Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
TEST BANK
Urinalysis and Body Fluids
Susan King Strasinger, Marjorie Schaub Di Lorenzo
7th Edition
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
Table of Contents
I. Basic Principles
1. Safety and Quality Management
2. Urine and Body Fluid Analysis Automation
3. Introduction to Urinalysis
4. Renal Function
II. Urinalysis
5. Physical Examination of Urine
6. Chemical Examination of Urine
7. Microscopic Examination of Urine
8. Renal Disease
9. Urine Screening for Metabolic Disorders
III. Other Body Fluids
10. Cerebrospinal Fluid
11. Semen
12. Synovial Fluid
13. Serous Fluid
14. Bronchoalveolar Lavage Fluid
15. Amniotic Fluid
16. Fecal Analysis
17. Vaginal Secretions
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
Chapter 1: Safety and Quality Management
Multiple Choice
1. An example of a chemical hazard is:
A. Carcinogen exposure
B. Strained back
C. Viral infection
D. Shock
ANS: A
DIF: Level 1
OBJ: 1-1
TOP: Safety hazards
2. Centrifuging an uncapped tube of urine is most likely to produce a/an:
A. Electrical shock
B. Broken tube
C. Unbalancing
D. Aerosol
ANS: D
DIF: Level 2
OBJ: 1-1
TOP: Safety hazards
3. Laboratory equipment and other inanimate objects serve as what in the chain of infection?
A. Host
B. Reservoir
C. Point of entry
D. Point of exit
ANS: B
DIF: Level 1
OBJ: 1-2
TOP: Chain of infection
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
4. The chain of infection includes all of the following except a:
A. Source
B. Host
C. Disinfectant
D. Transmission method
ANS: C
DIF: Level 1
OBJ: 1-2
TOP: Chain of infection
5. You arrive to work in the clinical laboratory with a small cut on your hand. Your supervisor
removes you from specimen collection (phlebotomy) duties for the day, citing chain of infection
protocols. Why is your supervisor concerned about the cut on your hand?
A. Because you will not have the mobility in your hand to properly collect blood.
B. Because you are going to have to wear a bandage all day long.
C. Because you have a point of entry that could expose you to infectious agents.
D. Because you are going to be an active transmitter of infection onto general surfaces.
ANS: C
DIF: Level 3
OBJ: 1-2
TOP: Chain of infection
6. Which of the following guidelines states that laboratory personnel should consider all patients
as possible carriers of blood-borne pathogens?
A. Urinalysis precautions
B. Blood-borne pathogen precautions
C. Standard precautions
D. Body fluid precautions
ANS: C
DIF: Level 1
OBJ: 1-3
TOP: Standard precautions
7. The Centers for Disease Control and Prevention (CDC) recommends that universal
precautions be followed when encountering:
A. Specimens containing visible blood
B. Patients who are infected with blood-borne pathogens
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
C. All body fluid specimens
D. Specimens that may produce aerosols
ANS: A
DIF: Level 1
OBJ: 1-3
TOP: Standard precautions
8. Which of the following CDC guidelines considers all moist body substances to be potentially
infectious and stresses hand washing?
A. Universal precautions
B. Body fluid precautions
C. Standard precautions
D. Health-care personnel standards
ANS: C
DIF: Level 1
OBJ: 1-4
TOP: Blood-borne pathogens
9. The Occupational Exposure to Blood-Borne Pathogens Standard is:
A. A guideline developed by the Food and Drug Administration (FDA)
B. Guidelines recommended by the Clinical and Laboratory Standards Institute (CLSI)
C. A guideline recommended by the Centers for Disease Control and Prevention (CDC)
D. A law enforced by the Occupational Safety and Health Administration (OSHA)
ANS: D
DIF: Level 1
OBJ: 1-4
TOP: Blood-borne pathogens
10. A laboratory worker who observes a red hand rash after removing gloves should:
A. Avoid wearing gloves for 2 days
B. Wash the hands with antimicrobial soap
C. Apply cortisone cream to the hands
D. Avoid wearing latex gloves in the future
ANS: D
DIF: Level 2
OBJ: 5
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
TOP: Protective equipment
11. Plexiglas shields are used in the laboratory when urine tube specimens are being:
A. Sorted according to laboratory
B. Uncapped for analysis
C. Centrifuged for analysis
D. Observed for color characteristics
ANS: B
DIF: Level 2
OBJ: 1-5
TOP: Protective equipment
12. A urine specimen received in the laboratory is leaking in a transport bag. What is the next
course of action?
