MA Chapter 47 Collecting, Processing and testing urine and stool specimens Flashcards


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1

Which of the following is a general urine collection guideline?

A.Label the lid of a urine specimen container with the patients names

B. Explain the procedure to the patient using technical terms

C. Tell patients to refrigerate the labeled collection container or keep it in a cooler or pail filled with ice.

C. TELL THE PATIENT TO REFRIGERATE THE LABELED COLLECTION CONTAINER OR KEEP IT IN A COOLER OR PAIL FILLED WITH ICE

2

Which of following is the most common type of urine sample?

A. Timed urine specimen

B. Random urine specimen

C. First morning urine specimen

B. RANDOM URINE SPECIMEN

3

Which urine specimen contains the greatest concentration of substances?

A. First morning urine specimen

B. Random urine specimen

C. Timed urine specimenm

A. FIRST MORNING URINE

4

Which method of collecting urine specimen is required when performing a urine culture to identify the number and the types of pathogens present?

A. Timed urine specimen

B. 24- Hour urine specimen

C. Clean catch midstream urine specimen

C. CLEAN-CATCH MIDSTREAM URINE SPECIMEN

5

Which type of urine specimen can be used to measure a patient's urinary output or analyze substances collected over a specific period of time?

A. Random urine specimen

B. Clean catch midstream urine specimen

C. Timed urine specimen

C. TIMED URINE SPECIMEN

6

Which urine specimen is used to complete a quantitative and qualitative analysis of one or more substances such as sodium, chloride, or calcium?

A. 24- Hour

B. Random urine specimen

C. Clean catch midstream urine specimen

A. 24-HOUR URINE SPECIMEN

7

A urine specimen collected for a culture and sensitivity test can be obtained either through catheterization or by obtaining a?

A. Random

B. Clean catch midstream

C. First morning

D. 24- Hour

B. CLEAN-CATCH MIDSTREAM URINE SPECIMEN

8

Which of the following would you include in teaching a female patient how to collect a clean catch midstream urine specimen?

A. Remove the lid of the specimen container and place the lid facing down on a flat surface

B. Wipe down one side of the perineal area with the first towelette, Down the other side with the second towelette, and down the middle with the third

C. Void directly into the specimen container without discarding any urine

B. WIPE DOWN ONE SIDE OF THE PERINEAL AREA WITH THE FIRST TOWELETTE, DOWN THE OTHER SIDE WITH THE SECOND AND DOWN THE MIDDLE WITH THE THIRD

9

Which of the following would you include in patient instruction about collecting a 24- hour urine specimen?

A. Tell the patient to collect all urine starting with the first void

B. Encourage use of a bed pan

C. Explain to the patient that the small container Must not be washed between uses

D. Instruct the patient to keep the specimen covered in the refrigerator throughout the test

D. INSTRUCT THE PATIENT TO KEEP THE SPECIMEN COVERED AND IN THE REFRIGERATOR THROUGHOUT THE TEST

10

The procedure of inserting a sterile plastic tube in order to drain urine is?

A. The urine specific gravity

B. The urinometer measurment

C. Catheterization

C. CATHETERIZATION

11

Catheterization is performed for which of the following reasons?

A. Obtain a specific gravity

B. Relieve urinary retention

C. Obtain a random urine specimen

B. RELIEVE URINARY RETENTION

12

Residual urine is?

A. The leakage of urine despite voluntary control of urination

B. Urine that is collected over a 24-hour period

C. Urine remaining in the bladder after voiding

C. URINE REMAINING IN THE BLADDER AFTER VOIDING

13

What amount of residual urine is considered abnormal?

A. 10 mL

B. 25 mL

C. 40 mL

D. 50 mL

C. 50 mL

14

Which type of catheter is used to collect specimens or to instill medications?

A. Splinting

B. Retention

C. Straight

C. STRAIGHT

15

Which type of catheter is used for drainage through a wound that leads to the bladder?

A. Cystostomy

B. Straight

C. Indwelling

A. CYSTOSTOMY

16

Which type of catheter is inserted after plastic repair of the ureter and must remain in place for at least a week after surgery?

A. Straight

B. Urethral

C. Retention

D. Indwelling

C. Splinting

E. SPLINTING

17

When instructing a patient about how to collect a 24-hour urine specimen, which patient should be asked about possible urine leakage when laughing or coughing?

