2025/2026 Graded A + - GALEN
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
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. Instruct 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.
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
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,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)
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.
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)
The nurse practitioner requests a laboratory blood test to determine how well a client has
controlled her diabetes during the past 3 months. Which blood test will provide this
information?
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, 1. Fasting blood glucose
2. Capillary blood specimen
3. Glycosylated hemoglobin
4. GGT (gamma-glutamyl transferase)
The client is supposed to have a fecal occult blood test done on a stool sample. The nurse is
going to use the Hemoccult test. Which of the following indicates that the nurse is using the
correct procedure? Select all that apply.
1. Mixes the reagent with the stool sample before applying to the card.
2. Collects a sample from two different areas of the stool specimen.
3. Assesses for a blue color change.
4. Asks a colleague to verify the pink color results.
5. Asks the client if he has taken vitamin C in the past few days.
A primary care provider is going to perform a thoracentesis. The nurse's role will include which
action?
1. Place the client supine in the Trendelenburg position.
2. Position the client in a seated position with elbows on the overbed table.
3. Instruct the UAP to measure vital signs.
4. Administer an opioid analgesic
The nurse needs to collect a sputum specimen to identify the presence of tuberculosis (TB).
Which nursing action(s) is/are indicated for this type of specimen? Select all that apply.
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