1062191301 pn-4006-final-exam-newest-version-
20252026
Which one of the following indicates that the nurse is using surgical aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing - (correct Answer) - a. Inserting an intravenous catheter
The client requires a sterile dressing change. Which of the following is an appropriate intervention for
the nurse to implement in maintaining sterile asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. - (correct Answer) - b. Check integrity of
sterile packages prior to use.
The client has a large, deep abdominal incision that requires a dressing. The incision is packed with
sterile 1.75-cm packing and covered with a dry, 10 × 10-cm gauze. When changing the dressing, the
nurse accidentally drops the packing onto the client's abdomen. Which of the following actions should
the nurse take?
Select one:
a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision with sterile gloves. - (correct
Answer) - b. Throw the packing away, and prepare a new one.
Droplet precautions will be instituted for the client admitted to the infectious disease unit with which of
the following conditions?
,Select one:
a. Influenza
b. C. difficile
c. Pulmonary tuberculosis
d. Measles - (correct Answer) - a. Influenza
A client with active tuberculosis is admitted to the medical center. The nurse recognizes that which of
the following types of precautions will be required upon admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation - (correct Answer) - a. Airborne precautions
The parent of a preschool child asks the nurse how chickenpox (caused by the varicella-zoster virus) is
transmitted. The nurse explains which of the following about the virus?
Select one:
a. It is carried by a vector organism.
b. It is carried though the air in droplets after sneezing or coughing.
c. It is transmitted through person-to-person contact.
d. It is acquired through contact with contaminated objects. - (correct Answer) - b. It is carried though
the air in droplets after sneezing or coughing.
The nurse recognizes the appropriate procedures for sterile asepsis. Of the following, which action is
consistent with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
,c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to the nurse. - (correct
Answer) - c. The first small amount of sterile solution should be poured and discarded.
The nursing assistant is learning how to use protective equipment when caring for a client in isolation.
The nursing assistant is instructed in the correct sequence for putting on the protective equipment.
Which of the following describes the correct sequence?
Select one:
a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then apply gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on mask and eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then apply gloves. - (correct
Answer) - a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply gloves.
The nurse is aware that it is important to break the chain of infection. Which of the following is an
example of a nursing intervention implemented to reduce a reservoir of infection for a client?
Select one:
a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
c. Isolating the client's articles
d. Changing soiled dressings - (correct Answer) - d. Changing soiled dressings
During the neurological component of the physical examination, the nurse tests the function of the
client's cranial nerves. In testing cranial nerve III, the nurse determines the client's ability to do which
one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size - (correct Answer) - d. React to light with changes in pupil size
, A rapid infusion of blood has been given to the client. The nurse assesses the client for which one of the
following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting - (correct Answer) - c. Hypertension and tachycardia
A client complains of a headache and chills during a blood transfusion. Which one of the following
actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. - (correct Answer) - b. Stop the blood transfusion.
Which of the following is an unexpected value that the nurse, in reviewing the results of the client's
blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L - (correct Answer) - a. Calcium, 1.9 mmol/L
A client has intravenous (IV) therapy for the administration of antibiotics and is stating that the IV site
"hurts and is swollen." Which of the following information assessed on the client indicates the presence
of phlebitis, as opposed to infiltration?
Select one:
20252026
Which one of the following indicates that the nurse is using surgical aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing - (correct Answer) - a. Inserting an intravenous catheter
The client requires a sterile dressing change. Which of the following is an appropriate intervention for
the nurse to implement in maintaining sterile asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. - (correct Answer) - b. Check integrity of
sterile packages prior to use.
The client has a large, deep abdominal incision that requires a dressing. The incision is packed with
sterile 1.75-cm packing and covered with a dry, 10 × 10-cm gauze. When changing the dressing, the
nurse accidentally drops the packing onto the client's abdomen. Which of the following actions should
the nurse take?
Select one:
a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision with sterile gloves. - (correct
Answer) - b. Throw the packing away, and prepare a new one.
Droplet precautions will be instituted for the client admitted to the infectious disease unit with which of
the following conditions?
,Select one:
a. Influenza
b. C. difficile
c. Pulmonary tuberculosis
d. Measles - (correct Answer) - a. Influenza
A client with active tuberculosis is admitted to the medical center. The nurse recognizes that which of
the following types of precautions will be required upon admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation - (correct Answer) - a. Airborne precautions
The parent of a preschool child asks the nurse how chickenpox (caused by the varicella-zoster virus) is
transmitted. The nurse explains which of the following about the virus?
Select one:
a. It is carried by a vector organism.
b. It is carried though the air in droplets after sneezing or coughing.
c. It is transmitted through person-to-person contact.
d. It is acquired through contact with contaminated objects. - (correct Answer) - b. It is carried though
the air in droplets after sneezing or coughing.
The nurse recognizes the appropriate procedures for sterile asepsis. Of the following, which action is
consistent with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
,c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to the nurse. - (correct
Answer) - c. The first small amount of sterile solution should be poured and discarded.
The nursing assistant is learning how to use protective equipment when caring for a client in isolation.
The nursing assistant is instructed in the correct sequence for putting on the protective equipment.
Which of the following describes the correct sequence?
Select one:
a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then apply gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on mask and eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then apply gloves. - (correct
Answer) - a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply gloves.
The nurse is aware that it is important to break the chain of infection. Which of the following is an
example of a nursing intervention implemented to reduce a reservoir of infection for a client?
Select one:
a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
c. Isolating the client's articles
d. Changing soiled dressings - (correct Answer) - d. Changing soiled dressings
During the neurological component of the physical examination, the nurse tests the function of the
client's cranial nerves. In testing cranial nerve III, the nurse determines the client's ability to do which
one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size - (correct Answer) - d. React to light with changes in pupil size
, A rapid infusion of blood has been given to the client. The nurse assesses the client for which one of the
following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting - (correct Answer) - c. Hypertension and tachycardia
A client complains of a headache and chills during a blood transfusion. Which one of the following
actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. - (correct Answer) - b. Stop the blood transfusion.
Which of the following is an unexpected value that the nurse, in reviewing the results of the client's
blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L - (correct Answer) - a. Calcium, 1.9 mmol/L
A client has intravenous (IV) therapy for the administration of antibiotics and is stating that the IV site
"hurts and is swollen." Which of the following information assessed on the client indicates the presence
of phlebitis, as opposed to infiltration?
Select one:
