Question 1

A patient with an ileal conduit requires a urine specimen for culture.Which procedure should a nurse use to collect this specimen?

Accepted Answer

A)  Cleanse the opening of the urinary pouch with alcohol and then transfer the urine from the pouch into a sterile specimen cup.
B)  Collect urine by removing the pouch and performing a sterile catheterization through the stoma.
C)  Place the patient in a side-lying position, remove the pouch, cleanse the area around the stoma with povidone-iodine, and collect the urine in a sterile specimen cup.
D)  Remove the pouch and replace with a sterile device; once urine has accumulated, remove pouch with urine and send to the lab. B

Question 2

A nurse is providing post-test instructions to an older patient who has just undergone a barium swallow.Which of the following directions should the nurse give this patient? Select all that apply.

Accepted Answer

A)  Stools will be black for 2 or 3 days.
B)  Take a mild laxative daily until the stool is back to normal color.
C)  Resume normal diet, as directed by the health-care provider.
D)  Decrease fluid intake.
E)  Drink electrolyte fluids. B,C

Question 3

A patient's laboratory test results indicate a positive finding for Helicobacter pylori antibody.Besides indicating an H.pylori infection, this finding is strongly associated with which of the following conditions? Select all that apply.

Accepted Answer

A)  Cirrhosis
B)  Duodenal ulcer
C)  Gastric cancer
D)  Hemolytic anemia
E)  Pancreatitis B,C

Question 4

Which laboratory result should a nurse interpret as an indication that a patient with respiratory acidosis is responding to treatment?

Accepted Answer

A)  Increased serum HCO3- concentration
B)  Increased heart rate
C)  Increased respiratory rate
D)  Increased serum creatinine

Question 5

A nurse is assisting with a radionuclide bone scan of a patient.The radionuclide has just been administered and initial images have been taken to assess blood flow to the bones.How long of a delay should occur at this point to allow the radionuclide to be taken up by the bones before the complete skeleton is imaged?

Accepted Answer

A)  10 to 15 minutes
B)  30 minutes to 1 hour
C)  2 to 3 hours
D)  4 to 5 hours

Question 6

A nurse is assisting with a thoracentesis to obtain pleural fluid for analysis.Which additional diagnostic test should the nurse anticipate upon .

Accepted Answer

A)  Chest x-ray
B)  Complete blood count (CB
C)  
C)  Blood cultures
D)  Electrocardiogram

Question 7

A patient's arterial blood gases are pH 7.29, HCO3- 24 mEq/L, PO2 74, PCO2 52 mm Hg.A nurse assessing this patient should observe for signs and symptoms of:

Accepted Answer

A)  Metabolic acidosis.
B)  Metabolic alkalosis.
C)  Respiratory acidosis.
D)  Respiratory alkalosis.

Question 8

A patient's breast biopsy results indicate the results below.Which of them are favorable findings, indicating a lower likelihood of breast cancer, or a higher likelihood of a more manageable type of breast cancer? Select all that apply.

Accepted Answer

A)  Abnormal cells or tissues.
B)  Majority diploid cell population.
C)  High S-phase fraction.
D)  Low percentage of Ki67 cells.
E)  High percentage of estrogen and progesterone receptors.

Question 9

A middle-aged patient, with a strong family history of early death from occlusive coronary disease, has computed tomography (CT)for cardiac scoring with a score of 210 reported.Based on this score, which patient teaching should the nurse plan?

Accepted Answer

A)  Lifestyle modifications to manage weight, promote activity, and control blood lipids
B)  Preoperative instructions for cardiac bypass surgery
C)  Preparation for cardiac catheterization and immediate stent placement
D)  Reinforcement of current lifestyle patterns to maintain a healthy cardiac score

Question 10

The mother of a 6-month-old would like to have her child tested for Tay-Sachs disease because of a family history of this inherited disorder.Which test would be most appropriate for this purpose?

Accepted Answer

A)  Homovanillic acid (HV
A)  
B)  5-Hydroxyindoleacetic acid (5-HIA
A)  
C)  Homocysteine and methylmalonic acid
D)  Hexosaminidase A and B

Question 11

Which instruction should a nurse provide to a patient in preparation for a gastric acid stimulation test?

Accepted Answer

A)  "An IV dose of pentagastrin will be administered at the start of the procedure."
B)  "Antacids should be taken at bedtime and in the morning prior to the procedure."
C)  "No food or fluid for at least 12 hours, but chewing gum or mouthwash can be used the morning of the procedure."
D)  "The procedure requires insertion of a nasogastric tube to collect stomach contents."

