Question 1

The procedure during which a sterile plastic tube is inserted to provide urinary drainage is ____.
A) the urine specific gravity
B) the urinometer measurement
C) catheterization
D) a random urine specimen
E) a 24-hour urine specimen

Accepted Answer

The procedure described is catheterization, in which a sterile plastic tube is inserted to provide urinary drainage. A is incorrect because urine specific gravity refers to the density of urine, which is determined by measuring the ratio of its weight to the weight of water. B is incorrect because a urinometer is a device used to measure urine specific gravity, but it is not a procedure. D and E are incorrect because they refer to types of urine specimens, but not to a procedure for obtaining them.

Question 2

What amount of residual urine is considered abnormal?
A) 10 mL
B) 25 mL
C) 40 mL
D) 50 mL
E) 70 mL

Accepted Answer

Residual urine volume greater than 50 mL is considered abnormal and may indicate incomplete bladder emptying. A residual urine volume greater than 50 mL is considered abnormal and may indicate incomplete emptying of the bladder. This can lead to urinary tract infections, bladder damage, and other complications.

Question 3

Which type of catheter is used to collect specimens or to instill medications?
A) Splinting
B) Retention
C) Straight
D) Urethral
E) Indwelling

Accepted Answer

Straight catheters are used for short-term procedures such as collecting urine specimens or instilling medications directly into the bladder.

Question 4

Which type of urine specimen can be used to measure a patient's urinary output or analyze substances collected over a specified period of time?
A) Random urine specimen
B) Clean-catch midstream urine specimen
C) Timed urine specimen
D) First morning urine specimen
E) Qualitative specimen

Accepted Answer

Timed urine specimens are collected over a specific period of time, typically 24 hours, and are used to measure a patient's urinary output or analyze substances collected over that period of time. A timed urine specimen is collected over a specified period of time (usually 24 hours) and is used to measure a patient's urinary output or analyze substances collected over that time period. This type of specimen provides more accurate information than a random urine specimen, clean-catch midstream urine specimen, first morning urine specimen or qualitative specimen.

Question 5

Which of the following would you include in patient instruction about collecting a 24-hour urine specimen?
A) Tell the patient to collect all urine starting with the first voided specimen
B) Encourage the patient to use a bedpan
C) Explain to the patient that the small collection container must not be washed between uses
D) Instruct the patient to keep the specimen covered and in the refrigerator throughout the test
E) Return the sample to the office or deliver it to the laboratory within 1 week of collection

Accepted Answer

The answer of Which of the following would you include...

Question 6

Catheterization is performed for which of the following reasons?
A) Obtain a specific gravity
B) Relieve urinary retention
C) Obtain a random urine specimen
D) Prevent urinary infection
E) Prevent kidney disease

Accepted Answer

Catheterization is primarily performed to relieve urinary retention, which is the inability to empty the bladder completely. It is not typically performed to obtain a specific gravity or a random urine specimen, nor is it used to prevent urinary infections or kidney disease. Catheterization is primarily used to relieve urinary retention, which can be caused by various reasons such as prostate hypertrophy, spinal cord injuries, or post-surgical complications. While other options may also involve catheterization, relieving urinary retention is the best fit for this question.

Question 7

Which of the following is the most common type of urine sample?
A) Timed urine specimen
B) Random urine specimen
C) First morning urine specimen
D) Clean-catch midstream urine specimen
E) 24-hour urine specimen

Accepted Answer

Random urine specimen is the most common type of urine sample as it is convenient for both the patient and healthcare provider. It can be collected at any time and does not require any special preparation or timing. Random urine specimens are the most common because they are easy to collect and do not require any special preparation or timing. Other types of urine specimens, such as timed or 24-hour specimens, require more specific instructions and may be more difficult for patients to collect accurately.

Question 8

Which type of catheter is inserted after plastic repair of the ureter and must remain in place for at least a week after surgery?
A) Straight
B) Urethral
C) Retention
D) Indwelling
E) Splinting

Accepted Answer

Splinting catheters are specifically designed to be inserted after surgical procedures on the ureter, such as plastic repairs, to ensure proper healing and maintain ureteral patency. They are left in place for a period of time post-surgery to support the ureter's structure as it heals.

