Reduction of Risk Potential - Part 2

1. Each small square on the EKG paper is:

A. 04 seconds long and 5mm tall.

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B. 2 seconds long and 5mm tall.

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C. 04 seconds long and 20mm tall.

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D. 04 seconds long and 1mm tall.

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2. A patient’s urine specimen tested positive for bilirubin. Which of the following is most true?

A. The patient should be evaluated for kidney disease.

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B. The specimen was probably left at room temperature for more than two hours.

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C. The specimen is positive for bacteria.

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D. The specimen should be stored in an area protected from light.

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3. Which vacutainer tubes should be used when a requisition calls for blood to be drawn for an H&H and glucose test?

A. One light blue, one red.

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B. Two lavenders.

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C. One lavender, one grey.

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D. One green, one red.

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4. Specific gravity in urinalysis:

A. compares the concentration of urine to that of distilled water.

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B. is useless when the patient is dehydrated.

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C. can only be done with a refractometer.

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D. None of the above.

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5. When placing a patient in the AP position for an X-ray, what position would the patient be in?

A. Facing the film.

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B. Right side against the film.

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C. Left side against the film.

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D. Facing away from the film.

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6. Manual hematocrits are done:

A. to monitor anemia.

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B. by using a microcredit tube.

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C. to measure the percentage of plasma to cells.

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D. All of the above.

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7. A patient has come to the office for a blood draw. The patient starts to sweat and is very anxious. Which of the following would be the BEST way to proceed?

A. Do not perform the procedure. Notify the physician of the reason why.

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B. Perform the procedure but pay close attention for signs of potential syncope.

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C. Allow the patient to reschedule for a time where he isn't as anxious.

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D. Have the physician draw the blood.

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8. Which of the following tests would MOST LIKELY be performed on a patient that is being monitored for coagulation therapy?

A. PT/INR.

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B. CBC.

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C. HCT.

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D. WBC.

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9. Which of the following is MOST TRUE about the ESR test?

A. The results are diagnostic for certain conditions.

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B. Abnormal results are indicative of a potentially fatal illness.

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C. Abnormal results should be followed with additional testing.

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D. Results are reported in millimeters per minute.

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10. Which of the following is considered an abnormal lab result?

A. WBC 10,000/ mm cubed.

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B. Hct 50%.

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C. ESR 22 mm/hour.

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D. All of the above are normal.

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11. The mordant in the Gram Stain procedure is:

A. the chrystal violet.

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B. the methyl alcohol.

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C. Iodine.

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D. Safranin.

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12. A urine pregnancy test:

A. May be negative even if a blood pregnancy test is positive.

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B. Is positive only during the first trimester of pregnancy.

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C. Will be negative if the amount of LH isn't enough to meet or exceed the sensitivity of the testing device.

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D. All of the above.

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13. Mr. K is admitted to the orthopedic unit one morning in preparation for a total knee replacement to start in two hours. Which of the following is a priority topic to instruct this client on admission?

A. The approximate length of the surgery.

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B. The type of anticoagulants that will be prescribed.

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C. The time of the next meal of solid food.

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D. The length of time until the client can return to work.

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14. You are attempting to teach the wife of a Greek patient how to administer his gastrostomy tube feedings once he returns home. She smiles and nods through your explanations, but when you ask her for a return demonstration, she looks confused and shakes her head. Her daughter enters the room and states that she does not speak English. What would be most helpful in this situation?

A. Teach the daughter instead.

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B. Teach both and ask the daughter to translate for you.

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C. Contact a home health agency to provide care.

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D. Provide a pamphlet with detailed instructions.

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15. A nurse is providing discharge instructions for a client who had back surgery. All of the following exhibit that the client is ready for discharge EXCEPT:

A. The client still has sutures at the incision site.

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B. The client is able to take a shower.

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C. The client must still use an ice pack at the wound site.

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D. The client has a temperature of 100.8 F.

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16. A patient is having a colposcopy procedure performed. How should the patient be instructed to prepare for the procedure?

A. NPO for 8-12 hours before the procedure.

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B. D/C all HTN Rx for two days prior to the procedure.

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C. Take three Dulcolax tablets and two containers of Miralax the day before to clear out the lower GI system.

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D. None of the above prep is necessary for this type of procedure.

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17. Which of the following conditions may cause an increased respiratory rate?

A. Stooped posture.

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B. Narcotic analgesics.

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C. Injury to the brain stem.

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D. Anemia.

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18. A nurse is attempting to check a blood pressure on a client when she realizes that the cuff is too wide for the size of his arm. What type of reading might this blood pressure cuff produce?

