Question 1

Which essential information would the nurse include in the hand-off report when a patient is transferred to a recovery area after an invasive procedure?

Accepted Answer

Condition after the procedure
Condition during the procedure
Condition before the procedure
All medications given during the procedure

Question 2

Which signs would the nurse recognize as indicative of an allergic reaction to a contrast medium?

Accepted Answer

Itching
Urticaria
Respiratory distress

Question 3

Which action would the nurse take first when told by a patient arriving for a diagnostic test that requires an 8-hour fast that a glass of ginger ale and a grilled cheese sandwich were eaten 6 hours earlier?

Accepted Answer

Notify the health care provider.

Question 4

Which procedure calls for neurologic assessment of the patient to evaluate for complications?

Accepted Answer

Lumbar puncture

Question 5

Which direction would the nurse give to a patient who has had a thoracentesis?

Accepted Answer

Documenting baseline vital signs
Administering preprocedure medications
Ensuring prescribed intravenous (IV) access

Question 6

Before an invasive diagnostic procedure, which elements of patient care are the nurse’s responsibility?

Accepted Answer

“Notify the nurse if you experience trouble breathing.”

Question 7

Which responsibilities related to the collection of routine specimens for diagnostic testing are generally considered to be part of the nursing role?

Accepted Answer

Scheduling
Collecting
Handling
Documenting

Question 8

To whom is the nurse responsible for communicating test results?

Accepted Answer

Prescribing health care provider

Question 9

A patient arrives for an invasive diagnostic procedure and indicates that preprocedure NPO (nothing by mouth) instructions have not been followed. Which actions would the nurse take?

Accepted Answer

Ask what and how much the patient ate and drank.
Notify the health care team.
Document the information about the patient’s eating and/or drinking.
Ask when the patient ate and drank.

Question 10

Which questions would the nurse ask to evaluate the patient’s ability to comply with the prescribed regimen of self-monitoring blood glucose?

Accepted Answer

“Do you see yourself being able to check your blood glucose at the times prescribed?”
“Are you able to buy your own glucometer, strips, and lancets?”

Question 11

Veins too small

Accepted Answer

3-month-old weighing 9 pounds

Question 12

Veins fragile, risk for bleeding

Accepted Answer

86-year-old weighing 120 pounds

Question 13

Veins difficult to visualize and/or access

Accepted Answer

25-year-old weighing 350 pounds

Question 14

Which information would unlicensed assistive personnel (UAP) report to the nurse when performing blood glucose testing on a patient?

Accepted Answer

The patient’s blood glucose was 56 mg/dL.
The required glucose tests have been completed.
The patient is concerned about how many times a finger stick is performed.
The patient is so swollen that blood cannot be obtained from the finger stick.

Question 15

Which instructions from the nurse to unlicensed assistive personnel (UAP) delegated to obtain a midstream clean-catch urine specimen are appropriate?

Accepted Answer

“Tell me when you have the sample.”
“Please collect the urine sample as soon as possible.
“Be sure the area around the urethral meatus is thoroughly cleaned.”
“Use a sterile specimen cup and make sure not to touch the inside of the cup or the cover.”

Question 16

Which information should unlicensed assistive personnel (UAP) collecting a stool sample provide the nurse immediately after collection?

Accepted Answer

“This stool sample is Hemoccult positive.”
“The patient said that it hurt to pass the stool.”
“The stool sample was clay colored.”

Question 17

Which question would the nurse ask a patient who collects a urine specimen at home?

Accepted Answer

“At which temperature was the specimen maintained?”
“How quickly was the specimen transported?”

Question 18

Place the following steps of the sputum collection procedure in the appropriate order.

Accepted Answer

Instruct patient to breathe deeply and cough.	
Collect sample in a cup.	
Label the container.	
Place sample in biohazard bag.	
Provide oral care.

Question 19

In which aspects of a procedure for collecting a sputum specimen should unlicensed assistive personnel (UAP) be educated?