A. 5-year-old female patient

B. 30-year-old male patient

C. 60-year-old female patient

C. 60-YEAR-OLD FEMALE PATIENT

18

A pregnant patient's urine is checked for abnormal levels of protein during a prenatal visit to detect?

A. Diabetes mellitus

B. Preeclampsia

C. Urinary infection

B. PREECLAMPSIA

19

A pregnant patient who is having pain during urination or pain in the kidney area may be experiencing?

A. A urinary tract infection or kidney stones

B. Preeclampsia

C. Diabete mellitus

A. URINARY TRACT INFECTION OR KIDNEY STONES

20

Which of the following may indicate polycystic kidney diseae?

A. Anuria

B. Oliguria

C. Proteinuria

C. PROTEINURIA

21

Abnormally high levels of glucose in the urine may indicate? '

A. A urinary infection

B. Phenylketonuria

C. Diabetes mellitus

C. DIABETES MELLITUS

22

Which of the following is important when obtaining a urine specimen from a patient for drug and alcohol testing?

A. Tell the patient that the results will be released only with his permission

B. Inform the patient that any drugs consumed longer than 7 days before the test will not show up

C. Explain to the patient that no water may be running in the bathroom while he is providing the sample

C. EXPLAIN TO THE PATIENT THAT NO WATER MAY BE RUNNING IN THE BATHROOM WHILE HE IS PROVIDING THE SPECIMEN

23

Which of the following statements about refrigerating urine specimens is true?

A. It causes changes in the physical, chemical and microscopic make up of the urine, causing the test to be invalid

B. It may affect the sediment and specific gravity

C. It should never be used as a method of storing or preserving urine

B. IT MAY AFFECT THE SEDIMENT AND SPECIFIC GRAVITY

24

Chemical and microscopic changes that invalidate a urine specimen occur if the urine is kept at room temperature for more than?

A. 2 minutes

B. 5 minutes

C. 20 Min

D. 30 min

E. 1 Hour

E. 1 HOUR

25

What is the normal lab value for protein in urine?

A. Negative to no trace

B. Moderate

C. <100 Mcg

A. NEGATIVE TO NO TRACE

26

Which of the following is one of the first signs of liver disease?

A. Glycosuria

B. Anuria

C. Bilirubinuria

C. BILIRUBINURIA

27

On average a healthy adults daily urine output, with an adequate fluid intake is? mL per 24 hours?

A. 460

B. 720

C. 950

D. 1100

E. 1250

E. 1250

28

Which of the following are nonpathogenic causes for colorless or pale urine?

A. Low fluid intake and excessive sweating

B. Excessive intake of water, beer, and caffiene

C. Taking vitamin B

B. EXCESSIVE INTAKE OF BEER WATER AND CAFFIENE

29

Normal urine color ranges from?

A. Orange to dark red

B. Yellow-brown to brown

C. Salmon pink- light red

D. Pale yellow to yellow

D. PALE YELLOW TO YELLOW

30

Which of the following refers to an insufficient production of urine?

A. Oliguria

B. Nocturia

C. Anuria

A. OLIGURIA

31

Renal or urethral obstruction and renal failure can cause?

A. Nocturia

B. Anuria

C. Ketonuria

B. ANURIA

32

Which of the following measures the concentration of substances dissolved in urine?

A. Urinary volume

B. Specific gravity

C. Turbidity

B. SPECIFIC GRAVITY

33

In which condition would the odor of urine be characterized as "fruity?"

A. Uncontrolled diabetes

B. Phenylketonuria

C. Urinary tract infection

A. UNCONTROLLED DIABETES

34

Increased specific gravity occurs in?

A. Chronic renal disease

B. Urinary tract infection

C. Diabetes inspidus

B. URINARY TRACT INFECTION

35

When measuring specific gravity with a reagent strip which of the following is required?

A. Use a refrigerated urine specimen

B. Read the results 30 minutes after dipping

C. Check the expiration date on the reagent strip container

C. CHECK THE EXPIRATION DATE ON TEH REAGENT STRIP CONTAINER

36

Which of the following would you include when measuring specific gravity with a refractometer?

A. Use a specimen that was collected at least 12 hours ago

B. Calibrate the refractometer once a week

C. Turn on the light and look into the eyepiece to measure refraction

C. TURN ON THE LIGHT AND LOOK INTO THE EYEPIECE TO MEASURE REFRACTION

37

Intermediary products of fat and protein metabolism in the body are?

