Deck 2: Preface

Question 1

A patient is suspected of having a severe, generalized granulomatous central nervous system disease caused by a protozoan.Which test would be most appropriate for confirming this suspicion?
1)Thyroglobulin
2)Thyroid-binding inhibitory immunoglobulin
3)Thyroxine-binding globulin
4)Toxoplasma antibody

Answer 1

4

Question 2

A patient is scheduled to have blood drawn for a serum aldosterone level.Which additional laboratory order should a nurse anticipate for this patient?
1)Creatinine
2)Renin level
3)Uric acid
4)Urobilinogen

Answer 2

2

Question 3

A patient is suspected of having intravascular hemolysis related to a transfusion reaction.Which test would be most appropriate to confirm this suspicion?
1)Ham's test for paroxysmal nocturnal hemoglobinuria (PNH)
2)Haptoglobin
3)Hemoglobin electrophoresis
4)Hemosiderin

Answer 3

2

Question 4

A patient who reports palpitations and syncope is admitted to a hospital for observation.The patient has a methemoglobin level of 18%.Which diagnostic data should a nurse identify as most likely to be inaccurate for this patient?
1)Arterial blood gases
2)CT scan
3)Pulse oximetry
4)Serum lactate level

Question 5

A patient is suspected of having congenital hypothyroidism.Which test would be most appropriate initially for confirming this suspicion?
1)Thyroxine, free
2)Transferrin
3)Triglycerides
4)Thyroid-stimulating hormone (TSH)

Question 6

When collecting a blood specimen for prostate-specific antigen (PSA), which information should the nurse provide to the laboratory to ensure accurate interpretation of the results?
1)Time that the specimen was collected
2)Site from which specimen was obtained
3)Age of the patient
4)Medications the patient is taking

Question 7

A nurse is preparing a patient with suspected osteomyelitis for a bone biopsy.Prior to beginning the procedure, the nurse should ensure that the:
1)Patient understands the purpose of the procedure
2)Health-care provider is credentialed to perform the procedure
3)Time of the patient's last food or fluid was at least 12 hours prior to the time of the procedure
4)Time-out to confirm the patient's identity, procedure to be done, and correct side/site is performed

Question 8

A nurse is preparing to collect a routine urine specimen for urinalysis from a patient with an indwelling urinary catheter.To collect the specimen, the nurse should:
1)Clean the catheter sample port with alcohol, aspirate the required amount of urine, and transfer the urine to a specimen cup.
2)Disconnect the collection tubing from the indwelling catheter and collect the specimen in a standard specimen cup using good aseptic technique.
3)Disconnect the collection tubing from the indwelling catheter and, using an irrigation syringe, aspirate the urine specimen; label the syringe.
4)Replace the urine collection bag with a clean bag; drain the urine into a specimen cup as soon as an adequate volume has accumulated.

Question 9

A patient who has limited exercise tolerance is scheduled for a thallium scan with dipyridamole.Which clinical parameter should a nurse identify as a possible contraindication for this procedure?
1)Blood pressure ranges from 136/90 mm Hg to 162/96 mm Hg
2)History of asthma
3)Myocardial infarction 1 month ago
4)Serum potassium is 4.5 mEq/L and patient receives potassium supplement daily

Question 10

An adolescent patient is brought to an urgent-care center with complaints of increasing weakness and persistent vomiting of 3 days' duration.Which findings in a blood gas analysis should a nurse expect as a result of the patient's history of persistent vomiting?
1)pH 7.32; PCO₂ 50 mm Hg; HCO₃ 20 mEq
2)pH 7.40; PCO₂ 40 mm Hg; HCO₃ 23 mEq
3)pH 7.47; PCO₂ 44 mm Hg; HCO₃ 30 mEq
4)pH 7.60; PCO₂ 30 mm Hg; HCO₃ 24 mEq

Question 11

A patient with a history of inflammatory bowel disease is ready to return home from the radiology department following a gastrointestinal blood loss scan.Prior to discharge, a nurse should instruct the patient to:
1)Flush the toilet immediately after each void
2)Limit activity for the next 24 hours
3)Remain on a clear liquid diet until a follow-up with the health-care provider in 1 week
4)Restrict fluid intact

