Question 1

The nurse assisting in the care of patients receiving radioactive iodine uptake testing recognizes that which of the following can alter test results by decreasing radionuclide uptake? Select all that apply.

Accepted Answer

A) Calcium channel blockers 
B) Antihistamines 
C) Corticosteroids 
D) Insulins 
E) Penicillins
F)Multivitamins

Question 2

A patient who gave birth 24 hours ago has not been able to breastfeed because her milk has not come in.Which test should the nurse expect the health-care provider to order for this patient to assess this problem?

Accepted Answer

A) Prolactin 
B) Prostate-specific antigen (PS
A)  
C) Pseudocholinesterase 
D) Pyruvate kinase (PK)

Question 3

A mother brings her 13-year-old daughter into the office for her first gynecological examination.The mother tells the nurse that she has heard of a vaccination available for girls her daughter's age that can help prevent cervical cancer.The nurse recommends a vaccine for which of the following?

Accepted Answer

A) Herpes 
B) Human immunodeficiency virus (HIV) 
C) Human papillomavirus (HPV) 
D) Hepatitis B

Question 4

A patient is preparing to undergo lymphangiography.This test is often used to assist in the diagnosis of which of the following?

Accepted Answer

A) Alzheimer's disease 
B) Down syndrome 
C) Klinefelter's disease 
D) Hodgkin's disease

Question 5

A patient with a history of heart attack presents with complaints of chest pain.An electrocardiogram shows abnormal results, but cardiac enzyme levels are normal.The nurse should prepare the patient for which of the following diagnostic tests, which can determine whether the patient has actually experienced a recent heart attack?

Accepted Answer

A) Mediastinoscopy 
B) Myocardial infarct scan 
C) Meckel's diverticulum scan 
D) Chest magnetic resonance imaging (MRI)

Question 6

A patient's liver and spleen scan was negative for any abnormal findings.However, the nurse understands that a false-negative finding would be likely for a tumor, cyst, or abscess smaller than which of the following?

Accepted Answer

A) 2 cm 
B) 4 cm 
C) 6 cm 
D) 8 cm

Question 7

A patient's laboratory test results indicate an increased level of parathyroid hormone (PTH).This finding is consistent with which of the following conditions? Select all that apply.

Accepted Answer

A) Primary hyperparathyroidism 
B) Pseudogout 
C) DiGeorge's syndrome 
D) Zollinger-Ellison syndrome 
E) Sarcoidosis

Question 8

An obese patient is suspected of having venous thrombus in the calf vein.Which imaging test would be most effective in detecting this condition?

Accepted Answer

A) Computed tomography angiography (CT
A)  
B) Magnetic resonance venography (MRV) 
C) Venous ultrasound 
D) Radiography of the lower limb

Question 9

A patient with suspected malnutrition needs to undergo testing to evaluate nutritional status and liver function.Which test would be most appropriate for this purpose?

Accepted Answer

A) Prealbumin 
B) Potassium, urine 
C) Procalcitonin 
D) Progesterone

Question 10

Because of this trace mineral's ability to decrease uptake of the radionuclide used in a parathyroid scan and thus interfere with the test's results, the nurse should advise the patient to avoid foods containing which of the following before the scan?

Accepted Answer

A) Iron 
B) Iodine 
C) Copper 
D) Zinc

Question 11

A patient's laboratory test results indicate a decreased luteinizing hormone (LH)level.The nurse understands that this finding is consistent with which of the following conditions? Select all that apply.

Accepted Answer

A) Anorexia nervosa 
B) Gonadal failure 
C) Malnutrition 
D) Menopause 
E) Severe stress

Question 12

A patient's laboratory test results indicate an increased urine magnesium level.Which of the following are associated with this finding? Select all that apply.

Accepted Answer

A) Crohn's disease 
B) Bartter's syndrome 
C) Corticosteroids 
D) Diuretics 
E) Inappropriate secretion of antidiuretic hormone

Question 13

A nurse is providing nutritional and exercise teaching to a patient at risk for coronary artery disease.The patient demonstrates elevated low-density lipoprotein (LDL)cholesterol levels, blood pressure of 145/92 mm Hg, a body mass index (BMI)of 31, and normal triglycerides.Based on these findings, which of the following should the nurse recommend? Select all that apply.

Accepted Answer

A) Increase sodium intake. 
B) Achieve a normal weight. 
C) Engage in moderate aerobic activity three to four times per week. 
D) Adhere to a heart-healthy diet. 
E) Eliminate alcohol.

Question 14

A patient who suffered extensive third-degree burns needs to undergo testing to evaluate nutritional status related to this condition.Which test would be most appropriate for this purpose?

Accepted Answer

A) Protein C, blood 
B) Protein S, blood 
C) Total protein, urine 
D) Total protein, blood

Question 15

The nurse caring for a patient who had arthroscopy of the left knee would include which of the following in the patient discharge teaching? Select all that apply.

Accepted Answer

A) "It will help to elevate the left leg when you are sitting." 
B) "Place ice on the area for 20 minutes at a time to reduce swelling." 
C) "You can resume regular activity once you get home." 
D) "Soak the knee in warm water three times a day for the next 24 hours." 
E) "You can take Tylenol to ease any discomfort from the test."
F)"The doctor says you may go back to your normal diet and regular medications."

Question 16

The nurse caring for a patient who underwent a cardiac catheterization recognizes that teaching has been effective if the patient chooses which of the following menu items? Select all that apply.

Accepted Answer

A) Carrot and celery sticks 
B) Au gratin potatoes 
C) Skim milk 
D) Cream of mushroom soup 
E) Steamed cauliflower
F)Bratwurst

Question 17

A nurse is assessing a patient who will be undergoing pelvic magnetic resonance imaging (MRI)with a gadolinium-based contrast agent (GBCA).Given the use of this contrast medium, the nurse should ensure that results of which of the following tests are obtained before the patient undergoes this procedure? Select all that apply.

Accepted Answer

A) Blood urea nitrogen (BUN) 
B) Triglycerides 
C) Estimated glomerular filtration rate (eGFR) 
D) Creatinine 
E) Iron

Question 18

A nurse is reviewing the laboratory results of a female patient's luteinizing hormone (LH)test.In interpreting the results of this test, the nurse should keep in mind that LH level varies in accordance with the menstrual cycle and menopausal status of a woman, with the highest levels occurring during which of the following phases?

Accepted Answer

A) Follicular 
B) Ovulatory 
C) Luteal 
D) Postmenopausal

Question 19

A child is brought to the emergency room after having ingested chips of paint that flaked off the wall of a 50-year-old apartment building.The child's mother is concerned that the child may be poisoned.Which test should the nurse most suspect will be ordered for this patient?

Accepted Answer

A) Lead 
B) Radon 
C) Mercury 
D) Arsenic

Question 20

An infant has a blood test for hexosaminidase A and B.The blood test reveals an absence of hexosaminidase A, resulting in a diagnosis of Tay-Sachs disease.Which familial backgrounds are most often associated with Tay-Sachs disease? Select all that apply.

Accepted Answer

A) Alaskan 
B) Ashkenazi Jews 
C) French-Canadian 
D) Cajun 
E) German
F)Irish
G)Italian

Exam 5: System Tables