Accepted Answer

Appropriate handling of the specimen
Appropriate collection of the specimen
Reporting of procedural or physiologic difficulties

Question 20

Which measures would the nurse take to avoid stimulating the patient’s gag reflex when obtaining a throat culture?

Accepted Answer

Place swab off center.
Swab the patient’s throat quickly.
Ask the patient to sit upright and say, “Ahh.”

concepts of nursing

Diagnostic Testing: Implement and Take Action; Evaluate

Question	Answer
Which essential information would the nurse include in the hand-off report when a patient is transferred to a recovery area after an invasive procedure?	Condition after the procedure Condition during the procedure Condition before the procedure All medications given during the procedure
Which signs would the nurse recognize as indicative of an allergic reaction to a contrast medium?	Itching Urticaria Respiratory distress
Which action would the nurse take first when told by a patient arriving for a diagnostic test that requires an 8-hour fast that a glass of ginger ale and a grilled cheese sandwich were eaten 6 hours earlier?	Notify the health care provider.
Which procedure calls for neurologic assessment of the patient to evaluate for complications?	Lumbar puncture
Which direction would the nurse give to a patient who has had a thoracentesis?	Documenting baseline vital signs Administering preprocedure medications Ensuring prescribed intravenous (IV) access
Before an invasive diagnostic procedure, which elements of patient care are the nurse’s responsibility?	“Notify the nurse if you experience trouble breathing.”
Which responsibilities related to the collection of routine specimens for diagnostic testing are generally considered to be part of the nursing role?	Scheduling Collecting Handling Documenting
To whom is the nurse responsible for communicating test results?	Prescribing health care provider
A patient arrives for an invasive diagnostic procedure and indicates that preprocedure NPO (nothing by mouth) instructions have not been followed. Which actions would the nurse take?	Ask what and how much the patient ate and drank. Notify the health care team. Document the information about the patient’s eating and/or drinking. Ask when the patient ate and drank.
Which questions would the nurse ask to evaluate the patient’s ability to comply with the prescribed regimen of self-monitoring blood glucose?	“Do you see yourself being able to check your blood glucose at the times prescribed?” “Are you able to buy your own glucometer, strips, and lancets?”
Veins too small	3-month-old weighing 9 pounds
Veins fragile, risk for bleeding	86-year-old weighing 120 pounds
Veins difficult to visualize and/or access	25-year-old weighing 350 pounds
Which information would unlicensed assistive personnel (UAP) report to the nurse when performing blood glucose testing on a patient?	The patient’s blood glucose was 56 mg/dL. The required glucose tests have been completed. The patient is concerned about how many times a finger stick is performed. The patient is so swollen that blood cannot be obtained from the finger stick.
Which instructions from the nurse to unlicensed assistive personnel (UAP) delegated to obtain a midstream clean-catch urine specimen are appropriate?	“Tell me when you have the sample.” “Please collect the urine sample as soon as possible. “Be sure the area around the urethral meatus is thoroughly cleaned.” “Use a sterile specimen cup and make sure not to touch the inside of the cup or the cover.”
Which information should unlicensed assistive personnel (UAP) collecting a stool sample provide the nurse immediately after collection?	“This stool sample is Hemoccult positive.” “The patient said that it hurt to pass the stool.” “The stool sample was clay colored.”
Which question would the nurse ask a patient who collects a urine specimen at home?	“At which temperature was the specimen maintained?” “How quickly was the specimen transported?”
Place the following steps of the sputum collection procedure in the appropriate order.	Instruct patient to breathe deeply and cough. Collect sample in a cup. Label the container. Place sample in biohazard bag. Provide oral care.
In which aspects of a procedure for collecting a sputum specimen should unlicensed assistive personnel (UAP) be educated?	Appropriate handling of the specimen Appropriate collection of the specimen Reporting of procedural or physiologic difficulties
Which measures would the nurse take to avoid stimulating the patient’s gag reflex when obtaining a throat culture?	Place swab off center. Swab the patient’s throat quickly. Ask the patient to sit upright and say, “Ahh.”

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