Deck 34: Collecting and Testing Specimens

Question 1

Which measures whether urine is acidic or alkaline?

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

Answer 1

Testing for pH

Question 2

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

Answer 2

A black,tarry stool

Question 3

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

A) What test is needed
B) How to follow Standard Precautions
C) How to analyze the strips
D) What to do with the test strips

Answer 3

What test is needed

Question 4

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

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

Question 5

You are using reagent strips to test urine.You must do which of the following?

A) Ask the nurse to interpret the colors on the strip.
B) Follow Standard Precautions and the Bloodborne Pathogen Standard.
C) Send the strip to the lab for analysis.
D) Soak the strip in the specimen for 60 seconds.

Question 6

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

A) Wipe your hand off on your scrub top.
B) Soak your hand in warm soapy water for 20 minutes.
C) Tell the nurse what happened and check the MSDS.
D) Explain to the person's family what happened.

Question 7

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 8

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 9

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 10

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 11

Hematuria means :

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

Question 12

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 13

Bloody sputum is:

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

Question 14

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 15

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 16

Glucosuria means :

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

Question 17

Glycosuria means :

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

Question 18

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 19

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

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

Question 20

Urine is strained to check for:

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

Question 21

Sputum specimen collection is easier:

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

Question 22

Which is a rule for blood glucose testing?

A) Follow the manufacturer's instructions for the glucometer.
B) Perform multiple tests on the same person to compare results.
C) Make sure the glucometer was tested for accuracy once per month.Check the log.
D) Report the results to the nurse at the end of your shift.

Question 23

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 24

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 25

After collecting a sputum specimen,the container is:

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

Question 26

Privacy is important when collecting a sputum specimen.Which is a reason for privacy?

A) The person has the right to privacy.
B) A sterile specimen container is used.
C) Sputum is contagious.
D) Sputum smells bad.

Question 27

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 28

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 29

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

A) You can give the breathing treatment.
B) An RN or respiratory therapist tells you what breathing treatment to give.
C) The nurse suctions the trachea for the specimen.
D) You can assist by suctioning the trachea.

Question 30

Which part of the specimen container can you touch?

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

Question 31

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 32

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

A) Cool the finger with an ice pack.
B) Raise the finger above the person's waist.
C) Clean the site with an antiseptic wipe.
D) Touch the site after cleaning to ensure you have the correct site.

Question 33

The most common site for a skin puncture is:

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

Question 34

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

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

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

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 37

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

A) Explain to the person why the physician wants a stool specimen.
B) Explain what you will do.
C) Have the nurse perform this collection.
D) Stay with the person until the person has a bowel movement.

Question 38

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

A) You must have read how to perform the procedure in your basic training course.
B) The procedure must be in your job description.
C) You must perform the procedure on a peer before doing it on a patient.
D) You review the procedure with a peer.

Question 39

Oral care before collecting a sputum specimen involves:

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

Question 40

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

A) Avoid sites that are swollen or bruised.
B) Choose sites that are calloused.
C) The thumbs and index fingers are good sites.
D) Use the center,fleshy part of the fingertips.

Question 41

A stool specimen must not be contaminated with urine.

Question 42

A sterile lancet is used for skin punctures.