NURA 303 EXAM 2
QUESTIONS VERIFIED ANSWERS
Most Updated Questions With 100% Correct Answers
THIS EXAM CONTAINS:
➢ QUESTIONS AND ANSWERS
➢ VERIFIED ANSWERS
➢ GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
A nurse is following the principles of medical asepsis when performing patient care in a
hospital setting. Which nursing action performed by the nurse follows these recommended
guidelines?
A. The nurse carries the patients' soiled bed linens close to the body to prevent spreading
microorganisms into the air
B. The nurse places soiled bed linens and hospital gowns on the floor when making the bed
C. The nurse moves the patient table away from the nurse's body when wiping it off after a
meal
D. The nurse cleans the most soiled items in the patient's bathroom first and follows with
the cleaner items ANSWER - c. According to the principles of medical asepsis, the nurse
should move equipment away from the body when brushing, scrubbing, or dusting articles
to prevent contaminated particles from settling on the hair, face, or uniform. The nurse
should carry soiled items away from the body to prevent them from touching the clothing.
The nurse should not put soiled items on the floor, as it is highly contaminated. The nurse
should also clean the least soiled areas first and then move to the more soiled ones to
prevent having the cleaner areas soiled by the dirtier areas.
A school nurse is performing an assessment of a student who states, "I'm too tired to keep
my head up in class." The student has a low-grade fever. The nurse would interpret these
findings as indicating which stage of infection?
A. Incubation period
B. Prodromal stage
C. Full stage of illness
D. Convalescent period ANSWER - b. During the prodromal stage, the person has vague
signs and symptoms, such as fatigue and a low-grade fever. There are no obvious symptoms
of infection during the incubation period, and they are more specific during the full stage of
illness before disappearing by the convalescent period.
A nurse is caring for patients in an isolation ward. In which situations would the nurse
appropriately use an alcohol-based handrub to decontaminate the hands? Select all that
apply.
A. Providing a bed bath for a patient
B. Visibly soiled hands after changing the bedding of a patient
C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
E. Assisting with a surgical placement of a cardiac stent
F. Removing old magazines from a patient's table ANSWER - a, c, d, f. It is recommended
to use an alcohol-based handrub in the following situations: before direct contact with
,patients; after direct contact with patient skin; after contact with body fluids if hands are not
visibly soiled; after removing gloves; before inserting urinary catheters, peripheral vascular
catheters, or invasive devices that do not require surgical placement; before donning sterile
gloves prior to an invasive procedure; if moving from a contaminated body site to a clean
body site; and after contact with objects contaminated by the patient. Keep in mind that
handrubs are not appropriate for use with C. difficile infection.
A nurse is performing hand hygiene after providing patient care. The nurse's hands are not
visibly soiled. Which steps in this procedure are performed correctly? Select all that apply.
A. Removes all jewelry including a platinum wedding band
B. Washes hands to 1 in above the wrists
C. Uses approximately one teaspoon of liquid soap
D. Keeps hands higher than elbows when placing under faucet
E. Uses friction motion when washing for at least 20 seconds
F. Rinses thoroughly with water flowing toward fingertips ANSWER - b, c, e, f. Proper
hand hygiene includes removing jewelry (with the exception of a plain wedding band),
wetting the hands and wrist area with the hands lower than the elbows, using about one
teaspoon of liquid soap, using friction motion for at least 20 seconds, washing to 1 in above
the wrists with a friction motion for at least 20 seconds, and rinsing thoroughly with water
flowing toward fingertips.
The nurse has opened the sterile supplies and put on two sterile gloves to complete a sterile
dressing change, a procedure that requires surgical asepsis. Which action by the nurse is
appropriate?
A. Keep splashes on the sterile field to a minimum
B. Cover the nose and mouth with gloved hands if a sneeze is imminent
C. Use forceps soaked in a disinfectant
D. Consider the outer 1 in of the sterile field as contaminated ANSWER - d. Considering
the outer inch of a sterile field as contaminated is a principle of surgical asepsis. Moisture
such as from splashes contaminates the sterile field, and sneezing would contaminate the
sterile gloves. Forceps soaked in disinfectant are not considered sterile.
The nurse caring for patients in a hospital setting institutes CDC standard precaution
recommendations for which category of patients?
