SRNA UK TEST 1 QUESTIONS & ANSWERS
How does soap work?
A. Creates a sheetlike microscopic barrier between the skin and microorganisms in the
environment
B. Emulsifies fat and oil so that dirt and microorganisms can be mechanically removed
C. Kills all microorganisms exposed to the lather
D. Removes visible soiling but is ineffective in isolating, removing, or killing
microorganisms - Answers :B. Emulsifies fat and oil so that dirt and microorganisms can
be mechanically removed
B/c Soap cleanses by emulsifying fat and oil and lowering surface tension. Friction and
rubbing mechanically loosen and remove dirt and transient bacteria. Soap does not
create a protective barrier. Plain soap does not kill microorganisms. Antimicrobial soap
may inactivate some surface bacteria but does not kill all bacteria exposed to the lather.
Use of soap and warm water removes visible dirt and proteinaceous material, such as
blood and other body fluids.
What is the primary purpose of appropriate hand hygiene?
A. To remove all microorganisms from the hands
B. To prevent or control the transmission of infectious microorganisms from any source
C. To leave a protective antimicrobial film on the hands
D. To minimize exposure to microorganisms on contaminated sinks, medication
containers, catheters, and other hard surfaces - Answers :To prevent or control the
transmission of infectious microorganisms from any source
The purpose of proper hand hygiene is to prevent and/or control the transmission of
infection, regardless of the source. Effective infection-control practices aim to break the
links in the chain of infection. By definition, the removal of all microorganisms from the
hands would render the hands sterile. Proper hand hygiene can reduce the number of
microorganisms on the skin but cannot eliminate microorganisms entirely. Hand
washing with plain or antimicrobial soap aids in the removal of microorganisms but does
not leave behind an antimicrobial film or other protective barrier. Proper hand hygiene
reduces the likelihood of picking up or leaving behind microorganisms on hard surfaces,
such as bed rails. Such surfaces, however, are just one kind of reservoir. In fact,
infection usually spreads from patient to patient by contact not with hard surfaces, but
with health care workers' hands. The primary purpose of performing hand hygiene is to
prevent or control the transmission of infection from any source.
In which situation would it be appropriate for the nurse to use an antiseptic hand rub to
perform hand hygiene?
A. The nurse has dry, cracked skin.
B. The nurse's hands are not visibly soiled.
C. The nurse is sensitive to antimicrobial soap.
D. The nurse has been exposed to a protein-based contaminant. - Answers :The
nurse's hands are not visibly soiled.
, An antiseptic hand rub may be used only when the nurse's hands are not visibly soiled.
An antiseptic hand rub is not recommended for a health care professional whose skin is
dry and cracked. It is not recommended if the nurse is sensitive to antimicrobial soap or
if the nurse has been exposed to a proteinaceous contaminant, such as blood or
mucus.
The nurse is discussing the guidelines for proper hand hygiene with nursing assistive
personnel (NAP). Which statement made by NAP requires follow-up by the nurse?
A. "I always perform hand hygiene after I use the computer workstation in the patient's
room."
B. "To prevent dry skin, I avoid using soap and water."
C. "It takes at least 15 seconds of rubbing to wash the hands properly."
D. "I do hand hygiene before and after lifting or moving my patients." - Answers :"To
prevent dry skin, I avoid using soap and water."
Soap and water should be used to perform hand hygiene when the hands are visibly
soiled. Avoiding soap and water in order to prevent dry skin is not appropriate, and the
nurse should follow up. It is appropriate to perform hand hygiene after having contact
with inanimate objects in the immediate vicinity of a patient. Hand hygiene using soap
and warm water should be performed for at least 15 seconds. Hand hygiene must be
performed after any direct contact with the patient, even if the patient's skin is intact.
Which patient is at the greatest risk for hospital-acquired infection (HAI)?
A. A middle-age female patient receiving chemotherapy for lung cancer
B. An older adult male patient who experienced a myocardial infarction 3 days ago
C. A young man recovering from bilateral femur fractures and a mild concussion
sustained in a car accident
D. A young woman with abdominal pain who is scheduled for exploratory surgery in the
morning - Answers :A middle-age female patient receiving chemotherapy for lung
cancer
The middle-age female patient has immunosuppression as a result of the chemotherapy
and is therefore at the greatest risk of contracting an HAI. The older adult male patient's
age may increase his risk of contracting an HAI, but he does not have the greatest risk
for infection of the patients listed. Neither the closed fractures nor the concussion would
necessarily increase the young male patient's risk of infection. Although the young
female patient may be at an increased risk of HAI, she does not have the greatest risk
for infection of the patients listed.
Which personal protective equipment (PPE) will the nurse wear if there is a risk of a
blood splash when caring for a patient?
A. Gown
B. Gown and gloves
C. Gown, gloves, and mask
D. Gown, gloves, mask, and eye protection - Answers :D. Gown, gloves, mask, and eye
protection
How does soap work?
