EXAM 3 254 QUESTIONS WITH ACCURATE
ANSWERS 2025 - 2026
1.,The,nurse,would,call,the,primary,care,provider,immediately,for,which,laboratory,result?,
1.,Hgb,=,16,g/dL,for,a,male,client,
2.,Hct,=,22%,for,a,female,client,
3.,WBC,=,9,×,103,/mL3,
4.,Platelets,=,300,×,103,/mL3,,,ANS,-
Answer:,2.,Rationale:,Option,2,is,very,low,and,can,lead,to,death.,The,client's,red,blood,cells,participate,
in,oxygenation.,Options,1,,3,,and,4,are,within,normal,range,and,should,not,be,reported,to,the,primary,
care,provider.
2.,A,78-year-old,male,client,needs,to,complete,a,24-
hour,urine,specimen.,In,planning,his,care,,the,nurse,realizes,that,which,measure,is,most,important?,1.,I
nstruct,the,client,to,empty,his,bladder,and,save,this,voiding,to,start,the,collection.,
2.,Instruct,the,client,to,use,sterile,individual,containers,to,collect,the,urine.,
3.,Post,a,sign,stating,"Save,All,Urine",in,the,bathroom.,
4.,Keep,the,urine,specimen,in,the,refrigerator.,,,ANS,-
Answer:,3.,Rationale:,Option,3,is,the,most,important,nursing,measure.,This,will,inform,the,staff,that,th
e,client,is,on,a,24-
hour,urine,collection.,Option,1,is,not,appropriate,since,the,first,voided,specimen,is,to,be,discarded.,Opt
ion,2,is,not,an,appropriate,nursing,measure,since,the,specimen,container,is,clean,not,sterile,,and,one,c
ontainer,is,needed—not,individual,containers.,Option,4,is,inappropriate,because,some,24-
hour,urine,collections,do,not,require,refrigeration.
3.,The,client,has,a,urinary,health,problem.,Which,procedure,is,performed,using,indirect,visualization?,1
.,Intravenous,pyelography,(IVP),
2.,Kidneys,,ureter,,bladder,(KUB),
3.,Retrograde,pyelography,
4.,Cystoscopy,,,ANS,-Answer:,2.,Rationale:,A,KUB,is,an,x-
ray,of,the,kidneys,,ureters,,and,bladder.,This,does,not,require,direct,visualization.,Option,1,is,an,IVP,,an
,intravenous,pyelogram,,which,requires,the,injection,of,a,contrast,media.,Option,3,is,a,retrograde,pyel
ography,,which,requires,the,injection,of,a,contrast,media.,Option,4,is,a,cystoscopy,,which,uses,a,lighte
d,instrument,(cystoscope),inserted,through,the,urethra,,resulting,in,direct,visualization.
, 4.,Which,noninvasive,procedure,provides,information,about,the,physiology,or,function,of,an,organ?,
1.,Angiography,
2.,Computerized,tomography,(CT),
3.,Magnetic,resonance,imaging,(MRI)
4.,Positron,emission,tomography,(PET),,,ANS,-
Answer:,4.,Rationale:,This,type,of,nuclear,scan,demonstrates,the,ability,of,tissues,to,absorb,the,chemic
al,to,indicate,the,physiology,and,function,of,an,organ.,Option,1,is,an,invasive,procedure,that,focuses,o
n,blood,flow,through,an,organ.,Options,2,and,3,provide,information,about,density,of,tissue,to,help,dist
inguish,between,normal,and,abnormal,tissue,of,an,organ.
5.,When,assisting,with,a,bone,marrow,biopsy,,the,nurse,should,take,which,action?,
1.,Assist,the,client,to,a,right,side-lying,position,after,the,procedure.,
2.,Observe,for,signs,of,dyspnea,,pallor,,and,coughing.,
3.,Assess,for,bleeding,and,hematoma,formation,for,several,days,after,the,procedure.,
4.,Stand,in,front,of,the,client,and,support,the,back,of,the,neck,and,knees.,,,ANS,-
Answer:,3.,Rationale:,Bone,marrow,aspiration,includes,deep,penetration,into,soft,tissue,and,large,bone
s,such,as,the,sternum,and,iliac,crest.,This,penetration,can,result,in,bleeding.,The,client,should,be,obser
ved,for,bleeding,in,the,days,following,the,procedure.,Option,1,is,a,nursing,action,during,a,liver,biopsy.,
Option,2,is,a,nursing,action,for,a,thoracentesis,,and,Option,4,is,a,nursing,action,for,a,lumbar,puncture.
6.,During,an,assessment,,the,nurse,learns,that,the,client,has,a,history,of,liver,disease.,Which,diagnostic
,tests,might,be,indicated,for,this,client?,Select,all,that,apply.,
1.,Alanine,aminotransferase,(ALT),
2.,Myoglobin,
3.,Cholesterol,
4.,Ammonia,
5.,Brain,natriuretic,peptide,or,B-type,natriuretic,peptide,(BNP),,,ANS,-
Answer:,1,and,4.,Rationale:,ALT,is,an,enzyme,that,contributes,to,protein,and,carbohydrate,metabolism.
,An,increase,in,the,enzyme,indicates,damage,to,the,liver.,The,liver,contributes,to,the,metabolism,of,pr
otein,,which,results,in,the,production,of,ammonia.,If,the,liver,is,damaged,,the,ammonia,level,is,increas
ed.,Options,2,,3,,and,5,(myoglobin,,cholesterol,,and,BNP),are,relevant,for,heart,disease.
