Deck 31: Collecting and Testing Specimens

Question 1

Which statement about collecting urine specimens is incorrect?

A)Label the container with the requested information.
B)Touch only the inside of the container and lid.
C)Collect the specimen at the time specified.
D)Ask the person to put toilet tissue in the toilet or wastebasket.

Answer 1

Touch only the inside of the container and lid.

Question 2

You need to collect a midstream urine specimen from a female resident.Which action is incorrect?

A)Sterile gloves are used.
B)The urethral area is cleaned from front to back.
C)The labia are kept separated until you collect 30 to 60 mL.
D)The labia are not separated during the void.

Answer 2

The labia are not separated during the void.

Question 3

Rules for collecting specimens include the following except

A)Follow the rules for medical asepsis
B)Follow Standard Precautions and the Bloodborne Pathogen Standard
C)Always use a sterile container
D)Label the container accurately

Answer 3

Always use a sterile container

Question 4

Hematuria means

A)Sugar in the urine
B)Blood in the urine
C)A scant amount of urine
D)Difficult or painful urination

Question 5

Glucosuria means

A)Sugar in the urine
B)Blood in the urine
C)A scant amount of urine
D)Difficult or painful urination

Question 6

The nurse asks you to collect a midstream specimen.Which is correct?

A)No special measures are needed.
B)The perineal area is cleaned before collecting the specimen.
C)The first voiding is discarded.
D)The person voids twice.

Question 7

Which health team member orders what specimens to collect and the tests needed?

A)The RN
B)The LPN/LVN
C)The physical therapist
D)The doctor

Question 8

Acetone is

A)A tube used to drain or inject fluid through a body opening
B)An artificial way to remove waste and excess fluid from the body
C)Sugar in the urine
D)A substance that appears in the urine from the rapid breakdown of fat for energy

Question 9

Mucus from the respiratory system that is expelled through the mouth is

A)Phlegm
B)Saliva
C)Sputum
D)Ketone

Question 10

The doctor orders testing for glucosuria and ketones.Which specimen is best?

A)A random urine specimen
B)A midstream urine specimen
C)A 24-hour urine specimen
D)A double-voided specimen

Question 11

Glycosuria means

A)Sugar in the urine
B)Blood in the urine
C)A scant amount of urine
D)Difficult or painful urination

Question 12

You are using reagent strips to test urine.You must do the following except

A)Follow the manufacturer's instructions
B)Follow Standard Precautions and the Bloodborne Pathogen Standard
C)Compare the strip test area with the color chart on the bottle
D)Soak the strip in the specimen for 60 seconds

Question 13

You need to collect a urine specimen from a 2-year-old child.The child is not toilet-trained.Which is correct?

A)The child sits on the potty chair until the child urinates.
B)A urinary catheter is inserted.
C)A collection bag is attached to the child's genital area.
D)The child's wet diaper is placed in a bag and sent to the laboratory.

Question 14

The doctor orders testing for glucosuria and ketones.When are these tests usually done?

A)During AM and HS care
B)After meals
C)30 minutes before each meal and at bedtime
D)Every time the person urinates

Question 15

The nurse asks you to collect a 24-hour urine specimen.Which is correct?

A)No special measures are needed.
B)The perineal area is cleaned before collecting the specimen.
C)The first voiding is discarded.
D)The person voids twice.

Question 16

Melena is

A)The excessive formation of gas in the stomach and intestines
B)Gas or air in the stomach or intestines
C)A black,tarry stool
D)Excreted feces

Question 17

Bloody sputum is

A)Ketone
B)Hemoptysis
C)Saliva
D)Postural drainage

Question 18

Which measures whether urine is acidic or alkaline?

A)Testing for pH
B)Testing for glucose
C)Testing for ketones
D)Straining urine

Question 19

The nurse asks you to collect a random urine specimen.Which is correct?

A)No special measures are needed.
B)The perineal area is cleaned before collecting the specimen.
C)The first voiding is discarded.
D)The person voids twice.

Question 20

Preservative from a 24-hour urine collection container splashed on your hand.You should do the following except

A)Flush your hand with a large amount of water
B)Soak your hand in warm soapy water for 20 minutes
C)Tell the nurse what happened and check the MSDS
D)Complete an incident report

Question 21

You need to collect a stool specimen from a child.The child is not toilet-trained.Which is correct?

A)Send the diaper to the laboratory.
B)You can obtain the stool specimen from the diaper.
C)The child needs to use the bedpan.
D)The child needs to use the commode.

Question 22

A child needs a breathing treatment and suctioning to produce a sputum specimen.Which is incorrect?

A)You can give the breathing treatment.
B)An RN or respiratory therapist gives the breathing treatment.
C)The nurse suctions the trachea for the specimen.
D)You can assist by holding the child's head and arms still.

Question 23

You are choosing a skin puncture site.Which is incorrect?

A)Avoid sites that are swollen or bruised.
B)Avoid sites that are calloused.
C)The thumbs and index fingers are good sites.
D)Do not use the center,fleshy part of the fingertips.

Question 24

When collecting a sputum specimen,the person coughs up sputum from the

A)Mouth
B)Throat
C)Upper airway
D)Bronchi and trachea

Question 25

You are going to test a stool specimen for blood.Which action is incorrect?

A)Following the manufacturer's instruction
B)Following Standard Precautions
C)Following the Bloodborne Pathogen Standard
D)Reporting test results at the end of your shift

Question 26

A stool specimen must not be contaminated with urine.

Question 27

The most common site for a skin puncture is

A)The earlobe
B)The heel
C)A fingertip
D)A toe

Question 28

Sputum specimen collection is easier

A)Upon awakening in the morning
B)After a meal
C)After activity
D)Before a meal

Question 29

How much sputum is needed for a specimen?

A)1 to 2 teaspoons
B)1 to 2 tablespoons
C)1?4 cup
D)1?2 cup

Question 30

The nurse asks you to test a stool specimen for occult blood.You know that occult blood

A)Can be seen
B)Means a black,tarry stool
C)Is hidden or unseen
D)Is dark red

Question 31

Which part of the specimen container can you touch?

A)Any part
B)The outside of the container and inside the lid
C)The inside of the container and lid
D)Only the outside of the container

Question 32

Oral care before collecting a sputum specimen involves

A)Brushing teeth
B)Using mouthwash
C)Flossing
D)Rinsing with clear water

Question 33

After collecting a sputum specimen,the container is

A)Washed and dried
B)Placed in a bag
C)Labeled
D)Weighed

Question 34

When testing urine is delegated to you,you need the following information from the nurse and the care plan except

A)What test is needed
B)How to follow Standard Precautions
C)What equipment to use
D)When to test urine

Question 35

After straining a person's urine,you find some particles.What should you do?

A)Take the specimen and requisition slip to the laboratory or storage area.
B)Discard the specimen after observing the results.
C)Test the particles for blood.
D)Measure the particles.

Question 36

The nurse asks you to collect a stool specimen from a resident.Which is incorrect?

A)Explain what the person needs to do.
B)Explain what you will do.
C)Ask if the person understands what to do.
D)Stay with the person until the person has a bowel movement.

Question 37

The nurse asks you to strain a person's urine.To do this,you need

A)A midstream urine specimen
B)A 24-hour urine specimen
C)A strainer or gauze
D)Elastic tape

Question 38

Urine is strained to check for

A)Acetone
B)Blood
C)Stones
D)Urine pH

Question 39

You are collecting a stool specimen.Which is correct?

A)Transfer the expelled stool to the specimen container.
B)Have the person defecate into the specimen container.
C)Use a tongue blade to transfer 2 tablespoons of feces to the specimen container.
D)Ask the person to have a bowel movement at the time specified.

Question 40

Privacy is important when collecting a sputum specimen.Which is not a reason for privacy?

A)The person has the right to privacy.
B)A sterile specimen container is used.
C)Sputum is unpleasant to look at.
D)Expectorating sounds can disturb others.

Question 41

A sterile lancet is used for skin punctures.

Question 42

Which site is used for skin punctures in infants who are not walking?

A)The big toe
B)The heel
C)The thumb
D)The earlobe

Question 43

Which is not a rule for blood glucose testing?

A)Follow the manufacturer's instructions for the glucometer.
B)Request any necessary training.
C)Make sure the glucometer was tested for accuracy.Check the log.
D)Report the results to the nurse at the end of your shift.

Question 44

The nurse delegates testing blood glucose to you.Which is incorrect?

A)Your state must allow you to perform the procedure.
B)The procedure must be in your job description.
C)You must know how to use the equipment.
D)You review the procedure with a peer.

Question 45

You are performing a skin puncture using a fingertip.Which is incorrect?

A)Warm the finger.
B)Raise the finger above the person's waist.
C)Clean the site with an antiseptic wipe.
D)Do not touch the site after cleaning.