Question 1

A patient is started on levothyroxine (Synthroid)50 mcg daily.Which laboratory result should a nurse identify as an indication that this treatment is effective?

Accepted Answer

A) Free triiodothyronine (T3)decreases. 
B) Free thyroxine (FT4)decreases. 
C) Thyroid-stimulating hormone (TSH)level decreases. 
D) Total thyroxine (T4)decreases.

Question 2

A nurse is assisting with electroencephalography (EEG)on a patient and observes results on the tracings that are not consistent with other findings.Which of the following are factors that might have impaired the results of this procedure? Select all that apply.

Accepted Answer

A) Recent consumption of coffee 
B) Dirty, oily hair 
C) Arrhythmias 
D) Obesity 
E) Recent smoking

Question 3

Before performing a hearing test on a newborn, the nurse compresses the tragus of the ear and finds that it has a tendency to close easily.Which intervention should the nurse take next?

Accepted Answer

A) Perform otoscopy examination to ensure that the external ear canal is free from any obstruction. 
B) Place a small, stiff plastic tube into the anterior canal. 
C) Star the test by providing a trial tone of 15 to 20 dB above the expected threshold. 
D) Insert the little finger into the anterior canal to check for obstruction.

Question 4

A young woman who has just been diagnosed with a urinary tract infection was given a prescription for Cipro (ciprofloxacin)and Pyridium (phenazopyridine hydrochloride).The woman states, "It just hurts so badly and I feel like I have to go all the time." Which of the following responses by the nurse is best?

Accepted Answer

A) "Once you take the first antibiotic, your pain will start to go away." 
B) "I had a urinary tract infection once, too, so I know what you mean; that pain is awful." 
C) "Try to limit how much fluid you drink so the antibiotic can stay in your bladder and help fight the bacteria." 
D) "The Pyridium will help with the symptoms and drinking plenty of fluids will help, too."

Question 5

The laboratory test results of a patient in her 16th week of pregnancy indicate an increased level of $\alpha$1-fetoprotein (AFP).This finding is consistent with which of the following conditions in the fetus? Select all that apply.

Accepted Answer

A) Demise 
B) Abdominal wall defect 
C) Distress 
D) Down syndrome 
E) Neural tube defect

Question 6

The nurse is caring for a patient with prostate cancer with rising PSA values.Which of the following test results, if noted in the chart, would support the suspicion of bony metastasis?

Accepted Answer

A) Albumin = 3.5 g/dL 
B) Antinuclear antibodies present 
C) Osteocalcin = 48 ng/mL 
D) Erythropoietin = 22 units/mL

Question 7

A nurse is discussing with a patient the American Cancer Society's recommendations regarding prostate-specific antigen (PSA)screening.At which age should a man with average risk for prostate cancer consider beginning this screening?

Accepted Answer

A) Age 40 years 
B) Age 45 years 
C) Age 50 years 
D) Age 55 years

Question 8

A nurse is giving pre-test instructions to a mother whose newborn will be undergoing an upper gastrointestinal and small bowel series.The nurse should tell the mother to refrain from feeding the child for how many hours before the procedure?

Accepted Answer

A) 1 hour 
B) 2 to 3 hours 
C) 3 to 4 hours 
D) 4 to 5 hours

Question 9

A patient is suspected of having an atrial tumor.Which of the following diagnostic procedures would be most appropriate for detecting this condition, if present?

Accepted Answer

A) Electrocardiogram 
B) Echocardiography 
C) Electroencephalography 
D) Electromyography

Question 10

The nurse is caring for a patient newly diagnosed with diabetes.Which of the following patient statements indicates that further teaching is necessary?

Accepted Answer

A) "I imagine that if I just give up eating ice cream every night this will get better." 
B) "I'm hoping by changing my diet and losing some weight I can reduce my need for medications." 
C) "I've been watching the video the dietician gave me, and it is really helpful." 
D) "Diabetes runs in my family, and I used to give my grandmother her insulin shots."

Question 11

The nurse is providing instructions for a woman who is 35 weeks pregnant undergoing treatment for pre-eclampsia.The health-care provider has ordered a urine protein for follow-up.Which of the following instructions is best?

Accepted Answer

A) "You will need to void now and then collect all of your urine for the next 24 hours." 
B) "Here is a sterile specimen cup.Make sure to clean yourself three times with the wipes provided, and do not allow anything to touch the inside of the container." 
C) "You may collect urine into this specimen cup after cleaning yourself; there is no need to keep it sterile." 
D) "You will need to drink a special solution and then wait 2 hours prior to providing a urine sample."