A. Creates a sheetlike microscopic barrier between the skin and microorganisms in the
environment
B. Emulsifies fat and oil so that dirt and microorganisms can be mechanically removed
C. Kills all microorganisms exposed to the lather
D. Removes visible soiling but is ineffective in isolating, removing, or killing
microorganisms - Answers :B. Emulsifies fat and oil so that dirt and microorganisms can
be mechanically removed
B/c Soap cleanses by emulsifying fat and oil and lowering surface tension. Friction and
rubbing mechanically loosen and remove dirt and transient bacteria. Soap does not
create a protective barrier. Plain soap does not kill microorganisms. Antimicrobial soap
may inactivate some surface bacteria but does not kill all bacteria exposed to the lather.
Use of soap and warm water removes visible dirt and proteinaceous material, such as
blood and other body fluids.
What is the primary purpose of appropriate hand hygiene?
A. To remove all microorganisms from the hands
B. To prevent or control the transmission of infectious microorganisms from any source
C. To leave a protective antimicrobial film on the hands
D. To minimize exposure to microorganisms on contaminated sinks, medication
containers, catheters, and other hard surfaces - Answers :To prevent or control the
transmission of infectious microorganisms from any source
The purpose of proper hand hygiene is to prevent and/or control the transmission of
infection, regardless of the source. Effective infection-control practices aim to break the
links in the chain of infection. By definition, the removal of all microorganisms from the
hands would render the hands sterile. Proper hand hygiene can reduce the number of
microorganisms on the skin but cannot eliminate microorganisms entirely. Hand
washing with plain or antimicrobial soap aids in the removal of microorganisms but does
not leave behind an antimicrobial film or other protective barrier. Proper hand hygiene
reduces the likelihood of picking up or leaving behind microorganisms on hard surfaces,
such as bed rails. Such surfaces, however, are just one kind of reservoir. In fact,
infection usually spreads from patient to patient by contact not with hard surfaces, but
with health care workers' hands. The primary purpose of performing hand hygiene is to
prevent or control the transmission of infection from any source.
In which situation would it be appropriate for the nurse to use an antiseptic hand rub to
perform hand hygiene?
A. The nurse has dry, cracked skin.
B. The nurse's hands are not visibly soiled.
C. The nurse is sensitive to antimicrobial soap.
D. The nurse has been exposed to a protein-based contaminant. - Answers :The
nurse's hands are not visibly soiled.
, An antiseptic hand rub may be used only when the nurse's hands are not visibly soiled.
An antiseptic hand rub is not recommended for a health care professional whose skin is
dry and cracked. It is not recommended if the nurse is sensitive to antimicrobial soap or
if the nurse has been exposed to a proteinaceous contaminant, such as blood or
mucus.
The nurse is discussing the guidelines for proper hand hygiene with nursing assistive
personnel (NAP). Which statement made by NAP requires follow-up by the nurse?
A. "I always perform hand hygiene after I use the computer workstation in the patient's
room."
B. "To prevent dry skin, I avoid using soap and water."
C. "It takes at least 15 seconds of rubbing to wash the hands properly."
D. "I do hand hygiene before and after lifting or moving my patients." - Answers :"To
prevent dry skin, I avoid using soap and water."
Soap and water should be used to perform hand hygiene when the hands are visibly
soiled. Avoiding soap and water in order to prevent dry skin is not appropriate, and the
nurse should follow up. It is appropriate to perform hand hygiene after having contact
with inanimate objects in the immediate vicinity of a patient. Hand hygiene using soap
and warm water should be performed for at least 15 seconds. Hand hygiene must be
performed after any direct contact with the patient, even if the patient's skin is intact.
Which patient is at the greatest risk for hospital-acquired infection (HAI)?
A. A middle-age female patient receiving chemotherapy for lung cancer
B. An older adult male patient who experienced a myocardial infarction 3 days ago
C. A young man recovering from bilateral femur fractures and a mild concussion
sustained in a car accident
D. A young woman with abdominal pain who is scheduled for exploratory surgery in the
morning - Answers :A middle-age female patient receiving chemotherapy for lung
cancer
The middle-age female patient has immunosuppression as a result of the chemotherapy
and is therefore at the greatest risk of contracting an HAI. The older adult male patient's
age may increase his risk of contracting an HAI, but he does not have the greatest risk
for infection of the patients listed. Neither the closed fractures nor the concussion would
necessarily increase the young male patient's risk of infection. Although the young
female patient may be at an increased risk of HAI, she does not have the greatest risk
for infection of the patients listed.
Which personal protective equipment (PPE) will the nurse wear if there is a risk of a
blood splash when caring for a patient?
A. Gown
B. Gown and gloves
C. Gown, gloves, and mask
D. Gown, gloves, mask, and eye protection - Answers :D. Gown, gloves, mask, and eye
protection
