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NUR 230 FINAL EXAM - NURSING FUNDAMENTALS / MED-
SURG | COMPLETE EXAM WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
The nurse is removing a gown after providing care to a patient. Which
of the following would the nurse do first?
Unfasten the ties at the neck and back
Pull the gown away from the body
Allow the gown to fall away from the shoulders
Turn the gown inside out ......ANSWER......Unfasten the ties at the neck
and back
The nurse would appropriately choose an antiseptic hand rub to
perform hand hygiene for which situation?
When hands are not visibly soiled
When body fluids are on the hands
Before eating
After using the restroom ......ANSWER......When hands are not visibly
soiled
A nursing instructor is preparing to teach a class on asepsis and hand
hygiene. Which of the following would the instructor include?
The sink is considered a contaminated surface.
Antiseptic hand rubs are less effective than soap and water
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Bar soap is preferred over liquid soap for hand washing
A forceful stream of water helps remove microorganisms from the hand
......ANSWER......The sink is considered a contaminated surface.
A nurse is providing nail care to clients admitted to a health care facility.
The nurse should know that which clients are most susceptible to nail
problems?
Patients with diabetes
Patients with fever
Patients with diarrhea
Patients with sinusitis ......ANSWER......Patients with diabetes
The nurse is caring for a client who has an infection spread by
respiratory droplets and is under droplet precautions. The client asks,
"Can my spouse visit me?" Which response is correct?
"Yes, as long as your spouse wears a mask and stays at least 3 feet away
from you."
"No, the chance of spreading your infection to the community is too
great."
"Yes, but only if your spouse stays outside of the room and speaks to
you from the doorway."
"No, the supplies used for this type of infection are too expensive to
provide to family members." ......ANSWER......"Yes, as long as your
spouse wears a mask and stays at least 3 feet away from you."
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When accessing a client's central line, a drop of the client's blood falls
on the nurse's gloved hand. What is the appropriate action by the
nurse?
Perform hand hygiene after removing the gloves
Report the incident to the supervisor immediately
Have the patient tested for HIV and hepatitis C.
Follow agency policy of exposure to communicable infections
......ANSWER......Perform hand hygiene after removing the gloves
A nurse is caring for a female client with diarrhea. What instruction
should the nurse give the client with regard to perineal hygiene?
Clean the perineal area from the front to the back
Bathe with a mild soap and water
Wash the perineal area with cold water
Wash hands with cold water after visiting the toilet
......ANSWER......Clean the perineal area from the front to the back
The nurse is reviewing discharge instructions for a client who was
prescribed an antibiotic. Which statement by the client would require
further teaching?
"Once I start feeling better, I should stop taking the antibiotic."
"If I develop a rash, I will contact my healthcare provider."
"I have a bacterial infection that requires an antibiotic."
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I should avoid sharing my antibiotic with my spouse."
......ANSWER......"Once I start feeling better, I should stop taking the
antibiotic."
The nurse is assisting a patient with daily hygiene practices. What is the
most important benefit of this interaction as it related to nursing care?
The nurse has the opportunity to observe the patient.
The patient is well groomed.
The nurse has an opportunity to influence the patient's hygiene
practices.
The patient is ready to receive visitors. ......ANSWER......The nurse has
the opportunity to observe the patient.
The patient is well groomed.
Prior to giving a patient a bed bath, why would the nurse review the
patient's chart?
To check for physical limitations
To check for medications
To check for skin alterations
To check for hygiene preferences ......ANSWER......To check for physical
limitations
When giving a bed bath, to what area of the body would the nurse pay
special attention to observe for redness or skin breakdown?
NUR 230 FINAL EXAM - NURSING FUNDAMENTALS / MED-
SURG | COMPLETE EXAM WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
The nurse is removing a gown after providing care to a patient. Which
of the following would the nurse do first?
Unfasten the ties at the neck and back
Pull the gown away from the body
Allow the gown to fall away from the shoulders
Turn the gown inside out ......ANSWER......Unfasten the ties at the neck
and back
The nurse would appropriately choose an antiseptic hand rub to
perform hand hygiene for which situation?
When hands are not visibly soiled
When body fluids are on the hands
Before eating
After using the restroom ......ANSWER......When hands are not visibly
soiled
A nursing instructor is preparing to teach a class on asepsis and hand
hygiene. Which of the following would the instructor include?
The sink is considered a contaminated surface.
Antiseptic hand rubs are less effective than soap and water
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Bar soap is preferred over liquid soap for hand washing
A forceful stream of water helps remove microorganisms from the hand
......ANSWER......The sink is considered a contaminated surface.
A nurse is providing nail care to clients admitted to a health care facility.
The nurse should know that which clients are most susceptible to nail
problems?
Patients with diabetes
Patients with fever
Patients with diarrhea
Patients with sinusitis ......ANSWER......Patients with diabetes
The nurse is caring for a client who has an infection spread by
respiratory droplets and is under droplet precautions. The client asks,
"Can my spouse visit me?" Which response is correct?
"Yes, as long as your spouse wears a mask and stays at least 3 feet away
from you."
"No, the chance of spreading your infection to the community is too
great."
"Yes, but only if your spouse stays outside of the room and speaks to
you from the doorway."
"No, the supplies used for this type of infection are too expensive to
provide to family members." ......ANSWER......"Yes, as long as your
spouse wears a mask and stays at least 3 feet away from you."
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When accessing a client's central line, a drop of the client's blood falls
on the nurse's gloved hand. What is the appropriate action by the
nurse?
Perform hand hygiene after removing the gloves
Report the incident to the supervisor immediately
Have the patient tested for HIV and hepatitis C.
Follow agency policy of exposure to communicable infections
......ANSWER......Perform hand hygiene after removing the gloves
A nurse is caring for a female client with diarrhea. What instruction
should the nurse give the client with regard to perineal hygiene?
Clean the perineal area from the front to the back
Bathe with a mild soap and water
Wash the perineal area with cold water
Wash hands with cold water after visiting the toilet
......ANSWER......Clean the perineal area from the front to the back
The nurse is reviewing discharge instructions for a client who was
prescribed an antibiotic. Which statement by the client would require
further teaching?
"Once I start feeling better, I should stop taking the antibiotic."
"If I develop a rash, I will contact my healthcare provider."
"I have a bacterial infection that requires an antibiotic."
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I should avoid sharing my antibiotic with my spouse."
......ANSWER......"Once I start feeling better, I should stop taking the
antibiotic."
The nurse is assisting a patient with daily hygiene practices. What is the
most important benefit of this interaction as it related to nursing care?
The nurse has the opportunity to observe the patient.
The patient is well groomed.
The nurse has an opportunity to influence the patient's hygiene
practices.
The patient is ready to receive visitors. ......ANSWER......The nurse has
the opportunity to observe the patient.
The patient is well groomed.
Prior to giving a patient a bed bath, why would the nurse review the
patient's chart?
To check for physical limitations
To check for medications
To check for skin alterations
To check for hygiene preferences ......ANSWER......To check for physical
limitations
When giving a bed bath, to what area of the body would the nurse pay
special attention to observe for redness or skin breakdown?
