NURS 4270 EXAM QUESTIONS AND ANSWERS
Which action would the nurse perform first when preparing to apply sterile gloves?
A. Perform hand hygiene.
B. Place the package on a stable, flat surface.
C. Assess the glove packaging for wetness or tears.
D. Open the outer packaging. - Answers- C. Assess the glove packaging for wetness or
tears.
When are sterile nonlatex gloves recommended for a sterile procedure?
A. When there is a possible sensitivity issue
B. When the staff member prefers them
C. When latex gloves are not conveniently available
D. When the patient prefers them - Answers- A. When there is a possible sensitivity
issue
What is the most important step the nurse can take to minimize the risk of tearing a
sterile glove when applying it to the hands?
A. Using powdered sterile gloves
B. Keeping the fingernails trimmed and smoothly filed
C. Selecting the proper glove size
D. Drying the hands thoroughly before applying the gloves - Answers- C. Selecting the
proper glove size
After applying sterile gloves, the patient states she is uncomfortable and would like to
move to her left side. What is the best way for the nurse to keep the gloves sterile while
waiting for nursing assistive personnel (NAP) to position the patient for a sterile dressing
change?
A. Interlocking the fingers and keeping the hands above waist level
B. Keeping the arms at the sides, with elbows bent and gloved hands pointing up
C. Leaving the room momentarily
D. Stepping back from the bedside where NAP are working - Answers- A. Interlocking
the fingers and keeping the hands above waist level
Which protocol does not vary among institutions?
A. Acceptability of wearing artificial nails in patient care areas
B. Use of impervious transparent dressings to cover open lesions on nurse's hands
during sterile procedures
C. Use of sterile gloves for sterile procedures
D. Sterile gloves are only available in "one size fits all" - Answers- C. Use of sterile
gloves for sterile procedures
What is the best reason for a nurse to select a prepackaged sterile kit for a sterile
procedure?
A. Sterile prepackaged kits do not have expiration dates.
B. The wrapper of the sterile kit can be used as a sterile field.
, C. Adding supplies to the sterile field takes less time than using a prepackaged kit.
D. The prepackaged sterile kit will take up less space on the bedside table. - Answers-
B. The wrapper of the sterile kit can be used as a sterile field.
Which action is the most important step the nurse can take to keep the field sterile when
using an overbed table as the work surface for a sterile field?
A. Position the table out of the patient's reach.
B. Assess the table for stability.
C. Position the height of the table to be above waist level.
D. Assemble ahead of time any supplies and equipment not included in the kit. -
Answers- C. Position the height of the table to be above waist level.
While opening a prepackaged sterile kit, a package of sterile 4 × 4-in gauze pads falls to
the floor. What will the nurse ask ancillary staff to do to ensure the integrity of the sterile
field
A. "I will have to set up another sterile field; please take these items away."
B. "Please go to the clean utility room and get me a package of sterile 4 × 4-in gauze
pads."
C. "Please watch that nothing contaminates this sterile field while I go and get a
replacement item."
D. "Please explain to the patient the importance of remaining still during this procedure
so no other items will be contaminated." - Answers- B. "Please go to the clean utility
room and get me a package of sterile 4 × 4-in gauze pads."
When preparing a sterile field using a prepackaged sterile kit, what will influence the
nurse's placement of the kit on the overbed table?
A. The tips of the flaps are easily accessible.
B. The kit is positioned in the center of the table.
C. The sterile contents of the kit are readily available.
D. The outermost flap can be opened away from the nurse's body. - Answers- D. The
outermost flap can be opened away from the nurse's body.
Before setting up a sterile field for a sterile procedure in a patient's room, why would the
nurse ask any visitors to please leave the patient's bedside?
A. Ensures that no unnecessary movement occurs that could contaminate the sterile
field
B. Limits distractions while setting up the sterile field
C. Ensures a quiet environment during the procedure
D. Provides privacy for the patient - Answers- A. Ensures that no unnecessary
movement occurs that could contaminate the sterile field
The nurse is preparing to perform a sterile procedure for a patient. Which action will
best minimize the risk of infection during the procedure?
A. Administer a prophylactic antibiotic before the procedure, as prescribed.
B. Follow sterile technique during the procedure.
C. Ensure proper hand hygiene before the procedure.
Which action would the nurse perform first when preparing to apply sterile gloves?