Question 9

A pregnant patient who tells you that she is having pain during urination or in the kidney area may be experiencing ____.
A) a urinary infection or kidney stones
B) preeclampsia
C) diabetes mellitus
D) weak bladder muscles
E) alkalosis

Accepted Answer

Pain during urination or in the kidney area is a common symptom of urinary tract infections or kidney stones in pregnant women. It is important to diagnose and treat these conditions promptly to prevent complications. Preeclampsia, diabetes mellitus, weak bladder muscles, and alkalosis may also present with different symptoms and require different treatments.

Question 10

A urine specimen for culture can be obtained either through catheterization or by obtaining a ____.
A) random urine specimen
B) clean-catch midstream urine specimen
C) first morning urine specimen
D) 24-hour urine specimen
E) timed urine specimen

Accepted Answer

A clean-catch midstream urine specimen is the best choice for obtaining a urine specimen for culture because it provides a sample that is less likely to be contaminated by bacteria from the skin or genital area, which can interfere with accurate culture results. Catheterization is typically only used when a clean-catch specimen cannot be obtained, such as in patients who are unable to void or who have urinary retention.

Question 11

Which of the following is a general urine collection guideline?
A) Label the lid of a urine specimen container with the patient's name
B) If the collection container contains liquid or powdered preservative, pour it out before obtaining the specimen
C) Explain the procedure to the patient using technical terminology
D) Tell patients to refrigerate the labeled collection container or keep it in a cooler or pail filled with ice
E) Instruct patients to add alcohol to a sample collected at home to preserve the sample

Accepted Answer

The correct guideline for urine collection is to tell patients to refrigerate the labeled collection container or keep it in a cooler or pail filled with ice. This helps preserve the urine sample until it can be analyzed.

Question 12

A pregnant patient's urine is checked for abnormal levels of protein during a prenatal visit to detect ____.
A) diabetes mellitus
B) preeclampsia
C) urinary infection
D) bleeding
E) urine leakage

Accepted Answer

Checking protein levels in a pregnant patient's urine during a prenatal visit is a common screening test for preeclampsia, a serious pregnancy complication characterized by high blood pressure and damage to organs such as the kidneys. Abnormal levels of protein in the urine can indicate kidney damage, which is a hallmark feature of preeclampsia.  Checking urine protein levels is not typically used to detect diabetes mellitus, urinary infection, bleeding, or urine leakage during pregnancy. Checking for abnormal levels of protein in a pregnant patient's urine during a prenatal visit is used to detect preeclampsia, a pregnancy complication that leads to high blood pressure and damage to organs, including the kidneys.

Question 13

Which urine specimen is collected after a night's sleep and contains greater concentrations of substances?
A) First morning urine specimen
B) Random urine specimen
C) Timed urine specimen
D) Clean-catch midstream urine specimen
E) 24-hour urine specimen

Accepted Answer

The first morning urine specimen is collected after a night's sleep and the patient has not emptied their bladder for several hours, leading to increased concentration of substances such as glucose, protein, and hormones. This makes it the best choice for diagnostic testing for various medical conditions.

Question 14

Which of the following would you include in teaching a female patient how to collect a clean-catch midstream urine specimen?
A) Remove the lid of the specimen container and place the lid facing down a flat surface
B) Wipe down one side of the perineal area with the first towelette, down the other side with the second towelette, and down the middle with the third towelette
C) Void directly into the specimen container without discarding any urine
D) Keep the urine specimen warm while bringing it to the physician's office
E) Wipe around the inside edge of the collection container to clean it after collecting the specimen.

Accepted Answer

It is important to instruct the patient to wipe down the perineal area with towelettes (typically provided in the kit) to minimize contamination of the urine sample. The other options listed are incorrect. A should read "place the lid facing up on a flat surface"; C is incorrect because the patient should start by cleaning the perineal area and then collecting the midstream urine; D is incorrect as collection containers typically do not have the ability to maintain temperature; and E is incorrect as wiping around the inside edge of the container may contaminate the sample. Teaching the patient to wipe down the perineal area with towelettes helps to prevent contamination of the urine specimen. A, C, and D are incorrect because the lid should be placed facing up on a flat surface, the patient should discard the first portion of urine before collecting the midstream specimen, and the urine specimen does not need to be kept warm. E is incorrect because wiping the inside edge of the collection container can introduce bacteria and contaminate the specimen.

