Deck 4: Monographs

Question 1

A nurse is preparing a patient to undergo radioactive iodine uptake testing.The nurse is aware that this test assesses the function of which of the following glands?
1)Adrenal
2)Thyroid
3)Pancreas
4)Thymus

Answer 1

2

Question 2

A patient is suspected of having a seizure disorder.Which of the following diagnostic procedures would be most appropriate for detecting this condition, if present?
1)Electrocardiogram
2)Echocardiography
3)Electroencephalography
4)Electromyography

Answer 2

3

Question 3

A patient is suspected of having peripheral nerve damage secondary to advanced diabetes mellitus.Which test would be most appropriate for confirming this diagnosis?
1)Sinus endoscopy
2)Electroneurography
3)Esophageal manometry
4)Esophagogastroduodenoscopy

Answer 3

2

Question 4

The nurse working in the hemodialysis unit recognizes treatment is effective by which of the following values?
1)Creatinine = 1.6 mg/dL
2)Blood urea nitrogen (BUN)= 20 mg/dL
3)Creatinine = 2.1 mg/dL
4)BUN = 28 mg/dL

Question 5

A patient who is preparing to undergo abdominal ultrasound asks the nurse how this diagnostic technology works.Which of the following should the nurse mention?
1)A beam of x-rays irradiates the patient as the table moves in and out of the scanner to produce cross-sectional views or slices.
2)High-frequency sound waves bounce off internal anatomical structures and fluids, are converted to electrical energy, and displayed as images on a monitor.
3)X-rays pass through the patient onto an image receptor, after being absorbed by the anatomical structures of the body in varying degrees based on density.
4)A magnet and radio waves are used to produce an energy field that can be displayed as an image of the anatomic area of interest based on the water content of the tissue.

Question 6

A nurse is assisting with an A-scan ultrasound procedure.This test is most commonly used to do which of the following?
1)To differentiate between open-angle and angle-closure glaucoma
2)To detect conjunctival and corneal injuries by foreign bodies
3)To determine the power requirement for lens replacement in cataract surgery
4)To assess adequacy of tearing for contact lens comfort and for successful LASIK surgery

Question 7

A patient is suspected of having muscular dystrophy.Which of the following diagnostic procedures would be most appropriate for detecting this condition, if present?
1)Electrocardiogram
2)Echocardiography
3)Electroencephalography
4)Electromyography

Question 8

While caring for a patient with acute renal failure, the nurse reviews laboratory results.Which of the following would the nurse find most supportive of the diagnosis?

A)WBC = 5.5 *10³/mm³
B)Bilirubin = A.6 mg/dL
C)CO₂ = 18 mEq/L
D)Glucose = 103 mg/dL

Question 9

A nurse working in an obstetrician's office is counseling a woman about prenatal testing, which includes toxoplasma.Which of the following instructions should the nurse provide?
1)"It is important that you avoid exposure to people who are immunocompromised since they are often carriers of toxoplasma."
2)"As long as you are in a monogamous relationship, there is no cause for concern about contracting toxoplasma."
3)"You can be exposed to toxoplasma by eating undercooked meat, so it is important to make sure everything is cooked properly during pregnancy."
4)"Since you work in an office environment, there is little cause for concern that you will be exposed to toxoplasma during your pregnancy."

Question 10

A patient being evaluated for abdominal pain has a magnesium level of 1.4 mg/dL.Which of the following assessments can best determine the significance of this result?
1)"Do you take oral contraceptives?"
2)"Are you using Tylenol frequently?"
3)"Do you use marijuana?"
4)"Do you have a history of mental illness?"

Question 11

A patient is suspected of having testicular dysfunction resulting in infertility.Which test would be most appropriate for confirming this suspicion?
1)Fibrinogen
2)Folate
3)Follicle-stimulating hormone (FSH)
4)Fructosamine

Question 12

A neighbor's daughter has recently decided to become a vegetarian.The neighbor tells the nurse, "I told my daughter she would have to take megavitamins to make up for anything she isn't getting on her crazy new diet." Which of the following responses by the nurse is best?
1)"It is possible to take too many vitamins, so you should probably consult a nutritionist."
2)"That is a good idea since a well-rounded diet is important in growing children."
3)"Vegetarian diets are really popular right now, so this is probably just a fad."
4)"Why did she decide to change her diet?"

