NCLEX CRUSADE ACADEMY TEST - 3 GENERAL DIAGNOSTIC TESTS & CLINICAL ASSESSMENT

1. A nurse is preparing a patient for an electroencephalogram (EEG). Which instruction is most appropriate?. Fast for 8 hours before the procedure. Wash hair and avoid oils or sprays. Drink 3 liters of fluids beforehand. Remove all jewelry from the lower extremities.

2. Following a lumbar puncture, which nursing action is the highest priority?. Encourage ambulation immediately. Position the patient flat for several hours. Administer a laxative. Restrict fluid intake.

3. A nurse is monitoring a patient after excretory urography using contrast dye. Which finding requires immediate attention?. Urine output less than 30 mL/hr. Mild fatigue. Increased thirst. Warm sensation during injection.

4. Which position should a patient assume during a lumbar puncture procedure?. Supine with arms above head. Prone with legs extended. Fetal position with knees to chest. Semi-Fowler position.

5. Which action is the priority after an ERCP procedure?. Encourage oral fluids immediately. Assess gag and swallow reflex. Encourage ambulation. Administer laxatives.

6. A nurse preparing a patient for mammography should include which instruction?. Avoid food for 12 hours. Apply deodorant before exam. Remove deodorant or powders. Drink contrast dye.

7. A fetal non-stress test (NST) is considered reactive when: Fetal heart rate accelerates 15 bpm for 15 seconds. No accelerations occur. Baseline heart rate remains constant. Fetal movement decreases.

8. Which instruction should be given before a bone mineral density (DEXA) scan?. Fast for 12 hours. Remove all metal objects. Drink contrast fluid. Avoid exercise for 24 hours.

9. What is the primary purpose of a Mantoux tuberculin test?. Diagnose active tuberculosis. Detect exposure to tuberculosis. Treat latent tuberculosis. Identify lung tumors.

10. A patient in the PACU should be assessed in which order of priority?. Circulation, breathing, airway. Airway, breathing, circulation. Pain, airway, breathing. Temperature, breathing, circulation.

11. Which nursing action helps prevent deep vein thrombosis after surgery?. Assessing Homans sign. Applying sequential compression devices. Restricting fluids. Encouraging bed rest.

12. During a venography procedure, what intervention may be used to retain contrast in the extremity veins?. Compression stockings. Tourniquet application. Cold compress. Elevating the limb.

13. Which finding indicates a positive Mantoux test for a standardIrisk patient?. 5 mm induration. 10 mm induration. 15 mm induration. 20 mm induration.

14. After a barium enema, which nursing instruction is appropriate?. Restrict fluid intake. Expect white or light stools. Avoid laxatives. Remain NPO for 24 hours.

15. When caring for a postoperative patient in PACU, what assessment should be done before relying on monitor readings?. Check lab results. Inspect the equipment. Assess the patient directly. Document vital signs.

16. Which outcome indicates effective urinary elimination after contrast imaging?. Urine output 10 mL/hr. Urine output 30 mL/hr or more. No urine for 2 hours. Dark amber urine.

17. Which dietary instruction is given 23 days before a barium enema?. High fiber diet. Low residue diet. High protein diet. Ketogenic diet.

18. Which nursing assessment is most important immediately after sedation for ERCP?. Pain level. Respiratory status. Skin color. Temperature.

19. A nurse assessing PACU secondary priorities should evaluate which neurological parameter?. Urine output. Level of consciousness. Oxygen saturation. Blood glucose.

20. Which intervention is most appropriate if a fetal non stress test remains non reactive after stimulation?. Discharge patient immediately. Notify the healthcare provider. Administer insulin. Start IV antibiotics.