Ecpi 164 Exam 2 Questions With Complete Solutions
Nursing students enrolled in a medical-surgical nursing course
are learning about infection control measures. They have learned
that nurses use droplet precautions for patients with which
infections? Select all that apply.
A. Rubella
B. Herpes simplex
C. Varicella
D. Tuberculosis
E. MRSA
F. Adenovirus
A. Rubella, B. Herpes simplex, F. Adenovirus
A nurse and health care provider are preparing for insertion of a
central venous catheter when the patient accidentally touches the
sterile field. What action will the nurse take next?
A. Ask another nurse to hold the patient's hand and continue
setting up the field
B. Remove any objects the patient touched and resume setting
up the sterile field
C. Have someone hold the patient's hand, discard the supplies,
and prepare a new sterile field
D. No action since the patient has touched their own sterile field
C. Have someone hold the patient's hand, discard the supplies,
and prepare a new sterile field
When performing sterile wound irrigation and dressing change
for a postoperative patient, a new graduate nurse creates a sterile
,field. Which actions require correction by the preceptor? Select
all that apply.
A. Placing the bottle cap for the irrigating solution off the sterile
field with the edges down
B. Holding the bottle of irrigating solution inside the edge of the
sterile field
C. Applying the second sterile glove by lifting it from beneath
the cuff with the thumb held away from the glove
D. Pouring the irrigating solution into a sterile container from a
height of 4 to 6 inches (10 to 15 cm)
E. Opening packages of sterile gauze dressings, prior to
applying sterile gloves
D. Pouring the irrigating solution into a sterile container from a
height of 4 to 6 inches (10 to 15 cm), E. Opening packages of
sterile gauze dressings, prior to applying sterile gloves
A nurse has finished providing care for a patient in contact
isolation for a MRSA infection. Place the steps the nurse should
follow to remove PPE in the correct order.
A. Untie gown at the front waist
B. Remove mask
C. Remove gloves
D. Remove gown
E. Remove goggles
A->C->E->D->B
A nurse administering an injection to a patient who tested
positive for HIV sustains a needlestick. What action should the
nurse take first?
A. Report the incident to the nurse manager and file an injury
,report
B. Wash the exposed area with warm water and soap
C. Consent to postexposure prophylaxis (PEP) at the appropriate
time
D. Set up counseling sessions regarding safe practice to protect
self
B. Wash the exposed area with warm water and soap
During morning huddle, a nurse manager and some nurses are
identifying patients on the unit who are at risk for hospital-
acquired infections (HAIs). Which patients will the nurses
identify? Select all that apply.
A. Smoker, two packs of cigarettes daily
B. White blood cell count of 2,000/mm3
C. Indwelling urinary catheter in place
D. Vegetarian and slightly underweight
E. Central venous catheter present
F. Postoperative colostomy
B. White blood cell count of 2,000/mm3, C. Indwelling urinary
catheter in place, E. Central venous catheter present, F.
Postoperative colostomy
A nurse is caring for a patient who is incontinent of stool and
has developed a stage 3 pressure wound on the buttocks. What
intervention will the nurse set as the priority of care?
A. Increasing nutrition
B. Promoting mobility
C. Managing chronic pain
D. Preventing infection
D. Preventing infection
, A home health nurse teaches a patient to a change the dressing
for a chronic venous stasis ulcer using clean technique. Which
principle of asepsis will the nurse consider when preparing the
teaching plan?
A. The nurse chooses clean or sterile technique based on
personal preference.
B. The use of clean technique is considered safe in the home
setting.
C. Surgical asepsis is the safest method to use in a home setting.
D. The patient can use clean technique; their partner must wear
sterile gloves.
B. The use of clean technique is considered safe in the home
setting.
When bathing a patient with C. diff infection, the nurse wears
personal protective equipment (PPE). Which additional
intervention promotes safe, effective care?
A. Donning PPE after entering the patient room
B. Bathing the perianal area last
C. Personalizing care by substituting glasses for goggles
D. Removing PPE after bathing the patient to talk with them in
the room
B. Bathing the perianal area last
A nurse is preparing to admit a patient with urinary sepsis
related to vancomycin-resistant enterococci (VRE). While
awaiting the patient's arrival, which of these actions will the
nurse take?
