Diagnostic Testing HESI prep- Adult Care
Questions Correctly Answered!!!
A client is being prepared for a thoracentesis. The nurse should assist the client
to which position for the procedure?
a) Lying in bed on the affected side
b) Lying in bed on the unaffected side
c) Sims position with the head of the bed flat
d) Prone with the head turned to the side and supported by a pillow
b) Lying in bed on the unaffected side
Rationale: To facilitate removal of fluid from the chest, the client is positioned sitting at
the edge of the bed leaning over the bedside table, with the feet supported on a stool; or
lying in bed on the unaffected side with the head of the bed elevated 30 to 45 degrees.
The prone and Sims positions are inappropriate positions for this procedure.
The nurse is preparing to care for a client who has returned to the nursing unit
following cardiac catheterization performed through the femoral artery. The nurse
checks the health care provider's (HCP's) prescription and plans to allow which
client position or activity following the procedure?
a) Bed rest in high Fowler's position
b) Bed rest with bathroom privileges only
c) Bed rest with head elevation at 60 degrees
d) Bed rest with head elevation no greater than 30 degrees
d) Bed rest with head elevation no greater than 30 degrees
Rationale: After cardiac catheterization, the extremity into which the catheter was
inserted is kept straight for 4 to 6 hours. The client is maintained on bed rest for 4 to 6
hours (time for bed rest may vary depending on the HCP's preference and on whether a
vascular closure device was used) and the client may turn from side to side. The head
is elevated no more than 30 degrees (although some HCPs prefer the flat position) until
hemostasis is adequately achieved.
A client is scheduled for a Papanicolaou (Pap) smear at the next scheduled clinic
visit. The nurse provides instructions to the client regarding preparation for this
test. Which statement should the nurse include in the teaching?
a) The test is painless.
b) Fluids are restricted on the day of the test.
c) The test can be performed during menstruation.
d) Vaginal douching is required 2 hours before the test.
a) The test is painless.
,The nurse is caring for a client after pulmonary angiography with catheter
insertion via the left groin. Which assessment finding is related to an allergic
reaction to the contrast medium?
a) Hypothermia
b) Decreased blood pressure
c) Hematoma in the left groin
d) Discomfort in the left groin
b) Decreased blood pressure
Rationale: Signs of allergic reaction to the contrast dye include early signs such as
localized itching and edema, which are followed by more severe symptoms such as
respiratory distress, stridor, and decreased blood pressure. Hypothermia, discomfort in
the left groin, and hematoma in the left groin are abnormal assessment findings but are
not related to allergic reaction to the contrast medium.
The nurse assists a health care provider in performing a liver biopsy. After the
biopsy, the nurse should place the client in which position?
a) Prone
b) Supine
c) A left side-lying position with a small pillow or folded towel under the puncture
site
d) A right side-lying position with a small pillow or folded towel under the
puncture site
d) A right side-lying position with a small pillow or folded towel under the puncture site
Rationale: After a liver biopsy, the client is assisted to assume a right side-lying position
with a small pillow or folded towel under the puncture site for 3 hours. This position
compresses the liver against the chest wall at the biopsy site. Therefore all other
options are incorrect.
A client is scheduled for a fiberoptic gastrointestinal (GI) procedure. The nurse
instructs the client to remain on clear liquids the day before the test because a
clear liquid diet supports which action?
a) Stimulating peristalsis
b) Promoting a laxative action
c) Providing little or no residue
d) Providing minimal calories and nutrients
c) Providing little or no residue
The nurse is preparing to collect a 24-hour urine specimen from the client. Which
is an inaccurate action in collecting the specimen?
, .
a) Placing the specimen on ice or refrigerating it
b) Discarding the urine specimen at the start time
c) Asking the client to void, saving the specimen, and noting the start time
d) Asking the client to void at the end of the collection and adding this specimen
to the collection
c) Asking the client to void, saving the specimen, and noting the start time
Rationale: Because the 24-hour urine is a timed, quantitative determination, it is
essential to start the test with an empty bladder. The collected urine should be
refrigerated or placed on ice to prevent changes in the urine. Fifteen minutes before the
end of the collection time, the client should be asked to void, and this specimen is
added to the collection.
The nurse instructs a female client to obtain a clean-catch urine specimen for
culture and sensitivity testing. Which statement by the client indicates that she
understands the procedure for collecting the specimen?
a) "A urine specimen will be obtained from a catheter."
b) "I need to clean the labia with toilet paper and void into the sterile specimen
container."
c) "I should empty my bladder into a container so that the full amount of urine can
be determined."
d) "I need to cleanse the labia using cleansing towels, void into the toilet, and
then void into the sterile specimen container."
d) "I need to cleanse the labia using cleansing towels, void into the toilet, and then void
into the sterile specimen container."
Rationale: Urine specimens for culture and sensitivity need to be obtained with the use
of proper cleansing and voiding techniques to avoid contamination from external
sources. The use of toilet paper will contaminate the specimen. The procedure
described in option 3 would not provide a clean specimen. It is not necessary to obtain
the specimen via a catheter.
A client is scheduled for an excretory urogram. Which should the nurse expect to
be prescribed as a component of preparation for this test?
a) NPO status after midnight
b) Administration of intravenous fluids
c) Administration of a sedative before the test
d) Bowel preparation to remove fecal contents
d) Bowel preparation to remove fecal contents
Rationale: An excretory urogram is an invasive test that uses contrast radiopaque dye
to assess the ability of the kidneys to excrete dye in the urine. Bowel preparation is
Questions Correctly Answered!!!
