NURA 303 Exam 2 Questions With Correct
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 |- |CORRECT |ANSWER✔✔-c. |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 |- |CORRECT |ANSWER✔✔-b. |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 |- |CORRECT |ANSWER✔✔-a, |c, |d, |f. |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 |- |CORRECT |ANSWER✔✔-b, |c, |e, |f. |
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 |- |CORRECT |ANSWER✔✔-d. |
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 |- |CORRECT |ANSWER✔✔-d. |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 |- |CORRECT |ANSWER✔✔-a, |b, |f. |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 |- |CORRECT |
ANSWER✔✔-c. |If |the |patient |touches |a |sterile |field, |the |nurse |should |discard |the |supplies |and
|prepare |a |new |sterile |field. |If |the |patient |is |confused, |the |nurse |should |have |someone |assist |
by |holding |the |patient's |hand |and |reinforcing |what |is |happening.
A |nurse |who |created |a |sterile |field |for |a |patient |is |adding |a |sterile |solution |to |the |field. |What |
is |an |appropriate |action |when |performing |this |task?
A. |Place |the |bottle |cap |on |the |table |with |the |edges |down
B. |Hold |the |bottle |inside |the |edge |of |the |sterile |field
C. |Hold |the |bottle |with |the |label |side |opposite |the |palm |of |the |hand
D. |Pour |the |solution |from |a |height |of |4 |to |6 |in |(10 |to |15 |cm) |- |CORRECT |ANSWER✔✔-d. |To |
add |a |sterile |solution |to |a |sterile |field, |the |nurse |would |open |the |solution |container |according |
to |directions |and |place |the |cap |on |the |table |away |from |the |field |with |the |edges |up. |The |nurse
|would |then |hold |the |bottle |outside |the |edge |of |the |sterile |field |with |the |label |side |facing |the |
palm |of |the |hand |and |prepare |to |pour |from |a |height |of |4 |to |6 |in |(10 |to |15 |cm).
A |nurse |is |finished |with |patient |care. |How |would |the |nurse |remove |PPE |when |leaving |the |
room?
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 |- |CORRECT |ANSWER✔✔-c. |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 |- |CORRECT |ANSWER✔✔-b. |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 |- |CORRECT |ANSWER✔✔-a, |c, |d, |f. |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 |- |CORRECT |ANSWER✔✔-b, |c, |e, |f. |
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 |- |CORRECT |ANSWER✔✔-d. |
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 |- |CORRECT |ANSWER✔✔-d. |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 |- |CORRECT |ANSWER✔✔-a, |b, |f. |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 |- |CORRECT |
ANSWER✔✔-c. |If |the |patient |touches |a |sterile |field, |the |nurse |should |discard |the |supplies |and
|prepare |a |new |sterile |field. |If |the |patient |is |confused, |the |nurse |should |have |someone |assist |
by |holding |the |patient's |hand |and |reinforcing |what |is |happening.
A |nurse |who |created |a |sterile |field |for |a |patient |is |adding |a |sterile |solution |to |the |field. |What |
is |an |appropriate |action |when |performing |this |task?
A. |Place |the |bottle |cap |on |the |table |with |the |edges |down
B. |Hold |the |bottle |inside |the |edge |of |the |sterile |field
C. |Hold |the |bottle |with |the |label |side |opposite |the |palm |of |the |hand
D. |Pour |the |solution |from |a |height |of |4 |to |6 |in |(10 |to |15 |cm) |- |CORRECT |ANSWER✔✔-d. |To |
add |a |sterile |solution |to |a |sterile |field, |the |nurse |would |open |the |solution |container |according |
to |directions |and |place |the |cap |on |the |table |away |from |the |field |with |the |edges |up. |The |nurse
|would |then |hold |the |bottle |outside |the |edge |of |the |sterile |field |with |the |label |side |facing |the |
palm |of |the |hand |and |prepare |to |pour |from |a |height |of |4 |to |6 |in |(10 |to |15 |cm).
A |nurse |is |finished |with |patient |care. |How |would |the |nurse |remove |PPE |when |leaving |the |
room?
