NSG 3100 Exam 3 QUESTIONS WITH ACTUAL CORRECT
DETAILED ANSWERS GRADED A +
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 - ANSWER-b
1. The patient states that she has been taking warfarin, an anticoagulant, for several years. The
nurse notices several bruised areas on her arms. Which of the following laboratory results is the
most clinically significant for this medication?
a. Platelets: 450,000
b. Prothrombin time: 24.2 seconds
c. Activated partial thromboplastin time: 30 seconds
d. Fibrinogen: 350 mg/dL - ANSWER-b
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 - ANSWER-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
c. LDL: >100 mg/dL
d. Triglycerides: >160 mg/dL - ANSWER-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." - ANSWER-a,b,c,d
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." -
ANSWER-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
d. Sputum
e. Urine from a Foley catheter - ANSWER-a,c,d,e
Which blood test is used to monitor renal function?
a. Creatine kinase
b. Triglycerides
c. Creatinine
d. Alkaline phosphatase - ANSWER-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 - ANSWER-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. - ANSWER-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." - ANSWER-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?
a. Fecal occult blood testing every 5 years
b. Sigmoidoscopy every 10 years
c. Cystoscopy every 5 years
d. Colonoscopy every 10 years - ANSWER-D
A patient is admitted with advanced liver disease. Which of the following lab results would the
nurse expect to see?
a. Albumin 2.6 g/dL
b. Blood urea nitrogen 18 mg/dL
c. Homocysteine 2.4 mg/L
d. Bilirubin 0.7 mg/dL - ANSWER-a
Which of the following blood tests requires the patient to be fasting?
a. Hemoglobin
b. Prothrombin time
c. Cholesterol
d. Creatinine - ANSWER-c
DETAILED ANSWERS GRADED A +
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 - ANSWER-b
1. The patient states that she has been taking warfarin, an anticoagulant, for several years. The
nurse notices several bruised areas on her arms. Which of the following laboratory results is the
most clinically significant for this medication?
a. Platelets: 450,000
b. Prothrombin time: 24.2 seconds
c. Activated partial thromboplastin time: 30 seconds
d. Fibrinogen: 350 mg/dL - ANSWER-b
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 - ANSWER-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
c. LDL: >100 mg/dL
d. Triglycerides: >160 mg/dL - ANSWER-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." - ANSWER-a,b,c,d
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." -
ANSWER-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
d. Sputum
e. Urine from a Foley catheter - ANSWER-a,c,d,e
Which blood test is used to monitor renal function?
a. Creatine kinase
b. Triglycerides
c. Creatinine
d. Alkaline phosphatase - ANSWER-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 - ANSWER-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. - ANSWER-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." - ANSWER-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?
a. Fecal occult blood testing every 5 years
b. Sigmoidoscopy every 10 years
c. Cystoscopy every 5 years
d. Colonoscopy every 10 years - ANSWER-D
A patient is admitted with advanced liver disease. Which of the following lab results would the
nurse expect to see?
a. Albumin 2.6 g/dL
b. Blood urea nitrogen 18 mg/dL
c. Homocysteine 2.4 mg/L
d. Bilirubin 0.7 mg/dL - ANSWER-a
Which of the following blood tests requires the patient to be fasting?
a. Hemoglobin
b. Prothrombin time
c. Cholesterol
d. Creatinine - ANSWER-c
