SAUNDERS FULLY SOLVED EDITION WITH
TESTED QUESTIONS AND 100 PERCENT
CORRECT VERIFIED ANSWERS 2026
• The nurse should institute which interventions for a client diagnosed
with Clostridium difficile? Select all that apply.
1.
Wear a mask if within 3 feet of the client.
2.
Place a mask on the client when client is outside the room.
3.
Wear gloves and gown while in the room caring for the client.
4.
Use soap and water, not alcohol-based hand rub, for hand hygiene.
5.
Keep the door of the room shut except when entering or exiting the
client's room. . Answer: Correct Answer: 3, 4
• A client with tuberculosis (TB) who is being prepared for discharge to
home should be instructed to follow which practice to decrease the
possibility of spreading the infection?
1.
Wear a mask when at home with family members.
2.
,Have a weekly sputum culture to follow the course of the infection.
3.
Wear a mask when in contact with people outside of the family until
medications are effective.
4.
Have a bacille Calmette-Guérin (BCG) vaccination to protect other
people from exposure. . Answer: Correct Answer: 3
• The nurse is preparing to set up a sterile field using the principles of
aseptic technique to perform a dressing change. Which should the nurse
include in the preparations? Select all that apply.
1.
Use a dry table that is below waist level.
2.
Open the distal flap of a sterile package first.
3.
Prepare the sterile field just before the planned procedure.
4.
Don clean gloves before touching items on the sterile field.
5.
Place the sterile field 1 foot behind the working area and out of view of
the client.
6.
Avoid placing items within 1 inch of any area surrounding the outer
edge of the sterile field. . Answer: Correct Answer: 2, 3, 6
,• The nurse receives the culture test results for a client who developed a
bloodstream infection from a central venous device. The culture report
indicates that the infection is exogenous. The client asks the nurse how
she could have contracted this infection. Which should the nurse include
in the explanation of potential sources of infectious organisms? Select
all that apply.
1.
The health care facility
2.
The nurse caring for the client
3.
The client's use of homeopathy
4.
The use of high doses of antibiotic therapy
5.
The use of contaminated intravenous fluids
6.
The reactivation of a previous dormant organism . Answer: Correct
Answer: 1, 2, 5
• Which instructions should be included in the teaching plan for a
mother whose newborn is human immunodeficiency virus (HIV)
positive?
1.
, Instruct the mother to check the anterior fontanel for bulging and sutures
for widening each day.
2.
Instruct the mother to feed the newborn in an upright position with the
head and chest tilted slightly back to avoid aspiration.
3.
Instruct the mother to feed the newborn with a special nipple and burp
the newborn frequently to decrease the tendency to swallow air.
4.
Instruct the mother and family to provide meticulous skin care to the
newborn and to change the newborn's diaper after each voiding or stool.
. Answer: Correct Answer: 4
• The nurse is assigned to care for a client on contact precautions. On
review of the client's record, the nurse notes that the client has a
hospital-acquired infection caused by methicillin-resistant
Staphylococcus aureus (MRSA). The client has an abdominal wound
that requires irrigation and has a tracheostomy attached to a mechanical
ventilator and requires frequent suctioning. The nurse gathers supplies
before entering the client's room and obtains which necessary protective
items?
1.
Gloves and a gown
2.
Gloves, mask, and goggles
3.
Gloves, mask, gown, and goggles
TESTED QUESTIONS AND 100 PERCENT
CORRECT VERIFIED ANSWERS 2026
• The nurse should institute which interventions for a client diagnosed
with Clostridium difficile? Select all that apply.
1.
Wear a mask if within 3 feet of the client.
2.
Place a mask on the client when client is outside the room.
3.
Wear gloves and gown while in the room caring for the client.
4.
Use soap and water, not alcohol-based hand rub, for hand hygiene.
5.
Keep the door of the room shut except when entering or exiting the
client's room. . Answer: Correct Answer: 3, 4
• A client with tuberculosis (TB) who is being prepared for discharge to
home should be instructed to follow which practice to decrease the
possibility of spreading the infection?
1.
Wear a mask when at home with family members.
2.
,Have a weekly sputum culture to follow the course of the infection.
3.
Wear a mask when in contact with people outside of the family until
medications are effective.
4.
Have a bacille Calmette-Guérin (BCG) vaccination to protect other
people from exposure. . Answer: Correct Answer: 3
• The nurse is preparing to set up a sterile field using the principles of
aseptic technique to perform a dressing change. Which should the nurse
include in the preparations? Select all that apply.
1.
Use a dry table that is below waist level.
2.
Open the distal flap of a sterile package first.
3.
Prepare the sterile field just before the planned procedure.
4.
Don clean gloves before touching items on the sterile field.
5.
Place the sterile field 1 foot behind the working area and out of view of
the client.
6.
Avoid placing items within 1 inch of any area surrounding the outer
edge of the sterile field. . Answer: Correct Answer: 2, 3, 6
,• The nurse receives the culture test results for a client who developed a
bloodstream infection from a central venous device. The culture report
indicates that the infection is exogenous. The client asks the nurse how
she could have contracted this infection. Which should the nurse include
in the explanation of potential sources of infectious organisms? Select
all that apply.
1.
The health care facility
2.
The nurse caring for the client
3.
The client's use of homeopathy
4.
The use of high doses of antibiotic therapy
5.
The use of contaminated intravenous fluids
6.
The reactivation of a previous dormant organism . Answer: Correct
Answer: 1, 2, 5
• Which instructions should be included in the teaching plan for a
mother whose newborn is human immunodeficiency virus (HIV)
positive?
1.
, Instruct the mother to check the anterior fontanel for bulging and sutures
for widening each day.
2.
Instruct the mother to feed the newborn in an upright position with the
head and chest tilted slightly back to avoid aspiration.
3.
Instruct the mother to feed the newborn with a special nipple and burp
the newborn frequently to decrease the tendency to swallow air.
4.
Instruct the mother and family to provide meticulous skin care to the
newborn and to change the newborn's diaper after each voiding or stool.
. Answer: Correct Answer: 4
• The nurse is assigned to care for a client on contact precautions. On
review of the client's record, the nurse notes that the client has a
hospital-acquired infection caused by methicillin-resistant
Staphylococcus aureus (MRSA). The client has an abdominal wound
that requires irrigation and has a tracheostomy attached to a mechanical
ventilator and requires frequent suctioning. The nurse gathers supplies
before entering the client's room and obtains which necessary protective
items?
1.
Gloves and a gown
2.
Gloves, mask, and goggles
3.
Gloves, mask, gown, and goggles
