Answers|2026 Update|100% Correct.
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2. The nurse is caring for a patient who is to have a MRI scan performed.
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Which
assessmentfindingleadsthenursetoreportthatthepatientmaynotbe able vr vr vr vr vr vr vr vr vr vr vr vr vr
to have
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thetest? vr
A. The patient has an implanted insulin pump vr vr vr vr vr vr
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 vr vr vr v r vr
3. 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? vr vr vr vr vr vr vr vr vr
A. “Iwill keepthe urine container onicetokeepitchilled untilIbring itto the lab”
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B. “Iwillstartthetest overifIforget andurinateintothetoilet during the testing
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time”
C. “IwillstartthetesttomorrowafterIurinatefirstthinginthemorning”
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D. “I will drink extra fluids so that the lab will have a large specimen totest.”
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4. The nurse is caring for a patient with a urinary tract infection. Which
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vtest will indicate
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whichantibioticswillbe effectivetotreattheinfection?
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A. Complete blood count (CBC) vr vr vr
B. Culture and sensitivity (C&S) vr vr vr
C. Renalscanandangiography vr vr vr
D. Radioreceptor assay for HCG v r v r v r
5. The nurse is caring for a patient who has just undergone paracentesis. For which
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complication willthe nursecarefullymonitor? vr vr vr vr vr
A. Collapse of the lung with shortness of breath vr vr vr vr vr vr vr
B. Fecal impaction from retained barium in the colon vr vr vr vr vr vr vr
C. Cerebrospinal fluid leak resulting in severe headache vr vr vr vr vr vr
D. Perforation of the bowel resulting in abdominal infection vr vr vr vr vr vr vr
6. The nurse is caring for a patient who reports an urgent need to urinate but is
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unable to
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pass more than a few drops of urine in the toilet. Which is the priority assessment to
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be
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performed by the nurse? vr vr vr
A. Bladder scan to determine the amount of urine in the bladder vr vr vr vr vr vr vr vr vr vr
B. Auscultation to assess circulation through the right and left renal arteries vr vr vr vr vr vr vr vr vr vr
, C. Bimanual palpation to assess for possible enlargement of the kidneys v r v r v r v r v r v r v r v r vr
D. Calculate the patient’s intake and output tocheckfor fluid volume deficit vr vr vr vr vr vr vr vr vr vr vr
7. The nurse is caring for a patient who has urinary retention resulting from
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benign
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prostatic hyperplasia (BPH). The patient requires catheterization in order to drain
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the
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urine from his bladder. Which action will the nurse take tofacilitate this procedure?
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A. Obtain a Coudé catheter for insertion vr vr vr vr vr
B. Attach a leg bag to the catheter prior to insertion vr vr vr vr vr vr vr vr vr
C. Trim the pubic hair before cleaning the perineal area
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D. Waituntilthe bladderisfulltoperform catheterization
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8. 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 to
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implement?
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1. Collect a urine specimen and notify the PCP vr vr vr vr vr vr vr
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 vr vr vr vr vr vr vr vr vr vr vr
4. Ask another nurse to attempt the catheterization of the patient
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9. In your assessment of a normal adult, where would you expect to palpate the
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apicalimpulse? vr
A. Thirdleftintercostalspaceatthemidclavicularline vr vr vr vr vr vr vr
B. Fourth left intercostal space atthe sternal border vr vr vr vr vr vr vr
C. Fifthleftintercostalspaceatthemidclavicular line vr vr vr vr vr vr vr
D. Fourthleft intercostalspaceattheanterioraxillaryline vr vr vr vr vr vr vr vr
10. You are performing a peripheral vascular assessment on a bedridden
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vr patient. You note the following findings in the right leg: increased warmth,
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vr swelling, redness, and tenderness to palpation. You would: vr vr vr vr vr vr vr
A. reevaluatethe patient in a few hours vr vr vr vr vr vr
B. consider this a normal finding for a bedridden patient vr vr vr vr vr vr vr vr
C. seek an immediate referral due to the risk of pulmonary embolism vr vr vr vr vr vr vr vr vr vr
D. ask the patient to raise his leg off of the bed and check for pain on vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
elevation vr
11. On inspection if the apical impulse is more vigorous than expected to the chest
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wall, it is called a:
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A. lift.
B. thrill
C. bruit