NURS 240 2026 UPDATED EXAM Q&A
GRADED A+
⚫one of the physiological effects of the trendelenburg position is
a. Decreased diaphragmatic movement
b. Even distribution of lung ventilation
c. Increased cardiac output
d. Venous pooling in the lower legs. Answer: A
⚫Which statement correctly describes recommendations for preoperative
pt skin antisepsis?
a. In determining the area to be prepped, expose the smallest area
possible to protect the pt's privacy
b. Prep dirty areas before clean areas
c. Remove hair with a razor
d. The prep should start at the site of the incision and move outwards.
Answer: D
⚫CHG is recommended for
a. The auditory canal
b. The scalp
c. Vaginal preps
d. Topical application. Answer: D
⚫Which of the following is not a goal of the surgical prep?
a. Removal of soil and transient microbes
b. Reduction of resident microbes below a pathogenic level
c. The promotion of rapid rebound growth of microorganisms
d. All options are correct. Answer: C
⚫Antimicrobial agents used for the surgical skin prep need to be fast
acting with a broad spectrum in order to be effective against a wide range
of microorganisms. What other properties are necessary for an effective
skin prep agent?
a. Low log reduction capability and non irritating
b. Persistent and toxic
c. High log reduction and non toxic
d. Persistent and non irritating
, a. 1 and 2
b. 2 and 3
c. 3 and 4
d. 1 and 4. Answer: C
⚫As directed by their surgeon, pt's should bathe or shower before surgery
with soap or antimicrobial in order to
a. Reduce the skin's microbial count
B. Soften hair shafts for preoperative removal
c. Lessen the effectiveness of the surgical skin prep
d. None of the above. Answer: A
⚫Which of the following should be avoided during hair removal?
a. Use of clippers
b. Clipping of hair against the grain of hair growth
c. Nicking or cutting the skin
d. Removal of loose hair from prepped area. Answer: C
⚫Which of the following observations are critical when doing skin
antisepsis on a peds pt?
a. Take measure to prevent loss of body heat
b. Small bodies require smaller amounts of antimicrobial agents
c. Children are not sensitive to chemical agents
d. The whole body must be prepped irrespective of the operative site.
Answer: A
⚫If a highly contaminated area is part of the surgical procedure, the area
with lower bacterial count should be
a. Confined and contained
b. Prepped first
c. Prepped last
d. Prepped with gentle friction. Answer: B
⚫Pt is scheduled for reconstruction of her external ear following a dog bite
injury. Which skin prep is indicated for use?
a. Aqueous iodophor (betadine)
b. CHG
c. CHG-alcohol
d. Iodophor-alcohol. Answer: A
GRADED A+
⚫one of the physiological effects of the trendelenburg position is
a. Decreased diaphragmatic movement
b. Even distribution of lung ventilation
c. Increased cardiac output
d. Venous pooling in the lower legs. Answer: A
⚫Which statement correctly describes recommendations for preoperative
pt skin antisepsis?
a. In determining the area to be prepped, expose the smallest area
possible to protect the pt's privacy
b. Prep dirty areas before clean areas
c. Remove hair with a razor
d. The prep should start at the site of the incision and move outwards.
Answer: D
⚫CHG is recommended for
a. The auditory canal
b. The scalp
c. Vaginal preps
d. Topical application. Answer: D
⚫Which of the following is not a goal of the surgical prep?
a. Removal of soil and transient microbes
b. Reduction of resident microbes below a pathogenic level
c. The promotion of rapid rebound growth of microorganisms
d. All options are correct. Answer: C
⚫Antimicrobial agents used for the surgical skin prep need to be fast
acting with a broad spectrum in order to be effective against a wide range
of microorganisms. What other properties are necessary for an effective
skin prep agent?
a. Low log reduction capability and non irritating
b. Persistent and toxic
c. High log reduction and non toxic
d. Persistent and non irritating
, a. 1 and 2
b. 2 and 3
c. 3 and 4
d. 1 and 4. Answer: C
⚫As directed by their surgeon, pt's should bathe or shower before surgery
with soap or antimicrobial in order to
a. Reduce the skin's microbial count
B. Soften hair shafts for preoperative removal
c. Lessen the effectiveness of the surgical skin prep
d. None of the above. Answer: A
⚫Which of the following should be avoided during hair removal?
a. Use of clippers
b. Clipping of hair against the grain of hair growth
c. Nicking or cutting the skin
d. Removal of loose hair from prepped area. Answer: C
⚫Which of the following observations are critical when doing skin
antisepsis on a peds pt?
a. Take measure to prevent loss of body heat
b. Small bodies require smaller amounts of antimicrobial agents
c. Children are not sensitive to chemical agents
d. The whole body must be prepped irrespective of the operative site.
Answer: A
⚫If a highly contaminated area is part of the surgical procedure, the area
with lower bacterial count should be
a. Confined and contained
b. Prepped first
c. Prepped last
d. Prepped with gentle friction. Answer: B
⚫Pt is scheduled for reconstruction of her external ear following a dog bite
injury. Which skin prep is indicated for use?
a. Aqueous iodophor (betadine)
b. CHG
c. CHG-alcohol
d. Iodophor-alcohol. Answer: A
