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Specimen Collection: Exam Correct Answers Latest Version
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Specimen Collection: Exam Correct Answers Latest Version
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Specimen Collection: Exam CorrectAnswers Latest Version
Which of the following tests requires sterile gloves?
Obtaining a wound culture
Obtaining a midstream urine specimen
Performing a Hemoccult test on stool
Performing a Gastroccult test Answer: Obtaining a wound culture
Sterile gloves are worn when collecting the specimen and for cleaning/applying a new dressing to the
wound. Clean gloves are worn to reduce transmission of microorganisms.
Which of the following statements, if made by the nurse regarding obtaining a wound drainage
specimen for culture, indicates that further instruction is needed?
"I should explain to the patient the purpose of the test."
"I should clean the wound of exudate and obtain the culture from fresh wound drainage."
"Purulent drainage is an indication of infection."
"After obtaining the culture, I should get the specimen to the lab within 1 hour." Answer: "After
obtaining the culture, I should get the specimen to the lab within 1 hour."
After swabbing the wound in a rotating motion, the nurse should return the swab to the culture tube
and crush the ampule of medium, pushing the swab into the fluid. The specimen should be sent to the
lab immediately.
The patient has been instructed on how to collect a midstream urine specimen. Thirty minutes later the
NAP reports the patient is unable to produce a urine specimen. What would be the best action at this
time?
, Encourage the patient to drink fluids and allow more time.
Notify the health care provider.
Catheterize the patient to obtain the urine specimen.
Obtain a bladder scanner and scan the patient. Answer: Encourage the patient to drink fluids and
allow more time.
The patient should be encouraged to drink fluids if allowed, and permitted more time to collect the
specimen. Invasive procedures, such as catheterizing the patient should be avoided as a measure of
infection control. It is unnecessary to notify the health care provider at this time. Scanning the bladder
for the presence of urine, may make the patient feel as though something is wrong and increase the
patient's anxiety. The nurse should first assess the patient and encourage fluids, allow the patient to
relax and permit a greater amount of time to produce the specimen.
The nurse informs the patient that their fasting blood glucose reading was 151. The patient asks what
this means. Which of the following is the best response by the nurse?
"Your blood sugar is too high. I will see if there is an order for insulin."
"Your blood sugar is too low. I will bring you a snack containing carbohydrates."
"You don't need to worry; I will contact your health care provider if necessary."
"Your blood sugar is with normal range. I will document the finding." Answer: "Your blood sugar is
too high. I will see if there is an order for insulin."
Normal fasting blood glucose is 70-110 mg/dL. The nurse should first determine if there is an order for
insulin to lower this patient's elevated glucose level. Telling the patient not to worry is nontherapeutic
and does not assist the patient in learning normal blood glucose parameters.
Which of the following can be delegated to NAP? (Select all that apply.)
Obtaining a midstream urine specimen
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