NUR 230 FINAL EXAM QUESTIONS AND ANSWERS 2024-2025 LATEST
UPDATE//GRADED A+
When performing hand hygiene using an antiseptic hand rub, the nurse would continue to rub for how
long?
Until the antiseptic has evaporated from the skin
For several minutes to allow the antiseptic to work
For about five seconds after applying the antiseptic
Until the hands are completely covered with the antiseptic - answer-Until the antiseptic has evaporated
from the skin
The nurse is required to wear a gown, gloves, goggles, and mask as personal protective equipment (PPE)
when caring for an assigned patient. Which of the following would the nurse put on first?
Gown
Gloves
Mask
Goggles - answer-Gown
There is some question about the use of appropriate transmission-based precautions when caring for a
patient. Some of the nurses are wearing PPEs and others are not. Which of the following would be most
appropriate?
Consulting the agency's infection control manual
Asking the physician about the patient's condition.
Checking the medication record for use of antibiotics
Checking with the other staff nurses on the unit. - answer-Consulting the agency's infection control
manual
The nurse is removing a gown after providing care to a patient. Which of the following would the nurse
do first?
Unfasten the ties at the neck and back
Pull the gown away from the body
Allow the gown to fall away from the shoulders
,Turn the gown inside out - answer-Unfasten the ties at the neck and back
The nurse would appropriately choose an antiseptic hand rub to perform hand hygiene for which
situation?
When hands are not visibly soiled
When body fluids are on the hands
Before eating
After using the restroom - answer-When hands are not visibly soiled
A nursing instructor is preparing to teach a class on asepsis and hand hygiene. Which of the following
would the instructor include?
The sink is considered a contaminated surface.
Antiseptic hand rubs are less effective than soap and water
Bar soap is preferred over liquid soap for hand washing
A forceful stream of water helps remove microorganisms from the hand - answer-The sink is considered
a contaminated surface.
A nurse is providing nail care to clients admitted to a health care facility. The nurse should know that
which clients are most susceptible to nail problems?
Patients with diabetes
Patients with fever
Patients with diarrhea
Patients with sinusitis - answer-Patients with diabetes
The nurse is caring for a client who has an infection spread by respiratory droplets and is under droplet
precautions. The client asks, "Can my spouse visit me?" Which response is correct?
"Yes, as long as your spouse wears a mask and stays at least 3 feet away from you."
"No, the chance of spreading your infection to the community is too great."
"Yes, but only if your spouse stays outside of the room and speaks to you from the doorway."
"No, the supplies used for this type of infection are too expensive to provide to family members." -
answer-"Yes, as long as your spouse wears a mask and stays at least 3 feet away from you."
,When accessing a client's central line, a drop of the client's blood falls on the nurse's gloved hand. What
is the appropriate action by the nurse?
Perform hand hygiene after removing the gloves
Report the incident to the supervisor immediately
Have the patient tested for HIV and hepatitis C.
Follow agency policy of exposure to communicable infections - answer-Perform hand hygiene after
removing the gloves
A nurse is caring for a female client with diarrhea. What instruction should the nurse give the client with
regard to perineal hygiene?
Clean the perineal area from the front to the back
Bathe with a mild soap and water
Wash the perineal area with cold water
Wash hands with cold water after visiting the toilet - answer-Clean the perineal area from the front to
the back
The nurse is reviewing discharge instructions for a client who was prescribed an antibiotic. Which
statement by the client would require further teaching?
"Once I start feeling better, I should stop taking the antibiotic."
"If I develop a rash, I will contact my healthcare provider."
"I have a bacterial infection that requires an antibiotic."
I should avoid sharing my antibiotic with my spouse." - answer-"Once I start feeling better, I should stop
taking the antibiotic."
The nurse is assisting a patient with daily hygiene practices. What is the most important benefit of this
interaction as it related to nursing care?
The nurse has the opportunity to observe the patient.
The patient is well groomed.
The nurse has an opportunity to influence the patient's hygiene practices.
The patient is ready to receive visitors. - answer-The nurse has the opportunity to observe the patient.
, The patient is well groomed.
Prior to giving a patient a bed bath, why would the nurse review the patient's chart?
To check for physical limitations
To check for medications
To check for skin alterations
To check for hygiene preferences - answer-To check for physical limitations
When giving a bed bath, to what area of the body would the nurse pay special attention to observe for
redness or skin breakdown?
The sacral area
The head
The lower legs
The chest - answer-The sacral area
The nurse is performing perineal care for a male patient. What part of the perineum would the nurse
clean first?
The tip of the penis
The base of the penis
The anal area
The scrotum - answer-The tip of the penis
The nurse is providing perineal care for an uncircumcised male patient. Which of the following is a
recommended guideline for this action?
Retract the foreskin when washing the prepuce of adolescents and older.
Retract the foreskin, wash the area, and allow the foreskin to dry five minutes before pulling it back.
Retract the foreskin when washing the prepuce.
Do not retract the foreskin as this may cause edema and tissue injury. - answer-Retract the foreskin
when washing the prepuce of adolescents and older.
UPDATE//GRADED A+
When performing hand hygiene using an antiseptic hand rub, the nurse would continue to rub for how
long?
Until the antiseptic has evaporated from the skin
For several minutes to allow the antiseptic to work
For about five seconds after applying the antiseptic
Until the hands are completely covered with the antiseptic - answer-Until the antiseptic has evaporated
from the skin
The nurse is required to wear a gown, gloves, goggles, and mask as personal protective equipment (PPE)
when caring for an assigned patient. Which of the following would the nurse put on first?
Gown
Gloves
Mask
Goggles - answer-Gown
There is some question about the use of appropriate transmission-based precautions when caring for a
patient. Some of the nurses are wearing PPEs and others are not. Which of the following would be most
appropriate?
Consulting the agency's infection control manual
Asking the physician about the patient's condition.
Checking the medication record for use of antibiotics
Checking with the other staff nurses on the unit. - answer-Consulting the agency's infection control
manual
The nurse is removing a gown after providing care to a patient. Which of the following would the nurse
do first?
Unfasten the ties at the neck and back
Pull the gown away from the body
Allow the gown to fall away from the shoulders
,Turn the gown inside out - answer-Unfasten the ties at the neck and back
The nurse would appropriately choose an antiseptic hand rub to perform hand hygiene for which
situation?
When hands are not visibly soiled
When body fluids are on the hands
Before eating
After using the restroom - answer-When hands are not visibly soiled
A nursing instructor is preparing to teach a class on asepsis and hand hygiene. Which of the following
would the instructor include?
The sink is considered a contaminated surface.
Antiseptic hand rubs are less effective than soap and water
Bar soap is preferred over liquid soap for hand washing
A forceful stream of water helps remove microorganisms from the hand - answer-The sink is considered
a contaminated surface.
A nurse is providing nail care to clients admitted to a health care facility. The nurse should know that
which clients are most susceptible to nail problems?
Patients with diabetes
Patients with fever
Patients with diarrhea
Patients with sinusitis - answer-Patients with diabetes
The nurse is caring for a client who has an infection spread by respiratory droplets and is under droplet
precautions. The client asks, "Can my spouse visit me?" Which response is correct?
"Yes, as long as your spouse wears a mask and stays at least 3 feet away from you."
"No, the chance of spreading your infection to the community is too great."
"Yes, but only if your spouse stays outside of the room and speaks to you from the doorway."
"No, the supplies used for this type of infection are too expensive to provide to family members." -
answer-"Yes, as long as your spouse wears a mask and stays at least 3 feet away from you."
,When accessing a client's central line, a drop of the client's blood falls on the nurse's gloved hand. What
is the appropriate action by the nurse?
Perform hand hygiene after removing the gloves
Report the incident to the supervisor immediately
Have the patient tested for HIV and hepatitis C.
Follow agency policy of exposure to communicable infections - answer-Perform hand hygiene after
removing the gloves
A nurse is caring for a female client with diarrhea. What instruction should the nurse give the client with
regard to perineal hygiene?
Clean the perineal area from the front to the back
Bathe with a mild soap and water
Wash the perineal area with cold water
Wash hands with cold water after visiting the toilet - answer-Clean the perineal area from the front to
the back
The nurse is reviewing discharge instructions for a client who was prescribed an antibiotic. Which
statement by the client would require further teaching?
"Once I start feeling better, I should stop taking the antibiotic."
"If I develop a rash, I will contact my healthcare provider."
"I have a bacterial infection that requires an antibiotic."
I should avoid sharing my antibiotic with my spouse." - answer-"Once I start feeling better, I should stop
taking the antibiotic."
The nurse is assisting a patient with daily hygiene practices. What is the most important benefit of this
interaction as it related to nursing care?
The nurse has the opportunity to observe the patient.
The patient is well groomed.
The nurse has an opportunity to influence the patient's hygiene practices.
The patient is ready to receive visitors. - answer-The nurse has the opportunity to observe the patient.
, The patient is well groomed.
Prior to giving a patient a bed bath, why would the nurse review the patient's chart?
To check for physical limitations
To check for medications
To check for skin alterations
To check for hygiene preferences - answer-To check for physical limitations
When giving a bed bath, to what area of the body would the nurse pay special attention to observe for
redness or skin breakdown?
The sacral area
The head
The lower legs
The chest - answer-The sacral area
The nurse is performing perineal care for a male patient. What part of the perineum would the nurse
clean first?
The tip of the penis
The base of the penis
The anal area
The scrotum - answer-The tip of the penis
The nurse is providing perineal care for an uncircumcised male patient. Which of the following is a
recommended guideline for this action?
Retract the foreskin when washing the prepuce of adolescents and older.
Retract the foreskin, wash the area, and allow the foreskin to dry five minutes before pulling it back.
Retract the foreskin when washing the prepuce.
Do not retract the foreskin as this may cause edema and tissue injury. - answer-Retract the foreskin
when washing the prepuce of adolescents and older.