A. It should be relabeled.
B. It should be rejected.
C. It should be processed with no special handling.
D. It should be poured into a clean container.
ANS: B
DIF: Level 2
OBJ: 1-7
TOP: Specimen handling
13. Laboratory coats worn in the urinalysis laboratory should:
A. Be worn loosely over uniforms
B. Have short sleeves
C. Be completely buttoned
D. Be worn at all times in and outside of the laboratory
ANS: C
DIF: Level 2
OBJ: 1-5
TOP: Protective equipment
14. Proper hand washing includes all of the following procedures except:
A. Rubbing to create a lather
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
B. Using warm water
C. Rinsing hands in a downward position
D. Using a paper towel to turn on the water faucet
ANS: D
DIF: Level 2
OBJ: 1-6
TOP: Biological hazards
15. Disinfection of the sink in the urinalysis laboratory should be performed:
A. On a daily basis
B. When a positive bilirubin is detected
C. Following an accidental spill
D. By using dilute hydrochloric acid
ANS: A
DIF: Level 2
OBJ: 1-7
TOP: Specimen handling
16. The acceptable method for disposing of urine specimens is:
A. Autoclaving the entire urine specimen
B. Pouring the urine specimen down the sink followed by copious amounts of water
C. Placing the urine specimen in a biohazard bag
D. Diluting urine with sodium hypochlorite
ANS: B
DIF: Level 2
OBJ: 1-7
TOP: Specimen handling
17. Safety precautions observed in the urinalysis laboratory include all of the following except:
A. Wearing goggles or a face shield
B. Checking tube balance in the centrifuge
C. Centrifuging only uncapped tubes
D. Wearing a fluid-resistant laboratory coat
ANS: C
DIF: Level 2
OBJ: 7
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
TOP: Specimen handling
18. The source, method of transmission, and host are all deemed:
A. Steps of standard precautions
B. Components of the chain of infection
C. Components of the chemical hygiene plan
D. Considerations in urine specimen transport
ANS: B
DIF: Level 1
OBJ: 1-2
TOP: Chain of infection
19. Which of the following is a practice that all laboratory workers must avoid?
A. Changing gloves that are soiled
B. Centrifuging conical tubes
C. Moving puncture-resistant containers
D. Manually recapping needles
ANS: D
DIF: Level 1
OBJ: 1-7
TOP: Sharp hazards
20. Before using a water hose on a burning chemical cabinet, a firefighter would visually check
that what is posted on the outside of the cabinet?
A. National Fire Protection Association (NFPA) symbol
B. Safety Data Sheet (SDS)
C. Chemical Hygiene Plan
D. Occupational Safety and Health Administration manual
ANS: A
DIF: Level 2
OBJ: 1-11
TOP: Chemical hazards
21. Immediate information concerning the health hazards, flammability, and reactivity of a
chemical can be obtained from the:
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
A. SDS
B. NFPA symbol
C. CDC
D. OSHA
ANS: B
DIF: Level 2
OBJ: 1-11
TOP: Chemical hazards
22. Laboratory personnel wear special monitory badges when working frequently with which of
the following hazards?
A. Biological
B. Chemical
C. Radioactive
D. Explosive
ANS: C
DIF: Level 1
OBJ: 1-12
TOP: Radioactive hazards
23. When encountering a person experiencing an electrical shock, the first thing to do is:
A. Turn off the circuit breaker for the area
B. Lower the person’s head below the heart
C. Wrap the person in a wet fire blanket
D. Move the person away from the electrical object
ANS: A
DIF: Level 2
OBJ: 1-12
TOP: Electrical hazards
24. When a fire is discovered in the laboratory, you should do all of the following except:
A. Activate the fire alarm
B. Evacuate the area using the stairs
C. Use an appropriate fire extinguisher
D. Leave the door open when evacuating
ANS: D
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
DIF: Level 2
OBJ: 13
TOP: Fire hazards
25. The acronym RACE is used when encountering a/an:
A. Fire
B. Chemical spill
C. Electrical shock
D. Needlestick
ANS: A
DIF: Level 1
OBJ: 1-13
TOP: Fire hazards
26. Which of the following items found in the laboratory should be securely fastened to a
nonmovable object?
