NURSING 311 EXAM QUESTIONS AND
ANSWERS
In which situation would it be appropriate for the nurse to use an antiseptic hand rub
to perform hand hygiene? - ANSWER-The nurse's hands are not visibly soiled.
When removing a gown worn as personal protective equipment (PPE) while caring
for a patient in isolation, why does the nurse avoid touching the outside of the gown?
- ANSWER-To prevent touching contaminated material with unprotected hands
What is the primary purpose of appropriate hand hygiene? - ANSWER-To prevent or
control the transmission of infectious microorganisms from any source
How does soap work? - ANSWER-Emulsifies fat and oil so that dirt and
microorganisms can be mechanically removed
The nurse is assisting a patient with a tub bath. After the patient has been safely
positioned in the tub, he tells the nurse, "I'll call you when I'm done." What is the
nurse's best response? - ANSWER-"Well, I'll check back with you in about 5 minutes
to see if you need anything."
The nurse delegates a patient's back massage to nursing assistive personnel (NAP).
Which statement by the NAP requires the nurse to follow up? - ANSWER-"The
muscles of her lower back twitch when I start to rub it, but they calm down if I keep
massaging her."
A male patient receiving perineal care tells the nurse "It has started to hurt a little
down there." What is the nurse's best response? - ANSWER-"When did you start
experiencing the pain?"
The nurse is preparing to provide perineal care for a female patient who is on bed
rest. Which patient position should the nurse use for this care? - ANSWER-Dorsal
recumbent
The nurse observes the nursing assistive personnel (NAP) providing perineal care to
a male patient. Which observation of care requires the nurse's follow-up? -
ANSWER-Reserving the cleansing of the tip of the penis as the final step in perineal
care
When preparing to delegate a patient's back massage to nursing assistive personnel
(NAP), the nurse would do what first? - ANSWER-Assess the NAP's understanding
of the proper technique for back massage
Which of the following interventions directly related to patient safety must the nurse
consider when providing perineal care to an elderly male patient with a catheter? -
ANSWER-Wear clean gloves during care.
, A patient with left-sided muscle weakness is prescribed a bath every other day.
Which precaution would help the nurse reduce this patient's risk of falling? -
ANSWER-Decline the patient's request to add scented oil to the bathwater.
The nurse would not offer back massage to which of the following patients? -
ANSWER-Patient who is receiving continuous epidural analgesia
A patient is being given a bed bath. The nurse realizes that another washcloth is
needed to complete the bath. What is one way in which the nurse can ensure the
patient's safety? - ANSWER-Make sure the call light is within the patient's reach.
The nurse is reviewing placement of an unfitted bottom sheet with nursing assistive
personnel (NAP) assigned to make an unoccupied bed. What should the nurse
include in this teaching? - ANSWER-The lower hem of the sheet should lie seam
down and even with the bottom edge of the mattress.
When making an unoccupied bed, where would the nurse place a waterproof pad? -
ANSWER-Over the bottom sheet.
Which action ensures that a patient will not have unnecessary pain during a linen
change? - ANSWER-Administer a prescribed analgesic 30 to 60 minutes before the
bed change if needed.
What will the nurse do right after placing a clean top sheet on the patient? -
ANSWER-Remove the bath blanket
When making a surgical bed with no patient present, at which time is it unnecessary
to perform hand hygiene? - ANSWER-After disposing of soiled linen that is not
visibly soiled
For a surgical bed, why is the linen formed into a triangle and fanfolded away from
the side on which the patient will be transferred? - ANSWER-To keep the linen out of
the way during the transfer
A nursing assistive personnel (NAP) has finished making a surgical bed for a patient
in surgery. How would the nurse instruct the NAP to leave the bed to transfer the
surgical patient safely? - ANSWER-Raise the height of the bed.
A patient who weighs 200 lbs. needs to be moved up in bed with the aid of a friction-
reducing device. The nurse will prepare for this move by assembling how many
caregivers? - ANSWER-At least three
The nurse is preparing to move a patient with hemiplegia into the prone position.
What action should the nurse take when rolling the patient onto her side? -
ANSWER-Place a pillow on the abdomen.
Which instruction would the nurse give a patient who is able to assist with transfer
from a bed to a wheelchair using a transfer belt? - ANSWER-Please push down onto
the mattress with both hands and stand when I count to three."
