Question 1

A nurse is assessing a patient before preparing her for ductography.Which of the following factors in the patient would contraindicate this procedure? Select all that apply.

Accepted Answer

The answer of A nurse is assessing a patient before...

Question 2

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

Accepted Answer

The answer of A patient's laboratory test results indicate increased...

Question 3

A patient is exhibiting signs of carbamazepine (an anticonvulsant)toxicity.The patient is seizing, hypertensive, and has ileus.Which of the following interventions would be appropriate? Select all that apply.

Accepted Answer

Airway protection is crucial during seizures to prevent aspiration. Diazepam can help control seizures. Fluids and vasopressors can manage hypertension and support circulation. Gastric lavage is not typically recommended due to risk of aspiration, and emetics are contraindicated in seizure patients.

Question 4

A patient's laboratory test results indicate decreased total iron-binding capacity.This finding is consistent with which of the following conditions? Select all that apply.

Accepted Answer

Decreased total iron-binding capacity (TIBC) is often seen in conditions where there is an abundance of iron or where the body's ability to utilize or transport iron is compromised. This can occur in hemolytic anemias (A) due to the release of iron from destroyed red blood cells, in neoplastic diseases (B) due to the body's altered iron metabolism in response to cancer, and in cirrhosis (D) due to liver dysfunction affecting iron metabolism.

Question 5

A patient is undergoing testing for acetylsalicylic acid blood level.Which of the following is the most likely indication for this testing?

Accepted Answer

Acetylsalicylic acid blood level testing is typically done to assess for a possible overdose of aspirin. Aspirin is a common medication that can be toxic in excessive amounts and can cause a range of symptoms including stomach pain, nausea, vomiting, and even coma or death in severe cases. Monitoring blood levels of aspirin can help determine if a patient has taken a toxic amount of the drug and guide appropriate treatment.

Question 6

A nurse is preparing a patient for abdominal angiography.Which of the following patient conditions, once discovered by the nurse, should cause the nurse to notify the primary care provider to cancel the procedure? Select all that apply.

Accepted Answer

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

Question 7

A 2-year-old child has a lead level of 25 mcg/dL from a fingerstick specimen obtained at a health department screening.Which instruction should a nurse provide to the child's parent or caregiver?

Accepted Answer

A lead level of 25 mcg/dL is considered high and requires further follow-up testing to confirm the result. The American Academy of Pediatrics recommends that a venous blood sample be obtained for confirmation within 1 month for children with lead levels greater than or equal to 20 mcg/dL. Immediate hospitalization and treatment are not necessary at this time.

Question 8

A nurse is preparing to perform arterial puncture to assess a patient's alveolar-arterial gradient and arterial/alveolar oxygen ratio.Which of the following conditions in the patient would be contraindications for performing this procedure? Select all that apply.

Accepted Answer

Inadequate circulation, significant bleeding disorder, and infection at the puncture site are contraindications for arterial puncture due to risks of poor healing, excessive bleeding, and spreading infection.

Question 9

A patient's laboratory results indicate a decreased level of dehydroepiandrosterone sulfate (DHEAS).This finding is consistent with which of the following? Select all that apply.

Accepted Answer

The answer of A patient's laboratory results indicate a decreased...

Question 10

A nurse is providing teaching on nutrition to a patient who has just been diagnosed with type 2 diabetes following insulin response to glucose testing.Which of the following types of diets should the nurse recommend to this patient, based on recommendations from the American Heart Association (AHA)and other organizations? Select all that apply.

Accepted Answer

The AHA recommends the Mediterranean diet and the DASH diet for patients with type 2 diabetes. These diets are high in fruits, vegetables, whole grains, and lean proteins while limiting saturated and trans fats, sodium, and added sugars. The other diets listed may not provide adequate nutrition for patients with diabetes and may not prioritize heart-healthy foods.

Question 11

A nurse is providing pretest instructions to a patient who is scheduled to undergo blood collection to assess aldosterone level in about a month.Which of the following should the patient avoid in the time leading up to the specimen collection? Select all that apply.

Accepted Answer

The patient should avoid diuretics, antihypertensive drugs, and licorice in the time leading up to the aldosterone blood collection test. These substances can affect aldosterone levels and increase the risk of receiving inaccurate test results. Shellfish and antidiabetic drugs are not known to interfere with aldosterone levels.

Question 12

A patient's laboratory test results are positive for group A streptococcal infection.The nurse understands that this finding is could indicate which of the following? Select all that apply.

Accepted Answer

Group A streptococcal infection is known to cause conditions such as rheumatic fever, scarlet fever, and strep throat. Tuberculosis is caused by Mycobacterium tuberculosis, and influenza is caused by the influenza virus, neither of which are related to group A streptococcus.

Question 13

A patient is preparing to undergo a D-xylose tolerance test.This test is used to assist in the differential diagnosis of which of the following? Select all that apply.

Accepted Answer

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

Question 14

A patient presents with hallucinations, confusion, flushing of the face, and a temperature of 100°F.It is suspected that the patient overdosed on his cyclic antidepressant.On further examination, the patient exhibits no sign of arrhythmia and reports no seizure activity.Which of the following interventions would be appropriate? Select all that apply.

Accepted Answer

The answer of A patient presents with hallucinations, confusion, flushing...

Question 15

A patient's laboratory test results indicate an elevated blood insulin level.The nurse should understand that this finding is associated with which of the following conditions? Select all that apply.

Accepted Answer

The answer of A patient's laboratory test results indicate an...

Question 16

An adult patient's laboratory test results show a decreased level of antithrombin III.Which of the following conditions are associated with this finding? Select all that apply.

Accepted Answer

Decreased level of antithrombin III is associated with liver disease (such as cirrhosis), embolic events (such as pulmonary embolism), and systemic inflammation (such as septic shock). Acute hepatitis and vitamin K deficiency are not specifically associated with decreased antithrombin III levels.

Question 17

A nurse is explaining the potential complications of renal angiography to a patient before requesting informed consent.Which of the following should the nurse mention? Select all that apply.

Accepted Answer

Renal angiography, like other invasive procedures, carries risks including infection due to the introduction of a catheter into the body, allergic reactions to the contrast dye used during the procedure, blood clot formation as a result of damage to the blood vessels, and nerve injury due to the catheter's passage through the vascular system. Myocardial infarction is less directly related to the procedure itself and is not a common complication of renal angiography.

Question 18

A patient's laboratory test results indicate an elevated level of glucagon.The nurse should suspect which of the following conditions? Select all that apply.

Accepted Answer

Glucagonoma is a tumor of the alpha cells of the pancreas that produces an excess amount of glucagon, leading to elevated levels. Hypoglycemia triggers the release of glucagon to increase blood glucose levels. Trauma can lead to an acute stress response, increasing glucagon levels to mobilize energy resources.

Question 19

A patient's laboratory test results indicate a positive finding on an infectious mononucleosis screen.The nurse is providing instructions to the patient on home care for this illness.Which of the following should the nurse mention? Select all that apply.

Accepted Answer

The answer of A patient's laboratory test results indicate a...

Question 20

A nurse is assisting with an arthroscopic procedure of the ankle.Which of the following interventions should be performed? Select all that apply.

Accepted Answer

A) Scrubbing the affected leg is necessary to maintain a sterile field and prevent infection. C) Elevating the leg can help reduce swelling and improve visualization during the procedure.D) Using a pneumatic tourniquet helps control bleeding and provides a bloodless field for better visibility during the procedure.

Quiz 1: About This Book