Question 12

A nurse has orders to obtain urine for urinalysis, but the patient has voided only a small amount.What is the minimal volume of urine that the nurse can send for a routine urinalysis?

Accepted Answer

A)  15 mL
B)  30 mL
C)  50 mL
D)  100 mL

Question 13

A nurse is assisting with venography of the lower extremities.The nurse should tell the patient to expect which of the following sensations during and after injection of the contrast medium? Select all that apply.

Accepted Answer

A)  Burning and flushing
B)  Urge to cough
C)  Dizziness
D)  Salty or metallic taste in the mouth
E)  Urge to urinate

Question 14

A patient has just undergone a bone scan and the results show no bone abnormalities.However, the health-care provider is concerned that the result may be a false negative.Which of the following factors would likely cause a false negative? Select all that apply.

Accepted Answer

A)  Multiple myeloma
B)  Distended bladder
C)  Improper injection of the radionuclide
D)  Thyroid cancer
E)  Metallic objects within the examination field

Question 15

A nurse is reviewing a patient's chest x-ray that is described as a "PA view." This indicates that the x-ray was taken by directing the beam:

Accepted Answer

A)  At an angle from the patient's mediastinum through the vertebrae
B)  From front to back with the patient in a supine position on the x-ray table
C)  From the patient's right side through the left side
D)  Through the patient from the back to the front

Question 16

A nurse performs an Allen test.By performing an Allen test, the nurse is preparing to perform a (an):

Accepted Answer

A)  Arterial blood gas (ABG) 
B)  Capillary blood glucose (CBG) 
C)  Liver biopsy
D)  Vision screening

Question 17

A nurse is instructing a patient who is scheduled for a colonoscopy on preparations for the procedure.Which medication should the patient discontinue at least 1 week prior to the colonoscopy?

Accepted Answer

A)  ACE inhibitors
B)  Acetaminophen products
C)  Opiates
D)  Oral iron preparations

Question 18

Prior to beginning a urine collection for catecholamine, a nurse should instruct a patient to:

Accepted Answer

A)  Increase fluid intake during the 12 hours immediately preceding the test.
B)  Limit consumption of bananas, beer, aged cheese, chocolate, and coffee.
C)  Maintain an active pattern of exercise for at least 24 hours.
D)  Restrict dietary intake of sodium for 3 days.

Question 19

One hour after starting a unit of packed red blood cells, a nurse observes that a patient receiving the transfusion is reporting flank pain and has a temperature of 101.8$\degree$F (38.8$\degree$C).The nurse's first action should be to:

Accepted Answer

A)  Assess the patient for signs of rash, hives, or angioedema.
B)  Confirm that the name on the label on the blood transfusion matches the patient's armband.
C)  Medicate the patient with acetaminophen that is ordered prn for pain or fever.
D)  Stop the transfusion and maintain IV access with normal saline.

Question 20

A nurse is providing care to a patient following a bone biopsy.Which of the following actions should the nurse take? Select all that apply.

Accepted Answer

A)  Monitor vital signs and neurological status every 2 hours after the procedure.
B)  Monitor temperature every 4 hours for 24 hours.
C)  Observe for delayed allergic reactions.
D)  Instruct the patient to take ibuprofen for fever.
E)  Assess for nausea and pain.

Exam 2: Preface

A patient with an ileal conduit requires a urine specimen for culture.Which procedure should a nurse use to collect this specimen?

A nurse is providing post-test instructions to an older patient who has just undergone a barium swallow.Which of the following directions should the nurse give this patient? Select all that apply.

A patient's laboratory test results indicate a positive finding for Helicobacter pylori antibody.Besides indicating an H.pylori infection, this finding is strongly associated with which of the following conditions? Select all that apply.

Which laboratory result should a nurse interpret as an indication that a patient with respiratory acidosis is responding to treatment?

A nurse is assisting with a thoracentesis to obtain pleural fluid for analysis.Which additional diagnostic test should the nurse anticipate upon .

A patient's arterial blood gases are pH 7.29, HCO₃-24 mEq/L, PO₂ 74, PCO₂ 52 mm Hg.A nurse assessing this patient should observe for signs and symptoms of:

A patient's breast biopsy results indicate the results below.Which of them are favorable findings, indicating a lower likelihood of breast cancer, or a higher likelihood of a more manageable type of breast cancer? Select all that apply.

A middle-aged patient, with a strong family history of early death from occlusive coronary disease, has computed tomography (CT) for cardiac scoring with a score of 210 reported.Based on this score, which patient teaching should the nurse plan?

The mother of a 6-month-old would like to have her child tested for Tay-Sachs disease because of a family history of this inherited disorder.Which test would be most appropriate for this purpose?

