NUR 105 Midterm Exam Questions And
Answers Verified 100% Correct
Place in the correct order the steps for removing a gown - ANSWER -a. unfasten
the ties
b. touching only the inside of the gown, pull away from the torso
c. keeping the hands on the inner surface of the gown, pull gown from arms
d. turn gown inside out
e. fold or roll the gown into a bundle
f. discard the gown
1. What is the best source for the nurse to determine the type of transmission
precautions a client needs? - ANSWER -a. Client's medical record
1. The client asks the nurse why the nurse wears a disposable gown every time she
enters the client's room. What is the nurse's best response? - ANSWER -a. "I am
required to wear a gown for certain infections that are easily passed to others"
1. The nurse removes PPE after caring for a client on transmission-based
precautions. Which action by the nurse is correct? - ANSWER -a. Touch the inside
of the gown and pull it away from the torso
1. The nurse prepares to wear PPE when entering a client's room. What action
does the nurse take first? - ANSWER -a. Perform hand hygiene
1. The charge nurse confronts a new nurse about not wearing gloves into a client's
room. The client is not on transmission-based precautions. How does the new
nurse best respond? - ANSWER -a. "Can you show me the hospital policy for
when to wear gloves?"
1. PPE is used in health care facilities for primarily which reason? - ANSWER -a.
To protect both the staff and clients from becoming infected by one another
,1. Which item would the nurse remove first when removing PPE? - ANSWER -a.
Gloves
1. The new nurse notes a health care provider enter a client's room without the
correct PPE. What does the nurse say to the health care provider? - ANSWER -a. "I
notice you did not wear the required PPE"
1. The nurse is wearing a gown and gloves as part of using PPE. The gown is tied
in the front at the waist and at the neck. Which action would the nurse take first? -
ANSWER -a. Unfasten the gown at the waist
1. The nurse is wearing a gown as part of using PPE and is preparing to put on
clean disposable gloves. Which placement indicates that the nurse has put on the
gloves properly? - ANSWER -a. The glove ends extend to cover the gown's cuffs
1. The nurse wears PPE when entering the client's room. What is the nurse's goal
in wearing PPE? - ANSWER -a. To prevent infection transmission
1. The nurse prepares to enter a client's room where goggles are required but are
not available. Which action by the nurse is best? - ANSWER -a. Wear a face shield
as part of the protective equipment
1. The nurse notes that a health care provider failed to observe transmission
precautions in a client's room and is entering another client's room. What is the
nurse's next action? - ANSWER -a. Remind the health care provider about the
transmission precautions
1. The nurse has just measured an adult client's oral temperature and obtained a
result of 102.4 F (39.1 C). The client states, "I just finished my coffee right before
you came in. Can I have another cup?" Which response by the nurse is most
appropriate? - ANSWER -a. "I will bring you another cup when I return in 30
minutes to reassess your temperature. Please do not drink any other beverages until
I return"
, 1. The nurse is preparing to measure a client's rectal temperature. Which supplies
and equipment should the nurse have available before beginning the procedure? -
ANSWER -a. An electronic thermometer with rectal probe
b. Disposable probe cover
a. Water-soluble lubricating gel
1. The nurse is teaching the unlicensed assistive personnel (UAP) the proper
technique to take an axillary temperature. Where would the nurse teach the UAP to
place the probe? - ANSWER -a. The deepest area of the axilla
1. The nurse is providing care for a 3-year-old toddler and needs to take the child's
temperature rectally. How far should the nurse insert the probe into the rectum? -
ANSWER -a. 1 in (2.5 cm)
1. The nurse is taking a rectal temperature on a client. The client reports dizziness
and then faints. What actions should the nurse take? - ANSWER -a. Assess the
heart rate
b. Remove the thermometer probe
c. Notify the health care provider
d. Assess the blood pressure
1. The nurse has taken a client's temperature using a tympanic thermometer. What
should the nurse do next? - ANSWER -a. Discard the probe cover
1. The nurse is preparing to assess a client's oral temperature. The nurse should
plan to place the thermometer probe in which areas of the client's mouth? -
ANSWER -a. Deep in the posterior sublingual pocket
1. A person's core body temperature is lowest during which part of the day? -
ANSWER -a. Early morning
1. The nurse prepares to obtain a rectal temperature on an adult client. What
lubricant should the nurse prepare for the thermometer probe? - ANSWER -a.
