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PEDs proctored practice full solution, Exams of Nursing

Walden UniversityNursing

PEDs proctored practice full solution

Typology: Exams

2023/2024

Available from 12/04/2024

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Medical Assisting-Chapter 45-
Urinalysis Examination set
The measurement of ________ compares the density of urine to the density of water.
-occult blood
-glucose
-ketones
-specific gravity - answer -specific gravity
A ________ is the type of urine specimen most commonly collected.
-24-hour specimen
-random sample
-first void
-timed specimen - answer -random sample
A(n) ________ specimen is the most concentrated urine.
-evening
-morning
-afternoon
-night - answer -morning
The three components of routine urinalysis do NOT include ________ analysis.
-physical
-human chorionic gonadotropin (hCG)
-chemical
-microscopic - answer -human chorionic gonadotropin (hCG)
There are several methods of testing urine's specific gravity. Which is NOT one of those
methods?
-Dipstick or reagent strip method
-Refractometer method
-Reaction pH method
-Urinometer method - answer -Reaction pH method
Normally, urine is slightly acidic, with a pH range of ________ to 7.9, depending on
when the urine is tested.
-1.6
-2.6
-3.6
pf3
pf4
pf5
pf8

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Medical Assisting-Chapter 45-

Urinalysis Examination set

The measurement of ________ compares the density of urine to the density of water.

  • occult blood

  • glucose

  • ketones

  • specific gravity - answer - specific gravity A ________ is the type of urine specimen most commonly collected.

  • 24 - hour specimen

  • random sample

  • first void

  • timed specimen - answer - random sample A(n) ________ specimen is the most concentrated urine.

  • evening

  • morning

  • afternoon

  • night - answer - morning The three components of routine urinalysis do NOT include ________ analysis.

  • physical

  • human chorionic gonadotropin (hCG)

  • chemical

  • microscopic - answer - human chorionic gonadotropin (hCG) There are several methods of testing urine's specific gravity. Which is NOT one of those methods?

  • Dipstick or reagent strip method

  • Refractometer method

  • Reaction pH method

  • Urinometer method - answer - Reaction pH method Normally, urine is slightly acidic, with a pH range of ________ to 7.9, depending on when the urine is tested.

  • 4.6 - answer - 4. Automated chemical analyzers use ________ photometry to test the strips and eliminate human error associated with color recognition.

  • liquid

  • biological

  • chemical

  • light - answer - light ________ in urine may be one of the first signs of liver disease.

  • Nitrites

  • Bilirubin

  • Ketones

  • Leukocytes - answer - Bilirubin Hyaline casts in large numbers may indicate ________ disease.

  • lung

  • heart

  • liver

  • kidney - answer - kidney Turbidity refers to the ________ of urine.

  • color

  • specific gravity

  • cloudiness

  • quantity - answer - cloudiness Pregnancy testing is based on the detection of ________ in the urine.

  • spermatozoa

  • crystals

  • human chorionic gonadotropin

  • casts - answer - human chorionic gonadotropin Checking the expiration of any test before it is used to make sure it is not expired is a ________ measure.

  • chain of custody

  • culture and sensitivity

  • quality control

  • clean-catch - answer - quality control In routine urinalysis, all of these are physical properties of urine, EXCEPT ________.

  • glucose

  • clarity

  • color

  • odor - answer - glucose

If a specimen is found to have large quantities of bilirubin, then it should be stored away from ________, which causes the breakdown of bilirubin, until further testing.

