Question 1

The nurse caring for a patient scheduled for an intravenous pyelogram would assess which of the following laboratory results prior to the procedure?

Accepted Answer

Creatinine levels are assessed prior to an intravenous pyelogram to evaluate kidney function, as the procedure involves the use of iodine-based contrast that is excreted through the kidneys. High creatinine levels may indicate impaired kidney function, which could increase the risk of kidney damage from the contrast.

Question 2

The nurse is collecting history information from a patient who is scheduled to have an arthroscopy of the right shoulder.Which of the following would require an intervention?

Accepted Answer

Taking garlic supplements can increase the risk of bleeding during surgery, and the nurse should notify the healthcare provider to determine if the patient should discontinue taking them prior to the arthroscopy. The other options do not require intervention, but may be important in the patient's medical history for the healthcare provider to be aware of.

Question 3

The nurse is caring for a child who is being discharged following a mediastinoscopy.Which of the following statements should be included in the discharge teaching provided to the parents?

Accepted Answer

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

Question 4

A patient's laboratory test results help confirm a diagnosis of rheumatoid arthritis.The nurse understands that which of the following complement findings are associated with this condition?

Accepted Answer

Rheumatoid arthritis is associated with decreased levels of complement components due to their consumption in the immune complexes formed during the disease process. Specifically, C3 levels are often decreased, while C4 may remain normal or also be decreased, but the option given only mentions decreased C3 with normal C4, which aligns with common findings in rheumatoid arthritis.

Question 5

The nurse is assisting a patient with a history of asthma who is to undergo bronchoscopy.Which of the following actions is expected?

Accepted Answer

Patients undergoing bronchoscopy are at risk for increased production of saliva, which can interfere with the visualization of the bronchi. Providing an emesis basin and instructing the patient to spit out any extra saliva can help decrease this risk. A prone position is not indicated for bronchoscopy, and morphine sulfate may depress the patient's respiratory effort. Taking deep breaths during the procedure may be necessary, but it is not the only expected action for the nurse.

Question 6

The nurse is caring for an individual scheduled to receive a magnetic resonance angiography (MRA)of the brain.Which of the following findings in the chart should be reported to the radiology department prior to the procedure?

Accepted Answer

Patients with pacemakers should not undergo MRI procedures unless the device has been evaluated and labeled as MRI-safe. The radiology department should be informed prior to the procedure to ensure proper precautions are taken. A, B, and C are all within normal ranges and do not require specific notification to the radiology department.

Question 7

While working with a student nurse who is caring for a patient scheduled for a colonoscopy, which of the following would require an intervention by the nurse?

Accepted Answer

Providing pre-procedural sedatives before obtaining consent is a violation of the patient's rights and requires intervention by the nurse. The nurse should ensure that the patient has provided informed consent before administering any medications.

Answer: B and D
 Providing a tap water enema and checking the patient's identification before providing bowel prep are appropriate nursing interventions for a patient scheduled for a colonoscopy. The nurse should also document vital signs after the enema to monitor for any adverse effects. A barium swallow is not typically scheduled after a routine colonoscopy and is therefore not a necessary intervention by the nurse.

Question 8

A nurse administers clonidine to a hypertensive patient and then draws blood.The patient's laboratory test results indicate elevated catecholamines levels.Which diagnosis do these findings most support?

Accepted Answer

Elevated catecholamine levels can be indicative of a pheochromocytoma, a tumor of the adrenal gland that produces excess catecholamines. Clonidine, a medication used to lower blood pressure, can stimulate the release of catecholamines from the tumor, leading to elevated levels in the blood. Neuroblastoma and ganglioneuroma are also tumors that can produce catecholamines, but they are usually found in children and not typically associated with hypertension. Parkinson's disease does not involve elevated catecholamine levels.

Question 9

A patient's laboratory test results indicate increased collagen cross-linked N-telopeptide (NTx)in the urine.This finding most likely points to which of the following?

Accepted Answer

Collagen cross-linked N-telopeptide (NTx) is a biomarker of bone resorption, which is the process of breaking down bone tissue. Increased levels of NTx in the urine are associated with bone disorders such as osteoporosis. Atypical pneumonia, hemophilia, and colon cancer are not directly related to bone metabolism.

