NUR 114 Test 3 Actual Latest recent &
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,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. - correct ans:C. The nurse moves the patient table away from the nurse's body when wiping it off
after a meal.
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 - correct ans:B. Prodromal
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. The nurse is providing a bed bath for a patient.
B. The nurse has visibly soiled hands after changing the bedding of a patient.
C. The nurse removes gloves when patient care is completed.
D. The nurse is inserting a urinary catheter for a female patient.
E. The nurse is assisting with a surgical placement of a cardiac stent.
F. The nurse removes old magazines from a patient's table. - correct ans:A. The nurse is providing a bed
bath for a patient.
F. The nurse removes old magazines from a patient's table.
D. The nurse is inserting a urinary catheter for a female patient
,C. The nurse removes gloves when patient care is completed
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. The nurse removes all jewelry including a platinum wedding band.
B. The nurse washes hands to one inch above the wrists.
C. The nurse uses approximately two teaspoons of liquid soap.
D. The nurse keeps hands higher than elbows when placing under faucet.
E. The nurse uses friction motion when washing for at least 15 seconds.
F. The nurse rinses thoroughly with water flowing toward fingertips. - correct ans:all except D (keeping
hands higher than elbows under faucet; dirty water would run down your arms)
and A
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. The nurse must:
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 inch of the sterile field as contaminated. - correct ans:D. Consider the outer 1
inch of the sterile fielda s contaminated
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 - correct ans:D. all patients receiving care in hospitals
, 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 diptheria
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 - correct ans:A. A patient diagnosed with rubella
B. A patient diagnosed with diptheria
F. An infant diagnosed with adenovirus infection
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. - correct ans:C.
Discard the supplies and prepare a new sterile field with another person holding the patient's hand.
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.
D. Pour the solution from a height of 4 to 6 inches (10 to 15 cm). - correct ans:D. Pour the solution from
a height of 4 to 6 inches (10 to 15 cm).
frequently tested exam and well
elaborated questions with questions
and correct answers GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,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. - correct ans:C. The nurse moves the patient table away from the nurse's body when wiping it off
after a meal.
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 - correct ans:B. Prodromal
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. The nurse is providing a bed bath for a patient.
B. The nurse has visibly soiled hands after changing the bedding of a patient.
C. The nurse removes gloves when patient care is completed.
D. The nurse is inserting a urinary catheter for a female patient.
E. The nurse is assisting with a surgical placement of a cardiac stent.
F. The nurse removes old magazines from a patient's table. - correct ans:A. The nurse is providing a bed
bath for a patient.
F. The nurse removes old magazines from a patient's table.
D. The nurse is inserting a urinary catheter for a female patient
,C. The nurse removes gloves when patient care is completed
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. The nurse removes all jewelry including a platinum wedding band.
B. The nurse washes hands to one inch above the wrists.
C. The nurse uses approximately two teaspoons of liquid soap.
D. The nurse keeps hands higher than elbows when placing under faucet.
E. The nurse uses friction motion when washing for at least 15 seconds.
F. The nurse rinses thoroughly with water flowing toward fingertips. - correct ans:all except D (keeping
hands higher than elbows under faucet; dirty water would run down your arms)
and A
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. The nurse must:
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 inch of the sterile field as contaminated. - correct ans:D. Consider the outer 1
inch of the sterile fielda s contaminated
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 - correct ans:D. all patients receiving care in hospitals
, 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 diptheria
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 - correct ans:A. A patient diagnosed with rubella
B. A patient diagnosed with diptheria
F. An infant diagnosed with adenovirus infection
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. - correct ans:C.
Discard the supplies and prepare a new sterile field with another person holding the patient's hand.
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.
D. Pour the solution from a height of 4 to 6 inches (10 to 15 cm). - correct ans:D. Pour the solution from
a height of 4 to 6 inches (10 to 15 cm).