  • heat
  • light
  • cold
  • air - answer - light False positives for the presence of nitrites can happen if the specimen is ________ for too long.
  • exposed to light
  • exposed to cold
  • at room temperature
  • left uncovered - answer - at room temperature All of the following may be found in urine sediment during microscopic examination, EXCEPT ________.
  • epithelial cells
  • red blood cells
  • supernatant
  • white blood cells - answer - supernatant When using microscopic examination for urinalysis, casts are counted under the low- power field (LPF) of the microscope and are identified under ________ magnification.
  • low-powered
  • reduced-light
  • moderate
  • high-powered - answer - high-powered Using microscopic urinalysis, casts may be identified as all of these, EXCEPT ________.
  • hyaline
  • cellular
  • turbid
  • granular - answer - turbid The medical assistant can prevent tampering with a chain of custody drug test by doing all of the following, EXCEPT ________.
  • having same-sex personnel monitor the collection
  • placing bluing tablets in the toilet water
  • using an unlabeled, clean, dry cup for collection
  • turning off the water inlet in the bathroom - answer - using an unlabeled, clean, dry cup for collection All of these are quality control measures, EXCEPT ________.
  • documenting, cleaning, and maintaining instruments
  • testing on a routine schedule
  • screening with a CLIA-waived test
  • training new employees to perform urine tests - answer - screening with a CLIA-waived test Which of the following is NOT considered a time-specific urine specimen?
  • Random specimen
  • Suprapubic specimen
  • Morning specimen
  • 24 - hour specimen - answer - Suprapubic specimen Oliguria means _______ urine.
  • decreased production of
  • no production of
  • increased production of
  • blood in the - answer - decreased production of Which is NOT a specialized standard category urine test?
  • Random sample
  • Catheterized specimen
  • Clean-catch midstream
  • Pediatric specimen - answer - Random sample Instructions to the patient for collecting a 24-hour specimen should be given ________.
  • in writing
  • orally
  • both orally and in writing
  • only by the physician - answer - both orally and in writing When patients are given 24-hour urine collection containers with or without preservative, they should be instructed to do all of the following, EXCEPT ________.
  • not to discard or handle preservatives
  • urinate into the 24-hour container
  • store the specimen in a refrigerator or keep on ice
  • deliver the specimen to the physician's office as soon as possible - answer - urinate into the 24-hour container Typically, a ________ will perform the catheterization procedure to collect a urine specimen.
  • medical assistant
  • nurse
  • physician
  • patient - answer - nurse Collecting urine from a pediatric patient can be a challenge, so the method of choice is often ________.
  • catheterization
  • perform microscopic examinations
  • evaluate urine for microscopic analysis
  • prepare a urine specimen for microscopic examination - answer - prepare a urine specimen for microscopic examination The presence of ________ in the urine may indicate diabetes, stress, infection, or Cushing's syndrome.
  • ketones
  • glucose
  • nitrites
  • leukocytes - answer - glucose All of the following are some causes of low pH urine, EXCEPT ________.
  • renal tuberculosis
  • diets high in protein
  • diabetes mellitus
  • diets high in vegetables - answer - diets high in vegetables Oliguria can be indicative of all of the following, EXCEPT ________.
  • cardiovascular disease.
  • dehydration.
  • renal obstruction.
  • kidney disease. - answer - renal obstruction. When a urinary tract infection is suspected, it is important to see consistent test results that include all of these, EXCEPT ________.
  • a negative protein test
  • an elevated pH
  • the presence of bacteria
  • a positive leukocyte esterase test - answer - a negative protein test Anuria means ________.
  • too much urine produced
  • bladder infection
  • no urine production
  • kidney stones - answer - no urine production Levels of hCG may be detectable in urine as early as ________ days after fertilization has taken place.
  • 4 โ€” 6
  • 6 โ€” 8
  • 8 โ€” 10
  • 10 โ€” 12 - answer - 6 โ€” 8 During catheterization, the medical assistant should be prepared to do all of these, EXCEPT ________.
  • assemble necessary equipment and supplies
  • position the patient
  • insert the catheter into the urethra
  • collect the urine in a sterile cup - answer - insert the catheter into the urethra To achieve the condition of asepsis, the medical assistant ________.
  • maintains a log
  • conducts testing on a routine schedule
  • checks the expiration date on testing products
  • considers all body fluids to be potentially infectious - answer - considers all body fluids to be potentially infectious If a patient has moniliasis, what may be present in her urine?
  • Yeast
  • Crystals
  • Parasites
  • Casts - answer - Yeast If a patient has cystitis, which of these may be observed?
  • High levels of urobilinogen
  • Presence of nitrites
  • Low pH
  • Anuria - answer - Presence of nitrites Normal specific gravity ranges between ________.
  • 1.001 and 1.
  • 0 .001 and 0.
  • 1.010 and 1.
  • 1.100 and 1.300 - answer - 1.010 and 1. Urine specimens that are identified and measured using reagent strips involve ________ analysis.
  • microscopic
  • physical
  • chemical
  • volume - answer - chemical Which type of urine specimen is collected following a meal?
  • Morning specimen
  • Pediatric specimen
  • Two-hour postprandial specimen
  • Random sample - answer - Two-hour postprandial specimen