Deck 4: Diagnostic Testing

Question 1

The nurse receives an order to collect a midstream urine specimen from the client.Which task is not a nursing responsibility?

A)Teaching the client how to clean the genitals prior to collecting the specimen
B)Labeling the specimen and sending it to the lab
C)Assuring that the specimen is collected following sterile technique
D)Documenting that the specimen has been collected and what was done with it

Answer 1

Assuring that the specimen is collected following sterile technique

Question 2

How does the procedure change when a nurse collects a midstream urine specimen from a woman versus a man?

A)Women should be taught to begin their stream before collecting the specimen.
B)Women would be provided with three antimicrobial wipes,whereas men would be provided with only one or two.
C)Men should be taught not to touch the inside of the collection container or the lid.
D)Men should be taught to fill the container no more than one-half to one-third full.

Answer 2

Women would be provided with three antimicrobial wipes,whereas men would be provided with only one or two.

Question 3

The nurse performs a guaiac stool test and gets a positive result.Based on this test result,which diagnosis is not expected for this client?

A)Colon cancer
B)Hemorrhoids
C)Bleeding stomach ulcers
D)HIV/AIDS

Answer 3

HIV/AIDS

Question 4

Which specimens could the nurse safely delegate to the unlicensed assistive personnel (UAP)to collect?

A)Wound culture
B)Routine urine specimen
C)Cerebrospinal fluid
D)Stool specimen
E)Sputum specimen

Question 5

The health care provider suspects the postoperative client has an infection,but is not sure of the source,and orders sputum,wound,urine,and nasal cultures.Which of these cultures would be best collected when the client wakes in the morning?

A)Urine
B)Sputum
C)Wound
D)Nasal

Question 6

The nurse is assisting the health care provider to collect cerebrospinal fluid for testing to rule out meningitis.Which are the nurse's responsibilities?

A)Explain the procedure and obtain signed consent.
B)Teach the client how to assist during the procedure by maintaining proper positioning.
C)Observe sterile technique when preparing the equipment for the procedure.
D)Label all specimens collected and send them to the lab.
E)Assess the client before,during,and after the procedure.

Question 7

The nurse is collecting a capillary blood specimen.Which statement demonstrates proper technique for this procedure?

A)Clean the site with alcohol,and puncture the finger quickly,then collect the first drop of blood.
B)If the puncture site is not bleeding,squeeze the finger as firmly as possible without causing pain.
C)Clean the site with alcohol,puncture the finger,wipe the first drop of blood with gauze,and then collect the specimen.
D)Puncture the finger in the center of the pad,which is more vascular.

Question 8

Which is the nurse's most important role in assisting the health care provider to perform an aspiration or biopsy?

A)Administering analgesic
B)Monitoring the client's condition before,during,and after procedure
C)Preparing the sterile tray with needed equipment
D)Documenting the specimen collection

Question 9

The nurse obtains a specimen from the client's wound.Which items will the nurse include when documenting this procedure in the medical record?

A)Source of specimen
B)Type of culture obtained
C)Appearance of wound
D)Dispersal of the specimen
E)Microorganism causing infection

Question 10

The health care provider performs a specimen collection by inserting a needle into the abdomen to collect fluid.Which term will the nurse use when documenting this procedure?

A)Paracentesis
B)Thoracentesis
C)Lumbar puncture
D)Venogram

Question 11

The nurse assesses the client's wound drainage and sees that it is a combination of pus and blood.Which term will the nurse use when documenting this drainage?

A)Serosanguinous
B)Sanguineous
C)Purulent
D)Purosanguineous

Question 12

The nurse is preparing a client for diagnostic studies requiring the administration of contrast media.Which action by the nurse is the priority in this situation?

A)Obtaining informed consent
B)Obtaining results of lab tests
C)Checking for allergies
D)Checking if routine medications are to be held

Question 13

The nurse is obtaining a throat culture.Which action indicates correct technique?

A)Inserting the swab into the sterile tube without touching the outside of the container
B)Inserting a tongue blade to depress the anterior two-thirds of the tongue
C)Swabbing along the side of the cheek inside the mouth
D)Swabbing the pharynx gently and quickly,avoiding the tonsils

Question 14

The nurse is caring for several clients,and has an unlicensed assistive personnel (UAP)and LPN/LVN assisting.Which client would the nurse delegate to the LPN/LVN as opposed to the UAP?

A)Assisting the health care provider with performance of a lumbar puncture
B)Collecting and testing a routine urine specimen for sugar,protein,and specific gravity
C)Testing stool for the presence of occult blood
D)Collecting a sterile urine specimen by straight-catheterizing the client

Question 15

The nurse has delegated the collection of a clean catch urine specimen to the unlicensed assistive personnel (UAP).Which statement by the UAT indicates an appropriate understanding of the procedure?

A)"I will have the client urinate in the specimen container the next time he or she urinates."
B)"I will provide the client with sterile gloves for collecting the urine specimen."
C)"I will ask the client to cleanse the urethra to avoid contamination of the urine specimen."
D)"I will watch the client obtain the urine specimen to ensure correct obtainment."

Question 16

In which instance would it be inappropriate for the nurse to use capillary blood specimen collection?

A)Testing a serum glucose level
B)Measuring a client's hematocrit
C)Obtaining blood specimens on an infant
D)Measuring an arterial blood gas

Question 17

The nurse is preparing the client for diagnostic testing using contrast media.The client is questioned regarding allergies.The nurse would contact the health care provider if the client reported an allergy to which item?

A)Eggs
B)Milk
C)Betadine
D)Scallops

Question 18

The nurse is preparing to start intravenous antibiotics as ordered.The nurse notes that a culture and sensitivity has been ordered.What should the nurse do prior to starting the intravenous antibiotics?

A)Assess vital signs.
B)Collect the ordered culture and sensitivity specimen.
C)Start intravenous antibiotics.
D)Obtain culture after two doses have been given.

Question 19

The nurse suspects the client at the urgent care center might have a urinary tract infection.Based on this,which type of urine specimen does the nurse prepare to collect from the client?

A)24-hour urine specimen
B)Midstream urine specimen
C)Routine urine specimen
D)Timed urine specimen

Question 20

The nurse is assisting with a thoracentesis.Place the steps of the procedure for assisting the client in the correct order.

A)Help position the client and cover the client as needed with a bath blanket.Response
B)Observe the client for signs of distress,such as dyspnea,pallor,and coughing.Response
C)Support the client verbally and describe the steps as needed.Response
D)Support the client throughout the procedure.Response
E)Collect drainage and laboratory specimens.Then apply small sterile dressing over the site.

Question 21

The nurse is preparing to obtain a throat culture.Which statement indicates that the nurse has performed this skill before?

A)The nurse allows the client to insert the swab in the mouth.
B)The nurse removes the swab while making sure to touch the sides of the tonsils.
C)The nurse has the client tilt the head back and say "ah" to relax the tongue to avoid the gagging reflex.
D)The nurse asks the client to blow the nose to clear the nasal passageway and then checks with penlight for patency.