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?
A)Apply warm soaks to the joint for 30 minutes.
B)Encourage the patient to bend the joint 4-6 times every hour.
C)Provide ice packs, alternating on and off the area for the first few hours.
D)Instruct the patient to take aspirin for the pain a few hours after arriving home.

Accepted Answer

Providing ice packs, alternating on and off the area for the first few hours is the best intervention to reduce swelling and pain after an outpatient arthroscopy of the left knee. Applying warm soaks or encouraging the patient to bend the joint may increase swelling and delay healing. Aspirin may increase bleeding, so it should not be taken without healthcare provider's approval.

Question 2

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

Accepted Answer

A magnetic resonance angiogram (MRA) involves the use of a magnetic field and radio waves to create images of blood vessels in the body. It is contraindicated for individuals with metal implants or a history of metal fragment injury. The blood urea nitrogen (BUN) level of 38 mg/dL in the 65-year-old man may indicate renal impairment or dysfunction, and therefore the nurse would question the order for an MRA as the use of contrast dye during the test may exacerbate renal dysfunction.

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?
A)Ribs
B)Liver
C)Metal debris
D)Subcutaneous air

Accepted Answer

A pale gray field below the diaphragm on a chest-x-ray could indicate the presence of the liver. Other structures such as ribs and subcutaneous air are not typically seen as pale gray fields on chest x-rays, and metal debris would likely appear as a dense, opaque shadow on the image.

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?
A)Smoking
B)Stress
C)Diet
D)Obesity

Accepted Answer

The answer of A patient's laboratory test results indicate an...

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?
A)"You will be under general anesthesia for the procedure."
B)"The test involves injecting dye, usually through an IV started in your groin."
C)"You will need to drink a special dye that lights up your intestines on x-ray."
D)"It will be important to eat lots of fruit and drink fruit juices after the test to help get rid of the contrast."

Accepted Answer

The statement that should be included in the patient teaching is that "The test involves injecting dye, usually through an IV started in your groin." This statement explains the most important aspect of the procedure which is the use of contrast dye to visualize blood vessels in the abdomen. Option A is incorrect because general anesthesia is not typically used for this procedure. Option C is incorrect because drinking a special dye is not part of abdominal angiography. Option D is incorrect because eating fruit and drinking fruit juices will not help get rid of the contrast dye.

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?
A)Patient returned from barium swallow at 2 p.m.the previous day.
B)The patient has a history of cardiac catheterization 3 years prior.
C)The patient takes digoxin 0.5 mg po daily.
D)The patient has a 35-pack-year history of smoking.

Accepted Answer

The patient returned from a barium swallow at 2 p.m. the previous day. This procedure can interfere with the accuracy of an echocardiogram, so the nurse should notify the physician and reschedule the test.

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?
A)Magnetic resonance imaging (MRI)of the abdomen
B)Computed tomography (CT)of the abdomen
C)Gynecological laparoscopy
D)Hysteroscopy

Accepted Answer

Gynecological laparoscopy is a surgical procedure that allows a healthcare provider to view the reproductive organs and tissues inside the pelvis, and it is often used to diagnose and treat ovarian cysts. MRI and CT scans may also be used to evaluate ovarian cysts, but do not require invasive procedures and therefore would not typically require a consent form. Hysteroscopy involves the insertion of a thin, lighted scope through the cervix to view the inside of the uterus, and would not be used for evaluating an ovarian cyst.

Question 8

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

Accepted Answer

The correct statement indicating the need for further instruction is C because anesthesia for a cystoscopy is typically administered through the urethra, not as an injection at the base of the penis.

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?
A)Refraction test
B)Schirmer tear test
C)Slit-lamp biomicroscopy
D)Computed tomography of the head

Accepted Answer

Slit-lamp biomicroscopy is a diagnostic test that allows for detailed examination of the eye's external and internal structures. It is often used to identify the presence of foreign matter or injuries to the eye. Refraction tests assess vision problems, Schirmer tear tests evaluate tear production, and computed tomography of the head is not necessary in evaluating foreign matter in the eye.

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?
A)"I'm so sorry.I know you must be upset by this news."
B)"Try not to worry.There are all kinds of treatments that may be available."
C)"I imagine you want to be alone right now, so I'll leave you some privacy."
D)"This is very hard news to hear.How can I best help you right now?"

Accepted Answer

This response shows empathy and offers assistance to the patient during a difficult time. It also allows the patient to express their needs and directs the conversation towards providing support. Option A expresses sympathy but does not offer any assistance, while option B may be seen as dismissive of the patient's concerns. Option C assumes that the patient wants to be left alone without offering any further assistance or support.

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?
A)"Have you had general anesthesia before?"
B)"Don't worry; you'll be awake before you know it."
C)"If you hold really still, no anesthesia will be necessary."
D)"The test can be done with local or general anesthesia.Did you discuss your procedure with your health-care provider?"

