Page 1
,1. The nurse is caring for a postoperative client in contact isolation. Which actions should
the nurse employ to reduce the spread of disease? Select all that apply.
A) Wash hands after removing gloves before leaving the client's room.
B) Wear clean gloves when performing a sterile dressing change.
C) Place used syringes and uncapped needles in a puncture-resistant container after
use.
D) Instruct the client to ambulate in the hall several times a day.
E) Use sealed items from the client's room when caring for other clients.
2. A nurse has implemented numerous practices with the goal of reducing the number and
transfer of pathogens. Which actions are consistent with this goal? Select all that apply.
A) Carry soiled items close to the body to prevent transfer of pathogens into the
environment.
B) Place soiled bed linen or any other items on the floor, instead of on the bed or
furniture.
C) Move equipment close to you when brushing, dusting, or scrubbing articles.
D) Clean the least soiled areas first and then move to the more soiled ones.
E) Use personal grooming habits, such as shampooing hair often, to prevent spreading
microorganisms.
F) Shake out linens and client clothing before placing them back on the bed.
3. An experienced nurse is teaching a student nurse about the proper use of hand hygiene.
Which guideline should the nurse provide to the student?
A) The use of gloves eliminates the need for hand hygiene.
B) The use of hand hygiene eliminates the need for gloves.
C) Hand hygiene is needed after contact with objects near the client.
D) Hand lotions should not be used after hand hygiene.
4. In which situation is an alcohol-based rub an inappropriate option for hand hygiene?
A) When the nurse's hands are visibly soiled
B) When the nurse anticipates contact with the client's skin
C) When the nurse leaves the room of an immunocompromised client
D) When the nurse is caring for a client with an active infection
5. A nurse has been exposed to urine while changing the linens of a client's bed. Which
guideline is followed for performing hand hygiene after this client encounter?
A) Use an alcohol-based handrub to decontaminate the hands.
B) Remove all jewelry, including wedding bands, before handwashing.
C) Keep hands lower than elbows to allow water to flow toward fingertips.
D) Pat dry with a paper towel, beginning with the forearms and moving down to
fingertips.
Page 2
,6. A nurse is implementing the principles of surgical asepsis while inserting a client's
indwelling urinary catheter. Which action should the nurse perform?
A) Hold sterile objects above waist level to prevent accidental contamination.
B) Consider the outside of the sterile package to be partially sterile.
C) Consider the outer 3-in edge of a sterile field to be contaminated.
D) Open sterile packages so that the first edge of the wrapper is directed toward you.
7. The nurse is performing a sterile change of a client's central line catheter dressing. The
client receives a telephone call and stretches the phone cord across the open sterile
dressing kit. What is the next best action the nurse should take?
A) Determine what item was touched and replace it.
B) Collect another sterile central line dressing kit.
C) Remove the old central line dressing.
D) Place surgical masks on the nurse and the client.
8. A nurse is adding a sterile solution to a sterile field and has just opened the bottle
according to manufacturer's directions. What is the next step?
A) Touch the tip of the bottle to the sterile container to start the flow of the solution
and pour it into the container directly from the top of the container edge.
B) Hold the bottle outside the edge of the sterile field with the label side facing the
palm of the hand and prepare to pour from a height of 4 to 6 in.
C) “Lip” a new or old bottle of solution before pouring it and hold the solution with
the label facing out from a height of 4 to 6 in.
D) Hold the bottle inside the 1-in edges of the sterile field with the label side facing
the palm of the hand and pour from a height of 2 to 4 in.
9. In which order should the following steps for putting the first hand into a sterile glove
be performed?
1. Carefully open the inner package. Fold open the top flap, then the bottom and sides.
2. Place the inner package on the work surface with the side labeled “cuff end” closest
to the body.
3. With the thumb and forefinger of the nondominant hand, grasp the folded cuff of the
glove for the dominant hand, touching only the exposed inside of the glove.
4. Keeping the hands above the waistline, lift and hold the glove up and off the inner
package with fingers down.
