Question 1

A patient's laboratory test results indicate a markedly elevated level of high-density lipoprotein cholesterol (HDLC).Which of the following conditions are associated with this finding? Select all that apply.

Accepted Answer

High-density lipoprotein cholesterol (HDLC) is often referred to as "good" cholesterol. Elevated levels of HDLC are generally considered protective against heart disease. Alcoholism can lead to increased HDLC levels, though it also comes with other health risks. Biliary cirrhosis, a liver disease, can also result in elevated HDLC levels due to altered cholesterol metabolism. Regular exercise is known to increase HDLC levels, contributing to cardiovascular health benefits. Obesity and smoking, on the other hand, are generally associated with lower HDLC levels and are risk factors for cardiovascular diseases.

Question 2

A patient is undergoing renal computed tomography (CT)using a multislice scanner.This type of scanner does which of the following? Select all that apply.

Accepted Answer

A multislice CT scanner collects images in a spiral fashion (A), captures many images quickly (C), can identify small abnormalities due to its high resolution (D), and produces high-quality images (E).

Question 3

A nurse is reviewing a patient's health history and interviewing the patient in preparation for an abdominal computed tomography (CT)scan.Which of the following conditions would contraindicate this procedure for this client? Select all that apply.

Accepted Answer

The answer of A nurse is reviewing a patient's health...

Question 4

A patient is preparing to undergo renal computed tomography (CT).Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

Renal CT is commonly used for guiding biopsy needles and catheters for drainage of abscesses. It is also used to evaluate a variety of renal conditions such as cysts, masses, abscesses, renal calculi, obstruction, and trauma. Detecting herniated intervertebral disks or congenital anomalies are not indications for renal CT.

Question 5

In preparation for a kidney stone panel, a nurse is assessing a patient for risk factors related to kidney stones.Which of the following should the nurse assess for? Select all that apply.

Accepted Answer

The answer of In preparation for a kidney stone panel,...

Question 6

A nurse is assisting with a cystoscopy procedure.Which of the following actions should the nurse take? Select all that apply.

Accepted Answer

The nurse should cleanse the external genitalia with antiseptic solution to reduce infection risk, administer preoperative sedation as ordered to help the patient relax, and establish an IV fluid line for medication administration and hydration.

Question 7

A patient is undergoing postoperative cholangiography.Which of the following are abnormal findings? Select all that apply.

Accepted Answer

The answer of A patient is undergoing postoperative cholangiography.Which of...

Question 8

A nurse is reviewing a patient's laboratory test results regarding blood chloride level.Which of the following results would indicate critical findings that the nurse should report to the health-care provider immediately? Select all that apply.

Accepted Answer

A chloride level of 70 mmol/L is critically low, and 130 mmol/L is critically high. Both values are outside the normal range of approximately 96-106 mmol/L and should be reported to a healthcare provider immediately.

Question 9

A patient is undergoing cold agglutinin titer testing.This test is indicated for confirming the presence of which of the following?

Accepted Answer

Cold agglutinin titer testing is primarily used to confirm the presence of atypical pneumonia, which is caused by mycoplasma pneumoniae infection. In this condition, cold agglutinins are produced that cause clumping of red blood cells at low temperatures. The other options, von Willebrand disease, Down syndrome, and Tay-Sachs syndrome, do not involve the production or detection of cold agglutinins.

Question 10

A nurse is providing teaching to a pregnant patient who has just learned that she has a C.trachomatis infection.The nurse should inform the patient that the infection places the unborn child at risk for which of the following? Select all that apply.

Accepted Answer

Chlamydia trachomatis infection during pregnancy can lead to neonatal complications such as pneumonia and conjunctivitis. It does not directly cause neural tube defects, small size for gestational age, or intellectual deficits.

Question 11

A nurse is assisting with a postoperative cholangiography 7 days after the patient underwent a cholecystectomy.Which of the following are the most likely reasons for performing this procedure at this time? Select all that apply.

Accepted Answer

Postoperative cholangiography is performed after a cholecystectomy to assess the patency of the common bile duct, to detect any remaining calculi, and to ensure that there are no complications. C is incorrect as the procedure is not performed for placing T-tube, D is incorrect as it is used to assess the patency of the common bile duct not to distinguish between obstructive and nonobstructive jaundice, and E is incorrect since it is not used to remove kidney stones.

Question 12

A patient is preparing to undergo diagnostic imaging to determine the presence of kidney stones.Which of the following signs and symptoms should the nurse look for that would tend to confirm the presence of kidney stones? Select all that apply.

