NRS 206: Professional Practice Health
Assessment Test
The nurse's forearm is splattered with blood when cleaning a patient's open wound.
What action should the nurse take?
Select one:
a. Flush the forearm with hot water, letting water flow from elbow down towards fingers.
b. Wash the blood off the arm with alcohol based antiseptic.
c. Wash forearm with soap and water.
d. Wipe the blood away with a tissue. - ANSWER-c. Wash forearm with soap and water.
A patient has clostridium difficile (c-diff). When leaving the patient's room, the nurse
must wash hands with soap and water instead of water-less hand washing products.
Select one:
True
False - ANSWER-True
A patient has tuberculosis. Which of the following would the nurse implement to reduce
the spread of infection?
Select one:
a. Place the patient in a private room with negative air flow.
b. Restrict visitors and supportive healthcare staff members from entering the patient
room.
c. Wear basic isolation mask, goggles, gown and gloves when providing care.
d. Wear gloves to prevent the spread of infection. - ANSWER-a. Place the patient in a
private room with negative air flow.
You are caring for a patient in neutropenic precautions. Which of the following actions
from the patients' family member would require further education?
Select one:
a. The patient's son was unable to visit because he had a cold.
b. The patient's spouse washed their hands with alcohol based antibacterial gel before
entering the room.
c. The patient's daughter brought an ahi tuna bowl for the patient to eat for lunch.
d. The patient's sister brought her a "get well soon" balloon. - ANSWER-c. The patient's
daughter brought an ahi tuna bowl for the patient to eat for lunch.
The nurse would perform which action when using soap and water to wash hands
before providing patient care?
Select one:
a. Scrub hands for at least 15 seconds and dry thoroughly.
b. Scrub vigorously with hands above elbows.
c. Adjust temperature of water to the hottest possible temperature.
,d. Gently pat hands dry with a paper towel. - ANSWER-a. Scrub hands for at least 15
seconds and dry thoroughly.
The healthcare employee in the picture is preparing to enter a patient's room to assist
with the TV remote. The nurse knows that the patient is in enteric precautions due to
diarrhea and vomiting. The nurse stops the employee and reminds them to also put on:
Select one:
a. Foot covers
b. Eye protection goggles
c. N95 mask
d. Gloves - ANSWER-d. Gloves
What is the most correct purpose of personal protective equipment (PPE)?
Select one:
a. To protect the patient from the spread of disease
b. To protect both the healthcare provider and patient from the spread of infectious
disease.
c. To protect the hospital equipment
d. To protect the patient from the spread of disease - ANSWER-b. To protect both the
healthcare provider and patient from the spread of infectious disease.
The nurse in this picture is breaking sterile technique and should restart the sterile
procedure.
Select one:
True
False - ANSWER-False
A patient with right leg weakness following a total knee replacement is using a walker to
ambulate. Which direction should the nurse provide when instructing on the use of the
assistive device?
Select one:
a. Move the right foot and the walker together
b. Move the right foot up to the walker first.
c. Move the walker ahead of the right foot.
d. Move the left foot and the walker together. - ANSWER-d. Move the left foot and the
walker together.
The nurse observes a client use crutches to walk down a set of stairs. Which safety
action indicates that the nurse needs to review the process for safety?
Select one:
a. Flexes elbows at a 30-degree angle
b. Assumes tripod position at the top of the stairs.
, c. Supports body weight by hands on the hand bars.
d. Moves crutches and unaffected leg to the lower step - ANSWER-d. Moves crutches
and unaffected leg to the lower step
A nurse must obtain an apical pulse rate prior to administering a medication that can
alter the heart rate and/or rhythm. How long should the nurse auscultate at the apex to
obtain an apical pulse?
Select one:
a. 6 seconds
b. 30 seconds
c. 60 seconds
d. 15 seconds - ANSWER-c. 60 seconds
The nurse is caring for a patient with a new mechanical aortic heart valve. The nurse
would expect to hear which sound during auscultation of the client's chest?
Select one:
a. A hum
b. A click
c. A murmur
d. A normal S2 sound - ANSWER-b. A click
True/False: Avoid prolonged palpation and massage over the carotid sinus because this
could lead to a drop in heart rate and blood pressure.
Select one:
True
False - ANSWER-true
Match the following anatomical landmark with the correct heart valve area.
- Second intercostal space to the right of the sternum.
- Fifth intercostal space to the left of the sternum.
- Second intercostal space to the left of the sternum.
- Fifth intercostal space to the left of the sternum midclavicular line. - ANSWER-Aortic
valve
tricuspid valve
pulmonic valve
mitral valve
The nurse wants to palpate the point of maximal impulse. Which of the following areas
would the nurse palpate?
