C HAPTER 24: D IAGNOSTIC T ESTS AND
S PECIMEN C OLLECTION
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. Following a colonoscopy with pol yp removal, the wife of the patient is
distressed that there is slight bleeding from her husband’s rectum. The
nurse’s most helpful response would be:
a. “This small amount of bleeding is expected after the removal of
pol yps.”
b. “I will notify the primary care provider about this hemorrhage.”
c. “I will watch your husband very carefully to assess any further
hemorrhage.”
d. “Don’t worry. This small amount of blood happens with these
procedures.”
ANS: A
A small amount of bleeding following a colonoscopy with polyp
removal is to be expected. The famil y should be prepared for the sli ght
bleeding.
DIF: Cognitive Level: Application REF: p. 426 OBJ:
Clinical Practice #1 TOP: Colonoscopy KEY: Nursing
Process Step: Implementation MSC: NCLEX:
Psychosocial Integrity: Coping and Adaptation
,2. To improve the comfort of an older adult pati ent who is to be in the
radiology department for several hours, the nurse should send a(n):
a. famil y member with the patient.
b. extra pillow.
c. blanket.
d. newspaper to read.
ANS: C
Older adults may become chilled by the cooler temperatures commonl y
experienced in ancillary departments such as radiology.
DIF: Cognitive Level: Application REF: p. 439 OBJ:
Theory #4 TOP: Elder Care KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrit y: Basic
Care and Comfort
3. An older adult patient has had a series of enemas in preparation for a
gastrointestinal diagnostic procedure. Which electrol ytes should be
monitored following the enemas?
a. Calcium and chloride
b. Sodium and potassium
c. Magnesium and phosphorus
d. Selenium and zinc
ANS: B
, A series of enemas can upset electrol yte balance, especiall y potassium
and sodium.
DIF: Cognitive Level: Application REF: p. 427 OBJ:
Theory #4 TOP: Loss of Electrolytes KEY: Nursing
Process Step: Implementation MSC: NCLEX:
Physiological Integrity: Physiological Adaptation
4. The nurse explains to the patient that the significance of the hematocrit is
that it:
a. indicates the number of circulating white blood cells.
b. indicates the value of the hemoglobin.
c. refers to the separation of blood cells from plasma.
d. will decrease when the patient is in shock.
ANS: C
The hematocrit refers to the relationship of blood cells to plasma in the
circulating volume.
DIF: Cognitive Level: Knowledge REF: p. 409 OBJ:
Theory #2 TOP: Hematocrit KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrit y:
Physiological Adaptation
5. When obtaining a capillary blood sample for blood glucose, the nurse will
select the puncture site to cause the least amount of discomfort, which is:
a. the end of the index finger.
b. the ball of the third finger.
S PECIMEN C OLLECTION
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. Following a colonoscopy with pol yp removal, the wife of the patient is
distressed that there is slight bleeding from her husband’s rectum. The
nurse’s most helpful response would be:
a. “This small amount of bleeding is expected after the removal of
pol yps.”
b. “I will notify the primary care provider about this hemorrhage.”
c. “I will watch your husband very carefully to assess any further
hemorrhage.”
d. “Don’t worry. This small amount of blood happens with these
procedures.”
ANS: A
A small amount of bleeding following a colonoscopy with polyp
removal is to be expected. The famil y should be prepared for the sli ght
bleeding.
DIF: Cognitive Level: Application REF: p. 426 OBJ:
Clinical Practice #1 TOP: Colonoscopy KEY: Nursing
Process Step: Implementation MSC: NCLEX:
Psychosocial Integrity: Coping and Adaptation
,2. To improve the comfort of an older adult pati ent who is to be in the
radiology department for several hours, the nurse should send a(n):
a. famil y member with the patient.
b. extra pillow.
c. blanket.
d. newspaper to read.
ANS: C
Older adults may become chilled by the cooler temperatures commonl y
experienced in ancillary departments such as radiology.
DIF: Cognitive Level: Application REF: p. 439 OBJ:
Theory #4 TOP: Elder Care KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrit y: Basic
Care and Comfort
3. An older adult patient has had a series of enemas in preparation for a
gastrointestinal diagnostic procedure. Which electrol ytes should be
monitored following the enemas?
a. Calcium and chloride
b. Sodium and potassium
c. Magnesium and phosphorus
d. Selenium and zinc
ANS: B
, A series of enemas can upset electrol yte balance, especiall y potassium
and sodium.
DIF: Cognitive Level: Application REF: p. 427 OBJ:
Theory #4 TOP: Loss of Electrolytes KEY: Nursing
Process Step: Implementation MSC: NCLEX:
Physiological Integrity: Physiological Adaptation
4. The nurse explains to the patient that the significance of the hematocrit is
that it:
a. indicates the number of circulating white blood cells.
b. indicates the value of the hemoglobin.
c. refers to the separation of blood cells from plasma.
d. will decrease when the patient is in shock.
ANS: C
The hematocrit refers to the relationship of blood cells to plasma in the
circulating volume.
DIF: Cognitive Level: Knowledge REF: p. 409 OBJ:
Theory #2 TOP: Hematocrit KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrit y:
Physiological Adaptation
5. When obtaining a capillary blood sample for blood glucose, the nurse will
select the puncture site to cause the least amount of discomfort, which is:
a. the end of the index finger.
b. the ball of the third finger.