Question 12

A patient with a history of kidney stones is scheduled for a renogram.Which medication should a nurse instruct the patient to stop at least 1 week prior to this procedure?
1)Clopidogrel bisulfate (Plavix)
2)Digoxin (Lanoxin)
3)Furosemide (Lasix)
4)Nitrofurantoin (Macrodantin)

Question 13

A nurse obtains a rectal swab for culture on a patient admitted from a long-term care setting for elective orthopedic surgery in an acute care facility.The nurse should assist the patient to assume which of the following positions?
1)Lying on the left side
2)High Fowler's
3)Supine
4)Prone

Question 14

A nurse is preparing to draw an arterial sample for blood gas analysis.Which equipment should the nurse have available?
1)High-flow oxygen facemask
2)Ice slurry in a cup or plastic bag
3)Tourniquet
4)Red-topped Vacutainer tube

Question 15

A nurse is positioning a patient for hysterosalpingography.Which position should the patient be placed in?
1)Lithotomy
2)Supine
3)Upright
4)Side-lying

Question 16

A nurse is assisting with a thoracentesis to obtain pleural fluid for analysis.Which additional diagnostic test should the nurse anticipate upon .
1)Chest x-ray
2)Complete blood count (CBC)
3)Blood cultures
4)Electrocardiogram

Question 17

A nurse is preparing a patient for an arterial Doppler carotid study.Which description of the purpose of this test is correct?
1)Determining presence of intracranial atriovenous malformation
2)Diagnosing aortic aneurysm
3)Identifying the abnormalities in cardiac blood flow
4)Measuring the amplitude and waveform of the carotid pulse

Question 18

At an annual health screening, a patient's routine urinalysis is normal except for protein in the urine with "casts." The patient is in good health.Which factor in the patient's medical history should the nurse relate to this laboratory finding?
1)Drinks 6 to 8 glasses of water (12 ounces per glass)each day
2)Eats a low-protein, high-carbohydrate diet
3)Exercises daily and runs 4 to 5 miles per day
4)Sleeps at least 8 hours per day

Question 19

A nurse is obtaining blood specimens from a patient's central line.What measure should the nurse use to ensure correct identification of the specimens collected?
1)Confirm patient name and room number and then write these on the specimen tubes and confirm with patient.
2)Identify the patient using two unique identifiers before starting the sample collection, and then immediately affix the label with patient identification, time collected, and nurse's initials.
3)Place printed label with identification on all tubes before obtaining the specimens, and ask the patient to observe that this is done.
4)Request the presence of a laboratory technician to label the specimens as these are collected, and note date and time collected on the label.

Question 20

A 16-year-old female is brought to an emergency room by her mother with "sharp, stabbing pain" for the last 4 hours in her lower back.The patient is nauseous and states there is no possibility of pregnancy.Urinalysis is positive for casts, blood with 5-100 RBCs, and fewer than 100 WBCs.An IV pyelogram is ordered.Prior to this procedure, the nurse should confirm that:
1)A urinary catheter is inserted.
2)Corticosteroid is administered.
3)The pregnancy test is negative.
4)The patient has signed a consent form.

Question 21

A nurse is scheduling a laboratory appointment for a patient who needs to have blood drawn for adrenocorticotropic hormone (ACTH)levels.The best time for this test is:
1)0600-0800
2)2100-2300
3)Anytime that is convenient for the patient
4)Within 12 hours after strenuous exercise

Question 22

A 90-year-old patient has a carotid duplex ultrasound that shows stenosis of 40% to 60% and a moderate amount of plaque.Which nursing action is most appropriate for this patient?
1)Advise the patient that surgery is indicated as soon as possible.
2)Avoid use of aspirin or products containing aspirin.
3)Instruct the patient to immediately report any changes in speech, balance, or vision.
4)Recommend that the patient restrict activity until medication decreases the stenosis.

Question 23

A geriatric patient asks a nurse about the significance of a bone mineral densitometry (DEXA)T-score measurement of -0.75.What response by the nurse is most accurate?
1)"A negative score on DEXA indicates that you are at a much higher risk of sustaining fractures because your bone density is lower than average."
2)"DEXA compares the amount of bone you have with that a young adult of the same gender with peak bone mass.A T-score above -1 is considered normal."
3)"This kind of scan is not very reliable for geriatric patients.You need to know your Z-score to interpret the significance of this test."
4)"Your T-score of -0.75 means you have osteoporosis, and you will need to take medication to improve your bone mass."

Question 24

Prior to beginning a urine collection for catecholamine, a nurse should instruct a patient to:
1)Increase fluid intake during the 12 hours immediately preceding the test.
2)Limit consumption of bananas, beer, aged cheese, chocolate, and coffee.
3)Maintain an active pattern of exercise for at least 24 hours.
4)Restrict dietary intake of sodium for 3 days.

Question 25

Which instruction should a nurse provide to a patient in preparation for a gastric acid stimulation test?
1)"An IV dose of pentagastrin will be administered at the start of the procedure."
2)"Antacids should be taken at bedtime and in the morning prior to the procedure."
3)"No food or fluid for at least 12 hours, but chewing gum or mouthwash can be used the morning of the procedure."
4)"The procedure requires insertion of a nasogastric tube to collect stomach contents."

Question 26

A patient's arterial blood gases are pH 7.29, HCO₃- 24 mEq/L, PO₂ 74, PCO₂ 52 mm Hg.A nurse assessing this patient should observe for signs and symptoms of:
1)Metabolic acidosis.
2)Metabolic alkalosis.
3)Respiratory acidosis.
4)Respiratory alkalosis.

Question 27

A nurse is assisting with a radionuclide bone scan of a patient.The radionuclide has just been administered and initial images have been taken to assess blood flow to the bones.How long of a delay should occur at this point to allow the radionuclide to be taken up by the bones before the complete skeleton is imaged?
1)10 to 15 minutes
2)30 minutes to 1 hour
3)2 to 3 hours
4)4 to 5 hours

Question 28

When collecting any specimen for laboratory analysis, what should be a nurse's first priority?
1)Communicating with the patient about the laboratory test being performed
2)Identifying the patient with the health-care facility's two specific, unique identifiers, such as full name and date of birth
3)Informing the patient of the purpose of the specimen collection
4)Labeling the specimen with the patient's name, room number, or address

Question 29

One hour after starting a unit of packed red blood cells, a nurse observes that a patient receiving the transfusion is reporting flank pain and has a temperature of 101.8 $\degree$ F (38.8 $\degree$ C).The nurse's first action should be to:

A)Assess the patient for signs of rash, hives, or angioedema.
B)Confirm that the name on the label on the blood transfusion matches the patient's armband.
C)Medicate the patient with acetaminophen that is ordered prn for pain or fever.
D)Stop the transfusion and maintain IV access with normal saline.

Question 30

A nurse is attempting to insert a needle to obtain a blood specimen from a 4-year-old, but the child, who is being held by her mother, is kicking, screaming, and flailing her arms about.Which nursing diagnosis related to this patient is the most critical?
1)Anxiety and fear related to venipuncture
2)Risk for injury, bleeding, hematoma, or infection related to venipuncture
3)Pain related to venipuncture
4)Risk for impaired skin integrity

Question 31

A patient diagnosed with prostatic hypertrophy has a suprapubic catheter to manage chronic urinary retention.A urine culture shows a bacterial colony count of less than 100,000 organisms/mL.Which intervention by the nurse is appropriate?
1)Begin sterile saline flushes of the catheter twice daily until a repeat culture is negative.
2)Encourage adequate intake of fluids to maintain clear, yellow urine.
3)Inform patient that antibiotics will be started as soon as requesting health-care provider writes the order.
4)Plan to insert a new suprapubic catheter as soon as possible.

