TEST BANK
Textbook of Laboratory and Diagnostic Testing: Practical
Application of Nursing Process at the Bedside
Anne M. Van Leeuwen, and Mickey L. Bladh
1st Edition
,Table of Contents
Chapter 01. Blood Studies: Clinical Chemistry 1
Chapter 02. Blood Studies: Hematology 68
Chapter 03. Blood Studies: Hemostasis (Coagulation) 92
Chapter 04. Blood Studies: Immunohematology (Blood Banking) 103
Chapter 05. Blood Studies: Immunology 109
Chapter 06. Body Fluid Analysis Studies 129
Chapter 07. Computed Tomography Studies 137
Chapter 08. Electrophysiologic Studies 149
Chapter 09. Endoscopic Studies 158
Chapter 10. Fecal Analysis Studies 167
Chapter 11. Manometric Studies 174
Chapter 12. Magnetic Resonance Imaging Studies 178
Chapter 13. Nuclear Medicine Studies 190
Chapter 14. Pulmonary Function Studies 205
Chapter 15. Radiologic Studies: Contrast/Special 213
Chapter 16. Radiologic Studies: Plain 232
Chapter 17. Sensory Studies: Auditory 240
Chapter 18. Sensory Studies: Ocular 246
Chapter 19. Skin Tests 254
Chapter 20. Tissue and Cell Microscopy Studies: Histology/Cytology 260
Chapter 21. Ultrasound Studies 266
Chapter 22. Urine Studies 282
,______________________________________________________________________________________________
Test Bank - Textbook of Laboratory and Diagnostic Testing, 1st Edition (Van Leeuwen, 2017)
Chapter 1. Blood Studies: Clinical Chemistry
MULTIPLE CHOICE
1. A patient’s laboratory test results indicate an elevated blood glucose level. The nurse
understands that this finding most likely indicates dysfunction of which associated organ?
a. Kidney
b. Pancreas
c. Stomach
d. Spleen
ANS: B
The two organs that play a crucial role in the distribution and storage of glucose are the liver
and pancreas. The kidneys, stomach, and spleen play no significant role in glucose levels in
the blood.
Page: 3
Heading: Carbohydrates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Metabolism
Difficulty: Moderate
PTS: 1 CON: Metabolism
2. A patient’s laboratory test results indicate a low creatinine level. The nurse should most
suspect dysfunction of which organ based on these findings?
a. Kidney
b. Pancreas
c. Liver
d. Spleen
ANS: A
Creatinine is nonprotein nitrogenous waste generated by the chemical production of energy
from phosphocreatine in skeletal muscles and some organs (notably the heart and brain). Urea
and creatinine are transported to the kidneys and excreted in the urine. As such, both
substances are important indicators of renal function.
Page: 5
Heading: Cellular Waste Products
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Urinary Elimination
Difficulty: Moderate
PTS: 1 CON: Urinary Elimination
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Textbook of Laboratory and Diagnostic Testing, 1st Edition (Van Leeuwen, 2017)
3. An older patient complains of lack of appetite in the past year. The nurse knows that
deficiency in which of the following could explain this finding?
a. Electrolytes
b. Hormones
c. Vitamins
d. Minerals
ANS: B
Hormones stimulate hunger pangs and regulate metabolism, stimulate or inhibit growth,
influence emotions, prepare the body for survival responses such as fight or flight, prepare the
body for major changes (e.g., puberty, reproduction, and menopause), and provide
anti-inflammatory and immunizing effects.
Page: 6
Heading: Hormones
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Nutrition
Difficulty: Moderate
PTS: 1 CON: Nutrition
4. A nurse is explaining the venipuncture process to a patient. How long should the nurse tell the
patient that it will take to perform venipuncture?
a. 1 to 2 minutes
b. 5 to 10 minutes
c. 10 to 15 minutes
d. 15 to 20 minutes
ANS: B
Explain that specimen collection by venipuncture takes approximately 5 to 10 minutes.
Page: 9
Heading: Universal Pretest Pearls (Planning)
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Hematologic Regulation
Difficulty: Easy
PTS: 1 CON: Hematologic Regulation
5. A nurse has just completed venipuncture on a patient. What should the nurse do to prevent
bleeding and bruising?
a. Administer an anticoagulant.
b. Apply an antibiotic ointment to the site.
c. Have the patient lie down.
d. Apply direct pressure to the site with gauze.