ANSWERS 2025 - 2026
1.,The,nurse,would,call,the,primary,care,provider,immediately,for,which,laboratory,result?,
1.,Hgb,=,16,g/dL,for,a,male,client,
2.,Hct,=,22%,for,a,female,client,
3.,WBC,=,9,×,103,/mL3,
4.,Platelets,=,300,×,103,/mL3,,,ANS,-
Answer:,2.,Rationale:,Option,2,is,very,low,and,can,lead,to,death.,The,client's,red,blood,cells,participate,
in,oxygenation.,Options,1,,3,,and,4,are,within,normal,range,and,should,not,be,reported,to,the,primary,
care,provider.
2.,A,78-year-old,male,client,needs,to,complete,a,24-
hour,urine,specimen.,In,planning,his,care,,the,nurse,realizes,that,which,measure,is,most,important?,1.,I
nstruct,the,client,to,empty,his,bladder,and,save,this,voiding,to,start,the,collection.,
2.,Instruct,the,client,to,use,sterile,individual,containers,to,collect,the,urine.,
3.,Post,a,sign,stating,"Save,All,Urine",in,the,bathroom.,
4.,Keep,the,urine,specimen,in,the,refrigerator.,,,ANS,-
Answer:,3.,Rationale:,Option,3,is,the,most,important,nursing,measure.,This,will,inform,the,staff,that,th
e,client,is,on,a,24-
hour,urine,collection.,Option,1,is,not,appropriate,since,the,first,voided,specimen,is,to,be,discarded.,Opt
ion,2,is,not,an,appropriate,nursing,measure,since,the,specimen,container,is,clean,not,sterile,,and,one,c
ontainer,is,needed—not,individual,containers.,Option,4,is,inappropriate,because,some,24-
hour,urine,collections,do,not,require,refrigeration.
3.,The,client,has,a,urinary,health,problem.,Which,procedure,is,performed,using,indirect,visualization?,1
.,Intravenous,pyelography,(IVP),
2.,Kidneys,,ureter,,bladder,(KUB),
3.,Retrograde,pyelography,
4.,Cystoscopy,,,ANS,-Answer:,2.,Rationale:,A,KUB,is,an,x-
ray,of,the,kidneys,,ureters,,and,bladder.,This,does,not,require,direct,visualization.,Option,1,is,an,IVP,,an
,intravenous,pyelogram,,which,requires,the,injection,of,a,contrast,media.,Option,3,is,a,retrograde,pyel
ography,,which,requires,the,injection,of,a,contrast,media.,Option,4,is,a,cystoscopy,,which,uses,a,lighte
d,instrument,(cystoscope),inserted,through,the,urethra,,resulting,in,direct,visualization.
, 4.,Which,noninvasive,procedure,provides,information,about,the,physiology,or,function,of,an,organ?,
1.,Angiography,
2.,Computerized,tomography,(CT),
3.,Magnetic,resonance,imaging,(MRI)
4.,Positron,emission,tomography,(PET),,,ANS,-
Answer:,4.,Rationale:,This,type,of,nuclear,scan,demonstrates,the,ability,of,tissues,to,absorb,the,chemic
al,to,indicate,the,physiology,and,function,of,an,organ.,Option,1,is,an,invasive,procedure,that,focuses,o
n,blood,flow,through,an,organ.,Options,2,and,3,provide,information,about,density,of,tissue,to,help,dist
inguish,between,normal,and,abnormal,tissue,of,an,organ.
5.,When,assisting,with,a,bone,marrow,biopsy,,the,nurse,should,take,which,action?,
1.,Assist,the,client,to,a,right,side-lying,position,after,the,procedure.,
2.,Observe,for,signs,of,dyspnea,,pallor,,and,coughing.,
3.,Assess,for,bleeding,and,hematoma,formation,for,several,days,after,the,procedure.,
4.,Stand,in,front,of,the,client,and,support,the,back,of,the,neck,and,knees.,,,ANS,-
Answer:,3.,Rationale:,Bone,marrow,aspiration,includes,deep,penetration,into,soft,tissue,and,large,bone
s,such,as,the,sternum,and,iliac,crest.,This,penetration,can,result,in,bleeding.,The,client,should,be,obser
ved,for,bleeding,in,the,days,following,the,procedure.,Option,1,is,a,nursing,action,during,a,liver,biopsy.,
Option,2,is,a,nursing,action,for,a,thoracentesis,,and,Option,4,is,a,nursing,action,for,a,lumbar,puncture.
6.,During,an,assessment,,the,nurse,learns,that,the,client,has,a,history,of,liver,disease.,Which,diagnostic
,tests,might,be,indicated,for,this,client?,Select,all,that,apply.,
1.,Alanine,aminotransferase,(ALT),
2.,Myoglobin,
3.,Cholesterol,
4.,Ammonia,
5.,Brain,natriuretic,peptide,or,B-type,natriuretic,peptide,(BNP),,,ANS,-
Answer:,1,and,4.,Rationale:,ALT,is,an,enzyme,that,contributes,to,protein,and,carbohydrate,metabolism.
,An,increase,in,the,enzyme,indicates,damage,to,the,liver.,The,liver,contributes,to,the,metabolism,of,pr
otein,,which,results,in,the,production,of,ammonia.,If,the,liver,is,damaged,,the,ammonia,level,is,increas
ed.,Options,2,,3,,and,5,(myoglobin,,cholesterol,,and,BNP),are,relevant,for,heart,disease.