A. Biohazard bags
B. Compressed gas cylinders
C. Chemical spill kits
D. Radiation detectors
ANS: B
DIF: Level 1
OBJ: 1-12
TOP: Fire hazards
27. The most commonly available fire extinguisher in a hospital is:
A. Type A
B. Type B
C. Type C
D. Type ABC
ANS: D
DIF: Level 1
OBJ: 1-12
TOP: Fire hazards
TEST BANK
Urinalysis and Body Fluids
Susan King Strasinger, Marjorie Schaub Di Lorenzo
7th Edition
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
Table of Contents
I. Basic Principles
1. Safety and Quality Management
2. Urine and Body Fluid Analysis Automation
3. Introduction to Urinalysis
4. Renal Function
II. Urinalysis
5. Physical Examination of Urine
6. Chemical Examination of Urine
7. Microscopic Examination of Urine
8. Renal Disease
9. Urine Screening for Metabolic Disorders
III. Other Body Fluids
10. Cerebrospinal Fluid
11. Semen
12. Synovial Fluid
13. Serous Fluid
14. Bronchoalveolar Lavage Fluid
15. Amniotic Fluid
16. Fecal Analysis
17. Vaginal Secretions
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
Chapter 1: Safety and Quality Management
Multiple Choice
1. An example of a chemical hazard is:
A. Carcinogen exposure
B. Strained back
C. Viral infection
D. Shock
ANS: A
DIF: Level 1
OBJ: 1-1
TOP: Safety hazards
2. Centrifuging an uncapped tube of urine is most likely to produce a/an:
A. Electrical shock
B. Broken tube
C. Unbalancing
D. Aerosol
ANS: D
DIF: Level 2
OBJ: 1-1
TOP: Safety hazards
3. Laboratory equipment and other inanimate objects serve as what in the chain of infection?
A. Host
B. Reservoir
C. Point of entry
D. Point of exit
ANS: B
DIF: Level 1
OBJ: 1-2
TOP: Chain of infection
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
4. The chain of infection includes all of the following except a:
A. Source
B. Host
C. Disinfectant
D. Transmission method
ANS: C
DIF: Level 1
OBJ: 1-2
TOP: Chain of infection
5. You arrive to work in the clinical laboratory with a small cut on your hand. Your supervisor
removes you from specimen collection (phlebotomy) duties for the day, citing chain of infection
protocols. Why is your supervisor concerned about the cut on your hand?
A. Because you will not have the mobility in your hand to properly collect blood.
B. Because you are going to have to wear a bandage all day long.
C. Because you have a point of entry that could expose you to infectious agents.
D. Because you are going to be an active transmitter of infection onto general surfaces.
ANS: C
DIF: Level 3
OBJ: 1-2
TOP: Chain of infection
6. Which of the following guidelines states that laboratory personnel should consider all patients
as possible carriers of blood-borne pathogens?
A. Urinalysis precautions
B. Blood-borne pathogen precautions
C. Standard precautions
D. Body fluid precautions
ANS: C
DIF: Level 1
OBJ: 1-3
TOP: Standard precautions
7. The Centers for Disease Control and Prevention (CDC) recommends that universal
precautions be followed when encountering:
A. Specimens containing visible blood
B. Patients who are infected with blood-borne pathogens
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
C. All body fluid specimens
D. Specimens that may produce aerosols
ANS: A
DIF: Level 1
OBJ: 1-3
TOP: Standard precautions
8. Which of the following CDC guidelines considers all moist body substances to be potentially
infectious and stresses hand washing?
A. Universal precautions
B. Body fluid precautions
C. Standard precautions
D. Health-care personnel standards
ANS: C
DIF: Level 1
OBJ: 1-4
TOP: Blood-borne pathogens
9. The Occupational Exposure to Blood-Borne Pathogens Standard is:
A. A guideline developed by the Food and Drug Administration (FDA)
B. Guidelines recommended by the Clinical and Laboratory Standards Institute (CLSI)
C. A guideline recommended by the Centers for Disease Control and Prevention (CDC)
D. A law enforced by the Occupational Safety and Health Administration (OSHA)
ANS: D
DIF: Level 1
OBJ: 1-4
TOP: Blood-borne pathogens
10. A laboratory worker who observes a red hand rash after removing gloves should:
A. Avoid wearing gloves for 2 days
B. Wash the hands with antimicrobial soap
C. Apply cortisone cream to the hands
D. Avoid wearing latex gloves in the future
ANS: D
DIF: Level 2
OBJ: 5
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
TOP: Protective equipment
11. Plexiglas shields are used in the laboratory when urine tube specimens are being:
A. Sorted according to laboratory
B. Uncapped for analysis
C. Centrifuged for analysis
D. Observed for color characteristics
ANS: B
DIF: Level 2
OBJ: 1-5
TOP: Protective equipment
12. A urine specimen received in the laboratory is leaking in a transport bag. What is the next
course of action?
