Question: A nurse is caring for a client who has a stage III pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the pressure injury?A. Irrigate the wound with an antiseptic solution before collecting specimen B. Wipe the crusty area around the outside of the wound with a sterile swabC. Rotate a sterile swab in the area of drainage. D. Collect drainage from the wound dressing

Answer: C. Rotate a sterile swab in the area of drainage

Question: A nurse is teaching a client about home collection of a stool specimen for fecal occult blood testing. Which of the following instructions should the nurse include?A. Obtain specimens from three different stools.B. Eat a diet low in fiber and residueC. Avoid food that are high in fat.D. Refrigerate the specimen card after obtaining the first sample

Answer: A. Obtain specimens from three different stools.

Question: A nurse caring for a group of clients in an ambulatory care clinic is collecting urine for several prescribed diagnostic tests. For which of the following tests is a random sample voided into a clean cup appropriate.A. Urine culture and sensitivityB. Routine analysis C. Urine creatine clearanceD. Urine pregnancy testing

Answer: B. Routine analysis

Question: A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?A. Give the client a clean urine cup from the laboratory B. Instruct the client to cleanse the perineal area from back to front.C. Have the client urinate a small amount of urine before starting the collection D. Tell the client to collect about 10mL of urine.

Answer: C. Have the client urinate a small amount of urine before starting the collection

Question: A nurse is collecting a blood specimen for a culture from the client. Which of the following actions should the nurse take?A. Keep the tourniquet in place from selection of the vein to completion of the collection.B. Rub the clients arm at the selected site prior to venipuncture.C. Elevate the clients arms above heart level for the venipunctureD. Puncture the selected vein while the antiseptic solution is still visible on the skin

Answer: B. Rub the clients arm at the selected site prior to venipuncture.

Question: A nurse is teaching a client about collecting stool specimens for fecal occult blood testing. Which of the following should the nurse instruct the client to avoid before and during the testing period.A. PoultryB. Vitamin E supplements C.YogurtD. Calcium supplements

Answer: A. Poultry

Question: A nurse is caring for a client who has been suspected urinary tract infection (UTI). Which of the following urinalysis results should the nurse identify as a manifestation of a UTI?A. Leukocyte esteraseB. Trace amount of protein is an expected finding and does not indicate a UTIC. Specific gravity of 1.010 D. pH of 6.0

Answer: A. Leukocyte esterase

Question: A nurse caring for a client who has diabetes mellitus is having difficulty obtaining a capillary fingerstick blood sample for point of care blood glucose testing. Which of the following actions should the nurse take to help increase blood flow to the clients fingersA. Elevate the hand on a pillowB. Pierce the skin in the middle of the finger pad.C. Wrap the finger in a warm cloth D. Firmly milk the puncture site

Answer: C. Wrap the finger in a warm cloth

Question: An assistive personal (AP) is collecting a 24 hour urine specimen from a client. Which of the following statements by the AP indicates that the specimen collection will have to be restarted?A. "I used a container from the lab that has a preservative in it"B. "The client just voided into the toilet, so the next void can be collectedC. "I have the container in a plastic bucket filled with ice"D. "The client just told me that they forgot to put the urine in the container"

Answer: D. "The client just told me that they forgot to put the urine in the container

Question: A nurse obtains a capillary blood glucose result of 180mg/dL from a client who is diabetes mellitus. Which of the following actions should the nurse take?A. Encourage the client to get up and exerciseB. Repeat the test using a different glucometer C. Give the client a glass of orange juiceD. Administer insulin according to the patients sliding scale orders

Answer: D. Administer insulin according to the patients sliding scale orders