Question 1

What should the nurse do after obtaining a sample for ABG?

Accepted Answer

A) Maintain pressure over the site for 3 to 5 minutes. 
B) Check the artery proximal to or above the puncture site. 
C) Place the syringe into a plastic bag, and send it to the lab. 
D) Apply a cool compress to hematoma formation at the puncture site. 
A) Maintain pressure over the site for 3 to 5 minutes. 
B) Check the artery proximal to or above the puncture site. 
C) Place the syringe into a plastic bag, and send it to the lab. 
D) Apply a cool compress to hematoma formation at the puncture site.

Question 2

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 3

A patient asks what food may be eaten before a stool specimen is obtained for occult blood.What food should the nurse allow the patient to eat?

Accepted Answer

A) Fish 
B) Apples 
C) Red meats 
D) Green, leafy vegetables 
A) Fish 
B) Apples 
C) Red meats 
D) Green, leafy vegetables

Question 4

The nurse is caring for a patient who has had a craniotomy.The patient appears to need endotracheal suctioning.The nurse is aware that this can be of concern because suctioning can cause which of the following? (Select all that apply.)

Accepted Answer

A) Violent coughing 
B) Aspiration of stomach contents 
C) Increased intracranial pressure 
D) Bradycardia or tachycardia 
E) None of above 
A) Violent coughing 
B) Aspiration of stomach contents 
C) Increased intracranial pressure 
D) Bradycardia or tachycardia 
E) None of above

Question 5

______________ is often indicated to collect sputum from patients unable to spontaneously produce a sample for laboratory analysis.

Accepted Answer

Suctioning
Suctioning is often

Question 6

When obtaining a venipuncture sample for a blood culture, the nurse should:

Accepted Answer

A) recap the needles. 
B) shake the culture bottles well. 
C) use two different sites to draw samples. 
D) inoculate the aerobic culture bottle first. 
A) recap the needles. 
B) shake the culture bottles well. 
C) use two different sites to draw samples. 
D) inoculate the aerobic culture bottle first.

Question 7

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 6 to 8 inches 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 6 to 8 inches above the selected site. 
D) make the tourniquet tight enough to occlude the distal pulse.

Question 8

The patient is diagnosed with suspected bacteremia.The physician has ordered blood cultures from two different sites.The patient is complaining of chills and has an elevated temperature.What action should the nurse take in the presence of these symptoms?

Accepted Answer

A) Delay drawing the blood cultures until symptoms subside. 
B) Draw blood from only one site to prevent further discomfort. 
C) Draw the blood cultures as ordered. 
D) Draw blood from the patient's intravenous (IV) catheter. 
A) Delay drawing the blood cultures until symptoms subside. 
B) Draw blood from only one site to prevent further discomfort. 
C) Draw the blood cultures as ordered. 
D) Draw blood from the patient's intravenous (IV) catheter.

Question 9

During a sputum collection, the patient becomes hypoxic.What action should the nurse take?

Accepted Answer

A) Suction the patient thoroughly. 
B) Continue to complete the procedure quickly. 
C) Stop the procedure and provide oxygen, if ordered. 
D) Have the patient lie down and take deep breaths before continuing with the specimen collection. 
A) Suction the patient thoroughly. 
B) Continue to complete the procedure quickly. 
C) Stop the procedure and provide oxygen, if ordered. 
D) Have the patient lie down and take deep breaths before continuing with the specimen collection.

Question 10

The least traumatic method of obtaining a blood specimen is known as __________.

Accepted Answer

skin puncture
capillary punctu

Question 11

The nurse is drawing blood from a patient to determine the blood alcohol level.Which step is an appropriate action for the nurse to take?

Accepted Answer

A) Swab the area with an antiseptic swab. 
B) Swab the area with an alcohol swab. 
C) Do not swab the area at all. 
D) Apply the tourniquet for 5 minutes. 
A) Swab the area with an antiseptic swab. 
B) Swab the area with an alcohol swab. 
C) Do not swab the area at all. 
D) Apply the tourniquet for 5 minutes.

Question 12

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 10 to 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 10 to 15 minutes. 
C) Draw urine using a 20-mL syringe. 
D) Insert the needle into the silicone catheter.

