FUNDAMENTALS TEST BANK
CLINICAL SKILLS FINAL EXAM
QUESTIONS WITH VERIFIED
ANSWERS
The nurse is caring for a patient in restraints. Which essential information will the
nurse document in the patient's medical record to provide safe care? (Select all that
apply.)
a. One family member has gone to lunch.
b. Patient is placed in bilateral wrist restraints at 0815.
c. Bilateral radial pulses present, 2+, hands warm to touch
d. Straps with quick-release buckle attached to bed side rails
e. Attempts to distract the patient with television are unsuccessful.
f. Released from restraints; active range-of-motion exercises completed - Answer-b.
Patient is placed in bilateral wrist restraints at 0815.
c. Bilateral radial pulses present, 2+, hands warm to touch
e. Attempts to distract the patient with television are unsuccessful.
f. Released from restraints; active range-of-motion exercises completed
The nurse enters the patient's room and notices a small fire in the headlight above
the patient's bed. In which order will the nurse perform the steps, beginning with the
first one?
1. Pull the alarm.
2. Remove the patient.
3. Use the fire extinguisher.
4. Close doors and windows.
a. 2, 1, 4, 3
b. 1, 2, 4, 3
c. 1, 2, 3, 4
d. 2, 1, 3, 4 - Answer-a. 2, 1, 4, 3
A fire has started in a work area on the unit. Which of the following is the response
which demonstrates correctly using a fire extinguisher?
a. Aim the stream to the top of the flames.
b. Squeeze the pin to activate the extinguisher.
c. Move the extinguisher in a sweeping, side to side motion.
d. Call 911 - Answer-c. Move the extinguisher in a sweeping, side to side motion.
An agitated resident who is seated in his wheelchair calls the nurse because the bed
linens are smoldering. After moving the patient to the hall, the nurse should:
a. close the door to the room to confine the fire.
b. assess the patient for burns.
c. extinguish the flames with an appropriate extinguisher.
,d. activate the fire alarm system immediately. - Answer-d. activate the fire alarm
system immediately.
Remove
Alarm
Close doors
Extinguish
The nurse is caring for a patient who has cultured positive for Clostridium difficile.
Which action will the nurse take next?
a. Instruct assistive personnel to use soap and water rather than sanitizer.
b. Wear an N95 respirator when entering the patient room.
c. Place the patient on droplet precautions.
d. Teach the patient cough etiquette. - Answer-a. Instruct assistive personnel to use
soap and water rather than sanitizer.
The nurse is caring for a patient who becomes nauseated and vomits without
warning. The nurse has contaminated hands. Which action is best for the nurse to
take next?
a. Wash hands with an antimicrobial soap and water.
b. Clean hands with wipes from the bedside table.
c. Use an alcohol-based waterless hand gel.
d. Wipe hands with a dry paper towel. - Answer-a. Wash hands with an antimicrobial
soap and water.
When caring for patients, the nurse understands that the single most important
technique to prevent and control the transmission of infection is:
a- Sterilization of equipment
b- The use of isolation precautions
c- The use of disposable gloves
d- Hand hygiene. - Answer-d- Hand hygiene.
Which of the following measures is appropriate when a nurse is washing his or her
hands?
a- Leave rings and watches in place.
b- Keep the fingers and hands up and the elbows down
c- Use very hot water
d- Lather for at least 15 to 20 seconds - Answer-d- Lather for at least 15 to 20
seconds
The emergency department has been notified of a potential bioterrorism attack.
Which action by the nurse is priority?
a. Monitor for specific symptoms.
b. Manage all patients using standard precautions.
c. Transport patients quickly and efficiently through the elevators.
d. Prepare for post-traumatic stress associated with this bioterrorism attack. -
Answer-b. Manage all patients using standard precautions.
