Deck 35: Diagnostic Testing

Question 1

Which urinary test is advised for type 1 diabetes?

Answer 1

Ketones

Question 2

A client asks the nurse, "Why do I have to monitor my blood glucose levels?" An appropriate response from the nurse would be:

A) "Because your doctor ordered it."
B) "Monitoring your blood glucose better enables you to manage your diabetes."
C) "If I were you, I would monitor the blood glucose when I didn't feel good."
D) "You can eat anything you want."

Answer 2

"Monitoring your blood glucose better enables you to manage your diabetes."

Question 3

Which instruction should the nurse give to the client when a stool specimen is to be collected?

A) Defecate in the toilet.
B) Send at least 60 mL of specimen.
C) Follow sterile technique.
D) Void before the specimen is collected.

Answer 3

Void before the specimen is collected.

Question 4

A doctor's order for a whole stool specimen collection indicates to the nurse that the physician needs to:

A) detect the presence of ova and parasites.
B) determine the presence of occult blood.
C) analyse the stool for dietary products and digestive secretions.
D) detect the presence of bacteria or viruses.

Question 5

Which of the following roles would the nurse perform in the intratest-phase?

A) Collect the specimen.
B) Prepare the client.
C) Observe the client.
D) Assess the data.

Question 6

Which of the following diagnostic studies can determine how well blood glucose levels have been controlled?

A) Capillary blood glucose.
B) Serum electrolytes.
C) Blood chemistry.
D) Haemoglobin A1c.

Question 7

One of the purposes of timed urine specimen collections is:

A) to assess kidney function.
B) for routine examination.
C) to detect microbes.
D) to test for sensitivity to antibiotics.

Question 8

A client is being treated for tuberculosis, and the doctor writes an order to collect a sputum specimen. What is the rationale behind this order?

A) To identify the specific organism.
B) For acid-fast bacillus.
C) To identify origin, structure, function, and pathology of cells.
D) To assess the effectiveness of therapy.

Question 9

The nurse is giving a mother instructions on how to collect a stool specimen from her child for threadworm testing. The advice includes:

A) collect the specimen last thing at night after a bowel movement.
B) collect the specimen first thing in the morning before a bowel movement.
C) clean the area before collection of specimen.
D) collect the specimen anytime you can.

Question 10

Which of the following instructions should be given to the client for obtaining a clean voided urine specimen?

A) Void in a sterile cup.
B) Collect at least 5 mL of urine.
C) Keep the specimen on ice.
D) Collect the first voided specimen in the morning.

Question 11

Which returned demonstration by the client indicates an accurate understanding of performing a blood glucose monitoring test?

A) The client puts on gloves.
B) The client applies pressure to puncture site.
C) The client punctures the fingertip.
D) The client smears the blood on the reagent strip.

Question 12

Which of the following replies from the client indicates that no further teaching is required regarding the cystoscopy?

A) "The scope is a lighted instrument inserted through the urethra."
B) "The doctor will be able to see my kidneys."
C) "During the procedure the physician will take X-rays."
D) "I will be awake for this procedure."

Question 13

Which of the following diagnostic tests is invasive?

A) Electrocardiography.
B) Magnetic resonance imaging.
C) Angiography.
D) Computed tomography.

Question 14

When instructing a client on the procedure of how a throat culture will be collected, which of the following statements by the client would indicate the need for further instruction?

A) "I need to hyperextend my neck."
B) "I will need to sit up."
C) "The nurse will use a light."
D) "I need to say 'ah'."

Question 15

A client is to have an echocardiogram. Which statement by the client about this test indicates he does not need further teaching?

A) "I will need to take my pulse prior to the test."
B) "I will need to remain NPO."
C) "I will have to walk on a treadmill."
D) "I'm told this test causes no discomfort."

Question 16

Which of the following steps should the nurse perform when obtaining a sputum specimen?

A) Take shallow breaths.
B) Wear a mask.
C) Collect at least 5 mL of sputum.
D) Offer mouth care.

Question 17

Which of the following nursing responsibilities is associated with specimen collection?

A) Handle the specimen discreetly.
B) Always accompany the client to collect a specimen.
C) Sterile technique should be used with all specimen collection.
D) Use day-old specimens.

Question 18

Which of the following blood tests is indicative of heart failure?

A) BNP.
B) LDH.
C) CBC.
D) PKU.

Question 19

Which of the following would not be part of a nurse's role in the pre-test phase of diagnostic testing?

A) Providing teaching to the client about procedure.
B) Checking if the client is pregnant.
C) Labelling and transport of specimens.
D) Reporting of results to the doctor.

Question 20

Which of the following methods is correct for collecting a sputum specimen? Have the client:

A) cough to bring up secretions.
B) rinse the mouth with mouthwash prior to the collection.
C) clear the throat.
D) apply sterile gloves.

Question 21

Which of the following precautions should the nurse take when a client is to undergo an MRI (magnetic resonance imaging) test and the client has tattooed eyeliner? Have the client:

A) apply earplugs.
B) lie very still.
C) wear goggles.
D) report any burning sensation.

Question 22

Place an "X" over the preferred site of a bone marrow biopsy.

Question 24

Which of the following actions best describes how the fluid is removed from the abdominal cavity if ascites develops in the cirrhosis client?

A) Perform an abdominal paracentesis.
B) Perform a liver biopsy.
C) Perform a thoracentesis.
D) Insert a catheter in the bladder.

Question 25

For a lumbar puncture, the nurse should place the client in which of the following positions?

A) Supine with knees pulled toward the chest.
B) Lying prone, with the knees drawn up toward the abdomen.
C) Lateral with head bent toward the chest and knees flexed onto the abdomen.
D) Sitting bent over from the waist with legs extended.

Question 26

Match the diagnostic procedure with the position.
1. Lumbar puncture
2. Abdominal paracentesis
3. Thoracentesis
4. Bone marrow biopsy
5. Liver biopsy
A. Sitting position
B. Leaning forward over a pillow
C. Supine with one pillow
D. Supine with upper right quadrant of abdomen exposed
E. Curled in a ball on side of bed