Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 34
Question 1
Type: MCSA
The nurse is assisting a client with a diagnostic test. Which role should the nurse expect to perform in the intratest
phase?
1. Assess the data.
2. Collect the specimen.
3. Observe the client.
4. Prepare the client.
Question 2
Type: MCSA
The nurse is teaching a client with heart failure about diagnostic tests. Which test should the nurse emphasize in
this teaching?
1. BNP
2. CBC
3. LDH
4. PKU
Question 3
Type: MCSA
The nurse is reviewing laboratory results for a client. Which diagnostic study determines how well blood glucose
levels have been controlled in the client?
1. Blood chemistry
2. Capillary blood glucose
3. Hemoglobin A1c
4. Serum electrolytes
Question 4
Type: MCSA
Which return demonstration by a client indicates that teaching about performing a blood glucose monitoring test
has been effective?
1. The client punctures the fingertip.
2. The client puts on gloves.
3. The client smears the blood on the reagent strip.
4. The client washes the hands.
Question 5
Type: MCSA
A client asks the nurse, “Why do I have to monitor my blood glucose levels?” What is an appropriate response
from the nurse?
1. “Because your doctor ordered it.”
2. “If I were you, I would monitor the blood glucose when I didn’t feel good.”
3. “Monitoring your blood glucose better enables you to manage your diabetes.”
4. “You can eat anything you want.”
Question 6
Type: MCSA
What is the responsibility of the nurse when collecting a specimen from a client?
1. Always accompany the client to collect a specimen.
2. Handle the specimen discreetly.
3. Clean technique should be used with all specimen collection.
4. Use day-old specimens.
Question 7
Type: MCSA
A client is prescribed a diagnostic test requiring a 24-hour stool specimen. What should this test indicate to the
nurse?
1. Analyze the stool for dietary products and digestive secretions.
2. Detect the presence of bacteria or viruses.
3. Detect the presence of ova and parasites.
4. Determine the presence of occult blood.
Question 8
Type: MCSA
A client is being treated for tuberculosis, and the doctor writes an order to collect a sputum specimen. What is the
rationale behind this order?
1. To test for acid-fast bacillus
2. To assess the effectiveness of therapy
3. To identify origin, structure, function, and pathology of cells
4. To identify the specific organism
Question 9
Type: MCSA
The nurse is collecting a sputum specimen from a client. Which action should the nurse take during the collection
of this specimen?
1. Collect at least 30 mL of sputum.
2. Offer mouth care.
3. Take shallow breaths.
4. Wear a mask.
Question 10
Type: MCSA
Which instruction should the nurse give to the client when a stool specimen is to be collected?
1. Defecate in the toilet.
2. Follow sterile technique.
4. Void before the specimen is collected.
Question 11
Type: MCSA
What should the nurse instruct a client for obtaining a clean voided urine specimen?
1. Collect at least 5 mL of urine.
2. Collect the first voided specimen in the morning.
3. Keep the specimen on ice.
4. Void in a sterile cup.
Question 12
Type: MCSA
The nurse needs to obtain a sputum specimen from a client. What should the nurse have the client do?
1. Apply sterile gloves.
2. Clear the throat.
3. Cough to bring up secretions.
4. Rinse the mouth with mouthwash prior to the collection.
Question 13
Type: MCSA
The nurse is preparing to collect a throat culture from a client. What client response indicates to the nurse that
teaching about this test has not been effective?
1. “I need to hyperextend my neck.”
2. “I need to say ‘ah.'”
3. “I will need to sit up.”
4. “The nurse will use a light.”
Question 14
Type: MCSA
A client is scheduled for a barium enema. What is the nursing priority for this client?
1. Assess bowel sounds.
2. Assess for allergies.
3. Cleanse the bowel.
4. Keep the client NPO.
Question 15
Type: MCSA
A client is to have an echocardiogram. Which statement by the client indicates the teaching about the test has been
effective?
1. “I’m told this test causes no discomfort.”
2. “I will have to walk on a treadmill.”
3. “I will need to remain NPO.”
4. “I will need to take my pulse prior to the test.”
Question 16
Type: MCSA
The nurse is reviewing instructions provided to a client about an upcoming cystoscopy. Which client response
indicates that no further teaching is required?
1. “During the procedure the physician will take x-rays.”
2. “I will be awake for this procedure.”
3. “The doctor will be able to see my kidneys.”
4. “The scope is a lighted instrument inserted through the urethra.”
Question 17
Type: MCSA
A client with tattooed eyeliner is scheduled for an MRI. What should the nurse instruct the client about this
diagnostic test?
1. Earplugs will be provided.
2. Lie very still.
3. Report any burning sensation.