BSN 206 - ISB - HALLMARK SET 2 COMBINRD
WITH ALL ANSWERS
The cnurse cis cpreparing ca csterile cfield. cThe cnurse copens cthe csterile ccommercial ckit
cby cpulling cthe coutermost cflap ctoward chis cbody, cfollowed cby copening cthe cremaining
cflaps. cThe cnurse ctouches conly cthe couter cedge cof cthe csterile cfield cwith chis chands.
cThe cnurse cadds csterile citems cto cthe csterile cfield cby cplacing cthem con cthe cfield cat
can cangle cand cnever callowing cthe cwrapper cto ctouch cthe cfield. cThe cnurse cpours
cnormal csaline cform ca cpreviously copened cbottle cin cthe cpatient's croom cinto ca csterile
creceptacle cwithout csplashing. cWhich caction(s) cin cpreparing ca csterile cfield cdid cthe
cnurse cperform cincorrectly? c(Select call cthat capply.)
The cnurse ccorrectly cprepared cthe csterile cfield.
Opening cthe coutermost cflap.
Touching cthe couter cedge cof cthe csterile cfield.
Adding csterile citems cto cthe cfield.
Pouring ca csterile csolution. c- cCORRECT✅✅Opening cthe coutermost cflap.
Pouring ca csterile csolution.
The cnurse cis cpreparing ca csterile cfield. cWhich cof cthe cfollowing cwould cbe cconsidered
ccontamination cof cthe cfield? c(Select call cthat capply.)
Some cof cthe csterile cnormal csaline cspills conto cthe csterile cbarrier.
Nonsterile citems care cadded cto cthe csterile cfield.
The cnurse cprepares cthe csterile cfield cand cleaves cthe croom cto cget cmore csterile
csupplies.
The cnurse cprepares cthe csterile cfield cimmediately cbefore cthe cprocedure.
When ca csterile citem cfalls coff cthe csterile cfield, cthe cnurse copens ca cnew csterile citem.
c- cCORRECT✅✅Some cof cthe csterile cnormal csaline cspills conto cthe csterile cbarrier.
Nonsterile citems care cadded cto cthe csterile cfield.
The cnurse cprepares cthe csterile cfield cand cleaves cthe croom cto cget cmore csterile
csupplies.
The cnurse cis creviewing cwith cthe csurgical ctechnician chow cto cprepare ca csterile cfield.
cWhich cof cthe cfollowing cis cincorrect cand cshould cnot cbe cincluded cin cthe creview?
Keep cyour cintended cwork csurface cabove cwaist clevel.
,Place cthe cdrape cso cthe ctop chalf cof cthe cdrape cis cover cthe ctop chalf cof cthe cwork
csurface.
You cmay cgrasp cthe couter c1-inch cborder cof cthe cdrape cwithout cwearing csterile
cgloves.
Place csterile citems conto cthe csterile cfield cat can cangle. c- cCORRECT✅✅Place cthe
cdrape cso cthe ctop chalf cof cthe cdrape cis cover cthe ctop chalf cof cthe cwork csurface.
The cnurse cis cpreparing cto cset cup ca csterile cfield cfor ca cpatient cwho cis cgoing cto
chave ca csterile cdressing cchange. cWhich cof cthe cfollowing cassessment cmeasures
cwould cbe cunnecessary cat cthis ctime?
The cnurse creviews cdocumentation cto csee cwhat csupplies cwill cbe cneeded.
The cnurse casks cthe cpatient cto crate chis cpain con ca cpain cscale.
The cnurse casks cthe cpatient cif che cneeds cto cuse cthe cbathroom.
The cnurse casks cthe cpatient cif che chas cambulated cin cthe chall ctoday. c-
cCORRECT✅✅The cnurse casks cthe cpatient cif che chas cambulated cin cthe chall
ctoday.
