Question 1

The physician orders a skin test by intradermal injection.Your technique of administration would include which of the following?&#10;A) Use of extract that contains particulate matter&#10;B) Injection at a 90-degree angle&#10;C) Use of a tuberculin 27-gauge needle&#10;D) Making sure the needle penetrates past the subcutaneous tissue&#10;

Accepted Answer

The correct technique for an intradermal injection, such as a skin test, involves using a small gauge needle like a tuberculin 27-gauge needle to ensure the injection is administered just under the surface of the skin. This allows for the proper administration of the test substance and accurate reading of the skin's reaction.

Question 2

The charge nurse would prevent which of the following nurses from accompanying a client to a radiologic imaging procedure?&#10;A) One with a metal rod in the leg&#10;B) One who is pregnant&#10;C) One who is allergic to iodine&#10;D) One who is claustrophobic&#10;

Accepted Answer

The nurse who is pregnant should not undergo radiologic imaging procedures due to potential harm to the fetus. The other options may require certain precautions or accommodations but do not necessarily prevent the nurse from accompanying the client.

Question 3

The client undergoing an oral barium study asks what the preparation will be like.The nurse responds that the client will need to do which of the following?&#10;A) Brush the teeth and use mouthwash before the procedure&#10;B) Pretreat the bowel with antacids&#10;C) Drink approximately 8 oz of solution&#10;D) Eat a light breakfast on the morning of the examination&#10;

Accepted Answer

The client will need to drink approximately 8 oz of solution, which contains barium, before the procedure in order to visualize the gastrointestinal tract. The other options are not necessary for this specific procedure.

Question 4

The client asks the nurse about known risks of diagnostic testing with ultrasonography.The nurse would make which of the following replies?&#10;A) &#34;Posttest development of allergy to iodine is a risk.&#34;&#10;B) &#34;There is a small residual risk from the radiation used in the test.&#34;&#10;C) &#34;Current information is that the procedure is harmless.&#34;&#10;D) &#34;There are no risks unless you are pregnant.&#34;&#10;

Accepted Answer

Current information indicates that ultrasonography is harmless and typically does not carry any significant risks or side effects. Some mild skin irritation could occur from the gel used during the procedure, but overall ultrasonography is considered a safe and non-invasive diagnostic tool. Options A and B are not relevant to ultrasonography as they are associated with other types of diagnostic tests, while option D is inaccurate as some ultrasounds may be performed during pregnancy with minimal risk to the fetus.

Question 5

When is radiography,fluoroscopy,or computed tomography contraindicated?&#10;A) In an older adult client&#10;B) In a nonpregnant woman&#10;C) In an impotent man&#10;D) 14 days after the start of menses in a woman&#10;

Accepted Answer

Radiography, fluoroscopy, and computed tomography are contraindicated during early pregnancy due to the potential harm of radiation exposure to the developing fetus. While they are generally safe and routinely used in nonpregnant individuals, it is recommended to avoid imaging during the first 14 days of the menstrual cycle in women who may be pregnant but have not yet missed a period. Imaging is not contraindicated in older adults or impotent men.

Question 6

The nurse taking a health history would immediately report a client allergy to which of the following if the client will be scheduled soon for undetermined diagnostic studies?&#10;A) Pork&#10;B) Strawberries&#10;C) Shellfish&#10;D) Chocolate&#10;

Accepted Answer

Shellfish allergy can potentially cause a serious allergic reaction and can be found in contrast media used in diagnostic tests. Therefore, it is important for the nurse to immediately report this allergy to ensure a safe diagnostic procedure. Allergies to pork, strawberries, and chocolate are less likely to pose a significant risk during diagnostic tests.

Question 7

The nurse is working with a client who is undergoing evaluation of urine characteristics.Which of the following products does the nurse expect to be used?&#10;A) Chemstrip 10 with SG&#10;B) Aminohippurate sodium&#10;C) d-Xylose (Xylo-Pfan)&#10;D) Indocyanine green (IC green)&#10;

Accepted Answer

Chemstrip 10 with SG is a product used to evaluate urine characteristics through dipstick testing. Aminohippurate sodium is a product used for measuring renal plasma flow. d-Xylose (Xylo-Pfan) is a product used to evaluate intestinal absorption. Indocyanine green (IC green) is a product used for liver function testing.

