NUR 336 NEWEST 2024 -2025 EXAM 1/ COMPLETE 150
ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
How can the nurse promote infection control while providing perineal care for a female
patient who has a catheter?
A. By avoiding the application of tension on the catheter.
B. By patting, not rubbing, the skin dry after thoroughly rinsing it.
C. By cleansing the patient's labia from the pubic area toward the rectum.
D. By using warm water to cleanse the patient's entire perineal area. - Correct Answer -
C (Cleansing the labia from the pubic area toward the rectum minimizes the risk of
introducing microorganisms from the rectum to the urethra and vagina. Although
avoiding tension on the catheter is encouraged in order to prevent its accidental
dislodgment, this precaution does not pertain to infection control. Patting the skin dry,
rather than rubbing it, helps minimize skin damage, but this action does not pertain to
infection control. Cleansing with soap and water reduces the number of microorganisms
in the perineal area. Using warm water alone, however, has little effect.)
The nurse is delegating to nursing assistive personnel (NAP) the perineal care of a
female patient who is totally dependent and confined to bed. Which statement by the
NAP requires the nurse's follow-up?
A. "I'll ask for assistance if I need help positioning her."
B. "I'll see if she's up to the care right now."
C. "I'll let you know if I notice any signs of redness or discharge."
D. "I'll be sure to use hot, soapy water, since she has been incontinent." - Correct
Answer - D
pg. 1
,As the nurse is preparing to provide perineal care to a female patient with limited
mobility, the patient says, "I can do that myself." Which action would be the priority?
A. Provide all the necessary supplies and linen for this task.
B. Assess the patient's ability to perform proper perineal care.
C. Ensure that the patient has privacy while performing perineal care.
D. Document any complaints of irritation or pain in the perineal area. - Correct Answer -
B (Determining the appropriateness of self-care by assessing the patient's ability to
provide her own perineal care is the priority action. Although it is a nursing responsibility
to provide all the items necessary for the patient to perform this task, ensuring the
patient's privacy, and documenting patient complaints, doing so would not take priority
over assessing the patient's ability to perform perineal care.)
The nurse is delegating a female patient's perineal care to nursing assistive personnel
(NAP). Which instruction would the nurse give to ensure the NAP's safety while
performing this care?
Back to Top
A. Wear sterile gloves.
B. Wear clean gloves.
C. Wear an isolation gown.
D. Use hot water. - Correct Answer – B
A nurse assists a patient with a Foley catheter to ambulate down the hall. The nurse
holds the catheter bag above the level of the patient's bladder. What link in the chain of
infection is the nurse breaking by doing so?
a. Portal of exit.
b. Portal of entry.
c. Reservoir.
d. Host susceptibility. - Correct Answer - B (By not allowing the urine from the bedside
drainage bag to re-enter the bladder, the nurse is breaking the chain of infection at the
portal of entry. Emptying the bedside drainage bag may be an example of controlling the
pg. 2
,reservoir. Host susceptibility has to do with issues such as age, nutritional status,
medical treatments, immunizations, etc.)
The nurse manager is reviewing the use of standard precautions with the staff. Which of
the following should be included in the review? (Select all that apply.)
a. Standard precautions are used to protect you from potential contact with blood and
body fluids.
b. Standard precautions should be observed in every patient encounter.
c. Standard precautions refer only to the use of gloves; not to the use of masks, eye
protection, or gowns, as these refer to other types of precautions.
d. To follow standard precautions, you must wear sterile gloves.
e. Standard precautions are utilized once the type of infection is identified. - Correct
Answer - A B (Standard precautions are used to protect you from potential contact with
blood and body fluids and should be observed in every patient encounter. Besides
gloving, standard precautions include the use of masks, eye protection, and gowns
when there is a risk of being splattered with infectious materials. Surgical asepsis
(sterile technique) requires the use of sterile gloves. Clean gloves may be worn when
following standard precautions. Any patient may be a source of infection and should be
treated as such rather than waiting until a pathogen is identified.)
A small group of nursing students is giving a teaching presentation on the principles of
surgical asepsis. Which of the following standards are appropriate to include in the
presentation? (Select all that apply.)
a. A sterile barrier that has been permeated by moisture must be considered
contaminated.
b. A sterile object or field out of the range of vision or an object held below a person's
waist is considered contaminated.
c. A sterile field or object cannot become contaminated by air.
d. If there is any doubt about an item's sterility, the item is considered to be unsterile.
e. All items used within a sterile field must be sterile. - Correct Answer - A B D E (A
sterile surface that comes in contact with moisture must be considered contaminated. A
sterile object or field out of the range of vision or an object held below a person's waist
pg. 3
, is considered contaminated. A sterile object or field becomes contaminated by
prolonged exposure to air; stay organized, and complete any procedure as soon as
possible. If there is any doubt about an item's sterility, the item is considered to be
unsterile. All items used within a sterile field must be sterile.)
The source for pathogen growth describes which element on the chain of infection
model?
a. Pathogen
b. Portal of exit
c. Reservoir
d. Susceptible host - Correct Answer - C
Which of the following is an accurate example of a portal of exit from the reservoir
relating to the chain of infection model?
a. Fungi
b. Skin and mucous membranes
c. Hands of healthcare workers
d. Inanimate objects - Correct Answer - B
Which of the following is an accurate example of a mode of transmission when relating
to the chain of infection model?
a. Protozoa
b. Animals
c. Respiratory tract
d. Hands of healthcare workers - Correct Answer - D
Which of the following would be considered a portal of entry to the host in the chain of
infection model?
pg. 4
ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
How can the nurse promote infection control while providing perineal care for a female
patient who has a catheter?
A. By avoiding the application of tension on the catheter.
B. By patting, not rubbing, the skin dry after thoroughly rinsing it.
C. By cleansing the patient's labia from the pubic area toward the rectum.
D. By using warm water to cleanse the patient's entire perineal area. - Correct Answer -
C (Cleansing the labia from the pubic area toward the rectum minimizes the risk of
introducing microorganisms from the rectum to the urethra and vagina. Although
avoiding tension on the catheter is encouraged in order to prevent its accidental
dislodgment, this precaution does not pertain to infection control. Patting the skin dry,
rather than rubbing it, helps minimize skin damage, but this action does not pertain to
infection control. Cleansing with soap and water reduces the number of microorganisms
in the perineal area. Using warm water alone, however, has little effect.)
The nurse is delegating to nursing assistive personnel (NAP) the perineal care of a
female patient who is totally dependent and confined to bed. Which statement by the
NAP requires the nurse's follow-up?
A. "I'll ask for assistance if I need help positioning her."
B. "I'll see if she's up to the care right now."
C. "I'll let you know if I notice any signs of redness or discharge."
D. "I'll be sure to use hot, soapy water, since she has been incontinent." - Correct
Answer - D
pg. 1
,As the nurse is preparing to provide perineal care to a female patient with limited
mobility, the patient says, "I can do that myself." Which action would be the priority?
A. Provide all the necessary supplies and linen for this task.
B. Assess the patient's ability to perform proper perineal care.
C. Ensure that the patient has privacy while performing perineal care.
D. Document any complaints of irritation or pain in the perineal area. - Correct Answer -
B (Determining the appropriateness of self-care by assessing the patient's ability to
provide her own perineal care is the priority action. Although it is a nursing responsibility
to provide all the items necessary for the patient to perform this task, ensuring the
patient's privacy, and documenting patient complaints, doing so would not take priority
over assessing the patient's ability to perform perineal care.)
The nurse is delegating a female patient's perineal care to nursing assistive personnel
(NAP). Which instruction would the nurse give to ensure the NAP's safety while
performing this care?
Back to Top
A. Wear sterile gloves.
B. Wear clean gloves.
C. Wear an isolation gown.
D. Use hot water. - Correct Answer – B
A nurse assists a patient with a Foley catheter to ambulate down the hall. The nurse
holds the catheter bag above the level of the patient's bladder. What link in the chain of
infection is the nurse breaking by doing so?
a. Portal of exit.
b. Portal of entry.
c. Reservoir.
d. Host susceptibility. - Correct Answer - B (By not allowing the urine from the bedside
drainage bag to re-enter the bladder, the nurse is breaking the chain of infection at the
portal of entry. Emptying the bedside drainage bag may be an example of controlling the
pg. 2
,reservoir. Host susceptibility has to do with issues such as age, nutritional status,
medical treatments, immunizations, etc.)
The nurse manager is reviewing the use of standard precautions with the staff. Which of
the following should be included in the review? (Select all that apply.)
a. Standard precautions are used to protect you from potential contact with blood and
body fluids.
b. Standard precautions should be observed in every patient encounter.
c. Standard precautions refer only to the use of gloves; not to the use of masks, eye
protection, or gowns, as these refer to other types of precautions.
d. To follow standard precautions, you must wear sterile gloves.
e. Standard precautions are utilized once the type of infection is identified. - Correct
Answer - A B (Standard precautions are used to protect you from potential contact with
blood and body fluids and should be observed in every patient encounter. Besides
gloving, standard precautions include the use of masks, eye protection, and gowns
when there is a risk of being splattered with infectious materials. Surgical asepsis
(sterile technique) requires the use of sterile gloves. Clean gloves may be worn when
following standard precautions. Any patient may be a source of infection and should be
treated as such rather than waiting until a pathogen is identified.)
A small group of nursing students is giving a teaching presentation on the principles of
surgical asepsis. Which of the following standards are appropriate to include in the
presentation? (Select all that apply.)
a. A sterile barrier that has been permeated by moisture must be considered
contaminated.
b. A sterile object or field out of the range of vision or an object held below a person's
waist is considered contaminated.
c. A sterile field or object cannot become contaminated by air.
d. If there is any doubt about an item's sterility, the item is considered to be unsterile.
e. All items used within a sterile field must be sterile. - Correct Answer - A B D E (A
sterile surface that comes in contact with moisture must be considered contaminated. A
sterile object or field out of the range of vision or an object held below a person's waist
pg. 3
, is considered contaminated. A sterile object or field becomes contaminated by
prolonged exposure to air; stay organized, and complete any procedure as soon as
possible. If there is any doubt about an item's sterility, the item is considered to be
unsterile. All items used within a sterile field must be sterile.)
The source for pathogen growth describes which element on the chain of infection
model?
a. Pathogen
b. Portal of exit
c. Reservoir
d. Susceptible host - Correct Answer - C
Which of the following is an accurate example of a portal of exit from the reservoir
relating to the chain of infection model?
a. Fungi
b. Skin and mucous membranes
c. Hands of healthcare workers
d. Inanimate objects - Correct Answer - B
Which of the following is an accurate example of a mode of transmission when relating
to the chain of infection model?
a. Protozoa
b. Animals
c. Respiratory tract
d. Hands of healthcare workers - Correct Answer - D
Which of the following would be considered a portal of entry to the host in the chain of
infection model?
pg. 4
