4006 MIDTERM EXAM CORE COURSE
CONCEPTS AND FOUNDATIONS REVIEW 2026
◉ 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 nurse suspects that an older adult client may have
pneumonia. Older adult clients may react differently to infectious
processes, so the nurse is alert to atypical signs and symptoms, such
as which one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills.
Answer: b. Confusion
◉ 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 client has a 15-cm laceration on his right forearm and an
infection develops. Which of the following is a sign of an acute
inflammatory process?
Select one:
a. A blanching of the skin
b. A decrease in temperature at the site
c. A decrease in the number of white blood cells (WBCs)
d. A release of histamine that adds to the pain response.
Answer: d. A release of histamine that adds to the pain response
◉ The nurse works in a small rural hospital with a wide variety of
clients. Of the clients admitted this afternoon, the nurse recognizes
that the individual with which of the following conditions is most
susceptible to infection?
Select one:
a. Burns
b. Diabetes
c. Pulmonary emphysema
d. Peripheral vascular disease.
Answer: a. Burns
◉ 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.
◉ The nurse uses the Braden Scale in the extended care facility to
determine the client's risk for pressure ulcer development. Which
score, based on this scale, places the client at the highest level of
risk?
Select one:
a. 9 or below
b. 10 to 12
c. 13 to 14
d. 15 to 16.
Answer: a. 9 or below
◉ Which of the following statements is true for wounds that heal by
primary intention?
CONCEPTS AND FOUNDATIONS REVIEW 2026
◉ 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 nurse suspects that an older adult client may have
pneumonia. Older adult clients may react differently to infectious
processes, so the nurse is alert to atypical signs and symptoms, such
as which one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills.
Answer: b. Confusion
◉ 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 client has a 15-cm laceration on his right forearm and an
infection develops. Which of the following is a sign of an acute
inflammatory process?
Select one:
a. A blanching of the skin
b. A decrease in temperature at the site
c. A decrease in the number of white blood cells (WBCs)
d. A release of histamine that adds to the pain response.
Answer: d. A release of histamine that adds to the pain response
◉ The nurse works in a small rural hospital with a wide variety of
clients. Of the clients admitted this afternoon, the nurse recognizes
that the individual with which of the following conditions is most
susceptible to infection?
Select one:
a. Burns
b. Diabetes
c. Pulmonary emphysema
d. Peripheral vascular disease.
Answer: a. Burns
◉ 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.
◉ The nurse uses the Braden Scale in the extended care facility to
determine the client's risk for pressure ulcer development. Which
score, based on this scale, places the client at the highest level of
risk?
Select one:
a. 9 or below
b. 10 to 12
c. 13 to 14
d. 15 to 16.
Answer: a. 9 or below
◉ Which of the following statements is true for wounds that heal by
primary intention?
