Question 1

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. C

Question 2

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. C

Question 3

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) Acid-fast bacilli (AF
B)  
C) Cytology 
D) Chemical analysis 
A) Culture and sensitivity 
B) Acid-fast bacilli (AF
B)  
C) Cytology 
D) Chemical analysis C

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

The answer of Assessment of the chemical properties of urine...

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 nurse suspects that the patient may have tuberculosis (TB).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 (AF
B)  
B) General cytology 
C) Chemical analysis 
D) Culture and sensitivity 
A) Acid-fast bacilli (AF
B)  
B) General cytology 
C) Chemical analysis 
D) Culture and sensitivity

Question 7

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?

Accepted Answer

A) Violent coughing 
B) Aspiration of stomach contents 
C) Increased intracranial pressure 
D) Bradycardia or tachycardia 
A) Violent coughing 
B) Aspiration of stomach contents 
C) Increased intracranial pressure 
D) Bradycardia or tachycardia

Question 8

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 9

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 10

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

Accepted Answer

The answer of ______________ is often indicated to collect sputum...

Question 11

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 12

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 13

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 14

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 15

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

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.

Question 16

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.

Question 17

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

Question 18

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

Accepted Answer

The answer of The least traumatic method of obtaining a...

Question 19

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 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 20

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.

Exam 7: Specimen Collection

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

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

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?

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

A nurse suspects that the patient may have tuberculosis (TB).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?

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?

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 implement when preparing for a venipuncture is to:

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

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

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

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

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

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

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

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

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

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 nurse assistant to report back to her?

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

Using Evidence in Practice

Admitting, transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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