Assessment Test
The nurse's forearm is splattered with blood when cleaning a patient's open wound.
What action should the nurse take?
Select one:
a. Flush the forearm with hot water, letting water flow from elbow down towards fingers.
b. Wash the blood off the arm with alcohol based antiseptic.
c. Wash forearm with soap and water.
d. Wipe the blood away with a tissue. - ANSWER-c. Wash forearm with soap and water.
A patient has clostridium difficile (c-diff). When leaving the patient's room, the nurse
must wash hands with soap and water instead of water-less hand washing products.
Select one:
True
False - ANSWER-True
A patient has tuberculosis. Which of the following would the nurse implement to reduce
the spread of infection?
Select one:
a. Place the patient in a private room with negative air flow.
b. Restrict visitors and supportive healthcare staff members from entering the patient
room.
c. Wear basic isolation mask, goggles, gown and gloves when providing care.
d. Wear gloves to prevent the spread of infection. - ANSWER-a. Place the patient in a
private room with negative air flow.
You are caring for a patient in neutropenic precautions. Which of the following actions
from the patients' family member would require further education?
Select one:
a. The patient's son was unable to visit because he had a cold.
b. The patient's spouse washed their hands with alcohol based antibacterial gel before
entering the room.
c. The patient's daughter brought an ahi tuna bowl for the patient to eat for lunch.
d. The patient's sister brought her a "get well soon" balloon. - ANSWER-c. The patient's
daughter brought an ahi tuna bowl for the patient to eat for lunch.
The nurse would perform which action when using soap and water to wash hands
before providing patient care?
Select one:
a. Scrub hands for at least 15 seconds and dry thoroughly.
b. Scrub vigorously with hands above elbows.
c. Adjust temperature of water to the hottest possible temperature.
,d. Gently pat hands dry with a paper towel. - ANSWER-a. Scrub hands for at least 15
seconds and dry thoroughly.
The healthcare employee in the picture is preparing to enter a patient's room to assist
with the TV remote. The nurse knows that the patient is in enteric precautions due to
diarrhea and vomiting. The nurse stops the employee and reminds them to also put on:
Select one:
a. Foot covers
b. Eye protection goggles
c. N95 mask
d. Gloves - ANSWER-d. Gloves
What is the most correct purpose of personal protective equipment (PPE)?
Select one:
a. To protect the patient from the spread of disease
b. To protect both the healthcare provider and patient from the spread of infectious
disease.
c. To protect the hospital equipment
d. To protect the patient from the spread of disease - ANSWER-b. To protect both the
healthcare provider and patient from the spread of infectious disease.
The nurse in this picture is breaking sterile technique and should restart the sterile
procedure.
Select one:
True
False - ANSWER-False
A patient with right leg weakness following a total knee replacement is using a walker to
ambulate. Which direction should the nurse provide when instructing on the use of the
assistive device?
Select one:
a. Move the right foot and the walker together
b. Move the right foot up to the walker first.
c. Move the walker ahead of the right foot.
d. Move the left foot and the walker together. - ANSWER-d. Move the left foot and the
walker together.
The nurse observes a client use crutches to walk down a set of stairs. Which safety
action indicates that the nurse needs to review the process for safety?
Select one:
a. Flexes elbows at a 30-degree angle
b. Assumes tripod position at the top of the stairs.
, c. Supports body weight by hands on the hand bars.
d. Moves crutches and unaffected leg to the lower step - ANSWER-d. Moves crutches
and unaffected leg to the lower step
A nurse must obtain an apical pulse rate prior to administering a medication that can
alter the heart rate and/or rhythm. How long should the nurse auscultate at the apex to
obtain an apical pulse?
Select one:
a. 6 seconds
b. 30 seconds
c. 60 seconds
d. 15 seconds - ANSWER-c. 60 seconds
The nurse is caring for a patient with a new mechanical aortic heart valve. The nurse
would expect to hear which sound during auscultation of the client's chest?
Select one:
a. A hum
b. A click
c. A murmur
d. A normal S2 sound - ANSWER-b. A click
True/False: Avoid prolonged palpation and massage over the carotid sinus because this
could lead to a drop in heart rate and blood pressure.
Select one:
True
False - ANSWER-true
Match the following anatomical landmark with the correct heart valve area.
- Second intercostal space to the right of the sternum.
- Fifth intercostal space to the left of the sternum.
- Second intercostal space to the left of the sternum.
- Fifth intercostal space to the left of the sternum midclavicular line. - ANSWER-Aortic
valve
tricuspid valve
pulmonic valve
mitral valve
The nurse wants to palpate the point of maximal impulse. Which of the following areas
would the nurse palpate?