A client is being prepared for a thoracentesis. The nurse should assist the client
to which position for the procedure?
a) Lying in bed on the affected side
b) Lying in bed on the unaffected side
c) Sims position with the head of the bed flat
d) Prone with the head turned to the side and supported by a pillow
b) Lying in bed on the unaffected side
Rationale: To facilitate removal of fluid from the chest, the client is positioned sitting at
the edge of the bed leaning over the bedside table, with the feet supported on a stool; or
lying in bed on the unaffected side with the head of the bed elevated 30 to 45 degrees.
The prone and Sims positions are inappropriate positions for this procedure.
The nurse is preparing to care for a client who has returned to the nursing unit
following cardiac catheterization performed through the femoral artery. The nurse
checks the health care provider's (HCP's) prescription and plans to allow which
client position or activity following the procedure?
a) Bed rest in high Fowler's position
b) Bed rest with bathroom privileges only
c) Bed rest with head elevation at 60 degrees
d) Bed rest with head elevation no greater than 30 degrees
d) Bed rest with head elevation no greater than 30 degrees
Rationale: After cardiac catheterization, the extremity into which the catheter was
inserted is kept straight for 4 to 6 hours. The client is maintained on bed rest for 4 to 6
hours (time for bed rest may vary depending on the HCP's preference and on whether a
vascular closure device was used) and the client may turn from side to side. The head
is elevated no more than 30 degrees (although some HCPs prefer the flat position) until
hemostasis is adequately achieved.
A client is scheduled for a Papanicolaou (Pap) smear at the next scheduled clinic
visit. The nurse provides instructions to the client regarding preparation for this
test. Which statement should the nurse include in the teaching?
a) The test is painless.
b) Fluids are restricted on the day of the test.
c) The test can be performed during menstruation.
d) Vaginal douching is required 2 hours before the test.
a) The test is painless.
,The nurse is caring for a client after pulmonary angiography with catheter
insertion via the left groin. Which assessment finding is related to an allergic
reaction to the contrast medium?
a) Hypothermia
b) Decreased blood pressure
c) Hematoma in the left groin
d) Discomfort in the left groin
b) Decreased blood pressure
Rationale: Signs of allergic reaction to the contrast dye include early signs such as
localized itching and edema, which are followed by more severe symptoms such as
respiratory distress, stridor, and decreased blood pressure. Hypothermia, discomfort in
the left groin, and hematoma in the left groin are abnormal assessment findings but are
not related to allergic reaction to the contrast medium.
The nurse assists a health care provider in performing a liver biopsy. After the
biopsy, the nurse should place the client in which position?
a) Prone
b) Supine
c) A left side-lying position with a small pillow or folded towel under the puncture
site
d) A right side-lying position with a small pillow or folded towel under the
puncture site
d) A right side-lying position with a small pillow or folded towel under the puncture site
Rationale: After a liver biopsy, the client is assisted to assume a right side-lying position
with a small pillow or folded towel under the puncture site for 3 hours. This position
compresses the liver against the chest wall at the biopsy site. Therefore all other
options are incorrect.
A client is scheduled for a fiberoptic gastrointestinal (GI) procedure. The nurse
instructs the client to remain on clear liquids the day before the test because a
clear liquid diet supports which action?
a) Stimulating peristalsis
b) Promoting a laxative action
c) Providing little or no residue
d) Providing minimal calories and nutrients
c) Providing little or no residue
The nurse is preparing to collect a 24-hour urine specimen from the client. Which
is an inaccurate action in collecting the specimen?
, .
a) Placing the specimen on ice or refrigerating it
b) Discarding the urine specimen at the start time
c) Asking the client to void, saving the specimen, and noting the start time
d) Asking the client to void at the end of the collection and adding this specimen
to the collection
c) Asking the client to void, saving the specimen, and noting the start time
Rationale: Because the 24-hour urine is a timed, quantitative determination, it is
essential to start the test with an empty bladder. The collected urine should be
refrigerated or placed on ice to prevent changes in the urine. Fifteen minutes before the
end of the collection time, the client should be asked to void, and this specimen is
added to the collection.
The nurse instructs a female client to obtain a clean-catch urine specimen for
culture and sensitivity testing. Which statement by the client indicates that she
understands the procedure for collecting the specimen?
a) "A urine specimen will be obtained from a catheter."
b) "I need to clean the labia with toilet paper and void into the sterile specimen
container."
c) "I should empty my bladder into a container so that the full amount of urine can
be determined."
d) "I need to cleanse the labia using cleansing towels, void into the toilet, and
then void into the sterile specimen container."
d) "I need to cleanse the labia using cleansing towels, void into the toilet, and then void
into the sterile specimen container."
Rationale: Urine specimens for culture and sensitivity need to be obtained with the use
of proper cleansing and voiding techniques to avoid contamination from external
sources. The use of toilet paper will contaminate the specimen. The procedure
described in option 3 would not provide a clean specimen. It is not necessary to obtain
the specimen via a catheter.
A client is scheduled for an excretory urogram. Which should the nurse expect to
be prescribed as a component of preparation for this test?
a) NPO status after midnight
b) Administration of intravenous fluids
c) Administration of a sedative before the test
d) Bowel preparation to remove fecal contents
d) Bowel preparation to remove fecal contents
Rationale: An excretory urogram is an invasive test that uses contrast radiopaque dye
to assess the ability of the kidneys to excrete dye in the urine. Bowel preparation is