ANSWERS
In which situation would it be appropriate for the nurse to use an antiseptic hand rub
to perform hand hygiene? - ANSWER-The nurse's hands are not visibly soiled.
When removing a gown worn as personal protective equipment (PPE) while caring
for a patient in isolation, why does the nurse avoid touching the outside of the gown?
- ANSWER-To prevent touching contaminated material with unprotected hands
What is the primary purpose of appropriate hand hygiene? - ANSWER-To prevent or
control the transmission of infectious microorganisms from any source
How does soap work? - ANSWER-Emulsifies fat and oil so that dirt and
microorganisms can be mechanically removed
The nurse is assisting a patient with a tub bath. After the patient has been safely
positioned in the tub, he tells the nurse, "I'll call you when I'm done." What is the
nurse's best response? - ANSWER-"Well, I'll check back with you in about 5 minutes
to see if you need anything."
The nurse delegates a patient's back massage to nursing assistive personnel (NAP).
Which statement by the NAP requires the nurse to follow up? - ANSWER-"The
muscles of her lower back twitch when I start to rub it, but they calm down if I keep
massaging her."
A male patient receiving perineal care tells the nurse "It has started to hurt a little
down there." What is the nurse's best response? - ANSWER-"When did you start
experiencing the pain?"
The nurse is preparing to provide perineal care for a female patient who is on bed
rest. Which patient position should the nurse use for this care? - ANSWER-Dorsal
recumbent
The nurse observes the nursing assistive personnel (NAP) providing perineal care to
a male patient. Which observation of care requires the nurse's follow-up? -
ANSWER-Reserving the cleansing of the tip of the penis as the final step in perineal
care
When preparing to delegate a patient's back massage to nursing assistive personnel
(NAP), the nurse would do what first? - ANSWER-Assess the NAP's understanding
of the proper technique for back massage
Which of the following interventions directly related to patient safety must the nurse
consider when providing perineal care to an elderly male patient with a catheter? -
ANSWER-Wear clean gloves during care.
, A patient with left-sided muscle weakness is prescribed a bath every other day.
Which precaution would help the nurse reduce this patient's risk of falling? -
ANSWER-Decline the patient's request to add scented oil to the bathwater.
The nurse would not offer back massage to which of the following patients? -
ANSWER-Patient who is receiving continuous epidural analgesia
A patient is being given a bed bath. The nurse realizes that another washcloth is
needed to complete the bath. What is one way in which the nurse can ensure the
patient's safety? - ANSWER-Make sure the call light is within the patient's reach.
The nurse is reviewing placement of an unfitted bottom sheet with nursing assistive
personnel (NAP) assigned to make an unoccupied bed. What should the nurse
include in this teaching? - ANSWER-The lower hem of the sheet should lie seam
down and even with the bottom edge of the mattress.
When making an unoccupied bed, where would the nurse place a waterproof pad? -
ANSWER-Over the bottom sheet.
Which action ensures that a patient will not have unnecessary pain during a linen
change? - ANSWER-Administer a prescribed analgesic 30 to 60 minutes before the
bed change if needed.
What will the nurse do right after placing a clean top sheet on the patient? -
ANSWER-Remove the bath blanket
When making a surgical bed with no patient present, at which time is it unnecessary
to perform hand hygiene? - ANSWER-After disposing of soiled linen that is not
visibly soiled
For a surgical bed, why is the linen formed into a triangle and fanfolded away from
the side on which the patient will be transferred? - ANSWER-To keep the linen out of
the way during the transfer
A nursing assistive personnel (NAP) has finished making a surgical bed for a patient
in surgery. How would the nurse instruct the NAP to leave the bed to transfer the
surgical patient safely? - ANSWER-Raise the height of the bed.
A patient who weighs 200 lbs. needs to be moved up in bed with the aid of a friction-
reducing device. The nurse will prepare for this move by assembling how many
caregivers? - ANSWER-At least three
The nurse is preparing to move a patient with hemiplegia into the prone position.
What action should the nurse take when rolling the patient onto her side? -
ANSWER-Place a pillow on the abdomen.
Which instruction would the nurse give a patient who is able to assist with transfer
from a bed to a wheelchair using a transfer belt? - ANSWER-Please push down onto
the mattress with both hands and stand when I count to three."
