NSG 3100 Exam 1 Questions and Answers
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QUESTIONS VERIFIED CORE DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
Section 1: Hand Hygiene, Infection Prevention, and Patient Safety
Section 2: Patient Hygiene and Personal Care
Section 3: Body Mechanics, Mobility, and Safe Transfers
Section 4: Critical Thinking and Clinical Judgment
Section 5: Nursing Process and Clinical Decision-Making
STUVIAACTUALEXAM
, SECTION 1: Hand Hygiene, Infection Prevention, and Patient Safety
Q1.
A nurse is preparing to perform hand hygiene before entering a client's room to administer medications. The nurse notices visible
soil on both hands after removing soiled gloves. Which method of hand hygiene is required in this situation?
A. Wash with soap and water for at least 15-20 seconds using friction.
B. Apply alcohol-based hand rub and rub until dry for 10 seconds.
C. Rinse hands under warm water only without soap.
D. Wipe hands with a dry paper towel and proceed.
Correct Answer: A
Rationale:
When hands are visibly soiled, soap and water washing with friction for 15-20 seconds is required to remove organic material. Alcohol-based
rubs are ineffective against visible soil and certain pathogens such as C. difficile spores.
Q2.
A nurse is caring for a client on contact precautions for Clostridium difficile infection. After removing personal protective equipment,
the nurse prepares to leave the room. Which hand-hygiene action is most appropriate?
A. Wash hands with soap and water because alcohol-based rubs do not kill C. difficile spores.
B. Use alcohol-based hand rub as the preferred method after contact precautions.
C. Rinse hands with sterile water only to avoid skin irritation.
D. Apply lotion immediately without washing to protect the skin barrier.
Correct Answer: A
Rationale:
C. difficile spores are not reliably killed by alcohol-based hand rubs. Soap-and-water washing is mandatory after caring for clients with C. difficile
to mechanically remove spores.
Q3.
During a skills laboratory session, a nursing student demonstrates hand hygiene. The instructor notes that the student failed to
clean under the fingernails and between the fingers. Which rationale best explains why these areas must be included?
A. These areas harbor higher concentrations of microorganisms that can be transferred to clients.
B. Cleaning only the palms is sufficient for routine hand hygiene in clinical settings.
C. Fingernails and interdigital spaces rarely contain pathogens in healthy individuals.
D. Focusing on the backs of the hands is more important than the interdigital areas.
Correct Answer: A
Rationale:
Fingernails and interdigital spaces retain moisture and debris, providing reservoirs for bacteria. Thorough friction in these areas is essential to
reduce microbial load and prevent transmission.
Q4.
A nurse is preparing to insert a peripheral intravenous catheter. After performing hand hygiene, the nurse dons clean gloves.
Which additional infection-prevention action is required before the procedure?
A. Cleanse the insertion site with an appropriate antiseptic and allow it to dry completely.
B. Apply sterile gloves immediately without site preparation.
C. Skip skin antisepsis if the client has intact skin and no visible dirt.
D. Use only sterile water to wipe the site before puncture.
Correct Answer: A
Rationale:
Skin antisepsis with an approved agent (e.g., chlorhexidine or alcohol) that is allowed to dry is required to reduce the risk of catheter-related
bloodstream infection. Clean gloves alone are insufficient.