Question 1

What should the nurse do first if a patient is unable to void on demand for a clean-voided specimen?

Accepted Answer

A)  Perform Credé's procedure for the suprapubic area. 
B)  Catheterize the patient to obtain the specimen. 
C)  Offer fluids,if allowed,and wait about 30 minutes. 
D)  Notify the physician that the test cannot be completed. 
A)  Perform Credé's procedure for the suprapubic area. 
B)  Catheterize the patient to obtain the specimen. 
C)  Offer fluids,if allowed,and wait about 30 minutes. 
D)  Notify the physician that the test cannot be completed. C

Question 2

When discussing the collection of a clean-voided urine specimen,it is important for the nurse to instruct the patient to

Accepted Answer

A)  use a clean specimen cup. 
B)  collect 100 to 150 mL of urine for testing. 
C)  void some urine first and then collect the sample. 
D)  wash the perineal area with soap and water immediately before voiding. 
A)  use a clean specimen cup. 
B)  collect 100 to 150 mL of urine for testing. 
C)  void some urine first and then collect the sample. 
D)  wash the perineal area with soap and water immediately before voiding. C

Question 3

A patient is to have a venipuncture to obtain a blood sample to check ammonia levels.What should the nurse do when given this information?

Accepted Answer

A)  Use prewarmed test tubes. 
B)  Keep the specimen out of the light. 
C)  Avoid use of a tourniquet during the procedure. 
D)  Place the samples on ice before sending them to the laboratory. 
A)  Use prewarmed test tubes. 
B)  Keep the specimen out of the light. 
C)  Avoid use of a tourniquet during the procedure. 
D)  Place the samples on ice before sending them to the laboratory. D

Question 4

What step should the nurse take to obtain a vaginal specimen for a culture?

Accepted Answer

A)  Apply sterile gloves. 
B)  Assist the patient to a side-lying position. 
C)  Collect discharge from the perineum on the same swab. 
D)  Insert the swab to 2.5 cm (1 inch)into the orifice and rotate before removal. 
A)  Apply sterile gloves. 
B)  Assist the patient to a side-lying position. 
C)  Collect discharge from the perineum on the same swab. 
D)  Insert the swab to 2.5 cm (1 inch)into the orifice and rotate before removal.

Question 5

A nurse suspects that the patient may have tuberculosis (TB).She sends a sputum sample to the laboratory for testing.When the following tests are compared,which will best support the diagnosis of possible tuberculosis?

Accepted Answer

A)  Acid-fast bacillus (AF
B)  
B)  General cytology 
C)  Chemical analysis 
D)  Culture and sensitivity 
A)  Acid-fast bacillus (AF
B)  
B)  General cytology 
C)  Chemical analysis 
D)  Culture and sensitivity

Question 6

An appropriate technique for the nurse to implement when obtaining throat cultures is to

Accepted Answer

A)  have the patient lie flat in the bed. 
B)  do the culture before meals or an hour after meals. 
C)  avoid touching the swab to any of the inflamed areas. 
D)  place pressure on the tongue blade along the back of the tongue. 
A)  have the patient lie flat in the bed. 
B)  do the culture before meals or an hour after meals. 
C)  avoid touching the swab to any of the inflamed areas. 
D)  place pressure on the tongue blade along the back of the tongue.

Question 7

The nurse needs to obtain a sterile urine specimen for culture and sensitivity (C&S)from a patient who has an indwelling catheter.The catheter was placed the night before.What must the nurse do to obtain the specimen?

Accepted Answer

A)  Obtain the urine from the drainage bag. 
B)  Clamp the drainage tubing for 15 minutes. 
C)  Draw urine using a 20-mL syringe. 
D)  Insert the needle into the silicone catheter. 
A)  Obtain the urine from the drainage bag. 
B)  Clamp the drainage tubing for 15 minutes. 
C)  Draw urine using a 20-mL syringe. 
D)  Insert the needle into the silicone catheter.

Question 8

The nurse has delegated activities of daily living (ADL)care of a patient with a large wound that is draining.Which of the following should the nurse instruct the unregulated care provider (UCP)to report back to her?

Accepted Answer

A)  The wound has a foul odour. 
B)  Drainage is decreased. 
C)  The patient's temperature is slightly below normal. 
D)  The patient does not complain of discomfort. 
A)  The wound has a foul odour. 
B)  Drainage is decreased. 
C)  The patient's temperature is slightly below normal. 
D)  The patient does not complain of discomfort.

