Question 1

The patient's blood glucose level was 134 mg/dL at 7 AM and is now 61 mg/dL at 3 PM.Which intervention should the nurse implement first?

Accepted Answer

A)  Assess the patient for confirmatory findings. 
B)  Check calibration of the blood glucose meter. 
C)  Administer insulin according to a sliding scale. 
D)  Instruct the patient to have orange juice and crackers. 
A)  Assess the patient for confirmatory findings. 
B)  Check calibration of the blood glucose meter. 
C)  Administer insulin according to a sliding scale. 
D)  Instruct the patient to have orange juice and crackers.

Question 2

A nurse is orienting another nurse to the procedures for collecting blood samples.Which statement indicates that the orientee needs further education?

Accepted Answer

A)  "The tourniquet is placed so it can be removed by pulling one end." 
B)  "A health vein is elastic and rebounds on palpation." 
C)  "The specimen is labeled with the patient's name." 
D)  "I clean the area with antiseptic swabs first." 
A)  "The tourniquet is placed so it can be removed by pulling one end." 
B)  "A health vein is elastic and rebounds on palpation." 
C)  "The specimen is labeled with the patient's name." 
D)  "I clean the area with antiseptic swabs first."

Question 3

The nurse is preparing to obtain a blood specimen.Which is the most important intervention for the nurse to complete before obtaining a blood specimen?

Accepted Answer

A)  Verify patient identification. 
B)  Perform patient skin preparation. 
C)  Ask the patient for an arm preference. 
D)  Tell the patient that the procedure is slightly painful. 
A)  Verify patient identification. 
B)  Perform patient skin preparation. 
C)  Ask the patient for an arm preference. 
D)  Tell the patient that the procedure is slightly painful.

Question 4

While the nurse tries to obtain a sputum specimen from the patient who has pneumonia,the patient becomes short of breath,and the respiratory rate increases.Which intervention does the nurse implement next?

Accepted Answer

A)  Completes the sputum collection quickly 
B)  Clears the patient's airway with suctioning 
C)  Provides prescribed supplemental oxygen 
D)  Instructs the patient to lie flat and breathe deeply 
A)  Completes the sputum collection quickly 
B)  Clears the patient's airway with suctioning 
C)  Provides prescribed supplemental oxygen 
D)  Instructs the patient to lie flat and breathe deeply

Question 5

The nurse is obtaining a nasal culture using a commercially prepared culture tube.After placing the swab in the culture tube,what should the nurse do next?

Accepted Answer

A)  Take the swab and mix it in reagent to check for color changes. 
B)  Place the swab into a culture tube and add a reagent to the tube. 
C)  Label the specimen and enclose it in a plastic biohazard bag. 
D)  Place the swab into the tube, close it securely, and keep it warm. 
A)  Take the swab and mix it in reagent to check for color changes. 
B)  Place the swab into a culture tube and add a reagent to the tube. 
C)  Label the specimen and enclose it in a plastic biohazard bag. 
D)  Place the swab into the tube, close it securely, and keep it warm.

Question 6

You have delegated the task of obtaining a "double voided" specimen to the NAP.The following statement indicates good understanding of the procedure by the NAP.

Accepted Answer

A)  "The patient voids first; then I catheterize the patient and test the second specimen." 
B)  "The patient gives me two specimens and I test both." 
C)  "The patient discards the first specimen, drinks water, then gives me a second specimen." 
D)  "The patient gives me two specimens, two hours apart for testing." 
A)  "The patient voids first; then I catheterize the patient and test the second specimen." 
B)  "The patient gives me two specimens and I test both." 
C)  "The patient discards the first specimen, drinks water, then gives me a second specimen." 
D)  "The patient gives me two specimens, two hours apart for testing."

Question 7

A test for occult blood is to be done tomorrow.Patient teaching by the nurse has been appropriate if the patient chooses which menu for dinner tonight?

Accepted Answer

A)  Hamburger, noodles, dinner roll with butter, broccoli 
B)  Beef stew, rice, garlic bread, applesauce 
C)  Macaroni and cheese, mixed vegetables, apple slices 
D)  Pork chop, mashed potatoes with gravy, peas, ice cream 
A)  Hamburger, noodles, dinner roll with butter, broccoli 
B)  Beef stew, rice, garlic bread, applesauce 
C)  Macaroni and cheese, mixed vegetables, apple slices 
D)  Pork chop, mashed potatoes with gravy, peas, ice cream

Question 8

The nurse is teaching a patient about the proper procedure for testing stool for occult blood.The nurse's teaching has been effective if the patient makes which statement?