Question 32

A patient with a history of metastatic breast cancer asks about testing for the presence of human epidermal growth factor receptor 2 (HER-2/neu oncoprotein).A nurse should instruct the patient that this test will require a:
1)Blood specimen drawn in the early morning
2)Tissue sample obtained by needle biopsy of the breast
3)Tumor sample from the excision of a metastatic site
4)Urine specimen collected over 24 hours

Question 33

A postmenopausal patient is treated for a vertebral fracture.The patient states, "I did not even fall or remember doing anything to cause an injury like this." The patient has a bone mineral densitometry (DEXA)T-score of -3.6.What significant health history should the nurse identify that relates to this clinical presentation?
1)History of gastric reflux managed with medication
2)Lacto-ovo vegetarian diet
3)Lifelong, active participation in sports activities
4)Onset of menopause at 58 years

Question 34

Prior to a scheduled laboratory blood draw for serum aldosterone level, a nurse should instruct a patient to:
1)Decrease potassium in the diet at least 48 hours prior to the test.
2)Increase fluid intake during the 24 hours prior to the test.
3)Remain in either a supine or upright position for at least 2 hours prior to the test.
4)Restrict sodium in the diet for 1 week prior to the test.

Question 35

A gastric acid stimulation test indicates that a patient has gastroparesis.Which teaching should a nurse plan for this patient?
1)Eat small, frequent meals that are low fat and low fiber.
2)Increase fiber in the diet, with at least 64 ounces of water daily.
3)To promote gastric emptying, avoid activity for 2 hours after eating.
4)Parenteral nutrition will be necessary, so a peripherally inserted central line will be inserted.

Question 36

A patient has had a heart attack and needs to undergo testing to evaluate the resulting damage to the myocardium.Which test would be most appropriate for this purpose?
1)Thyroxine, free
2)Triiodothyronine, free
3)Thyroid-stimulating immunoglobulins (TSI)
4)Troponins I and T

Question 37

A patient with a family history of glaucoma is advised to have pachymetry.The nurse should explain that the purpose of this test is to:
1)Assess collateral structures in the eye
2)Evaluate visual acuity without using dilating drops
3)Measure the thickness of the cornea
4)Obtain a more accurate measure of intraocular pressure

Question 38

A nurse is assisting with a thyroid biopsy.After the tissue sample is obtained, the nurse should place it in a container with which of the following?
1)Saline
2)Formalin solution
3)Heparin
4)EDTA

Question 39

Which laboratory result should a nurse anticipate as part of an initial screening for a patient who is being evaluated for iron-deficiency anemia?
1)Iron
2)Serum ferritin
3)Total iron-binding capacity
4)Transferrin saturation

Question 40

An adult patient's laboratory test results indicate a normal arterial oxygen saturation.Which of the following oxygen saturations is normal?
1)85%
2)89%
3)93%
4)97%

Question 41

A patient who is scheduled for percutaneous transhepatic cholangiography (PTC)asks a nurse about the purpose of this examination.Which response by the nurse is correct?
1)"A biopsy of your liver will be obtained to determine if you have hepatitis."
2)"A tube will be inserted through your throat and stomach to examine your gallbladder and remove any gallstones that are present."
3)"Your health-care provider will remove your gallbladder through a small tube that is inserted through your abdomen."
4)"Your health-care provider will use a special x-ray to insert a needle into your liver and inject a dye that shows ducts that drain your gallbladder to see if there is an obstruction."

Question 42

A patient is suspected of having hemochromatosis.Which test would be most appropriate to confirm this suspicion?
1)Ham's test for paroxysmal nocturnal hemoglobinuria (PNH)
2)Haptoglobin
3)Hemoglobin electrophoresis
4)Hemosiderin

Question 43

A patient's laboratory test results indicate an elevated $\beta$ 2-microglobulin (BMG)blood level.Which of the following conditions would be most associated with this finding?

