Question 1

What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)?
A) Restrict water intake before the test.
B) Encourage exercise before the test.
C) Keep patient NPO 8 hours before the test.
D) Instruct patient to have a full bladder for the test.

Accepted Answer

The patient should be kept NPO for 8 hours before the glucose tolerance test to ensure accurate results.

Question 2

The procedure for collecting a sterile urine specimen via a catheter port includes clamping the Foley catheter tubing below the catheter port.How long will the clamp remain in place?
A) 5 minutes
B) 10 minutes
C) 20 minutes
D) 30 minutes

Accepted Answer

Clamp just below the catheter port for 30 minutes.

Question 3

What should the nurse do when preparing the patient for an amniocentesis?
A) Restrict food intake.
B) Restrict fluid intake.
C) Monitor fetal heart tones.
D) Inform patient results will be available immediately.

Accepted Answer

The nurse should monitor fetal heart tones before, during, and after the procedure to ensure fetal well-being. Restrictions on food and fluid intake may not be necessary and should be based on healthcare provider orders. The results of the amniocentesis may take a few days to a few weeks to be available, so the nurse should not inform the patient that results will be available immediately.

Question 4

Following an intravenous pyelogram,the nurse should watch the patient closely for a delayed reaction to the dye,usually occurring within ___ to ___ hours following the procedure.

Accepted Answer

The answer of Following an intravenous pyelogram,the nurse should watch...

Question 5

The nurse is preparing to collect a urine specimen.What will this nurse include when labeling this specimen? (Select all that apply. )
A) Date and time of collection
B) Identification of last name only
C) Room number
D) Medical record number
E) Insurance information

Accepted Answer

When labeling a specimen date and time of collection,room number and medical record number should be included.Patient should be identified by full name.Insurance information is not necessarily included.

Question 6

When performing a venipuncture,the tourniquet should be left on no more than ____ to ____ minutes.

Accepted Answer

The answer of When performing a venipuncture,the tourniquet should be...

Question 7

When collecting a stool specimen for a guaiac (occult blood in stool),the nurse should take a specimen from _____ different parts of the stool.

Accepted Answer

The answer of When collecting a stool specimen for a...

Question 8

What should the nurse do when preparing the patient for a brain scan?
A) Allow the patient to wear a wig during the scan.
B) Allow the patient to wear a partial denture plate during the scan.
C) Inform the patient that a clicking noise will be heard during the scan.
D) Keep the patient NPO for 12 hours before scan if contrast dye is used.

Accepted Answer

It is important for the nurse to inform the patient that a clicking noise will be heard during the scan to prevent any anxiety or surprise during the procedure.

Answer: D
 If contrast dye is going to be used during the brain scan, the nurse should advise the patient to stay NPO for 12 hours before the scan. This is to prevent any adverse effects of the contrast dye on the patient during the procedure.

Answer: A and B
 The nurse should remove any wigs or partial denture plates before the brain scan to prevent any metallic objects from interfering with the imaging results. Therefore, choices A and B are not appropriate for the patient during the scan.

Question 9

A patient has just had a liver biopsy.What should the nurse do immediately following this procedure?
A) Assist the patient up to a chair.
B) Keep the patient on his or her left side.
C) Assist the patient with ambulation.
D) Tell the patient to avoid coughing.

Accepted Answer

The nurse should tell the patient to avoid coughing or straining,which may cause increased intraabdominal pressure.Immediately following a liver biopsy,the patient is kept on bed rest for 24 hours.The patient should lie on his or her right side for about 1 to 2 hours.

Question 10

What should the nurse do when preparing the patient for a bronchoscopy?
A) Instruct the patient to hold his or her breath during the procedure.
B) Instruct the patient to remain NPO 24 hours before the procedure.
C) Obtain informed consent after premedicating the patient.
D) Reassure the patient that he or she will be able to breathe during the procedure.

Accepted Answer

During a bronchoscopy, a scope is inserted through the nose or mouth and down the throat to view the airways and lungs. While this might cause discomfort or a feeling of not being able to breathe, patients are indeed able to breathe during the procedure. It's important to reassure patients about this to help reduce anxiety. Choices A, B, and C are incorrect: patients should not hold their breath during the procedure; they are typically instructed to remain NPO (nothing by mouth) for only 4-8 hours, not 24 hours, before the procedure; and informed consent should be obtained before premedicating the patient, to ensure they fully understand the procedure and its risks while they are in a clear state of mind.

Question 11

When initiating a 24-hour urine collection,the nurse asks the patient to void.The nurse then _______ the specimen.

Accepted Answer

The answer of When initiating a 24-hour urine collection,the nurse...

Question 12

The nurse is caring for a patient following a bronchoscopy and maintains NPO status for 2 hours.What additional assessment will indicate to the nurse that this patient's risk for aspiration has decreased?
A) Patient is fully awake.
B) Patient asks for a drink.
C) Gag reflex has returned.
D) Preoperative medication has worn off.

Accepted Answer

The return of the gag reflex indicates that the gag reflex has returned to a normal level, which helps to decrease the risk of aspiration. A fully awake patient or preoperative medication wearing off does not guarantee a decreased risk of aspiration. Asking for a drink may actually indicate an increased risk for aspiration if the patient is not yet fully recovered from the procedure.

