Questions and Answers (Latest
Update 2026)
1. When the following concepts are compared, which is most
important in maintaining a safe environment by following aseptic
principles?
a. Performing a surgical hand scrub
b. Applying a sterile gown
c. Recognizing the importance of following aseptic principles
d. Applying a mask and protective eyewear -
correct answer ✅ANS: C
A nurse in an operating room follows a series of steps toward sterile
technique, such as applying a mask, protective eyewear, and a cap;
performing a surgical hand scrub; and applying a sterile gown and
sterile gloves. In contrast, a nurse who is performing a sterile
dressing change at a patient's bedside or in the home setting may
only wash the hands and apply sterile gloves. Regardless of the
procedures followed or the setting, the nurse needs to recognize
the importance of following strict aseptic principles.
DIF: Cognitive Level: Application REF: Text reference: p. 257
OBJ: Identify principles of surgical asepsis. TOP: Aseptic Principles
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological
Integrity
,Clinical Nursing Skill Ch 10 Exam
Questions and Answers (Latest
Update 2026)
2. The nurse is applying for a job at a local hospital. She wants to
look her best for the interview and decides to wear artificial nails.
She does this knowing that artificial nails:
a. are appropriate in the ICU setting as long as the nurse washes her
hands frequently.
b. can lead to fungal growth under the nail.
c. can actually lower the bacterial count on the hands because they
cover the natural nail.
d. are banned only in areas where patients are critically ill. -
correct answer ✅ANS: B
Numerous reports identify that fungal growth frequently occurs
under artificial nails as a result of moisture becoming trapped
between the natural nail and the artificial nail. Because of the risks
for infection posed by artificial nail use, health care workers who
have direct contact with patients at high risk (e.g., those in
intensive care units or operating rooms) should not wear artificial
nails. Health care workers who wear artificial nails or nail extenders
are more likely to harbor gram-negative pathogens on their
fingertips, both before and after handwashing. Many health care
institutions have chosen to ban artificial nails and extenders in all
, Clinical Nursing Skill Ch 10 Exam
Questions and Answers (Latest
Update 2026)
clinical areas, with the rationale that all patients are at risk for
infection.
DIF: Cognitive Level: Application REF: Text reference: p. 257
OBJ: Identify principles of surgical asepsis. TOP: Artificial Nails
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological
Integrity
3. When removing the mask after an aseptic procedure, what
should the nurse do first?
a. Remove gloves.
b. Untie top strings of mask.
c. Untie bottom strings of mask.
d. Untie top strings and let mask hang. -
correct answer ✅ANS: A
Remove gloves first, if worn. This prevents contamination of hair,
neck, and facial area by contaminants on gloves. Untie the top
strings of the mask after untying the bottom strings. This prevents
the top part of the mask from falling down over the clothing. If the
mask falls and touches the clothing, it will be contaminated.