Question 1

Which actions are priorities when transporting laboratory specimens? Select all that apply.
A)Cleaning containers used for transport
B)Informing requesting health-care provider that specimen was received
C)Keeping all specimens refrigerated or on ice
D)Maintaining specimen integrity
E)Preventing disease transmission
F)Preparing the specimen for analysis

Accepted Answer

Maintaining specimen integrity ensures accurate test results, and preventing disease transmission protects handlers and others from potential exposure to infectious agents.

Question 2

A nurse is preparing a patient to undergo abdominal magnetic resonance imaging (MRI).The nurse should tell the patient to expect which of the following during this test? Select all that apply.
A)Abdominal cramping
B)Loud banging
C)Needlelike pain in the extremities
D)Flickering lights in the visual field
E)Dizziness

Accepted Answer

The answer of A nurse is preparing a patient to...

Question 3

The nurse recognizes that a simple bone x-ray will be useful in evaluating which of the following situations? Select all that apply.
A)Healing of a greenstick fracture
B)The extent of metastatic bone disease
C)Dislocation of the shoulder
D)Suspected child abuse
E)Degenerative joint disease
F)Hodgkin's lymphoma

Accepted Answer

A simple bone x-ray is effective for evaluating the healing of fractures like greenstick fractures (A), identifying dislocations such as a shoulder dislocation (C), detecting signs of suspected child abuse through bone injuries (D), and assessing degenerative joint disease by showing changes in the joint structure (E). It is less effective for evaluating the extent of metastatic bone disease (B) or diagnosing Hodgkin's lymphoma (F), which typically require more advanced imaging techniques.

Question 4

The nurse is working with a patient scheduled for an EMG (electromyography).Which of the following would be included in the patient teaching? Select all that apply.
A)"During the test you will need to maintain a fetal position for approximately 30 minutes."
B)"You must avoid smoking and caffeine for at least 3 hours before the test."
C)"You should remove all jewelry and other external metal objects from your body."
D)"Small needles will be inserted into your muscles during the test."
E)"You will be asked to relax and then contract muscle groups during the test."
F)"The test will help determine if you have epilepsy."

Accepted Answer

The patient should be taught to avoid smoking and caffeine before the test (B), remove all jewelry and external metal objects (C), small needles will be inserted into their muscles during the test (D), and they will be asked to relax and contract muscle groups (E). Choice A (maintain a fetal position) and choice F (determine if the patient has epilepsy) are incorrect and not related to EMG testing.

Question 5

A nurse is providing discharge teaching to a patient following musculoskeletal magnetic resonance imaging with contrast medium.The nurse should instruct the patient to immediately notify the health-care provider of which of the following conditions? Select all that apply.
A)Chest pain
B)Fast heart rate
C)Difficulty breathing
D)Edema at the IV puncture site
E)Skin rash

Accepted Answer

The answer of A nurse is providing discharge teaching to...

Question 6

The nurse is caring for a patient with a suspected pulmonary embolism.Which of the following diagnostic tests would the nurse anticipate to help determine if this diagnosis is accurate? Select all that apply.
A)Lung perfusion scan (V/Q scan)
B)Chest x-ray
C)Gallium scan
D)Echocardiogram
E)Helical/spiral computed tomography of the chest (CT scan) 6)Venous Doppler studies of the legs

Accepted Answer

Lung perfusion scan (V/Q scan) and helical/spiral computed tomography of the chest (CT scan) are both commonly used diagnostic tests for suspected pulmonary embolism. Venous Doppler studies of the legs may also be performed to look for deep vein thrombosis, which is a risk factor for pulmonary embolism. Chest x-ray, gallium scan, and echocardiogram may not be as helpful in diagnosing pulmonary embolism.

Question 7

A nurse is describing testing options to a patient who is preparing to undergo musculoskeletal magnetic resonance imaging (MRI).The nurse should explain that open MRI provides an alternative to standard MRI for which of the following types of patients? Select all that apply.
A)Pregnant
B)Claustrophobic
C)Pediatric
D)Renally impaired
E)Obese

Accepted Answer

Open MRI provides an alternative to standard MRI for claustrophobic patients who cannot tolerate the enclosed space of the traditional MRI, pediatric patients who may find it difficult to remain still during the procedure, and obese patients who may not fit into the standard MRI machine. However, being pregnant or renally impaired does not necessarily require the use of open MRI, and the decision on appropriate testing should be made by the patient's healthcare provider.

