Chapter 19: Specimen Collection and Diagnostic Examination

Chapter 19: Specimen Collection and Diagnostic Examination

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Before giving permission for any procedure, a patient must have full knowledge about what will be done during the procedure along with its risks and complications. This is called:

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.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 475         OBJ:    14

TOP:    Proper preparation                              KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Safe, Effective Care Environment

 

2. The nurse can assist with reducing anxiety when preparing a patient for a diagnostic examination by:

a.	explaining the costs of the examination.
b.	demonstrating use of equipment.
c.	answering questions for clarification.
d.	filling 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.

 

DIF:    Cognitive Level: Application             REF:    Page 477         OBJ:    14

TOP:    Proper preparation                              KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

3. To lessen a patient’s embarrassment when asked to provide a sample of body excretions, the nurse may provide the patient with proper instructions and allow the patient to:

a.	provide the specimen behind a screen.
b.	obtain his or her own specimen.
c.	return later when he or she is more comfortable.
d.	use a CNA for assistance to obtain the specimen.

 

ANS:   B

With proper instruction, many patients may obtain their own specimen.

 

DIF:    Cognitive Level: Application             REF:    Page 493         OBJ:    3

TOP:    Specimen collection                           KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

4. The responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm belongs to the:

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.

 

DIF:    Cognitive Level: Application             REF:    Page 493         OBJ:    14

TOP:    Diagnostic studies                              KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Safe, Effective Care Environment

 

5. The cleanest part of a voided urine specimen is collected after voiding is initiated and before it is finished. This is called a:

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.

 

DIF:    Cognitive Level: Application             REF:    Page 494         OBJ:    9

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment