N3600

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Anonymous
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218118
Filename:
N3600
Updated:
2013-05-06 20:40:33
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practice questions
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Diagnostic tests and Musculoskeletal
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  1. Which diagnostic test(s) would be used to test thyroid functioning? (Select all that apply)

    a. TSH
    b. T3
    c. T4
    d. Blood glucose
    • a. TSH
    • b. T3
    • c. T4
  2. What important nursing care during the pre-test phase of a thyroid imaging scan will ensure the patients safety?

    A. Checking for iodine allergy
    B. Make sure patient has consumed at least 64 oz of water prior to test
    C. Discontinue all medications prior to test
    D. Ensure patient has had no visitors in the past 24 hours
    A. Checking for iodine allergy
    (this multiple choice question has been scrambled)
  3. Which of the following troponin I levels would indicate to the nurse that the patient most likely had a myocardial infarction?

    A. 2.1 ng/mL
    B. 2.9 ng/mL
    C. 0.4 ng/mL
    D. 1.8 ng/mL
    B. 2.9 ng/mL
    (this multiple choice question has been scrambled)
  4. After a heart catherterization is performed, the nurse's main priority is to assess which of the following?

    A. Pain
    B. Hair growth at insertion site of catheter
    C. Circulation of extremity catheter is inserted
    D. Neurological functioning
    C. Circulation of extremity catheter is inserted
    (this multiple choice question has been scrambled)
  5. An echocardiogram involves all of these aspects except?

    A. Requires the use of radiation to produce detailed image of heart
    B. Assess the pumping function of the heart
    C. Assess the valves for potential abnormalities
    D. Evaluates the ejection fraction of the heart
    A. Requires the use of radiation to produce detailed image of heart
    (this multiple choice question has been scrambled)
  6. What kind of restrictions should the patient be aware of before coming in for her mammogram test?

    A. Paitent should refrain from wearing a bra for the previous 24 hours
    B. There are no restrictions for paitent before coming in for the test
    C. Patient should remain NPO for previous 12 hours
    D. Paitent should rub numbing cream on breasts
    B. There are no restrictions for paitent before coming in for the test
    (this multiple choice question has been scrambled)
  7. True or False:
    A breast ultrasound can replace a mammogram.
    False
  8. Which diagnostic test evaluating for breast cancer requires contrast dye?

    A. CT scan
    B. MRI breast exam
    C. Breast biopsy
    D. Mammogram
    B. MRI breast exam
    (this multiple choice question has been scrambled)
  9. Which of the following patients would a breast biopsy be indicated?

    A. A patient whose mother was recently diagnosed with breast cancer
    B. A patient who recently discovered her grandmother had breast cancer as a young adult and was cured
    C. A patient who comes to the ER presenting with sore breasts
    D. A patient who came to the hospital complaining of dense and lumpy breasts, has a family history of breast cancer, and has had abnormal findings in her mammogram and breast MRI
    D. A patient who came to the hospital complaining of dense and lumpy breasts, has a family history of breast cancer, and has had abnormal findings in her mammogram and breast MRI
    (this multiple choice question has been scrambled)
  10. Mr.Jones is having a renal ultrasound to diagnose kidney problems. Which will Mr.Jones NOT do before his procedure?

    A. Withhold voiding
    B. Sign a consent form
    C. Recieve preprocedure teaching
    D. Maintain NPO diet
    A. Withhold voiding
    (this multiple choice question has been scrambled)
  11. How much urine should be collected for a urine cell study?

    A. 5 mL
    B. 50mL
    C. 10mL
    D. 15mL
    C. 10mL
    (this multiple choice question has been scrambled)
  12. At what age is it recommended to have a colonoscopy?