Question 13

The nurse is making follow-up phone calls.An individual with suspected mononucleosis has lab values that are negative for Epstein-Barr virus.Which of the following statements by the nurse is best?
1)"Your lab values indicate you have mononucleosis, so be sure to rest and get plenty of liquids."
2)"Labs indicate you do not have mononucleosis.How are you feeling now?"
3)"The antibiotics must be working, because the titers are negative."
4)"You have mononucleosis, but you are not infectious anymore, so you may return to school."

Question 14

The nurse is providing care for a patient experiencing significant clinical manifestations of sickle cell anemia whose potassium is 5.5 mEq/L.Which of the following statements by the nurse is best?
1)"You need to increase how many high-potassium foods you consume."
2)"Your potassium may be high because many of your blood cells are being destroyed during this sickle cell crisis."
3)"It will be important for you to avoid crowds since your immune system is suppressed."
4)"We will need to give you a potassium supplement to help keep your levels in a normal range."

Question 15

A nurse working in the psychiatric unit is providing care for a young woman diagnosed with anorexia nervosa.The woman's uric acid level is 9.4 mg/dL.Based on this result, which of the following statements by the nurse is best?
1)"You need to eat things that have a high vitamin C level to help promote healing."
2)"Your labs indicate tissue is being destroyed because you are starving your body."
3)"It is important that you increase your intake of iron-rich foods since your body is not making enough red blood cells."
4)"You are dehydrated, so the doctor may want to order IV fluids if you don't start drinking at least 1,000 mL each day."

Question 16

A nurse is assisting a patient who is undergoing kidney ultrasound.This procedure is especially valuable in patients with which of the following conditions, due to their inability to undergo more invasive procedures?
1)Renal calculi
2)Ureteral obstruction
3)Renal failure
4)Congenital anomalies of the urinary system

Question 17

The nurse is caring for a patient admitted for elective surgery who has a history of diabetes and epilepsy.Which of the following lab results would be the highest priority?
1)Platelet count = 98,000/mm³
2)White blood cell = 8,000/mm³
3)Phenytoin level = 7 mcg/mL
4)Fasting glucose = 155 g/dL

Question 18

A nurse observes that a patient's stool specimen is black.Which of the following is the most likely explanation for this finding?
1)Iron therapy
2)Bile duct obstruction
3)Antibiotics
4)Lower gastrointestinal bleeding

Question 19

A young African American woman has been counseled to seek sickle cell screening and tells the nurse, "My grandfather had sickle cell, but I don't, so why should I be tested?" Which of the following responses by the nurse is best?
1)"I wonder if the health-care provider made a mistake.I'll double-check."
2)"Many people without the disease still carry the trait and can pass it on to children, so it is best to know your status."
3)"We test every person of color to track incidence rates."
4)"There is a research study underway that is tracing the origin of sickle cell anemia throughout the country."

Question 20

The nurse is reviewing laboratory results for a patient undergoing testing for cancer.Which of the following would be most concerning for the nurse?
1)Alfa fetoprotein = 32 ng/mL
2)Alkaline phosphatase = 125 units/L
3)Serum creatinine = 1.4 mg/dL
4)Albumin = 3.5 g/dL

Question 21

The nurse is counseling a young woman who is hoping to become pregnant.Which of the following recommendations by the nurse is best?
1)"It will be important for you to get the flu vaccine once you find out you're pregnant."
2)"Your childhood immunizations should provide all the immunity you need, so there is no reason for concern."
3)"Because rubella can be harmful to an unborn baby, it is important to determine your immunity prior to or early in your pregnancy."
4)"We generally only give live vaccines to pregnant women and infants."

Question 22

The nurse is providing care for a patient with a history of kidney stones.In addition to urine oxalate, which of the following labs would the nurse expect to be requested in the orders?
1)Urine protein
2)Urine calcium
3)Serum sodium
4)Serum alkaline phosphatase

Question 23

The nurse is counseling a young woman whose syphilis serology is positive.The patient states, "I just can't believe this is happening to me." Which of the following statements by the nurse is best?
1)"Unprotected sex is definitely risky behavior.It's too bad this is the consequence."
2)"Why is this so hard for you to believe?"
3)"This is really frightening, but life's trials happen for a reason, and you'll get through it."
4)"You must be overwhelmed right now.That is a normal reaction to devastating news."

