Question 1

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 2

When obtaining laboratory specimens,the nurse needs to be aware that:

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 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.

Question 4

A common test performed on fecal material is the ________ test for fecal occult blood.

Accepted Answer

The answer of A common test performed on fecal material...

Question 5

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 3 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 3 times. 
D) The patient needs a low-residue diet to reduce intestinal abrasions.

Question 6

Hemoccult testing helps to reveal blood that is visually undetectable.This test is a useful diagnostic tool for which of the following conditions?

Accepted Answer

A) Colon cancer 
B) Upper gastrointestinal (GI)ulcers 
C) Localized gastric parasites 
D) Large polyps 
A) Colon cancer 
B) Upper gastrointestinal (GI)ulcers 
C) Localized gastric parasites 
D) Large polyps

Question 7

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 8

_______________ organisms grow in superficial wounds exposed to the air.

Accepted Answer

The answer of _______________ organisms grow in superficial wounds exposed...

Question 9

What should the nurse do after obtaining a sample for an arterial blood gas (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 10

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 11

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

Accepted Answer

The answer of Localized inflammation,tenderness,warmth at the wound site,and purulent...

Question 12

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 13

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 14

An appropriate technique for the nurse to implement when obtaining an arterial blood gas (ABG)specimen is to:

Accepted Answer

A) insert the needle at a 45-degree angle. 
B) use a 19-gauge,1-inch needle. 
C) leave 0.5 mL of heparin in the syringe. 
D) aspirate blood after the puncture. 
A) insert the needle at a 45-degree angle. 
B) use a 19-gauge,1-inch needle. 
C) leave 0.5 mL of heparin in the syringe. 
D) aspirate blood after the puncture.

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

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 17

When collecting specimens,the nurse should:

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. 
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.

Question 18

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 19

A timed urine collection can be used for which of the following?

Accepted Answer

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

Question 20

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.

Exam 7: Specimen Collection

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

When obtaining laboratory specimens,the nurse needs to be aware that:

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

A common test performed on fecal material is the ________ test for fecal occult blood.

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

Hemoccult testing helps to reveal blood that is visually undetectable.This test is a useful diagnostic tool for which of the following conditions?

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?

_______________ organisms grow in superficial wounds exposed to the air.

What should the nurse do after obtaining a sample for an arterial blood gas (ABG)?

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

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

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

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?

An appropriate technique for the nurse to implement when obtaining an arterial blood gas (ABG)specimen is to:

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

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

When collecting specimens,the nurse should:

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

A timed urine collection can be used for which of the following?

When performing a venipuncture,the nurse should:

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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