5. Place the sterile glove package on a clean, dry surface at or above your waist.
6. Carefully insert dominant hand palm up into the glove and pull it on.
7. Open the outside wrapper by carefully peeling the top layer back and remove inner
package, handling only the outside of it.
A) 5, 2, 7, 1, 3, 4, 6
B) 5, 7, 2, 1, 3, 4, 6
C) 5, 1, 2, 7, 3, 4, 6
D) 5, 3, 4, 7, 2, 1, 6
Page 3
, 10. The nurse is providing care for a client whose diagnosis requires the nurse to use PPE.
In which order should the nurse's actions be performed?
1. Put on goggles and place over eyes and adjust to fit.
2. Put on the mask or respirator over your nose, mouth, and chin.
3. Put on the gown, with the opening in the back. Tie gown securely at neck and waist.
4. Perform hand hygiene.
5. Put on clean, disposable gloves and extend gloves to cover the cuffs of the gown.
6. Provide instruction about precautions to client, family members, and visitors.
A) 6, 4, 5, 3, 2, 1
B) 4, 3, 2, 1, 5, 6
C) 4, 6, 3, 2, 1, 5
D) 6, 4, 3, 5, 1, 2
11. A nurse's gloves became soiled while providing morning care for a client. Which action
best demonstrates that the nurse applied principles of infection control?
A) Use the nondominant hand to grasp the opposite glove near the cuffed end on the
outside exposed area.
B) Remove the glove on the nondominant hand by pulling it straight off, keeping the
contaminated area on the outside.
C) After removing the glove on the nondominant hand, hold the removed glove in the
remaining gloved hand.
D) After removing the first glove, slide the fingers of the ungloved hand between the
remaining glove and the wrist and pull the glove straight off with the contaminated
area on the outside.
12. A nurse has finished giving care to a client who has a communicable respiratory
infection. In which order should the personal protective equipment (PPE) be removed?
1. Gloves
2. Respirator
3. Gown
4. Goggles
A) 1, 4, 3, 2
B) 4, 2, 3, 1
C) 1, 2, 4, 3
D) 4, 2, 1, 3
Page 4
,1. The nurse is caring for a postoperative client in contact isolation. Which actions should
the nurse employ to reduce the spread of disease? Select all that apply.
A) Wash hands after removing gloves before leaving the client's room.
B) Wear clean gloves when performing a sterile dressing change.
C) Place used syringes and uncapped needles in a puncture-resistant container after
use.
D) Instruct the client to ambulate in the hall several times a day.
E) Use sealed items from the client's room when caring for other clients.
2. A nurse has implemented numerous practices with the goal of reducing the number and
transfer of pathogens. Which actions are consistent with this goal? Select all that apply.
A) Carry soiled items close to the body to prevent transfer of pathogens into the
environment.
B) Place soiled bed linen or any other items on the floor, instead of on the bed or
furniture.
C) Move equipment close to you when brushing, dusting, or scrubbing articles.
D) Clean the least soiled areas first and then move to the more soiled ones.
E) Use personal grooming habits, such as shampooing hair often, to prevent spreading
microorganisms.
F) Shake out linens and client clothing before placing them back on the bed.
3. An experienced nurse is teaching a student nurse about the proper use of hand hygiene.
Which guideline should the nurse provide to the student?
A) The use of gloves eliminates the need for hand hygiene.
B) The use of hand hygiene eliminates the need for gloves.
C) Hand hygiene is needed after contact with objects near the client.
D) Hand lotions should not be used after hand hygiene.
4. In which situation is an alcohol-based rub an inappropriate option for hand hygiene?
A) When the nurse's hands are visibly soiled
B) When the nurse anticipates contact with the client's skin
C) When the nurse leaves the room of an immunocompromised client
D) When the nurse is caring for a client with an active infection
5. A nurse has been exposed to urine while changing the linens of a client's bed. Which
guideline is followed for performing hand hygiene after this client encounter?
A) Use an alcohol-based handrub to decontaminate the hands.
B) Remove all jewelry, including wedding bands, before handwashing.
C) Keep hands lower than elbows to allow water to flow toward fingertips.
