©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Fundamentals of Nursing N192 Exam #1
Questions and Answers 100% Solved
1. A nurse is following the principles of medical asepsis when performing
patient care in a hospital setting. Which nursing action performed by the
nurse follows these recommended guidelines? - ✔✔1. c. According to
the principles of medical asepsis, the nurse should move equipment away
from the body when brushing, scrubbing, or dusting articles to prevent
contaminated particles from settling on the hair, face, or uniform. The nurse
should carry soiled items away from the body to prevent them from
touching the clothing. The nurse should not put soiled items on the floor, as
it is highly contaminated. The nurse should also clean the least soiled
areas first and then move to the more soiled ones to prevent having the
cleaner areas soiled by the dirtier areas.
2. A school nurse is performing an assessment of a student who states:
"I'm too tired to keep my head up in class." The student has a low-grade
fever. The nurse would interpret these findings as indicating which stage of
infection? - ✔✔2. b. During the prodromal stage, the person has vague
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
signs and symptoms, such as fatigue and a low-grade fever. There are no
obvious symptoms of infection during the incubation period, and they are
more specific during the full stage of illness, before disappearing by the
convalescent period.
3. A nurse is caring for patients in an isolation ward. In which situations
would the nurse appropriately use an alcohol-based handrub to
decontaminate the hands? Select all that apply. - ✔✔3. a, c, d, f. It is
recommended to use an alcohol-based handrub in the following situations:
before direct contact with patients; after direct contact with patient skin;
after contact with body fluids if hands are not visibly soiled; after removing
gloves; before inserting urinary catheters, peripheral vascular catheters, or
invasive devices that do not require surgical placement; before donning
sterile gloves prior to an invasive procedure; if moving from a contaminated
body site to a clean body site; and after contact with objects contaminated
by the patient.
4. A nurse is performing hand hygiene after providing patient care. The
nurse's hands are not visibly soiled. Which steps in this procedure are
performed correctly? Select all that apply. - ✔✔4. b, e, f. Proper hand
hygiene includes removing jewelry with the exception of a plain wedding
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
band, wetting the hands and wrist area with the hands lower than the
elbows, using about one teaspoon of liquid soap, using friction motion for at
least 15 seconds, washing to one inch above the wrists with a friction
motion for at least 15 seconds, and rinsing thoroughly with water flowing
toward fingertips.
5. The nurse has opened the sterile supplies and put on two sterile gloves
to complete a sterile dressing change, a procedure that requires surgical
asepsis. The nurse must: - ✔✔5. d. Considering the outer inch of a
sterile field as contaminated is a principle of surgical asepsis. Moisture
such as from splashes contaminates the sterile field, and sneezing would
contaminate the sterile gloves. Forceps soaked in disinfectant are not
considered sterile.
6. The nurse caring for patients in a hospital setting institutes CDC
standard precaution recommendations for which category of patients? -
✔✔6. d. Standard precautions apply to all patients receiving care in
hospitals, regardless of their diagnosis or possible infection status. These
recommendations include blood; all body fluids, secretions, and excretions
except sweat; nonintact skin; and mucous membranes.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
7. In addition to standard precautions, the nurse would initiate droplet
precautions for which patients? Select all that apply. - ✔✔7. a, b, f.
Rubella, diphtheria, and adenovirus infection are illnesses transmitted by
large-particle droplets and require droplet precautions in addition to
standard precautions. Airborne precautions are used for patients who have
infections spread through the air with small particles, for example,
tuberculosis, varicella, and rubeola. Contact precautions are used for
patients who are infected or colonized by a multidrug-resistant organism
(MDRO), such as MRSA.
8. A nurse is preparing a sterile field using a packaged sterile drape for a
confused patient who is scheduled for a surgical procedure. When setting
up the field, the patient accidentally touches an instrument in the sterile
field. What is the appropriate nursing action in this situation? - ✔✔8. c. If
the patient touches a sterile field, the nurse should discard the supplies and
prepare a new sterile field. If the patient is confused, the nurse should have
someone assist by holding the patient's hand and reinforcing what is
happening.