A. Phenylketones

B. Ketone bodies

C. Nitrates

B. KETONE BODIES

38

Which of the following is a measure of the degree of acidity or alkalinity of the urine?

A. Specific gravity

B. Urine sediment

C. Urinary pH

C. URINARY pH

39

Hematuria is?

A. Protein found in urine

B. WBCs in the urine

C. Glucose in the urine

D. Ketones in the urine

E. Blood in the urin e

E. BLOOD IN THE URINE

40

The correct procedure for testing for ketones using a reagent strip includes?

A. Using a strip you found out on the counter

B. Using a strip that may have been opened 7 months ago

C. Testing urine immediately after removing it from the refrigerator

C. TESTING URINE IMMEDIATELY AFTER REMOVING IT FROM THE REFRIGERATOR

41

A rare condition caused by transfusion reactions, malaria, drug reactions, snake bites, or severe burns?

A. Myoglobinuria

B. Hemoglobinuria

C. Bilirubinuria

B. HEMOGLOBINURIA

42

A genetically inherited disorder in which the body cannot over properly metabolize the nutrient phenylalanine, resulting in mental retardation?

A. Hemoglobinuria

B. Myoglobinuria

C. Bilirubinuria

D. Glycosuria

E. Phenylketonuria

E. PHENYLKETONURIA

43

The presence of which of the following in the urine suggests a bacteria in the urinary tract?

A. Nitrate

B. Blood

C. Glucose

A. NITRATE

44

The best urine specimen to test for nitrates is?

A. Random specimen

B. First morning specimen

C. 24-Hour urine specimen

B. FIRST MORNING URINE

45

Which of the following are present in large amounts in the urine if inflammation is present?

A. Proteins

B. Bilirubin

C. White blood cells

C. WHITE BLOOD CELLS

46

Which of the following is important in processing a urine specimen for microscopic examination of sediment?

A. Fill one test tube with 2 mL and the other with 2 mL of urine

B. Balance the centrifuge by placing the test tubes upside down

D. AFTER THE CENTRIFUGE STOPS, DICARD MOST OF THE SUPERNATANT FROM THE TUBE

47

The liquid portion from the tube of urine that is discarded down the drain after the centrifuge stops is?

A. Supernatant

B. Urinalysis

C. Specific gravity

A. SUPERNATANT

48

Which of the following are frequently associated with vaginitis, urethritis, and prostatitis?

A. Red blood cells

B. Yeast cells

C. Glucose

B. YEAST CELLS

49

Which of the following is the most common urinary parasite?

A. Staphylococcus aureus

B. Beta-Hemolytic streptococci

C. Escherichia coli

D. Trichomoniasis vaginalis

D. TRICHOMONIASIS VAGINALIS

50

Which of the following is commonly found in renal disease, in pregnant patients, or after heavy exercise?

A. Glycosuria

B. Proteinuria

C. Bilirubinuria

B. PROTEINURIA

51

Which of the following conditions is suspected when a reagent urine strip for human chorionic gonadotropin (HCG) shows positive?

A. Diabetes mellitus

B. Pregnancy

C. Polycystic kidney disease

B. PREGNANCY

52

Which of the following is part of the medical assistant's responsibility in collecting and testing urine and stool samples?

A. Work directly with bloodborne pathogens

B. Dispose of specimens in the trashcan after use

C. Wear adequate PPE

C. WEAR ADEQUATE PPE

53

If the practitioner suspects that a patient has a protozoal or parasitic infection, what type of specimen may be ordered?

A. First morning urine specimen

B. Clean-catch midstream urine specimen

C. 24-Hour urine specimen

B. CLEAN-CATCH MIDSTREAM URINE SPECIMEN

54

When the practitioner suspects that a patient has a protozoal or parasitic infection, what is the minimum number of stool specimens that need to be examined?

A. 1

B. 2

C. 3

C. 3

55

Which of the following statements is true about patient collection of a stool sample?

A. The sample can be collected in a clean waxed paper carton

B. The sample should be kept warm if transport to the lab is delayed

C. The sample must not be contaminated with urine

C. THE SAMPLE MUST NOT BE CONTAMINATED WITH URINE