,The nurse is caring for a patient who has just delivered a neonate. The nurse is
checking the patient for excessive vaginal drainage. It is important for the nurse to
utilize _____ Precautions.
a. Contact
b. Protective
c. Droplet
d. Standard - Answer-d. Standard
For patients with which of the following conditions should the nurse implement
airborne precautions?
a.Influenza
b. Pediculosis
c. Rubella
d. Tuberculosis - Answer-d. Tuberculosis
The patient is presenting to the hospital with a high fever and a productive cough. He
says that he hasn't felt right since he returned from visiting Somalia bout a month
before admission. He also states that he has lost about 20 pounds in the last month
and frequently wakes up in the middle of the night sweat and "clammy." What should
the nurse prepare to do?
a. Place the patient on a droplet precaution.
b. Place the patient on contact isolation.
c. Place the patient in a negative-pressure room.
d. Use standard precautions only. - Answer-c. Place the patient in a negative-
pressure room.
The nurse has received a report from the emergency department that a patient with
tuberculosis will be coming to the unit. Which items will the nurse need to care for
this patient? (Select all that apply.)
a. Private room
b. Negative-pressure airflow in room
c. Surgical mask, gown, gloves, eyewear
d. N95 respirator, gown, gloves, eyewear
e. Communication signs for droplet precautions
f. Communication signs for airborne precautions - Answer-a. Private room
b. Negative-pressure airflow in room
d. N95 respirator, gown, gloves, eyewear
f. Communication signs for airborne precautions
The patient is admitted to the pediatric unit with severe pertussis. The nurse explains
to the parents and the child that the patient will be treated with the use of:
a. Airborne precautions
b. Contact isolation
c. Standard precautions only
d. Droplet precautions - Answer-d. Droplet precautions
The patient is admitted with mumps. The nurse knows that she will have to:
a. Place the patient on contact precautions
b. Place the patient on standard precautions
c. Wear a mask when closer than 3 feet to the patient
, d. Put the patient in a private room. - Answer-c. Wear a mask when closer than 3
feet to the patient
The nurse and the student nurse are caring for two different patients on the medical-
surgical unit. One patient is in airborne precautions, and one is in contact
precautions. The nurse explains to the student different interventions for care. Which
information will the nurse include in the teaching session? (Select all that apply.)
a. Dispose of supplies to prevent the spread of microorganisms.
b. Wash hands before entering and leaving both of the patients' rooms.
c. Be consistent in nursing interventions since there is only one difference in the
precautions.
d. Apply the knowledge the nurse has of the disease process to prevent the spread
of microorganisms.
e. Have patients in airborne precautions wear a mask during transportation to other
departments.
f.Check the working order of the negative-pressure room for the airborne precaution
patient on admission and at discharge. - Answer-a. Dispose of supplies to prevent
the spread of microorganisms.
b. Wash hands before entering and leaving both of the patients' rooms.
d. Apply the knowledge the nurse has of the disease process to prevent the spread
of microorganisms.
e. Have patients in airborne precautions wear a mask during transportation to other
departments.
The nurse is caring for a patient who has cultured positive for Clostridium difficile.
Which of the following nursing actions would be appropriate given this organism?
a. Instruct assistive personnel to use soap and water rather than sanitizer to clean
hands.
b. Place the patient on Droplet Precautions.
c. Wear an N95 respirator when entering the patient room.
d. Teach the patient cough etiquette. - Answer-a. Instruct assistive personnel to use
soap and water rather than sanitizer to clean hands.
The nurse is caring for a patient who needs a protective environment. The nurse has
provided the care needed and is now leaving the room. In which order will the nurse
remove the personal protective equipment, beginning with the first step?
1. Remove eyewear/face shield and goggles.
2. Perform hand hygiene, leave room, and close door.
3. Remove gloves.
4. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown;
dispose of properly.
