NUR 303 Specimen Collection and Diagnostic Testing

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Chapter 15: Specimen Collection and Diagnostic Testing Cooper and Gosnell: Foundations of Nursing, 7th Edition MULTIPLE CHOICE 1. New physician orders are transcribed for a patient to receive ... a colonosco-py. What must be completed before the colonoscopy to indicate the patient has been giv-en full knowledge about what will be done along with its risks and complications? a. Patients’ rights b. Advance directive c. Informed consent d. Patient protection 2. The nurse is preparing a patient for a diagnostic examination. What can the nurse implement to assist with reducing anxiety? a. Explain the costs of the examination b. Demonstrate use of equipment c. Answer questions for clarification d. Fill out required paperwork 3. A patient is required to provide a sample of body excretions per physician order. What action can the nurse take when providing proper instructions to lessen the patient’s embarrassment? a. Instruct patient to provide the spec-imen behind a screen. b. Instruct patient to obtain his or her own specimen. c. Instruct patient to return later when he or she is more comfortable. d. Instruct patient to use a CNA for assistance to ob-tain the specimen. 4. What health care professional has the responsibility for notifying the phy-sician when laboratory and diagnostic studies deviate from the norm? a. Laboratory tech-nician b. Cooperating phy-sician c. Nurse d. Supervisor 5. What is the term for the cleanest part of a voided urine specimen that is collected after voiding is initiated and before it is finished? a. Sterile specimen b. “Caught” speci-men c. Midstream speci-men d. Patient-collected specimen 6. The patient is to be catheterized for residual urine. The nurse must perform this catheterization within how many minutes following voiding? a. 40 minutes b. 30 minutes c. 20 minutes d. 10 minutes 7. The process for collecting a blood specimen for measuring blood glucose levels begins by asking the patient to hold the selected arm at his or her side for 30 sec-onds. From what anatomic location is the specimen obtained? a. Tip of the finger b. Cubital fossa c. Side of the finger d. Center of the thumb 8. What type of stool specimen must be sent to the laboratory immediately? a. Occult blood b. Ova and parasites c. Infection d. Fats a 9. What is the probable source of bright red blood in the stool? a. Stomach b. Small intestine c. Lower gastrointes-tinal tract d. Higher intestinal tract 10. A sputum specimen is ordered on a patient diagnosed with pneumonia. When is the best time for the nurse to the attempt to collect this specimen? a. At bedtime b. After lunch c. In the early morn-ing d. After breakfast : 11. A patient is unable to obtain a sputum specimen by coughing and expecto-rating. What is the best way for the nurse to collect this specimen? a. Ask the patient to spit b. Direct the patient to turn, cough, and breathe deep-ly c. Perform tracheal suctioning d. Perform a bron-choscopy 12. The nurse is collecting a specimen for a wound culture. What should be avoided when collecting this specimen? a. A dressing b. Deep in the wound c. The outer edge of the wound d. Old drainage 13. Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect an anaerobic specimen? a. Sterile cotton ap-plicator b. Sterile culture tube c. Sterile syringe tip d. Sterile glass rod 14. The nurse is obtaining a throat culture. What area will the nurse swab with a cotton-tipped applicator? a. Larynx b. Oral mucosa c. Pharynx d. Trachea 15. The nurse explains that electrocardiograms are graphic representations of electrical impulses generated by the heart. What type of abnormalities can an electrocar-diogram identify? a. Those that pro-duce a cardiac cy-cle b. Those that inter-fere with electrical conduction c. Those that result from an interrupt-ed blood flow d. Those that inter-fere with heart contraction 16. What is the rationale for the nurse to assess a patient's knowledge of an ordered procedure? a. To determine dif-ficulties the pa-tient may encoun-ter b. To determine the nurse’s role in the procedure c. To determine health teaching required d. To determine anx-iety the patient has 17. What should the nurse assess the patient for before administration of con-trast media? a. Has been NPO b. Is allergic to io-dine c. Has emptied the bladder d. Has taken medica-tion 18. The nurse should administer Telepaque in preparation for a cholecysto-gram. How frequently will the nurse administer one tablet of Telepaque before this pro-cedure? a. Every 5 minutes b. Every 10 minutes c. Every 15 minutes d. Every 20 minutes 19. Following a liver biopsy, the nurse should observe for hemorrhage and en-sure that the patient is kept on bed rest for 24 hours. How should the nurse keep the pa-tient for the first 1 to 2 hours? a. On his or her left side b. On his or her back c. On his or her right side d. In high Fowler position 20. The patient has undergone a lumbar puncture. What position will the nurse place the patient in for up to 12 hours to avoid discomfort from postpuncture spinal head-ache? a. Supine b. Lateral c. Sims d. Prone 21. The procedure for collecting a sterile urine specimen via a catheter port in-cludes clamping the Foley catheter tubing below the catheter port. How long will the clamp remain in place? a. 5 minutes b. 10 minutes c. 20 minutes d. 30 minutes 22. The nurse is caring for a patient following a bronchoscopy and maintains NPO status for 2 hours. What additional assessment will indicate to the nurse that this patient’s risk for aspiration has decreased? a. Patient is fully awake b. Patient asks for a drink c. Gag reflex has returned d. Preoperative med-ication has worn off 23. The nurse has an order to perform occult blood testing on a patient’s eme-sis. What color will the sample turn to indicate that the test is positive for occult blood? a. Red b. Blue c. Green d. Yellow 24. What should the nurse do when preparing the patient for an abdominal scan? a. Assess laboratory results only for liver function b. Assess patient for allergies to dye or shellfish c. Instruct patient to limit fluid intake immediately fol-lowing procedure d. Instruct patient to be NPO for 1 hour before scan if con-trast medium is used 25. What should the nurse do when preparing the patient for an arteriography? a. Verify if the pa-tient has been tak-ing anticoagulants b. Keep the patient NPO for 24 hours before the proce-dure c. Instruct the pa-tient to have a full bladder for the procedure d. Inform the patient that a coldness may be felt when dye is injected 26. The nurse is preparing a patient for a barium enema. What color will the nurse inform the patient his stools will be following this procedure? a. Blue b. White c. Green d. Brown 27. What should the nurse do when preparing the patient for an amniocen-tesis? a. Restrict food in-take b. Restrict fluid in-take c. Monitor fetal heart tones d. Inform patient results will be available immedi-ately 28. What should the nurse do when preparing the patient for a bone scan? a. Sedate the patient b. Restrict food in-take c. Restrict fluid in-take d. Encourage water intake 29. What should the nurse do when preparing the patient for a brain scan? a. Allow the patient to wear a wig dur-ing the scan b. Allow the patient to wear a partial denture plate dur-ing the scan c. Inform the patient that a clicking noise will be heard during the scan d. Keep the patient NPO for 12 hours before scan if con-trast dye is used 30. What should the nurse do when preparing the patient for a bronchoscopy? a. Instruct the pa-tient to hold his or her breath during the procedure b. Instruct the pa-tient to remain NPO 24 hours be-fore the procedure c. Obtain informed consent after pre-medicating the patient d. Reassure the pa-tient that he or she will be able to breathe during the procedure 31. What should the nurse encourage the patient to consume when preparing for an electroencephalogram (EEG)? a. Tea b. Food c. Cola d. Coffee 32. What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)? a. Restrict water in-take before the test b. Encourage water intake before the test c. Keep patient NPO 4 hours before the test d. Instruct patient to have a full bladder for the test 33. What should the nurse do when preparing the patient for an exercise toler-ance test (treadmill)? a. Withhold all foods and fluids before the test b. Withhold all heart medications be-fore the test c. Allow the patient to drink water be-fore the test d. Allow the patient to consume food before the test 34. A patient has just had a liver biopsy. What should the nurse do immediate-ly following this procedure? a. Assist the patient up to a chair b. Keep the patient on his or her left side c. Assist the patient with ambulation d. Tell the patient to avoid coughing MULTIPLE RESPONSE 35. The nurse is preparing to collect a urine specimen. What will this nurse in-clude when labeling this specimen? (Select all that apply.) a. Date and time of collection b. Identification of last name only c. Room number d. Medical record number e. Insurance infor-mation 36. After a bone scan, the nurse assesses a hematoma at the injection site of the dye. The nurse should apply ______ soaks or compresses. 37. When initiating a 24-hour urine collection, the nurse asks the patient to void. The nurse then _______ the specimen. 38. Following an intravenous pyelogram, the nurse should watch the patient closely for a delayed reaction to the dye, usually occurring within ___ to ___ hours fol-lowing the procedure. 39. When collecting a stool specimen for a guaiac (occult blood in stool), the nurse should take a specimen from _____ different parts of the stool. 40. When performing a venipuncture, the tourniquet should be left on no more than ____ to ____ minutes. [Show More]

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