Question 15

Residual urine is ____.
A) the leakage of urine despite voluntary control of urination
B) urine that is collected over a 24-hour period
C) urine remaining in the bladder after voiding
D) urine that is normally voided
E) urine collected by an indwelling urethral catheter

Accepted Answer

Residual urine refers to urine that remains in the bladder after a person has finished voiding. It is commonly measured with a catheter after the person has emptied their bladder to determine if there is any urine left behind. Residual urine is urine that remains in the bladder after a person has voided, and can be measured by ultrasound or catheterization. It is important to monitor residual urine as high levels can indicate bladder dysfunction and increase the risk of urinary tract infections.

Question 16

Which of the following may indicate polycystic kidney disease?
A) Anuria
B) Oliguria
C) Proteinuria
D) Hematuria
E) Ketonuria

Accepted Answer

The answer of Which of the following may indicate polycystic...

Question 17

When you instruct a patient about how to collect a 24-hour urine specimen, which patient should you ask about possible leakage when laughing or coughing?
A) 5-year-old female patient
B) 30-year-old male patient
C) 60-year-old female patient
D) 18-year-old male patient
E) 12-year-old female patient

Accepted Answer

Leakage when laughing or coughing is more common in older females, particularly those who have had multiple pregnancies or have pelvic floor dysfunction. Therefore, it would be appropriate to ask the 60-year-old female patient about possible leakage when collecting the 24-hour urine specimen.

Question 18

Which type of catheter is used for drainage through a wound that leads to the bladder?
A) Cystostomy
B) Straight
C) Indwelling
D) Retention
E) Splinting

Accepted Answer

A cystostomy catheter is specifically designed for drainage through a wound that leads directly to the bladder, allowing urine to be drained externally.

Question 19

Which urine specimen is used to complete a quantitative and qualitative analysis of one or more substances such as sodium, chloride, or calcium?
A) 24-hour specimen
B) Random urine specimen
C) Clean-catch midstream urine specimen
D) First morning urine specimen
E) Timed urine specimen

Accepted Answer

The answer of Which urine specimen is used to complete...

Question 20

The type of urine specimen that may be submitted for culturing to identify the number and the types of pathogens present is the ____.
A) timed urine specimen
B) 24-hour urine specimen
C) clean-catch midstream urine specimen
D) first morning urine specimen
E) random urine specimen

Accepted Answer

A clean-catch midstream urine specimen is the best type for culturing as it is less likely to be contaminated with bacteria from the external genitalia, providing a more accurate representation of the urinary tract. The other types of urine specimens listed are not as reliable for culture and may not provide a clear indication of the presence or type of pathogens.

Quiz 48: Processing and Testing Urine and Stool Specimens

The procedure during which a sterile plastic tube is inserted to provide urinary drainage is ____.

What amount of residual urine is considered abnormal?

Which type of catheter is used to collect specimens or to instill medications?

Which type of urine specimen can be used to measure a patient's urinary output or analyze substances collected over a specified period of time?

Which of the following would you include in patient instruction about collecting a 24-hour urine specimen?

Catheterization is performed for which of the following reasons?

Which of the following is the most common type of urine sample?

Which type of catheter is inserted after plastic repair of the ureter and must remain in place for at least a week after surgery?

A pregnant patient who tells you that she is having pain during urination or in the kidney area may be experiencing ____.

A urine specimen for culture can be obtained either through catheterization or by obtaining a ____.

Which of the following is a general urine collection guideline?

A pregnant patient's urine is checked for abnormal levels of protein during a prenatal visit to detect ____.

Which urine specimen is collected after a night's sleep and contains greater concentrations of substances?

Which of the following would you include in teaching a female patient how to collect a clean-catch midstream urine specimen?

Residual urine is ____.

Which of the following may indicate polycystic kidney disease?

When you instruct a patient about how to collect a 24-hour urine specimen, which patient should you ask about possible leakage when laughing or coughing?

Which type of catheter is used for drainage through a wound that leads to the bladder?

Which urine specimen is used to complete a quantitative and qualitative analysis of one or more substances such as sodium, chloride, or calcium?

The type of urine specimen that may be submitted for culturing to identify the number and the types of pathogens present is the ____.