Question 24

A patient is suspected of having disseminated intravascular coagulation (DIC).Which test would be most appropriate for confirming this suspicion?
1)Fibrinogen
2)Folate
3)Follicle-stimulating hormone (FSH)
4)Fructosamine

Question 25

A patient is suspected of having gastric ulcers.Which test would be most appropriate for confirming this diagnosis?
1)Sinus endoscopy
2)Electroneurography
3)Esophageal manometry
4)Esophagogastroduodenoscopy

Question 26

A woman is brought to the emergency room having been found in her car in a closed garage; attempted suicide via carbon monoxide poisoning is suspected.Which of the following labs would be useful in confirming this diagnosis?
1)Microalbumin
2)Kleihauer-Betke testing
3)Methemoglobin
4)Metanepherines

Question 27

The nurse is caring for a patient who reports unilateral leg swelling and discomfort one day after a total abdominal hysterectomy.D-dimer results are elevated and the patient has an order for a venous ultrasound.Which of the following statements by the nurse is best?
1)"Don't worry; it is probably just because of the IV fluids."
2)"Do you have a history of congestive heart failure?"
3)"Surgery increases the risk of blood clot formation, so these tests will help confirm that suspicion."
4)"It is important that you walk in the hall at least four times today to get your circulation moving."

Question 28

A nurse is performing a biophysical profile (BPP)of a fetus with ultrasound.The findings include the following: no movement-associated fetal heart rate (FHR)accelerations of 15 or more beats/minute above baseline in a 20-minute interval; two breathing movements lasting 20 to 60 seconds in a 30-minute interval; one discrete body or limb movement in a 30-minute interval; absent movement in limbs; and no pockets of fluid in the vertical axis.Which score should the nurse assign to the fetus?
1)0
2)2
3)4
4)6

Question 29

The nurse is caring for a primigravida who is in for an initial prenatal visit.The patient asks, "Why do they want to draw blood for blood typing?" Which of the following response by the nurse is best?
1)"It is important for us to know your blood type in case you lose blood during delivery."
2)"Knowing your blood type will tell us the baby's blood type."
3)"Blood type is routinely done on your first visit so we can know if there is any risk that you could develop antibodies to the baby's blood."
4)"We do a lot of tests early in your pregnancy, and we try to run everything we might need all at once so you don't have to be stuck again."

Question 30

The nurse is providing care for a woman with extensive stage IV decubitus ulcers.In conferring with the dietician regarding supplemental nutrition, the nurse would be most concerned by which of the following?
1)Folate = 14.2 ng/mL
2)Total protein = 3.4 g/dL
3)Alkaline phosphatase = 42 U/L
4)Hemoglobin = 36 g/dL

Question 31

The nurse is reviewing laboratory values for a patient with celiac disease and notes a vitamin D-25-dihydroxy level of 18 ng/mL.To help promote sufficient dietary intake, the nurse informs the patient that primary dietary sources of vitamin D include:
1)Bran cereal
2)Whole wheat bread
3)Milk
4)Dried fruit

Question 32

The nurse is drawing specimens from a central venous access device.Specimens include a red-top tube for clot retraction.Which of the following actions should the nurse take to ensure accurate results?
1)Note the patient's gender on the lab slip.
2)Place the specimen in a warm water bath.
3)Place the specimen on ice.
4)Ensure specimen delivery within an hour of collection time.

Question 33

A patient's laboratory test results indicate acute rubella infection, with the presence of immunoglobulin M (IgM)antibodies.The patient is currently asymptomatic.The nurse should tell the patient to expect which of the following symptoms?
1)A pink, macular rash and fever
2)Nausea, vomiting, and diarrhea
3)Red papules and headache
4)Dizziness and abdominal cramping

Question 34

The nurse is providing care for an individual who has received a heart transplant.The patient is taking cyclosporine, which is due at 9:00 a.m.and has orders for cyclosporine levels to be drawn around the dose.Which of the following times should the laboratory test be collected?
1)At 12 noon
2)At 6:00 a.m.with routine a.m.labs
3)At 8:45 a.m.
4)At 9:00 a.m.the next day