One cevaluation cmeasure cof ccreating cand cmaintaining ca csterile cfield cinvolves
cmonitoring cthe cpatient cfor cdeveloping csigns cand csymptoms cof clocalized cor
csystemic cinfection. cWhich cof cthe cfollowing cis ccause cfor cconcern?
Temperature cof c102.5° cF c(39.2° cC).
Incisional carea clight cpink cin ccolor.
White cblood ccell ccount cat c6500 cper cmm3.
Absence cof cpurulent cdrainage. c- cCORRECT✅✅Temperature cof c102.5° cF c(39.2°
cC).
A cnurse cis cpreparing ca cmedication cfor csubcutaneous cadministration. cAs cthe cnurse
crecaps cthe cneedle cusing cthe cscoop cmethod, cthe cnurse caccidentally ctouches cthe
ctable cwith cthe cuncovered cneedle. cWhat cis cthe cnurse's cbest caction?
Discard cthe cneedle, csyringe, cand cmedication cand cstart cover.
Discard cthe cneedle cand creplace cwith ca cnew cone cbefore cadministration.
Wipe cthe cneedle cwith can calcohol cswab cand crecap cfor cuse.
Transfer cthe cmedication cto ca cnew csyringe. c- cCORRECT✅✅Discard cthe cneedle
cand creplace cwith ca cnew cone cbefore cadministration.
The cnurse cis cadding ca cdry csterile cgauze cdressing cto cthe csterile cfield. cThe cdressing
cbounces con cthe csurface cand clands con cthe couter c1-inch cborder cof cthe csterile cfield.
cWhat caction cis cappropriate cat cthis ctime?
The cnurse cdiscards cthe centire csterile cfield, call citems con cit, cand cstarts cover.
, The cnurse copens canother csterile cgauze cdressing cand cadds cit cto cthe csterile cfield,
cbut cdoes cnot cuse cthe cfirst cone.
Once csterile cgloves care capplied, cthe cnurse cmoves cthe csterile cgauze cdressing cto
cthe ccenter cof cthe csterile cfield.
The cnurse ccontinues cwith cthe cprocedure cadding csupplies cto cthe csterile cfield cand
cusing ceach cof cthem cas cneeded. c- cCORRECT✅✅The cnurse copens canother
csterile cgauze cdressing cand cadds cit cto cthe csterile cfield, cbut cdoes cnot cuse cthe cfirst
cone.
What cwould cthe cnurse cdo cfirst cwhen cpreparing cto cbegin coxygen ctherapy cfor ca
cpatient?
Educate cthe cNAP cabout cthe coxygen corders.
Review cthe cmedical cprescription cfor cdelivery cmethod cand cflow crate.
Place ca c"No cSmoking" csign coutside cof cthe chospital croom.
Ensure cthat csuction cequipment cis cpresent cin cthe croom. c- cCORRECT✅✅Review
cthe cmedical cprescription cfor cdelivery cmethod cand cflow crate.
When cpreparing cthe cpatient's cenvironment cfor csafe coxygen ctherapy, cwhich
cintervention cis ca cpriority cto cminimize cthe cpatient's crisk cfor cinjury?
Place cappropriate csignage cto calert cstaff cand cvisitors cto cthe cpresence cof coxygen cin
cthe cpatient's croom.
Instruct cnursing cassistive cpersonnel c(NAP) cto cimmediately ccorrect cor creport csafety
chazards.
Inspect call celectrical cequipment cin cthe cpatient's croom cfor cthe cpresence cof csafety-
check ctags.
Ensure cthat cthe cpatient creceives cthe cprescribed camount cof coxygen cvia cthe
cappropriate cmethod. c- cCORRECT✅✅Inspect call celectrical cequipment cin cthe
cpatient's croom cfor cthe cpresence cof csafety-check ctags.
When ca cpatient cis creceiving coxygen cat chome, cwhich cinstruction cto cthe cfamily
cwould chelp cthem cunderstand chow cto cuse cthe coxygen csafely?
Increase cthe coxygen clevel cas cneeded cfor cthe cpatient's ccomfort.