Which instruction should a nurse provide to a patient in preparation for a gastric acid stimulation test?

A nurse has orders to obtain urine for urinalysis, but the patient has voided only a small amount.What is the minimal volume of urine that the nurse can send for a routine urinalysis?

A nurse is assisting with venography of the lower extremities.The nurse should tell the patient to expect which of the following sensations during and after injection of the contrast medium? Select all that apply.

A patient has just undergone a bone scan and the results show no bone abnormalities.However, the health-care provider is concerned that the result may be a false negative.Which of the following factors would likely cause a false negative? Select all that apply.

A nurse is reviewing a patient's chest x-ray that is described as a "PA view." This indicates that the x-ray was taken by directing the beam:

A nurse performs an Allen test.By performing an Allen test, the nurse is preparing to perform a (an) :

A nurse is instructing a patient who is scheduled for a colonoscopy on preparations for the procedure.Which medication should the patient discontinue at least 1 week prior to the colonoscopy?

Prior to beginning a urine collection for catecholamine, a nurse should instruct a patient to:

One hour after starting a unit of packed red blood cells, a nurse observes that a patient receiving the transfusion is reporting flank pain and has a temperature of 101.8 $\degree$ F (38.8 $\degree$ C) .The nurse's first action should be to:

A nurse is providing care to a patient following a bone biopsy.Which of the following actions should the nurse take? Select all that apply.

Exam 2: Preface

A patient with an ileal conduit requires a urine specimen for culture.Which procedure should a nurse use to collect this specimen?

A nurse is providing post-test instructions to an older patient who has just undergone a barium swallow.Which of the following directions should the nurse give this patient? Select all that apply.

A patient's laboratory test results indicate a positive finding for Helicobacter pylori antibody.Besides indicating an H.pylori infection, this finding is strongly associated with which of the following conditions? Select all that apply.

Which laboratory result should a nurse interpret as an indication that a patient with respiratory acidosis is responding to treatment?

A nurse is assisting with a thoracentesis to obtain pleural fluid for analysis.Which additional diagnostic test should the nurse anticipate upon .

A patient's arterial blood gases are pH 7.29, HCO3- 24 mEq/L, PO2 74, PCO2 52 mm Hg.A nurse assessing this patient should observe for signs and symptoms of:

A patient's breast biopsy results indicate the results below.Which of them are favorable findings, indicating a lower likelihood of breast cancer, or a higher likelihood of a more manageable type of breast cancer? Select all that apply.

A middle-aged patient, with a strong family history of early death from occlusive coronary disease, has computed tomography (CT) for cardiac scoring with a score of 210 reported.Based on this score, which patient teaching should the nurse plan?

The mother of a 6-month-old would like to have her child tested for Tay-Sachs disease because of a family history of this inherited disorder.Which test would be most appropriate for this purpose?

Which instruction should a nurse provide to a patient in preparation for a gastric acid stimulation test?

A nurse has orders to obtain urine for urinalysis, but the patient has voided only a small amount.What is the minimal volume of urine that the nurse can send for a routine urinalysis?

A nurse is assisting with venography of the lower extremities.The nurse should tell the patient to expect which of the following sensations during and after injection of the contrast medium? Select all that apply.

A patient has just undergone a bone scan and the results show no bone abnormalities.However, the health-care provider is concerned that the result may be a false negative.Which of the following factors would likely cause a false negative? Select all that apply.

A nurse is reviewing a patient's chest x-ray that is described as a "PA view." This indicates that the x-ray was taken by directing the beam:

A nurse performs an Allen test.By performing an Allen test, the nurse is preparing to perform a (an) :

A nurse is instructing a patient who is scheduled for a colonoscopy on preparations for the procedure.Which medication should the patient discontinue at least 1 week prior to the colonoscopy?

Prior to beginning a urine collection for catecholamine, a nurse should instruct a patient to:

One hour after starting a unit of packed red blood cells, a nurse observes that a patient receiving the transfusion is reporting flank pain and has a temperature of 101.8 °\degree° F (38.8 °\degree° C) .The nurse's first action should be to:

A nurse is providing care to a patient following a bone biopsy.Which of the following actions should the nurse take? Select all that apply.

A patient's arterial blood gases are pH 7.29, HCO₃-24 mEq/L, PO₂ 74, PCO₂ 52 mm Hg.A nurse assessing this patient should observe for signs and symptoms of:

One hour after starting a unit of packed red blood cells, a nurse observes that a patient receiving the transfusion is reporting flank pain and has a temperature of 101.8 $\degree$ F (38.8 $\degree$ C) .The nurse's first action should be to: