NCLEX EXAM zm
Exam Solution
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fundamentals test bank 2026 A+ GRADE ASSURED COM zm zm zm zm zm zm zm
PLETE SOLUTIONS AND VERIFIED ANSWERS (97604)
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QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
The nurse is admitting a patient with an infectious disease process. Which question w
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ill be most appropriate for a nurse to ask about the patient's susceptibility to this infe
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ctious process? zm
a. "Do you have a spouse?"
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b. "Do you have a chronic disease?"
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c. "Do you have any children living in the home?"
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d. "Do you have any religious beliefs that will influence your care?"
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ANSWER
b. "Do you have a chronic disease?"
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QUESTION 3 zm
Which interventions utilized by the nurse will indicate the ability to recognize a locali
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zed inflammatory response?
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a. Vigorous range-of-motion exercises
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b. Turn, cough, and deep breathe
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c. Orient to date, time, and place
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d. Rest, ice, and elevation
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ANSWER
d. Rest, ice, and elevation
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,QUESTION 4 zm
The nurse is caring for a group of medical-
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surgical patients. Which patient is most at risk for developing an infection?
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a. A patient who is in observation for chest pain.
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b. A patient who has been admitted with dehydration.
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c. A patient who is recovering from a right total hip surgery.
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d. A patient who has been admitted for stabilization of heart problems.
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ANSWER
c. A patient who is recovering from a right total hip surgery.
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QUESTION 5 zm
The nurse is caring for a patient diagnosed with leukemia and is preparing to provide
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mfluids through a vascular access (IV) device. Which nursing intervention is a priority i
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n this procedure?
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a. Review the procedure with the patient.
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b. Position the patient comfortably.
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c. Maintain surgical aseptic technique.
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d. Gather available supplies.
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ANSWER
c. Maintain surgical aseptic technique.
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QUESTION 6 zm
The nurse is caring for a patient who is susceptible to infection. Which instruction wil
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l the nurse include in an educational session to decrease the risk of infection?
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a. Teaching the patient about fall prevention
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b. Teaching the patient to take a temperature
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c. Teaching the patient to select nutritious foods
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d. Teaching the patient about the effects of alcohol
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ANSWER
c. Teaching the patient to select nutritious foods
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QUESTION 7 zm
A patient presents with pneumonia. Which priority intervention should be included in
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the plan of care for this patient?
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a. Observe the patient for decreased activity tolerance.
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b. Assume the patient is in pain and treat accordingly.
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,c. Provide the patient ice chips as requested.
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d. Maintain the room temperature at 65° F.
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ANSWER
a. Observe the patient for decreased activity tolerance.
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QUESTION 8 zm
The nurse is caring for a patient in an intensive care unit who needs a bath. Which pr
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iority action will the nurse take to decrease the potential for a health care-
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associated infection? zm
a. Use local anesthetic on reddened areas.
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b. Use nonallergenic tape on dressings.
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c. Use a chlorhexidine wash.
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d. Use filtered water.
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ANSWER
c. Use a chlorhexidine wash.
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QUESTION 9 zm
The infection control nurse is reviewing data for the medical-
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surgical unit. The nurse notices an increase in postoperative infections from Aspergill
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us. Which type of health care-associated infection will the nurse report?
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a. Vector
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b. Exogenous
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c. Endogenous
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d. Suprainfection
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ANSWER
b. Exogenous
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QUESTION 10 zm
Which nursing action will most likely increase a patient's risk for developing a health
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care-associated infection? zm
a. Uses surgical aseptic technique to suction an airway.
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b. Uses a clean technique for inserting a urinary catheter.
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c. Uses a cleaning stroke from the urinary meatus toward the rectum.
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d. Uses a sterile bottled solution more than once within a 24-hour period
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ANSWER
b. Uses a clean technique for inserting a urinary catheter.
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, QUESTION 11 zm
The nurse is dressed and is preparing to care for a patient in the perioperative area.
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The nurse has scrubbed hands and has donned a sterile gown and gloves. Which actio
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n will indicate a break in sterile technique?
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a. Touching clean protective eyewear
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b. Standing with hands above waist area
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c. Accepting sterile supplies from the surgeon
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d. Staying with the sterile table once it is open
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ANSWER
a. Touching clean protective eyewear
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QUESTION 12 zm
The nurse is caring for a patient in the endoscopy area. The nurse observes the techn
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ician performing these tasks. Which observation will require the nurse to intervene?
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a. Washing hands after removing gloves
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b. Disinfecting endoscopes in the workroom
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c. Removing gloves to transfer the endoscope
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d. Placing the endoscope in a container for transfer
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ANSWER
c. Removing gloves to transfer the endoscope
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QUESTION 13 zm
The nurse is caring for a patient who is at risk for infection. Which action by the nurs
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e indicates correct understanding about standard precautions?
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a. Teaches the patient about good nutrition.
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b. Dons gloves when wearing artificial nails.
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c. Disposes an uncapped needle in the designated container.
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d. Wears eyewear when emptying the urinary drainage bag.
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ANSWER
d. Wears eyewear when emptying the urinary drainage bag.
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QUESTION 14 zm
The nurse is caring for a patient who has just delivered a neonate. The nurse is check
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ing the patient for excessive vaginal drainage. Which precaution will the nurse use?
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a. Contact
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b. Droplet
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c. Standard
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d. Protective environment
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Exam Solution
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fundamentals test bank 2026 A+ GRADE ASSURED COM zm zm zm zm zm zm zm
PLETE SOLUTIONS AND VERIFIED ANSWERS (97604)
zm zm zm zm zm
QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
The nurse is admitting a patient with an infectious disease process. Which question w
zm zm zm zm zm zm zm zm zm zm zm zm zm
ill be most appropriate for a nurse to ask about the patient's susceptibility to this infe
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ctious process? zm
a. "Do you have a spouse?"
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b. "Do you have a chronic disease?"
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c. "Do you have any children living in the home?"
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d. "Do you have any religious beliefs that will influence your care?"
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ANSWER
b. "Do you have a chronic disease?"
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QUESTION 3 zm
Which interventions utilized by the nurse will indicate the ability to recognize a locali
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zed inflammatory response?
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a. Vigorous range-of-motion exercises
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b. Turn, cough, and deep breathe
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c. Orient to date, time, and place
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d. Rest, ice, and elevation
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ANSWER
d. Rest, ice, and elevation
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,QUESTION 4 zm
The nurse is caring for a group of medical-
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surgical patients. Which patient is most at risk for developing an infection?
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a. A patient who is in observation for chest pain.
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b. A patient who has been admitted with dehydration.
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c. A patient who is recovering from a right total hip surgery.
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d. A patient who has been admitted for stabilization of heart problems.
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ANSWER
c. A patient who is recovering from a right total hip surgery.
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QUESTION 5 zm
The nurse is caring for a patient diagnosed with leukemia and is preparing to provide
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mfluids through a vascular access (IV) device. Which nursing intervention is a priority i
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n this procedure?
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a. Review the procedure with the patient.
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b. Position the patient comfortably.
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c. Maintain surgical aseptic technique.
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d. Gather available supplies.
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ANSWER
c. Maintain surgical aseptic technique.
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QUESTION 6 zm
The nurse is caring for a patient who is susceptible to infection. Which instruction wil
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l the nurse include in an educational session to decrease the risk of infection?
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a. Teaching the patient about fall prevention
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b. Teaching the patient to take a temperature
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c. Teaching the patient to select nutritious foods
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d. Teaching the patient about the effects of alcohol
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ANSWER
c. Teaching the patient to select nutritious foods
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QUESTION 7 zm
A patient presents with pneumonia. Which priority intervention should be included in
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the plan of care for this patient?
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a. Observe the patient for decreased activity tolerance.
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b. Assume the patient is in pain and treat accordingly.
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,c. Provide the patient ice chips as requested.
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d. Maintain the room temperature at 65° F.
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ANSWER
a. Observe the patient for decreased activity tolerance.
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QUESTION 8 zm
The nurse is caring for a patient in an intensive care unit who needs a bath. Which pr
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iority action will the nurse take to decrease the potential for a health care-
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associated infection? zm
a. Use local anesthetic on reddened areas.
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b. Use nonallergenic tape on dressings.
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c. Use a chlorhexidine wash.
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d. Use filtered water.
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ANSWER
c. Use a chlorhexidine wash.
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QUESTION 9 zm
The infection control nurse is reviewing data for the medical-
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surgical unit. The nurse notices an increase in postoperative infections from Aspergill
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us. Which type of health care-associated infection will the nurse report?
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a. Vector
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b. Exogenous
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c. Endogenous
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d. Suprainfection
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ANSWER
b. Exogenous
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QUESTION 10 zm
Which nursing action will most likely increase a patient's risk for developing a health
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care-associated infection? zm
a. Uses surgical aseptic technique to suction an airway.
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b. Uses a clean technique for inserting a urinary catheter.
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c. Uses a cleaning stroke from the urinary meatus toward the rectum.
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d. Uses a sterile bottled solution more than once within a 24-hour period
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ANSWER
b. Uses a clean technique for inserting a urinary catheter.
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, QUESTION 11 zm
The nurse is dressed and is preparing to care for a patient in the perioperative area.
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The nurse has scrubbed hands and has donned a sterile gown and gloves. Which actio
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n will indicate a break in sterile technique?
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a. Touching clean protective eyewear
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b. Standing with hands above waist area
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c. Accepting sterile supplies from the surgeon
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d. Staying with the sterile table once it is open
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ANSWER
a. Touching clean protective eyewear
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QUESTION 12 zm
The nurse is caring for a patient in the endoscopy area. The nurse observes the techn
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ician performing these tasks. Which observation will require the nurse to intervene?
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a. Washing hands after removing gloves
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b. Disinfecting endoscopes in the workroom
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c. Removing gloves to transfer the endoscope
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d. Placing the endoscope in a container for transfer
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ANSWER
c. Removing gloves to transfer the endoscope
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QUESTION 13 zm
The nurse is caring for a patient who is at risk for infection. Which action by the nurs
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e indicates correct understanding about standard precautions?
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a. Teaches the patient about good nutrition.
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b. Dons gloves when wearing artificial nails.
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c. Disposes an uncapped needle in the designated container.
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d. Wears eyewear when emptying the urinary drainage bag.
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ANSWER
d. Wears eyewear when emptying the urinary drainage bag.
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QUESTION 14 zm
The nurse is caring for a patient who has just delivered a neonate. The nurse is check
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ing the patient for excessive vaginal drainage. Which precaution will the nurse use?
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a. Contact
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b. Droplet
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c. Standard
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d. Protective environment
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