Chapter 23

Question 1

New health care provider orders are transcribed for a patient to receive a colonoscopy. What
must be completed before the colonoscopy to indicate the patient has been given 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

Answer 1

c. Informed consent

Question 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.

Answer 2

c. Answer questions for clarification.

Question 3

A patient is required to provide a sample of body excretions per health care provider order.
What action can the nurse take when providing proper instructions to lessen the patient’s
embarrassment?
a. Instruct patient to provide the specimen 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 obtain the specimen.

Answer 3

b. Instruct patient to obtain his or her own specimen.

Question 4

What health care professional has the responsibility for notifying the health care provider
when laboratory and diagnostic studies deviate from the norm?
a. Laboratory technician
b. Cooperating health care provider
c. Nurse
d. Supervisor

Answer 4

c. Nurse

Question 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” specimen
c. Midstream specimen
d. Patient-collected specimen

Answer 5

c. Midstream specimen

Question 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

Answer 6

d. 10 minutes

Question 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 seconds. 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

Answer 7

c. Side of the finger

Question 8

What type of stool specimen must be sent to the laboratory immediately?
a. Occult blood
b. Ova and parasites
c. Infection
d. Fats

Answer 8

b. Ova and parasites

Question 9

What is the probable source of bright red blood in the stool?
a. Stomach
b. Small intestine
c. Lower gastrointestinal tract
d. Higher intestinal tract

Answer 9

c. Lower gastrointestinal tract

Question 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 morning
d. After breakfast

Answer 10

c. In the early morning

Question 11

A patient is unable to obtain a sputum specimen by coughing and expectorating. 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 deeply.
c. Perform tracheal suctioning.
d. Perform a bronchoscopy.

Answer 11

c. Perform tracheal suctioning.

Question 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

Answer 12

d. Old drainage

Question 13

Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect
an anaerobic specimen?
a. Sterile cotton applicator
b. Sterile culture tube
c. Sterile syringe tip
d. Sterile glass rod

Answer 13

c. Sterile syringe tip

Question 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

Answer 14

c. Pharynx

Question 15

The nurse explains that electrocardiograms are graphic representations of electric impulses
generated by the heart. What type of abnormalities can an electrocardiogram identify?
a. Those that produce a cardiac cycle
b. Those that interfere with electric conduction
c. Those that result from an interrupted blood flow
d. Those that interfere with heart contractionc. Pharynx

Answer 15

b. Those that interfere with electric conduction

Question 16

What is the rationale for the nurse to assess a patient’s knowledge of an ordered procedure?
a. To determine difficulties the patient may encounter
b. To determine the nurse’s role in the procedure
c. To determine health teaching required
d. To determine anxiety the patient has

Answer 16

c. To determine health teaching required

Question 17

What should the nurse assess the patient for before administration of contrast media?
a. Has been NPO.
b. Is allergic to iodine.
c. Has emptied the bladder.
d. Has taken medication.

Answer 17

b. Is allergic to iodine.

Question 18

The nurse is administering Telepaque for a cholecystogram. How frequently will the nurse
administer 1 tablet of Telepaque before this procedure?
a. Every 5 minutes
b. Every 10 minutes
c. Every 15 minutes
d. Every 20 minutes

Answer 18

c. Every 15 minutes

Question 19

Following a liver biopsy, the nurse should observe for hemorrhage and ensure that the
patient is kept on bed rest for 24 hours. How should the nurse keep the patient 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’s position

Answer 19

c. On his or her right side

Question 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 headache?
a. Supine
b. Lateral
c. Sims
d. Prone

Answer 20

a. Supine

Question 21

The procedure for collecting a sterile urine specimen via a catheter port includes clamping
the Foley catheter tubing below the catheter port. How long will the clamp remain inplace?
a. 5 minutes
b. 10 minutes
c. 20 minutes
d. 30 minutes

Answer 21

d. 30 minutes

Question 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 medication has worn off.

Answer 22

c. Gag reflex has returned.

Question 23

The nurse has an order to perform occult blood testing on a patient’s emesis. What color
will the sample turn to indicate that the test is positive for occult blood?
a. Red
b. Blue
c. Green
d. Yellow

Answer 23

b. Blue

Question 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 following procedure.
d. Instruct patient to be NPO for 1 hour before scan if contrast medium is used.

Answer 24

b. Assess patient for allergies to dye or shellfish.

Question 25

What should the nurse do when preparing the patient for an arteriography?
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.

Answer 25

a. Verify if the patient has been taking anticoagulants.

Question 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

Answer 26

b. White

Question 27

What should the nurse do when preparing the patient for an amniocentesis?
a. Restrict food intake.
b. Restrict fluid intake.
c. Monitor fetal heart tones.
d. Inform patient results will be available immediately.

Answer 27

c. Monitor fetal heart tones.

Question 28

What should the nurse do when preparing the patient for a bone scan?
a. Sedate the patient.
b. Restrict food intake.
c. Restrict fluid intake.
d. Encourage water intake.

Answer 28

d. Encourage water intake.

Question 29

What should the nurse do when preparing the patient for a brain scan?
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.

Answer 29

c. Inform the patient that a clicking noise will be heard during the scan.

Question 30

What should the nurse do when preparing the patient for a bronchoscopy?
a. Instruct the patient to hold his or her breath during theprocedure.
b. Instruct the patient to remain NPO 24 hours before theprocedure.
c. Obtain informed consent after premedicating the patient.
d. Reassure the patient that he or she will be able to breathe during the procedure.

Answer 30

d. Reassure the patient that he or she will be able to breathe during the procedure.

Question 31

What should the nurse encourage the patient to consume when preparing for an
electroencephalogram (EEG)?
a. Tea
b. Food
c. Cola
d. Coffee

Answer 31

b. Food

Question 32

What intervention should the nurse implement when preparing the patient for a glucose
tolerance test (GTT)?
a. Restrict water intake before the test.
b. Encourage exercise before the test.
c. Keep patient NPO 8 hours before the test.
d. Instruct patient to have a full bladder for the test.

Answer 32

c. Keep patient NPO 8 hours before the test.

Question 33

What should the nurse do when preparing the patient for an exercise tolerance test
(treadmill)?
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.

Answer 33

c. Allow the patient to drink water before the test.

Question 34

. A patient has just had a liver biopsy. What should the nurse do immediately 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.

Answer 34

d. Tell the patient to avoid coughing.

Question 35

The nurse is preparing to collect a urine specimen. What will this nurse include 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 information

Answer 35

a. Date and time of collection
c. Room number
d. Medical record number

Question 36

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

Answer 36

warm

Question 37

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

Answer 37

discards

Question 38

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.

Answer 38

2,6

Question 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.

Answer 39

2