NUR 313 Final Exam 1 Review Questions
And Already Passed Answers.
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 - Answer C. The nurse moves the patient table away from the nurse's body when wiping it off
after a meal.
According to the principles of medical asepsis, the nurse should move equipment away from the body
when brushing, scrubbing, or dusting articles to prevent contaminated particles from settling on the hair,
face, or uniform. The nurse should carry soiled items away from the body to prevent them from touching
the clothing. The nurse should not put soiled items on the floor, as it is highly contaminated. The nurse
should also clean the least soiled areas first and then move to the more soiled ones to prevent having
the cleaner areas soiled by the dirtier areas.
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 - Answer B. Prodromal stage
During the prodromal stage, the person has vague signs and symptoms, such as fatigue and a low-grade
fever. There are no obvious symptoms of infection during the incubation period, and they are more
specific during the full stage of illness before disappearing by the convalescent period.
,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 - Answer A. Providing a bed bath for a patient
C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
F. Removing old magazines from a patient's table.
It is recommended to use an alcohol-based handrub in the following situations: before direct contact
with patients; after direct contact with patient skin; after contact with body fluids if hands are not visibly
soiled; after removing gloves; before inserting urinary catheters, peripheral vascular catheters, or
invasive devices that do not require surgical placement; before donning sterile gloves prior to an invasive
procedure; if moving from a contaminated body site to a clean body site; and after contact with objects
contaminated by the patient. Keep in mind that handrubs are not appropriate for use with C. difficile
infection.
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 - Answer b. Washes hands to 1 in above the
wrists
,c. Uses approximately one teaspoon of liquid soap
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips
Proper hand hygiene includes removing jewelry (with the exception of a plain wedding band), wetting
the hands and wrist area with the hands lower than the elbows, using about one teaspoon of liquid
soap, using friction motion for at least 20 seconds, washing to 1 in above the wrists with a friction
motion for at least 20 seconds, and rinsing thoroughly with water flowing toward fingertips.
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. Which action by the nurse is appropriate?
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 in of the sterile field as contaminated - Answer d. Consider the outer 1 in of the
sterile field as contaminated
Considering the outer inch of a sterile field as contaminated is a principle of surgical asepsis. Moisture
such as from splashes contaminates the sterile field, and sneezing would contaminate the sterile gloves.
Forceps soaked in disinfectant are not considered sterile.
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 - Answer d. All patients receiving care in hospitals
, Standard precautions apply to all patients receiving care in hospitals, regardless of their diagnosis or
possible infection status. These recommendations include blood; all body fluids, secretions, and
excretions except sweat; nonintact skin; and mucous membranes.
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 diphtheria
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 - Answer a. A patient diagnosed with rubella
b. A patient diagnosed with diphtheria
f. An infant diagnosed with adenovirus infection
Rubella, diphtheria, and adenovirus infection are illnesses transmitted by large-particle droplets and
require droplet precautions in addition to standard precautions. Airborne precautions are used for
patients who have infections spread through the air with small particles; for example, tuberculosis,
varicella, and rubeola. Contact precautions are used for patients who are infected or colonized by a
multidrug-resistant organism (MDRO), such as MRSA.
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 - Answer c. Discard
the supplies and prepare a new sterile field with another person holding the patient's hand
And Already Passed Answers.
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 - Answer C. The nurse moves the patient table away from the nurse's body when wiping it off
after a meal.
According to the principles of medical asepsis, the nurse should move equipment away from the body
when brushing, scrubbing, or dusting articles to prevent contaminated particles from settling on the hair,
face, or uniform. The nurse should carry soiled items away from the body to prevent them from touching
the clothing. The nurse should not put soiled items on the floor, as it is highly contaminated. The nurse
should also clean the least soiled areas first and then move to the more soiled ones to prevent having
the cleaner areas soiled by the dirtier areas.
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 - Answer B. Prodromal stage
During the prodromal stage, the person has vague signs and symptoms, such as fatigue and a low-grade
fever. There are no obvious symptoms of infection during the incubation period, and they are more
specific during the full stage of illness before disappearing by the convalescent period.
,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 - Answer A. Providing a bed bath for a patient
C. Removing gloves when patient care is completed
D. Inserting a urinary catheter for a female patient
F. Removing old magazines from a patient's table.
It is recommended to use an alcohol-based handrub in the following situations: before direct contact
with patients; after direct contact with patient skin; after contact with body fluids if hands are not visibly
soiled; after removing gloves; before inserting urinary catheters, peripheral vascular catheters, or
invasive devices that do not require surgical placement; before donning sterile gloves prior to an invasive
procedure; if moving from a contaminated body site to a clean body site; and after contact with objects
contaminated by the patient. Keep in mind that handrubs are not appropriate for use with C. difficile
infection.
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 - Answer b. Washes hands to 1 in above the
wrists
,c. Uses approximately one teaspoon of liquid soap
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips
Proper hand hygiene includes removing jewelry (with the exception of a plain wedding band), wetting
the hands and wrist area with the hands lower than the elbows, using about one teaspoon of liquid
soap, using friction motion for at least 20 seconds, washing to 1 in above the wrists with a friction
motion for at least 20 seconds, and rinsing thoroughly with water flowing toward fingertips.
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. Which action by the nurse is appropriate?
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 in of the sterile field as contaminated - Answer d. Consider the outer 1 in of the
sterile field as contaminated
Considering the outer inch of a sterile field as contaminated is a principle of surgical asepsis. Moisture
such as from splashes contaminates the sterile field, and sneezing would contaminate the sterile gloves.
Forceps soaked in disinfectant are not considered sterile.
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 - Answer d. All patients receiving care in hospitals
, Standard precautions apply to all patients receiving care in hospitals, regardless of their diagnosis or
possible infection status. These recommendations include blood; all body fluids, secretions, and
excretions except sweat; nonintact skin; and mucous membranes.
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 diphtheria
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 - Answer a. A patient diagnosed with rubella
b. A patient diagnosed with diphtheria
f. An infant diagnosed with adenovirus infection
Rubella, diphtheria, and adenovirus infection are illnesses transmitted by large-particle droplets and
require droplet precautions in addition to standard precautions. Airborne precautions are used for
patients who have infections spread through the air with small particles; for example, tuberculosis,
varicella, and rubeola. Contact precautions are used for patients who are infected or colonized by a
multidrug-resistant organism (MDRO), such as MRSA.
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 - Answer c. Discard
the supplies and prepare a new sterile field with another person holding the patient's hand
