Deck 9: Diagnostic Procedures

Question 1

The nurse admits the patient to rule out leukemia and prepares him for definitive diagnostic testing.Which is the best question to ask the patient before the procedure?

A) "Do you ever feel claustrophobic?"
B) "Are you allergic to iodine or shellfish?"
C) "Have you ever had an electrocardiogram?"
D) "Can you lie on your stomach for 20 to 30 minutes?"

Answer 1

"Can you lie on your stomach for 20 to 30 minutes?"

Question 2

The nurse is explaining the procedure for a paracentesis.Which intervention by the nurse can help prevent a complication of the procedure?

A) Have the patient hold the breath for a few seconds.
B) Ensure that the patient voids before the procedure.
C) Place the patient in a supine position.
D) Check vital signs every 2 hours after the procedure.

Answer 2

Ensure that the patient voids before the procedure.

Question 3

The nurse is preparing a tired older patient for a thoracentesis.Which ability should the nurse assess for when determining if the patient can tolerate the procedure safely?

A) Cough only when requested.
B) Swallow and clear the throat.
C) Remain sitting but motionless.
D) Inhale during needle insertion.

Answer 3

Remain sitting but motionless.

Question 4

The nurse is caring for a patient who had a lumbar puncture (LP)1 hour ago.The patient is drowsy and his pupils are dilated.After notifying the healthcare provider,what should the nurse do?

A) Maintain airway and monitor vital signs.
B) Reduce total fluid intake.
C) Lie the patient flat.
D) Maintain pressure on the LP site.

Question 5

The nurse is caring for the patient immediately after an angiogram has been finished.Which action does the nurse take to prevent a complication of this procedure?

A) Limit the patient's total fluid intake.
B) Encourage early patient ambulation.
C) Elevate the head of the bed 30 degrees.
D) Apply constant pressure to the insertion site.

Question 6

A contrast medium study is being scheduled.Which statement by the patient during the assessment warrants further investigation by the nurse?

A) "I'm allergic to shellfish."
B) "I have small veins in my left arm."
C) "I'm really worried about the test results."
D) "I need to urinate in the middle of the night."

Question 7

The patient arrives in the postanesthesia care unit after a cardiac catheterization via the left femoral artery to assess the right atrium.Which patient datum is the nurse's priority to assess perfusion of the affected extremity after the procedure?

A) Checking the left femoral region for bleeding
B) Monitoring patient vital signs every 15 minutes
C) Applying direct pressure at the patient's intravenous (IV) site
D) Palpating the right pedal pulse for pulsations

Question 8

The patient asks the nurse why an x-ray film with contrast medium is needed.How should the nurse respond?

A) "Most patients ask me that question."
B) "It enhances visualization of the internal structures."
C) "It guarantees total accuracy of the x-ray film interpretation."
D) "Let me have you speak to the radiologist."

Question 9

An older patient with renal insufficiency has been NPO for 8 hours before a bronchoscopy.When the patient returns from the test,which patient datum is the nurse's priority assessment?

A) Hydration status
B) Level of orientation
C) Skin integrity status
D) A reaction to contrast medium used

Question 10

A patient develops low back pain radiating to both sides of the body after a femoral approach has been used for a cardiac catheterization.What should the nurse do while contacting the healthcare provider?

A) Ambulate the patient to see if the pain diminishes.
B) Monitor the vital signs every 5 minutes.
C) Encourage oral intake of fluids as desired by the patient.
D) Sit the patient in a high-Fowler's position.

Question 11

The nurse is preparing to position a patient for a gastroscopy.Which action should the nurse implement before getting the patient into position?

A) Remove the patient's dentures.
B) Suction the oral cavity.
C) Provide a sip of clear fluid.
D) Position the patient upright in bed.

Question 12

The patient arrives in the intensive care unit after a bronchoscopy.Which patient assessment is the nurse's priority?

A) Status of the gag reflex
B) Level of sedation
C) Circulatory status
D) Respiratory status

Question 13

A patient is having a contrast medium study and has several allergies.During the injection of the dye,the patient complains of having a brief,severe hot flash and slight chest pain.What nursing action is most indicated?

A) Ask the patient how he or she is feeling since the dye was injected.
B) Tell the patient that many patients feel the same way.
C) Assess the patient's vital signs while reassuring him or her.
D) Explain to the patient that this is a normal sensation for this test.

Question 14

The nurse is teaching an older patient before a bronchoscopy.What information is the most important for the patient to know to prevent a possible postprocedure complication?

A) Deep breathe during the insertion of the bronchoscope for easy passage of the scope.
B) Do not eat or drink anything after the procedure until the nurse says it is safe to drink.
C) Turn on your right side while the bronchoscope is passed through the nose and throat.
D) Avoid food and fluids for at least 3 hours before the procedure.

