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Clinical Nursing Skills

Review Questions

Clinical Nursing SkillsReview Questions

Review Questions

1 .
The nurse is reviewing the procedure for collecting a urine sample from a Foley with a nursing student. What statement by the nursing student demonstrates accurate understanding of the procedure?
  1. “Since the patient has a Foley, I can just collect the urine sample from the Foley bag.”
  2. “Once I connect the syringe to the sampling port, I can pull the urine out of the Foley tubing.”
  3. “I will clamp the Foley tubing above the sampling port, connect the syringe, and then withdraw the urine.”
  4. “Once I get all of the urine out of the Foley tubing, I will clamp the tubing and then aspirate the urine from the bladder.”
2 .
The nurse is educating the patient on how to collect a clean-catch urine sample. What instruction should the nurse provide to the patient?
  1. Urinate into the collection container first, and then you can finish urinating in the toilet.
  2. Use the urine measuring container in the restroom to collect the sample, and then pour it into the collection container.
  3. Start urinating, stop briefly, and then continue urinating into the collection container.
  4. Use an antiseptic wipe to clean the genital area from back to front before collecting the sample.
3 .
How much urine is typically needed to perform urine testing?
  1. 15 to 30 mL
  2. 30 to 60 mL
  3. 60 to 90 mL
  4. 100 to 120 mL
4 .
The nurse is reviewing the urine results for a patient. What finding would be considered abnormal?
  1. pH = 7.7
  2. specific gravity = 1.025
  3. protein = 115 mg/day
  4. squamous cells = 29 cells/high-powered field
5 .
The nurse is collecting a patient’s urine for a twenty-four-hour urine collection. What should the nurse do to ensure the validity and accuracy of the results?
  1. keep the urine at room temperature
  2. collect the urine until the sample container is full
  3. include the first morning void at the start of the twenty-four hours
  4. collect the urine in a urinal, and then pour it into the twenty-four-hour collection container
6 .
What is the primary purpose of collecting a stool specimen for analysis?
  1. to assess lung function
  2. to evaluate cardiovascular health
  3. to understand gastrointestinal health
  4. to determine kidney function
7 .
What is the primary diagnostic purpose of a FOBT?
  1. to detect infections in the gastrointestinal tract
  2. to assess carbohydrate malabsorption
  3. to detect small amounts of blood in the stool
  4. to measure fat content in the stool
8 .
Why is it important to consider the patient’s clinical history and influencing factors when interpreting stool test results?
  1. It helps determine the patient’s age.
  2. It can reveal the patient’s blood type.
  3. It provides context for accurate interpretation.
  4. It helps identify the patient’s vaccination history.
9 .
In the documentation of stool collection, why is it important to include the patient’s name, date of birth, collection date, and time of collection?
  1. to identify the patient’s blood type
  2. to ensure proper sample storage
  3. to track the sample and interpret results accurately
  4. to determine the patient’s age
10 .
A patient with a history of IBD presents with a change in bowel habits, bloody diarrhea, and abdominal pain. The stool sample reveals the visual presence of blood. What should be the nurse’s initial action?
  1. instruct the patient to consume a high-fiber diet
  2. notify the healthcare provider immediately
  3. administer an antiparasitic medication
  4. suggest over-the-counter antacids
11 .
While collecting a sputum sample, the nurse notes the color of the sputum is yellow. What does this finding most likely indicate is going on with the patient?
  1. bacterial infection
  2. new blood
  3. old blood
  4. virus
12 .
The nurse is precepting a nursing student who is preparing to perform a sputum collection. What statement by the nursing student would warrant further education?
  1. “An induced sputum collection technique can be used if the patient has difficulty producing sputum.”
  2. “A nasotracheal suction collection technique is ideal when samples are needed from the upper respiratory tract.”
  3. “A sputum trap can be attached to the patient’s ventilator to collect a sputum sample.”
  4. “A spontaneous sputum collection technique allows the patient to cough up sputum and spit it into a sterile container.”
13 .
The nurse is reviewing the results of a sputum sample that was collected earlier during the shift. What is not a cellular component that could be discovered using microscopic examination of the sputum?
  1. white blood cells
  2. red blood cells
  3. squamous epithelial cells
  4. parasites
14 .
A patient brings a sputum sample collected at home into the clinic for testing. What statement made by the patient would warrant further exploration?
  1. “I tried to cough something up last night. It didn’t work, so I followed your tip of trying to collect the sample in the morning.”
  2. “I made sure to wash my hands before I opened the cup. I was careful the lid did not touch any surface in my house.”
  3. “I noticed the sputum looked really thick. It is really sticky and stuck to my finger.”
  4. “I had some saliva in my mouth when I coughed up the sputum, but I spit it out before spitting the sputum in the cup.”
15 .
When collecting a spontaneous sputum sample, what essential step should be taken to minimize contamination and ensure the accuracy of test results?
  1. Instruct the patient to rinse their mouth with water just before collection.
  2. The nurse dons gloves, mask, and eyewear prior to collecting the sample.
  3. Collect the sputum in an open container to avoid trapping any oral bacteria.
  4. Label the collection container with the patient’s identification information.
16 .
The nurse is preparing to collect a blood sample. What is the primary reason for using a tourniquet during venipuncture for blood collection?
  1. to increase patient comfort
  2. to make the vein more visible and accessible
  3. to reduce the risk of hematoma formation
  4. to prevent the formation of blood clots in the tube
17 .
The nurse is assessing a patient’s veins to select a site for a blood collection. What factor is most crucial when choosing an appropriate site for venipuncture during blood collection?
  1. the patient’s dominant hand
  2. the site closest to the heart
  3. the condition and accessibility of the vein
  4. the convenience for the healthcare provider
18 .
The nurse is reviewing the results of a blood sample with a newly graduated nurse. What statement made by the newly graduated nurse would warrant further education?
  1. “Reference ranges provide a general guideline as to what the normal findings should be.”
  2. “Normal findings can depend on age, sex, and individual health factors.”
  3. “Elevated results are concerning and indicate something is wrong.”
  4. “Therapeutic ranges determine if certain conditions are well managed.”
19 .
The nurse is collecting a venous blood sample. Upon puncturing the vein, what is the nurse’s next action?
  1. release the tourniquet
  2. attach the vacutainer tube
  3. attach the vacutainer
  4. retract the needle
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