Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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J. Chan, a 30-year-old bartender, receives a positive antinuclear antibody (ANA) test result with a titer level > 1:40. He does not understand what the test result means and asks the nurse for an explanation. Which of the following responses to the client would be most appropriate in this situation?
  1. “The test result is normal.”
  2. “The test indicates that you may have an autoimmune disorder and this result should be discussed in more detail with your physician.”
  3. “You should have the test repeated to verify its specificity for autoimmune disorders.”
  4. “Your test result is specific for the detection of systemic lupus and this should be discussed further with your physician.”
Explanation
Answer - B - Antinuclear antibodies indicate the presence of an autoimmune disorder. They are not considered specific for systemic lupus, because many other autoimmune disorders have significant numbers of these antibodies. This reported titer is suggestive of the presence of ANA antibodies and therefore, it is an abnormal response.
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