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Diagnostic Testing Review

Total questions: 12

Worksheet time: 58mins

Name
Class
Date
1.
The nurse is caring for a patient who is sedated following a colonoscopy. Which is the priority action of the nurse?
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.
2.
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?
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.
3.
The nurse is caring for a patient who is anemic. Which CBC test result demonstrates that the patient’s treatment plan is effective and the anemia is resolving?
a)
Hematocrit (HCT) 25%
b)
White blood cell count (WBC) 4500/mm3
c)
Red blood cell count (RBC) 5.8 million/mm3
d)
Platelet count (PLT) 255,000/mm3
4.
The nurse is caring for a patient who is taking medication that is toxic to the liver. Which laboratory test results will be reviewed by the nurse to ensure that the patient’s liver is tolerating the medication without damage to the organ?
a)
Alanine aminotransferase (ALT)
b)
Blood urea nitrogen (BUN)
c)
Erythrocyte sedimentation rate (ESR)
d)
Fibrin degradation products (FDP)
5.
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?
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
6.
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?
a)
Gluten and lactose
b)
Strawberries
c)
Peanuts and cashews
d)
Shrimp and scallops
7.
The nurse is caring for a patient who is undergoing a liver biopsy. Which interventions will be included in the patient’s care plan for the diagnosis of Risk for infection: r/t invasive diagnostic procedure?
a)
Monitor for and report redness, warmth, discharge, or fever promptly to the physician.
b)
Provide a supportive, caring presence to minimize patient anxiety.
c)
Provide information about the pathophysiology and treatment options for liver cancer.
d)
Consider using healing touch and other mind-body-spirit interventions.
8.
The nurse is caring for a patient who has been having abdominal pain. The doctor suspects that the patient may have an abdominal aortic aneurysm. Which tests would confirm the doctor’s suspicion?
a)
Needle aspiration with biopsy
b)
Computed tomography (CT) scan
c)
Flexible sigmoidoscopy
d)
Thoracentesis
9.
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?
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
10.
The nurse is caring for a patient who has just undergone paracentesis. For which complication will the nurse carefully monitor?
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
11.
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?
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.”
12.
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?
a)
Complete blood count (CBC)
b)
Culture and sensitivity (C&S)
c)
Renal scan and angiography
d)
Radioreceptor assay for HCG