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📋 DOCUMENT OVERVIEW 66 Qs
This document, "NUR 170 Exam 1," covers essential topics in nursing, including sterile field preparation,
surgical asepsis, personal protective equipment, hand hygiene, communication strategies, and
therapeutic relationships. The 66 questions, each accompanied by a correct answer and detailed
explanation, provide a comprehensive review of these concepts. Students can utilize this document to
study, review, and understand key nursing principles, facilitating exam preparation and reinforcing their
knowledge in critical areas of nursing practice.
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EXAM QUESTIONS
QUESTION 1
A nurse is preparing a sterile field. The nurse should identify which of the following actions
contaminated the sterile field. Select all that apply.
A. A cotton ball dampened w sterile normal saline is placed on the field.
B. A contaminated instrument touches the outer edge of the sterile field.
C. A sterile instrument is dropped onto the near side of the sterile field.
D. The nurse turns to address the client's question concerning the procedure.
E. The procedure is postponed for 30 minutes to accommodate the client.
F. A liquid is poured into a sterile container from a distance of 25 cm.
CORRECT ANSWER
A. A cotton ball dampened w sterile normal saline is placed on the field.
D. The nurse turns to address the client's question concerning the procedure.
E. The procedure is postponed for 30 minutes to accommodate the client.
F. A liquid is poured into a sterile container from a distance of 25 cm.
RATIONALE: The correct answers are B, C, and F, as these actions directly introduce contamination to the sterile field:
touching the outer edge of the sterile field with a contaminated instrument (B) and dropping a sterile instrument onto
the field (C) can transfer microorganisms, while pouring a liquid from a distance (F) can create aerosols and splash,
potentially contaminating the area.
QUESTION 2
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, A nurse should identify that which of the following is the goal of surgical asepsis?
A. To create and maintain a micro-organism-free environment.
B. To kill all micro-organisms on all instruments involved in a procedure.
C.To reduce the presence of pathogenic organisms in the environment.
D. To minimize exposure to the clients blood during an invasive procedure.
CORRECT ANSWER
A. To create and maintain a micro-organism-free environment.
RATIONALE: Surgical asepsis aims to eliminate all micro-organisms from the environment and instruments to prevent
the transmission of infections and ensure a sterile workspace. A micro-organism-free environment is essential for
preventing surgical site infections, making option A the correct goal of surgical asepsis.
QUESTION 3
A nurse is providing teaching to an assistive personal (AP) about the use of sterile gloves. Which of the
following instructions regarding the open-gloving method should the nurse give?
A. "Ask another team member to assist with donning gloves."
B. "Choose a pair of gloves at least one size smaller than usual."
C. "Grasp only the underside of the cuff with your ungloved hand."
D. "Grasp only the inside of the glove with your ungloved hand."
CORRECT ANSWER
D. "Grasp only the inside of the glove with your ungloved hand."
RATIONALE: When donning sterile gloves using the open-gloving method, grasping only the inside of the glove with the
ungloved hand helps maintain the glove's sterility by preventing contact with the outer surface, which may contain
contaminants. This technique reduces the risk of compromising the sterile field and ensuring asepsis during the
procedure.
QUESTION 4
While waiting for a sterile procedure to begin, how do you position your hands and arms?
A. With hands clasped together in front of the body above the waist.
B. At the sides of the body, with hands pointing downward.
C. Folded across the chest with hand on the shoulders.
D. With hands clasped together at the back of the body at waist level.
CORRECT ANSWER
A. With hands clasped together in front of the body above the waist.
RATIONALE: Positioning hands and arms with hands clasped together in front of the body above the waist helps
maintain asepsis by keeping the hands from touching potentially contaminated surfaces, reducing the risk of introducing
bacteria into the sterile field. This position also promotes good posture and allows for easy access to the hands for the
surgeon or sterile technician to prepare them for the procedure.
QUESTION 5
Prior to entering the surgical-scrub area, which of the following personal protective equipment (PPE)
items should a nurse don? (select all that apply)
A. Gown
B. Protective eyewear
C. Hair cover
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, D. Mask
E. Shoe covers
CORRECT ANSWER
B. Protective eyewear
C. Hair cover
D. Mask
E. Shoe covers
RATIONALE: When entering the surgical-scrub area, the nurse must prioritize equipment that will prevent contamination
from bodily fluids and other potential hazards. Protective eyewear, hair cover, and shoe covers all fall under this category,
as they prevent the nurse's eyes, hair, and shoes from coming into contact with potentially infectious substances.
QUESTION 6
A nurse should identify that which of the following areas of the hands requires special attention during
the prescribe wash?
A. The area between each finger
B. The area under each fingernail
C. The palm of each hand
E. The back of the hands
CORRECT ANSWER
B. The area under each fingernail
RATIONALE: The area under each fingernail requires special attention during handwashing because it is a common
location for dirt, bacteria, and other pathogens to accumulate, posing a risk of infection. Effective hand hygiene involves
thoroughly cleaning this area to prevent the spread of microorganisms, making it a critical part of the handwashing
process.
QUESTION 7
A nurse is preparing to wash their hands prior to surgery. For which of the following reasons should
the nurse keep their hands above their elbows?
A. To prevent them from coming into contact with a contaminated object.
B. To facilitate the application of sufficient friction to the hands.
C. To provide good visualization of the hands as they are scrubbed
D. To encourage water and soap to flow away from the clean hands.
CORRECT ANSWER
D. To encourage water and soap to flow away from the clean hands.
RATIONALE: When washing hands above the elbows, the water and soap can flow away from the clean hands,
preventing re-contamination and maintaining hand hygiene. This is crucial in a surgical setting where even minor
contamination can pose significant risks to patient health.
QUESTION 8
When opening a sterile pack, which of the following actions would compromise the sterility of the
instruments and supplies inside the pack?
A. Allowing movement of team members around the field.
B. Holding the sterile pack below waist or table level
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