Galen NSG 3100 Exam 2 EXAM QUESTIONS AND CORRECT
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Galen NSG 3100 Exam 2
10-Line Exam Coverage in Points Form
1. Infection Prevention & Control – Types of precautions (Contact, Droplet, Airborne),
chain of infection, modes of transmission, hand hygiene protocols, and standard
precautions .
2. Personal Protective Equipment (PPE) – Donning order (gown, mask, eyewear, gloves),
doffing order (gloves, eyewear, gown, mask), and appropriate PPE selection based on
transmission type .
3. Vital Signs Assessment – Normal ranges (temperature, pulse, respirations, BP, SpO₂),
factors affecting vital signs, and assessment techniques .
4. Wound Classification & Healing – Wound types (clean, clean-contaminated,
contaminated, dirty), healing intention (primary, secondary, tertiary), and pressure injury
staging .
5. Nursing Procedures – NG tube management, urinary catheterization (CAUTI prevention),
sterile technique, and medication administration safety .
6. Infection Manifestations – Classic signs (redness, swelling, drainage, pain, fever,
increased WBC), local vs systemic infection, and signs of surgical site infection .
7. Medical Asepsis & Hand Hygiene – Handwashing duration (20-30 seconds), soap and
water vs alcohol-based sanitizer, and sterile field principles .
8. Transmission-Based Precautions – Contact PPE (gloves + gown), Droplet PPE (mask,
within 3 feet), Airborne PPE (N95, negative pressure), and specific diseases and their
precautions .
9. Wound Care – Wound packing (distal to proximal), appropriate dressing selection,
nutritional considerations for wound healing, and sterile dressing change technique .
10. Patient Assessment – Pain assessment scales (FLACC, etc.), pulse assessment sites,
respiratory assessment, and priority interventions for abnormal findings
Question 1
A new patient is admitted to a medical unit with Clostridium difficile. Which type of precautions
does the nurse implement?
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A) Airborne precautions
B) Droplet precautions
C) Contact precautions
D) Protective isolation
Correct Answer: C
Rationale: C. difficile spores are transmitted by contact with contaminated surfaces or feces,
necessitating contact precautions including gown and gloves . C. diff is highly contagious and
requires strict adherence to contact precautions to prevent spread.
Question 2
In which situations does the nurse wear clean gloves as part of standard precautions? (Select all
that apply.)
A) In the care of a patient diagnosed with an infectious process
B) When the patient is diaphoretic
C) During perineal care
D) In the presence of urine or stool
E) When taking the patient's blood pressure
Correct Answer: A, C, D
Rationale: Standard precautions require gloves anytime contact with potentially infectious
materials (e.g., body fluids, mucous membranes, nonintact skin) occurs . Diaphoresis alone does
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not require gloves unless accompanied by skin breakdown, and blood pressure measurement
generally does not require gloves unless contact with blood or bodily fluids is expected.
Question 3
Which definition of an infection should the nurse use when providing patient education?
A) An illness resulting from living in an unclean environment
B) A result of lack of knowledge about food preparation
C) A disease resulting from pathogens in or on the body
D) An acute or chronic illness resulting from traumatic injury
Correct Answer: C
Rationale: Infection is defined as the invasion and multiplication of microorganisms such as
bacteria, viruses, or fungi in the body causing illness . Environmental cleanliness or food
handling influence infection risk but do not define infection itself.
Question 4
A nurse is preparing to change a sterile dressing and has donned sterile gloves. To maintain
surgical asepsis, what else must the nurse do?
A) Keep splashes on the sterile field to a minimum
B) If a sneeze is imminent, cover the nose and mouth with a gloved hand
C) With a moist saline sponge, use the dominant hand to clean the wound and then apply a dry
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dressing
D) Regard the outer 1 inch of the sterile field as contaminated
Correct Answer: D
Rationale: The outer 1 inch of the sterile field is considered contaminated . This is a key
principle of surgical asepsis that must be maintained during sterile procedures.
Question 5
What is the proper order of removal (doffing) of soiled personal protective equipment when
leaving a patient's room?
A) Gown, goggles, mask, gloves
B) Gloves, wash hands, remove gown, mask, wash hands
C) Gloves, goggles, gown, mask
D) Goggles, mask, gloves, gown
Correct Answer: C
Rationale: The correct sequence for removing PPE is: gloves (most contaminated first), then
goggles or face shield, then gown, then mask . This sequence minimizes contamination risk
during removal.
Question 6
What is the proper order for donning PPE?