D) Pat dry with a paper towel, beginning with the forearms and moving down to
fingertips.
Page 2
,6. A nurse is implementing the principles of surgical asepsis while inserting a client's
indwelling urinary catheter. Which action should the nurse perform?
A) Hold sterile objects above waist level to prevent accidental contamination.
B) Consider the outside of the sterile package to be partially sterile.
C) Consider the outer 3-in edge of a sterile field to be contaminated.
D) Open sterile packages so that the first edge of the wrapper is directed toward you.
7. The nurse is performing a sterile change of a client's central line catheter dressing. The
client receives a telephone call and stretches the phone cord across the open sterile
dressing kit. What is the next best action the nurse should take?
A) Determine what item was touched and replace it.
B) Collect another sterile central line dressing kit.
C) Remove the old central line dressing.
D) Place surgical masks on the nurse and the client.
8. A nurse is adding a sterile solution to a sterile field and has just opened the bottle
according to manufacturer's directions. What is the next step?
A) Touch the tip of the bottle to the sterile container to start the flow of the solution
and pour it into the container directly from the top of the container edge.
B) Hold the bottle outside the edge of the sterile field with the label side facing the
palm of the hand and prepare to pour from a height of 4 to 6 in.
C) “Lip” a new or old bottle of solution before pouring it and hold the solution with
the label facing out from a height of 4 to 6 in.
D) Hold the bottle inside the 1-in edges of the sterile field with the label side facing
the palm of the hand and pour from a height of 2 to 4 in.
9. In which order should the following steps for putting the first hand into a sterile glove
be performed?
1. Carefully open the inner package. Fold open the top flap, then the bottom and sides.
2. Place the inner package on the work surface with the side labeled “cuff end” closest
to the body.
3. With the thumb and forefinger of the nondominant hand, grasp the folded cuff of the
glove for the dominant hand, touching only the exposed inside of the glove.
4. Keeping the hands above the waistline, lift and hold the glove up and off the inner
package with fingers down.
5. Place the sterile glove package on a clean, dry surface at or above your waist.
6. Carefully insert dominant hand palm up into the glove and pull it on.
7. Open the outside wrapper by carefully peeling the top layer back and remove inner
package, handling only the outside of it.
A) 5, 2, 7, 1, 3, 4, 6
B) 5, 7, 2, 1, 3, 4, 6
C) 5, 1, 2, 7, 3, 4, 6
D) 5, 3, 4, 7, 2, 1, 6
Page 3
, 10. The nurse is providing care for a client whose diagnosis requires the nurse to use PPE.
In which order should the nurse's actions be performed?
1. Put on goggles and place over eyes and adjust to fit.
2. Put on the mask or respirator over your nose, mouth, and chin.
3. Put on the gown, with the opening in the back. Tie gown securely at neck and waist.
4. Perform hand hygiene.
5. Put on clean, disposable gloves and extend gloves to cover the cuffs of the gown.
6. Provide instruction about precautions to client, family members, and visitors.
A) 6, 4, 5, 3, 2, 1
B) 4, 3, 2, 1, 5, 6
C) 4, 6, 3, 2, 1, 5
D) 6, 4, 3, 5, 1, 2
11. A nurse's gloves became soiled while providing morning care for a client. Which action
best demonstrates that the nurse applied principles of infection control?
A) Use the nondominant hand to grasp the opposite glove near the cuffed end on the
outside exposed area.
B) Remove the glove on the nondominant hand by pulling it straight off, keeping the
contaminated area on the outside.
C) After removing the glove on the nondominant hand, hold the removed glove in the
remaining gloved hand.
D) After removing the first glove, slide the fingers of the ungloved hand between the
remaining glove and the wrist and pull the glove straight off with the contaminated
area on the outside.
12. A nurse has finished giving care to a client who has a communicable respiratory
infection. In which order should the personal protective equipment (PPE) be removed?
1. Gloves
2. Respirator
3. Gown
4. Goggles
A) 1, 4, 3, 2
B) 4, 2, 3, 1
C) 1, 2, 4, 3
D) 4, 2, 1, 3
Page 4