Question 8

The nurse is counseling a 67-year-old African American man whose triglyceride level is 185 mg/dL.Which of the following statements would the nurse include in the patient's education? Select all that apply.
A)"Triglyceride levels help determine the risk for cardiovascular disease."
B)"Your level is very good, so it is important you continue to exercise."
C)"Triglyceride levels are slightly higher in women than in men."
D)"Triglyceride levels in African Americans are generally about 10 points lower than in whites."
E)"Your result is considered borderline, so it will be important to modify your diet to reduce your risk."
F)"Unless you have a family history of diabetes or hypertension, you do not need to worry."

Accepted Answer

The answer of The nurse is counseling a 67-year-old African...

Question 9

A nurse is preparing a patient to undergo magnetic resonance venography (MRV).This test is indicated for which of the following? Select all that apply.
A)Detecting peripheral artery disease
B)Identifying deep vein thrombus in postsurgical patients
C)Detecting peripheral vascular disease
D)Differentiating aortic aneurysms from tumors near the aorta
E)Evaluating iliac and lower-extremity vein disease

Accepted Answer

The answer of A nurse is preparing a patient to...

Question 10

The nurse is preparing a patient for an ultrasound of the thyroid.Which of the following instructions should be provided? Select all that apply.
A)"You must not eat or drink for 8 hours before the test."
B)"This test will help determine if you have any cysts or nodules on your thyroid."
C)"This test tells the doctor how much thyroid hormone your body is making."
D)"Please remove your necklace and earrings."
E)"Please tell me what medications, vitamins, or other supplements you're taking at this time."
F)"You cannot have this test done if you are pregnant, so it is important that I document the first day of your most recent menstrual cycle."

Accepted Answer

A) Fasting is not necessary for an ultrasound of the thyroid, therefore option A is incorrect.
B) This is a correct instruction as an ultrasound of the thyroid is used to detect any cysts or nodules in the gland. Therefore, option B is correct.
C) An ultrasound of the thyroid is not used to determine the amount of thyroid hormone in the body, it is used to evaluate the structure of the gland. Therefore, option C is incorrect.
D) It is important to remove any jewelry around the neck area during an ultrasound of the thyroid. Therefore, option D is correct.
E) It is important to know what medications, vitamins or supplements a patient is taking as these might interfere with the results of the test. Therefore, option E is correct.
F) A patient's pregnancy status is important to be ruled out before an ultrasound of the thyroid, but there are other ways to determine pregnancy status besides the menstrual cycle. Therefore, option F is incorrect.

Question 11

A patient's laboratory results indicate a negative finding for cervical cancer following a Papanicolaou (Pap)smear.The health-care provider, however, is concerned that the results may have been compromised by an interfering factor.Which of the following factors could have interfered with the test's results? Select all that apply.
A)Air drying the smear before fixation
B)Specimen collected from the cervix
C)Sexual intercourse 8 hours before specimen collection
D)Collection of other specimens after the collection of the Pap smear
E)Contamination with blood from the patient's menstrual period

Accepted Answer

Air drying the smear before fixation can cause cellular distortion, making it difficult to accurately interpret the cells. Sexual intercourse shortly before specimen collection can introduce foreign material or cause inflammation that might obscure or alter cervical cells. Contamination with blood from the patient's menstrual period can also interfere with the visibility and interpretation of cervical cells, potentially leading to inaccurate results.

Question 12

A patient who became ill while waterskiing is admitted to an emergency room with a carboxyhemoglobin level of 18%.For which clinical manifestations should the nurse assess this patient? Select all that apply.
A)Headache
B)Fatigue
C)Hypotension
D)Nausea
E)Seizure
F)Tachycardia

Accepted Answer

The answer of A patient who became ill while waterskiing...