Question 8

The nurse is aware that which of the following drugs is no longer currently used to minimize an adverse effect of a radiopaque agent containing iodine?&#10;A) Prednisone&#10;B) Ephedrine&#10;C) Diphenhydramine&#10;D) Ranitidine&#10;

Accepted Answer

Ephedrine is no longer used to minimize an adverse effect of a radiopaque agent containing iodine due to its potential to cause cardiac arrhythmias and ischemia. Other medications such as diphenhydramine and ranitidine are still commonly used, and prednisone may be used in certain situations.

Question 9

A client who has undergone a radionuclide study 8 hours ago is incontinent of urine while in bed.The nurse should take which of the following precautions to promote radiation safety?&#10;A) Nothing,because no problem exists&#10;B) Use lead gloves to clean the client and change bed linen&#10;C) Notify the radiation safety officer&#10;D) Tell laundry personnel that the linens need to be washed in bleach&#10;

Accepted Answer

The client who has undergone a radionuclide study may emit radiation and the nurse should notify the radiation safety officer to take necessary precautions to avoid exposure to other individuals. Lead gloves are not necessary in this situation and laundry personnel may need to take specific actions as directed by the radiation safety officer. Doing nothing is not an appropriate response.

Question 10

Which of the following explanations would not be included when discussing a radiologic imaging procedure with a client?&#10;A) Personnel will wear protective garments&#10;B) The rectilinear scanner will make routine clicking noises&#10;C) The test requires lying on a soft pad&#10;D) The client may be restrained briefly during the procedure&#10;

Accepted Answer

Explanation: When discussing a radiologic imaging procedure with a client, the focus is typically on aspects that directly impact the client's experience and safety. Mentioning that the test requires lying on a soft pad (C) does not align with standard preparatory information, which usually includes details about protective measures, expected sounds, and potential restraints to ensure accurate imaging. The softness of the pad is not a critical detail for procedural understanding or safety.

Question 11

Which of the following is not a useful application of radionuclide imaging?&#10;A) Assessing thyroid disease or enlargement&#10;B) Screening for metastases in clients with diagnosed malignancies&#10;C) Evaluating gestational progress in complicated pregnancies&#10;D) Evaluating heart disease&#10;

Accepted Answer

The answer of Which of the following is not a...

Question 12

Individuals who are ineligible for magnetic resonance imaging procedures include which of the following groups?&#10;A) Older adults&#10;B) Clients with metal prostheses&#10;C) Clients with a cardiac history&#10;D) Adolescents&#10;

Accepted Answer

The answer of Individuals who are ineligible for magnetic resonance...

Question 13

What term denotes the process of imaging deep structures of the body by measuring and recording the reflection of pulsed or continuous high-frequency sound waves?&#10;A) Computed tomography&#10;B) Radiograph&#10;C) Nuclear magnetic resonance imaging&#10;D) Ultrasonography&#10;

Accepted Answer

The answer of What term denotes the process of imaging...

Question 14

The nurse would assess the client for which of the following adverse effects after a diagnostic study with barium sulfate?&#10;A) Diarrhea&#10;B) Stomach cramping&#10;C) Flatulence&#10;D) Constipation&#10;

Accepted Answer

The answer of The nurse would assess the client for...

Question 15

What assessments need to be reported to the physician before a client receives radiographic or radionuclide agents?&#10;A) Client is not pregnant&#10;B) Client has an allergy to iodine and shellfish&#10;C) Client has a tendency to become nauseated&#10;D) Client is prone to sunburns&#10;

Accepted Answer

The answer of What assessments need to be reported to...

Question 16

The nurse who is providing anticipatory guidance to a client undergoing diagnostic testing with an iodinated contrast medium would tell the client that which of the following sensations may be experienced?

A) Nausea
B) Chills in torso
C) Tingling of fingers or toes
D) Urge to urinate

Accepted Answer

The answer of The nurse who is providing anticipatory guidance...

