Diagnostic Testing

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Question 1
Free
Multiple Choice

The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?

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A

Hemoglobin A1C 16%

B

Random blood sugar (RBS) 112 mg/dL

C

Lactate dehydrogenase (LDH) 55 units/L

D

Erythrocyte sedimentation rate (ESR) 14 mm/hr

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Question 2
Free
Multiple Choice

The nurse is caring for an elderly patient with dementia. Which laboratory finding indicates to the nurse that that patient is often forgetting to eat meals?

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A

Serum bilirubin 0.4 mg/dL

B

PLT (platelet count) 425,000/mm3

C

Serum cholesterol 175 mg/dL

D

Albumin 1.4 g/dL

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Question 3
Free
Multiple Choice

The nurse is caring for a patient who has a deep leg wound that is badly infected. Which laboratory test results will the nurse expect to find in the patient's chart?

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A

C-reactive protein (CRP) 6.5 mg/dL

B

Serum creatinine 0.8 mg/dL

C

Serum bilirubin 0.5 mg/dL

D

Prothrombin time (PT) 11.5 sec

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Question 4
Free
Multiple Choice

The nurse is caring for a patient who has a bleeding gastric ulcer. How will the nurse expect the patient's stool to appear?

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A

Soft and formed with bright red streaks

B

Watery with particles of undigested food

C

Sticky and black with strong foul odor

D

Hard lumps that are difficult to pass

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Question 5
Free
Multiple Choice

The nurse is caring for a patient who is to have a noncontrast MRI scan performed. Which assessment finding leads the nurse to report that the patient may not be able to have the test?

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A

The patient has an implanted insulin pump.

B

The patient is breastfeeding her newborn infant.

C

The patient is severely allergic to iodine and latex.

D

The patient has profound hearing loss.

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Question 6
Multiple Choice

The nurse is caring for a patient who has had severe acid reflux. Which test will allow the physician to directly check for damage to the esophagus?

Choose correct answer/s
A
Upper GI endoscopy
B
MRI scan with contrast
C
Abdominal ultrasound
D
Positron emission tomography (PET) scan
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Question 7
Multiple Choice

The nurse is caring for a woman who has a cyst in her breast that was found at her recent mammogram. The physician wants to make sure that the cyst is not malignant. Which test will be used to determine this?

Choose correct answer/s
A
Needle aspiration with biopsy
B
Paracentesis
C
Thoracentesis
D
Fiberoptic endoscopy
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Question 8
Multiple Choice

The nurse is caring for a patient who is scheduled for a needle aspiration and biopsy to rule out cancer. Which nursing diagnosis is appropriate and important for this patient?

Choose correct answer/s
A
Fear related to potential for cancer diagnosis depending on biopsy results
B
Ineffective health maintenance related to delayed insurance coverage for procedure
C
Powerlessness related to patient must wait approximately 4 to 5 days to learn of test results
D
Ineffective coping related to patient stated she is a little nervous about the test results
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Question 9
Multiple Choice

The nurse is caring for a patient who will be undergoing flexible sigmoidoscopy testing to screen for colon cancer. What goal will the nurse include in the patient's plan of care?

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A
Patient will verbalize understanding of pre-procedure preparation to be completed at home the day before the test.
B
Patient will feel comfortable about the upcoming test and have trust in the health care providers.
C
Patient will learn common side effects of the medications used to prepare the GI tract for endoscopy testing.
D
Patient will realize how important regular sigmoidoscopy testing is in the prevention of colon cancer.
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Question 10
Multiple Choice

The nurse is caring for a patient who will be receiving iodine-based contrast medium for a CT scan. Which allergy should be reported to the technician and radiologist before the test is performed?

Choose correct answer/s
A
Gluten and lactose
B
Strawberries
C
Peanuts and cashews
D
Shrimp and scallops
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Question 11
Multiple Choice

The nurse is caring for a patient who has just undergone bronchoscopy. The patient states that she is thirsty and requests a drink of water. What is the nurse's best action?

Choose correct answer/s
A
Provide ice chips.
B
Check the patient for a gag reflex.
C
Provide a small cup of ice water with a straw.
D
Keep the patient NPO.
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Question 12
Multiple Choice

The nurse is caring for a patient who will be undergoing bone marrow biopsy. Which statement by the patient indicates that additional teaching is needed?

Choose correct answer/s
A
"I will count the ceiling tiles when the doctor inserts the numbing medicine."
B
"I will take acetaminophen (Tylenol) later today if the site becomes uncomfortable."
C
"I will squeeze your hand to help calm my fears about the test."
D
"I will keep the biopsy site clean and dry for the next 24 hours."
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Question 13
Multiple Choice

The nurse is caring for a patient who is sedated following a colonoscopy. Which is the priority action of the nurse?

Choose correct answer/s
A
Provide a quiet, dark environment so that the patient can rest comfortably.
B
Monitor the patient's pulse oximetry and respirations closely.
C
Inform the patient that the procedure has been completed.
D
Assess the patient's bowel sounds and passage of flatus.
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Question 14
Multiple Choice

The nurse is caring for a patient who recently had a liver biopsy. To whom must the nurse give the results?

Choose correct answer/s
A
The patient
B
The patient's physician
C
The patient's insurance provider
D
The patient's spouse
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Question 15
Multiple Choice

The nurse is caring for a patient who is to collect a 24-hour urine specimen. Which statement by the patient indicates that additional teaching is required?

Choose correct answer/s
A
"I will keep the urine container on ice to keep it chilled until I bring it to the lab."
B
"I will start the test over if I forget and urinate into the toilet during the testing time."
C
"I will start the test tomorrow after I urinate first thing in the morning."
D
"I will drink extra fluids so that the lab will have an extra large specimen to test."
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Question 16
Multiple Choice

The nurse is caring for a patient whose immune system is destroying red blood cells at a very rapid rate. Which test result will the nurse expect to see in the patient's chart as a result?

Choose correct answer/s
A
Bilirubin level 4 mg/dL
B
Platelet count 450,000/mm3
C
Serum uric acid level 1.7 mg/dL
D
Partial thromboplastin time 45 seconds
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Question 17
Multiple Choice

The nurse is caring for a patient with a urinary tract infection. Which test will indicate which antibiotics will be effective to treat the infection?

Choose correct answer/s
A
Complete blood count (CBC)
B
Culture and sensitivity (C&S)
C
Renal scan and angiography
D
Radioreceptor assay for HCG
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Question 18
Multiple Choice

The nurse is caring for a patient who has just undergone paracentesis. For which complication will the nurse carefully monitor?

Choose correct answer/s
A
Collapse of the lung with shortness of breath
B
Fecal impaction from retained barium in the colon
C
Cerebrospinal fluid leak resulting in severe headache
D
Perforation of the bowel resulting in abdominal infection
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Question 19
Multiple Choice

The nurse is caring for a patient who is having blood drawn as part of preoperative testing. Which step is the most important to ensure the safety of the patient and the nurse?

Choose correct answer/s
A
Ensuring that the tourniquet is not left in place for too long
B
Using the smallest possible needle for venipuncture
C
Properly disposing of the needle after the specimen is obtained
D
Making sure that all of the collection tubes are filled completely
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Question 20
Multiple Choice

The nurse is caring for a diabetic patient who will be doing fingerstick blood glucose testing at home. What is the best way for the nurse to ensure that the patient can perform the procedure correctly?

Choose correct answer/s
A
Quiz the patient on the steps of the procedure.
B
Have the patient perform the procedure in front of the nurse.
C
Ask the patient if he has any questions about the test.
D
Use terminology that the patient can easily understand.
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