All Accurate Answers 2026 Edition.
After a procedure that requires PPE including gown, N95 respirator, face shield and gloves, what
should the nurse remove first? - Answer Gloves. They are the most contaminated.
You are caring for a patient diagnosed with mycoplasma pneumonia. Droplet precautions have
been instituted, what must you do? Why? - Answer Protect your eyes. Droplet transmission
involves infectious, large-particle droplets with conjunctivae or mucous membranes. Droplets
are generated by patient sneezing, coughing or talking.
When must a nurse wash his or her hands with soap and water? - Answer After removing
gloves. Before leaving patient care area/unit. Prior to patient contact. Whenever hands are
visibly dirty.
Contact precautions would be mandated for hospitalized adult patient diagnosed with _______.
- Answer Infectious diarrhea
How long must you wash your hands? - Answer At least 15 seconds
Standard precautions mandate __________. - Answer Disinfecting hands immediately after
removing gloves.
To decontaminate your hands with an alcohol-based gel, you rub them together until all of the
gel has evaporated and your hands are dry. Why? - Answer Drying provides the full antiseptic
effect.
What is a healthcare-associated infection (HAI)? What causes of this? - Answer An infection
acquired while hospitalized. Pathogens transmitted from one patient to another by staff who do
not practice good hand washing.
What can affect the permeability of gloves? - Answer Petroleum-based hand lotion; impairs
integrity of the gloves.
When irrigating a patients's open wound, besides gloves what other form of PPE must you
wear? - Answer A face shield
When taking an adult patient's temp rectally, it is important to _________. Why? - Answer
Insert the probe about an inch and a half into the patients anus. Ensures sufficient exposure of
the probe to the blood vessels of rectum.
, While assessing vitals of a newly admitted patient how do you establish an accurate baseline of
the PT's respirations. - Answer Observe the patients chest movements while appearing to
assess his pulse.
When assessing a patients respirations, it is recommended that the patient _________. -
Answer Have the head of the bed elevated 45-60 degrees. This is a comfortable position and
allows for full ventilatory movement.
When assessing a 45 yo patient vitals, which of the following requires immediate attention?
-Oral temp of 100*
-Blood pressure of 148/88
-Respiratory Rate 30 per min
-Pulse 90 per min - Answer Respiratory rate of 30 per min; above normal range
The best way to determine the depth of a patient's respiration is to ________. - Answer
Observe the degree of chest-wall movement during inspiration and expiration
When preparing to use tympanic thermometer, what must you remember to do? - Answer
Gently pull the pinna back and upward in adults and downward in children
When preparing to measure vital signs, you should recognize that which of the following with
affect the methods used:
-Patient is 60 lbs overweight
-Patient has been nauseated for 2 days
-Patient reports stuffy nose
-Patient has been fasting for blood test
-Patient is taking Digoxin
-Patient has a mastectomy 2 yeas ago - Answer -Patient is 60 lbs over weight
-Patient with nasal congestion will altered oral temp (mouth breathing)
-Presence of CV problem that warrants Digoxin will require a full 60 sec apical pulse
-Lymphatic drainage might be altered in the affect are post mastectomy.
When measuring a patient's oral temp where must you place the probe? - Answer In the
posterior sublingual pocket, to the side of the frenulum.
S1 sounds are produced by _______. - Answer Closure of mitral and tricuspid valves also know
as the atrioventricular valves