Store cextra coxygen ccylinders chorizontally.
WITH ALL ANSWERS
The cnurse cis cpreparing ca csterile cfield. cThe cnurse copens cthe csterile ccommercial ckit
cby cpulling cthe coutermost cflap ctoward chis cbody, cfollowed cby copening cthe cremaining
cflaps. cThe cnurse ctouches conly cthe couter cedge cof cthe csterile cfield cwith chis chands.
cThe cnurse cadds csterile citems cto cthe csterile cfield cby cplacing cthem con cthe cfield cat
can cangle cand cnever callowing cthe cwrapper cto ctouch cthe cfield. cThe cnurse cpours
cnormal csaline cform ca cpreviously copened cbottle cin cthe cpatient's croom cinto ca csterile
creceptacle cwithout csplashing. cWhich caction(s) cin cpreparing ca csterile cfield cdid cthe
cnurse cperform cincorrectly? c(Select call cthat capply.)
The cnurse ccorrectly cprepared cthe csterile cfield.
Opening cthe coutermost cflap.
Touching cthe couter cedge cof cthe csterile cfield.
Adding csterile citems cto cthe cfield.
Pouring ca csterile csolution. c- cCORRECT✅✅Opening cthe coutermost cflap.
Pouring ca csterile csolution.
The cnurse cis cpreparing ca csterile cfield. cWhich cof cthe cfollowing cwould cbe cconsidered
ccontamination cof cthe cfield? c(Select call cthat capply.)
Some cof cthe csterile cnormal csaline cspills conto cthe csterile cbarrier.
Nonsterile citems care cadded cto cthe csterile cfield.
The cnurse cprepares cthe csterile cfield cand cleaves cthe croom cto cget cmore csterile
csupplies.
The cnurse cprepares cthe csterile cfield cimmediately cbefore cthe cprocedure.
When ca csterile citem cfalls coff cthe csterile cfield, cthe cnurse copens ca cnew csterile citem.
c- cCORRECT✅✅Some cof cthe csterile cnormal csaline cspills conto cthe csterile cbarrier.
Nonsterile citems care cadded cto cthe csterile cfield.
The cnurse cprepares cthe csterile cfield cand cleaves cthe croom cto cget cmore csterile
csupplies.
The cnurse cis creviewing cwith cthe csurgical ctechnician chow cto cprepare ca csterile cfield.
cWhich cof cthe cfollowing cis cincorrect cand cshould cnot cbe cincluded cin cthe creview?
Keep cyour cintended cwork csurface cabove cwaist clevel.
,Place cthe cdrape cso cthe ctop chalf cof cthe cdrape cis cover cthe ctop chalf cof cthe cwork
csurface.
You cmay cgrasp cthe couter c1-inch cborder cof cthe cdrape cwithout cwearing csterile
cgloves.
Place csterile citems conto cthe csterile cfield cat can cangle. c- cCORRECT✅✅Place cthe
cdrape cso cthe ctop chalf cof cthe cdrape cis cover cthe ctop chalf cof cthe cwork csurface.
The cnurse cis cpreparing cto cset cup ca csterile cfield cfor ca cpatient cwho cis cgoing cto
chave ca csterile cdressing cchange. cWhich cof cthe cfollowing cassessment cmeasures
cwould cbe cunnecessary cat cthis ctime?
The cnurse creviews cdocumentation cto csee cwhat csupplies cwill cbe cneeded.
The cnurse casks cthe cpatient cto crate chis cpain con ca cpain cscale.
The cnurse casks cthe cpatient cif che cneeds cto cuse cthe cbathroom.
The cnurse casks cthe cpatient cif che chas cambulated cin cthe chall ctoday. c-
cCORRECT✅✅The cnurse casks cthe cpatient cif che chas cambulated cin cthe chall
ctoday.
One cevaluation cmeasure cof ccreating cand cmaintaining ca csterile cfield cinvolves
cmonitoring cthe cpatient cfor cdeveloping csigns cand csymptoms cof clocalized cor
csystemic cinfection. cWhich cof cthe cfollowing cis ccause cfor cconcern?
