Update| 1 00% Correct.
1. The nurse is caring for a patient who is to have a MRI scan performed.
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Which
assessment finding leads the nurse to report that the patient may not be able m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
to have
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the test? m0
A. The patient has an implanted insulin pump m0 m0 m 0 m 0 m 0 m 0
B. The patient is breastfeeding her newborn infant
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C. The patient is severely allergic to iodine and latex
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D. The patient has profound hearing loss m0 m0 m0 m 0 m0
2. The nurse is caring for a patient who is to collect a 24-hour urine specimen.
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Which
statement by the patient indicates that additional teaching is required? m 0 m0 m 0 m 0 m 0 m 0 m 0 m0 m 0
A. “I will keep the urine container on ice to keep it chilled until I
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m bring it to the lab”
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B. “I will start the test over if I forget and urinate into the toilet
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m during the testing
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time”
C. “I will start the test tomorrow after I urinate first thing in the morning”
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D. “I will drink extra fluids so that the lab will have a large specimen to test.”
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3. The nurse is caring for a patient with a urinary tract infection.
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m Which test will indicate
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which antibiotics will be effective to treat the infection?
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A. Complete blood count (CBC) m0 m 0 m0
B. Culture and sensitivity (C&S) m 0 m 0 m 0
C. Renal scan and angiography m 0 m 0 m 0
D. Radioreceptor assay for HCG m 0 m 0 m 0
4. The nurse is caring for a patient who has just undergone paracentesis. For
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which
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complication will the nurse carefully monitor? m 0 m 0 m0 m0 m0
A. Collapse of the lung with shortness of breath m0 m0 m0 m 0 m 0 m 0 m0
B. Fecal impaction from retained barium in the colon m 0 m 0 m0 m 0 m0 m 0 m0
C. Cerebrospinal fluid leak resulting in severe headache m 0 m 0 m0 m 0 m 0 m 0
D. Perforation of the bowel resulting in abdominal infection m0 m0 m0 m0 m0 m0 m0
5. The nurse is caring for a patient who reports an urgent need to urinate but
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is unable to
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pass more than a few drops of urine in the toilet. Which is the priority
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assessment to be
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performed by the nurse? m 0 m0 m0
A. Bladder scan to determine the amount of urine in the bladder m0 m 0 m0 m0 m0 m 0 m0 m0 m 0 m0
B. Auscultation to assess circulation through the right and left renal arteries m 0 m0 m 0 m 0 m 0 m0 m 0 m 0 m 0 m 0
, C. Bimanual palpation to assess for possible enlargement of the kidneys m 0 m 0 m0 m 0 m0 m0 m 0 m0 m0
D. Calculate the patient's intake and output to check for fluid volume deficit m0 m0 m 0 m0 m 0 m 0 m0 m0 m0 m 0 m 0
6. The nurse is caring for a patient who has urinary retention
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resulting from benign
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prostatic hyperplasia (BPH). The patient requires catheterization in order to
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drain the
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urine from his bladder. Which action will the nurse take to facilitate this
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procedure?
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A. Obtain a Coudé catheter for insertion m 0 m 0 m 0 m0 m0
B. Attach a leg bag to the catheter prior to insertion m0 m0 m0 m0 m0 m0 m0 m0 m0
C. Trim the pubic hair before cleaning the perineal area
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D. Wait until the bladder is full to perform catheterization
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7. The nurse is placing an indwelling catheter in a female patient. The nurse
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accidentally inserts it into the vagina. What is the next action for the nurse
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to implement?
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1. Collect a urine specimen and notify the PCP m 0 m0 m0 m 0 m 0 m0 m0
2. Leave the catheter in place and insert a new catheter into the urethra
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3. Remove the catheter from the vagina and place it into the urethra
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4. Ask another nurse to attempt the catheterization of the patient
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8. In your assessment of a normal adult, where would you expect to
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palpate the
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apical impulse? m 0
A. Third left intercostal space at the midclavicular line m 0 m0 m0 m0 m0 m0 m0
B. Fourth left intercostal space at the sternal border m 0 m0 m 0 m0 m0 m0 m 0
C. Fifth left intercostal space at the midclavicular line m 0 m0 m 0 m0 m0 m0 m0
D. Fourth left intercostal space at the anterior axillary line m 0 m0 m 0 m0 m0 m0 m0 m0
9. You are performing a peripheral vascular assessment on a bedridden
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m0 patient. You note the following findings in the right leg: increased
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m0 warmth, swelling, redness, and tenderness to palpation. You would:
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A. reevaluate the patient in a few hours m 0 m 0 m 0 m 0 m 0 m0
B. consider this a normal finding for a bedridden patient m 0 m 0 m 0 m 0 m 0 m 0 m 0 m 0
C. seek an immediate referral due to the risk of pulmonary embolism
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D. ask the patient to raise his leg off of the bed and check for pain
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on elevation m 0 m0
1 0. m0 On inspection if the apical impulse is more vigorous than expected to
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the
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chest wall, it is called a: m 0 m 0 m 0 m 0 m 0
A. lift.
B. thrill
C. bruit