A. A normal result.

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B. An abnormally low reading.

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C. An abnormally high reading.

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D. A low reading, followed by a normal reading.

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19. A nurse is caring for a client who has just come from surgery and is in the recovery room. The client still has an endotracheal tube in place. The nurse deflates the cuff on the tube and pulls it out, at which time the client sits up in bed, grasps his throat, and begins to make wheezing sounds. Which of the following conditions is the most likely cause of this situation?

A. The client is choking on part of the tube.

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B. The client has anxiety.

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C. The client is having a laryngospasm.

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D. The client is having a normal response from anesthesia.

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20. A client with adrenal insufficiency has a potassium level of 7.2 mEq/L. Which of the following signs or symptoms might the client exhibit with this result?

A. Peaked T waves on the ECG.

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B. Muscle spasms.

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C. Constipation.

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D. A prominent U wave on the ECG.

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21. A nurse is assisting Mrs. K, a client who is undergoing a lumbar puncture. Which of the following elements should the nurse use to instruct Mrs. K about this procedure?

A. A lumbar puncture takes a sample of blood from the back, which will be analyzed by the lab.

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B. The physician will insert a needle at the level of L4-L5 in the spinal cord.

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C. Mrs. K should lie flat on her back for 24 hours following the procedure.

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D. The risks of the procedure include nausea, rash, and hypotension.

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22. A nurse is caring for a client who has a right-sided chest tube. The chest tube shows 50 cc of serosanguinous fluid in the collection chamber and air bubbles are collecting in the water seal chamber. Which action is most appropriate for the nurse at this time?

A. Do nothing; this is a normal response.

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B. Strip the tubing to remove any clots.

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C. Place a clamp on the tube near the client's chest.

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D. Remove the collection chamber and connect the tubing to a new device.

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23. A nurse is assessing a client who is being seen for increased anxiety, restlessness, and insomnia. Which of the following interventions is the first priority of the nurse?

A. Administer anti-anxiety medications as ordered by the physician.

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B. Talk with the client about methods to improve rest and sleep.

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C. Take the client to a private room and remain with him.

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D. Review the client's medical history to determine if he has been treated for these issues before.

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24. A nurse is educating a client who is preparing to give a stool sample for occult blood. All of the following information is part of teaching for this client EXCEPT:

A. Avoid eating red meat for 3 days before the test.

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B. Collect the stool from the toilet after having a bowel movement.

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C. The stool does not need to be kept in a container with preservative.

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D. A small part of the stool from two areas will be tested using a smear.

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25. Which of the following interventions is necessary before insertion of an arterial line into the radial artery?

A. Ensure that the client does not need surgery.

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B. Assess the client's grip strength.

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C. Perform an Allen test.

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D. Check a serum potassium level.

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26. Mrs. M has had diabetes for seven years. She has worked hard to control her blood glucose levels and watch her dietary intake. Her physician orders a hemoglobin A1C test. Which of the following best describes the action of this test?

A. The test determines if the client is anemic and needs iron supplements.

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B. The test determines if there is excess glucose building up in the urine.

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C. The test determines the amount of hemoglobin reaching the liver to support gluconeogenesis.

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D. The test determines the amount of hemoglobin that is coated with glucose.

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27. A nurse is monitoring a client for decreased tissue perfusion and increased risk of skin breakdown. Which measure best improves tissue perfusion in this client?

A. Massaging the reddened areas.

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B. Performing range of motion exercises.

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C. Administering antithrombotics as ordered.

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D. Feeding the client a high-carbohydrate diet.

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28. A nurse is caring for an 83-year old man who has had swallowing difficulties. All of the following interventions are appropriate for this client EXCEPT:

A. Keep the client in an upright position at all times.

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B. Auscultate lung sounds every shift and after feedings.

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C. Maintain suction equipment at the client's bedside.

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D. Instruct the client about how to perform swallowing exercises.

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29. A nurse is preparing to insert an indwelling catheter in a female client. Which of the following positions of the client is most appropriate for this procedure?

A. Lithotomy position.

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B. Prone position.

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C. Dorsal recumbent position.

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D. High Fowler's position.

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30. A client is preparing to undergo a cystoscopy for stones. Which of the following statements indicates that the client understands the procedure?

A. I better drink a lot of fluid now because I won't be able to after the test."

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B. I will probably see a little blood when I urinate."

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C. I will be able to go home after 3 days in the hospital."

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D. I won't need any pain medicine; this probably will not hurt."

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Reduction of Risk Potential – Part 2

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