Question 13

The nurse is preparing a patient for a barium enema.What color will the nurse inform the patient his stools will be following this procedure?
A) Blue
B) White
C) Green
D) Brown

Accepted Answer

The nurse will inform the patient that his stools will be white following a barium enema. This is because the barium sulfate used during the procedure coats the lining of the colon and appears white on X-rays, allowing the physician to visualize the colon more clearly. However, the white stools will gradually return to their normal brown color within a few bowel movements.

Question 14

What should the nurse do when preparing the patient for an arteriography?
A) Verify if the patient has been taking anticoagulants.
B) Keep the patient NPO for 24 hours before the procedure.
C) Instruct the patient to have a full bladder for the procedure.
D) Inform the patient that a coldness may be felt when dye is injected.

Accepted Answer

When a patient has an arteriography,the nurse should assess if the patient has been taking anticoagulants.The patient is kept NPO for 2 to 8 hours before the procedure.The nurse informs the patient that a warm flush may be felt when dye is injected.The patient is instructed to void before the arteriography.

Question 15

After a bone scan,the nurse assesses a hematoma at the injection site of the dye.The nurse should apply ______ soaks or compresses.

Accepted Answer

The answer of After a bone scan,the nurse assesses a...

Question 16

What should the nurse do when preparing the patient for an abdominal scan?
A) Assess laboratory results only for liver function.
B) Assess patient for allergies to dye or shellfish.
C) Instruct patient to limit fluid intake immediately following procedure.
D) Instruct patient to be NPO for 1 hour before scan if contrast medium is used.

Accepted Answer

The patient should be assessed for allergies to dye or shellfish.When a patient has an abdominal scan,laboratory results should be assessed for kidney function.The patient should be instructed to be NPO for 4 hours before the examination if contrast medium is to be used.The patient should be encouraged to consume fluids after the examination.

Question 17

What should the nurse do when preparing the patient for a bone scan?
A) Sedate the patient.
B) Restrict food intake.
C) Restrict fluid intake.
D) Encourage water intake.

Accepted Answer

The nurse should encourage the patient to drink plenty of fluids in preparation for a bone scan to ensure that the radioactive tracer is distributed throughout the body. Restricting fluid intake can lead to inaccurate results. Sedation and food restriction are not necessary for a bone scan.

Question 18

The nurse has an order to perform occult blood testing on a patient's emesis.What color will the sample turn to indicate that the test is positive for occult blood?
A) Red
B) Blue
C) Green
D) Yellow

Accepted Answer

The sample will turn blue if the occult blood test is positive, indicating the presence of hemoglobin in the emesis.

Question 19

What should the nurse encourage the patient to consume when preparing for an electroencephalogram (EEG)?
A) Tea
B) Food
C) Cola
D) Coffee

Accepted Answer

The nurse should encourage the patient to consume food before the EEG to prevent hypoglycemia or dizziness during the procedure. It is recommended to avoid caffeine-containing beverages like tea, coffee, and cola, as they can interfere with the EEG readings.

Question 20

What should the nurse do when preparing the patient for an exercise tolerance test (treadmill)?
A) Withhold all foods and fluids before the test.
B) Withhold all heart medications before the test.
C) Allow the patient to drink water before the test.
D) Allow the patient to consume food before the test.

Accepted Answer

The nurse should allow the patient to drink water before the test, as hydration is important for optimal exercise performance. Withholding all foods and fluids or heart medications could be detrimental to the patient's health and performance during the test. While the patient should avoid consuming heavy meals or caffeine before the test, light snacks may be recommended to provide energy. However, the specifics of food and medication instructions should be provided by the healthcare provider ordering the test.

Quiz 23: Specimen Collection and Diagnostic Testing

What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT) ?

The procedure for collecting a sterile urine specimen via a catheter port includes clamping the Foley catheter tubing below the catheter port.How long will the clamp remain in place?

What should the nurse do when preparing the patient for an amniocentesis?

Following an intravenous pyelogram,the nurse should watch the patient closely for a delayed reaction to the dye,usually occurring within _ to _ hours following the procedure.

The nurse is preparing to collect a urine specimen.What will this nurse include when labeling this specimen? (Select all that apply. )

When performing a venipuncture,the tourniquet should be left on no more than to minutes.

When collecting a stool specimen for a guaiac (occult blood in stool),the nurse should take a specimen from _____ different parts of the stool.

What should the nurse do when preparing the patient for a brain scan?

A patient has just had a liver biopsy.What should the nurse do immediately following this procedure?

What should the nurse do when preparing the patient for a bronchoscopy?

When initiating a 24-hour urine collection,the nurse asks the patient to void.The nurse then _______ the specimen.

The nurse is caring for a patient following a bronchoscopy and maintains NPO status for 2 hours.What additional assessment will indicate to the nurse that this patient's risk for aspiration has decreased?

The nurse is preparing a patient for a barium enema.What color will the nurse inform the patient his stools will be following this procedure?

What should the nurse do when preparing the patient for an arteriography?

After a bone scan,the nurse assesses a hematoma at the injection site of the dye.The nurse should apply ______ soaks or compresses.

What should the nurse do when preparing the patient for an abdominal scan?

What should the nurse do when preparing the patient for a bone scan?

The nurse has an order to perform occult blood testing on a patient's emesis.What color will the sample turn to indicate that the test is positive for occult blood?

What should the nurse encourage the patient to consume when preparing for an electroencephalogram (EEG) ?

What should the nurse do when preparing the patient for an exercise tolerance test (treadmill) ?