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Question 1
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown and gloves, which of the following actions by the newly licensed
nurse demonstrates correct aseptic technique?
• Answer:
The nurse holds her hands above her waist.
• Rationale:
In surgical asepsis, any object or item that falls below the waist level is considered
contaminated. Holding the hands above the waist and away from the body ensures
they remain within the sterile field of vision and action.
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, Question 2
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse (LPN)?
• Answer:
Administer a nasogastric tube feeding.
• Rationale:
Administering tube feedings via established gastrointestinal routes falls under the
standard scope of practice for an LPN. It involves stable, predictable outcomes, unlike
complex nursing assessments or initial teaching, which must be performed by a
registered nurse (RN).
Question 3
A client is brought to the emergency department following a motor-vehicle crash. Drug
use is suspected in the crash, and a voided urine specimen is ordered. The client
repeatedly refuses to provide the specimen. Which of the following is the appropriate
action by the nurse?
• Answer:
Document the client’s refusal in the chart.
• Rationale:
Competent adult clients have the legal right to refuse diagnostic tests or treatments
(autonomy). Forcing the collection would constitute battery. The nurse's obligation is
to respect the refusal, inform the provider, and objectively document the client's
decision.
Question 4
A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a
sterile procedure. Which of the following actions indicates the newly licensed nurse is
maintaining sterile technique? (Select All That Apply)
• Answer:
o Opens the sterile pack by first unfolding the top flap away from her body
o Removes the outside packaging of a sterile instrument before dropping it onto
the sterile field
• Rationale:
Opening the top flap away from the body first prevents the nurse from reaching across
the sterile field later, minimizing contamination risk. Additionally, removing unsterile
outer packaging before dropping an item ensures only the sterile inner product comes
into contact with the sterile field.
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