A. Only patients with diagnosed infections
B. Only patients with visible blood, body fluids, or sweat
C. Only patients with nonintact skin
, D. All patients receiving care in hospitals ANSWER - d. Standard precautions apply to all
patients receiving care in hospitals, regardless of their diagnosis or possible infection status.
These recommendations include blood; all body fluids, secretions, and excretions except
sweat; nonintact skin; and mucous membranes.
In addition to standard precautions, the nurse would initiate droplet precautions for which
patients? Select all that apply.
A. A patient diagnosed with rubella
B. A patient diagnosed with diphtheria
C. A patient diagnosed with varicella
D. A patient diagnosed with tuberculosis
E. A patient diagnosed with MRSA
F. An infant diagnosed with adenovirus infection ANSWER - a, b, f. Rubella, diphtheria,
and adenovirus infection are illnesses transmitted by large-particle droplets and require
droplet precautions in addition to standard precautions. Airborne precautions are used for
patients who have infections spread through the air with small particles; for example,
tuberculosis, varicella, and rubeola. Contact precautions are used for patients who are
infected or colonized by a multidrug-resistant organism (MDRO), such as MRSA.
A nurse is preparing a sterile field using a packaged sterile drape for a confused patient who
is scheduled for a surgical procedure. When setting up the field, the patient accidentally
touches an instrument in the sterile field. What is the appropriate nursing action in this
situation?
A. Ask another nurse to hold the hand of the patient and continue setting up the field
B. Remove the instrument that was touched by the patient and continue setting up the
sterile field
C. Discard the supplies and prepare a new sterile field with another person holding the
patient's hand
D. No action is necessary since the patient has touched his or her own sterile field
ANSWER - c. If the patient touches a sterile field, the nurse should discard the supplies and
prepare a new sterile field. If the patient is confused, the nurse should have someone assist
by holding the patient's hand and reinforcing what is happening.
A nurse who created a sterile field for a patient is adding a sterile solution to the field. What
is an appropriate action when performing this task?
A. Place the bottle cap on the table with the edges down
B. Hold the bottle inside the edge of the sterile field
C. Hold the bottle with the label side opposite the palm of the hand
QUESTIONS VERIFIED ANSWERS
Most Updated Questions With 100% Correct Answers
THIS EXAM CONTAINS:
➢ QUESTIONS AND ANSWERS
➢ VERIFIED ANSWERS
➢ GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
A nurse is following the principles of medical asepsis when performing patient care in a
hospital setting. Which nursing action performed by the nurse follows these recommended
guidelines?
A. The nurse carries the patients' soiled bed linens close to the body to prevent spreading
microorganisms into the air
B. The nurse places soiled bed linens and hospital gowns on the floor when making the bed
C. The nurse moves the patient table away from the nurse's body when wiping it off after a
meal
D. The nurse cleans the most soiled items in the patient's bathroom first and follows with
the cleaner items ANSWER - c. According to the principles of medical asepsis, the nurse
should move equipment away from the body when brushing, scrubbing, or dusting articles
to prevent contaminated particles from settling on the hair, face, or uniform. The nurse
should carry soiled items away from the body to prevent them from touching the clothing.
The nurse should not put soiled items on the floor, as it is highly contaminated. The nurse
should also clean the least soiled areas first and then move to the more soiled ones to
prevent having the cleaner areas soiled by the dirtier areas.
A school nurse is performing an assessment of a student who states, "I'm too tired to keep
my head up in class." The student has a low-grade fever. The nurse would interpret these
findings as indicating which stage of infection?
A. Incubation period
B. Prodromal stage
C. Full stage of illness
D. Convalescent period ANSWER - b. During the prodromal stage, the person has vague
signs and symptoms, such as fatigue and a low-grade fever. There are no obvious symptoms
of infection during the incubation period, and they are more specific during the full stage of
illness before disappearing by the convalescent period.
A nurse is caring for patients in an isolation ward. In which situations would the nurse
appropriately use an alcohol-based handrub to decontaminate the hands? Select all that
apply.
