Question 1

When collecting specimens, the nurse should: (Select all that apply.)

Accepted Answer

A) wear gloves and perform hand hygiene. 
B) handle excretions discreetly. 
C) explain the procedure to the patient. 
D) allow patients to collect their own urine specimens. 
E) None of above 
A) wear gloves and perform hand hygiene. 
B) handle excretions discreetly. 
C) explain the procedure to the patient. 
D) allow patients to collect their own urine specimens. 
E) None of above A, B, C, D

Question 2

How should the nurse identify a patient before obtaining a laboratory specimen from him?

Accepted Answer

A) Use at least two patient identifiers. 
B) Look at the chart before entering the room. 
C) Ask the patient his name. 
D) Check the patient's armband twice. 
A) Use at least two patient identifiers. 
B) Look at the chart before entering the room. 
C) Ask the patient his name. 
D) Check the patient's armband twice. A

Question 3

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 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 1 inch into the orifice and rotate before removal. D

Question 4

Assessment of the chemical properties of urine is done by immersing a special, chemically prepared strip of paper into a clean urine specimen, or by combining drops of urine with chemically prepared tablets.The _____________ of the strip or tablet indicates the presence of any of unique chemical properties.

Accepted Answer

change in color
You assess the chemical

Question 5

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 6

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 pre-warmed 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 lab. 
A) Use pre-warmed 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 lab.

Question 7

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

Accepted Answer

A) inability of the patient to discuss the rationale for the test. 
B) negative occult blood. 
C) the presence of clumps or clots. 
D) the presence of brown, "coffee-ground" secretions. 
A) inability of the patient to discuss the rationale for the test. 
B) negative occult blood. 
C) the presence of clumps or clots. 
D) the presence of brown, "coffee-ground" secretions.

Question 8

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.

Question 9

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 10

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 color 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 color 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 11

What should the nurse do when a patient is required to provide a timed urine specimen?

Accepted Answer

A) Save all urine from the time the test began. 
B) Leave the collection bottle on the floor near the patient's bed. 
C) Send notices along with the patient when leaving the unit to have all urine saved and returned to the unit. 
D) Remove contaminants such as toilet paper from the urine before transferring it to the collection bottle. 
A) Save all urine from the time the test began. 
B) Leave the collection bottle on the floor near the patient's bed. 
C) Send notices along with the patient when leaving the unit to have all urine saved and returned to the unit. 
D) Remove contaminants such as toilet paper from the urine before transferring it to the collection bottle.

Question 12

When performing a venipuncture, the nurse should:

Accepted Answer

A) inject with the needle at a 45-degree angle. 
B) select a vein that is rigid and cordlike, and that rolls when palpated. 
C) perform the needle insertion immediately after cleansing the skin with alcohol. 
D) place the thumb of the nondominant hand about 1 inch below the site and pull the skin taut. 
A) inject with the needle at a 45-degree angle. 
B) select a vein that is rigid and cordlike, and that rolls when palpated. 
C) perform the needle insertion immediately after cleansing the skin with alcohol. 
D) place the thumb of the nondominant hand about 1 inch below the site and pull the skin taut.

Question 13

Localized inflammation, tenderness, warmth at the wound site, and purulent drainage usually signify _______________.

Accepted Answer

wound infection
Localized infl

Question 14

When obtaining laboratory specimens, the nurse needs to be aware that: (Select all that apply.)

Accepted Answer

A) specimen collection may cause anxiety and embarrassment. 
B) sociocultural variations may affect a patient's compliance. 
C) contact isolation precautions are required for collection of blood. 
D) two identifiers, including room number, must be used. 
A) specimen collection may cause anxiety and embarrassment. 
B) sociocultural variations may affect a patient's compliance. 
C) contact isolation precautions are required for collection of blood. 
D) two identifiers, including room number, must be used.

Question 15

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.

Question 16

Which of the following is the site of choice for obtaining samples for 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

Question 17

What must the nurse do to collect a midstream urine sample from an infant?

Accepted Answer

A) Apply a sterile plastic collection bag to the perineum. 
B) Wring out diapers and collect the urine in a specimen container. 
C) Have the infant sit facing the back of the toilet. 
D) Catheterize the infant and collect the urine using sterile procedure. 
A) Apply a sterile plastic collection bag to the perineum. 
B) Wring out diapers and collect the urine in a specimen container. 
C) Have the infant sit facing the back of the toilet. 
D) Catheterize the infant and collect the urine using sterile procedure.

Question 18

The nurse has delegated ADL care of a patient with a large wound that is draining.Which of the follow should the nurse instruct the nurse assistant to report back to her?

Accepted Answer

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

Question 19

In explaining to the patient about obtaining a sputum specimen to diagnose tuberculosis, the nurse explains which of the following? (Select all that apply.)

Accepted Answer

A) Specimens are best obtained in the early morning. 
B) Acid-fast bacilli ( AFB ) smears require three consecutive morning samples. 
C) Bacteria accumulate as secretions pool. 
D) Specimens should be obtained at bedtime. 
A) Specimens are best obtained in the early morning. 
B) Acid-fast bacilli ( AFB ) smears require three consecutive morning samples. 
C) Bacteria accumulate as secretions pool. 
D) Specimens should be obtained at bedtime.

Question 20

The patient has come to the emergency department complaining of coughing up bloody sputum.The patient has a 30-year history of smoking and has lost 15 pounds in the last month.What will the nurse expect the sputum specimen to be evaluated for?

Accepted Answer

A) Culture and sensitivity 
B) AFB 
C) Cytology 
D) Chemical analysis 
A) Culture and sensitivity 
B) AFB 
C) Cytology 
D) Chemical analysis

Exam 43: Specimen Collection

When collecting specimens, the nurse should: (Select all that apply.)

How should the nurse identify a patient before obtaining a laboratory specimen from him?

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

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

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

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

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

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

What should the nurse do when a patient is required to provide a timed urine specimen?

When performing a venipuncture, the nurse should:

Localized inflammation, tenderness, warmth at the wound site, and purulent drainage usually signify _______________.

When obtaining laboratory specimens, the nurse needs to be aware that: (Select all that apply.)

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

Which of the following is the site of choice for obtaining samples for ABG?

What must the nurse do to collect a midstream urine sample from an infant?

The nurse has delegated ADL care of a patient with a large wound that is draining.Which of the follow should the nurse instruct the nurse assistant to report back to her?

In explaining to the patient about obtaining a sputum specimen to diagnose tuberculosis, the nurse explains which of the following? (Select all that apply.)

The patient has come to the emergency department complaining of coughing up bloody sputum.The patient has a 30-year history of smoking and has lost 15 pounds in the last month.What will the nurse expect the sputum specimen to be evaluated for?

Using Evidence in Nursing Practice

Admitting, Transfer, and Discharge

Communication

Documentation and Informatics

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety and Quality Improvement

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bed Making

Pressure Ulcer Care

Care of the Eye and Ear

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage Systems

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Diagnostic Procedures

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