A)Esophageal cancer
B)Leukemia
C)Colon cancer
D)Bladder cancer

Question 44

A patient with persistent pleural edema is scheduled for a magnetic resonance imaging (MRI)of the chest.Which information in the patient's medical history should the nurse identify as a contraindication for this procedure?
1)Allergy to shellfish
2)Implanted cardiac pacemaker
3)Knee replacement 2 years ago
4)Tattoo on a lower extremity

Question 45

Two hours after completing a computed tomography (CT)scan of the brain with contrast, an ambulatory patient asks a nurse for "medication for itching." What should be the nurse's first response?
1)Administer diphenhydramine 25 mg by mouth ordered as needed for itching.
2)Assess for the time of onset of itching and relationship to known allergies.
3)Identify any associated signs, such as change in vital signs or respiratory status.
4)Instruct patient to take a cool shower or provide cool compresses to relieve itching.

Question 46

An infant's laboratory test results reveal elevated bilirubin levels.The nurse should expect to see which of the following skin colorations associated with this condition?
1)Yellow
2)Blue
3)Red
4)White

Question 47

A health-care provider has recommended that a patient undergo testing to determine risk for blood clots and stroke.Which test would be most appropriate for this purpose?
1)Homovanillic acid (HVA)
2)5-Hydroxyindoleacetic acid (5-HIAA)
3)Homocysteine and methylmalonic acid
4)Hexosaminidase A and B

Question 48

A nurse is performing a template bleeding time test on a patient.A bleeding time greater than which of the following is a critical finding that should prompt the nurse to immediately notify the patient's health-care provider?
1)2 minutes
2)7 minutes
3)14 minutes
4)21 minutes

Question 49

A patient has a spinal tap to obtain cerebrospinal fluid (CSF)to test for Alzheimer's disease (AD)markers.When planning care for this patient after the specimen is collected, a nurse's priority should be to:
1)Assist the family to make a decision about long-term placement for the patient.
2)Keep the patient NPO until able to sit up for meals.
3)Maintain the patient flat in bed for 8 hours or per institutional protocol.
4)Reassure the patient and family that early treatment for Alzheimer's disease can slow disease progression.

Question 50

A nurse is preparing a patient for collection of cerebrospinal fluid for Alzheimer's disease markers.How should the nurse position the patient for this procedure?
1)Assist the patient to a side-lying position with the knees pulled up to the chest and the chin tucked.
2)Direct the patient to stand facing the bed or examination table and lean forward with the chest supported on the bed.
3)Instruct the patient to lie prone on the bed with the arms folded under the head for support.
4)Move the patient into the lateral recumbent position with the head of the bed elevated 45 degrees.

Question 51

A patient is undergoing blood gas testing to assess oxygenation and acid-base balance.Which of the blood gas measurements provide the most information about ventilation and is referred to as the respiratory component of acid-base balance?
1)PCO₂
2)PO₂
3)pH
4)O₂ sat

Question 52

An antenatal patient, in the third trimester of her pregnancy, has an obstetric ultrasound for a biophysical profile (BPP)to assess fetal wellness.The nurse performing the procedure should:
1)Score 10 for a normal BPP only after observing for at least 30 minutes.
2)Assess each parameter for at least 5 minutes before scoring.
3)Instruct the patient to count fetal movement for 24 hours to complete the profile.
4)Prepare the patient for the possibility of immediate delivery.

Question 53

A nurse is assisting with a liver biopsy.When should the nurse administer ordered prophylactic antibiotics?
1)2 hours before incision
2)Immediately before incision
3)Immediately after liver tissue is excised
4)1 hour before incision

Question 54

Which clinical manifestations should a nurse anticipate when assessing a patient who has a bone mineral densitometry (DEXA)T-score of -2.75?
1)Bowing of the legs, flat feet, and hammertoe
2)Crepitus, morning stiffness, and Heberden's nodes
3)Edema of lower extremities, joint pain, and poor balance
4)Kyphosis, decrease in height, and back pain

Question 55

A patient is suspected of having myasthenia gravis.Which of the following biopsy procedures should the nurse expect to be performed to assist in diagnosing this condition?
1)Lymph node
2)Muscle
3)Prostate
4)Skin