Accepted Answer

A)  "I apply a very thick smear of stool onto the guaiac slide." 
B)  "The electronic meter calculates a reading within minutes." 
C)  "It is best if I get two separate samples from the same stool." 
D)  "I call my doctor for white paper with stool and developer on it." 
A)  "I apply a very thick smear of stool onto the guaiac slide." 
B)  "The electronic meter calculates a reading within minutes." 
C)  "It is best if I get two separate samples from the same stool." 
D)  "I call my doctor for white paper with stool and developer on it."

The patient's blood glucose level was 134 mg/dL at 7 AM and is now 61 mg/dL at 3 PM.Which intervention should the nurse implement first?

A nurse is orienting another nurse to the procedures for collecting blood samples.Which statement indicates that the orientee needs further education?

The nurse is preparing to obtain a blood specimen.Which is the most important intervention for the nurse to complete before obtaining a blood specimen?

While the nurse tries to obtain a sputum specimen from the patient who has pneumonia,the patient becomes short of breath,and the respiratory rate increases.Which intervention does the nurse implement next?

The nurse is obtaining a nasal culture using a commercially prepared culture tube.After placing the swab in the culture tube,what should the nurse do next?

You have delegated the task of obtaining a "double voided" specimen to the NAP.The following statement indicates good understanding of the procedure by the NAP.

A test for occult blood is to be done tomorrow.Patient teaching by the nurse has been appropriate if the patient chooses which menu for dinner tonight?

The nurse is teaching a patient about the proper procedure for testing stool for occult blood.The nurse's teaching has been effective if the patient makes which statement?

Using Evidence in Nursing Practice

Communication and Collaboration

Documentation and Informatics

Patient Safety and Quality Improvement

Infection Control

Vital Signs

Health Assessment

Diagnostic Procedures

Bathing and Personal Hygiene

Care of the Eye and Ear

Promoting Nutrition

Pain Management

Promoting Oxygenation

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Traction, cast Care, and Immobilization Devices

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preparation for Safe Medication Administration

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Wound Care and Irrigation

Pressure Ulcers

Dressings,bandages,and Binders

Intravenous and Vascular Access Therapy

Preoperative and Postoperative Care

Emergency Measures for Life Support in the Hospital Setting

Palliative Care

Home Care Safety

Filters

Exam 8: Specimen Collection

The patient's blood glucose level was 134 mg/dL at 7 AM and is now 61 mg/dL at 3 PM.Which intervention should the nurse implement first?

A nurse is orienting another nurse to the procedures for collecting blood samples.Which statement indicates that the orientee needs further education?

The nurse is preparing to obtain a blood specimen.Which is the most important intervention for the nurse to complete before obtaining a blood specimen?

While the nurse tries to obtain a sputum specimen from the patient who has pneumonia,the patient becomes short of breath,and the respiratory rate increases.Which intervention does the nurse implement next?

The nurse is obtaining a nasal culture using a commercially prepared culture tube.After placing the swab in the culture tube,what should the nurse do next?

You have delegated the task of obtaining a "double voided" specimen to the NAP.The following statement indicates good understanding of the procedure by the NAP.

A test for occult blood is to be done tomorrow.Patient teaching by the nurse has been appropriate if the patient chooses which menu for dinner tonight?

The nurse is teaching a patient about the proper procedure for testing stool for occult blood.The nurse's teaching has been effective if the patient makes which statement?

Using Evidence in Nursing Practice

Communication and Collaboration

Documentation and Informatics

Patient Safety and Quality Improvement

Infection Control

Vital Signs

Health Assessment

Diagnostic Procedures

Bathing and Personal Hygiene

Care of the Eye and Ear

Promoting Nutrition

Pain Management

Promoting Oxygenation

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Traction, cast Care, and Immobilization Devices

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preparation for Safe Medication Administration

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Wound Care and Irrigation

Pressure Ulcers

Dressings,bandages,and Binders

Intravenous and Vascular Access Therapy

Preoperative and Postoperative Care

Emergency Measures for Life Support in the Hospital Setting

Palliative Care

Home Care Safety

Filters