Question 12

A patient's laboratory test results indicate acute rubella infection, with the presence of immunoglobulin M (IgM)antibodies.The patient is currently asymptomatic.The nurse should tell the patient to expect which of the following symptoms?

Accepted Answer

A) A pink, macular rash and fever 
B) Nausea, vomiting, and diarrhea 
C) Red papules and headache 
D) Dizziness and abdominal cramping

Question 13

A nurse seeking employment at a local hospital is sent to employee health, where varicella antibody titers are drawn.The nurse recognizes the purpose of this test is:

Accepted Answer

A) To verify that the nurse will not infect patients during care provision 
B) To determine the nurse's immunity and susceptibility 
C) To test for current bacterial infection 
D) To determine if the nurse is immunocompromised

Question 14

A nurse observes mucous in a patient's stool specimen.Which of the following is the most likely cause of this finding?

Accepted Answer

A) Malignancy 
B) Inflammation of the intestinal walls 
C) Malabsorption 
D) Obstruction

Question 15

A patient is undergoing pelvic floor sphincter electromyography.Which of the following is an abnormal finding during this test?

Accepted Answer

A) Increased electromyographic signals during filling of the urinary bladder 
B) Increased electromyographic signals at the conclusion of voiding 
C) Absence of electromyographic signals during voiding 
D) Incontinence before voiding

Question 16

A nurse is assisting with a pelvic ultrasound procedure.Which of the following findings should the nurse regard as critical and report immediately to the requesting provider? Select all that apply.

Accepted Answer

A) Ovarian cyst 
B) Abscess 
C) Adnexal torsion 
D) Fibroids 
E) Appendicitis

Question 17

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

Accepted Answer

A) Primary hypogonadism 
B) Anorexia nervosa 
C) Pregnancy 
D) Klinefelter's syndrome 
E) Menopause

Question 18

A patient's laboratory test results indicate an increased level of serum ferritin.The health-care provider, however, suspects that this result may be a false positive.Which of the following patient medications could result in a false-positive finding? Select all that apply.

Accepted Answer

A) Iron 
B) Ethanol 
C) Erythropoietin 
D) Methimazole 
E) Oral contraceptive

Question 19

A patient being evaluated for abdominal pain has a magnesium level of 1.4 mg/dL.Which of the following assessments can best determine the significance of this result?

Accepted Answer

A) "Do you take oral contraceptives?" 
B) "Are you using Tylenol frequently?" 
C) "Do you use marijuana?" 
D) "Do you have a history of mental illness?"

Question 20

Based on the laboratory excerpt below, which of the following conclusions would be made by the nurse?

Accepted Answer

A) The individual has lifelong protection against mumps. 
B) The individual needs a booster vaccine to ensure immunity to mumps. 
C) The individual is immunocompromised. 
D) Childhood immunizations were not effective against mumps.

Exam 4: Monographs

A patient is started on levothyroxine (Synthroid) 50 mcg daily.Which laboratory result should a nurse identify as an indication that this treatment is effective?

A nurse is assisting with electroencephalography (EEG) on a patient and observes results on the tracings that are not consistent with other findings.Which of the following are factors that might have impaired the results of this procedure? Select all that apply.

Before performing a hearing test on a newborn, the nurse compresses the tragus of the ear and finds that it has a tendency to close easily.Which intervention should the nurse take next?

The laboratory test results of a patient in her 16th week of pregnancy indicate an increased level of $\alpha$ ₁-fetoprotein (AFP) .This finding is consistent with which of the following conditions in the fetus? Select all that apply.

The nurse is caring for a patient with prostate cancer with rising PSA values.Which of the following test results, if noted in the chart, would support the suspicion of bony metastasis?

A nurse is discussing with a patient the American Cancer Society's recommendations regarding prostate-specific antigen (PSA) screening.At which age should a man with average risk for prostate cancer consider beginning this screening?

A nurse is giving pre-test instructions to a mother whose newborn will be undergoing an upper gastrointestinal and small bowel series.The nurse should tell the mother to refrain from feeding the child for how many hours before the procedure?

A patient is suspected of having an atrial tumor.Which of the following diagnostic procedures would be most appropriate for detecting this condition, if present?

