PN 4006 Final Exam – Questions With Guaranteed
Solutions
The nurse is preparing to assist with a sterile procedure in the surgical suite.
Which of the following is an appropriate technique that the nurse includes in
the surgical scrub?
Select one:
a. Keeping the hands below the elbows throughout the scrub
b. Using a brush on the palms and dorsal surface of the hands
c. Maintaining a scrub for two to six minutes
d. Washing well around all artificial nails Right Ans - c. Maintaining a scrub
for two to six minutes
Which one of the following indicates that the nurse is using surgical aseptic
technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing Right Ans - a. Inserting an
intravenous catheter
The client requires a sterile dressing change. Which of the following is an
appropriate intervention for the nurse to implement in maintaining sterile
asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. Right Ans - b.
Check integrity of sterile packages prior to use.
The client has a large, deep abdominal incision that requires a dressing. The
incision is packed with sterile 1.75-cm packing and covered with a dry, 10 ×
10-cm gauze. When changing the dressing, the nurse accidentally drops the
,packing onto the client's abdomen. Which of the following actions should the
nurse take?
Select one:
a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision
with sterile gloves. Right Ans - b. Throw the packing away, and prepare a
new one.
Droplet precautions will be instituted for the client admitted to the infectious
disease unit with which of the following conditions?
Select one:
a. Influenza
b. C. difficile
c. Pulmonary tuberculosis
d. Measles Right Ans - a. Influenza
A client with active tuberculosis is admitted to the medical center. The nurse
recognizes that which of the following types of precautions will be required
upon admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation Right Ans - a. Airborne precautions
The parent of a preschool child asks the nurse how chickenpox (caused by the
varicella-zoster virus) is transmitted. The nurse explains which of the
following about the virus?
Select one:
a. It is carried by a vector organism.
b. It is carried though the air in droplets after sneezing or coughing.
c. It is transmitted through person-to-person contact.
,d. It is acquired through contact with contaminated objects. Right Ans - b. It
is carried though the air in droplets after sneezing or coughing.
The nurse recognizes the appropriate procedures for sterile asepsis. Of the
following, which action is consistent with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to
the nurse. Right Ans - c. The first small amount of sterile solution should be
poured and discarded.
The nursing assistant is learning how to use protective equipment when
caring for a client in isolation. The nursing assistant is instructed in the
correct sequence for putting on the protective equipment. Which of the
following describes the correct sequence?
Select one:
a. Wash her hands, apply the mask and eyewear, put on the gown, and then
apply gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then
apply gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on mask and
eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then
apply gloves. Right Ans - a. Wash her hands, apply the mask and eyewear,
put on the gown, and then apply gloves.
The nurse is aware that it is important to break the chain of infection. Which
of the following is an example of a nursing intervention implemented to
reduce a reservoir of infection for a client?
Select one:
a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
c. Isolating the client's articles
d. Changing soiled dressings Right Ans - d. Changing soiled dressings
, During the neurological component of the physical examination, the nurse
tests the function of the client's cranial nerves. In testing cranial nerve III, the
nurse determines the client's ability to do which one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size Right Ans - d. React to light with
changes in pupil size
A rapid infusion of blood has been given to the client. The nurse assesses the
client for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting Right Ans - c. Hypertension and tachycardia
A client complains of a headache and chills during a blood transfusion. Which
one of the following actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. Right Ans - b. Stop the
blood transfusion.
Which of the following is an unexpected value that the nurse, in reviewing the
results of the client's blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L Right Ans - a. Calcium, 1.9 mmol/L
Solutions
The nurse is preparing to assist with a sterile procedure in the surgical suite.
Which of the following is an appropriate technique that the nurse includes in
the surgical scrub?
Select one:
a. Keeping the hands below the elbows throughout the scrub
b. Using a brush on the palms and dorsal surface of the hands
c. Maintaining a scrub for two to six minutes
d. Washing well around all artificial nails Right Ans - c. Maintaining a scrub
for two to six minutes
Which one of the following indicates that the nurse is using surgical aseptic
technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing Right Ans - a. Inserting an
intravenous catheter
The client requires a sterile dressing change. Which of the following is an
appropriate intervention for the nurse to implement in maintaining sterile
asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. Right Ans - b.
Check integrity of sterile packages prior to use.
The client has a large, deep abdominal incision that requires a dressing. The
incision is packed with sterile 1.75-cm packing and covered with a dry, 10 ×
10-cm gauze. When changing the dressing, the nurse accidentally drops the
,packing onto the client's abdomen. Which of the following actions should the
nurse take?
Select one:
a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision
with sterile gloves. Right Ans - b. Throw the packing away, and prepare a
new one.
Droplet precautions will be instituted for the client admitted to the infectious
disease unit with which of the following conditions?
Select one:
a. Influenza
b. C. difficile
c. Pulmonary tuberculosis
d. Measles Right Ans - a. Influenza
A client with active tuberculosis is admitted to the medical center. The nurse
recognizes that which of the following types of precautions will be required
upon admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation Right Ans - a. Airborne precautions
The parent of a preschool child asks the nurse how chickenpox (caused by the
varicella-zoster virus) is transmitted. The nurse explains which of the
following about the virus?
Select one:
a. It is carried by a vector organism.
b. It is carried though the air in droplets after sneezing or coughing.
c. It is transmitted through person-to-person contact.
,d. It is acquired through contact with contaminated objects. Right Ans - b. It
is carried though the air in droplets after sneezing or coughing.
The nurse recognizes the appropriate procedures for sterile asepsis. Of the
following, which action is consistent with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to
the nurse. Right Ans - c. The first small amount of sterile solution should be
poured and discarded.
The nursing assistant is learning how to use protective equipment when
caring for a client in isolation. The nursing assistant is instructed in the
correct sequence for putting on the protective equipment. Which of the
following describes the correct sequence?
Select one:
a. Wash her hands, apply the mask and eyewear, put on the gown, and then
apply gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then
apply gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on mask and
eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then
apply gloves. Right Ans - a. Wash her hands, apply the mask and eyewear,
put on the gown, and then apply gloves.
The nurse is aware that it is important to break the chain of infection. Which
of the following is an example of a nursing intervention implemented to
reduce a reservoir of infection for a client?
Select one:
a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
c. Isolating the client's articles
d. Changing soiled dressings Right Ans - d. Changing soiled dressings
, During the neurological component of the physical examination, the nurse
tests the function of the client's cranial nerves. In testing cranial nerve III, the
nurse determines the client's ability to do which one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size Right Ans - d. React to light with
changes in pupil size
A rapid infusion of blood has been given to the client. The nurse assesses the
client for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting Right Ans - c. Hypertension and tachycardia
A client complains of a headache and chills during a blood transfusion. Which
one of the following actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. Right Ans - b. Stop the
blood transfusion.
Which of the following is an unexpected value that the nurse, in reviewing the
results of the client's blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L Right Ans - a. Calcium, 1.9 mmol/L