5. Remove mask by strings; do not touch outside of mask.
6. Dispose of all contaminated supplies and equipment in designated receptacles.
a. 3, 1, 4, 5, 6, 2
b. 1, 4, 5, 3, 6, 2
c. 1, 4, 5, 3, 2, 6
d. 3, 1, 4, 5, 2, 6 - Answer-d. 3, 1, 4, 5, 2, 6
CLINICAL SKILLS FINAL EXAM
QUESTIONS WITH VERIFIED
ANSWERS
The nurse is caring for a patient in restraints. Which essential information will the
nurse document in the patient's medical record to provide safe care? (Select all that
apply.)
a. One family member has gone to lunch.
b. Patient is placed in bilateral wrist restraints at 0815.
c. Bilateral radial pulses present, 2+, hands warm to touch
d. Straps with quick-release buckle attached to bed side rails
e. Attempts to distract the patient with television are unsuccessful.
f. Released from restraints; active range-of-motion exercises completed - Answer-b.
Patient is placed in bilateral wrist restraints at 0815.
c. Bilateral radial pulses present, 2+, hands warm to touch
e. Attempts to distract the patient with television are unsuccessful.
f. Released from restraints; active range-of-motion exercises completed
The nurse enters the patient's room and notices a small fire in the headlight above
the patient's bed. In which order will the nurse perform the steps, beginning with the
first one?
1. Pull the alarm.
2. Remove the patient.
3. Use the fire extinguisher.
4. Close doors and windows.
a. 2, 1, 4, 3
b. 1, 2, 4, 3
c. 1, 2, 3, 4
d. 2, 1, 3, 4 - Answer-a. 2, 1, 4, 3
A fire has started in a work area on the unit. Which of the following is the response
which demonstrates correctly using a fire extinguisher?
a. Aim the stream to the top of the flames.
b. Squeeze the pin to activate the extinguisher.
c. Move the extinguisher in a sweeping, side to side motion.
d. Call 911 - Answer-c. Move the extinguisher in a sweeping, side to side motion.
An agitated resident who is seated in his wheelchair calls the nurse because the bed
linens are smoldering. After moving the patient to the hall, the nurse should:
a. close the door to the room to confine the fire.
b. assess the patient for burns.
c. extinguish the flames with an appropriate extinguisher.
,d. activate the fire alarm system immediately. - Answer-d. activate the fire alarm
system immediately.
Remove
Alarm
Close doors
Extinguish
The nurse is caring for a patient who has cultured positive for Clostridium difficile.
Which action will the nurse take next?
a. Instruct assistive personnel to use soap and water rather than sanitizer.
b. Wear an N95 respirator when entering the patient room.
c. Place the patient on droplet precautions.
d. Teach the patient cough etiquette. - Answer-a. Instruct assistive personnel to use
soap and water rather than sanitizer.
The nurse is caring for a patient who becomes nauseated and vomits without
warning. The nurse has contaminated hands. Which action is best for the nurse to
take next?
a. Wash hands with an antimicrobial soap and water.
b. Clean hands with wipes from the bedside table.
c. Use an alcohol-based waterless hand gel.
d. Wipe hands with a dry paper towel. - Answer-a. Wash hands with an antimicrobial
soap and water.
When caring for patients, the nurse understands that the single most important
technique to prevent and control the transmission of infection is:
a- Sterilization of equipment
b- The use of isolation precautions
c- The use of disposable gloves
d- Hand hygiene. - Answer-d- Hand hygiene.
Which of the following measures is appropriate when a nurse is washing his or her
hands?
a- Leave rings and watches in place.
b- Keep the fingers and hands up and the elbows down
c- Use very hot water
d- Lather for at least 15 to 20 seconds - Answer-d- Lather for at least 15 to 20
seconds
The emergency department has been notified of a potential bioterrorism attack.
Which action by the nurse is priority?
a. Monitor for specific symptoms.
b. Manage all patients using standard precautions.
c. Transport patients quickly and efficiently through the elevators.
d. Prepare for post-traumatic stress associated with this bioterrorism attack. -
Answer-b. Manage all patients using standard precautions.
