NUR204 exam 3
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1. While reviewing the urinalysis report of a patient D
with cardiac disease, the nurse finds increased lev-
els of sodium in the urine. The patient also has an
increase in urinary output. Which finding in the pa-
tient's blood results does the nurse correlate with
the results from the patient's urinalysis report?
a. Increased homocysteine levels
b. Increased myoglobin protein levels
c. Increased c-reactive protein (CRP) level
d. Increased brain natriuretic peptide (BNP)
2. Which activity can the nurse delegate to unlicensed a c d e
assistive personnel (UAP): Select all that apply.
One, some, or all responses may be correct.
a. Voiding urine specimen collection
b. Obtaining a throat culture
c. Blood glucose testing
d. Collecting a stool specimen
e. Testing stool for occult blood
3. Place the following steps for blood glucose testing 1 Check health care
in the correct order. provider prescription
1 and the patient care
2 plan.
3 2 Gather supplies
4 and equipment.
5 3. Perform hand hy-
6 giene.
Select the site, which depends on the meter. 4. Use two identifiers
Perform hand hygiene. to ensure correct pa-
Puncture the capillary site and place blood on test tient.
strip. 5 Select the site,
Check health care provider prescription and the which depends on
patient care plan. the meter.
Gather supplies and equipment. 6. Puncture the cap-
Use two identifiers to ensure correct patient. illary site and place
blood on test strip.
4. bde
, NUR204 exam 3
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Which result does the nurse expect to find in the
laboratory report of a patient who has a
biliary tract obstruction? Select all that apply. One,
some, or all responses may be correct.
a. Increased albumin levels
b. Increased bilirubin levels
c. Increased serum creatinine levels
d. Increased serum alkaline phosphatase levels
e. Increased serum alanine aminotransferase lev-
els
5. A complete blood count (CBC), urinalysis, and b
x-ray examination of the chest are prescribed for
a client before surgery. The client asks why these
tests are done. Which reply by the nurse is best?
a. "Don't worry, these tests are routine"
b. "They are done to identify other health risks"
c. "they determine whether surgery will be safe"
d. "I don't know, your HCP prescribed them"
6. Which prescribed diagnostic test would the nurse c
expect to confirm a tentative urinary tract
infection diagnosis in a client recovering from
deep, partial-thickness burns who develops
chills, fever, flank pain, and malaise?
a. Cystoscopy and bilirubin level
b. Specific gravity and pH of the urine
c. Urinalysis and urine culture and sensitivity
d. Creatinine clearance and albumin/globulin (A/G)
ratio
7. Which nursing action would be included in the plan a e
of care when a client is admitted with
thrombocytopenia? Select all that apply. One,
some, or all responses may be correct.
a. Avoid intramuscular injections.
b. Institute neutropenic precautions.
c. Monitor the white blood cell (WBC) count.
, NUR204 exam 3
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d. Administer prescribed anticoagulants.
e. Examine the skin for ecchymotic areas.
8. Which topic will the nurse include when teaching a a b
group of clients about risk factors for
heart disease? Select all that apply. One, some, or
all responses may be correct.
a. Obesity
b. Hypertension
c. Diabetes insipidus
d. Asian-American ancestry
e. Increased high-density lipoprotein (HDL)
9. A client is scheduled for a kidney ultrasound. acd
Which instructions would be given by the
nurse? Select all that apply. One, some, or all re-
sponses may be correct.
a. "Drink plenty of fluids."
b. "Eat foods rich in fiber."
c. "Do not urinate before the examination."
d. "Lie flat and perfectly still during the test."
e. "A urinary catheter may be needed temporarily
for the test."
10. Which action would the nurse take after having d
difficulty in palpating the pedal pulse of a
client with venous insufficiency?
a. Count the pulse at another site.
b. Notify the primary health care provider.
c. Lower the legs to increase blood flow.
d. Verify the pulse by using a Doppler.
11. Which client finding would the nurse document as c
a pulse deficit?
a. Blood pressure of 130/70 mm Hg indicating pulse
deficit of 60
b. Capillary refill greater than 3 seconds indicating
pulse deficit
c. Apical pulse 86 and radial pulse 78 indicating
pulse deficit of 8
, NUR204 exam 3
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d. Radial pulse 80 and pedal pulse 70 indicating
pulse deficit of 10
12. The nurse is preparing to initiate antibiotic therapy b
for a client who developed an incisional
infection. Which task would the nurse ensure has
been completed before starting the first
dose of intravenous antibiotics?
a. Red blood cell count
b. Wound culture
c. Knee x-ray
d. Urinalysis
13. Upon review of four clients' urinalysis reports, Client C
which client's results support the nurse's
suspicion that the client may be developing kidney
disease?
Client A Serum creatinine: 1.1 mg/dL
Client B Blood urea nitrogen: 18 mg/dL
Client C Serum creatinine: 2.5 mg/dL
Client D Blood urea nitrogen: 20 mg/dL
14. When a client with chronic dyspnea is scheduled a c e
tor computed tomograpny (C 1) using
contrast, which assessment information would the
nurse communicate to the health care
provider before the procedure? Select all that apply.
One, some, or all responses may be
correct.
a. Metformin taken today
b. Hematocrit 38%
c. Serum creatinine 2.1 mg d/L (185.6 umol/L)
d. Coronary artery disease history
e. Shellfish allergy
f. Respiratory rate 22 breaths per minute
15. Which information about common expected re- bc
sponses to computed tomography (CT) scan
contrast material would the nurse include in pre-
procedure teaching? Select all that apply.
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