Exam (elaborations)
Chapter 15 Specimen Collection and Diagnostic Testing
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 15 Specimen Collection and Diagnostic Testing
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Chapter 15: Specimen Collection and Diagnostic TestingMULTIPLE CHOICE
1. New physician 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
ANS: C
Informed consent states that the patient must fully understand and be aware of the risks and
complications of what is to be done.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 366, 373 Table 15-1
OBJ: 1 TOP: Proper preparation
KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment
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
ANS: C
The nurse must be prepared to answer questions that the patient may have to reduce anxiety
and give valid information.
PTS: 1 DIF: Cognitive Level: Application REF: Page 366
OBJ: 2 TOP: Proper preparation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
3. A patient is required to provide a sample of body excretions per physician 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.
ANS: B
With proper instruction, many patients may obtain their own specimen.
PTS: 1 DIF: Cognitive Level: Application REF: Page 383
OBJ: 3 TOP: Specimen collection
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
, 4. What health care professional has the responsibility for notifying the physician when
laboratory and diagnostic studies deviate from the norm?
a. Laboratory technician
b. Cooperating physician
c. Nurse
d. Supervisor
ANS: C
It is the nurse‘s responsibility to notify the physician when laboratory and diagnostic studies
deviate from the norm.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 383
OBJ: 4 TOP: Diagnostic studies
KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment
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
ANS: C
A midstream urine specimen is collected after voiding is initiated and before it is completed.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 385
OBJ: 5 | 6 TOP: Specimen KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
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
ANS: D
Catheterization is performed within 10 minutes of the patient voiding to check for residual
urine.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 385
OBJ: 8 TOP: Specimen KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
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
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