Question 56

Despite using lotion and drying hands thoroughly after washing, a nurse observes increasing irritation of both hands occurring the day after working.A blood specimen tests positive for latex allergy.What pertinent history should the nurse relate to this finding?
1)Allergy to numerous medications, including opiates and aspirin
2)Food allergies, including bananas, kiwis, pineapple, and peaches
3)Working primarily in outpatient and community health settings
4)No known history of previous allergy to food or medication

Question 57

A nurse is assisting with a cervical biopsy.During the procedure, iodine solution is used to cleanse the cervix and distinguish normal from abnormal tissue.This intervention is known as which of the following?
1)Papanicolaou (Pap)smear
2)Schiller's test
3)Colposcopy
4)Cone biopsy

Question 58

A patient has an antimitochondrial antibody (AMA)titer that is more than 1:40 and an alkaline phosphatase (ALP)level of 225 units/L.Based on his information, the nurse should assess this patient for signs of:
1)Liver failure
2)Renal failure
3)Scleroderma
4)Pregnancy

Question 59

Which laboratory result should a nurse interpret as an indication that a patient with respiratory acidosis is responding to treatment?
1)Increased serum HCO₃- concentration
2)Increased heart rate
3)Increased respiratory rate
4)Increased serum creatinine

Question 60

A patient is preparing to undergo transabdominal chorionic villus biopsy.In which position should the nurse place this patient?
1)Supine
2)Lithotomy
3)Side-lying
4)Knee-chest

Question 61

The nurse is collecting a urine sample from a patient with an indwelling Foley catheter and notes the urine has a strange odor.To determine the significance of these findings, which question should the nurse ask this patient?
1)"Do you smoke cigarettes or use tobacco in any form?"
2)"Have you had sexual intercourse in the past month?"
3)"Have you had a Foley catheter before?"
4)"Have you eaten any onions or garlic lately?"

Question 62

A nurse has orders to obtain urine for urinalysis, but the patient has voided only a small amount.What is the minimal volume of urine that the nurse can send for a routine urinalysis?
1)15 mL
2)30 mL
3)50 mL
4)100 mL

Question 63

Which description correctly describes the correct technique that a nurse should use to obtain a throat culture?
1)Instruct the patient to gargle with saltwater to remove normal oral flora and then obtain the culture by first eliciting a gag reflex and then swabbing the posterior oropharynx.
2)Rub the swab firmly but gently over the back of the throat and around both tonsils while avoiding contact with the tongue and lips.
3)Swab only areas where there is evidence of inflammation, exudate, or ulceration.
4)Tilt the patient's head back and gently swab all surfaces, starting from the tonsils and moving outward to the cheeks and tongue.

Question 64

A patient has an increased parathyroid hormone (PTH)level.Based on this information, a nurse should also assess for:
1)Decreased serum calcium and serum phosphate levels
2)Decreased serum sodium and potassium
3)Increased serum calcium and decreased serum phosphate levels
4)Increased serum glucose and uric acid

Question 65

A patient is undergoing a standard barium swallow.Which of the following structures is the focus of this test?
1)Mouth
2)Esophagus
3)Stomach
4)Small intestine

Question 66

A nurse reviews the Gram stain results from a patient's sputum culture.Which finding indicates that the specimen is contaminated by oral flora?
1)Presence of polymorphonuclear neutrophils
2)More than 25 squamous epithelial cells per lower power field
3)Positive for gram-negative bacteria and white blood cells
4)Presence of homogeneous microbial flora

Question 67

During collection of a venous blood sample, a nurse finds it difficult to locate a patient's vein while wearing gloves.Which action by the nurse is most appropriate?
1)Identify landmarks where the vein is palpable and attempt venipuncture with gloves on.
2)Obtain assistance from another nurse to perform venipuncture.
3)Remove one glove from the dominant hand to palpate the vein.
4)Tear off one or two fingertips from the glove to make the fingertips accessible for palpation.

