NUR 313- EXAM 1 REVIEW QUESTIONS WITH COMPLETE SOLUTIONS
A nurse is following the principles of medical asepsis when performing patient
care in a hospital setting. Which nursing action performed by the nurse follows
these recommended guidelines?
a. The nurse carries the patients' soiled bed linens close to the body to prevent
spreading microorganisms into the air
b. The nurse places soiled bed linens and hospital gowns on the floor when
making the bed
c. The nurse moves the patient table away from the nurse's body when wiping it
off after a meal
d. The nurse cleans the most soiled items in the patient's bathroom first and
follows with the cleaner items - ANSWER-C. The nurse moves the patient table
away from the nurse's body when wiping it off after a meal.
According to the principles of medical asepsis, the nurse should move
equipment away from the body when brushing, scrubbing, or dusting articles to
prevent contaminated particles from settling on the hair, face, or uniform. The
nurse should carry soiled items away from the body to prevent them from
touching the clothing. The nurse should not put soiled items on the floor, as it is
highly contaminated. The nurse should also clean the least soiled areas first and
then move to the more soiled ones to prevent having the cleaner areas soiled by
the dirtier areas.
,A school nurse is performing an assessment of a student who states, "I'm too
tired to keep my head up in class." The student has a low-grade fever. The nurse
would interpret these findings as indicating which stage of infection?
a. Incubation period
b. Prodromal stage
c. Full stage of illness
d. Convalescent period - ANSWER-B. Prodromal stage
During the prodromal stage, the person has vague signs and symptoms, such as
fatigue and a low-grade fever. There are no obvious symptoms of infection
during the incubation period, and they are more specific during the full stage of
illness before disappearing by the convalescent period.
A nurse is caring for patients in an isolation ward. In which situations would the
nurse appropriately use an alcohol-based handrub to decontaminate the hands?
Select all that apply.
a. Providing a bed bath for a patient
b. Visibly soiled hands after changing the bedding of a patient
c. Removing gloves when patient care is completed
d. Inserting a urinary catheter for a female patient
e. Assisting with a surgical placement of a cardiac stent
f. Removing old magazines from a patient's table - ANSWER-A. Providing a bed
bath for a patient
C. Removing gloves when patient care is completed
,D. Inserting a urinary catheter for a female patient
F. Removing old magazines from a patient's table.
It is recommended to use an alcohol-based handrub in the following situations:
before direct contact with patients; after direct contact with patient skin; after
contact with body fluids if hands are not visibly soiled; after removing gloves;
before inserting urinary catheters, peripheral vascular catheters, or invasive
devices that do not require surgical placement; before donning sterile gloves
prior to an invasive procedure; if moving from a contaminated body site to a
clean body site; and after contact with objects contaminated by the patient.
Keep in mind that handrubs are not appropriate for use with C. difficile
infection.
A nurse is performing hand hygiene after providing patient care. The nurse's
hands are not visibly soiled. Which steps in this procedure are performed
correctly? Select all that apply.
a. Removes all jewelry including a platinum wedding band
b. Washes hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
d. Keeps hands higher than elbows when placing under faucet
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips - ANSWER-b. Washes
hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
e. Uses friction motion when washing for at least 20 seconds
, f. Rinses thoroughly with water flowing toward fingertips
Proper hand hygiene includes removing jewelry (with the exception of a plain
wedding band), wetting the hands and wrist area with the hands lower than the
elbows, using about one teaspoon of liquid soap, using friction motion for at
least 20 seconds, washing to 1 in above the wrists with a friction motion for at
least 20 seconds, and rinsing thoroughly with water flowing toward fingertips.
The nurse has opened the sterile supplies and put on two sterile gloves to
complete a sterile dressing change, a procedure that requires surgical asepsis.
Which action by the nurse is appropriate?
a. Keep splashes on the sterile field to a minimum
b. Cover the nose and mouth with gloved hands if a sneeze is imminent
c. Use forceps soaked in a disinfectant
d. Consider the outer 1 in of the sterile field as contaminated - ANSWER-d.
Consider the outer 1 in of the sterile field as contaminated
Considering the outer inch of a sterile field as contaminated is a principle of
surgical asepsis. Moisture such as from splashes contaminates the sterile field,
and sneezing would contaminate the sterile gloves. Forceps soaked in
disinfectant are not considered sterile.
The nurse caring for patients in a hospital setting institutes CDC standard
precaution recommendations for which category of patients?