A. Providing a bed bath for a patient
B. Visibly soiled hands after changing the bedding of a patient
C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
E. Assisting with a surgical placement of a cardiac stent
F. Removing old magazines from a patient's table ANSWER - a, c, d, f. It is recommended
to use an alcohol-based handrub in the following situations: before direct contact with
,patients; after direct contact with patient skin; after contact with body fluids if hands are not
visibly soiled; after removing gloves; before inserting urinary catheters, peripheral vascular
catheters, or invasive devices that do not require surgical placement; before donning sterile
gloves prior to an invasive procedure; if moving from a contaminated body site to a clean
body site; and after contact with objects contaminated by the patient. Keep in mind that
handrubs are not appropriate for use with C. difficile infection.
A nurse is performing hand hygiene after providing patient care. The nurse's hands are not
visibly soiled. Which steps in this procedure are performed correctly? Select all that apply.
A. Removes all jewelry including a platinum wedding band
B. Washes hands to 1 in above the wrists
C. Uses approximately one teaspoon of liquid soap
D. Keeps hands higher than elbows when placing under faucet
E. Uses friction motion when washing for at least 20 seconds
F. Rinses thoroughly with water flowing toward fingertips ANSWER - b, c, e, f. Proper
hand hygiene includes removing jewelry (with the exception of a plain wedding band),
wetting the hands and wrist area with the hands lower than the elbows, using about one
teaspoon of liquid soap, using friction motion for at least 20 seconds, washing to 1 in above
the wrists with a friction motion for at least 20 seconds, and rinsing thoroughly with water
flowing toward fingertips.
The nurse has opened the sterile supplies and put on two sterile gloves to complete a sterile
dressing change, a procedure that requires surgical asepsis. Which action by the nurse is
appropriate?
A. Keep splashes on the sterile field to a minimum
B. Cover the nose and mouth with gloved hands if a sneeze is imminent
C. Use forceps soaked in a disinfectant
D. Consider the outer 1 in of the sterile field as contaminated ANSWER - d. Considering
the outer inch of a sterile field as contaminated is a principle of surgical asepsis. Moisture
such as from splashes contaminates the sterile field, and sneezing would contaminate the
sterile gloves. Forceps soaked in disinfectant are not considered sterile.
The nurse caring for patients in a hospital setting institutes CDC standard precaution
recommendations for which category of patients?
A. Only patients with diagnosed infections
B. Only patients with visible blood, body fluids, or sweat
C. Only patients with nonintact skin
, D. All patients receiving care in hospitals ANSWER - d. Standard precautions apply to all
patients receiving care in hospitals, regardless of their diagnosis or possible infection status.
These recommendations include blood; all body fluids, secretions, and excretions except
sweat; nonintact skin; and mucous membranes.
In addition to standard precautions, the nurse would initiate droplet precautions for which
patients? Select all that apply.
A. A patient diagnosed with rubella
B. A patient diagnosed with diphtheria
C. A patient diagnosed with varicella
D. A patient diagnosed with tuberculosis
E. A patient diagnosed with MRSA
F. An infant diagnosed with adenovirus infection ANSWER - a, b, f. Rubella, diphtheria,
and adenovirus infection are illnesses transmitted by large-particle droplets and require
droplet precautions in addition to standard precautions. Airborne precautions are used for
patients who have infections spread through the air with small particles; for example,
tuberculosis, varicella, and rubeola. Contact precautions are used for patients who are
infected or colonized by a multidrug-resistant organism (MDRO), such as MRSA.
A nurse is preparing a sterile field using a packaged sterile drape for a confused patient who
is scheduled for a surgical procedure. When setting up the field, the patient accidentally
touches an instrument in the sterile field. What is the appropriate nursing action in this
situation?
A. Ask another nurse to hold the hand of the patient and continue setting up the field
B. Remove the instrument that was touched by the patient and continue setting up the
sterile field
C. Discard the supplies and prepare a new sterile field with another person holding the
patient's hand
D. No action is necessary since the patient has touched his or her own sterile field
ANSWER - c. If the patient touches a sterile field, the nurse should discard the supplies and
prepare a new sterile field. If the patient is confused, the nurse should have someone assist
by holding the patient's hand and reinforcing what is happening.
A nurse who created a sterile field for a patient is adding a sterile solution to the field. What
is an appropriate action when performing this task?
A. Place the bottle cap on the table with the edges down
B. Hold the bottle inside the edge of the sterile field
C. Hold the bottle with the label side opposite the palm of the hand