    A. 80 years old
    B. 65 years old
    C. 30 years old
    D. 50 years old
    D. 50 years old
    (this multiple choice question has been scrambled)
  13. What are some indications for obtaining an EDG (esophagogastroduodenscopy)? (Select all that apply)

    a. Headache
    b. Vomiting
    c. Gastric pain
    d. Blurred vision
    e. Nausea
    • b. vomiting
    • c. gastric pain
    • e. nausea
  14. What blood tests are used to test blood clotting? (Select all that apply)

    a. PT (Prothrombin Time)
    b. WBC count
    c. INR (International Normalized Ratio)
    d. PTT (Partial Thromboplastin Time)
    e. MCV (Mean Corpuscular Volume)
    • a. PT
    • c. INR
    • d. PTT
  15. Prior to a cerebrovascular ultrasound, the patient should refrain from:

    A. Caffeine and smoking
    B. Eating and drinking
    C. Activity
    D. Voiding and having a BM
    A. Caffiene and smoking
    (this multiple choice question has been scrambled)
  16. Which is the most important post test care needed with a Transesophageal Echocardiogram (TEE)?

    A. Make sure patient has a positive gag reflex before eating or drinking
    B. Make sure the patient has designated driver d/t sedation during procedure
    C. Teach patient that their sore throat is only temporary and will resolve
    D. To not eat or drink for up to 4 hours after procedure
    A. Make sure patient has a positive gag reflex before eating or drinking
    (this multiple choice question has been scrambled)
  17. Mr.Garcia's wife is concerned about her husbands condition of epilepsy and is confused as to why he is receiving an EEG. What would the nurse's most appropriate response be?

    A. To measure and record electrical pulses of the brain
    B. To determine percent of functional brain tissue
    C. To determine sites of brain injury due to seizures
    D. To record dysfunctions in conduction of the myocardium
    A. To measure and record electrical pulses of the brain
    (this multiple choice question has been scrambled)
  18. Mr. Garcia is suspected of noncompliance in his drugs managment of epilepsy. An appropriate test to determine this would be:

    A. Drug monitoring
    B. Lipoprotein profile
    C. Blood, saliva, and breath alcohol content
    D. TSH screening
    A. Drug monitoring
    (this multiple choice question has been scrambled)
  19. Lumbar punctures are indicated for all of the following except:

    A. Cushing's syndrome
    B. Multiple sclerosis
    C. Bleeding in the area around the brain or spinal cord
    D. Infections, such as meningitis
    A. Cushing's syndrome
    (this multiple choice question has been scrambled)
  20. Mr. Barrett has just been diagnosed with prostate cancer and has been scheduled to have a positron emission tomography (PET) scan. What would be the indication for this test?

    A. To help with grading, staging, and appropriate course treatment
    B. To obtain a tissue sample of the prostate for further analysis
    C. To test for prostate specific antigen
    D. Evaluate treatment of the prostate cancer
    A. To help with grading, staging, and appropriate course treatment
    (this multiple choice question has been scrambled)
  21. An elevated PSA (Prostate-specific antigen) level may be caused by: (Select all that apply)

    a. Prostate cancer
    b. Decreased sexual activity
    c. BPH
    d. Long bike rides
    e. Decreased fluid intake
    • a. Prostate cancer
    • c. BPH
    • d. Long bike rides
  22. A patient is scheduled for a bone scan. The nurse explains that this diagnostic test involves:

    A. X-ray beam passes from front to back
    B. Involves injecting radiographic contrast medium into sac around nerve roots 
    C. Administration of a radioisotope before procedure
    D. Contrast media is put into nucleus media
    C. Administration of a radioisotope before procedure
    (this multiple choice question has been scrambled)
  23. The nurse recognizes that the patient understands how to properly prepare for the CT scan when the patient expresses that:

    A. CT tests are considered invasive procedures; I will need someone to pick me up after my visit
    B. I should eat shortly before the test to prevent nausea from the contrast dye
    C. It will be important that I get plenty of sleep prior to the test
    D. I should not wear metal objects prior to the test
    D. I should not wear metal objects prior to the test
    (this multiple choice question has been scrambled)
  24. During a thoracentesis, a large bore needle will be inserted through the chest wall while the patient is positioned:

    A. Laying on left side with knees to chest
    B. Sitting upright with feet supported
    C. Lying down on stomach with elbows to chest
    D. Standing upright with feet supported
    B. Sitting upright with feet supported
    (this multiple choice question has been scrambled)
  25. A nurse is educating a patient on how to perform a forced expiratory spirometry test. The nurse instructs the patient to:

    A. Take a normal breath and exhale as hard, fast, and long as possible
    B. Take as deep a breath as possible, then exhale as hard, fast and long as possible
    C. Inhale and then exhale at a slow, steady rate
    D. Inhale and exhale three times in a row as fast and hard as possible
    B. Take as deep a breath as possible, then exhale as hard, fast and long as possible
    (this multiple choice question has been scrambled)
  26. The carcionembryonic antigen (CEA) test, a test that measures protein in blood of people with some cancers, is used for all the following except:

    A. To check the success of the treatment
    B. To see if the cancer has returned
    C. Find out how wide spread the cancer is
    D. To screen for certain types of cancers
    D. To screen for certain types of cancers
    (this multiple choice question has been scrambled)
  27. Which of the following should be included in the patients post-test education. (Select all that apply)

    A. Description of test
    B. Bed rest for 4 hours
    C. Take AB's as directed
    D. There is a risk for injury
    B. Bed rest

    *This is a bad question because it didnt have the answer on it and I'm pretty sure AB's was supposed to be ATBs
    (this multiple choice question has been scrambled)
  28. When teaching a client following an amputation, the nurse should teach all of the following except:

    A. d/c use of prothesis if irritation develops
    B. follow prescribed pain management control
    C. elevate residual leg
    D. wash limb with soap and water and air it out for 20 min
    C. elevate residual leg
    (this multiple choice question has been scrambled)
  29. A patient with metastatic bone cancer has a nursing diagnosis of risk for injury r/t bone tissue changes. The nursing managment of this patient is primarily direct toward:

    A. relieving edema
    B. increasing physical activity
    C. preventing pain
    D. supporting and positioning the leg
    D. supporting and positioning the leg
    (this multiple choice question has been scrambled)
  30. What is the fracture that disrupts blood supply?

    A. intertrochanteric
    B. intrascapular
    C. extrascapular
    D. subtrochanteric
    B. intrascapular
    (this multiple choice question has been scrambled)
  31. 17 year old Bobby was texting while driving and flipped his car resulting in a fracture of his humerus. After a few days the nurse believes he has compartment syndroms. What should the nurse do to help Bobby? (Select all that apply)

    a. Elevate Bobby's arm below his heart
    b. Elevate Bobby's arm above his heart
    c. Apply cold compress
    d. Monitor Bobby's urine
    e. Notify physician
    • a. Elevate Bobby's arm below his heart
    • d. Monitor Bobby's urine
    • e. Notify physician
  32. When teaching a client about caring for themselves after repair of a fracture which would indicate need for further education?

    A. Patient verbalizes need for immbolization to maintain realignment
    B. Prolonged inflammation/edema may be a sign of infection
    C. If in a traction cast, adjust by self if found uncomfortable
    D. No weight bearing on affected leg for 6-12 weeks
    C. If in a traction cast, adjust by self if found uncomfortable
    (this multiple choice question has been scrambled)
  33. 18 year old Johnny fractures his leg and gets a hard cast. While in the hospital, Johnny asks his nurse which stage of healing will he first expect to get his cast removed?

    A. Consolidation
    B. Remodeling
    C. Ossification
    D. Calcification
    C. Ossification
    (this multiple choice question has been scrambled)
  34. A patient with osteomyelitis is treated with surgical debridement with implantation of antiobiotic beads. In responding to the patient who asks why beads are used, the nurse answers: (Select all that apply)

    a. "The beads are used to directly deliver antibiotics to the site of infection."
    b. "There are no effective oral or IV antibiotics to treat most cases of bone infection."
    c. "The beads are on adjunct to debridement and oral and IV antibiotics for deep infections."
    d. "The ischemia and bone breath that occurs with osteomyelitis are impenetrable to IV antibiotics."
    • a. "The beads are used to directly deliver antibiotics to the site of infection."
    • c. "The beads are on adjunct to debridement and oral and IV antibiotics for deep infections."
  35. In teaching a patient scheduled for a total ankle replacement it is important that the nurse tell the patient that after surgey he should avoid:

    A. bearing weight on the affected leg for 6 weeks
    B. sleeping on the back
    C. lifting heavy objects
    D. abduction exercises of the affected ankle
    A. bearing weight on the affected leg for 6 weeks
    (this multiple choice question has been scrambled)
  36. Which sport does NOT put a person at risk for a rotator cuff injury?

