solutions
A nurse is caring for an obese 62-year-old patient with arthritis
who has developed an open reddened area over his sacrum.
What risk factor would be a priority concern for the nurse when
caring for this patient?
A. Imbalanced nutrition
B. Impaired physical mobility
C. Chronic pain
D. Infection Correct Answer D
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. Providing a bed bath for a patient
B. Visibly soiled hands after changing the bedding of a patient
C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
E. Assisting with a surgical placement of a cardiac stent
F. Removing old magazines from a patient's table Correct
Answer A,C,D,F
A nurse is finished with patient care. How would the nurse
remove PPE when leaving the room?
A. Remove gown, goggles, mask, gloves, and exit the room
B. Remove gloves, perform hand hygiene, then remove gown,
mask, and goggles
C. Untie gown waist strings, remove gloves, goggles, gown,
mask; perform hand hygiene
, D. Remove goggles, mask, gloves, and gown, and perform hand
hygiene Correct Answer C
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
Answer C
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. Removes all jewelry including a platinum wedding band
B. Washes hands to 1 in above the wrists
C. Uses approximately one teaspoon of liquid soap
D. Keeps hands higher than elbows when placing under faucet
E. Uses friction motion when washing for at least 20 seconds
F. Rinses thoroughly with water flowing toward fingertips
Correct Answer B,C,E,F
A nurse is preparing a sterile field using a packaged sterile drape
for a confused patient who is scheduled for a surgical procedure.