Question 68

A nurse notes that a patient has orders for an endoscopy, abdominal ultrasound, gastrointestinal (GI)scintigraphy, and lower GI series.Which of these procedures should the nurse schedule last?
1)Abdominal ultrasound
2)Endoscopy
3)Lower GI series
4)GI scintigraphy

Question 69

A nurse is collecting blood from a patient for natriuretic peptide testing.This test assists in diagnosing which of the following?
1)Congestive heart failure
2)Stroke
3)Leukemia
4)Chronic obstructive pulmonary disease (COPD)

Question 70

A patient is undergoing evaluation for possible Addison's disease.Which test should the nurse anticipate?
1)Adrenocorticotropic hormone (ACTH)
2)Growth hormone (GH)stimulation test
3)Serum prolactin test
4)Thyroid-stimulating hormone (TSH)

Question 71

A young woman who is planning to become pregnant is informed that she has tested positive for hepatitis B core antibody (HBcAb).The patient asks a nurse what this means.Which response by the nurse is correct?
1)"If you have a baby, there is a high risk that the baby will develop hepatitis, so it would be better if you decided not to have children."
2)"The presence of this antibody means you were exposed to hepatitis B in the past, but you are not infected and cannot infect others."
3)"This antibody indicates that you are a carrier of hepatitis B, and your baby will need vaccination immediately at birth."
4)"You currently have an active infection, and you should avoid sexual contact until you are treated for the infection."

Question 72

A patient is undergoing a hepatobiliary scan, including assessment of bile reflux.As part of this procedure, the nurse must give the patient which of the following 60 minutes after injection of the radionuclide?
1)A high-fat meal
2)A high-protein meal
3)A high-glucose beverage
4)A high-fiber meal

Question 73

A patient is suspected of having iron-deficiency anemia.Which test would be most appropriate for confirming this suspicion?
1)Thyroxine, free
2)Transferrin
3)Triglycerides
4)Thyroid-stimulating hormone (TSH)

Question 74

Due to the congenital deficiency of a particular vitamin in newborns, a nurse routinely administers a prophylactic shot of this vitamin to all newborns to prevent hemorrhagic disease of the newborn.Which vitamin is this nurse administering?
1)Vitamin C
2)Vitamin D
3)Vitamin E
4)Vitamin K

Question 75

A patient's laboratory test results indicate a positive finding for varicella antibodies in the blood.The nurse knows that this finding is associated with which of the following?
1)Chickenpox
2)Measles
3)Mumps
4)Scarlet fever

Question 76

Which instruction should a nurse give to a patient who is scheduled for an electroencephalography?
1)"Avoid washing the hair for at least 24 hours prior to the procedure."
2)"Fast for 12 hours before the time of the procedure."
3)"Hold all medications for 48 hours before the test."
4)"Limit sleep to 5 hours the night before the examination."

Question 77

A sickle cell screen ordered for a 2-month-old based on a family history of sickle cell trait returns with a negative result.Which action by the nurse is most appropriate?
1)Discuss the importance of birth control to avoid exposing another child to the risk of this disorder.
2)Instruct the family in strategies to decrease the risk of sickle cell crisis for this infant.
3)Reassure the family that the infant will not develop sickle cell disease since the family history is for sickle cell trait.
4)Review the need for further evaluation to confirm this result.

Question 78

A patient is suspected of having thyroid cancer.Which test would be most appropriate for confirming this suspicion?
1)Thyroglobulin
2)Thyroid-binding inhibitory immunoglobulin
3)Thyroxine-binding globulin
4)Toxoplasma antibody

Question 79

A patient is suspected of having an ovarian carcinoid tumor.Which test would be most appropriate for confirming this suspicion?
1)Homovanillic acid (HVA)
2)5-Hydroxyindoleacetic acid (5-HIAA)
3)Homocysteine and methylmalonic acid
4)Hexosaminidase A and B

Question 80

A patient is suspect of having sarcoidosis.Which type of biopsy should the nurse expect this patient to undergo?
1)Liver
2)Lung
3)Kidney
4)Intestinal