Practice Question ch 23

Question 1

A 64-year-old patient who has newly diagnosed diabetes mellitus has been learning how to perform her own blood glucose monitoring. The patient has impaired circulation. What action can help to improve the specimen collection process ?

1. Use a tourniquet on the finger to be used in the specimen collection .
2. Apply a cool, damp cloth to the finger to be used in the specimen collection .
3. Massage the hand before performing the specimen collection
4. Elevate the hand before the specimen collection.

Answer 1

3

Question 2

A sputum specimen has been ordered for a patient admitted with possible pneumonia of the right lower lobe. Which is the best method for the nurse to use with a patient who cannot expectorate sputum on their own ?

1. Pharyngeal suctioning
2. Nasotracheal suctioning
3. Oropharyngeal suctioning
4. Tracheal suctioning

Answer 2

2

Question 3

The health care provider has ordered a stool specimen for blood that it is not possible to see with the naked eye . What does this examination detect ?

1. Profuse bleeding
2. Gross blood
3. Obscure blood
4. Occult blood

Answer 3

4

Question 4

A 46-year-old patient is seen by the health care provider for recurrent symptoms of cystitis. The patient is to provide samples for urine culture and sensitivity . Which is the best answer that the nurse can give to the patient when asked why the urine culture study has been ordered ?

1. To identify the organism causing the infection
2. To determine the presence of malignant cells
3. To analyze the elements present in the urine
4. To localize the site of the inflammatory process

Answer 4

1

Question 5

Rank order the instructions that would be given to the patient who is to collect a 24- hour urine specimen .

1. Place the collection container on ice .
2. Discard the first voided specimen and then collect the total volume of each void .
3. Explain the importance of collecting all voiding .
4. Instruct the patient not to allow toilet tissue or stool to enter the collection container .
5. Collect each void in a urine hat and add to the larger collection container .

Answer 5

3,4,1,2,5

Question 6

A patient has an indwelling urinary catheter. A sterile urine specimen has been ordered for culture and sensitivity. Which is the best method for the nurse to collect the urine specimen ?

1. Obtain 60 mL of urine from the collection bag .
2. Remove the current catheter, have the patient void, and then recatheterize .
3. Disconnect the tubing from the catheter and drain 2 mL of urine .
4. Aspirate 10 mL of urine with a sterile syringe from the tubing port after cleaning with alcohol .

Answer 6

4

Question 7

A patient performing a fingerstick for blood glucose determination asks why the side of the fingertip is advised as the preferred site. Which is the best answer that the nurse will give to the patient ?

1. The blood supply is greater in this area .
2. It is easier for the self -determination method .
3. The side of the finger is less responsive to pain than other sites .
4. It leaves more room for other site selection .

Answer 7

3

Question 8

A patient is scheduled for a barium enema study . Which instructions will the patient be given ? (Select all that apply .)

1. Maintain NPO status after midnight before the examination .
2. Ingest the strong laxative ordered as instructed before the procedure .
3. Take radiographic dye tablets the evening before the examination .
4. Monitor bowel movements after the procedure.
5. Increase fluid intake after the procedure .

Answer 8

1,4,5

Question 9

On evaluation of the patient after a venipuncture , the nurse recognizes which finding to be unexpected ? (Select all that apply.)

1. The patient’s heart rate is 80 and regular.
2. A large lump is noted under the skin at the venipuncture site.
3. The patient complains of a stinging sensation when the needle is inserted
4. A small amount of blood is noted on the bandage over the venipuncture site.
5. The patient reports a tingling sensation down the arm used for the venipuncture .

Answer 9

2

Question 10

When obtaining a residual urine specimen , the nurse knows that it is important to catheterize the patient after the patient voids within which time frame ?

1. 10 minutes
2. 30 minutes
3. 50 minutes
4. 90 minutes

Answer 10

1

Question 11

The nurse has just received an order for electrocardiography . Arrange the following steps in the order that the nurse would perform them .

1. Perform hand hygiene and don clean gloves .
2. Obtain the tracing .
3. Position the patient lying supine .
4. Raise the side rail , and lower the bed to the lowest position .
5. Shave or clip hair if necessary .
6. Attach the leads to the patient .

Answer 11

1,3,4,5,6,2

Question 12

Rank order the following instructions that the nurse would tell a female patient who needed to obtain a midstream urine specimen .

1. Start voiding directly into the toilet.
2. Discard the last of the stream of urine into the stool.
3. Perform hand hygiene before obtaining the specimen .
4. Clean the perineum by wiping from front to back .
5. Collect a small amount of urine in the container

Answer 12

3,4,1,5,2

Question 13

Which nursing action is essential before a chest radiography is obtained?

1. Make certain the patient does not eat or drink
2. Remove the patient’s metal necklace
3. Have the patient swallow contrast medium
4. Administer a dose of medication for pain relief.

