NSG 3100 EXAM 3 GALEN COLLEGE EXAM
WITH CORRECT ANSWERS, RATIONALES
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Which of the following blood tests requires the patient to be fasting?
a. Hemoglobin
b. Prothrombin time
c. Cholesterol
d. Creatinine
c
The patient tells the nurse that she has been on a high-protein, low-
carbohydrate diet for the past 6 months. Which blood test results could be
influenced by her diet?
a. Bilirubin
b. Creatinine
c. Blood urea nitrogen
d. Creatine kinase
c
The nurse is working at a health fair and providing information about reducing
the risk of heart disease. A male asks what his ideal numbers should be for
cholesterol and triglycerides. Which of the following are recommended levels
for lipid?
a. Total cholesterol: >200 mg/dL
b. HDL: >45 mg/dL
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c. LDL: >100 mg/dL
d. Triglycerides: >160 mg/dL
b
The nurse is preparing a patient for a barium swallow test. Which statements
by the patient indicate that the patient has understood the nurse's teaching?
(Select all that apply.)
a. "The doctor will be able to view my stomach and intestines during the test."
b. "I should increase fluids after the test."
c. "I will have to drink a contrast agent."
d. "Barium can cause constipation and I may need a mild laxative."
e. "I will be NPO for 8 hours after the test."
f. "My stools may turn black for a few days afterward."
a,b,c,d
1. Which laboratory result should immediately be reported by the nurse to the
primary care provider (PCP)?
a. Hemoglobin: 15.6
b. Hematocrit: 32%
c. Red blood cells: 5.3
d. White blood cells: 6000
b
A patient has a 24-hour urine specimen ordered for creatinine clearance.
Which instruction is correct?
a. "Collect all urine from the time the collection begins until it ends."
b. "Save only a sample from each voiding."
c. "Clean the perineal area three times before you begin to urinate."
d. "Discard the first urine specimen, and then collect all urine until the time
period expires."
d
Which specimens should be collected using sterile technique in a sterile
container? (Select all that apply.)
a. Clean-catch urine
b. Stool for occult blood
c. Wound drainage
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d. Sputum
e. Urine from a Foley catheter
a,c,d,e
Which blood test is used to monitor renal function?
a. Creatine kinase
b. Triglycerides
c. Creatinine
d. Alkaline phosphatase
c
For which patient is magnetic resonance imaging (MRI) contraindicated?
a. A patient with an allergy to latex
b. A patient with an infection
c. A patient with a pacemaker
d. A patient with a head injury
c
The nurse is caring for a patient after a lumbar puncture to obtain a
cerebrospinal fluid specimen. Which are appropriate post procedure
interventions? (Select all that apply.)
a. Position the patient with head of bed up at least 90 degrees for 4 hours.
b. Assess the puncture site for drainage or bleeding.
c. Encourage PO fluids.
d. Maintain NPO until the gag reflex returns.
e. Encourage ambulation immediately after the test is complete.
b,c
You are instructing a patient on a sterile urine collection. Which statement
would indicate the need for further instruction?
a. "I separate the folds and clean from back to front."
b. "I clean the area three times."
c. "I begin the urine stream and then place the container under the stream
midway through."
d. "I make sure there is no stool in the urine specimen."
a
Which of the following colon screening guidelines does the nurse recommend
for a 58-year-old patient with no family history of colon cancer?