Accepted Answer

Kidney stones often cause severe pain, which can lead to restlessness and grimacing as physical manifestations of discomfort. Low blood pressure and sleepiness are not typical symptoms associated with kidney stones.

Question 13

During a colposcopy, a health-care provider observes some abnormal cervical tissue and decides to biopsy it.The nurse should prepare the patient for this intervention by explaining that the patient will likely experience which of the following? Select all that apply.

Accepted Answer

Biopsies of cervical tissue can cause menstrual-like cramping and minimal bleeding. Stabbing pain, chills, and dizziness are not commonly associated with this procedure.

Question 14

A nurse is assisting with a percutaneous transhepatic cholangiography (PTC)procedure.Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

Percutaneous transhepatic cholangiography (PTC) is a diagnostic radiological procedure that involves the use of contrast dye injected through the skin and into the bile ducts of the liver. This procedure is commonly used to aid in the diagnosis of biliary duct obstruction caused by gallstones, to determine the cause of upper abdominal pain after cholecystectomy, and to distinguish between obstructive and nonobstructive jaundice. However, it is not used to determine the presence of kidney stones or a pneumothorax.

Question 15

A patient is preparing to undergo computed tomography (CT)colonoscopy.Which of the following are advantages of CT colonoscopy over conventional colonoscopy? Select all that apply.

Accepted Answer

A) CT colonoscopy is less invasive than conventional colonoscopy since it doesn't require insertion of a scope into the colon.
B) There is no need for recovery time after CT colonoscopy since it is a non-invasive procedure.
E) Patients with bleeding disorders or those taking anticoagulant medications can safely undergo CT colonoscopy since there is no risk of bleeding, unlike in conventional colonoscopy where tissue biopsies and polyp removals may cause bleeding. However, CT colonoscopy does not allow for polyp removal or biopsies of tissue, which is an advantage of conventional colonoscopy. Bowel preparation is still necessary for CT colonoscopy.

Question 16

A nurse is giving a patient pretest instructions to a patient who will be undergoing capsule endoscopy.Which of the following should the nurse tell the patient? Select all that apply.

Accepted Answer

Capsule endoscopy requires the patient to stop certain medications like Pepto-Bismol that can interfere with the test, start a liquid diet the day before to ensure a clear view, and wear loose clothing for comfort and to accommodate the equipment.

Question 17

A nurse is providing pretest teaching to a patient who will be undergoing catecholamine testing.Which of the following instructions should the nurse give the patient? Select all that apply.

Accepted Answer

Catecholamine testing often requires patients to abstain from smoking tobacco for 24 hours before testing (B) because substances in tobacco can affect catecholamine levels. Patients are also advised to fast, withholding food and fluids for 10 to 12 hours before blood catecholamine tests (D), to avoid any dietary influences on the test results. Additionally, avoiding excessive stress and exercise during the 24-hour period of urine specimen collection (E) is important because physical stress and exercise can artificially increase catecholamine levels, potentially leading to inaccurate test results.

Question 18

A patient is preparing to undergo a urine cytology test.Which of the following are indications for this procedure? Select all that apply.

Accepted Answer

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

Question 19

A patient is preparing to receive an intravenous infusion of contrast medium before undergoing computed tomography of the biliary tract and liver.The nurse should inform the patient that she may experience which of the following after receiving this infusion? Select all that apply.

Accepted Answer

Contrast medium used in computed tomography can cause various side effects. Nausea is a common reaction due to the body's response to the foreign substance. A transient headache can occur as a result of the contrast medium's effect on the blood vessels or the body's reaction to the substance. A salty or metallic taste is also a common side effect reported by patients immediately after the infusion of contrast medium, likely due to the chemical composition of the contrast affecting the taste buds or a systemic response. Tingling in the extremities and feeling of cold are less commonly associated directly with contrast medium infusion for CT scans and are not typical reactions.

Question 20

A nurse has just seen the results of a patient's blood carbon dioxide test.Which of the following should the nurse consider critical findings that should be reported to the health-care provider immediately? Select all that apply.

Accepted Answer

The answer of A nurse has just seen the results...

Quiz 3: Reviewers

A patient's laboratory test results indicate a markedly elevated level of high-density lipoprotein cholesterol (HDLC) .Which of the following conditions are associated with this finding? Select all that apply.

A patient is undergoing renal computed tomography (CT) using a multislice scanner.This type of scanner does which of the following? Select all that apply.

A nurse is reviewing a patient's health history and interviewing the patient in preparation for an abdominal computed tomography (CT) scan.Which of the following conditions would contraindicate this procedure for this client? Select all that apply.

A patient is preparing to undergo renal computed tomography (CT) .Which of the following are indications for this procedure? Select all that apply.