Accepted Answer

Option D provides the patient with accurate information and presents her with the fact that she has different options for anesthesia during the procedure. It also encourages her to discuss her preferences with her healthcare 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?
A)Multiple sclerosis
B)Hematoma location after trauma
C)Brain abscess
D)Ventricular enlargement

Accepted Answer

The answer of A patient's computed tomography (CT)scan of the...

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?
A)"Please let me know if you have any questions about the test."
B)"Sometimes that test can make you feel nauseated, so use your call light if you feel sick."
C)"That big machine is pretty cool, don't you think?"
D)"I'll bet your friends are jealous that you're missing school today."

Accepted Answer

The answer of The nurse is caring for an 8-year-old...

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?
A)"You must wear this lead apron to minimize exposure to your heart."
B)"You will need to lie on your left side so we get a good image."
C)"When you get back to your room, place a warm compress on your arm to reduce swelling."
D)"Please take a deep breath and hold it when I ask you to do so."

Accepted Answer

MRI does not involve ionizing radiation, so a lead apron is not necessary, making A incorrect. The patient's position during an MRI is typically supine and not specifically on the left side unless directed for a specific reason, making B incorrect. MRI does not typically cause swelling that would require a warm compress as aftercare, making C incorrect. D is correct because patients are often asked to hold their breath during certain scans to reduce motion artifacts and obtain clearer images, especially for chest MRIs.

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?
A)Bacterial meningitis
B)Viral meningitis
C)Parasitic meningitis
D)Fungal meningitis

Accepted Answer

An elevated WBC count with a predominance of neutrophils is commonly seen in bacterial meningitis, which is an infection caused by bacteria in the meninges (the protective membranes covering the brain and spinal cord). Viral meningitis usually presents with a higher WBC count, but with a predominance of lymphocytes. Parasitic and fungal meningitis are less common and usually present with a different constellation of symptoms and laboratory findings.

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?
A)Fractures
B)Metastatic lesions
C)Pleural effusion
D)Pneumothorax

Accepted Answer

Expiration images aid in the detection of pneumothorax, as the decrease in lung volume during expiration can make a small pneumothorax more apparent on an x-ray. Fractures, metastatic lesions, and pleural effusions are typically better detected on inspiration images.

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?
A)Support the patient's wrist with a metal brace.
B)Place the patient's arm in a sling.
C)Teach the patient to use a three-point walk with crutches.
D)Wrap the patient's ankle with an Ace bandage.

Accepted Answer

Placing the patient's arm in a sling will help support the arm and limit movement, which is important for healing a torn rotator cuff. Supporting the wrist with a metal brace or wrapping the patient's ankle with an Ace bandage are not appropriate interventions for a torn rotator cuff. Teaching the patient to use a three-point walk with crutches is also not relevant to this diagnosis.

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?
A)"This test helps ensure that your eyes make enough tears to comfortably wear contacts."
B)"We will test one eye at a time."
C)"You should squeeze your eyes several times during the test to ensure adequate tear production."
D)"The doctor will put drops in your eyes to help them dilate before the test begins."

Accepted Answer

The Schirmer tear test measures the amount of tear production a person has. This is important for contact lens wearers as they need to have enough tears to keep the lenses moist for proper wear. Option A accurately explains the purpose of the test. The other options are incorrect: both eyes are tested at the same time (option B), squeezing the eyes is not necessary (option C), and dilation drops are not used for this test (option D).

Question 19

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

Accepted Answer

Mammography is typically recommended for women over the age of 40 unless there is a high risk of breast cancer or specific symptoms that warrant earlier screening. A 23-year-old woman, especially without mentioning any risk factors or symptoms, would not typically be scheduled for a mammogram, making this appointment questionable.

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?
A)Sitting
B)Supine on the caregiver's lap
C)Standing next to exam table
D)Supine on the exam table

Accepted Answer

The best position for a 2-year-old child to have an otoscopy is supine on the caregiver's lap. This provides stability and comfort for the child while allowing the healthcare provider to perform the procedure. Sitting or standing positions may not be stable or comfortable enough for the child and lying supine on an exam table may cause anxiety or fear.

Quiz 3: Reviewers

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?

The nurse would question an order for a magnetic resonance angiogram (MRA) for which of the following individuals?

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?

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?

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?

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?

The nurse is caring for a patient scheduled for a cystoscopy.Which of the following would indicate the need for further instruction?

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?

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?

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?

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?

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?

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?

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?

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?

The nurse is caring for a patient whose magnetic resonance imaging revealed a torn rotator cuff.Which of the following interventions is most appropriate?

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?

The nurse working in a mammography center would question an appointment for which of the following individuals?

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?