Questions and Answers 100% Pass
A registered nurse (RN) is watching as a new licensed practical nurse (LPN) suctions a
client with a diagnosis of acquired immunodeficiency syndrome (AIDS). Which of the
following protective devices worn by the LPN would cause the RN to determine that
the LPN was performing the procedure safely? - ✔✔C Gloves, gown, and face shield.
A nurse is performing sterile wound irrigation for an assigned client. A nursing
assistant enters the client's room and tells the nurse that a physician has telephoned and
has asked to speak to the nurse. What is the appropriate action by the nurse? - ✔✔D
Asking the nursing assistant to obtain a telephone number from the physician so that
the nurse may return the call after the wound irrigation is complete
Which of these interventions does a nurse manager, reviewing infection control
interventions with the nursing staff, tell the staff will reduce reservoirs of infection?
Select all that apply. - ✔✔A Keeping bedside table surfaces clean and dry
C Changing dressings that become wet or soiled
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,E Using soap and water to remove drainage, dried secretions, or excess perspiration
from a client's skin
F Emptying urinary drainage systems (Foley catheter drainage) on each shift unless
prescribed otherwise by a physician
Which of the following actions are means of maintaining medical asepsis to reduce and
prevent the spread of microorganisms? Select all that apply. - ✔✔A Practicing hand
hygiene
E Routinely cleaning the hospital environment
F Wearing clean gloves to prevent direct contact with blood or body fluids
Which of the following statements reflect the principles of sterile technique? Select all
that apply. - ✔✔A The edge of a sterile field and a border 1 inch inward is unsterile.
B If a package is not labeled as sterile, it should be considered unsterile.
C Sterile objects that come in contact with unsterile objects are to be considered
contaminated.
F Items in a sterile package must be used immediately once the package has been
opened; otherwise they are considered contaminated.
A home care nurse is visiting an older client who has been recovering from a mild brain
attack (stroke) affecting her left side. The client lives alone but receives regular
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, assistance from her daughter and son, who both live within 10 miles. Which of the
following actions should the nurse take to assess the client's safety risk? Select all that
apply. - ✔✔A Assessing the client's visual acuity
B Observing the client's gait and posture
C Evaluating the client's muscle strength
D Looking for any hazards in the home environment
In which of the following situations would the nurse use this type of restraint (mitten
restraint)? Select all that apply. - ✔✔D To prevent dislodgment of an intravenous line
F To prevent the use of the hands while allowing free arm movement
A nurse is discussing accident prevention with the family of an older client who is
being discharged from the hospital after hip surgery. Which items in the home increase
the client's risk for injury? Select all that apply. - ✔✔C Cooking equipment such as a
stove
E Common household objects such as doormats
Wrist restraints have been prescribed for a client who is constantly pulling at his
gastrostomy tube. Which of the following findings does the nurse, developing a care
plan, recognize as unexpected outcomes related to the use of restraints? Select all that
apply. - ✔✔A The client is agitated.
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