A. Prepare a negative-pressure room
B. Ask the AP to get a supply of protective gowns
Nursing students enrolled in a medical-surgical nursing course
are learning about infection control measures. They have learned
that nurses use droplet precautions for patients with which
infections? Select all that apply.
A. Rubella
B. Herpes simplex
C. Varicella
D. Tuberculosis
E. MRSA
F. Adenovirus
A. Rubella, B. Herpes simplex, F. Adenovirus
A nurse and health care provider are preparing for insertion of a
central venous catheter when the patient accidentally touches the
sterile field. What action will the nurse take next?
A. Ask another nurse to hold the patient's hand and continue
setting up the field
B. Remove any objects the patient touched and resume setting
up the sterile field
C. Have someone hold the patient's hand, discard the supplies,
and prepare a new sterile field
D. No action since the patient has touched their own sterile field
C. Have someone hold the patient's hand, discard the supplies,
and prepare a new sterile field
When performing sterile wound irrigation and dressing change
for a postoperative patient, a new graduate nurse creates a sterile
,field. Which actions require correction by the preceptor? Select
all that apply.
A. Placing the bottle cap for the irrigating solution off the sterile
field with the edges down
B. Holding the bottle of irrigating solution inside the edge of the
sterile field
C. Applying the second sterile glove by lifting it from beneath
the cuff with the thumb held away from the glove
D. Pouring the irrigating solution into a sterile container from a
height of 4 to 6 inches (10 to 15 cm)
E. Opening packages of sterile gauze dressings, prior to
applying sterile gloves
D. Pouring the irrigating solution into a sterile container from a
height of 4 to 6 inches (10 to 15 cm), E. Opening packages of
sterile gauze dressings, prior to applying sterile gloves
A nurse has finished providing care for a patient in contact
isolation for a MRSA infection. Place the steps the nurse should
follow to remove PPE in the correct order.
A. Untie gown at the front waist
B. Remove mask
C. Remove gloves
D. Remove gown
E. Remove goggles
A->C->E->D->B
A nurse administering an injection to a patient who tested
positive for HIV sustains a needlestick. What action should the
nurse take first?
A. Report the incident to the nurse manager and file an injury
,report
B. Wash the exposed area with warm water and soap
C. Consent to postexposure prophylaxis (PEP) at the appropriate
time
D. Set up counseling sessions regarding safe practice to protect
self
B. Wash the exposed area with warm water and soap
During morning huddle, a nurse manager and some nurses are
identifying patients on the unit who are at risk for hospital-
acquired infections (HAIs). Which patients will the nurses
identify? Select all that apply.
A. Smoker, two packs of cigarettes daily
B. White blood cell count of 2,000/mm3
C. Indwelling urinary catheter in place
D. Vegetarian and slightly underweight
E. Central venous catheter present
F. Postoperative colostomy
B. White blood cell count of 2,000/mm3, C. Indwelling urinary
catheter in place, E. Central venous catheter present, F.
Postoperative colostomy
A nurse is caring for a patient who is incontinent of stool and
has developed a stage 3 pressure wound on the buttocks. What
intervention will the nurse set as the priority of care?
A. Increasing nutrition
B. Promoting mobility
C. Managing chronic pain
D. Preventing infection
D. Preventing infection
, A home health nurse teaches a patient to a change the dressing
for a chronic venous stasis ulcer using clean technique. Which
principle of asepsis will the nurse consider when preparing the
teaching plan?
A. The nurse chooses clean or sterile technique based on
personal preference.
B. The use of clean technique is considered safe in the home
setting.
C. Surgical asepsis is the safest method to use in a home setting.
D. The patient can use clean technique; their partner must wear
sterile gloves.
B. The use of clean technique is considered safe in the home
setting.
When bathing a patient with C. diff infection, the nurse wears
personal protective equipment (PPE). Which additional
intervention promotes safe, effective care?
A. Donning PPE after entering the patient room
B. Bathing the perianal area last
C. Personalizing care by substituting glasses for goggles
D. Removing PPE after bathing the patient to talk with them in
the room
B. Bathing the perianal area last
A nurse is preparing to admit a patient with urinary sepsis
related to vancomycin-resistant enterococci (VRE). While
awaiting the patient's arrival, which of these actions will the
nurse take?
A. Prepare a negative-pressure room
B. Ask the AP to get a supply of protective gowns
