ATI - Specimen Collection Pretest PDF

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The questions from the ATI Specimen Collection lesson...

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ATI – Specimen Collection Pretest Q: A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?  Have the client urinate a small amount of urine before starting the collection. o Urinating a small amount before the collection helps cleanse the urethral meatus of any bacteria that might be present.

Q: A nurse is caring for a client who has a stage IIl 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?  Rotate a sterile swab in the area of drainage. o Rotating a swab in the center of the wound base to collect drainage is the appropriate technique for collecting a specimen for wound culture. It is important to avoid the wound’s edges when collecting the specimen.

Q: An assistive personnel (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?  “The client just told me that they forgot to put the urine in the container.” o If the client urinates and discards the urine, the timing of the specimen must begin again with the next urination.

Q: A nurse is caring for a client who has a suspected urinary tract infection (UTI). Which of the following urinalysis results should the nurse identify as a manifestation of a UTI?  Leukocyte esterase o Leukocyte esterase indicates the presence of a urinary tract infection. Q: A nurse is collecting a blood specimen for culture from a client. Which of the following actions should the nurse take?  Rub the client’s arm at the selected site prior to venipuncture. o Stroking the arm from the distal area to the proximal area below the proposed site can help dilate the vein, but vigorous rubbing should be avoided due to the potential for injury.

Q: 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?  Routine urinalysis o Routine urinalysis can be done on a random clean-voided specimen collected during normal voiding into a clean urine cup.

Q: 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?  Obtain specimens from three different stools. o The three specimens must be taken from three separate, consecutive bowel movements.

Q: 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?  Poultry (can cause a false positive) o Red meat, poultry, seafood, and some raw vegetables can cause false-positive fecal occult blood testing results.

Q: A nurse obtains a capillary blood glucose result of 180 mg/dL from a client who has diabetes mellitus, Which of the following actions should the nurse take?  Administer insulin according to the patient’s sliding scale orders. o A reading above the expected reference range warrants following the provider's orders for sliding scale insulin based on the specific result.

Q: 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 client's finger?  Wrap the finger in a warm cloth. o Heat helps increase blood flow to the area to be punctured....