ANS: D
______________________________________________________________________________________________
2|Page
Textbook of Laboratory and Diagnostic Testing: Practical
Application of Nursing Process at the Bedside
Anne M. Van Leeuwen, and Mickey L. Bladh
1st Edition
,Table of Contents
Chapter 01. Blood Studies: Clinical Chemistry 1
Chapter 02. Blood Studies: Hematology 68
Chapter 03. Blood Studies: Hemostasis (Coagulation) 92
Chapter 04. Blood Studies: Immunohematology (Blood Banking) 103
Chapter 05. Blood Studies: Immunology 109
Chapter 06. Body Fluid Analysis Studies 129
Chapter 07. Computed Tomography Studies 137
Chapter 08. Electrophysiologic Studies 149
Chapter 09. Endoscopic Studies 158
Chapter 10. Fecal Analysis Studies 167
Chapter 11. Manometric Studies 174
Chapter 12. Magnetic Resonance Imaging Studies 178
Chapter 13. Nuclear Medicine Studies 190
Chapter 14. Pulmonary Function Studies 205
Chapter 15. Radiologic Studies: Contrast/Special 213
Chapter 16. Radiologic Studies: Plain 232
Chapter 17. Sensory Studies: Auditory 240
Chapter 18. Sensory Studies: Ocular 246
Chapter 19. Skin Tests 254
Chapter 20. Tissue and Cell Microscopy Studies: Histology/Cytology 260
Chapter 21. Ultrasound Studies 266
Chapter 22. Urine Studies 282
,______________________________________________________________________________________________
Test Bank - Textbook of Laboratory and Diagnostic Testing, 1st Edition (Van Leeuwen, 2017)
Chapter 1. Blood Studies: Clinical Chemistry
MULTIPLE CHOICE
1. A patient’s laboratory test results indicate an elevated blood glucose level. The nurse
understands that this finding most likely indicates dysfunction of which associated organ?
a. Kidney
b. Pancreas
c. Stomach
d. Spleen
ANS: B
The two organs that play a crucial role in the distribution and storage of glucose are the liver
and pancreas. The kidneys, stomach, and spleen play no significant role in glucose levels in
the blood.
Page: 3
Heading: Carbohydrates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Metabolism
Difficulty: Moderate
PTS: 1 CON: Metabolism
2. A patient’s laboratory test results indicate a low creatinine level. The nurse should most
suspect dysfunction of which organ based on these findings?
a. Kidney
b. Pancreas
c. Liver
d. Spleen
ANS: A
Creatinine is nonprotein nitrogenous waste generated by the chemical production of energy
from phosphocreatine in skeletal muscles and some organs (notably the heart and brain). Urea
and creatinine are transported to the kidneys and excreted in the urine. As such, both
substances are important indicators of renal function.
Page: 5
Heading: Cellular Waste Products
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Urinary Elimination
Difficulty: Moderate
PTS: 1 CON: Urinary Elimination
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Textbook of Laboratory and Diagnostic Testing, 1st Edition (Van Leeuwen, 2017)
3. An older patient complains of lack of appetite in the past year. The nurse knows that
deficiency in which of the following could explain this finding?
a. Electrolytes
b. Hormones
c. Vitamins
d. Minerals
ANS: B
Hormones stimulate hunger pangs and regulate metabolism, stimulate or inhibit growth,
influence emotions, prepare the body for survival responses such as fight or flight, prepare the
body for major changes (e.g., puberty, reproduction, and menopause), and provide
anti-inflammatory and immunizing effects.
Page: 6
Heading: Hormones
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Nutrition
Difficulty: Moderate
PTS: 1 CON: Nutrition
4. A nurse is explaining the venipuncture process to a patient. How long should the nurse tell the
patient that it will take to perform venipuncture?
a. 1 to 2 minutes
b. 5 to 10 minutes
c. 10 to 15 minutes
d. 15 to 20 minutes
ANS: B
Explain that specimen collection by venipuncture takes approximately 5 to 10 minutes.
Page: 9
Heading: Universal Pretest Pearls (Planning)
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Hematologic Regulation
Difficulty: Easy
PTS: 1 CON: Hematologic Regulation
5. A nurse has just completed venipuncture on a patient. What should the nurse do to prevent
bleeding and bruising?
a. Administer an anticoagulant.
b. Apply an antibiotic ointment to the site.
c. Have the patient lie down.
d. Apply direct pressure to the site with gauze.
ANS: D
______________________________________________________________________________________________
2|Page
