Deck 19: Specimen Collection and Diagnostic Examination

Question 1

Following a liver biopsy,the nurse should observe for hemorrhage and ensure that the patient is kept on bed rest for 24 hours.For the first 1 to 2 hours,the nurse should keep the patient:

A) on his or her left side.
B) on his or her back.
C) on his or her right side.
D) in high Fowler's position.

Answer 1

on his or her right side.

Question 2

When obtaining a throat culture,the nurse must use a cotton-tipped applicator to swab the:

A) larynx.
B) oral mucosa.
C) pharynx.
D) trachea.

Answer 2

pharynx.

Question 3

To lessen a patient's embarrassment when asked to provide a sample of body excretions,the nurse may provide the patient with proper instructions and allow the patient to:

A) provide the specimen behind a screen.
B) obtain his or her own specimen.
C) return later when he or she is more comfortable.
D) use a CNA for assistance to obtain the specimen.

Answer 3

obtain his or her own specimen.

Question 4

If there is bright red blood in the stool,the nurse recognizes that the probable source of the blood is the:

A) stomach.
B) small intestine.
C) lower gastrointestinal tract.
D) higher intestinal tract.

Question 5

Because a sputum specimen must come from deep in the bronchial tree,the nurse will attempt to collect the specimen:

A) at bedtime.
B) after lunch.
C) in the early morning.
D) after breakfast.

Question 6

The patient has undergone a lumbar puncture.The nurse places the patient in which position for up to 12 hours to avoid discomfort from postpuncture spinal headache?

A) Supine
B) Lateral
C) Sims'
D) Prone

Question 7

The nurse should administer Telepaque in preparation for a cholecystogram one tablet at a time every:

A) 5 minutes.
B) 10 minutes.
C) 15 minutes.
D) 20 minutes.

Question 8

The cleanest part of a voided urine specimen is collected after voiding is initiated and before it is finished.This is called a:

A) sterile specimen.
B) "caught" specimen.
C) midstream specimen.
D) patient-collected specimen.

Question 9

Anaerobic organisms tend to grow within body cavities.To collect an anaerobic specimen,the nurse uses a sterile:

A) cotton applicator.
B) culture tube.
C) syringe tip.
D) glass rod.

Question 10

The nurse explains that electrocardiograms are graphic representations of electrical impulses generated by the heart and can identify abnormalities that:

A) produce a cardiac cycle.
B) interfere with electrical conduction.
C) result from a interrupted blood flow.
D) interfere with heart contraction.

Question 11

The nurse assesses a patient's knowledge of an ordered procedure to determine:

A) difficulties the patient may encounter.
B) the nurse's role in the procedure.
C) health teaching required.
D) anxiety the patient has.

Question 12

The nurse can assist with reducing anxiety when preparing a patient for a diagnostic examination by:

A) explaining the costs of the examination.
B) demonstrating use of equipment.
C) answering questions for clarification.
D) filling out required paperwork.

Question 13

Before administration of contrast media,the nurse should assess if the patient:

A) has been NPO.
B) is allergic to iodine.
C) has emptied the bladder.
D) has taken medication.

Question 14

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

Question 15

The responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm belongs to the:

A) laboratory technician.
B) cooperating physician.
C) nurse.
D) supervisor.

Question 16

Before giving permission for any procedure,a patient must have full knowledge about what will be done during the procedure along with its risks and complications.This is called:

A) patients' rights.
B) advance directive.
C) informed consent.
D) patient protection.

Question 17

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 seconds and taking the specimen from the:

A) tip of the finger.
B) cubital fossa.
C) side of the finger.
D) center of the thumb.

Question 18

Because some patients are unable to obtain a sputum specimen by coughing and expectorating,the nurse may collect the specimen by:

A) asking patient to spit.
B) directing the patient to turn,cough,and breathe deeply.
C) tracheal suctioning.
D) bronchoscopy.

Question 19

When the nurse is collecting a specimen for a wound culture,the specimen should never be collected from:

A) a dressing.
B) deep in the wound.
C) the outer edge of the wound.
D) old drainage.