Question 15

A patient has had increasing respiratory difficulty as a result of abdominal cancer.Which information does the nurse provide to the patient about the purpose of having a paracentesis?

A) It will relieve pressure and some of the discomfort in your abdomen.
B) It will allow for analysis of the thoracic fluid for cytology.
C) Fluid from the lung will be examined.
D) The examination will allow for extraction of a sample of bone marrow.

Question 16

A patient is being monitored in the left femoral artery 2 hours after an angiogram.What assessment by the nurse is of greatest priority?

A) The patient is a little sleepy and can't remember the procedure.
B) The left pedal and posterior tibial pulses are palpable.
C) The patient hasn't voided yet.
D) Both of the patient's feet are cool and pink.

Question 17

The patient is being monitored by the nurse during a gastroscopy.Which patient data need to be communicated to the healthcare provider doing the procedure?

A) The patient has been placed in the left lateral position.
B) An anterior gastric erosion ulcer is present.
C) The blood pressure has dropped 30 mm Hg.
D) The patient is lethargic but can follow directions.

Question 18

The nurse cares for a patient who had an angiogram of the aorta with a contrast medium approximately 4 hours ago.Which is the priority patient assessment for the nurse to monitor for early detection of an allergic reaction to the dye?

A) Pallor
B) Pruritus
C) Tachycardia
D) Cool skin

Question 19

The nurse prepares a patient for a pulmonary angiogram.What information should the nurse include in patient teaching to prevent a postprocedure hemorrhage?

A) The chemicals in the dye injection help prevent hemorrhage.
B) The patient will be sleepy; so movement will be minimal.
C) The patient's affected leg will be immobilized after the procedure.
D) Postprocedure analgesia will manage patient discomfort.

Question 20

The nurse provides patient teaching before a lumbar puncture.Which information does the nurse include about patient activity during the procedure?

A) "We'll want to know if you are hurting."
B) "I'll place you in a semi-Fowler's position."
C) "It is essential to remain still during the procedure."
D) "We'll restrict your fluids after the test is done."

Question 21

An hour after a patient has a thoracentesis,the patient's oxygen saturation is 88,and respiratory rate is 34.What actions by the nurse are priorities?

A) Raise the head of the bed and call the nursing supervisor.
B) Give oxygen to the patient and notify the physician.
C) Look at the chest excursion and notify respiratory therapy.
D) Open a chest tube insertion kit and notify the patient's family.

Question 22

A patient is recovering after receiving sedation for a contrast medium study and has a score of 1 using the Modified Ramsay Sedation Scale.What action by the nurse is most appropriate at this time?

A) Document these normal findings.
B) Prepare to increase the oxygen flow.
C) Administer a drug-reversal agent.
D) Listen to the breath sounds.

Question 23

The nurse is caring for a patient post cardiac catheterization who experiences a vasovagal response when his sheaths are removed and pressure is applied.Which of the following symptoms is the patient likely to experience? (Select all that apply.)

A) Feeling faint
B) Light-headed
C) Flushing
D) Dizzy
E) Itching

Question 24

A patient is going to have a cardiac procedure that requires moderate sedation.The nurse is explaining to the patient what is included in the pre-sedation assessment.Which statement(s)indicates the nurse has a good understanding? (Select all that apply.)

A) "Have you arranged for someone to drive you home after the procedure?"
B) "How frequently do you drink alcohol?"
C) "Have you had any problems with anesthesia before?"
D) "Do you have any drug allergies?"
E) "Do you currently use any drugs? How frequently have you used drugs in the past?"
F) "Is there a family history of drug use or abuse?"

Question 25

The nurse is caring for a patient who received opioids for sedation during his procedure.After the procedure the patient experiences oversedation that required the administration of a reversal agent.Which agent would the nurse administer?

A) flumazenil
B) naloxone
C) Benadryl
D) epinephrine

Question 26

You are describing the "time-out" verification procedure to a nursing orientee.Which statement by the orientee indicates a good level of understanding? (Select all that apply.)

A) The time-out is done at the start of every invasive procedure.
B) The time-out prevents wrong site errors.
C) The time-out prevents wrong patient errors.
D) The time-out is done by the surgeon.
E) The time-out is required by The Joint Commission (TJC).

Question 27

A patient asks the nurse why being NPO for 6 to 8 hours before a contrast study is necessary.Which response by the nurse is most accurate?

A) "Decreasing the hydration status decreases the chance of an allergic response to the contrast medium."
B) "Excessive hydration causes dilution of the contrast medium, which does not permit as clear a picture of the area as needed."
C) "It reduces the chance of postprocedure infection."
D) "Nausea is prevented if the stomach is empty."