Question 1

The nurse preparing a patient for a magnetic resonance imaging (MRI) should determine if the patient has:

Accepted Answer

A)  respiratory allergies. 
B)  claustrophobia. 
C)  fear of the dark. 
D)  dizziness. 
A)  respiratory allergies. 
B)  claustrophobia. 
C)  fear of the dark. 
D)  dizziness.

Question 2

For the patient who just had a liver biopsy performed, the nurse should position him:

Accepted Answer

A)  prone for 1 hour. 
B)  on his right side-lying for 2 hours. 
C)  supine for 3 hours. 
D)  on his left side-lying for 4 hours. 
A)  prone for 1 hour. 
B)  on his right side-lying for 2 hours. 
C)  supine for 3 hours. 
D)  on his left side-lying for 4 hours.

Question 3

The statement made by a patient that would delay a scheduled CT scan would be:

Accepted Answer

A)  "I have terrible claustrophobia." 
B)  "I have just been started on metformin." 
C)  "I am allergic to penicillin." 
D)  "I have an implanted pacemaker." 
A)  "I have terrible claustrophobia." 
B)  "I have just been started on metformin." 
C)  "I am allergic to penicillin." 
D)  "I have an implanted pacemaker."

Question 4

The nurse evaluates a prothrombin time (PT/INR) for a patient who is taking heparin. The nurse's initial action should be to:

Accepted Answer

A)  document the findings in the chart. 
B)  notify the lab that they have made an error. 
C)  check the physician's order. 
D)  notify the physician of the lab finding. 
A)  document the findings in the chart. 
B)  notify the lab that they have made an error. 
C)  check the physician's order. 
D)  notify the physician of the lab finding.

Question 5

A patient wants to know what was meant when the doctor said that his white blood cell (WBC) count had a shift to the left. The nurse explains that a shift to the left indicates:

Accepted Answer

A)  an improvement in an infectious process. 
B)  the relative effectiveness of the antibiotic therapy. 
C)  an increase in the number of immature WBCs. 
D)  that the infection is viral in nature. 
A)  an improvement in an infectious process. 
B)  the relative effectiveness of the antibiotic therapy. 
C)  an increase in the number of immature WBCs. 
D)  that the infection is viral in nature.

Question 6

A patient has undergone cystoscopy and has a Foley catheter in place on return to the nursing unit. Immediately after the procedure, the nurse expects the urine color to be:

Accepted Answer

A)  clear as water. 
B)  bright red with clots. 
C)  pink tinged. 
D)  cherry colored. 
A)  clear as water. 
B)  bright red with clots. 
C)  pink tinged. 
D)  cherry colored.

Question 7

The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:

Accepted Answer

A)  begin voiding into the specimen cup. 
B)  let a few drops of urine dribble into the specimen cup. 
C)  void until the bladder is almost empty and then collect the end portion of the voiding in the cup. 
D)  pass a small amount of urine into the toilet and then collect the specimen. 
A)  begin voiding into the specimen cup. 
B)  let a few drops of urine dribble into the specimen cup. 
C)  void until the bladder is almost empty and then collect the end portion of the voiding in the cup. 
D)  pass a small amount of urine into the toilet and then collect the specimen.

Question 8

The nurse explains to the patient that the significance of the hematocrit is that it:

Accepted Answer

A)  indicates the number of circulating white blood cells. 
B)  indicates the value of the hemoglobin. 
C)  refers to the separation of blood cells from plasma. 
D)  will decrease when the patient is in shock. 
A)  indicates the number of circulating white blood cells. 
B)  indicates the value of the hemoglobin. 
C)  refers to the separation of blood cells from plasma. 
D)  will decrease when the patient is in shock.

Question 9

A patient will undergo endoscopic retrograde cholangiopancreatography (ERCP) to determine the cause of jaundice. Before the test, the nurse would assess this patient for an allergy to:

Accepted Answer

A)  eggs. 
B)  pork. 
C)  aspirin. 
D)  shellfish. 
A)  eggs. 
B)  pork. 
C)  aspirin. 
D)  shellfish.

Question 10

The nurse instructs an outpatient female patient preparing for an abdominal ultrasonography that prior to the procedure, she should:

Accepted Answer

A)  eat or drink nothing after midnight. 
B)  drink a liter of water. 
C)  empty the bladder fully. 
D)  use enemas at home to clear the bowel fully. 
A)  eat or drink nothing after midnight. 
B)  drink a liter of water. 
C)  empty the bladder fully. 
D)  use enemas at home to clear the bowel fully.

Question 11

A patient in the outpatient clinic has provided a urine sample. To perform a urine dipstick test accurately, the nurse wets the dipstick and starts timing:

Accepted Answer

A)  immediately. 
B)  after 5 seconds. 
C)  after 10 seconds. 
D)  after 30 seconds. 
A)  immediately. 
B)  after 5 seconds. 
C)  after 10 seconds. 
D)  after 30 seconds.

Question 12

A patient who has undergone endoscopy is fully awake and asks the nurse for something to drink. After confirming that liquids are allowed on the physician order sheet, the nurse should:

Accepted Answer

A)  assist the patient to the bathroom to void. 
B)  listen to lung sounds. 
C)  take a blood pressure and pulse. 
D)  check for the return of gag and swallow reflexes. 
A)  assist the patient to the bathroom to void. 
B)  listen to lung sounds. 
C)  take a blood pressure and pulse. 
D)  check for the return of gag and swallow reflexes.

Question 13

The nurse is aware that a patient who is to have a colonoscopy is requested to stop taking drugs that contain iron for ________ prior to the test.

Accepted Answer

3 days
three days
Drugs containing iron

Exam 24: Diagnostic Tests and Specimen Collection

The nurse preparing a patient for a magnetic resonance imaging (MRI) should determine if the patient has:

For the patient who just had a liver biopsy performed, the nurse should position him:

The statement made by a patient that would delay a scheduled CT scan would be:

The nurse evaluates a prothrombin time (PT/INR) for a patient who is taking heparin. The nurse's initial action should be to:

A patient wants to know what was meant when the doctor said that his white blood cell (WBC) count had a shift to the left. The nurse explains that a shift to the left indicates:

A patient has undergone cystoscopy and has a Foley catheter in place on return to the nursing unit. Immediately after the procedure, the nurse expects the urine color to be:

The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:

The nurse explains to the patient that the significance of the hematocrit is that it:

A patient will undergo endoscopic retrograde cholangiopancreatography (ERCP) to determine the cause of jaundice. Before the test, the nurse would assess this patient for an allergy to:

The nurse instructs an outpatient female patient preparing for an abdominal ultrasonography that prior to the procedure, she should:

A patient in the outpatient clinic has provided a urine sample. To perform a urine dipstick test accurately, the nurse wets the dipstick and starts timing:

A patient who has undergone endoscopy is fully awake and asks the nurse for something to drink. After confirming that liquids are allowed on the physician order sheet, the nurse should:

The nurse is aware that a patient who is to have a colonoscopy is requested to stop taking drugs that contain iron for ________ prior to the test.

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

Filters