Question 1

The nurse is providing care for a patient whose serum latex allergy test was positive.Which of the following should the nurse suspect may contain latex? Select all that apply.

Accepted Answer

Foley catheters, sterile gloves, and tourniquets for starting IVs are commonly made of latex and should be avoided for patients with a positive latex allergy test. Paper tape, disposable food trays, and bed linens are typically latex-free and pose no risk for patients with a latex allergy.

Question 2

A patient with a history of hypertension has routine blood work at an annual health screening.Based on the following laboratory excerpt, which instructions should the nurse give this patient regarding diet?

Accepted Answer

The answer of A patient with a history of hypertension...

Question 3

A nurse is preparing a patient to undergo a parathyroid scan.The nurse is aware that this test is indicated for which of the following? Select all that apply.

Accepted Answer

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

Question 4

The nurse is reviewing a patient's chart prior to a scheduled cystometry.Which of the following would the nurse need to note to ensure the procedure can proceed safely? Select all that apply.

Accepted Answer

B: Urinalysis results are important to check for any signs of infection or other abnormalities in the urine that may affect the procedure.
C: Current use of herbal substances should be noted as some herbs may interfere with the procedure or cause adverse reactions.
D: The date of the last menstrual cycle is important as the procedure should ideally be done when the patient is not menstruating to avoid complications.
E: Coagulation study results are important to ensure that the patient's blood is clotting properly and to prevent bleeding complications during the procedure. Family history of cancer and liver function test results are not directly relevant for this procedure.

Question 5

A toddler has a sweat chloride result of 90 mEq/L.For which clinical findings should a nurse assess this patient? Select all that apply.

Accepted Answer

The answer of A toddler has a sweat chloride result...

Question 6

A nurse is preparing a patient to undergo a myocardial perfusion heart scan.The nurse understands that this scan is indicated for which of the following? Select all that apply.

Accepted Answer

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

Question 7

The nurse is assisting a patient in the gynecological office who will be receiving a routine Pap smear (Papanicolaou smear).Which of the following should be included in the history to ensure proper interpretation? Select all that apply.

Accepted Answer

The date of the last menstrual cycle, number of pregnancies, presence of abnormal vaginal bleeding, history of previous Pap results, and use of hormone therapy are all relevant to interpreting Pap smear results. These factors can influence cervical cell changes and help in assessing the patient's risk factors and history.

Question 8

A nurse is preparing a patient, who has right-sided weakness related to a stroke 10 years ago, for a scheduled myocardial perfusion heart scan (thallium scan).Which instructions should the nurse include? Select all that apply.

Accepted Answer

The answer of A nurse is preparing a patient, who...

Question 9

The nurse is caring for a young woman scheduled for an abdominal laparoscopy.The patient asks, "What organs will my health-care provider be looking at when she does this procedure?" Which of the following would be included in the nurse's response? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a young...

Question 10

A nurse is assessing a patient who will be undergoing pelvic magnetic resonance imaging (MRI)with a gadolinium-based contrast agent (GBCA).Given the use of this contrast medium, the nurse should ensure that results of which of the following tests are obtained before the patient undergoes this procedure? Select all that apply.

Accepted Answer

Gadolinium-based contrast agents can affect kidney function, so it's important to assess renal function before the procedure. Blood urea nitrogen (BUN), estimated glomerular filtration rate (eGFR), and creatinine levels are relevant tests to evaluate kidney function.

Question 11

A patient with A positive (A+)blood type has had extensive blood loss secondary to a traumatic limb amputation.If A+ blood is not available, which alternate blood types could this patient receive? Select all that apply.

Accepted Answer

Patients with A+ blood type can receive A-, O+, and O- blood types in addition to their own. A- and O- are universal donors for their respective Rh groups, and O+ can be given to any positive Rh blood type. AB blood types are universal recipients, not donors, and thus not suitable for an A+ recipient.

Question 12

A patient is preparing to undergo a Papanicolaou (Pap)smear and asks the nurse what diseases can be detected by this test.Which of the following should the nurse mention? Select all that apply.

Accepted Answer

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

Question 13

A nurse is providing instructions to a patient following gynecological laparoscopy.Which of the following interventions should the nurse make? Select all that apply.

Accepted Answer

The answer of A nurse is providing instructions to a...

Question 14

A patient's laboratory test results indicate a decreased blood magnesium level.This finding is associated with which of the following conditions? Select all that apply.

Accepted Answer

Decreased blood magnesium levels can be associated with alcoholism due to poor dietary intake and increased renal excretion of magnesium, diabetic acidosis because high blood glucose levels can increase urine output leading to magnesium loss, and hemodialysis since the process can remove magnesium from the blood.

Question 15

A geriatric patient with a coronary artery disease, unstable angina, and heart failure is scheduled for a cardiac catheterization with contrast.The patient has a serum creatinine level of 1.32 mg/dL, and urinary output is within normal limits.Which medications, administered during the procedure, should a nurse identify as indicated to minimize the risk of renal compromise during this procedure? Select all that apply.

Accepted Answer

Dopamine and furosemide are indicated to minimize the risk of renal compromise during cardiac catheterization with contrast in patients with coronary artery disease, unstable angina, and heart failure. Dopamine increases renal blood flow and glomerular filtration rate, while furosemide promotes diuresis and helps to prevent fluid overload.

Question 16

The nurse caring for a patient who had arthroscopy of the left knee would include which of the following in the patient discharge teaching? Select all that apply.

Accepted Answer

Elevating the leg and applying ice can help reduce swelling and pain after arthroscopy. Tylenol (acetaminophen) is a common recommendation for managing post-procedure pain. Resuming a normal diet and medications is generally advised unless specific contraindications are present. Resuming regular activity immediately (C) and soaking the knee in warm water (D) are not typically recommended immediately following knee arthroscopy due to the need for the surgical site to heal and to prevent swelling or infection.

Question 17

A patient is scheduled for transesophageal echocardiography (TEE).Which interventions should the nurse plan to prepare the patient for a TEE? Select all that apply.

Accepted Answer

A) Confirming the consent form is essential for any invasive procedure like TEE to ensure the patient understands and agrees to the procedure. E) Keeping the patient NPO (nothing by mouth) after midnight is standard to reduce the risk of aspiration during the procedure, which requires sedation. F) Removing dentures or any loose objects from the patient's mouth is necessary to prevent obstruction or accidental swallowing during the procedure, as a probe is inserted through the mouth.

Question 18

The nurse is caring for a patient admitted with acute abdominal pain.Laboratory values revealed elevated lipase and amylase levels.Which of the following would the nurse include in the patient's teaching? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 19

A nurse is reviewing diagnostic data for a patient with oliguria, weakness, and decreased deep tendon reflexes.Which diagnostic test results should the nurse associate with this clinical presentation? Select all that apply.

Accepted Answer

Oliguria, weakness, and decreased deep tendon reflexes can indicate renal failure, which can elevate creatinine levels, cause hyperkalemia, and hypomagnesemia. Hypocalcemia and hypophosphatemia are not typically associated with these symptoms. Increased red blood cell count would not be directly related to the renal failure.

Question 20

A toddler is screened for acetaminophen overdose after being found with the contents of an open bottle of the medication and chalky residue around the mouth.In addition to an acetaminophen level, which laboratory tests should a nurse anticipate? Select all that apply.

Accepted Answer

The answer of A toddler is screened for acetaminophen overdose...

Quiz 5: System Tables