need for further teaching?
1)"I'll be under general anesthetic for this procedure."
2)"They're going to biopsy the lymph nodes in my chest to see if my Hodgkin's disease is back."
3)"I'll have to stay flat on my back for 8 hours after the procedure."
4)"I'll have a small incision on my breast bone when I wake up."

Question 75

A patient is suspected of having copper intoxication.Which of the following tests would be most appropriate for confirming this suspicion?
1)Cerebrospinal fluid (CSF)analysis
2)Catecholamines, blood and urine
3)CD4/CD8 enumeration
4)Ceruloplasmin

Question 76

The nurse is providing care for a patient who just returned from a barium enema and states, "I wish they would have told me what they found, I'm just so worried." Which of the following responses by the nurse is best?
1)"I'm sure your doctor will come talk to you soon."
2)"Did they have trouble getting good pictures during the procedure?"
3)"No news is good news.You shouldn't worry right now."
4)"Waiting for results is often the worst part of the test.What are you most worried about?"

Question 77

The nurse working in the oncology center would question the order for a stereotactic breast biopsy in which of the following individuals?
1)A 45-year-old woman whose mammogram showed a cluster of microcalcifications
2)A 61-year-old with a palpable breast mass
3)A 69-year-old with a history of hemophilia
4)A 64-year-old with a history of fibrocystic disease

Question 78

The nurse is caring for a patient who is to undergo a proctosigmoidoscopy.Which of the following statement indicates that further patient teaching is needed?
1)"My health-care provider will give me something to help me relax before they insert the scope."
2)"I will need to take a laxative the day before and an enema the morning of the test."
3)"I should avoid taking anything that contains iron for at least 1 week before the test."
4)"I need to contact my health-care provider if I notice large amounts of gas after the procedure."

Question 79

The nurse is caring for a patient who has returned from a liver and spleen scan.Results of the test read, "Greater uptake of radionuclide in the spleen than in the liver." Which of the following conclusions can the nurse draw from these results?
1)The patient has a liver mass.
2)The patient has diverticulitis.
3)The patient has portal hypertension.
4)The patient has a gall stone.

Question 80

The nurse is caring for a patient with a colostomy who is to undergo a barium enema.Which of the following statements by the nurse is best?
1)"The contrast will be inserted into the stoma using a catheter."
2)"The contrast will be inserted into your rectum using an enema delivery system."
3)"The doctor must have made a mistake, since they won't be able to give you a regular enema."
4)"This test is contraindicated for people who cannot retain an enema, so I will call and cancel it."