A nurse is following the principles of medical asepsis when performing patient
care in a hospital setting. Which nursing action performed by the nurse follows
these recommended guidelines?
a. The nurse carries the patients' soiled bed linens close to the body to prevent
spreading microorganisms into the air
b. The nurse places soiled bed linens and hospital gowns on the floor when
making the bed
c. The nurse moves the patient table away from the nurse's body when wiping it
off after a meal
d. The nurse cleans the most soiled items in the patient's bathroom first and
follows with the cleaner items - ANSWER-C. The nurse moves the patient table
away from the nurse's body when wiping it off after a meal.
According to the principles of medical asepsis, the nurse should move
equipment away from the body when brushing, scrubbing, or dusting articles to
prevent contaminated particles from settling on the hair, face, or uniform. The
nurse should carry soiled items away from the body to prevent them from
touching the clothing. The nurse should not put soiled items on the floor, as it is
highly contaminated. The nurse should also clean the least soiled areas first and
then move to the more soiled ones to prevent having the cleaner areas soiled by
the dirtier areas.
,A school nurse is performing an assessment of a student who states, "I'm too
tired to keep my head up in class." The student has a low-grade fever. The nurse
would interpret these findings as indicating which stage of infection?
a. Incubation period
b. Prodromal stage
c. Full stage of illness
d. Convalescent period - ANSWER-B. Prodromal stage
During the prodromal stage, the person has vague signs and symptoms, such as
fatigue and a low-grade fever. There are no obvious symptoms of infection
during the incubation period, and they are more specific during the full stage of
illness before disappearing by the convalescent period.
A nurse is caring for patients in an isolation ward. In which situations would the
nurse appropriately use an alcohol-based handrub to decontaminate the hands?
Select all that apply.
a. Providing a bed bath for a patient
b. Visibly soiled hands after changing the bedding of a patient
c. Removing gloves when patient care is completed
d. Inserting a urinary catheter for a female patient
e. Assisting with a surgical placement of a cardiac stent
f. Removing old magazines from a patient's table - ANSWER-A. Providing a bed
bath for a patient
C. Removing gloves when patient care is completed
,D. Inserting a urinary catheter for a female patient
F. Removing old magazines from a patient's table.
It is recommended to use an alcohol-based handrub in the following situations:
before direct contact with patients; after direct contact with patient skin; after
contact with body fluids if hands are not visibly soiled; after removing gloves;
before inserting urinary catheters, peripheral vascular catheters, or invasive
devices that do not require surgical placement; before donning sterile gloves
prior to an invasive procedure; if moving from a contaminated body site to a
clean body site; and after contact with objects contaminated by the patient.
Keep in mind that handrubs are not appropriate for use with C. difficile
infection.
A nurse is performing hand hygiene after providing patient care. The nurse's
hands are not visibly soiled. Which steps in this procedure are performed
correctly? Select all that apply.
a. Removes all jewelry including a platinum wedding band
b. Washes hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
d. Keeps hands higher than elbows when placing under faucet
e. Uses friction motion when washing for at least 20 seconds
f. Rinses thoroughly with water flowing toward fingertips - ANSWER-b. Washes
hands to 1 in above the wrists
c. Uses approximately one teaspoon of liquid soap
e. Uses friction motion when washing for at least 20 seconds
, f. Rinses thoroughly with water flowing toward fingertips
Proper hand hygiene includes removing jewelry (with the exception of a plain
wedding band), wetting the hands and wrist area with the hands lower than the
elbows, using about one teaspoon of liquid soap, using friction motion for at
least 20 seconds, washing to 1 in above the wrists with a friction motion for at
least 20 seconds, and rinsing thoroughly with water flowing toward fingertips.
The nurse has opened the sterile supplies and put on two sterile gloves to
complete a sterile dressing change, a procedure that requires surgical asepsis.
Which action by the nurse is appropriate?
a. Keep splashes on the sterile field to a minimum
b. Cover the nose and mouth with gloved hands if a sneeze is imminent
c. Use forceps soaked in a disinfectant
d. Consider the outer 1 in of the sterile field as contaminated - ANSWER-d.
Consider the outer 1 in of the sterile field as contaminated
Considering the outer inch of a sterile field as contaminated is a principle of
surgical asepsis. Moisture such as from splashes contaminates the sterile field,
and sneezing would contaminate the sterile gloves. Forceps soaked in
disinfectant are not considered sterile.
The nurse caring for patients in a hospital setting institutes CDC standard
precaution recommendations for which category of patients?
