Deck 25: Diagnostic Tests

Question 1

The nurse is preparing a client for diagnostic testing.The nurse informs the client that multiple loud clicks and knocks will be heard during the diagnostic test.Which test will the client receive?

A)Electrocardiogram (ECG)
B)Magnetic resonance imaging test (MRI)
C)Chest x-ray (CXR)
D)Lumbar puncture

Answer 1

Magnetic resonance imaging test (MRI)

Question 2

An LPN/LVN is providing care for a client who recently received a barium enema.Which behavior observed by the RN validates appropriate care by the LPN/LVN?

A)The LPN/LVN maintains the client flat in bed.
B)The LPN/LVN encourages increased fluid intake.
C)The LPN/LVN monitors vital signs every hour.
D)The LPN/LVN measures the client's abdominal girth.

Answer 2

The LPN/LVN encourages increased fluid intake.

Question 3

The nurse reviews a client's laboratory report and notes the total protein values are significantly below normal.Which additional manifestations would the nurse expect to be present?

A)Edema
B)Dry mucous membranes
C)Poor skin turgor
D)Pallor

Answer 3

Edema

Question 4

The nurse is caring for a client immediately following paracentesis.Which post-procedure finding will cause the nurse to be most concerned?

A)The client reports discomfort at the puncture site.
B)The client's current blood pressure is 92/60 mm Hg.
C)The client's oxygen saturation is at 92%.
D)The client's finger-stick blood glucose is 102.

Question 5

A client is scheduled for surgery, and the nurse understands a baseline electrocardiogram (ECG)is necessary.Which instruction to the client by the nurse is accurate?

A)"You are to refrain from eating or drinking for 4 hours before the test."
B)"Electrodes are attached to your chest, arms, and legs to check the heart's electrical impulses."
C)"After a number of wires are attached to your body, you will feel a small jolt of electricity."
D)"You cannot drive for at least 6 hours after the test, so you need to have someone to take you home."

Question 6

During morning rounds, a physician orders an estimated glomerular filtration rate (eGFR)for a client in order to evaluate renal function.Which does the nurse understand the laboratory will require for this testing?

A)The client's complete 24-hour urine collection.
B)The client's most recent creatinine laboratory result.
C)The client's total protein value from admission testing.
D)The client's daily body weight obtained by nursing.

Question 7

A telemetry monitor technician notifies the nurse about the location of a client who has a poor telemetry tracing.Which action should the nurse take?

A)Move the code cart closer to the client's room.
B)Go to the client's room and check the client's status.
C)Instruct the monitor technician to call a code.
D)Review the client's telemetry tracing for quality.

Question 8

The LPN/LVN reviews the laboratory results for a client at a clinic.Which conditions does the LPN/LVN expect the physician to consider if the client has an elevated lymphocyte count?

A)A bacterial infection or poor immune system
B)A viral infection or an allergy condition
C)A parasite infestation or an allergic reaction
D)A bleeding disorder or severe anemia

Question 9

The LPN/LVN is providing care for a client with a low hemoglobin level.Which nursing intervention, based on this laboratory result, will the LPN/LVN expect the RN to include in the plan of care?

A)Inspect for alterations in skin integrity.
B)Monitor for signs indicating infection.
C)Recognize signs of altered tissue perfusion.
D)Evaluate dietary intake for poor nutrition.

Question 10

The nurse is caring for a client diagnosed with bacterial meningitis.Which laboratory result indicates to the nurse that the client has a left shift in the differential?

A)The banded neutrophil count is higher than normal.
B)The eosinophil count is higher than normal.
C)The lymphocyte count is higher than normal.
D)The monocyte count is higher than normal.

Question 11

The nurse is preparing a client who is scheduled for a sternal bone marrow aspiration.Which pre-procedure information from the client will cause the nurse greatest concern?

A)The client reports taking acetylsalicylic acid for a headache.
B)The client admits to the nurse feeling fearful about pain.
C)The client asks the nurse to review the steps of the procedure.
D)The client states concern about lying supine for an extended period.

Question 12

The nurse is caring for a client who states, "The doctor said I have leucopenia.What does that mean?" How should the nurse answer this client?

A)"That means your white blood cell count is higher than normal."
B)"You have a lot of white blood cells that are very immature, so your risk for infection is high."
C)"It means your body is creating new white blood cells to fight infection."
D)"Your risk for infection is higher than normal, because your body doesn't have many white blood cells."

Question 13

The nurse is caring for a client with hepatitis.Which objective manifestation will the nurse expect if the client's bilirubin level is elevated?

A)The client's skin will exhibit an orange tint.
B)The client will complain of intense itching.
C)The client will exhibit increased appetite.
D)The client will complain of nausea.