Question 9

The nurse evaluates that an expected outcome for analysis of gastric secretions is

Accepted Answer

A)  positive frank blood. 
B)  negative occult blood. 
C)  the presence of clumps or clots. 
D)  the presence of brown,"coffee-ground" secretions. 
A)  positive frank blood. 
B)  negative occult blood. 
C)  the presence of clumps or clots. 
D)  the presence of brown,"coffee-ground" secretions.

Question 10

When teaching about the procedure for capillary puncture,the nurse instructs a patient to

Accepted Answer

A)  hold the finger upright. 
B)  use the central tip of the finger. 
C)  allow the antiseptic to dry completely. 
D)  vigorously squeeze the end of the finger. 
A)  hold the finger upright. 
B)  use the central tip of the finger. 
C)  allow the antiseptic to dry completely. 
D)  vigorously squeeze the end of the finger.

Question 11

When teaching a patient about home testing for occult blood,the nurse instructs the patient that

Accepted Answer

A)  positive results are indicative of bleeding. 
B)  poultry and fish should be eaten before testing. 
C)  testing should be done carefully during the menstrual cycle. 
D)  two samples should be obtained from the same part of the stool specimen. 
A)  positive results are indicative of bleeding. 
B)  poultry and fish should be eaten before testing. 
C)  testing should be done carefully during the menstrual cycle. 
D)  two samples should be obtained from the same part of the stool specimen.

Question 12

Hemoccult testing helps reveal blood that is visually undetectable.This test is a useful diagnostic tool for which of the following conditions? (Select all that apply.)

Accepted Answer

A)  Colon cancer 
B)  Upper gastrointestinal (GI)ulcers 
C)  Localized gastric parasites 
D)  Large polyps 
E)  None of the above 
A)  Colon cancer 
B)  Upper gastrointestinal (GI)ulcers 
C)  Localized gastric parasites 
D)  Large polyps 
E)  None of the above

Question 13

A patient is concerned because her first guaiac test is positive.What information should the nurse share with the patient?

Accepted Answer

A)  The patient probably has colorectal cancer. 
B)  The test needs to be repeated after she eats some red meat. 
C)  The test needs to be repeated at least three times. 
D)  The patient needs a low-residue diet to reduce intestinal abrasions. 
A)  The patient probably has colorectal cancer. 
B)  The test needs to be repeated after she eats some red meat. 
C)  The test needs to be repeated at least three times. 
D)  The patient needs a low-residue diet to reduce intestinal abrasions.

Question 14

An appropriate procedure for urine testing with reagent strips for chemical properties of the sample is to

Accepted Answer

A)  obtain the first voided specimen in the morning. 
B)  immerse the test strip in the urine and remove immediately. 
C)  add a chemically active tablet to the urine and then test it with a reagent strip. 
D)  wipe the strip with a sterile gauze after dipping. 
A)  obtain the first voided specimen in the morning. 
B)  immerse the test strip in the urine and remove immediately. 
C)  add a chemically active tablet to the urine and then test it with a reagent strip. 
D)  wipe the strip with a sterile gauze after dipping.

Question 15

_______________ organisms grow in superficial wounds exposed to the air.

Accepted Answer

A)  Aerobic 
B)  Anaerobic 
C)  Cyanotic 
D)  Infectious 
A)  Aerobic 
B)  Anaerobic 
C)  Cyanotic 
D)  Infectious

Question 16

A timed urine collection can be used for which of the following? (Select all that apply.)

Accepted Answer

A)  Glucose 
B)  Adrenocorticosteroids 
C)  Bacteria count 
D)  Colour 
A)  Glucose 
B)  Adrenocorticosteroids 
C)  Bacteria count 
D)  Colour

Question 17

An appropriate technique for the nurse to implement when preparing for a venipuncture is to

Accepted Answer

A)  tie the tourniquet in a knot. 
B)  tie the tourniquet,so it can be easily removed. 
C)  place the tourniquet 12 to 15 cm above the selected site. 
D)  make the tourniquet tight enough to occlude the distal pulse. 
A)  tie the tourniquet in a knot. 
B)  tie the tourniquet,so it can be easily removed. 
C)  place the tourniquet 12 to 15 cm above the selected site. 
D)  make the tourniquet tight enough to occlude the distal pulse.