Water soluble lubricant
Answers Verified 100% Correct
Place in the correct order the steps for removing a gown - ANSWER -a. unfasten
the ties
b. touching only the inside of the gown, pull away from the torso
c. keeping the hands on the inner surface of the gown, pull gown from arms
d. turn gown inside out
e. fold or roll the gown into a bundle
f. discard the gown
1. What is the best source for the nurse to determine the type of transmission
precautions a client needs? - ANSWER -a. Client's medical record
1. The client asks the nurse why the nurse wears a disposable gown every time she
enters the client's room. What is the nurse's best response? - ANSWER -a. "I am
required to wear a gown for certain infections that are easily passed to others"
1. The nurse removes PPE after caring for a client on transmission-based
precautions. Which action by the nurse is correct? - ANSWER -a. Touch the inside
of the gown and pull it away from the torso
1. The nurse prepares to wear PPE when entering a client's room. What action
does the nurse take first? - ANSWER -a. Perform hand hygiene
1. The charge nurse confronts a new nurse about not wearing gloves into a client's
room. The client is not on transmission-based precautions. How does the new
nurse best respond? - ANSWER -a. "Can you show me the hospital policy for
when to wear gloves?"
1. PPE is used in health care facilities for primarily which reason? - ANSWER -a.
To protect both the staff and clients from becoming infected by one another
,1. Which item would the nurse remove first when removing PPE? - ANSWER -a.
Gloves
1. The new nurse notes a health care provider enter a client's room without the
correct PPE. What does the nurse say to the health care provider? - ANSWER -a. "I
notice you did not wear the required PPE"
1. The nurse is wearing a gown and gloves as part of using PPE. The gown is tied
in the front at the waist and at the neck. Which action would the nurse take first? -
ANSWER -a. Unfasten the gown at the waist
1. The nurse is wearing a gown as part of using PPE and is preparing to put on
clean disposable gloves. Which placement indicates that the nurse has put on the
gloves properly? - ANSWER -a. The glove ends extend to cover the gown's cuffs
1. The nurse wears PPE when entering the client's room. What is the nurse's goal
in wearing PPE? - ANSWER -a. To prevent infection transmission
1. The nurse prepares to enter a client's room where goggles are required but are
not available. Which action by the nurse is best? - ANSWER -a. Wear a face shield
as part of the protective equipment
1. The nurse notes that a health care provider failed to observe transmission
precautions in a client's room and is entering another client's room. What is the
nurse's next action? - ANSWER -a. Remind the health care provider about the
transmission precautions
1. The nurse has just measured an adult client's oral temperature and obtained a
result of 102.4 F (39.1 C). The client states, "I just finished my coffee right before
you came in. Can I have another cup?" Which response by the nurse is most
appropriate? - ANSWER -a. "I will bring you another cup when I return in 30
minutes to reassess your temperature. Please do not drink any other beverages until
I return"
, 1. The nurse is preparing to measure a client's rectal temperature. Which supplies
and equipment should the nurse have available before beginning the procedure? -
ANSWER -a. An electronic thermometer with rectal probe
b. Disposable probe cover
a. Water-soluble lubricating gel
1. The nurse is teaching the unlicensed assistive personnel (UAP) the proper
technique to take an axillary temperature. Where would the nurse teach the UAP to
place the probe? - ANSWER -a. The deepest area of the axilla
1. The nurse is providing care for a 3-year-old toddler and needs to take the child's
temperature rectally. How far should the nurse insert the probe into the rectum? -
ANSWER -a. 1 in (2.5 cm)
1. The nurse is taking a rectal temperature on a client. The client reports dizziness
and then faints. What actions should the nurse take? - ANSWER -a. Assess the
heart rate
b. Remove the thermometer probe
c. Notify the health care provider
d. Assess the blood pressure
1. The nurse has taken a client's temperature using a tympanic thermometer. What
should the nurse do next? - ANSWER -a. Discard the probe cover
1. The nurse is preparing to assess a client's oral temperature. The nurse should
plan to place the thermometer probe in which areas of the client's mouth? -
ANSWER -a. Deep in the posterior sublingual pocket
1. A person's core body temperature is lowest during which part of the day? -
ANSWER -a. Early morning
1. The nurse prepares to obtain a rectal temperature on an adult client. What
lubricant should the nurse prepare for the thermometer probe? - ANSWER -a.
Water soluble lubricant