Question 13

When blood specimens are drawn, which of the following is true?

Accepted Answer

A) Draw cryoglobulin levels using test tubes placed on ice. 
B) To test ammonia and ionized calcium levels, warm the test tubes. 
C) To draw for lactic acid levels, do not use a tourniquet. 
D) To draw for vitamin levels, use light to determine density. 
A) Draw cryoglobulin levels using test tubes placed on ice. 
B) To test ammonia and ionized calcium levels, warm the test tubes. 
C) To draw for lactic acid levels, do not use a tourniquet. 
D) To draw for vitamin levels, use light to determine density.

Question 14

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

Question 15

The nurse is preparing to perform a venipuncture on a patient.Which of the following is an appropriate action for the nurse to take?

Accepted Answer

A) Apply the tourniquet until the distal pulse is no longer felt. 
B) Remove the tourniquet after 1 minute. 
C) Instruct the patient to vigorously open and close the fist. 
D) Do not use veins that rebound. 
A) Apply the tourniquet until the distal pulse is no longer felt. 
B) Remove the tourniquet after 1 minute. 
C) Instruct the patient to vigorously open and close the fist. 
D) Do not use veins that rebound.

Question 16

_______________ organisms grow in superficial wounds exposed to the air.

Accepted Answer

Aerobic
Aerobic orga

Question 17

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

Accepted Answer

A) Acid-fast bacilli 
B) General cytology 
C) Chemical analysis 
D) Culture and sensitivity 
A) Acid-fast bacilli 
B) General cytology 
C) Chemical analysis 
D) Culture and sensitivity

Question 18

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 19

An appropriate technique that the nurse can tell the patient to implement before obtaining a sputum specimen is to:

Accepted Answer

A) use mouthwash before the collection. 
B) splint the surgical incision before coughing. 
C) try to obtain a sample immediately after eating. 
D) take a deep breath, cough hard, and expectorate. 
A) use mouthwash before the collection. 
B) splint the surgical incision before coughing. 
C) try to obtain a sample immediately after eating. 
D) take a deep breath, cough hard, and expectorate.

Question 20

An appropriate technique for the nurse to use when culturing wound drainage that is suspected to contain anaerobic bacteria is to:

Accepted Answer

A) use older secretions for the specimen. 
B) add exudate from the skin to the wound specimen. 
C) aspirate 5 to 10 mL of exudate from a deep cavity wound. 
D) swab carefully and slowly in a back-and-forth motion across the wound. 
A) use older secretions for the specimen. 
B) add exudate from the skin to the wound specimen. 
C) aspirate 5 to 10 mL of exudate from a deep cavity wound. 
D) swab carefully and slowly in a back-and-forth motion across the wound.

Exam 43: Specimen Collection

What should the nurse do after obtaining a sample for ABG?

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

A patient asks what food may be eaten before a stool specimen is obtained for occult blood.What food should the nurse allow the patient to eat?

The nurse is caring for a patient who has had a craniotomy.The patient appears to need endotracheal suctioning.The nurse is aware that this can be of concern because suctioning can cause which of the following? (Select all that apply.)

______________ is often indicated to collect sputum from patients unable to spontaneously produce a sample for laboratory analysis.

When obtaining a venipuncture sample for a blood culture, the nurse should:

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

The patient is diagnosed with suspected bacteremia.The physician has ordered blood cultures from two different sites.The patient is complaining of chills and has an elevated temperature.What action should the nurse take in the presence of these symptoms?

During a sputum collection, the patient becomes hypoxic.What action should the nurse take?

The least traumatic method of obtaining a blood specimen is known as __________.

The nurse is drawing blood from a patient to determine the blood alcohol level.Which step is an appropriate action for the nurse to take?

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?

When blood specimens are drawn, which of the following is true?

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

The nurse is preparing to perform a venipuncture on a patient.Which of the following is an appropriate action for the nurse to take?

_______________ organisms grow in superficial wounds exposed to the air.

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

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

An appropriate technique that the nurse can tell the patient to implement before obtaining a sputum specimen is to:

An appropriate technique for the nurse to use when culturing wound drainage that is suspected to contain anaerobic bacteria is to:

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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