Question 18

What instructions does the nurse provide to the patient to obtain a double-voided urine specimen?

Accepted Answer

A)  Save two separate specimens from the first voiding in the morning. 
B)  Add two specimens together from the morning voiding and the evening voiding. 
C)  Discard the first sample,then wait a half hour and void again. 
D)  Void first and then self-catheterize to obtain the specimens. 
A)  Save two separate specimens from the first voiding in the morning. 
B)  Add two specimens together from the morning voiding and the evening voiding. 
C)  Discard the first sample,then wait a half hour and void again. 
D)  Void first and then self-catheterize to obtain the specimens.

Question 19

When using a commercially prepared tube to collect a culture,the nurse should

Accepted Answer

A)  take the swab and mix it in the reagent to check for colour changes. 
B)  place the swab into the culture tube and then add a special reagent to the tube. 
C)  crush the ampule at the end of the tube and put the tip of the swab into the solution. 
D)  place the swab into the tube,close it securely,and keep it warm until it is sent to the laboratory. 
A)  take the swab and mix it in the reagent to check for colour changes. 
B)  place the swab into the culture tube and then add a special reagent to the tube. 
C)  crush the ampule at the end of the tube and put the tip of the swab into the solution. 
D)  place the swab into the tube,close it securely,and keep it warm until it is sent to the laboratory.

Question 20

Which of the following is the site of choice for obtaining samples for an arterial blood gas (ABG)?

Accepted Answer

A)  Radial artery 
B)  Brachial artery 
C)  Femoral artery 
D)  Popliteal artery 
A)  Radial artery 
B)  Brachial artery 
C)  Femoral artery 
D)  Popliteal artery

Exam 9: Specimen Collection

What should the nurse do first if a patient is unable to void on demand for a clean-voided specimen?

When discussing the collection of a clean-voided urine specimen,it is important for the nurse to instruct the patient to

A patient is to have a venipuncture to obtain a blood sample to check ammonia levels.What should the nurse do when given this information?

What step should the nurse take to obtain a vaginal specimen for a culture?

A nurse suspects that the patient may have tuberculosis (TB).She sends a sputum sample to the laboratory for testing.When the following tests are compared,which will best support the diagnosis of possible tuberculosis?

An appropriate technique for the nurse to implement when obtaining throat cultures is to

The nurse needs to obtain a sterile urine specimen for culture and sensitivity (C&S)from a patient who has an indwelling catheter.The catheter was placed the night before.What must the nurse do to obtain the specimen?

The nurse has delegated activities of daily living (ADL)care of a patient with a large wound that is draining.Which of the following should the nurse instruct the unregulated care provider (UCP)to report back to her?

The nurse evaluates that an expected outcome for analysis of gastric secretions is

When teaching about the procedure for capillary puncture,the nurse instructs a patient to

When teaching a patient about home testing for occult blood,the nurse instructs the patient that

Hemoccult testing helps reveal blood that is visually undetectable.This test is a useful diagnostic tool for which of the following conditions? (Select all that apply.)

A patient is concerned because her first guaiac test is positive.What information should the nurse share with the patient?

An appropriate procedure for urine testing with reagent strips for chemical properties of the sample is to

_______________ organisms grow in superficial wounds exposed to the air.

A timed urine collection can be used for which of the following? (Select all that apply.)

An appropriate technique for the nurse to implement when preparing for a venipuncture is to

What instructions does the nurse provide to the patient to obtain a double-voided urine specimen?

When using a commercially prepared tube to collect a culture,the nurse should

Which of the following is the site of choice for obtaining samples for an arterial blood gas (ABG)?

Evidence-Informed Nursing Practice

Transitions in Care

Communication and Collaboration

Documentation and Informatics

Medical Asepsis

Sterile Technique

Vital Signs

Health Assessment

Diagnostic Procedures

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Emergency Preparedness and Disaster Management

Pain Assessment and Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Nonparenteral Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Vascular Access and Infusion Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination and Catheterization

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Prevention and Care of Skin Breakdown

Wound Care Management and Dressings

Therapeutic Use of Heat and Cold

Safety in the Community

Self-Care Teaching in the Community

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