A. It should be relabeled.
B. It should be rejected.
C. It should be processed with no special handling.
D. It should be poured into a clean container.
ANS: B
DIF: Level 2
OBJ: 1-7
TOP: Specimen handling
13. Laboratory coats worn in the urinalysis laboratory should:
A. Be worn loosely over uniforms
B. Have short sleeves
C. Be completely buttoned
D. Be worn at all times in and outside of the laboratory
ANS: C
DIF: Level 2
OBJ: 1-5
TOP: Protective equipment
14. Proper hand washing includes all of the following procedures except:
A. Rubbing to create a lather
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
B. Using warm water
C. Rinsing hands in a downward position
D. Using a paper towel to turn on the water faucet
ANS: D
DIF: Level 2
OBJ: 1-6
TOP: Biological hazards
15. Disinfection of the sink in the urinalysis laboratory should be performed:
A. On a daily basis
B. When a positive bilirubin is detected
C. Following an accidental spill
D. By using dilute hydrochloric acid
ANS: A
DIF: Level 2
OBJ: 1-7
TOP: Specimen handling
16. The acceptable method for disposing of urine specimens is:
A. Autoclaving the entire urine specimen
B. Pouring the urine specimen down the sink followed by copious amounts of water
C. Placing the urine specimen in a biohazard bag
D. Diluting urine with sodium hypochlorite
ANS: B
DIF: Level 2
OBJ: 1-7
TOP: Specimen handling
17. Safety precautions observed in the urinalysis laboratory include all of the following except:
A. Wearing goggles or a face shield
B. Checking tube balance in the centrifuge
C. Centrifuging only uncapped tubes
D. Wearing a fluid-resistant laboratory coat
ANS: C
DIF: Level 2
OBJ: 7
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
TOP: Specimen handling
18. The source, method of transmission, and host are all deemed:
A. Steps of standard precautions
B. Components of the chain of infection
C. Components of the chemical hygiene plan
D. Considerations in urine specimen transport
ANS: B
DIF: Level 1
OBJ: 1-2
TOP: Chain of infection
19. Which of the following is a practice that all laboratory workers must avoid?
A. Changing gloves that are soiled
B. Centrifuging conical tubes
C. Moving puncture-resistant containers
D. Manually recapping needles
ANS: D
DIF: Level 1
OBJ: 1-7
TOP: Sharp hazards
20. Before using a water hose on a burning chemical cabinet, a firefighter would visually check
that what is posted on the outside of the cabinet?
A. National Fire Protection Association (NFPA) symbol
B. Safety Data Sheet (SDS)
C. Chemical Hygiene Plan
D. Occupational Safety and Health Administration manual
ANS: A
DIF: Level 2
OBJ: 1-11
TOP: Chemical hazards
21. Immediate information concerning the health hazards, flammability, and reactivity of a
chemical can be obtained from the:
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
A. SDS
B. NFPA symbol
C. CDC
D. OSHA
ANS: B
DIF: Level 2
OBJ: 1-11
TOP: Chemical hazards
22. Laboratory personnel wear special monitory badges when working frequently with which of
the following hazards?
A. Biological
B. Chemical
C. Radioactive
D. Explosive
ANS: C
DIF: Level 1
OBJ: 1-12
TOP: Radioactive hazards
23. When encountering a person experiencing an electrical shock, the first thing to do is:
A. Turn off the circuit breaker for the area
B. Lower the person’s head below the heart
C. Wrap the person in a wet fire blanket
D. Move the person away from the electrical object
ANS: A
DIF: Level 2
OBJ: 1-12
TOP: Electrical hazards
24. When a fire is discovered in the laboratory, you should do all of the following except:
A. Activate the fire alarm
B. Evacuate the area using the stairs
C. Use an appropriate fire extinguisher
D. Leave the door open when evacuating
ANS: D
, Test Bank - Urinalysis and Body Fluids 7th Edition (Strasinger, 2021)
DIF: Level 2
OBJ: 13
TOP: Fire hazards
25. The acronym RACE is used when encountering a/an:
A. Fire
B. Chemical spill
C. Electrical shock
D. Needlestick
ANS: A
DIF: Level 1
OBJ: 1-13
TOP: Fire hazards
26. Which of the following items found in the laboratory should be securely fastened to a
nonmovable object?
A. Biohazard bags
B. Compressed gas cylinders
C. Chemical spill kits
D. Radiation detectors
ANS: B
DIF: Level 1
OBJ: 1-12
TOP: Fire hazards
27. The most commonly available fire extinguisher in a hospital is:
A. Type A
B. Type B
C. Type C
D. Type ABC
ANS: D
DIF: Level 1
OBJ: 1-12
TOP: Fire hazards