Answer 13

2

Question 14

A nursing student asks the nurse to explain the difference in testing between a midstream urine specimen and a urinalysis. Which explanation would answer the nursing student’s question? (Select all that apply )

1. The midstream specimen is used to determine the culture and sensitivity of the urine specimen.
2. The midstream specimen is used to measure the specific gravity of the urine.
3. The midstream specimen is used to determine the presence of glucose and ketones in the urine
4. The midstream specimen is used to check the urine for the presence of white blood cells (WBCs)
5. The midstream specimen is the cleanest portion of the urine specimen .

Answer 14

1,5

Question 15

In the assessment of a patient’s urine sample, what will the nurse consider an abnormal finding? (Select all that apply )

1. Clear, straw color
2. A few mucus flecks
3. Bloody mucus
4. A slight aromatic odor
5. Dark amber color with sediment

Answer 15

3

Question 16

When is the best time to collect a sputum sample from a patient?
1. After episodes of coughing
2. In the morning upon awakening
3. Immediately after respiratory treatments
4. Before initiation of oxygen therapy

Answer 16

2

Question 17

online practice 1-10

Answer 17

ch 23

Question 18

Because of loss of subcutaneous tissue and skin elasticity in older adults , which step of the venipuncture procedure will the nurse sometimes eliminate ?

1. Application of the tourniquet before venipuncture
2. Applying pressure to the venipuncture site after the procedure
   3.Cleansing of the intended venipuncture site with a topical antiseptic
3. Placement of a small dressing to the venipuncture site after the procedure

Answer 18

1

Question 19

A nurse is caring for a patient who has a stage III pressure ulcer in the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the pressure ulcer?

A) Irrigate the wound with an antiseptic solution before collecting the specimen
B) wipe the crusty area around the outside of the wound with a sterile wash
C) rotate a sterile swab in the area of drainage
D) collect drainage from the wound dressing

Answer 19

c

Question 20

A nurse is teaching a patient about home collection of a stool specimen for fecal occult blood testing. Which of the following instructions should the nurse provide?

A) obtain specimens from 3 different stools
B) eat a diet low in fiber and residue
C) avoid foods that are high in fat
D) refrigerate the specimen card after obtaining the first sample

Answer 20

a

Question 21

A nurse caring for a group of patients in an ambulatory care clinic is collecting urine for several prescribed diagnostic tests. For which of the following tests is a random sample voided into a clean cup appropriate?

A) urine culture and sensitivity
B) routine analysis
C) urine creatinine clearance
D) urine pregnancy

Answer 21

b

Question 22

A nurse is caring for a female patient who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?

A) give the pt a clean urine cup from the lab
B) instruct the pt to cleanse the perineeal area from back to front
C) have the pt urinate a small amount of urine before starting the collectiion
D) tell the pt to collect about 10mL of urine

Answer 22

c

Question 23

A nurse is collecting a blood specimen for culture from a patient hospitalized for pneumonia. During this procedure, the nurse should

A) keep the tourniquet in place from selection of the vein to completion of the collection
B) rub the pt’s arm at the selected site prior to venipuncture
C) elevate the pt’s arm above heart level for venipuncture
D) puncture the selected vein while the antiseptic solution is still visible on the skin

Answer 23

b

Question 24

A nurse is instructing the patient regarding collection of stool specimens for fecal occult blood testing. Which of the following should the nurse instruct the patient to avoid a few days before and during the testing period to reduce the risk of false-positive results?

A) Poultry
B) Vitamin E supplements
C) Yogurt
D) Calcium supplements

Answer 24

A

Question 25

A nurse is caring for a patient who has a suspected UTI Urinary tract infection
. Which of the following results should indicate to the nurse the presence of a UTI?

A) WBC leukocyte esterase
B) trace amount of protein
C) specific gravity of 1.010
D) pH of 6.0

Answer 25

A

Question 26

A nurse caring for a patient who has diabetes mellitus is having difficulty obtaining a capillary fingerstick blood sample for point-of-care blood glucose testing. To help increase blood flow to the finger, the nurse should

A) elevate the hand on a pillow
B) pierce the skin in the middle of the finger pad
C) Wrap the finger in a warm cloth
D) firmly milk the puncture site

Answer 26

c

Question 27

An assistive personnel (AP) is collecting a 24-hour urine specimen from a patient. Which of the following statements by the AP indicates that the specimen collection will have to be restarted?

A) I sued a container from the lab that has a preservative in it
B) The patient just voided into the toilet, so the next void can be collected
C) I have the container in a plastic bucket filled with ice
D) The patient just told me that he forgot to put the urine in the container.

Answer 27

D

Question 28

At 0700, a nurse obtains a capillary blood glucose result of 180 mg/dL from a patient who has diabetes mellitus. Which of the following is a correct action for the nurse to take?

A) encourage the pt to get up and walk
B) repeat the test using a different machine
C) give the pt a glass of orange juice
D) Administer insulin according to the pt’s sliding scale orders.

Answer 28

D