Question 20

A stool specimen that must be sent to the laboratory immediately is a specimen for:

A) occult blood.
B) ova and parasites.
C) infection.
D) fats.

Question 21

The procedure for collecting a sterile urine specimen via a catheter port includes clamping the Foley catheter tubing below the catheter port for:

A) 5 minutes.
B) 10 minutes.
C) 20 minutes.
D) 30 minutes.

Question 22

When preparing the patient for a bone scan,the nurse should:

A) sedate the patient.
B) restrict food intake.
C) restrict fluid intake.
D) encourage water intake.

Question 23

When collecting a stool specimen for a guaiac (occult blood in stool),the nurse should take a specimen from _____ different parts of the stool.

Question 24

When initiating a 24-hour urine collection,the nurse asks the patient to void.The nurse then _______ the specimen.

Question 25

When preparing the patient for a glucose tolerance test (GTT),the nurse should:

A) restrict water intake 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.

Question 26

When preparing a patient for a diagnostic examination,part of the nurse's role is to obtain a signed informed consent before the procedure.This is required for all:

A) x-ray procedures.
B) invasive procedures.
C) procedures using dye.
D) procedures requiring specimens.

Question 27

When preparing the patient for an abdominal scan,the nurse should:

A) assess labs only for liver function.
B) assess patient for allergies to dye or shellfish.
C) instruct patient to limit fluid intake immediately following procedure.
D) instruct patient to be NPO for 1 hour before scan if contrast medium is used.

Question 28

After a bone scan,the nurse assesses a hematoma at the injection site of the dye.The nurse should apply ______ soaks or compresses.

Question 29

When preparing the patient for an exercise tolerance test (treadmill),the nurse should:

A) withhold all foods and fluids before the test.
B) withhold all heart medications before the test.
C) allow the patient to drink water before the test.
D) allow the patient to consume food before the test.

Question 30

When preparing the patient for an amniocentesis,the nurse should:

A) restrict food intake.
B) restrict fluid intake.
C) monitor fetal heart tones.
D) inform patient results will be available immediately.

Question 31

When performing a venipuncture,the tourniquet should be left on no more than ____ to ____ minutes.

Question 32

When preparing the patient for a bronchoscopy,the nurse should:

A) instruct the patient to hold his or her breath during the procedure.
B) instruct the patient to remain NPO 24 hours before the procedure.
C) obtain informed consent after premedicating the patient.
D) reassure the patient that he or she will be able to breathe during the procedure.

Question 33

The nurse has an order to perform occult blood testing on a patient's emesis.The nurse recognizes that the test is positive for occult blood when the sample turns:

A) red.
B) blue.
C) green.
D) yellow.

Question 34

When preparing the patient for an electroencephalogram (EEG),the nurse should encourage the intake of:

A) tea.
B) food.
C) cola.
D) coffee.

Question 35

A patient has just had a liver biopsy.Immediately following this procedure,the nurse should:

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.

Question 36

To protect a patient from aspiration following a bronchoscopy,the nurse should keep the patient NPO for 2 hours until the:

A) patient is fully awake.
B) patient asks for a drink.
C) gag reflex has returned.
D) preoperative medication has worn off.

Question 37

Following an intravenous pyelogram,the nurse should watch the patient closely for a delayed reaction to the dye,usually occurring within ___ to ___ hours following the procedure.

Question 38

When preparing the patient for a brain scan,the nurse should:

A) allow the patient to wear a wig during the scan.
B) allow the patient to wear a partial denture plate during 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 contrast dye is used.

Question 39

The nurse should explain to the patient that following a barium enema the color of the stools will be:

A) blue.
B) white.
C) green.
D) brown.

Question 40

When preparing the patient for an arteriography,the nurse should:

A) verify if the patient has been taking anticoagulants.
B) keep the patient NPO for 24 hours before the procedure.
C) instruct the patient to have a full bladder for the procedure.
D) inform the patient that a coldness may be felt when dye is injected.