Question 13

The nurse is providing care for a patient who has just had an eye exam with fundus photography after dilation that revealed moderate diabetic retinopathy.Which of the following instructions would be appropriate? Select all that apply.
A)Smoking-cessation literature
B)Wearing dark glasses for the next few hours
C)Optimal glycemic control
D)Avoid lifting anything over 5 pounds
E)Driving should be restricted to nighttime only

Accepted Answer

- Smoking cessation is recommended because smoking can worsen diabetic retinopathy by affecting blood flow.- Wearing dark glasses is advised to protect the eyes from bright light after dilation, which can cause discomfort and potential damage.- Optimal glycemic control is crucial in managing diabetes and its complications, including diabetic retinopathy, by reducing the progression of the disease.

Question 14

A nurse is assisting with a lung ventilation scan.Which of the following safety measures should the nurse take for this test? Select all that apply.
A)Observe standard precautions during the test.
B)Wear a mask when talking with the patient after the procedure.
C)Wear gloves when discarding urine for 24 hours after the procedure.
D)Wash gloved hands with soap and water before removing the gloves.
E)Wash the hands after the gloves are removed.

Accepted Answer

The answer of A nurse is assisting with a lung...

Question 15

The nurse is counseling a patient regarding the risk of vitamin toxicity, particularly of fat-soluble vitamins.Which of the following vitamins would be included in the discussion? Select all that apply.
A)Vitamin C
B)Vitamin K
C)Vitamin D
D)Vitamin E
E)Vitamin B
F)Vitamin A

Accepted Answer

The answer of The nurse is counseling a patient regarding...

Question 16

A patient who presents to an emergency department with a history of fever has an order for liver function tests and a lactate level.The patient's white blood cell count is 18,000/mm³ with a differential showing 80.2% neutrophils.Which nursing interventions should a nurse anticipate for this patient? Select all that apply. A)Blood transfusion for hematocrit more than 30% B)Dopamine drip C)IV antibiotic within 1 hour D)Maintain blood glucose between 120 and 140 mg/dL E)Restrict fluids

Accepted Answer

The answer of A patient who presents to an emergency...

Question 17

A patient with chronic kidney disease (CKD)is advised to decrease intake of fish and meat and to avoid dairy products and grain cereals.Which laboratory result should the nurse review to determine if these dietary restrictions are effective? Select all that apply.
A)Albumin level
B)Creatinine
C)Serum phosphate
D)Urinary protein

Accepted Answer

B) Creatinine and C) Serum phosphate levels are important to monitor in patients with chronic kidney disease (CKD) to assess kidney function and the body's ability to handle certain nutrients. High phosphate levels can be a concern in CKD, as the kidneys are less able to excrete phosphate, leading to its accumulation. High creatinine levels indicate impaired kidney function. Dietary restrictions like reducing intake of fish, meat, dairy products, and grain cereals can help manage these levels, as these foods are high in phosphorus and can affect creatinine production. Albumin and urinary protein are also relevant to kidney function but are not directly influenced by the dietary restrictions mentioned.

Question 18

The nurse caring for a patient who is scheduling a hysteroscopy with possible dilatation and curettage would include which of the following instructions in the patient teaching?
A)"Do not douche, use tampons, or apply any vaginal medications 24 hours prior to the procedure.
B)"The health-care provider will start an IV for fluids and sedation before the procedure."
C)"You must not have anything to eat or drink for 8 hours before the procedure."
D)"Heavy bleeding for 3 to 5 days is expected after the procedure."
E)"It is important that your bladder is full, so please do not void the morning of the procedure."

Accepted Answer

A hysteroscopy with possible dilatation and curettage (D&C) is a procedure that requires specific pre-procedure preparations to ensure safety and effectiveness. Instruction A is correct because it helps prevent infection by keeping the vaginal area clean and free from foreign substances. Instruction B is accurate because IV fluids and sedation are commonly administered to ensure the patient's comfort and manage pain during the procedure. Instruction C is also correct because fasting reduces the risk of aspiration during sedation or anesthesia. Instructions D and E are not accurate; heavy bleeding for 3 to 5 days post-procedure is not expected (some spotting or light bleeding may occur, but heavy bleeding should be reported), and having a full bladder is not required for this procedure; in fact, an empty bladder may be necessary for the best visualization and comfort.

