NUR 313- Exam 1 Review questions with correct
answers
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?
a. The nurse carries the patients' soiled bed linens close to the body to
prevent spreading microorganisms into the air
b. The nurse places soiled bed linens and hospital gowns on the floor
when making the bed
c. The nurse moves the patient table away from the nurse's body when
wiping it off after a meal
d. The nurse cleans the most soiled items in the patient's bathroom first
and follows with the cleaner items Correct Answer-C. The nurse moves
the patient table away from the nurse's body when wiping it off after a
meal.
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.
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?
a. Incubation period
b. Prodromal stage
c. Full stage of illness
d. Convalescent period Correct Answer-B. Prodromal stage
During the prodromal stage, the person has vague 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.
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.
a. Providing a bed bath for a patient
b. Visibly soiled hands after changing the bedding of a patient
c. Removing gloves when patient care is completed
d. Inserting a urinary catheter for a female patient
e. Assisting with a surgical placement of a cardiac stent
f. Removing old magazines from a patient's table Correct Answer-A.
Providing a bed bath for a patient
,C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
F. Removing old magazines from a patient's table.
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. Keep in mind
that handrubs are not appropriate for use with C. difficile infection.
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.
a. Removes all jewelry including a platinum wedding band
b. Washes hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
d. Keeps hands higher than elbows when placing under faucet
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips Correct
Answer-b. Washes hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
, e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips
Proper hand hygiene includes removing jewelry (with the exception of a
plain wedding 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 20 seconds, washing to 1 in above the wrists
with a friction motion for at least 20 seconds, and rinsing thoroughly
with water flowing toward fingertips.
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. Which action by the nurse is appropriate?
a. Keep splashes on the sterile field to a minimum
b. Cover the nose and mouth with gloved hands if a sneeze is imminent
c. Use forceps soaked in a disinfectant
d. Consider the outer 1 in of the sterile field as contaminated Correct
Answer-d. Consider the outer 1 in of the sterile field as contaminated
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.
The nurse caring for patients in a hospital setting institutes CDC
standard precaution recommendations for which category of patients?
answers
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?
a. The nurse carries the patients' soiled bed linens close to the body to
prevent spreading microorganisms into the air
b. The nurse places soiled bed linens and hospital gowns on the floor
when making the bed
c. The nurse moves the patient table away from the nurse's body when
wiping it off after a meal
d. The nurse cleans the most soiled items in the patient's bathroom first
and follows with the cleaner items Correct Answer-C. The nurse moves
the patient table away from the nurse's body when wiping it off after a
meal.
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.
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?
a. Incubation period
b. Prodromal stage
c. Full stage of illness
d. Convalescent period Correct Answer-B. Prodromal stage
During the prodromal stage, the person has vague 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.
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.
a. Providing a bed bath for a patient
b. Visibly soiled hands after changing the bedding of a patient
c. Removing gloves when patient care is completed
d. Inserting a urinary catheter for a female patient
e. Assisting with a surgical placement of a cardiac stent
f. Removing old magazines from a patient's table Correct Answer-A.
Providing a bed bath for a patient
,C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
F. Removing old magazines from a patient's table.
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. Keep in mind
that handrubs are not appropriate for use with C. difficile infection.
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.
a. Removes all jewelry including a platinum wedding band
b. Washes hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
d. Keeps hands higher than elbows when placing under faucet
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips Correct
Answer-b. Washes hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
, e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips
Proper hand hygiene includes removing jewelry (with the exception of a
plain wedding 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 20 seconds, washing to 1 in above the wrists
with a friction motion for at least 20 seconds, and rinsing thoroughly
with water flowing toward fingertips.
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. Which action by the nurse is appropriate?
a. Keep splashes on the sterile field to a minimum
b. Cover the nose and mouth with gloved hands if a sneeze is imminent
c. Use forceps soaked in a disinfectant
d. Consider the outer 1 in of the sterile field as contaminated Correct
Answer-d. Consider the outer 1 in of the sterile field as contaminated
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.
The nurse caring for patients in a hospital setting institutes CDC
standard precaution recommendations for which category of patients?