Question 10

The nurse is providing care for a patient newly diagnosed with Hodgkin's disease who is anticipating a lymphangiography.Which of the following patient statements indicates the need for further teaching?

Accepted Answer

The statement that the contrast doesn't have any side effects is inaccurate as lymphangiography contrast can cause allergic reactions and other side effects. Therefore, further teaching is necessary to address this misconception.

Question 11

The nurse is providing care for a patient with a history of chronic obstructive pulmonary disease who is anticipating cardiac surgery.Which of the following diagnostic tests would most likely have been used to help determine surgical clearance?

Accepted Answer

Pulmonary function tests are used to assess lung function and can provide information on the patient's ability to tolerate anesthesia and mechanical ventilation during surgery. Carotid Doppler studies are used to assess blood flow in the carotid arteries and are not typically used to determine surgical clearance for cardiac surgery. CT of the chest and lung V/Q scans may be useful in evaluating lung function, but pulmonary function tests are a more direct and comprehensive way to assess lung function.

Question 12

A middle-aged woman admitted to the hospital for chest pain is frustrated that an echocardiogram is planned and wants to go home after serial enzymes ruled out an acute myocardial infarction.Which of the following responses by the nurse is best?

Accepted Answer

The best response is to acknowledge the patient's frustration and ask if there is a specific reason why she wants to leave. This approach shows empathy and allows the nurse to explore the patient's concerns, while also ensuring that the patient receives appropriate care. Option A could come across as confrontational and may not address the patient's underlying concerns. Option B is not an appropriate response and may not be true for all patients. Option D should only be considered if the patient is fully informed of the risks of leaving against medical advice.

Question 13

The nurse is providing care for a patient scheduled for a myocardial perfusion heart scan (thallium scan).Which of the following instructions would the nurse provide?

Accepted Answer

The answer of The nurse is providing care for a...

Question 14

A patient is preparing to undergo Coombs' indirect antiglobulin testing (IAT).Which of the following is the most common indication for this test?

Accepted Answer

Coombs' indirect antiglobulin testing (IAT) is used to screen for antibodies in the patient's serum before blood transfusions to prevent transfusion reactions. It is also used to identify antibodies in the serum of potential blood donors.

Question 15

The nurse is caring for a 10-day-old infant with suspected seizure activity who is to undergo an electroencephalogram (EEG).Which of the following statements to the parent is best?

Accepted Answer

Offering the parent the opportunity to ask specific questions or voice concerns helps address any anxieties or uncertainties they may have about the test and their infant's condition. It also demonstrates a supportive and caring approach to the parents, which is essential in building trust and collaboration between them and the healthcare provider. Choice A can be perceived as dismissive and may not provide adequate reassurance, while Choice C and D may be interpreted as intrusive and insensitive.

Question 16

While working in the emergency room, the nurse admits an individual who fell from a rooftop.Initial assessment reveals the patient is alert and oriented, has a patent airway, and reports, "I can't feel my feet." Which of the following diagnostic tests would the nurse anticipate?

Accepted Answer

The patient's statement of not being able to feel their feet indicates a potential spinal cord injury. A CT scan of the spine would be the most appropriate diagnostic test to assess for any spinal cord injury or damage. A spinal tap, MRI of the brain, and MRA of the brain would not be as relevant in this case.

Question 17

A patient is undergoing computed tomography (CT)scanning of the brain to assess cerebral blood flow.Which of the following is the odorless, colorless, radioactive gas that is used to enhance the CT scan for this purpose?

Accepted Answer

Xenon is commonly used as an inhalational contrast agent in CT scanning to assess cerebral blood flow. The patient inhales xenon gas, which acts as an intravascular tracer, allowing for the visualization and measurement of blood flow in the brain. Radon is not used in medical imaging as it is a naturally occurring radioactive gas that is a known health hazard. Argon and krypton are not commonly used in medical imaging.

Question 18

A patient's laboratory test results indicate a decreased level of the von Willebrand factor.How should the nurse expect this disorder to manifest in the patient's day-to-day life?