The nurse is caring for a patient newly diagnosed with diabetes.Which of the following patient statements indicates that further teaching is necessary?

The nurse is providing instructions for a woman who is 35 weeks pregnant undergoing treatment for pre-eclampsia.The health-care provider has ordered a urine protein for follow-up.Which of the following instructions is best?

A patient's laboratory test results indicate acute rubella infection, with the presence of immunoglobulin M (IgM) antibodies.The patient is currently asymptomatic.The nurse should tell the patient to expect which of the following symptoms?

A nurse seeking employment at a local hospital is sent to employee health, where varicella antibody titers are drawn.The nurse recognizes the purpose of this test is:

A nurse observes mucous in a patient's stool specimen.Which of the following is the most likely cause of this finding?

A patient is undergoing pelvic floor sphincter electromyography.Which of the following is an abnormal finding during this test?

A nurse is assisting with a pelvic ultrasound procedure.Which of the following findings should the nurse regard as critical and report immediately to the requesting provider? Select all that apply.

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

A patient's laboratory test results indicate an increased level of serum ferritin.The health-care provider, however, suspects that this result may be a false positive.Which of the following patient medications could result in a false-positive finding? Select all that apply.

A patient being evaluated for abdominal pain has a magnesium level of 1.4 mg/dL.Which of the following assessments can best determine the significance of this result?

Based on the laboratory excerpt below, which of the following conclusions would be made by the nurse?

Exam 4: Monographs

A patient is started on levothyroxine (Synthroid) 50 mcg daily.Which laboratory result should a nurse identify as an indication that this treatment is effective?

A nurse is assisting with electroencephalography (EEG) on a patient and observes results on the tracings that are not consistent with other findings.Which of the following are factors that might have impaired the results of this procedure? Select all that apply.

Before performing a hearing test on a newborn, the nurse compresses the tragus of the ear and finds that it has a tendency to close easily.Which intervention should the nurse take next?

The laboratory test results of a patient in her 16th week of pregnancy indicate an increased level of α\alphaα 1-fetoprotein (AFP) .This finding is consistent with which of the following conditions in the fetus? Select all that apply.

The nurse is caring for a patient with prostate cancer with rising PSA values.Which of the following test results, if noted in the chart, would support the suspicion of bony metastasis?

A nurse is discussing with a patient the American Cancer Society's recommendations regarding prostate-specific antigen (PSA) screening.At which age should a man with average risk for prostate cancer consider beginning this screening?

A nurse is giving pre-test instructions to a mother whose newborn will be undergoing an upper gastrointestinal and small bowel series.The nurse should tell the mother to refrain from feeding the child for how many hours before the procedure?

A patient is suspected of having an atrial tumor.Which of the following diagnostic procedures would be most appropriate for detecting this condition, if present?

The nurse is caring for a patient newly diagnosed with diabetes.Which of the following patient statements indicates that further teaching is necessary?

The nurse is providing instructions for a woman who is 35 weeks pregnant undergoing treatment for pre-eclampsia.The health-care provider has ordered a urine protein for follow-up.Which of the following instructions is best?

A patient's laboratory test results indicate acute rubella infection, with the presence of immunoglobulin M (IgM) antibodies.The patient is currently asymptomatic.The nurse should tell the patient to expect which of the following symptoms?

A nurse seeking employment at a local hospital is sent to employee health, where varicella antibody titers are drawn.The nurse recognizes the purpose of this test is:

A nurse observes mucous in a patient's stool specimen.Which of the following is the most likely cause of this finding?

A patient is undergoing pelvic floor sphincter electromyography.Which of the following is an abnormal finding during this test?

A nurse is assisting with a pelvic ultrasound procedure.Which of the following findings should the nurse regard as critical and report immediately to the requesting provider? Select all that apply.

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

A patient's laboratory test results indicate an increased level of serum ferritin.The health-care provider, however, suspects that this result may be a false positive.Which of the following patient medications could result in a false-positive finding? Select all that apply.

A patient being evaluated for abdominal pain has a magnesium level of 1.4 mg/dL.Which of the following assessments can best determine the significance of this result?

Based on the laboratory excerpt below, which of the following conclusions would be made by the nurse?

The laboratory test results of a patient in her 16th week of pregnancy indicate an increased level of $\alpha$ ₁-fetoprotein (AFP) .This finding is consistent with which of the following conditions in the fetus? Select all that apply.