SKILLS FOR NURSING PRACTICE I LATEST 2026/2027
UPDATE | QUESTIONS AND VERIFIED ANSWERS |
GRADE A - GALEN
QUESTION 1
A new patient is admitted to a medical unit with Clostridium difficile. Which
type of precautions or isolation does the nurse know is appropriate for this
patient?
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Protective isolation
Correct Answer: c. Contact precautions
Rationale: Clostridium difficile is transmitted via the fecal-oral route and
contact with contaminated surfaces. Contact precautions are required, which
include the use of gloves and gowns for all interactions with the patient and
their environment. Hand hygiene with soap and water is preferred over
alcohol-based hand sanitizers because alcohol does not kill C. difficile spores.
QUESTION 2
In which situations does the nurse wear clean gloves as part of standard
precautions? (Select all that apply.)
a. When performing a wound dressing change
b. When assisting a patient with oral care
c. When starting an IV line
d. When providing perineal care to an incontinent patient
1
,e. When taking a patient's blood pressure
f. When administering an oral medication
Correct Answer: a, b, c, d
Rationale: Standard precautions require the use of gloves when there is
potential contact with blood, body fluids, mucous membranes, non-intact skin, or
contaminated equipment. Oral care, wound care, IV starts, and perineal care all
have potential for contact with blood or body fluids. Taking blood pressure and
administering oral medications do not require gloves unless there is potential
for contact with body fluids.
QUESTION 3
The nurse is preparing to insert a urinary catheter. Which principle of surgical
asepsis is MOST important during this procedure?
a. The sterile field should be set up at least 1 hour before the procedure
b. The nurse should wear clean gloves only
c. Sterile objects that touch unsterile surfaces must be discarded
d. The procedure can be performed with the patient in any position
Correct Answer: c. Sterile objects that touch unsterile surfaces must be discarded
Rationale: Surgical aseptic technique requires maintaining sterility. Any
sterile object that touches an unsterile surface is considered contaminated and
must be discarded. Sterile fields should be set up immediately before the
procedure, sterile gloves are required (not clean gloves), and proper patient
positioning is essential for successful catheterization.
QUESTION 4
Which of the following is the correct technique for performing hand hygiene
2
,using alcohol-based hand sanitizer?
a. Apply sanitizer to dry hands and rub until dry
b. Apply sanitizer to wet hands and rub for 10 seconds
c. Apply sanitizer and rinse with water immediately
d. Apply sanitizer only to the palms of the hands
Correct Answer: a. Apply sanitizer to dry hands and rub until dry
Rationale: Alcohol-based hand sanitizer should be applied to dry hands and
rubbed thoroughly until completely dry (about 15-20 seconds). It should not be
rinsed off. Wet hands dilute the sanitizer, reducing effectiveness. All surfaces
of the hands should be covered, not just the palms.
QUESTION 5
The nurse is providing care to a patient with a wound infection. Which personal
protective equipment (PPE) should the nurse wear when changing the wound
dressing?
a. Gloves only
b. Gloves and mask
c. Gloves, gown, and goggles
d. Mask and gown only
Correct Answer: a. Gloves only
Rationale: Standard precautions require gloves for contact with blood or body
fluids. A mask and goggles are needed if there is risk of splashing or
spraying. A gown is needed if there is risk of soiling clothing. For a simple
wound dressing change with no risk of splashing, gloves alone are sufficient.
3
, QUESTION 6
Which of the following is a key component of the "chain of infection"?
a. Aseptic technique
b. Standard precautions
c. A susceptible host
d. Hand hygiene
Correct Answer: c. A susceptible host
Rationale: The chain of infection consists of six links: infectious agent,
reservoir, portal of exit, mode of transmission, portal of entry, and
susceptible host. A susceptible host is a person who is vulnerable to infection
due to factors such as age, immune status, or underlying illness. Aseptic
technique, standard precautions, and hand hygiene are methods to break the
chain of infection, not components of the chain itself.
QUESTION 7
The nurse is preparing a sterile field for a procedure. Which action is
appropriate?
a. Open the sterile package away from the body
b. Touch the inside of the sterile package with bare hands
c. Set up the sterile field before donning sterile gloves
d. Allow the sterile field to be set up and left unattended
Correct Answer: a. Open the sterile package away from the body
Rationale: Sterile packages should be opened away from the body to avoid
contamination. The inside of the sterile package should not be touched with bare
hands. The sterile field should be set up as close to the time of the procedure
as possible and should not be left unattended, as it could become contaminated.
4