Question 14

A client is admitted with possible kidney stones.Which test does the nurse expect will be used to evaluate renal structure, function, and detection of an obstruction?

A)Arteriography
B)Intravenous pyelogram
C)Thoracentesis
D)Lumbar puncture

Question 15

A client will be wearing a Holter monitor for cardiac evaluation.The nurse provides instructions for the client.Which statement by the client indicates to the nurse that additional teaching is necessary?

A)"I should press this button if I feel any chest pain or pressure."
B)"I can remove the monitor and electrodes when I take a shower."
C)"I will make notes about the activities I'm doing while I wear the monitor."
D)"I'll wear this for 2 days, so it can capture anything that may be going on."

Question 16

The LPN/LVN is assisting the RN in providing care for a client returning from a femoral arteriogram.Which nursing action would be included when updating the client's plan of care?

A)Auscultate breath sounds after the client coughs and deep breathes.
B)Apply sequential compression devices on bilateral lower extremities.
C)Place the client on bedrest for at least 6 hours with the involved leg straight.
D)Keep the client on a clear liquid diet after checking for presence of a gag reflex.

Question 17

The nurse is assessing a newly admitted client.The client is short of breath, fatigued, lethargic, and has rales bilaterally.Physician orders include oxygen, low-sodium diet, daily weights, and a B-type natriuretic peptide (BNP)test.Which diagnosis does the nurse suspect?

A)Bilateral pneumonia
B)Congestive heart failure
C)Chronic obstructive lung disease
D)Fluid overload related to polydipsia

Question 18

The nurse is providing care for a client scheduled for an electroencephalography the following day.Which action by the nurse is most important prior to this test?

A)Assess the client for signs of anxiety and medicate if necessary.
B)Determine whether the client has an allergy to shellfish, iodine, or medications.
C)Identify over-the-counter and prescription medications the client is taking.
D)Confirm the client's hair was washed and no sprays or products were reapplied.

Question 19

The LPN/LVN is assisting the RN in preparing a client for a computed tomography (CT)scan with dye.Which action would the LPN/LVN expect to be the most important?

A)Determine whether the client can lie still for a period of 60 to 90 minutes.
B)Assess the client for allergies to iodine, shellfish, or contrast mediums.
C)Ascertain if the client has any internal ferrous metal implants or piercings.
D)Inquire if the client has had any issues with claustrophobia in the past.

Question 20

The nurse is monitoring a client after an esophagogastroduodenoscopy.Which observation would cause the nurse the greatest concern?

A)The client's initial respiratory rate is 22 breaths/minute while resting.
B)The client reports shoulder pain that increases with torso movement.
C)The client requests an antacid for indigestion after eating lunch.
D)The nurse discovers the client eating lunch 1 hour after testing.

Question 21

The LPN/LVN informs the RN that a client is exhibiting an absence of cardiac waveforms on the telemetry monitoring screen.Before calling a code, the LPN/LVN expects the RN will assess for which situations? Select all that apply.

A)An electrode is not adhering to the client's chest wall.
B)The battery pack in the telemetry unit is running low.
C)No connection between an electrode wire and the battery pack.
D)The client has reconnected the telemetry unit after a shower.
E)The unlicensed assistive personnel (UAP)turned the unit off.

Question 22

A client has a family history of vascular disorders and expresses concern about personal health maintenance.The physician orders angiography as a screening measure.The nurse is aware that which conditions can be diagnosed by means of the prescribed test? Select all that apply.

A)Aneurysms
B)Deep vein thrombosis
C)Esophageal stricture
D)Abdominal aortic aneurysm
E)Carotid blockage

Question 23

A health-care provider orders an electrolyte panel for a client.Which results will the nurse expect to be available in the laboratory results? Select all that apply.

A)Magnesium
B)Protein
C)Phosphate
D)Uric acid
E)Potassium

Question 24

A client is admitted with recent alterations in physical and cognitive functions.The physician orders multiple tests to rule out the suspicion of a brain tumor.Which diagnostic procedures will the nurse expect that are specific to the suspected diagnosis? Select all that apply.

A)Magnetic resonance imaging (MRI)
B)An electroencephalogram (EEG)
C)A lumbar puncture
D)A glucose tolerance test
E)A complete blood count

Question 25

The LPN/LVN is assisting the RN, who is managing the process of a glucose tolerance test ordered for a client.Which interventions does the LPN/LVN know are included as part of the testing? Select all that apply.

A)Blood samples are collected at specific intervals during the test.
B)The client's last meal was ordered to be carbohydrate loaded.
C)The client ingests concentrated glucose syrup to begin the test.
D)A single urine sample is collected from the client at onset of the test.
E)The client remains NPO except for water during the test.