Question 1

A patient's laboratory results indicate an elevated estradiol level.Which of the following conditions are associated with this finding? Select all that apply.

Accepted Answer

A) Adrenal tumor 
B) Estrogen-producing tumor 
C) Ovarian failure 
D) Gynecomastia 
E) Turner's syndrome

Question 2

A patient's laboratory test results indicate an increased level of blood uric acid.The health-care provider has recommended a diet low in oxalic acid.Which of the following foods-high in oxalic acid-should the nurse advise the patient to avoid? Select all that apply.

Accepted Answer

A) Whole milk 
B) Blackberries 
C) Spinach 
D) Broccoli 
E) Whole-wheat bread

Question 3

The nurse is caring for a patient with syndrome of inappropriate antidiuretic hormone (SIADH).Which of the following levels would indicate that the patient has responded well to treatment?

Accepted Answer

A) Glucose 
B) Hemoglobin 
C) Total protein 
D) Urine osmolality

Question 4

A patient's laboratory test results indicate the presence of immunoglobulin M (IgM)rubeola antibodies.The nurse should inform the patient that which of the following symptoms will appear initially? Select all that apply.

Accepted Answer

A) Koplik's spots 
B) Conjunctivitis 
C) Papular eruptions 
D) Cough 
E) Fever

Question 5

A nurse is assisting with transabdominal endoscopic fetoscopy for a patient in her 18th week of pregnancy.However, the health-care provider cannot acquire a clear image of the fetus.Which of the following are factors that are likely to impair clear imaging in this situation? Select all that apply.

Accepted Answer

A) Activity of the fetus 
B) Amniotic fluid that is extremely cloudy 
C) Gas or feces in the maternal gastrointestinal tract 
D) Maternal obesity 
E) Metallic objects within the examination field

Question 6

The nurse is working in a gynecologist's office caring for a woman who is undergoing progesterone testing in an effort to become pregnant.Which of the following statements by the nurse is most therapeutic?

Accepted Answer

A) "This must be very stressful for you.Do you have a good support system?" 
B) "Things generally work out in the end, so don't dwell on it." 
C) "I know how you feel.I had a hard time getting pregnant, too." 
D) "You know, motherhood isn't everything it's cracked up to be."

Question 7

A patient is preparing to undergo transvaginal, nonobstetric ultrasound of the pelvis.The nurse knows that this approach is significantly more accurate compared to anterior transabdominal images in identifying which of the following? Select all that apply.

Accepted Answer

A) Bleeding into the pelvis 
B) Paracervical tumors 
C) Peritonitis caused by a ruptured appendix 
D) Endometrial pathologies 
E) Ovarian cysts

Question 8

The nurse is providing community education within a Jewish community.Which of the following laboratory tests would the nurse instruct individuals to use to screen for carrier status of Tay-Sachs disease?

Accepted Answer

A) Hexosaminidase A 
B) Helicobacter pylori antibody titer 
C) Hepatitis C antibody titer 
D) Homocysteine

Question 9

A patient has trouble swallowing and is suspected of having scleroderma.Which test would be most appropriate for confirming this diagnosis?

Accepted Answer

A) Sinus endoscopy 
B) Electroneurography 
C) Esophageal manometry 
D) Esophagogastroduodenoscopy

Question 10

A patient's laboratory test results indicate a positive finding for syphilis.Which of the following symptoms should the nurse expect to see in the primary stage of this disease?

Accepted Answer

A) Chancre 
B) Skin rash 
C) Swollen lymph glands 
D) No symptoms

Question 11

A patient has a positive finding on the urea breath test.The nurse understands that finding indicates that the patient has which of the following infections?

Accepted Answer

A) Escherichia coli 
B) Helicobacter pylori 
C) Mycobacterium tuberculosis 
D) Streptococcus pneumoniae

Question 12

The nurse is providing care for a patient with a history of kidney stones.In addition to urine oxalate, which of the following labs would the nurse expect to be requested in the orders?

Accepted Answer

A) Urine protein 
B) Urine calcium 
C) Serum sodium 
D) Serum alkaline phosphatase

Question 13

A student is having a varicella titer performed as part of the medical screening required to provide patient care.The nurse assisting with venipuncture would need to take special precautions if which of the following were noted in the student's history?

Accepted Answer

A) Allergy to latex 
B) Sensitivity to eggs 
C) History of chicken pox 
D) History of mononucleosis

Question 14

A patient is suspected of having dermatitis.Which test would be most appropriate for confirming this diagnosis?

Accepted Answer

A) Free erythrocyte protoporphyrin (FEP) 
B) Erythrocyte sedimentation rate (ESR) 
C) Erythropoietin (EPO) 
D) Eosinophil count

Question 15

A nurse is performing a biophysical profile (BPP)of a fetus with ultrasound.The findings include the following: no movement-associated fetal heart rate (FHR)accelerations of 15 or more beats/minute above baseline in a 20-minute interval; two breathing movements lasting 20 to 60 seconds in a 30-minute interval; one discrete body or limb movement in a 30-minute interval; absent movement in limbs; and no pockets of fluid in the vertical axis.Which score should the nurse assign to the fetus?

Accepted Answer

A) 0 
B) 2 
C) 4 
D) 6

Question 16

A nurse is preparing a patient to undergo radioactive iodine uptake testing.The nurse is aware that this test assesses the function of which of the following glands?

Accepted Answer

A) Adrenal 
B) Thyroid 
C) Pancreas 
D) Thymus

Question 17

A 44-year-old woman is receiving hormonal treatment for stage II breast cancer.Which of the following lab tests would the nurse anticipate would be included in the patient's plan of care?

Accepted Answer

A) CA 19-9 
B) CEA 
C) CA-125 
D) CA 27.29

Question 18

A nurse is assisting with stereotactic biopsy of the breast.Which of the following methods should the nurse anticipate being used to locate the breast abnormality in question and to guide insertion of the large-core needle biopsy?

Accepted Answer

A) Palpation 
B) Angiography 
C) X-ray 
D) Ultrasound

Question 19

A nurse is preparing to administer barium sulfate to a patient as part of an upper gastrointestinal and small bowel series procedure.What should the nurse tell the patient about this intervention?

Accepted Answer

A) The barium will be administered intravenously, and will likely make the patient feel nauseated. 
B) The barium will be administered rectally, as an enema, and might make the patient feel dizzy. 
C) The barium will be administered orally, as a capsule, and should cause no discomfort. 
D) The barium will be administered orally, as a milkshake, and will have a chalky taste.

Question 20

The nurse is reviewing charts in an obstetric office.Which of the following findings would indicate a need for follow-up?

Accepted Answer

A) African American primigravida at 16 weeks gestation, AFP = 59 ng/mL 
B) Thirty-three-year-old white female, 18 weeks gestation, AFP = 52 ng/dL 
C) Nineteen-year-old Hispanic woman with elevated AFP at 18 weeks gestation, repeat test at 19 weeks = 98 ng/dL 
D) Primigravida of Asian descent at 18 weeks gestation, AFP = 60 ng/mL

Exam 4: Monographs