,The nurse is caring for a patient who has just delivered a neonate. The nurse is
checking the patient for excessive vaginal drainage. It is important for the nurse to
utilize _____ Precautions.
a. Contact
b. Protective
c. Droplet
d. Standard - Answer-d. Standard
For patients with which of the following conditions should the nurse implement
airborne precautions?
a.Influenza
b. Pediculosis
c. Rubella
d. Tuberculosis - Answer-d. Tuberculosis
The patient is presenting to the hospital with a high fever and a productive cough. He
says that he hasn't felt right since he returned from visiting Somalia bout a month
before admission. He also states that he has lost about 20 pounds in the last month
and frequently wakes up in the middle of the night sweat and "clammy." What should
the nurse prepare to do?
a. Place the patient on a droplet precaution.
b. Place the patient on contact isolation.
c. Place the patient in a negative-pressure room.
d. Use standard precautions only. - Answer-c. Place the patient in a negative-
pressure room.
The nurse has received a report from the emergency department that a patient with
tuberculosis will be coming to the unit. Which items will the nurse need to care for
this patient? (Select all that apply.)
a. Private room
b. Negative-pressure airflow in room
c. Surgical mask, gown, gloves, eyewear
d. N95 respirator, gown, gloves, eyewear
e. Communication signs for droplet precautions
f. Communication signs for airborne precautions - Answer-a. Private room
b. Negative-pressure airflow in room
d. N95 respirator, gown, gloves, eyewear
f. Communication signs for airborne precautions
The patient is admitted to the pediatric unit with severe pertussis. The nurse explains
to the parents and the child that the patient will be treated with the use of:
a. Airborne precautions
b. Contact isolation
c. Standard precautions only
d. Droplet precautions - Answer-d. Droplet precautions
The patient is admitted with mumps. The nurse knows that she will have to:
a. Place the patient on contact precautions
b. Place the patient on standard precautions
c. Wear a mask when closer than 3 feet to the patient
, d. Put the patient in a private room. - Answer-c. Wear a mask when closer than 3
feet to the patient
The nurse and the student nurse are caring for two different patients on the medical-
surgical unit. One patient is in airborne precautions, and one is in contact
precautions. The nurse explains to the student different interventions for care. Which
information will the nurse include in the teaching session? (Select all that apply.)
a. Dispose of supplies to prevent the spread of microorganisms.
b. Wash hands before entering and leaving both of the patients' rooms.
c. Be consistent in nursing interventions since there is only one difference in the
precautions.
d. Apply the knowledge the nurse has of the disease process to prevent the spread
of microorganisms.
e. Have patients in airborne precautions wear a mask during transportation to other
departments.
f.Check the working order of the negative-pressure room for the airborne precaution
patient on admission and at discharge. - Answer-a. Dispose of supplies to prevent
the spread of microorganisms.
b. Wash hands before entering and leaving both of the patients' rooms.
d. Apply the knowledge the nurse has of the disease process to prevent the spread
of microorganisms.
e. Have patients in airborne precautions wear a mask during transportation to other
departments.
The nurse is caring for a patient who has cultured positive for Clostridium difficile.
Which of the following nursing actions would be appropriate given this organism?
a. Instruct assistive personnel to use soap and water rather than sanitizer to clean
hands.
b. Place the patient on Droplet Precautions.
c. Wear an N95 respirator when entering the patient room.
d. Teach the patient cough etiquette. - Answer-a. Instruct assistive personnel to use
soap and water rather than sanitizer to clean hands.
The nurse is caring for a patient who needs a protective environment. The nurse has
provided the care needed and is now leaving the room. In which order will the nurse
remove the personal protective equipment, beginning with the first step?
1. Remove eyewear/face shield and goggles.
2. Perform hand hygiene, leave room, and close door.
3. Remove gloves.
4. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown;
dispose of properly.
5. Remove mask by strings; do not touch outside of mask.
6. Dispose of all contaminated supplies and equipment in designated receptacles.
a. 3, 1, 4, 5, 6, 2
b. 1, 4, 5, 3, 6, 2
c. 1, 4, 5, 3, 2, 6
d. 3, 1, 4, 5, 2, 6 - Answer-d. 3, 1, 4, 5, 2, 6