Question 17

A client is anxious about a gallbladder radiograph and inquires about her risk of a reaction.Your best response to her would be&#10;A) &#34;Now,don't be silly.We will do everything we can to prevent that.&#34;&#10;B) &#34;The medicines I'm going to give you have prevented reactions in approximately 90% of cases.&#34;&#10;C) &#34;The doctor will be in tomorrow to see you before the x-ray,so try not to worry.&#34;&#10;D) &#34;You are concerned about the type of reaction you may have during the procedure?&#34;&#10;

Accepted Answer

The answer of A client is anxious about a gallbladder...

Question 18

Which of the following is used as part of diagnostic testing with nuclear magnetic resonance imaging?&#10;A) Magnet&#10;B) Radionuclides&#10;C) Drugs&#10;D) Radiation beams&#10;

Accepted Answer

The answer of Which of the following is used as...

Question 19

The client states that the physician has ordered a barium study to aid in making a diagnosis.The nurse concludes that which of the following areas is the target of study?&#10;A) Gastrointestinal tract&#10;B) Urinary system&#10;C) Lower respiratory tract&#10;D) Blood vessels&#10;

Accepted Answer

The answer of The client states that the physician has...

Question 20

A client tells the nurse that the physician explained that diagnostic testing will include a computed tomography scan with infusion.When asked to explain again what this means,the nurse would indicate that the test

A) is performed after an intravenous line is inserted.
B) uses an injection of contrast material.
C) uses higher doses of radiation.
D) will be completed after a blood transfusion.

Accepted Answer

The answer of A client tells the nurse that the...

Question 21

The nurse is aware that which of the following agents could be used as part of a diagnostic procedure for a client with suspected thyroid dysfunction?&#10;A) Dipyridamole (Persantine)&#10;B) Edrophonium (Tensilon)&#10;C) Protirelin (Thypinone)&#10;D) Sincalide (Kinevac)&#10;

Accepted Answer

The answer of The nurse is aware that which of...

Question 22

The nurse is aware that which of the following agents could be used as part of a diagnostic procedure for a client with suspected coronary artery disease?&#10;A) Dipyridamole (Persantine)&#10;B) Edrophonium (Tensilon)&#10;C) Protirelin (Thypinone)&#10;D) Sincalide (Kinevac)&#10;

Accepted Answer

The answer of The nurse is aware that which of...

Question 23

The nurse is aware that which of the following agents could be used as part of a diagnostic procedure for a client with suspected myasthenia gravis?&#10;A) Dipyridamole (Persantine)&#10;B) Edrophonium (Tensilon)&#10;C) Protirelin (Thypinone)&#10;D) Sincalide (Kinevac)&#10;

Accepted Answer

The answer of The nurse is aware that which of...

Question 24

The nurse is working with a client who is undergoing evaluation of effective renal plasma flow.Which of the following products does the nurse expect to be used?&#10;A) Chemstrip 10 with SG&#10;B) Aminohippurate sodium&#10;C) d-Xylose (Xylo-Pfan)&#10;D) Indocyanine green (IC green)&#10;

Accepted Answer

The answer of The nurse is working with a client...

Question 25

The nurse is working with a client who is undergoing evaluation of gastrointestinal absorption.Which of the following products does the nurse expect to be used?&#10;A) Chemstrip 10 with SG&#10;B) Aminohippurate sodium&#10;C) d-Xylose (Xylo-Pfan)&#10;D) Indocyanine green (IC green)&#10;

Accepted Answer

The answer of The nurse is working with a client...

Question 26

The nurse is aware that which of the following agents could be used as part of a diagnostic procedure for a client with suspected gallbladder disease?&#10;A) Dipyridamole (Persantine)&#10;B) Edrophonium (Tensilon)&#10;C) Protirelin (Thypinone)&#10;D) Sincalide (Kinevac)&#10;

Accepted Answer

The answer of The nurse is aware that which of...

Question 27

The nurse is working with a client who is undergoing evaluation of liver blood flow.Which of the following products does the nurse expect to be used?&#10;A) Chemstrip 10 with SG&#10;B) Aminohippurate sodium&#10;C) d-Xylose (Xylo-Pfan)&#10;D) Indocyanine green (IC green)&#10;

Accepted Answer

The answer of The nurse is working with a client...

Deck 71: Diagnostic Agents