A. Perform hand hygiene.
B. Place the package on a stable, flat surface.
C. Assess the glove packaging for wetness or tears.
D. Open the outer packaging. - Answers- C. Assess the glove packaging for wetness or
tears.
When are sterile nonlatex gloves recommended for a sterile procedure?
A. When there is a possible sensitivity issue
B. When the staff member prefers them
C. When latex gloves are not conveniently available
D. When the patient prefers them - Answers- A. When there is a possible sensitivity
issue
What is the most important step the nurse can take to minimize the risk of tearing a
sterile glove when applying it to the hands?
A. Using powdered sterile gloves
B. Keeping the fingernails trimmed and smoothly filed
C. Selecting the proper glove size
D. Drying the hands thoroughly before applying the gloves - Answers- C. Selecting the
proper glove size
After applying sterile gloves, the patient states she is uncomfortable and would like to
move to her left side. What is the best way for the nurse to keep the gloves sterile while
waiting for nursing assistive personnel (NAP) to position the patient for a sterile dressing
change?
A. Interlocking the fingers and keeping the hands above waist level
B. Keeping the arms at the sides, with elbows bent and gloved hands pointing up
C. Leaving the room momentarily
D. Stepping back from the bedside where NAP are working - Answers- A. Interlocking
the fingers and keeping the hands above waist level
Which protocol does not vary among institutions?
A. Acceptability of wearing artificial nails in patient care areas
B. Use of impervious transparent dressings to cover open lesions on nurse's hands
during sterile procedures
C. Use of sterile gloves for sterile procedures
D. Sterile gloves are only available in "one size fits all" - Answers- C. Use of sterile
gloves for sterile procedures
What is the best reason for a nurse to select a prepackaged sterile kit for a sterile
procedure?
A. Sterile prepackaged kits do not have expiration dates.
B. The wrapper of the sterile kit can be used as a sterile field.
, C. Adding supplies to the sterile field takes less time than using a prepackaged kit.
D. The prepackaged sterile kit will take up less space on the bedside table. - Answers-
B. The wrapper of the sterile kit can be used as a sterile field.
Which action is the most important step the nurse can take to keep the field sterile when
using an overbed table as the work surface for a sterile field?
A. Position the table out of the patient's reach.
B. Assess the table for stability.
C. Position the height of the table to be above waist level.
D. Assemble ahead of time any supplies and equipment not included in the kit. -
Answers- C. Position the height of the table to be above waist level.
While opening a prepackaged sterile kit, a package of sterile 4 × 4-in gauze pads falls to
the floor. What will the nurse ask ancillary staff to do to ensure the integrity of the sterile
field
A. "I will have to set up another sterile field; please take these items away."
B. "Please go to the clean utility room and get me a package of sterile 4 × 4-in gauze
pads."
C. "Please watch that nothing contaminates this sterile field while I go and get a
replacement item."
D. "Please explain to the patient the importance of remaining still during this procedure
so no other items will be contaminated." - Answers- B. "Please go to the clean utility
room and get me a package of sterile 4 × 4-in gauze pads."
When preparing a sterile field using a prepackaged sterile kit, what will influence the
nurse's placement of the kit on the overbed table?
A. The tips of the flaps are easily accessible.
B. The kit is positioned in the center of the table.
C. The sterile contents of the kit are readily available.
D. The outermost flap can be opened away from the nurse's body. - Answers- D. The
outermost flap can be opened away from the nurse's body.
Before setting up a sterile field for a sterile procedure in a patient's room, why would the
nurse ask any visitors to please leave the patient's bedside?
A. Ensures that no unnecessary movement occurs that could contaminate the sterile
field
B. Limits distractions while setting up the sterile field
C. Ensures a quiet environment during the procedure
D. Provides privacy for the patient - Answers- A. Ensures that no unnecessary
movement occurs that could contaminate the sterile field
The nurse is preparing to perform a sterile procedure for a patient. Which action will
best minimize the risk of infection during the procedure?
A. Administer a prophylactic antibiotic before the procedure, as prescribed.
B. Follow sterile technique during the procedure.
C. Ensure proper hand hygiene before the procedure.
