FULLY CORRECT ANSWERS (PASS GUARANTEE)
126 QUESTIONS AND ANSWERS
Which one of the following indicates that the nurse is using surgical aseptic
technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing - ANSWER a. Inserting an
intravenous catheter
The client requires a sterile dressing change. Which of the following is an
appropriate intervention for the nurse to implement in maintaining sterile
asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. - ANSWER b.
Check integrity of sterile packages prior to use.
The client has a large, deep abdominal incision that requires a dressing. The
incision is packed with sterile 1.75-cm packing and covered with a dry, 10 × 10-
cm gauze. When changing the dressing, the nurse accidentally drops the
packing onto the client's abdomen. Which of the following actions should the
nurse take?
Select one:
,a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision
with sterile gloves. - ANSWER b. Throw the packing away, and prepare a new
one.
Droplet precautions will be instituted for the client admitted to the infectious
disease unit with which of the following conditions?
Select one:
a. Influenza
b. C. difficile
c. Pulmonary tuberculosis
d. Measles - ANSWER a. Influenza
A client with active tuberculosis is admitted to the medical center. The nurse
recognizes that which of the following types of precautions will be required
upon admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation - ANSWER a. Airborne precautions
The parent of a preschool child asks the nurse how chickenpox (caused by the
varicella-zoster virus) is transmitted. The nurse explains which of the following
about the virus?
Select one:
a. It is carried by a vector organism.
b. It is carried though the air in droplets after sneezing or coughing.
c. It is transmitted through person-to-person contact.
d. It is acquired through contact with contaminated objects. - ANSWER b. It is
carried though the air in droplets after sneezing or coughing.
,The nurse recognizes the appropriate procedures for sterile asepsis. Of the
following, which action is consistent with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to
the nurse. - ANSWER c. The first small amount of sterile solution should be
poured and discarded.
The nursing assistant is learning how to use protective equipment when caring
for a client in isolation. The nursing assistant is instructed in the correct
sequence for putting on the protective equipment. Which of the following
describes the correct sequence?
Select one:
a. Wash her hands, apply the mask and eyewear, put on the gown, and then
apply gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then
apply gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on mask and
eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then
apply gloves. - ANSWER a. Wash her hands, apply the mask and eyewear, put
on the gown, and then apply gloves.
The nurse is aware that it is important to break the chain of infection. Which of
the following is an example of a nursing intervention implemented to reduce a
reservoir of infection for a client?
Select one:
a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
c. Isolating the client's articles
d. Changing soiled dressings - ANSWER d. Changing soiled dressings
, During the neurological component of the physical examination, the nurse tests
the function of the client's cranial nerves. In testing cranial nerve III, the nurse
determines the client's ability to do which one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size - ANSWER d. React to light with
changes in pupil size
A rapid infusion of blood has been given to the client. The nurse assesses the
client for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting - ANSWER c. Hypertension and tachycardia
A client complains of a headache and chills during a blood transfusion. Which
one of the following actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. - ANSWER b. Stop the
blood transfusion.
Which of the following is an unexpected value that the nurse, in reviewing the
results of the client's blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L - ANSWER a. Calcium, 1.9 mmol/L