9. A nurse who created a sterile field for a patient is adding a sterile
solution to the field. What is an appropriate action when performing this
Fundamentals of Nursing N192 Exam #1
Questions and Answers 100% Solved
1. A nurse is following the principles of medical asepsis when performing
patient care in a hospital setting. Which nursing action performed by the
nurse follows these recommended guidelines? - ✔✔1. c. According to
the principles of medical asepsis, the nurse should move equipment away
from the body when brushing, scrubbing, or dusting articles to prevent
contaminated particles from settling on the hair, face, or uniform. The nurse
should carry soiled items away from the body to prevent them from
touching the clothing. The nurse should not put soiled items on the floor, as
it is highly contaminated. The nurse should also clean the least soiled
areas first and then move to the more soiled ones to prevent having the
cleaner areas soiled by the dirtier areas.
2. A school nurse is performing an assessment of a student who states:
"I'm too tired to keep my head up in class." The student has a low-grade
fever. The nurse would interpret these findings as indicating which stage of
infection? - ✔✔2. b. During the prodromal stage, the person has vague
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
signs and symptoms, such as fatigue and a low-grade fever. There are no
obvious symptoms of infection during the incubation period, and they are
more specific during the full stage of illness, before disappearing by the
convalescent period.
3. A nurse is caring for patients in an isolation ward. In which situations
would the nurse appropriately use an alcohol-based handrub to
decontaminate the hands? Select all that apply. - ✔✔3. a, c, d, f. It is
recommended to use an alcohol-based handrub in the following situations:
before direct contact with patients; after direct contact with patient skin;
after contact with body fluids if hands are not visibly soiled; after removing
gloves; before inserting urinary catheters, peripheral vascular catheters, or
invasive devices that do not require surgical placement; before donning
sterile gloves prior to an invasive procedure; if moving from a contaminated
body site to a clean body site; and after contact with objects contaminated
by the patient.
4. A nurse is performing hand hygiene after providing patient care. The
nurse's hands are not visibly soiled. Which steps in this procedure are
performed correctly? Select all that apply. - ✔✔4. b, e, f. Proper hand
hygiene includes removing jewelry with the exception of a plain wedding
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
band, wetting the hands and wrist area with the hands lower than the
elbows, using about one teaspoon of liquid soap, using friction motion for at
least 15 seconds, washing to one inch above the wrists with a friction
motion for at least 15 seconds, and rinsing thoroughly with water flowing
toward fingertips.
5. The nurse has opened the sterile supplies and put on two sterile gloves
to complete a sterile dressing change, a procedure that requires surgical
asepsis. The nurse must: - ✔✔5. d. Considering the outer inch of a
sterile field as contaminated is a principle of surgical asepsis. Moisture
such as from splashes contaminates the sterile field, and sneezing would
contaminate the sterile gloves. Forceps soaked in disinfectant are not
considered sterile.
6. The nurse caring for patients in a hospital setting institutes CDC
standard precaution recommendations for which category of patients? -
✔✔6. d. Standard precautions apply to all patients receiving care in
hospitals, regardless of their diagnosis or possible infection status. These
recommendations include blood; all body fluids, secretions, and excretions
except sweat; nonintact skin; and mucous membranes.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
7. In addition to standard precautions, the nurse would initiate droplet
precautions for which patients? Select all that apply. - ✔✔7. a, b, f.
Rubella, diphtheria, and adenovirus infection are illnesses transmitted by
large-particle droplets and require droplet precautions in addition to
standard precautions. Airborne precautions are used for patients who have
infections spread through the air with small particles, for example,
tuberculosis, varicella, and rubeola. Contact precautions are used for
patients who are infected or colonized by a multidrug-resistant organism
(MDRO), such as MRSA.
8. A nurse is preparing a sterile field using a packaged sterile drape for a
confused patient who is scheduled for a surgical procedure. When setting
up the field, the patient accidentally touches an instrument in the sterile
field. What is the appropriate nursing action in this situation? - ✔✔8. c. If
the patient touches a sterile field, the nurse should discard the supplies and
prepare a new sterile field. If the patient is confused, the nurse should have
someone assist by holding the patient's hand and reinforcing what is
happening.
9. A nurse who created a sterile field for a patient is adding a sterile
solution to the field. What is an appropriate action when performing this