Temperature cof c102.5° cF c(39.2° cC).
Incisional carea clight cpink cin ccolor.
White cblood ccell ccount cat c6500 cper cmm3.
Absence cof cpurulent cdrainage. c- cCORRECT✅✅Temperature cof c102.5° cF c(39.2°
cC).
A cnurse cis cpreparing ca cmedication cfor csubcutaneous cadministration. cAs cthe cnurse
crecaps cthe cneedle cusing cthe cscoop cmethod, cthe cnurse caccidentally ctouches cthe
ctable cwith cthe cuncovered cneedle. cWhat cis cthe cnurse's cbest caction?
Discard cthe cneedle, csyringe, cand cmedication cand cstart cover.
Discard cthe cneedle cand creplace cwith ca cnew cone cbefore cadministration.
Wipe cthe cneedle cwith can calcohol cswab cand crecap cfor cuse.
Transfer cthe cmedication cto ca cnew csyringe. c- cCORRECT✅✅Discard cthe cneedle
cand creplace cwith ca cnew cone cbefore cadministration.
The cnurse cis cadding ca cdry csterile cgauze cdressing cto cthe csterile cfield. cThe cdressing
cbounces con cthe csurface cand clands con cthe couter c1-inch cborder cof cthe csterile cfield.
cWhat caction cis cappropriate cat cthis ctime?
The cnurse cdiscards cthe centire csterile cfield, call citems con cit, cand cstarts cover.
, The cnurse copens canother csterile cgauze cdressing cand cadds cit cto cthe csterile cfield,
cbut cdoes cnot cuse cthe cfirst cone.
Once csterile cgloves care capplied, cthe cnurse cmoves cthe csterile cgauze cdressing cto
cthe ccenter cof cthe csterile cfield.
The cnurse ccontinues cwith cthe cprocedure cadding csupplies cto cthe csterile cfield cand
cusing ceach cof cthem cas cneeded. c- cCORRECT✅✅The cnurse copens canother
csterile cgauze cdressing cand cadds cit cto cthe csterile cfield, cbut cdoes cnot cuse cthe cfirst
cone.
What cwould cthe cnurse cdo cfirst cwhen cpreparing cto cbegin coxygen ctherapy cfor ca
cpatient?
Educate cthe cNAP cabout cthe coxygen corders.
Review cthe cmedical cprescription cfor cdelivery cmethod cand cflow crate.
Place ca c"No cSmoking" csign coutside cof cthe chospital croom.
Ensure cthat csuction cequipment cis cpresent cin cthe croom. c- cCORRECT✅✅Review
cthe cmedical cprescription cfor cdelivery cmethod cand cflow crate.
When cpreparing cthe cpatient's cenvironment cfor csafe coxygen ctherapy, cwhich
cintervention cis ca cpriority cto cminimize cthe cpatient's crisk cfor cinjury?
Place cappropriate csignage cto calert cstaff cand cvisitors cto cthe cpresence cof coxygen cin
cthe cpatient's croom.
Instruct cnursing cassistive cpersonnel c(NAP) cto cimmediately ccorrect cor creport csafety
chazards.
Inspect call celectrical cequipment cin cthe cpatient's croom cfor cthe cpresence cof csafety-
check ctags.
Ensure cthat cthe cpatient creceives cthe cprescribed camount cof coxygen cvia cthe
cappropriate cmethod. c- cCORRECT✅✅Inspect call celectrical cequipment cin cthe
cpatient's croom cfor cthe cpresence cof csafety-check ctags.
When ca cpatient cis creceiving coxygen cat chome, cwhich cinstruction cto cthe cfamily
cwould chelp cthem cunderstand chow cto cuse cthe coxygen csafely?
Increase cthe coxygen clevel cas cneeded cfor cthe cpatient's ccomfort.
Store cextra coxygen ccylinders chorizontally.
