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Practice Question

A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

Answer Choices:

Correct Answer:

Use the provided towelette to cleanse the area by moving in a back-and-forth motion

Rationale:

Option 3 requires intervention because cleansing the perineal area should be done using a front-to-back motion (from the urethra toward the anus) to prevent introducing bacteria from the rectal area into the urinary tract. A back-and-forth motion increases the risk of contamination and urinary tract infection (UTI).

Other Options:

Option 1: Correct — Starting the stream first allows contaminants to be flushed away before collecting the sample.

Option 2: Correct — Removing the container before the stream stops prevents contamination from residual urine.

Option 4: Correct — Using the non-dominant hand to spread the labia helps keep the area exposed while collecting the specimen with the dominant hand.

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This question is from ATI LPN Advanced Med Surg (I) which contains 40 questions.

More Questions from This Exam
A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

Answer Choices:

A. Discard the first voiding when beginning the test
B. Store collected urine in a designated container at room temperature
C. Document any urine collection that was missed during the 24 hours of the testing
D. Post a notice on the client's door regarding the test
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

Answer Choices:

A. Maintain the client on bed rest
B. Provide the client a high protein diet
C. Encourage the client to drink 3 L of fluids per day
D. Tell the client to expect a decrease in urine output
Which of the following nursing interventions is appropriate for managing urinary incontinence?

Answer Choices:

A. Encouraging fluid intake to increase urine output
B. Providing frequent reminders for the client to use the restroom
C. Encouraging the client to perform Kegel exercises regularly
D. Limiting the client's access to the restroom to promote bladder control
The nurse is providing care for older adult clients in an extended care facility. Which patient should be monitored for signs of urosepsis?

Answer Choices:

A. The patient who has an indwelling catheter for a urinary tract infection (UTI)
B. The patient who is unable to obtain fluids independently
C. The patient who has surgery for placement of an ileostomy
D. The patient with continuous urinary incontinence
From Exam
ATI LPN Advanced Med Surg (I)

40 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: MED-SURG PN
  • Answer Choices: 4
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