BSN 225 - Sherpath (Week 4) Clinical
Judgment
A patient is having a magnetic resonance imaging (MRI) scan of the pancreas with
contrast. Which hypothesis is the priority for this patient?
• Risk for allergic reaction
Which screening questions would the nurse ask a patient before magnetic
resonance imaging (MRI)?
Select all that apply.
• "Do you get claustrophobic?"
• "Do you have a cardiac pacemaker?"
• "Are you wearing a watch or any jewelry?"
• "Do you have any metal objects in your body?"
Which questions would the nurse typically ask a patient before sedation for a
diagnostic procedure?
Select all that apply.
• "Did you drink any alcohol within the last 24 hours?"
• "When was the last time you had anything to eat or drink?"
• "Can you tell me about the procedure you are having and ask any questions
you may have about it?"
• "What prescription, over-the-counter, or herbal medications do you take on
a daily basis?"
Which questions might a nurse ask a patient during a preprocedural assessment to
obtain essential information about the patient's medication history?
Select all that apply.
, • "Do you take any prescription medications on a regular basis?"
• "Are you allergic to any medications?"
• "Do you take any herbal medications?"
• "Have you taken any medication today?"
Which information must the nurse routinely verify as part of assessment before
any diagnostic test?
Select all that apply.
• Patient's history of allergies
• Patient's understanding of what is to be done
• Patient's completion of any required preparation
A patient scheduled for a cystoscopy has no knowledge of the self-preparation for
the procedure. Which patient-centered outcome is appropriate for the patient’s
hypothesis of Lack of Knowledge of Diagnostic Test?
• Using the patient instruction sheet as a guide, the patient will explain how
to carry out self-preparation for the cystoscopy procedure.
Before which diagnostic test would the nurse ask a question about breastfeeding?
• Positron emission tomography (PET) scan
Which hypothesis is the immediate priority for a patient who is sedated before
undergoing an invasive diagnostic procedure?
• Risk for Injury
Which hypothesis is being addressed when the nurse verifies with a patient that
required preparation for a diagnostic test was done?
• Risk for Injury
, Which hypothesis is appropriate for a patient who has researched the planned
procedure and requests time to clarify findings with the nurse?
• Ready to Learn
A delayed reaction to contrast material used in a diagnostic study occurs how
many hours after the patient receives it. Record your answer as a range of two
whole numbers separated by a hyphen.
• 2-6 hours
Which descriptors would the nurse use in reference to changes in a patient’s
condition after an allergic reaction to contrast media?
• Improving, declining, or unchanged
Which outcome is applicable to a hypothesis of Anxiety?
• Patient respirations are easy with a rate within an expected range.
Which procedures require the patient to remain NPO (nothing by mouth) until the
gag reflex returns?
Select all that apply.
• Bronchoscopy
• Esophagogastroduodenoscopy
When a patient reports for an invasive diagnostic procedure that involves the use
of contrast material, which action would the nurse perform first?
• Confirm the patient’s identity.
Match the postprocedural care with the relevant procedure.
• Paracentesis --> Measure intake and output
• Thoracentesis --> Check the puncture site for crepitus
Judgment
A patient is having a magnetic resonance imaging (MRI) scan of the pancreas with
contrast. Which hypothesis is the priority for this patient?
• Risk for allergic reaction
Which screening questions would the nurse ask a patient before magnetic
resonance imaging (MRI)?
Select all that apply.
• "Do you get claustrophobic?"
• "Do you have a cardiac pacemaker?"
• "Are you wearing a watch or any jewelry?"
• "Do you have any metal objects in your body?"
Which questions would the nurse typically ask a patient before sedation for a
diagnostic procedure?
Select all that apply.
• "Did you drink any alcohol within the last 24 hours?"
• "When was the last time you had anything to eat or drink?"
• "Can you tell me about the procedure you are having and ask any questions
you may have about it?"
• "What prescription, over-the-counter, or herbal medications do you take on
a daily basis?"
Which questions might a nurse ask a patient during a preprocedural assessment to
obtain essential information about the patient's medication history?
Select all that apply.
, • "Do you take any prescription medications on a regular basis?"
• "Are you allergic to any medications?"
• "Do you take any herbal medications?"
• "Have you taken any medication today?"
Which information must the nurse routinely verify as part of assessment before
any diagnostic test?
Select all that apply.
• Patient's history of allergies
• Patient's understanding of what is to be done
• Patient's completion of any required preparation
A patient scheduled for a cystoscopy has no knowledge of the self-preparation for
the procedure. Which patient-centered outcome is appropriate for the patient’s
hypothesis of Lack of Knowledge of Diagnostic Test?
• Using the patient instruction sheet as a guide, the patient will explain how
to carry out self-preparation for the cystoscopy procedure.
Before which diagnostic test would the nurse ask a question about breastfeeding?
• Positron emission tomography (PET) scan
Which hypothesis is the immediate priority for a patient who is sedated before
undergoing an invasive diagnostic procedure?
• Risk for Injury
Which hypothesis is being addressed when the nurse verifies with a patient that
required preparation for a diagnostic test was done?
• Risk for Injury
, Which hypothesis is appropriate for a patient who has researched the planned
procedure and requests time to clarify findings with the nurse?
• Ready to Learn
A delayed reaction to contrast material used in a diagnostic study occurs how
many hours after the patient receives it. Record your answer as a range of two
whole numbers separated by a hyphen.
• 2-6 hours
Which descriptors would the nurse use in reference to changes in a patient’s
condition after an allergic reaction to contrast media?
• Improving, declining, or unchanged
Which outcome is applicable to a hypothesis of Anxiety?
• Patient respirations are easy with a rate within an expected range.
Which procedures require the patient to remain NPO (nothing by mouth) until the
gag reflex returns?
Select all that apply.
• Bronchoscopy
• Esophagogastroduodenoscopy
When a patient reports for an invasive diagnostic procedure that involves the use
of contrast material, which action would the nurse perform first?
• Confirm the patient’s identity.
Match the postprocedural care with the relevant procedure.
• Paracentesis --> Measure intake and output
• Thoracentesis --> Check the puncture site for crepitus