Accepted Answer

Decreased levels of the von Willebrand factor result in delayed clotting, leading to a greater risk of bleeding and difficulty in forming blood clots. This can cause the patient to bleed freely when cut or injured.

Question 19

A nurse is observing the results of a patient's test for cancer antigens (CAs).The patient is a smoker.Which of the antigens should the nurse expect to be elevated in this patient compared with the normal range for nonsmokers, regardless of the presence of cancer?

Accepted Answer

Carcinoembryonic antigen (CEA) is known to be elevated in smokers, regardless of the presence of cancer. The other antigens listed may be elevated in certain types of cancer but are not specifically associated with smoking.

Question 20

The nurse recognizes that which of the following children is at highest risk for esophageal reflux?

Accepted Answer

A 13-month-old who is not eating solid foods is at highest risk for esophageal reflux because the inability or refusal to eat solid foods can indicate underlying issues with swallowing or the esophagus, including gastroesophageal reflux disease (GERD).

Quiz 3: Reviewers

The nurse caring for a patient scheduled for an intravenous pyelogram would assess which of the following laboratory results prior to the procedure?

The nurse is collecting history information from a patient who is scheduled to have an arthroscopy of the right shoulder.Which of the following would require an intervention?

The nurse is caring for a child who is being discharged following a mediastinoscopy.Which of the following statements should be included in the discharge teaching provided to the parents?

A patient's laboratory test results help confirm a diagnosis of rheumatoid arthritis.The nurse understands that which of the following complement findings are associated with this condition?

The nurse is assisting a patient with a history of asthma who is to undergo bronchoscopy.Which of the following actions is expected?

The nurse is caring for an individual scheduled to receive a magnetic resonance angiography (MRA) of the brain.Which of the following findings in the chart should be reported to the radiology department prior to the procedure?

While working with a student nurse who is caring for a patient scheduled for a colonoscopy, which of the following would require an intervention by the nurse?

A nurse administers clonidine to a hypertensive patient and then draws blood.The patient's laboratory test results indicate elevated catecholamines levels.Which diagnosis do these findings most support?

A patient's laboratory test results indicate increased collagen cross-linked N-telopeptide (NTx) in the urine.This finding most likely points to which of the following?

The nurse is providing care for a patient newly diagnosed with Hodgkin's disease who is anticipating a lymphangiography.Which of the following patient statements indicates the need for further teaching?

The nurse is providing care for a patient with a history of chronic obstructive pulmonary disease who is anticipating cardiac surgery.Which of the following diagnostic tests would most likely have been used to help determine surgical clearance?

A middle-aged woman admitted to the hospital for chest pain is frustrated that an echocardiogram is planned and wants to go home after serial enzymes ruled out an acute myocardial infarction.Which of the following responses by the nurse is best?

The nurse is providing care for a patient scheduled for a myocardial perfusion heart scan (thallium scan) .Which of the following instructions would the nurse provide?

A patient is preparing to undergo Coombs' indirect antiglobulin testing (IAT) .Which of the following is the most common indication for this test?

The nurse is caring for a 10-day-old infant with suspected seizure activity who is to undergo an electroencephalogram (EEG) .Which of the following statements to the parent is best?

While working in the emergency room, the nurse admits an individual who fell from a rooftop.Initial assessment reveals the patient is alert and oriented, has a patent airway, and reports, "I can't feel my feet." Which of the following diagnostic tests would the nurse anticipate?

A patient is undergoing computed tomography (CT) scanning of the brain to assess cerebral blood flow.Which of the following is the odorless, colorless, radioactive gas that is used to enhance the CT scan for this purpose?

A patient's laboratory test results indicate a decreased level of the von Willebrand factor.How should the nurse expect this disorder to manifest in the patient's day-to-day life?

A nurse is observing the results of a patient's test for cancer antigens (CAs) .The patient is a smoker.Which of the antigens should the nurse expect to be elevated in this patient compared with the normal range for nonsmokers, regardless of the presence of cancer?

The nurse recognizes that which of the following children is at highest risk for esophageal reflux?