Which instruction helps reduce contamination when collecting a clean-catch midstream urine sample?
2 Laboratory and Specimen-Based Diagnostics Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Laboratory and Specimen-Based Diagnostics, test your knowledge, and prepare for your next test or exam.
A patient scheduled for a fasting blood test asks whether they may drink water and take their usual medicines. What is the best response?
- A
Avoid all fluids and stop every medicine until after the test.
- B
Plain water is generally allowed; follow the specific instructions and ask the ordering clinician about medicines. Do not stop medicines unless instructed.
- C
Eat a light breakfast, but avoid coffee.
- D
Take extra medication so the test result is more accurate.
If a patient misses or spills a urine sample during a 24-hour collection, they should contact the laboratory for instructions because the collection may need to be restarted.
- A
True
- B
False
The example adult platelet count reference range is to per microliter.
The example adult potassium reference range is to mEq/L.
A patient begins a 24-hour urine collection at 7 a.m. Which action is correct?
- A
Save the first urine at 7 a.m., then collect only daytime urine.
- B
Urinate into the toilet at 7 a.m.; then collect all urine for the next 24 hours, including the final urine at 7 a.m. the next day.
- C
Collect one sample at the end of the 24 hours.
- D
Discard any urine passed overnight.
A patient feels faint after a blood draw and the puncture site is still oozing. What is the best immediate response?
- A
Help the patient lie down and apply firm pressure to the puncture site; seek assistance if symptoms or bleeding persist.
- B
Ask the patient to stand and walk around while the site is uncovered.
- C
Rub the puncture site vigorously.
- D
Send the patient away without reassessing.
A fasting glucose result is 106 mg/dL. Using the example upper boundary of 100 mg/dL, how many mg/dL above that boundary is the result? Enter the exact difference; no rounding is needed.
A WBC result is 12,000 cells/µL. Using the example upper boundary of 11,000 cells/µL, how many cells/µL above that boundary is the result? Enter the exact difference; no rounding is needed.
A patient’s hemoglobin and hematocrit are below the reporting laboratory’s reference ranges. These findings may be consistent with anemia, but they need interpretation alongside the patient’s history and other results.
- A
True
- B
False
A serum creatinine above the laboratory’s reference range can indicate reduced kidney filtration, but it does not by itself confirm a diagnosis.
- A
True
- B
False
A patient has urinary burning and a urinalysis positive for nitrites. Select all statements supported by the clinical information about interpreting this result.
- A
Nitrites can support suspicion of a urinary tract infection.
- B
A positive nitrite result proves that the kidneys have failed.
- C
A negative nitrite result does not rule out a urinary tract infection.
- D
Nitrites are a blood test result.
- E
Symptoms and, when indicated, urine culture can help guide interpretation.
Select all factors that can affect a laboratory reference range.
- A
Reference ranges may vary with age.
- B
Reference ranges may vary with sex.
- C
All laboratories use the same reference range for every patient.
- D
Reference ranges may vary with pregnancy.
- E
Reference ranges may vary with testing method.
A laboratory report flags one result slightly above its reference range. Explain how a clinician should interpret that result and why the flag alone may not establish a diagnosis.
During a 24-hour urine collection, a patient accidentally spills one of the collected samples. What should the patient do?
- A
Ignore the missed or spilled sample and submit the rest of the collection as complete.
- B
Contact the laboratory for instructions; the collection may need to be restarted.
- C
Replace the missing urine with water.
- D
Collect one extra sample the following day and add it to the container.
A patient's hemoglobin and hematocrit are below the laboratory's reference ranges. Which interpretation is most appropriate?
- A
The findings may be consistent with anemia, but require interpretation with the patient's history and other results.
- B
The findings prove the patient has a bacterial infection.
- C
The findings prove the patient has a clotting disorder.
- D
The results are normal because CBC values do not vary.
A patient's serum creatinine is above the laboratory's reference range. What does this finding generally suggest?
- A
It can indicate reduced kidney filtration, but must be interpreted with other findings and clinical context.
- B
It confirms liver failure.
- C
It proves the patient is dehydrated.
- D
It is a direct measure of platelet function.
A result is flagged slightly above range on a laboratory report. Which conclusion is best?
- A
The result establishes the disease associated with the test.
- B
Interpret it using the report's reference range, clinical findings, and other results; one abnormal result alone may not establish a diagnosis.
- C
Compare it directly with any reference range found online.
- D
A result within range always rules out disease.
An adult patient's sodium result is 132 mEq/L. Using the example reference range of 135–145 mEq/L, by how many mEq/L is the result below the lower end? Use the example range only; this calculation does not establish a diagnosis.
A fasting glucose result is 108 mg/dL. Using the example reference range of 70–100 mg/dL, by how many mg/dL is the result above the upper end? Use the example range only; this calculation does not establish a diagnosis.
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