Question 19

The nurse is providing anesthetic eye drops prior to measuring intraocular pressure.Which of the following actions would be included in the nurse's care? Select all that apply.
A)Instruct the patient to look down.
B)Direct the solution toward the six o'clock position of the sclera.
C)Instill the drops as close to the pupil as possible.
D)Avoid touching the dropper to the eyelashes.
E)Allow eye drops to work before initiating the exam.

Accepted Answer

The answer of The nurse is providing anesthetic eye drops...

Question 20

The nurse recognizes a renogram would be appropriate for which of the following patients? Select all that apply.
A)A 44-year-old with suspected kidney stone
B)A 32-year-old being treated for hydronephrosis
C)A 16-year old with complaints of flank pain and hematuria after a football injury
D)A 28-year-old with polycystic disease
E)An 84-year-old with chronic renal failure
F)A 76-year-old with advanced Alzheimer's disease who has an elevated creatinine

Accepted Answer

Renograms are useful for evaluating kidney function and structure, making them appropriate for patients with suspected kidney stones, hydronephrosis, trauma-related kidney issues (such as flank pain and hematuria after an injury), and polycystic kidney disease. These conditions can benefit from the functional and structural insights provided by a renogram.

Quiz 5: System Tables

Which actions are priorities when transporting laboratory specimens? Select all that apply.

A nurse is preparing a patient to undergo abdominal magnetic resonance imaging (MRI) .The nurse should tell the patient to expect which of the following during this test? Select all that apply.

The nurse recognizes that a simple bone x-ray will be useful in evaluating which of the following situations? Select all that apply.

The nurse is working with a patient scheduled for an EMG (electromyography) .Which of the following would be included in the patient teaching? Select all that apply.

A nurse is providing discharge teaching to a patient following musculoskeletal magnetic resonance imaging with contrast medium.The nurse should instruct the patient to immediately notify the health-care provider of which of the following conditions? Select all that apply.

The nurse is caring for a patient with a suspected pulmonary embolism.Which of the following diagnostic tests would the nurse anticipate to help determine if this diagnosis is accurate? Select all that apply.

A nurse is describing testing options to a patient who is preparing to undergo musculoskeletal magnetic resonance imaging (MRI) .The nurse should explain that open MRI provides an alternative to standard MRI for which of the following types of patients? Select all that apply.

The nurse is counseling a 67-year-old African American man whose triglyceride level is 185 mg/dL.Which of the following statements would the nurse include in the patient's education? Select all that apply.

A nurse is preparing a patient to undergo magnetic resonance venography (MRV) .This test is indicated for which of the following? Select all that apply.

The nurse is preparing a patient for an ultrasound of the thyroid.Which of the following instructions should be provided? Select all that apply.

A patient who became ill while waterskiing is admitted to an emergency room with a carboxyhemoglobin level of 18%.For which clinical manifestations should the nurse assess this patient? Select all that apply.

The nurse is providing care for a patient who has just had an eye exam with fundus photography after dilation that revealed moderate diabetic retinopathy.Which of the following instructions would be appropriate? Select all that apply.

A nurse is assisting with a lung ventilation scan.Which of the following safety measures should the nurse take for this test? Select all that apply.

The nurse is counseling a patient regarding the risk of vitamin toxicity, particularly of fat-soluble vitamins.Which of the following vitamins would be included in the discussion? Select all that apply.

A patient with chronic kidney disease (CKD) is advised to decrease intake of fish and meat and to avoid dairy products and grain cereals.Which laboratory result should the nurse review to determine if these dietary restrictions are effective? Select all that apply.

The nurse caring for a patient who is scheduling a hysteroscopy with possible dilatation and curettage would include which of the following instructions in the patient teaching?

The nurse is providing anesthetic eye drops prior to measuring intraocular pressure.Which of the following actions would be included in the nurse's care? Select all that apply.

The nurse recognizes a renogram would be appropriate for which of the following patients? Select all that apply.