Question 35

A nurse is administering the radionuclide iodine-123 (I-123)to a patient who is undergoing radioactive iodine uptake testing.How is the nurse to administer this contrast medium?
1)Orally, as a pill
2)Intravenously
3)Rectally, as an enema
4)By inhalation of a gas

Question 36

The nurse is providing care for a 68-year-old male whose prostate-specific antigen is 23 ng/mL.Which of the following statements by the nurse is best?
1)"Everything looks normal with your labs, so yearly follow-up is all you'll need."
2)"Do you have a history of colon cancer in your family?"
3)"The lab work is abnormal, so your health-care provider would like to schedule some additional testing."
4)"I will need a list of all medications and herbal substances taken routinely to help determine the significance of your lab values."

Question 37

A patient has trouble swallowing and is suspected of having scleroderma.Which test would be most appropriate for confirming this diagnosis?
1)Sinus endoscopy
2)Electroneurography
3)Esophageal manometry
4)Esophagogastroduodenoscopy

Question 38

The nurse in a pediatrician's office is caring for a child with suspected fifth disease.Which of the following viral titers would the nurse recognize as most helpful in confirming this diagnosis?
1)Epstein Barr
2)Herpes simplex-1
3)Parvovirus B19
4)HIV

Question 39

The nurse is providing care for an individual whose laboratory test for renin was 6 ng/mL/hr.Which of the following explanations by the nurse is best?
1)"Renin is an enzyme produced by your pancreas that helps digest your food; your value is very low, which may be why you aren't absorbing nutrients well."
2)"Renin is the protein produced naturally that helps control blood pressure.You have an elevated level, which may be the cause of your hypertension."
3)"Renin is often secreted by tumor cells and is used as a tumor marker in some types of cancer; your value is normal, so there is nothing to worry about."
4)"Renin is a byproduct of anaerobic metabolism; your level is low, indicating you are experiencing starvation-type catabolism due to your overly restrictive diet."

Question 40

The nurse caring for a patient who is taking Coumadin (warfarin)recognizes that treatment is effective based on which of the following lab results?
1)Platelet count = 160,000/mm³
2)Prothrombin time (PT)= 18 seconds
3)Potassium = 3.5 mEq/L
4)Partial thromboplastin time (aPTT)= 28 seconds

Question 41

The nurse is collecting a cold agglutinin titer on a patient recently admitted for pneumonia who is not responding well to antibiotics.The patient's wife asks what the test will do.Which of the following responses by the nurse is best?
1)"The test will help determine why your husband's fever is staying so high."
2)"The test helps identify your husband's resistance to current drug therapy."
3)"The test is designed to detect proteins around the red blood cells resulting from an autoimmune process."
4)"The test is used to identify atypical pneumonias that don't respond quickly to standard antibiotic treatments."

Question 42

Laboratory results for a patient with idiopathic thrombocytopenia include platelet antibodies that are positive.The nurse determines that teaching has been effective by which of the following patient statements?
1)"I have too many platelets in my body, so I'm at risk for clotting."
2)"The test results indicate that my body can't make normal platelets."
3)"Because I've had so many platelet transfusions, my body has built a resistance to them and is destroying them."
4)"I will need to increase my intake of iron so I can make more platelets."

Question 43

Following refraction testing, a patient's refraction is found to be unequal in different curvatures of the eyeball.This finding indicates which of the following?
1)Normal vision
2)Hyperopia
3)Myopia
4)Astigmatism

Question 44

The nurse is providing care for a patient with a low prealbumin level.Which of the following statements is most supportive of therapeutic interventions?
1)"It is important to restrict your fluid intake to 1,000 mL/day."
2)"Increasing your protein intake is vital; what types of meat do you like?"
3)"Mega doses of vitamin C are hard to consume, so the health-care provider usually suggests a vitamin supplement."
4)"Herbal supplements are just a bunch of quackery, so don't waste your money."

Question 45

The nurse is caring for a mother and newborn son who had chromosomal testing done.Based on the laboratory excerpt below, which of the following statements would most likely be documented in the chart? Laboratory Report Excerpt
Trisomy 18 negative
Trisomy 21 positive
Chromosome 47 X,Y
1)"Ambiguous sexual organs noted."
2)"Cleft lip and palate present."
3)"Testing indicative of Down's syndrome."
4)"No genetic abnormalities detected."

Question 46

The nurse is preparing to draw blood for plasminogen from a patient in the intensive care unit.The nurse recognizes that additional anticoagulant must be added to the collection tube if which of the following is true?
1)Patient has a fever over 101°F.
2)Patient has a history of hemolytic anemia.
3)Patient has a hematocrit over 55%.
4)Patient has an elevated ammonia level.

Question 47

The wife of a patient who is undergoing a chest wall biopsy for suspected metastatic lung cancer says, "It is so surprising that all the blood tests he had done at his annual physical four months ago didn't show anything." Which of the following responses by the nurse is best?
1)"That is too bad, since cancer is usually treatable if it is found early."
2)"That is so disappointing.Has your husband had a physical every year?"
3)"Perhaps they didn't do the right tests at that time.Did your husband have any tumor markers drawn?"
4)"I'm sure you must feel frustrated.There really is no lab work that is done to detect lung cancer."

Question 48

The nurse is caring for a patient with serum magnesium = 1.1 mg/dL.Which of the following should be included in the patient's plan of care?
1)Limit intake of magnesium-containing foods.
2)Monitor for ECG (electrocardiographic)changes.
3)Maintain bedrest.
4)Strain all urine.

Question 49

The nurse is caring for a patient who has received a bone marrow transplant, whose cyclosporine level is 320 ng/mL, and who has evidence of renal compromise.Which of the following statements by the nurse is best?
1)"We will hold your cyclosporine since the level is high."
2)"I know there is a plan in all of this, so you just have to trust that it will all work out."
3)"Have you noticed any burning on urination lately?"
4)"You know dialysis is not that bad, and you may only need it for a little while."

Question 50

The nurse is reviewing lab results and notes an elevated ADH value for one of the patients.The nurse expects the result to belong to which of the following individuals?
1)A 63-year-old man with small-cell lung cancer
2)A 24-year-old woman recovering from elective surgery
3)A 38-year-old man receiving corticosteroid therapy
4)A 71-year-old woman with a history of atrial fibrillation

Question 51

The nurse is caring for a patient diagnosed with porphyria secondary to lead poisoning.Which of the following observations would be expected with this condition?
1)Port wine-colored urine
2)Clay-colored stool
3)Orange urine
4)Jaundiced sclera

Question 52

The nurse is caring for an individual with a history of partial gastrectomy.The nurse would recognize the development of megaloblastic anemia by which of the following lab results?
1)A significant increase in the red blood cell mean corpuscular volume (MCV)
2)A noted decrease in the patient's body mass index
3)An abrupt increase in the number of white blood cells
4)A sudden decrease in the serum sodium

Question 53

A patient is suspected of having an atrial tumor.Which of the following diagnostic procedures would be most appropriate for detecting this condition, if present?
1)Electrocardiogram
2)Echocardiography
3)Electroencephalography
4)Electromyography

Question 54

A patient is suspected of having hemolytic anemia related to lead poisoning.Which test would be most appropriate for confirming this diagnosis?
1)Free erythrocyte protoporphyrin (FEP)
2)Erythrocyte sedimentation rate (ESR)
3)Erythropoietin (EPO)
4)Eosinophil count

Question 55

A patient is started on levothyroxine (Synthroid)50 mcg daily.Which laboratory result should a nurse identify as an indication that this treatment is effective?
1)Free triiodothyronine (T3)decreases.
2)Free thyroxine (FT4)decreases.
3)Thyroid-stimulating hormone (TSH)level decreases.
4)Total thyroxine (T4)decreases.

Question 56

The nurse notes lab results that include an elevated glucose, decreased bicarbonate, and decreased serum pH.Which of the following nursing diagnoses is most likely incorporated into the patient's plan of care?
1)Decreased cardiac output related to dehydration
2)Impaired gas exchanged related to respiratory alkalosis
3)Imbalanced nutrition less than body requirements related to diabetes
4)Altered body image related to cachexia

Question 57

A nurse is providing pre-test instructions to a patient who will be undergoing liver and biliary system ultrasound.The nurse should tell the patient to fast and restrict fluids for how many hours prior to the procedure?
1)6 hours
2)8 hours
3)10 hours
4)12 hours

Question 58

A patient who takes an oral potassium supplement twice daily continues to have hypokalemia.Based on the diagnostic results in the following exhibit, which question, related to the patient's lifestyle habits, should a nurse ask the patient? Laboratory Report Excerpt
Sodium:
138 mEq/L
Potassium:
3)2 mEq/L
Calcium:
9)4 mg/dL
Magnesium:
1)5 mEq/L
Glucose:
98 mg/dL
1)"Have you experienced weight gain or loss in the last 6 months?"
2)"How many packs of cigarettes do you smoke daily?"
3)"What is your usual daily consumption of alcoholic beverages?"
4)"What is your usual exercise routine?"

Question 59

The nurse is caring for a 53-year-old male admitted with hepatic encephalopathy.The patient's ammonia level is now 112 mcg/dL; the patient is awake, alert, and responsive; and orders to advance the diet as tolerated have been written.The nurse recognizes teaching has been effective if the patient chooses which of the following meals?
1)Baked cod, a banana, and skim milk
2)Cheeseburger, french fries, cottage cheese, and chocolate milkshake
3)Chicken pot pie with carrots, potatoes and green beans, wild rice, cheesecake, and iced tea
4)Open-faced roast beef sandwich with mashed potatoes and gravy, broccoli, and two cups of coffee

Question 60

Based on the laboratory excerpt below, which of the following conclusions would be made by the nurse? Laboratory Excerpt
Mumps serology
Positive
1)The individual has lifelong protection against mumps.
2)The individual needs a booster vaccine to ensure immunity to mumps.
3)The individual is immunocompromised.
4)Childhood immunizations were not effective against mumps.

Question 61

Based on the diagnostic results in the following exhibit, which medication should a nurse anticipate will be prescribed? Laboratory Report Excerpt
Cholesterol:
240 mg/dL
Triglycerides:
103 mg/dL
HDL:
67 mg/dL
LDL:
151 mg/dL
1)Acetaminophen
2)Atorvastatin (Lipitor)
3)Fenofibrate (TriCor)
4)Niacin (Niaspan)

Question 62

The nurse working on a medical-surgical floor recognizes that test results for platelet antibodies are most likely to be positive for which of the following individuals?
1)An 18-year-old admitted with a broken femur after a motor vehicle accident
2)A 26-year-old admitted with sickle cell anemia
3)A 41-year-old admitted with viral hepatitis
4)A 48-year-old admitted with a 4-year history of AIDS

Question 63

A nurse on the cardiac unit notes increased frequency of premature ventricular contractions for a patient who was recently started on digitalis.Which of the following laboratory results would the nurse evaluate first?
1)Red blood cell count
2)LDH (lactate dehydrogenase)
3)Potassium
4)Total protein

Question 64

When interpreting the L/S ratio (lecithin sphingomyelin)for a woman who is 37 weeks gestation, the nurse recognizes fetal maturity is present with which of the following results?
1)1:1
2)1)5:1
3)1)8:1
4)2:1

Question 65

The nurse is scheduling follow-up labs ordered by the health-care provider that include lipoprotein electrophoresis.The patient asks, "Why do I have to have more blood drawn?" Which of the following findings would indicate the need for this additional testing?
1)Cholesterol level indicates high risk for cardiac arterial disease.
2)Lipase level indicates a high risk for pancreatitis.
3)LDH level indicates a high risk for hepatitis.
4)Alkaline phosphatase level indicates a high risk for muscular dystrophy.

Question 66

The nurse is caring for a patient who was admitted with chest pain to rule out a myocardial infarction.After receiving nitroglycerin and morphine, the patient is resting in bed comfortably with oxygen at 2 L.The initial troponin I level is 0.40 ng/mL.Which of the following interpretations of this lab value is best?
1)"We really judge cardiac damage by Troponin-C, so until other values are back, I don't have any real information for you."
2)"This is a normal value, so your health-care provider will probably let you go home."
3)"Troponin begins to rise between 2 and 6 hours after symptoms of a heart attack, so you will need to wait for further testing before being discharged."
4)"Your first value is really high, so your health-care provider may want to send you to the intensive care unit."

Question 67

A patient is suspected of having pernicious anemia.Which test would be most appropriate for confirming this suspicion?
1)Renin
2)Reticulocyte count
3)Red blood cell (RBC)cholinesterase
4)Rheumatoid factor (RF)

Question 68

A nurse counseling an individual who is attempting to follow a restricted carbohydrate diet would monitor which of the following lab values?
1)White blood cells in the urine
2)Urine pH
3)Blood in the urine
4)Urine ketones

Question 69

A diabetic patient is suspected of having poor long-term glucose control.Which test would be most appropriate for confirming this suspicion?
1)Fibrinogen
2)Folate
3)Follicle-stimulating hormone (FSH)
4)Fructosamine

Question 70

A patient is suspected of having megaloblastic anemia.Which test would be most appropriate for confirming this suspicion?
1)Fibrinogen
2)Folate
3)Follicle-stimulating hormone (FSH)
4)Fructosamine

Question 71

The nurse is caring for a woman who is awaiting estradiol results as part of a fertility work-up.The patient states, "I keep hoping there is some easy fix so we can have a baby soon." Which of the following statements by the nurse is best?
1)"Sometimes we simply have to accept what we cannot control."
2)"I imagine this is very hard.How are you and your husband coping with the strain?"
3)"Are you hoping most for a girl or a boy?"
4)"Have you and your husband discussed adoption?"

Question 72

A student nurse is caring for a patient with community-acquired pneumonia.Which of the following lab results may be expected and would indicate a left shift in the differential?
1)The number of red blood cells is lower than normal.
2)The number of band neutrophils is higher than normal.
3)The number of eosinophils is higher than normal.
4)The number of basophils is higher than normal.

Question 73

The nurse is caring for a 28-year-old primigravida who is undergoing a glucose tolerance test.The fasting glucose result is 132 mg/dL.Which of the following actions by the nurse is best?
1)Provide an oral glucose solution.
2)Inform the patient that the test results are normal.
3)Cancel the rest of the testing process.
4)Obtain a urine sample.

Question 74

While assessing a patient before an ultrasound of the spleen, the nurse learns that the patient recently underwent a barium enema procedure.The nurse knows that there should be at least how many hours between administration of barium and this test?
1)6 hours
2)12 hours
3)24 hours
4)48 hours

Question 75

A nurse observes mucous in a patient's stool specimen.Which of the following is the most likely cause of this finding?
1)Malignancy
2)Inflammation of the intestinal walls
3)Malabsorption
4)Obstruction

Question 76

The nurse is working with a nursing student in the care of an individual with colorectal cancer.The student asks, "Why did the health-care provider order plasminogen labs?" Which of the following is the best response?
1)"Plasminogen serves as a tumor marker in colorectal cancer."
2)"People with colorectal cancer can be at increased risk for disseminated intravascular coagulation."
3)"I think the health-care provider may need to provide a blood transfusion in the future."
4)"This patient is on Coumadin, and the health-care provider is following labs to ensure effective treatment."

Question 77

A patient is suspected of having nasal polyps.Which test would be most appropriate for confirming this diagnosis?
1)Sinus endoscopy
2)Electroneurography
3)Esophageal manometry
4)Esophagogastroduodenoscopy

Question 78

The nurse is providing care for a patient whose stool sample for ova and parasites was negative.Which of the following statements by the nurse is best?
1)"One negative result does not rule out parasitic infection, so repeat testing in 3 days has been ordered."
2)"You can resume taking daily Metamucil again."
3)"Your results are negative, confirming a bacterial cause for your diarrhea."
4)"Please call us back if you continue to experience more than a 10-pound weight loss."

Question 79

A patient is suspected of having an acute infection related to tissue necrosis.Which test would be most appropriate for confirming this diagnosis?
1)Free erythrocyte protoporphyrin (FEP)
2)Erythrocyte sedimentation rate (ESR)
3)Erythropoietin (EPO)
4)Eosinophil count

Question 80

The nurse is assisting in the collection of vaginal samples from a woman who was recently raped.After the specimen has been collected, which of the following actions should the nurse take first?
1)Encourage the woman to provide a detailed description of her assailant.
2)Deliver the specimens to the lab immediately.
3)Assist the woman to complete peri care and cleansing.
4)Provide privacy so the woman can begin to cope with the assault.