    A. swimming
    B. baseball
    C. golf
    D. volleyball
    A. swimming
    (this multiple choice question has been scrambled)
  37. The nurse is educating a High School athlete on care of his strain. The nurse realizes he requires further education when he states:

    A. I should do dynamic warm up before practice
    B. I should use elastic bandages for strengthening and swelling reduction for 30 minutes on 15 minutes off
    C. I should stop activity if I am in pain and rest
    D. I should immediately alternate heat after using ice on the strained area
    D. I should immediately alternate heat after using ice on the strained area
    (this multiple choice question has been scrambled)
  38. When assessing the musculoskeletal system, the nurse's initial action will usually be to:

    A. have the patient move the extremities against resistance
    B. feel for the presence of crepitus during joint movement
    C. observe the patients body build and muscle configuration
    D. check active and passive ROM for the extremities
    C. observe the patients body build and muscle configuration
    (this multiple choice question has been scrambled)
  39. Ms. J was the passenger in the side care of a motorcycle when the driver had a heart attack and crashed into the side wall of an aquarium store. She received a third-degree strain of her left quadriceps muscle, requiring surgical repair. What is the nurses highest priority?

    A. Palpating for dorsal pedal pulses bilaterally
    B. Teaching her how to use crutches safely
    C. Assessing her right patellar reflex
    D. Asking if the last dose of pain med helped her pain
    A. Palpating for dorsal pedal pulses bilaterally
    (this multiple choice question has been scrambled)
  40. A 19 year old female fast pitch softball pitcher has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postop teaching for the patient, which information will be included?

    A. "You can still play softball but you will not be able to return to pitching."
    B. "Leave the shoulder immbolizer on for the first few days to minimize the pain."
    C. "You have an appointment with a physical therapist for tomorrow."
    D. "The doctor will use the drop-arm test to determine the success of surgery."
    C. "You have an appointment with a physical therapist for tomorrow."
    (this multiple choice question has been scrambled)
  41. You are preparing your patient for carpal tunnel release surgery and know he needs additional teaching when he says:

    A. "My index finger should stop hurting and tingling."
    B. "My surgery will fix my foot drop so I can drive."
    C. "My scar should be smaller because my surgery is arthroscopic."
    D. "My thumb will get strong enough to use my iPhone again."
    B. "My surgery will fix my foot drop so I can drive."
    (this multiple choice question has been scrambled)
  42. The nurse finds the patient laying on the floor in between the bed and the bathroom, moaning. The nurse knows that the patient very likely dislocated a should because (Select all that apply)

    a. Shoulder are one of the most commonly dislocated joints
    b. The left shoulder looks misshapen and ecchymotic
    c. The patient cannot move the left arm
    d. Trauma is a common cause of dislocated shoulders
    • a. Shoulder are one of the most commonly dislocated joints
    • b. The left shoulder looks misshapen and ecchymotic
    • c. The patient cannot move the left arm
    • d. Trauma is a common cause of dislocated shoulders
  43. The nurse knows that stabilizing a reduction can be achieved using:

    a. traction
    b. a plaster cast
    c. a bed trapeze
    d. pain medication
    • a. traction
    • b. a plaster cast
  44. The nurse knows that the priority post-op need for the patient who has had an amputation is:

    A. Body image
    B. Use of assistive equipment
    C. Phantom limb pain
    D. Neurovascular checks
    D. Neurovascular checks
    (this multiple choice question has been scrambled)
  45. The nurse knows that after joint surgery, the highest priority nursing activity in the list below is:

    A. reviewing the vital signs given to you by the patient care assistant
    B. asking an LPN to check for adequate circulation in the limb where joint surgery was done
    C. teaching the patient to cough and deep breath
    D. drawing blood to measure effectiveness of anticoagulation therapy
    A. reviewing the vital signs given to you by the patient care assistant
    (this multiple choice question has been scrambled)
  46. Which of the following bone cancers is typically diagnosed after a patient is seen for a fractured limb?

    A. Osteoscarcoma
    B. Multiple myeloma
    C. Bony metastases
    D. Osteoblastoma
    A. Osteoscarcoma
    (this multiple choice question has been scrambled)

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