Patient Centered Care Exam #2
questions & answers graded A+
When entering a client's room to change a surgical dressing, a nurse notes that the client is
coughing and sneezing. When preparing the sterile field, it is important that the nurse - correct
answer ✔✔Place a mask on the client to limit the spread of micro-organisms into the surgical
wound.
A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the
following objects may the nurse touch without breaching the sterile technique? (select all that
apply) - correct answer ✔✔c. The inner wrapping of an item on the sterile field
d. An irrigation syringe on the sterile field
e. One gloved hand with the other gloved hand
A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the nurse unfold
first? - correct answer ✔✔d. The flap farthest from the body
A nurse is reviewing hand hygiene techniques with a group of assistive personnel. Which of the
following instructions should the nurse include when discussing handwashing? (select all that
apply) - correct answer ✔✔b. Wash the hands with soap and water for at least 15 seconds.
d. Use a clean paper towel to turn off hand faucets.
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of
the following events should the nurse recognize as contaminating the sterile field? (select all
that apply) - correct answer ✔✔b. The nurse moistens a cotton ball with sterile normal saline
and places it on the sterile field
c. The procedure is delayed 1 hour because the provider receives and emergency call
d. The nurse turns to speak to someone who enters through the door behind the nurse.
, A nurse is caring for a client diagnosed with severe acute respiratory syndrome (SARS). The
nurse is aware of that health care professionals are required to report communicable and
infectious diseases. Which of the following illustrate the rationale for reporting? (select all that
apply) - correct answer ✔✔a. Planning and evaluating control and prevention strategies.
b. Determining public health priorities.
c. Ensuring proper medical treatment.
e. Monitoring for common-source outbreaks.
A nurse is contributing to the plan of care for a client who is being admitted to the facility with a
suspected diagnoses of pertussis. Which of the following should the nurse include in the plan of
care. (select all that apply) - correct answer ✔✔b. Wear a mask when providing care within 3ft
of the client
c. Place a surgical mask on the client if transportation to another department is unavoidable.
A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with
some crustings. Which of the following should the nurse suspect? - correct answer ✔✔d.
Herpes zoster
A nurse is caring for a client who reports a sever sore throat, pain when swallowing, and swollen
lymph nodes. The client is experiencing which of the following stages of infection? - correct
answer ✔✔d. Illness
A nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations
of a localized versus a systematic infection. The nurse indicates understanding when she states
that which of the following are clinical manifestations of a systematic infection? (select all that
apply) - correct answer ✔✔a. Fever
b. Malaise
e. Increase in pulse and respiratory rate
questions & answers graded A+
When entering a client's room to change a surgical dressing, a nurse notes that the client is
coughing and sneezing. When preparing the sterile field, it is important that the nurse - correct
answer ✔✔Place a mask on the client to limit the spread of micro-organisms into the surgical
wound.
A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the
following objects may the nurse touch without breaching the sterile technique? (select all that
apply) - correct answer ✔✔c. The inner wrapping of an item on the sterile field
d. An irrigation syringe on the sterile field
e. One gloved hand with the other gloved hand
A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the nurse unfold
first? - correct answer ✔✔d. The flap farthest from the body
A nurse is reviewing hand hygiene techniques with a group of assistive personnel. Which of the
following instructions should the nurse include when discussing handwashing? (select all that
apply) - correct answer ✔✔b. Wash the hands with soap and water for at least 15 seconds.
d. Use a clean paper towel to turn off hand faucets.
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of
the following events should the nurse recognize as contaminating the sterile field? (select all
that apply) - correct answer ✔✔b. The nurse moistens a cotton ball with sterile normal saline
and places it on the sterile field
c. The procedure is delayed 1 hour because the provider receives and emergency call
d. The nurse turns to speak to someone who enters through the door behind the nurse.
, A nurse is caring for a client diagnosed with severe acute respiratory syndrome (SARS). The
nurse is aware of that health care professionals are required to report communicable and
infectious diseases. Which of the following illustrate the rationale for reporting? (select all that
apply) - correct answer ✔✔a. Planning and evaluating control and prevention strategies.
b. Determining public health priorities.
c. Ensuring proper medical treatment.
e. Monitoring for common-source outbreaks.
A nurse is contributing to the plan of care for a client who is being admitted to the facility with a
suspected diagnoses of pertussis. Which of the following should the nurse include in the plan of
care. (select all that apply) - correct answer ✔✔b. Wear a mask when providing care within 3ft
of the client
c. Place a surgical mask on the client if transportation to another department is unavoidable.
A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with
some crustings. Which of the following should the nurse suspect? - correct answer ✔✔d.
Herpes zoster
A nurse is caring for a client who reports a sever sore throat, pain when swallowing, and swollen
lymph nodes. The client is experiencing which of the following stages of infection? - correct
answer ✔✔d. Illness
A nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations
of a localized versus a systematic infection. The nurse indicates understanding when she states
that which of the following are clinical manifestations of a systematic infection? (select all that
apply) - correct answer ✔✔a. Fever
b. Malaise
e. Increase in pulse and respiratory rate
